Village Beacon Record

Children take part in a previous fire safety day. File photo

The Miller Place Fire Department will be hosting an open house focused on fire prevention and fire safety.

On Oct. 16 from 11 a.m. to 2 p.m., there will be activities for the entire family at the Miller Place Fire Department Station 2 at 220 Miller Place-Yaphank Road.

There, families can meet the firefighters and EMTs, explore firefighting equipment, meet Suffolk County Fire Marshal’s detection K-9s, partake in a bike rodeo, see active demonstrations and take home information and materials to help enhance fire prevention and fire safety awareness.

For more information, email [email protected]

Brookhaven Town Councilwoman Jane Bonner, left, and Supervisor Ed Romaine, right, present proclamations to Ann Becker, Lori Baldassare, Fred Drewes and Deirdre Dubato. Photo by Desirée Keegan

The Mount Sinai Civic Association isn’t just a local organization — it’s an institution that has become part of the community’s fabric for the last 100 years.

On Oct. 6 at Willow Creek Golf & Country Club, the civic association celebrated its anniversary with its board, community members and local politicians.

Heritage Trust secretary Thomas Carbone speaks during the dinner. Photo by Desirée Keegan
Heritage Trust secretary Thomas Carbone speaks during the dinner. Photo by Desirée Keegan

“It’s an amazing milestone,” Mount Sinai Civic Association President Ann Becker said. “We’re impressed with how dedicated people have been, always stepping up in Mount Sinai. It’s been a concerted effort. We’ve had strong leadership. It’s a community that pulls together when there are problems and tries to resolve those issues.”

Incorporated Oct. 5, 1916, as an outgrowth of the Mount Sinai Taxpayers Association, its initial objective was to construct better roads, improve the conditions of Mount Sinai Harbor and adopt means to protect against fires.

“Over 100 years, some of those principles remain,” Brookhaven Town Supervisor Ed Romaine (R) said. “The civic works hard to protect this community, to ensure that the zoning, the look of this community stays as a majority of the people in this community wants it to. They work hard to protect the harbor, the environment, and they do a tremendous job.”

Over its history, the civic association has worked tirelessly on quality of life issues for the residents of Mount Sinai and Brookhaven Town. It worked to protect the area’s coastal environment, establish community parks and preserves and maintain a balanced level of development — including recreational facilities, privately owned housing, residential opportunities for seniors and support for schools. A completely volunteer-based organization, the civic has always depended on local residents to step forward and actively work toward improving the community, protecting the environment and protesting against overdevelopment.

With Becker now at the helm, the civic association continues to strive to better the community, and Councilwoman Jane Bonner (C-Rocky Point) said Becker is perfect for the job.

“Ann and her civic board are wonderful advocates for the tiny little hamlet of Mount Sinai,” she said, adding that her husband, John Sandusky, was born and raised in the area. “People like Ann, and others in this community, keep a watchful eye, are paying attention and have the best goals for Mount Sinai — to maintain its quaint look and charm.”

“Change never ends, nor does the desire to keep the place you call home special. I think the small things are the real success.”

— Lori Baldassare

During the 1960s and ’70s, the major civic issues included working to successfully stop the dredging of Mount Sinai Harbor, which was accomplished in the late 1960s, followed by the planning and management of Cedar Beach.

With a grant received from New York State with the help of Assemblyman Steve Englebright (D-Setauket), 355 trees were planted along Route 25A the same year to beautify the community.

“The work that they do in the community and the difference that they make in the quality of life in Mount Sinai; the civic sets an example for all other communities,” Englebright said. “This is a shining beacon of civic activism and accomplishment. The association has continuity, initiative and history. I go to other hamlets in my district and I tell them to visit Mount Sinai and its park to see what a hamlet and a community can do when it comes together.”

The grant was also used to help purchase the nearly one-acre property that is known as Heritage Park. Preventing the sale of “The Wedge” to developers who planned to construct a Home Depot was also made possible with the help of Sen. Ken LaValle (R-Port Jefferson), who persuaded the owner to donate the balance of the property.

In the 1990s, the civic started many of the community activities still supported through the 501(c)(3) nonprofit Heritage Trust Inc., though many have since expanded.

Honored at the anniversary ceremony were Lori Baldassare, Fred Drewes and Deirdre Dubato, who were and are all still involved in Heritage Trust and Heritage Park.

