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World Trade Center worker. Photo courtesy Steven Spak

By Daniel Dunaief 

First responders who raced to the World Trade Center site on 9/11 or who helped with the massive clean up effort did so at risk to themselves.

That was as true during those days and weeks after the attack as it is now, with many of the first responders experiencing a range of diseases and conditions linked to the difficult work they did in 2001.

In a study released recently in the journal JAMA Network Open, Sean Clouston, Professor in the Program in Public Health and in the Department of Family, Population and Preventive Medicine in the Renaissance School of Medicine at Stony Brook University, showed that 4.6 percent of the responders in a study developed dementia. That compares with 0.5 percent for the general population of people who would develop cognitive declines in a similar age group.

Between November of 2014 and January of 2023, 228 responders without dementia and under 60 years old at the start of the study developed dementia over the next five years.

“It’s stunning to see these kinds of symptoms in such young people,” said Clouston.

Through the Stony Brook WTC Health and Wellness Program, Clouston and other researchers have documented some of the cognitive declines in this population, who likely inhaled the kinds of fine particulate matter that can enter the brain and cause damage even as the immune system fights to try to target the unwelcome contaminants.

“We assume this made it in the brain, but in such a way that it wasn’t overwhelming immediately,” said Clouston. “Once you get into a neurodegenerative space, most of these diseases take a long time to develop” with neurodegenerative processes sometimes taking decades to occur.

The exposure could have caused an immune reaction. They are not sure whether symptoms emerged because the reaction was stronger or if the symptoms developed because higher exposure triggered a stronger reaction.

“It’s like trying to fight a fire, and the truck rolls over a garden to do it,” said Clouston.

Fortunately, the brain has considerable redundancy, which makes it possible to reroute brain signals to compensate for problems. Over time, however, that ability might be damaged by that work or by the exposure.

Determining which particular chemical or chemicals causes the greatest damage is difficult, particularly because the collapse and burning of the buildings caused a heterogeneous mixture of so many industrial products to enter the air. It may not matter much, as any material in the brain could be a problem. The type of exposure may also affect the severity of the immune reaction or which parts of the brain are damaged.

Scientists suggest that some of the contaminants that have contributed to health defects may come from the various tools in offices, such as computers and air conditioners.

“As we go forward [with other studies], that will be a focus of ours, to see if we can’t isolate at least one or maybe a couple” of chemicals that could exacerbate the cognitive decline, Clouston said.

Different exposures

Clouston and his collaborators used surveys to find out exposure at the site.

Some of the first responders, for example, used face masks and wore personal protective equipment, including hazmat suits. The incidence of dementia among that group was considerably lower than it was for those who didn’t wear masks.

Five or six out of every 1,000 workers who wore PPE developed dementia, while those without protection developed cognitive decline at the much higher rate of 42 out of 1,000.

The researchers tried to address the possibility that those people who were masks lived a healthier lifestyle prior to 9/11 and may have already been less likely to develop diseases or health conditions.

“We tried to account for that,” Clouston said. In most cases, people aren’t avoiding the kinds of activities or decisions that likely contribute to dementia, such as diet and exercise, which, the general population “widely ignores already,” he said.

Additionally, while a family history of dementia or other medical conditions mattered to some degree for the reported cases, they weren’t sufficient to invalidate the statistically significant result.

To be sure, Clouston acknowledged that the study could have a screening bias, as cognitive evaluations every 18 months likely far exceeds how often most people in the same age group receive testing for their mental acuity.

This is one reason they developed a minimally exposed group that could account for that bias. In that group, dementia was close to, but still higher than the expected rates for the general population.

The number of first responders with dementia far exceeded this group.

Other health threats

Medical professionals have been studying the impacts of other events that release aerosolized particles that could be hazardous to people’s health and could damage the environment.

Burn pits, which the military used in Iraq and Afghanistan, among other locations, contributed to cancers and other diseases among members of the military serving overseas.

Natural disasters, such as the Maui fire last August that not only burned through forests but also destroyed commercial buildings, also create a hazard.

People fled the fire quickly and then returned to search for their loved ones, Clouston said, which exposed them to aerosolized dust.

It would be “good to think about studies to consider risk of dementia” from these events, he added. 

“These studies would probably take a while to complete as the risk grows with time and with age.”

