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Times of Smithtown

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METRO photo

The COVID-19 pandemic has brought unforeseen challenges for nearly everyone in our nation and world.

COVID-19 has already claimed the lives of 6.65 million people around the globe, 1.09 million of which are in the U.S. Countless more have been infected, with the illness hitting hardest the elderly and those with preexisting conditions. In this time, however, perhaps no demographic sacrificed more greatly than our youth. 

We made a decision: Would we let the kids — who were not nearly as vulnerable to the disease as their older counterparts — continue their lives as usual? Or would we limit their in-person activities and restrict their social gatherings to curb the spread of COVID-19? Given a choice between age and youth, we opted for age.

Many children were shut out from traditional social interactions during those critical early years of their emotional and psychological maturation. Sadly, many high school seniors lost their graduation ceremonies, proms and final sport seasons. 

In the absence of interpersonal connections, our young became increasingly dependent upon their technologies. Zoom sessions quickly replaced the classroom. Video games supplanted schoolyards and after-school hangouts. Their relationships with the outer world became mediated through a digital screen.

There is still much to learn about the long-term social and psychological impact of the pandemic on our youth. How will the frequent COVID scares, forced separations, quarantines and widespread social panic affect their developing minds? This remains an open question.

As we transition into the post-COVID era, we know that our young will have difficulty adapting. Right now, they need our help more than ever.

The generation that came out of World War I is often called the “Lost Generation.” A collective malaise defined their age following the shock and violence during that incredible human conflict. 

Members of the Lost Generation were often characterized by a tendency to be adrift, disengaged from public life and disconnected from any higher cause or greater purpose. Right now, our youngsters are in jeopardy of seeing a similar fate. 

Like the Great War, the COVID-19 pandemic was outside the control of our children, with the lockdowns and mandates precipitating from it. Yet, as is often the case, the young bore more than their share of hardship.

We cannot allow Gen Z to become another Lost Generation. They have suffered much already, and it is time that we repay them for their collective sacrifice. To make up for that lost time, parents and teachers must try to put in that extra effort. 

Read with them, keep up with their studies, and apply the necessary balance of support and pressure so that they can be stimulated and engaged in school. Keep them from falling behind.

Remember to limit their use of technology, encouraging instead more face-to-face encounters with their peers. These interactions may be uncomfortable, but they are essential for being a fully realized human being. Devices cannot substitute these vital exchanges.

As it is often said, difficult times foster character and grit. Perhaps these COVID years will make the young among us stronger and wiser. But we must not allow the COVID years to break them either. 

Despite their lost years, with a little effort and love they will not become another lost generation.

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Takeout food. METRO photo

By Daniel Dunaief

Daniel Dunaief

I could take it personally, you know. I mean, come on! Does this happen to everyone?

Okay, so, check it out. First, I’m coming back from the airport, and I’m starving. I don’t tend to eat too much on days when I’m on a plane. I have a sensitive stomach, yeah, right, poor me, and I’m a bit, which is an understatement, of a neurotic flier. The combination doesn’t tend to make travel, food and me a harmonious trio.

Okay, so, there I am in the car, on the way home, and my wife can tell that I’m hungry. Ever the solution-finder, she suggests I order food from a local restaurant. When I call, the woman on the phone takes my order, which includes a salad with blackened chicken, and tells me I have to get there within half an hour because they’re closing.

When we arrive home, I bring in my small bag, grab the keys, and race out to the restaurant.

“Are you Dan?” she asks hopefully as I step towards the counter.

“Yes,” I say, realizing that I’ve cut the half-hour mark pretty close.

“Here’s your food,” she says, shoving the bag across the counter.

“This is everything?” I ask.

“Yes,” she says, as she rings me up and is clearly eager for me to step outside so she can lock the door and go on to the portion of her evening that doesn’t involve taking food requests, handing people food and charging them for it, all while standing near a gratuity jar that says, not so subtly, “Even the Titanic tipped.” That, I suppose, should inspire me to consider forking over a few extra dollars.

