Bridges - February 20, 2020 by TBR News Media

BRIDGES A Resource Guide Featuring Many of the Healthcare Services Provided to the Community by Stony Brook Medicine

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PAGE S2 • SBU BRIDGES • FEBRUARY 20, 2020

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MASTER OF ARTS IN

Medical Humanities, Compassionate Care and Bioethics Not just for healthcare professionals, this program serves students from a wide range of disciplines and professional backgrounds, building on a commitment to medical humanism and ethics that has deﬁned education for Stony Brook students for more than three decades.

The 30-credit Master of Arts program can be completed in as little as one year. APPLICATION DEADLINE FOR FALL 2020 “It is through my Master of Arts in Medical Humanities, Compassionate Care and Bioethics that I was able to enrich my knowledge base to include an ethical, medical and legal approach to often challenging situations.” — Robyn McKeefrey, MA Program Graduate

U.S. Residents: July 1, 2020 International Students: April 1, 2020 For more information or to apply to the program, visit stonybrook.edu/bioethics/masters or email bioethics@stonybrookmedicine.edu

“ The MA program opened my eyes to new avenues to connect to our patients with respect and compassion. It inspired me to pilot a program for Arts in Medicine, which has made my staff more receptive to the nonmedical needs of their patients.”

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Stony Brook University/SUNY is an aﬃrmative action, equal opportunity educator and employer. 20011003

FEBRUARY 20, 2020 • SBU BRIDGES • PAGE S5

Bridges

Times Beacon Record News Media P.O. Box 707 Setauket, NY 11733 (631) 751-7744 desk@tbrnewsmedia.com www.tbrnewsmedia.com Publisher Leah S. Dunaief Advertising Director Kathryn Mandracchia General Manager Johness Kuisel Editorial Kyle Barr Rita Egan Heidi Sutton Art and Production Director Beth Heller Mason Art and Production Janet Fortuna Sharon Nicholson Lauren Vohrer Internet Strategy Director Rob Alfano Advertising Elizabeth Bongiorno Robin Lemkin Jackie Pickle Minnie Yancey

All articles provided by Stony Brook Medicine

Table of Contents

Celebrating 40 Years of The Best Ideas in Medicine .............................S6 Meeting Long Island’s growing healthcare needs Stony Brook Medicine expands access to care ..S10 It’s Open! Stony Brook Children’s Hospital.....S14 Innovative approaches for your care You’ve been told you need a cardiac cath. Now what? ..............................................................S18 Navigating an unexpected double diagnosis...S19 When your heart is out of its normal rhythm ...S20

From Kenneth Kaushansky, MD Celebrating 40 Years of The Best Ideas in Medicine Forty years ago, Stony Brook University Hospital opened its doors to the public. What was then a stand-alone hospital along Long Island’s rural North Shore has now become a multi-hospital system earning national accolades for the highquality care we provide. This edition of Bridges chronicles that journey, from the first day on Feb. 18, 1980, to today, with a look forward to the future as well. The past year was notable in many ways, as Stony Brook Eastern Long Island Hospital joined our growing hospital system, and we earned distinction as one of “America’s 100 Best Hospitals™” for 2019 and 2020 from Healthgrades, the first organization to rate hospitals based on clinical outcomes. Our orthopaedics program was named among the nation’s Top 50 for 2019 by U.S. News & World Report. We also have been named one of “America’s 100 Best Hospitals™” by Healthgrades for the past five years for coronary intervention and stroke care, and for the past six years for cardiac care. As Suffolk County’s first comprehensive stroke center, we launched two Mobile Stroke Units in 2019, working in conjunction with other hospitals and our local EMS partner agencies throughout the county. These clinical achievements occurred while

simultaneously completing the two biggest expansion projects in our 40-year history: the Medical and Research Translation building, which includes our new Stony Brook University Cancer Center, and the new Stony Brook Children’s Hospital. We opened a new 10-story Hospital Pavilion with 150 beds and all-private rooms, culminating a $423 million expansion. Stony Brook Medicine now encompasses four hospitals, a large multispecialty practice in Commack, and a burgeoning relationship with Mount Sinai for research collaboration, academic programs and clinical care initiatives. We have more than 230 outpatient care sites across Suffolk County, as more and more physician practices join the Stony Brook Medicine physician network. Next on the horizon, we expect our hospital system to continue to grow, as Stony Brook Medicine develops a clinically integrated network of care providers, including hospitals and physicians. In this era of increasing accountability, our goal is to continue to improve the quality of care we provide, and demonstrate the value we provide to patients and payors as Long Island’s premier academic medical center and teaching hospital for children and adults. Learn more at stonybrookmedicine.edu.

Kenneth Kaushansky, MD, Senior Vice President, Health Sciences, Stony Brook Medicine and Dean, Renaissance School of Medicine at Stony Brook University

From the publisher ... The Vietnam War was still in full fury when my husband was discharged and we left Sheppard Air Force base in Wichita Falls, Texas, where he had been the chief of ophthalmology for two years, and headed home. “Home” was a bit problematic. We had grown up in the New York area, where our families still lived. We wanted to settle close to them and had preferences. We wanted a university community for its academic, cultural and worldly aspects. We wanted a top medical community, a village with a sense of its own history and pride in its roots, and a good school district. We also wanted a beautiful place with great recreational activities, near the water. We found such a location and have lived here going on five decades. It has seldom disappointed, in part because of the presence of Stony Brook University. And even as we raised our family here and grew our careers, so did SBU grow in prestige Life with a VAD implant: A “bridge” to heart transplantation ..................S20 Life after a catastrophic tear of the aorta..........S21 CAR T-Cell therapy for blood cancers .............S22 Unique cancer program addresses needs of adolescents and young adults ........................S23 When Lyme disease affects the central nervous system..................................S24 Multiple sclerosis: The importance of early diagnosis ....................S24 Making positive strides to help those with substance use problems ..............................S25

and in what it offers the community. In fact, the scope of its activities is probably beyond any one person’s understanding. There is mutual benefit between town and gown. To help you, our readers, see what is available on campus and off, we have partnered with the university to bring you a comprehensive resource guide to their events. We also offer the faculty, administrators and university community an overview of the excellent shops and services in our villages that are available to them and to all our readers. So enormous is the story they have to tell that we divided the campus into two halves: east and west. This publication, timed to be distributed at the beginning of the second semester of the academic year, concentrates on the east campus, Stony Brook Medicine, and describes its many facilities, offerings and schedules, including lectures and Mobile Stroke Units: Lifesaving care before you even get to the hospital ....................S26 Get ready for your screen test: Colonoscopies ........................................................S26 Compassionate care for women’s special needs.. S27 The fourth trimester: A time to care for mom, too...........................................................S27 New services and support at Advanced Specialty Care of Commack ............S28 We’ve got your back: Stony Brook Orthopaedic Associates .......................................S29 Calendar of Events ....................................... S30, S31

Leah S. Dunaief Publisher, TBR News Media performances to which the public is enthusiastically invited during the year. This resource guide also presents the outstanding local business community on the university’s doorstep. Called Bridges, to symbolize the alliance of campus and community and to encourage further interaction between us, this resource guide is distributed in all seven of our hometown newspapers along the North Shore of Suffolk County and to faculty, students and administration throughout SBU. Please read about and take advantage of the many opportunities to enhance our lives by using these bridges, and think about our shared good fortune to live here.

PAGE S6 • SBU BRIDGES • FEBRUARY 20, 2020

Bridges

Celebrating 40 Years of The Best Ideas in Medicine

Stony Brook University Hospital is formally dedicated on May 24, 1980.

Construction of Stony Brook University Hospital and the Health Sciences tower (April 1976)

n Feb. 18, 1980, Stony Brook University Hospital first opened its doors and became the region’s first academic medical center. The hospital, together with the Health Sciences schools, were founded in response to a report commissioned in 1963 by then New York State Governor Nelson Rockefeller.

New beginnings Construction of the 504-bed hospital began in 1973 and was completed in June 1978 at a cost of approximately $150 million. The 325-foot, 19-story structure occupied nearly three-quarters of a million square feet. By 1980, after a year of mass recruitment of staff, the hospital employed 800 people. On Feb. 18, the first two patients were admitted to the hospital, and on May 24, Stony Brook University Hospital was formally dedicated at a ceremony overseen by then Dean Marvin Kuschner. After the hospital officially opened, many milestones were reached, and distinctions came quickly.

Setting the stage for healthcare excellence Stony Brook University Hospital was one of the few hospitals in New York State with a nursing staff that consisted entirely of registered nurses. Late in February 1981, the first kidney transplant was performed by Drs. Felix Rapaport and Wayne Waltzer — a first for Long Island — and the hospital was designated as the Long Island Regional Transplantation Center. The Neonatal Intensive Care Unit opened, the first in Suffolk

Bruce Schroffel, Director and CEO, Stony Brook University Hospital, and Norman Edelman, MD, Dean, School of Medicine, preview a model of the Major Modernization Project. Developed in 2001, the master plan called for significant expansion and renovation of the facilities at Stony Brook University Hospital. County, now part of the state-designated Regional Perinatal Center. Beds and units continued to open throughout the years. In 1984, the Burn Unit opened, and was subsequently designated as the regional center for burn care, now known as the Suffolk County Volunteer Firefighters Burn Center. In 1988, the hospital was named the regional AIDS treatment center — one of only two in the state at that time. The first Suffolk County Police helicopter touched down on the hospital’s helipad in 1989, the result of an agreement between the hospital and the police to provide helicopter transport of the critically ill or injured to the hospital from throughout Suffolk County. Shortly after, in 1990, the hospital was designated by New York State as a Level I Trauma Center. That same year, the hospital opened its Comprehensive Psychiatric Emergency Program (CPEP), which became another New York State-designated service. All of the hospital’s state designations are still in place today. The hospital’s role as a research center was strengthened with the announcement in 1982 of the discovery of the spirochete responsible for Lyme disease, by a team led by Jorge Benach, PhD. A decade before, Stony Brook University researcher Paul Lauterbur, PhD, created the first multi-dimensional image using nuclear magnetic

resonance (NMR). His 1971 discovery made it possible to get a clear look inside the human body without surgery or x-rays. Dr. Lauterbur would go on to receive the 2003 Nobel Prize in Physiology or Medicine. Other discoveries by Stony Brook researchers include ReoPro®, a medication recommended for cardiac angioplasty; Xiaflex® to treat Dupuytren’s disease, a debilitating hand disorder; Periostat®, which is widely used for periodontal disease; and 3D virtual colonoscopy. Throughout it all, one constant has remained, allowing Stony Brook University Hospital to achieve excellence, including recognition as one of America’s 100 Best Hospitals™ for 2019 and 2020, noted Carol A. Gomes, MS, FACHE, CPHQ, Chief Executive Officer and Chief Operating Officer, Stony Brook University Hospital. “Our greatest strength is our staff — the people who work here every single day, who give their all, give their hearts and with their expertise, provide that compassionate care that helps patients to heal,” she said. “If it weren’t for the healthcare professionals who are really the fabric of the organization, we wouldn’t have the clinical outcomes or the reputation that we’re known for, and we wouldn’t be a high-quality, patient safetyaward-winning organization.”

A master plan for expansion The hospital’s growth continued with the opening of additional units, expanded services and community outreach. By March 2001, it was time to develop plans for major modernization and expansion. The hospital’s Major Modernization Project called for a new Orthopaedics Unit; a new Heart Center; an expanded Emergency Department; construction of a freestanding Ambulatory Surgery Center; a new Women and Infants Center, including a renovated Neonatal Intensive Care Unit and Labor and Delivery suites; new operating rooms; construction of a freestanding Ambulatory Care Pavilion; and renovated and expanded cafeteria and lobby area. Construction, renovation and rebuilding progressed quickly. In 2002, the Ambulatory Surgery Center opened, followed by Phase I of the new Heart Center in 2004 and the Heart Center’s completion in 2005. And by 2008, Stony Brook employees, community members, and guests celebrated the unveiling of 154,000 square feet of new construction and 48,000 square feet of renovation — all part of Phase I of Stony Brook’s Major Modernization Project — commemorating a new era in medical services. Phase II included the completion of the Neonatal Intensive Care Unit (NICU) and Labor and Delivery Suite in 2011. The 46-bed NICU became the first in New York State to offer all-private rooms.

