Bridges | February 27, 2014 by TBR News Media

BRIDGES A Resource Guide Featuring Stony Brook University Offerings for the Community and Shops & Services of the North Shore Business Communities serving Stony Brook University Staff

February 27, 2014 â&#x20AC;˘ TImES BEacon REcoRD nEWSPaPERS

PAGE S2 • SBU BRIDGES • February 27, 2014

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February 27, 2014 • SBU BRIDGES • PAGE S3

JOS. A. BANK 751-3670

LEGENDS DAY SPA

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LAKE SIDE EMOTIONS WINE & SPIRITS 675-2750 LOFT

689-8030 MENSROOM BARBER SHOP

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675-0263 OPEN HOUSE COUNTRY FLOWERS & INTERIORS

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KAH PHYSICAL THERAPY & FITNESS 751-6680

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FLAIR DESIGNER BOUTIQUE 689-2992

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FAIR TRADE WINDS 689-2989

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CRABTREE & EVELYN 751-1099 THE CRUSHED OLIVE 675-6266

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PENTIMENTO RESTAURANT 689-7755

ROBINSON’S TEA ROOM 751-1232

COUNTRY HOUSE RESTAURANT 751-3332

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services STONY BROOK VILLAGE GREEN SERVICE STATION 675-2801

STONY BROOK AUTOMOTIVE CENTER 751-5300

WOLLAM INSURANCE 751-0200

SHARON DOYLE, MS, RN, CS, NPP 689-6720

EVEREADY PROCESS SERVICE 751-0239

LENDING AIDS FOR THE SICK 751-0500

THE MILL CREEK AGENCY INC. 751-4653

NEW YORK DIVORCE MEDIATION 827-5570

J. ROBERT QUILTY, PH.D., P.C 751-4873

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RUMPELSTILTSKIN YARNS, INC.

S.A. INSTRUMENTS

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SPOTLIGHT ACADEMY OF DANCE 751-2558

STONY BROOK GIFT SHOP

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STONY BROOK VILLAGE CENTER MANAGEMENT OFFICE 751-2244

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PAGE S4 • SBU BRIDGES • February 27, 2014

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February 27, 2014 • SBU BRIDGES • PAGE S5

Bridges Times Beacon Record Newspapers P.O. Box 707 Setauket, NY 11733 Telephone: 751-7744 desk@tbrnewspapers.com www.tbrnewspapers.com Publisher Leah S. Dunaief Advertising Director Kathryn Mandracchia General Manager Johness Kuisel Executive Editor Rachel Shapiro Editor Ellen Barcel Editorial John Broven Michael Downer Erika Karp Diane Mancini Art and Production Director David R. Leaman Art and Production Janet Fortuna Beth Heller Mason Wendy Mercier Internet Strategy Director Rob Alfano Advertising Kathy Bucher Laura Johanson Robin Lemkin Barbara Newman Elizabeth Bongiorno Minnie Yancey On the Cover:

From Kenneth Kaushansky, MD ... In November, we witnessed a historic moment in Stony Brook Medicine’s growth, first envisioned on my first day as Dean, a little more than three years ago. Of course, having come from California, I envisioned the day being a little warmer. The moment to which I am referring, is when we broke ground on the Stony Brook University Medical and Research Translation building, or MART. The MART will build on the existing strengths of Stony Brook University, in our faculty and staff, in our technology, and in our new leaders ability to create a world-class, bench-to-bedside incubator of the best ideas in medicine. Here in Suffolk County, Stony Brook already delivers the most advanced and comprehensive medical care in the region. But that’s not enough. People’s health, and their health care, is under siege everywhere in the United States. And Suffolk County is no exception. For example, heart disease still kills more of our friends, family and neighbors than any other single type of disease, and despite all of our advances in its detection and treatment, there is much more to do. Better approaches to understanding the causes of neuropsychiatric disease, and a

return to mental health, have never been so urgently needed. And despite some progress in understanding the origins of cancer, such as the roles of tobacco, genetics, viruses and inflammatory diseases to name a few, so future generations do not have to experience the devastation of losing loved ones to cancer. Currently, Stony Brook Medicine can care for approximately 4,000 patients with cancer. The MART will more than double our capacity for patient care, making the outstanding and highly specialized physicians and nurses of Stony Brook University Cancer Center more accessible to the residents of our region. The MART will also serve to advance the education of the biomedical scientists and health care professionals of the future. And the MART will accelerate the biomedical research essential to help put the devastating effects of cancer behind us. Our incredible new leaders at Stony Brook Medicine and our existing wealth of outstanding leaders, faculty and staff are all poised to take on the health care challenges facing our country and our communities. With world-class, National Institute

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 reasonably close to them, and to the city, but we also had specific preferences. We knew we wanted a university community for its academic, cultural and worldly aspects. We wanted a top medical community, especially since I was about to give birth to our third child. We wanted a village with a sense of its own history and pride in its roots. We wanted a good school district. And not any less important, we wanted a beautiful place with great recreational activities, preferably 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 offers the community. In fact, the scope of its activities is probably beyond any one person’s ken. To help you, our readers, see what is available on campus and off, that might further educate, amuse and enrich your lives, at whatever age and stage you find yourself, we have partnered with the university to bring you a comprehensive resource guide to their events. We also offer to 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 have 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. This resource guide also presents the outstanding local business community on the university’s doorstep.

Contents

Burn Center ........................................S14 Ronald McDonald Family Room.... S22

The Future of Health Care: Health Care Reform............................ S6 Patient Portal ....................................... S6 Affordable Care Act Update .............. S8 Making Health Care Real .............. S13 Personalized Cancer Medicine .......S14

Clinical Programs: TAVR: New Hope in Valve Surgery ... S24 Aortic Center ..................................... S24 LINX Procedure for Acid Reflux .... S26 Preparing for an Emergency ........ ...S26 Celiac and Gluten Sensitivity Center .. S28 Lung Cancer Screening Program ... S28 Men’s Top Five Cancer Concerns ... S30 Brain Tumors Expertise Close By... S30 Epilepsy Program .............................. S32

Overview Stony Brook Medicine; Kenneth Kaushansky, MD; Michael Poon, MD; Dana Telem, MD and Aurora Pryor, MD; Reuven Pasternak, MD; Ribbon cutting at Burn Center and SBU Cancer Center

of Health-sponsored research programs in neurological diseases, cancer, cardiovascular disorders, biomedical imaging, regenerative medicine and infectious diseases, among many other topics, we sit at the cutting edge of scientific discovery. So when you hear that Stony Brook Medicine has the best ideas in medicine, just know that the best is yet to come. Kenneth Kaushansky, MD, is Senior Vice President for Health Sciences, and Dean, Stony Brook University School of Medicine.

From the publisher ...

North Shore Business Directory ....S39 Photos from Stony Brook Medicine

Kenneth Kaushansky, MD

Building to Meet Health Care Needs of the Community MART ..................................................S16 Stony Brook Children’s Hospital .... S18

Leah S. Dunaief

Called “Bridges,” to symbolize the alliance of campus and community and to encourage further interaction between them, this publication is distributed in all seven of our hometown newspapers along the North Shore of Suffolk County and directly to faculty, students and administration throughout SBU. Please read about and take advantage of the many opportunities to enhance your lives by using these bridges, and think about our shared good fortune to live here. Technologies Pediatric Cardiac MRI ..................... S32 PET/MRI ............................................ S34 Pediatric Oncology-Bone Cancer ... S34 New Leaders ................................ S37–38 Calendars East Campus ...................................... S35 West Campus ..................................... S36 Map of SBU Campus ............. S20–S21

PAGE S6 • SBU BRIDGES • February 27, 2014

)YPKNLZ

Health care reform: Suffolk County emerges as an early leader

BY REUVEN PASTERNAK, MD

What does health care reform look like? Look around you. The foundation has already been established in Suffolk County, and you just might already be feeling its effects. Probably the first place you might notice it is with your primary health care provider. For example, if your child’s doctor is part of Stony Brook Medicine, you may be aware of the patient-centered medical home concept in which a doctor and his or her team becomes the point person for all of your child’s care, wherever it may be delivered. This helps to close gaps in care, avoid repeat tests and build lifelong relationships focused on wellness rather than illness. As part of the bigger picture, the PCMH is about appropriate use of resources and providing a better value to patients — a key tenet of health care reform. One way to provide value is by using evidence-based medicine, which consistently identifies the best-proven clinical protocols and clinical pathways for patient care. At Stony Brook, that has always been our goal. But now these practices are being standardized across the board, so that there is less variation from doctor to doctor and hospital to hospital (both locally and nationally) on how to treat the same condition. And at Stony Brook, in those instances where a best practice does not exist, we will be working to develop one and educate others about it in our role as an academic medical center committed to research, discovery and innovation. We are also looking at another way of best using health care resources by establishing a regional network across Suffolk County. As the county’s only academic and tertiary care medical center, Stony Brook is taking the lead. By forging relationships with other

hospitals and physicians in the region, we will optimize care for patients, as well as the use of our facilities. For example, someone with a minor condition could be treated at a community hospital, rather than at a tertiary care center (i.e., a center that provides advanced specialized care) like Stony Brook, with similar outcomes. This does two things. First, it allows a patient to receive care in a facility close to home, which we know is optimum for healing. And second, it makes the best use of our county’s resources, freeing up Stony Brook to care for the most severely ill patients from across and outside the region. It’s a partnership proposal where we work with other hospitals to provide the best mix of services — a case of delivering the right care at the right time at the right place. Stony Brook has been laying the groundwork for a regional network well before the Affordable Care Act entered our national conversation. Over the past few years, we have systematically restructured our internal procedures, streamlined our administration, improved efficiencies of care, instituted the electronic medical record, invested in technology and research, expanded our primary care network, broadened our base of clinical care outside of the hospital and recruited a new group of physician leaders with the skills to lead this new initiative. So while all of the changes in health care may feel new, and even a bit unsettling, rest assured. They have been in the works in Suffolk County for years — only now, they are more transparent. Reuven Pasternak, MD, is chief executive officer, Stony Brook University Hospital and vice president for Health Systems, Stony Brook Medicine.

Photo from Stony Brook Medicine/Jeanne Neville

Reuven Pasternak, MD, chief executive officer, Stony Brook University Hospital; vice president for health systems, Stony Brook Medicine.

Online resource makes it easier for patients to manage their care Stony Brook has unveiled a new patient portal called MyStonyBrookMedicine, a secure, online resource that allows patients to easily view their health information and connect with their doctors. Currently available in all medicine practices (including specialties), Family Medicine, Neurology, Ob/Gyn, Pediatrics and Preventive Medicine, patients can gain access to the portal by requesting an invitation to create a MyStonyBrookMedicine account at their next office visit. With a MyStonyBrookMedicine patient portal account, patients can request appointments, renew prescriptions, view their health profi le, lab results and other documents, and send messages to their physician — all online. This helpful tool is HIPAA compliant. That means it meets all of the guidelines of the Health Insurance Portability and Accountability Act of 1996 — ensuring that your medical information, diagnoses and fi les are kept confidential. For more information, visit Stony Brook Medicine (www.stonybrookmedicine.edu) and click on the Patient Portal button located at the bottom of the homepage.

Photo from iStockphoto

With a new online resource, patients at Stony Brook Medical can make an appointment, renew prescriptions and view their health profiles all from the comfort of their homes.

