Bridges - Feb. 2015 by TBR News Media

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

February 26, 2015 â&#x20AC;˘ TImES BEacon REcoRD nEWSPaPERS

PAGE S2 • SBU BRIDGES • february 26, 2015

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CoachRealtors.com Facebook.com/CoachRealtors Mobile Search, Text COACH to 85377 Local Branch Offices in Stony Brook • Port Jefferson • Mount Sinai • Smithtown

february 26, 2015 • SBU BRIDGES • PAGE S3

Over 35 Shops and Restaurants... ROCKY POINT JEWELERS Family Events... WEST Performing Arts... 751-3751 Wetlands Cruises... And much more!

eateries COUNTRY HOUSE RESTAURANT 751-3332 CRAZY BEANS 675-6964 FRATELLI’S ITALIAN EATERY 751-4445 LATITUDE 121 COASTAL GRILL 675-9263, 675-9264 MIRABELLE & TAVERN AT THREE VILLAGE INN 751-0555 PENTIMENTO RESTAURANT 689-7755 ROBINSON’S TEA ROOM 751-1232

LATITUDE 121 675-9263

CRAZY BEANS 675-6964

LOFT 689-8030

CRABTREE & EVELYN 751-1099

LAKE SIDE EMOTIONS WINE & SPIRITS 675-2750

shops CHICO’S 689-6426 CHOCOLATE WORKS 675-9366 COTTONTAILS 689-9147 CRABTREE & EVELYN 751-1099 THE CRUSHED OLIVE 675-6266 FAIR TRADE WINDS 689-2989 FLAIR BRIDAL 689-2992 FLAIR DESIGNER BOUTIQUE 689-2992

STONY BROOK GIFT SHOP 751-3248

CHICO’S 689-6426

stonybrookvillage.com stonybrookvillage.mobi 631-751-2244

HARBOR CLEANERS 751-0106 JOS. A. BANK 751-3670 KAH FITNESS 751-6680 LEGENDS HAIR DESIGNS 751-0830 LEGENDS DAY SPA 751-0822 LAKE SIDE EMOTIONS WINE & SPIRITS 675-2750 LOFT 689-8030 MENSROOM BARBER SHOP 751-4440 MINT 675-0263 OPEN HOUSE COUNTRY FLOWERS & INTERIORS 751-0112 ROCKY POINT JEWELERS WEST 751-3751 RUMPELSTILTSKIN YARNS, INC. 675-2920 SPOTLIGHT ACADEMY OF DANCE 751-2558 STONY BROOK GIFT SHOP 751-3248 STONY BROOK POST OFFICE 1-800-275-8777 STONY BROOK VILLAGE GREEN SERVICE STATION 675-2801 W.L. WIGGS OPTICIANS 751-2801 WISH 941-2719 WMHO HERITAGE GIFT SHOP 689-5888

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DIRECTIONS: LIE- 62 (COUNTY RD. 97) NORTH TO END (25A). LEFT 1.5 MILES AT “HISTORIC STONY BROOK” SIGN TO MAIN STREET; RIGHT 1/4 MILE TO STONY BROOK VILLAGE CENTER.

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STONY BROOK VILLAGE CENTER, MAIN STREET ON THE HARBOR • STONY BROOK, NY 11790 • 631-751-2244

RETAIL HOURS: Monday-Saturday, 10-6; Sunday, 12-5

PAGE S4 • SBU BRIDGES • february 26, 2015

Master of Arts in

MEDICAL HUMANITIES, COMPASSIONATE CARE AND BIOETHICS Not just for healthcare professionals, this program serves students from a wide range of disciplines and professional backgrounds, building on a commitment to medical humanism and ethics that has defined education for Stony Brook students for more than three decades. The 30-credit Master of Arts program can be completed in as little as one year. “It is through my Master of Arts in Medical Humanities, Compassionate Care and Bioethics that I was able to enrich my knowledge base to include an ethical, medical and legal approach to often challenging situations.” — Robyn McKeefrey, MA Program Graduate

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

APPLICATION DEADLINES FOR FALL 2015 U.S. Residents: July 2, 2015 International Students: May 16, 2015

128960

For more information or to apply to the program, visit stonybrook.edu/bioethics/masters or email Michael.Ortega@stonybrookmedicine.edu Stony Brook University/SUNY is an affirmative action, equal opportunity educator and employer. 15010928

february 26, 2015 • 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 Managing Editor Erika Karp Editor Ellen Barcel Editorial Rohma Abbas Phil Corso Elana Glowatz Ellen Recker Art and Production Director David R. Leaman Art and Production Janet Fortuna Beth Heller Mason Wendy Mercier Internet Strategy Director Rob Alfano Advertising Elizabeth Bongiorno Laura Johanson Robin Lemkin Barbara Newman Michael Tessler Minnie Yancey

From Kenneth Kaushansky, MD ... Steel continues to rise from the foundations laid for Stony Brook Medicine’s new Hospital Pavilion that will house the new Stony Brook Children’s Hospital, and the Medical and Research Translation (MART) building. Designed to enable, foster and encourage scientists and physicians to work side by side to investigate and discover new clinical treatments and invent new medical technology, the MART is the first facility in a $424 million expansion project that will advance research and clinical care at Stony Brook Medicine. The 240,000-square-foot, eight-story MART is scheduled for completion in 2016. It will be an environment where basic research scientists can increase their understanding of 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 healthcare diagnostic and treatment options. As part of its core mission, the MART will be devoted to cancer research and care, including the new location for the Stony Brook University Cancer Center.

The MART will also house advanced biomedical imaging and biomedical informatics. There’s a strong sense of pride that we all feel at Stony Brook Medicine, knowing that the groundwork laid for the past four years is yielding tangible results, and that our strategic vision is quickly becoming a reality. Over 150 new faculty have joined us, many assuming key leadership positions. A record number of National Institutes of Health and other grants have been secured, to develop new biomedical informatics tools, and study cancer and other important research topics. And Stony Brook Medicine has claimed a new leadership role in determining how Suffolk County providers will more effectively care for patients with Medicaid and those who are without any means to pay for healthcare, through the Delivery System Reform Incentive Payment (DSRIP) Program. The goal of this New York State-sponsored program is to increase access to care, improve the quality of that care and reduce unnecessary hospitalizations and emergency room

Photo by Jeanne Neville

Kenneth Kaushansky, MD, senior vice president, Health Sciences, and dean, Stony Brook University School of Medicine.

visits by transforming the way care is delivered — to emphasize prevention over treatment, and to emphasize early rather than late care. New facilities, new leaders and new directions bode well for the future of Stony Brook Medicine and for the people of Suffolk County and beyond. I hope you will enjoy reading about some of these latest developments in this issue of Bridges.

From the publisher ... The Three Village area, nestled within the picturesque North Shore of Long Island, has attractions that are recognized by us all. There is a university community renowned for its academic, cultural, sports and worldly aspects; a top medical community; a village with a sense of its own history and civic pride in its roots; and a good school district. It is truly a beautiful place with great recreational activities, near the water. There is no doubt the area is enhanced by the considerable presence of Stony Brook University, which continues to grow in prestige and in what it offers the community. In fact, the scope of its activities is probably beyond any one person’s understanding. There is a mutual benefit between town and gown. To help you, our readers, see what is available on campus and off, we have partnered with the university to bring you a comprehensive resource guide to

their events. We also offer the faculty, administrators and university community an overview of the excellent shops and services in our villages that are available to them and to all our readers. So enormous is the story they have to tell that we divided the campus into two halves: east and west. This publication, timed to be distributed at the beginning of the second semester of the academic year, concentrates on the east campus and Stony Brook Medicine, with 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. Called “Bridges,” to symbolize the alliance of campus and community and to encourage further interaction between us, this resource guide is distributed in all

Leah S. Dunaief, publisher, Times Beacon Record Newspapers

six of our hometown newspapers along the North Shore of Suffolk County and to faculty, students and administration throughout SBU. Please read about and take advantage of the many opportunities to enhance our lives by using these bridges, and think about our shared good fortune to live here.

Contents All copy provided by Stony Brook Medicine

Meeting the healthcare needs of Suffolk County Stony Brook and Southampton ............................S6 Patient Portal: Manage healthcare online..........S6 DSRIP: Transforming healthcare ........................S8 In an emergency Winter accidents .....................................................S8 Key facts on heart attacks....................................S13 Taking a child to the ER ......................................S13 Protecting your good health: Advancements in radiology ................................S14 Vascular disease screening..................................S16 Lung cancer screening .........................................S16

Weight loss surgery...............................................S18 Safest care for pre-term births............................S18 Caring for your mental health............................S22 Get tested for Hepatitis C ....................................S22 Best ideas in medicine for children When you suspect a heart problem ...................S24 Expert kidney care for children .........................S24 Help for breathing problems............................... S26 Brain tumor treatment......................................... S26 For cancer care Medical oncology’s role .......................................S28 Radiosurgery ..........................................................S28

For your heart Heart failure ...........................................................S30 Signs and symptoms of AFib ..............................S30 For your neurological system Leading neurosciences institute.........................S32 New surgical tool for stroke ................................S32 New leaders ................................................................S34 Join the Hospital Auxiliary....................................S35 Events at the Staller Center .................................S35 Map of SBU Campus ............................................S20 Calendar of Events ..........................................S36-38 North Shore Business Directory ........................S39

PAGE S6 • SBU BRIDGES • february 26, 2015

Bridges

Stony Brook and Southampton Hospital move forward with agreement to develop regional healthcare system By L. Reuven PasteRnak, MD

Stony Brook Medicine and Southampton Hospital are moving forward with a proposed affiliation agreement following a unanimous vote by the State University of New York Board of Trustees on Jan. 13. L. Reuven Pasternak, MD, Chief Executive Officer, Stony Brook University Hospital, and Vice President for Health Systems, Stony Brook Medicine, explains how this will benefit our community. The proposed affiliation agreement, which will require the approval of various New York State regulatory and legislative authorities, between Stony Brook Medicine and Southampton Hospital means that a regional healthcare system is being set in motion. State Sen. Ken LaValle and Assemblyman Fred Thiele have been strong supporters of the affiliation that will ultimately better serve the healthcare needs of the people of eastern Suffolk County. Here’s how it will work: The 125-bed Southampton facility will join Stony Brook’s system and provide care under Stony Brook University Hospital’s New York State operating license. As the partnership of our academic medical

center and Southampton’s community hospital moves forward, we will share best practices, resources and processes, which will not only help better manage healthcare costs but also result in more efficient delivery of care. Stony Brook physicians will work out of both facilities, along with Stony Brook University medical school students, residents and fellows. Services will be coordinated so that people across Long Island will have access to the most appropriate, and highest quality, services close to home. What’s exciting is that we are both coming from a position of strength — clinically and financially — so that our partnership is not about one hospital shoring up the other but about two robust institutions collaborating to better serve the community. This alliance stems from a longstanding relationship, having been formally affiliated since 2008, and it is no accident that it is being finalized as healthcare reform takes shape. The planned collaboration will help us shift the focus of care from acute care — that is, inpatient hospital care — to

outpatient services. Acute and highly specialized care will always be available to those who need it, but the emphasis will be on primary and preventive care, which is a smarter use of healthcare resources. Additionally, it will foster innovations and improvements in clinical care, education, medical research and community involvement throughout Suffolk County. Last but not least, the affiliation will expand and enrich clinical training sites to support growing class sizes of Stony Brook’s undergraduate and graduate medicine training programs and nursing and health technology programs. It may expand access to potential clinical trial participants to further medical research and innovation. It is becoming clearer that healthcare’s increasing complexity is more than a single institution can handle, even one the size of Stony Brook. Hospitals are coming together to offer more accessible and sustainable structures for providing care across institutional lines. This Stony Brook/Southampton agreement may be the first step, but it certainly won’t be the last.

Photo by Jeanne Neville

L. Reuven Pasternak, MD.

Online resource makes it easier for patients to manage their care Stony Brook Medicine’s patient portal, MyStonyBrookMedicine, is a secure, online resource that allows patients to easily view their health information and connect with their doctors. The portal is available to everyone who is a patient at Stony Brook Medicine — whether you were a patient at Stony Brook University Hospital or at many of our outpatient locations. To sign up for the portal, simply do this: provide your email address while you are at your doctor’s office or before you leave the hospital. A link to the portal will then be emailed so that you can set up your account. With a MyStonyBrookMedicine patient portal account, patients can request appointments, renew prescriptions, view their health profile and lab results, 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 files are kept confidential. A patient medications list was recently added to the portal to make it easier to renew prescriptions. Additional features coming later this year include a Spanish version of MyStonyBrookMedicine, an online option to pay bills for hospital and ambulatory service visits, the ability to view results from radiology and imaging tests, and a mobile version of the portal. These ongoing improvements provide patients with all the resources needed to use the portal at their convenience. Visit www.stonybrookmedicine.edu to learn more and click on the Patient Portal button located at the bottom of the homepage.

february 26, 2015 • SBU BRIDGES • PAGE S7

2015 EXHIBITION SCHEDULE COMMON THREADS

AMERICAN ICONS July 24 – August 21

February 20 – March 20 j

BY DEFAULT: THE WORK OF JEFFREY K. FISHER March 27 – April 17

THE ART OF MATH August 28 – September 25 j

LOCAL COLOR: THEN AND NOW October 9 – November 13

50 YEARS OF ART April 24 – June 5

DECK THE HALLS: ORIGINAL ART FOR HOLIDAY GIVING November 20 – December 23

CHRISTIAN WHITE June 12 – July 10

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PAGE S8 • SBU BRIDGES • february 26, 2015

