Bridges - February 21, 2019 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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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 Sara-Megan Walsh Art and Production Director Beth Heller Mason Art and Production David Ackerman Janet Fortuna Sharon Nicholson Internet Strategy Director Rob Alfano Advertising Elizabeth Bongiorno Robin Lemkin Jackie Pickle Michael Tessler Minnie Yancey

All articles provided by Stony Brook Medicine

Table of Contents Building for the future Expansion project advances clinical care and research .....................................................................S6 Cancer changes everything: We’re changing cancer care ..................................S7 A new Stony Brook Children’s Hospital ......... S8,9 Transforming cardiac care .................................S10 New Surgical Trauma ICU .................................S10 Neurological Critical Care expands ................S10

From Kenneth Kaushansky, MD The art and science of medicine

There’s an art and a science to much in life. And medicine is no exception. When the two come together seamlessly, in both the day to day and the milestones, it reinforces our commitment to providing you with world-class patient care. Thanks to the vision, planning and efforts of many, I have several new milestone moments to share with you. The year culminated with the renaming of our medical school to Renaissance School of Medicine at Stony Brook University. It’s an enduring tribute to the generosity of more than 100 families of Renaissance Technologies to Stony Brook’s students, faculty, patients and community. The long-standing support we’ve received from Renaissance Technologies has fueled research, technology and programs across the Stony Brook campus, enabling us to train a new generation of committed, curious and highly capable physicians to serve our community and contribute globally to the future of medicine. In November, we held a celebration for our new eight-level Medical and Research Translation (MART) building. Located on the Stony Brook Medicine campus and connected to Stony Brook University Hospital, the MART is the home of the new Stony Brook University Cancer Center. It will bring together Stony Brook clinicians and researchers to share ideas and inspiration in ways never before imagined, and to drive discovery and innovation. The new facility offers expanded space

for patients and families in an environment that promotes healing, fosters research and offers hope for new ways to cure and prevent cancer. Now we are poised to reach several more major milestones. Opening in 2019 is the MART and a new 10-story Hospital Pavilion that includes the new Stony Brook Children’s Hospital. The Hospital Pavilion will also house a new Cardiothoracic Intensive Care Unit, Neurological Critical Care Unit and Surgical Intensive Care Unit. The new Stony Brook Children’s Hospital has been thoughtfully designed with children and their families in mind. It will ensure that Long Island’s 400,000 children and their families have access to advanced pediatric services and amenities close to home. Also in 2019, we expect Eastern Long Island Hospital to join our growing healthcare system. This will mean more specialists and sub-specialists, more groundbreaking clinical trials and the very latest in medical technology — opening up a new world of access to the most advanced medical care for residents of the North Fork. Next month, we also will launch Long Island’s first mobile stroke unit program. These state-ofthe-art units are designed to provide specialized, lifesaving care to people within the critical moments of stroke before they even get to the hospital. Each will be equipped with telehealth capability to Stony Brook University Hospital.

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 and in what it of-

fers 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 performances to which the public is enthusiastically invited during the year.

From the publisher...

Innovative approaches for your care Top rating for coronary artery bypass grafting surgery .......................................S11 Highest level of stroke care soon to include mobile stroke units ...............................................S14 Telehealth services ................................................S16 Concerned about memory loss? .........................S16 When a child needs surgical care ......................S17 Helping an infant survive a deadly birth defect .............................................................S17 Preserving fertility: new options for women...S18

Stroke prevention with TCAR procedure ........S19 Clinical trial for breast cancer ............................S20 Mesh in hernia repairs .........................................S20 Advanced Specialty Care in Commack ............S21 The Level 1 Trauma Center Difference .............S22 Transforming care for patients with diabetes .S23 Advanced treatment for GI conditions.............S24 Patient Portal .........................................................S24 Calendar of Events .......................................... S26,27

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

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. At Stony Brook Medicine, the art of thoughtful, empathetic and compassionate care is woven into all we do, as we accelerate our trajectory of scientific and medical innovation for Long Island and beyond. Learn more at stonybrookmedicine.edu.

Leah S. Dunaief Publisher, TBR News Media 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.

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Bridges

Building for the future

Stony Brook Medicine’s expansion project advances clinical care and research Excitement builds as Stony Brook Medicine’s Medical and Research Translation (MART) building with the Stony Brook University Cancer Center, and Hospital Pavilion with the Stony Brook Children’s Hospital are opening in 2019. The multimillion-dollar project was made possible in part by New York State Governor Andrew M. Cuomo, the State University of New York and Empire State Development through a $35 million NYSUNY 2020 Challenge Grant, $50 million in support through a historic $150 million gift from Jim and Marilyn Simons and $53 million in support from New York State Senators John Flanagan and Kenneth P. LaValle. The 240,000-square-foot, eight-story MART will change the future of cancer care through revolutionary breakthroughs, medical discoveries and lifesaving treatments for patients with cancer on Long Island and beyond. Outpatient clinical care will occur on two levels of the facility, with medical oncology provided for both children and adults. For pediatric patients, the facility will offer child-friendly exam space

with private pediatric infusion rooms. Adult patients will be cared for in private treatment spaces with multiple settings for infusions, including comfortable seating areas and a fireplace to promote conversation among patients. Additional patient-centered amenities address the personal needs of patients and their families, including a resource center, wellness room for yoga and support groups, beauty salon and a boutique providing prostheses, wigs and mastectomy apparel. Three floors of the facility are dedicated to research, including The Kavita and Lalit Bahl Center for Metabolomics and Imaging, which will drive innovative cancer research by using cutting-edge technology in combination with advanced medical imaging. Located next to the MART is the 225,000-square-foot, 10-story Hospital Pavilion, which houses the new Stony Brook Children’s Hospital and adult intensive care units. All 150 adult and pediatric inpatient rooms in the Hospital Pavilion are private with private baths. The new Stony Brook Children’s Hospital will allow Stony

Brook to expand and transform capabilities to meet the growing healthcare needs of children and their families, and provide them with a child- and family-friendly environment to promote restful healing in comfortable, quiet surroundings. In addition to all single-patient rooms, Stony Brook Children’s will offer beds for family members, child-sized furnishings, bright colors and whimsical patterns, views of Long Island’s scenic North Shore, separate child and teen playrooms, a live video feed from the Long Island Aquarium, an outdoor rooftop garden, classrooms and more. Care will also be provided in advanced pediatric intensive care, oncology and medical/surgical units, and a pediatric procedure suite for special procedures and infusions. Adult inpatient units within the Hospital Pavilion include larger, state-of-the-art rooms to care for patients who need cardiothoracic intensive care and intermediate care, neurological critical care and intermediate care, surgical intensive care and intermediate care, and trauma intensive care and intermediate care.

Stony Brook Medicine’s Medical and Research Translation (MART) building with the Stony Brook University Cancer Center (left), and Hospital Pavilion with the Stony Brook Children’s Hospital (right)

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Cancer changes everything: We’re changing cancer care The importance of clinical trials

Stony Brook University Cancer Center expands to its new home at the Medical and Research Translation (MART) building, opening in 2019.

Every year, cancer changes the lives of countless people. Once considered an incurable disease, many types of cancer are now treated successfully every day. In fact, according to the American Cancer Society, the mortality rate of patients has decreased 26 percent since 1991. That’s nearly 2.4 million lives saved through groundbreaking cancer research and treatment — and the future looks even brighter. The new Stony Brook University Cancer Center will change the future of cancer care for patients and families. Opening in 2019 at the Medical and Research Translation (MART) building, the eightstory, 240,000-square-foot Cancer Center will be the only facility of its kind on Long Island — and will revolutionize cancer treatment throughout the region. “We are more than doubling our capacity, with space designed to enhance how we tackle cancer,” said Yusuf A. Hannun, MD, Director, Stony Brook Cancer Center, Vice Dean for Cancer Medicine and Joel Strum Kenny Professor in Cancer Research. “We are organized into specialized teams that focus on specific cancers, with physicians organized by disease specialty, such as medical oncology, surgery, radiation therapy, radiology, pathology — who focus on tumor sites to offer individualized treatment plans for each patient.”

Comprehensive and collaborative approach At the Cancer Center, cancer researchers and clinical investigators collaborate to build the most comprehensive, integrated and unified team with one singular purpose: To investigate, discover and drive innovation in cancer treatment and prevention. Our nationally renowned cancer research teams work with clinicians to marry preclinical discovery insights and accelerate approaches to clinical trials, offering the most advanced cancer care. Together, they will unravel the mysteries of cancer, reimagine cancer diagnostics and treatments of tomorrow, and ultimately eradicate cancer.

Innovative patient-focused care Patients have convenient access to the latest in cancer treatments and promising clinical trials — there are currently over 70 of them, some only found at Stony Brook Cancer Center. Patients also have access to our cancer experts, all within an environment that respects the needs of patients and their families and promotes healing. Cancer specialists work together in 12 diseaseoriented multidisciplinary care teams dedicated to meeting the individual needs of each patient while identifying the best possible treatments.

