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With the approaching emotions of the holidays, Suffolk County residents may face persistent and unwanted changes in their lives, from not seeing a cherished family member to remaining confined to the same house where they work, live, eat and study. Between now and the end of the year, TBR News Media will feature stories about the impact of the ongoing pandemic on mental health. The articles will explore how to recognize signs of mental health strain and will provide advice to help get through these difficult times. This week, the article focuses on youth.

In a normal year, when school is out, the number of referrals Dr. Sharon Skariah, Director of Child Adolescent Psychiatry at South Oaks Hospital in Amityville, declines during the summer.

Dr. Sharon Skariah says parents should recognize their own issues in order to help their children. Photo by Sharon Skariah

That’s not the case this year, as children continued to seek help for mental health challenges caused by the loss of a parent, the loss of financial or health security and the decline in social contact amid social distancing.

“We’ve been seeing significant anxiety and depression,” Skariah said. “Part of that is the prolonged time that [children] have been out of school.”

Skariah expects that the ongoing pandemic losses and restrictions will likely continue to cause those figures to increase.

Several mental health professionals shared their dos and don’ts for parents with grieving children.

Grieving Dos

For starters, Skariah suggests that parents should recognize their own anxiety and depression.

“If they find that they are themselves overwhelmed with the chaos of the pandemic, they should be aware that their own anxiety and mood can play a role in their children’s behavior,” she said.

Dr. Meghan Downey, clinical psychologist and Director of Northwell Health’s OnTrackNY, urged people to maintain a routine.

“Often, a holiday can exacerbate our stress levels,” Downey said. “Changes to our routine can increase stress. Continuing with the same sleep wake routine, normal eating and [finding time] for joy and relaxation provide a good foundation for managing grief.”

Based on prior group traumatic events, like the 9/11 terrorist attacks and the SARS virus, Skariah said the restoration of order happens over time and depends on personal and predisposing factors.

She urged families to be genuine and open and actively listen to what children say. Downey suggests children need to feel that they are allowed to mourn.

A support network can and should consider showing empathy, care and concern. Approaching people when they are calm, rather than in a distressed state, can provide some mental health relief.

People who are experiencing grief also can benefit from staying connected, even through holiday letters, phone calls, or a card, Downey said.

When Downey gives presentations to children and educators in school, she advises people working with young children to allow them to play death, to display their emotions through play.

Grieving Don’ts

Telling children platitudes like “time heals all wounds” may not be helpful for someone who is “acutely grieving,” Skariah said.

Downey added that telling children that a loved one is “sleeping” or that they should “stop crying, other people might get upset” provides mixed and confusing messages.

Telling children that “at least [the person who died is] not in pain anymore, they are in a better place” often doesn’t help and distracts people from feeling their emotional intensity, Downey said.

Downey cautioned youths, and their adult guardians, to manage over-indulgent behavior, such as with food or with excess spending.

While those indulgences provide temporary relief, they can also contribute to feelings of guilt, which can exacerbate grief, Downey cautioned.

Bradley Lewis, Administrative Manager for School Based Mental Health Services for South Oaks Hospital, said he has received numerous requests during the pandemic for support related to COVID-19.

Lewis said Downey’s presentations to some of the 11 school districts went beyond the thought of death, but include losses in other areas, like access to friends, senior awards dinners, and graduations.

“A lot of families appreciated the opportunity to learn more about grief and loss, to understand the different types of grief their children might be going through,” Lewis said.

With parents, Lewis urges parents to “end the stigma of mental health,” he said.

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Suffolk County Executive Steve Bellone. Photo by Julianne Mosher

After weeks of warnings and missives about an upcoming budget shortfall, Suffolk officials finally published this upcoming year’s budget, one that has to take into consideration an apparent $437 million deficit over the next two years. Cuts won’t be instituted until the middle of 2021.

Suffolk County Executive Steve Bellone (D) revealed a 2021 recommended operating budget of $3.197 billion, representing $33 million less than the current year’s budget. It is a reaction to a total revenue shortfall of $325 million in 2020.

In a proposed budget released Oct. 9, the county would be letting go 500 full-time employees. The county exec said it would also mean a reduction in health care and mental health services, the loss of two full classes of trainees at the police academy and the elimination of 19 bus routes. 

Most cuts will be implemented July 1, 2021. County officials said this gives time in case some federal aid is received in the future.

“We have submitted a COVID-19 budget with cuts that would have been unimaginable just a short time ago,” Bellone said on a call with reporters Oct. 13. “These cuts should not happen, these are cuts that are devastating in many ways and would in effect undermine our recovery.”