FEBRUARY 20, 2020 • SBU BRIDGES • PAGE S7

Bridges Transforming healthcare with a bold new vision In addition to renovating the facility, Stony Brook began the process of expanding within the community, developing relationships with Southampton Hospital and Eastern Long Island Hospital. The three hospitals have been working together since 2008 to expand healthcare and strengthen clinical services on the East End of Long Island. Since then, Stony Brook Medicine has welcomed both hospitals to the Stony Brook Medicine hospital system — Stony Brook Southampton Hospital in 2017 and Stony Brook Eastern Long Island Hospital in 2019. “I envision Stony Brook Medicine building a very strong clinically integrated network that provides the very best, compassionate care for our patients, at the cutting edge of all that modern medicine has to offer,” said Kenneth Kaushansky, MD, Senior Vice President, Health Sciences and Dean, Renaissance School of Medicine at Stony Brook University. “Each hospital brings unique strengths to this relationship, and we’ve been working together to bring advanced medical care closer to home for residents of Long Island.” Building on its strong foundation in pediatric services, Stony Brook Medicine opened Stony Brook Children’s Hospital in June 2010 — the first and only children’s hospital in Suffolk County — to provide children and adolescents with stateof-the-art technology and world-class specialty physicians, nurses and researchers close to home. The Stony Brook Medicine footprint continued to expand in March 2017 with the opening of a multispecialty center in Commack in response to the growing healthcare needs of the Long Island community. Called Advanced Specialty Care, the center offers 30 medical specialties, making Stony Brook Medicine more accessible to more people. In 2019, Stony Brook Medicine completed its largest expansion project with the opening of the Medical and Research Translation building and

Stony Brook University Hospital today

Stony Brook University Cancer Center and the 150-bed Hospital Pavilion, which included a new facility for Stony Brook Children’s Hospital. The state-of-the-art 240,000-square-foot Cancer Center will change the future of cancer care through revolutionary breakthroughs, medical discoveries and lifesaving treatments for patients with cancer. Within the 225,000-square-foot Hospital Pavilion, the new building for Stony Brook Children’s combines the best practices in modern pediatric medicine with a child- and family-first philosophy and continues to provide the “children’s hospital difference” by delivering specialized medicine for kids in a family-centered environment. With more than 180 pediatric physicians trained to treat every condition, the hospital is advancing pediatric care across Long Island through clinical In 1997, the Breast Care Center is rededicated and named the Carol M. Baldwin Breast Care care, medical research and education. Center in recognition of breast cancer survivor Carol Baldwin’s efforts to raise funds for Long Island’s premier academic cancer research. medical center After 40 years, Stony Brook Medicine has grown to become Long Island’s premier academic medical center. The 818-bed healthcare system provides advanced and compassionate care to Long Islanders, through its more than one million patient encounters each year. As the region’s only academic medical center, Stony Brook continues to play a major role in leading research and pioneering techniques. With a clinical reach from Montauk to Manhattan, Stony Brook Medicine now encompasses five Health Sciences schools, four hospitals, a strong physician network and more than 230 community-based healthcare settings throughout Suffolk County. “The future is bright for healthcare in Suffolk County because of our outstanding physicians, nurses and healthcare professionals,” said Dr. Kaushansky. “We will continue our bold vision to transform healthcare and create a clinically integrated network of healthcare providers to care for our patients now and well into the future.”

The Ambulatory Surgery Center, part of the Major Modernization Project, opens in 2002.

Stony Brook University Medical Center celebrates the opening of Phase I of its $300 million Major Modernization Project (September 2008).

Stony Brook University Hospital celebrates the delivery of its 100,000th baby as Luca Michael Picarella was born on Aug. 17, 2015, to parents Katie and Mike Picarella and big sister Gianna. The Picarella family is joined by Jeffrey Eric Solomon (far left), the first baby born at Stony Brook University Hospital in 1980.

Stony Brook Long Island Children’s Hospital opens in June 2010.

Stony Brook University welcomes Southampton Hospital, now known as Stony Brook Southampton Hospital, as a member of the Stony Brook Medicine hospital system in August 2017 and Stony Brook Eastern Long Island Hospital in July 2019.

PAGE S8 • SBU BRIDGES • FEBRUARY 20, 2020

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Bridges

Stony Brook Medicine expands access to care

Growth has been constant in the 40-year history of Stony Brook University Hospital, and it continues to this day. Now as Stony Brook Medicine, the healthcare system encompasses four hospitals, five health sciences schools, a large multispecialty practice in Commack and numerous community-based healthcare settings throughout Suffolk County.

Expanding Stony Brook’s footprint to the east More than 10 years ago, Stony Brook formed an alliance with hospitals on the East End of Long Island, including Southampton Hospital and Eastern Long Island Hospital, to facilitate new and strengthened services to East End residents. Since that time, the three hospitals have built on this successful collaboration, bringing many new programs to the East End. In 2017, Southampton Hospital, now known as Stony Brook Southampton Hospital, officially joined Stony Brook Medicine, expanding clinical services on the South Fork. Since joining Stony Brook Medicine, Stony Brook Southampton Hospital has grown to provide cardiac catheterizations in a newly constructed Cardiac Catheterization Laboratory, added a new Electrophysiology Lab and changed cancer care on the East End with advanced, comprehensive cancer treatments with the opening of The Phillips Family Cancer Center. Plans are underway for the construction of a new site for Stony Brook Southampton Hospital, which will be located on 15 acres of the Southampton campus of Stony Brook University. This new stateof-the-art facility will replace the existing Meeting House Lane hospital location, dating back to 1924. In July 2019, Eastern Long Island Hospital joined Stony Brook Medicine. Established as the first hospital in Suffolk County in 1905, the hospital, now called Stony Brook Eastern Long Island Hospital, is fully affiliated with Stony Brook University Hospital and Stony Brook Southampton Hospital, increasing patients’ access to specialty care. The three hospitals are actively working together to address healthcare gaps for East End residents, including such specialties as trauma, neurology, psychiatry, gynecology, pulmonology, hematology/oncology and orthopaedic services. As a result of the new relationship, Stony Brook Eastern Long Island Hospital now offers new surgical fellowship and psychiatric residency programs, and a telehealth neurology program gives residents of the North Fork and Shelter Island direct access to Stony Brook Medicine specialists. “The future of medicine on Long Island is evolving and advancing as we bring Stony Brook Medicine to both Stony Brook Southampton and

Stony Brook Eastern Long Island Hospital Stony Brook Eastern Long Island hospitals, with access to specialty care, research and technology that otherwise would not have been available,” said Kenneth Kaushansky, MD, Senior Vice President, Health Sciences and Dean, Renaissance School of Medicine at Stony Brook University. “That includes access to the latest clinical trials and cutting-edge medicine that Stony Brook provides. And in some cases, it means faster access to lifesaving services when time is critical, and patients need to be quickly transferred to a higher level of care.”

Reaching out in the community

Stony Brook Southampton Hospital

In response to the growing healthcare needs of Long Islanders, Stony Brook Medicine opened Advanced Specialty Care in 2017. Located in Commack, this multispecialty center offers more than 30 medical specialties and subspecialties, giving local residents greater access to expert Stony Brook physicians skilled in diagnosing and treating a wide range of medical conditions. Stony Brook Medicine has also expanded its own clinical practices and aligned with many existing community practices to offer many convenient locations. To date, there are 230 locations throughout Long Island, making the care provided by an integrated team of the brightest, most engaged minds in medicine more readily available to residents of Suffolk County, Long Island and beyond. And Long Islanders are responding, as Stony Brook Medicine physicians and healthcare professionals engage with patients more than one million times a year.

Advanced Specialty Care, Stony Brook Medicine’s multispeciality center in Commack

FEBRUARY 20, 2020 • SBU BRIDGES • PAGE S11

Bridges

Among the best in the nation The Medical and Research Translation (MART) building and Stony Brook University Cancer Center

Stony Brook completes its largest expansion projects In 2019, Stony Brook Medicine changed the future of cancer care with the opening of its eight-story Medical and Research Translation (MART) building on the Stony Brook Medicine campus. Stony Brook University Cancer Center is located in the MART, where researchers and clinicians have joined forces to build the most comprehensive, integrated and unified team with one singular purpose: to investigate, discover and drive innovations in cancer treatment. With expanded state-of-the-art space for patients and their families, the facility offers access to Stony Brook’s cancer experts in one convenient location, with space that respects the special needs of patients with cancer and their families. Located next to the MART and Cancer Center is the new Stony Brook Children’s Hospital within the 10-story, 150-bed Hospital Pavilion, also opened in 2019. Stony Brook Children’s combines the best practices in modern pediatric medicine with a child- and family-first philosophy and continues to provide the “children’s hospital difference” by delivering specialized medicine for kids in a family-centered environment. With more than 180 pediatric physicians trained to treat every condition, the hospital is advancing pediatric care across Long Island through clinical care, medical research and education.

Stony Brook Children’s Hospital, located within the 150-bed Hospital Pavilion

Extending Stony Brook’s range to Manhattan In 2016, Stony Brook Medicine and the Mount Sinai Health System entered into an affiliation agreement that includes collaboration on research, academic programs and clinical care initiatives. Revolutionizing medical research, this collaboration combines expertise from two premier medical schools: the Renaissance School of Medicine at Stony Brook University and the Icahn School of Medicine at Mount Sinai. Stony Brook and Mount Sinai are working together to develop a wide range of research programs in fields, including biomedical engineering and computer science; drug discovery and medicinal chemistry sciences;

neuroscience, neurology and psychiatry; basic biology and novel therapeutics; and public health and health systems. The partnership capitalizes on Stony Brook’s expertise in mathematics, high-performance computing, imaging, and the physical and chemical sciences, as well as Mount Sinai’s strengths in biomedical and clinical research, and health policy and outcomes. “We set out with a bold plan to create a network of healthcare providers throughout Long Island and beyond,” said Dr. Kaushansky. “As a result of our growth and expansion, our patients now have access to a clinically integrated network of physicians, hospitals, best practices and protocols, spanning from Montauk to Manhattan.”

Stony Brook University Hospital has been named one of America’s 100 Best Hospitals™ for 2020 by Healthgrades, the first organization in the country to rate hospital quality based on actual clinical outcomes. This is the second consecutive year that the hospital has earned this distinction. “It’s a rare achievement for a major academic medical center to be in the Top 100, or top 2 percent nationwide, in clinical outcomes due to the nature of the medically complex patients we treat,” said Kenneth Kaushansky, MD, Senior Vice President, Health Sciences and Dean, Renaissance School of Medicine at Stony Brook University. “It’s a true testament to our staff to achieve these outstanding outcomes while caring for patients at an extremely busy teaching hospital.” As one of America’s 100 Best Hospitals™, Stony Brook University Hospital is in the top 2 percent of hospitals nationwide. Stony Brook was also named one of America’s 100 Best Hospitals for cardiac care, coronary intervention and stroke care for 2020. This is the sixth consecutive year for the cardiac care award and the fifth consecutive year for the coronary intervention and stroke care awards. “These awards signify that we have sustained a high level of clinical performance for many years now,” said Carol A. Gomes, MS, FACHE, CPHQ, Chief Executive Officer and Chief Operating Officer for Stony Brook University Hospital. “For our patients, it means that they can trust Stony Brook University Hospital to provide high-quality inpatient hospital care, as demonstrated by actual patient outcomes.”

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PAGE S14 • SBU BRIDGES • FEBRUARY 20, 2020

Bridges

It’s Open!

Welcome to the new Stony Brook Children’s Hospital After much anticipation, the new Stony Brook Children’s Hospital opened its doors to patients in November 2019. The state-of-the-art hospital was built with support from the State of New York, many private donors and corporations, as well as schools, volunteers and community members. The opening of the new facility enables Stony Brook Children’s to take its mission and vision even further. While Stony Brook University Hospital has always offered children’s services, Stony Brook Children’s Hospital was launched in June 2010 to better serve the needs of the more than 400,000 children in Suffolk County. Over the years, it has expanded the number of pediatric specialists on the full-time faculty to over 180, created a Pediatric Emergency Department (which has more than 25,000 visits a year and is open 24/7) and opened a state-of-the-art, all private-room Neonatal Intensive Care Unit (NICU). The new facility houses a Pediatric Intensive Care Unit (PICU), an oncology program that will now be able to offer bone marrow transplants, a separate adolescent unit and medical surgical beds that support the hospital’s programs of regional importance, including Suffolk County’s only Pediatric Level I Trauma Center. In addition, the hospital has grown its outpatient footprint to 15 locations across the county.

The ribbon-cutting ceremony The completion of the new hospital was celebrated at a ribboncutting ceremony held on the Stony Brook Medicine campus in October. In attendance were leaders of Stony Brook University, along with many members of the Stony Brook faculty, New York State Senators Kenneth P. LaValle and John Flanagan, former Stony Brook Children’s patients with their families and Stony Brook Medicine staff members. “Today we celebrate Stony Brook Children’s Hospital, where our youngest patients benefit from world-class healthcare,” said Michael Bernstein, PhD, Interim President, Stony Brook University. “This beautiful new, state-of-the-art children’s hospital will expand Stony Brook’s capabilities to meet the growing healthcare needs of children and their families across Long Island.”

A celebration for the community On Nov. 2, the hospital held a community open house to introduce the new facility. Close to 1,100 community members attended the family-friendly event. Activities included tours of the new facility, performances by a local school choral group, a health and safety art show and a wide range of kid- and familyfriendly activities. Over 150 volunteers from Stony Brook Medicine and the community donated their time and energy to help make the event a success.