Baldassare, eight-year president of the Heritage Trust, is a founding director who has also been a civic member for decades.

The centennial cake. Photo by Desirée Keegan
The centennial cake. Photo by Desirée Keegan

“I do not think that anyone thinks that they are signing on for 20 years or more, it just happens one small project at a time,” she said. “Change never ends, nor does the desire to keep the place you call home special. I think the small things are the real success — planting trees along 25A, placing welcome signs, constructing an ambulance building to serve the community, start a Christmas Tree lighting event, influencing the aesthetics and naming for the Heritage Diner, and so much more. There is always just one more thing to do and I am so proud to live in a place that has a real sense of community.”

For Drewes, who landscaped Heritage Park, which Baldassare referred to as a community treasure, the evening turned out different than he’d envisioned.

“I thought the evening would focus on recognizing and celebrating 100 years of community work of the Mount Sinai Civic Association,” he said. “I felt thankful and honored to be recognized as part of the history of the civic association’s efforts to develop into a hamlet we could be proud to live in.”

Suffolk County Legislator Sarah Anker (D-Mount Sinai) said the hamlet needs to keep up the good work, making sure that the residents protect each other and address the worries and concerns of the community.

“We have to keep up the inspiration,” she said. “There’s so much more that we can do, but what’s most important it that we take care of what we have.”

President Donald Trump suspended entry from seven countries last week. File photo

As an editorial staff, we have an opinion. …

The first half of that sentence isn’t necessary in order to reveal what we think. And that is the exact problem we have had with this past weekend’s news cycle.

Political leader after political leader came out this past Friday, Saturday and Sunday to condemn Republican presidential nominee Donald Trump’s leaked comments, bragging about being able to commit sexual assault against women.

One of the common themes from legislators who pulled their endorsements was “As a father of daughters” or “As a brother with sisters — or a mother,” they were offended.

Two problems here: You don’t need to be a “someone” in order to be offended, you can simply be offended. And why is it that women are repeatedly being referred to as a sister, a daughter or a mother?

A presidential candidate talked about how he can sexually assault women because he is a star. A woman doesn’t need to be anything to be offended, threatened or violated by that sentiment. A man is also not disqualified from finding Trump’s comments reprehensible simply because he is a man.

Women don’t need to give birth or have a brother before they can be victimized by Trump’s words. Men don’t need to be married to condemn sexual assault. It should not matter your role, your background or your stature — no one should need to back up or justify why they are against sexual assault. They just should be.

By Bill Landon

The fourth quarter showed something the Tornadoes did little of all game: throwing.

Trailing by six points in the final minutes, the Harborfields football team came out hurling the ball against Rocky Point — making a push to tie — but time ran out on a fourth and long for a 20-14 homecoming loss.

Harborfields junior quarterback P.J. Clementi worked the sidelines and gained heavy yardage as the clock wound down to a minute left, airing the ball to junior wide receiver Gavin Buda, whose acrobatic catches and ability to get out of bounds after the grab brought the Tornadoes into Rocky Point’s zone. On a fourth and long, the Tornadoes were unable to convert as time expired.

“Rocky Point came out more physical than us in the beginning and that took away our [speed] and our running game, which forced us to pass, which is fine with us,” Harborfields head coach Rocco Colucci said. “These kids got a lot of heart, they fight to the bitter end no matter what the score is, no matter who we’re playing — they always believe they have a chance to win.”

Rocky Point struck first when junior running back Petey LaSalla punched into the end zone following a 22-yard run three minutes into the game. With senior quarterback Sean McGovern’s extra-point kick good, the Eagles were out front 7-0. McGovern shared the quarterback duties with junior Damian Rivera all afternoon.

“These kids got a lot of heart, they fight to the bitter end no matter what the score is, no matter who we’re playing — they always believe they have a chance to win.”

—Rocco Colucci

The Eagles struggled with their running game, and neither team scored in the second, as Rocky Point squandered a field goal attempt in the seconds before halftime.

Again, it was LaSalla who got the call to start off the scoring for the second half.

Early in the third, the junior broke several tackles, bounced outside and went the distance on a 32-yard run. McGovern’s foot put his team out front, 14-0.

LaSalla said he never doubted the outcome of the game.

