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Peng Zhang, center, with four of his students from his power systems class, from left, Marissa Simonelli, Ethan Freund, Kelly Higinbotham and Zachary Sola, who were selected as IEEE Power and Engergy Scholars in 2017. Photo by Mary McCarthy

By Daniel Dunaief

If Peng Zhang succeeds in his work, customers on Long Island and elsewhere will no longer lose power for days or even hours after violent storms.

One of the newest additions to the Department of Electrical and Computer Engineering at Stony Brook University, Zhang, who is the SUNY Empire Innovation associate professor, is enhancing the resiliency and reliability of microgrids that may be adaptable enough to provide energy to heat and light a home despite natural or man-made disruptions. Unlike the typical distributed energy network of most utilities around the country, microgrids are localized and can function on their own.

Peng Zhang. Photo from SBU

A microgrid is a “central theme of our research,” said Zhang, who joined Stony Brook at the beginning of September. “Even when a utility grid is down because of a hurricane or an attack, a microgrid is still able to supply the local customers” with power. He is also using quantum information science and quantum engineering to empower a resilient power grid.

Zhang expects that the microgrid and utility grid will be more resilient, stable and reliable than the current system. A microgrid will provide reliable power even when a main grid is offline. The microgrid wouldn’t replace the function of the grid in the near future, but would enhance the electricity resilience for customers when the central utility is unavailable or unstable.

Part of his motivation in working in this field comes from his own experience with a weather-related loss of power. 

Even though Zhang, who used his training in mathematics to develop an expertise in power systems, had been working on wind farms and their grid integration, he decided after Hurricane Irene and a nor’easter that he should do more research on how to restore power after a utility became unavailable.

Irene hit in August, while the nor’easter knocked out power in the winter. After the storms, Northeast Utilities, which is currently called Eversource Energy, asked him to lead a project to recommend solutions to weather-induced outages.

Zhang plans to publish a book through Cambridge University Press this year called “Networked Microgrids,” which not only includes his previous results but also presents his vision for the future, including microgrids that are self-healing, self-protected, self-reconfiguring and autonomous.

He recognizes that microgrids, which are becoming increasingly popular in the energy community, present a number of challenges for customers. For starters, the cost, at this point, for consumers can be prohibitively high.

Zhang can cut those expenses, however, by replacing hardware upgrades with software, enabling more of the current system to function with greater resilience without requiring as many costly hardware modifications.

His National Science Foundation project on programmable microgrids will last until next year. He believes he will be able to verify most of the prototypes for the programmable microgrid functions by then.

Zhang called advances in energy storage a “key component” that could improve the way microgrids control and distribute power. Energy storage can help stabilize and improve the resilience of microgrids.

He is eager to work with Esther Takeuchi, who has dual appointments at Stony Brook University and Brookhaven National Laboratory, not only on microgrid technologies but also on renewable integration in the transmission grid.

Zhang appreciates SBU’s reputation in physics, applied math, computer science and electrical and computer engineering. When he was young, he said he also heard about and saw Chen-Ning Yang, whom he described as a model and legend.

“I feel proud and honored to be working at Stony Brook where Dr. Yang taught for more than three decades,” he stated in an email.

In his lab, Zhang has six doctoral students, one visiting doctoral student and two master’s students. A postdoctoral researcher, Yifan Zhou, who worked with him at the University of Connecticut, will soon join his Long Island lab.

Zhang, who earned doctorates from Tsinghua University and the University of British Columbia, brought along a few grants from the University of Connecticut where he held two distinguished titles.

Zhang has “high expectations for the people who work for him,” Peter Luh, a board of trustees distinguished professor at the University of Connecticut, explained in an email. “However, he is considerate and helps them achieve their goals.”

Zhou, who comes from Tsinghua University, is working with him on stability issues in microgrids to guarantee their performance under any possible scenario, from a major storm to a cyberattack.

Zhang is working with Scott Smolka and Scott Stoller, both in the Computer Science Department  at Stony Brook, on resilient microgrids

“We are planning to use simulations and more rigorous methods for formal mathematical analysis of cyberphysical systems to verify resiliency properties in the presence of fault or attacks,” said Stoller who described Zhang as a “distinguished expert on electric power systems and especially microgrids. His move to Stony Brook brings significant new expertise to the university.”

The Stony Brook scientists have created an exercise in which they attack his software systems, while he tries to ensure its ongoing reliability. Zhang will develop defense strategies to guarantee the resilience and safety of the microgrids.

Zhang was born in Shandong Province in China. He is married to Helen Wang, who works for a nonprofit corporation as an electrical engineer. The power couple has three sons: William, 13, Henry 10, and Benjamin, 8. They are hoping their sons benefit from the public school system on Long Island.

