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Governor Andrew Cuomo (D) today announced that residents in hospitals could have visitors starting today and those in group homes could have visitors starting on Friday.

County Executive Steve Bellone (D) applauded the decisions, which were based on the lower rates of positive test and the declining strain on the health care system.

“There has been a lot of anguish and turmoil and pain throughout this whole COVID-19 crisis,” Bellone said on his daily conference call with reporters. “One of the biggest areas we have seen this in is the inability to be with loved ones when they are ill or sick or to visit loved ones in group homes.”

Bellone called the decision a “big step forward” for numerous families.

Separately, the county executive said residents could reserve a spot at the Smith Point County Park this Saturday at 8:30 p.m. for a free showing of “Jaws” on the 45th anniversary of the classic horror film.

Interested residents can reserve a spot at suffolkcountyny.gov/driveinmovies. Space is limited and tickets are available on a first-come, first-serve basis.

As for the numbers, the number of new infections was 46, which is about a 1 percent positive rate among those tested. The total number of people who have had a positive COVID-19 test has reached 40,738.

The number of people hospitalized with the virus declined by six to 121, while the number of people in the Intensive Care Unit remained the same, at 38.

Meanwhile, an additional two people died from complications related to COVID-19. The total number of people in Suffolk County who have died from the virus is 1,957.

The number of people who have left the hospital in the last 24 hours was eight.

Since the start of Phase Two last Wednesday, the Suffolk County Police Department has received 122 complaints and found four violations of social distancing or face covering violations. The police did not issue any tickets.

The number of sworn officers who have tested positive for the virus is 88, which is an increase of one over the last six weeks. At this point, six officers are still out sick with the virus.

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Dr. David Rivadeneira. Photo from Northwell Health

David Rivadeneira, MD, MBA, has been appointed director of the Northwell Health Cancer Institute at Huntington. The announcement was made in press release on June 4. For the last seven years, Dr. Rivadeneira has led surgical services and colorectal surgery at Huntington Hospital.

“We are thrilled Dr. Rivadeneira will be leading the Northwell Health Cancer Institute at Huntington,” said Richard Barakat, MD, physician-in-chief and director of the Northwell Health Cancer Institute and senior vice president of cancer services at Northwell Health. 

“He is a gifted surgeon, experienced leader and skilled educator, who also has strong community ties. Cancer experts throughout the health system look forward to collaborating with him as he builds new cancer programs in the Huntington area,” he said.

“The goal of the Northwell Health Cancer Institute at Huntington is to provide a center of excellence to offer phenomenal cancer care and to be a leader in cancer services in Suffolk County,” said Dr. Rivadeneira, a resident of Lloyd Harbor. 

“As Suffolk’s population grows each year there is a tremendous need to provide top-quality cancer care to residents locally. It’s much less stressful for patients to get care in their community than travel to Nassau Country or Manhattan. The COVID-19 pandemic underscored our patients’ desire to avoid leaving the area for cancer care.”

Dr. Rivadeneira said the Cancer Institute at Huntington, located at 270 Pulaski Road in Greenlawn, treats patients with range of diseases such as breast, thoracic, colorectal, kidney, prostate and other cancers.

“To create an environment in which patients receive exceptional care, a key component is to have the best doctors with the appropriate expertise in organ disease-specific cancers, as well as specially-trained nurse navigators dedicated to guiding patients through their journey,” he said. 

“We are recruiting top physicians in oncology, radiation oncology, surgery and professionals with genetic expertise. Also, we are adding certified staff members to the program who will offer nutrition support and integrative approaches such as meditation and other holistic modalities.”

Future plans include building a comprehensive ambulatory cancer center at Huntington Hospital offering patients a multidisciplinary approach to cancer care treatment. Clinical leaders in all oncology modalities will be within the campus of the Northwell Health Cancer Institute at Huntington, making it easier for patients and their care teams to communicate and meet when deciding treatment plans. With a close connection to the National Cancer Institute-designated Cold Spring Harbor Laboratory, patients will benefit from leading cancer research.