February 27, 2014 • SBU BRIDGES • PAGE S7

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PAGE S8 • SBU BRIDGES • February 27, 2014

Bridges

Affordable Care Act update: A guide to the basics of what you need to know now

By James G. Fouassier, JD

Although many people have already made decisions about health insurance coverage, the enrollment deadline of March 31 means that you still have time to make choices. Yes, it seems overwhelming, but here is a helpful summary of the principles and basics of the Affordable Care Act. The question on everyone’s mind seems to be: Should I change insurance plans or buy into one of the new “health insurance exchange” plans, such as those offered in New York State through the New York State of Health website (www.nystateofhealth. ny.gov)? First, understand this: people who have Medicare (directly or through a Medicare Advantage plan), Medicaid or health insurance through a major employer group or pension plan are not affected by the provisions of the Affordable Care Act. The intention of the ACA. The ACA requires that almost everyone be covered by an insurance plan that is “adequate” (it provides all of the “essential health benefits” that the law requires) at a cost that almost everyone can “afford.” For those with family incomes too small to pay the full premium price, the ACA establishes a scale of both tax credits and subsidies. These are paid directly to the insurance plan. As the enrollee, you pay the difference. Even though the health insurance exchange plans require fixed copayments, if the family income is too small, the ACA provides for cost sharing (the government pays a part of what you otherwise would pay) and even puts caps on out-of-pocket expenses. The family income factor. Almost all U.S. citizens and legal residents must have health insurance, either through work, a retirement fund or individual or family plans offered on the health insurance exchange. Those who do not will have to pay a “tax,” unless family income falls below the filing threshold (currently $10,000 for individuals and $20,000 for families) or unless they would have to pay more than 9.5 percent of the family income after taking off any employer contributions to the work-sponsored health plan (if offered) or the tax credits provided from the ACA. Enrollment period. The initial enrollment period runs through March 31. For anyone who was able to enroll by Dec. 25, 2013, coverage went into effect Jan. 1. After this year, each year’s annual enrollment period will be Oct. 15 through Dec. 7 of the preceding year. There also are “special enrollment circumstances,” such as marriage or the birth of child, that allow for 60 days from date of the event to enroll. How the subsidies work. Families with a total income between 100 and 400 percent of the federal poverty level who purchase insurance through an exchange are eligible for a tax credit (paid directly to the insurer) to offset some of the cost. The tax credit is available even if there is no tax liability (meaning you will have to file just to get the credit). An “advanceable tax credit” is available to cover some of the premium for the following year’s insurance coverage. What are the real costs to you? The ACA establishes four “metal levels,” each with a different amount of member “copayments.” The “bronze”

Photo from iStockphoto

march 31 is the enrollment deadline under the affordable Care act.

plan has a 40 percent cost copayment (you pay 40 percent of what the hospital, doctor or lab is entitled to be paid and the plan pays the rest). For “silver” you pay 30 percent; for “gold” it’s 20 percent; and for “platinum” it’s 10 percent. All the plans must include the “essential health benefits” that the ACA requires. How do you decide? The biggest consideration is weighing premiums against copayments. The smaller the copayment, the higher the premium cost to the member, and vice versa. You need to ask yourself: “Will I require a lot of care for services that are expensive — meaning lots of high copayments — so that I’m better off paying a higher premium upfront to keep my copayments lower? Or, am I pretty healthy and don’t expect to need a lot of expensive care with lots of copayments, so I’ll opt for a lower premium?” Cost share subsidies. These apply to an individual’s out-of-pocket costs. If the member meets an income test level, then the chosen health care plan — not the government — is required by the ACA to subsidize health care costs regardless of the percentage cost share of the “metal level” benefit design. So, for example, if you elected a bronze plan with a 40 percent copayment and your family income is between 100 and 150 percent of the FPL, the plan will have to pay 94 percent of your eligible healthcare costs regardless of the 40 percent copayment provision in your bronze plan. You pay 6 percent. Out-of-pocket maximums. Even with cost share subsidies, some people with extensive medical needs may be unable to meet their copayments, so the ACA has established out-of-pocket maximum amount levels.

If the maximum level is met, then the exchange plan will pay 100 percent of the cost of the care regardless of the copayment level. To qualify for cost sharing and out-of-pocket caps, the member must be enrolled in a silver plan only; family income (not individual income) must be between 100 and 250 percent of the FPL; if married, the insured person must file a joint return (even if the spouse is not insured in the same plan, or even in through the exchange) and the insured must be a U.S. citizen or legal resident. Important: These benefits do not apply to “out-of-network” services, but only for services provided by hospitals, doctors and other providers who are in your exchange plan’s “network” and have agreed in advance to accept what the plan pays (minus your copayments). For more help. Turn to an exchange navigator — an expert trained by the government or the insurance companies to help people determine the best and most affordable exchange for them. Navigators also can help with the online filing. Learn more at the New York State of Health website (www.nystateofhealth.ny.gov) and at www.communitycatalyst.org/ doc-store/publications/Navigators_June_2011.pdf. The information contained in this article is for general interest only and the same shall not be relied upon to any extent whatsoever as legal advice. Nothing contained in this article constitutes legal advice, which only may be given by a licensed attorney at law who has been retained expressly for that purpose. James G. Fouassier, JD, is associate director of Managed Care, Stony Brook University Hospital.

February 27, 2014 • SBU BRIDGES • PAGE S9

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PAGE S10 • SBU BRIDGES • February 27, 2014

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Making the future of health care real

What will health care look like after the controversies have abated and the reforms have taken hold? Not unlike what is already happening at Stony Brook Medicine. Much of what is guiding health care reform concerns appropriate allocation of resources. In business, this is called doing more with less. With health care, since lives are at stake, it translates into directing money, using technology and allocating physicians and facilities toward where they are needed most and can do the most good. This is a strategy that Stony Brook, both as a business practice and in anticipation of health care reform, has been pursuing for the past several years. “One of the key pieces of the new health care model is the shift from a hospital-centric approach to a complete health approach,” said Reuven Pasternak, MD, chief executive officer, Stony Brook University Hospital, and vice president for health systems, Stony Brook Medicine. “This entails creating a system of prevention and care management that extends well beyond the hospital on both the front and back end.” “We are doing this at Stony Brook by creating a primary care physician network to complement our already robust community physician programs. This network will be used to create patient-centered medical home models in which one physician is the point person for all of a patient’s care in every setting throughout the course of their lifetime,” said Dr. Pasternak. “This promotes efficiency, builds relationships, reduces repeated tests or procedures and closes any gaps in patient care. It delivers a better value to the patient, and is an appropriate use of resources all around.” Dr. Pasternak brings a word into the conversation that is vital to health care’s new landscape: prevention. Preventive health services can save lives and a significant amount of health care resources, finds a study from the National Commission on Prevention Priorities. According to the study’s analysis of the estimated costs of adopting a package of 20 proven preventive services against the cost savings that could be generated, there are four interventions alone that, if accessed by 90 percent of the population, would result in more than 100,000 years of life saved and a nearly $4 billion annual savings. These interventions are tobacco cessation services, alcohol abuse screening, daily aspirin intake — if at risk for certain health conditions — and colorectal cancer screening. Among the services studied by the researchers were adult influenza immunizations, discussion of folic acid use, smoking cessation advice and assistance, and screenings for breast cancer, cervical cancer, chlamydia, cholesterol, hearing and vision. Many prevention programs are already in place at Stony Brook, including a new lung cancer screening program for high-risk individuals as well as dozens of other screenings for adults. The next frontier, however, said Dr. Pasternak, are programs for children that address the major diseases of adulthood that use a disproportionate amount of health care resources and account for millions of deaths annually — for example, heart disease, diabetes and the complications brought on by obesity. That’s why Stony Brook Children’s Hospital has recently invested in two major programs: the Children’s Healthy Weight and Wellness Center, designed to address childhood obesity, and a pediatric hypertension program, whose goal is to help manage the increasingly prevalent issue of high blood pressure in children. Hypertension is linked to a wide range of serious health conditions such as diabetes, heart disease and kidney failure. One of the greatest remaining challenges is lowering the cost of care delivered to patients when they do get

Photo from Stony Brook Medicine/Jeanne Neville

Michael Poon, MD, uses CT technology in the Emergency Room to determine the presence of coronary artery disease in patients with chest pain at Stony Brook Medicine.

sick, while improving or maintaining the quality. As an academic medical center, Stony Brook Medicine is using its research capabilities and access to latest-generation technology to further change the health care delivery model. “There is an assumption that when you introduce new health care technology, you’re adding something that will increase expenses,” said Dr. Pasternak. “However, this is not always the case. For example, one of our doctors, Michael Poon, MD, has developed a technique for interpreting CT scans of people coming to the emergency department with chest pain.” This technique can determine with more than 99 percent accuracy who needs to be admitted and who can go home assured that it is not, in fact, a heart attack. In the past, these patients would be admitted to the hospital, given a series of tests and watched for a day or two. “Patients who go home can do so with a much clearer understanding about their arteries and the blood supply to their heart. They know whether they need to change their eating, exercise and other lifestyle habits to improve their health. They can share the information with their primary care physician or cardiologist for help in developing healthy habits to prevent a future heart attack or stroke.” “This saves unnecessary hospital admission, delivers peace of mind to patients and is a shining example of appropriate use of resources — in short, so much of what health care reform is really all about.”

Photo from iStockphoto

Stony Brook Children’s Hospital has invested in two major programs: the Children’s Healthy Weight and Wellness Center and a pediatric hypertension program.

PAGE S14 • SBU BRIDGES • February 27, 2014

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The prescription for burn care in Suffolk County

There’s a saying among the medical experts who treat burns that they wish everyone understood: “Time is skin.” Translated, that means the sooner you get the right treatment, the better the outcome. “The key to managing any type of burn, but particularly the more severe kind, is to get appropriate treatment as quickly as possible,” said Steven Sandoval, MD, medical director of the Burn Center at Stony Brook Medicine. “That means not only going to a facility with the advanced expertise, protocols and equipment, but also one that has these capabilities available 24/7.” He should know. After more than five years at the helm of Suffolk County’s only burn center certified by the American Burn Association — an accrediting organization with rigorous criteria — he has seen what happens when patients go to the emergency room of their local hospital first. “Typically, they immediately get transferred to the Burn Center at Stony Brook Medicine,” Dr. Sandoval said. “And while we have an excellent transfer system, valuable time in which we could have provided early intervention is lost. If I could emphasize anything, it would be for people to come to us first. Time is tissue.” At the Burn Center, patients are seen by a highly specialized burn team that includes surgical critical care physicians, experienced burn nurses, respiratory therapists, anesthesiologists, plastic surgeons, physical therapists, occupational therapists, nutritionists, case managers, social workers, child life specialists and any other medical professionals needed. In addition to working to save the skin and provide appropriate treatment, the team also tries to get patients active and mobile as soon as possible. This helps stave off some of the negative longer-term consequences of burns and burn injuries. Stony Brook’s Burn Center has been the go-to facility in Suffolk County since it was started almost 30 years ago through a collaboration between the center’s first medical director, the late Harry Soroff, MD, New York State Senator Kenneth P. LaValle (R-Port Jefferson) and Suffolk County firefighters. Recently, thanks to ongoing fundraising and advocacy efforts by the firefighters, the center has completed a major expansion that nearly doubles the space, allowing for enhanced delivery of patient care. The new Suffolk County Volunteer Firefighters Burn Center at Stony Brook Medicine includes private patient rooms with adjoining bathrooms, an expanded debridement and bandaging area, larger treatment rooms and a more comfortable healing environment for patients and families. “Here’s the thing about firefighters,” said Dr. Sandoval. “They know, more than anyone, the consequences of burns. In Suffolk County, they have dedicated themselves not only to fighting fires but also to ensuring that people in the community receive the most advanced treatment available. Their passion, combined with our expertise, makes this possible.” Learn more about Stony Brook’s Burn Center at www.stonybrookmedicine.edu/burncenter.

Top tips for burn prevention

• Practice exit drills in your house. Have two ways out of every room. • Check smoke detectors monthly and change the batteries twice a year. As an easy reminder, do so when you change the clocks for daylight savings time. • To prevent scald injuries, make simple household modifications: Mark and explain a “kid-free zone” around the stove. Avoid using tablecloths. Use spill-resistant travel mugs. • Never leave a child unattended during bathing. • Before placing a baby or child in the tub, check the water temperature with an elbow, wrist or spread-open fingers. • If your clothing catches fire, don’t run. Remember to “stop, drop and roll.” You need to stamp out the burn as rapidly as possible.

