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Stony Brook Medicine

Joel Gonzalez, right, with his wife Amanda, daughter Isabella and son Julian. Photo courtesy Gonzalez

Joel Gonzalez was waking up in the middle of the night, gasping for air. During the day, if he ate too quickly, he felt like food was getting stuck in his throat.

In 2018, Gonzalez, who lives in Coram and is a high school counselor, was diagnosed with gastroesophageal reflux disease, or GERD. A small hiatal hernia, in which part of his stomach bulged through an opening in his diaphragm and into his chest, caused the condition.

Gonzalez started taking medications, which helped relieve the symptoms and enabled him to sleep without experiencing discomfort or waking up suddenly.

In August 2022, after learning that his hiatal hernia had gotten slightly larger and deciding he didn’t want to continue taking reflux medicine for the rest of his life, he met with Dr. Arif Ahmad, director of the St. Charles and St. Catherine of Siena Acid Reflux and Hiatal Hernia Centers of Excellence, to discuss the possibility of surgery.

Gonzalez was so convinced that the surgery would help and confident in Dr. Ahmad’s experience that he scheduled the procedure during that first meeting. Since his November surgery, which took about an hour, he hasn’t had any GERD symptoms and is not taking any medication for the condition.

Gonzalez said he would “absolutely” recommend the surgical procedure, which became a “simple decision” after consulting with Dr. Ahmad.

Caused by a mechanical problem with a valve at the bottom of the esophagus called the lower esophageal sphincter that allows stomach acid to enter the esophagus, GERD affects over 20% of the population.

Symptoms of GERD vary, which means doctors can and do take a range of approaches to treatment.

Hospitals, including St. Charles, St. Catherine of Siena, Stony Brook and Huntington Hospital, have been ramping up their efforts to evaluate and treat GERD.

Port Jefferson-based St. Charles and Smithtown-based St. Catherine of Siena, both part of the Catholic Health system, have been expanding these services at the Acid Reflux and Hiatal Hernia Centers of Excellence.

“There is a big need” for this increasingly focused effort to help patients dealing with the symptoms of GERD, said Dr. Ahmad.

At St. Charles and St. Catherine, Dr. Ahmad, who has been doing hiatal hernia and GERD-correcting surgery for over 25 years, created the center to ensure that the nurses on the floor, the people who do the testing, and the recovery staff are aware of the specific needs of these patients.

Dr. Ahmad has done presentations for the staff to ensure they have “the highest level of expertise,” he added.

Dr. Ahmad, also the director of the Center of Excellence in Metabolic and Bariatric Surgery at Mather Hospital, said he could perform surgery, if a patient needs it, at any of the hospitals, depending on a patient’s request.

Stony Brook’s efforts

At the same time, Stony Brook recently created a multidisciplinary Esophageal Center at Stony Brook Medicine, designed to provide a collaborative care model for diagnosing and treating GERD.

The center provides minimally invasive endoscopic treatments as well as surgical options.

Dr. Lionel D’Souza, chief of endoscopy, said the center provides a cohesiveness that “allows an evaluation by a group of people who are experts and can communicate with each other” to provide a patient-specific plan.

Dr. D’Souza suggested people seek medical attention from their primary care physician or gastroenterologist if they experience any of the following conditions: heartburn every day or severe heartburn several times a week, trouble swallowing, food getting stuck in the throat, anemia, blood in the stool or weight loss without another explanation.

Other partners in the Stony Brook GERD Center include Dr. Olga Aroniadis, chief of the division of gastroenterology, Dr. Alexandra Guillaume, director of the gastrointestinal motility center, and Dr. Konstantinos Spaniolas, chief of the division of bariatric, foregut and advanced GI surgery at Stony Brook Medicine and director of Stony Brook’s bariatric and metabolic weight loss center.

“When someone has a lot of excess weight, the chance of developing GERD is a lot higher,” Dr. Spaniolas said. “Sometimes, getting patients through a program to facilitate with weight loss can help [people] avoid GI symptoms, such as heartburn.”

Stony Brook will see patients in different parts of its network and then, depending on the needs, will determine who is best-suited to start their work up and treatment, Dr. Spaniolas added.

While a potential option, surgery is among a host of choices for people who have ongoing heartburn.

Huntington Hospital, meanwhile, will begin offering esophageal motility testing starting in June. Patients can call Northwell Health’s Heartburn and Reflux Center to schedule an appointment.

A team of gastroenterologists, surgeons and dietitians will work with patients at Huntington to determine the cause of GERD and possible treatments, according to Dr. David Purow, chief of gastroenterology.

Soft foods

Those who have surgery return to solid foods gradually.

Marlene Cross, a resident of St. James who struggled with GERD for about a decade, had the procedure in March.