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David Wrobel. Photo by Travis Caperton, University of Oklahoma

Stony Brook University has named David Wrobel, PhD as the next dean of the College of Arts and Sciences (CAS). Wrobel joins Stony Brook from the University of Oklahoma, where he currently serves as dean of the Dodge Family College of Arts and Sciences. His appointment at Stony Brook begins August 1, 2024.

In his new role, Wrobel will oversee the largest college at the university, managing 25 department chairs, 11 center/institute directors and five associate deans as well as serving as the main financial officer of CAS including managing and increasing research expenditures. CAS is a diverse and multifaceted college that serves approximately 70% of the student population across its 30 majors, 40+ minors, 25 departments, and 27 PhD programs. The Dean will work with the Advancement team to engage and inspire potential donors and secure additional funds to support the work of CAS. He will contribute to shaping CAS faculty by leading efforts to recruit and retain excellent teacher-scholars who embrace Stony Brook’s mission of inclusive teaching and scholarly, research, and creative excellence.

“Dr. Wrobel is an experienced administrator and renowned scholar who is exceptionally well-suited to lead CAS at Stony Brook. He and I have had many conversations already about the incredible strengths and potential in CAS among the faculty, staff, and students, and its many outstanding departments, centers, and programs,” said Carl Lejuez, provost and executive vice president.

Wrobel has served as dean of the Dodge Family College of Arts and Sciences at Oklahoma since 2017, serving as interim for a year before being permanently appointed to the role in 2018. Under his leadership, he has worked with his team on a variety of significant achievements including:

  • navigating from inherited financial debt to a positive fiscal position;

  • securing the largest gift in OU history to name the college, as well as a $16 million gift to found a new quantum research center and two major department naming gifts;

  • implementing a strategic plan; establishing a School of Biological Sciences and a School of Population Health and Human Performance (pending regents’ approval); and

  • creating scholarships and programs to enhance support for underserved undergraduates, attract top graduate students, and support faculty research and creative activity.

At Oklahoma, Wrobel is the David L. Boren Professor and Merrick Chair of Western American History. He is an historian of the American West and American thought and culture, and has been recognized for excellence in teaching, research, and service. He was the inaugural recipient of the David L. Boren Professorship, one of the most prestigious honors at Oklahoma. Other honors include the Western Heritage Award for his nonfiction book, Global West, American Frontier: Travel, Empire and Exceptionalism from Manifest Destiny to the Great Depression; the Dodge Family College of Arts and Sciences Holden Award for Teaching Excellence; and research fellowships from Yale University’s Beinecke Library, the Huntington Library, the Newberry Library, and the American Philosophical Society.

Wrobel’s most recent book is America’s West: A History, 1890-1950 (2017). He is also the author of Promised Lands: Promotion, Memory and the Creation of the American West and The End of American Exceptionalism: Frontier Anxiety from the Old West to the New Deal. His current book project is John Steinbeck’s Country: A Writer’s Defense of Democracy. Wrobel co-edits The Modern American West book series and serves on the editorial board for the Steinbeck Review, and for Montana: The Magazine of Western History.

He is also known for his work with teachers around the country, participating in and directing many teacher institutes sponsored by the National Endowment for the Humanities, U.S. Department of Education, National Council for History Education and other organizations. He is past president of the Western History Association, the American Historical Association’s Pacific Coast Branch, and of Phi Alpha Theta, the National History Honor Society.

Wrobel has also held positions at other higher education institutions including Widener University, Hartwick College and the College of Wooster. He holds a master’s and doctoral degrees in American Intellectual History from The Ohio University and earned a bachelor of arts degree in history/philosophy from the University of Kent, Canterbury, England. Wrobel was also department chair and professor of history at the University of Nevada, Las Vegas.

“I am thrilled and honored to begin my work in support of the exceptional faculty, staff, and students of CAS at Stony Brook,” Wrobel said. “The College and Stony Brook exemplify the ideal and the purpose of a student-centered, public research university to ensure high levels of access and opportunity to advance social mobility, and to integrate students at all levels into the mission of creating and applying new knowledge and understanding of the physical world and the human condition to make our communities stronger. I look forward to joining the Stony Brook community and continuing my work of advocacy for and integration of the Sciences, Social Sciences, Humanities, and Arts at one of the nation’s leading public institutions of higher learning.”

Joining Wrobel in the move east are his wife, Janet Ward, PhD, and their three children. Ward will join the Provost’s Office in an associate provost role focused on support for the arts, humanities, and social sciences. At Oklahoma, she is Brammer Presidential Professor of History and faculty fellow for strategic initiatives in the Dodge Family College of Arts and Sciences. She also served at Oklahoma as the inaugural faculty director of the Arts and Humanities Forum, as senior associate vice president for research and partnerships, and, most recently, as American Council on Education fellow at Yale University.