“Not for a minute did we think we were going to lose,” he said. “Our defense really stepped up big today. We had a really good back field and we were able to shut them down, which forced them to throw the ball.”

After a sustained drive, Harborfields finally got on the scoreboard when senior running back Mark Malico ran off left tackle and took the ball 1 yard for six points. Harborfields senior kicker Thomas Beslity added another to make it a one-score game to trail 14-7.

“They’re always a tough team — we’ve had trouble with them in the past — obviously we had some trouble with them today,” Malico said of Rocky Point. “We turned it on [late] and we found our niche with our passing game with some nice catches on the sideline.”

On the ensuing kickoff, McGovern fielded the ball on his own 6-yard line, and sprinted up the left side, crosing midfield and jetting down the righ side line for a 94-yard kickoff return to stretch the Eagles lead to 20-7, with the extra-point attempt failing.

“We just had to stay consistent — every man has got to do their job and [not] overdo it,” McGovern said. “We battled through everything today between the turnovers and them coming back in the last two minutes, so we stayed calm and worked together.”

“We battled through everything today between the turnovers and them coming back in the last two minutes, so we stayed calm and worked together.”

—Sean McGovern

Harborfields switched to its passing attack with seven minutes remaining. Clementi worked the routes and the sideline, and connected with senior wide receiver Andrew Loiacono for a 70-yard catch and run to set up the Tornadoes’ next score. Clementi threw a screen pass to sophomore running back Thomas Sangiovanni, and he turned the corner jetted down the sideline for the touchdown. Beslity split the uprights to close the gap, 20-14.

“We analyzed our defense,” Sangiovanni said. “We had to execute the plays perfectly, we had to change a couple of things up and it worked out. [Rocky Point] just played harder than us in the end.”

Harborfields’ defense took a stand and a clock-eating drive forced the Eagles to punt with three minutes left. Rocky Point head coach Anthony DiLorenzo said he wasn’t surprised that the game was decided in the final seconds.

“We knew this was going to be a four quarter football game,” he said. “They’ve put it on film every week. We’ve done [that in only] two games so far, so our message all week was that this was going to be a four quarter game.”

Clementi went to the air picking apart the Eagles’ secondary, moving the chains downfield as he marched his team to Rocky Point’s 30-yard line with 1:37 left in the game.

On fourth down with 38 seconds, Clementi threw a strike to Buda crossing over the middle, but Rocky Point junior linebacker Alec Rinaldi knocked down the pass to seal the win.

Mike Meola. Photo by Kevin Redding

By Kevin Redding

For Mike Meola, owner of Darkside Productions’ Haunted House in Wading River, summer begins and ends in June. After that, he’s in full Halloween mode. While others are at the beach in July and August, Meola surrounds himself with hanging scarecrows and skeletons, working tirelessly every year since 1998 to build the props, animatronics and elaborate, horror movie-quality sets that turn a vacant potato barn and a quiet stretch of fields on Route 25A into one of the most popular and visited haunted attractions in the country throughout October.

The North Shore native and full-time carpenter lives and breathes the spooky season, and his passion for scaring — and entertaining — people of all ages has brought a lot of attention to Darkside, which was recently featured on Buzzfeed’s list of “25 Haunted Houses Across America That Will Scare the Crap Out of You.” What started out as a mere love of Halloween and horror as a kid has escalated to a booming family business that has now entered its 19th season.

What got you interested in haunts?

I’ve been doing this since I was a kid. I used to build these haunted walk-throughs in my basement. I love Halloween, I always have. And back when I was growing up, there was no Spirit Halloween or anything so you had to make your costume and scour all different places to find what you wanted to use to build your costume. You would think way in advance, because you couldn’t just walk in the store and get it. After Halloween, I was already starting to think “what do I wanna be next year?” and went to clearance sales and any place where you can find a mask or something, and then run around for the rest. So it just really came from a love of Halloween.

What were your favorite horror movies growing up?

I liked all the killer movies — “Halloween,” “Friday the 13th,” “A Nightmare on Elm Street.” I thought Freddy was great for his interactions; most of the other ones didn’t speak or anything, but Freddy had really cool wise-ass phrases to say to everybody. The movie that scared me though when I was a kid was “The Exorcist.” That movie was terrifying. A killer getting shot a hundred times, getting up, getting burned, getting blown up, coming back isn’t scary to me. But the supernatural, that is scary.

