Health

Dr. Dodis Kohan

New York Health has announced the addition of Dodis Kohan, MD, to its team. Dr. Kohan is a board-certified Obstetrics & Gynecology Specialist with over thirty years of experience in providing high-quality OB/GYN care. He will practice at 518 Hawkins Avenue in  Lake Ronkonkoma.

“We are thrilled to welcome Dr. Kohan to New York Health,” said Dr. Rohit Reejsinghani, FACP, MBA, Executive Director of NY Health. “His passion for providing quality OB/GYN care and his commitment to patient education make him a great fit for our organization.” 

“I am excited to be practicing medicine and working directly with patients without the added responsibilities of office administration,” Dr. Kohan said. “At the end of the day, my ultimate goal is to help women have healthy pregnancies and healthy babies.”

For more information, call  631-676-7390 or visit nyhealth.com.

Image from METRO
Micronutrient deficiency and obesity are intertwined

By David Dunaief, M.D.

Dr. David Dunaief

If you’re trying to lose weight, you’re probably closely watching your calorie intake. We’ve been trained for a lifetime to scrutinize calories and to exercise more willpower in avoiding high-calorie options.

However, the road to weight loss, or even weight maintenance, is complex. Many things influence our eating behavior, including food addictions, boredom, lack of sleep and stress.

Awareness of 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 encourage higher calorie purchases (1, 2).

The good news is that success is not solely about willpower. Instead, we need to change our diet composition.

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

What is the impact of refined carbohydrates?

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 by 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 blinded (unaware) as to 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.

Do macronutrients matter?

We tend to focus on macronutrients — protein, carbohydrates and fats — when looking at diets. But are these the elements that have 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.

Again, 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 adding variety to your diet. Please ask your doctor.

How do cortisol levels affect health?

The good news is that once people lose weight, it may be easier to continue to keep the 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).

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. This is an encouraging preliminary, yet small, study involving women.

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

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.

By Melissa Arnold

Drug addiction can rob a person of everything they once held dear. Relationships with loved ones, a safe place to live and the ability to work can all become jeopardized or lost.

When you have nothing left, finding stability and sobriety can seem like an impossible task. But support and education can make all the difference.

For more than 40 years, Hope House Ministries in Port Jefferson has offered a wide variety of services to those struggling with addiction or other hardships, from free counseling and support groups to residential programs and spiritual guidance.

Tucked on the quiet grounds of Little Portion Friary in Mount Sinai is a modest bakery called Brother’s Bread, which provides sweet and savory treats to visitors and job skills for hard-working men in recovery.

The Little Portion Friary campus, now called Hope Academy, was purchased by Hope House in 2016 when the Franciscan brothers who lived there fell on hard times. Since then, the size of the program has doubled, and more than 60 young men live in the family-style residential facility. 

The acquisition was a full-circle moment for Hope House.

“The brothers helped out in local churches but also did a lot of baking. At the beginning of each weekend, people would be able to come in and see what was there and make a donation,” explained Father Francis Pizzarelli, director of Hope House Ministries, “When we acquired the friary, we wanted to maintain the bakery, and maintain that same spirit to honor and celebrate the brothers.”

But with the brothers gone, who would run the bakery? Pizzarelli saw it as an opportunity for the young men in addiction recovery at Hope Academy.  

With support and donations from the community, Brother’s Bread received a modern makeover, including new ovens. While Pizzarelli oversees the administrative side of things, daily operations are a work of “shared responsibility” for a small group of Hope Academy residents.

“It’s a source of income [for the Academy], but it’s also therapeutic. It gives these men a new set of skills, a sense of accomplishment, and a feeling of giving back,” said Pizzarelli, who is also a social worker and addiction counselor. “I’m committed to the holistic approach of mind, body and spirit for recovery and the bakery feeds into that ideal nicely.”

Some of the residents arrive at Hope Academy with previous cooking or baking knowledge, but there are also opportunities for those who want to learn. Current bakers are always looking to share their skills with other residents, especially as the ultimate goal is graduation from the program. A few local retired bakers volunteer their time to teach as well.