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David Wolman (left) is honored for his service as a control tower operator in the 412th Air Service Group, 8th Air Service Force, 100th Bomber Group in England. Frank Agoglia (right) is honored for his time serving with the 325th Glider Infantry Regiment of the 82nd Airborne Division. On June 6, 1944, he landed his glider behind enemy lines in Sainte-Mère-Église, France. Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness
Photo courtesy SUNY/Valerie Caviness

The Long Island State Veterans Home commemorated the 80th anniversary of the D-Day invasion with a special service and the presentation of Proclamations of Meritorious Achievement to two Normandy Invasion veterans on June 6.

New York State and Suffolk County awarded Proclamations of Meritorious Achievement to 100-year-old U.S. Army veteran Frank Agoglia and 102-year-old U.S. Army Air Corps veteran David Wolman, both residents of the Long Island State Veterans Home.

Agoglia, who landed his glider in Ste. Mere Eglise, France, behind German defenses, and Wolman, who worked 72 hours straight as an air traffic controller during the Normandy invasion, were recognized for their heroic service during D-Day and Operation Overlord.

A candle-lighting ceremony honored the 150,000 Allied troops who landed on the beaches of Normandy, all service members who served during World War II, the 41 million men and women who have worn the uniform in defense of freedom, the more than 600,000 members of the armed forces who have made the ultimate sacrifice, and the current 2 million members of the

“For over 33 years, the Long Island State Veterans Home at Stony Brook University has had the honor and privilege to have cared for this special generation of veterans,” Executive Director Fred Sganga said. “We will never forget the service and selfless sacrifice of so many soldiers, sailors, marines, and airmen. Today, we thank all of our World War II veterans for their fortitude and perseverance eighty years ago – for answering the call, in order to make the world a safer place. World War II veterans set high standards for bravery and courage and passed the baton to later generations of servicemen and servicewomen, who met the challenge by continuing to defend America and her allies around the world to this day.”

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A humpback whale with propeller scars in inshore waters of the New York Bight. A humpback whale surface feeding in inshore waters of the New York Bight. Image taken under NOAA Permit No 26260. Credit: Thorne Lab, Stony Brook University

By Daniel Dunaief

Concerns about the connection between offshore wind farms and whales strandings are likely just a lot of hot air.

Pictured from left, Lesley Thorne with lab membersChelsi Napoli, PhD candidate; Nathan Hirtle, PhD candidate; and Josh Meza-Fidalgo, Research Associate.

In a recent study published in the journal Conservation Biology, Lesley Thorne, Associate Professor in the School of Marine and Atmospheric Sciences at Stony Brook University, and David Wiley, Research Coordinator for NOAA’s Stellwagen Bank National Marine Sanctuary, pointed to vessel strikes as an important driver of the increase in humpback whale strandings.

To address concerns about whether the development of offshore wind farms led to the death of these cetaceans, Thorne and Wiley compared the distribution and timing of humpbacks between 1995 and 2022 relative to anthropogenic factors, such as vessel strikes and entanglement in fishing gear, as well as elements associated with wind farm development.

“We know that there is a narrative out there suggesting that the surveys used for site assessment and characterization are factors” in these whale strandings, said Thorne. “Studying strandings, mortalities and injuries of large whales is important as it can provide information” about the relative impact of different threats.

The researchers found that New York and Virginia were hotspots of mortalities and serious injuries, with a subset of strandings confirming that vessel strikes were the cause of serious injuries or death.

A number of parts likely played a role. Beginning in 2016, vessel traffic in New York and New Jersey increased at the same time that observers noticed an increase in humpback whales.

These whales have also expanded into new foraging areas in recent years, regularly using inshore New York waters as a foraging ground starting around 2011.

The increase in the population of menhaden, which are a fatty, energy-rich forage fish, in the mid 2010s also expanded humpback whale feeding ground.

Menhaden tend to form dense surface schools in shallow coastal waters in mid-Atlantic states such as New York. These cetaceans often use surface foraging behavior to feed on menhaden, which could make them more vulnerable to vessel strikes.

Understanding and appreciating the causes of these strandings could lead to informed decision-making, in developing offshore wind farms and in creating responsible regulations for various vessels around the time whales might be foraging.