The budget accounts for a sales tax loss from 2019 to 2020 of an estimated $131.7 million. The anticipated sales tax for 2021 is still $102.5 million less than 2019’s figures.

Among other losses across the board, the one increase seems to be property taxes from a real estate boom on Long Island. Suffolk County received $4 million more than last year, and anticipates $18.6 million more in 2021 than this current year.

In expenditures, contractual expenses and employee benefits are also set to marginally increase.

The county expects a negative fund balance for 2021 of about $176.98 million. Overall, Bellone said Suffolk could be looking at a cumulative $460 million deficit within the next year.

This year’s budget was originally set to roll in back in September, but it has since been delayed until the start of this month. The projected budget also may be another general cry for help to the federal government. Suffolk officials also decry the withholding of state aid to the tune of $1.9 billion to local municipalities.

Cutting employees would save about $25 million next year. The bus route cuts, along with reductions to the Suffolk County Accessible Transportation bus service affecting a total of 2,500 riders of both systems, will save $18 million. The police class cuts will save approximately $20 million, while a 50% cut across the board for contract agencies, which include substance abuse clinics, mental health providers, domestic violence shelters and gang prevention programs, would save another $8 million in 2021 and annualized savings of $16 million.

The budget also shows an overall 1.9% increase in taxes for the police district, though that remains under the New York State tax cap.

Bellone has constantly reiterated Suffolk’s need for federal funds over the past few months, holding press conference after press conference to reiterate loss of services because of COVID-19-induced budget shortfalls. Republicans in the Legislature, however, have consistently attacked the executive for what they have called fiscal mismanagement over the past few years, citing Suffolk’s bond downgrades and a report from Tom DiNapoli (D), the New York State comptroller, saying Suffolk was the most fiscally stressed county in the state in 2019.

Bellone, on the other hand, claimed he inherited in 2012 a $500 million deficit but that the County finished 2019 with a surplus. He added the county would have been on track for $50 million surplus in 2020 that would have wiped out the accumulated deficit prior to the COVID-19 pandemic.

Suffolk did receive $257 million in CARES Act funding in April, as well as an additional $26.6 million for public transportation. Officials have said most or all that funding has been spent or earmarked, and it does not help cover overall losses.

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Stony Brook University. File photo

In 2016, Stony Brook University rebranded itself to a new campaign called Far Beyond.

The idea behind the campaign was to highlight the wide range of programs and activities the school offered, since everyone normally acknowledges the university for its medicine, science and technology specialties.

But this year in 2020, the institution proved that it indeed has gone “far beyond” with protecting public health.

Dr. Deborah Birx, head of the White House’s coronavirus task force, visited SBU last week, a stop in a several-month-long tour of different colleges and universities across the United States. But her visit to the local university was different, and she made that clear.

During her press conference, she spoke highly of how Stony Brook has handled the COVID-19 crisis. She said from the start, it was going, well, “far beyond” what other schools, and even hospitals, were doing.

She said that back in March when the university shut down and patients with the virus were filling the rooms, Stony Brook did something different from other institutions — it actually collected data, while continuing to take care of the patients.

“I was listening to the research activities that they started from day one,” she said during the press conference. “And it thrilled my heart to hear from them that their number one thing was collecting data and collecting information in real time.”

It’s right to give credit where its due, and Stony Brook, both on the medical and campus side, has done good work in keeping the number of cases down. The university’s COVID dashboard reports just two students, one university employee and four Stony Brook Medicine employees have currently tested positive as of Oct. 11. Better yet, the school has been upfront in where those cases are located and how it is handling them.

This is compared to places like SUNY Oneonta, which had to close back in August after hundreds of students tested positive after a large super-spreader party. The Oneonta dashboard reports 712 confirmed cases among students since the start of the fall semester.

It’s also not to say that SBU has not made stumbles, especially in communicating with students.

Right off the bat during the start of the pandemic, students were rightfully upset at how the university handled the virus. In March, dorming students were shocked when each received an email saying they needed to move out, go home or find shelter elsewhere because the campus was officially closed.

Students said they felt rushed, and felt the university wasn’t being truthful or transparent with everything being so abrupt. Some international students couldn’t even go home since their countries were in lockdown.

But the students are back, and cases remain low. Is it because of the incentives the university has taken with social distancing guidelines, removing of sports and recreational activities, hybrid learning and sanitizing stations? Or is it just because Stony Brook is not a “party school” and the students there really don’t congregate as at some of the schools upstate, like Oneonta. It’s also important to note the number of students living on campus has fallen from 39% in 2019 to 17% this fall.