What sets Darkside apart from other haunted attractions?

We’re a stand-alone haunt. We’re not a building that becomes a haunted house just for October. So when you get here, the moment you get out of the car, you’re in your own horror film. We’re in this deserted place in Wading River, so as soon as you exit the safety of your car, you get that sense of “Oh my God, I am in for a completely different experience!” because everything around you is haunted and in that foreboding atmosphere.

We don’t curse at you, we don’t grab you, we don’t touch you, we don’t do any of these “extreme” type things … because we don’t have to do that to scare you. We’re really good at setting up our scares, we’re really good at setting the scene and decorating, and our actors are phenomenal. Everything looks real! Once you enter the gates, you are in our world. The outside world completely ceases. And you won’t find a lot of off-the-shelf stuff here, because we build almost everything. It’s atmosphere. You have to have a great set, great lighting, great sound to build that tension. And the biggest challenge is creating this completely terrifying environment in the most safe environment [people] are in. They’re completely safe and yet they feel like they’re in imminent danger at all times.

How much work goes into Darkside each year?

People don’t realize the tremendous amount of work that goes into building an event like this. They think that it’s here, and little elves come and set it all up for me and I just come and open the door. Haunting is hard, hard work. We have to do repairs and maintenance, and come up with new room designs, build them. You’re doing that until the moment you open. On Friday at 6:59 p.m., there’s something I’m fixing or setting up before those doors open at 7. You’re never done.

Why do you think people love to be scared?

It’s exactly the same as riding a roller coaster. You know you’re safe, you know you’re strapped in and yet when you start going up and down and all over, you feel like you shouldn’t be there. It’s the same with a haunted house. It’s that adrenaline rush. It takes about 25 minutes to go through this place. Roller coaster rides are like two minutes long, but they feel like they’re five seconds. It’s the same thing here. People are screaming “I wanna get out! Is this over yet?!” and then they get out, and they’re so disappointed that it’s over. Even though they just want to get out, they don’t want it to end. I call it “vacation let down” the minute the door opens and they’re outside and safe.

Has the haunt more or less stayed the same over the years?

No, we change it every year. We’ve change the house completely in the last five years. We constantly change, add things, move things around, because we want to keep you guessing. If you came last year, we want to show you something different this year. Every year we say “how are we gonna top this show? There’s no way we’re gonna top this” and then every year we come up with something and add to that show, and it just makes it so much better.

What’s your all-time favorite room at Darkside?

One of the greatest things we’ve ever had was called “the falling wall.” We had this giant wall that came down right at you. It was just so unexpected, ya know? You walk in, and expect an actor or something, you never expect this 12-foot wall to come crashing down at you. That was a really cool effect and one of those things people still talk about. The fire marshall the other day was like “You have to bring that back! That was such a killer room!”

How many people do you hire every year?

During the season, we have about 40 [scare] actors. A lot of our actors come back every year, but we do interviews and auditions. We teach them how to be professional actors. They can work in any haunted house anywhere in the United States after working here. We teach them everything they need to know about timing, reading people, quick improvisation … we really try to personalize the show for each group that comes through. If we catch your name or something that you said, we’ll have a response. The actors have to be quick, have to pay attention, and it’s hard work. It’s physical activity, you jump and you move and you run. A lot of people don’t expect that.

How involved is your family?

We’re as grass roots as you can get. All my kids, my fiance, my mom, and my sister work here. My brother used to work here before he moved. It’s been a family business ever since we started. My son is an actor here but he also helps me build and set up, my daughter was an actor here but now she’s running our concession, my mom does tickets, my sister does the daytime show tickets, my other daughter is an actor here. Kathy, my fiance, is a manager. It’s great, it brings us all together. I’m surrounded by family and if they weren’t working here, I’d never see them in October!

What age group seems to enjoy Darkside the most?

I’d say our biggest fan base is older. We do get a lot of teenagers, but we have a lot of older people who love Halloween and love haunted houses. They know that this is a great show and if they’re coming to one, they’re coming here. You would think that it would be all teenage girls, but it’s not. It’s really a lot of 25 to 35, 35 to 40-year-olds. It’s an older crowd, which is cool because we’re scaring them! To me, a kid is an easy scare. I want to scare adults!