Zhang’s five-year goal for his work involves building an institute for power engineering, which will focus on microgrids and other future technologies. This institute could have 20 to 30 doctoral students.

An ambitious researcher, Zhang would like to be the leader in microgrid research in the country. “My goal is to make Stony Brook the top player in microgrid research in the U.S.,” he said.

Meng Yue, scientist in the Sustainable Energy Technologies Department at Brookhaven National Laboratory who has been collaborating with Zhang for over five years, anticipates that Zhang’s research will help consumers.

“As New York State has more aggressive renewable portfolio, I believe the research achievements will soon advance technologies in the power grid application,” he said.

 

Girl Scout Hailey Van Cott works on the prey pen at Sweetbriar Nature Center. Photo from Hailey Van Cott

When choosing a project for her Gold Award, one Stony Brook Girl Scout drew on her love for animals.

Hailey Van Cott, a junior at Ward Melville High School and a Girl Scout since kindergarten, recently began repairing the prey pen within the flight aviary at Sweetbriar Nature Center in Smithtown as part of her Gold Award project. A visitor to the center for years, she knew the location was the right choice.

“I really love what Sweetbriar stands for and I knew I wanted to help them out for my Gold Award,” she said.

To help with her project, PSEG Long Island awarded the Girl Scout $200. She said she plans to use the money to put down Astroturf around the sides of the prey enclosure, which helps the birds grip as it’s a softer texture than a piece of wood and in turn prevents foot problems.

PSEG representatives said the project is in line with their goal to relocate osprey and other raptor nests from electrical facilities to safe nesting locations.

“I really love what Sweetbriar stands for and I knew I wanted to help them out for my Gold Award.”

– Hailey Van Cott

“We want to help ensure these wonderful birds continue to return to the area year after year while, at the same time, protecting the reliability of the energy grid,” said John O’Connell, PSEG Long Island’s vice president of transmission and distribution. “Hailey’s project aligns with our commitment to protecting the local raptor population.”

Her mother, Deb, said she wasn’t surprised when her daughter chose to help out at Sweetbriar.

“She’s always liked to help animals,” the mother said. “She’s definitely a big animal person. She’s also always liked to do community service.”

Her mother said with Girl Scout Troop 2867, her daughter has helped Smithtown Animal Shelter by making dog toys and conducting supply drives for them. Outside of Girl Scouts, Van Cott has made memory wire bracelets and sold them at her father’s office and donated the money to Save-A-Pet Animal Shelter in Port Jeff Station.

Isabel Fernandes, a wildlife care coordinator at Sweetbriar, said Van Cott has done an amazing job repairing the prey bin, and Sweetbriar is always appreciative for the help they get from Scouts.

“We are a small staff so it’s important that we have people who can help us and get projects and other things done here,” Fernandes said.

The coordinator explained that the pen is enclosed in the 80-foot flight conditioning enclosure aviary, which is used for wildlife rehabilitation to help injured birds fly again and exercise their muscles before they can be released. The center prey pen ensures the birds maintain their hunting skills.

Fernandes said there is currently a great horned owl in the aviary that was removed when Van Cott was working on the enclosure, as it’s important to keep human contact as limited as possible — something she has now learned through experience.

“The more interaction with humans they have, the more adjusted they will become,” the Girl Scout said. “They need to learn how to capture the prey themselves and how to survive on their own.”

As part of her Gold Award project, in addition to working with her family on the enclosure, she will talk to younger Girl Scouts about the project, Van Cott said, as well as educate them about the importance of animal rehabilitation and how birds of prey control the rodent population.

“Every animal has its part in the ecosystem,” she said. “I’ve always loved big birds. I’ve always loved seeing them out in the wild just looking up and seeing a hawk every now and then.”

Rocky Point senior Jimmy Curley (l) runs 3200 meters along with Comsewogue’s Joe Fazio and Kings Park’s Jonathan Englehardt at SCCC Feb. 1. Bill Landon photo

The Mount Sinai Mustangs were the class of the field in the Suffolk County small school championship Feb. 1, sitting atop the leader-board to win the team championship with 66 points at Suffolk County Community College.

Kings Park finished 7th overall just ahead of Comsewogue High School. Shoreham-Wading River junior Blake Wehr placed 2nd in the high jump event clearing 6’ 4” landing the Wildcats 12th in the team standings.

Ruth Gracey and Dr. H. Jean Berger are to be honored later this year by the Suffolk Sports Hall of Fame. Photos from Michelle Dougherty

Two women from the Port Jefferson and Three Village school districts have been posthumously named to the Suffolk Sports Hall of Fame Class of 2020 for their work organizing girls sports athletics.

Dr. H. Jean Berger and Ruth Gracey were named along with two other women for developing and organizing the Suffolk County Girls Athletic Association in 1949, 23 years prior to federal Title IX legislation, which established no discrimination of participation based on sex.