The result is the tempting aroma of fresh bread heavy in the air each weekend. While the bakery is best known for their breads, especially cinnamon raisin and whole wheat, with time the menu has expanded to include other goodies. Brownies, scones, cookies and fruit pies are often available, along with seasonal favorites like Irish soda bread for St. Patrick’s Day and cheese pizzas during Lent.

The Irish soda bread in particular has been the source of a lot of laughter at the bakery and among those who attend weekend Mass at the friary. 

Pizzarelli explained that one of the current bakers is from Ireland and was eager to share a bite of home with bakery patrons. People rave over it – well, most people. Pizzarelli has never been fond of Irish soda bread and is regularly teased for it. 

Another unique facet of Brother’s Bread is the focus on generosity. The bakery door is always open on the weekends, even if no one is there. Each item has a suggested price, and visitors are encouraged to pay what they can.

“We certainly appreciate all the support we get, and the profits help cover the cost of ingredients and food for the residential program,” Pizzarelli said. “But we also know that there are hungry people out there, so we run on the honor system.”  

As with all of Hope House’s programs, the bakery depends on the kindness of others. Financial gifts, volunteer support or donations of ingredients are always welcome. 

Pizzarelli never imagined 40 years ago that his ministry would unfold as it has, and while there are many difficulties, he continues to offer a place of welcome to as many as he can. “The friary and Hope Academy have been a source of strength for people that are carrying shame and stigma. People focus on the negative stories, and I am always reminded of the people that we’ve lost, but I also see miracles every day,” he said.

Brother’s Bread and Hope Academy at Little Portion Friary are located at 48 Old Post Road, Mount Sinai. New bakery items are available Fridays after 3 p.m. through Sundays. For more information, call 631-473-0553 or visit www.hhm.org.

Are you at risk for developing type 2 diabetes? Mather Hospital, 75 North Country Road, Port Jefferson will host a FREE year-long diabetes prevention program designed to help you modify your lifestyle to prevent the disease.

The National Diabetes Prevention Program, led by a trained lifestyle coach from the Suffolk County Department of Health, will be held at Mather Hospital beginning Monday, March 20 from 6 to 7:15 p.m. The program meets weekly until July 24, then bi-monthly through Sept. 25, then monthly from October 2023 through March 2024. 

Participants are identified through their health care provider by either their fasting glucose 100-124 or their A1c 5.7-6.4. In addition, they must have a BMI of 25 or more and be over the age of 18. Participants cannot have diabetes or be pregnant. Participants may also qualify by taking either the CDC or ADA risk test at   https://www.cdc.gov/prediabetes/takethetest/ or https://diabetes.org/diabetes/risk-test

“We want to have them change behaviors to get these numbers back into the normal range,’ said Senior Public Health Educator Debora Rippel. “We do that by having them lose 5-7 percent of their body weight and increase their physical activity to 150 minutes per week. In addition, they develop new behaviors (weighing and measuring food, reading food labels, choosing low-fat, low-calorie options/substitutions, among other behaviors). We look at the environmental, psychological, and social aspects of their behaviors and help them identify ways to change them.”

According to the Centers for Disease Control 96 million Americans – or one in three adults – have prediabetes. Of those, more than eight in 10 are unaware that they have it. Without taking any action, 15-30 percent  of people with prediabetes could develop type 2 diabetes within five years. For every 2.2 pounds of weight an individual loses, their risk of developing type 2 diabetes is lowered by 13 percent, according to the national program.

More information on the program at https://www.cdc.gov/diabetes/prevention/about.htm To register, contact Debora at the Suffolk County Department of Health at 631-853-2928 or [email protected] .

Mobile Mammography Van

Senator Mario R. Mattera (2nd Senate District), in conjunction with The Salvation Army, is hosting the Stony Brook Cancer Center’s Mobile Mammography Van in East Northport. The free breast cancer-screening event will be held from 9 a.m. to 4 p.m. on Friday, March 10, at 319 Clay Pitts Road in East Northport.