From the first phone call a patient receives from the oncology nurse navigator, support and guidance are provided. Personalized care plans are developed and discussed with compassion and flexibility to adhere to the patient’s needs. Offering a tranquil and healing environment, our Cancer Center has private treatment spaces for adult and pediatric patients. Patient amenities include a staffed Patient Resource Center, a multi-use Wellness Room and a retail boutique with prostheses, wigs and mastectomy apparel. These resources are located on-site for the convenience of our patients.

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. Our new Cancer Center has three floors dedicated entirely to basic science research. Our new MART building provides a unique environment in this region, one that is ideal for closer interactions and collaborations among our 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 well established and robust Clinical Trials Program. Our program allows our own scientists and doctors to develop unique clinical trials, offered only at Stony Brook Cancer Center. Now, the Clinical Trials Program can expand in our newly located Cancer Center, offering more treatment options on the forefront of cancer research and medicine for Long Island residents. To learn more about our clinical trials, call (631) 638-1000.

Unraveling the mysteries of cancer The Cancer Center also combines state-of-theart technology, including a cyclotron and worldclass imaging experts on innovative research teams to diagnose cancer and monitor cancer treatments with greater specificity. This leading-edge technology is poised to revolutionize our understanding of cancer by helping researchers discover how cancer starts, grows and spreads, and how different therapies and drugs affect cancer cells. The Stony Brook Cancer Center will transform the future of cancer from the moment it opens. Visit thischangescancercare.com to learn more, or call (631) 638-1000 to make an appointment.

Brittany Carroll in the research lab

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Coming in 2019: A new Stony Brook Children’s Hospital

The new Stony Brook Children’s Hospital will feature a dedicated entrance leading to a beautiful, child- and family-friendly environment. Stony Brook Children’s Hospital has always provided 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 and beyond through clinical care, medical research and education. In 2019, Stony Brook Children’s will move into a brand new space. The new hospital, built with the support of the State of New York, private donors, corporations, hundreds of volunteers, many organizations and local schools, will include:

Single-Patient rooms For each family’s privacy and to promote healing, all the patient rooms in Stony Brook

Children’s will be single-patient rooms, making it the only children’s hospital on Long Island to have all-private rooms. In addition to the scenic views, each room will offer designated spaces for patients, caregivers and family members, soothing hues, child-sized furnishings, a pullout bed and sleeper chair for family members to stay overnight, a refrigerator for patient and family use, and a television with a broad menu of interactive options.

Powerful innovation Stony Brook Children’s will feature advanced electronic safety systems and automatically display vital patient data from the patient’s chart on digital displays as caregivers enter the patient’s room. State-of-the-art hospital beds

will capture and download patient information directly into the patient’s chart. Instead of traditional nurses’ stations, Y-shaped desks will allow nurses to monitor patients in two rooms simultaneously while taking notes, reviewing medications, creating care plans and writing discharge plans.

Consideration for children’s comfort Stony Brook Children’s will continue to make spaces safe for kids by performing medical procedures outside patient rooms, and by providing therapeutic play space and ageappropriate explanations of procedures. The hospital is also dedicated to an “ouchless medicine” approach to care, using numbing creams for example to help to minimize the

discomfort of procedures such as needle pricks, stitches and inserting an IV. In addition, techniques like distraction, as well as devices like the Accu-Vein®, which makes locating veins easier, all help to lessen both actual pain as well as anxiety. Our unique “Kitten Scanner,” one of only three in the Northeast, allows children to perform pretend CT/MRI scans on a realistic toy machine, reducing their anxiety and helping kids to understand what’s needed for them to undergo successful procedures. And, whenever possible, the hospital uses instruments that are child-sized for both comfort and added precision. Stony Brook also has a large team of certified Child Life Specialists, trained in child development and equipped to minimize stress and anxiety for children to help them feel comfortable and cared for during hospitalization.

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S9

Bridges region. It offers a full range of comprehensive medical services for infants, children and young adults, providing leading-edge diagnosis, treatment and management of childhood conditions, illnesses and injuries. As an academic medical center, Stony Brook Children’s offers access to groundbreaking — and often lifesaving — clinical trials. We are also a regional referral center for the smallest babies, the sickest children and the most complex traumas. This means that physicians and hospitals in the community send their patients to Stony Brook when they need the highest level of care. As a children’s hospital, Stony Brook understands that children need highly specialized services and specially trained practitioners in a setting that reflects the unique needs of children. The doctors, nurses and other experts at Stony Brook understand what a child requires physically and emotionally — through every developmental stage.

The Peter and Nancy Richard Family Foundation Lobby will have a colorful reception desk, blue tiles, lighted “portholes,” nautically themed art and a live feed from the Long Island Aquarium. Child Life Specialists work daily to provide children with normal play opportunities, familiarize them with hospital equipment and procedures, organize special events such as visits from musicians, magicians, Stony Brook University athletes, pet therapy dogs and others. They also work closely with the healthcare team to address the individual needs of young patients and their families.

A continuing commitment to children Stony Brook Children’s continues to provide the most advanced pediatric specialty care in the

HIGHLIGHTS OF STONY BROOK CHILDREN’S  More than 180 pediatric physicians in over 30 pediatric specialties  104 pediatric beds including a 10-bed Pediatric Intensive Care Unit (PICU) and a 10-bed inpatient Psychiatry Unit  Serves as the Regional Perinatal Center with a Level III (the highest designation) 46-bed NICU — the first in New York State to feature all-private rooms  Nearly 8,000 inpatient discharges annually (including newborns)  A dedicated Pediatric Emergency Department open 24/7, completely staffed by pediatric ED-trained physicians, who treat more than 25,000 patients each year  Suffolk County’s only Level I (the highest designation) Pediatric Trauma Center More than 3,800 surgeries a year

A community presence

Fully accredited by The Joint Commission

Stony Brook Children’s provides care on the Stony Brook Medicine campus and at 12 outpatient facilities conveniently located throughout the community. The hospital also reaches out to kids and families in the community with numerous safety programs conducted at schools and community venues. For more information, visit stonybrook childrens.org.

 A member of the prestigious Children’s Hospital Association, which is committed to advancing children’s health through innovation in the cost, quality and delivery of care  A member of the Children’s Oncology Group (COG), a network of the world’s childhood cancer experts  A member of Children’s Hospitals’ Solutions for Patient Safety (CHSPS), a network of more than 100 children’s hospitals who have pledged to ensure that no child will ever experience serious harm while we are trying to heal them  An extensive Child Life Program that provides therapeutic, educational and recreational activities, helping to reduce the stress of hospitalization for young patients and their families

A wealth of amenities

 A Ronald McDonald Family Room, offering families of children undergoing medical treatment a place to rest and recharge right at the hospital

The new hospital combines the best practices in modern pediatric medicine with a child- and family-first philosophy. Choices for the hospital’s design and amenities are supported by research that shows that a child-friendly environment contributes to better outcomes for children. The facility’s nautical theme highlights the hospital’s Long Island heritage. In addition to blue tile “waves” and aquatic art in the lobby, there are uniquely textured “ocean” walls on every floor. Patient rooms will include multicolored wall lights, controlled by patients, that come to life with turtles, fish and dolphins. There will be on-site classrooms to assure each child’s education remains as uninterrupted as possible during their hospitalization. The facility also will have separate child and teen playrooms and classrooms, as well as common areas, including an outdoor garden. For family members and visitors, a Ronald McDonald Family Room will give them a place to take a break, take a shower, check their email, do a load of laundry, grab a snack and get support from other families.

 The only hospital in Suffolk County that offers minimally invasive pediatric surgery  State-of-the-art imaging, along with low-dose protocols and expertise that reduce radiation exposure  Award-winning Keeping Families Healthy program, providing home visits from trained community health workers to support families in navigating the healthcare system  One of only 121 nationally accredited Cystic Fibrosis Centers in the United States  An expanded Hematologic Malignancy and Stem Cell Transplant Team to treat patients with blood-related cancers and cancers of the lymphatic system  The only Suffolk County hospital to perform kidney transplants for children School Intervention and Re-Entry Program for children with cancer and/or blood disorders that has become a national model Fully outfitted playrooms will feature bright, whimsical colors and patterns, and plenty of ageappropriate toys and activities.

 Keeping Kids Safe in Suffolk — an all-volunteer organization specializing in outreach and training related to child safety

PAGE S10 • SBU BRIDGES • FEBRUARY 21, 2019

Bridges

Stony Brook Heart Institute: Transforming cardiac care For a patient with a heart problem to do exceptionally well, you need a highly skilled, experienced team that has a proven record of providing consistently high-quality care, safety and results. Stony Brook University Heart Institute has approximately 300 team members across multiple specialties, all dedicated to excellence of care.

Comprehensive surgical and nonsurgical treatments At the Heart Institute, you are treated by a multidisciplinary team of cardiologists, cardiothoracic surgeons, cardiac nurses and other specialists with expertise in the most advanced cardiac and cardiothoracic procedures. Because every patient’s needs are unique, your team will tailor a treatment plan that is specifically for you. We provide the full range of care from initial evaluation and diagnosis to management and prevention to complex open-heart surgeries. Most importantly, from your first to your last treatment, you’ll be seen by a team that you come to know — and who comes to know you and your specific needs.

