Health

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

By David Dunaief, M.D.

Dr. David Dunaief

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

What are the baseline risks for heart disease?

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

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

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

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

Does medication lower heart disease risk?

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

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

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

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

Do lifestyle changes really reduce heart disease risk?

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

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

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

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

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

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

References:

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

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

By Daniel Dunaief

Different name, different location, same mission.

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

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

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

The center anticipates around 30,000 visits per year.

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

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

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

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

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

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

“Better eating equals improved outcomes,” said Raifman.

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

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

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

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

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

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

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

Stony Brook University Hospital

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

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

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

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

Photo courtesy of Let. Rob Trotta's office

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

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

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

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

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

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

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

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

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

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

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

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

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

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

 

METRO photo
Focus less on balancing protein, carbohydrates and fats

By David Dunaeif, M.D.

Dr. David Dunaief

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

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

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

Are refined carbohydrates bad for you?

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

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

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

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

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

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

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

What’s the relationship between           micronutrients and weight?

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

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

Long-term benefits of reducing              cortisol levels

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

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

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

References:

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

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

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

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

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

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

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

 

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

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

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

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

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

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

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

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

 

 

Stony Brook University Hospital

Out of more than 6,000 hospitals in the country, Stony Brook University Hospital (SBUH) has been ranked number 19 on Money magazine’s prestigious “Best Hospitals of 2024” list. This recognition gave SBUH an “A” ranking for General Practice and underscores Stony Brook’s unwavering commitment to providing the highest level of care to every Long Island resident.

“This acknowledgment reflects the extraordinary dedication and tireless work of the outstanding teams at Stony Brook Medicine, underscoring our position as a national leader in patient care, health education, and research,” said William A. Wertheim, MD, Interim Executive Vice President, Stony Brook Medicine.

“We are immensely proud to be ranked in Money magazine’s list of Best Hospitals of 2024,” says Carol Gomes, MS, FACHE, CPHQ, Chief Executive Officer of Stony Brook University Hospital. “This recognition is a testament to the hard work and dedication of our staff, who tirelessly strive for excellence in patient care and reflects our unwavering commitment to providing the highest quality healthcare services to our community.”

To compile its new list of the Best Hospitals in America, Money crunched 13,500 data points to create the list of 115. Figures analyzed included safety records, patient satisfaction, mortality rates and healthcare practitioner experiences. Money’s editorial team utilized data available from healthcare transparency firm Denniston Data to articulate the final numbers. This is the second year for Money’s Best Hospitals franchise. Click here to see the full list and learn more about Money’s methodology in selecting its top-ranked hospitals.

About Stony Brook University Hospital:

Stony Brook University Hospital (SBUH) is Long Island’s premier academic health center. With 624 beds, SBUH serves as the region’s only tertiary care center and Regional Trauma Center, and is home to the Stony Brook University Heart Institute, Stony Brook University Cancer Center, Stony Brook Children’s Hospital and Stony Brook University Neurosciences Institute. SBUH also encompasses Suffolk County’s only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home to the nation’s first Pediatric Multiple Sclerosis Center. To learn more, visit stonybrookmedicine.edu/sbuh.

About Money:

Founded in 1972, Money Magazine helped everyday people live richer lives by learning personal finance strategies that improved their bottom line. Over that time their mission has evolved to guide people to financial victories through up-to-date information, education, and tools as a digital-only destination.

With the rising costs of healthcare, Money sees the direct correlation between quality of care and the lessened financial impact on the consumer, the better the care, the lower the overall, long-term costs.

New York Students for Mental Health Action Coalition head Vignesh Subramanian shaking hands with Robert Martinez, chief assistant to the Suffolk County Executive Ed Romaine. Photo courtesy Vignesh Subramanian

By Aramis Khosronejad

Vignesh Subramanian, head of the New York Students for Mental Health Action Coalition, has been working determinedly toward his goal of implementing more diverse and improved suicide prevention acts in the state Legislature. 

Subramanian has been successful a few times already and has been following a certain plan: Rewriting and amending the Student Suicide Prevention Act that has already been implemented and established. Subramanian was hoping to follow this same course of action to augment suicide prevention laws to incorporate college students as well — currently, the SSPA of New York mainly focuses on K-12. 

This idea was well supported by many different colleges, several county officials and some state-level lawmakers. This fervent support was demonstrated through a rally that Subramanian was involved in organizing. At this event, student delegates from many Long Island universities such as Stony Brook, Hofstra, LIU and Adelphi were present to help push these changes to the SSPA to move forward.

A few lawmakers were also present, namely, Assemblywoman Jodi Giglio (R-Riverhead) and state Sen. Anthony Palumbo (R-New Suffolk). Subramanian also rallied the support of the SSPA’s Senate sponsor, Sen. Brad Hoylman-Sigal (D-Greenwich Village) as well as Assemblyman Daniel O’Donnell (D-Morningside Heights). 

Despite all of this support, there was an unexpected obstacle that had to be resolved. 

Despite O’Donnell’s background in ardently and actively promoting such suicide prevention laws and their improvement, he and his office provided an unanticipated problem for Subramanian and the NYSMHA Coalition.

Since the Legislature is in session for a limited period, time is very precious. O’Donnell and his office have “been noncommittal about amending the SSPA and has not communicated with coalition leaders directly, frustrating student government leaders and partner advocates,” according to Subramanian.

In an interview, he admitted to being disappointed by O’Donnell’s inaction and explained that he believes O’Donnell “was concerned that amending the bill would lengthen the process the bill would have to take to reach passing.” Regardless, the whole conflict was “very unanticipated” and Subramanian and his colleagues scrambled for “alternative strategies.” 

Subramanian and his coalition were forced to adapt quickly to their new situation, so they had to take a new tactic. In contrast to the original plan, which was using the SSPA as a blueprint, Subramanian and his colleagues decided to create an entirely new bill called the College Student Suicide Prevention Act. 

The CSSPA would place emphasis on the importance of having a college-level suicide prevention law in place for students of higher education, maybe even more so than those from K-12. The bill has already been finalized and is being planned to be introduced in early April. 

The CSSPA is currently receiving support from Assembly Higher Education Chair Patricia Fahy (D-Albany) and state Sen. Lea Webb (D-Binghamton). 

Amid each obstacle, Subramanian said he “doesn’t plan to stop” his pursuit of suicide prevention legislation. He expressed his goal to continue his efforts to enact better suicide prevention laws for students of all fields and ages across a broader geographical scope.