CLOSE
Health

by -
0 78
Patients line up outside the CityMD Urgent Care in Commack. Facilities have seen more patients than usual in recent weeks due to COVID testing. Photo by Lina Weingarten

Over the last few weeks, a popular conversation among residents is the length of the lines outside CityMD Urgent Care walk-in clinics.

Patients wait in line at the CityMD in Lake Grove. Photo by Rita J. Egan

With many seeking COVID-19 tests to spend time with family members over the holidays, for upcoming surgeries or to meet college testing requirements, residents over the last few weeks have seen nearly two dozen or more people standing outside of the urgent care offices, in most cases, socially distanced and wearing masks. Several have commented that they have visited CityMD and have waited for hours in line where patients who are not being tested for COVID, but for other illnesses are also waiting. The urgent care doesn’t bifurcate the line into COVID-related and non-COVID concerns.

One Smithtown woman, who asked not to be named for privacy reasons, said her husband went to one urgent care location for stitches when his hand was bleeding, and he didn’t want to go to a hospital emergency room, not wishing to take away precious time from health care personnel. Once he found out he would have to wait three hours at the urgent care, he wound up going to St. Catherine of Siena Medical Center.

On Sunday, Nesconset resident Mary Jo Orr said she waited in line with her daughter who needed a rapid test because she was starting in a new school. She noticed the line wasn’t that long when they got there at a little before 11 a.m.

“Apparently, early in the morning one of the workers decided to make a list of the first 100 people,” she said. “They were all given a number and were told to wait in their cars and they would be texted when it was their turn.”

However, management squashed the idea and others who didn’t make the list had to stand outside in line.

“We were there for 3 1/2 hours,” Orr said.

She added that she was prepared to wait, even though she wished the visit went quicker. To deal with the cold weather, she and her daughter took turns waiting in their car.

A spokesperson for CityMD said the locations are all walk-ins and do not take appointments, but the company’s goal is to treat as many people as possible. The urgent care centers offer three forms of COVID-19 testing: the rapid test; polymerase chain reaction, most commonly known as PCR test and needs to be sent to a laboratory; and serum antibody IgG blood test.

“Demand for COVID-related visits, including testing, remains consistently high,” the spokesperson said. “This is creating long lines at almost all our 130-plus walk-in CityMD Urgent Care centers, so we ask patients to please plan accordingly.”

Many have asked why CityMD doesn’t split the line into two or allow patients to wait in cars until they are called into the building.

“Wherever possible, our team members walk the lines and triage patients who need to be seen urgently,” the CityMD spokesperson said. “But, there are potential HIPAA issues with asking patients in line to disclose their condition in front of others.”

She added that CityMD is “piloting a queue system with hopes of a broad rollout.”

“Our goal is to see as many patients as we can in the safest way possible — whether it is for typical urgent care needs or for medical evaluation and a COVID-19 test.”

Many community members have said they have gone to Northwell Health-GoHealth Urgent Care centers instead. The locations require an appointment for COVID-testing. Northwell offers both COVID-19 testing and antibody testing.

Dr. Betsy Koickel, associate medical director of Northwell Health-GoHealth Urgent Care, said the appointments for COVID-related visits were necessary so the staff could better prepare for such visits.

“While we always welcome walk-ins for illness and injury care, we require a spot to be saved for COVID-19 testing in our centers so that we can safely prepare for each patient’s visit,” she said. “During the surge in the need for testing, our teams are working diligently to see all ill and injured patients while also increasing availability for COVID testing.”

The doctor said some walk-in patients may have to wait during peak times as staff members are safely preparing rooms. Even though there are no significant lines outside, patients are asked to wear masks while socially distancing or wait in their cars.

Others in the community have also recommended CVS Pharmacy locations and Stony Brook University Hospital’s testing. Both require an appointment and require the patient to fill out an assessment.

by -
0 88

Northwell Health President and CEO Michael J. Dowling, who marshalled tens of thousands of his workforce this spring to battle the deadly coronavirus disease 2019 (COVID-19) surge in the New York metropolitan area, has been named to Modern Healthcare magazine’s “100 Most Influential People in Healthcare,” ranking second overall.