The hall of fame is naming them due to their “persistence and dedication,” which effectively jump-started women’s ability to participate in and coach school athletics throughout the county.

Berger and Gracey, along with Annamae McKeever-Kress and Jeanette Rogers, developed the constitution, policies and rules, guidelines for scheduling and officiating games for the SCGAA. They envisioned and created a senior athletic awards program and developed the coveted Gold Key Award to recognize senior high school athletes.

“The Suffolk Sports Hall of Fame is honored to induct these four trailblazing women for all they accomplished in building a path and platform for girls to success in sports in Suffolk County,” said Chris Vaccaro, the executive director of the Suffolk Sports Hall of Fame. “What they achieved, long before the passing of Title IX, is remarkable and hundreds, if not thousands, of women have dedicated their lives to athletics thanks to what they built more than 70 years ago. This is a posthumous honor for these inductees, but we know they will be with us in spirit that night.”

All four women are being honored at a ceremony May 26 during the hall of fame’s 30th anniversary celebration at Watermill Caterers, 711 Smithtown Bypass in Smithtown. Tickets are $125 for an adult and $75 for a child. More information can be found at suffolksportshof.com.

Ruth Gracey 

Gracey was born in Syracuse in 1906 and attended Syracuse University from 1926 to 1929, majoring in physical education. After, she received a master’s degree in physical education from Adelphi University. 

In 1944 she began her career as the single female physical education instructor at Port Jefferson High School. During this first year at the school, she started the Girls Leaders Club and a year later she was instrumental in creating intramural sports for girls. By the 1948 school year, she was named director of girls physical education and coached soccer, hockey, volleyball, basketball and badminton. In 1949, she helped create the Suffolk County Girls Athletic Association, specifically the constitution and by-laws, and helped to establish a girls sports awards program. She retired from Port Jefferson in 1971 and in 1996 was inducted into the Port Jefferson district’s Wall of Fame. She passed away in 1990.

Elizabeth Schwartz, Gracey’s granddaughter and former student, said her grandmother, along with her contemporaries, pioneered the sense that girls and women were just as capable in sports as anybody else. Gracey was one of the first to make field hockey an institution of Long Island sports, Schwartz said, and she also introduced programs for women in basketball and track and even an archery club. 

“She was one of the first to have the overriding idea that sports was a way to take positions of leadership,” Schwartz said, adding it was “a long time coming” to see the names of her grandmother and the other woman added to the wall.

Port Jefferson board President Ellen Boehm said that while she came into the district right after Gracey had retired, she was the one who took girls sports to the next level within the district. She said that before women like Gracey pushed for equality in sports, girls would often play just a few innings of a sport like softball with another school. 

“She was one of the trailblazers in bringing recognition to girls sports,” she said.

Schwartz remembered her grandmother’s memorial, how in a packed house with “people in the rafters” all saying the same thing, that “Ruth was a special person to them, and they were a special person to her.” They all realized, “she had that quality — to make you feel you were the most important person in the world.”

Dr. H. Jean Berger 

Berger was originally from Nebraska but moved to Erie County with her family in 1930. She graduated from Springville-Griffith Institute High School in 1941 and then from SUNY Buffalo State College in 1945 where she majored in physical education. She later attained her doctorate of education degree from New York University.

Her career started in Springville in 1946 before moving on to Bay Shore in 1949, where she developed sports activities for girls at a time when girls athletics was frowned upon.

She would spend most of her career at the Three Village Central School District, and from 1966 to 1980 she worked as teacher, athletic coordinator of girls sports, leadership teacher and clinical supervisor for the K-8 physical education, volleyball coach and adviser to the Girls Leaders Club and Girls Athletic Association. 

In 1949 she was the first president of the Suffolk County Girls Athletic Association, and in 1975-1976, she was the president of NYS Association for Health, Physical Education, Recreation and Dance. At various times between 1966 and 1980 she was very involved with Section XI, Suffolk County athletics: vice president, multiple committees, board of directors, volleyball chair, athletic council and Gold Key committee. 

Berger passed away in 2003.

Michele Dougherty was a coach and administrator in the Three Village school district from 1973 to 2007 and worked with Berger for several years until her retirement in 1980. Dougherty said she “had a profound influence on me professionally and on a personal level.” She added, Berger, or Dr. B as she and the students called her, not only fought for the Gold Star Award that she and other women helped introduce in 1953 but helped expand it to cover boys athletics as well.

“She has had a profound influence on girls sports through her historic efforts in developing athletic programs for girls throughout the county,” Dougherty said.

Brookhaven Bike Co-op opened in Flowerfield in St. James last fall. Photo by Rita J. Egan

A local nonprofit has blossomed in Flowerfield with the mission to provide bicycles for those in need.