With a new president installed at SBU, Maurie McInnis, we think that communication with students has improved. Every person, every institution has been impacted by the pandemic. The students, who feel they are paying a lot for what at times must feel like a mostly online education, need that person-on-person interaction to let their voices be heard, even if it’s behind a clear plastic barrier.

Nonetheless, Stony Brook gets high praise from both us and those involved in the national response to COVID-19, as well as Birx, for going “far beyond.” We kindly ask that the university keeps it up, for the sake of both your students and the wider community.

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By Daniel Dunaief

Daniel Dunaief

Three years and a different world ago, I attended a scientific conference at Cold Spring Harbor Laboratory on a gene editing technique called CRISPR, or more technically CRISPR-cas9.

I rubbed elbows with some of the many talented scientists at an internationally renowned institution. In a casual atmosphere filled with high-powered talks from people who speak the language of science with accents from all over the world, the grounds at CSHL, with its winding roads and personalized parking spaces, offers a tree-lined backdrop for new collaborations and discoveries.

Back then, I invited one of the conference organizers, Jennifer Doudna (pronounced Dowd nuh), who is a Professor of Chemistry and Molecular and Cell Biology at the University of California, to lunch.

After a talk she gave to a packed Grace Auditorium, she and I strolled to the cafeteria to discuss a gene editing tool that has the potential to change the world.

Indeed, even today, labs around the world are using a technique based on the way bacteria recognize and fight off viruses to combat the effect of SARS-CoV-2, or the virus that causes COVID-19.

During that sunny July day in 2017, however, we were blissfully unaware of the challenges to come in 2020. We sat down at a central table outside, with people passing, nodding and acknowledging my tall and talented lunch guest.

While she responded to an appreciative crowd of casually dressed researchers, she was present and focused on the many questions I’d prepared for an upcoming Power of 3 column (see page B9 for another look at that column).

Like many revolutionary technologies and inventions such as splitting the atom, CRISPR is neither all good nor all bad. Editing genes creates opportunities to cure or prevent diseases and to disarm a range of miniature invaders.

At the same time, gene editing puts the power of Mary Shelley’s Frankenstein into the hands of scientists or doctors, offering the kind of tool that requires careful ethical considerations.

Indeed, just last year, a Chinese court sentenced a researcher to three years in prison for using gene editing in unborn babies.

Doudna, who moved to Hawaii when she was seven and is a passionate gardener, is in the third year of a four-year $65 million grant from the Defense Advanced Research Projects Agency, which monitors security concerns for the intentional or accidental misuse of the technology.

Eating with Doudna on a breezy, bright summer day, I appreciated how ready she was to tailor the conversation to my level of understanding of this technology, offering details about gene editing and making sure I understood her.

While she was impressive and articulate, she certainly didn’t seem as if she were speaking to me from on high. She shared a deliberate and directed intelligence, blending a combination of an explanation of what she’d done and thoughts on the next scientific steps.

Doudna, who lives with her husband Jamie Cate, who is also a Berkeley scientist, and their high school senior son Andrew, shared an appreciation for the history of Cold Spring Harbor Laboratory, where she’d visited at different points in her career.

Back in 1987, she spotted a woman walking towards her. Nobel prize winner Barbara McClintock, whose name still comes up regularly in conversations with scientists at the site, strolled by, giving Doudna a thrill.

The next time someone spots or interacts with the Berkeley Professor at CSHL, they will likely feel the same excitement, as Doudna was recently named a recipient of the Nobel Prize.

Then again, it was clear from the way the attendees at the conference reacted to Doudna three years ago that, Nobel prize or not, she was already a rock star in the scientific community whose foundational work may, one day, lead to the kind of breakthroughs that extend and improve life.

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By Leah S. Dunaief

Leah Dunaief 

Blame it all on the pandemic, but in an effort to practice social distancing from my refrigerator, I have seriously begun to binge. On what am I binging? I plead guilty to the following definition of binging from my cell phone browser: “watching multiple episodes of a television program over a short period of time.”

Now I am not exactly an innocent when it comes to watching a serialized story all at once. Given the opportunity, I did just that with the last year of “Downton Abbey.” I got all the coming installments at once in return for a donation to PBS, and I stayed up past three o’clock in the morning, too hypnotized to turn off the TV until the series had ended. I guess that was the tip off to my plot-addicted personality. The reveal is that I love stories, and like the monarch lover of Scheherazade, Persian King Shahryar, in “One Thousand and One Nights,” I cannot leave a tale in the middle when I have the opportunity to see how it ends, regardless of my fatigue.