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In the past 24 hours, the number of Suffolk County residents who have tested positive for COVID-19 was 33, which is well below the county’s goal of remaining below 100.

At the same time, the percentage of positive tests was below 1 percent, which is also an encouraging sign, particularly for a county that has had close to 100 protests in response to the killing of Minneapolis resident George Floyd.

The total number of positive tests in the county since the beginning of the pandemic is now 40,692.

Meanwhile, the number of people hospitalized with COVID-19 remained fairly stable. The number in the hospital increased by two to 127, while the number in Intensive Care Unit beds declined by two to 38 in the 24 hour period ending on June 13th.

Bed capacity also remained below the 70 percent metric, with overall hospital bed use at 64 percent and ICU bed occupancy at 56 percent.

An additional 12 people left the hospital in the last day.

The number of people who have died from complications related to COVID-19 climbed to seven, with the total number who have died now at 1,955.

The number who have died from the virus represents a “spike” compared to the last few days, said County Executive Steve Bellone (D) on his daily conference call with reporters. Indeed, on Friday, the county reported its first day without a death from COVID-19 since mid-March.

“We’ll see moving forward” whether the numbers of people felled by the virus stay low or climb from days when Bellone has reported deaths of 0, one and two people over the last week.

Gregson Pigottt, the Suffolk County Health Commissioner, said people who have been in the ICU on a ventilator sometimes struggle to pull through after a few weeks.

“It’s hard to predict when you’re in the hospital,” Pigott said on the call.

Separately, the county hopes to enter Phase Three of the reopening by next Wednesday, June 24, at the latest.

At that point, restaurants could reopen at 50 percent capacity. Such a reopening would help boost an economy residents hopes gets back on track after the shutdown caused by the virus.

“Many people are unemployed,” Bellone said. “Getting this industry back is an important thing. We need to do it safely.”

Amid concerns Gov. Andrew Cuomo (D) expressed yesterday about violations of social distancing and face coverings in Manhattan and the Hamptons, Bellone said the Suffolk County Police Department has remained in touch with law enforcement in the East End.

At the same time, the Health Department is sending a reminder about the guidelines with respect to the state order to restaurants so they are fully aware of the health restrictions in place.

The governor “spoke about the potential that violations could result in suspension or revocation of a business’s liquor license,” Bellone said. “Nobody wants to see that happen. We want to see all these businesses open up again and get them back on their feet.”

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Over 30 million people in the United States suffer from some form of eczema. Stock Photo
Most treatments focus on managing symptoms of itchiness or redness

By David Dunaief, M.D

Dr. David Dunaief

Referred to more broadly as atopic dermatitis, the cause of eczema is unknown, but it is thought that nature and nurture are both at play (1). Eczema is a chronic inflammatory process that involves symptoms of pruritus (itching) pain, rashes and erythema (redness) (2).

Eczema is common in both children and adults. In the United States, it’s estimated that over seven percent of the adult population is afflicted (3), with twice as many females as males affected (4). Ranging in severity from mild to moderate to severe, adults tend to have moderate to severe eczema.

Treatments for eczema run the gamut from over-the-counter creams and lotions to prescription steroid creams to systemic (oral) steroids and injectable biologics. Some use phototherapy for severe cases, but the research on phototherapy is scant. Antihistamines are sometimes used to treat the itchiness. Also, lifestyle modifications may play an important role, specifically diet. Two separate studies have shown an association between eczema and fracture, which we will investigate further.

Let’s look at the evidence.

Eczema isn’t just superficial

Eczema may also be related to broken bones, according to several studies. For example, one observational study showed that those with eczema had a 44 percent increased risk of injury causing limitation and an even more disturbing 67 percent risk of bone fracture and bone or joint injury for those 30 years and older (5). And if you have both fatigue or insomnia and eczema, you are at higher risk for bone or joint injury than having one or the other alone. One reason for increased fracture risk, the researchers postulate, is the use of corticosteroids in treatment.