This year’s top spot has been reserved for the frontline worker – doctors, nurses, respiratory therapists, environmental service workers and administrators – who put their lives at risk daily to care for COVID-19 patients.

While Northwell Health is combatting the second surge of COVID-19, Mr. Dowling’s innovation, leadership and strong stance on social issues such as gun violence as a public health crisis as well as immigration and the opioid epidemic, have also contributed to him earning a place on Modern Healthcare’s prestigious list for the 14th consecutive year. The list includes the nation’s most prominent health care CEOs, elected officials and government administrators.

“This year has shown us how vulnerable we are to the various pandemics facing health care,” Mr. Dowling said. “COVID-19 devastated us. Gun violence continues to cripple us. And there are numerous other issues that are keeping our communities from thriving. It is our responsibility to partner with them to finally move the needle in the right direction.”

To date, across Northwell’s network, the health system has treated 101,000 COVID-19 patients, including 16,000 who were hospitalized, more than any other hospital system in the country.

Mr. Dowling wrote about the lessons Northwell learned, as well as a prescription to avoid the spread of future viral illnesses in his latest book, “Leading Through a Pandemic: The Inside Story of Humanity, Innovation, and Lessons Learned During the COVID-19 Crisis.” His vision and crisis management expertise helped manage the surge, establish one of the nation’s most state-of-the-art testing centers at Northwell Health Labs, innovate new ways to alleviate supply shortages and utilize the entire integrated health system to improve patient care..

 During his tenure as CEO, Mr. Dowling has developed Northwell Health into New York State’s largest health system with 23 hospitals, approximately 800 ambulatory and physician practices, and $13.5 billion in annual revenue. His ability to grow the health system into a vast clinical, academic and research enterprise builds on a legacy of innovation dating back to his 12 years of public service overseeing health, education and human services for former New York Gov. Mario Cuomo.

Health care leaders ranked among the top 10 in Modern Healthcare’s 2020 list were Marc Harrison, MD, president and CEO of Intermountain Healthcare (third) and Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases (ninth). 

To see the complete list of Modern Healthcare’s “100 Most Influential People in Healthcare,” go to: http://ModernHealthcare.com/100MostInfluential.

by -
0 114
Stock Photo

People aren’t just testing positive for COVID-19 during the second wave; they are also entering the hospital and, in some cases, dying.

Suffolk County has reported over 1,000 positive tests in recent days, as area hospitals have seen an increase in patients needing treatment for their COVID symptoms.

Hospitalizations are now at 394 people, with 67 residents in the intensive care unit. Gregson Pigott, Commissioner in the County Department of Health, said about 2/3 of the people admitted to the hospital were over 64.

The number of deaths has also been climbing over the last six weeks. During the entire month of November, 35 people died. In just the first week of December, COVID has contributed to the deaths of 34 people.

Those numbers are up from six in October, 15 in September and five in August.

“We are not even halfway through this month [and the number of deaths] are more than August, September and October combined,” County Executive Steve Bellone (D) said on a conference call with reporters. These figures are a “stark reminder of the danger this virus poses.”

Bellone urged residents to continue to wear masks and remain socially distanced.

Even as the first night of Hannukah, during which some families gather together to celebrate the Festival of Lights, Bellone urged caution amid small gatherings.

The Suffolk County Health Department is monitoring 13 clusters from Thanksgiving or family gatherings, some of which were below the 10-person limit.

A small gathering in East Islip involved five people, who have all tested positive for COVID-19. Another get-together in Manorville resulted in six out of nine people contracting the virus, while another in Southampton triggered seven out of 10 with the virus.

“None of these gatherings violated the state’s limit,” Bellone said. “That doesn’t mean the virus won’t spread.”

Testing

Bellone said the county is continuing to expand its testing, which “remains one of our most valuable tools.”

After testing over 2,000 students in Hampton Bays, Riverhead and East Hampton, the county started testing in East Islip on Thursday.

The county is also launching a new testing initiative for first responders. Members of fire, rescue and emergency services and emergency medical service providers will have access to rapid testing at six sites throughout the county. That testing will occur on weekends and will start this Saturday.

The county will also make testing available to county law enforcement and partner agencies.