So on a recommendation, I started watching “The Crown,” and you guessed it. This marvelous series, a historical drama about Elizabeth II, the Windsors, and some of the events that have marked her reign, captivated me.

The first season starts with the marriage of Elizabeth and Philip, Duke of Edinburgh in 1947, to the end of her sister Margaret’s involvement with Group Captain Peter Townsend in 1955. After dinner each night, I turned on the television and watched all the stories filmed to this point until I fell asleep in my chair.

I eagerly await the start of the fourth season, which I believe will happen Nov. 15 and include Margaret Thatcher’s premiership and more on Lady Diana Spencer. The fifth and sixth seasons are to cover the years in the 21st century. Sadly, though, I will be limited only to one episode at a time because I am caught up.

The problem with a series is that sooner or later, they end. I guess they just run out of juice or the talented people involved want to move on to something else. Having gone as far as permitted with “The Crown,” I started casting around for another compelling show and stumbled upon “Grace and Frankie,” with an incredible cast: Lily Tomlin, Jane Fonda, Sam Waterston, Martin Sheen and a seemingly endless list of talented actors.

Far from being an historical drama, this series could only run in today’s world. Begun in 2015 and scheduled to finish in 2021, after filming resumes, the story begins when the lawyer husbands of Grace and Frankie announce that they are not only business partners for the past 40 years but also have been lovers for the last 20. They are “coming out” and wish to be married. The two couples, their relationships redrawn, now have to deal with their revised circumstances, and as they move forward in this comedy-drama, their lives touch on so many current themes with sympathy and occasional belly-laughter results.

Both couples, forced to recognize their advanced years, deal with physical limitations, retirement issues, health insurance frustrations, bigoted elderly parents, interracial relationships, sexual needs and computer challenges. Both couples have adult children, who bring into the plots some of the pain and satisfactions of the twenty-somethings: raising young children, not wanting children, addiction, being able to afford buying a home, and worrying how to take care of older parents who don’t want to acknowledge aging.

It is primarily the story, though, of two women, Grace and Frankie, who could not be more different. They cannot stand to be in the same room with each other at the start, yet we see how they slowly come together in trying to deal with their mutually altered circumstances. The characters are well drawn by the authors and actors, and they ultimately reveal much about the value of supportive friendships between women. Can Grace and Frankie, two women in their 70s, survive being outcasts? The answer is a resounding YES!

Be assured, there are already 78 episodes with more on the way, enough for a great binge.

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Setauket Patriots Plan Caravan Despite Village Summons for Previous March. Photo by Steven Zaitz

Coming to a town near you: another Trump caravan.

The Setauket Patriots announced they would be hosting a Trumpalozza Road Rally event starting and eventually ending in Port Jefferson Saturday, Oct. 17.

A copy of the summons received by Setauket Patriots, posted to Facebook.

Setauket Patriots organizer James Robitsek said he expects 800 to 1,000 participants. On the group’s Facebook page, a little over 400 say they will be attending, with more indicating they possibly may. 

The car caravan is just the third event hosted by Setauket Patriots, an online right-wing group that often posts in support of President Donald Trump (R), among other conservative and far-right messaging. Previous events have been based on Fourth of July and Veterans Day celebrations, though each has carried a strong political tinge in support of Trump. Out of these other past events, this one is the most explicit in its support.

The caravan is to start in the parking lot of the Port Jefferson LIRR train station before moving down Main Street then turning left onto West Broadway. Cars are set to move onto Route 25A in Setauket, down into St. James along Lake Avenue, past the Smith Haven Mall. The caravan will move through Centereach and Selden before turning onto County Road 83 and back onto Route 112 to finish back at the Port Jeff train station.

Robitsek said he has been in contact with Suffolk County police about the event, and though they might be around to facilitate cars leaving the parking lot, they will not be there for the entire run of the car parade.

Other car caravans in support of Trump have passed through the North Shore in the past month. Several went from Huntington out to the North Fork, where people hung out sunroofs and stood in the back of pickup trucks. Pictures also show people in the caravan had placed tape to obscure their license plates, which is against the law. 

Robitsek said he has not advocated that drivers use tape on their license plates, but participants in other pro-Trump events have been outed online by people tracking their license numbers.

Despite this, police report nobody in the caravans has been arrested to date, though one resident from Northport was arrested by Northport police for alleged menacing and disorderly conduct involving a caravanner’s truck, something he has reportedly heavily disputed.