A beautiful environment designed to enhance healing The new hospital brings specialists, trained in more than 30 pediatric specialties, along with a large support staff, into a stateof-the-art environment designed to enhance the care they provide and promote better medical outcomes. All single-patient rooms,

On Nov. 17, 2019, Stony Brook Children’s new facility opened and patients were transferred to their brand new rooms.

with pull-out beds and chairs for family members, help to reduce infection transmission while providing comfort, convenience and privacy. In-room refrigerators and other amenities create a more home-like atmosphere. A live feed from the Long Island Aquarium in the lobby along with bright, colorful nautical décor on each floor reflects the hospital’s Long Island heritage. A nurses’ station is located outside every pair of patient rooms. Age-appropriate playrooms and classrooms and a dedicated lounge just for teens, all decorated in bright colors, support the emotional, educational and social needs of kids. A carefully landscaped rooftop garden, slated to open in the spring, will give patients a calm place to rest and relax.

Families are cared for too Supporting the needs of family members is a large part of the care Stony Brook Children’s provides. Parents and caregivers are encouraged to be actively engaged in their child’s medical treatment and in decision-making. In-room beds allow parents to stay with their child day and night. A convenient, Ronald McDonald Family Room, outfitted with laundry facilities, showers, computer stations, a wide-screen television, phone charging stations and a stocked pantry provide parents and caregivers with space in which to take needed breaks.

Child Life Program provides support and comfort To help children feel more comfortable and cared for throughout their hospitalization, Stony Brook Children’s has a

large team of Certified Child Life Specialists. These dedicated specialists, who are trained in child development and equipped to deal with the effects of hospitalization on children, provide an opportunity for children to engage in everyday childhood activities designed to help minimize anxiety, and they offer therapeutic, educational and recreational activities to meet the unique emotional and developmental needs of children during their hospital stays.

Big ideas for small patients “As part of an academic medical center, we are contributors to new knowledge enabled by the Stony Brook Children’s Hospital facilities and the resources of a world-class university,” said Margaret M. McGovern, MD, PhD, Knapp Chair in Pediatrics, Dean for Clinical Affairs at the Renaissance School of Medicine at Stony Brook University, and Physician-in-Chief for Stony Brook Children’s Hospital. “The national pediatrics community has laid out their research ambitions for the coming decades, and Stony Brook Children’s is well positioned to contribute to them — new immunizations and treatments for emerging infections, immunotherapy for pediatric cancers, using big data and genomics to predict and prevent disease, and reducing the number of children living in medical poverty through global health initiatives. “We pediatricians may take care of small people, but we think big,” Dr. McGovern said. “Thinking big is what got us here today, and it’s what we will continue to do.”

FEBRUARY 20, 2020 • SBU BRIDGES • PAGE S15

Bridges

The only children’s hospital on Long Island to have all-private rooms.

On Nov. 17, 2019, Stony Brook Children’s new facility opened and patients were transferred to their brand new rooms.

The Peter and Nancy Richard Family Foundation Lobby in the new Stony Brook Children’s Hospital.

The Ronald McDonald Family Room provides parents and caregivers with a place to rest and regroup right at the hospital.

PAGE S16 • SBU BRIDGES • FEBRUARY 20, 2020

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HELPING YOU NAVIGATE TO OPTIMAL HEALTH

David Dunaief, M.D. Integrative Medicine

• A Whole Body Approach • Reversing, Preventing & Treating Chronic Disease and Managing Weight by Connecting Conventional Medicine with Lifestyle Modifications Our Philosophy is simple. We believe wellness is derived through nutritional medicine and lifestyle interventions that prevent and treat chronic diseases. Medications have their place - and in some cases can be lifesaving. However, there’s no medication without side effects. The goal should be to limit the need for medications - or minimize the number of medications you take on a regular basis. You are not limited by your genes. Fortunately, most diseases are based primarily on epigenetics, which are environmental influences, and not on genetics. Epigenetics literally means above or around the gene. In epigenetics, lifestyle choices impact gene expression. Just because your first degree relatives may have had a disease, you are not predestined to follow suit. We are specialists who will partner with your primary care physician. A standard medical education does not integrate enough nutritional medicine and other lifestyle interventions. We bridge that gap.

We use evidence-based medicine to guide our decision-making. The amount of research related to nutrition and other lifestyle issues continues to grow rapidly, with many studies showing significant beneficial effects on health. We treat each patient as an individual. We will work with you to develop a plan that allows you to take a proactive role in managing your own health. The health outcomes are worth the effort. Is disease reversal possible? Absolutely! Study evidence has found this to be true, and many of our patients have experienced reversal of diabetes, autoimmune disorders, migraines, and cardiovascular disease, just to mention a few. In many cases, because of their exceptional results, our patients have been able to reduce or eliminate their medications.

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Dr. Dunaief builds a customized plan for each patient - he knows that “no body is the same.”

PAGE S18 • SBU BRIDGES • FEBRUARY 20, 2020

Bridges

You’ve been told you need a cardiac cath procedure. Now what? Hearing you may have heart disease and you need a cardiac catheterization can cause concern for both patient and family. What many people don’t know is that there have been truly transformative changes in the ﬁeld of cardiac catheterization — a procedure used to diagnosis or treat certain cardiovascular conditions — that have made it safer, more precise and even able to replace surgery in some cases. The key is to get the cardiac catheterization procedure that’s best for you and that allows for the optimal beneﬁts from the procedure. And that comes from choosing an outstanding interventional cardiologist at a hospital with high-quality outcomes.

What happens during a cardiac cath procedure? During cardiac catheterization, or, cardiac cath, doctors insert a ﬂexible, ultrathin tube (a catheter) into a blood vessel in your arm, groin or neck and guide it to the blood vessels in your heart. The technique is crucial to lifesaving procedures that range from unblocking an artery to supporting a heart that is too weak to pump well. The technique can also be diagnostic, to gain more information about the condition of the heart. The tests and treatments are non-surgical and typically done on an outpatient basis. You are awake but mildly sedated and usually go home the same day.

How to choose where to have your cardiac catheterization Stony Brook University Heart Institute’s expertise extends to all forms of catheterbased techniques used to detect, treat and prevent heart disorders, including providing the most clinically complex care to critically ill heart patients. When choosing where to have your cardiac catheterization, it is important to be at a place that has a full cardiothoracic team on-site in the event that you need a more complex, lifesaving intervention. Patients in need of further treatment or surgery have immediate access to our skilled Stony Brook Heart Institute specialists at both Stony Brook University Hospital and Stony Brook Southampton Hospital without losing valuable time. At the Heart Institute, our multidisciplinary team of experts use advanced technology to bring the safest and highest quality of care to each patient.

Scott Mandia at home after his cardiac catheterization procedure. Read more at heart.stonybrookmedicine.edu.

“Our cardiac catheterization labs handle the most complex cases on-site, so even patients with severely reduced heart function and those with multiple heart conditions can be treated right here, and made stable, without any transport time. There is no elective or emergency cardiac cath service that we do not offer.” – Robert Pyo, MD, Associate Professor of Medicine, Director of Interventional Cardiology and Director of the Stony Brook Cardiac Catheterization Laboratories

Lifesaving heart care — in the heart of Suffolk County Diagnosing and treating a blocked artery onsite, without delay and without having to ﬁrst transport the patient, minimizes the potential for damage to the heart. “Faster access to the highest standard of full-service cardiac care means the lab provides more immediate, potentially lifesaving diagnosis and treatment,” said Dr. Pyo. “For our patients who need emergency catheterization, we have an average ‘door-to-

balloon’ time (from arrival time until the blocked artery is opened) of 56 minutes, almost 35 minutes faster than treatment guidelines.” And, Stony Brook offers the full array of the latest interventional cardiology procedures, including devices that help stabilize the patient for further treatment and optimal outcomes. For more information, call (631) 44-HEART (444-3278), or visit heart.stonybrookmedicine.edu.

Stony Brook University Hospital has been named one of America’s 100 Best Hospitals for Coronary InterventionTM for ﬁve consecutive years and one of America’s 100 Best Hospitals for Cardiac CareTM for six consecutive years by Healthgrades, the ﬁrst organization in the country to rate hospital quality based on actual clinical outcomes. “This recognition, coupled with the Heart Institute’s recent back-to-back ratings from the Society of Thoracic Surgery and Hospital Compare, lets patients know that when you come to Stony Brook Heart Institute, you can depend on quality and expertise for every aspect of your cardiac care,” said Henry Tannous, MD, Chief, Cardiothoracic Surgery and Co-Director, Stony Brook University Heart Institute.

FEBRUARY 20, 2020 • SBU BRIDGES • PAGE S19

Bridges

Navigating an unexpected double diagnosis: Meet Marie Baffa

Surprises can be pleasant or unsettling. Marie and Robert Baffa experienced the second kind, when Marie received an unexpected double diagnosis of severe aortic stenosis and lung cancer. With help from Stony Brook Medicine, the Baffas navigated all the twists and turns of Marie’s journey back to health. Marie’s aortic valve, the valve separating the heart from the body’s main blood vessel, was deteriorating because of stenosis (narrowing). Her interventional cardiologist, Daniel Montellese, MD, examined Marie and referred her to cardiothoracic surgeon Henry Tannous, MD, Co-Director, Stony Brook University Heart Institute, and Chief, Cardiothoracic Surgery. Fortunately for Marie, Stony Brook Medicine was part of a study of the TAVR (transcatheter aortic valve replacement) procedure for low-risk patients. At the time of Marie’s procedure, this minimally invasive option was typically only used for patients who were considered high risk for traditional open-heart surgery because they are too ill to tolerate it. Marie and Robert found out that Stony Brook University Heart Institute, which has extensive experience performing TAVR, was one of only six facilities in the nation actively enrolling low-risk surgical patients as part of the “Low-Risk TAVR 2.0” trial. Next came news they weren’t expecting. A routine pre-operative scan showed something embedded in Marie’s right lung. Further investigation revealed it was a malignant carcinoid tumor, a type of lung cancer. “It was quite a surprise, and was upsetting,” Marie recalled. Robert agreed, “We were certainly taken aback by it. We had our faith and the strong support of our children, Claudia and Brett, and our grandchildren, Gabriela and Xavier, every step of the way.” At Stony Brook, Valve Clinic Coordinator Susan Callahan, NP, became their biggest advocate and helped the Baffas navigate Marie’s enrollment in the TAVR low-risk clinical trial and her two procedures.

Marie in her Reiki room

TAVR:

A lifesaving option for people with severe aortic stenosis

Marie, Robert and their dog Puzzle

Dr. Montellese, Dr. Puja Parikh and Dr. Tannous (“our dream team,” Robert and Marie call them) performed Marie’s TAVR surgery together. One day later, she was discharged home. Another day after that, “We were walking on the beach and feeling exhilarated,” Robert said. “It is a miracle procedure.” Six weeks later, with Marie’s new aortic valve in place, it was time to tackle the lung cancer. Dr. Tannous performed a video-assisted thorascopic surgery lobectomy, removing 40 percent of Marie’s right lung. The surgery went well, with biopsied lymph nodes coming back negative. “The combination of Marie’s aortic valve replacement, plus the unanticipated lung cancer diagnosis, was very overwhelming for her at first, but she pushed through her ordeal,” Dr. Tannous said. “She had a speedy recovery and is now heart-healthy and cancer-free.” “Because we are an academic medical center, Stony Brook Medicine can enroll patients in the newest clinical trials,” he continued. “This allowed Marie to be part of a study of TAVR for low-risk patients. It was the right surgical option for her.” Today Marie is recovering well. “I feel very lucky and very blessed,” she said. She and Robert are back to walking on the beach near their Port Jefferson home. “The beach is our daily routine forever,” said Robert — the couple met on Sand Street beach in Stony Brook when they were teenagers. Their

dog, Puzzle, likes to join them in enjoying the salt air and seaside breezes. During Marie’s medical challenges, she and Robert prepared themselves for what they had to face. Marie is a Reiki healing practitioner, so she turned to Reiki and acupuncture for physical and emotional healing before the surgeries. And they say being able to talk comfortably with Dr. Tannous gave them confidence to go ahead with Marie’s treatment. “We were impressed by his incredibly gentle manner and his patience,” Robert said. “I had 50 questions, and then 50 questions beyond that, and he sat and explained everything.” Marie said, “He’s a wonderful, wonderful surgeon. He’s such a kind man, and anything he can do to make whatever you’re going through a bit easier, he really thinks about that. I’m glad I know him.” They also were pleased with Stony Brook University Hospital. “We could not have made a better choice,” Robert said. “The staffing is exceptional. The Stony Brook Cardiothoracic ICU should be the model for every hospital everywhere.” He said the nurses who took care of Marie after her surgeries were “compassionate, attentive, just right on the money.” The Baffas have some advice for anyone who finds out they have a serious medical condition. “Start with a positive mindset,” they said. “Then never, ever give up. Life can and will return to normal.”

Transcatheter aortic valve replacement (TAVR) is a minimally invasive treatment for people with severe aortic stenosis (narrowing); it is now FDA-approved for those of all surgical risk categories: low-, moderate- and high-risk. TAVR is used to replace the aortic valve but does not require removing the damaged valve, which eliminates the need for invasive open-heart surgery. Side effects are minimized, and the procedure is safe for those who are at high risk of complications from surgery. For many, TAVR offers a lifesaving option, where none existed for them before. Stony Brook Heart Institute was among the first in the country to advance TAVR and offer it to low-risk patients, benefiting the lives of hundreds of cardiac patients in Suffolk County. For information and appointments at Stony Brook Heart Institute, call (631) 44-HEART (444-3278).