Darkside Haunted House, 5184 Route 25A, Wading River is open through Oct. 31. Tickets are available at the door or online at www.darksideproductions.com or at www.ScreamLI.com.

The Mount Sinai Civic Association was responsible for installing welcome signs in the community. Photo from Ann Becker

The Mount Sinai Civic Association isn’t just a local organization — it’s an institution that has become part of the community’s fabric for the last 100 years.

On Oct. 6 at the Willow Creek Golf & Country Club, the civic association celebrated its anniversary with its board, community members and local politicians.

“It’s an amazing milestone,” Mount Sinai Civic Association President Ann Becker said. “We’re impressed with how dedicated people have been, always stepping up in Mount Sinai. It’s been a concretive effort. We’ve had strong leadership. It’s a community that pulls together when there are problems and tries to resolve those issues.”

Incorporated Oct. 5, 1916 as an outgrowth of the Mount Sinai Taxpayers Association, its initial objective was to construct better roads, improve the conditions of Mount Sinai Harbor and adopt means to protect against fires.

Brookhaven Town Councilwoman Jane Bonner, left, and Brookhaven Town Supervisor Ed Romaine, right, present Mount Sinai Civic Association President Ann Becker with a proclamation. Photo by Desirée Keegan
Brookhaven Town Councilwoman Jane Bonner, left, and Brookhaven Town Supervisor Ed Romaine, right, present Mount Sinai Civic Association President Ann Becker with a proclamation. Photo by Desirée Keegan

“Over 100 years, some of those principals remain,” Brookhaven Town Supervisor Ed Romaine (R) said. “The civic works hard to protect this community, to ensure that the zoning, the look of this community stays as a majority of the people in this community wants it to. They work hard to protect the harbor, the environment, and they do a tremendous job.”

Officers elected at the first organizational meeting were President Jacob Schratweiser; 1st Vice President Philip Scherer; 2nd Vice President JC Sheridan; Secretary William R. P. Van Pelt; and Treasurer Lorenzo Davis. Committees were established to focus on road improvements, fire safety, improving the harbor, taxes and bylaws. The dues were fixed at $1 a year.

Over its 100-year history, the civic association has worked tirelessly on quality of life issues for the residents of Mount Sinai and the Brookhaven Town. They’ve worked to protect the area’s coastal environment, establish community parks and preserves and maintain a balanced level of development — including recreational facilities, privately owned housing, residential opportunities for seniors and support for schools. A completely volunteer-based organization, the civic has always depended on local residents to step forward and actively work toward improving the community, protecting the environment and protesting against overdevelopment.

With Becker now at the helm, the civic association continues to strive to better the community, and Councilwoman Jane Bonner (C-Rocky Point) said Becker is the perfect person for the job.

“Ann and her civic board are wonderful advocates for the tiny little hamlet of Mount Sinai,” she said, adding that her husband, John Sandusky, was born and raised in the area. “People like Ann, and others in this community, keep a watchful eye, are paying attention and have the best goals for Mount Sinai — to maintain it’s quaint look and charm.”

During the 1960s and ’70s, the major civic issues included working to successfully stop the dredging of Mount Sinai Harbor, which was accomplished in the late 1960s, followed by the planning and management of Cedar Beach. The civic association also worked to preserve local wetlands, and the 1965 Mount Sinai Harbor Advisory Committee recommended limiting commercial use to the existing businesses.

Over the years, the civic has had some big accomplishments.

Out of the Mount Sinai Civic Association formed the nonprofit Heritage Trust incorporation, in which several civic members were involved. The Heritage Trust and civic members were instrumental in the formation of Heritage Park. File photo by Erika Karp
Out of the Mount Sinai Civic Association formed the nonprofit Heritage Trust incorporation, in which several civic members were involved. The Heritage Trust and civic members were instrumental in the formation of Heritage Park. File photo by Erika Karp

The association sued Brookhaven for overdevelopment in 1996, which resulted in a significant reduction in the number of houses built. They also helped in the establishment of the Willow Creek Golf & Country Club, which provided a $2 million tax windfall for the Mount Sinai school district.

Funding and installation for three welcome signs in the hamlet were also achieved with the help of the civic. In 1997, the Chandler Estate was preserved as passive parkland. With a grant received from New York State with the help of Assemblyman Steve Englebright (D-Setauket), 355 trees were planted along Route 25A the same year to beautify the community.

