Health

By Daniel Dunaief

 

Dr. Patricia Bruckenthal
Photo from Stony Brook School of Nursing

 

People put their lives in the hands of unseen airline pilots who have enhanced and sharpened their skills using simulators. These simulators can prepare them for a wide range of conditions and unexpected challenges that enhance their confidence on the fly.

The same approach holds true for nurses, who seek to help patients whose symptoms may change even as the nurse is working with several people at the same time.

In an initiative designed to provide in depth training to nurses throughout the state, while filling a shortage of these vital professionals, New York State recently announced a $62 million contribution to three nursing simulation centers: SUNY Buffalo, SUNY Canton and Stony Brook University. With $10 million of state funds that the university will match with $10.5 million of its own money, SBU will increase the number of nurses it trains.

“We are very fortunate here at Stony Brook that we get many, many qualified applicants for our nursing program [for whom] we have not, to date, been able to offer seats,” said Dr. Patricia Bruckenthal, Dean of the School of Nursing at Stony Brook. This will enable the school, as well as the other programs, to train more students.

Effective training

While Stony Brook offers nursing simulation training, the additional funds will greatly expand the size and scope of that effort.

The NEXUS-Innovation Center, which stands for Nursing EXcellence Using Simulation, will take about two years to build and will have a phased in enrollment approach. In the third year, the school will add 56 baccalaureate nursing students. In the fifth year, Stony Brook will have space for 80 more students.

The current simulation center is about 1,850 square feet, which includes a nursing skills lab, exam room and debrief/ flex room. 

The new center will add 15,000 square feet. 

The simulation center will have 16 hospital style beds, with all the equipment nurses would normally see in a hospital room, including suction, air, oxygen, otoscope, ophthalmoscope, monitoring, and a call bell system. The center will also have eight examination rooms.

The proposal also includes the design of an apartment with a laundry, kitchen, bathroom and shower, helping train nurses who will help people in residential settings.

Among other features, the center will have a control room where instructors and operators manipulate the AV equipment and patient simulations, observe and document performance, collect data and prepare for debriefing.

Bruckenthal is planning to hire a faculty member in the next few months to become simulation coordinator who will work with the Director of the Learning Resource Center.

Within the next two years, Stony Brook anticipates hiring one more nursing faculty Clinical Simulation Educator and one Simulation Operations Specialist, who will ensure that all technical aspects of the center are functioning correctly. This new hire will also troubleshoot equipment, while performing emergency repairs on equipment and arranging for vendor repairs.

All of this equipment and expertise provides opportunities to create scenarios that build expertise. The conditions can change, as a patient goes from an expected outcome to one in which the conditions rapidly deteriorate.

In addition to expanding capacity and giving nurses an opportunity to understand and react to patients who have a wide range of conditions they might not see during routine clinical training, the center will also enable these students to build their competence and confidence in a low-stakes environment.

“It provides for a safe learning environment,” said Bruckenthal. “Students can make mistakes without risking patient safety. It’s much less stressful.”

Future nurses can also continue to work in the simulation lab on a particular skill until they feel confident in their abilities.

Several studies have validated the effectiveness of educating and preparing nurses in a simulated setting.

A landmark study in 2014 conducted by the National Council of State Boards of Nursing compared the clinical competence of nurses in training across three groups: one that had no simulation training, a group with 25 percent of their clinical training replaced by simulation, and a third group with 50 percent clinical training through simulation.

The nursing certification pass rate scores were the same for all three groups. Simulation trained nurses performed as well or better in areas like critical thinking and clinical judgment.

Additionally, follow up studies showed that employers found that nurses trained using high fidelity simulation were just as effective as those who were trained in the clinic in areas including patient safety, communication and evidence-based practices..

The center can also pivot to provide nurses with training for expanding local health threats, such as a simulated version of a measles outbreak, Lyme disease or a spike in other conditions that might cause a surge in hospital visits.

“We can build and design cases that meet those needs,” said Bruckenthal.

The center can build in disaster training, giving nurses a chance to interact with colleagues in other health professions during any of a host of other scenarios. When interacting with other healthcare professionals, nurses can practices the SBAR technique, in which they describe the Situation, provide Background, give an Assessment, and offer a Recommendation.