The all-volunteer Brookhaven Bike Co-Op opened at Flowerfield in St. James this past fall. The co-op provides a space for unwanted bikes to be refurbished and then given to those in need. The co-op also provides the public access to tools and spare parts to fix their own bikes and provides a community space for gatherings and meetings both bike and nonbike related, according to founder Greg Ferguson.

“It’s a place to sort of create a little bicycling community,” Ferguson said.

The original plan for the co-op was to enter into a public-private partnership with the Town of Brookhaven, hence the name, according to the Setauket resident. However, when the space the town allocated for the 501(c) didn’t work out, it was decided to open in the current location. It’s a spot Ferguson said is perfect for the co-op, with other surrounding nonprofits located nearby.

Ferguson, a lawyer who runs the Ferguson Foundation with his brother Chris, said there is a need in Suffolk County for free transportation such as bicycles. One example is around East Patchogue and Manorville where there is a sort of “food desert,” he said, with few grocery stores and many in the area without cars. With a bike, a person can get to stores, doctors and jobs easier than if they were walking. He said there are successful bike co-ops around the country, including in upstate New York, Brooklyn, Manhattan and Connecticut.

“It’s a place to sort of create a little bicycling community.”

– Greg Ferguson

Ferguson, who jokes that he is a slow bicyclist, said he joined the cycling club Suffolk Bicycle Riders Association where he found a thriving organization and members who were helpful in teaching him and other volunteers at the new co-op.

“I was surprised at how willing people were to come out and teach us how to fix bikes — donate parts and bikes,” he said. “It’s been a very positive experience.”

The founder said the co-op has been working with Ward Melville High School’s DECA Club, which is planning a bike drive and is helping with the nonprofit’s social media. He said he has also been in touch with representatives from Stony Brook University to collect bikes that are left behind by students after the semester ends. The nonprofit also plans to work in some way with Brookhaven in the future.

Ward Melville DECA faculty adviser Ilene Littman said the club heard about the co-op from one of its board members Jim Komosinski. After a site visit to the workshop, she reported back to the DECA members and helped form two teamsw of interested students.

“I personally feel that the students connected with this mission because they all have bikes and want to help others who are less fortunate and do not have the means or resources to buy a bike of their own,” Littman said. “By doing so, they are not only providing transportation, they are enabling a fun and healthy activity for those in need.”

“I personally feel that the students connected with this mission because they all have bikes and want to help others who are less fortunate…”

– Ilene Litman

Recently the co-op began offering free bicycle repair classes and a course on how to ride properly in groups. Volunteer Richard Dittmar, a bike mechanic and former bike shop owner, leads the classes.

Dittmar said he found out about the co-op through SBRA’s newsletter and started sharing his expertise to pay it forward.

“I thought it would be a great thing for me to pass on,” he said.

Dittmar said the level of difficulty when it comes to repairing bikes ranges from easily fixing a flat tire to more complex jobs like problems with the gears.

The bike mechanic said he looks forward to volunteering with the co-op and said future partnerships with junk removal companies will be a big help.

“There’s probably bicycles in every garage they walk into when they’re hauling a family’s junk away,” he said. “They don’t know what to do with the bikes, so at least there’s an outlet for that now.”

Volunteer and board member Lori Neiste said the co-op is also an example of being environmentally friendly as old bicycles will be refurbished and used again instead of being thrown in the trash.

Ferguson said while the original plan was to distribute bicycles at food pantries, they have had social workers reach out to them for clients.

Bicycles in all conditions are accepted, Ferguson said, even rusty bikes as parts can be used. Those interested in donating can drop off bikes at the co-op at 8 Flowerfield, Unit 18, in St. James, or have volunteers pick them up by calling 631-371-3886.

The hill going down on West Broadway in Port Jefferson is well known for its potholes and ripped up pavement. Photo by Kyle Barr

A section of North Shore roadway will benefit from new state funding for the renewal of streets impacted by extreme weather events.

New York State Gov. Andrew Cuomo (D) announced Jan. 23 that $151 million in new funding to complement $743 million in direct state aid provided through the PAVE NY Initiative for local road and bridge projects. Of the new allocation, $6.6 million will be used to renew Route 25A from Nicolls Road in Stony Brook to Main Street/East Broadway in Port Jefferson, according to a press release from the governor’s office.

A portion of Route 25A in Setauket will benefit from state aid. Photo by Rita J. Egan

“New York continues to make nation-leading investments in the renewal and modernization of the state’s roads, bridges, transit systems and airports,” Cuomo said in the release. “These investments are laying the foundation to ensure sustained growth throughout the 21st century in tourism, business and workforce development, and economic opportunities.”

According to the release, the improvement will enhance highway safety and reduce the roughness of roads, which in turn will make them more fuel efficient. Work is estimated to begin this spring and be completed in the winter of 2020.