The planned caravan is only three days before Robitsek and the Setauket Patriots are set to be in village traffic court, Oct. 20, over their previous Veterans Day event, which drew hundreds down through the village without a permit. Most marching that day did so without masks.

Village of Port Jefferson had issued an executive order signed July 6 by Mayor Margot Garant effectively stopping the village from signing any new permits for marches or protests. This was in response to the Patriots’ July 4 car parade as well as a Black Lives Matter march hosted in Port Jeff in June. The order was enabled by the village’s previous declaration of emergency because of the COVID-19 pandemic, and Garant has said the issue is with how many people these events bring together during a pandemic.  

On Facebook, Robitsek said they were issued a summons on Oct. 5, and claimed local officials from village, county and state were targeting him and his group.

“I’m being unfairly targeted because I’m a pro-Trump group in an all-Democrat town,” he said, adding the reason they chose Port Jeff as their starting point was “its high visibility, it’s a Democrat-run village, so why not show support for the silent majority that does support President Trump.”

Village officials have previously said the Patriots submitted a permit application for the July 4 event, but that they failed to file it correctly, and that they did not pay fees attached to the permit process. 

The Setauket Patriots organizer posted the summons online, which said the offense was because they “led a procession/parade down a public sidewalk without a permit” in violation of village code. The Setauket Patriots have also planned a rally in front of Village Hall Oct. 20 in protest of receiving the summons.

Deputy Village Attorney Rich Harris said the summons was only for the violation of the village code, which depending on a plea or a court ruling could result in a 0 to $2,000 fine or up to 15 days in jail. On its face, the violation does not have anything to do with recouping losses from either police or constable’s overtime.

“It’s a violation of the village code for operating a parade or procession without permit,” Harris said.

Whether this event could also be in violation of village code depends on how the event proceeds, Harris said. It could be different, especially as most people will be in vehicles and that the caravan will not be exclusive to Port Jeff.

The car caravan is scheduled for the same day and time as the Greater Port Jefferson Chamber of Commerce’s Pumpkinmania, that’s set to bring in professional pumpkin carvers to do live demonstrations as well as host a pumpkin carving contest. 

Barbara Ransome, executive director of the chamber, said she is not worried that the caravan would impact the chamber’s event. Pumpkinmania will be held 12 to 7 p.m. and will be located at 138 E. Main St. in the small brick patio area. There will also be a set of pumpkin carving contests for Port Jefferson residents, one for children and one for adults, that will be judged by the professionals. There is a $5 entrance fee for each participant.

Ransome said the caravan of cars will likely have already moved on, and there will be plenty of time afterward for people to come down. The chamber event is also designed to promote the small businesses on East Main Street.

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Christina Joselevitch

By Daniel Dunaief

Children knock on the door of 1313 Gluto Lane, a favorite house for Halloween. The resident, known for providing coveted confections at a rapid rate, immediately comes to the door, asks no questions about the Halloween costumes that might slow the process down and, with almost super-human speed, dumps candy into open bags and closes the door.

Word spreads about the house on Gluto Lane. Soon, the doorbell rings at a furious pace, with children eager to get the best candy of this difficult year and move on to the next house.

At first, with Trick or Treaters coming at a regular pace, the process works, but then, something goes awry, creepy music begins and the door doesn’t open.

That’s what’s happening in bipolar retinal cells in the goldfish Christina Joselevitch, a Postdoctoral Associate in the Neurobiology and Behavior Department at Stony Brook University’s Renaissance School of Medicine, is studying.

Known for their incredible speed at releasing neurotransmitters stored in circular vesicles, these bipolar retinal cells go through a depression in which they can’t release the neurotransmitter glutamate despite repeated signals for the release of the neurotransmitter.

“When you stimulate those cells very strongly, with two stimuli close apart, they suffer depression,” Joselevitch said. “Nobody knew why, if they’re able to signal constantly, they should suffer from depression.

To be sure, Joselevitch was working with extreme stimulation to probe the limits of the system and understand its underpinnings. This is not necessarily how these cells work. She said the researchers don’t know if retinal neurons experience synaptic depression under normal conditions and what function depression would have in bipolar cell physiology, in vision or in signaling processing in general.