SCPD Limits

The Suffolk County Police Department has reinstated policies to limit contact for officers. While precincts remain open, the SCPD is encouraging residents to limit visits. The SCPD is also providing limited public access to the lobby at police headquarters in Yaphank.

Residents can file police reports online at www.suffolkpd.org or by phone at (631) 852-COPS.

Crimes residents can report online include harassing communications, lost property, crmiinal mischief, non-criminal property damage, minor motor vehicle crashes, identity theft and some larcenies.

The Pistol Licensing Section will be open for purchase orders and pistol license renewals only.

by -
0 1308
METRO photo
A good pace and mindset may improve your outcomes

By David Dunaief, M.D.

Dr. David Dunaief

Medical professionals (including me!) often press you to exercise. This sage advice seems simple enough; however, the type, intensity level and frequency of exercise may not be well-defined. For instance, any type of walking is beneficial, right? Well, as one study that quantifies walking pace notes that some types of walking are better than others.

We know exercise is beneficial for prevention and treatment of chronic disease. But another very important aspect of exercise is the impact it has on specific diseases, such as diabetes and osteoarthritis. Also, certain supplements and drugs may decrease the beneficial effects of exercise. They are not necessarily the ones you think. They include resveratrol and nonsteroidal anti-inflammatory drugs (such as ibuprofen). Let’s look at the evidence.

Walk with a spring in your step

While pedometers give a sense of how many steps you take on a daily basis, this number isn’t all that’s important. Intensity, rather than quantity or distance, may be the primary indicator of walking’s benefit.

In the National Walkers’ Health Study, results showed that those who walk with more pace are more likely to decrease their mortality from all causes and to increase their longevity (1). This is one of the first studies to quantify specific speed and its impact. In the study, there were four groups. The fastest group was almost jogging, walking at a mean pace of less than 13.5 minutes per mile, while the slowest group was walking at a pace of 17 minutes or more per mile.

The slowest walkers had a higher probability of dying, especially from dementia and heart disease. Those in the slowest group stratified even further: those whose pace equaled 24-minute miles or greater had twice the risk of death, compared to those who walked with greater speed.

However, the most intriguing aspect of the study was that there were big differences in mortality reduction in the second slowest category compared to the slowest, which might only be separated by a minute-per-mile pace. So, don’t fret: you don’t have to be a speedwalker to realize significant benefit.

Align your mind and body

The mind also plays a significant role in exercise. The results of one study note that a positive mindset while exercising makes a big difference in the exercise’s impact (2). Researchers created two groups. The first was told to find four positive phrases, chosen by the participants, to motivate them while on a stationary bike and repeat these phrases consistently for the next two weeks while exercising.

Members of the group who repeated these motivating phrases consistently throughout each workout were able to increase their stamina for intensive exercise after only two weeks, while the same could not be said for the control group, which did not use reinforcing phrases.

‘Longevity’ supplement may negate exercise benefits

Resveratrol is a substance that is thought to provide increased longevity through proteins called Sirtuin 1. So how could it negate some benefit from exercise? Well it turns out that we need acute inflammation to achieve some exercise benefits, and resveratrol has anti-inflammatory effects. Acute inflammation is short-term inflammation and is different from chronic inflammation, the basis for many diseases.

In a small randomized controlled study, treatment group participants were given 250 mg supplements of resveratrol and saw significantly less benefit from aerobic exercise over an eight-week period, compared to those who were in the control group (3). Participants in the control group had improvements in both cholesterol and blood pressure that were not seen in the treatment group. This was a small study of short duration, although it was well-designed.

Impact on diabetes complications

The majority of Type 2 diabetes patients suffer from cardiovascular disease. The good news is that exercise may improve outcomes. In a prospective (forward-looking) observational study, results show that diabetes patients who exercise less frequently, once or twice a week for 30 minutes, are at a higher risk of developing cardiovascular disease and almost a 70 percent greater risk of dying from it than those who exercised at least three times a week for 30 minutes each session. In addition, those who exercised only twice a week had an almost 50 percent increased risk of all-cause mortality (4).

The study followed more than 15,000 men and women with a mean age of 60 for five years. The authors stressed the importance of exercise and its role in reducing diabetes complications.