I stop at the supermarket for a few items next door, drive home and bring the bag into the dining room, where my wife opens it.

“Uh, Dan?” she says tentatively. “They forgot your salad.”

“What?” I rage, between clenched teeth in the kitchen as I unload the groceries.

“Your salad isn’t here. Did they charge you for it?”

“Yes,” I say, as I grab some slices of turkey I bought for lunch and a few salad items.

The next day, I called the restaurant to explain that my food didn’t come. The manager said he came in that morning and saw a salad with blackened chicken in the refrigerator. He says he can make a new one that day or can leave me a gift card. I opt for a new salad,

When I arrive, the same redheaded woman with a nose ring from the night before greets me.

“If it makes you feel better, I forgot much bigger parts of other people’s order,” she says, with a curious mix of sheepishness, humor and pride.

“No, how is that supposed to make me feel better?” I ask.

Still in food ordering mode, and perhaps not having learned my lesson, I ordered two breakfasts the next morning and, this time, received a single order that was a hybrid of my wife’s and mine.

That night, my wife and I went to a professional basketball game. Stunningly, the person operating the scoreboard had the wrong statistics for each player and the wrong names and uniform numbers of the players on the floor.

What’s happening? Is customer service a thing of the past? Are we better off with artificial intelligence or online systems?

I realize that the missed food could have happened with anyone at any time and that the thankless job of taking orders, preparing food and making sure people get what they order isn’t particularly exciting. 

Are people not taking responsibility in their jobs? Are they proud of their mistakes? Has customer service become like our appendix, a vestigial organ in our culture?

I’m the type of consumer who would eagerly become more loyal and would recommend services when the people who work at these establishments show me they care, want my business, and can be bothered to provide the products I purchased. Companies, and their staff, should recognize that I’m likely not the only one who enjoys efficient, professional and considerate customer service.

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By Leah S. Dunaief

Leah Dunaief

Just to add some excitement to my life, I had Mohs surgery this past week. Of course, it was not my idea. The dermatologist identified a spot on the side of my nose as possibly the beginning of a basal cell carcinoma, scraped it off and sent it for a biopsy. The report came back positive.

The next step in this situation was a visit to a Mohs surgeon, who specializes in removing the unwelcome cells.

So off I went.

Now typically there are three types of skin cancers: basal cell, squamous cell and melanoma. Mine was a basal, the least of the three and slowest growing. Nonetheless, it had to come off.

An appointment was made for the deed to be done. Now Mohs surgery, used first by Frederic E. Mohs in 1936,  is intended for areas totally visible, like the cheek or nose, where scars would be most undesirable. The skin with the troubled spot is cut away one layer at a time and then studied under a microscope. When a layer is found free of the cancer, the surgeon can stop removal. In that way, no more skin is cut away than is affected, minimizing the healing process and the scarring.

At the initial consult, I was told to come back at 8:30 a.m. last Monday and bring lunch and a book because there was no way to know in advance how deep the basal cells have penetrated and hence, how many layers may have to be removed.

“Plan to spend the whole day here,” the nurse instructed. “Of course you can leave as soon as the skin is cancer free.”

So I dutifully appeared at the appointed time, heart pounding, not knowing exactly what I was in for. For those facing Mohs surgery or will undergo the procedure in the future, here is what’s involved. And by the way, more and more people are developing various skin cancers because the skin is damaged by the sun, older people have had more time to be affected, and there are now more older residents in America than ever before. Thousands of baby boomers turn 65 every day.

Mohs surgery can be done in a hospital or a physician’s office. I was in an office. First, the nurse carefully and thoroughly wiped my face with antiseptic to prevent an infection. Pictures were taken to record the exact location of the spot. Then my upper body was draped, and the nurse injected pain killer in several locations on the nose and cheek, which each felt like a sharp but quick pinch.

When I was anesthetized, the physician entered, put on his surgical gloves, and the procedure began as Christmas music played softly in the background. It took less than five minutes to get the specimen for the lab. It takes about an hour for the slide to be inspected, using a special diagnostic machine.