For the first few weeks, she ate primarily liquids, with some protein drinks and puddings. She added Farina and oatmeal to her diet and then could eat flaky fish.

At 83, Cross, who lost sleep because of GERD-induced heartburn, said the surgery was a success.

“I’m not running a marathon, but I’m definitely feeling a lot better,” said Cross, who is a retired teacher’s assistant for special education students.

Cross urged others who might benefit from surgery to “see a specialist and ask questions and do it” if the doctor recommends it. “The younger you do it, the better.”

According to the American Academy of Dermatology, skin cancer is the most common form of cancer in the U.S. with 1 in 5 people being diagnosed with it in their lifetime. May is designated as National Skin Cancer and Melanoma Awareness Month and with summer right around the corner, it’s important to know how to keep your family sun-safe during outdoor activities. This past Saturday, May 13, families across Long Island attended Block the Sun, Not the Fun hosted by Stony Brook Cancer Center at Smith Haven Mall.

The interactive, fun, and educational event featured family fun opportunities presented by Healthcare and Community Partners and Stony Brook’s Wolfie mascot aimed at promoting sun safety and teaching the community about preventing skin cancer. Before the mall event, Stony Brook Cancer Center and Stony Brook Dermatology Associates hosted free skin cancer screenings for nearly hundred individuals and Dr. Tara Huston, Director of the Melanoma Disease Management Team at Stony Brook Medicine, led an educational program for patients about melanoma, the deadliest form of skin cancer.

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Vermont State Police identified Dr. Mark Funt, a Setauket resident and Stony Brook Medicine doctor, as the man who died in a snowmobile crash in Cavendish, Vermont, Friday, March 10.

Funt, 74, was operating a snowmobile along Main Street in Cavendish when it crashed. The doctor suffered fatal injuries. The incident is currently under investigation.

According to the obituary submitted by his family, “He was doing what he loved most — spending time with his wife, children and grandchildren.”

Before Funt joined Stony Brook University, he attended The Emory University School of Medicine and was assistant professor at the Yale University School of Medicine, according to the Stony Brook Medicine website. Dr. Todd Griffin, vice dean for Clinical Affairs and vice president for Clinical Services at Stony Brook Medicine, said Dr. Martin Stone, founding chair of Obstetrics and Gynecology, recruited Funt in 1978 to be the chief of Gynecology and to start the Residency Program in Obstetrics and Gynecology.

In 1982, Funt founded Stony Brook Gynecology and Obstetrics. According to the Stony Brook Medicine website, he would lecture across the country and won numerous awards, including Attending of the Year. He also was recognized for his outstanding patient care.

Griffin described Funt as “a dedicated physician and beloved member of the Stony Brook Medicine family.”

“I had the pleasure of knowing him both personally and professionally for the past 30 years,” Griffin said.

The doctor added that the residency program Funt help founded will be graduating its 162nd resident this year.

“He had a tremendous impact on women’s health for Long Island,” Griffin said. “We are truly saddened by this tragedy, and extend our deepest condolences to his family, friends, colleagues and patients.”

Funt was named The Village Times Man of the Year in Sports in 1996 for his work in generating more than $100,000 in private contributions for a football stadium at Ward Melville High School. He also was in charge of assembling of the 15-member committee to work on the fundraising campaign.

Mary Barter, Three Village school district superintendent at the time, said, “Dr. Funt’s efforts have given a wonderful benefit to the school district and the children of our community.”

Obituary prepared by the Funt family

Mark Ian Funt died tragically in a snowmobiling accident on Friday, March 10, in Vermont. He was doing what he loved most — spending time with his wife, children and grandchildren.

Mark was born Aug. 21, 1948, in New York City. The oldest of four children born to Harold and Lila Funt, he took on a leadership role at a young age.

He ran on the track team at Syosset High School, graduating in 1966. His exemplary grades earned him a seat at Emory University. Mark stayed in Atlanta to attend Emory University School of Medicine, graduating in 1973. He completed his medical internship at New York University. Mark returned to Atlanta where he completed his residency in obstetrics and gynecology, serving as chief resident 1976-77.

He accepted a position as assistant professor of obstetrics and gynecology at Yale University in New Haven, Connecticut. Two years later, Mark moved to Setauket and was elemental in founding the department of Obstetrics and Gynecology at Stony Brook University in 1979. He served as associate professor and chairman of the OB-GYN residency program at SUNY Stony Brook. He is credited with delivering the first baby at the newly opened hospital. In 1982, Mark established his private practice in Setauket, while continuing to train residents at Stony Brook University Hospital.

Mark was a vibrant individual, typically with a smile on his face and an optimistic outlook on life. Many people looked up to him as a mentor and father figure, often seeking his guidance and advice. When the local high school was in need of a new athletic stadium, Mark spearheaded the project. He was recognized as the 1996 Man of the Year in Sports by The Village Times.