State-of-the-art surgical procedures Our board-certified surgeons have extensive experience in all aspects of heart and chest (thoracic) surgery. We use both advanced minimally invasive and traditional surgical techniques. We were the first medical center on Long Island to offer robotic-assisted heart surgery, and we have considerable experience in all the latest minimally invasive procedures. “Our Cardiothoracic Surgery Division recently

won a three-star rating — the highest awarded — from The Society of Thoracic Surgery for patient outcomes and quality of care for isolated coronary artery bypass graft surgery,” said Joanna Chikwe, MD, Director of the Heart Institute and Chief of Cardiothoracic Surgery. “We’re proud of that, of course, but much more important is that we provided top-quality care that changed peoples’ lives.”

Coming in 2019 — all-new advanced ICU and Step-Down Unit Soon we will be moving into the new Hospital Pavilion that is adjacent to Stony Brook University Hospital. It has an entirely new, 10-bed cardiothoracic intensive care unit for patients coming out of heart surgery. Adjoining the ICU is an allnew step-down unit for patients who no longer need the ICU. Both units have been thoughtfully designed to provide maximum comfort, convenience and safety for patients and their families. If you’re a surgical patient, you will spend the first couple of days after surgery in the ICU followed by a few days in the step-down unit. The nurses in both units have all had specialized cardiac critical care training. Both units have large, private, beautifully decorated rooms. Every patient room has a window to encourage healthy sleeping patterns and improved mood, along with a private bathroom and shower. An alcove with a sleeper couch in each room lets a relative or friend comfortably stay with you. A separate family waiting area with a private consultation room lets family members learn about your surgery and ask questions in confidence.

New Surgical and Trauma ICU provides advanced medical care When Stony Brook Medicine’s Hospital Pavilion opens in 2019, the Surgical Intensive Care Unit (SICU) and Trauma Intensive Care Unit (TICU) will grow from 14 to 21 beds. Patient rooms on the unit will also increase in size with additional space for surgical and trauma staff members, specialized equipment and comfortable surroundings for family members. The new SICU and TICU will continue to provide advanced medical care to those patients who are critically ill or injured and who require surgery or are recovering from surgery. The newly expanded unit will serve patients from all of the hospital’s surgical services, except for cardiothoracic, pediatric and neuro critical care, which will each have their own intensive care units. Patient care in the Surgical and Trauma ICU is led by a surgical intensivist, a physician who is

board certified in general surgery, trauma surgery and critical care medicine, and who is on-site 24/7. In addition to the intensivist, the healthcare team includes nurses, nurse practitioners, social workers, respiratory therapists and clinical pharmacists, among other healthcare professionals. For patients receiving surgery not related to a traumatic injury, the team works in close collaboration with the patient’s surgeon. Once patients no longer need intensive care but still require additional monitoring, they are transferred to the Surgical Intermediate Care (SICR) unit or Trauma Intermediate Care (TICR) unit, which are also known as step-down units. In the Hospital Pavilion, these units will be located on two floors and expand to a total of 35 beds. Additionally, these rooms will be all private for the comfort of patients and their family.

A continuum of care means better outcomes for patients As part of a world-renowned research university, we explore causes, treatments and prevention of cardiovascular disease not only to further the science of medicine, but also to assure that you truly receive the most advanced therapies. We specialize on the heart, but we focus on all aspects of your care. “You can be confident that you can start and finish all your care at our Heart Institute,” said Dr. Chikwe. “You’ll be getting expert specialty care from one of the top-rated facilities in the nation.”

FREE HEART HEALTH RISK ASSESSMENT Take our free heart health risk assessment at stonybrookmedicine.edu/hearthealth For an appointment with one of our cardiology experts, call (631) 44-HEART (444-3278).

Neurological critical care expands Stony Brook University Hospital will soon be expanding its existing neurological critical care services by opening a larger, 20-bed Neurological Critical Care Unit (NCCU). The unit will be located in the new Hospital Pavilion, opening in 2019. The new state-of-the-art NCCU will continue to provide best practice, evidence-based care for both neurosurgical and neurologically impaired patients. An interdisciplinary team of physicians, physician assistants, nurse practitioners and resident physicians specially trained for the NCCU will collaborate in the management of patients. All of the patient rooms in the new NCCU are single occupancy, to help support patient and family privacy and provide a welcoming environment for families to spend time with their loved one. There are also designated areas in each patient room for families to spend the night. Improved entertainment and educational services through the use of an interactive TV will also be available in each room for the patient and their family.

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S11

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Stony Brook’s Cardiac Surgery Team earns top rating for coronary artery bypass grafting (CABG) surgery The Cardiothoracic Surgery Division at Stony Brook University Heart Institute has received a three-star rating — the highest awarded — from The Society of Thoracic Surgeons (STS) for overall patient care and outcomes in isolated coronary artery bypass grafting (CABG) surgery. This distinguished award is in recognition of the isolated CABG procedures we performed from January to December 2017. The STS ratings are regarded as the definitive national reporting system for cardiac surgery. Stony Brook University Heart Institute cardiothoracic surgeons:

Joanna Chikwe, MD, Director, Stony Brook Heart Institute and Chief, Cardiothoracic Surgery

Henry J. Tannous, MD, Surgical Director, Structural Heart Program and Associate Chief, Cardiothoracic Surgery

A big honor for Stony Brook’s Cardiac Surgery Team The three-star rating that Stony Brook achieved is an “Overall Composite Score” for patient outcomes and quality of care for isolated CABG surgery. It measures a surgical team’s performance before, during and after CAGB surgery, which is the most frequently performed heart surgery. Three stars denotes the highest category of quality and places us among the elite for coronary artery bypass surgery in the United States and Canada. “Knowing which hospitals have superior results is a huge advantage for patients,” says Joanna Chikwe, MD, Director of the Heart Institute and Chief of Cardiothoracic Surgery. “They can have peace of mind knowing they’re getting care from one of the top-rated facilities in the nation.” Four quality domains — two assessing how well patients do after surgery and two assessing the quality of care we provide — are combined to produce the overall composite score.

How the ratings are determined To determine the star ratings, the STS collects data information from adult cardiac surgery programs that participate in the STS National Database. The public reporting of participants’ star ratings is entirely voluntary, and demonstrates a commitment to providing ever-improving quality healthcare. The data submitted are analyzed and risk-adjusted so that hospitals with a generally “sicker” population aren’t unjustly penalized and/or hospitals with “easy”

Thomas V. Bilfinger, MD, Co-Director, Aortic Center and Director, Cardiothoracic Intensive Care Unit

Allison J. McLarty, MD, Co-Director, Ventricular Assist Device Program

patients aren’t unfairly rewarded. The STS also randomly audits data submitted by hospitals to validate accuracy. More than 95 percent of hospitals in the U.S. with cardiac surgery programs submit data to the STS, and 10 percent of performers in the United States and Canada are identified with three-star ratings. For Stony Brook’s Cardiothoracic Surgery Division, it’s a testament to the clinical excellence that we’ve achieved for our patients.

Credible, reliable information for patients Isolated coronary artery bypass graft surgery is the most often performed cardiac surgery, but like any open-heart procedure, it requires a high degree of expertise to achieve clinical excellence. STS star ratings of sites enrolled in public reporting can be searched online free of charge to anyone and provide accurate, unbiased information about the quality and safety of the care provided by different heart surgery providers during specific timeframes. The STS star ratings can be viewed at publicreporting.sts.org/acsd. This is a huge advantage for patients with heart problems and their families. It gives verified, meaningful information based on true clinical data that may not always be easily accessible. It can help people make informed decisions about healthcare.

A broad spectrum of quality cardiac care “The STS rating is based only on the Division of Cardiothoracic Surgery’s experience in coronary artery bypass grafting (CABG)

Jorge M. Balaguer, MD

surgery, and we believe that the quality and expertise illustrated by the top rating is emblematic of the entire Heart Institute’s dedication to excellence in patient care,” said Dr. Chikwe. When you come to the Heart Institute, you can depend on quality and expertise for every aspect of your cardiac care. In fact, we exceed national outcomes for lifesaving heart emergency care like acute myocardial infarction (heart attack). Our heart failure program also exceeds the national average, as reported on the Hospital Compare website. A few other examples: • TAVR: Stony Brook University Hospital is one of a select number of sites in the U.S. to offer the minimally invasive procedure called transcatheter aortic valve replacement (TAVR) for high, intermediate or low-risk patients. Stony Brook has excellent longterm data on patient outcomes with TAVR, and we are a tertiary referral center for evaluation of aortic valve disease. • Mitral Valve Repair: Stony Brook is one of the few surgical practices that has specialized experience in mitral value repair surgeries. • Clinical Electrophysiology Service: The Stony Brook Heart Rhythm Center performs in- and outpatient evaluation and management of all types cardiac arrhythmias. Therapies for specific cardiac arrhythmias include investigational and conventional antiarrhythmic drugs, implantable pacemakers and defibrillators, and catheter ablation procedures for complex atrial and ventricular arrhythmias. Learn more at heart.stonybrookmedicine.edu.