I was then bandaged and sent out to wait. While I was waiting, I studied the others in the waiting room. Some had bandages on their ear or their cheek. One lady had a dressing on her scalp. A man had one on his neck. All were reading.

I also enjoyed the company of my son, who accompanied me throughout this experience, for it gave us an opportunity to chat and catch up on the latest. That was the silver lining.

In less than an hour, the nurse waved me back into the procedure room, and I swooped up my untouched lunch, my book and my coat and anxiously followed her.

“It’s all clear,” she said smiling. “No further cancer.”

“Hot dog!” I exclaimed, thereby giving both the young nurse and youngish doctor a laugh. Apparently, they were not familiar with that enthusiastic expression. I guess the current phrase would have been,

“Cool!”

Then the surgeon took a thin slice of skin from elsewhere on my nose, and using this plastic surgery technique, covered the surgical site. The wound was next stitched up and covered with a pressure bandage that was to remain until the next day.

Happily we could leave. The task now is to keep the area clean and manage the ensuing pain until the healing is complete.

Until then, should we cross paths, I hope you won’t confuse me with your neighborhood raccoons. Or think that I was in a bar fight and got punched in the eye.

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Smithtown West’s Jack DiMaggio competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Jack DiMaggio competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Joseph Jaeger competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Anthony Santaniello competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Anthony Santaniello competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Tyler Tuckey competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West’s Tyler Tuckey competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo
Smithtown West competes in the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10. Bill Landon photo

Smithtown West hit the mats at the Carl T. Korpi wrestling invitational at Miller Place High School Dec. 10 with championship performances by Joseph Jaeger at 102 pounds, pinning his opponent in the championship final at the 3:09 mark. 

Teammate Jack DiMaggio, at 138 pounds, defeated his opponent by a 4-2 decision, and Kenneth Leverich, at 145, ended it early, winning his match with a pin at the 1:23 mark. Michael Teplansky defeated Zack Wilson of Shoreham Wading River by major decision.

In consolation finals, Anthony Santaniello, at 145, defeated Vincent Zimmerman, of Centereach, and Philip Reneiris pinned his opponent at the 4:44 mark.

The Bulls are back in action when they travel to West Islip for a league matchup Dec 14 with the first bout scheduled for 6 p.m.

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File photo

Suffolk County Police arrested a woman on Dec. 10 for driving while intoxicated after she drove the wrong way on Nesconset Highway in Hauppauge.

A 911 caller reported a sedan was traveling eastbound in the westbound lanes of Nesconset Highway at 3:10 a.m. A Fourth Precinct Patrol officer responded and pulled over the driver of the sedan, a 2020 Honda Civic, just west of Browns Road at approximately 3:15 a.m.

The officers determined the driver, Karen Morales-Moreno, was intoxicated and placed her under arrest.

Morales-Moreno, 21, of Port Jefferson, was charged with Driving While Intoxicated. She was being held at the Fourth Precinct and was scheduled to be arraigned at First District Court in Central Islip that same day

A criminal charge is an accusation. A defendant is presumed innocent until and unless proven guilty.

 

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Stock photo

Here we are in the midst of the holiday season.

In the Dec. 1 TBR News Media article, “Check in with each other, yourself before approaching holidays, local doctors urge” by Daniel Dunaief, medical professionals stressed the importance of people visiting or calling loved ones and taking note of their moods.

The doctors had additional excellent advice: Check in with yourself during this busy season, too.

The last few weeks may have been overwhelming for many people with preparing the house for company, decorating and ensuring there’s a special gift for everyone.

While stressing about how clean the house is or if it’s decorated enough, sometimes what gets lost in the mayhem is that this is the season when people make more of an effort to gather, to stop for a bit and to catch up. In the grand scheme, our home doesn’t need to look like it’s ready for a photo shoot with Homes & Gardens to spend quality time with our loved ones.

It’s the time of year when we tend to reach out to those who don’t live near us, too. Whether it’s a call, text, letter or card, it is wonderful when we reconnect and take a trip down memory lane.