Stony Brook University Cancer Center operates and staffs the mobile van, which was made possible through more than $3 million from the New York State Department of Health. The van provides convenient access to all women in our area to ensure that women on Long Island get the information they need to protect themselves from breast cancer.

This event is for women forty and older who have not had a mammogram in the past year. An appointment is necessary so all who are interested should call 631-638-4135 to schedule an appointment. For more information on the Stony Brook Cancer Center’s Mobile Mammography Van, residents can visit cancer.stonybrookmedicine.edu/Patients/MammoVan.

According to information provided by Stony Brook Cancer Center, most screenings are no cost since the cost of mammograms are covered by Medicare, Medicaid and almost all insurance companies. Any resident who has no insurance will be referred to the New York State Cancer Services Program, which may cover the cost of an exam.

In New York State, breast cancer is the most commonly diagnosed cancer and the second leading cause of cancer death among women. Mammograms and breast cancer screenings can detect cancer at early stages, when it is often the most treatable.

“Early detection is the best way to combat and beat breast cancer and that makes access to no-cost screenings so critical. I thank Stony Brook University and the Salvation Army for partnering with us to provide this helpful preventive care and urge all in our community who can benefit to attend this event,” said Senator Mattera.

For more information on this important event, including eligibility requirements, information for day of visit and directions to the event, please visit Senator Mattera’s website at mattera.nysenate.gov.

METRO photo
              The microbiome may have an impact on susceptibility to autoimmune diseases

By David Dunaief, M.D.

Dr. David Dunaief

Every human carries in its body a microbiome, consisting of bacteria, viruses and single-cell eukaryotes. Our relationship to these organisms is complex, and much of it is still only loosely understood. What we do know, however, is that these trillions of microorganisms have key roles in our healthy functioning.

The microbiome is found throughout our bodies, including the skin, the eyes and the gut. Here, we’re going to focus on the gut, where the majority of our microbiome resides. The microbiome has been getting a lot of attention of late, because of its possible role in preventing and promoting diseases. Among these are obesity, diabetes, irritable bowel syndrome, autoimmune diseases, such as rheumatoid arthritis and Crohn’s, and infectious diseases, such as colitis.

The Human Microbiome Project

Like the Human Genome Project, which mapped our genes, the Human Microbiome Project, funded by the National Institutes of Health from 2007 to 2016, sought to map and sequence the composition and diversity of these gut organisms and to prompt future research. Already, there have been some enlightening preliminary studies.

What affects the microbiome?

Drugs, such as antibiotics, can wipe out microbial diversity, at least in the short term. Also, lifestyle modifications, such as diet, can have a positive or negative impact. Microbiome diversity also may be significantly different in distinct geographic locations throughout the world.

The microbiome and obesity

Many obese patients continually struggle to lose weight. Obese and overweight patients now outnumber malnourished individuals worldwide (1).

For a long time, the paradigm for weight loss had been to cut calories. However, extreme low-calorie diets were not having a long-term impact. It turns out that our guts, dominated by bacteria, may play important roles in obesity and weight loss, determining whether we gain or lose weight.

The results from a study involving human twins and mice are fascinating (2). In each pair of human twins, one was obese and the other was lean. Gut bacteria from obese twins was transplanted into thin mice. The result: the thin mice became obese. However, when the lean human twins’ gut bacteria were transplanted to thin mice, the mice remained thin.

By pairing sets of human twins, one obese and one thin in each set, with mice that were identical to each other and raised in a sterile setting, researchers limited the confounding effects of environment and genetics on weight.

The most intriguing part of the study compared the effects of diet and gut bacteria. When the mice who had received gut transplants from obese twins were provided gut bacteria from thin twins and given fruit- and vegetable-rich, low-fat diet tablets, they lost significant weight. Interestingly, they only lost weight when on a good diet. The authors believe this suggests that an effective diet may alter the microbiome of obese patients, helping them lose weight. These are exciting, but preliminary, results. It is not clear yet which bacteria may be contributing these effects.