Steroids may weaken bone, ligaments and tendons and may cause osteoporosis by decreasing bone mineral density. Chronic inflammation may also contribute to the risk of bone loss. There were 34,500 patients involved in the study, ranging in age from 18 to 85. For those who have eczema and have been treated with steroids, it may be wise to have a DEXA (bone) scan.

Supplements’ effectiveness

The thought of supplements somehow seems more appealing for some than medicine. There are two well-known supplements for helping to reduce inflammation, evening primrose oil and borage oil. Are these supplements a good replacement for – or addition to – medications? The research is really mixed, leaning toward ineffective.

In a meta-analysis (involving seven randomized controlled trials, the gold standard of studies), evening primrose oil was no better than placebo in treating eczema (6). The researchers also looked at eight studies of borage oil and found there was no difference from placebo in terms of symptom relief. One positive is that these supplements only had minor side effects. But don’t look to supplements for significant help.

Injectable solutions

Dupilumab is a biologic monoclonal antibody (7). In trials, this injectable drug showed good results, improving outcomes for moderate to severe eczema sufferers when topical steroids alone were not effective. Like any drug therapy, it is not without side effects, though.

Topical probiotics

When we think of probiotics, we think of taking a pill. However, there are also potentially topical probiotics with atopic dermatitis. In preliminary in-vitro (in a test tube) studies, the results look intriguing and show that topical probiotics from the human microbiome (gut) could potentially work as well as steroids (8). This may be part of the road to treatments of the future. However, this is in very early stage of development.

What about lifestyle modifications?

In a Japanese study involving over 700 pregnant women and their offspring, results showed that when the women ate either a diet high in green and yellow vegetables, beta carotene or citrus fruit there was a significant reduction in the risk of the child having eczema of 59 percent, 48 percent and 47 percent, respectively, when comparing highest to lowest consumption quartiles (9).

Elimination diets may also play a role. One study’s results showed when eggs were removed from the diet in those who were allergic, according to IgE testing, eczema improved significantly (10).

From an anecdotal perspective, I have seen very good results when treating patients who have eczema with dietary changes. My patient population includes about 15 to 20 percent of patients who suffer some level of eczema. For example, a young adult had eczema mostly on the extremities. When I first met the patient, these were angry, excoriated, erythematous and scratched lesions. However, after several months of a vegetable-rich diet, the patient’s skin had all but cleared.

I also have a personal interest in eczema. I suffered from hand eczema, where my hands would become painful and blotchy and then crack and bleed. This all stopped for me when I altered my diet many years ago.

Eczema exists on a spectrum from annoying to significantly affecting a patient’s quality of life (11). Supplements may not be the solution, at least not borage oil or evening primrose oil. However, there may be promising topical probiotics ahead and medications for the hard to treat. It might be best to avoid long-term systemic steroid use; it could not only impact the skin but also may impact the bone. Lifestyle modifications appear to be very effective, at least at the anecdotal level.

References:

(1) Acta Derm Venereol (Stockh) 1985;117 (Suppl.):1-59. (2) uptodate.com. (3) J Inv Dermatol. 2017;137(1):26-30. (4) BMC Dermatol. 2013;13(14). (5) JAMA Dermatol. 2015;151(1):33-41. (6) Cochrane Database Syst Rev. 2013;4:CD004416. (7) Medscape.com. (8) ACAAI 2014: Abstracts P328 and P329. (9) Allergy. 2010 Jun 1;65(6):758-765. (10) J Am Acad Dermatol. 2004;50(3):391-404. (11) Contact Dermatitis 2008; 59:43-47.

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. 

 

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Frustrated with large crowds congregating outside restaurants and bars in Manhattan and the Hamptons, New York State Gov. Andrew Cuomo (D) warned that these areas could face greater restrictions while businesses could be fined or could lose their state-approved liquor licenses.

People have made over 25,000 complaints to the state about a lack of social distancing and limited face coverings in Manhattan and the Hamptons.

Suffolk County Executive Steve Bellone (D) said he hadn’t heard of any increase in reports of noncompliance in the Hamptons and emphasized the different states of reopening between the two regions.