“The work that they do in the community and the difference that they make in the quality of life in Mount Sinai; the civic sets an example for all other communities,” Englebright said. “This is a shining beacon of civic activism and accomplishment. The association has continuity, initiative and history. I go to other district and I tell them to visit Mount Sinai and its park to see what a hamlet and a community can do when it comes together.”

The grant was also used to help purchase the nearly one-acre property that is known as Heritage Park. Preventing the sale of “The Wedge” to developers who planned to construct a Home Depot was also made possible with the help of Sen. Ken LaValle (R-Port Jefferson), who persuaded the owner to donate the balance of the property.

In the 1990s the civic started many of the community activities still supported through the 501(c)3 nonprofit Heritage Trust, though many have since expanded. These include the community tree lighting that started at the post office and is now held at Heritage Park, along with the menorah lighting, family day at Cedar Beach, the Halloween Parade and festival [originally held at the middle school] and Breakfast with Santa, which began at George’s Handlebar Restaurant 21 years ago and is now held at Heritage Center.

“We have to keep up the inspiration,” Suffolk County Legislator Sarah Anker (D-Mount Sinai) said. “We’re here to protect the Earth and we’re here to protect each other, and make sure that worries and concerns are addressed. There’s so much more that we can do, but what’s most important it that we take care of what we have.”

Lit luminaires light up the night during the third annual Lights of Hope event in Port Jefferson on Aug. 31. Photo by Nora Milligan

It’s no time to pass the buck.

When it comes to the rising opioid abuse issue coursing through Long Island’s veins, we want to make sure we continue the open dialogue.

As you finish reading this edition, we hope you reflect on how this growing problem affects you, your family, your friends and everyone else around you — we can’t hide from this.

We need to take a more head-on approach to this medical issue, and accept that it is a medical problem, and not as some say a moral failing.

Parents shouldn’t let the stigma attached to drug or substance abuse keep them from talking about it. If we are to learn and grow and recover, we need to be talking. If we hide from the issue, the results will most certainly be fatal.

This is a problem that requires a collaborative effort, including prevention through education and early identification of at-risk people, enforcement with sharper penalties to dealers and prescription writers and improved rehabilitation resources and strategies. And as this issue should reflect, many groups on the North Shore are dedicated to working together to fight this crisis.

A cooperative combination of all of these things can help get Long Island headed in the right direction. Listed below are several resources if you or a loved one is struggling with substance or drug abuse.

• Suffolk County Substance Abuse Hotline: 631-979-1700

• Hope House Ministries: 631-978-0188

• Response of Suffolk County 24-hour hotline: 631-751-7500

• Prevention Resource Center: 631-650-0135

• Phoenix House’s Edward D. Miller substance abuse treatment center: 844-296-9046

• Samaritan Village’s Suffolk Outpatient Treatment Program: 631-351-7112

• St. Charles Hospital rehab program: 631-474-6233

• New York State HOPEline: 1-877-8-HOPENY

Suffolk County Division of Community Mental Hygiene Services: 631-853-8500

Visit https://www.suffolkcountyny.gov/substanceabuse for a downloadable prevention, treatment and recovery services directory, which gives a list of service agencies and treatment centers on Long Island.

File photo

This week’s issues of Times Beacon Record Newspapers are set up a little differently.

Suffolk County has one of the highest rates of death from heroin and opioid overdoses in New York State, and we feel this growing drug abuse problem deserves a special journalistic spotlight. So we dedicated this issue to looking at the different angles of approaching the heroin and opioid problem. In this week’s paper, you will find facts: How much the substance abuse trend has grown throughout the past few years; how our local communities, governments, police departments and residents have adapted to fight back against this movement; and reflections from recovering addicts and parents who have lost children to drug overdoses.

The Suffolk County Police Department has saved more than 600 lives since 2012 using Narcan to reverse opioid or heroin overdoses. Data from SCPD.Graphic by TBR News Media

Medical professionals, law enforcement and government officials gathered at Stony Brook University this past weekend to have an open and honest dialogue about the growing opioid problem facing the North Shore and the rest of Suffolk County.