His greatest joy in life was spending time with his family and friends. Mark was a U.S. Coast Guard licensed boat captain and spent many wonderful days fishing with his three sons. He enjoyed spending time on the golf course with his wife Mary and friends. Mark’s greatest joy was entertaining his grandchildren, who all lovingly referred to him as “Poppy.” The outpouring of love from the community has been overwhelming and is a testament to the incredible man that he was. He will be greatly missed by his family and friends.

Mark is survived by his wife, Mary; mother Lila; brother David (Jody); sisters Syma (Bob) and Nancy (Dan); sons Seth (Elizabeth), Jared (Sarah) and Jordan (Holly); and eight grandchildren. Mark’s father Harold preceded him in death.

Photo from SBU

Stony Brook Medicine’s Cardio-Oncology program is the first on Long Island to be recognized as an IC-OS Center of Excellence and awarded an IC-OS Gold Medal by the International Cardio-Oncology Society (IC-OS).

An IC-OS Center of Excellence is a program within a healthcare institution that is assembled to supply an exceptionally high concentration of expertise and related resources centered on a particular area of medicine, delivering associated care in a comprehensive, interdisciplinary fashion to afford the best patient outcomes possible.

The gold medal designation recognizes a commitment to multidisciplinary patient care, research and publications relevant to cardio-oncology, educational program, quality improvement, program building and cardio-oncology committee involvement.

According to the IC-OS, cancer and cardiovascular disease are the two most common causes of death and disease worldwide. The incidence of both cancer and cardiovascular disease increases with age. Stony Brook’s Cardio-Oncology Program is co-directed by Michelle Bloom, MD, (cardiology) and Lea Baer, MD, (breast oncology), with state-of-the-art cardiac imaging directed by Smadar Kort, MD, and just added cardio-oncologist Kristine Yang, MD. 

Stony Brook is the only program in the region to have a team of IC-OS-certified cardio-oncologists who closely observe and care for patients with cancer who have an existing cardiovascular (CV) condition or who may be at risk for developing a CV-related problem during or after the start of cancer treatment. 

Pixabay photo

By Daniel Dunaief

[email protected]

The number of people battling significant symptoms from the flu and respiratory syncytial virus has been coming down since its peak in January, as these infections have run their course.

“This year, we experienced the most severe flu and RSV waves in decades, and our COVID wave wasn’t small either,” said Sean Clouston, associate professor of Public Health at Stony Brook University.

The number of these illnesses was high as people no longer wore masks in places like schools and after people experienced lower-than-usual illnesses in the months before the mask mandate was lifted, creating fertile ground for viruses to spread.

“The most likely reason that the current flu and RSV seasons have improved is that we have had such a bad season earlier on that we have hit a natural ceiling on the ability for these diseases to successfully infect more people,” Clouston said in an email.

As for COVID-19, the numbers of people who have developed significant illnesses has continued to decline as well, through a combination of the natural immunity people have after their bodies successfully fought off the infection and from the protection offered by the vaccine and boosters.

Doctors added that the vaccine and natural immunity hasn’t prevented people from getting infected, but they have helped people avoid severe and potentially life-threatening symptoms.

“All these people who run around saying, ‘My vaccine isn’t working because I got reinfected,’ are missing the point,” said Dr. Bettina Fries, chief of the Division of Infectious Diseases at Stony Brook Medicine. “It is working. It doesn’t protect you from infection, but [it does prevent] a bad outcome.”

Indeed, during the most recent COVID surge during the winter, Fries said the hospital continued to care for patients, most of whom recovered. 

Vaccine timing

Amid discussions from the Centers for Disease Control and Prevention and health organizations throughout the state and country about the timing of future booster shots, local health care providers indicated the increasing likelihood of an annual COVID booster.

Fries said we will get to an annual vaccination for COVID, adding, “It’s the same as we see with the flu.”

In general, people aren’t rushing off to get an updated COVID booster.

“To maximize the protective value of the vaccine while minimizing the number of vaccines you use, people should likely get the vaccine two weeks before they anticipate heavy exposure,” Clouston said.

For most people, that would mean getting the shot in early November to prepare for larger indoor gatherings, like Thanksgiving and the December holidays.

In a recent article in the journal Lancet, researchers conducted an extensive analysis of COVID reinfection rates.

The study dealt only with those people who had not had any vaccinations and addressed the effectiveness of natural immunity from preventing infections and from the worst symptoms of the disease.

Prior infections in general didn’t prevent people from getting reinfected, but it does “protect you from getting a really bad disease and dying,” Fries said.

Long COVID

Even with the number of people contracting COVID declining, the overall population of people battling symptoms of long COVID, which can still include anything from loss of smell and taste to chronic fatigue, continues to increase.