“The Hamptons are in a little bit of a different situation than Manhattan,” Bellone said on his daily conference call with reporters. “We are in Phase,” in which restaurants can offer outdoor dining, while Manhattan just entered the first phase of reopening, which doesn’t include such outdoor dining accommodations.

The Suffolk County Police Department has been educating businesses that weren’t open before throughout the area about the rules they have to follow.

“Businesses are happy to reopen and they want to follow the rules,” Suffolk County Police Chief Stuart Cameron said on the call. “They don’t want the rollback, either. We are working collaboratively and will be in touch with East End chiefs” to assist them in ensuring any compliance.

Bellone reiterated that he is “confident we have been doing compliance and enforcement from the beginning.”

The numbers related to COVID-19 for Suffolk County continue to remain positive.

Over the last day, 44 people have tested positive for the virus, bringing the total to 4,243. Those numbers continue to hover on a daily basis below the targeted 100 for the county.

While he continues to monitor the number of daily positive results closely, Bellone said he believes that the protests didn’t cause a spread of the virus if the new infections remain at this level through the middle of the week.

Being outside and wearing face coverings helps reduce the transmission of the virus.

Meanwhile, the number of people hospitalized with COVID-19 remained the same through the day ending on June 12 at 125. The number of people in Intensive Care Unit beds rose by one to 40.

Hospital bed capacity remains below targets. An additional 16 people were discharged from the hospital in the last day.

The number of people who died from complications related to the virus increased by one to 1,948.

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Protesters rallied in Rocky Point Friday, June 12 in calling for an end to police brutality, and even to a complete restructuring of law enforcement. Photo by Kyle Barr

As the days pass between near daily protests related to the killing of Minneapolis resident George Floyd by a former police officer charged with his murder, the number of positive tests for COVID-19 remains at low levels.

In the last day, the number of positive tests was 56 as the county tested 5,879 people for a 1 percent rate for positive tests.

“My guess is that you’re not going to see a spike [in positive tests for the virus] as a result of the lack of social distancing in protests,” County Executive Steve Bellone (D) said on his daily conference call with reporters. “I do believe if you have those face coverings on outdoors, that is very safe.”

After the county entered Phase Two of its reopening this past Wednesday, Bellone hopes to expedite the process of moving to Phase Three.

“We thought the most relevant comparison would be to communities upstate where there are dense populations around the cities, to see whether they had impacts in Phase TWo and compare those and provide that information,” Bellone said. Based on what he has seen from the numbers in other areas, he doesn’t see any cautionary signs elsewhere.

As for the viral numbers in the county, Bellone said they continue to move in a favorable direction.

The number of people in the hospital with COVID-19 declined by nine in the day ending on June 11, bringing the total to 125. The number of people in the Intensive Care Unit also declined, with two people leaving the ICU, bringing that total to 39.

Bed capacity remains comfortably below targeted levels, with 65 percent of hospital beds occupied and 55 percent of ICU beds occupied, both of which are below the 70 percent target.

An additional 18 people were discharged from the hospital in the last day.

Meanwhile, the number of people killed by complications related to COVID-19 increased by 2 to 1,947. This follows a day in which the number of people who died from complications related to the virus was zero for the first time since mid March.

Meanwhile, the county will continue to maintain a field hospital built by the U.S. Army Corps. of Engineers at Stony Brook University in the event that a second wave hits in the fall. If such an increase in viral cases hits Long Island at the same time as a difficult flu season, that could have a “devastating” impact on the health of the residents and the economy, Bellone said.

The county has not had to use that field hospital yet. If that facility, however, becomes necessary in the fall and into the winter, the county will add any necessary winterizing capacity.

Bellone continued to urge the federal government to help local governments, like Suffolk County, as they deal with the economic fallout from the virus. Bellone cited a municipal finance team’s report that estimated an economic hole that could be between $1.1 billion and $1.5 billion.

“We know we are in a recession right now,” Bellone said. “The numbers are cataclysmic in their impacts on local governments.”