The expanded simulation center will incorporate design elements such as soundproofing, lighting and ventilation and will align with the university’s goals towards sustainability and green-oriented design.

Long term commitment

Bruckenthal has been contributing to Stony Brook for 44 years, ever since she graduated from the nursing school in 1981.

Her first job as a nurse was at the newly opened hospital. She and Carolyn Santora, Stony Brook Medicine Chief Nursing Officer, have worked together since 1981 and went through the Stony Brook master’s program together. They have established the Stony Brook Nursing Alliance.

Bruckenthal is energized by the opportunities ahead.

“Nursing is one of those careers where you can always keep yourself new and find new and exciting opportunities,” she said.

In the early days of her nursing career, she recalled that nurses weren’t exposed to all the types of conditions they might face in various settings.

“Having the opportunity to have nurses practice in this low risk environment and build that confidence and skills is a better way to prepare nurses to be ready for the work force,” she said

With nurses involved in so many aspects of patient care, Bruckenthal dreams of creating a nursing innovation incubator.

Nurses can offer insights into developing innovative ways to improve health care, whether working with biomedical engineers or biomedical informatics and can help design human-centered technology. Such a center could allow nurses to learn more about technology and business while enabling them to become leaders and entrepreneurs.

“Nurses have a problem-solving mindset,” Bruckenthal explained. “Sustainable and scalable solutions are really going to take a joint effort between educators, clinicians and industry partners.”

Photo from Emma Clark Library

Save the date! Catholic Health Mobile Outreach Bus will be in the parking lot of Emma Clark Library, 120 Main St., Setauket for free health screenings on Thursday, May 15 from 10 a.m. to 2 p.m. Registered nurses will provide blood pressure, cholesterol, body mass index, glucose and cardiac screenings, along with patient education and referrals as needed. Last screening begins at 1:45 p.m. No appointments are necessary, there are no fees, and insurance is not required. Questions? Email [email protected].

Flowers bloom at The Shoppes at East Wind

Get ready for a day of family fun, fitness, and community wellness as The Shoppes at East Wind, 5768 Route 25A, Wading River presents their first annual Family Health & Wellness Day, a motivating FREE event designed to inspire healthy living and bring our community together, on Saturday, May 17 from 11 a.m. to 5 p.m. 

This exciting event blends health education with hands-on experiences for all ages. Enjoy high-energy fitness classes, soothing mindfulness sessions, and expert insights into healthy living—all while exploring the offerings of local health and wellness providers.

“We’re inspired to launch this inaugural event at The Shoppes,” said Charlotte Coté, Marketing Director at East Wind. “It’s about living well, supporting local businesses, and showing families all the incredible health resources right here in our own backyard.”

Highlights Include:

  • Live CPR & safety demos with the Wading River Fire Department
  • Narcan training by East End THRIVE
  • Meet representatives from the North Fork Breast Health Coalition
  • Learn natural calming techniques for kids from Wellspring of Life Acupuncture

FITNESS SESSIONS SCHEDULE:

  • 11:00 AM – Pure Barre Pop-Up Class
  • 12:30 PM – Family Yoga with Margot
  • 1:30 PM – Singing Bowls & Meditation with Andrea
  • 2:30 PM – Acupressure for Kids: Live Demo

SPECIAL GUESTS:

The Wading River Fire Department will be onsite with a full ambulance, offering demonstrations and valuable family-focused safety education. “We’re proud to support this community event,” said Denis Gluck, 3rd Assistant Chief. “It’s an opportunity to connect with families and share lifesaving skills like CPR and water safety.”

Don’t miss this energizing day of wellness, discovery, and connection! Whether you’re looking to boost your fitness routine, explore holistic health options, or just enjoy a fun day out with the family, Family Health & Wellness Day is the place to be.

Rain date is May 18.