Video-Assisted Lobectomy: For treatment of early-stage lung cancer Stony Brook University Cancer Center thoracic surgeons offer video-assisted lobectomy — a type of minimally invasive thoracic surgery — as a less-invasive surgical approach for select patients in the treatment of early-stage lung cancer. This video-assisted thoracic surgery (VATS) technique reduces a patient’s hospital stay with less pain and a more rapid recovery compared to the traditional open-chest approach. Stony Brook is one of the few centers in the region with significant experience in video-assisted lobectomy. For information and appointments at Stony Brook Cancer Center, call (631) SB-CANCER (722-2623).

PAGE S20 • SBU BRIDGES • FEBRUARY 20, 2020

Bridges

When your heart is out of its normal rhythm “Simply put, our patients have access to the best and latest clinical advances available to treat heart rhythm disorders today.” – Eric J. Rashba, MD, MHCM, FACC, FHRS, Director, Heart Rhythm Center at Stony Brook University Heart Institute and Professor of Medicine, Renaissance School of Medicine at Stony Brook University

Eric J. Rashba, MD, Director, Heart Rhythm Center

Sometimes people with an irregular heartbeat or atrial fibrillation (AFib) have no symptoms at all and others may feel like their heart is racing or fluttering, even when at rest. For those with a healthy heart, this could be an isolated event. But sometimes these symptoms can be caused by an arrhythmia or heart rhythm disorder — a common but serious and treatable cardiac condition. AFib usually involves a rapid heart rate, where the upper heart chambers (atria) are stimulated to contract in a disorganized and abnormal manner. Persistent AFib can significantly weaken the heart and cause heart failure. And, even if you have no symptoms, AFib puts you at a significant risk for stroke. That’s why it is important to be diagnosed and treated as early as possible. Typical symptoms include a sensation of the heart racing, fluttering or “thumping” in the chest (often described as a fish flopping),

but some patients have more subtle symptoms such as shortness of breath, general fatigue or dizziness. While fluttering and palpitations are key symptoms of AFib, many heart problems, including heart attack, have similar warning signs. If you are experiencing symptoms, it is important to not delay. Get emergency help immediately by calling 9-1-1. For the five million people living with AFib in the U.S. today, the good news is that there are several options for medical management, including several types of blood thinners to prevent stroke and medications that prevent AFib. However, these medications do not work for everyone and can have side effects. “For people who have AFib that is not well controlled by medications,” Dr. Rashba explained that at the Heart Rhythm Center, “We offer a full array of innovative approaches to treatment that offer superior outcomes and a positive patient experience.” Here are a few examples of the latest breakthroughs in heart rhythm solutions: • To reduce stroke risk in people who have AFib and cannot tolerate blood thinners, we offer a lifelong solution, called WatchmanTM, for people who have AFib that’s not caused by a heart valve problem. • For people with symptomatic slow heart rhythms (bradycardia), our heart rhythm team

uses HIS bundle pacing to preserve the normal electrical activation of the heart and MicraTM, which is 93 percent smaller than traditional pacemakers. • For people needing ablation treatment for AFib, we deliver it with minimal or no fluoroscopy (radiation from x-rays). This important advance nearly eliminates radiation exposure to the patient, with the same excellent results as conventional ablation.

At the forefront of heart rhythm treatment At the Stony Brook Heart Rhythm Center, the physicians are constantly working to improve the outcomes and quality of life for patients with AFib. Research is also directed at better understanding the underlying causes to better target treatment. The Heart Rhythm Center includes a team of board-certified electrophysiologists, who are cardiologists specializing in the electrical activity of the heart. They are joined by nurse practitioners, physician assistants and a patient coordinator who are there for you from initial consultation to, for those who need it, long-term cardiac device monitoring and follow-up. Procedures are performed in advanced electrophysiology (EP) suites at both Stony Brook University Hospital and Stony Brook Southampton Hospital.

For more information, call the Heart Institute at (631) 44-HEART (444-3278). And do something good for your own heart health today by taking a free heart health risk assessment test at heart.stonybrookmedicine.edu/hearthealthy.

Life with a VAD implant: A “bridge” to heart transplantation him to become eligible to receive a heart transplantation,” said Dr. McLarty. “The implanted VAD took over the pumping work of the heart, allowing Joseph to become stronger and physically better prepared to undergo heart transplant surgery.”

Joseph was diagnosed with severe heart failure after two heart attacks. At the same time, he discovered he had type 2 diabetes. As a corporate chef who’s been in the food industry for 40 years, Joseph Cerqueira knows how to manage what he calls “organized chaos” in the kitchen. But when his health condition became chaotic, Joseph turned to Stony Brook University Heart Institute for help. Joseph’s incredibly active life had turned into constant fatigue and he often had to sit down and rest at work. “Then it started to become harder to go up the stairs. It became more difficult, and harder to breathe,” Joseph said. The advanced heart specialists at Stony Brook’s Heart Failure and Cardiomyopathy Center optimized Joseph’s medications and explained his options. “In one day, I got a bunch of news I didn’t want to get,” Joseph recalls. “But Stony Brook fixed me up.”

A lifesaving intervention Allison McLarty, MD, Surgical Director of the Heart Institute’s VAD Program, performed surgery on Joseph to implant a ventricular assist device (VAD) in early 2017. The pump took over for his failing heart until he received a heart transplant on his 58th birthday

Back to work as Executive Chef

Joseph back to work as Executive Chef at Terrace on the Park

— May 15 of 2018. “For Joseph’s treatment of advanced heart failure, the VAD served as a ‘bridge to transplant’ — a lifesaving intervention that allowed

Today Joseph is back to work as Executive Chef at the catering facility Terrace On The Park, located in Queens. He supervises four kitchens that supply meals for 11 catering rooms plus a penthouse. It’s a hectic life, but he loves it. His active schedule is a long way from the fatigue he experienced before the VAD implant. “Now my quality of life is perfect. I still get tired and I know my limitations, but besides that I do whatever has to be done.” Joseph is “extremely pleased” with the care he received from his surgeon Dr. McLarty; his cardiologist, Hal Skopicki, MD, PhD; and all the Stony Brook Medicine personnel he has encountered. “What can I say — they were more like friends or family,” he said. For more information or for an appointment with a heart failure specialist, call (631) 44-HEART (444-3278).

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Life after a catastrophic tear of the aorta John Tanzi survived one of the most serious heart conditions a person can have — a catastrophic tear of his aorta. He credits his recovery to the expertise of Stony Brook Medicine’s Aortic Center, where he became the first person on Long Island to receive a new stent graft device that had just been approved for the treatment of aortic dissections. The aorta is the main artery carrying oxygenated blood from the heart through the chest and abdomen. When it tears, the situation is a medical emergency. Stony Brook’s Aortic Center, led by Apostolos Tassiopoulos, MD, Thomas Bilfinger, MD, and Shang Loh, MD, is Suffolk County’s only facility that offers diagnosis and treatment for all aortic diseases.

Rapid diagnosis and treatment John was walking downstairs at his home one morning in Patchogue when he stumbled and his right leg went numb. He thought he was having a heart attack. His wife, Angela, rushed him to Long Island Community Hospital, near their home. “They told my wife right away, ‘We have to get him to Stony Brook if he’s going to make it,’” John recalled.

Stony Brook dispatched an ambulance for John and brought him to Stony Brook University Hospital under a “Code Aorta” protocol that quickly puts the right team of medical experts in place for a rapid diagnosis and treatment. Doctors determined he suffered a tear in his aorta, the largest artery and the one that carries oxygenated blood to the rest of the body. The tear was diverting some blood from the channel where it should flow to an area between layers of the wall of the aorta — creating a “false channel” where it shouldn’t flow.

Emergency repair of John’s ascending aorta Henry Tannous, MD, Chief of the Division of Cardiothoracic Surgery and Co-Director of the Stony Brook University Heart Institute, and Dr. Loh, Vascular Surgery Program Director and Associate Director of the Aortic Center, teamed up for the emergency repair of John’s ascending aorta — the part of the aorta that immediately exits the heart and carries blood to the brain and arms — while keeping blood flow to the rest of his body. “Basically, his aorta had split in half, and that’s a dangerous situation,” Dr. Tannous said. “When the first part of the aorta (exiting the heart) tears, the patient has a high risk of dying within hours.” John recalls now that when he woke up in the hospital, a week after being brought there with an aorta dissection, he met Dr. Tannous and Dr. Loh for the first time. “They’re both good guys,” he said. “They’re very intelligent men and they know their jobs.” After the surgery, “everyone monitored me very carefully.” The surgery was performed in one of Stony Brook’s hybrid operating rooms. These rooms, twice the size of a traditional operating room, have the usual surgical equipment plus sophisticated, real-time imaging systems mounted on a robotic

arm for precise guidance, allowing Stony Brook surgeons to perform complex procedures with greater safety and accuracy.

Preventing future risk There would be more surgery to come. A followup CT scan revealed that parts of John’s aorta in the chest and abdomen would put him at future risk for life-threatening complications because of the extent of the dissection, the shape of the tear and the size of his aorta. In preparation for the surgery to stabilize and heal John’s aorta, Dr. Loh performed a type of bypass procedure, called a carotid-subclavian bypass, routing blood from one of the neck arteries to the left arm.

A new stent-graft system for aortic dissections John’s aortic dissection coincided with the release of a new stent-graft system designed specifically for aortic dissections. For the first time, using this stent, surgeons now can treat the entire aorta after a dissection instead of just the upper portion as they did previously. “Before this device was approved, we only had stent-grafts that were originally designed to treat aneurysms — blood-filled bulges that result from weakening in a blood vessel’s wall,” said Dr. Loh. “We co-opted those stents into treatment for dissection, but the treatment was not ideal because we couldn’t treat the lower portions of the aorta due to the numerous branch vessels present.” With the new device, the stent can be extended all the way down into areas that previously couldn’t be treated. “Now we’re able to more completely treat the entire aorta after a dissection,” Dr. Loh said. “This allows us to prevent post-dissection complications, which include stroke, paralysis, aneurysm and even death.”

John with his grandson, Anthony

Dr. Loh extended the stent to the point of John’s aorta where it splits to each leg. After the surgery, John was discharged home in a few days, where the open surgical repair would have kept him in the hospital for two to three weeks.

Recovering well and looking forward Today John is recovering well. He has some back and shoulder pain, and walks with a cane, but he is steadily improving every day. He is looking forward to more good times with his family, including his daughter, Valerie, and his 3-year-old grandson, Anthony. At age 61, John’s got a lot to look forward to. John said he is grateful to his Stony Brook team. “I really have to compliment Stony Brook,” he said. “It’s like they gave me a reboot or reset. They got me going, and I feel pretty good — everybody did a wonderful job.”

John Tanzi and his wife, Angela

What makes the Stony Brook Aortic Center different? The Aortic Center consists of a team of specialists from cardiac imaging, cardiovascular medicine, anesthesiology, cardiothoracic surgery and vascular surgery. “We collaborate with each other, and with the patient’s referring physician, to find the most focused and cutting-edge solution to a patient’s aortic disease,” said Apostolos Tassiopoulos, MD, Chief, Vascular Surgery; Director, Stony Brook Vascular Center and Co-Director, Stony Brook Aortic Center. “And patients don’t have to travel far to receive advanced detection and treatment — the Stony Brook Aortic Center is Suffolk County’s only facility offering patients

comprehensive and coordinated care for the full range of aortic conditions.” For appointments with the Stony Brook Aortic Center, call (631) 638-1670. Henry Tannous, MD, Co-Director, Stony Brook University Heart Institute and Chief, Cardiothoracic Surgery; Apostolos Tassiopoulos, MD, Chief, Vascular Surgery, Director, Stony Brook Vascular Center and Co-Director, Stony Brook Aortic Center; Shang Loh, MD, Co-Director, Stony Brook Aortic Center; and Thomas Bilfinger, MD, ScD, Director, Thoracic Surgery and Co-Director, Stony Brook Aortic Center

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CAR T-Cell therapy for blood cancers Advances in cancer treatment mean there are more cancer survivors today than ever before. But challenges remain. Cancer cells are clever. Some learn how to evade the patient’s immune system and administered treatments, only to compromise the human body and ultimately become resistant to every approach. Blood cancers, such as leukemia or lymphoma, are complex cancers to treat. There are many subtypes of blood cancers, and each requires its own specific treatment approach. At Stony Brook University Cancer Center, specialists will be using a treatment called CAR T-cell therapy to treat certain blood cancers. The first clinical therapy to be initiated at the Cancer Center using CAR T cells will target T-cell cancers that don’t respond to standard therapies. “CAR T-cell therapy is a type of cellular immunotherapy that enhances the patient’s own immune system to fight cancer by genetically modifying a patient’s own T cells,” said Huda Salman, MD, Director, Hematologic Malignancies Section, and Director, CAR T Cellular Therapy Program. T cells, or white blood cells, play a major role in fighting cancers. CAR stands for chimeric antigen receptors, and they are proteins that are added to a person’s T cells to allow them to specifically target and kill the cancer cells.