In a recent publication in the Journal of Neuroscience, Joselevitch described at least two processes that contribute to this slowdown, which she describes as the rate limiting steps. The vesicles need to get to the membrane and they need to get ready to mature before they are release. Once vesicles move towards the cell membrane, they don’t immediately fuse and send their neurotransmitter into the synapse between cells. In some cells, such as the retinal photoreceptors and bipolar cells and in hair cells of the ear and lateral line in fish and in cells of the pineal gland, they gather in a ribbon close to calcium entry points.

Scientists have two theories of the ribbon function. The first is that it could act as a conveyor belt and speed up vesicle priming and delivery to the membrane and the second is that it could set a constant pace for vesicle delivery.

Joselevitch’s results suggest that the vesicles attach to the ribbon, where they go through a maturation process. These paired-pulse depressions don’t just occur in fish: they also affect the ability of mammalian cells to respond to a second stimulus.

These cellular phenomena show the limits of the system. Indeed, Joselevitch likened the process to a car that has reached its maximum speed. Pushing down harder or more on the accelerator won’t enable further acceleration.

The impact of this work is “broad,” she said. Studying this process could enable a stronger awareness of the steps in fast-acting processes in the nervous system. Such research could also provide an understanding about processes that go awry in various neurological diseases.

In an email, Professor Lonnie Wollmuth, who is the principal investigator for the Stony Brook lab in which Joselevitch works, described Joselevitch as “invaluable to our on-going efforts to study presynaptic mechanisms in the retina.” He wrote that she was an “outstanding and very careful scientist” who is “passionate” about her research and has served as a mentor for others in the lab.  Joselevitch has been working in Wollmuth’s lab for about 16 months.

Synaptic transmission is fundamental to all brain function, Wollmuth explained. “Changes in the strength of synaptic transmission underlie basic higher order brain functions like learning and memory,” the Stony Brook Professor wrote. Joselevitch’s experiments “reveal mechanisms of presynaptic vesicle release at all synapses and provide novel insights into the processing of vesicles at ribbon synapses.”

Based on Joselevitch’s work, Wollmuth’s lab has submitted a large National Institutes of Health grant to the National Eye Institute to study the molecular components of presynaptic release in the retina. She has also started to integrate her work with Alzheimer’s Disease, as proteins found in that disease disrupt the molecular machinery involved in presynaptic release.

A native of Brazil, Joselevitch has been at Stony Brook University since last July. She is on sabbatical with the University of São Paulo. She is hoping to participate in these studies in New York for a few more years.

She said she was “always a nerd,” and liked to study languages. With varying levels of proficiency, she speaks five languages: Portuguese, English, German, Dutch, and Spanish. At one point, she wanted to be an astronaut, but her mother Carmen dissuaded her from pursuing that interest.

Joselevitch had planned to return to Brazil to see her family in April, but had to cancel that plan because of a travel ban from the COVID-19 pandemic. She said her parents have been “good sports” and her father has bought a smartphone so he can talk through Skype or WhatsApp with his scientist daughter.

Joselevitch enjoys biking, hiking, singing and playing guitar and has been productive during the pandemic, writing papers and proposals. Stony Brook is nominating her work for consideration for the Warren Alpert Distinguished Scholar Award.

Wollmuth wrote that Joselevitch’s research forms “the foundation for future experiments to address the molecular components of vesicle dynamics.” Once they are identified, researchers can modulate and protect them in brain diseases.

Citing author James Joyce, Joselevitch explained her focus on neurons in the fish eye, which, she hopes, may lead to a broader understanding of neurology and disease. When asked why he wrote about Dublin when he could describe other places he’s visited, Joyce responded, “In the particular is contained the universal.”

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SC Legislators join Dr. David Fiorella, fourth from right, in congratulating the Mobile Stroke Unit’s efforts after it was launched last year. Photo from William Spencer’s office

In March of last year, Dr. David Fiorella went before the Suffolk County Health Committee chaired by Legislator William “Doc” Spencer (D-Centerport) and announced the launch of Long Island’s first Mobile Stroke Unit program aimed at reducing death of stroke victims. Fast forward 18 months and Fiorella has reported to the same committee Oct. 1 that since deployment, the MSU has been on over 1000 total calls. Findings during the first-year show Stony Brook Medicine’s units have successfully facilitated the diagnosis and rapid delivery of time-critical therapies to stroke patients at the point of care resulting in substantially improved outcomes.

“We are also very grateful to all of the members for the Suffolk County Legislature for their help in promoting the program’s success and look forward to further improving upon these outcomes and expanding this program to service even more residents of Suffolk County in the future,” said Fiorella, a neurointerventionalist and Director of the Stony Brook Cerebrovascular Center and Co-Director of the Stony Brook Cerebrovascular and Comprehensive Stroke Center.  