Bridges

Transforming the face of healthcare in Suffolk County

hether or not you’ve already heard of the Delivery System Reform Incentive Payment (DSRIP) Program, one thing is for certain: It’s about to transform the face of healthcare. In April of 2014, Governor Andrew M. Cuomo announced that New York had finalized terms and conditions with the federal government for a groundbreaking waiver that will enable the state to reinvest $8 billion in federal savings generated by Medicaid Redesign Team reforms. The thinking behind Medicaid Redesign. Medicaid Redesign looks for ways to cut the Medicaid budget while simultaneously improving the health of patients. DSRIP is the component of Medicaid Redesign that rewards participating providers if they are successful in meeting the program’s strict metrics. What DSRIP aims to achieve. The primary goal of the program is to reduce avoidable emergency room visits and avoidable hospital admissions in Medicaid and uninsured populations by 25 percent over a five-year period. Some of the ways to achieve this are through enhanced collaboration among providers, improved electronic communications, better transitional care and case management, and greater access to primary care and behavioral health services. For example, offering evening, weekend and emergency appointment

slots supports patients who are unable to take time off from work during the day. Translation services can assist those for whom English is not their first language, while transportation to appointments can help those who don’t have access to a vehicle or another method of transport. Stony Brook Medicine’s leadership role. Locally, the DSRIP initiative for Suffolk County will be called the Suffolk Care Collaborative. Stony Brook Medicine has been named the lead agency for Suffolk, which means we will be responsible for successfully carrying out the program’s objectives in our region and coordinating with many other Suffolk County providers to build a large network that can serve the target populations. Providers include hospitals, skilled nursing facilities, long-term home health care providers, behavioral health providers, diagnostic and treatment centers, certified home health agencies and others. How the DSRIP Program can help revolutionize healthcare. In addition to supporting patients with Medicaid and those who are uninsured, the fundamentals of the program have the potential to affect our healthcare system as a whole and benefit everyone who uses it. When providers participate in coordinating a patient’s care, recommendations and information can be shared, duplication of tests can be avoided and preventive measures can

Collaboration among healthcare providers is a key to the success of DSRIP.

be put in place to help all patients stay healthier and avoid hospitalizations. Key projects. Some of the areas that the Suffolk Care Collaborative will focus on include cancer prevention, obesity, diabetes care, asthma home-based selfmanagement, cardiovascular care and smoking cessation. Countywide wellness and screening events and community seminars are being planned in order to identify and screen at-risk patients, support their wellness and help them manage their conditions. Community events and wellness fairs are also in the works with the goal of helping to improve the health of the general population. Two other crucial areas being addressed are mental health conditions and substance use disorders. The number one reason for Emergency Department (ED) visits among the DSRIP target

population is mental health conditions; substance use disorders is the second highest. Combined, they are the primary reason for inpatient admissions as well. Connecting with these patients at the point of care, identifying their needs and providing appropriate care will help prevent future ED visits and hospitalizations, and create a healthier population. Joseph Lamantia, who recently joined Stony Brook Medicine as Chief of Operations for Population Health, will lead Stony Brook Medicine’s efforts to become a national leader in the area of population health management and in meeting the goals of the program. For more information. If you’d like to find out more about this program, please visit www.suffolkdsrip.com.

When winter accidents happen, being at the right place at the right time matters Winter’s snow, ice and colder temperatures give us all something to think about before we head outside to enjoy our own versions of a winter wonderland or just make our way to and from work or school. For children and adults alike, the risk of slips and falls, car collisions, and serious injuries from skiing, ice-skating, snowboarding and other leisure-time activities spike tremendously during the winter season. And when an accident happens, every second counts, especially when it involves a serious or severe injury. The good news is that if you or a loved one suffers an injury that requires urgent care, going to Stony Brook Trauma Center — Suffolk County’s only Regional (Level 1, the highest state-designated level) Trauma Center — can make a significant difference. Regional Trauma Centers provide better outcomes, save more lives and are rooted in the idea that injury should be treated as a disease that can be managed to reduce severity. And parents can

rest easy knowing there’s a separate Emergency Department for children, with physicians who are board certified in pediatric emergency medicine. Together, with the coordination of area hospitals and Emergency Medical Services (EMS), Stony Brook Trauma Center has achieved inpatient survival rates for trauma patients that are among the highest on Long Island. In Suffolk County, Stony Brook is prepared to care for the most injured and most vulnerable patients 24/7, with experienced trauma surgeons and specialists, such as orthopedic surgeons, neurosurgeons and plastic surgeons, and the full range of equipment needed to care for trauma patients. And, as an academic medical center, Stony Brook leads the way in advanced trauma training, performance improvement and injury prevention. While no one likes to think about being injured, residents of Suffolk County can count on the tireless work of many individuals — from EMS, the County’s medevac, to the nurses and doctors

Photo by Jeff Williams

and subspecialists who respond to the injured. The entire Stony Brook trauma team — led by James Vosswinkel, MD, Chief, Division of Trauma, Emergency Surgery and Surgical Critical Care, and Mark Henry, MD, Chair, Department of Emergency Medicine in the Stony Brook University School of Medicine — is

focused on working together to save lives and set the standard for trauma care. Long Island is the ideal place to enjoy the wonders of winter. Thanks to our trauma center, we can help assure that it’s a healthy one as well. Learn more about the Trauma Center www.trauma.stonybrookmedicine.edu.

february 26, 2015 • SBU BRIDGES • PAGE S9

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february 26, 2015 • SBU BRIDGES • PAGE S13

Bridges

Beyond chest pain: key facts on heart attacks With Long Island’s only accredited chest pain center — and one of only seven statewide — Stony Brook University Heart Institute is a leader in saving the lives of heart attack victims. The key is getting patients treated as fast as possible, so less heart muscle is damaged, according to Stony Brook Heart Institute Chest Pain Center Coordinator Pamela Kostic, RN, CCCC. And educating the community to recognize possible heart attack symptoms — and take action — is a vital part of that.

If you suspect a heart attack, what should you do? It’s best to call 911, rather than drive or get a ride to the hospital. There are two main reasons for this: • Ambulances are equipped with defibrillators, which can save your life if your heart attack triggers an unstable heart rhythm. • Most Emergency Medical Services (EMS) are equipped with 12-lead EKGs, which means they can transmit results to the hospital electronically en route. At Stony Brook Heart Institute, we assemble the treatment team and equipment you need before you arrive.

Early heart attack symptoms don’t always involve the chest Although chest pain is a classic symptom, other signs can be subtler. There may be discomfort you wouldn’t define as “pain” and it may be felt in other places, like the inner arm — often, but not always, the left arm — or in the jaw or teeth. It may get worse with activity and improve with rest. It may come and go, increasing a bit each time it comes. It may feel like indigestion or the flu. You may feel extra tired, short of breath or sweaty. Or you may feel anxious, like something is wrong. And these signs can occur, hours, days, even weeks before the heart attack.

Why a chest pain center matters If you’re having a heart attack, a chest pain center is where you want to be because it is intentionally designed to provide the most effective and efficient assessment, diagnosis and treatment of a heart attack. At Stony Brook’s Chest Pain Center, you’ll find: A trauma room just for patients with heart attack symptoms. And if the patient has already been recognized through a pre-transmitted EKG as having one of the most lethal and common types of heart attacks, we have a specially trained team there waiting for them. EKGs (electrocardiograms) transmitted directly from the EMS. This enables our doctors to prepare appropriately, ahead of your arrival at Stony Brook, depending on which arteries appear to be blocked. Instant EKGs in the ER. If you walk into the Emergency Room of Stony Brook University Hospital complaining of chest pain or heart attack symptoms, the first person you will see is an RN — not a clerk or a security guard — and the nurse will perform an EKG within five minutes, before you’ve even registered. The national benchmark for arrival-to-EKG is 10 minutes. Ours is significantly better — just five minutes. When EKGs don’t give the full answer, a superfast CT scanner in the ER can confirm whether or not

Symptoms differ for men and women Men tend to have their blockages (which cause the heart attack) in their main arteries and feel the classic symptoms of chest pressure, squeezing or heartburn. For more than 70 percent of women who have heart attacks, the first symptom is unusual fatigue, shortness of breath, sleep disturbance, a feeling of anxiety, indigestion or back pain. Kostic cautions that symptoms can vary. “One 53-yearold man recently came in with nausea and unusual fatigue,” she says. “We discovered his main left artery was 80 percent blocked. Another recent patient was a 42-yearold woman who’d been ignoring pain in her right arm because she thought only left arm pain was a symptom.”

Stony Brook Medicine is recognized as an “Accredited Chest Pain Center with PCI,” the highest level of accreditation. The PCI designation means that we use a specialized treatment called percutaneous coronary intervention (PCI) — ensuring that patients experiencing an acute heart attack receive rapid treatment in the cardiac cath lab to minimize damage to the heart muscle.

you are in danger of having a heart attack, and often prevent it before it happens. The onset of a heart attack may be difficult to predict, but at Stony Brook, with our fast 320-slice CT scanner, we can tell if a patient is in danger or not, then treat that patient immediately and appropriately. The CT scan can also reveal partial blockages and the presence of plaque that indicate the need for outpatient treatment. Patients receive information about the early signs of disease that they can then work to control. Michael Poon, MD, Ambassador Charles A. Gargano Chair in Advanced Cardiac Imaging, Stony Brook Heart Institute, explains what a difference this technology makes: “The entire process from admittance to the ER to discharge typically takes about six hours, which is more than two-thirds less time than the more conventional approach. At most ERs, patients are often kept at the hospital for up to 24 hours to run repeated blood tests. This may involve an overnight stay at the hospital and then more blood work.” “Our approach is not only faster, it involves less stress and less disruption to a patient’s life,” Dr. Poon notes. “More importantly, patients leave with more information about their cardiac status and how to make changes to maintain or improve their cardiac health for the rest of their lives.” Interested in holding an educational seminar on heart attack symptoms at your local community organization or business? Email Pamela.Kostic@stonybrookmedicine.edu.

Five facts about taking your child to the Emergency Room

hen your child is sick and needs emergency care, you don’t always have a choice on where to go. Ambulances and emergency medical services may be directed to take your child to the nearest hospital. But if you do have a choice, here are a few things to consider.

resources. Stony Brook understands that children are not small adults and they need special skills and care. Stony Brook’s pediatric emergency medicine-trained physicians, acute-care pediatricians and pediatric nurses know how to immediately handle every type of pediatric emergency illness or injury.

Not all emergency departments are the same. Emergency departments are highly regulated by both state and national bodies, which apply designations depending on the level of care provided. For example, a Regional Trauma Center (Level 1, the highest state-designated level) is equipped to handle the most severe injuries and complex cases. Stony Brook has been designated by the State of New York as a Regional (Level 1) Pediatric Trauma Center, the only one in Suffolk County.

Make sure a wide range of pediatric specialists are available. Emergencies and trauma often require a collaborative approach among subspecialist physicians and teams. For example, a child who was in a car accident may have damage to multiple organ systems and require services of a pediatric neurologist, pediatric orthopedist, pediatric anesthesiologist and pediatric specialty surgeons such as a maxillofacial surgeon. These experts are among the more than 30 pediatric specialists available at Stony Brook Children’s.

Children’s emergency medicine is different. A pediatric emergency department provides care by specially trained, board-certified doctors who specialize in pediatric emergency medicine. Stony Brook Children’s Hospital has a dedicated Pediatric Emergency Department (ED) — separate from the adult ED — that provides access to child- and family-centered

Ensure that the focus stays on the child. There are so many ways to make the emergency experience safer and more comfortable for the child. For example, the team does everything it can to reduce or eliminate pain. This includes things like numbing cream for IVs, shots and blood draws; intranasal spray medicines for pain; partnering with the Child Life Services Department to

Photo by Sam Levitan

Stony Brook’s Pediatric Emergency Department provides the most advanced pediatric emergency care, 24/7, to infants through young adults.

use distracting techniques; allowing parents to be with their child at all times, even during procedures; and treating pain as soon as it arises. Make “right place, right time” your mantra. In an emergency, every second counts. You want to make sure you get your child to the place that can best meet his or her needs both at the time and if complications ensue. Having to transfer from a community hospital ED to a Regional (Level I) Trauma Center or a specialized ED for children can result in a longer time in finding the right diagnosis and starting lifesaving treatment. Learn more at www.stonybrookchildrens.org/ pediatricemergency-department.

PAGE S14 • SBU BRIDGES • february 26, 2015

Bridges

Advances in radiology with your safety and comfort in mind

hen so much innovation in a field happens in one place — think Silicon Valley for personal computing, Paris for fashion, Italy for high-performance cars — it only seems natural that that’s where you would turn for that particular expertise. And that’s how it is with Stony Brook Medicine and imaging. Not only was the technology for magnetic resonance imaging (MRI) and positron emission tomography (PET) scanning developed at Stony Brook, but one of Stony Brook’s scientists received a Nobel Prize for his work. In addition, much of the technology for digital mammography (now the gold standard in breast imaging) was developed at Stony Brook. Today, this investment in imaging research and technology remains at the forefront, and Stony Brook continues to offer the people in Suffolk County access to advanced, innovative imaging often months, even years, before other hospitals in the area. This includes:

A low-dose imaging program Stony Brook’s imaging team specializes in delivering the lowest doses of radiation possible for imaging tests like computed tomography (CT) scans and x-rays, something particularly important for still-developing children. They do this through a combination of sophisticated software, tests carefully calibrated for each individual, and physician training and experience — without sacrificing accuracy. Here’s what most people may not realize: Low-dose images look different from the images at higher dosages most doctors are used to seeing. It takes time and training to interpret these images with precision. As an academic medical center, Stony Brook is willing to spend the extra time on each scan to protect patient safety.

Photos by Rick Wenner

Above left, low-dose CT imaging at Stony Brook depends on several things: advanced software, individualized protocols and physician expertise in interpreting the scans. Above right, Stony Brook sonographer prepares a patient for a 3D whole breast ultrasound exam. Below, Stony Brook’s high-field, open MRI – the only totally open MRI in Suffolk County – emphasizes patient comfort while delivering accurate results.