How CAR T-cell therapy works “During CAR T-cell therapy, we harvest a patient’s own T cells and genetically modify them in the laboratory,” said Dr. Salman. “We then introduce the CAR transgene into the T cells. This results in more potent and more cancer-specific T cells.” From there, the next steps are: • The modified CAR T cells are grown in the lab until there is an adequate amount. • The modified cells are then given back to the patient via intravenous (IV) infusion. • The modified T cells learn how to recognize a specific target, or antigen, that is found on the patient’s cancer cells.

• T cells continue to multiply in the patient’s body as they work to recognize and kill cancer cells. Because the cells stay in a person’s body and continue to seek and destroy new cancer cells that may try to take hold, the benefits of CAR T-cell therapy can last for many years and are often referred to as “live therapy.” CAR T-cell therapy is given as either a one-time infusion or multiple infusions. For some patients, the therapy may qualify them to receive additional treatment, such as a stem cell transplant, if needed.

The benefits of CAR T-cell therapy at Stony Brook Cancer Center Stony Brook’s CAR T-cell therapy program is unique, because the team will be the first to use CAR T cells directed against the target protein CD4 (CD4 CAR). “We received Food and Drug Administration (FDA) clearance for an Investigational New Drug (IND) for the treatment of patients with T-cell acute lymphoblastic leukemia and T-cell lymphoma. Both are difficultto-cure cancers,” said Dr. Salman. “We are excited to be able to offer this first-in-human therapy to our patients.” Long Islanders who qualify for the trial will be able to access Stony Brook’s innovative program close to home where the Cancer Center’s team can collaborate with other Stony Brook Medicine doctors in a multidisciplinary approach across the entire spectrum of care. This allows Stony Brook physicians to take care of other coexisting conditions, any new unexpected illnesses, as well as treatment complications — all in the same location. Stony Brook Cancer Center scientists are working on developing several other CARs directed toward other major blood cancers, such as myeloid leukemia and multiple myeloma. “My team and I are thrilled to be part of Stony Brook Cancer Center,” Dr. Salman said, “where we can work together to improve cancer care for Long Islanders.” To make an appointment at Stony Brook Cancer Center, call (631) SB-CANCER (722-2623). For more information about the CD4 CAR T-cell clinical trial, call (631) SB-TRIAL (728-7425).

Huda Salman, MD, Director, Hematologic Malignancies Section and Director, CAR T Cellular Therapy Program

Why clinical trials are important Clinical trials provide access to new treatments, with results that can advance new information and new understanding about improvements in cancer prevention and treatment. This leads to more effective therapies and results for adults and children. Stony Brook University Cancer Center, located in the Medical and Research Translation building, has three floors dedicated entirely to basic science research. This facility provides a

unique environment in this region, one that is ideal for closer interactions and collaborations among Stony Brook Medicine scientists and doctors who have dedicated their careers to focus on important cancer problems. Bench-to-bedside research, sometimes referred to as translational research, connects basic science investigation with real-world application through clinical trials. The Cancer Center continues its wellestablished and robust Clinical Trials Program

with more than 100 clinical trials available for patients. The program allows scientists and doctors to develop unique clinical trials, offered only at Stony Brook Cancer Center. Patients greatly benefit from the opportunity to take advantage of these additional treatment options, which are on the forefront of cancer research and medicine. To learn more about the Clinical Trials Program, call (631) SB-TRIAL (728-7425).

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Unique cancer program addresses the needs of adolescents and young adults Stony Brook University Cancer Center has created a specialized Adolescent and Young Adult (AYA) Oncology Program to address the age-speciﬁc medical, psychological and social needs of patients who are teenagers and young adults in their 20s and 30s. The program, the only one of its kind in Suffolk County, combines the expertise of pediatric and adult cancer specialists to provide optimal treatments along with a wide range of support services, follow-up programs and access to clinical trials. Co-leaders of the program are Laura Hogan, MD, Chief, Division of Pediatric Hematology/Oncology, and Huda Salman, MD, Director, Hematologic Malignancies Section, and Director, CAR T Cellular Therapy Program,

who collaborate with specialists at Stony Brook Children’s Hospital on care specifically tailored to patients in this age group. Both Drs. Hogan and Salman are themselves survivors of pediatric cancers, so they have firsthand experience in the issues facing these individuals. Other team members who have expertise treating adolescents and young adults, and provide specific services, include oncologists, psychologists, psychiatrists, social workers, nutritionists and fertility specialists. This type of program is needed because a specific type of cancer can have differences that vary with age, and that therefore require different treatment regimens. For example, leukemia in adolescents and young adults can be very different than leukemia in younger or older patients. While the disease may initially look the same, there could be genetic

variations within the cancer cells or adverse treatment reactions that put AYA patients at higher risk.

Different focus, different solutions Adolescents and young adults often have personal characteristics and needs that are different from other age groups. Some of them may still be dependent on their parents for decision-making and ﬁnancial support, including health insurance, while others may be independent to varying degrees. They may or may not have started families of their own. In general, however: • Adolescents and young adults are more likely to delay seeking care, so their diagnosis is often made when the cancer is more advanced. • Teenagers and young adults have unique psychological, social, medical and resource needs, such as fertility concerns, survivorship questions, palliative care issues, education or vocational resources, and lack of insurance. • This age group may receive inconsistent treatment and follow-up care due to personal priorities or ﬁnancial concerns. • Adolescents and young adults with cancer are less likely to enroll in clinical trials, so they may miss out on opportunities for promising new treatments.

Comprehensive support services for children with cancer In addition to the specialized medical expertise Stony Brook University Cancer Center’s Pediatric Hematology/Oncology program provides, there are also comprehensive support services that patients and their families have easy access to, close to home. Two highlights of these services are:

Child Life Program The Child Life Program can help

reduce the stress that pediatric patients

and their families may experience when faced with illness, medical procedures and unfamiliar surroundings. The program offers an opportunity for children to engage in everyday childhood activities to help minimize anxiety. The program provides therapeutic, educational and recreational activities to meet the unique emotional and developmental needs of children during their Cancer Center visits and inpatient stays.

School Re-Entry and Intervention Program for children with cancer and chronic blood disorders

For more information or to schedule an appointment, call (631) 444-7720 or visit cancer.stonybrookmedicine.edu.

The School Re-Entry and Intervention Team leads a collaborative effort to facilitate educational services for children with cancer and chronic blood disorders during and after illness. The interdisciplinary team provides faculty and classroom presentations to address the medical, psychosocial and educational needs of the student-patient. The program works with all schools in Suffolk and Nassau counties to return children to school in the most productive setting possible. The goal is to provide open communication between hospital, school and family, and remove any obstacles that may impede a smooth transition.

A new program at Stony Brook University Cancer Center addresses age-specific concerns for teenagers and young adults with cancer.

For more information about the pediatric oncology program and support services, please call (631) 444-7720.

This important clinical program was created with the help of two $50,000 Infrastructure Support Grants awarded in 2018 and 2019 by the St. Baldrick’s Foundation.

PAGE S24 • SBU BRIDGES • FEBRUARY 20, 2020

Bridges When Lyme disease affects the central nervous system Hearing the words “You have Lyme disease” or “You have MS (multiple sclerosis)” can be quite unsettling. And to complicate matters, when Lyme disease affects the central nervous system — about 15 percent of the time — the symptoms can be very similar to MS, an immune-mediated central nervous system disorder that results from abnormal activity of the body’s immune system. In fact, as an infection, neurologic Lyme disease can trigger MS attacks. Many doctors are generalists and not specially trained to diagnose either disease. This is why being seen by a neurologist specially trained to know the differences is key. “Neurological symptoms, some of which are common to MS, can develop days to weeks to months after the Lyme agents enter into the skin at the tick bite site — where the bull’s eye rash appears,” said Olga Syritsyna, MD, a neurologist at the Stony Brook Multiple Sclerosis Adult

Comprehensive Care Center with subspecialty training in neurologic Lyme disease and MS. Symptoms suggestive of neurologic Lyme disease are a headache and stiff neck. Other symptoms may include facial nerve palsy (Bell’s palsy), blurred or double vision, spine pain, confusion and fatigue. One’s thinking, memory and ability to process information may also be affected. What can Dr. Syritsyna and her team at Stony Brook do to address these symptoms? “Stony Brook has extensive experience in evaluating patients who may have been exposed to the borrelia burgdorferi bacteria that is carried by ticks and can affect the central nervous system,” Dr. Syritsyna said. “We do frequent lumbar punctures (spinal taps) and perform a variety of tests on cerebrospinal fluid.” It’s important to note that the majority of people who develop neurologic Lyme disease

become ill during the summer months. The blacklegged ticks that cause Lyme disease live in moist and humid environments, in and near wooded or grassy areas. To decrease your risk of getting Lyme disease, a few simple precautions can help: • • • •

Cover up. Use insect repellents. Do your best to tick-proof your yard. Check yourself, your children and your pets for ticks. • Don’t assume you’re immune. • Remove a tick as soon as possible with tweezers. For more information, visit neuro.stonybrookmedicine.edu/centers/ adult-ms.

Olga Syritsyna, MD

Multiple sclerosis:

The importance of early diagnosis and long-term planning Multiple sclerosis (MS) is an acquired neurologic disease that affects the central nervous system (brain, spinal cord, optic nerve). No one knows exactly what causes MS, but it’s believed that the body’s immune system attacks the central nervous system. In MS, this process destroys myelin (the fatty substance that coats and protects nerve fibers) and injures the nerve fibers as well.

Who’s at risk? Ninety percent of people who are diagnosed with MS develop it between the ages of 15 and 50, but it can occasionally strike those both younger and older. MS is more common in women (at least 70 to 75 percent of patients with MS). The most common type is called relapsing MS, and symptoms include attacks of decreased vision in one eye, pins and needles from the waist down, or double vision noted consistently over several days to weeks before improving. The more uncommon, progressive form of MS tends to occur in men as often as in women in their

late 30s and early 40s. It often impacts the ability to walk and develops gradually over months to years without recovery. Vitamin D deficiency, smoking and having had mononucleosis all can increase one’s risk of MS.

MS diagnosis and treatment at Stony Brook Patricia K. Coyle, MD, Director of the Stony Brook MS Adult Comprehensive Care Center, and her team have been seeing patients from all parts of Long Island, the nation and around the world since 1990. Their vast experience has shown that the best long-term outcomes for MS occur when treatment is started early. “We now know that ongoing accumulating permanent damage in untreated patients with MS occurs even when there are no symptoms,” said Dr. Coyle. “This makes early diagnosis and a long-term plan to manage the disease essential.” At Stony Brook Medicine, treatment of MS occurs on many levels: disease-modifying therapies, symptom management, treatment of acute attacks, ongoing health evaluations,

lifestyle modifications and more. The center offers all approved therapies, including infusions, oral therapies and injectable therapies. Infusion therapy is offered when a patient’s condition can’t be effectively treated by medications taken by mouth (orally). An infusion of a drug is typically administered intravenously (into the veins). Stony Brook patients also have access to many ongoing clinical research trials for MS — a number of which have been developed right at Stony Brook and can be viewed at bit.ly/MSclinicaltrials. Patients also receive rehabilitation, psychological support and referrals as needed. This individualized, coordinated, best-practice approach to comprehensive care ensures that all assessments, evaluations, diagnostic and follow-up testing, recommendations, education and treatment are tailored to meet your specific needs. For more information, visit neuro.stonybrookmedicine.edu/centers/ adult-ms. Patricia K. Coyle, MD, Director, Stony Brook MS Comprehensive Care Center

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Making positive strides to help those with substance use problems In Suffolk County, we have a high rate of opioid and other substance use problems and the highest number of opioid overdose fatalities of any county in New York State. Our county’s first responders have done an admirable job of starting to bend the curve back down, but it doesn’t address the root of the problem in the same way that prevention and treatment can. As Suffolk County’s only academic medical center, Stony Brook Medicine is using its clinical, research and educational expertise to help lead the change we all want to see. Some of the ways Stony Brook is effecting positive change include:

SBIRT: Conversation starters that can lead to better health Patients who come into the hospital are often guarded about their personal habits, and broaching the topic of substance use has historically been difficult for both physicians and patients. Everyone has their own personal biases, and no one wants to be judged. Yet having those conversations can signal the beginning of a conversation about health and wellness. To address this, Stony Brook launched a Screening, Brief Intervention and Referral to Treatment (SBIRT) program in 2016 as a routine part of ER visits, physicals and well visits for patients entering those settings. SBIRT is an approach to population health that helps physicians start a conversation with a patient in such a way that they can objectively assess a patient’s habits. It also helps clinicians educate patients about how alcohol or drug use may be impacting their overall well-being and helps ensure that patients with substance use difficulties are connected to the appropriate community resources at the time of discharge, beyond simply providing information about where they can seek services.