Fiorella also mentioned their intent to locate two more stroke units to add to the current slate located at Long Island Expressway Exits 57 and 68. Each unit is equipped with telehealth capability to communicate with physicians at Stony Brook University Hospital. When a suspected stroke call comes in, the mobile stroke unit is dispatched and the team works quickly to determine the type of stroke the patient is experiencing using the features on board including a CT scanner and CT angiogram. Once that is determined, first responders in the unit can begin administering time-sensitive stroke treatments.

Data from the program further shows stroke patients transported by the MSU had much greater rates of discharges directly from the hospital to home after treatment, higher rates of independent clinical outcomes after stroke and much lower rates of death from stroke when compared to national averages, county average, and Stony Brook’s own data preceding the MSU program.   

“The work that Dr. Fiorella and his team are doing is extraordinary,” Spencer said. “The reduced time it takes their units to reach and care for stroke victims is yielding measurable improvements to the lives they touch.”

Spencer also noted the legislature’s goal in expanding the program. 

Strokes are a major public health concern nationwide. Every 40 seconds, someone in the United States suffers a stroke and every four minutes someone dies on one, according to the American heart Association.

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David Dombroff, above, opened the Rolling Pin 25 years ago with former business partner Beth Litt . Photo by Rita J. Egan

Hitting a milestone such as 25 years in business is a sweet accomplishment to celebrate but, due to the pandemic, Rolling Pin bakery had to scale down its plans.

The Rolling Pin bakery celebrated 25 years in business this September. Photo by Rita J. Egan

Owner David Dombroff said the hope was for current and past employees to come together at a gala at the Setauket Neighborhood House this year.

“We had gotten in touch with so many people — many who worked through high school at the bakery and now some have kids of their own,” he said. “Social media helped us get in touch with dozens of people from a long time ago.”

While the gala couldn’t take place due to state guidelines that limit indoor gatherings to 50 people or less, the Rolling Pin owner and employees still celebrated by giving out free cupcakes on the bakery’s anniversary Sept. 22 and then again Sept. 26 at its Three Village Shopping Center location.

The pandemic has been a big blow to bakeries. Dombroff said baking wedding cakes is a significant part of business, and while people are still celebrating and ordering cakes, the sizes of them are much smaller than usual.

“This was by far the biggest hit — we lost over 70% of the business — and are still down nearly that much — as all of our wholesale accounts have shut down,” the bakery owner said. “This time of year we would typically be making 45 to 55 wedding cakes per weekend.”

During the pandemic, Dombroff said the bakery adapted by offering curbside pickup and working with the food delivery service DoorDash.

Dombroff, who has lived in Setauket for 30 years, grew up in the local small business world. His father for 15 years was the owner of Bagel King that was once located in the same shopping center where Rolling Pin is today.

After high school, Dombroff attended The Culinary Institute of America in Hyde Park and completed the program with his associate in occupational studies degree by 19. After working in the culinary field for a hotel chain in both Boston and Long Island, he said he realized the corporate culinary business wasn’t for him.

He went on to work in his father’s bagel store for a few years, he said, and when he heard the former Glendale Bakery was for sale, he bought it. At first, Dombroff went into business with Beth Litt-Wahl. After five years, she went on to work for Whole Foods and now has a line of brittles called Brittle & Beyond.

“Through the ups and downs of running a small business, he was able to pivot and make it work throughout it all. He has wonderful support from his Rolling Pin bakery team, family and friends.”

— Beth Litt-Wahl

Litt-Wahl said she is proud of Dombroff for keeping the bakery open for 25 years and wished the Rolling Pin team continued success.

“Through the ups and downs of running a small business, he was able to pivot and make it work throughout it all,” she said. “He has wonderful support from his Rolling Pin bakery team, family and friends.”

While Dombroff no longer has a business partner, store manager Rene Augello has worked for the bakery for more than 19 years. Augello graduated from Suffolk County Community College’s culinary arts program, where Dombroff said he’s been teaching one class each semester for 15 years.

Augello said working for the bakery is an amazing experience.

“I love being a part of the community bakery,” she said. “I get such a sense of pride when I see the trucks out on the road knowing they are going all over the Island to make people happy. After 19 years of working for the Rolling Pin, I am still in awe at how much production can come out of one little store, and I’m so proud to be a part of it.”

For eight years, the bakery owner also ran a second Rolling Pin location in Bay Shore. Dombroff said while he loved the area and people, “we couldn’t replicate the magic from Setauket” and closed the doors to that store last year.