Wind farm activity

During the time these scientists studied humpback whale strandings, seven wind turbines were constructed and then operational. 

Looking at humpback strandings, the highest number of strandings in Rhode Island and neighboring states during the unusual mortality event occurred in years following construction, including 2017 and 2022, and not in the year when construction occurred. 

In Virginia, the highest number happened years before construction.

Their assessment of these patterns did not suggest a link between strandings and site assessment and characterization surveys for offshore wind development. Survey authorizations increased over the course of the unusual mortality events and primarily occurred between New Jersey and Massachusetts, whereas elevated patterns of strandings did not follow this pattern.

In the year 2016, Massachusetts had one survey authorization related to offshore wind.  Massachusetts, however, showed a lower number of strandings relative to other years, while the area from North Carolina to Rhode Island had higher strandings.

Thorne and Wiley are not involved in the stranding response. They used the data from the National Marine Mammal Strandings Database, which provides standardized data on marine mammals strandings collected by strandings responders.

They studied changes in the location and timing of humpback whale strandings, and of humpback whale mortalities and serious injuries that were caused by vessel strikes and entanglements.

To be sure, Thorne emphasized that their study focused on humpback whales, which are the species that strand most frequently. Other large whale species have different distributions, foraging and habitat preferences, which clouds the picture for any broader analysis.

Vessel strikes

The biggest increases in strandings occurred from Rhode Island to Virginia.

In the waters near New York and Virginia, strandings had some of the highest increases. Stranding responders confirmed the prominent role of vessel strikes in mortalities and serious injuries near these states.

As for the whales, they have also changed their spring and summer feeding ranges. Until more recently, the southern feeding range extended much further north, to the Gulf of Maine as well as areas farther north, such as Iceland and Greenland.

While humpbacks have foraged in New York waters periodically in the past, they have been consistently feeding in these waters during the summer since 2011.

The whales are following one of their food sources, as the population of menhaden has increased off the south shore of Long Island and in other mid Atlantic states.

Juveniles have also used the waters off the coast of Virginia as a supplemental feeding ground.

“We know that vessel strikes, along with entanglement in fishing gear, are the major threats to large whales around the world,” said Thorne.

When boats are moving more rapidly and whales are feeding in regions with a higher density of vessel traffic, such mortality events are more likely.

Possible solutions

For starters, the scientists urge further study to add to the body of research, including a more thorough understanding of the movements and habitat use of humpbacks and other large whales. 

Additionally, assessing the abundance and distribution of prey species will contribute to an understanding of habitat use and the health of large whales.

She also suggested further work to analyze feeding and feeding in shallow coastal habitats with the risk of vessel strikes.

Slowing ships down reduces the risk from a vessel strike.

“There’s a lot of interest in how we can better use dynamic management instead of management that is focused on fixed areas and times,” said Thorne.

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Yi-Xian Qin

Yi-Xian Qin, PhD, SUNY Distinguished Professor and Chair of the Biomedical Engineering Department at Stony Brook University, was recently elected a Fellow of the American Society of Mechanical Engineers (ASME). He is also Director of the Orthopaedic Bioengineering Research Laboratory and Co-Director of the Institute for Engineering-Driven Medicine.  

Professor Qin’s expertise and contribution in science are in the areas of biomechanics and mechanobiology in musculoskeletal tissue adaptation and cellular regulation, space medicine, and nanomaterials. His research has been focused on developing novel approaches for promoting tissue engineering and regeneration and translation through physical regulation and characterization of tissue quality, as well as evaluating the mechanisms responsible for tissue remodeling and their translation. 

Andrew Singer, Dean of the College of Engineering and Applied Sciences said, “This is a well-deserved recognition for Professor Qin who is a brilliant and dedicated researcher, an alumnus of our mechanical engineering program and a leader in our College of Engineering and Applied Sciences.”   

The East Setauket resident is among the pioneers who discovered bone’s ability to rapidly adapt to its functional environment, bone fluid flow, and regeneration to dynamic signals. He has published more than 180 peer-reviewed articles, and related books and chapters, as well as several US patents. Some of his patents include ultrasound diagnostic imaging and therapeutics, as well as mechanical stimulation, technologies for musculoskeletal diseases like osteopenia and fracture with the potential of bone loss prediction in microgravity in long-term space mission and clinical impacts. 

He earned both his MS degree and PhD from the Department of Mechanical Engineering from Stony Brook University.