“There’s a plethora of symptoms of long COVID,” Fries said. “We’ll have to figure out how to classify this and hopefully come up with better therapy. Right now, we can only symptomatically treat these patients.”

Dr. Sritha Rajupet, director of the Stony Brook Medicine Post-COVID Clinic, explained in an email that some patients who have lost their sense of smell or have a distorted sense of taste have tried a process called a stellate ganglion block “after several case reports and early research have shown that it could be helpful.”

In such a procedure, doctors inject a local anesthetic on either side of the voice box into the neck. Rajupet said that “additional research and clinical trials still have to be performed.”

Newborns and COVID

As for children infected with COVID soon after birth, doctors suggested that the impact has been manageable.

“The great majority of young children who contract COVID do quite well and recover fully,” Dr. Susan Walker, pediatrician with Stony Brook Children’s Services, explained in an email. “The impact on their development from having actually experienced COVID illness is minimal.”

Children hospitalized with more significant illness from COVID might experience temporary developmental regression which is common in children hospitalized for any reason. The developmental impact seems more tied to social isolation.

“Children born during the pandemic spent their first years of life rarely seeing adults or children other than those in their immediate family,” Walker said. “The result is that many of these kids became excessively stranger anxious and timid around others.”

The lost social opportunities, the pediatrician said, resulted in delays in the personal/social domain of development. She added, “The good news is that kids are resilient and, in time, with appropriate social stimulation, [these children] should be able to regroup and catch up developmentally.”

Stony Brook University Hospital

Previously invisible to most of the public, the infectious disease team at Stony Brook Medicine took center stage from the beginning of the pandemic in 2020 through today as area residents have battled COVID-19 and other diseases.

With a peak of over 500 people hospitalized at Stony Brook University Hospital with COVID-19 in 2020, the combination of Drs. Bettina Fries, Susan Donelan and Sharon Nachman provided best practices to protect hospital staff and patients, gathered information about the developing virus and communicated through the media with a public desperate for information.

Working with teams of other dedicated health care professionals, these infectious disease doctors helped treat and save numerous patients.

TBR News Media is pleased to name Fries, Donelan and Nachman as People of the Year for 2022.

“Stony Brook Hospital got all kinds of kudos during the height of the pandemic,” said Dr. Jonathan Buscaglia, chief medical officer at Stony Brook University Hospital. “When you’re going through a hurricane crisis, you need somebody who has a clue about hurricanes to lead you. Those people were our leaders.”

At the time, the team of infectious disease doctors impressed their colleagues not only with their effectiveness, but also with their tireless work.

“When COVID happened, it was a calling” for these infectious disease experts, Buscaglia said.

In the beginning of the disease, little was known about the most effective treatment, which meant doctors from several departments came together to create a standard protocol.

The infectious disease faculty “contributed significantly” to develop these practices, said Dr. Vincent Yang, chair of Medicine at the Renaissance School of Medicine at SBU.

Dr. Bettina Fries. Photo from Stony Brook Medicine

Dr. Bettina Fries, the chief who served on the front lines

Chief of the Division of Infectious Diseases at Stony Brook Medicine, Fries is a “nationally if not world-renowned physician scientist,” Buscaglia said.

As with her colleagues, Fries works directly with sick residents.

Fries “100% served on the front lines to care for all the hospitalized patients with COVID,” said Buscaglia, which included working seven days a week for weeks on end. She guided her staff and helped other physicians.

Early on, Fries was also “instrumental in getting a manufacturer of face masks to donate a significant number to the hospital,” Yang said. This was a key part of the personal protective equipment that had been scarce during the unsettled early part of the pandemic.

Yang described her as “highly motivated, energetic and forward thinking” and believes she is a “wonderful leader” who is detail oriented. Fries provides clear expectations for people who work for her and is an avid educator, Yang added.

As an expert in using monoclonal antibodies to treat various bacterial infections, Fries helped direct an effective therapy using these antibodies for COVID patients, according to Yang.

Fries and her team were also involved in consulting on patients, not just for COVID but also for secondary infections, Yang said.

Connie Kraft, emergency manager in the Emergency Management Office at SBUH, described Fries as “very personable” and appreciates how she studies scientific data to crunch the numbers.

Dr. Susan Donelan. Photo from Stony Brook Medicine

Dr. Susan Donelan, a ‘hero’ who lost sleep to help patients

Donelan, who earned her bachelor of science degree from SBU, is medical director of Healthcare Epidemiology at Stony
Brook Medicine.

In addition to caring for patients, Donelan also worked to avoid the spread of COVID at the hospital, reducing the risk to staff and to Long Islanders who came to the hospital for other medical needs.