Looking toward the future, while he and his wife Marlo, who works at Stony Brook Medicine, have two children Benjamin and Sydney, he said he doesn’t foresee them going into the business.

Through the quarter of a century, Dombroff has seen dramatic changes in the bakery industry, especially with supermarkets and warehouse clubs selling baked goods, so he’s thankful for Three Village and nearby residents.

“Thankfully, the community has supported us through the years by shopping local,” he said. “This is what allows us and other small businesses to survive against these chain stores. Otherwise, we will all be left with just a few places to shop and none too close or very good.”

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By Melissa Arnold

For decades, Carmela Kolman labored over canvas and paper to capture the world through her eyes. Painting was her greatest passion, and coupled with great talent, it carried her work to galleries across the United States.

But it wasn’t always easy. Kolman also had Marfan syndrome, a rare connective tissue disorder that can affect the entire body. In daily life, she struggled with her eyesight, and ultimately died from complications of the condition in 2018. She was 57.

In recognition of Kolman’s extensive career and her contributions to the local art community on Long Island, Gallery North in Setauket is hosting a retrospective exhibition titled Visions. The solo exhibit features 17 pieces that reflect much of Kolman’s career, from her early days as a student to the final years of her life.

Painting was Kolman’s first love from an early age, even though she was blind in one eye and her vision was severely impaired in the other. In an artist statement from Aug. 2016, she wrote: “I painted constantly, with my face pressed close to the canvas. I would have to really look and study things to make them out … I could not recognize something more than three feet from me ­­— Blue eyes? I didn’t even know what blue eyes were … My vision was blurry, and I painted what I saw.”

Despite her difficulties, Kolman pressed on. She received a bachelor’s degree in illustration from the Rhode Island School of Design (RISD), then attended Yale for a master’s degree in painting. Her cloudy painting style earned her high praise, even as she dealt with constant self-criticism and frustration.

It was during her time at RISD that Kolman met John Rizzo, who attended nearby Brown University. The pair wouldn’t get acquainted until much later at a party hosted by a mutual friend in Chicago, but Rizzo called the experience a work of fate. They married in 1989.

“I’m a professor and economist with zero artistic talent,” joked Rizzo, who shared 28 years of marriage with Kolman. “We were an unlikely couple, for sure. I think our friends were surprised at how we took an interest in one another. But she was an incredibly tender-hearted person, very open and empathetic.”

At 22, Kolman had cataract surgery, catapulting her vision from a cloudy haze to an overwhelming perfection she didn’t know how to process. She stopped painting for several years, only starting again while recovering from a cardiac incident. From then on, she sought to integrate the impressionistic blur of her early work with the realism that came along after her eye surgery.

Gallery North’s Executive Director Ned Puchner didn’t have the chance to meet Kolman, but worked closely with Rizzo to choose work that reflected every season of her life and artistic style.

“These paintings capture something about reality that goes deeper than what we see,” Puchner said. “[Carmela] was influenced by the impressionists and the Fauvists, and would focus on singular objects over and over again in an almost meditative way. I’m really impressed by the attention to detail. Her work is breathtaking.”

Rizzo noted that Kolman preferred still life portraits, especially of fruit and flowers. Today, one of the rooms in his Port Jefferson home has rose-themed decor, with her rose paintings hung all around.

“She liked to play with different kinds of light, shading and shadow, and still life allowed her to control those elements carefully,” he explained. “It’s hard to choose a favorite painting, but I love all of the rose portraits. How many people can say their wife left beautiful oil paintings to remember her by? They help me to feel close to her.”

After her death, Gallery North approached Rizzo with an idea: Why not establish a fellowship in Carmela’s name, allowing other artists the time to create while sharing their expertise with others?

The Carmela Kolman Fellowship in Fine Art program will award one artist per year 10 weeks of studio time at the gallery. In addition to pursuing their artistic practice, the fellows will also teach workshops, help to organize community programming, or assist with classes as needed. The first fellow, Meagan Flaherty, will exhibit her work in 2021.

Carmela Kolman: Visions will be on view at Gallery North, 90 North Country Road, Setauket from Oct. 8 to Nov. 8. Admission is free. The gallery is currently open Wednesday through Friday from 11 a.m. to 3 p.m. and Sunday from 3 to 5 p.m. A virtual reception will be held via Zoom on Oct. 22 from 6 to 8 p.m. For more information, call 631-751-2676 or visit www.gallerynorth.org.

Images courtesy of Gallery North

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