Addiction Psychiatry Services and physician training Once the SBIRT program was established, it helped lay the groundwork for the launch of Stony Brook Medicine’s Addiction Psychiatry Division in 2017. The division, within the Department of Psychiatry, is led by addiction and policy expert Richard N. Rosenthal, MD. Its team of specialists evaluate, diagnose and treat people who have one or more disorders related to addiction. The team also conducts research into the causes of and effective interventions for addiction and trains Stony Brook healthcare professionals in how to better identify and treat addiction.

Quannacut Outpatient Services, Stony Brook Medicine’s new adult behavioral health facility in Riverhead

The program uses a medical psychotherapeutic approach and highly individualized programs for adults with diverse needs across a variety of treatment disciplines — including psychiatric, cultural, physical health and criminal justice. The impact of a patient’s immediate substance use issues on their support system, family members and significant others are also evaluated.

For signs of opiate addiction in the ER

Richard N. Rosenthal, MD, Director, Addition Psychiatry

David Cohen, Director, Quannacut Outpatient Services

Training includes the Psychiatry Residency program at Stony Brook Eastern Long Island Hospital, which began last summer through the Renaissance School of Medicine at Stony Brook University. Its purpose is to train community psychiatrists who will then remain in the area to work with those individuals who have mental health needs including substance use disorders. Another strategy for training involves telehealth. Using a module developed by a team led by Rachel Wong, MD, MPH, MBA, Assistant Professor of Internal Medicine, the Renaissance School of Medicine is training future generations of internal medicine residents on how to use telehealth to respond to opioid and chronic pain issues. The training module is the first of its kind nationally. Internal medicine residents learn to conduct video visits directly with patients and learn clinical management using other digital tools such as electronic messaging and virtual meetings with specialists in a group video visit format. This comprehensive training helps doctors overcome geographic distances and teaches residents how to optimize time using electronic means, when the doctor and patient are not available at the same time.

Quannacut: Expanded state-of-the-art facility in Riverhead The jewel of the Addiction Psychiatry Program is Stony Brook Medicine’s Quannacut Outpatient Services behavioral health facility in Riverhead. “Quannacut,” the Native American word for “hope” or “rainbow,” defines the facility’s culture and mission in addressing addiction as a treatable disease. Since 2001, the Quannacut inpatient and outpatient programs that are part of Stony Brook Eastern Long Island Hospital have demonstrated a strong commitment to the community by providing high-quality treatment to patients with a wide range of diagnoses and demographics. Today, in its expanded 14,000-square-foot, state-of-the-art outpatient location in Riverhead, the program increases access in services for “at risk” populations across Eastern Long Island. David Cohen, Director of Outpatient Services at Quannacut, is keenly aware that while medication can be the most vital and lifesaving component of treatment for some patients, full recovery and health cannot be accomplished unless all areas of one’s physical and mental health are addressed.

Stony Brook Medicine is also working with the Greater New York Hospital Association (GNYHA), New York State Department of Health, and the Office of Addiction Services and Support (OASAS) as a learning collaborative for Long Island, in which all hospitals on Long Island are pilot sites for the protocol of prescribing buprenorphine/naloxone for those who show signs of opiate addiction in hospital emergency departments. This medication for addiction treatment (MAT) approach in ERs offers an opportunity for patients to begin treatment for opiate addiction immediately and to follow up on an outpatient basis.

Other clinical services Stony Brook’s Maternal Opioid Management Service (MOMS) and outpatient program — the first and only in Suffolk County, provides office-based buprenorphine treatment, behavioral health counseling, social services and prenatal as well as postpartum care to women with opioid use disorder. Established by David Garry, DO, a high-risk pregnancy specialist and Division Director of Maternal Fetal Medicine, the goal is to prevent withdrawal and cravings for drugs and provide access to treatment that will lead to better health for the mom. During the postpartum phase, each new mom in the program is connected with community providers to continue medicine assisted treatment. And babies born to moms enrolled in the program remain with their moms whenever possible.

The role of research Many faculty at Stony Brook have dedicated their research careers to substance use disorders. For example, Helen Fox, PhD, in the Department of Psychiatry and Behavioral Health, recently received a multi-site federal grant of $2.4 million to study whether a medication called guanfacine can improve outcomes for women with substance use issues, by reducing drug cravings during stress. And James Swain, MD, PhD, of the Department of Psychiatry and Behavioral Health and the Department of Psychology, recently received a federal grant of $3.5 million to study the effects of opioids on brain and caregiving behaviors of new moms. Opioid use disorder and related problems like postpartum depression are linked to higher risks of parenting problems, child abuse (physical and emotional) and the costly use of foster care. By continuously applying Stony Brook’s clinical research and education expertise where it can make a difference, and by working with the community; local, state and national governments; policy makers and other academic institutions; Stony Brook Medicine continues to fight to end the opioid epidemic so that our children and future generations won’t have to.

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Bridges Mobile Stroke Units: Lifesaving care before you even get to the hospital In the 11 short months that Stony Brook Medicine’s Mobile Stroke Unit Program has been in service, its units have been dispatched nearly 1,000 times to potential stroke calls and the program has already helped improve the lives of residents in numerous Suffolk County communities. The units are designed to provide specialized, lifesaving care to people within the critical moments of stroke before they even get to the hospital. While new to Long Island, mobile stroke units have successfully reduced stroke disability and have improved survival rates in other major metropolitan areas across the country.

How it helps save time The Mobile Stroke Unit Program markedly accelerates the time to make an accurate stroke diagnosis, allows for time-sensitive stroke therapies to be administered earlier and allows for the transport of stroke patients directly to the most appropriate hospital for the level of care they require. In fact, of the many severe stroke patients taken directly to the Stony Brook Comprehensive Stroke Center without delay as a result of the program, Stony Brook is seeing a much higher percentage return home directly from the hospital or following rehab than prior to the program’s launch. Many of these patients are able to enjoy the same level of activity and quality of life they enjoyed prior to their stroke.

Why time is of the essence Perhaps you’ve heard the expression, “Time is brain.” It’s a reminder that when you have a stroke

and the brain can’t get the blood and oxygen it needs, brain cells die. To put this in perspective, it’s estimated that when a blood vessel supplying the brain is blocked, nearly two million brain cells are lost for each minute that passes, making stroke one of the most time-sensitive diagnoses in medicine. The faster blood flow can be restored to the brain, the more likely that a person will have a full recovery.

What’s on board a mobile stroke unit Each mobile stroke unit is a mobile stroke emergency room (ER) with teleneurology and teleneuroradiology services that connect the first responders to Stony Brook University Hospital. These services enable the emergency physicians and neurologists at Stony Brook University Hospital to instantly see and examine a person via videoconferencing and advise the mobile stroke unit’s crew en route to the hospital. With the brain imaging equipment on board, head CT scans and CT scan angiograms (which look at, in detail, blood vessels throughout the body) can be taken, and Stony Brook Medicine physicians can determine if a person has a clot blocking the flow of blood to the brain (ischemic stroke) or bleeding within the brain tissue (hemorrhagic stroke). Once that’s determined, the stroke first responders on board the mobile stroke unit can begin administering time-sensitive advanced stroke treatments while the person is en route to the nearest hospital offering the appropriate level of care.

One of Stony Brook Medicine’s mobile stroke units

Available at a moment’s notice The Mobile Stroke Unit Program is available seven days a week, from 8 am to 8 pm, which is the window of time when most stroke calls are received in Suffolk County. One mobile stroke unit is strategically stationed at a base station located off of the Long Island Expressway at Exit 57. A second unit is stationed off of Exit 68.

These locations were chosen for easy East/West and North/South access. The mobile stroke unit team takes calls within a large area that includes about 40 different communities. Stony Brook Medicine is collaborating with over 40 emergency medical service (EMS) agencies throughout Suffolk County to provide this lifesaving, time-sensitive care.

Get ready for your screen test Screenings for health conditions and diseases — whether they are for detecting heart disease, stroke or cancer — are advised for one reason: Finding disease at an early stage can prevent or eliminate its further development entirely. One of the most effective screenings for cancer is a colonoscopy. This diagnostic tool for colorectal cancer can even prevent this type of cancer by allowing doctors to locate and remove precancerous polyps. When colorectal cancer is diagnosed in its earliest stages — for example, a small tumor is found in stage 1 — treatment is often more effective.

March is Colorectal Cancer Awareness Month Unfortunately, despite the proven effectiveness of screenings, many forgo them due to anxiety, embarrassment or a lack of understanding of what’s involved with the preparation and

procedure. To draw attention to the importance of screenings for those age 50 and older, Stony Brook Medicine is shining a spotlight on Colorectal Cancer Awareness Month with the message: “Get Ready for Your Screen Test.” By using humor, the gastroenterology team hopes to encourage those who are turning 50 to schedule their first screening colonoscopy. Even if that birthday has come and gone, people in their 50s and 60s are encouraged to speak to their doctor to learn more about an initial or follow-up screening. It’s not too late!

Colonoscopy is considered the most effective method of screening While there are other screening methods, including take-at-home options, a traditional (optical) colonoscopy is considered the gold standard, because it is the only test that can both identify and remove polyps during the same

Colonoscopies can find polyps and cancers at an early stage.

procedure. Stony Brook Medicine uses the most current colonoscopes, which provide a highdefinition image to detect subtle polyps. They also

offer multiple options for bowel cleansers to make sure patients have the best exam possible with minimal discomfort. Sedation that allows patients to sleep through the procedure is provided. Virtual colonoscopy is another screening option available at Stony Brook Medicine. It is a safe, highly accurate minimally invasive CT imaging examination of the entire colon and rectum. It is a well-tolerated exam that takes about 10 minutes to complete. Its goal is the same as that of a traditional colonoscopy: to identify polyps and cancers in the colon. The preparation is similar to a traditional colonoscopy, but there is no sedation given, so patients can go back home or to work immediately following the procedure. For more information or to schedule a traditional or virtual colonoscopy, call Stony Brook’s Direct Access Screening Colonoscopy Program: (631) 444-COLON (444-2656) or visit cancer.stonybrookmedicine. edu/screening_colonoscopy_program.

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Compassionate care for women’s special needs Pelvic floor disorders, which include urinary incontinence, fecal incontinence, overactive bladder, pelvic pain and pelvic organ prolapse are common conditions, affecting more than one-third of U.S. women. Nearly one-quarter of women in the U.S. have one or more pelvic floor disorders that cause symptoms. While pelvic floor disorders can affect both men and women, pelvic floor disorders are more common in women and with advanced age. It’s important to note that pelvic floor disorders should not be considered a “normal” part of aging and many of these disorders can be successfully treated. A pelvic floor disorder occurs when the pelvic muscles and connective tissue weaken or are injured. The most common types of pelvic floor disorders are: Pelvic organ prolapse A “prolapse” occurs when the pelvic muscles and tissue can no longer support one or more pelvic organs, causing them to drop or press into the vagina. Bladder control problems The leaking of urine, called urinary incontinence, can occur when the bladder falls from its proper place. Other symptoms include a sudden, strong urge to urinate.

• Leak urine when coughing, sneezing, laughing or exercising • Feel an urgent or frequent need to urinate • Feel pain while urinating • Leak stool or have a hard time controlling gas

More than one-third of the women in the U.S. have pelvic floor disorders — many of which can be successfully treated.

Bowel control problems The leaking of liquid or solid stool from the rectum, called fecal incontinence, can occur when the rectum is out of place. It also can occur if there is damage to the anal sphincter, the ring of muscles that keep the anus closed. Symptoms of different pelvic floor disorders can overlap. For example, women with pelvic floor disorders may:

• Feel heaviness, pressure, fullness, pulling or aching in the vagina that worsens by the end of the day or when having a bowel movement • See or feel a “bulge” or “something coming out” of the vagina • Have a hard time starting to urinate or emptying the bladder completely • Have frequent urinary tract infections

• Suffer constipation If you experience any symptoms of a pelvic floor disorder, you need specialized care. Having a pelvic floor disorder can interfere greatly with your quality of life. Fortunately, pelvic floor disorders are often reversible with treatment. At Stony Brook Medicine’s Women’s Pelvic Health and Continence Center, located at 140 North Belle Mead Road, East Setauket, women have access to a multidisciplinary team of specialists in female pelvic medicine and reconstructive surgery in a single location. This state-of-the-art center is home to a highly specialized practice of urogynecologists, urologists, colorectal surgeons and physical therapists who have specialized training in treating a variety of pelvic floor disorders using the latest techniques. For additional information about pelvic floor disorders, call (631) 638-2200 or visit womenshealth.stonybrookmedicine.edu.

The fourth trimester: A time to care for mom, too

The first few months after the baby is born, a time known as the “fourth trimester,” a mother is focused on caring for her baby, but it’s also a critical time to take care of herself.