“We don’t want patients coming in without COVID getting it while they’re here,” Buscaglia said. “It takes a special person to guide the rest of us.”

The hospital established a forward triage effort, which provided an initial assessment of COVID patients outside the hospital.

Kraft appreciated Donelan’s commitment to safety throughout the halls of the hospital.

“If you’re somebody who is walking down the corridor and your mask is hanging off your face, [Donelan] didn’t care who you are. She’s going to stop you and say, ‘Hey, pull your mask up,’” Kraft said.

As a subject-matter expert, Donelan was “our hero,” Kraft added.

Specializing in the latest treatments and symptoms, Donelan also helps faculty and staff with medical questions.

When Kraft’s grandson was sick, she asked Donelan for advice.

“She was right there, giving me support,” Kraft said, which gave “everybody a sense of calm.”

A tireless worker, Donelan often appeared on Zoom calls even during her time off.

She “doesn’t stop thinking about ways to help patients,” Buscaglia said. She “literally loses sleep about it.”

Dr. Sharon Nachman. Photo by Stony Brook Medicine

Dr. Sharon Nachman, active in front of the camera and behind the scenes

Nachman, who earned her medical degree at SBU, is chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s.

Often visible during her appearances on local broadcast news channels and in numerous local publications, including TBR News Media, Nachman is committed to ensuring the public receives accurate information.

“Giving people information about why it’s important to wear masks, wash their hands and get vaccinated, those are the things that affect the community,” said Dr. Carolyn Milana, chair of the Department of Pediatrics at Stony Brook Children’s.

Even though Nachman is a pediatrician and works at the children’s hospital, she, like so many other doctors, helps wherever it is needed, which in the early days included caring for adults.

Nachman was “instrumental from the adult and pediatric perspective making sure we had the latest and updated information about how to treat those patients,” Milana said. “She and her team were out there [checking] on all the patients to make sure they were all cared for the same.”

In addition to helping to get COVID vaccine trials up and running at Stony Brook, she has been active in trials to treat monkeypox.

Milana appreciates Nachman’s approach to children and their parents.

“She’s super friendly with kids,” Milana said. “She’ll tell you the facts as they are. She’s straightforward with parents. She wants them to have all the information they need to make the right decisions.”

From left to right, physician assistants Michelle Rosa and Katherine Malloy, Dr. David Fiorella and Dr. Jason Mathew visit Joseph Annunziata in his hospital bed. Photo from Stony Brook Medicine

By Daniel Dunaief

Joseph “Bob” Annunziata, a resident of Kings Park, wants you not to be like him.

An army veteran, Annunziata urges residents and, in particular, other veterans, to pay attention to their medical needs and to take action when they find out they have a problem. 

A self-described “tough guy” who grew up in Bay Ridge, Brooklyn, Annunziata put off medical care for a partially blocked left carotid artery and it caused a medical crisis.

“My brother and sister vets, if you got a pain or the doctor tells you to do something, do it,” he said. “It almost cost me my life. I don’t want that to happen to anyone else.”

Joseph Annunziata at his 80th birthday party

Annunziata, 80, was driving to the supermarket on Veterans Day when his right hand became limp and he was slurring his speech. Knowing he was in trouble, he turned the car around and drove 10 minutes to the Northport VA Medical Center.

The doctors evaluated him and rushed him to Stony Brook University Hospital, which is well equipped to handle stroke-related emergencies and is the only hospital in the state named one of America’s 100 Best Hospitals for Stroke Care for eight years in a row. 

Several doctors evaluated Annunziata, including by Dr. David Fiorella, Director of the Stony Brook Cerebrovascular Center and Co-Director of the Stony Brook Cerebrovascular and Comprehensive Stroke Center, and Jason Mathew, stroke neurologist.

“We identified that there was a severe blockage in the left side of his brain,” said Dr. Mathew. “If blood flow is not returned to this area, the patient is at risk for a larger area of stroke.”

Indeed, a larger stroke could have caused right side paralysis and could have robbed Annunziata of his ability to speak or worse.

Performing emergency surgery could protect endangered brain cells, but also presented some risk. If not removed carefully and completely, the clot in the carotid artery could travel into the brain or the stroke could expand over time due to a lack of sufficient blood flow to the left side of the brain.

Time pressure

Stony Brook doctors discussed the particulars of the case together and explained the situation to Annunziata, who could understand what they were describing and respond despite symptoms that threatened to deteriorate.

The hospital, which does between 200 and 250 interventional stroke treatments per year and handles many more strokes than that annually, has a group of health care specialists who can provide accessible information to patients who are not experts in the field and who need to make an informed decision under time pressure.

Stony Brook has become adept at “conveying this complex information in a time-sensitive way,” Dr. Fiorella said. In those cases for which surgery is the best option, each minute that the doctors don’t open up a blood vessel reduces the benefits and increases the risk of longer-term damage.