Photo from Stony Brook Medicine/John Griffin

At the ribbon-cutting ceremony for the newly renovated burn unit at Stony Brook Medicine, from left Kara Hahn, Suffolk County Legislator; Jerry Owenberg Sr., treasurer, Suffolk County Volunteer Firefighters Burn Center Fund (SCVFBCF), Steve Bellone, Suffolk County Executive; Steven Sandoval, MD, medical director, Burn Center; Assemblyman Steve Englebright; Senator Kenneth P. LaValle; Senator John Flanagan; Erik Unhjem, patient; John Lussa, president, SCVFBCF; Reuven Pasternak, MD, CEO, Stony Brook University Hospital, and vice president for health systems, Stony Brook Medicine; Kenneth Kaushansky, MD, senior vice president, Health Sciences, and dean, Stony Brook University School of Medicine; James A. Vosswinkel, MD, chief, Division of Trauma, Emergency Surgery and Surgical Critical Care; and Mark A. Talamini, MD, chair, Department of Surgery.

Cancer medicine gets personal It has long been a dream of researchers and cancer doctors alike: providing individualized cancer treatment targeted toward the patient’s unique genetic profile, as well as the molecular makeup of their cancerous cells. That dream is getting closer to reality as cancer researchers cross the threshold into cancer’s next frontier: precision (or personalized) medicine. At Stony Brook University Cancer Center, for example, researchers are studying how to target breast cancer treatment based on the patient’s cancer genetic profile. This nationwide clinical trial, overseen by Janice Lu, MD, PhD, a professor at Stony Brook University School of Medicine and a specialist in breast cancer, is trying to determine the likelihood of recurrence based on a patient profile of 21 genes. Dr. Lu and her colleagues also hope that this genetic profile can help determine which treatments will best suit the patient. “This kind of research is mirroring what is going on across the country and around the world,” said Yusuf A. Hannun, MD, director, Stony Brook University Cancer Center, and vice dean, cancer medicine. “Cancer is so complex at the molecular level, and we have come to understand that the biology of the individual patient can have a dramatic effect on response

Photo from iStockphoto

DNA structure

to treatment. Even a tiny variation in DNA can trigger a vastly different response to chemotherapy from one patient to the next. As a clinical and research institution, we are excited by the promise that this personalized approach holds for our patients.” While there is so much more to learn, it is clear that this is the direction cancer medicine is taking. Or, as the American Cancer Society says about personalized cancer medicine, “The future is now.” Stony Brook Cancer Center provides expert care for all cancers, close to home. For more information, call (631) 638-1000 or visit www.cancer.stonybrookmedicine.edu.

February 27, 2014 • SBU BRIDGES • PAGE S15

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PAGE S16 • SBU BRIDGES • February 27, 2014

)YPKNLZ

Transforming the practice of medicine at Stony Brook

With the resources to think big and build big in ways that will be vital to the future of both Stony Brook University and the delivery of health care here on Long Island, Stony Brook has broken ground on the construction of its new Medical and Research Translation building. Directly connected to Stony Brook University Hospital, the 245,000-square-foot building will house eight floors devoted to imaging, neurosciences, cancer care and cancer research, and will allow Stony Brook to achieve several important new milestones that will benefit patients, faculty, students and the public for years to come. This expansion is made possible by New York State Governor Andrew M. Cuomo and the State University of New York under the leadership of Chancellor Nancy L. Zimpher through a $35 million NYSUNY 2020 Challenge Grant and $50 million in support through a historic $150 million gift from Jim and Marilyn Simons, as well as other generous contributions from throughout the community. “We took an important step forward today in Stony Brook University’s goal to develop the MART, a translational research center that will advance both medical innovation and clinical practice,” said Stony Brook University President Samuel L. Stanley Jr., MD, at the Nov. 13 groundbreaking. “Yet we would not be here today if it were not for the vision and unwavering commitment of our greatest champions — New York State Governor Andrew Cuomo, and our generous friends, Jim and Marilyn Simons.” The MART will serve as the home for understanding the basis for human disease, where scientific discovery will be translated into clinical research, and where promising patient results can be turned into FDA-approved health care diagnostic and treatment options. As part of its core mission, the MART will be devoted to cancer research and care, allowing Stony Brook to deliver cutting-edge cancer care more efficiently and effectively, while doubling its capacity to provide cancer treatment as the new location for Stony Brook University Cancer Center. “Our growth in cancer care provides Suffolk County with the essential resources to address the tertiary care needs of patients so that our community hospital and physician partners may focus on the region’s needs for outstanding primary and secondary care,” said Kenneth Kaushansky, MD, senior vice president, health sciences, and dean, Stony Brook University School of Medicine. The MART will also provide advanced biomedical imaging and biomedical informatics, including a PET/CT scanner. As part of Stony Brook’s mission to teach the next generation of caregivers, the expansion project includes 12 new classrooms and a 300-seat auditorium to attract regional and national conferences, lectures and other events. In addition to far-reaching scientific-medical benefits, the MART, which is expected to be completed in 2016, will also help drive Long Island’s economy by generating 4,200 projectrelated and specialized research jobs.

Photo from AECOM and Pelli Clark Pelli

A rendering of Stony Brook’s Medical and Research Translation building.

Photo from Stony Brook Medicine/Daniel Goodrich

New York State Governor Andrew M. Cuomo (center) participates in the groundbreaking of Stony Brook’s new Medical and Research Translation building at Stony Brook Medicine with (from left) Kevin S. Law, president and CEO, Long Island Association, and chair, Stony Brook Council; Jim Simons, chair, Simons Foundation, and founder and board chair, Renaissance Technologies LLC; State University of New York Chancellor Nancy L. Zimpher; and Stony Brook University President Samuel L. Stanley Jr., MD.

February 27, 2014 • SBU BRIDGES • PAGE S17

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PAGE S18 • SBU BRIDGES • February 27, 2014

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New home for SB Children’s Hospital, imaging center and adult critical care and cardiac units

In response to growing demand for advanced pediatric services in Suffolk County, an expansion project is underway at Stony Brook Medicine to build a new Hospital Pavilion and Children’s Hospital. With 225,000 square feet, the 10-story Hospital Pavilion, which is scheduled for completion in 2016, will contain 150 inpatient beds and serve as the new home for Stony Brook Children’s Hospital. The design allows for future expansion to 21 floors. Also to be located in the pavilion is an expanded imaging center, new adult critical care and cardiac units, and teaching and patient education facilities. All patient rooms in the pavilion will be private. The children’s hospital will feature a dedicated entrance and lobby with a concierge and elevators to the pediatric floors. It will include a new pediatric intensive care unit (PICU) for high-tech, 24/7 monitoring of the most seriously ill children, an adolescent medicine unit and a hematology/oncology unit, along with a medical/surgical unit and a dedicated pediatric procedure suite equipped with latest-generation technology. It will also feature enhanced patient and family amenities, such as a teen lounge, a children’s playroom, a new Ronald McDonald Family Room and spacious waiting areas. The all-private patient rooms have been designed to allow parents a place to sleep, as well as to provide ample nursing zones for efficient delivery of care. The Hospital Pavilion is being funded by $53 million in State support thanks to New York State Senators Kenneth LaValle (R-Port Jefferson) and John Flanagan (R-Northport) as well as funds raised from a $10 million challenge grant from an anonymous donor that has already resulted in more than $5 million in donations from generous individuals and businesses in the community. “As Suffolk County’s only children’s hospital, we take our commitment to providing the most advanced pediatric services to the community seriously,” said Margaret McGovern, MD, PhD, physician-in-chief, Stony Brook Children’s. “This expansion keeps our promise to the community — and lays the groundwork for future growth. As community needs change, we will have the capacity to meet them and grow right alongside the children of Suffolk County.”

Photos from AECOM and Pelli Clark Pelli

Above, a rendering of an aerial view: The center building is the planned Hospital Pavilion, the new home of Stony Brook Children’s Hospital. On the left is the planned Medical and Research Translation (MART) building. On the right is the existing hospital as well as the Health Sciences and Basic Science towers. Below, a rendering of the dedicated lobby space in the planned expansion for Stony Brook Children’s Hospital.

February 27, 2014 • SBU BRIDGES • PAGE S19

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PAGE S20 • SBU BRIDGES • February 27, 2014

To Stony Brook Village .

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25A

e anc ntr hE

North Entrance

Drive

R cle

Joe Nathan Field

North P Lot

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Natural Meadow

Softball

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Recreation Fields

Kenneth P. LaValle Athletic Stadium

Simons Center e Toll Dr iv

John S.

West Apartment B Complex A

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Stimson College Roosevelt Quad Keller Greeley College College Drive velt Roose

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Roth Quad

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Cardozo College

Gershwin College

Tabler Quad

Health Sciences Garage

SCAN Center

STONY BROOK MEDICINE Basic Sciences Tower

Whitman College

Roth Café

Health Sciences Tower

Emergency Entrance Hospital

Circle Road

Sports Court Tabler Center

Centers for Molecular Medicine Life Sciences (CMM) Underpass

Chapin Commons

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Ashley Schiff Preserve

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Douglass College

Dreiser College

rive

ts Patrio

Dana Hall

Imaging Center

Putnam Hall

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Endeavour Hall

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Marburger Drive

South Entrances

Discovery Hall Rockland Westchester Hall Hall Sullivan Hall Dental Clinics

Pain Management Center

P Challenger Hall

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Marine and Atmospheric Sciences

no gri Edmund D. Pelle

Cancer Center

Ambulatory Surgery Center

Dutchess Hall University Police

Suffolk Hall

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Carol M. Baldwin Breast Care Center

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Nassau Hall

Nic

CAMPUS

Chapin Apartments

Hospital Parking Garage

SOUTH

Stony Broo k

Hospital Main Entrance

Hand College

Marburg

Sanger College

Hendrix College

Mount College

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Toscanini College

Bioengineering Laufer Center

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Nobel Halls Yang Lauterbur Hall Hall

L.I. High Technology Incubator

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Wagner College

Heavy Engineering

Main Entrances

Hilton Garden Inn

Social and Behavioral Sciences (SBS)

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Computing Center

Educational Communications Center (ECC) Javits Lecture Engineering New Center Computer Science (under construction) Computer Science

Administration Parking Garage

D ri v e

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Driv

Campus Drive

Humanities

Ken ny

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Point of Woods Bldgs.

West Apartment Complex E F

Hamilton College

A Psychology B

Student Activities Center (SAC)

Light Engineering

West Side Dewey Dining College s t e W Drive

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Schomburg Apartments

Shir ley

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Sports Court

Frank Melville Jr. Memorial Library

Nico

MAIN CAMPUS

ACADEMIC MALL Earth and Space Sciences (ESS)

Drive

Kelly Quad

Charles B. Wang Center

Administration

Eisenhower College Schick College

Baruch College

Staller Center for the Arts

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Harriman Hall

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Red Dragon Labyrinth

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Gray College

Chemistry

Van de Graaff Accelerator

Physics

Irving College

Central Services (Receiving)

Service Group

P Stony Brook Union

Campus Recreation Center

Sports Complex

Central Stores (Warehouse) CoGen Plant

Mendelsohn Quad

Roa

O’Neill College

Ammann College

Outdoor Basketball Courts

Campus Map

James College

Student Health Center

Gym

General Information (631) 632-6000 University Police (631) 632-3333

Benedict College

H Quad

Circl e Ro

Road

Langmuir College

Recreation Tennis Courts

Lacrosse Practice Field

Soccer Practice Field

Stadium

25A

Sports Court

Circle Road

Track Practice Field

Soccer Practice Field

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Varsity Tennis Courts

olls

L.I.R.R. Station

Soccer Complex

Recreation Softball Recreation Softball

L.I.R.R. Lot

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NYS Department of Environmental Conservation (DEC)

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February 27, 2014 • SBU BRIDGES • PAGE S21

PAGE S22 • SBU BRIDGES • February 27, 2014

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Ronald McDonald Family Room at Stony Brook Children’s Hospital gives families a well-deserved break