Specialized mammography services Stony Brook’s Carol M. Baldwin Breast Care Center was the first on Long Island to offer digital screening mammography, and has a specialized R-2 computerized mammogram double checker. In 2007, it was one of only a few sites in the world to have a 3D tomosynthesis unit, which was used for research purposes. In collaboration with the manufacturer of the unit and other leading institutions, Stony Brook was part of a multicenter trial for testing and developing clinical applications for screening digital breast tomosynthesis. This technology is used primarily for women with dense breast tissue, for whom it can be difficult to obtain an accurate reading. Stony Brook also provides another screening system for women with dense breasts called automated whole breast ultrasound (ABVS) for acquiring 3D ultrasound images of the breasts. This offers visualization of the breasts in multiple planes and slice-by-slice evaluation of complex breast tissues and structures with precise anatomic detail from the skin to the chest wall. It is reviewed in conjunction with the digital mammogram. Suffolk County’s only truly open high-field MRI For people with claustrophobia or who are large in physical stature (up to 500 to 550 pounds) and may not fit in traditional machines, open MRIs have been a breakthrough. However, until recently there was a tradeoff. Open MRIs used a weaker magnet than traditional MRIs, which meant the resulting images were less precise and more difficult to interpret accurately. In fact, Stony Brook would not compromise quality until the open MRI technology improved. Now it has, and Stony Brook has invested in equipment that provides a truly open MRI experience with a high-field magnet — the strongest in Suffolk County. This means patient comfort and accurate results.

In addition, this open MRI allows for additional specialty testing, for example, musculoskeletal, abdominal, neurology, diffusion work and specific sequences, because technologists can better position the body to capture images. It also can be used for patients

in wheelchairs because of easy transfers, as well as for small children because it allows the parent to hold their hand or remain nearby. Learn more at www.imaging.stonybrookmedicine.edu or call (631) 638-2121.

february 26, 2015 • SBU BRIDGES • PAGE S15

60 A N N I V ER SA RY TH

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PAGE S16 • SBU BRIDGES • february 26, 2015

Bridges

Vascular screening and surgery save the (wedding) day — and father of the bride An estimated one million Americans live with an undiagnosed abdominal aortic aneurysm (AAA) — including 20,000 in Suffolk County alone. And until the free vascular screening program provided by the Vascular Surgery Division at Stony Brook Medicine, Robert Rouge, of Riverhead, NY, was among them. “I was looking forward to my daughter’s wedding in two weeks,” says the 65-year-old graphic designer. “I did not expect the screening to turn up any problems. In fact, the reason I agreed to go was because my fiancée, Bernice Reuss, told me I had some of the risk factors for vascular disease.” So when the screening ultrasound revealed a dangerously large aneurysm requiring surgery, Rouge was shocked. “I had had no symptoms whatsoever.” “That’s not unusual,” says Apostolos K. Tassiopoulos, MD, Professor of Surgery and Chief of Vascular and Endovascular Surgery, who initiated the community screening program in 2011. “AAAs rarely give warning signs. Aneurysms are weak areas on the wall of the abdominal aorta, which balloons out at the weak sites — something like a bulge on an overinflated tire,” he explains. “AAAs may increase silently to a large size and eventually rupture (burst) if they are not diagnosed and treated on time.” Three days after his AAA was detected, Rouge received an endovascular aortic repair (EVAR) — a minimally invasive procedure that accesses the aneurysm through two tiny incisions in the groin rather than through a large, abdominal incision and enables most patients to go home in just 24 hours. “It was incredible. I was able to walk my daughter down the aisle at her wedding the following week,” says Rouge. “I even made it to the rehearsal dinner.”

EARly DEtEctIon cAn SAVE lIVES

Rouge says he feels grateful to Stony Brook, and so do his fiancé and family. As Rouge puts it, “Not only do I appreciate the excellent care I received, but also the fact that Stony Brook offers these screenings so that others may be tested for a possible lifesaving outcome.” Most people are unaware they have an aneurysm until it ruptures. When that happens, the result is severe pain, massive internal bleeding, and, in most cases, sudden death. “Our goal in sponsoring screenings is not only to save lives through early detection, but also to educate the medical community and the public about this highly treatable but underdiagnosed condition,” says Dr. Tassiopoulos. Stony Brook’s free vascular screenings are offered to those who are over 60 with risk factors. A referral is not required. Telephone pre-registration and a brief qualifying interview are necessary. Smoking is the single most important risk factor for vascular disease. Other major risk factors include: • high blood pressure • high cholesterol • diabetes • heart disease • a family history of aortic aneurysm In addition to getting an ultrasound for AAA, participants are tested for two other serious, but often-silent vascular conditions for a total of three, painless 10-minute tests: • Abdominal ultrasound for AAA • Ankle-brachial index for peripheral artery disease (PAD), which affects the legs • Neck ultrasound for clogged carotid arteries (carotid artery disease), which can lead to stroke.

Photo by Sam Levitan

Robert Rouge with Apostolos K. Tassiopoulos, MD.

FREE Vascular Screening

Saturday, April 25 8 am to 4 pm Stony Brook University Heart Institute If you are 60 or older, and have one of the risk factors for vascular disease, call (631) 638-2100 for pre-registration and a brief qualifying interview.

Lung cancer screenings for individuals at high risk By the time an individual develops symptoms of lung cancer, the disease has already progressed to an advanced stage with limited potential for survival. If lung cancer is found early, cure rates can be up to 92 percent. Bottom line: Early detection can save lives. That’s the philosophy behind the Lung Cancer Screening Program at Stony Brook Medicine. With state-of-the-art technology and a highly experienced,

highly specialized team, lung cancer experts offer annual screenings for people at high risk for lung cancer. During the past year, hundreds of patients have been screened through the program, and several early-stage lung cancers were diagnosed. Patients who qualify for screening include current and former smokers, ages 50 to 80 years, who have smoked a pack a day for 30 years or two packs a day

for 15 years. Also at risk are individuals who have other exposures, lung disease or a family history of lung cancer. The screening consists of a low-dose radiation computed tomography (CT) chest scan and an office visit with our lung cancer experts. Most insurances cover this program. For more information and to learn if you qualify for this program, call (631) 638-7000.

february 26, 2015 • SBU BRIDGES • PAGE S17

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SCREENING PROGRAM A low-dose radiation chest computed tomography (CT) scan, a comprehensive examination and all required imaging services are offered to those who qualify. Your case is reviewed by our nationally recognized team of lung cancer specialists.

SCREENING PROGRAM QUALIFICATIONS We encourage those who are between the ages of 50 and 80 and who smoke or are former smokers to learn if they qualify for this screening.

FOR MORE INFORMATION: (631) 638-7000 Call about guidelines, qualifications and appointments

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PAGE S18 • SBU BRIDGES • february 26, 2015

Bridges

What to consider when thinking about weight loss surgery You’ve tried diets. You’ve tried exercise. They haven’t worked. So you’re thinking about weight loss surgery. What should you consider? Here are four key factors: Why surgery? The number one reason to choose bariatric surgery is for your health. According to Aurora Pryor, MD, Director of Stony Brook’s Bariatric and Metabolic Weight Loss Center, weight loss surgery can resolve diabetes, high blood pressure, joint pain, high cholesterol, sleep apnea, depression, heartburn, polycystic ovary syndrome (PCOS), infertility and sexual health issues, and reduce the risk for stroke, cancer or pregnancy complications. Am I a candidate? Bariatric surgery may be appropriate if you are 100 or more pounds overweight, or if you are less overweight but have any of the weight-related health conditions mentioned above. Am I ready? Ask yourself if you’re committed to change. “Weight loss surgery works best in patients who improve their diet and exercise habits — and make positive changes permanent,” says Dana Telem, MD, Associate Director of the center.

Stony Brook’s comprehensive program helps you succeed. It offers medical options, nutrition and fitness counseling, behavior modification, group support and an array of today’s most effective bariatric procedures. How do I pick a program? Look for hallmarks of quality in the program, staff, surgeons and facilities. For example, Stony Brook’s program is accredited by the American College of Surgeons. Its dietitians, psychologists and physicians hold advanced degrees. In addition, its surgeons are leaders in the field. Dr. Telem was first in Suffolk County to introduce important laparoscopic surgical techniques, and Dr. Pryor is shaping the future of bariatric surgery worldwide on the Executive Council of the American Society for Metabolic and Bariatric Surgery (ASMBS). Stony Brook also promotes safety, comfort and a quicker recovery for patients who undergo weight loss surgery with a custom-furnished, dedicated inpatient unit. To learn more, call (631) 444-2274 or visit www.bariatrics.stonybrookmedicine.edu.

FREE Seminar

Change Your Weight, Change Your Health, Change Your Life First Monday of each month, 5 to 7 pm Stony Brook University Hospital Lobby Conference Room 1 • Call (631) 444-4000 to register.

Photo by Sam Levitan

Aurora Pryor, MD (right), Director, Bariatric and Metabolic Weight Loss Center, Chief of Bariatric, Foregut and Advanced GI Surgery, and Dana Telem, MD (left), Associate Director, Bariatric and Metabolic Weight Loss Center.

Safest care for women with pre-term births The New York State Perinatal Quality Collaborative (NYSPQC) is an initiative of the New York State Department of Health (DOH) that aims to provide the best and safest care for women and infants in the state. Since 2010, the DOH has been working with 18 Regional Perinatal Centers in the state, including Stony Brook, to improve and ensure quality of care related to pre-term births. A key focal point for the NYSPQC is to assure that all induced labors or cesarean sections performed on women who are not in labor between 36 and 39 weeks’ gestation occur only when medically necessary. Recently, Stony Brook was recognized by the collaborative for having only one such scheduled delivery during 2013. To earn the award, a facility had to have fewer than three of these

types of scheduled deliveries for the year. “This is the highest level of achievement possible for this project,” said Howard A. Zucker, MD, Acting Commissioner of Health, who commended the team at Stony Brook for their exemplary work and commitment to mothers and babies in New York State. Another aim of the NYSPQC project is to decrease the percentage of infants who are discharged with weight below the 10th percentile for weight in pre-term babies (defined as less than 31 weeks’ gestation) who are admitted to the state’s Regional Perinatal Center Neonatal Intensive Care Units (NICU). This is achieved by improving the delivery of liquid nutrition through a catheter inserted directly into the gastrointestinal tract (also known as perinatal enteral

Photo by Sam Levitan

Part of Stony Brook’s Women and Infants Center includes 12 private antepartum rooms for highrisk pregnancies.

nutrition). Stony Brook’s NICU remains a top performer in this category as well, with the second-lowest rate of infant discharges with weight below the 10th

percentile among the 18 participating regional perinatal centers in the state.

february 26, 2015 • SBU BRIDGES • PAGE S19

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PAGE S20 • SBU BRIDGES • february 26, 2015 A

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INDEX Accelerator, Van de Graaff .......................................................C3 Administration Bldg.**............................................................D4 Administration Parking Garage...............................................D4 AERTC (Advanced Energy Research and Technology Center)....A7 Ambulatory Surgery Center ......................................................E6 Ammann College*....................................................................D3 Baruch College*....................................................................A,B4 Basic Sciences Tower................................................................E5 Benedict College*.....................................................................D2 Bioengineering Bldg.................................................................D4 Campus Recreation Center, Walter J. Hawrys.........................C3 Cancer Center...........................................................................E6 Cardozo College*......................................................................C5 Carol M. Baldwin Breast Care Center......................................E6 Centers for Molecular Medicine (CMM)...................................D4 Central Services (Receiving)....................................................B3 Central Stores (Warehouse) .....................................................B3 CEWIT (Center of Excellence in Wireless and Information Technology)...........................................................B7 Challenger Hall.........................................................................E6 Chapin Apartments................................................................F,G5 Charles B. Wang Center...........................................................D3 Chemistry Bldg.........................................................................C3 Child Care Center.....................................................................C8 Children’s Hospital, Stony Brook (MART)................................E5 CoGen Plant..............................................................................B3 Computer Science Bldg. .......................................................C,D4 Computing Center....................................................................C4

y Bro

South P Lot

Ston

Research & Support Services (RSS)

Soccer Fields

Dana Hall..................................................................................D6 DEC (NYS Dept. of Environmental Conservation)...................D2 Dental Clinics ...........................................................................D7 Dewey College*.........................................................................B4 Discovery Hall............................................................................E6 Douglass College*....................................................................C5 Dreiser College*........................................................................C5 Dubin Family Athletic Performance Center (Sports Complex)...C3 Dutchess Hall ...........................................................................D6 Earth and Space Sciences Bldg. (ESS) ...................................C4 Educational Communications Center (ECC)...........................C4 Eisenhower College*.............................................................A,B4 Endeavour Hall..........................................................................E6 Engineering Bldg......................................................................C4 Frank Melville Jr. Memorial Library .......................................C3,4 Frey Hall .................................................................................C3,4 Gershwin College* ................................................................C,D5 Goldstein Family Student-Athlete Development Center (Sports Complex) ..........................................................C3 Gray College*............................................................................D3 Greeley College* .......................................................................B5 H Quad ......................................................................................D2 Hamilton College*....................................................................B4 Hand College* ..........................................................................C5 Harriman Hall...........................................................................C4 Health Sciences Garage ...........................................................E4 Health Sciences Tower..............................................................E5 Heavy Engineering Bldg...........................................................C4 Hendrix College*.......................................................................C4

Hilton Garden Inn .....................................................................D4 Hospital Parking Garage ..........................................................E5 Hospital.....................................................................................E5 Humanities Bldg.......................................................................D4 Imaging Center.........................................................................E6 Institute for Advanced Computational Science (IACS)...........D4 Irving College*..........................................................................D3 James College*.........................................................................D2 Javits Lecture Center.............................................................C,D4 Keller College*..........................................................................B5 Kelly Quad.................................................................................B4 Kenneth P. LaValle Athletic Stadium .......................................C3 Langmuir College*................................................................C,D2 Laufer Center............................................................................D4 Lauterbur Hall*.........................................................................B5 Library, Frank Melville Jr. Memorial ......................................C3,4 Life Sciences Bldg....................................................................D4 Light Engineering Bldg. ...........................................................C4 L.I. High Technology Incubator .................................................E4 L.I. Rail Road Station................................................................B2 L.I. State Veterans Home.......................................................G5,6 Louis and Beatrice Laufer Center for Physical and Quantitative Biology..........................................................D4 Marine and Atmospheric Sciences..........................................D6 MART (Medical and Research Translation Bldg.)....................E5 Math Tower................................................................................C4 Mendelsohn Quad.....................................................................D3 Mount College*......................................................................C4,5 Nassau Hall ..............................................................................D6