The ASME Committee of Past Presidents confers the Fellow grade of membership on worthy candidates to recognize their outstanding engineering achievements. Nominated by ASME Members and Fellows, an ASME member has to have 10 or more years of active practice and at least 10 years of active corporate membership in ASME.

In addition to this recent honor, Professor Qin is also a Fellow of the American Institute for Medical and Biological Engineering (AIMBE), American Society for Bone and Mineral Research (ASBMR), Biomedical Engineering Society (BMES), International Academy of Medical and Biological Engineering (IAMBE), and International Academy of Astronautics (IAA).

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Dr. Michael Kinch Photo courtesy of Washington University in St. Louis

Stony Brook University has announced that Michael Kinch, PhD, has been appointed as the inaugural chief innovation officer (CINO) for the university. Kinch brings extraordinary experience at the highest levels of industry and academia, including roles at Yale and Washington University—two institutions known for their cultures of innovation and demonstrated success translating knowledge into marketable solutions. He will report to the new incoming vice president for research, Kevin Gardner, beginning August 1, 2024 and will be a member of the president’s university council. He will also hold a faculty position in the university’s Department of Pharmacology.

As CINO, Kinch will lead the Office of Economic Development and provide direction and oversight of campus-wide initiatives related to accelerating innovation and economic development, including incubation and technology transfer. His efforts will focus on technology-based entrepreneurship, venture capital, and other sources of startup investment, as well as the research commercialization and economic development programs from faculty and student research and initiatives. In addition, Kinch and his staff will collaborate with departments and colleges/schools across campus to amplify the university’s service to advance Stony Brook’s economic impact on the region and develop partnerships with external entities that benefit the university and help advance economic development interests of these external entities.

 “As a leader who brings people together and who knows that research, scholarship and discovery are a universal language, Michael is an excellent leader to help the university realize its boldest ambitions to make a profound, positive impact on society for generations to come,”said Stony Brook University President Maurie McInnis.

Kinch has worked extensively in higher education including in his most recent role as the executive dean of sciences at Long Island University where he creates and deploys innovative approaches to improve biomedical translation and entrepreneurship. He founded and directed the Center for Research Innovation in Biotechnology, which analyzes the sources of biomedical innovation.

Previous to that position, Kinch served as associate vice chancellor, founder of the Centers for Research Innovation in Biotechnology and Drug Discovery and professor of Biochemistry and Molecular Biophysics at Washington University in St. Louis. There he helped lead entrepreneurship activities and founded the Centers for Research Innovation in Biotechnology (CRIB) and Drug Discovery (CDD), which analyzes innovation in the science and business of medicines. At Yale University, he founded and led the Yale Center for Molecular Discovery. He has been a lecturer at the Krieger Program in Biotechnology at John Hopkins University; associate professor at the Indiana University School of Medicine, West Lafayette Campus at Purdue University; and served as a postdoctoral fellow at the University of North Carolina at Chapel Hill.

Kinch has worked in the private sector overseeing Research and Development as Vice President for Research and Development/Chief Scientific Officer at Functional Genetics, Inc. and Head of Cancer Biology & Translational Sciences at Medimmune, Inc. He is also the author of six books, has published extensively in peer-reviewed publications and participated in national media appearances and interviews about his research.

Kinch earned his PhD in Immunology from Duke University Medical Center and his BS in Molecular Genetics.

“I am excited by the incredible potential for innovative commercial development on Long Island in general and Stony Brook University in particular,” said Kinch. “The university has incredible expertise in key aspects of science and technology that are needed to address looming challenges, including but not limited to affordable and sustainable energy to biomedical applications.”

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Stony Brook University Hospital

Money magazine has ranked Stony Brook University Hospital (SBUH) as the #2 Best Hospital for Pediatric Care in the country. These services are provided by Stony Brook Children’s Hospital, the leading children’s hospital on Long Island, with more than 180 pediatric specialists in 30 specialties delivering cutting-edge research, technological innovations, clinical trials and breakthrough techniques.

Money evaluated over 6,000 hospitals and narrowed it down to just 74 based on a rigorous analysis of 13,500 data points. The rating is based on five key factors; mortality, safety, readmission, patient experience and timely and effective care. Ranking scores are then translated into a letter grade. SBUH received an overall grade of an “A,” the highest of any New York and Long Island hospital.