As for the stress of gift giving, it doesn’t have to get out of control. Following a budget and avoiding charging presents can go a long way regarding our bank balances. In addition to exchanging presents, there are so many ways to show we care. 

People can also share their talents or skills by gifting a picture they painted or a poem they wrote. A loved one may need help painting a room or raking the leaves. Why not offer the gift of time?

Sometimes the gift of time is the most cherished present of all, and many people, especially parents and grandparents, would appreciate some one-on-one time put aside for them, whether it involves a free or inexpensive activity or just talking over hot beverages.

There’s a sacred side of this season, too, that sometimes gets lost in the hustle and bustle. Just sitting and thinking of the miracles represented by Christmas and Hanukkah can bring much-needed stress relief.

This time of year should be about hope and starting fresh in the new year. The holidays are a time for joy and laughter, a moment to celebrate the many blessings in life. Materialism and commercialization of the holidays and competing with our neighbors over holiday displays may create unnecessary pressures for us, perverting the meaning of the season.

Here’s to a relaxing holiday season filled with family and friends, from TBR News Media.

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Pictured above, Rich Schaffer (left) and Jesse Garcia (right). Left photo from Babylon Town website; right file photo from Suffolk GOP

In a year of narrow margins of victory and slim majorities in the U.S. House and Senate, Republicans made steady gains in Suffolk County. Following this outcome, TBR News Media spoke independently with Rich Schaffer and Jesse Garcia, respective chairmen of the Suffolk Democratic and Republican committees, for their views on the local outcome.

What is your initial reaction to this year’s midterm election results?

Schaffer: 

In Suffolk County, I think voters were clear in demonstrating that they had great concerns about some of the issues out of Albany, issues revolving around public safety, law enforcement and affordability. I think [Republican gubernatorial nominee U.S. Rep.] Lee Zeldin [R-NY1] spoke to that, and that’s why you had the results you had where I think he gathered about 59% of the [Suffolk] vote.

We, the Democratic Party, need to do a better job on messaging. The governor [Kathy Hochul (D)] delivered record amounts of state aid for education, and nobody even knew about it. The governor delivered record amounts of infrastructure monies that fixed the LIE and various roads throughout the county, and nobody knew about it. The governor held up the state budget to have tweaks made to the bail reform and criminal justice issues that were passed by the Legislature earlier this year, and nobody knew about it.

I think we failed at our messaging, and the Republicans did a better job on that.

Garcia:

I’m very proud of the reaction of the voters of Suffolk County and of the hard work of the Suffolk County Republican Committee members involved here. This is a process that began in the cold, wintery nights of February. It culminated with the night we call our Super Bowl, with a successful election night.

Our goal was to deliver 60% of the vote for Lee Zeldin. We did, we gave him a plurality of 100,000 votes. I couldn’t be more proud of the efforts we put in in Suffolk County, Long Island and throughout the state. Because of our efforts, we knocked off a 40-year Democratic incumbent lawmaker [state Assemblyman Steve Englebright, previously a Suffolk County legislator (Setauket)] and we came very close in two other seats, AD-11 and the 4th Senatorial District. 

All in all, it was a very successful night. More importantly, it was a successful night for the voters of Suffolk County.

Did your party meet expectations?

Schaffer:

I can’t speak to the county numbers because I don’t have all of them, but I’ve been looking at the Babylon numbers because I’m an elected official in Babylon. 

We underperformed in terms of turnout. Republicans had their normal turnout in Babylon. Blanks [i.e., those not registered with any party] and Democrats had about 10% to 15% less turnout than we would normally have in a gubernatorial election year. That alone speaks to my answer to the first question, messaging. And two, in terms of turning out people who would normally turn out for us, we didn’t do a good job doing that. We have to find out why they didn’t turn out.

Garcia:

We always set very lofty goals for ourselves. In my time as chairman of the Republican Party here in Suffolk County, in every election cycle we have flipped a blue seat. I have great confidence in this committee. When we set our minds to a goal, we meet them. On Nov. 9 and 10, we were in our headquarters plotting out the next election cycle and setting goals there for our town and our county. 