One parent called it a “godsend.” Another, teary eyed, simply said, “You have no idea what it meant to us to be able to take care of the details of life here while our child slept just down the hall.” They are talking about the Ronald McDonald Family Room at Stony Brook Children’s Hospital, a respite space for families of hospitalized children that opened in August 2013. Created in partnership with the Ronald McDonald House of Long Island (a home-away-from-home for families of seriously ill children), the Family Room at Stony Brook Children’s goes a long way in making a difficult time easier for families. “We understand that having a child hospitalized is extraordinarily stressful for parents,” said Margaret McGovern, MD, PhD, physician-in-chief, Stony Brook Children’s. “But we also know the medical literature shows that children heal better when surrounded by their families. Th is new space keeps parents close to their child and provides them with a soothing environment in which to take a breath and take care of themselves.” The 800-square-foot space, located conveniently close to the majority of the children’s units, offers a number of amenities. It includes a fully stocked kitchenette and dining room, a comfortable living room with a flat-screen TV, laptops with Internet access, private bathrooms with a shower, laundry facilities, storage lockers and more. In addition, the program provides transportation to medical appointments, drug stores and airports for families of pediatric patients being cared for at Stony Brook Children’s. The Family Room is just one of 195 in the country, and is the only one in Suffolk County. “The Ronald McDonald Family Room at Stony Brook Children’s is an exciting and much-needed expansion of our services into eastern Long Island,” said Matthew Campo, executive director, Ronald McDonald House of Long

Island. “It reflects the prevailing philosophy that parents and families are a vital part of the child’s care team and should have 24/7 access to them. The program serves thousands of families in need each year, offering comfort and convenience to parents who often have to travel back and forth to the hospital to be with their child.” “Families come from near and far for our services,” said Dr. McGovern, “and we want to ensure that we do everything we can to make their experience positive. Not just in the quality of the medical care, but also in the quality of life while they are here. At Stony Brook Children’s we know that sometimes the seemingly smallest things make the biggest difference. Th is is one of them.” To learn more about the Family Room, visit www.rmhlongisland.org/family-room. The Ronald McDonald House welcomes volunteers to assist with the Family Room and operate the transportation program, as well as committee and advisory board members to recruit volunteers, build awareness, plan events, raise funds and engage in public advocacy. Charitable contributions and donations of supplies are appreciated, including pantry items, cleaning supplies, kitchen supplies, bathroom supplies and gift cards. For more information, please contact Jennifer Nicholson, Director of Special Projects at (516) 7755683, ext. 158 or jnicholson@rmhlongisland.org. Photos from Stony Brook Medicine/Daniel Goodrich

Right, a mother takes advantage of the laundry facilities in Stony Brook Children’s Ronald McDonald Family Room. Below, parents of children being treated at Stony Brook Children’s Hospital enjoy conversation and the home-like setting of the Ronald McDonald Family Room.

February 27, 2014 • SBU BRIDGES • PAGE S23

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New hope for patients too ill for open valve replacement surgery

Aortic stenosis, an abnormal narrowing of the heart valve, is the most frequently diagnosed heart valve disease. If you have severe aortic stenosis, surgery is usually recommended to replace the valve. Without surgery, only 50 percent survive an average of two years after symptoms first start to appear. Unfortunately, many of these patients are unable to have open valve replacement surgery because their advanced age and multiple illnesses put them at too high a risk for conventional surgery. But now there’s a new, less invasive approach: an innovative procedure that delivers a replacement valve via a catheter while the heart is still beating. The Valve Center at Stony Brook University Heart Institute offers this procedure — and was the first to do so in Suffolk County — for patients with severe aortic stenosis. Stony Brook’s team of cardiac imaging specialists, interventional cardiologists and cardiothoracic surgeons, together with the patient’s referring physician, thoroughly evaluate patients who might benefit from this procedure. The FDA-approved procedure, called transcatheter aortic valve replacement (TAVR), is performed with the Edwards SAPIEN™ transcatheter heart valve. Our TAVR team performs the transfemoral TAVR procedure (going through an artery in the groin to the heart) and the transapical TAVR procedure (going be-

tween ribs to the heart). Use of the two different procedures allows for more patients to be candidates for this lifesaving valve replacement, as one may be feasible when the other is not. “For high-risk patients with severe aortic stenosis, a less invasive treatment has been long sought,” said James R. Taylor Jr., MD, chief, Division of Cardiothoracic Surgery, and co-director, Stony Brook Heart Institute. “With transcatheter aortic valve replacement, there is now hope for patients who have other significant illnesses.” For more information, call (631) 638-2101 or visit www.heart.stonybrookmedicine.edu.

View a video about the procedure.

The transcatheter aortic valve replacement procedure offers a less invasive surgical approach in the treatment of heart valve disease.

Suffolk County’s first aortic center opens at Stony Brook Medicine Stony Brook Medicine has opened Suffolk County’s first multidisciplinary Aortic Center — combining the expertise of specialists in vascular surgery, cardiothoracic surgery, cardiology, cardiac imaging, radiology and anesthesiology to provide comprehensive and coordinated care for the full spectrum of conditions affecting the aorta. “The creation of the Aortic Center formalizes the longstanding, multidisciplinary teamwork that has made Stony Brook a leader in the treatment of aortic problems, as well as the region’s referral center for complex and high-risk cases,” said Apostolos Tassiopoulos, MD, chief, Division of Vascular Surgery at Stony Brook Medicine. “Our goal is to provide a highly accurate diagnosis of all aortic conditions and treatment plans deploying the most effective, least invasive therapies available.” “The Aortic Center’s extensive experience with minimally invasive interventions permits treatment of a wider range of aortic patients, resulting in shorter hospital stays and fewer postoperative complications,” said Thomas V. Bilfinger, MD, ScD, director, Thoracic Surgery at Stony Brook Medicine. “As an academic medical center, we are involved in some of the key clinical trials for new aortic

procedures and devices. Access to these advances enables us to offer lifesaving options to patients who might otherwise be untreatable because of their age, other existing conditions or complex anatomy.” The aorta is the main artery carrying oxygenated blood from the heart through the chest and abdomen. In addition to blockages, congenital disorders and infection, two of the more common problems affecting this vessel are aortic aneurysms — blood-fi lled bulges resulting from a weakening in the vessel wall — and aortic dissections, tears in the aorta’s inner wall that can cause reduced blood supply to other parts of the body and cardiac failure. These problems can occur in anyone, but most patients are male, over age 55, smoke tobacco and have high blood pressure or heart disease. “One of our goals is to educate patients and provide primary care providers with resources that facilitate early recognition of patients at risk, timely diagnosis of aortic conditions that are often silent and medical control of risk factors so that we reduce the number of aortic emergencies in our area,” said Dr. Tassiopoulos. For more information about the Aortic Center, call (631) 444-2683.

Photo from Stony Brook Medicine/Bob Giglione

Members of Stony Brook Medicine’s Aortic Center team are, from left: James R. Taylor Jr., MD, chief, Division of Cardiothoracic Surgery, and co-director, Stony Brook University Heart Institute; William E. Lawson, MD, interim chief, Division of Cardiovascular Medicine, and co-director, Stony Brook Heart Institute; Shang A. Loh, MD, vascular surgeon; Apostolos K. Tassiopoulos, MD, chief, Vascular Surgery Division; Thomas V. Bilfinger, MD, ScD, director, Thoracic Surgery; Allison J. McLarty, MD, co-director, Ventricular Assist Device Program; and Harold A. Fernandez, MD, deputy chief, Division of Cardiothoracic Surgery, and co-director, Stony Brook Heart Institute.

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Preparing for an emergency: What to bring to the ER Emergency preparation is not an oxymoron. While you can’t anticipate when an emergency might happen, you certainly can prepare yourself for it if it happens. According to James A. Vosswinkel, MD, chief, Division of Trauma, Emergency Surgery and Surgical Critical Care, Stony Brook Medicine, one of the best ways to do so is by having a list of your medical history, current medications and key contacts. “With trauma and serious emergencies, every second counts,” he said. “The sooner the trauma team knows critical information about your health, the sooner you can get the appropriate treatment and the better the potential outcome.” Here’s a list of what he and the members of the trauma team at Stony Brook say is vital information during an emergency. Keep this information in your wallet or purse, or even on your cellphone if it is not password-protected. • Your full name, address and phone number • Emergency contacts — name and numbers • Add “ICE” as a contact to your cell phone. ICE stands for In Case of Emergency. EMS and healthcare providers know to search for ICE to identify your emergency contact information. • A list of all the medications you currently take. Include dosages and the condition for which you have been prescribed this medication. Don’t forget to include supplements, vitamins and herbal remedies.

• Allergies (medication, food and environmental) • The name and number of your primary care physician, as well as information on any specialists you see (or, consider writing the name of each medication that the doctor prescribes to you on the back of his or her business card) • Pre-existing and/or chronic conditions (such as diabetes, high blood pressure or autoimmune disorders) • A list of recent surgeries and/or hospitalizations • Pertinent information if you have an implanted medical device such as a pacemaker • Insurance information Other things you might want to include, if relevant: If you have had a recent trip overseas; if you are pregnant; if you are breastfeeding; organ donor status; and advance directives, including do-not-resuscitate status. In addition, hospitals work closely with families and patients to help them handle things affected by the emergency situation. “For example,” said Dr. Vosswinkel, “at Stony Brook we have support staff from social work and chaplaincy services available in the Emergency Department who can help arrange for a neighbor to meet a child at the school bus or walk the dog. It is just one of the many ways in which we work to relieve stressors triggered by the emergency so patients can put all their energy toward healing.”

Photo from Stony Brook Medicine/Jeff Williams

Be prepared in case you need the ER.

What a relief it is: A novel approach to preventing acid reflux More than 30 million Americans are affected each month from acid reflux caused by gastroesophageal reflux disease (GERD). Its symptoms include heartburn, regurgitation, sore throat, cough and chest pain. When left untreated, reflux disease can lead to serious complications, such as esophagitis, stricture (a narrowing of the esophagus), Barrett’s esophagus (a precancerous condition) and esophageal cancer. Surgeons at Stony Brook University Hospital are the first on Long Island to be specially trained and certified to perform an innovative minimally invasive procedure to help prevent gastric reflux in patients who suffer from GERD.

Tips on preventing GERD Sometimes lifestyle changes can prevent the symptoms of gastroesophageal ref lux disease (GERD) from occurring. Try incorporating these changes to your daily routine. • Maintain a healthy weight. If you are overweight, losing weight may improve your heartburn symptoms. • Avoid caffeine, chocolate, mint, spicy foods, acidic foods and drinks, and carbonated beverages. • Eat smaller meals and try not to lie down for at least three hours after eating. • Quit smoking. • Wear loose-fitting clothes. • If you experience heartburn at night or when lying down, raise the head of your bed six to eight inches by placing blocks under each of the two legs on either side of the head of the bed to create an incline, while keeping the bed f lat.

Called the LINX® Reflux Management System, surgeons perform this procedure by implanting a small, flexible band of titanium beads with magnetic cores around the patient’s esophagus just above the stomach. The magnetic attraction between the beads strengthens the weakened esophageal sphincter’s barrier function. Swallowing temporarily breaks the magnetic bond between the beads so that food and liquids can pass normally to the stomach. The magnetic attraction then causes the beads to immediately close so acid does not flow into the esophagus. Following the procedure, patients are able to resume a normal diet and typically resume normal activities in less than a week. “The LINX procedure is recommended for patients who continue to have chronic reflux symptoms despite maximum medical therapy,” said Aurora Pryor, MD, chief, Division of General Surgery, and director, Bariatric and Metabolic Weight Loss Center. Dr. Pryor along with fellow surgeon Dana Telem, MD, associate director, Bariatric and Metabolic Weight Loss Center, are approved to perform the procedure at Stony Brook University Hospital. “This new procedure represents a substantial advancement in our ability to treat patients with GERD,” said Mark A. Talamini, MD, chair, Department of Surgery, Stony Brook Medicine, and founding director, Stony Brook Medical Innovation Institute. “In addition to excellent clinical results, LINX provides many lifestyle benefits compared to the traditional surgery for reflux. Studies show that implanting the magnetic band often reduces or eliminates the need for medications, and offers improved quality of life for patients.” To learn more about the LINX procedure and to schedule a consult with a Stony Brook surgeon, call (631) 444-2274.

Photo from Stony Brook Medicine/Sam Levitan

Stony Brook University Hospital surgeons Dana Telem, MD, and Aurora Pryor, MD

View a video about the LINX procedure.

February 27, 2014 • SBU BRIDGES • PAGE S27

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Taking a proactive approach to celiac disease

Photo from iStockphoto

Vegetables such as broccoli, carrots, corn and string beans (above) and fruit (above, right) do not contain gluten, making them ideal for a gluten-free diet.