This suggests that gut bacteria diversity may be a crucial piece of the weight-loss puzzle.

Rheumatoid arthritis

Rheumatoid arthritis (RA) is an autoimmune disease that can be disabling, with patients typically suffering from significant morning stiffness, joint soreness and joint breakdown. What if gut bacteria influenced RA risk? In a study, the gut bacteria in mice that were made susceptible to RA by deletion of certain genes (HLA-DR genes) were compared to those who were more resistant to developing RA (3). Researchers found that the RA-susceptible mice had a predominance of Clostridium bacteria and that those resistant to RA were dominated by bacteria such as bifidobacteria and Porphyromonadaceae species. The significance is that the bacteria in the RA-resistant mice are known for their anti-inflammatory effects.

Can you counteract antibiotics’ negative effects?

Many have gastrointestinal upset while taking antibiotics, because antibiotics don’t differentiate between good and bad bacteria when they go to work. 

One way to counteract these negative effects is to take a probiotic during and after your course of antibiotics. I recommend Renew Life’s 30-50 billion units once a day, two hours after an antibiotic dose and continuing once a day for 14 days after you have finished your prescription. If you really want to ratchet up the protection, you can take one dose of probiotics two hours after every antibiotic dose.

Although nobody can say what the ideal gut bacteria should consist of, we do know a few things that can help you. Diet and other lifestyle considerations, such as eating and sleeping patterns or their disruptions, seem to be important to the composition and diversity of gut bacteria (4). Studies have already demonstrated prebiotic effects of fiber and significant short-term changes to the microbiome when eating fruits, vegetables, and plant fiber. The research is continuing, but we’ve learned a lot already that may help us tackle obesity and autoimmune disorders.

References:

(1) “The Evolution of Obesity”; Johns Hopkins University Press; 2009. (2) Science. 2013;341:1241214. (3) PLoS One. 2012;7:e36095. (4) Nutrients. 2019 Dec;11(12):2862.

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.

Catholic Health patients identified as having food insecurities will be able to take home a bag with enough food for three days. Photo from Long Island Cares

A local health care system and nonprofit have joined forces to help patients in the area.

Catholic Health and Hauppauge-based Long Island Cares food bank have been working together to help patients battling food insecurities.

“We have to engage health care partners in the fight against hunger,” said Jessica Rosati, Long Island Cares vice president for programs.

A pilot program was launched last summer in Catholic Health emergency rooms, including St. Catherine of Siena Hospital in Smithtown and St. Charles Hospital in Port Jefferson, to identify residents who need grocery supplements. The initiative includes health care practitioners screening emergency room patients for what are called “hunger vital signs.” If a screener deems a person is food needy, the patient can take a bag that has enough food for one or two people for three days.

Dr. Lawrence Eisenstein, Catholic Health vice president and chief public and community health officer, said there has been data showing that 10-15% of Long Islanders experience food insecurities.

“We don’t want people leaving our hospitals and going to a home with no food,” Eisenstein said.

The doctor said questions asked during screening include if there is enough food in the patient’s home or if they have enough money to buy more. Eisenstein said the bags are meant to be a bridge until a person can receive additional help. Health care professionals will also ask patients if they need help connecting with the Supplemental Nutrition Assistance Program, also known as SNAP, or social services.

Rosati said food insecurity is a social determinant of health.

“It makes a lot of sense for health care providers to start screening individuals for food insecurity, simply because it has such a strong correlation with other diseases and disorders,” she said. “If we can treat people when they immediately come in, then we have a better chance of linking them with the appropriate services so they have all of their needs met — not only their physical health, but everything else.”

Eisenstein added that the hope is to prevent unnecessary readmissions. He gave the example that if a patient with congestive heart failure may not be able to afford nutritious food, they may be back in the emergency room with health problems.