Stony Brook sees about one to two of these kinds of cases per month. As a whole, the hospital, which is a large referral center, sees numerous complex and unusual cerebrovascular cases of all types, Dr. Fiorella said.

Annunziata and the doctors decided to have the emergency surgery.

Dr. Fiorella used a balloon guiding catheter, which is a long tube with a working inner lumen that has a soft balloon on the outside of it that is designed to temporarily block flow. He deploys these occlusion balloons in most all stroke cases. 

The particular way he used it in these complete carotid occlusions is unique. The balloon guiding catheter makes interventional stroke procedures more efficient, safer, and the outcomes better, according to data for thrombectomy, Dr. Fiorella said. 

The occlusion balloon enabled Dr. Fiorella to control blow flow the entire time, which makes the procedure safer. The surgery took under an hour and involved a small incision in Annunziata’s right wrist.

Joseph Annunziata with his girlfriend Rosemarie Madrose

After the surgery, Annunziata was able to speak to doctors and call Rosemarie Madrose, his girlfriend of five and a half years. “He came out talking,” said Madrose. “I could understand him. I was relieved.” Four days after the emergency operation, Annunziata, who also received post operative care from Dr. Yuehjien Gu, Neurocritical Care Unit Director, left the hospital and returned to his home, where he spent the next morning preparing a welcome meal of a scrambled egg and two slices of toast.

The doctors attribute Annunziata’s quick recovery to a host of factors. Getting himself to the hospital as soon as symptoms started saved precious minutes, Dr. Fiorella said, as “time is brain.” He also advised against driving for people having stroke-like symptoms, which can include slurred speech, numbness, weakening of the arm or leg and loss of vision in one eye.

Dr. Fiorella urged people to call for help or to get a ride in an ambulance. Stony Brook has two mobile stroke unit ambulances, which are equipped with technology to assess patients while en route, saving time and alerting doctors in the hospital to patients who might need immediate attention and intervention.

These mobile units, which are available from 8 a.m. to 8 p.m., have helped reduce death and disability for stroke and have cut down the length of stays in the hospital.

People or family and friends who are observing someone who might be having a stroke can call 911 and indicate that the patient is having stroke-like symptoms. The emergency operator will alert the mobile stroke unit of a possible case if the unit is available and the patient is in range.

Helping a veteran

The doctors involved in Annunziata’s care were well aware of the fact that they were treating a veteran on Veterans Day.

“Oftentimes, we think about how we can give back more than just a thank you” to people like Annunziata, who “risked his life and helped his country the way he could,” said Dr. Mathew. “I’m helping him the way I can help.”

Dr. Fiorella added that he thought it was “wonderful” to “help someone who’s given so much to our country on Veterans Day.”

Army origin

Annunziata explained that he wound up in the Army through a circuitous route.  “We watched all the war movies” when he was young and wanted to join the Marines, he said.

When he went to enlist in 1962, he was told there was a two and a half year wait. He and his young friends got the same reception at the Air Force, Navy and the Army. As they were leaving the Army building on Whitehall Street, he and his friends ran into a sergeant with numerous medals on his uniform. The sergeant urged them to go back up the hallway and enter the first door on the right and indicate that they wanted to expedite the draft. About a week later, Annunziata was drafted and got a 15 cent token in the mail for a train trip to Wall Street.

After basic training at Fort Dix, he was stationed in Greenland, where Annunziata operated a radar at the top of a mountain for two years. He participated in drills in which he had to catch American planes flying overhead.

Fortunately, he said, even during the height of the Cold War and just months after the Cuban Missile Crisis, Annunziata never spotted a Russian threat, even though the base was just 20 minutes from Russian air space.

Having gone through emergency surgery that likely saved his life, Annunziata urges residents to pay attention to any medical needs on their radar.

Dr. Fiorella was amazed at how quickly Annunziata expressed concern for his fellow veterans during his recovery.

“One of the first things he talked about was, ‘How can I use what happened to me to help other vets?’” Dr. Fiorella said.

Annunziata’s girlfriend Madrose, who is grateful that the procedure saved his life, said he “didn’t listen to me. He knew he had to do this. I kept saying, ‘When are you going to do it?’ He said, ‘I will, I will, I will.’ He learned the hard way.” She added that they both know he is “extremely lucky.”

WTC responders at Ground Zero, working on the pile in the aftermath of 911. Photo by John Bombace

As the medical challenges to first responders at the World Trade Center site after the 9/11 attacks increase, Stony Brook University’s treatment program has increased the number of people it helps and, recently, also the federal funds to support efforts to treat people.