PAGE S12 • SBU BRIDGES • FEBRUARY 21, 2019

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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 S14 • SBU BRIDGES • FEBRUARY 21, 2019

Bridges Highest level of stroke care soon to include mobile stroke units Last spring, Stony Brook University Hospital became the first hospital in Suffolk County to achieve Comprehensive Stroke Center certification by The Joint Commission, the nation’s oldest and largest standards-setting and accrediting body in healthcare. The advanced Comprehensive Stroke Center designation indicates Stony Brook’s ability to receive and treat the most complex stroke cases. As a certified Comprehensive Stroke Center, Stony Brook provides nationally recognized best practices and a level of care few hospitals anywhere can match. Nationally approximately only 200 hospitals out of 5,800 have earned this certification. This is the highest level a stroke center can achieve, and involves a rigorous screening process. Suffolk County residents will soon have one more reason to look to Stony Brook Medicine for the highest level of care for both ischemic stroke (when a clot blocks the flow of blood to the brain) and hemorrhagic stroke (bleeding within the brain tissue).

Long Island’s first mobile stroke unit program to launch in March Next month, Stony Brook Medicine will launch Long Island’s first mobile stroke unit program. These state-of-the-art 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.

“Time is brain” Perhaps you’ve heard the expression, “Time is brain.” It’s a reminder that when you have a stroke and the brain cannot get the blood and oxygen it needs, brain cells die. To put this in perspective, it’s estimated that when a blood

Each one of Stony Brook Medicine’s mobile stroke units is a mobile stroke emergency room (ER) with telehealth capability to Stony Brook University Hospital.

vessel supplying the brain is blocked, nearly two million brain cells are lost for each minute that passes, making stroke the most time-sensitive diagnosis in medicine. The faster blood flow can be restored to the brain, the more likely that a person will have a full recovery.

Mobile ER with telehealth capability Each mobile stroke unit is a mobile stroke emergency room (ER) with telehealth capability to Stony Brook University Hospital. This will allow Stony Brook Medicine physicians at the

hospital to determine if a person has a blocked vessel or bleeding in the brain. Once that is determined, the stroke first responders onboard the mobile stroke unit can begin administering time-sensitive, advanced stroke treatments while the person is en route to the nearest hospital that can provide them with the appropriate level of care. The mobile stroke units will be available seven days a week, from 8 am to 8 pm, which is the window of time when most stroke calls are received. One will be strategically stationed at a base station located near Exit 57 on the

westbound side of the Long Island Expressway. The other will be stationed similarly near Exit 68. These two locations provide rapid NorthSouth and East-West access. Stony Brook Medicine is working with emergency medical service agencies throughout Suffolk County to coordinate the future dispatching and response of the Stony Brook Medicine mobile stroke units and crew to provide this lifesaving, time-sensitive care to our community. For more information, visit neuro. stonybrookmedicine.edu/centers/cvsc.

Ellen Galbraith CBR, CHMS

Licensed Associate Broker FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S15 Office: 631-751-0303 Ext. 207

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PAGE S16 • SBU BRIDGES • FEBRUARY 21, 2019

Bridges

Growing telehealth services make access to quality healthcare easier Imagine not having to take off time from work to drive a long distance to be seen for a routine follow-up visit with your physician when there’s an alternative that can be just as effective. Well imagine no more. The future is on its way. Stony Brook Telehealth is a service that’s already begun to roll out at Stony Brook Medicine and will be especially attractive for the communities Stony Brook now serves as a result of its partnership with Stony Brook Southampton Hospital and a growing affiliation with Eastern Long Island Hospital. You can now videoconference remotely with your physician in real time. Stony Brook’s recently launched telepsychiatry service in Amagansett is the perfect example of this. It allows patients to be “seen” in real time by a Stony Brook psychiatrist for therapy or medical management sessions. The psychiatrist also works hand in hand with the patient’s primary care physician to ensure that the care is coordinated. This remote videoconferencing telepsychiatry service is expected to grow in the coming months to other East End locations and at integrated Stony Brook Medicine sites. (An integrated site is where primary healthcare and mental healthcare services are provided in one setting for your convenience.) Telehealth is also being used for those who have been recently discharged from a hospital stay at Stony Brook University Hospital. It’s helping to ensure patients’ successful return home and prevent emergency room visits and readmissions to the hospital. Through a research pilot in home monitoring, participating patients are provided with kits that include a touch-screen tablet, blood pressure monitor, pulse oximeter and scale. “The purpose is to study the

effectiveness of different methods of treatment post-hospitalization,” said Gerald Kelly, DO, Chief Medical Information Officer at Stony Brook Medicine and a board-certified physician in Family Medicine and Clinical Informatics. “To date, 90 percent of patients enrolled in this study have successfully adhered to their prescribed medication and program requirements.” And, at Stony Brook University Heart Institute, the Heart Failure and Cardiomyopathy Center offers CardioMEMS™, a device that works remotely for appropriate patients with advanced heart failure. The device is implanted via a catheter (a thin, flexible tube). Once

the patient receives the implanted device, the patient lies down on a specialized pillow for only a few minutes each morning to collect and transmit information from the implanted CardioMEMS device to the patient’s care team at the Heart Institute. Nearly automatically, the device transmits information on the patient’s fluid retention and pulmonary artery pressure securely over the internet, without the need for the patient to leave their home. Physician-to-physician communication is another benefit of the telehealth method of managing healthcare. Several Stony Brook medicine physicians are using videoconferencing with community physicians who seek out second opinions for difficult cases, early evaluations, transfers, procedures or for a professional consultation for education purposes. Another big step in Stony Brook’s use of telehealth will come next month, when it launches Long Island’s first mobile stroke unit program. Each unit will be equipped with telehealth capability to Stony Brook University Hospital. This will allow Stony Brook Medicine physicians at the hospital to determine if a person has a blocked vessel or bleeding in the brain. Once that is determined, the stroke first responders onboard the mobile stroke unit can begin administering time-sensitive, advanced stroke treatments while the person is en route to the nearest hospital that can provide them with the appropriate level of care. For more information, email telehealth@stonybrookmedicine.edu.

Concerned about your memory or that of a loved one?

Stony Brook Center of Excellence for Alzheimer’s Disease can help. Dementia has been called the greatest global challenge for health and social care in the 21st century. The term “dementia” describes a wide range of symptoms associated with decline in memory or other thinking skills severe enough to reduce a person’s ability to perform everyday activities. Alzheimer’s disease is the most common form of dementia, accounting for 60 to 80 percent of cases. On Long Island alone, there are over 54,000 people living with Alzheimer’s.

Early detection is key While mild memory loss may be part of aging, Alzheimer’s is not. Yet the greatest known risk factor for this irreversible, progressive brain disease is one’s increasing age, and the majority of people with Alzheimer’s are 65 and older. We don’t know how the Alzheimer’s disease process starts, but it appears that damage to the brain starts a decade or more before problems show up. There is no cure for Alzheimer’s, but early detection and treatment may slow the progression of Alzheimer’s symptoms, providing patients and families with the opportunity to plan for the future.

Only such center serving Nassau and Suffolk counties

Support for physicians, healthcare providers and family members

If you’re concerned about your memory or that of a loved one, Stony Brook’s Center of Excellence for Alzheimer’s Disease can address your concerns and provide answers. As one of only 10 such centers supported by a grant from the New York State Department of Health, Stony Brook’s center is the only one serving Nassau and Suffolk counties. The center’s mission is to provide early diagnosis and enhance the quality of life for people living with Alzheimer’s disease and other dementias. This is accomplished by offering assistance to physicians, healthcare providers and family members. The center has partners throughout Long Island to effectively serve patients and their loved ones close to where they live. Led by Medical Director Nikhil Palekar, MD, the center’s interdisciplinary team includes neuropsychiatrists, a geriatrician, a neuropsychologist and social workers.

Services provided to physicians include: • assessment and diagnostic services • comprehensive, individualized care plans • management of complex cases • technical help • educational resources for difficult diagnoses • second opinions For workers in senior centers, assisted living facilities and nursing homes, the center offers continuing professional education about the importance of early diagnosis and treatment. And for family members, the center provides recommendations on resources and support, language assistance, information about clinical trials at Stony Brook University and elsewhere, and the benefits of participation. The staff also advocates with and on behalf of caregivers. For more information, call (631) 954-2323 or visit ceadlongisland.org.

Nikhil Palekar, MD, Medical Director, Stony Brook Center of Excellence for Alzheimer’s Disease, is also the Director of Geriatric Psychiatry at Stony Brook Medicine.

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S17

Bridges

From left, Michelle Ceo, RN, PNP; Helen Hsieh, MD, PhD; Charles Coren, MD; Christopher S. Muratore, MD; Erica Gross, MD; and Richard J. Scriven, MD

When a child needs surgical care, a pediatric surgeon is the right call When a child requires surgery, an “adult” general surgeon often will perform the operation. However, a surgeon who is trained to treat adults in an adult hospital may not have the specific skills required or the child and family focus to address the unique challenges of treating children. That’s where pediatric surgeons come in. Stony Brook Children’s Hospital believes that every child in our region who needs surgery — major or minor — should have access to a

specially trained pediatric surgeon. The Division of Pediatric Surgery at Stony Brook Children’s comprises five skilled surgeons, all who have completed residency training in general surgery plus additional fellowship training in pediatric surgery. Each of the team’s surgeons meets all the rigorous standards of training required of pediatric surgeons as defined by the American College of Surgeons, the American Board of Surgery and American Academy of Pediatrics.