A few years ago, East Setauket resident Lorenza Swany was on a mission to find a solution for her daughter’s ongoing stomach aches and failure to grow. She searched all of Manhattan and Long Island for a specialist who could help. As it turned out, her answer lay remarkably close to home — Anupama Chawla, MD — a board-certified pediatric gastroenterologist at Stony Brook Children’s Hospital. Dr. Chawla had been doing extensive work on pediatric celiac disease at Stony Brook Children’s before becoming director of the hospital’s recently opened Celiac Disease and Gluten Sensitivity Center. Lorenza was impressed by the depth of Dr. Chawla’s knowledge when she brought her daughter Sara, in for an evaluation. During Sara’s evaluation, Dr. Chawla performed several tests, all of which came back negative, except for a positive genetic marker for celiac disease — not a surprise since there was a strong family history of it. However, that was not enough for a celiac diagnosis. The two other factors that comprise a definitive diagnosis — the presence of specific antibodies in the blood and abnormal villi on a colon biopsy — were initially normal for Sara. Dr. Chawla recommended that Sara’s antibodies be tested regularly through simple blood work and in February 2013 one of Sara’s routine blood work results indicated high antibodies. A subsequent biopsy showed damaged villi. It was then that Dr. Chawla diagnosed Sara with celiac disease. Treatment involved eliminating gluten from Sara’s

New lung cancer screening guidelines introduced

Here’s something you may not know about lung cancer: A large percentage of cases are diagnosed when a patient undergoes an imaging test for something else entirely, for example a pre-surgical screening. In its earliest stages, lung cancer can be symptomless. That’s why the U.S. Preventive Task Force has drafted new national guidelines advocating early detection measures for those at high risk for developing lung cancer — primarily current and former heavy smokers. The task force estimates that these guidelines could prevent 22,000 of the 160,000 lung cancer deaths annually. In Suffolk County, Stony Brook Medicine has already adopted these guidelines and developed a screening program at its Lung Cancer Evaluation Center (LCEC). Testing involves an annual low-dose radiation chest computed tomography (CT) scan and a comprehensive evaluation by a team of lung cancer specialists. According to interventional pulmonologist Sajive Aleyas, MD, Co-Director of the LCEC along with thoracic surgeon Thomas Bilfinger, MD, ScD, “When detected early, lung cancer can be 80 percent curable. These screenings will have a significant effect on patient outcomes and will save lives.” To determine if you meet the screening criteria, visit www.cancer.stonybrookmedicine.edu or call the LCEC at (631) 444-2981.

Photo from Stony Brook Medicine/Daniel Goodrich

Members of Stony Brook Medicine’s Lung Cancer Evaluation Center (LCEC) team: back row, from left, April Plank, DNP, with Thomas Bilfinger, MD, ScD, and Sajive Aleyas, MD, co-directors of the LCEC; front row, from left, Maureen Farrell, Sunday Campolo-Athans, NP, and Denise Vidal

Who is at high risk for lung cancer? According to the U.S. Preventive Task Force, the following fall into the high-risk category: • Individuals ages 55 and above with a history of smoking the equivalent of a pack a day for 30 years • Individuals ages 55 and above with a history of smoking the equivalent of two packs a day for 15 years

diet. Resources at the Celiac Disease and Gluten Sensitivity Center gave her the support she needed to comply with her new diet. Sara met with the center’s dedicated dietitian Deborah Salvatore, RD, MS, CDN, several times to learn what to eat and what to avoid, how to read labels and strategies for handling the often tricky situations presented by dining out at social events and restaurants. In addition, the center is designed to help patients manage the disease over the long term. So as Sara grows and her needs change, she will continue to have support from the team of doctors, nurse practitioners and registered dietitians — not just medically, but also for the social and emotional aspects of the disease. “I know from personal experience that it takes a long time to educate oneself and make the necessary dietary changes, but thanks to Dr. Chawla and her team at the center, Sara is doing remarkably well,” said Lorenza. Since her diagnosis and beginning treatment, Sara reports feeling worlds better. In fact, blood work shows that her antibody levels are normal. Her stomach aches have disappeared and she has grown and gained weight — and is continuing to thrive into adolescence. For more information, visit www.stonybrookchildrens.org

Five questions about celiac disease answered 1. What are the symptoms? Celiac disease, which can be diagnosed well into adulthood, is notoriously difficult to diagnose because the symptoms resemble so many other conditions. The most common ones in younger children, however, are persistent diarrhea and failure to thrive. 2. How is it diagnosed? A blood test — a quick and painless outpatient procedure — can identify the presence of several specific antibodies that may indicate gluten intolerance. An upper endoscopy — a minimally invasive test that involves inserting a slender tube through the mouth to take a tiny sample of the small intestine — can help confirm. 3. What’s the best treatment? Right now, it is to remove all gluten from the diet. 4. Is going gluten free difficult? There is a learning curve, so it is helpful to get education and support. However, there is a much higher awareness of gluten and more products available today than ever before. 5. Where can I get help? Currently, Stony Brook Children’s Hospital has the only center on Long Island specializing in the diagnosis, treatment and long-term management of children with celiac disease and gluten sensitivities. For an appointment, call (631) 444-KIDS (5437).

February 27, 2014 • SBU BRIDGES • PAGE S29

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Top five cancer concerns for men

Cancer accounts for more than 300,000 deaths in men each year. The good news is that for most cancers, the rates for survival are improving each year. An annual checkup by your physician and your own self-awareness of physical changes are your two best defenses. Regular screenings are also important, as they can detect cancers at an early stage, making treatment less extensive and more likely to be successful. Here are information and recommendations on the top five cancer diagnoses in men in the United States: Prostate cancer: A prostate-specific antigen (PSA) blood test should be performed every year beginning at age 50, and more frequently for those with a high risk. Risk factors include increasing age, African-American ancestry and a family history of the disease (brother or father). Symptoms may include urinary flow problems, the need to urinate frequently, pain while urinating or blood in urine. Recognizing that there is a great deal of debate regarding prostate cancer screening, experts provide information on counseling to allow each man to determine if prostate cancer screening is appropriate for him. Lung cancer: Smoking is the number one risk factor of lung cancer. The U.S. Preventive Services Task Force now recommends that those at high risk for lung cancer be screened with annual low-dose radiation computed tomography (CT) scans. Early detection of lung cancer significantly improves survival. Symptoms include persistent cough, or coughing up blood (even a small amount), chest pain, hoarseness and recurrent pneumonia or bronchitis. Colon and rectum (colorectal) cancer: The most common screening test for colorectal cancer is a colonoscopy, which should be performed every 10 years beginning at age 50, and more frequently for those with a high risk. The number one risk factor is increasing age. Symptoms include

Photo from Stony Brook Medicine/John Griffin

Stony Brook University Cancer Center

rectal bleeding, blood in the stool, change in bowel habits, cramping pain in the lower abdomen, decreased appetite, weight loss and anemia. Urinary bladder cancer: The most well-established risk factor for bladder cancer is smoking, which accounts for about half of all cases. A microscopic examination can be done for those at high risk. Symptoms include blood in urine and increased, urgent or irritating urination. Skin cancer (melanoma): Adults should regularly examine their skin to identify any changes in skin growths for early detection of potential skin cancers. Risk factors

include a personal or family history of melanoma, atypical or numerous moles, use of tanning beds, sun sensitivity and excessive sun exposure. Symptoms include changes in the size, shape or color of a mole, or other skin lesion, or the appearance of a new one. Stony Brook University Cancer Center provides expert care for all cancers, close to home. Our 12 sitespecific, multidisciplinary Disease Management Teams provide a coordinated approach to cancer diagnosis, treatment and follow-up. For more information about any type of cancer, call (631) 638-1000 or visit www. cancer.stonybrookmedicine.edu.

Brain tumor expertise close to home

Brain tumors — which can occur at any age, although they tend to be more frequent in children and older adults — are growths of abnormal or uncontrolled cells in the brain. When tumors develop in the brain, they rarely spread to other parts of the body. But brain tumors can also develop as cancerous cells in other parts of the body (most often in the lung and breast) and spread to the brain. These are called metastatic brain tumors, which are more common in adults than children. At Stony Brook University Neurosciences Institute, patients who are experiencing brain tumor-like symptoms are referred by their primary care physician or specialist for a consultation with neurologist Agnieszka Kowalska, MD, who is co-director of Stony Brook’s Neuro-Oncology Center. Dr. Kowalska assesses the patient’s range of symptoms (which may include headache sometimes accompanied by nausea or vomiting, stroke, seizures, balance and coordination problems, and vision loss), and the patient is then sent for testing. Once the test results are in, Dr. Kowalska is able to diagnose if a tumor is present. If one is, it is then graded to determine how aggressive or malignant and life threatening it is to the patient. The tumor may also be staged to determine how much it has spread. The next step is to develop a treatment

plan. With Stony Brook’s comprehensive, multidisciplinary approach to care, this means that the plan may involve specialists from other disciplines, depending on a patient’s individual needs. Surgery is often the first treatment for brain tumors, and a variety of factors determine a patient’s need for surgery and how quickly the surgeon needs to perform a procedure. While the goal is to remove as much of the tumor as safely possible, in some cases, the surgeon will be able to remove only part of the tumor because of the patient’s brain anatomy, the type of tumor and the way the tumor may have spread in the brain. Other times, surgery may also be used to obtain a biopsy of the brain tumor. Once the need for surgery has been established, Dr. Kowalska works closely with the region’s top brain tumor experts at New York Spine and Brain Surgery — a clinical practice within Stony Brook University Neurosciences Institute — with locations in East Setauket and Riverhead. Neurosurgeons Frederick Gutman, MD (co-director of Stony Brook’s Neuro-Oncology Center); Raphael Davis, MD (chair, Department of Neurological Surgery, and co-director, Neurosciences Institute); Michael Egnor, MD (vice chair, Department of Neurological Surgery, and director, Pediatric Neurosurgery Service); Robert Galler,

Photo from Stony Brook Medicine/Jeanne Neville

Frederick Gutman, MD, and Agnieszka Kowalska, MD, co-directors, Neuro-Oncology Center

DO; and Arthur Rosiello, MD, use the latest advanced surgical techniques that avoid damage to critical areas of the brain, and innovative brain tumor treatments that shorten recovery time for both pediatric and adult patients. These techniques and treatments help patients retain speech, thought, hearing and other critical brain functionality that can make a world of difference in a patient’s quality of life. Patients treated

by Stony Brook neurological experts also have access to specialists in Stony Brook University Cancer Center and Stony Brook Children’s Hospital as well as access to clinical trials — some of which are not available elsewhere in the region. For more information about Stony Brook University Neurosciences Institute’s Neuro-Oncology Center or New York Spine and Brain Surgery, visit www. neuro.stonybrookmedicine.edu.