Based on these results, how is voting behavior in Suffolk County changing?

Schaffer:

I don’t know if it’s changing, but I would say that it’s always going to be a moderate to conservative place. The enrollment numbers are pretty much even, Democrat to Republican, and then there’s another third who are independent, blanks. 

You are seeing ticket splitting because Democrats are getting elected in various places. If there’s an answer to your question about changing, I would say that Suffolk County voters are voting in a more moderate to conservative way, whether they be a registered Democrat, Republican or not registered with any party. And maybe that’s to say that registration doesn’t determine how someone’s going to vote.

I think they’re going to come out and they’re going to vote based on how they feel about the particular issues of the day, and if you haven’t done your job on messaging then you’re not going to win that battle.

Garcia:

I think that it’s changing in a way that we are utilizing Republican governance as the proper way to govern at the town level, the county level, or the state and federal levels. I use our supervisors throughout the town, our Republican supervisors with Republican majorities, to show the voters that there’s a different way to govern, and I think that way is now being responded to.

Even deep blue seats in the strongholds of the Democratic Party — whether it be Babylon Town or in the 1st [Council] District of Brookhaven — we have had historic victories this year. While we’ve had successes at the townwide level, this year we finally broke through that ceiling and were successful at the [state] level by defeating Assemblyman Englebright.

I believe that the voter trends that we’re seeing are the results of the political infrastructure, on one hand. On the other hand, residents are recognizing the difference between Republican and Democratic governance.

Has your party altered its political strategy with respect to voting by mail? Do you foresee mail-in ballots playing a greater role in the future?

Schaffer:

Absolutely. I think any time you make voting more accessible, you’re going to get a better response from people. We were always champions of communicating with people who are on permanent absentee [ballot status], those who are in nursing homes or who are not able to get out and vote physically. 

Keep in mind, if someone requests a ballot early, or with early voting as much as 10 days out, you have to kind of move up your communications schedule so that you don’t lose the opportunity to communicate with those people and have an impact. If there’s a change in strategy, it’s probably moving up the communication schedule and doing it earlier.

Garcia:

I made a commitment to our leaders, to our candidates, our elected officials, our committee people and to the voters of Suffolk County that I will adapt. 

I will make sure that this party has the wherewithal to adapt to any and all shenanigans on the electoral side set forth by the Democratic majority in Albany.

We continue to do that on an annual basis, and this year — unlike in previous years — the absentee ballots were not as disastrous. 

As I said, I adapt each and every year our tactics, our approach and our strategies to any electoral shenanigans that the Democrats in Albany put into place.

What does your party have to do to win over more voters?

Schaffer:

More direct communication. I’ve told our party members that we have to get back to doing door-to-door. Obviously, COVID really knocked the you-know-what out of that. People have just given up on talking to people in an office, relying on text messages and emails. Mailings have kind of even dropped down now. It’s become who can get their message out on TikTok and Instagram.

I think people have become immune to that because they’re just pounded all day long with social media and technology, so I think we have to get back to more direct, one-on-one social interaction. The local election year next year, 2023, is a great year to do that because turnout does drop in ‘23 with a smaller group of people to communicate with. 

I think it’s important to do that and to get the party people to do that, because that’s the best way to have an impact on getting your people out and getting people to buy into your message.

Garcia:

We’re going to continue doing what we’re doing. We’re going to expand and grow our coalitions. We’re going to learn from the successes we had in 2022. Those areas that we think we can improve upon, we will. 

My goal right now is to reelect the incumbents in Brookhaven Town, in my capacity as Brookhaven Town [Republican Committee] chairman. 

And then to set my sights on the county executive’s seat, filling it with a Republican for the first time in 20 years, and to expand and maintain the Republican majority elected last year [in the county Legislature].

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This year one of the new Rockettes is Head of the Harbor’s Courtney File. Photo from MSG Entertainment

A Head of the Harbor native is proving that dreams really do come true.