For more information, visit https://eastwindlongisland.com/event/family-health-and-wellness-day-at-the-shoppes/ 

About the Shoppes at East Wind

The Shoppes at East Wind opened in October of 2016 with 28 free standing specialty shoppes connected by brick-paved walkways. The quaint walking village features a variety of local merchants, including jewelers, artisan goods, custom clothing, yoga instruction, an ice cream parlor, pizza shop, bakery, candy store and full-service restaurant. A custom-made indoor pavilion serves as the centerpiece of the courtyard, housing a stunning, one-of-a-kind carousel with hand-carved horses and fantasy figures. EastWindLongIsland/Shoppes

Mather Hospital. Photo by Jim Lennon

Mather Hospital in Port Jefferson has been nationally recognized with the Healthgrades 2025 Outstanding Patient Experience Award™ for the fifth year in a row (2021-2025) for delivering an exceptional patient experience. Mather is one of four hospitals in New York to receive the award and among the top 5% of hospitals in the country for patient experience for a second consecutive year.

This honor from Healthgrades, an online resource for information about physicians and hospitals, reflects Mather Hospital’s ongoing commitment to compassionate, patient-centered care. Each year, Healthgrades evaluates more than 3,000 hospitals across the country to identify those that consistently provide an exceptional experience from the patient’s perspective.

“This award speaks directly to the dedication and compassion of our entire team at Mather Hospital,” said Kevin McGeachy, President, Mather Hospital. “We are honored to receive this recognition, which reinforces our mission to put patients first in every aspect of their care.”

To determine recipients of the Outstanding Patient Experience Award, Healthgrades analyzed data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey submitted by hospitals across the U.S. The 2025 award is based on HCAHPS survey data collected from January 2023 to December 2023. Only hospitals that submitted at least 100 patient surveys during this time were considered.

Healthgrades applies a scoring methodology to 10 patient experience measures, including communication with nurses and doctors, responsiveness of hospital staff, explanation of medications, and cleanliness and quietness of the hospital environment. Mather’s performance across these metrics reflects its success in creating a healing and supportive environment for patients and their families.

For example, 84% of Mather’s patients reported that their room and bathroom were “always” clean, and nurses “always” communicated well, while 89% of patients reported “yes” that they were given information about what to do during their recovery at home.

Anissa Abi-Dargham, MD. Photo by Jeanne Neville, Stony Brook Medicine

Anissa Abi-Dargham, MD, SUNY Distinguished Professor of Psychiatry and Radiology, and the Lourie Endowed Chair of the Department Psychiatry and Behavioral Health in the Renaissance School of Medicine (RSOM) at Stony Brook University, will receive the 2025 Award for Research in Psychiatry from the American Psychiatric Association (APA).

According to the APA, the Award for Research in Psychiatry recognizes a single distinguished contribution, a body of work, or a lifetime contribution that has had a major impact on the field and/or altered the practice of psychiatry.

Dr. Abi-Dargham is being recognized by the APA with the Award for Research in Psychiatry for her distinguished contributions over her career to schizophrenia research, which has had a major impact on the field. She will receive the award at the APA’s annual meeting on May 19 in Los Angeles.

“I am very honored and grateful to receive this award and be able to present the work of many trainees and collaborators I have had the privilege to work with over the course of my career,” says Dr. Abi-Dargham, also Associate Dean and Associate Vice President for Clinical and Translational Science at the RSOM.

“It is a pleasure to work with such talented and dedicated scientists and to contribute to the discovery process,” she adds. “This award is very meaningful, particularly at a time when research is facing many challenges.”

At Stony Brook since 2016, Dr. Abi-Dargham’s clinical and research expertise is in molecular imaging, pharmacology, schizophrenia, and addiction. The broad focus of her research within the RSOM is to advance the understanding of the neurobiology of severe mental illness, with one approach being investigation of molecular markers and their functional significance as measured with multi-modal imaging approaches.

The Setauket resident also oversees a multidisciplinary team with expertise in several types of neuroimaging techniques used in tandem to address important questions about brain mechanisms and schizophrenia.

During the APA annual meeting, Dr. Abi-Dargham will deliver a lecture to the nation’s APA members titled “Misfiring signals: Dopamine Dysfunction in Schizophrenia – From Neural Pathways to Behavioral Manifestations.”

 

 

 

Pictured with Suffolk County Legislator Rob Trotta (right) are from left, St. Catherine of Siena Medical Center’s President Chris Nelson, Chief Nursing Officer Karen T. Fasano, and Assistant Vice President of Nursing Elizabeth McNulty.

Suffolk County Legislator Rob Trotta recently recognized the nurses at St. Catherine of Siena Medical Center in Smithtown during Nurses Week.