February 27, 2014 • SBU BRIDGES • PAGE S31

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Long Island’s largest comprehensive epilepsy center treats the whole patient, not just the disease

Epilepsy and seizures affect more than three million Americans, with about 200,000 new cases diagnosed each year. Properly diagnosed and treated, most people with epilepsy can expect to keep their seizures under control. But because seizures and epilepsy can involve and affect multiple body systems, having a medical team with broad-based expertise readily available helps achieve a more effective treatment plan — one that treats the whole patient, not just the disease. Stony Brook’s Comprehensive Epilepsy Center is the largest epilepsy center for adults and children in Suffolk County. Under the leadership of Rebecca Spiegel, MD, MA, director, Stony Brook Comprehensive Epilepsy Center, and Mary Andriola, MD, director, Division of Child Neurology and Clinical Neurophysiology, a team of renowned epileptologists (neurologists who specialize in the treatment of epilepsy), pediatric neurologists, neurosurgeons and other specialists offer capabilities not found elsewhere in the region. For example, the center’s dedicated Epilepsy Monitoring Unit, housed in Stony Brook University Hospital, has the capability to provide 24/7 monitoring of up to 10 patients at a time using video-EEG (electroencephalography). Portable video-EEG epilepsy monitoring can also be set up anywhere in the hospital where there is a patient experiencing possible seizures. And,

Photos from Stony Brook Medicine/Jeanne Neville

Left, Mary Andriola, MD, director, Division of Child Neurology and Clinical Neurophysiology; right, Rebecca Spiegel, MD, MA, director, Stony Brook, Comprehensive Epilepsy Center

instead of one assigned time each day for an attending epileptologist to check in on each patient, at Stony Brook’s Comprehensive Epilepsy Center, there’s an attending epileptologist available all day, from morning until evening, to meet with and provide support to patients. This is in addition to a 24/7 staff of physicians and other observation medical specialists who are always present. Stony Brook’s Comprehensive Epilep-

sy Center is also the only epilepsy center on Long Island with a simultaneous PET/MRI scanner, which, because of its exceptional image quality and diagnostic capabilities and low-dose radiation, is the preferred method of providing preoperative brain evaluations on patients experiencing seizures. Multiple treatment options, including surgical techniques such as vagal

nerve stimulator implant surgery for seizures in children and adults, are offered at the center. Ketogenic (high fat) diet therapy and modified Atkins (low carb) diet therapy are also offered, under the supervision of a nutritionist. Outpatient care for patients with epilepsy is provided at the center’s East Setauket office at 179 Belle Mead Road. And patients of Stony Brook’s Comprehensive Epilepsy Center have access to several clinical trials, too — some of which are not offered anywhere else on Long Island. The center also runs a monthly support group for adult and pediatric patients with epilepsy. The support group is co-led by a neurologist from Stony Brook and a social worker from the Epilepsy Foundation of Long Island. The inclusion of a neurologist in the sessions is unusual (most support groups in the country are led solely by a social worker), and it has proven to be successful in making a positive difference in the quality of life of patients. Meetings are typically held on the fourth Thursday of each month from 6:30 to 8 pm at 179 Belle Meade Road in East Setauket. Patients interested in attending can email Nidhi Gupta, MD, at nidhi.gupta@stonybrookmedicine.edu. For more information about Stony Brook’s Comprehensive Epilepsy Center, call (631) 444-4000 or visit www.neuro. stonybrookmedicine.edu.

Pediatric cardiac MRI now available in Suffolk County

In the not-so-distant past, when children in Suffolk County needed highly specialized imaging of their heart, choices were limited: Go to a local center that focused on adult heart conditions, go to a local center that offered older and more invasive testing (such as catheterization or CT scanning with radiation) or make the trip into New York City to a specialized center. Now they have another choice, thanks to James Nielsen, MD, chief, Division of Pediatric Cardiology, at Stony Brook Children’s Hospital. An internationally renowned physician-scientist, Dr. Nielsen is trained in advanced pediatric heart imaging techniques, including fetal echocardiography and cardiac magnetic resonance imaging (MRI). Very few pediatric cardiologists have this skill set. For it to be available in Suffolk County is nothing short of remarkable. Dr. Nielsen explained it like this: “When I made the decision to come to Stony Brook Children’s in 2012, one of the factors was knowing I would be bringing services into the region that were previously unavailable, such as the pediatric cardiac MRI. Now children and families in the community don’t have to travel away from their homes or into the city for high-quality cardiac imaging services.” Cardiac MRI is a valuable test that is now widely used by major pediatric cardiac centers to evaluate congenital heart disorders. Its unique features allow the physician to image the heart muscle and vessels in a manner not possible with standard tests such as CT scanning, catheterization and echocardiography. Cardiac MRI is particularly important for older children who have had previous heart surgery in which the post-surgical scarring prevents other forms of

Photo from Stony Brook University/John Griffin

From left, James Nielsen, MD, chief, Division of Pediatric Cardiology, Stony Brook Children’s Hospital and Anthony Green, MRI technologist.

imaging from obtaining a clear, accurate picture. In addition, a high-quality cardiac MRI can eliminate the need to perform more invasive (radiationbased) catheterization or CT scans. This helps protect still-developing children from the potentially harmful effects of repeat radiation exposure or vascular injury from catheterization, while still accurately identifying problems that need treatment. “Pediatric cardiac MRI is a highly specialized test

used on a small but growing percentage of patients,” said Dr. Nielsen. “Many suspected heart disorders in children can be diagnosed using traditional officebased evaluation and testing — including echocardiography. But for the conditions that can best be evaluated by MRI, it is fortunate that this is now available locally.” To make an appointment for pediatric cardiac services, call (631) 444-KIDS (5437).

February 27, 2014 • SBU BRIDGES • PAGE S33

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)YPKNLZ Birthplace of MRI technology is first on Long Island to offer simultaneous PET/MRI More than 40 years ago, the concept for magnetic resonance imaging (MRI) technology was first developed on the campus of Stony Brook University. Its inventor, the late Paul Lauterbur, PhD, then a chemistry professor at Stony Brook, went on to share in the Nobel Prize for his work in 2003. Fast forward to the present and Stony Brook is in the news again for another MRIrelated first. In September 2013, Stony Brook Medicine became the first on Long Island to offer simultaneous PET/MRI to patients since the FDA approved the technology in June, 2011. The new state-of-the-art technology from Siemens is the world’s fi rst system to perform simultaneous whole-body MRI and positron emission tomography (PET) scans and is located in the new Lisa and Robert Lourie Imaging Suite at Stony Brook University Cancer Center. “PET/MRI technology offers tremendous clinical benefits for residents of Long Island,” said Mark Schweitzer, MD, FRCPSC, chair, Department of Radiology, and chief, Diagnostic Imaging, Stony Brook Medicine. “With the convenience of a combined exam and the advanced imaging capabilities of the PET/ MRI system, our patients will benefit from more accurate disease staging, shorter, more comprehensive exams and faster results with superior imaging quality for diagnostic capabilities.” Diagnostic uses for PET/MRI include abdominal and pelvic oncology, pediatric oncology, head and neck cancers, cardiac imaging, neurodegenerative disease and psychological disorders. Stony Brook is also using the technology to conduct research studies and establish protocols, including the study of radioisotopes and new tracers for cancer treat-

Photo from Stony Brook Medicine/Jeanne Neville

Mark Schweitzer, MD, FRCPSC, chair, Department of Radiology, and chief, Diagnostic Imaging, Stony Brook Medicine, with the Siemens Biograph mMR, a simultaneous PET/MRI imaging system.

ment. With a vision of becoming a national leader in brain imaging technologies, Stony Brook is using PET/ MRI to investigate the underlying neuropsychiatric and neurological causes of psychiatric diseases, as well as the underlying mechanisms of multiple sclerosis. “The new PET/MRI will allow us to simultaneously determine both structure and function of abnormalities throughout the head and body. Not only will we be able to capture a more complete picture at the begin-

ning of treatment, but our understanding of the progress of disease will increase tremendously,” said Kenneth Kaushansky, MD, senior vice president, Health Sciences, and dean, Stony Brook University School of Medicine. With a PET/MRI, PET/CT and four MRI units, including a high-field open MRI, Stony Brook Medicine performs nearly 300,000 imaging studies annually, including cardiac CT imaging, ultrasound, nuclear medicine and special procedures. With a 3 Tesla magnet, the Siemens Biograph mMR system provides the strongest MRI magnetic field strength used clinically today, combined with the highest available resolution for PET. Stony Brook’s radiology services are performed at the following locations: • Stony Brook University Hospital Radiology Department, Level 4 (631) 444-2424 • Outpatient Imaging Center (next to the Ambulatory Surgery Center) 3 Edmund D. Pellegrino Road (631) 638-0600 • Stony Brook Life Care Center 225 Montauk Highway, Hampton Bays (631) 723-5000 • Stony Brook Technology Center (Tech Park) Neurosurgery 24 Research Way, East Setauket (631) 444-6693 • Orthopedics/Spine Center 14 Technology Drive, East Setauket (631) 444-4233 For more information, visit www.stonybrookmedicine.edu/imaging.

Stony Brook experts successfully treat talented 12-year-old How do you get to Carnegie Hall? Practice, of course, and in the case of Veronica Franco, with a little help from Stony Brook University Cancer Center. At age 10, this budding singer and cellist from Rocky Point was diagnosed with Ewing’s sarcoma in the pelvis. After a round of chemotherapy to shrink the tumor, she underwent an astounding 23-hour operation to remove the tumor. “The tumor was deep in the pelvis, which is one of the hardest places to operate on in the body,” said Fazel Khan, MD, the orthopaedic oncology surgeon who spearheaded the six-doctor procedure. “The alternative was radiation, but the return rate for the cancer is higher and the amount of radiation to the pelvis would put Veronica at high risk for post-radiation cancer 10 to 20 years after.” After consulting with colleagues at Memorial SloanKettering Cancer Center and then arranging to borrow a multi-million dollar computer surgical navigation machine called the O-arm® from the manufacturer, Veronica and her family opted for the surgery. Dr. Khan began planning the delicate and high-risk procedure. What Dr. Khan kept coming back to time and time again was the fact that he needed to make an absolutely precise surgical cut in order to preserve hip function and have all-negative resection margins, (which means that there is no tumor at the edge of the removed section). Even a micromillimeter off could make a major difference in the outcome. He threw himself into preparation by reviewing every section of Veronica’s images, and planning each step of the surgery along with every possible scenario. Dr. Khan also put together a multidisciplinary team composed of Robert Parker, MD, director, Pediatric Hematology/Oncology at Stony Brook Children’s Hospital,

orthopaedic spine surgeon Brian Morelli, MD, orthopaedic trauma surgeon Nicholas Divaris, MD, plastic and reconstructive surgeon Jason Ganz, MD, and oncologic surgeon Kevin Watkins, MD. “Here at Stony Brook, we use the philosophy of getting the best people involved from each specialty,” said Dr. Khan, “and I knew we had a great team.” Dr. Khan’s surgical cut was perfect, and together the team was able to excise Veronica’s tumor, preserve the hip joint and reconstruct the pelvis. To repair the section of the pelvis that was removed, the team transplanted a bone from her leg, connecting its blood supply to her body and supporting it by an implanted rod. Surgery was followed by another round of chemotherapy, but today, nearly two years after diagnosis, Veronica is cancer-free, walking with the assistance of a cane. Veronica has returned to school — taking advanced math and science classes — and entered seventh grade in fall 2013. Just as important, she was able to earn a spot in the children’s chorus of the Metropolitan Youth Orchestra, which performed at Carnegie Hall in March 2013. She and her mother Joanna cannot say enough about how the staff at the Cancer Center helped get her from there to here. Veronica really appreciated that the staff “were always thinking of me” — which entailed everything from getting her nails painted by her favorite nurse to being able to visit her dog while hospitalized. Her mother praised Drs. Parker and Khan’s “impeccable bedside manner.” And both agreed that the staff “made a horrible thing not only better but actually quite wonderful.” For more information about any type of cancer, call (631) 638-1000 or visit www.cancer.stonybrookmedicine.edu.

Photos from Stony Brook Medicine/Lynn Spinnato

Joanna and Veronica Franco

February 27, 2014 • SBU BRIDGES • PAGE S35

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Calendar of events — East Campus

Support Groups at Stony Brook Medicine

Saturday, April 5, 10 am to 2 pm Port Jefferson Health and Wellness Expo 2014 Earl L. Vandermeulen High School, 350 Old Post Road, Port Jefferson Th is free health fair features medical experts from Stony Brook Medicine, who will provide the latest information in cancer care, children’s health, digestive health, heart health and neurology. Health screenings will be offered. For more information, visit www. portjeffhealth.com or call (631) 473-1414.