New Computer Science Bldg....................................................C4 Nobel Halls.............................................................................B4,5 North P Lot..........................................................................B,C1,2 O’Neill College* ........................................................................D3 Pain Management Center ........................................................E6 Parking, Administration Garage..............................................D4 Parking, Hospital Garage .........................................................E5 Physics Bldg. ............................................................................C3 Point of Woods Bldgs................................................................E4 Pritchard Gymnasium (Sports Complex).................................C3 Psychology Bldgs. A and B.......................................................C4 Putnam Hall..............................................................................D6 Research & Support Services (RSS) ........................................A9 Rockland Hall ........................................................................D6,7 Roosevelt Quad.........................................................................B5 Roth Café..................................................................................C5 Roth Quad.................................................................................C5 SAC (Student Activities Center)...............................................C4 Sanger College* .......................................................................B5 SCAN (Social, Cognitive and Affective Neuroscience) Center................................................D5 Schick College* ........................................................................B4 Schomburg Apartments ...........................................................A4 Service Group.........................................................................B3,4 Simons Center for Geometry and Physics .................................B4 Social and Behavioral Sciences (SBS) ....................................D4 South P Lot.........................................................................C,D8,9 Sports Complex.........................................................................C3 Sports Courts .....................................................A4,C5, and C,D2

Stadium, Kenneth P. LaValle Athletic ......................................C3 Staller Center for the Arts.....................................................C,D3 Stimson College*......................................................................B5 Stony Brook Arena (Sports Complex).......................................C3 Stony Brook Children’s Hospital (MART)..................................E5 Stony Brook Union.....................................................................C3 Student Activities Center (SAC)...............................................C4 Student Health Center..............................................................C2 Suffolk Hall ...............................................................................D6 Sullivan Hall .............................................................................D7 Tabler Center.............................................................................C5 Tabler Quad...............................................................................C5 Toscanini College*....................................................................B5 University Police (Dutchess Hall)............................................D6 Veterans Home, L.I. State......................................................G5,6 Visitors’ Parking ...................................................................... Wagner College*....................................................................B4,5 Walter J. Hawrys Campus Recreation Center..........................C3 Wang Center .............................................................................D3 West Apartment Complex .....................................................A4,5 West Side Dining.......................................................................B4 Westchester Hall....................................................................D6,7 Whitman College*................................................................ C,D5 Yang Hall* ................................................................................B5 ** *Residence Hall **Admissions Office, 118 Administration Bldg.

february 26, 2015 • SBU BRIDGES • PAGE S21

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PAGE S22 • SBU BRIDGES • february 26, 2015

Bridges

Caring for your mental health with a full range of diagnostic and treatment services The Department of Psychiatry, part of Stony Brook University Neurosciences Institute, is the largest psychiatric treatment group on Long Island. The Department offers a full range of diagnostic and treatment services to people of all ages who have psychiatric disorders. Specialties include depression, bipolar disorder (manic depression), postpartum depression, schizophrenia, anxiety disorders, attention deficit hyperactivity disorder (ADHD), eating disorders, dementia and personality disorders. The Department is also home to the only Comprehensive Psychiatric Emergency Program in Suffolk County. Leading the team of psychiatrists and psychologists who specialize in pediatric, adolescent and adult psychiatry is Chair of Psychiatry Ramin Parsey, MD, PhD. A nationally renowned scientist, clinician and teacher, he is also Director of PET Research and CoDirector of the Neurosciences Institute. Dr. Parsey is best known in his field for his pioneering work using brain-imaging technology to uncover biological causes of psychiatric disorders that can be used to develop effective treatment for patients. By stressing the biological origins of depression and other psychiatric disorders, Dr. Parsey hopes to reduce the stigma associated with seeking psychiatric treatment. “Diseases like schizophrenia and major depression are not the result of personal choices,” Dr. Parsey says. “They are diseases like arthritis or diabetes. Many psychiatric diseases are treatable, if only people would seek help for them.” Stony Brook is also a leader in the psychiatric and behavioral evaluation of young people. Judith Crowell, MD, the Department’s new Interim Director of the Division of Child Adolescent Psychiatry, is a leading expert on attachment theory, which studies the mental

health of children who had been separated from their parents. She works alongside a group of child and adolescent psychiatry experts who specialize in a variety of childhood difficulties and disorders. For families that have a relative with Alzheimer’s disease, the Department, in collaboration with Stony Brook University Hospital, also runs the Alzheimer’s Disease Assistance Center of Long Island. It is one of nine centers — all based in hospitals or universities — sponsored by the New York State Department of Health. Led by Program Director Darlene Jyringi and Medical Director Mark Sedler, MD, MPH, the Center provides diagnosis and care of patients with Alzheimer’s disease as well as expert assistance to their families and caregivers. They work collaboratively with Lory Bright-Long, MD, a psychiatrist specializing in geriatric psychiatry and long-time leader of mental health services provided to residents of the Long Island State Veterans Home, also on the Stony Brook campus. A consultation-liaison service for adult and pediatric patients is also available. The consultation side of the service handles requests by physicians and surgeons seeking a consultation for psychiatric care of a patient who is already in the hospital being treated for a medical condition. The liaison side of the service assists with prevention, screening and treatment of psychiatric symptoms, to identify patients at increased risk of suicide to help them deal with depression and anxiety. Additionally, Stony Brook offers one of the few ECT (electroconvulsive therapy) programs on Long Island. ECT is an effective lifesaving treatment for people with major depression and suicidal tendencies. Psychiatric assessment and integrated care in areas such as OB/ Gyn outpatient services are also provided to assess and treat conditions such as postpartum depression and drug addiction.

Ramin Parsey, MD, PhD.

Photo by Arthur Fredericks

As for future plans, Associate Director of Operations for Neurosciences, Kristie Golden, PhD — one of Long Island’s leading policy experts on the integration of behavioral and physical healthcare — strongly advocates the incorporation of a screening process for behavioral health difficulties for patients in every healthcare setting. She has been developing, with Stony Brook psychiatrists, a protocol that builds relationships between behavioral health specialists and primary care providers, and Stony Brook University Hospital’s medical units and Psychiatric Consult and Liaison Team. Fostering these relationships leads to better communication among doctors, and in turn, helps ensure that patients receive the mental health help they need. For more information about Stony Brook University Neurosciences Institute’s Department of Psychiatry, visit www.medicine.stonybrookmedicine.edu/psychiatry or call (631) 444-2990.

Get tested for Hepatitis C Liver disease caused by hepatitis C is on the rise, currently affecting more than three million people — possibly 20,000 in Suffolk County alone. Seventy-five percent of those with hepatitis C are baby boomers born between 1946 and 1964. Because there are generally no symptoms until there is significant liver damage, most people don’t even know they’re infected. One of the most exciting advances in the treatment of hepatitis C is that it can now be cured with only minimal side effects. In the past, hepatitis C treatments often had very unpleasant side effects, and cure rates were generally less than 50 percent. Many people for whom treatment wasn’t effective went on to develop end-stage liver disease, for which the only treatment is a liver transplant. Cure rates reach 90 percent New medications are revolutionizing the treatment of hepatitis C. About 90 percent of people being treated at Stony Brook’s Liver Disease Clinic can now be cured with minimal side effects.

Photo by Lynn Spinnato

The Liver Disease Clinic team includes Muriel Stehlin, PA-C; Asim Khokhar, MD; Pruthvi Patel, MD, MPH; and Carmen Stanca, MD.

Two of the newest drugs, Sovaldi® and Harvoni®, are proving to be safe, easy and effective. Taken over 12 to 24 weeks, these pills have success rates of 90 percent or higher, even in people who did not have good results from treatments in the past. In addition, several more drugs are being developed, which will add to the available options for chronic hepatitis C treatment. Everyone should get tested Because people can carry the hepatitis C virus for many years without feeling sick, people can be experiencing liver damage for decades with few or no

symptoms. Many people don’t get diagnosed until they’re in liver failure. New York State now mandates that physicians offer every patient of baby boomer age a one-time blood test to screen for hepatitis C. If the results are positive, further tests are needed to determine the amount of virus present. If testing confirms hepatitis C, it’s important to seek treatment. For more information, call Stony Brook’s Liver Disease Clinic at (631) 444-5220.

february 26, 2015 • SBU BRIDGES • PAGE S23

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PAGE S24 • SBU BRIDGES • february 26, 2015

Bridges

When you suspect your child has a heart problem Here’s the good news about suspected heart problems in children: After testing, the majority of children are found to be healthy and free of either congenital (born with) or acquired defects. However, as every parent knows, a suspected heart problem is a big deal, so here are the top three things to consider when seeking help for your child. Expertise. Just as you wouldn’t let a general electrician repair your computer, you should only seek a board-certified pediatric cardiologist, especially one with additional training in imaging, to evaluate your child’s heart. On Long Island, many parents turn to James Nielsen, MD, Chief, Division of Pediatric Cardiology at Stony Brook Children’s Hospital, and his team of board-certified pediatric cardiologists. Annually, they see more than 4,000 children — from fetal cardiology to young adults with congenital heart disease. Technology. Although technology is only as good as the physicians who use it and interpret the results, you still want to ensure that the most advanced equipment and protocols are used. Stony Brook Children’s uses state-ofthe-art equipment in a family-centered environment to perform noninvasive, pain-free testing on an outpatient basis.

Follow-up resources. If a problem is uncovered, it is important to be connected to additional experts who can immediately develop a comprehensive, multidisciplinary treatment plan. The pediatric and congenital heart disease team at Stony Brook coordinates care with other pediatric specialists as needed to ensure both access to the most advanced care in Suffolk County and a seamless approach that encompasses the needs of children and families. Echocardiography Laboratory receives IAC accreditation The echocardiography laboratory at Stony Brook Children’s is accredited for fetal and pediatric echocardiography by the International Accreditation Commission (IAC). This accreditation means that the entire Division of Pediatric Cardiology has undergone a thorough review of its operational and technical components by a panel of experts. Only those facilities found to be providing the highest quality patient care, in compliance with national standards, receive accreditation. Think of the IAC accreditation as a “seal of approval” from the experts in the field.

Photo by John Griffin Expertise at your fingertips. James Nielsen, MD, Chief, Division of Pediatric Cardiology (left), and Anthony Green, MRI Technologist, review pediatric heart images. The techniques used at Stony Brook Children’s Hosptial are safe, noninvasive and highly accurate.

Expert kidney care for children Stony Brook Children’s Hospital has set out to ensure that when the children of Suffolk County need expert kidney care, it is available to them, 24/7. What does this mean? According to Robert P. Woroniecki, MD, Chief, Division of Pediatric Nephrology at Stony Brook Children’s, this means providing advanced care and comprehensive services, including dialysis, renal transplantation, and monitoring and long-term management of chronic kidney diseases. This excellence has been recognized far beyond the boundaries of Suffolk County. In fact, Stony Brook’s Pediatric Nephrology service has been ranked among best in the country by U.S. News & World Report. In addition, because of Stony Brook’s status as Suffolk County’s only academic medical center, children with kidney disorders benefit from collaboration with other pediatric specialists at the hospital, such as endocrinologists, rheumatologists, dietitians, urologists and cardiologists. The team also collaborates with the child’s primary care doctor and, of course, family, to ensure that everyone remains connected and informed. “We emphasize accurate and early identification of potential issues,” says Dr.

Woroniecki. “This helps prevent future complications, promotes lifelong good health habits and allows children to live full and active lives.” Specialty programs at Stony Brook Children’s Hospital: The Pediatric Hypertension Center. Because high blood pressure is one of the most reliable predictors of future kidney problems in children, this center takes a multidisciplinary approach to monitor and manage pediatric hypertension, as well as reduce the potential health risks caused by it. The Kidney Transplant Program. This multidisciplinary program is the only pediatric kidney transplant program in Suffolk and Nassau counties. Stony Brook’s success rate of the new kidney function in children after one year is 100 percent, thanks to physician expertise, team experience, technical advances and up-to-date protocols. An active research program. Stony Brook Children’s invests in the future health of Suffolk County’s children by participating in studies and clinical trials that can change the future of pediatric medicine and bring the latest interventions to the community before they are widely available at other hospitals.

Photo by Kristy Leibowitz Katarina Supe-Markovina, MD, places a 24-hour ambulatory blood pressure monitor on a patient in the Pediatric Hypertension Center.

february 26, 2015 • SBU BRIDGES • PAGE S25

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PAGE S26 • SBU BRIDGES • february 26, 2015

Bridges

Help for children with breathing problems Fact: According to the Centers for Disease Control and Prevention, approximately one-fourth of the 2.4 million hospitalizations for children under age 15 are for respiratory diseases — and one-third of all hospitalizations in the first year of life are due to respiratory problems. Fact: Asthma is one of the most common chronic disorders of childhood, currently affecting an estimated 7.1 million children under age 18. Fact: Premature babies often have breathing problems because their lungs are not fully developed. For all of these children, the skill of a pediatric pulmonologist, a specialist trained to diagnose, treat and manage all types of breathing problems, from minor allergies to major disorders such as cystic fibrosis (CF), asthma and obstructive sleep apnea, is needed. Stony Brook Children’s Hospital, a long-time leader in serving Long Island kids of all ages with breathing problems, has recently expanded its pediatric pulmonology services to bring a more comprehensive, multidisciplinary approach. This includes a team led by four board-certified pediatric pulmonologists — all of whom are physician-scientists, which means that in addition to treating patients, they engage in research to bring the most advanced treatments to their

Specialty pediatric pulmonary services Pediatric Sleep Disorders Center — An accredited, university-based center, it evaluates and diagnoses pediatric sleep disorders that can dramatically affect a child’s health and quality of life.

Cystic Fibrosis Center — One of only 121 in the country accredited by the Cystic Fibrosis Foundation, the center takes a multidisciplinary team approach that includes physicians, nurse practitioners, respiratory and pulmonary function therapists, social workers, a nutritionist and a genetic counselor.

Photo by Kristy Leibowitz

Safe. Easy. Accurate. Stony Brook offers pediatric pulmonary function testing to measure lung function, conducted by experienced, certified pediatric respiratory therapists.

patients sooner. Also on the team are two certified nurse practitioners, respiratory therapists and sleep technicians, each certified and trained in pediatrics. Stony Brook also offers an accredited pediatric pulmonary function testing laboratory, which measures how well a

child’s lungs are functioning. Testing can assess a child’s lung and airway growth; the course of diseases such as CF; the location and type of any airway obstructions; the overall degree of impairment; and the effect of therapies such as inhalers and medications.