National Nurses Week began May 6 and ends on May 12, Florence Nightingale’s birthday, which celebrates all nurses and the important work they do in our community. The theme this year was “The Power of Nurses.” The theme emphasized the incredible impact that nurses have and their essential role in health care.

St. Catherine of Siena Medical Center held a special “nurses flag raising” ceremony at its main entrance to the hospital and will do so each year as an annual event. Suffolk County Legislator Rob Trotta presented officials from St. Catherine of Siena with a proclamation and thanked all the nurses for their tireless dedication, compassion and outstanding patient care.

METRO photo
Reducing dairy consumption can decrease inflammation

By David Dunaief, M.D.

Dr. David Dunaief

Osteoarthritis (OA) can disturb your mobility, mood, and sleep quality, making it difficult to perform daily activities, which can affect your quality of life. Most often, it affects the knees, hips and hands. Acetaminophen and nonsteroidal anti-inflammatory drugs, such as ibuprofen or naproxen, are common first-line medications to help treat arthritis pain. Unfortunately, they do have side effects, which become more pronounced with long-term use. 

While medications might relieve your immediate pain and inflammation symptoms, they don’t slow osteoarthritis’ progression. However, there are some approaches that can ease your pain without reaching for medications. Some might even help slow your OA’s progression.

The effect of losing weight on OA pain

Weight management is important to any OA pain management strategy. In a study of 112 obese patients, those who lost weight reported that their knee symptoms improved (1). The study authors also observed disease modification in this population, with a reduction in the loss of cartilage volume around the medial tibia.

The relationship was almost one-to-one; for every one percent of weight lost, there was a 1.2 mm3 preservation of medial tibial cartilage volume, while the opposite occurred for study participants who gained weight. A reduction of tibial cartilage is often associated with the need for a knee replacement.

Does vitamin D help ease OA pain?

In a randomized controlled trial (RCT), vitamin D provided no OA symptom relief, nor any disease-modifying effects (2). The two-year study of almost 150 men and women raised blood levels of vitamin D on average to 36 ng/ml, which is considered respectable. Researchers used MRI and X-rays to track their results.

In another study of 769 participants, ages 50-80, researchers found that low vitamin D levels – below 25 nmol/l led to increased OA knee pain over the five-year study period and hip pain over 2.4 years (3). The researchers postulate that supplementing vitamin D might reduce pain for those who are deficient, but that it will likely have no effect on others.

What about dairy?

With dairy, specifically milk, there is conflicting information. Some studies show benefits, while others show that it might contribute to the inflammation that makes osteoarthritis pain feel worse.

In the Osteoarthritis Initiative study, researchers looked specifically at joint space narrowing that occurs in those with affected knee joints (4). Results showed that low-fat (1 percent) and nonfat milk may slow the progression of osteoarthritis in women. Compared to those who did not drink milk, patients who did saw significantly less narrowing of knee joint space over a 48-month period.

The result curve was complicated, though. For those who drank fewer than three glasses a week up to 10 glasses a week, the progression of joint space narrowing slowed. However, for those who drank more than 10 glasses per week, there was less benefit. Men and those who consumed higher fat products, such as cheese or yogurt, saw no benefit.

However, the study had significant flaws. The 2100 patients were only asked about their milk intake at the study’s start and were asked to recall their weekly milk consumption for the previous 12 months – a challenging task.

In a study of almost 39,000 participants from the Melbourne Collaborative Cohort Study researchers found that increases in dairy consumption were associated with increased risk of total hip replacements for men with osteoarthritis (5).

Is diet or exercise better for reducing osteoarthritis pain?

Diet and exercise together actually trumped the effects of diet or exercise alone in a well-designed, 18-month study (7). Patients with osteoarthritis of the knee who lost at least 10 percent of their body weight experienced significant functional improvements and a 50 percent pain reduction, as well as inflammation reduction. This was compared to those who lost a lower percent of their body weight.

Researchers used biomarker IL-6 to measure inflammation. The diet and exercise group and the diet-only group lost significantly more weight than the exercise-only group, 23.3 pounds and 19.6 pounds versus 4 pounds. The diet portion consisted of a meal replacement shake for breakfast and lunch and then a vegetable-rich, low-fat dinner. Low-calorie meals replaced the shakes after six months. The exercise regimen included one hour of a combination of weight training and walking “with alacrity” three times a week.