Public health, public safety, and social services will all be “critical” in the days and months ahead, which will put tremendous strain on a county budget that depends on sales taxes that completely dried up after the county followed federal guidelines and shut down businesses to save lives and contain the spread of the virus.

“The good news is that our federal representatives are fighting for us in Washington to make sure the national government has done what it has always done throughout our history in times of need,” Bellone said.

The county executive said Long Island sends billions more to Washington than it receives each year, which increases the importance of helping Long Island’s economy recover.

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Many Illnesses Carried by Ticks Share Symptoms with COVID-19

A deer tick is a common type of tick on Long Island. Stock photo

With summer close by and as New York State continues to relax shutdown restrictions, residents will naturally want to get some fresh air. But while open spaces like parks and nature preserves provide a temporary reprieve from the COVID-19 pandemic, they are also home to ticks. These arachnids can carry Lyme disease and other serious tick-borne illnesses. Experts say this is the time when ticks are most active and when their numbers increase. 

“We have already passed a month of tick activity here on Long Island,” said Jorge Benach, distinguished Toll professor of Molecular Genetics & Microbiology and Pathology at the Renaissance School of Medicine, Stony Brook University. “With minimal contact because people were staying indoors due to the pandemic, we have seen less cases.” 

Benach said that could change in the coming summer months, especially with an already large tick count this year. Currently, we are entering the second phase of tick season, which is when the arachnids are in the nymph stage and are harder to spot.

“For some reason Long Island has a heavy population of ticks,” Benach said. “It has the perfect environment for them and they really thrive.”

Three species of ticks call Long Island home. The deer tick can carry Lyme disease, anaplasmosis and other illnesses, while American dog tick can carry Rocky Mountain spotted fever. The lone star tick can transmit tularemia and ehrlichiosis. 

“The lone star tick, we believe, is the most aggressive of the three species, and we didn’t know it existed until 1980,” the distinguished professor said. “And then it somehow found its way to Long Island.”

A 2019 study, headed by Benach and Rafal Tokarz, assistant professor of epidemiology at Columbia University, with co-authors from SBU and Columbia, found prevalence of multiple agents capable of causing human disease that are present in three species of ticks in Long Island.

Another concern this season is that tick-borne illnesses like Lyme disease and anaplasmosis have symptoms that overlap with those of COVID-19, including fever, muscle aches and respiratory failure, but without persistent coughing. 

“It is true that they have overlap in the initial symptoms, but once you get past that first stage it should be easier to diagnose if that person has a tick-borne illness,” Benach said. 

Tick-borne diseases are usually treated with antibiotics. The effects range from mild symptoms that can be treated at home to severe infections that if left untreated can lead to death in rare cases. 

The distinguished professor stressed the need for people to be aware of ticks when they are in certain areas outdoors. 

Repellents and wearing long-sleeve pants and shirts can be good deterrents for ticks. Other tips include walking along the center of trails, washing and drying clothing when you come home and keeping pets from areas that could be tick infested. 

Benach said there is a misconception that humans get ticks from dogs. Instead, it is more likely one gets a tick from being in the same space as your dog.

“You should be checking yourself, and if you spot a tick get it off as soon as possible,” he said. “If you develop any symptoms or illness contact your doctor.”

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In a milestone indicative of how deadly and prolonged the toll of the virus has been, Suffolk County reported the first day without a death from COVID-19 since March 16.

“I’m finally able to say that no one in Suffolk County in the last 24 hours has died from COVID-19,” County Executive Steve Bellone (D) said on his daily conference call with reporters. “That’s a great place to be.”

While Bellone said the county, which entered Phase Two of its reopening Wednesday,  June 10, still has a ways to go before it controls the spread of a virus that has claimed the lives of 1,945 people in the county, the day without a death from the pandemic is a “milestone.”

With many other states, including Texas and North Carolina, are experiencing a surge in the number of people diagnosed with the virus and being admitted to hospitals for their care, Suffolk County continues to experience a decline in the number of residents testing positive.

Indeed, in the last day, despite protests over the death of Minneapolis resident George Floyd at the hands of a former police officer charged with murder, the number of people who tested positive in the county only increased by 47, raising the total to 40,559.