“I’m delighted that Stony Brook University Hospital has been recognized by Money magazine for providing world-class pediatric care,” said William A. Wertheim, MD, MBA, Interim Executive Vice President for Stony Brook Medicine. “This ranking is a testament to the exceptional care and dedication of our pediatric team, who work tirelessly to ensure the health and well-being of our youngest patients, who understand that children are not simply small adults but have unique health and social needs, and remain committed to ensuring our community receives the highest quality healthcare services.”

“As Suffolk County’s first and only children’s hospital, we understand the needs of caring for a child affect the entire family,” says Carol Gomes, MS, FACHE, CPHQ, Chief Executive Officer of Stony Brook University Hospital. “I am extremely proud of our team of compassionate and experienced pediatricians, pediatric surgeons and specialists who devote themselves to delivering the best possible outcomes for children on Long Island.”

This past April, Stony Brook University Hospital also received an “A” ranking for General Practice and was ranked number 19 on Money magazine’s prestigious “Best Hospitals of 2024” list.

 

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As summer arrives so too does the inevitable surge in tick activity. Our beautiful region, with its lush landscapes and thriving wildlife, provides the perfect habitat for these tiny, yet potentially dangerous, parasites. It’s crucial for residents to stay informed and vigilant to protect themselves, their families and their pets from tick-borne diseases.

Ticks, particularly the black-legged or deer tick, are more than just a nuisance. They are vectors for several diseases, including Lyme disease, babesiosis, anaplasmosis, ehrlichiosis, Rocky Mountain spotted fever, hard tick relapsing fever and Powassan encephalitis. Each year, numerous cases of these illnesses are reported, with Lyme disease being the most common. Early symptoms can range from a rash and flu-like symptoms to more severe complications if left untreated.

Prevention is key

To minimize the risk of tick bites you can dress for the occasion, when venturing into wooded or grassy areas, wear long sleeves, long pants tucked into socks and closed-toe shoes. Light-colored clothing makes it easier to spot ticks. 

Tick and bug repellents are also another way to minimize risk, a repellent that contains picaridin or permethrin is most effective. Avoiding tick habitats, staying on marked trails and avoiding tall grasses and leaf litter where ticks are likely to be found are good practices. Be cautious around areas where deer are common, as they often carry ticks.

After spending time outdoors, be sure to conduct thorough tick checks on yourself, your children and even your pets. Pay special attention to areas where ticks like to hide, like under the arms, in and around the ears, inside the belly button, behind the knees, in the hair and around the waist.

For pets, particularly dogs, check around the ears, neck and between the toes, as ticks usually like to hide somewhere warm on the body. Regular grooming and the use of veterinarian-recommended tick prevention products can greatly reduce the risk for your furry friends.

What to do if you find a tick

If you find a tick attached to your skin, don’t panic. You can use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible and then pull upward applying even pressure without twisting or jerking, as this can cause the mouth-parts to break off and remain in the skin.

After removing the tick, be sure to clean the bite area and your hands with rubbing alcohol, an iodine scrub or soap and water and to dispose of the tick properly — submerge the tick in alcohol, place it in a sealed bag/container, wrap it tightly in tape or flush it down the toilet. Never crush a tick with your fingers.

Monitor the bite site for any signs of a rash or flu-like symptoms. If you experience these symptoms, contact your health care provider promptly.

Preventing tick-borne diseases requires community-wide efforts. Local authorities and health organizations should continue to educate residents about tick prevention and control. Programs to manage deer populations and reduce tick habitats are essential in controlling the spread of ticks. 

Since 2015, Stony Brook Southampton Hospital’s Regional Tick-Borne Disease Resource Center has been operating a free tick helpline at 631-726-TICK (8425). Also, Renaissance School of Medicine, Stony Brook University, has a tick-borne clinic at Lake Grove. 

A little precaution goes a long way in protecting against the dangers of ticks.

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Photo courtesy of Urban Air Lake Grove
Photo courtesy of Urban Air Lake Grove
Photo courtesy of Urban Air Lake Grove
Photo courtesy of Urban Air Lake Grove
Photo courtesy of Urban Air Lake Grove

Day of fun for kids supports blood cancer research at Stony Brook Cancer Center

Urban Air Lake Grove raised more than $10,000 at the first annual David Wolmetz Memorial Fundraiser honoring the late co-founder of the popular indoor adventure park on the first anniversary of his passing, June 11.

Admission to the park for kids of all ages included access to the most popular attractions including the 30-foot tall Sky Rider zipline, Climbing Walls, Bumper Cars, and more. Local vendors were also on hand for face painting, balloon animals, temporary tattoos and more.