Dr. Benjamin Luft at the Stony Brook WTC Wellness Program, where he serves as director. File photo

Recently, the National Institute for Occupational Safety and Health, which is part of the Centers for Disease Control and Prevention, awarded the Stony Brook World Trade Center Health and Wellness Program $147 million over an eight-year period to expand patient care and support infrastructure needs.

The SB World Trade Center Health and Wellness program now sees up to 13,000 patients, which is more than double the 6,000 patients it used to see.

“Patients are getting sicker and their diseases are much more complex with a variety of different systems being involved, both psychologically as well as physically,” said Dr. Benjamin Luft, director of the WTC Wellness Program.

Through the work the SB WTC group has conducted, doctors and researchers have demonstrated that diseases and physical and cognitive challenges associated with aging have occurred more rapidly in the WTC population.

At the same time, COVID-19 has also exacerbated conditions related to exposure to the site, with over 20% of this population experiencing lingering symptoms due to the pandemic.

The WTC first responders have developed chronic sinusitis and a variety of gastrointestinal disorders, such as gastroesophageal reflux disease (or GERD).

While these diseases occur in the general population, “the chronicity is unique,” Luft added.

The SB WTC Wellness program will use the funds to hire additional staff with specialties in pulmonology and psychiatry, among other areas, Luft said.

The majority of the work occurs at the Wellness Center’s main facility and clinic in Commack. SB also runs a site in Mineola. The funds will help revamp the Mineola site as well.

The two sites will use updated technologies and will deploy emerging capabilities in telehealth and artificial intelligence to communicate, diagnose and monitor cases.

Federal funds have supported the effort for 18 years, as NIOSH has funded clinical services for WTC patients treated at Stony Brook.

Medical conditions for this population have included post-traumatic stress disorder and respiratory illnesses.

The funding more than doubles the $60 million, five-year award the WTC Wellness Program received in 2017 from NIOSH that had provided support until the end of March of this year. NIOSH had extended the grant for six months until the current funding started at the end of September, Luft said.

Patients have developed a range of cancers, as well as lung issues such as asthma and chronic obstructive pulmonary disorder.

Additionally, patients are struggling with a variety of mental processing challenges.

“We see a lot of patients who have a variety of cognitive and memory problems,” Luft said. 

Luft emphasized that many of the thousands of patients he treats have several health issues simultaneously. By using new technologies, these efforts will enhance the quality of life for people who were on site after the attack.

Luft added that the connection and support from NIOSH have helped support health care for this population.

“The various people at NIOSH are really involved in the program,” he said. “It’s been very satisfying.”

Stony Brook University faculty in public health, psychiatry, pulmonary care, cardiovascular care and neuroscience all take part in ongoing research related to the health issues of WTC responders.

Luft emphasized that the care first responders at the WTC receive tries to be “proactive” with an extensive effort to screen for various diseases, including cancer.

The research and treatment efforts for the WTC population extends to other health care initiatives for people exposed to carcinogens in wars or from other unintentional exposures.

The exposure from 911 is similar to those from burn pits, Camp Lejuene and other hazards.

“The toxins are similar,” Luft said.

 

 

Recently, 1,150 members of the LGBTQ+ community participated in including Micah Schneider, from Ronkonkoma, above. Photo rom Lisa Czulinski

In a first of its kind survey of 1,150 members of the LGBTQ+ community on Long Island, Stony Brook Medicine found that people in this group struggle with numerous health care challenges.

Stony Brook Medicine’s Dr. Alison Eliscu was the principal investigator of the study that 1,150 members of the LGBTQ+ community recently participated in. Photo from Stony Brook Medicine

Over two in five people responding to an online survey between June and September of 2021 said they were in fair to poor mental health. Additionally, about one in three people had thoughts of self harm, while 23.9% had seriously considered suicide within the past three years.

People in the LGBTQ+ community are struggling with mental health and access to care, while they also have had negative experiences with health care providers, who may have been making incorrect assumptions about their lives or who haven’t respected them, said Dr. Allison Eliscu, principal investigator of the study and medical director of the Adolescent LGBTQ+ Care Program at Stony Brook Medicine.

Partnering with 30 Long Island-based community leaders and community organizations, including Planned Parenthood, Stony Brook Medicine created the survey to gather the kinds of data that could inform better health care decisions, could provide a baseline for understanding the needs of the LGBTQ+ community in the area, and could shed light on the disparity in health care for this community.

“The idea [for the survey] came out when we were creating the Edie Windsor Healthcare Center” in Hampton Bays, Eliscu said, which opened its doors in 2021 and is the first such center for the LGBTQ+ population on Long Island. “We were trying to think about what we want [the center] to provide and what does the community need.”

Without local data, it was difficult to understand what residents of Long Island, specifically, might need.

The data suggests a disparity between the mental health of the LGBTQ+ community in the area and the overall health of the population in the country. 