There are also dedicated and certified pediatric nurse practitioners on the team. All the pediatric surgeons work closely with pediatric anesthesiologists and other team members experienced in caring for children, who understand not only the unique physical needs of children but also their psychosocial development. Equally important is that the equipment, gowns and other medical supplies are kid-sized and age appropriate, and that the team delivers care not just to the child

but to the entire family. In addition, Stony Brook Children’s is the only hospital in Suffolk County that performs minimally invasive pediatric surgery. An academic children’s hospital is where the newest and most innovative pediatric surgery is being developed, practiced and taught. It’s where optimal care is provided by a team of the besttrained minds in medicine for kids. This is what families and patients get at Stony Brook Children’s. For information, visit stonybrookchildrens.org.

Helping an infant survive a deadly birth defect Christian Rojas, of Port Jefferson Station, was born last May at Stony Brook Children’s Hospital with a life-threatening condition called gastroschisis. The baby’s intestines were located outside his body, having come out through a hole beside his belly button. Gastroschisis is a birth defect of the belly wall. The hole in the belly through which the intestines come out can be small or large. Sometimes other organs, such as the stomach and liver, can also be outside the baby’s body. Gastroschisis requires surgical repair soon after birth. It is associated with an increased risk for medical problems and death during infancy. Christian’s case was extraordinarily complicated and marked by an extreme twist in the intestines that threatened their blood supply. Luckily, Christian was born at the right place. Soon after Christian’s birth, Christopher S. Muratore, MD, Chief, Division of Pediatric Surgery, and his team at Stony Brook Children’s Hospital embarked on a series of operations to untwist Baby Christian Rojas with his mother and father and Christopher S. the intestines and save the baby’s life. Muratore, MD (center), at Stony Brook Children’s Hospital in July 2018

Dr. Muratore worked closely with a team of five surgeons, 10 neonatologists — newborn care specialists — and a squad of nurses. Christian had to be monitored around the clock after arriving in Stony Brook Children’s Neonatal Intensive Care Unit (NICU). Christian fared well with all the operations, and steadily improved, gaining the weight of a healthy baby. By mid-summer, he was able to go home from the hospital. The Centers for Disease Control and Prevention (CDC) estimates that about 1,871 babies are born each year in the United States with gastroschisis, but several studies show that recently this birth defect has become more common, particularly among younger mothers. CDC researchers recently found that over 18 years, the prevalence of gastroschisis more than doubled in the United States. More research is needed to understand what is causing the increase. Dr. Muratore points out that he and his Stony Brook colleagues have seen a number of babies in the area with gastroschisis. Stony Brook Children’s treats about 10 cases annually.

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Preserving fertility: New options for women

Choosing to have children is one of the most important decisions an individual or couple can make. The optimal timing of when to have children is a very personal choice with numerous societal, economic and individual inputs. James Stelling, MD, of Island Fertility, a full-service fertility practice of Stony Brook Medicine, discusses the issues affecting people who want children and the fertility preserving options available at the Commack location. Dr. Stelling is double board certified in obstetrics and gynecology, and reproductive endocrinology and infertility, and has a quarter century of experience helping people build families.

Fertility and age According to Dr. Stelling, many women who start young experience no fertility problems. But those who delay pregnancy until their late 30s or early 40s may be surprised and distressed to learn their eggs will no longer produce a pregnancy. “They are in their early 40s, they look great and feel great; they see celebrities having babies at 48, and they are faced with deep disappointment,” said Dr. Stelling.

Cancer’s effect on fertility “A new diagnosis of cancer is life altering and often requiring intense treatments and adjustments to one’s goals and plans [for having children],” said Dr. Stelling. “Many cancer treatments, especially many chemotherapeutic agents, can interfere with the quality or functioning of either men’s sperm or women’s eggs.”

Fertility preserving options at Island Fertility Fortunately, there are now very successful options that can preserve fertility whether for medical reasons, such as cancer or endometriosis, and for totally elective reasons to delay childbearing. Island Fertility provides the latest techniques for fertility preservation in a new, state-of-the-art lab with the most upto-date cryo-preservation services. “Freezing sperm for future use has been standard in the fertility world for over 50 years,” Dr. Stelling said. “More recently, one of the most significant developments in reproductive technology is cryo-vitrification of oocytes (eggs). A revolutionary ‘flashfreezing’ technique used allows delicate eggs to be frozen quickly

From left, Bradley Trivax, MD, FACOG; James Stelling, MD, HCLD, FACOG; Richard Bronson, MD, FACOG; and Lauren Safier, MD, FACOG

enough to prevent damage, and later thawed for use in in-vitro fertilization (IVF).” Historically, most fertility preservation has been performed in patients with cancer who need chemotherapy, but increasingly people are preserving fertility for other medical conditions such as lupus or endometriosis. And while the process of freezing sperm is quite easy physically and economically, egg or embryo freezing is not as straightforward. Egg freezing requires about two to three weeks of monitoring with daily injectable medications for about 10 days. Eggs are removed using ultrasound-guided aspiration techniques while the patient is under anesthesia. In addition, for many, the frequent blood tests and ultrasounds of the ovaries can make scheduling difficult. To maximize the convenience to their patients, Island Fertility offers pre-work appointments.

“Unfortunately, there is no number of eggs frozen that will guarantee a pregnancy,” said Dr. Stelling. “One study projects that a 30-year-old woman with 30 eggs frozen would have about a 90 percent chance of having a child from those eggs. A 41-year-old woman with 30 eggs would only have about a 50 percent chance of conceiving a child from those eggs.” “In our practice, this technique will offer women new options in fertility preservation,” he said. “Cryo-vitrification gives women the opportunity to freeze their eggs while younger, preserve their fertility, and reduce the chances of miscarriage and birth defects associated with ‘egg age.’ It is also considered to be an approved procedure for fertility preservation by the American Society of Reproductive Medicine. Insurance may cover the cost of IVF, especially in medically indicated cases.”

Chances for success

For information or to make an appointment, call Island Fertility at (631) 638-4600.

Successful pregnancy rates will be primarily determined by how fertile the woman is at the time of the proposed procedure. A woman who can make 20 eggs is more fertile then one who can only make two.

Advanced Specialty Care 500 Commack Road, Suite 202 Commack

About Island Fertility Stony Brook Medicine fertility specialists use reproductive technology techniques to bring new hope to women with fertility issues.

Island Fertility is a full-service fertility practice of Stony Brook Medicine. Our practitioners include James Stelling, MD, HCLD, FACOG; Bradley Trivax, MD, FACOG; Lauren Safier, MD, FACOG; Richard Bronson, MD, FACOG; Susan Marfoglio, NP; and Karen Middel-Jones, NP.

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S19

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First on Long Island to offer minimally invasive TCAR procedure for stroke prevention

From left, Stony Brook Medicine’s board-certified vascular specialists, Nicholas Sikalas, MD; Shang A. Loh, MD; David S. Landau, MD; Apostolos K. Tassiopoulos, MD; Angela A. Kokkosis, MD; Antonios P. Gasparis, MD; Nicos Labropoulos, PhD; and Mohsen Bannazadeh, MD. Not pictured are Pamela S. Kim, MD, and George J. Koullias MD, PhD.

Stroke, or brain attack, can affect people of all ages and backgrounds. It is the fifth leading cause of death and a leading cause of disability in the United States. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. Every year, more than 300,000 Americans are diagnosed with blockages in their carotid (neck) arteries that carry blood to the brain. To help protect individuals at risk for strokes, the Stony Brook Vascular Center offers a safe, innovative procedure called transcarotid artery revascularization (TCAR). “This minimally invasive procedure treats carotid artery disease effectively and with results that are superior to conventional stenting of the carotid artery,” said Apostolos K. Tassiopoulos, MD, Director, Stony Brook Vascular Center and Chief, Vascular and Endovascular Surgery. “Stony Brook was the first hospital on Long Island to offer this revolutionary procedure in October 2016.” “I can’t emphasize how important TCAR is in the field of vascular surgery,” said Angela A. Kokkosis, MD, Director of Carotid Interventions, Stony Brook Vascular Center. “It’s a treatment revolution for people who are at risk for strokes because of carotid artery disease.” Carotid artery disease is a blockage or narrowing in the arteries that carry oxygen-rich blood to the brain. The blockage, caused by cholesterol-filled plaque, reduces the amount of blood that flows to the brain. Because the blood isn’t flowing normally, blood clots can

form or small pieces of plaque can break off and travel to the brain, causing a stroke. Every year, 15 million people worldwide suffer a stroke, and carotid artery disease is estimated to be the source of the stroke in up to one-third of patients. There currently are multiple treatment options for stroke prevention. If the blockage or narrowing in the artery isn’t severe, lifestyle changes and regular monitoring may be the only action required. If the disease is more advanced, Stony Brook Medicine’s vascular specialists provide three different treatments depending on the individual patient and degree of severity: the traditional open surgery, called a carotid endarterectomy, or CEA; a minimally invasive procedure called transfemoral carotid artery stenting; and, the TCAR procedure.