The complexity of the problem and how it relates to communities across the county was the topic of the discussion Oct. 1. A common theme among the speakers was opioid addiction should be treated like a legitimate medical crisis and not a moral failing.

Dr. Constantine Ioannou, director of Stony Brook Medical Center’s Adult Inpatient Unit addressed the current opioid crisis in the United States and specifically in Suffolk County during the event.

“This is not the first opioid epidemic in the United States — this is one of many,” Ioannou said. He likened the current state of opioid prescribing and subsequent widespread addiction to a period in the late 1800s when morphine was first developed. He said doctors overprescribed the powerful painkiller and, in turn, opioid dependence skyrocketed.

SCPD Deputy Sheriff Mike Kern speaks about the opioid crisis in Suffolk County. Photo by Alex Petroski
SCPD Deputy Sheriff Mike Kern speaks about the opioid crisis in Suffolk County. Photo by Alex Petroski

The director traced the origin of the current crisis back to two events in 1995. Purdue Pharma, a pharmaceutical company, began marketing OxyContin, its version of the powerful opioid oxycodone, to doctors. In addition the American Pain Society, an organization dedicated to advocating for public policies to reduce pain-related issues, named pain as the fifth vital sign. Like the other four — pulse rate, temperature, respiration rate and blood pressure —  pain would be monitored in patients from then on. Pain was the only one of those five vital signs that is completely subjective and based on what a patient tells a nurse or doctor, Ioannou said.

Those two events, in accordance with nurse ratings and even payment being tied to patient satisfaction and reduction, created an environment of overprescribing, Ioannou said. He also said training of doctors in pain management needs to be addressed — he graduated from medical school in 1985 with “zero” training in pain management.

“There are states in the United States where there are more prescriptions for opiate pain medications than there are people — this is a staggering number,” Ioannou said.

Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, also spoke and reiterated some of what Ioannou said regarding the United States’ views on pain management.

“I’ve had friends from other countries say that unless you come into the E.R. with an arm missing, you’re not going to get a prescription that you could get here for having a root canal,” Jones said. “We make up about 5 percent of the world’s population yet we consume about 80 percent of the prescription opioid [painkillers].”

Jones is involved in a study called Risks and Benefits of Overdose Education and Naloxone Prescribing to Heroin Users and spoke about some of his findings. Naloxone, commonly known by the brand name Narcan, is a drug used to reverse opioid overdoses.

“We’re trying to better understand how to tease apart ways to attenuate what people like about opioids,” Jones said of the five-year study, which is currently in its second year.

Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, was on the opioid discussion panel. Photo by Alex Petroski
Jermaine Jones, Ph.D., an assistant professor of clinical neurobiology in the Department of Psychiatry at Columbia University, was on the opioid discussion panel. Photo by Alex Petroski

He said the study was created to monitor people who are administered naloxone and see if it is being used for the correct purposes. One concern in the creation of an overdose reversal drug is that users will be more confident in their ability to combat an overdose and may decide not to call 911 if that day ever comes. Other potential unintended consequences of naloxone, including how to deal with a user who may be irate after being saved from an overdose and is now “dope sick” and without the expensive drug they just bought, are the focus of the study. They are also researching some potential new medications or existing ones that could work in accordance with opioids to reduce pain, while reducing the effects that lead to addiction.

“We know that detox by itself is actually one of the highest risk factors for opioid overdose because you’re tolerance decreases,” Jones said. “So once someone comes out of a detox program they swear they’re never going to touch this stuff again, but relapse is very, very common. So they use again thinking that if they were using two bags before, they can continue using two bags now that they’ve gotten out, but their physiological tolerance has decreased and people overdose as a result.”

Ioannou indicated he’d like to see changes in treatment options for addicts.

“We treat all addiction by the same model,” he said. “You have a five-day detox, 28-day rehab and you have an after care that is all based on 12 steps. That is the model of care in the United States. We need to realize with a complex disease, you need a complex set of interventions.”

Suffolk County Police Department Deputy Sheriff Mike Kern is an expert in recognizing drug users. He called overdoses the most powerful “advertisement” for drug dealers because it is a clear indication of how strong their product is. He echoed sentiments from both doctors about the dangers of overprescribing and to what it can lead.

“Why can a doctor prescribe an OxyContin to a 16-year-old or a 15-year-old who just had a root canal?” Kern asked. “It just doesn’t make any sense.”