Proceeds from the event will support blood cancer research at the Stony Brook Cancer Center, where Wolmetz received treatment from 2019 to 2023.

“Dave was dedicated to Urban Air Lake Grove and giving back to his community, and he really loved the second family at Stony Brook Cancer Center that took care of him over the last four years,” said Keith Handler, Co-Founder of Urban Air Lake Grove. “Dave was a force of nature. When he set his mind to something you could not stop him. We miss him greatly.”

In October of 2018, Dave was diagnosed with Acute Lymphoblastic Leukemia. He was admitted to Stony Brook Hospital’s 19th floor, where his treatment started immediately. The wonderful staff at the Cancer Center and hospital treated him throughout his cancer journey, COVID, and subsequently several hospitalizations over the years due to his compromised immune system. Dave never lost hope and trusted his entire Stony Brook Cancer team immensely. Unfortunately, Dave lost his battle on June 9, 2023.

“He loved this place so much,” said Carrie Wolmetz, wife of Dave Wolmetz. “Even in the days that he was physically unable to walk around, he would come here. He never gave up. He focused on the positive and the people he was grateful for. The people in his life who meant a lot to him gave him strength.”

Donations to Stony Brook Cancer Center can be made here.

About Urban Air Lake Grove

With 50,000 sq. ft. of active play space, Urban Air Lake Grove is home to the popular Sky Rider, a zip-line style attraction with a winding track that carries young thrill-seekers flying along 30 feet in the air, the tallest on Long Island. Urban Air Lake Grove also offers a High Ropes obstacle course, Spin Zone bumper cars, and a full set of rock-climbing walls, wall-to-wall trampoline adventures, and Urban Air’s exclusive Urban Warrior Course™ and Battle Beam.  Urban Air Lake Grove is located at 3147 Middle Country Road, Lake Grove, NY 11755. Phone: (631) 861-4125.

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The four person MSU crew Patricia Babiam, Kristofer Martin, patient Bill Rothmeier, Anthony Papaleo and Frank Time, reunite for a reunion.

By Daniel Dunaief

Ralph Sabatino, a lawyer and St. James resident, was in his bedroom, sitting at his computer when he fell out of his chair.

Ralph Sabatino of St. James. Photo courtesy Stony Brook Medicine

When his sister Maria, who was visiting from New Jersey in April of 2023, came into the room, she immediately called his wife Claire, a registered nurse, to come check on him. 

“I noticed his left arm and left leg were paralyzed,” said Claire Sabatino, who has been married to Ralph for almost 44 years. “HIs speech was garbled.”

Claire called 911 and told the dispatcher that her husband was exhibiting the signs of a stroke. Within minutes, an EMS ambulance and one of the two Mobile Stroke Units from Stony Brook hospital arrived.

In the mobile stroke unit, technicians conducted a CAT scan, forwarding the results to Dr. David Fiorella, Director of the Stony Brook Cerebrovascular Center and Co-Director of the Stony Brook Cerebrovascular and Comprehensive Stroke Center at Stony Brook Medicine. When he arrived at the hospital, Sabatino bypassed the emergency room and went directly into an operating room.

Fearing the worst, Claire Sabatino called their adult daughter Gabrielle and told her to get to the hospital as quickly as possible.

“I never saw anybody with the symptoms my husband was exhibiting that fully recovered in the past,” she said. “When I saw him on the floor, I thought that would be the way he’d live for the rest of his life, if he survived. I wasn’t sure he would.”

After the stroke and the operation, Sabatino, who is now 68 years old, has no symptoms following what is far too often a life-altering condition.

“It’s sometimes hard for me to fathom how massive the stroke was because I have had no lingering effects,” he said.

Indeed, Sabatino estimates that the time between when he had the stroke until he was wheeled in the recovery room was about an hour and a half.

“Stroke is an emergency,” said Fiorella. “Although it’s not painful, numbness, weakness involving one side of the body, difficulty with speech, understanding speech, difficulty with vision, anything that presents acutely shouldn’t be ignored. It needs prompt attention.”

As a way to recognize the signs of stroke and the urgency to get help, doctors in this field suggest that people remember the acronym BE FAST, which stands for balance, eyes, face, arm, speech, time.

With seniors representing the fastest growing population on Long Island, residents and their families and caregivers need to be aware of stroke symptoms and, in the event of a stroke, to have an action plan in place.