After nine long months, the birth of a child is a joyful and exciting time for all. Those three trimesters leading up to the baby’s birth have been a time of regular prenatal visits to ensure the best possible health for a mother and her baby. After childbirth, the care of her baby is probably most important to mom — while her own healthcare often becomes secondary. But, it’s just as important, and the perfect time, for a mother to pay attention to her own health as well. “Pregnancy is a window into a woman’s future health,” said Todd R. Griffin, MD, MBA, Chair, Department of Obstetrics, Gynecology and Reproductive Medicine. “Certain conditions that develop during a woman’s pregnancy — high blood pressure, diabetes or preeclampsia, for example — put her at greater risk for serious health conditions later in life. Addressing these potential health issues as soon as possible, during the fourth trimester, is crucial.” According to the American College of Obstetricians and Gynecologists, the fourth trimester, the first few months following childbirth, is a critical time for a mother and her baby, setting the stage for long-term health and well-being.

During this time, a woman is adjusting to many changes: recovering from childbirth, adapting to changing hormones and learning to feed and care for her newborn. Rather than one postpartum visit six weeks after giving birth, the American College of Obstetricians and Gynecologists now recommends that women schedule more ongoing visits with their OB/GYNs to help them navigate the new challenges of motherhood and encourage them to be more proactive about their own health. Dr. Griffin notes that when a woman has diabetes during her pregnancy, it improves and resolves itself after childbirth. “However, five years later, she is more likely to have diabetes, which could go undiagnosed, resulting in a whole host of other health concerns.” Without ongoing postpartum care, a mother could ignore symptoms that can lead to serious health conditions and diseases. During the fourth trimester, it’s an important time to identify her potential risk factors and determine which ones will affect her in the long term. “We can then transition a mother from postpartum care to proper preventive care by

“Pregnancy is a window into a woman’s future health. Certain conditions that develop during a woman’s pregnancy — high blood pressure, diabetes or preeclampsia, for example — put her at greater risk for serious health conditions later in life. Addressing these potential health issues as soon as possible, during the fourth trimester, is crucial.”

primary care physicians or specialists to help her stay healthy for the rest of her life,” said Dr. Griffin. “At Stony Brook Medicine, we have physicians and healthcare providers who are dedicated to women’s cardiology, women’s primary care and women’s cancer care, to name a few, and we’re all focused on getting these women to the right healthcare provider at the right point in their lives for the right care.” Stony Brook Medicine’s Women’s Health provides highly specialized healthcare for women at every age and every stage of life — from breast, bone and heart health to pregnancy, menopause and staying healthy during the senior years. All encompass the medical excellence, compassion and respect for the individual patient, and all deliver what Stony Brook Medicine is best known for: advanced, sophisticated care that meets the highly personalized needs of patients. For more information about Stony Brook Medicine Women’s Health, call (631) 444-4686 or visit womenshealth.stonybrookmedicine.edu.

– Todd R. Griffin, MD, MBA, Chair, Department of Obstetrics, Gynecology and Reproductive Medicine

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What’s new ... Closer to you

New services and support available through Advanced Specialty Care of Commack Stony Brook Medicine’s Advanced Specialty Care facility, opened in March 2017, has continually grown and expanded its services and support to the community. Here are just a few of the most recent additions to your healthcare home.

Matter of Balance workshop A Matter of Balance, now available at Advanced Specialty Care, is a program designed to reduce the fear of falling and increase activity levels among older adults. Many older adults experience a fear of falling. People who develop this fear often limit their activities, which can result in physical weakness, making the risk of falling even greater. This workshop includes eight two-hour sessions for a small group of eight to 12 participants led by a trained facilitator. This nationally recognized program was developed at the Roybal Center at Boston University. During these seminars, participants learn how to view falls as controllable, set goals for increasing activity, make changes to reduce fall risk at home and exercise to increase strength and balance. To learn more about upcoming classes in 2020 and other Fall Prevention Programs offered through Stony Brook Trauma Center, please visit trauma.stonybrookmedicine.edu/ injury-prevention/falls. For more information, call (631) 638-0597 or visit stonybrookmedicine.edu/advanced specialtycare.

Here for your most complicated ophthalmology needs Stony Brook Ophthalmology proudly opened the Center for Ocular Therapeutics at Stony Brook Medicine’s Advanced Specialty Care facility in Commack in early 2020. The center specializes in the treatment of dry eye disease using stateof-the-art technology in a temperature- and humidity-controlled environment. The center also offers treatment for patients with problems related to the cornea, glaucoma, oculoplastics, retina and neuro-ophthalmology. The focus is on solving critical challenges in the diagnosis and treatment of eye disorders, with the primary goal of combining the development of innovative therapies for vision-threatening diseases with excellence and efﬁciency in delivering patient care. The center will help advance therapeutic interventions, bringing novel, cutting-edge treatments from concept to accepted clinical practice more efﬁciently than previously possible. For more information or to schedule a consultation, please call (631) 638-0597.

Advancing the fight against muscular dystrophy Stony Brook Children’s Hospital has launched the Duchenne Muscular Dystrophy Comprehensive Care Center at Advanced Specialty Care in Commack, marking a new era in the care of pediatric patients with neuromuscular dystrophies. Serving the tristate region from Montauk to Manhattan and beyond, the center has modeled its approach to muscular dystrophy and other neuromuscular disorders on the highest national standards for excellence in care. Our neuromuscular team, led by cardiologist Peter Morelli, MD, and neurologist Simona Treidler, MD, includes a range of pediatric specialists from neurology, cardiology, endocrinology, gastroenterology and nutrition, pulmonology, genetic testing and counseling, sleep disorders and other specialties who provide a multidisciplinary approach, working closely to determine and deliver the best course of treatment for the children in our care. To make an appointment or for further questions, please call (631) 444-KIDS (5437).

Stony Brook Children’s Hospital expands services at Advanced Specialty Care with the addition of the Duchenne Muscular Dystrophy Center.

Now welcoming Psychiatry

On-site pharmacy now available

In January, Stony Brook Psychiatric Associates expanded its services to Advanced Specialty Care to further provide the most up-to-date, evidencebased clinical care to children, adolescents and adults. The practice offers psychiatrists, psychologists, nurse practitioners and social workers who serve patients of all ages. At its new Commack location, the practice offers a range of specialty treatment options for mood disorders, anxiety and depression, insomnia, post-traumatic stress disorder (PTSD) and weight loss, in addition to chronic disease management, smoking cessation, mindfulnessbased therapies, comprehensive behavioral intervention for Tourette syndrome and cognitive behavioral therapy. The practice offers therapy services in Spanish, and anticipates adding geriatric psychiatrists in coming months. Providers are currently seeing patients ﬁve days a week, with limited evening appointments available. For information, please call (631) 632-9510 for adult psychiatry and (631) 632-8850 for children and adolescents.

Advanced Specialty Care opened its own pharmacy in late 2019, enabling physicians, nurses and pharmacists to work literally under the same roof for better healthcare outcomes for patients. Accepting almost all insurance, including Medicare, Medicaid, commercial and union insurances, Workers Compensation and nofault, the retail pharmacy meets all general and specialty medication needs, including fertility medicine, with patient assistance available to aid in obtaining higher-cost drugs. Free delivery and auto-reﬁlls are also available, as are immunization services, including ﬂu vaccinations, medication therapy management and discounts for senior citizens. The pharmacy also accepts Health Savings Account (HSA) and Flexible Spending Account (FSA) payments toward medication. The pharmacy’s hours are Monday through Thursday from 9 am to 7 pm, Friday from 9 am to 6 pm and Saturday from 9 am to 3 pm.

Just minutes from the Long Island Expressway, Sunken Meadow Parkway and Northern State Parkway, Advanced Specialty Care is located conveniently at 500 Commack Road in Commack. With more than 30 medical specialties available, staffed by primary care physicians, pediatricians, cardiologists, dermatologists, gynecologists, obstetricians, ophthalmologists, urologists, surgeons and more, we cover almost every type of medical need, from routine well visits to very complex conditions. There is also a complete imaging center on-site to provide x-rays, mammograms, ultrasounds, bone densitometry, CTs and MRIs.

Specialized care for female athletes of all ages now in Commack Stony Brook Orthopaedic Associates’ Women’s Sports Medicine Center is now seeing patients in our Commack facility. See page 29 for more information.

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We’ve got your back ... and shoulders, knees and ankles Stony Brook Orthopaedic Associates expands services with Urgent Care walk-in hours and Women’s Sports Medicine Center

The best orthopaedic practice in Suffolk County

The Women’s Sports Medicine Center, the first of its kind in Suffolk County, focuses on treating and preventing sports-, performance- and exercise-related injuries that typically occur among girls and women.

When it comes to choosing a provider for orthopaedic needs, you want a team that will have you covered. It’s important to consider not only the credentials and experience of the clinicians, but also the convenience and diversity of care they offer to meet your unique needs. Stony Brook Orthopaedic Associates checks all of those boxes. In addition to being nationally ranked in 2019 — see article to the right — Stony Brook Orthopaedic Associates is now offering walkin hours for urgent care needs, as well as a specialized program focus on injuries experienced by active girls and women.

The ER isn’t your only option Just in time for slippery sidewalks and shoveling snow, Stony Brook Orthopaedic Associates is offering an option to patients needing immediate orthopaedic treatment without an appointment. Urgent Care walk-in hours are now available Monday through Friday from 3 to 6:30 pm at our East Setauket office located at 14 Technology Drive, Suite 11. Patients can come in to receive same-day care for sprains, strains, minor fractures, dislocations and all other sportsrelated injuries without an appointment.

This effort allows Stony Brook Orthopaedic Associates to offer care in a timely manner and in the comfort of the office environment for those who may be hesitant to go to the Emergency Department. You don’t plan to have an injury, and now you won’t need to plan for a doctor’s appointment for it either.

Expert care on and off the field — for active females of all ages

The Women’s Sports Medicine Center is the first of its kind in Suffolk County. The center focuses on treating and preventing sports-, performance- and exercise-related injuries that typically occur among girls and women through a multidisciplinary approach using the expertise of our mostly female staff of physicians, many of whom were athletes themselves. Who better to treat these types of injuries than a group of physicians who have firsthand experience from the other side of the exam table? The Women’s Sports Medicine Center, directed by Diana Patterson, MD, focuses on conditions and injuries more common to girls and women, such as stress fractures, knee ligament tears (ACL and PCL), rotator cuff tears and hammertoe complications. The expert team of orthopaedists

performs a variety of procedures to address these ailments, including repair and reconstructive surgery for ligament, meniscus, bunions and ACL injuries, as well as hammertoe correction, among others, while also integrating the care of Stony Brook Medicine specialists in the fields of nutrition, psychology, and obstetrics and gynecology, to name a few, to help solve your orthopaedic issue. For more information about our Urgent Care walk-in hours or to schedule an appointment with one of our Women’s Sports Medicine Center specialists, please call (631) 444-4233. Stony Brook Orthopaedic Associates, the largest orthopaedic group in Suffolk County, focuses on excellence in clinical care and research for the prevention, diagnosis and treatment of all pediatric and adult musculoskeletal injuries and disorders. With more than 75,000 annual office visits, over 5,600 surgeries each year and a wide breadth of subspecialities, Stony Brook Orthopaedic Associates handles everything from routine procedures to the most complex cases. We are your experienced and trusted resource for world-class orthopaedic care.

Stony Brook University Hospital has been ranked nationally for orthopaedics by the U.S. News & World Report Best Hospitals 2019-2020 survey. This assessment is designed to assist patients and their doctors in making informed decisions about where to seek care. “I am very proud that our orthopaedic surgical team has been ranked by U.S. News & World Report as one of the top orthopaedic programs in the nation,” said Lawrence Hurst, MD, Chief, Division of Hand Surgery and Director, Microsurgical Laboratories for the Department of Orthopaedics. “This ranking is testimony to the hard work our surgeons dedicate to patient care, research and surgical education on a daily basis.” Overall ranking is based on a combination of patient outcomes, such as discharge-to-home and riskadjusted survival rates, in addition to processes of care and resources, including patient experience, patient and clinical services, number of patients, quality of nursing and opinions from over 30,000 physicians.

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Bridges Events and support groups at Stony Brook Medicine MALL WALKERS CLUB

Stony Brook Medicine offers a wide range of programs, lectures, workshops, support groups and other events throughout the year to help you, your family and friends take better care of your health and enhance your well-being. Most events are free, and in many cases, registration is required. Unless otherwise noted for more information, call (631) 444-4000.

Wednesdays, March 25, April 29 and May 27, 8 to 10 am Smith Haven Mall - Food Court, 313 Smith Haven Mall, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an informative health lecture led by a Stony Brook Medicine expert.

BARIATRIC WEIGHT-LOSS EDUCATION SEMINARS

Mondays, March 2, April 6 and May 4, 5 pm 23 S. Howell Avenue, Suite D, Centereach Tuesdays, March 10, April 14 and May 12, 5 pm Advanced Specialty Care, 500 Commack Road, Commack Freedom from obesity is attainable with the right combination of tools and support. Learn about the impact of obesity, causes, health risks and treatment. Treatment plans are tailored to each patient’s individual needs, lifestyles and goals. Options include behavior modification, nutritional counseling, exercise, group support, medical management and weight-loss surgery. The multidisciplinary team of the Bariatric and Metabolic Weight Loss Center, led by Aurora Pryor, MD, includes surgeons Konstantinos Spaniolas, MD, and Salvatore Docimo, DO, who are well-known experts in the field of bariatric surgery and offer a full range of surgical and other treatment options. To attend a free session or for more information, please call (631) 444-BARI (2274) or visit bariatrics.stonybrookmedicine.edu. Appointments are now available in Centereach, Commack and Patchogue.