Stony Brook Medicine offers a wide range of support/educational/physical programs for patients, family members, and staff. It’s a healthy way to receive emotional support and encouragement, practical advice and tips to help you cope, while sharing experiences with others who are facing similar health issues. Open to all, regardless of whether or not you have been treated at Stony Brook Medicine. Free. Registration required. For more information, call (631) 444-4000 or (631) 638-0004, or visit www.stonybrookmedicine. edu/patientcare/supportgroups. Now through Thursday, March 27 White-a-Thon, Ira D. Koeppel, DDS 126 Gnarled Hollow Road, East Setauket The office of Ira D. Koeppel, DDS, is sponsoring a White-a-Thon. Receive a custom-fit professional teeth-whitening kit for only $150 (a $450 value). All proceeds will be donated to Stony Brook Children’s Hospital. To make an appointment, call (631) 6899777. Monday, March 3 and 17, 5 to 7 pm Bariatric and Metabolic Weight Loss Seminars Hospital Cafeteria, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Learn about the impact of obesity, including causes, health risks and today’s surgical treatment options. Aurora Pryor, MD, director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, associate director, will lead the discussion, followed by a questionand-answer session. To register, call (631) 444-4000. Saturday, March 15, 8 am to 2 pm Varicose Vein Screening Stony Brook Vein Center, 37 Research Way, East Setauket Th is free screening is 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 by board-certified physicians. Patients should wear or bring shorts to the screening. Registration is required and space is limited. To make a reservation, call (631) 444-VEIN (8346). Saturday, March 22, 8:30 am to 3:30 pm Spring Community Update: The Prevention and Treatment of Cancer Charles B. Wang Center, Stony Brook University, 100 Nicolls Road, Stony Brook Learn about the latest advances in the prevention, diagnosis, management and treatment of several cancers, including gynecologic, colon, lung, thyroid, head and neck, leukemia and lymphoma. Th is full-day program features keynote speaker Michael W. Schuster, MD, interactive workshops and a performance of the play “The Catalysts.” View displays about the services provided at Stony Brook University Cancer Center, including social work, patient advocacy, nutrition, physical therapy, support groups and the Cancer Survivorship Program. Information from community organizations such as American Cancer Society, Leukemia & Lymphoma Society and Fighting Chance will be available. Free admission includes continental breakfast and lunch. Registration is required. Call (631) 444-4000 or visit www.cancer.stonybrookmedicine.edu.

Photo from SBU Medicine

Aerial view rendering expansion plans of Stony Brook Medicine

Wednesday, March 26, 8 to 10 am Mall Walkers Food Court, Smith Haven Mall, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an update from Stony Brook University Hospital CEO Reuven Pasternak, MD, on the latest at Stony Brook Medicine. For more information, call (631) 444-4000. Wednesday, March 26, 4 to 7 pm HeartSaver/AED CPR Class 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 $10 fee. Participants will learn how to respond to an adult, child and infant who is unresponsive and in cardiac arrest. Demonstrations on the use of an automated external defibrillator (AED) and how to respond to choking emergencies are also covered. Registration is required (same-day registration is possible, but please call first). To register, call Yvonne Leippert, RN, MS, CCRN, at (631) 444-3322. Wednesday, March 26, 6:30 to 10:30 pm Sunrise Fund’s Little Miracles 5th Dinner and Fashion Show for Children and Young Adults with Cancer Villa Lombardi’s, 877 Main Street, Holbrook Contemporary fashions as well as fairy-tale inspired costumes will be modeled by our “Little Miracles,” their families and staff. Proceeds to benefit Stony Brook Children’s Hospital. Join us for what promises to be a magical evening. For information about tickets and sponsorship opportunities, call (631) 444-2899. Thursday, April 3, 6 to 9 pm Bodacious Bras for a Cure Charles B. Wang Center, Stony Brook University, 100 Nicolls Road, Stony Brook Enjoy a dessert reception while viewing inspired bra art creations. Several celebrity creations, including ones from Anna Trebunskya and Ethan Zohn, will be available. Then bid on your favorites at the live auction. Tickets cost $40. To purchase tickets, call Linda Bily, Stony Brook University Cancer Center at (631) 638-0004.

Monday, April 7 and 21 Bariatric and Metabolic Weight Loss Seminars Hospital Cafeteria, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Learn about the impact of obesity, including causes, health risks and today’s surgical treatment options. Aurora Pryor, MD, director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, associate director, will lead the discussion, followed by a questionand-answer session. To register, call (631) 444-4000. Wednesday, April 9, 7-9 pm An Evening With Psychic Medium Robert E. Hansen Charles B. Wang Center, Stony Brook University, 100 Nicolls Road, Stony Brook Robert Hansen will share his psychic gifts of communication with loved ones who have crossed over to the other side. Hosted by Stony Brook University Hospital Auxiliary, this fundraising event will benefit patient care at Stony Brook. Tickets are $30 per person. For reservations, call (631) 444-2699. Wednesday, April 30, 8 to 10 am Mall Walkers 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 expert. For more information, call (631) 444-4000. Sunday, June 8, 11:30 am to 3 pm National Cancer Survivors Day Stony Brook University Cancer Center, 3 Edmund D. Pellegrino Road, Stony Brook Stony Brook University Cancer Center hosts a celebration for cancer survivors and their friends and families. Inspirational speaker Scott Burton, a cancer survivor and an award-winning comedian and world-class juggler, brings energy, passion and roars of laughter to his presentation at 11:30 am. The afternoon is full of fun activities, including dunk-a-doc, face painting, caricatures, live music, Reiki demonstrations and the Parade of Survivors. Free admission. Registration begins in April. For more information, visit www.cancer.stonybrookmedicine.edu. June 12, 6:35 pm Kids Health and Safety Expo Bethpage Ballpark, 3 Court House Drive, Central Islip Join Stony Brook Medicine for a night of family fun as the Long Island Ducks play the Bridgeport Bluefish. Take part in free health screenings, interactive exhibits, health demonstrations, hands-on activities and much more. For further information, call (631) 444-4000.

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Calendar of events — West Campus

Wednesday, March 5 Contemporary Chamber Players, Staller Center Recital Hall, 8 pm A program of American music by Elliott Carter, Morton Feldman, Frank Zappa, Conlon Nancarrow and other icons of new music. Tickets: Free admission. For more information, visit www.stonybrook.edu/music Thursday, March 6 Earfest, Staller Center Recital Hall, 8 pm Sit back in your chair and be surrounded by sumptuous sound, including the latest in fixed-media audio and video. Presented by the Stony Brook Computer Music Studios. Tickets: Free admission. For more information, visit www.stonybrook.edu/music.

Friday, March 7 Astronomy Open Night, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking. Sunday, March 9 Baroque Sundays at Three, Staller Center Recital Hall, 3 pm Bach Birthday Bash: Come celebrate the birthday of one of the world’s greatest composers. This year we feature music from Bach’s entire family, including selections from the late 17th century to music from Frederick the Great’s court. Tickets: Free admission. For more information, visit www.stonybrook.edu/music. Friday, March 14 The World of Physics, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

This high-energy folk quartet continues the Sunday Street Acoustic Series at the University Café. For tickets and the full schedule of Sunday Street concerts, visit www.universitycafe.org.

Court, Chapel and Countryside: The Stony Brook Baroque Players will delight you with a mix of treasures from the “four corners” of the Baroque period. We will feature vocal and instrument highlights from the early Italian period to the masterpieces of Bach and Handel. Tickets: Free admission. For more information, visit www.stonybrook.edu/music.

Friday, March 28 Geology Open Night, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

Weds. Apr. 16 Contemporary Chamber Players, Staller Center Recital Hall, 8 pm Swiss composer and conductor William Blank will present a concert of his music and other little-known gems of the contemporary chamber music repertoire. Tickets: Free admission. For more information, visit www.stonybrook.edu/music.

Monday, March 31 2014 Mind/Brain Lecture, Staller Center Main Stage, 4:30 pm This free lecture for the general public on “Perceiving and Deciding: from Single Neurons to Populations Dynamics” will be presented by William Newsome, Professor of Neurobiology, Stanford University. Newsome is also co-chair of the White House BRAIN Initiative. Free admission. For more information, visit www.stonybrook.edu/sb/mind.

Friday, April 18 The Living World, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

Friday, April 4 Astronomy Open Night, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

Friday, April 25 Earthstock, Academic Mall, 11 am to 4 pm Join us for a free, outdoor event celebrating all that is good for the Earth. Geology Open Night, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

Tuesday, April 8 Stony Brook Composers, Staller Center Recital Hall, 8 pm The talented young composers at Stony Brook work side by side with the stellar performers of the Contemporary Chamber Players to present world premieres of new music in a colorful range of styles. Tickets: Free admission. For more information, visit www.stonybrook.edu/music.

Tuesday, April 29 Jazz and New Music Night, Staller Center Recital Hall, 8 pm Small jazz and improvising music groups, led by Ray Anderson, perform new works and jazz standards. Come hear the “Bright Moments.” Tickets: Free admission. For more information, visit www.stonybrook.edu/music.

Sunday, March 16 ALEX THE JESTER, Staller Center Main Stage, 4 pm Take a trip back in time with Alex the Jester, a court jester complete with floppy hat, curly shoes, and laughs galore. Although Alex the Jester primarily uses body language and actions to communicate, he surprises the audience with his fluency in the gibberish jester language of Grammelot. A show for all ages. Tickets: $15. Visit www. stallercenter.com.

Friday, April 11 The World of Physics, Lecture Room 001, ESS, 7:30 pm Stony Brook Open Nights — free lectures geared to the general public — are growing in popularity so please arrive early to get a good seat. The lectures are by faculty on various aspects of their particular area, most commonly on their own research or some topic of public interest. Visit www.astro.sunysb.edu/openight for details on who will be speaking.

Thursday, May 1 Jazz Ensemble, Staller Center Recital Hall, 8 pm Stony Brook University’s famed big band, The Blowage, swings the night away with original charts, sizzling classics and hot soloists, featuring Ray Anderson. Tickets: $10 community/$5 SB students. For more information, visit www.stonybrook.edu/music.

Sunday, March 23 The Paul McKenna Band, University Café, 2 pm

Sunday, April 13 Baroque Sundays at Three, Staller Center Recital Hall, 3 pm

Sunday, May 4 SID THE SCIENCE KID, Staller Center, Main Stage, 4 pm

Come see Sid the Science Kid, live on the Staller Center stage, based on the popular PBS Kids television show produced by The Jim Henson Company. Join Sid, May, Gabriela, Gerald and Teacher Susie as they take you on an exciting adventure filled with mysteries, laughs, and wonders about the world around us. Tickets: $15. To purchase, visit www. stallercenter.com.

Monday, May 5 University Chorale and Camerata Singers, Staller Center Recital Hall, 8 pm Shoshana Hershkowitz and Alice Cavanaugh present an evening of classic and contemporary works for accompanied and a capella choir. Tickets: $10 community/$5 SB students. Wednesday, May 7 16th Annual Diversity Day and Strawberry Festival, SAC Plaza & Academic Mall (rain location: SAC), 1 pm to 2:20 pm Try a variety of delicious strawberry treats for one low prize, plus enjoy free entertainment by Stony Brook student groups. The event is free to attend but tickets are required to taste the treats. Seawolves Athletics Home Games BASEBALL All home games played at Joe Nathan Field. Free admittance. Saturday, March 22 vs. Albany, 12 pm and 2 pm Sunday, March 23 vs. Albany, 12 pm Tuesday, March 25 vs. NYIT, 3:30 pm Tuesday, April 1 vs. Marist, 3:30 pm Saturday, April 12 vs. Binghamton, 12 pm and 2 pm Sunday, April 13 vs. Binghamton, 12 pm Wednesday, April 16 vs. Rhode Island, 3:30 pm Tuesday, April 22 vs. Central Connecticut, 3:30 pm Saturday, May 3 vs. Maine, 12 pm and 2 pm Sunday, May 4 vs. Maine, 12 pm Friday, May 16 vs. Hartford, 12 pm and 2 pm Saturday, May 17 vs. Hartford *Stony Br LACROSSE All home games played in LaValle Stadium. Tickets required for Men’s games (see goseawolves.org for pricing). Women’s games are free. Men’s Team Saturday, March 1 vs. Rutgers, 4 pm Saturday, March 8 vs. Maryland, 1 pm Tuesday, March 11 vs. Sacred Heart, 6 pm Tuesday, March 18 vs. Manhattan, 6 pm Saturday, March 22 vs. St. John’s, 1 pm Tuesday, April 1 vs. Quinnipiac, 7:30 pm Saturday, April 5 vs. Vermont, 1 pm Friday, April 25 vs. Hartford, 7 pm Women’s Team Saturday, March 1 vs. Florida, 1 pm Wednesday, March 12 vs. CCSU, 7 pm Saturday, March 22 vs. Siena, 1 pm Saturday, March 29 vs. UMBC, 1 pm Friday, April 4 vs. Jacksonville, 7 pm Saturday, April 19 vs. UNH, 1 pm

February 27, 2014 • SBU BRIDGES • PAGE S37

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At the helm: Introducing Stony Brook’s newest leaders Joseph H. Laver, MD

Over the past few years, Stony Brook Medicine has set course with an ambitious plan to achieve a new level of excellence. Already in place is a group of leaders with national reputations as innovators in research, education and clinical care, and the organization continues to attract top-notch physicians and healthcare professionals to lead its programs. Here’s a look at the most recent leaders at Stony Brook.