Calculate your fitness age

You can calculate your fitness age without the use of a treadmill, according to the HUNT study (5). An online calculator utilizes basic parameters – age, gender, height, weight, waist circumference and frequency and intensity of exercise – to help you judge where you stand with exercise health. This calculator can be found at www.ntnu.edu/cerg/vo2max. Your results may surprise you.

Even in winter, you can walk and talk yourself to improved health by increasing your intensity while repeating positive phrases that help you overcome premature exhaustion. Exercise can also have a significant impact on complications of chronic diseases, such as cardiovascular disease and resulting death with diabetes. As a bonus, getting outside during the day may also help you avoid the effects of the “winter blues.”

References:

(1) PLoS One. 2013;8:e81098. (2) Med Sci Sports Exerc. 2013 Oct. 10. (3) J Physiol Online. 2013 July 22. (4) Eur J Prev Cardiol Online. 2013 Nov. 13. (5) Med Sci Sports Exerc. 2011;43:2024-2030.

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.

by -
0 124
From left, Private First Class Alex Vroman of the New York Army National Guard and Josh Miller, MD, MPH, Assistant Dean for Clinical Integration and Medical Director of Diabetes Care for Stony Brook Medicine, at the coronavirus testing site on Stony Brook University’s campus, where more 48,000 people were tested from March through July. Photo from SBU

The Thanksgiving COVID-19 numbers are here and they are skyrocketing.

Suffolk County Executive Steve Bellone (D) was joined by health and emergency response officials in a media call Dec. 3 to brief the public on the increase in positive coronavirus tests since the holiday last week.

Suffolk County Executive Steve Bellone. Photo by Julianne Mosher

“We are expecting to see more than 1,100 positive cases in Suffolk County, with a positivity rate of about 6%,” he said. “We have not seen a number of 1,000 cases a day since last April.”

To put it in perspective, Bellone said, Suffolk County was averaging below 200 new cases per day last month. The number has now jumped to nearly 500 positive cases on average per day.

The spike in hospitalizations is also drastic, jumping to 57%. Bellone said that 287 people have been hospitalized — an increase of 21 people. He said 50 of those people are in ICUs.

“That is the highest number since the end of May,” he said. “If we continue with this current pace by Christmas, we’ll have over 1,000 people in the hospitals with COVID-19.”

Bellone noted that at Suffolk County’s peak in the spring, when the region was the epicenter of the virus, there were 1,658 hospitalizations.

Kenneth Kaushansky, Dean of the Renaissance School of Medicine at Stony Brook University, said the number of COVID patients or suspected COVID patients was up to 85.

“Every day for the last week or so, we’ve seen 10 more patients in our hospital,” Kaushansky said on a conference call about vaccinations on Thursday. “It’s coming back at us.”

Kaushansky urged residents to stay away from parties, wash their hands, and to continue wearing masks.

Marilin Dilone, an Emergency Department Nurse at Stony Brook, said the second wave is “slowly happening. We’re seeing it again.”

She anticipates a smooth transition if the numbers continue to rise.

“We know what to expect,” Dilone said.

Dr. Eric Morley, Associate Professor and Clinical Director of the Department of Emergency Medicine at Stony Brook, described the staff as “battle tested.”

The hospital planned to open the forward triage unit, which the hospital used to separate suspected COVID patients during the first wave of the virus, next week.

On Monday, Mather Hospital President Kenneth Roberts said the hospital was at 64 percent occupancy, so it is “nowhere near capacity.” The hospital also has surge plans in place so that it can accommodate many more than 248 patients.

Robert Collins, a nurse at Mather for the last seven years, said the staff has learned from the difficult experiences through the spring.

“The benefit this go-round is that we’ve done it once,” Collins said. “We’re more familiar with treating it.”

St. Catherine Hospital has 30 COVID positive patients, which is 15% of their inpatient volume, while St. Charles has 11 COVID patients, which is 6.5% of the inpatient volume. Mather is still at 64% occupancy, which is the figure from earlier this week.

“The second wave and the post-Thanksgiving surge we talked about, we warned about, is here,” he said. “Luckily, we’ve taken a proactive approach.”

But Bellone said that although maintaining social distancing and wearing a mask outside is essential to staying safe, small gatherings are becoming the new super spreader.