To reduce pain and possibly improve your OA, focus on lifestyle modifications. The best effects shown are with weight loss which is most easily achieved with a vegetable-rich diet and exercise. In terms of low-fat or nonfat milk, the results are controversial, at best. If you don’t eliminate dairy, stay on the low end of consumption, since it can increase inflammation.

References:

(1) Ann Rheum Dis. 2015 Jun;74(6):1024-9. (2) JAMA. 2013;309:155-162. (3) Ann. Rheum. Dis. 2014;73:697–703. (4) Arthritis Care Res online. 2014 April 6. (5) J Rheumatol. 2017 Jul;44(7):1066-1070. (6) Nutrients. 2021 Feb 4;13(2):506. (7) JAMA. 2013;310:1263-1273.

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.

Megan E. Sheehan

Brightview Senior Living, a Baltimore-based provider in senior living with almost 50 communities along the East Coast, has announced Megan E. Sheehan as Brightview Port Jefferson’s new Executive Director. The facility is located at 1175 Route 112 in Port Jefferson Station.

Sheehan is a healthcare professional with more than a decade of experience in senior healthcare and housing, with a focus on hospitality, resident satisfaction and family engagement. She most recently served as the Executive Director of Marian Woods, Inc. Adult Care Facility, where she oversaw administration and organizational planning of a fifty-bed New York State licensed Adult Care Facility for religious sisters.

“We are thrilled to welcome Megan to the Brightview Port Jefferson team,” said Toni Gozzo, Regional Director of Operations at Brightview Senior Living. “Her deep experience in senior healthcare, commitment to hospitality and passion for creating meaningful experiences make her a perfect fit. Brightview prides itself on vibrant living and exceptional care, and we’re confident Megan’s skills and background will further elevate that mission for our residents, families, and our associates in the greater New York region.”

Sheehan earned a Bachelor of Arts in education from Manhattan College and an Associate of Applied Science in occupational therapy assisting from SUNY Rockland.

“I am thrilled to have joined the Brightview Port Jefferson family. After working for more than 10 years in healthcare, this is more than a job to me – it’s my calling,” said Sheehan. “I thrive working in an environment where no two days are the same and I can make a meaningful difference while growing personally and professionally. It’s truly an honor to build genuine connections with residents and their loved ones, and learn from their stories and wisdom. My goal is to help make this chapter of their lives as joyful and fulfilling as possible.”

For more information about Brightview and its communities, visit BrightviewSeniorLiving.com.  

 

Spencer Gee

People who suffer from chronic diseases including Parkinson’s, Alzheimer’s, neuropathy, dementia, and arthritis have the chance to join the 12-week PANDA Tai Chi exercise classes at the Universalist Unitarian Fellowship, 380 Nicolls Road, East Setauket starting on Sunday, May 18 from 3 p.m. to 4 p.m.

Martial artist, Spencer Gee, has spent 15 years developing a tai chi program for people with chronic diseases such as:  Parkinson’s, Alzheimer’s, Neuropathy, Dementia, Arthritis and others.  This program allows the students to move their bodies in a way that can help delay the progression of their disease.  They are able to maintain strength and mobility and release tension and stress.

Spencer is an engaging teacher and tells everyone, “Come join us for an exciting and fun workout for your mind and body.”

Classes will be 1 hour long on Sundays at 3 p.m. on May 18, 25; June 1, 8, 15, 22, 29; July 13, 20, 27; and  August 3 and 10.

Fee is $180 per student, caregivers are encouraged to join in for an additional reduced fee.  For more information or to register, email Laila at [email protected].

Ribbon cutting for Limitless Integrative Wellness. Photo from PJCC

OFFERING HOLISTIC SUPPORT

The Port Jefferson Chamber of Commerce welcomed new Chamber partner Kristina Scaglione (holding scissors) of Limitless Integrative Wellness, 100 Mariner’s Way, Port Jefferson at a ribbon cutting on April 24. The event was attended by Mayor Lauren Sheprow (holding certificate), PJCC President Steve Munoz (far left), friends and staff. For more information, call 631-818-1528 or visit limitlessintegrativewellness.com.