State Assemblyman Steve Englebright (D-Setauket) brought the severity of local road conditions to the attention of the state Department of Transportation last year, according to a press release from his office. The designated areas have been subjected to serious degradation due to water seepage into road seams and large clusters of filled potholes creating rutted, uneven and unsafe surfaces. One of the worse sections is the roadway near the East Setauket Post Office to CVS, but other sections have deteriorated rapidly, including the hill from Poquott into Port Jefferson.

“Last summer, we noticed an acceleration in the deterioration of different sections of Route 25A,” Englebright said in the statement. “So, I met with DOT staff to communicate the urgent need for repair. After evaluation of the road confirmed the urgency, [NYSDOT] regional director, Joseph Brown, indicated that he would do his best to find funds to do repairs. We want to thank the regional director and his staff for working to include the main highway of our community in this funding program.”

Town of Brookhaven Highway Supervisor Dan Losquadro (R) said while he’s always grateful when he hears of state funding coming the town’s way, when he heard the recent news, he was disappointed as to how little aid was coming to Suffolk County. He pointed to the fact that the section of Route 25A is the only one designated in the area. He added there is a desperate need for state funding to be reinstated for work on Route 347, specifically for the Nicolls Road overpass and intersection.

Losquadro said he will continue conversations with state legislators about state roads, also the Consolidated Local Street and Highway Improvement Program, otherwise known as CHIPS, allocation for local streets.

“I really hope that this is a starting point and not an endpoint when it comes to the proposal for funding for infrastructure for Long Island, because paving one road in Suffolk County really isn’t to me an adequate investment on the part of the state Legislature,” Losquadro said.

Adam Singer. Photo from SBU

By Daniel Dunaief

A patient comes rushing into the emergency room at a hospital. He has numerous symptoms and, perhaps, preexisting conditions, that the staff gather together as they try to stabilize him and set him back on the path toward a healthy life.

Emergency room protocols typically involve testing for the function of major organs like the heart, even as a patient with diabetes would also likely need a blood sugar test as well.

For a specific subset of patients, hyperkalemia, in which a patient has potentially dangerously elevated levels of the element potassium, may also merit additional testing and treatment.

Adam Singer with his son Daniel. Photo by Michael Beck

In a recent study in the American Journal of Emergency Medicine, Adam Singer, a professor and vice chair for research at the Department of Emergency Medicine at the Renaissance School of Medicine at Stony Brook University, found that mortality rates were cut in half when doctors corrected for high levels of potassium.

“This study was focused on what we could do” to help patients with hyperkalemia, Singer said. “We always knew that rapid normalization was important, but we did not have the evidence except for anecdotal cases.”

Examining about 115,000 hospital visits to the Stony Brook Emergency Department between 2016 and 2017, Singer and his colleagues found that the mortality rate fell to 6.3 percent from 12.7 percent for patients whose potassium level was normalized.

Singer is “tackling a topic which is very important, which is life threatening and for which there is no clear standard,” said Peter Viccellio, a professor and vice chairman in the Department of Emergency Medicine at the Renaissance School of Medicine at SBU.

Viccellio said Stony Brook has become “more conservative over the last couple of years in treating patients with lower levels” of potassium.

One of the challenges with hyperkalemia is that it doesn’t usually come with any tell-tale symptoms. Emergency room doctors can’t determine an elevated level of potassium by looking at a patient or by hearing a list of symptoms.

Sometimes, people with hyperkalemia show weakness, nausea or vomiting, but those three conditions are also present in numerous other medical challenges.

Singer said not all the patients died directly from hyperkalemia. Most people with hyperkalemia have significant co-morbidities that put them at risk from other causes. Nonetheless, the higher level of mortality for patients above a threshold for potassium suggests that evaluating patients not only should include an awareness of the amount of this element in the blood, but also a clear set of guidelines for how to reduce it.

“This strengthens the need to call for more evidence-based studies to figure out the best and most effective therapies,” Singer said. “The higher the level of potassium, the greater the urgency for rapid correction,” he added.

Some hospitals may be using point-of-care tests and newer medications, especially new potassium binders. These treatments, however, have not been studied in large numbers yet.

As the population ages, more chronic disease patients take medicines that affect potassium levels. This, in turn, increases the risk of hyperkalemia, in part because chronic conditions like diabetes are so common. This risk extends to people who are obese and are developing diabetes.

On the positive side, Singer said some hospitals are using rapid point-of-care testing and, when they discover evidence of higher potassium, are using a new class of medications that treats the condition.

While the urgency for emergency room attendants is high enough to add potassium tests, especially for vulnerable patients, Singer does not believe that first responders necessarily need to add these tests to their evaluations on the way to the hospital. Such testing might be more urgent in rural areas, where transportation to a medical facility would take more time.