“Now we know that small gatherings among families and friends have the highest transmission rate of all the events that we’ve seen,” he said. “So I cannot stress enough the concern about small indoor gatherings, where individuals and almost naturally let their guard down a little bit.”

Bellone said that Long Islanders must remain vigilant throughout the upcoming holiday season, while a vaccine is on the horizon.

“It is our actions over the next 30-plus days, that will be critical to our continued recovery,” he said. “That will be key to making sure that we keep our kids in school, keep our schools open, and keep our businesses open.”

He added that two new community-testing sites were launched in Huntington and Patchogue. So far, 349 people have been tested at the Huntington site.

Additional reporting from Daniel Dunaief

by -
0 737
Comsewogue High School. Photo by Deniz Yildirim

Unlike other neighboring districts, Comsewogue is holding off on plans to bring more kids into school until late February or early March, citing the steadily increasing COVID-19 numbers on Long Island. 

Superintendent Jennifer Quinn said the decision was made partially based on a survey released to both parents and students as well as by the reopening committee that comprises staff, parents and students. She said the Suffolk County Department of Health also suggested now was not the best time for bringing in more students. 

“We said since the beginning, our plan is fluid,” she said in a phone interview. The district has changed several things since schools opened in September, including accepting rapid testing where initially the district was wary of the tests’ veracity, bringing back music class, hot lunches and allowing more students to use playground equipment and have more students together during gym. 

In the November survey for district residents, the results of which were posted on its website, Comsewogue got responses from a little under 750 students. Of those, 88% said their mental well-being was average or better, on a scale of 1 to 5. 

As for remote work, survey results show about 40% of students spend more than three hours on remote work a day, while 30% say it’s two-to-three hours, and about a quarter of students said they spend less than that. The vast majority of students said an earlier deadline on remote assignments would not make life easier.

The district said it expects the average remote workload should be between 3.5 and 4.5 hours, excluding AP classes. District officials said the survey results show they are doing the best job they can under the circumstances.

“We don’t want our students staring at the computer screen all day,” said Jennifer Polychronakos, assistant superintendent for instruction. 

A total of 40% of students said they would be comfortable returning to in-person learning without social distancing and masks, while 60% percent said “no” or “not at this time.”

The district also got responses from 160 district parents, of which almost 90% said their children are coping with current learning standards, based on a scale of 1 to 5.

Around 70% of parents said they would not like to see students return to school without masks or social distancing.

Quinn said the question was composed to effectively say the district could not hold students in-person all at once and still maintain social distancing.

Other schools are pushing ahead with reopening plans. The Port Jefferson School District has tentatively set an early January date for bringing students in for four days a week. The Rocky Point school district this week started bringing back students for four days of in-person learning.

At Comsewogue, Quinn said she and other people on the reopening committee are concerned about rising COVID infection rates and hospitalizations. Back in July, New York State set the limit that the infection rate could be at to reopen was 5%. 

The superintendent cited Dr. Anthony Fauci, the nation’s top infectious disease expert, who said Sunday, Nov. 29, the U.S. was expecting a difficult Christmas time in terms of both COVID-19 infections and related deaths. 

“The risk of making someone sick is a concern for us right now,” Quinn said. “You listen to Dr. Fauci who said our country might be closed — I want to keep our schools open.”

The district is hosting a board of education workshop Dec. 3 where the superintendent said in a call to parents, they will be discussing what the district will do if the area is designated a yellow zone by Gov. Andrew Cuomo (D), entailing 20% weekly testing of in-person students and faculty in schools. The next board meeting is scheduled for Dec. 7. 

by -
0 839

Other Nearby Districts Revise Protocols/Quarantine Students

Rocky Point High School. File photo by Giselle Barkley

Rocky Point schools have moved to keep students for in-person learning four days a week.

Starting Nov. 30, Rocky Point middle and high school students are to go to school Monday, Tuesday, Thursday and Friday, with Wednesday remaining as a dedicated virtual day.

The decision to push this part of the reopening plan to after Thanksgiving was made earlier this month, Nov. 4, according to a letter to parents signed by Superintendent Scott O’Brien.

“What is most important is that any change we make is done carefully, and with health and safety at the forefront,” O’Brien wrote in his letter.

The live-streaming component of what the district called “Phase II” began Nov. 9 to log into a period-by-period class schedule.