Joseph H. Laver, MD, is chief medical officer of Stony Brook University Hospital and Professor of Pediatrics at Stony Brook University School of Medicine. Dr. Laver most recently served as executive vice president and clinical director at St. Jude Children’s Research Hospital, where he headed the clinical care delivery and patient care quality, and oversaw all clinical programs at St. Jude. His focus at Stony Brook centers on building and maintaining excellence, and improving quality, clinical care delivery, clinical effectiveness and physician management as health care reform measures are implemented.

Photo from Stony Brook Medicine/Jeanne Neville

Joseph H. Laver, MD, chief medical officer

Ellen Li, MD, PhD

Carol Gomes

Photo from Stony Brook Medicine/Jeanne Neville

Carol Gomes, MS, FACHE, CPHQ, chief operating officer

As chief operating officer, Carol Gomes has administrative responsibility for operating and capital budget planning, as well as facilities management, including plant operations, construction, housekeeping and other departments. She also oversees purchasing systems, supply chain management, value analysis program and inventory control. Gomes joined Stony Brook University Hospital in 1985 as a histotechnologist in the Surgical Pathology Laboratory, having spent many years there in supervisory and managerial roles. She has served previously as the hospital’s continuous quality improvement director, assistant director for Medical and Regulatory Affairs and associate director for Quality Management. In 2008, she assumed the role of associate director for Neurosciences. She continues to lead the neurosciences service line, as well as heart, emergency services, operating room, pediatrics and gastroenterology.

Photo from Stony Brook Medicine/Sam Levitan

Ellen Li, MD, PhD, chief, Division of Gastroenterology and Hepatology

Joel Saltz, MD, PhD

Jim Murry

Joel Saltz, MD, PhD, formerly chair of biomedical informatics at Emory University in Atlanta, was recently appointed to lead the newly established Department of Biomedical Informatics as the inaugural Cherith chair. Establishment of this new department fulfi lls one of several key elements of Stony Brook’s strategic plan and its NYSUNY 2020 plan. It will allow researchers to analyze large biomedical science data sets and databases of patient medical records to generate testable hypotheses on the origins of various diseases, including cancer, cardiac disease and neurological disorders, and the response to their treatment.

Jim Murry came to Stony Brook from University of California, Irvine (UC Irvine), where he was associate dean of Information Technology and Informatics of the UC Irvine School of Medicine, and chief information officer of UC Irvine Medical Center, an organization recently voted one of the top five hospitals in the country for information technology. As CIO, Murry leads the information technology efforts of Stony Brook University Hospital, Stony Brook Medicine University Physicians and Stony Brook Community Medical, as well as several aspects of the information infrastructure of the Health Sciences schools. Photo from SBU

Jim Murry, chief information officer

Ellen Li, MD, PhD, a gastroenterologist and research scientist investigating digestive diseases, has been appointed chief, Division of Gastroenterology and Hepatology, which specializes in the prevention, diagnosis and treatment of diseases of the digestive tract and liver. She also leads a group of highly trained gastroenterologists and oversees the Interventional Endoscopy Center, the Gastrointestinal Motility Center and the Inflammatory Bowel Diseases Center. Dr. Li came to Stony Brook from Washington University School of Medicine in 2009. Since arriving here she has focused on using the research of Stony Brook’s basic scientists — those who focus on anatomy, physiology, bacteriology, pathology or biochemistry — to help improve people’s health specifically in inflammatory bowel diseases, colon cancer and functional gastrointestinal disorders, such as irritable bowel syndrome.

Photo from Stony Brook Medicine/Jeanne Neville

Joel Saltz, MD, PhD, Cherith chair, Department of Biomedical Informatics

Continued on page S38

PAGE S38 • SBU BRIDGES • February 27, 2014

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At the helm: Introducing Stony Brook’s newest leaders Mark Schweitzer, MD, FRCPSC

Photo from Stony Brook Medicine/Jeanne Neville

Mark Schweitzer, MD, FRCPSC, chair, Department of Radiology

Medical scholar, educator and experienced hospital administrator Mark Schweitzer, MD, FRCPSC, has joined Stony Brook Medicine as Chair, Department of Radiology. Prior to Stony Brook, he served as chief of Diagnostic Imaging and chair of Radiology at University of Ottawa in Ottawa, Canada. At Stony Brook Medicine, Dr. Schweitzer plans to grow the imaging program and bring Stony Brook to the forefront in the use of imaging to understand the natural history and effect of interventions on disease. Cited as a perennial “Best Doctor,” he has served as a consultant for many professional sports teams, including the New York Mets, New York Islanders, New York Nets, Philadelphia 76ers and Philadelphia Eagles, as well as numerous college teams, the Pennsylvania Ballet Company and the 2010 Winter Olympics and Paralympics.

Robert P. Woroniecki, MD

Photo from Stony Brook Medicine/Jeanne Neville

Robert P. Woroniecki, MD, chief, Division of Pediatric Nephrology

Mary Ann Donohue, PhD

Photo from Stony Brook Medicine

Mary Ann Donohue, PhD, chief, Patient Care Services

In April, Mary Ann Donohue, PhD, will join Stony Brook University Hospital as its new chief of Patient Care Services. This new role, replacing the position of chief nursing officer, reflects the move to provide nursing staff at the clinical unit level with enhanced oversight of those operational functions that drive unit performance levels as well as patient and staff satisfaction. Donohue will be working closely with Joseph Laver, MD, Chief Medical Officer, in advancing a model of shared nursing and physician leadership to achieve goals of excellence in quality of care and patient safety. A native of New Jersey, Donohue comes to Stony Brook from Jersey Shore University Medical Center in Neptune, NJ, the flagship hospital of Meridian Health, which is a nationally recognized comprehensive health care system, where she served as vice president and Chief Nursing Executive.

James A. Vosswinkel, MD

James A. Vosswinkel, MD, is chief of the newly created Division of Trauma, Emergency Surgery and Surgical Critical Care, which reflects Stony Brook University Hospital’s expert capacity to provide around-the-clock care for trauma and emergency surgery patients as Suffolk County’s only Regional Trauma Center. In addition to providing 24/7 care for trauma and emergency surgery patients, the division cares for patients in the hospital’s Surgical Intensive Care Unit (SICU). A trauma surgeon and assistant professor of surgery at Stony Brook University School of Medicine, Dr. Vosswinkel has served as director of the SICU since 2008 and as chief of the Section of Trauma and Critical Care since 2011. Photo from Stony Brook Medicine/Jeanne Neville

James A. Vosswinkel, MD, chief, Division of Trauma, Emergency Surgery and Surgical Critical Care

Mark Talamini, MD

Photo from Stony Brook Medicine/Jeanne Neville

Mark Talamini, MD, chair, Department of Surgery

The Department of Surgery has found a new leader in Mark Talamini, MD, who has been appointed professor and chair. He comes to Stony Brook from University of California, San Diego, School of Medicine where he was the M.J. Orloff Family endowed chair in Surgery and Professor and chairman of the Department of Surgery. Dr. Talamini also takes the helm as the founding director of the Stony Brook Medical Innovation Institute, where he will develop and test new techniques and devices to solve challenges in surgical and procedurally-based medical, pediatric and radiologic specialties. Considered a pioneer in minimally invasive abdominal surgery, he is recognized as one of the leading authorities on laparoscopic and roboticassisted surgery in the United States.

Robert P. Woroniecki, MD, a boardcertified pediatric nephrologist, joined Stony Brook Children’s Hospital as chief of the Division of Pediatric Nephrology. He is working to expand the division to help make advanced services more accessible to children with acute and chronic kidney problems in the community. Dr. Woroniecki comes to Stony Brook from New York Presbyterian/Columbia University Medical Center, where he served as the medical director of Pediatric Nephrology at Morgan Stanley Children’s Hospital. An expert in pediatric hypertension, nephrotic syndrome and transplant medicine, Dr. Woroniecki plans to develop a model of multispecialty care at Stony Brook that includes cardiology, urology and endocrinology to treat the complex problems associated with childhood obesity, metabolic syndrome and high blood pressure, which may result in kidney disease.

Samuel Ryu, MD

Also in April, Samuel Ryu, MD, will join Stony Brook Medicine as its new chair of the Department of Radiation Oncology and the deputy director for Clinical Affairs at Stony Brook University Cancer Center. Dr. Ryu comes to Stony Brook from Henry Ford Hospital in Detroit, where he served as the director of the Center for Radiosurgery in the Josephine Ford Cancer Institute and as professor of Radiation Oncology at Wayne State University. For the past 15 years, Dr. Ryu has developed a national and international reputation for excellence in radiosurgery of tumors of the central nervous system, having pioneered a new field of radiosurgery of spine and cord tumors, and launching the first spinal radiosurgery research study. Photo from SBU

Samuel Ryu, MD, chair, Department of Radiation Oncology

February 27, 2014 • SBU BRIDGES • PAGE S39

Bridges

North Shore Business Directory ACCOMMODATIONS

HERITAGE AND HISTORY

Holiday Inn Express . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Hilton Garden Inn Stony Brook . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Ward Melville Heritage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 HOME AND GARDEN

Chariot Collision Center Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Carl Bongiorno & Sons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 RJK Gardens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

BUSINESS SERVICES

JEWELRY

Port Jefferson Chamber of Commerce . . . . . . . . . . . . . . . . . . . . 10

St . James Jewelry Shoppe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

AUTOMOTIVE

CATERING

KNITTING

Elegant Eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Rumpelstiltskin Yarns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

DINING

LEGAL SERVICES

Country Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Mark T . Freeley, Attorney At Law . . . . . . . . . . . . . . . . . . . . . . . . . 23

EDUCATION

MARINE SERVICES

Briarwood Montessori School . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Imagination Pre School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Knox School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Messiah Lutheran Pre School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Queens College . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Great Oak Marina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Animal Health & Wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Corner Animal Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

FINANCIAL

PROFESSIONAL SERVICES

Allstate Insurance/Jeff Freund . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Archdeacon Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Mark J . Snyder Financial Services . . . . . . . . . . . . . . . . . . . . . . . . . . 9 PNC Mortgage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Stephanie M . Sgroi Agency, Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Maripat Quinn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

PET SERVICES

REAL ESTATE

Gallery North . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Andrea Vilardi, Realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Coach Realtors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Coldwell Banker Real Estate, Mt . Sinai . . . . . . . . . . . . . . . . . . . . . 23 Fran Saer, Realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Kristin Bodkin, Realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Realty Connect USA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Shea & Sanders Real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Soundview Realty Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

HEALTH AND WELLNESS

SALON AND SPA

Ear Works Audiology, P .C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Jefferson’s Ferry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 New York Brain & Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Smile Makers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Smithtown Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 St . Johnland Nursing Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Stony Brook Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Stony Brook Urology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Stony Brook Vision World . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Varicose Vein Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Visiting Nurse Service and Hospice . . . . . . . . . . . . . . . . . . . . . . . . 12 Wiggs Opticians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Atlantis Health Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Legends Hair Designs & Day Spa . . . . . . . . . . . . . . . . . . . . . . . . . 29

FUNERAL SERVICES

Affordable Cremation/Moloney Funeral Homes . . . . . . . . . . . 27 GALLERY

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www.northshoreoflongisland.com For more information call 631.751.7744

PAGE S40 • SBU BRIDGES • February 27, 2014

Good Luck Seawolves!!

Go for it! Come see me for all your insurance needs! Proud to be a SBU Alumni!

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Like a good neighbor, State Farm is there.®

Stephanie M Sgroi Agcy Inc Stephanie M Sgroi, Agent 612 Route 112 Port Jefferson Station, NY 11776 Bus: 631-473-6941

1001060.1

State Farm, Home Office, Bloomington, IL