The TCAR procedure TCAR uses special technology, called the neuro-protection system (NPS), which allows the surgeon to directly access the common carotid artery in the neck and initiate high-rate temporary blood flow reversal to protect the brain from stroke while delivering and implanting the stent. The TCAR procedure is performed through a small incision at the neckline just above the collarbone. This incision is much smaller than a typical CEA incision.

Plaque buildup in the carotid artery impeding blood flow to the brain. Image courtesy of Silk Road Medical.

After the stent is placed successfully, flow reversal is turned off and blood flow resumes in its normal direction. It has been shown that over 10 years, the degree to which the artery stays open after the TCAR procedure is equivalent to the results of the CEA surgery. And because TCAR is less invasive than traditional surgery, there’s a lower chance of complications. For more information, call (631) 638-1670.

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Clinical trial aims to minimize surgery

for patients with breast cancer

Historically, all patients with advanced breast cancer have had the lymph nodes in their underarm area removed as part of their surgical treatment. Lymph nodes, also known as lymph glands, are pea-size lumps of tissue found throughout the body that help protect the body from infection and cancer. They are mostly in the neck, groin, underarm and behind the collarbone. Removal of underarm lymph nodes was established as the standard of care at the end of the 19th century and remained so for most of the 20th century until its therapeutic role was challenged by a clinical trial in the 1970s. The operation typically removed two-thirds of the lymph nodes in the underarm and greatly reduced cancer recurrence rates in that area. In addition, the pathology information gained from the lymph node removal gave important prognostic information about the cancer in the breast(s) and provided the oncologist with vital information that helped to determine the need for chemotherapy. For these reasons, the removal of lymph nodes in the underarm area has been an important part of the surgical treatment of breast cancer. While most patients recover very well from this procedure, some suffer long-term consequences such as pain, numbness, arm swelling (lymphedema) and even nerve damage. In the 1990s, biopsy of the sentinel node(s) emerged as a minimally invasive, less-extensive procedure. The sentinel node is the first lymph node into which a breast tumor drains. Patients who had cancer-positive sentinel nodes continued to have complete removal of their underarm lymph nodes. However, patients who had negative sentinel nodes could be spared the full node removal and possible negative consequences associated with it. At that time, Stony Brook University Hospital breast surgeons were the first surgeons on Long Island to offer sentinel node biopsy as a less-invasive procedure, which then became widely accepted as standard of care. More recently, trials have confirmed the safety of avoiding lymph node removal in patients treated by lumpectomy, even if there are one or two positive sentinel nodes. Once again, Stony Brook breast surgeons, in conjunction with

From left, Stony Brook University Cancer Center breast surgeons Patricia A. Farrelly, MD, Brian J. O’Hea, MD, and Anastasia Bakoulis, DO

a multidisciplinary team, are taking the lead, focusing on patients who have positive lymph nodes at the time of cancer diagnosis. These patients, who require neoadjuvant (preoperative) chemotherapy, are given the opportunity to enroll in a large National Cancer Institute clinical trial called Alliance A011202 – “A Randomized Phase III Trial Evaluating the Role of Axillary Lymph Node Dissection in Breast Cancer Patients (CT1-3 N1) Who Have Positive Sentinel Lymph Node Disease After Neoadjuvant Chemotherapy.” In this trial, after receiving preoperative chemotherapy, enrolled patients will have definitive surgery, including sentinel node biopsy with simultaneous removal of the previously positive node.

If the previously positive lymph node has been rendered cancerfree by preoperative chemotherapy, no further surgery is performed, and the patient is removed from the study group. However, if it is determined that the lymph node still has cancer, patients are randomized to lymph node removal or not, and both groups would receive radiation. The goal of the trial is to determine whether or not radiation without armpit lymph node removal is as effective as both together, as well as monitoring complication rates and arm problems (pain, swelling, functional disability, range of motion) in each treatment group. For more information, call (631) 638-0709.

Mesh in hernia repairs – what people need to know Hernias are a common health problem, with more than one million hernia repairs performed each year in the United States. Not only are there different kinds of hernias, different methods and surgical approaches are currently used to repair them. Today, a “mesh” product is commonly used in hernia repairs. Hernia mesh has been around for more than 50 years, and earlier versions of it have long been regarded as the “gold standard” to use in repairs. However, some websites today make claims that mesh is unsafe and that repairing hernias without mesh is better. Hernia specialist Andrew T. Bates, MD, Director of the Stony Brook Comprehensive Hernia Center, provides answers to some of the frequently asked questions about the mesh used to repair hernias.

Does hernia repair require mesh? Mesh is a flat sheet of prosthetic material used to cover or “patch” a hernia. It isn’t always needed to repair a hernia but usually is. In the right patients, some hernias in the groin area can be repaired without mesh and still have acceptable success rates. Additionally, some small hernias

at the belly button can be repaired with stitches alone. Most repairs, though, do use a mesh product to achieve a successful repair. The most common type of mesh is made of a plastic material and closely resembles a window screen in appearance. Some meshes are also made with protective coatings that allow them to be placed in the abdomen near the abdominal organs. In most hernias, mesh is the standard of care today. This is what the science clearly indicates, and it is backed up by well-designed clinical trials as well as retrospective studies.

What are the benefits of using mesh in hernia repair? Decades ago, hernia repairs were performed by simply stitching the hernia closed. For some types of hernias, this repair resulted in 25 to 50 percent of hernias later returning. Mesh changed that. By using mesh, the chance of hernia recurrence dropped to the low single-digits. In most cases, using mesh is the acceptable standard of care. However, there can be complications related to the mesh. For more information, call (631) 638-0054.

Andrew T. Bates, MD, Director, Stony Brook Comprehensive Hernia Center

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S21

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Your family’s new healthcare home Advanced Specialty Care in Commack

Advanced Specialty Care, Stony Brook Medicine’s spacious multi-specialty center in Commack, offers convenient, quality medical care for your entire family. With more than 30 medical specialties, Advanced Specialty Care covers various types of medical needs, from routine well visits to very complex conditions. There is also a comprehensive imaging center on-site to provide x-rays, mammograms, ultrasounds, bone densitometry, CTs and MRIs. Every specialty is accepting new patients, and several offer extended hours to include evening and Saturday appointments. Specialties include: • Cardiology • Dermatology • Fertility • Internal Medicine (Primary Care, Endocrinology, Gastroenterology, Geriatrics, Infectious Diseases, Pulmonology, Rheumatology) • Neurology

• Pain Management

• Obstetrics and Gynecology

• Pediatrics (Primary Care, Allergy/Immunology, Cardiology, Endocrinology, Gastroenterology (GI), Infectious Diseases, Nephrology, Pulmonology, Rheumatology)

• Ophthalmology

• Radiology/Imaging

• Orthopaedics (Foot and Ankle Surgery, Hand Surgery, Pediatric Orthopaedics, Podiatry, Spine Surgery, Sports Medicine)

• Surgery (Bariatric Weight-Loss Surgery; Colon and Rectal Surgery; Ear, Nose and Throat (Otolaryngology); General/Gastrointestinal Surgery; Hernia Care; Pediatric Surgery;

• Neurosurgery (Pediatric, Spine, Movement Disorders)

Plastic and Reconstructive Surgery; Vascular and Endovascular Surgery; Vein Care) • Urology For your convenience, there is a Sunrise Medical Laboratories’ Patient Service Center onsite. Advanced Specialty Care also hosts several health-related seminars throughout the year, including the Women’s Health Day program and luncheon in October, which brings together

women from across Long Island to learn from Stony Brook experts about topics that are important to women. Located at 500 Commack Road, Advanced Specialty Care is just minutes from the Long Island Expressway, Sunken Meadow Parkway (Sagtikos) and Northern State Parkway. Park at the north side of the building, which is closest to the entrance to Stony Brook’s services. For information, call (631) 638-0597 or visit stonybrookmedicine.edu/advancedspecialtycare.

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Suffolk County’s one and only: The Level 1 Trauma Center Difference

Learn to ‘Stop the Bleed’ and save lives

For patients who have experienced a traumatic injury and need helicopter transport, Stony Brook University Trauma Center staff is on board the medevac air transport service that brings them to Stony Brook University Hospital’s helipad, which is located right next to the Emergency Department.