“Generally, such testing is not going to make a big difference” because patients will arrive at the hospital or medical facility before hyperkalemia becomes a contributing factor in their health, said Singer.

Changing a person’s lifestyle to lower the risk of hyperkalemia can be difficult because diets that are low in potassium are “hard to follow,” he said. Additionally diets that are low in potassium are often “lacking in other important food contents.”

Patients who are prone to hyperkalemia include people who are dehydrated, have kidney disease and missed a dialysis treatment, or are taking medications that can, as a side effect, boost the amount of potassium.

Generally, people don’t suddenly develop a high risk for hyperkalemia without any past medical history that suggests they are susceptible to it. During annual physicals, doctors customarily test for the level of potassium in the blood.

In terms of the total emergency room population, about 1 percent have higher potassium. During the years of the study, 308 patients had elevated potassium levels that remained high, while 576 had potassium levels that were high, but that were stabilized through treatment.

Higher potassium levels don’t necessarily require immediate treatment, in part because of a person who vomited several times might be getting fluids that restore the potassium balance

As director of research, Singer balances between his clinical responsibilities and his interest in conducting scientific research. When he sees an issue in the clinic, he can go back to the lab and then translate his research into clinical practice.

Viccellio said Singer is “internationally renowned” as a researcher and that he was a “superstar from day one.” 

Singer’s primary interests are in acute wound care and burns. He has recently been studying a new, minimally invasive, nonsurgical technique to remove dead tissue after burns that involves an enzymatic agent and has been involved in several promising clinical trials of this technique.

Viccellio said Singer has done “fantastic work” on cosmetic repair of facial lacerations. Viccellio also suggested that Singer was “like the Bill Belichick” of research, helping numerous other people who went on to become research directors at other institutions.

A resident of Setauket for the last quarter of a century, Singer and his wife, Ayellet, have three children. Following in his father’s footsteps, his son Daniel is finishing his residency in emergency medicine at Stony Brook. 

While Singer was born in Philadelphia and lived in Israel for part of his life, including during medical school, he has roots on Long Island. His grandparents originally lived in Ronkonkoma. Singer Lane in Smithtown, which was named after his realtor grandfather Seymour Singer, includes the one-room schoolhouse where Walt Whitman was a schoolmaster. 

As for his work on hyperkalemia, Singer is pleased with the way he and his colleagues at Stony Brook have contributed to an awareness of the dangers of this condition. “We are identifying these patients and treating them,” he said.

 

File photo

In a Q&A with TBR News Media, Carol Gomes, interim chief executive officer at Stony Brook University Hospital, discusses a variety of topics including patient safety, quality control and curbing infections. Here is what she had to say. 

1. Being the interim chief executive officer at the hospital, how important is patient safety and  quality control to the day-to-day operations?

Stony Brook Medicine physicians and staff are committed to providing high-quality, safe patient care.

SBU Hospital CEO Carol Gomes discusses what the hospital is doing to reduce infection potential. Photo from SBU Hospital

Quality and patient safety is priority number one, and we focus on safe patient care every day. The Stony Brook Medicine team convenes a safety huddle that is part of the day-to-day operations in every area, which includes critical leaders from all over the hospital.

We start the day with approximately 35 care team members from nursing leadership, physician leadership and operational leadership who report on important safety or quality opportunities.  Our huddles are highly structured meetings that allow the hospital to focus on process changes with direct follow-up. This drives accountability to help ensure that adequate safety measures are in place for our patients at all times. 

2. Interim SBU President Michael Bernstein mentioned to us that you were making an effort to curb infections at the hospital among other things. Could you discuss some of the initiatives you’ve been implementing to improve in that area?

Stony Brook University Hospital has three primary strategic quality priorities — clinical outcomes, patient safety and the patient experience.

Proactively, Stony Brook works to provide safe and effective care to every patient via our patient safety work groups. These groups analyze processes, review relevant data and implement process changes to enhance patient safety and prevent patient harm.

The vast majority of projects and improvement efforts are aimed at reducing hospital associated infections. There are teams that implement best practices for CLABSI, or central line associated bloodstream infections; hand hygiene; CAUTI, or catheter-associated urinary tract infections; C. diff, or Clostridium difficile infections; SSI, or surgical site infections; and sepsis. 

Working groups incorporate real-time data to implement best practices to ensure hospital units continue to drive improvement efforts in achieving patient safety goals.

3. In general could you talk about the threat of infections to patients at hospitals? Most people view hospitals as a place of recovery and necessarily don’t think of other germs, sick people around them. Can you speak on that and the challenges you and others face?

As a matter of standard practice, the hospital adheres to rigorous infection control guidelines every day to ensure a clean environment for patients, staff and visitors. These practices are especially important during the flu season.