He said unnecessary admissions might mean financial consequences for a health care system, but ensuring people don’t return to the emergency room unnecessarily is part of a hospital’s mission “to be humane and serve the most vulnerable.”

According to Rosati, more than 1,000 meals in to-go bags were distributed at all six Catholic Health hospitals to date. She added all the food included in the bags are nonperishable, shelf stable, and staff ensure food is nutritionally sound before being purchased.

She added Catholic Health officials approached Long Island Cares about initiating the program and the health care system has taken ownership of the program and found donors to expand it. She commended Catholic Health for its efforts, adding that such an initiative is “imperative for people’s overall health and the success of their health,” and hopes other providers will take note.

Bags are now also being distributed throughout the Catholic Health’s ambulatory care, walk-in clinics, home care operations and cancer institute locations throughout Long Island, including Smithtown, Port Jefferson, Commack and East Setauket.

Uniondale-based Harris Beach law firm recently donated $5,000 to the program, according to Long Island Cares, which will cover 2,000 meals.

Sleep may help the brain remove waste, such as those all-too-dangerous beta-amyloid plaques linked to Alzheimer's disease. METRO photo
A few extra ZZZs can help clear brain clutter

By David Dunaief, M.D.

Dr. David Dunaief

Cognitive loss, or mental decline, is a common concern as we age. So much so that a cottage industry of app-based games has sprouted to help keep our brains sharp.

What do we know about the brain, really, though? Startlingly little. We do know that certain drugs, head injuries and lifestyle choices have negative effects, along with numerous neurological, infectious, and rheumatologic disorders and diseases.

Some, like dementia, Parkinson’s, and strokes, are recognized for some of their effects on the brain. However, others – lupus, rheumatoid arthritis, psychiatric mood disorders, diabetes and heart disease – also can have long-term effects on our brains.

These disorders generally have three signs and symptoms in common: they cause either altered mental status, physical weakness, or mood changes — or a combination of these.

Of course, addressing the underlying medical disorder is critical. Fortunately, several studies also suggest that we may be able to help our brains function more efficiently and effectively with rather simple lifestyle changes: sleep, exercise and possibly omega-3s.

How does brain clutter affect us?

Are 20-somethings sharper and more quick-witted than those over 60?

German researchers put this stereotype to the test and found that educated older people tend to have a larger mental database of words and phrases to pull from since they have been around longer and have more experience (1). When this is factored into the equation, the difference in terms of age-related cognitive decline becomes negligible.

This study involved data mining and creating simulations. It showed that mental slowing may be at least partially related to the amount of clutter or data that we accumulate over the years. The more you know, the harder it becomes to come up with a simple answer to something.

What if we could reboot our brains, just like we do a computer or smartphone? This may be possible through sleep, exercise and omega-3s.

Why does sleep help?

Why should we dedicate a large chunk of our lives to sleep? Researchers have identified a couple of specific values we receive from sleep: one involves clearing the mind, and another involves productivity.

For the former, a study done in mice shows that sleep may help the brain remove waste, such as those all-too-dangerous beta-amyloid plaques (2). When we have excessive plaque buildup in the brain, it may be a sign of Alzheimer’s. When mice were sleeping, the interstitial space (the space between brain gyri, or structures) increased by as much as 60 percent.

This allowed the lymphatic system, with its cerebrospinal fluid, to clear out plaques, toxins and other waste that had developed during waking hours. With the enlargement of the interstitial space during sleep, waste removal was quicker and more thorough, because cerebrospinal fluid could reach much farther into the spaces. A similar effect was seen when the mice were anesthetized.

In an Australian study, results showed that sleep deprivation may have contributed to an almost one percent decline in gross domestic product (3). Why? When people don’t get enough sleep, they are not as productive. They tend to be more irritable, and their concentration may be affected. While we may be able to turn on and off sleepiness on short-term basis, we can’t do this continually.