Over half of the people who took the survey indicated that they had symptoms of chronic depression, compared with 30.3% for the nation, based on a 2020 PRC National Health Survey. Additionally, 23.9% of the LGBTQ+ community described a typical day as “extremely or very stressful” compared with 16.1% for the nation.

To be sure, the national data sampling occurred just prior to the start of the COVID-19 pandemic, in February of 2020, while the Stony Brook Medicine survey polled residents during the second year of COVID.

Nonetheless, Eliscu suggested that her anecdotal experience with her patients indicates that the LGBTQ+ community likely suffered even more during the pandemic, as some people lived at home with relatives who may not have been supportive or with whom they didn’t share their identity.

Additionally, the isolation removed some LGBTQ+ residents from an in-person support network.

Stony Brook Medicine has taken steps to provide specific services to residents who are LGBTQ+. People who are transitioning and have a cervix continue to need a pap smear.

Some members of the transgender community may not be comfortable going to a gynecologist’s office. Stony Brook Medicine has put in place extended hours to meet their needs.

Micah Schneider, a social worker who lives in Ronkonkoma, served as a survey participant and also as a guide for some of the wording in the survey.

Schneider, who identifies as nonbinary and transgender and prefers the pronoun “they,” said the survey can help people “recognize that we’re not alone.”

When Schneider was growing up, “I had a sense that I was the only person in the entire world dealing with this,” which included a struggle with identity and mental illness.

“We as a community have each other and we can lean on each other,” Schneider said.

As for medical providers, Schneider suggested that this kind of survey can alert these professionals to the need to honor names, pronouns and identities and not make blanket assumptions.

Despite some improvements, the local and national LGBTQ+ community remains at risk, Schneider said.

“There are any number of people who are actively considering suicide,” Schneider added. “It’s a very real crisis in our community.”

On a conference call announcing the results of the survey, Dr. Gregson Pigott, Suffolk County Commissioner of Health, described the survey, which Stony Brook plans to repeat in a couple of years, as “groundbreaking. What you have here is hard data based on the survey.”

Photo courtesy of Netflix

Join Stony Brook Medicine for a free screening of the Oscar-nominated film “Crip Camp: A Disability Revolution” followed by a panel discussion via Zoom or in person at Stony Brook University Hospital, Health Sciences Tower, Level 3, Lecture Hall 6, 101 Nicolls Road, Stony Brook on Thursday, Oct. 6 from 4 to 7:30 p.m.

WHAT:

In October, the U.S. Department of Labor increases awareness of National Disability Employment Awareness Month (NDEAM), which celebrates the contributions of America’s workers with disabilities past and present. To recognize NDEAM, Stony Brook Medicine is holding a free film screening and panel discussion of the Sundance Film Festival winning documentary “Crip Camp: A Disability Revolution.” The film shows how a summer camp experience in the 1970s shaped the disabilities rights movement. Led by Maria Hensley-Spera, LCSWR, Outpatient Child and Adolescent Psychiatry at Stony Brook Medicine, a paraplegic herself, the event promises to be an engaging, informative, and enlightening evening. Following the screening, the esteemed group of panelists will discuss the film and the lives of people with disabilities today. Participants can attend in person or virtually via zoom.

FILM DESCRIPTION:

In the early 70s, teenagers with disabilities faced a future shaped by isolation, discrimination and institutionalization. Camp Jened, a ramshackle camp “for the handicapped” (a term no longer used) in the Catskills, NY, exploded those confines. Jened was their freewheeling Utopia, a place where campers experienced liberation and full inclusion as human beings. Their bonds endured as many migrated West to Berkeley, California — a hotbed of activism where friends from Camp Jened realized that disruption, civil disobedience, and political participation could change the future for millions. And did.

MODERATOR:

  • Elizabeth Bojsza, MFA, Alda-certified facilitator at the Alan Alda Center for Communicating Science®, Assistant Professor of Practice & program head for the Advanced Graduate Certificate in Communicating Science at the School of Communication and Journalism, Stony Brook University

PANELISTS:

  • Judith E. Heumann, Lifelong advocate and leader of disability rights movement, teacher & author

  • Michelle Nario-Redmond, PhD, Author & Professor of Psychology & Biomedical Humanities, Hiram College

  • Jeanie Waters, Paralympian wheelchair sports athlete and civil rights attorney

  • Brooke Ellison, PhD, MPP, Science, healthcare policy & ethics expert, author & Associate Professor, Stony Brook University

  • Jacob Greene, BFA, Graphic Designer of socks for autism awareness & recent graduate of New York Institute of Technolog

    To learn more visit, https://www.stonybrookmedicine.edu/disabilitymovement.

    Register to attend in person here.

    Or join via zoom by registering at this link.