As Suffolk County’s only Level 1 Trauma Center for both adults and children, Stony Brook University Trauma Center not only treats the most complex traumatic injuries, but is committed to educating and empowering the community on how to deal with trauma. Level 1 Trauma Centers are the highest-level centers, capable of providing a full range of services to the most severely injured patients. Patients coming to Stony Brook Trauma Center can rely on comprehensive surgical care with 24/7 access to in-house, board-certified trauma surgeons and critical care specialists — allowing for immediate treatment of even the most traumatic and complex injuries. The Trauma Center has dedicated Operating Rooms staffed around-theclock, CT scanners and MRI machines in the Emergency Department, and a vast, readily available supply of blood products. Care of patients by the staff extends beyond discharge to support the goal of returning patients to full functionality. The Adult Trauma Center is led by James A. Vosswinkel, MD, Chief, Division of Trauma, Emergency Surgery and Surgical Critical Care. Richard J. Scriven, MD, Division of Pediatric Surgery, leads the Pediatric Program. Each year, the Trauma Center admits and treats more than 2,500 patients

who are critically ill or injured. Twenty-five percent of those patients are transferred to Stony Brook after initial evaluation at one of Suffolk County’s 10 other community-based hospitals. Comprehensive, excellent trauma care can save lives. Stony Brook Trauma Center is leading the way with research and course trainings on the care of patients, and its patient outcomes are ranked among the best in the country, according to national quality benchmarking data. Community awareness on how to treat and prevent trauma is a key focus of the Trauma Center, which offers numerous free workshops and training throughout the year. The Trauma Center’s Bleeding Control Basic (B-Con) course teaches basic lifesaving interventions and is designed for people with little or no medical training — teachers, security personnel, custodial staff and public servants — who may be called on to assist trauma patients while waiting for emergency help to arrive. Other injury prevention programs for the community include sports safety clinics, teen driving initiatives and numerous falls prevention classes for older adults. To learn more about Stony Brook University Trauma Center, visit trauma.stonybrookmedicine.edu or call (631) 444-HURT (4878).

When there’s a catastrophic event causing traumatic injury and uncontrolled bleeding, there may not be time to wait for medical help to arrive. Whether from a mass casualty, an active shooter incident, explosion, or as a result of an accident at home or work, recognizing life-threatening bleeding and knowing what to do until emergency responders arrive can save lives. Stop the Bleed is a national awareness campaign that launched in October 2015 and encourages bystanders to become trained, equipped and empowered to help in a bleeding emergency before professional help arrives. As part of this emergency preparedness campaign, Stony Brook University Trauma Center offers a 90-minute American College of Surgeons’ Bleeding Control Basic (B-Con) training session to the public. During B-Con sessions, which are offered free of charge, community members learn key lifesaving skills, including hands-only CPR, tourniquet use and wound treatment. To find out about the next B-Con training session offered by Stony Brook University Trauma Center, call (631) 638-2861.

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Transforming care for patients with diabetes DIABETES SELF-MANAGEMENT EDUCATION PROGRAM Thursdays, March 7, 14 and 28, 5:30 to 7:30 pm; March 21, 5:30 to 8:30 pm Lobby Conference Room 1 Stony Brook University Hospital Helping patients learn about diabetes is an important part of diabetes management. Recognized by the American Diabetes Association, Stony Brook Medicine’s Diabetes Education Program is dedicated to helping patients with diabetes and their families by offering comprehensive education for those with type 1, type 2 or diabetes in pregnancy. The diabetes care team works together to make sure that each patient receives specialized attention. Team members are committed to ensuring the wellbeing of those living with diabetes. Topics include: • Overview of diabetes facts • Meal planning and nutrition Endocrinology fellow Elizabeth Oommen, DO, observes as Joshua D. Miller, MD, MPH, Assistant Dean for Clinical Integration and Medical Director of Diabetes Care, discusses next steps in diabetes care with a patient, as diabetes educator Patricia Skala, MSN, MA, RN, BC-ADM, CDE, demonstrates how to use a blood sugar meter.

Today greater numbers of people, both children and adults, are being diagnosed with diabetes. According to the American Diabetes Association, in 2015, more than 30 million in the United States had diabetes, while another 84.1 million age 18 and older had prediabetes. With this disease at epidemic proportions, Joshua Miller, MD, Assistant Dean for Clinical Integration and Medical Director of Diabetes Care for Stony Brook Medicine, was determined to transform the way care was delivered to patients at Stony Brook. “More and more patients are coming in with diabetes as a chronic secondary diagnosis,” said Dr. Miller. “For example, adult patients may get admitted to the hospital for heart disease, pneumonia or chronic obstructive pulmonary disease (COPD), and if they also have diabetes, erratic blood sugar control can have negative impacts on the primary diagnosis. But, if we help to control the blood sugar, patients will have a much better recovery.”

To ensure that Stony Brook patients who have or may have diabetes get the special attention they need, Dr. Miller has instituted system-wide efforts: education and standardization. “Diabetes education forms the foundation of everything that we do in the world of diabetes care,” he said. “It covers everything from how to live with diabetes to how to manage and prevent complications. “In addition to the patient, we also educate family members and caregivers to live a healthier lifestyle to help support the patient and themselves. And we teach clinicians, physicians, nurses and others as well to understand the unique aspects to caring for someone with diabetes.” “We established one of Long Island’s longeststanding diabetes education programs for patients and family members, recognized by the American Diabetes Association,” said Dr. Miller. “One statistic I’m very proud of is that we’ve been able to show that patients who successfully attend our group education programs have lowered their

hemoglobin A1c by 1 to 2 percent by incorporating what they have learned into their daily lives.” Another point of pride is how Stony Brook’s diabetes outcomes in the hospital are in the top 10 percent in the country, compared to other academic medical centers. This translates to significantly fewer days in the hospital for the patient. The second big pillar that works in conjunction with the education piece is standardization with Stony Brook’s electronic medical system, protocols and procedures. “It’s very important to me to help patients have a more positive experience surrounding their diabetes care,” said Dr. Miller. “Regardless of where in Stony Brook they’re receiving treatment, they know that their diabetes is being paid attention to.” To learn more about Stony Brook Medicine’s one-on-one and group diabetes education classes, call (631) 444-0580.

• Psychosocial adjustment and stress management • Exercise and activity • Acute and chronic complications • Health maintenance (including foot and eye care) • New technologies such as continuous glucose monitors, insulin pumps and glucose meters 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. Classes are ongoing throughout the year, and pre-registration is required. For information, call Patty Skala, RN, CDE, Program Coordinator, at (631) 4449954 or visit stonybrookmedicine.edu/ patientcare/diabetes.

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Advanced treatment for gastroenterology conditions If you’re one of the 20 percent of Americans who have symptoms such as difficulty swallowing, abdominal pain, chronic nausea, vomiting, constipation, fecal incontinence or troubling gastroesophageal reflux disease (GERD), you may have a motility disorder of the gastrointestinal (GI) tract. A motility disorder affects the movement (motility) of the muscles that move food and liquids through the digestive tract and can impair digestion.

A comprehensive approach Stony Brook Medicine’s GI Motility Center is the go-to resource to help patients on Long Island regain normal GI motility and improve their quality of life. We use highly sophisticated, state-of-the-art approaches to evaluate, diagnose and provide individualized treatments for these complex disorders. Our extensive team of GI tract specialists uses gold-standard motility

testing techniques and therapies to provide the most effective course of treatment for each patient.

Patient, compassionate, effective care “We understand that conditions involving motility can sometimes make patients feel uncomfortable, awkward or embarrassed to talk about their symptoms,” said Alexandra Guillaume, MD, Director of the GI Motility Center. “We are very respectful of each individual’s concerns while providing safe, effective and tailored care.” If you’re tired of experiencing unpleasant or painful symptoms related to these conditions, your doctor can refer you to the GI Motility Center, or you can call directly for an appointment: (631) 444-5220.

Online resource helps Stony Brook patients manage their care Stony Brook Medicine’s MyHealtheLife patient portal is a secure, online resource that allows patients and their doctors to share information.

MyHealtheLife: Stony Brook Medicine’s patient portal With MyHealtheLife, individuals and families can stay informed, educated and take a more active role in their health. Whether someone is healthy or sick, MyHealtheLife empowers people to take control of their health where and how they need it most. The portal is a secure, HIPAA-compliant online resource that allows patients to easily view and manage their health information in either English or Spanish and connect with their doctors. MyHealtheLife is available to you if you are a patient at Stony Brook University Hospital or at many of Stony Brook Medicine’s local outpatient locations.

The portal also offers wellness tools that can help you track your weight, activity, nutrition and heart rate, as well as a health library that provides helpful information on various health issues, conditions and medications. You can even send non-urgent, health-related messages to your physician. Patients can connect with the portal on their computer or on their smartphone using the “HealtheLife” app. Coming soon, Stony Brook Medicine will offer a way for you to safely connect some of the health apps you use on your mobile device to your Stony Brook Medicine health record. This new process will provide access to your health and wellness data that will help you and your care team to make informed choices.

What can you do with MyHealtheLife? Want to sign up for MyHealtheLife? • Review your health profile and immunization history • Request appointments • Renew medications • Access lab and radiology results • Connect with your doctors Stony Brook Medicine’s MyHealtheLife patient portal is a secure, online resource that allows patients and their doctors to share information.

Simply provide your email address to the front desk staff while you’re in the hospital or during your next office visit. A link to the portal will then be emailed to you so that you can set up your account.

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S25

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Bridges Events and support groups at Stony Brook Medicine Stony Brook Medicine offers a wide range of programs, lectures, workshops, support groups and other events throughout the year to help you, your family, friends and neighbors 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.

BARIATRIC WEIGHT-LOSS SEMINARS

Mondays, March 4, April 1 and May 6, 5 pm 23 South Howell Avenue, Centereach Tuesdays, March 12, April 9 and May 14, 5 pm Conference Room 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, bariatric surgery and intragastric balloon. The team led by Aurora Pryor, MD, includes surgeons Konstantinos Spaniolas, MD, Andrew Bates, MD, and Salvatore Docimo, DO, who are well-known experts in the field of bariatric surgery and offer a full range of surgical options.