Those students who are switching to virtual from in-person learning, or vice versa, also have a start date of Nov. 30.

“With a recent increase in the number of positive COVID-19 cases in our district and the surrounding area, it was necessary to reallocate our transitional resources to address cleaning and disinfecting due to recent positive cases,” O’Brien wrote in his letter.

Since September, Rocky Point has seen 25 students test positive for the coronavirus while nine staff/teachers also tested positive as of Nov. 30, according to the state’s COVID Report Card.

Other neighboring districts have similar rates of infection, with school districts overall having much lower infection rates than the general populace. Shoreham-Wading River, with its plan of having students in school five days a week resulting in an infection rate of 1%, that currently being 22 students and six staff members.

The SWR district did have to close the high school and quarantine over 100 students and several staff members a month ago after two students who allegedly attended some kind of social gathering tested positive.

Still, Superintendent Gerard Poole said in a letter posted to the district website that they have revised protocols so that schools will not be closed the day a positive case is reported if contact tracing can be performed in time, along with the needed cleaning and disinfecting.

“The intent of this revision is to reduce the number of school closures,” Poole wrote. “Please know that the decision to keep a school open, as opposed to closing for a day, will always be made carefully with the health and safety of our students and staff as the priority.”

Meanwhile in Miller Place, the district said Monday the district contact traced three Miller Place High School students, one North Country Road Middle School student and one staff member from there who have all tested positive for COVID-19. None were symptomatic when last in school, and all have since been quarantined.

Miller Place Superintendent Marianne Cartisano said in a letter posted to the district website that the positive cases were relayed to the district through the Safe School Helpline.

“We have also been working with multiple staff members and community families who have been identified as close contacts of persons testing positive for COVID-19,” she wrote. “If required, staff have been quarantined as close contacts.”

by -
0 94
Suffolk County officials said we are certainly in the midst of the pandemic's second wave. Stock photo

Responding to numerous 911 calls on Monday, Nov. 30, just after midnight, the Suffolk County Police Department arrived at 51 Hawkins Lane in Brookhaven to find an estimated 300 to 400 people arriving for a party.

Police said it took about four hours to break up a gathering that was just getting started. The owner of the 5,000 square foot property, which is listed on Air BNB for $399 per night, was one of the people who called the police.

SCPD Chief Stuart Cameron said the people who rented the house who officials believe came from New Jersey would face civil fines of up to $15,000 and criminal charges that include criminal nuisance in the second degree and section 12-B of the public health law, which are the sections the police have been using for COVID-19-related enforcement.

The “prompt response” by the police and the “effective dispersion of the crowd” enabled the police to avert a “potential supers spreader event,” Cameron said on a call with the media run by County Executive Steve Bellone (D).

“We have gotten significant cooperation from the homeowner,” Bellone said on the conference call. “When they found that the home was being used for this purpose, they did report that. We will be holding accountable the people who did hold this party.”

Bellone cautioned anyone who might consider coming in to Suffolk County from out of town that they will not be allowed to skirt COVID-19 public health rules.

“Renting a home and thinking you will be able to get away with that … that’s not going to happen,” Bellone said. “We’ve worked too hard to allow selfish and reckless individuals to set back our efforts to continue to protect people’s health.”

Bellone thanked the SCPD for their efforts.

Bellone urged people to continue to follow public health guidelines, particularly as the holidays approach. He said there was hope on the horizon with a vaccine and that there is an “end in sight. We need to do the best we can to follow the guidance so we can contain this second wave.”

Across the county, Chief Cameron described the number of 911 calls over Thanksgiving as a “handful,” which was below his expectations. In the cases when the police did arrive at a home, they didn’t notice “any gross deviations,” which the police chief described as a “testament to the people of Suffolk County.”

A Tough Beginning

As for the number of positive tests, the trend continues to provide warning signs to area officials about the return of the spread of a virus the county had originally beat back earlier this year.

Positive tests for COVID-19 stood at 5.2% as of Dec. 1, with 609 new cases in the previous day. The county hasn’t had a rate above five percent since May 17.

Hospitalizations now stand at 248, which is the highest since June 3.

“Those numbers are alarming to say the least,” Bellone said. “There’s no doubt we are in that second wave we talked about for so long.”