DIABETES SELF-MANAGEMENT EDUCATION PROGRAM

Wednesdays, March 11, 18 (until 8:30 pm), 25 and April 1, 5:30 to 7:30 pm Wednesdays, April 15, 22 and 29, 9:30 am to 12:30 pm Wednesdays, May 6, 13, 20 (until 8:30 pm) and 27, 5:30 to 7:30 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Recognized by the American Diabetes Association, this comprehensive program provides adults with diabetes and their families the knowledge, skills and tools needed to successfully manage diabetes and avoid the many associated complications. A physician referral and an assessment visit with a certified diabetes educator are required prior to attending class. Call (631) 444-0580 to schedule the assessment visit, which takes place at 26 Research Way, East Setauket. For information, call (631) 444-0580 or visit stonybrookmedicine.edu/patientcare/diabetes.

HEARTSAVER/AED CLASSES

Nurse educators from Stony Brook University Heart Institute give instruction on CPR and how to use an AED.

STROKE SUPPORT GROUP

Fridays, March 13, April 10 and May 8, 10:30 am to noon Lobby Conference Room, Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Tuesdays, March 31, April 28 and May 26, 7 to 8:30 pm Neurology Clinic, 181 Belle Mead Road, East Setauket Receive encouragement, feedback and inspiration. Gain knowledge and learn about helpful programs and resources. Open to all stroke survivors, family members and caregivers. Meetings are led by neurology nurses and social workers. Parking is validated if you park in the garage (valet services not included). For information, call (631) 638-2638.

WALK WITH A DOC

Sundays, March 15, April 19, May 17 and June 21, 11 am to 2 pm Heritage Park Trail (The Wedge), 633 Mt. Sinai-Coram Road, Mt. Sinai Join this doctor-led event for a fun and safe place to walk, learn about health topics and meet new friends. Presented by Stony Brook Family and Preventive Medicine Practice and the Lifestyle Medicine Interest Group, this free event is open to all ages and abilities. In the event of rain or poor weather conditions, the walks will take place at the Smith Haven Mall Food Court, Lake Grove.

LUNG CANCER SUPPORT GROUP

Tuesdays, March 17, April 21, May 19 and June 16, 7 to 8 pm Carol M. Baldwin Breast Care Center, 3 Edmund D. Pellegrino Road, Stony Brook For all patients and loved ones affected by lung cancer, including those treated at Stony Brook Medicine, as well as at other offices and cancer centers. The monthly group serves to support all with emotional support via information and shared stories of others affected by this disease. Please call (631) 638-7000 for more information or in the event of inclement weather for updates.

CANCER WISE CAFÉ

Stony Brook Medicine’s Mall Walkers Club in the Smith Haven Mall.

Saturday, March 21, 8:30 am to 3 pm Medical and Research Translation (MART) Auditorium and Atrium Stony Brook University Cancer Center, Lauterbur Drive Learn about the latest advances in the screening, prevention, diagnosis, management and treatment of several types of cancer. This program features presentations from experts at Stony Brook University Cancer Center, displays and information from community organizations. The event is free and includes a light lunch. Appropriate for those 16 years or older. Registration is required at cancer.stonybrook medicine.edu/cancerwise2020.

Wednesdays, March 25, April 29 and May 27, 4 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. Participants will learn how to do chest compressions on adults, children and infants, as well as how to use an AED. Participants will also learn how to respond to a choking emergency. Classes are free, but parking is not included. For participants who would like to receive an American Heart Association certification card, the fee is $20. Registration is required; register via email to Yvonne Leippert, RN, at yvonne.leippert@stonybrookmedicine.edu.

Fun For All at Stony Brook University Throughout the year, Stony Brook University offers many events of interest to the general public, ranging from cultural offerings to thought-provoking scientific lectures. Many events are free. Visit stonybrook.edu for a full list of events.

SAVE THE DATE

for our next

COMMUNIVERSITY DAY on Sept. 26. Join us for fun and discovery for the entire family.

CommUniversity Day is Back! Save the date: The fourth CommUniversity Day festival is on Saturday, Sept. 26. Join us for a day of fun and discovery as we showcase all the best the University has to offer the community. More details will be announced this summer at stonybrook.edu/SBUCommUniversity.

Open Nights Lecture Series Now in its 46th year, the Stony Brook Open Nights lecture series continues to educate the public. The Astronomy Open Nights lectures feature talks on current astronomical topics. All lectures are held in Room 001 (ground floor) of the Earth and Space Sciences (ESS) Building at 7:30 pm. Weather permitting, viewing using the University’s telescopes on the roof of the ESS building will follow the lectures. For more information, visit www.astro.sunysb.edu/openight.

Upcoming speakers: March 6, Rosalba Perna, Professor April 3, Neelima Sehgal, Associate Professor May 1, Ricardo Herbonnet, post-doctoral student

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Staller Center 2020 Season

Staller Center for the Arts offers something for everyone this spring with an exciting variety of performances at one of Long Island’s premier cultural arts centers. Visit stallercenter.com for tickets and information or call (631) 632-ARTS (2787). Staller Center provides discounts on tickets for children, students and seniors.

GALA 2020: An Evening with Kelli O’Hara and Sutton Foster

Saturday, March 7, 8 pm Main Stage, $90 Two of Broadway’s greatest leading ladies and Tony Award winners Kelli O’Hara and Sutton Foster will be performing together for the first time. For Gala Preferred Seating and the Gala Reception, visit stallercenter.com/gala.

Starry Nights

Tuesday, March 10, 7 pm Recital Hall, $44 Sponsored by WSHU Public Radio For Starry Nights in March, the esteemed line-up of musicians on the program will include Carol Wincenc, James Austin Smith, David Jolley, Alan Kay, Frank Morelli, Matthew Lipman and Colin Carr. Enjoy many woodwinds on stage for the Raff Sinfonietta double wind quintet.

A Capella Live

Saturday, March 14, 7 pm Main Stage, $52 A Cappella Live is a high-energy musical celebration of contemporary a cappella, conceived and arranged by Deke Sharon, vocal producer of Pitch Perfect. Four internationally recognized, award-winning, rising-star ensembles come to Staller Center: the charming boy-band sound and moves of The Filharmonic; the rich harmonies of gospel/R&B legends Committed; chart-topping lead vocals and live-looping beatbox by “American Idol” star Blake Lewis; and internationally inspired songstresses Women of the World. Hear each group perform their greatest and best-known hits, as well as large-scale production numbers featuring all four groups.

Wednesday, April 1, 8 pm Recital Hall, $52 Continuing the celebration of the 250th anniversary of Beethoven’s birth, the Emerson String Quartet once again pairs the masters of the quartet form, Beethoven and Bartók.

The Department of Music at Stony Brook University proudly presents its 2020 season featuring students, faculty and professional guests. These shows, many of which are free to the public, are held in the Staller Center for the Arts. Please note this schedule is subject to change. Visit stonybrook.edu/music for updates. For tickets, visit stallercenter.com, call (631) 632-ARTS (2787) or go to the box office in the lobby of the Staller Center.

Carol Wincenc

Family Orchestra Concert

drumitarist Roy “Futureman” Wooten, to celebrate the 30th anniversary of the band’s inception. Inspiring jazz you won’t hear anywhere else.

Emerson String Quartet: Beethoven and Bartók

Thursday, April 16, 7 pm Recital Hall, $44 Hailed “Queen of the Flute” (New York Magazine) at the outset of her, now, brilliant 50-year career, flutist Carol Wincenc delights audiences with her signature charismatic, high virtuosity and deeply heartfelt musicality. Wincenc has appeared as a soloist with major symphonies and performed with Jessye Norman, Emanuel Ax and Yo-Yo Ma. The program for her Golden Anniversary concert at Staller Center will include a world premiere by Larry Alan Smith for flute, oboe, viola, cello and piano, among many other works.

Tuesday, March 3, 7:30 pm Main Stage, $5

DIAVOLO

Piano Project 2020

Saturday, April 18, 8 pm Main Stage, $54 A finalist in “America’s Got Talent,” DIAVOLO|Architecture in Motion uses dance to explore the relationship between the human body and its architectural environment. Artistic Director Jacques Heim steers DIAVOLO’s diverse team of dancers, designers, choreographers and engineers to create awe-inspiring works that reveal how we are affected emotionally, physically and socially by the spaces we inhabit.

Baroque Sundays at Three

Sundays, March 8 and April 19, 3 pm Recital Hall Wednesday, March 25, noon Recital Hall

Stony Brook Composers

Tuesdays, March 31 and April 21, 7:30 pm Recital Hall

Stony Brook Symphony Orchestra Saturday, April 4, 8 pm Main Stage, $20/$10

Violinfest 2020

Monday, April 13, 7:30 pm Recital Hall

Stony Brook Opera and Stony Brook Symphony Orchestra

Saturday, April 25, 8 pm and Sunday, April 26, 3 pm Main Stage, $20/$15

Jazz Ensemble

Russian National Ballet – Giselle

Saturday, March 28, 8 pm Main Stage, $54 Groundbreaking banjoist/composer/bandleader Béla Fleck has reconvened the original Béla Fleck and the Flecktones, the extraordinary initial lineup of his incredible combo with pianist/harmonica player Howard Levy back in the fold alongside Fleck, bassist Victor Wooten and percussionist/

Wednesday, March 4, and Tuesdays, March 24 and April 28, 7:30 pm Recital Hall

Friday, April 10, 7:30 pm Recital Hall

Sunday, March 15, 3 pm Recital Hall, $20 Back by popular demand! Jack and friends return to the Staller Center Recital Hall with another festival of awesome-ness. Cammy Q is getting ready to show you some of her incredible vocal chops, and Trifon is playing that funky bass. This time they bring the Young Roots drum group and lay down the groove — and U are the music.

Béla Fleck and the Flecktones

Contemporary Chamber Players

Sonic Spring

Staller Kids: Jack Licitra: U Are the Music!

Saturday, March 21, 8 pm Main Stage, $54 Sponsored by Jefferson’s Ferry Lifetime Retirement Community Giselle, a 19th century classical romantic ballet, is a tale of love, betrayal, forgiveness and redemption. Giselle portrays a young peasant girl who believes her love has betrayed her — she goes mad and dies of a broken heart. She reappears as one of the supernatural spirits whose mission is to bewitch men to fall under the spirits’ deadly spells. With achingly beautiful music, brilliant choreography by Marius Petipa and passion-filled dancing under the direction of the legendary Elena Radchenko, this classical ballet will captivate you from beginning to end.

DEPARTMENT OF MUSIC

Mondays, May 4 and May 11, 7 pm The Jazz Loft, 275 Christian Avenue, Stony Brook, $10 Tuesday, May 12, 7:30 pm Staller Center DIAVOLO explores dancing in a whole new way.

Doo Wop Project

Saturday, May 2, 8 pm Main Stage, $52 The Doo Wop Project traces the evolution of Doo Wop from the classic sound of five guys singing tight harmonies on a street corner to the biggest hits on the radio today. Starting with groups like the Crests, Belmonts and Flamingos, the Doo Wop Project covers the sounds of Smokey Robinson, The Temptations and The Four Seasons all the way to today’s musicians. Featuring stars of Broadway’s smash hits “Jersey Boys” and “Motown: The Musical,” the Doo Wop Project brings unparalleled authenticity of sound and vocal excellence to recreate some of the greatest music in American pop and rock history.

University Orchestra

Tuesday, May 5, 7:30 pm Main Stage, $10/$5

Stony Brook Chorale and Camerata Singers Wednesday, May 6, 7:30 pm Recital Hall, $10/$5

Ackerman Honors Chamber Concert Saturday, May 9, 8 pm Recital Hall

Emerson String Quartet Institute Concert Monday, May 11, 7:30 pm Recital Hall

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BUYING? SELLING?

PUT THE POWER OF ELLIMAN TO WORK FOR YOU

From buying and selling to appraisals, mortgage financing and rentals, our experts offer answers to today’s real estate questions. With the largest regional and global network, Douglas Elliman has the reach and resources to personally guide you from beginning to end.

Call our East Setauket Office and we’ll help you plan your next move.

EAST SETAUKET OFFICE 300 Main Street, Suite 2 631.751.6000

elliman.com/longisland

NEW YORK CITY / LONG ISLAND / THE HAMPTONS / WESTCHESTER / CONNECTICUT / NEW JERSEY / FLORIDA / CALIFORNIA / COLORADO / MASSACHUSETTS / TEXAS / INTERNATIONAL 110 WALT WHITMAN ROAD, HUNTINGTON STATION, NY 11746. 631.549.7401.

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