DIABETES SELF-MANAGEMENT EDUCATION PROGRAM

Thursdays, March 7, 14 and 28, 5:30 to 7:30 pm; March 21, 5:30 to 8:30 pm Lobby Conference Room 1 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. Classes are ongoing throughout the year, and pre-registration is required. For information, call Patty Skala, RN, CDE, Program Coordinator, at (631) 444-9954 or visit stonybrookmedicine.edu/ patientcare/diabetes.

presentations from experts at Stony Brook University Cancer Center, displays and information from community organizations. The event is free and includes a light lunch. Registration is required at cancer.stonybrookmedicine.edu/ cancerwise2019. Appropriate for those 16 years or older. For information, call (631) 444-4000.

STROKE SUPPORT GROUP

MALL WALKERS

Fridays, March 8, April 12 and May 10, 10:30 am to noon Lobby Conference Room 1 Stony Brook University Hospital 101 Nicolls Road, Stony Brook Tuesdays, March 26, April 30 and May 28, 7 to 8:30 pm Stony Brook Neurology Clinic 181 Belle Mead Road, East Setauket Every 45 seconds someone in the U.S. suffers a stroke. This monthly support group offers educational and therapeutic opportunities for stroke survivors, family members and caregivers. Parking for the meetings at the hospital will be validated (valet parking is not included). For more information, call (631) 638-2638.

VARICOSE VEIN SCREENINGS

Saturdays, March 16, April 20 and May 18, 8 am to 2 pm Center for Vein Care 23 S. Howell Avenue, Suite G, Centereach Tuesdays, March 19 and April 23, 8 am to 2 pm Advanced Specialty Care 500 Commack Road, Commack These free screenings are open to individuals between the ages of 18 and 80 who suffer from large varicose veins that are causing pain and/or swelling. A brief, noninvasive examination of the lower legs will be provided. Registration is required by calling (631) 444-VEIN (8346).

CANCER WISE CAFÉ

Saturday, March 23, 8:30 am to 3 pm Medical and Research Translation (MART) Auditorium and Atrium Stony Brook Medicine 101 Nicolls Road, Stony Brook Learn about the latest advances in the screening, prevention, diagnosis, management and treatment of several types of cancer. This program features

Wednesdays, March 27, April 24 and May 29, 8 to 10 am Smith Haven Mall Food Court, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an informative health lecture by a Stony Brook Medicine expert. For more information about the Mall Walkers program, call Stony Brook Medicine hosts many events aimed at helping members of the (631) 444-4000. community stay healthy.

HEARTSAVER/CPR AED CLASSES

Wednesdays, March 27, April 24 and May 29, 4 to 7 pm Stony Brook University Hospital 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. The class is free, but for those who would like a two-year American Heart Association CPR card, there is a $20 fee. Participants will learn how to respond when someone is unresponsive and in cardiac arrest. Registration is required; call Yvonne Leippert, RN, MS, CCRN, at (631) 444-3322 or email yvonne.leippert@ stonybrookmedicine.edu.

PORT JEFFERSON HEALTH AND WELLNESS FEST

Saturday, May 18, 9 am to 1 pm Earl L. Vandermeulen High School 350 Old Post Road, Port Jefferson This free health fair features medical experts from Stony Brook Medicine who will provide the latest information on cancer care, children’s health, digestive health, heart health and neurology. Health screenings will be offered. For information, call (631) 473-1414 or visit portjeffhealth.com.

Entertainment for all 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. 21. Join us for fun and discovery for the entire family.

CommUniversity Day is Back!

Save the date: The third CommUniversity Day festival is on Saturday, Sept. 21. 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 Night Lecture Series

Now in its 45th year, the Stony Brook Open Night lecture series continues to educate the public. Talks are held most Fridays during the fall and spring semesters and 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. For more information, visit astro.sunysb.edu/openight.

Upcoming speakers: March 1: Professor Philip Armitage • April 5: Dr. Alice Harpole May 3: Professor Michael Zingale

FEBRUARY 21, 2019 • SBU BRIDGES • PAGE S27

Bridges

Staller Center 2019 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. To purchase tickets, visit stallercenter.com or call (631) 632-ARTS (2787). Staller Center provides discounts on tickets for children, students and seniors.

Gala 2019: Renée Fleming

Saturday, March 2, 8 pm Main Stage, $90 Known as “the people’s diva,” soprano Renée Fleming captivates audiences around the globe with her sumptuous voice, consummate artistry and compelling stage presence. The Metropolitan Opera superstar graces the 2019 Staller Center Gala in a special program of beloved arias and songs.

Mayumana in “Currents”

Saturday, March 9, 8 pm Main Stage, $48 Israel’s Mayumana brings a spectacular dance and light show inspired by the historical “Battle of Currents” between Thomas Edison and Nikola Tesla in their quest for finding energy sources for the world.

Starry Nights – March

Emerson String Quartet in “Shostakovich and The Black Monk”

Friday, April 12, 8 pm Main Stage, $48 “Shostakovich and The Black Monk: A Russian Fantasy” comes from the minds of acclaimed theatrical director James Glossman and Emerson String Quartet member Philip Setzer. In a bold intersection of chamber music and theater starring the actor David Strathairn as Dmitri Shostakovich, witness the trials and challenges of Shostakovich’s obsessive quest to create an opera based on Anton Chekhov’s mystical tale “The Black Monk.”

Complexions Contemporary Ballet

Saturday, May 4, 8 pm Main Stage, $44 Master Choreographer Dwight Rhoden and Desmond Richardson’s Complexions Contemporary Ballet reinvent dance through a groundbreaking mix of methods, styles and cultures. With Star Dust – A Tribute to David Bowie, along with other exciting pieces from their repertoire, a thrilling night of dance is in store by one of the most athletic companies of our time.

DEPARTMENT OF MUSIC AT STONY BROOK

Thursday, March 14, 7 pm Recital Hall, $40 Bring in the spring with Starry Nights, produced by artistic director and renowned cellist Colin Carr. Enjoy a unique program by stars who are artists-in-residence, professors of music and doctor of musical arts musicians.

The Department of Music’s 2019 spring season features students, faculty and professional guests. These shows are held in the Staller Center for the Arts. For tickets, visit stallercenter.com, call (631) 632-ARTS (2787) or go to the box office in the lobby of the Staller Center. Visit stonybrook.edu/music for updates.

Peter Cincotti

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

Saturday, March 16, 8 pm Recital Hall, $40 Peter Cincotti returns to Staller Center after crooning his way into our hearts and receiving a standing ovation. This native New Yorker first reached the top of the Billboard charts with his self-titled debut at the age of 18, making him one of the youngest artists to do so.

Russian Ballet – Sleeping Beauty

Family Orchestra Concert Christina Dahl and Jennifer Frautschi Wednesday, March 6, 7:30 pm Recital Hall, Free admission

Baroque Sundays at Three Sunday, March 10, 3 pm Recital Hall, Free admission

Metropolitan Opera superstar Renée Fleming performs at the 2019 Staller Center Gala on Saturday, March 2.

Stony Brook Baroque Players Sunday, April 14, 3 pm Recital Hall, Free admission

Wind Ensemble

Wednesday, April 17, 7:30 pm Main Stage, $10

Stony Brook Opera with Symphony Orchestra Saturday, April 27, 8 pm, and Sunday, April 28, 3 pm Main Stage, $20/$15

Stony Brook Chorale and Camerata Singers

Saturday, March 23, 8 pm Main Stage, $48 This sumptuous company of more than 50 dancers direct from Russia brings Sleeping Beauty to the stage. The Russian National Ballet’s traditional staging of the classic fairy tale comes to life with stunning precision and artistry, all set to the timeless Tchaikovsky score.

Contemporary Chamber Players Piano Project 2019

Volta: West African Drumming Ensemble

Regina Carter Quartet

Stony Brook Symphony Orchestra

University Orchestra

Saturday, April 6, 8 pm Recital Hall, $44 When Staller Center brings the Regina Carter Quartet to town, get ready to hear one of the foremost jazz violinists of her generation unlock the door to a myriad of cultures and worlds, where improvisations with a blues sensibility are the standard. “Regina Carter creates music that is wonderfully listenable, probingly intelligent, and, at times, breathtakingly daring…” says Time magazine.

Tuesdays, March 12, and April 30, 7:30 pm Recital Hall, Free admission Wednesday, March 27, 5 pm and 7:30 pm Recital Hall, Free admission Saturday, March 30, 8 pm Main Stage, $20/$10

Wednesday, May 1, 7:30 pm Recital Hall, $10/$5 Thursday, May 2, 5:30 pm Recital Hall, Free admission Tuesday, May 7, 7:30 pm Main Stage, $10/$5

Stony Brook Composers

Spring Chamber Festival

Sonic Spring

Ackerman Honors Chamber Concert

Tuesdays, April 2, and April 23, 7:30 pm Recital Hall, Free admission Friday, April 5, 7:30 pm Recital Hall, Free admission

Wednesday to Saturday, May 8 to 11 Recital Hall, Free admission Saturday, May 11, 8 pm Recital Hall, Free admission

PAGE S28 • SBU BRIDGES • FEBRUARY 21, 2019

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