Courtney File, 24, is among the newest members of the Rockettes who are kicking their way through the holiday season, performing multiple shows in Radio City Music Hall’s “Christmas Spectacular.”

Seeing the Rockettes staple at Radio City Music Hall in Manhattan has been an annual tradition for File since she was 6 years old.

“I just fell in love with it immediately,” she said.

Her parents were nervous about taking her and her brother Connor when they were younger, but she said her parents told her she was mesmerized by the show.

When the curtain came down, she turned to her mother and said, “That’s what I want to do, and it never changed my whole life.”

The 2016 Smithtown High School East graduate attended Chorus Line Dance Studio in St. James until she was 11. She then started training at the Broadway Dance Center in Manhattan, where she was part of its Children & Teens Program for four years.

File said her parents, Richard and Wendy, have always been supportive of her dreams and would drive her into the city when she was in middle and high school.

“My parents have been unbelievable since I was younger and really decided that I wanted to commit myself to dance,” she said.

This year one of the new Rockettes is Head of the Harbor’s Courtney File. Photo from MSG Entertainment

The dancer was also taking acting classes in addition to the CTP program. Sometimes she would audition or take a master class.

While she juggled a busy schedule, after being on Smithtown’s kickline team in middle school, she could not be on the Whisperettes, the high school kickline team at Smithtown East. While she wanted to, she said it would have been difficult with her schedule, and she would have missed some practices and games.

“That was probably one of the hardest things that I had to give up,” File said.

She added once in a while she was able to catch a game to see the kickline team perform

“I always supported them, and I thought they were great,” File said. “It was so fun to sometimes be able to watch.”

Standing 5 feet, 8 inches tall, her height fits in perfectly with the Rockettes’ range of 5 feet, 5 inches to 5 feet, 10 1/2 inches. The minimum requirements were recently changed from the previous 5 feet, 6 inches tall.

File, who was part of the Rockettes Conservatory program this summer, said among her fellow rookie Rockettes are a few dancers who were able to audition due to the new height requirements.

“They have made a lot of amazing strides to open up the opportunities to a bunch of different women this year,” she said, adding 17 of the 18 new dancers were from the conservatory program.

File said she was honored to be invited to participate in the program, which enables dancers at no cost to work with the Rockettes as well as performers with Alvin Ailey Dance Theater and Syncopated Ladies, a female tap dance band.

“It was a really awesome opportunity that the Rockettes gave, to give us a real life experience of what their day-to-day kind of looks like.”

This year wasn’t her first audition, though. She first aimed to be a Rockette when she was 18, and she was cut. In total, she has auditioned six times for the coveted spot.

“It was my dream, and I couldn’t give up on it,” she said.

She was home with her mother and brother when she received the call telling her she had made it. File said she kept asking her mother and brother if it really just happened.

“It was an unbelievable moment that I will never forget for the rest of my life,” she said.

A typical day for File now involves waking up every morning in her apartment and stretching. She said eating enough is also important as the dancers burn a lot of calories.

As a part of the gold cast, she performs in the evenings. The number of shows in one day can vary, and she recently had her first four-show day.

This year one of the new Rockettes is Head of the Harbor’s Courtney File. Photo from MSG Entertainment

The “Christmas Spectacular” began Nov. 18 and runs through Jan. 2, meaning dancers worked Thanksgiving and will be performing Christmas and New Year’s Day, too. Fine said she doesn’t mind as the cast and crew have become like family to her since they have been working regularly together from the beginning of October.

She added she’s lucky that her own family lives close to the city, and it’s easy for them to come to Manhattan to see the show. They have attended the show three times so far
this season.

Among her favorite dances is a lyrical number called “Dance of the Frost Fairies,” where each of the 36 Rockettes has a different costume that includes fairy wings that easily work during the complex, athletic number.

Another highlight, Fine said, was performing in the Macy’s Thanksgiving Day Parade, and she also attended the premiere of the Hallmark Channel movie “A Holiday Spectacular,” which features two current Rockettes with speaking parts.