The county and state will now incorporate hospital capacity into cluster zone designations in determining yellow, orange and red levels.

As of the beginning of this month, 28% of hospital beds were available, with 32% of intensive care unit beds available.

Governor Andrew Cuomo (D) has indicated that hospitals in the state need to prepare for surges by identifying doctors and nurses, preparing field hospitals and planning for “all the things we did in the spring,” Bellone said.

Bellone reinforced a message about schools he’s been sharing for several weeks, even as positive cases continue to increase. The county executive said Suffolk is not seeing the spread happening in schools in any significant level.

“Keeping our schools open is critical for students, families and for our continued economic recovery,” Bellone said.

Bellone reminded residents that the majority of new cases seem to be coming from small gatherings, where family and friends who feel safer with each other are congregating, often without masks and, at times, within six feet of each other.

“It is critically important that people limit those gatherings,” Bellone said.

The county continues to rely on contact tracing to try to limit the spread of the virus. On the first of November, the county had 30 people in place who were contact tracing, reflecting the smaller number of positive tests. Now, the county has over 200 contact tracers, who are reaching out to positive cases to connect with those who might have been exposed to the virus.

In the last two weeks, the county had 7,948 confirmed cases. Contact tracers reached 6,114 people, with 3,801 of those providing contacts, which represents less than half the total.

Dr. Shahida Iftikhar, deputy commissioner for the Department of Health, said the number of people who didn’t provide contacts included those who weren’t within six feet for 10 minutes or more of other people.

by -
0 58
'The Upstanders'

The Town of Smithtown Youth Bureau has partnered with the Smithtown Horizons Counseling and Education Center and the Town of Smithtown Youth and Community Alliance to host a free virtual screening of the anti-bullying documentary “The Upstanders.” The screening will take place on Thursday, December 3 at 6 p.m. via Zoom. “The Upstanders” is a 55 minute film, to be followed by a Q & A session featuring a panel of professionals from the film.

“Families can watch the film together and discuss their own thoughts about bullying, perhaps even bringing to light a bullying situation that a young person may be experiencing.” – Stacey Sanders, Smithtown Youth Bureau Director

Students can earn community service credit through the Town’s Youth & Community Alliance for registering and participating in this virtual community education event.  Interested participants must register, watch the film and subsequent Q&A session, then email the Youth Bureau at [email protected] to request certificates be emailed to them.

“This film is a perfect way to really address many of the Youth and Community Alliance’s primary areas of focus: Substance Abuse; Healthy Relationships; and Bullying.” – Kelly Devito, Smithtown Horizons Youth Services Coordinator

About “The Upstanders”: 

The Upstanders is a new documentary film by IndieFlix Foundation about resilience and the power of connection to end bullying. The film explores cyber-bullying, bullying among friends, families, co-workers and the brain science behind it all.

This film is appropriate for anyone 13 and older, and is a good conversation starter when viewed as a family.  Even with less social interaction temporarily due to coronavirus limitations, cyberbullying still persists. “The Upstanders” is relevant not only for those who personally experience bullying, but also for adults and students who witness or become aware of bullying (bystanders). “The Upstanders” encourages people to stand up when they see or become aware of something wrong happening, and explains how people can be upstanders in a safe way.

The film also encourages viewers, young and old, to seek balance in their life, particularly with their use of social media.  Although potentially addictive and a vehicle for bullying, social media can be a positive form of communication. “The Upstanders” is about resilience, connection and fostering healthy communication, on and off-line.

Registration is required in advance in order to attend. To register, visit: https://www.smithtownny.gov/215/Youth-Bureau or via Facebook https://www.facebook.com/smithtownyouthbureau/.

by -
0 1345
METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

There are some compelling studies that show exercise’s powerful effects in altering our genes. Recent studies show its impact on specific diseases. Exercise has effects on diabetes and a host of other chronic diseases, including kidney stones, osteoarthritis, cardiovascular disease and breast, colorectal and endometrial cancers (1).

There are also studies on simple ways to motivate yourself during exercise. One showed that those who repeat positive mantras like “feels good” while exercising were able to persist in their exercise routines for longer periods (2).