According to the Centers for Disease Control and Prevention, 4.2 percent of respondents reported having fallen asleep in the prior 30 days behind the wheel of a car during a 2009-2010 study (4). Most commonly, these respondents also reported getting usual sleep of six hours or fewer, snoring, or unintentionally falling asleep during the day. “Drowsy driving” led to 91,000 car crashes in 2017, according to estimates from the National Highway Traffic Safety Administration (5).

How does exercise help your brain?

One study with rats suggests that a lack of exercise can cause unwanted new brain connections. Rats that were not allowed to exercise were found to have rewired neurons around their medulla, the part of the brain involved in breathing and other involuntary activities. This included more sympathetic (excitatory) stimulus that could lead to increased risk of heart disease (6). 

Among the rats allowed to exercise regularly, there was no unusual wiring, and sympathetic stimuli remained constant. This may imply that being sedentary has negative effects on both the brain and the heart. We need human studies to confirm this impact.

Omega-3 fatty acids may affect brain volume

In the Women’s Health Initiative Memory Study of Magnetic Resonance Imaging Study, results showed that those postmenopausal women who were in the highest quartile of omega-3 fatty acids had significantly greater brain volume and hippocampal volume than those in the lowest quartile (7). The hippocampus is involved in memory and cognitive function.

Specifically, the researchers looked at the levels of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in red blood cell membranes. The source of the omega-3 fatty acids could have been either from fish or from supplementation.

It’s never too late to improve brain function. Although we have a lot to learn about the functioning of the brain, we know that there are relatively simple ways we can positively influence it.

References:

(1) Top Cogn Sci. 2014 Jan.;6:5-42. (2) Science. 2013 Oct. 18;342:373-377. (3) Sleep. 2006 Mar.;29:299-305. (4) cdc.gov. (5) nhtsa.gov. (6) J Comp Neurol. 2014 Feb. 15;522:499-513. (7) Neurology. 2014;82:435-442.

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.

The Long Island Chapter of the Alzheimer’s Association will be holding an in-person event called “10 Warning Signs of Alzheimer’s” at the Middle Country Public Library, 101 Eastwood Blvd., Centereach on Thursday, Mar. 9 from 6:30 to 7:45 p.m.

This will be an overview of how to recognize the common signs of Alzheimer’s disease; how to approach someone about memory concerns; the importance of early detection and benefits of a diagnosis; possible tests and assessments for the diagnostic process, and Alzheimer’s Association resources

“It is important to recognize the warning signs of Alzheimer’s disease and other dementia,” said Taryn Kutujian, LMSW, Senior Community Education Manager for the Alzheimer’s Association Long Island Chapter. “We are here to provide the Long Island community the resources that you need to learn more about Alzheimer’s disease and other dementia.”

To register for the event, click here

To learn more about the Long Island Chapter of the Alzheimer’s Association, visit its website here or call the 24/7 Helpline at 800.272.3900

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Alzheimer’s Association®

The Alzheimer’s Association is a worldwide voluntary health organization dedicated to Alzheimer’s care, support and research. Our mission is to lead the way to end Alzheimer’s and all other dementia — by accelerating global research, driving risk reduction and early detection, and maximizing quality care and support. Their vision is a world without Alzheimer’s and all other dementia®.

Tara Matz

Tara Matz, RN, MSN, NEA-BC has been named Chief Nurse Executive at Mather Hospital in Port Jefferson. She will begin her new role on March 6.

A resident of Holbrook, Ms. Matz comes to Mather from Cohen Children’s Medical Center, where she has held a variety of leadership roles since 2005. She currently serves as the Senior Director for Patient Care Services and was also the Interim Chief Nursing Officer for a brief period. Earlier, she served as Director of Patient Care at Cohen. Prior to coming to Northwell, Ms. Matz started her career as a staff nurse at Memorial Sloan Kettering Cancer Center. 

“We are excited to have Tara join the Mather family and are confident in her ability to step into the Chef Nurse Executive role and contribute to our continued journey to excellence,” said Executive Director Kevin McGeachy.