Genetic Testing — This fully accredited laboratory offers the latest and most accurate tests available to identify hereditary respiratory disorders. Infant Pulmonary Function Testing — Although still in the clinical research stage, Stony Brook is the only hospital on Long Island and one of the few in the country performing infant pulmonary function testing (iPFT) on the smallest and most vulnerable patients — a procedure that will help offer advanced pediatric pulmonary options in the near future.

New treatments protect a child during brain tumor treatment After leukemia, brain tumors represent the most common type of cancer in children. In 2013, there were over 4,000 newly diagnosed pediatric brain tumors in the U.S.; over 3,000 occurred in children under the age of 15. In 2014, pediatric neurosurgeon and fellowship-trained childhood brain tumor expert, David A. Chesler, MD, PhD, joined the Department of Neurological Surgery at Stony Brook Children’s Hospital. He and fellow Stony Brook Children’s colleague Michael Egnor, MD, are two of fewer than 200 actively practicing pediatric neurosurgeons in the United States. Most brain tumors in children are primary, meaning they develop in the brain and usually do not spread to other parts of the body. However, they can be life-threatening if they grow in a vital area within the brain and can also press on other parts of the brain that control body functions. Dr. Chesler and Dr. Egnor use several tests to diagnose a brain tumor in a child. These include: neurological exams, magnetic resonance imaging (MRI), computed tomography (CT) scan, cerebrospinal fluid examination

or positron emission tomography (PET) scan. A stereotactic biopsy, in which a tissue sample is removed from the child’s brain using MRI guidance, may also be performed. “The primary goal of treatment is to remove as much of the tumor as possible or to slow the tumor’s growth with as little harm to the child’s brain as possible,” says Dr. Egnor. Treatment options, outcomes and recovery depend on a variety of factors, which include the child’s age and general health, the location of the tumor, the amount of tumor remaining after surgery, and whether the cancer has spread to other parts of the brain or parts of the body. “As part of Suffolk County’s only academic medical center, Stony Brook Children’s has access to the most advanced technology available,” says Dr. Chesler. “For example, using a technique called neuronavigation, we are able to plan a precise surgical approach to a targeted area to preserve healthy brain surrounding the tumor.” At Stony Brook Children’s, intraoperative neurophysiologic monitoring may also be used to protect a child’s nervous system during surgery

Photos by Jeanne Neville

Left, David A. Chesler, MD, PhD; right, Michael Egnor, MD.

to help reduce the risk of postoperative complications. In addition, our neurosurgeons use the latest techniques to minimize invasiveness and to limit blood loss.

For a consultation with Dr. Chesler or Dr. Egnor, call (631) 444-1213 and select option 1.

february 26, 2015 • SBU BRIDGES • PAGE S27

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PAGE S28 • SBU BRIDGES • february 26, 2015

Bridges

Medical oncology’s role in optimal cancer treatment When a patient is given a cancer diagnosis, he or she can feel overwhelmed on many levels. Navigating the medical system and learning about the different aspects of treatment is like walking down an unfamiliar road. At Stony Brook University Cancer Center, we take a team approach to care. Healthcare professionals serve as educators and advocates who offer support for the patient. Several doctors are members of each cancer treatment team. Surgeons, medical oncologists and radiation oncologists provide the main treatment options for cancer, either alone or in combination. Usually, the medical oncologist serves as the main healthcare provider for the patient and helps to coordinate the overall care. This includes meeting with the patient and family members to explain the diagnosis, reviewing the different treatment options, offering support and helping coordinate treatment by additional specialists. Depending on the type of treatment chosen, the patient may meet with a surgeon and radiation oncologist as well. In addition, the medical oncologist determines the most effective medication for each patient. These are given by chemotherapy, hormonal therapy or biologic therapy. Through continued evaluations and discussions with the patient, the medications can be adjusted so optimal treatment is being provided. A patient’s personal goals, quality of life and individual concerns are always considered when creating the treatment plan.

Photo by John Griffin

Minsig Choi, MD, Director, Outpatient Medical Oncology, and Philip Bao, MD, Surgeon, Upper Gastrointestinal Management Team, at the Stony Brook University Cancer Center.

Role in research. The medical oncologists at the Cancer Center are also involved in cancer research. With breast cancer, for example, Lea Baer, MD, is focusing on therapeutic intervention during the time between diagnosis and surgery. Alison Stopeck, MD, is researching the development of biomarkers

for predicting anticancer responses and improving prevention strategies. Jules Cohen, MD, in collaboration with scientist Anat Biegon, PhD, is using positron emission tomography (PET) scans in a novel way to detect breast cancer and to evaluate cognitive changes in patients with breast cancer who have undergone chemotherapy. For gastrointestinal cancer, Minsig Choi, MD, Director, Outpatient Medical Oncology, is involved in novel drug development. Cancer research and clinical trials help to provide answers for improved treatment, new medicines and cures. Team effort benefits patients. At Stony Brook, a medical oncologist works with the team that specializes in one type of cancer. For example, a patient with breast cancer is treated by a medical oncologist who only treats that disease; a gastrointestinal medical oncologist focuses on cancers of the digestive tract, such as colorectal, liver and pancreatic cancer. Their expertise comes from a deep understanding, learned through years of treating complex cancer diagnoses and research, of how different therapies work. The team’s overall goal is to improve the quality of life for individuals with cancer while delivering the best possible cancer treatment so they can live longer and better lives. For more information or for a second opinion consultation, call the Cancer Center at (631) 638-1000 or visit www.cancer.stonybrookmedicine.edu.

Radiosurgery complements other cancer treatments Although it has been available for treatment of certain brain tumors for a few decades, radiosurgery is experiencing a renaissance, thanks to recent advances in technology and technique. In fact, Samuel Ryu, MD, Chair, Department of Radiation Oncology, and Deputy Director, Clinical Affairs, Stony Brook University Cancer Center, has played a major role in these advances by pioneering the use of radiosurgery for tumors of the spine and spinal cord, and other body sites. Radiosurgery, also known as stereotactic body radiation therapy (SBRT), is a very targeted, very precise use of sharp radiation to shrink or destroy tumors. Radiosurgery complements, rather than replaces other treatments, such as surgery or chemotherapy. Using it to shrink tumors can help prevent more complicated surgeries, as well as preserve function, help better manage symptoms and improve outcomes. The beauty of radiosurgery, explains Dr. Ryu, is the precision in the delivery of radiation: “Only the tumor, not the surrounding tissue or organs, receives radiation.” This is because the radiation beam is guided by advanced imaging techniques, so that the tumor can be precisely visualized and targeted. It involves no incision, no anesthesia, and can be performed on an outpatient basis. It does not alter chemotherapy schedules either.

“As a result,” adds Dr. Ryu, “you rarely see side effects. Patients don’t experience the symptoms such as hair loss and fatigue that sometimes accompany more broad-spectrum radiation oncology.” Radiosurgery for various cancers Brain cancer: Radiosurgery can help control or eradicate tumors of the brain, using either a single dose or a few doses of SBRT, while at the same time preserving important brain functioning. Lung cancer: For early-stage lung cancers, patients can be treated with a short course of SBRT, particularly when the lung function is not suitable for surgery. It is also commonly used for various stage IV cancers that have spread or metastasized to the lungs to eradicate the tumor. Pancreatic cancer: SBRT is effective in stopping the tumor growth or shrinking the tumor in patients who are at high risk for surgery or in patients whose tumor may not be best treated by surgery. In the near future, the Cancer Center plans to initiate a clinical trial using SBRT for patients in these situations. Head and neck cancer: Radiosurgery uses a sharply targeted beam to access the tumor within the hard to reach and complex tissues of the head and face. It is effective in removing these small tumors, while the surrounding tissues still remain fully functional. Adrenal gland and liver cancer: For patients with tumors that have spread to the liver or adrenal gland, SBRT can

Photos by Jeanne Neville

Photo by Sam Levitan

Left: Raphael Davis, MD, Chair, Department of Neurological Surgery, and Co-Director, Neurosciences Institute Samuel Ryu, MD, Chair, Department of Radiation Oncology, and Deputy Director, Clinical Affairs, Stony Brook University Cancer Center. Right: James Baker, PhD, Medical Physicist, examines images used in the planning process.

make the tumor disappear. It also helps pain disappear with this short course of treatment. Radiosurgery is also used for palliative care in patients with cancer. This type of care provides patients with relief from pain and some symptoms of their illness — ultimately improving quality of life. Radiosurgery an option for benign brain and spinal tumors: When patients have a benign brain tumor, sometimes the removal of it is unwise. The tumor may be in a place that is difficult to reach or adjacent to areas of the brain or spinal cord that control key neurological functions, such as vision, speech, motor control and cognition. In these cases, the risk of a patient losing his or her ability to function outweighs the benefits of surgery. That’s when radiosurgery may become a patient’s best option.

The key is to evaluate each patient’s unique needs and use the appropriate type of radiosurgery for that particular tumor. The most important consideration is the patient’s quality of life. For example, when treating patients who have an acoustic neuroma, the team’s goal is to successfully prevent facial weakness and preserve hearing. Dr. Ryu, an international expert on the subject, has partnered with Raphael Davis, MD, Chair, Department of Neurological Surgery, in performing radiosurgery for benign brain and spine tumors. Their combined expertise allows them to identify patients who would benefit from this procedure. For more information on radiosurgery or the Department of Radiation Oncology, call (631) 444-2200 or visit www.cancer.stonybrookmedicine.edu.

february 26, 2015 • SBU BRIDGES • PAGE S29

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PAGE S30 • SBU BRIDGES • february 26, 2015

Bridges

When you or a loved one has heart failure Heart failure affects nearly five million people in the U.S. Unfortunately, every 30 seconds, someone is admitted to a hospital because their heart failure has worsened. The good news is that with proper care, patients with heart failure may lead high-quality, long lives while avoiding unnecessary hospitalizations. What does it feel like when the heart muscle begins to weaken? Because the heart is having trouble pushing blood out of the heart, fluid can build up in the lungs, causing many people to notice shortness of breath with activity. With increased heart weakening, breathing difficulties can progress and occur at rest. You may also notice bloating in your belly, swelling in your legs and weight gain, often despite a lack of appetite. Because less blood is pumped out of the heart, fewer nutrients are provided to your body, resulting in mental fatigue and muscle weakness. Your kidneys may also struggle to function normally. What is heart failure? Cardiomyopathy refers to different diseases that result in the poor functioning of the heart muscle that can lead to heart failure. Heart failure (a weak or enlarged heart or congestive heart failure) is a serious illness in which your heart muscle is not able to pump out enough blood to meet the needs of your body. It doesn’t mean that the heart is shutting down. What it means is that its ability to bring blood with adequate oxygen to your body’s organs and tissues is compromised. Undiagnosed and unchecked, this can be life threatening. I’ve been diagnosed with heart failure. What are some of the first things I should do? “It’s not easy to hear that you have a heart failure diagnosis,” says Hal Skopicki, MD, PhD, Director of the Heart Failure and Cardiomyopathy Center and the Medical Director of the Ventricular Assist Device Program. “The good news

Photo by Lynn Spinnato

Allison McLarty, MD, and Hal Skopicki, MD, with Felix Littieri (center) who received a left ventricular assist device (LVAD) to help his heart pump more effectively.

is that, with the proper evaluation and treatment plan, heart failure is a manageable condition.” Together with your doctor, here are some things you can do: • Recognize and seek care for all of your symptoms, especially the ones that may limit your enjoyment of life • Understand what makes your heart failure worse and take steps to minimize it • Work with your doctor to determine if your heart failure is potentially reversible • Learn what you can do to optimize your diet and exercise patterns to help care for your heart • Know what medications and dosages are best for you to take for your heart failure • Learn about educational resources and support available to patients with heart failure • Discuss with your doctor the need for advanced treatment, including newer pacemakers, defibrillators, mechanical assist devices, transplantation and investigational treatments, including stem cell therapy. How can I manage my condition? Weigh yourself and record your weight each morning. A weight gain of three pounds or more during the course of a week, or weight gain despite a loss of appetite may be signs that you are retaining fluid and should be reported to your doctor. And, if you smoke, it is critical to stop, as smoking can continue to damage your heart and limits your body’s

ability to breathe. Also, for at least the short term, discuss with your physician the need to avoid alcohol. Alcohol can cause/contribute to heart muscle dysfunction. And, follow prescribed fluid and salt guidelines. Exercise can help you manage your heart failure, but you should be guided by your physician. Ask your doctor to help design your individualized lifestyle improvement program. It is important that you report any new or worsening symptoms to your doctor right away. How do I manage my condition over the long term? “Excellent heart failure care involves putting you in control with the help of your physician,” says Allison McLarty, MD, Associate Professor of Surgery and Co-Director of Stony Brook’s nationally accredited Ventricular Assist Device (VAD) Progam. “Your heart failure healthcare team should include a multidisciplinary group — doctors, nurses, nurse practitioners and other healthcare providers — who are experts in the management of heart failure.” Dr. McLarty explains that it is important that your heart failure healthcare team understands how your other medical conditions may complicate your heart failure and that your treatment program is customized to address the specific causes and needs of your condition. What are the options for people with advanced heart failure when medications are no longer effective? For people with advanced-stage heart failure, ventricular assist devices offer new hope, more time and a significant decrease in symptoms, such as fatigue and shortness of breath. There are two scenarios for considering a VAD: 1) The patient is slated for a heart transplant and the VAD is implanted as a temporary “bridge” until a donor heart is available; or 2) The patient may be unsuited for transplant and the VAD is intended as a long-term or “destination” therapy. “The preferred path for all of our patients is to prevent heart failure and slow its progression,” says Dr. McLarty. “VADs become an option only when the many other therapies for heart failure are no longer effective.” For more information about heart failure or to schedule an evaluation at the Heart Failure and Cardiomyopathy Center, part of Stony Brook University Heart Institute, call (631) 444-9600 or visit www.heart.stonybrookmedicine.edu. The outpatient office is located at 200 Motor Parkway, Hauppauge.