“We have an aging population and the prevalence of stroke is increasing,” said Fiorella.

In Suffolk County, Stony Brook has two mobile stroke units, positioned on the Long Island Expressway at Exits 57 and 68. These units are located within 10 miles of 46 EMS territories.

Since Stony Brook started deploying these mobile stroke units in April of 2019, these specialized and life-saving ambulances have responded to about 8,000 stroke calls.

During those years, the hospital has demonstrated a significant reduction in time to treatment, with more patients receiving clot busting medications while in transit, and lower rates of mortality and morbidity, Fiorella explained.

A workup and diagnosis at other hospitals can take three or more hours, which a mobile stroke unit can perform with a CAT scan.

Additional benefits

David Fiorella, MD, PhD stand for photo at Stony Brook Hospital on Monday Sept. 12, 2022. (9/12/22)

Fiorella explained that the technicians in the ambulance share considerable information about the patient while in transit, including whatever contact numbers they could collect from family members on site.

Stony Brook Hospital can then begin a dialog with those family members, preparing them for any potential procedures and, if the patient is a candidate for a new treatment, receiving authorization.

A well-established and industry leading stroke unit, Stony Brook is involved in several experimental protocols designed to improve treatment.

“Whenever we can, we offer newer and better technologies,” said Fiorella. By participating, patients not only benefit from advances in the field, but also help the thousands who come after them. Patients can “make tremendous contributions to their own care and to medicine” amid developments and advanced technologies, he said.

In cases where patients or their representatives prefer not to use any advanced or newer technology, Stony Brook provides other life-saving services.

Fiorella added that the mobile stroke unit doesn’t only bring patients to Stony Brook, but also takes them to other comprehensive stroke centers for advanced treatment.

While strokes disproportionately affect the elderly, with the Medical University of South Carolina estimating that 75 percent of strokes occur in people 65 and older, certain conditions can increase the risk of strokes, such as smoking, vascular or heart disease, high blood pressure and peripheral vascular disease.

Another success story

The four person MSU crew Patricia Babiam, Kristofer Martin, patient Bill Rothmeier, Anthony Papaleo and Frank Time, reunite for a reunion.

Bill Rothmeier, who lives in Oakdale, was coming back from upstate in 2019 when his wife Eileen recognized that he was driving strangely.

She asked him to pull over so she could use the restroom. When she returned, she took over the driving. By the time they got home, Rothmeier’s ability to speak had declined.

Eileen Rothmeier spoke to a next door neighbor, who was involved with a community ambulance in Sayville. He had heard about the stroke unit.

“The next thing I knew, two ambulances were in front of my house,” said Bill Rothmeier, who is now 68. The MSU did a CAT scan and gave him a shot on the way to the hospital.

When he was in the recovery room, Rothmeier said Fiorella came in and told him he put in a stent and pulled two blood clots out of his brain.

“He said it like I was going out to a deli to get lunch,” said Rothmeier, who, as it turns out has owned the Lake Grove Deli for 29 years. “If it wasn’t for those guys,” including the MSU crew and Fiorella, “I could be in a nursing home or worse right now.”

Rothmeier was one of the first to receive life saving treatment through the mobile stroke unit and at the hospital.

A rewarding job

While the mobile stroke unit provides an important service for people battling a stroke, it doesn’t add any cost for the patient.

Stony Brook provides the units “free of charge,” because the “outcomes are so much better,” Fiorella said.

Patients who have untreated strokes or whose strokes are treated much later can have an irreversible brain injury, which could involve hospitalizations that last for months.

Stony Brook receives the same flat rate from Medicare for stroke victims, which helps provide financial support for the ambulance and is a “home run” for the patient, Fiorella added.

From Fiorella’s perspective, the opportunity to help people more than compensates for the 2 am calls he sometimes gets when he needs to come in for emergency surgery.

In the 25 years he’s been involved in stroke care, Fiorella has “never lost the fascination in how great the technology has become and how quickly it’s advanced,” he said. After treatment, people who couldn’t speak or understand speech and who couldn’t move the dominant side of their body can return to normal activities.

“It’s such a wonderful experience being involved with this,” he said. “I wouldn’t be able to do this without the support of Stony Brook.”

As for Claire Sabatino, who had never heard of the mobile stroke unit before the ambulance was parked on her driveway last April, the benefit of the rapid transit and the Stony Brook team is “nothing short of a miracle.

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