While living a dream come true, File had advice for young people regarding their goals.

“Never give up,” the Rockette said. “Every day in the audience, I see little girls that are looking up at the stage like how I did when I was 6 years old. Just work hard and never give up. Dreams do come true. I’m very lucky to be able to say that. Just keep going because all the hard work will be worth it.”

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By Daniel Dunaief

Like the rest of the state and country, Suffolk County is grappling with a shortage of pediatric amoxicillin, the drug most often used to treat bacterial infections such as strep throat and ear infections.

In the last few weeks, parents have gone to their local pharmacies, only to find that the liquid form of the medicine that’s suitable for their children is out of stock.

“There is a shortage,” said Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, who estimates that the medicine isn’t available about half the time the hospital prescribes it. “We worry that it’s going to continue to happen.”

As more children are around their friends and family before and during the holidays “it’s going to get worse,” she added.

This, doctors said, is not a Long Island or even a New York state problem. It’s national.

Nachman’s granddaughter needed amoxicillin in Florida. Her daughter drove around from pharmacy to pharmacy until she found one that had the medicine.

Doctors suggested that a number of factors have contributed to the shortage. For starters, some urgent care centers and doctors around the country are prescribing amoxicillin when children have viral infections. The medicine not only isn’t helping with sore throats or other viral symptoms, but it also isn’t as available for the children who have bacterial infections.

Nachman urges parents to make sure their children have an infection for which amoxicillin or any other drug works before picking it up from the pharmacy.

“When the pediatrician does a viral test and you get a positive, you know what it is,” she said. “When they do a throat swab for strep and it’s negative, you know what it’s not.”

Nachman told parents to ask whoever is prescribing antibiotics like amoxicillin if their children really need the medicine.

“If there is a silver lining, it’s forcing clinicians to try not to over prescribe it,” said Dr. James Cavanagh, director of Pediatrics at Port Jefferson’s St. Charles Hospital.

Finally, the stock of amoxicillin is low nationally.

For parents, the effect of the shortage has ranged from the expected anxiety over a limited resource to an awareness of a new reality.

Indeed, earlier this year, parents struggled to find baby formula.

“They are accepting of it, given the climate we’ve been in with formula,” Cavanagh said. “Parents are unfortunately getting used to it.”

Other infections

With viruses like respiratory syncytial virus, the flu, and COVID-19 prevalent and increasing in communities around Long Island, children and adults are increasingly getting sick and exhibiting the kind of general symptoms that could be viral or bacterial.

Stony Brook Children’s Hospital continues to have a steady stream of patients.

“We were full before Thanksgiving, full on Thanksgiving and full after Thanksgiving,” Nachman said. “As soon as a bed opens, another child comes in.”

While strep throat is easy to diagnose, ear infections can be either viral or bacterial.

Pediatric associations offer various guidelines. For children who are 9 and over, parents can do watchful waiting, but for children who are younger, like 4 months old, parents should use antibiotics.

While childhood forms of amoxicillin are limited, adult supplies, in the form of pills and capsules, are not. Children as young as 7 years old can take pills as long as the milligrams of the pills to the kilograms of the child’s weight are appropriate for
the dosage.

Nachman said Stony Brook Children’s Hospital has been doing a lot more calling to pharmacies near where patients live to ensure they have amoxicillin.

“That takes extra time,” she said. Those efforts could mean that families may have to wait longer in the emergency room.

The amoxicillin shortage can be worse for families that don’t have cars.

“How are they getting their prescriptions filled?” Nachman asked. “This is just one more worry.”

Alternatives

Area doctors and pharmacists suggested that there are alternatives to the pediatric form of amoxicillin. Children who are old enough and meet weight requirements can take a pill.

Alternatively, with careful medical guidance, parents can open up the right dose for capsules and mix it with applesauce or some other foods, according to the American Association of Pediatrics.

Doctors can also prescribe other broad spectrum antibiotics, such as augmentin and omnicef. 