AFib: Signs, symptoms and treatment A common but serious and treatable cardiac condition, AFib — a type of arrhythmia or irregular heartbeat — affects more than 2.5 million people in the U.S. AFib makes it five to seven times more likely you’ll have a stroke than the general population. AFib usually involves a rapid heart rate, where the upper heart chambers (atria) are stimulated to contract in a disorganized and abnormal manner. Persistent AFib can Photo by Jeanne Neville significantly weaken the heart and cause heart failure. It is Eric J. Rashba, MD. important to be diagnosed and treated as early as possible. Typical symptoms include a racing heart or palpitations, but some patients have more subtle symptoms such as shortness of breath or fatigue, without palpitations. The good news is that today there are more options for medical management, including three new blood thinners: Pradaxa®, Xarelto® and Eliquis®. However, not everyone can take these drugs because of their side effects, such as bleeding. Eric J. Rashba, MD, Professor of Medicine and Director of the Heart Rhythm Center at Stony Brook University Heart Institute, says three new approaches to treatment are now available: LARIAT procedure. A valuable strategy for people who can’t take blood thinners long term is the non-surgical LARIAT ™ procedure. The LARIAT closes off a pouchlike structure called the left atrial appendage (LAA). Located in the muscle wall of the top left chamber of the heart, the LAA is where 95 percent of strokes due to blood

clots originate. The LARIAT prevents blood from entering the pouch by closing off the opening of the LAA. It’s a permanent solution that may help decrease the risk of stroke without affecting the rest of the heart. Hybrid nContact procedure. For patients who have failed a previous ablation (cauterization of the electrical pathways in the heart that trigger the arrhythmia) or whose AFib is longstanding and persistent, there is a new alternative: the hybrid nContact procedure. Before, these patients would have had to undergo multiple procedures to try to solve their AFib. Now, a cardiothoracic surgeon and an electrophysiologist perform the procedure, each using a different approach to ablation. The procedure is minimally invasive, does not require a chest incision and takes about four hours. Cryoablation. Also new at Stony Brook is cryoablation for AFib. A freezing balloon in each pulmonary vein electrically isolates the impulses that are causing the arrythmia. This is an alternative to radiofrequency ablation, which uses heat to accomplish the same thing. At Stony Brook Heart Institute, the physicians at the Heart Rhythm Center are constantly working to improve the outcomes and quality of life for patients with AFib. Research is also directed at better understanding the underlying causes to better target treatment. For more information, call Dr. Rashba at (631) 444-3575. To learn more about the Heart Institute, call (631) 44-HEART (444-3278) or visit www.heart.stonybrookmedicine.edu.

february 26, 2015 • SBU BRIDGES • PAGE S31

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Bridges

Why having a leading neurosciences institute in your backyard matters What does something as lofty sounding as a neurosciences institute have to do with your everyday life? Plenty, if you’re a Long Islander. Brain and neurological disorders are the third-leading cause of death among Suffolk County residents and a leading cause of adult disability. Hundreds of people on Long Island who survive these diseases and disorders struggle to recover from their debilitating impact. Fortunately for Long Islanders, the Stony Brook University Neurosciences Institute is the regional leader in diagnosing and treating the full range of brain, neurological and psychiatric disorders in adults and children. This includes everything from stroke, aneurysms, spine problems, tumors and traumatic injuries, to birth defects, autism, epilepsy, sleep disorders, multiple sclerosis, Alzheimer’s disease, depression, anxiety and Parkinson’s disease. The Institute brings the expertise of renowned specialists together with the use of sophisticated technology to deliver high-quality, disease-specific comprehensive around-the-clock care for patients, while providing peace of mind to their families. This care includes family, physical, occupational and speech therapy follow-up to assist with rehabilitation and reintegration into normal living during and after treatment. The 10 centers that make up the Neurosciences Institute include: Cerebrovascular and Stroke Center, Center for Autism Spectrum Disorders, Comprehensive Epilepsy Center, Comprehensive Spine Center, Lourie Center for Pediatric Multiple Sclerosis, Multiple Sclerosis Adult Comprehensive Care Center, Neuromuscular Disease and Christopher Pendergast ALS Center of

Photo by Arthur Fredericks

Dennis Choi, MD, PhD, Director, Stony Brook Neurosciences Institute, and Professor and Chair, Department of Neurology, with his leadership team.

Excellence, Neuro-Oncology Center, Skull Base Surgery Center and Sleep Disorders Center. The Neurosciences Institute also features Long Island’s only Alzheimer’s Disease Assistance Center program (one of nine sponsored by the New York State Department of Health) and Inpatient and Outpatient Psychiatry Services for children, adolescents and adults. Stony Brook also has the county’s only Comprehensive Psychiatric Emergency Program, which provides an organized system for responding to psychiatric emergencies for evaluation, intervention, treatment and referral for the residents of Suffolk County who have demonstrated a need for emergency psychiatric evaluation or treatment. Psychiatric evaluation and

referrals are provided by a team of psychiatrists, psychiatric residents, nurse practitioners, registered nurses and social workers 24 hours a day, 7 days a week. The Neurosciences Institute is home to more than 70 research laboratories dedicated to the study of various neurological disorders and diseases. At the state-of-theart Lisa and Robert Lourie Imaging Suite, pioneering research is being conducted on abnormalities throughout the head and body. These studies advance neurooncology treatment and allow better understanding of the neurological causes of psychiatric diseases and the underlying mechanisms of multiple sclerosis, stroke, autism, epilepsy and Parkinson’s disease. On the education front, the Neurosciences Institute hosts a “Meeting of the Minds” symposium each November, which features lectures by several neuroscience luminaries. The event, which is open to the public, attracts physicians, nurses, researchers, students and other healthcare professionals with an interest in the field of neurosciences, and celebrates ongoing achievements in the field that, in turn, lead to “real world” applications ultimately benefiting patients. The focus of the 2014 symposium was Parkinson’s disease. Under the leadership of Dennis W. Choi, MD, PhD, Director, Stony Brook Neurosciences Institute, and Professor and Chair, Department of Neurology, the Neurosciences Institute leadership team also includes Co-Directors Raphael Davis, MD, Professor and Chair, Department of Neurosurgery; Ramin Parsey, MD, PhD, Professor and Chair, Department of Psychiatry; and Lorna Role, PhD, Professor and Chair, Department of Neurobiology and Behavior.

New surgical tool provides hope for patients with bleeding in the brain On a summer afternoon last June, 56-year-old Long Islander, Vita Ross was walking her family dog when she kept dropping the dog’s leash. At the time she didn’t think much about it. Shortly after, while chatting with her husband and eldest daughter over coffee at a diner, Ross’ family noticed that the side of her face began to droop and she was also having trouble holding her coffee mug. They rushed her to Stony Brook University Hospital, where David Fiorella, MD, PhD, a neurointerventional radiologist, and Co-Director of the Stony Brook Medicine Cerebrovascular and Stroke Center, diagnosed Ross with a hemorrhagic stroke. Using a new, minimally invasive approach featuring what is known as the ApolloTM System, Dr. Fiorella and neurosurgeon Frederick Gutman, MD, quickly and successfully removed the blood from Ross’ brain. Ross made improvements every day after her procedure and was able to go home after a short stay in an acute rehabilitation unit. She has since returned to all of her normal activities, and life for her now is no different than before her hemorrhage. According to the American Stroke Association, hemorrhagic stroke (a stroke resulting from a weakened blood vessel that ruptures and bleeds into the surrounding brain) accounts for about 13 percent of stroke cases. It requires prompt medical attention, because as the blood accumulates and compresses the surrounding brain tissue, it can develop quickly into a life-threatening situation. In fact, about half of the patients with intracranial hemorrhages (bleeding within the skull) do not survive their lengthy hospitalizations. Up to 80 percent either die or are disabled for the remainder of their lives by the stroke. To date, no traditional surgical or medical treatments have been shown to be effective in improving the outcomes in these patients. But as Vita Ross’ experience attests, there is a bright side to all of this. The team at the Cerebrovascular and Stroke Center is part of a pioneering group of neurosurgeons

Photo by Jeanne Neville

David Fiorella, MD, PhD.

Photo from Ross family

Vita Ross and her family.

across the country successfully removing hemorrhages from the brain with the Apollo System. Used in conjunction with neuroendoscopy and image guidance (which involves an endoscope probe outfitted with a camera that is guided via computer assistance through the pathways of the brain to the problem area), the Apollo System allows surgeons to remove most of the blood from the brain in a matter of minutes. Patients of Dr. Fiorella’s and Stony Brook neurosurgeons, Raphael Davis, MD, Frederick Gutman, MD, and David Chesler, MD, PhD, have also shown rapid, continuous improvement after having their brain hemorrhages removed with the Apollo System. For more information about hemorrhagic stroke or the Cerebrovascular and Stroke Center, visit www.neuro.stonybrookmedicine.edu or call for an appointment at (631) 444-1213.

february 26, 2015 • SBU BRIDGES • PAGE S33

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PAGE S34 • SBU BRIDGES • february 26, 2015

Bridges

Introducing Stony Brook Medicine’s newest leaders

Photos by Jeanne Neville

Cordia Beverley, MD

Cordia Beverley, MD Assistant Dean, Community Health Policy, and Clinical Associate Professor, Department of Preventive Medicine

A board-certified gastroenterologist, Cordia Beverley, MD, came to Stony Brook in October 2013 from New York City, where she had established a private practice, affiliated with Lenox Hill/North Shore LIJ Hospital. Throughout her career, Dr. Beverley has maintained a focus on healthcare policy and outreach. She is a Fellow of the New York Academy of Medicine and is a founding member of the academy’s policy group on Primary Care and Population Health. She has a strong commitment to community health education and has partnered with faith-based organizations in New York City. While practicing medicine, Dr. Beverley spent six years as Medical Director of the New York City Department of Personnel, where she established medical standards for the city’s public safety employees. As Assistant Dean for Community Health Policy at Stony Brook, Dr. Beverley helps to coordinate initiatives to improve the quality of healthcare delivery across the diverse populations throughout Suffolk County.

Bettina Fries, MD

Bettina Fries, MD Professor and Chief, Division of Infectious Diseases

Javed Butler, MD, MPH

Javed Butler, MD, MPH Co-Director, Stony Brook University Heart Institute; Chief, Division of Cardiology; and Professor, Department of Medicine

Physician and researcher Javed Butler MD, MPH, specializes in the management and treatment of patients with heart failure. He previously served at Emory University as Professor of Medicine, Director of Heart Failure Research and Director of the Cardiology Faculty mentoring program. Over the course of his career, Dr. Butler has garnered more than 50 sponsored clinical trials of new interventions in patients with heart failure, and has contributed to more than 220 peer-reviewed publications, as well as dozens of book chapters, editorials, letters and case reports. A member of the American College of Cardiology, Dr. Butler works on the heart failure clinical guidelines committee. He also serves on several National Institutes of Health (NIH) study sections, as well as chairs the NIH Heart Failure Network Ancillary Studies Committee. He is the Deputy Chief Science Officer of the American Heart Association and is a member of the Executive Council of the Heart Failure Society of America. Most recently, he was named a member of the American Board of Internal Medicine’s Cardiology Board.

Joseph Lamantia

Joseph Lamantia Chief of Operations for Population Health

Tong Joo Gan, MD, FRCA

Tong Joo Gan, MD, FRCA Professor and Chair, Department of Anesthesiology

The Department of Anesthesiology has found a new leader in Tong Joo (TJ) Gan, MD. An award-winning researcher in post-operative recovery and educator, Dr. Gan was previously Professor of Anesthesiology and Vice Chair for Clinical Research and Faculty Development at Duke University School of Medicine. Through his research, Dr. Gan has made a significant impact in understanding a wide range of topics within anesthesiology, including acute pain management and post-operative nausea and vomiting, as well as enhancing recovery after surgery. His work, which has been published in many peer-reviewed journals and book chapters, has shaped best practices in the field. Dr. Gan has participated in numerous committees, subcommittees and scientific program committees within the American Society of Anesthesiologists. He has served on several editorial boards of scientific journals and as president of both the Society for Ambulatory Anesthesia and the International Society of Anesthetic Pharmacology. For his research discoveries, Dr. Gan has received many awards, including the Society for Technology for Anesthesia Annual Innovative Award, the International Anesthesia Research Society Clinical Scholar Research Award and Society of Ambulatory Anesthesia Young Investigator Award.

Nationally known for her work in microbiology, Bettina Fries, MD, works with Stony Brook faculty within the Departments of Medicine, as well as Microbiology and Molecular Genetics, to lead the education and clinical missions of Infectious Diseases and expand research. Dr. Fries comes to Stony Brook from Albert Einstein College of Medicine where she led infectious disease research. She also practiced as a physician and served as the Associate Program Director of the Internal Medicine Residency Program at Montefiore Medical Center. Nationally, Dr. Fries is a Fellow of the Infectious Disease Society of America. She is a regularly invited reviewer for journals and grants, including as a study section member of the AIDS-Associated Opportunistic Infections and Cancer Study Section of the National Institute of Allergy and Infectious Diseases. Dr. Fries has published more than 60 original scientific manuscripts as well as book chapters. She is also a frequent speaker at various international and national conferences.

Joseph Lamantia is responsible for spearheading Stony Brook Medicine’s quest to become a national leader in the area of population health management and in meeting the goals of the New York State Medicaid Redesign program. Additionally, his oversight will include Stony Brook Medicine’s goal to achieve the status as an accountable care organization, which is a healthcare environment that would ensure delivery of effective preventive primary healthcare to all residents of Suffolk County. Prior to joining Stony Brook, Lamantia served as Executive Vice President and Chief Operating Officer at South Nassau Communities Hospital for the past seven years. While at the 435-bed hospital, his operational leadership included strategic planning, oversight of daily operations, quality management and direction for programmatic growth. Lamantia also worked for North Shore Long Island Jewish Health System for approximately 16 years in multiple capacities, including Executive Director of Franklin Hospital and Associate Executive Director of Finance for Plainview Hospital.