Being within the close quarters of a hospital, there is an increased incidence of transmission for infections. Many patients have recent surgical wounds, IVs and other catheters placing them at higher risk of infection. These risks may be enhanced by the acquisition of an infection from a visitor.

Family members and other visitors who suspect they may have the flu or other viruses are advised to not visit the hospital.

To lessen the spread of the flu virus, hand hygiene and attention to reducing the effects of droplets from respiratory illnesses such as the flu can enhance patient safety.

Hand washing prevents infection. It is one of the most important actions each of us can implement before and after every encounter with a patient.

The goal is to minimize that transmission while the patient is in the hospital.

4. Other practices/guidelines at the hospital?

The flu virus most commonly spreads from an infected person to others. It’s important to stay home while you’re sick, not visit people in the hospital and to limit close contact with others.

Visitors should wash their hands before entering a patient room and after seeing a patient, whether or not there is patient contact. 

As added protection, patients who have been identified as having infections are isolated appropriately from other patients in order to prevent accidental spread.

Therefore, if a patient has the flu or flulike symptoms, the hospital will place them in respiratory isolation. Likewise, a patient with measles or chicken pox is kept in appropriate isolation.

Visitors may be asked to wear masks on certain units.

5. How do patient safety grades affect how the hospital looks to improve
its quality? 

Stony Brook University Hospital supports the public availability of quality and safety information about hospitals. We are constantly looking for ways to improve and ensure the highest quality of care.

There is a wide variation of quality reports with different methodologies and results.

Clinical outcomes define our success as a hospital. Better clinical outcomes means we’re taking better care of our patients. Stony Brook Medicine initiated a major initiative to improve clinical outcomes. We have multidisciplinary groups improving outcomes in the following areas:

  Increasing our time educating patients prior to their discharge in order to prevent hospital readmissions.

  Improving the care of our patients receiving surgery to reduce postoperative complications.

  Enhancing the diagnosis and care of patients with diabetes.

  Improving the speed of diagnosis and treatment of sepsis.

In short, great effort is expended in identifying opportunities for improvement with a detailed and focused approach on enhancing patient outcomes.

The Harmonic Tides Quartet. Photo by Chris Beattie

They’re back! Just in time for Valentine’s Day, the Harbormen, the local choral group affiliated with the national Barbershop Harmony Society, will be available in groups of four to sing in homes, offices, restaurants, hospitals, schools and more for the romantically inclined.

“A great home video memory,” as one satisfied customer said, not to mention a good Instagram story with each quartet in bright red blazers and bowties.

Love songs have great histories and each has its own way of getting to the heart. Some evoke longing, others celebrate the object of affection. “Let Me Call You Sweetheart,” one of the songs that the Harbormen quartets sing to Valentines, was written in 1910 by Leo Friedman and Beth Slater Whitson. It went on to be recorded by Bing Crosby, the Mills Brothers, Pat Boone and was sung every year for decades by Yankee Stadium public address announcer Bob Sheppard on Mother’s Day. Bette Midler sang the song in “The Rose” and Shirley McLaine sang it in “Downton Abbey.”  It even ended up on the recent TV hit, “Crazy Ex-Girlfriend.”

Quartet members include scientists, salesmen, engineers, an air traffic controller, a chef, author and policeman, among others.

Fred Conway, a retired math teacher with the group since 1966, has sung in all kinds of situations.  “I remember showing up at an overcrowded bowling alley to deliver our songs to a bowler, and trudging through eight inches of snow to sing to a secretary and her audience of fifty amused colleagues.”

Herb Mordkoff, another member, remembers being hired to sing with his quartet to a waitress in a diner near MacArthur Airport one year, then being hired to return when her husband proposed. “Not a dry eye in the whole diner,” he said. A year and a half later, his quartet was singing for the couples’ child’s first birthday party.  

The package for $75 includes two songs, a box of chocolates, personalized card and a signature rose.  To book a quartet for a singing Valentine or any occasion, call 631-644-0129 or email [email protected]. A portion of the proceeds go to the Good Shepherd Hospice in Port Jefferson.

Stock photo

While the risk from the new deadly coronavirus that has closed cities in China remains low in New York, Long Island hospitals, including Stony Brook, are working with the New York Department of Health to prepare in case it makes its way to the New York area.

The respiratory virus, which originated at a seafood market in Wuhan Province in China during contact between humans and an animal that reportedly could have been a snake, has claimed the lives of 132 people as of Jan. 29. The virus has spread to three states, with single cases in Seattle, Washington, and Chicago, Illinois, and two cases in California.

The reported deaths from the virus are all in China, although people have also tested positive for coronavirus in countries including Australia, Canada, France, Japan and Vietnam, among others.

As of earlier this week, New York State had sent samples for nine people to the Centers for Disease Control and Prevention for testing. Four samples tested negative, while the state is awaiting results for the other five.