Using these other antibiotics, however, increases the risk of developing antibiotic resistant infections later.

“The next infection may be harder to treat,” Cavanagh said.

These other antibiotics also may eliminate some of the good bacteria in the gut,
causing diarrhea.

As doctors have increasingly prescribed some of these other medicines, pharmacies have seen the supply of alternatives decrease as well.

“Everyone follows the same algorithm” in prescribing medicine, which means the demand for other prescriptions is increasing, Cavanagh added.

Immune boost

Doctors said children can enhance their overall health and immune systems with healthy eating and sleeping habits and by making sure they are up to date with available preventive measures.

“Get vaccinated,” Cavanagh said. He also urged good hand washing routines.

Cavanagh added that children exposed to cigarette smoke in a house are also at a higher risk of ear infection. As for what constitutes enough sleep for a child, doctors recommend between eight and nine hours per night. That, doctors said, is tough to get for children who sleep with a cell phone near their beds.

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Ukrainian flag. Pixabay photo

By Daniel Dunaief

Daniel Dunaief

As we round out the second week of December, I’d like to offer some suggestions for a 2022 time capsule.

— A Ukrainian flag. Ukraine, with help from Americans and many other nations, has fended off Russia’s ongoing military assault. The question for 2023 will be whether they can continue to defend the country amid a potential decline in international support.

— A waterlogged dollar. With inflation at decades-high levels, the dollar isn’t buying as much as it had been.

— Florida man makes announcement. I would include a copy of the New York Post front page the day after former president Donald Trump, to no one’s surprise, announced he would be running for president in 2024. A previous ardent supporter of the former president, the Post may be leading the charge in another political direction to find a new standard bearer for the GOP.

— A red dot. Certainly, the Republicans taking over the majority in the house will have important consequences, with numerous investigations and a divided government on the horizon, but Republicans didn’t win as many national elections as anticipated.

— A miniature replica of the Supreme Court, with the words Dobbs vs. Jackson Women’s Health Organization in front of it. The Supreme Court case, which reversed the Roe v. Wade decision, removed the federal right to an abortion, enabling states to pass new laws and contributing, in part, to smaller midterm wins for Republicans.

On the much smaller personal front:

— Throat lozenges. I got COVID-19 for the first time this year and my throat was so painful for a week that I couldn’t talk. The lozenges didn’t work, but they would highlight numerous efforts to reduce pain from a virus that was worse than any flu I’ve ever had.

— The number 62. This, yet again, wasn’t the year the New York Yankees won the World Series. Nope, they didn’t even get there, yet again falling, this time without winning a single game, to the Houston Astros. It was, however, a wonderful chase for the American League home run record by Aaron Judge, who just signed a $360 million extension with the Yankees.

— Wedding bells and a tiny nerf football. For the first time in years, my wife and I attended two family weddings this year. We loved the chance to dance, catch up with relatives, eat great food, and run across a college baseball field with a $7 nerf football we purchased from the hotel lobby store.

— A miniature swamp boat. On one of the more memorable trips to New Orleans to visit our son, my wife and I saw numerous alligators and heard memorable Louisiana tales from Reggie Domangue, whose anecdotes and personal style became the model for the firefly in the Disney movie “The Princess and the Frog.”

— A shark tooth. During the summer, Long Islanders worried about local sharks, who bit several area swimmers. The apex predator, which is always in the area, likely had higher numbers amid a recovery in the numbers of their prey, which are menhaden, also known as bunker fish and, despite the prevalence of the music from the movie “Jaws,” does not include humans.

— A Good Steer napkin. My favorite restaurant from my childhood closed after 65 years, leaving behind an onion ring void and shuttering the backdrop to numerous happy family outings. If I had a way to retire expressions the way baseball teams  retire numbers, I would retire the words “Burger Supreme” on a food version of Monument Park.

— A giant question mark. Scientists throughout Long Island (and the world )constantly ask important questions. Some researchers will invent technology we may use all day long, like cell phones. Others may make discoveries that lead to life-saving drugs. Let’s celebrate great questions.

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