Leslie Quinn, MD

Leslie Quinn, MD Chief, Division of Child Advocacy, Stony Brook Children’s Hospital, and Associate Professor, Department of Pediatrics

With a career at Stony Brook that spans more than 20 years, Leslie Quinn, MD, a primary care pediatrician, specializes in child maltreatment. She also provides 24/7 phone consultation for the Emergency Department, inpatient and outpatient services, and the community physicians of Suffolk County to offer direction and recommendations for further evaluation of suspected cases of child abuse. Known throughout Suffolk County for her work in this area, Dr. Quinn serves as the Medical Director of the Suffolk County Child Advocacy Center at the Pat & Mary Bagnato Place for Kids, and is a medical consultant for Child Protective Services and the District Attorney’s Office of Suffolk County. Her ongoing research concentrates on how to better screen children and families for risk factors of abuse, which serves as an educational model for her pediatric residents. She recently began working with the Injury Prevention and Outreach Program through the Stony Brook Trauma Center on issues and projects related to the prevention of accidental trauma in children. Dr. Quinn plans to expand the Division of Child Advocacy and work with community organizations to focus on prevention efforts related to child maltreatment.

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Join the hospital auxiliary and make a real difference in the lives of patients

he Stony Brook University Hospital Auxiliary is a volunteer organization made up of a diverse group of men and women committed to raising money for hospital projects for which other sources of money are not readily available. Since its formation in 1981, the Auxiliary has raised more than $6 million for hospital projects, services and equipment. The Auxiliary sponsors various outreach programs, including the Vial of Life Program, which provides lifesaving information to first responders about the health history of people in the event of an emergency; the HOPE (Health Occupations Partnership for Excellence) program, which fosters the development of promising high school students from underserved, racially and ethnically diverse communities; and an annual Sunscreen Information Day to educate beach-goers with facts on sun protection and skin cancer prevention. Additionally, the Auxiliary contributes funds to the hospital, allowing for the purchases of medical equipment. Recently, the Auxiliary approved $47,500 to buy the NOMAD handheld portable x-ray machine, which is used in the hospital’s Emergency Department by dental residents from the Stony Brook University School of Dental Medicine. Another $48,000 contribution from the Auxiliary made it possible to obtain the ApolloTM System, allowing Stony Brook Medicine neurosurgeons to successfully remove brain hemorrhages in a matter of minutes. This new minimally invasive approach has significantly improved the prognosis and quality of life for patients who have experienced a life-threatening stroke. The Auxiliary also sponsors the Giving Doll Program, which provides a handmade doll to any child in need throughout the hospital, including the areas of pediatrics, social services, psychiatry, the Emergency Department and the Ronald McDonald Family Room. The dolls offer children much needed emotional support and comfort. And from the very beginning, Auxiliary knitters have been busy making hundreds of baby hats for Stony Brook University Hospital newborns. They have also distributed crocheted blankets and hats for patients at Stony Brook University Cancer Center. This project has been ongoing since the Auxiliary’s inception more than 30 years ago.

Photo by Jeanne Neville

Stony Brook University Hospital Auxiliary Board members and (seated, center) David Fiorella, MD, PhD, Co-Director of Stony Brook Medicine’s Cerebrovascular and Stroke Center, which uses the Apollo System to treat patients with life-threatening stroke.

You can make a difference in the community and in the lives of patients at Stony Brook University Hospital by joining the Auxiliary. By doing so, you’ll receive the deep appreciation of all the patients you are helping and enjoy the feeling of personal satisfaction that comes from volunteering. For more information or to become a member of the Stony Brook University Hospital Auxiliary, call (631) 444-2699 or visit www.stonybrookmedicine.edu/ patientcare/auxiliary.

Staller Center 2015 Season The Staller Center for the Arts is celebrating 26 years of bringing world-class acts to our backyard. Through its lively offerings of music, dance, dramatic and comedy performances, Staller’s shows have enthralled young and old. Visit www.stallercenter.com for more details or to purchase tickets. All events listed below are held in the Staller Center, Stony Brook University, 100 Nicolls Road, Stony Brook. Gala 2015: Michael Feinstein and Linda Eder Saturday, March 7, 8 pm • Main Stage, $75 Two powerhouse voices join forces for a Gala evening of standards, Broadway, pop and jazz. The multi-platinumselling, Emmy- and Grammy Award-nominated entertainer Michael Feinstein, dubbed “The Ambassador of the Great American Songbook,” is considered one of the premier interpreters of American standards. Linda Eder, considered one of the great female vocalists of our time, has vast musical repertoire that includes Broadway, standards, pop, country and jazz. Starry Nights: March Friday, March 13, 8 pm • Recital Hall, $36 Sponsored by WSHU Public Radio Artists-in-residence in demand throughout the concert world bring great chamber music to Staller Center. Among the pieces on the Starry Nights program for March is the beautiful Brahms piano quintet and works that feature the bassoon. Artists to include Gilbert Kalish, piano; Soovin Kim, violin; Paul Watkins, cello; Colin Carr, artistic director and cello; Randall Scarlata, baritone; and Frank Morelli, bassoon.

Moscow City Ballet in Don Quixote Saturday, March 14, 8 pm • Main Stage, $42 Sponsored by Times Beacon Record Newspapers The Moscow City Ballet is one of Russia’s most extensively touring ballet companies. In Don Quixote, an old gentleman of 17th century Spain is obsessed with defending the helpless and destroying the wicked. His quest creates the perfect story for the stage, with scenes in a Gypsy camp, dreams and happy endings. Don Quixote is one of the most popular ballets, based on choreography by Marius Petipa, the father of classical ballet. Popovich Comedy Pet Theater Sunday, March 29, 4 pm • Main Stage, $15 Not just for kids. Presented by Bank of America. Gregory Popovich will showcase the amazing talents of his unique cast of rescued animals, including 15 house cats, 10 dogs, four geese, eight doves and two parrots. These performing pets love to show off onstage, performing various stunts, skits, balancing acts and more on such shows as “The Tonight Show” with Jay Leno and “Late Night” with David Letterman as well as NBC’s “America’s Got Talent.” Dawn Upshaw, Voice, and Gilbert Kalish, Piano Wednesday, April 1, 8 pm • Recital Hall, $48 Dawn Upshaw and her longtime collaborator, pianist Gilbert Kalish, bring a deeply engaging recital to Staller Center. Upshaw has achieved worldwide celebrity as a singer of opera and concert repertoire, ranging from the sacred works of Bach to the freshest sounds of today.

Emerson String Quartet Tuesday, April 14, 8 pm • Recital Hall, $48 Bring in the spring with an unforgettable night of chamber music featuring the critically acclaimed Emerson Quartet in its last concert of the Staller Center season. The program at Staller Center will include Purcell, Two Fantasias; Mozart, String Quartet No. 14 in G major, K. 387; and Liebermann, String Quartet No. 5 (2014). Jarrod Spector: A Little Help From my Friends Saturday, April 18, 8 pm • Recital Hall, $36 Sponsored by WALK 97.5 Radio The Recital Hall will transform into a cabaret theater when Jarrod Spector, who starred as Frankie Valli for six years in Broadway’s Jersey Boys, pays tribute to some of his favorite singers. Spector wraps his voice around the songs that have made superstars out of more than a century of tenor legends, from Freddie Mercury, Michael Jackson and Paul McCartney to the great Enrico Caruso himself. Alonzo King Lines Ballet Sunday, May 3, 7 pm • Main Stage, $42 This celebrated contemporary ballet company from the San Francisco Bay area has been guided by Alonzo King since 1982. On the program is Concerto for Two Violins, a full-company work set to Johann Sebastian Bach’s Double Violin Concerto, one of the composer’s most famous pieces. Writing Ground, a collaboration with award-winning author Colum McCann, is set to a collection of sacred early music from the Jewish, Christian, Muslim and Tibetan Buddhist traditions.

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Events at Stony Brook Medicine Support Groups at Stony Brook Medicine Stony Brook Medicine offers a wide range of support groups 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 you have been treated at Stony Brook Medicine. Free. Registration required. For more information, call (631) 444-4000, or visit www.stonybrookmedicine.edu/ patientcare/supportgroups. Bariatric and Metabolic Weight Loss Seminar Monday, March 2 • 5 to 7 pm Lobby Conference Room, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Freedom from obesity is attainable with the right combination of tools and support. Learn about the causes, health risks and treatment options, tailored to each patient’s needs, lifestyle and goals at these informative seminars. Both medical and surgical options will be discussed. Aurora Pryor, MD, Director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, MD, Associate Director, will lead the discussion, followed by a question-and-answer session. To register, call (631) 444-4000. Make the Magic: Camp Kesem Thursday, March 5 • 7 to 11 pm Villa Lombardi’s, 877 Main Street, Holbrook Stony Brook’s inaugural fundraising dinner to help raise awareness of Camp Kesem, a weeklong sleepaway camp for children whose parents have cancer. Reservations are required, and tickets must be purchased prior to the event. For more information and to register, email stonybrook.mtm@campkesem.org. Varicose Vein Screening Saturday, March 14 • 8 am to 2 pm Stony Brook Vein Center, 24 Research Way, East Setauket This 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 boardcertified vascular surgeons. Patients should wear or bring shorts to the screening. Registration is required by calling (631) 444-VEIN (8346). Sleep and Sleep Disorders Wednesday, March 18 • 7 to 8 pm Half Hollow Hills Community Library, 55 Vanderbilt Parkway, Dix Hills Rolla T. Nuoman, MD, from Stony Brook Medicine’s Sleep Disorders Center, will discuss the importance of sleep, the different types of sleep disorders and the steps to take to get a good night’s sleep. For more information, call (631) 421-4530. Community Update on Cancer Saturday, March 21 • 8:30 am to 3:30 pm 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 cancer. This fullday program features presentations from experts at Stony Brook University Cancer Center, interactive workshops, displays and information from community organizations. Free admission includes continental breakfast and lunch. Registration is required. Call (631) 444-4000.

Photo from Stony Brook University

The East Campus of Stony Brook University — home to Stony Brook Medicine and the schools of the health sciences — hosts many events aimed at helping members of the community stay healthy.

Mall Walkers Wednesday, March 25 • 8 to 10 am Smith Haven Mall, Food Court, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an informative health lecture by a Stony Brook Medicine expert. For more information, call (631) 444-4000. HeartSaver/AED CPR Class Wednesday, March 25 • 4 to 7 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. The class is free, but for those who would like a two-year American Heart Association CPR card, there is a $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. Digesting the Facts: What’s the Inside Scoop? Thursday, March 26 • 7 to 8 pm East Northport Library, 185 Larkfield Road, East Northport Colorectal cancer is preventable, treatable and beatable. In observance of Colorectal Cancer Awareness Month, join Stony Brook Medicine experts Cordia Beverley, MD, Clinical Associate Professor, Department of Preventive Medicine, and Minsig Choi, MD, Director, Gastrointestinal Medical Oncology, and Director, Outpatient Medical Oncology, as they discuss what a colonoscopy is, when you should get one, treatment options and tips on healthy eating. A question-and-answer session will follow. For information, call (631) 261-2313.

What’s in Your Medicine Cabinet? Medication Safety Seminar Wednesday, April 2 • 7 to 8 pm Middle Country Public Library, 575 Middle Country Road, Selden Got a question about your medicine? Can vitamins do the same or better job at improving your health than your prescription medicine? Join expert Edmund Hayes, RPh, PharmD, Assistant Director of Pharmacy at Stony Brook University Hospital, and Interim Dean, School of Pharmacy and Pharmaceutical Sciences, and learn how to take medications safely and avoid medication errors. For more information, call (631) 585-9393. Varicose Vein Screenings Saturday, April 4 • 8 am to 2 pm Stony Brook Vein Center, 24 Research Way, East Setauket This 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 boardcertified vascular surgeons. 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). Bariatric and Metabolic Weight Loss Seminar Monday, April 6 • 5 to 7 pm Lobby Conference Room, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Freedom from obesity is attainable with the right combination of tools and support. Learn about the causes, health risks and treatment options, tailored to each patient’s needs, lifestyle and goals at these informative seminars. Both medical and surgical options will be discussed. Aurora Pryor, MD, Director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, MD, Associate Director, will lead the discussion, followed by a questionand-answer session. To register, call (631) 444-4000.

Continued on page S37

february 26, 2015 • SBU BRIDGES • PAGE S37

Bridges Continued from page S36 Bodacious Bras for a Cure Thursday • April 16, 6 to 9 pm Charles B. Wang Center, Stony Brook University, 100 Nicolls Road, Stony Brook Enjoy a dessert reception and creative arts auction at this inaugural fundraising event to benefit patient amenities and resources at Stony Brook University Cancer Center. Reservations are required. Tickets cost $40 and can be purchased by calling (631) 638-0004. Vascular Screening Saturday, April 25 • 8 am to 4 pm Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Are you 60 or older? Are you a current or past smoker? Smoking is the single most important risk factor for vascular disease. Other major risk factors include diabetes, high blood pressure, high cholesterol, heart disease and a family history of aortic aneurysm. Aneurysms and strokes, common conditions caused by vascular disease, can strike suddenly and without warning. That’s why it’s best to identify and treat underlying causes before symptoms appear at this free screening. Pre-registration and a brief qualifying interview are required. No walk-ins accepted. Call (631) 638-2100 to register. Varicose Vein Screening Saturday, April 25 • 8 am to 2 pm Stony Brook Vein Center, 24 Research Way, East Setauket This 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 boardcertified vascular surgeons. 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). Mall Walkers Wednesday, April 29 • 8 to 10 am Smith Haven Mall, Food Court, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an informative health lecture by a Stony Brook Medicine expert. For more information, call (631) 444-4000. HeartSaver/AED CPR Class Wednesday, April 29 • 4 to 7 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. The class is free, but for those who would like a two-year American Heart Association CPR card, there is a $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. Skin Cancer Screening Saturday, May 2 • 8 to 11 am Stony Brook University Cancer Center, 3 Edmund D. Pellegrino Road, Stony Brook Free screenings will be performed by Stony Brook’s team of dermatologists. An educational lecture will be presented on the prevention and detection of skin cancer, including melanoma. Light refreshments, sun protection items and patient education materials will be provided.