A Q&A with  Susan Donelan, Medical Director of Health Care Epidemiology, Stony Brook University Hospital, About the New Coronavirus

1. Is the outbreak plan for this new coronavirus any different than the plan for SARS or MERS at Stony Brook?

The 2019 novel coronavirus (2019-nCoV), a new virus that causes respiratory illness in people and can spread from person to person, shares a lot of similarities to other coronaviruses we have seen such as SARS and MERS-CoV. At Stony Brook Medicine, our teams are incorporating best practices from the Pandemic Influenza Plan. These practices are especially important during the flu season.

2. Is everyone in the emergency room taking a history on admission, particularly for people presenting with respiratory infections and a fever, that includes questions about travel to China?

As a matter of standard practice for many years, the hospital has asked all patients with any influenza-like illness [ILI] about recent travel history and is well versed in obtaining this information. Additionally, regardless of the presence or absence of travel, any patient presenting with an ILI immediately will be given a surgical mask to place over the nose and mouth, in order to limit the spread of any respiratory pathogen they may be harboring.

3. How much space could Stony Brook make available if the hospital needed to isolate people who might have this virus?

Stony Brook Medicine has already performed a walk-through of our facility to identify where patients could be cohorted if there were suspicions for this illness, and should they need hospitalization. As per the [CDC], people confirmed to have the 2019-nCoV infection, who do not need to be hospitalized, can receive care at home.

4. What is the current recommended treatment plan if someone either has or is suspected to have this virus?

Currently, there is no vaccine available to protect against 2019-nCoV and no specific antiviral treatment is recommended for the infection. People infected with 2019-nCoV should receive supportive care to help relieve symptoms.

“These five individuals remain in isolation as their samples are tested at CDC,” Gov. Andrew Cuomo (D) said in a statement. “While the risk for New Yorkers is currently low, we are still working to keep everyone informed, prepared and safe.”

China has been working to contain the virus by enforcing lockdowns in cities like Wuhan. Indeed, an unnamed Stony Brook scientist, who was visiting his family, has been unable to leave China to return to Long Island. Through a spokeswoman, Stony Brook said it is grateful for the help of Sen. Chuck Schumer (D-NY), the State Department and the university community in trying to bring him home.

When he returns to the United States, the professor will remain in quarantine until he could no longer be a carrier for the virus. 

Area hospitals, meanwhile, are watching carefully for any signs of coronavirus.

“There are procedure plans in place in every hospital,” said Dr. Bettina Fries, chief of the Division of Infectious Diseases in the Department of Medicine at Stony Brook University’s Renaissance School of Medicine. “There is always a concern when these outbreaks are announced.”

At this point, however, the World Health Organization has not declared the outbreak an emergency. The CDC has classified the new coronavirus threat level as “low.”

The coronavirus, called 2019-nCoV, is in the same family as sudden acute respiratory syndrome and the Middle East respiratory syndrome. The initial mortality rate from the current coronavirus is lower than the 10 percent rate for SARS, which spread in 2002, or the 30 to 35 percent rate from MERS, which started in Saudi Arabia in 2012.

The timing of the virus is challenging because the symptoms are similar to those for the flu, which has become more prevalent in New York and around the country this winter. Coronavirus symptoms, according to the CDC, include coughing, fever and shortness of breath.

While airports like John F. Kennedy Airport in Queens are screening people who arrive from Wuhan, efforts to determine whether they may be carrying the virus could be limited, in part because the incubation period could be as long as two weeks, during which time an infected person could be contagious.

Infectious disease experts suggested practicing the kind of hygiene that would reduce the likelihood of contracting the flu. This includes: washing hands for at least 20 seconds, using hand sanitizer and maintaining a distance of about 3 feet from anyone who has the sniffles or appears to be battling a cold. Infectious disease experts also suggest cutting back on handshakes, especially with people who appear to be battling a cold.

“If you have immunocompromised people, they should be extra careful,” Fries said, adding that the CDC, which has been regularly updating its web page, www.cdc.gov, has been working tirelessly with national and state health officials to coordinate a response to this virus, wherever it hits.

“The New York State Department of Health and the CDC need to be praised for all the work” they are doing, she said. “They have a task force that doesn’t do anything else but prepare for patients coming from outbreak areas.”

Scientists around the world have also been working to develop a vaccine for this new virus. According to a recent report in The Washington Post, researchers anticipate developing such a vaccine in as little as three months, which is considerably shorter than the 20 months it took to develop a vaccine for the SARS virus. The Post, however, suggested that the development of a vaccine would require testing before it received approval.

Fries said the concern about the coronavirus comes less with the current death toll than it does with the effect as it continues to spread.

“It’s important to see how far it spreads and what the real mortality is,” which is tough to track because the outbreak is still at the beginning and scientists and public health officials are still processing new information, she added.