Bellone attributed the current condition on Long Island to the pain, uncertainty and suffering that rocked Long Island, which was the epicenter of the pandemic in the country.

“Because of the experience we’ve gone through, overwhelmingly, people are taking precautions,” Bellone said. “They are still listening to the guidance. Even at protests, even at demonstrations, I have seen people wearing face coverings.”

Suffolk County also has an advanced testing and contact tracing system that is making a difference as the area reopens.

Meanwhile, earlier today, Governor Andrew Cuomo (D) signed an executive order requiring local police agencies to develop a plan that reinvents and modernizes police strategies and programs in their community based on community input. Each police agency’s plan must include procedures and practices that extend beyond the use of force by April 1, 2021.

The police forces have to engage the public in the process, present a plan for comments, and share that plan with a local legislative body. If the government doesn’t certify the plan, the police may not be eligible to receive future state funding.

Bellone said he “looks forward to working with the state” on community police policies. The county executive said he is proud of the work the Suffolk County Police Department has done with anti-bias training.

The SCPD has “developed leading edge initiatives.”

Cuomo also signed a bill passed by the state senate earlier this week repealing 50-a, a statue in civil law that prevented people from accessing records of police and other civil servants like firefighters. Advocates said this will allow more transparency, especially regarding police misconduct. Police unions and senate republicans said this would puts cops in more danger, despite proponents saying people cannot gain access to cops’ personal information.

Bellone reemphasized a point he has made in recent days amid the backlash against unjust and unfair policing polices, suggesting that the police are “part of the community, they aren’t coming into the community” from the outside.

Police Commissioner Geraldine Hart said she met this morning at 11 a.m. with the President of the Guardians, which is an internal fraternal organization representing black officers. She meets with the Guardians on a monthly basis.

Officers in the Guardian “know they have accessibility to leadership,” Hart said. “Those conversations lead to suggestions.”

The discussion this morning was more informal and was part of an open conversation and dialog.

As for the impact of COVID-19 in the county, the numbers continue to show a hard-fought recovery from the deadly virus.

Hospitalizations in the 24 hours ending on June 10 declined by 17 to 134. The number of residents in the Intensive Care Unit also declined by four to 41.

“These are all great numbers,” Bellone said.

An additional 16 people were discharged from hospitals in the county.

The bed capacity remained below important levels. Residents with COVID-19 represented 66 percent of the overall beds, and below 60 percent of the ICU beds, which are below the 70 percent guidance offered by the Centers for Disease Control and Prevention.

The county handed out 17,000 pieces of personal protective equipment over the last day.

Finally, the county worked with Island Harvest to distribute food through a program called Nourish New York today.

The effort, which was at the Westfield South Shore Mall in Bay Shore, planned to distribute 100,000 pounds of food, including cheese, milk, yogurt, fresh fruit and vegetables and ground beef.

The program “helps those in this desperate time who need food” while preventing waste and supporting the agricultural community, Bellone said. Through 2 p.m., the program had handed out more than 2,500 boxes of food items.

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Angie Tempio with her boyfriend James O'Brien

By Daniel Dunaief

New York may have started Phase One of its reopening and other states may have reopened shops and businesses, but life won’t change much for Angie Tempio.

A native of Commack who had been working at the front desk at Funt Orthodontics in Setauket since 2017, Tempio received a heart transplant last summer and plans to do everything she can to protect herself amid threats from the pandemic.

Tempio, who was preparing to rebuild her life outside of an apartment she shares in Yaphank with her boyfriend James O’Brien, plans to remain as isolated as possible, lowering the chance of contracting COVID-19.

Angie Tempio with her boyfriend James O’Brien

 

“The world is opening back up,” Tempio said. “For me, it’s not. Nothing will change for a few months. I’m used to being left behind.”

Tempio, however, doesn’t feel sorry for herself or rue her situation. She now focuses on new possibilities. 

Diagnosed with restrictive cardiomyopathy when she was 11, she slowly went into heart failure. She struggled for a few years before her transplant, but the last year was the toughest. She said her pacemaker kept her alive.