Open to individuals 18 or older, currently without health insurance and whose last skin cancer screening by a dermatologist was more than a year ago. To schedule an appointment, call (631) 444-4000. Bariatric and Metabolic Weight Loss Seminar Monday, May 4 • 5 to 7 pm Lobby Conference Room, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Freedom from obesity is attainable with the right combination of tools and support. Learn about the causes, health risks and treatment options, tailored to each patient’s needs, lifestyle and goals at these informative seminars. Both medical and surgical options will be discussed. Aurora Pryor, MD, Director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, MD, Associate Director, will lead the discussion, followed by a question-and-answer session. To register, call (631) 444-4000. Keeping Your Heart Healthy at Any Age Wednesday, May 6 (Spanish • 5:30 to 8:30 pm Thursday, May 14 (English) • 5:30 to 8:30 pm Charles B. Wang Center, Stony Brook University, 100 Nicolls Road, Stony Brook Hosted by Stony Brook University Heart Institute CoDirectors James R. Taylor Jr., MD, Harold A. Fernandez, MD, and Javed Butler, MD, MPH, this free community event will include a one-hour panel discussion led by Stony Brook Medicine experts on heart-healthy topics, a buffet dinner, and blood pressure and cholesterol screenings. Registration is required. Call (631) 4444000 for more information and to register. The first 200 to register will receive a heart-healthy cookbook. Mantener su corazón saludable a cualquier edad Miércoles, 06 de mayo (español) • 5:30 to 8:30 pm Jueves, 14 de mayo (Inglés) • 5:30 to 8:30 pm Charles B. Wang Center, la Universidad de Stony Brook, 100 Nicolls Road, Stony Brook Organizado por la Universidad de Stony Brook Corazón Instituto Co-Directores James R. Taylor Jr., MD, Harold A. Fernández, MD, y Javed Butler, MD, MPH, este evento comunitario gratuito incluirá un panel de discusión de una hora dirigido por Stony Brook expertos de la medicina en temas saludables para el corazón, una cena buffet y la presión arterial y exámenes de colesterol. Es necesario estar registrado. Llame (631) 444-4000 para obtener más información y para registrarse. El primer 200 para registrarse recibirán un libro de cocina saludable para el corazón. Port Jefferson Health and Wellness Expo 2015 Saturday, May 9 • 9 am to 1 pm Earl L. Vandermeulen High School, 350 Old Post Road, Port Jefferson This free health fair features medical experts from Stony Brook Medicine who will provide the latest information in cancer care, children’s health, digestive health, heart health and neurology. Health screenings will be offered. For more information, call (631) 4731414 or visit www.portjeffhealth.com. What’s in Your Medicine Cabinet? Medication Safety Seminar Wednesday, May 13 • 7 to 8:30 pm Emma S. Clark Memorial Library, 120 Main Street, Setauket Got a question about your medicine? Can vitamins do the same or better job at improving your health than your prescription medicine? Join expert Edmund Hayes, RPh, PharmD, Assistant Director of Pharmacy at Stony Brook University Hospital, and Interim Dean, School of Pharmacy and Pharmaceutical Sciences, and learn how to take medications safely and avoid medication errors. For more information, call (631) 941-4080.

Mall Walkers Wednesday, May 27 • 8 to 10 am Smith Haven Mall, Food Court, Lake Grove Enjoy a morning of exercise, complimentary snack, blood pressure screening and an informative health lecture by a Stony Brook Medicine expert. For more information, call (631) 444-4000. HeartSaver/AED CPR Class Wednesday, May 27 • 4 to 7 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. The class is free, but for those who would like a two-year American Heart Association CPR card, there is a $10 fee. Participants will learn how to respond to an adult, child or 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. Bariatric and Metabolic Weight Loss Seminar Monday, June 1 • 5 to 7 pm Lobby Conference Room, Stony Brook University Hospital, Level 5, 101 Nicolls Road, Stony Brook Freedom from obesity is attainable with the right combination of tools and support. Learn about the causes, health risks and treatment options, tailored to each patient’s needs, lifestyle and goals at these informative seminars. Both medical and surgical options will be discussed. Aurora Pryor, MD, Director, Bariatric and Metabolic Weight Loss Center, and Dana Telem, MD, Associate Director, will lead the discussion, followed by a question-and-answer session. To register, call (631) 444-4000. Fire Island Health Fair Saturday, June 13 • 10 am to 2 pm Ocean Bay Fire Department, Fire Island Learn how you and your family can stay safe during the summer months. Caregivers from Stony Brook University Hospital’s Emergency Department will be on hand to answer questions and provide tips for preventing injury and enjoying summertime activities. For information, call (631) 671-2981. National Cancer Survivors Day Sunday, June 14 • 11:30 am to 3 pm Stony Brook University Cancer Center, 3 Edmund D. Pellegrino Road, Stony Brook Stony Brook University Cancer Center hosts its 11th annual celebration for cancer survivors and their friends and families, and Stony Brook staff. The afternoon is full of inspiring stories of survival, live music, the Parade of Survivors and fun activities, including dunk-a-doc, face painting, caricatures. The event is free, but reservations are required. Call (631) 638-0004 for more information or to register. HeartSaver/AED CPR Class Wednesday, June 24 • 4 to 7 pm Stony Brook University Hospital, 101 Nicolls Road, Stony Brook Learn lifesaving skills from nurse educators at Stony Brook University Heart Institute. The class is free, but for those who would like a two-year American Heart Association CPR card, there is a $10 fee. Participants will learn how to respond to an adult, child or 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.

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Events at Stony Brook University

All events are held at the Staller Center for the Arts, Stony brook university, 100 nicolls road, Stony brook. The spring is a lively time on the main campus of Stony Brook University. Visit a new show at one of our art galleries, check out a musical performance or enjoy a Friday night film. All events are open to the general public. Art Exhibition MFA Theses Show 2015 March 24 to April 11 • Free reception: Saturday, March 28 7 to 9 pm The MFA Thesis Show 2015 at the Paul W. Zuccaire Gallery features new work by Stony Brook University’s graduating Master of Fine Arts students. The exhibition includes photography, video, sculpture and installation by Fiona Cashell, Nicole Hixon and Catherine Katsafouros. StAllEr CEntEr’S 2015 Spring FilMS Friday night is movie night at the Staller Center. Single tickets: $9 for adults; $7 for students, seniors and children; and $5 for Stony Brook University students with ID. All titles subject to change. Visit www.stallercenter.com for more details. February 6 Diplomacy (Diplomatie) • 7 pm (in French and german with subtitles) Laggies • 8:45 pm February 20 On the Way to School • 7 pm (documentary with subtitles) Camp X-Ray • 8:45 pm February 27 Force Majeure • 7 pm (in English and Swedish with subtitles) Low Down • 9:15 pm March 27 The Homesman • 7 pm Rosewater • 9:15 pm April 10 The Imitation Game • 7 pm Wild • 9:15 pm MuSiC EvEntS The Department of Music at Stony Brook is proud to present its 2014–2015 season, featuring its students, professors and professional guests. These shows are in addition to what is offered by the Staller Center for the Arts. All Department of Music programs are held in the Staller Center. This schedule is subject to change. For updates, visit www.stonybrook.edu/music.

Family orchestra Concert Tuesday, March 3 • 7:30 pm Main Stage, $5 This one-hour concert by the University Orchestra under the direction of Susan Deaver is an annual favorite. This year’s theme is “Excursions and Travels,” which will include orchestral favorites for all and feature the winner of the 2014 Pre-College Division Concerto Competition. Contemporary Chamber players Thursday, March 5 • 8 pm recital hall, Free Directed by Eduardo Leandro, this program features the works of composer Pierre Boulez, including Le marteau sans maître (The Hammer Without a Master), which sets the surrealist poetry of René Char for contralto and six instrumentalists.

Contemporary Chamber players Thursday, April 9 • 8 pm recital hall, Free Program includes Grisey’s Partiels for large ensemble, Kagel’s Acustica for experimental sound producers and loud speakers, and music by new composition faculty member, Matthew Barnson. Directed by Eduardo Leandro. Wind Ensemble Wednesday, April 15 • 8 pm recital hall, $10 In “New York Extravaganza,” Bruce Engel leads the Wind Ensemble in a concert featuring the music of Michael Valenti, Dvorák, Sousa, Copland and Leonard Bernstein. Featuring the world premiere of Peter Winkler’s Elegy with Amr Selim, horn. Sonic Spring Friday, April 17 • 8 pm recital hall, Free Experience both the sizzling energy and subtle expressions of electronic sounds and “musique concrete.” This dazzling program includes electronic music sound sculptures, virtuoso instrumental performance and video projection.

baroque Sundays at Three Sunday, March 8 • 3 pm recital hall, Free Baroque violinist Amelia Roosevelt and harpsichordist Gabriel Shuford will present an afternoon of early and late Baroque music, featuring fiery sonatas from early 17th century Italy, and a duo sonata by J.S. Bach (to celebrate the master’s 330th birthday). Stony brook baroque players Sunday, April 19 • 3 pm piano project recital hall, Free Monday, March 9 Graduate student singers and noon, 4 pm and 8 pm instrumentalists will delight and move recital hall, Free you with virtuoso sonatas, dances and From Austria to Hungary: Haydn, love songs from the Baroque era. These Schoenberg and Ligeti. The project will 30 strong performers will fill the stage explore two towering figures of the first with glorious music. and second Viennese schools, and follow the evolution and innovation of both Stony brook Composers composers through the prism of Ligeti, Tuesday, April 21 • 8 pm who managed to synthesize many of the recital hall, Free great trends of the late 20th century. The talented young composers at Stony Brook work side-by-side with Earfest the performers of the Contemporary Wednesday, March 11 • 8 pm Chamber Players to present new music in recital hall, Free a colorful range of styles. Sit back in your chair and enjoy the sumptuous sound that surrounds you, Stony brook opera: lucia di including the latest in fixed-media audio lammermoor and video. Presented by the Stony Brook Saturday, April 25 • 8 pm Computer Music Studios. Sunday, April 26 • 3 pm recital hall, $20 Stony brook Symphony orchestra Semi-staged concert performance of Sunday, March 28 • 8 pm Donizetti’s popular masterpiece, Lucia di Main Stage, $20 Lammermoor, in the new critical edition The program features Beethoven’s by Roger Parker and Gabriele Dotto. Leonore Overture No. 3, C.P.E. Bach’s Stony Brook Opera and Stony Brook Flute Concerto in D minor and Peter Symphony Orchestra, David Lawton Winkler’s Symphony (the premiere of the conductor. Performed with projected revised version). Also performing will titles in English, and semi-staged by be Ray Furuta, flute soloist, winner of Brenda Harris. the 2014 graduate concerto competition. Conducted by Eduardo Leandro. Free preconcert lecture with Michael Hershkowitz at 7 pm in the Recital Hall.

Jazz and new Music night Tuesday, April 28 • 8 pm recital hall, Free Small jazz and improvising music groups led by Ray Anderson perform new works and jazz standards. Come hear the “Bright Moments.” Jazz Ensemble Thursday, April 30 • 8 pm recital hall, $10 Directed by Ray Anderson, Stony Brook University’s famed big band, The Blowage, swings the night away with original charts, sizzling classics and hot soloists. Stony brook Chorale and Camerata Singers Monday, May 4 • 8 pm recital hall, $10 The Stony Brook Chorale and Camerata Singers, both under the direction of Shoshana Hershkowitz, will present a program of accompanied and a cappella choral works. university orchestra Tuesday, May 5 • 8 pm Main Stage, $10 The University Orchestra’s final concert of the season with conductor Susan Deaver will include music of Turina, Liszt and Tchaikovsky. The featured concerto soloist will be the winner of the 2015 Stony Brook University Undergraduate Concerto Competition. Spring Chamber Music Festival Wednesday, May 6, to Saturday, May 9 • 8 pm recital hall, Free Faculty, students, guest artists and members of the Emerson String Quartet will perform chamber works of all genres, style, periods and configurations. Lunchtime concerts will be held at noon; the main concerts will be held at 8 pm. The week opens with Jazz in the Plaza and concludes with an honors concert featuring the winners of the Ackerman Chamber Music Competition. Visit www.stonybrook.edu/music for complete listings. Ackerman honors Chamber Concert Saturday, May 9 • 8 pm recital hall, Free The Lauren V. Ackerman Memorial Chamber Concert was endowed by Dr. Ackerman’s family as a tribute to his memory and a continuing reminder of the arts that he cherished. Beginning in 2010, the Department of Music established a competition for the purposes of identifying a particularly worthy group to receive a prize and to perform at this concert.

february 26, 2015 • SBU BRIDGES • PAGE S39

Bridges

North Shore Business Directory ACCOMMODATIONS

HEALTH AND WELLNESS

holiday inn Express . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 hilton garden inn Stony Brook . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

EDUCATION

Away From home Senior day Care . . . . . . . . . . . . . . . . . . . . . . . 23 Ear Works Audiology, P.C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 gentle dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Jefferson’s Ferry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 The Ophthalmic Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Sheri glazer, d.d.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Stony Brook dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Stony Brook Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17, 29 Stony Brook Vision World . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Varicose Vein Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Knox School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Stony Brook University . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

HERITAGE AND HISTORY

AUTOMOTIvE

rhino Linings of North Shore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 CATERING

Elegant Eating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Ward Melville heritage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ENTERTAINMENT

Staller Center for the Arts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

HOME AND GARDEN

FINANCIAL

rJK gardens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Setauket Kitchen & Bath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Archdeacon Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Mark J. Snyder Financial Services . . . . . . . . . . . . . . . . . . . . . . . . . 10 Petraco Associates-Ameriprise . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 PNC Mortgage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

MUSEUM

The Long island Museum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 PET SERvICES

FITNESS

Schwab’s Second Wind . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 World gym of Setauket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Animal health & Wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Corner Animal hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 REAL ESTATE

FUNERAL SERvICES

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

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Coach realtors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Coldwell Banker real Estate, Mt. Sinai . . . . . . . . . . . . . . . . . . . . . 25 douglas Elliman real Estate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Ellen galbraith, realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Fran Saer, realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Kristin Bodkin, realtor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ©129167

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