Why is this so important and why am I harping on exercise during the holidays? Because we are too sedentary, and this is the time of the year when we are inclined to overeat. According to data from the 2015-2016 National Health & Nutrition Examination Survey, we spend 6.4 hours a day sedentary (3). And this percentage is trending up.

Exercise and your genes

While you may be waiting for gene therapy to cure our chronic illnesses, it turns out that exercise may have a significant impact on our genes.

No waiting required; this is here and now.

Photo from Pixabay

In a study, results showed that thousands upon thousands of genes in fat cells were affected when participants exercised (4). The study involved sedentary men and asked them to exercise twice a week at a one-hour spin class. According to the researchers, the genes impacted were those involved most likely in storing fat and in risk for subsequent diabetes and obesity development. Participants’ gene expression was altered by DNA methylation, the addition of a methyl group made up of a carbon and hydrogens. These participants also improved their biometrics, reducing fat and subsequently shrinking their waist circumferences, and improved their cholesterol and blood-pressure indices.

The effect is referred to as epigenetics, where lifestyle modifications can ultimately lead to changes in gene expression, turning them on and off. This has been shown with dietary changes, but this is one of the first studies to show that exercise also has significant impacts on our genes. It took only six months to see these numerous gene changes with modest amounts of cardiovascular exercise.

If this was not enough, another study showed substantial gene changes in muscle cells after one workout on a stationary bike (5).

Exercise versus drug therapy

We don’t think of exercise as being a drug, but what if it had similar benefits to certain drugs in cardiovascular diseases and mortality risk? A meta-analysis — a group of 57 studies that involved drugs and exercise — showed that exercise potentially has equivalent effects to statins in terms of mortality with secondary prevention of coronary heart disease (6).

This means that, in patients who already have heart disease, both statins and exercise reduce the risk of mortality by similar amounts. The same was true with prediabetes and the use of metformin vs. exercise. It didn’t matter which one was used, the drug or the lifestyle change.

Don’t change your medication without consulting your physician.

Kidney stones and exercise

Anyone who has tried to pass a kidney stone knows it can be an excruciating experience. Most of the treatment revolves around pain medication, fluids and waiting for the stone to pass. However, the best way to treat kidney stones is to prevent them. In the Women’s Health Initiative Observational Study, exercise reduced the risk of kidney stones by as much as 31 percent (7).

Even better, the intensity of the exercise was irrelevant to its beneficial effect. What mattered more was exercise quantity. One hour of jogging or three hours of walking got the top results. But lesser amounts of exercise also saw substantial reductions. This study involved 84,000 postmenopausal women, the population most likely to suffer from kidney stones.

Sex as exercise

We have heard that sex may be thought of as exercise, but is this myth or is there actual evidence? Try to keep a straight face. Well, it turns out this may be true. In a study published in the PLoS One journal, researchers found that young healthy couples exert 6 METs — metabolic energy, or the amount of oxygen consumed per kilogram per minute — during sexual activity (8).

How does this compare to other activities? Well, we exert about 1 MET while sitting and 8.5 METs while jogging. Sexual activity falls between walking and jogging, in terms of the energy utilized, and thus may be qualified as moderate activity. Men and women burned slightly less than half as many calories with sex as with jogging, burning a mean of 85 calories over about 25 minutes. Who says exercise can’t be fun?

I can’t stress the importance of exercise enough. It not only influences the way you feel, but also may influence gene expression and, ultimately, affects the development and prevention of disease. In certain circumstances, it may be as powerful as drugs and, in combination, may pack a powerful punch. Therefore, make exercise a priority — part of the fabric of your life. It may already be impacting the fabric of your body: your genes.

References:

(1) JAMA. 2009;301(19):2024. (2) Med Sci Sports Exerc. 2013 Oct 10. (3) JAMA Netw Open. 2019;2(7):e197597. (4) PLoS Genet. 2013 Jun;9(6):e1003572. (5) Cell Metab. 2012 Mar 7;15(3):405-11. (6) BMJ 2013; 347. (7) JASN online 2013, Dec. 12. (8) PLoS One 8(10): e79342.

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.

Prev1...666768...151Next Page 67 of 151
TBR News Media is your local news and entertainment website.
We provide you with the latest breaking news and information for your community.
Contact us: [email protected]

Most Viewed

©