Tempio, who recently turned 26, had made her peace with death, particularly when she struggled to walk two steps at a time and when her failing heart beat only 30 times per minute. “I was lucky,” she said. Two months after she went on the transplant list, she “got the call, which is a miracle in itself.”

While Tempio feels overwhelmingly blessed that she can consider having children, she said she is also sensitive to the over 1,870 residents who died from COVID-19 in Suffolk County.

Tempio had a rare heart condition that caused her to be a small statistic. Even with the overall mortality rate for COVID-19 below one percent, she empathizes with people and their family who are on the other side of those small numbers.

“Experiencing being a small statistic has definitely made me look at things differently,” she said. “In my head, anyone can [be such a statistic] and most people aren’t realizing that and that’s what’s making me overly cautious.”

Tempio said she was a gymnast and was seemingly healthy before she developed the rare heart disease.

“Although I haven’t experienced the virus itself, I’ve been through the same obstacles,” she explained in an email.

Even when the coronavirus first started infecting people on Long Island, Tempio wore masks to the classes she is taking at Suffolk County Community College, where she hopes to study to become a transplant coordinator. She said she felt judgment from people who thought she was being overly concerned about the virus.

“Most people didn’t realize” how much more vulnerable she was to the virus than the typical person walking around Long Island, she said. 

While she’s waiting for the moment when she can emerge from a home cocoon, Tempio has been connecting with a network of friends and a close-knit heart transplant support group. She and 13 others are a part of a group that shares a profound and unique experience that brings them together and helps them connect with, and support.

“They have been my outlet during one of the hardest times in my life and I am so grateful to have them,” she said.

Tempio said she feels a responsibility to live her best and healthiest life. She believes she is “now living for my donor,” she said, and plans to “take the best care of this heart that I can.”

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Dr. Frank Darras. Photo from SBU

By Daniel Dunaief

Dr. Frank Darras, Clinical Professor of Urology and Clinical/ Medical Director of the Renal Transplantation Program at Stony Brook University Renaissance School of Medicine Hospital, has performed over 1,700 kidney transplants since 1990. 

This year has been especially challenging for the surgeon, as he has had to enhance safety procedures to protect patients who are on immunosuppressants during the COVID-19 pandemic.

As part of the new normal for kidney transplants, Stony Brook takes time to test patients for coronavirus. In the first few weeks after the virus hit Suffolk County, the tests took all day. In recent weeks, the labs have produced test results within one to three hours.

Through late April, Darras said the hospital hasn’t had to send anyone home who had a positive COVID-19 test.

The long-term effects of COVID-19 on the function of normal kidneys is difficult to predict, he said. Many of the patients with the most severe symptoms from the virus not only needed ventilators, but also needed dialysis treatments. In the majority of cases where people recovered from the virus, their kidneys also recovered.

The hospital has also seen patients who received kidney transplants who have contracted the virus. “Several of these [transplanted patients] had diminished function, but all of them recovered their kidney function,” Darras said.

The longer-term effects of the virus are unknown. Some patients who were severely ill may have recovered, but have kidney problems that slowly escalate over time.

“I would not be surprised to see that happen, whether that’s months or years down the road,” Darras said.

Another unknown is how the virus would affect the transplant community in the longer term. “In the worst case, it’ll make our living donor pool smaller,” he said. About one out of three kidney transplants comes from a living donor. “On the other hand, in the best case scenario, [the virus will have] relatively little impact. It’s too early to tell,” he added.

According to Darras, people who need kidney transplants can extend their life expectancy by two to three times. He estimated that about five to six percent of the people waiting for a transplant died while on a kidney waiting list.

Darras explained that “time is of the essence” for many patients because the “longer patients are on dialysis, the more urgent [the need] to get them transplanted,” and added that finding donors is critically important, particularly during the pandemic.

“There is a concern about trying to make sure that we can get enough kidneys,” he said. “Our job and the job of LiveonNY is to raise awareness about organ donation.”

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