An unhealthy diet is a leading risk factor for death, studies show.
Poor nutrition choices were responsible for an estimated 318,656 cardiometabolic deaths in 2012, according to “Association Between Dietary Factors and Mortality From Heart Disease, Stroke, and Type 2 Diabetes in the United States,” a 2017 study by the Journal of the American Medical Association.
The good news is that it’s never too late to get healthy. What better way to start than to explore some of 2020’s most promising nutrition plans? This year’s front-runners are the ketogenic (keto) diet, plant-based diet, and intermittent fasting.
“Many diabetics—Type 2—are using [the Keto] diet for weight loss which helps decrease blood sugar and insulin levels,” notes Greer McGuinness R.D., C.D.N., chief clinical dietician at Cold Spring Hills Nursing Home in Woodbury. “The biggest challenge is following the diet; many patients don’t stick to it and eventually get frustrated and stop, resulting in weight gain.”
The keto diet is a high-fat, moderate- to high-protein, low-carbohydrate diet. McGuinness suggests that diabetics, especially, should collaborate with their physician and dietician to monitor health and achieve success.
Plant-based diets are the next hottest trend, says McGuinness, and for good reason. According to the American Heart Association, a plant-based diet — which entails removing or limiting some or all meat items and consuming fruits, vegetables and grains — reduces the risk of coronary disease, stroke, obesity, high blood pressure, high cholesterol, Type 2 diabetes and many cancers.
“Plant based doesn’t mean you eat less protein,” says McGuinness. “You get protein sources from other items.”
Be sure to get adequate amounts of vitamin B12 and iron, too.
Intermittent fasting does not dictate what types of food you can or can’t eat; rather, “It’s an adjustment of times for consumption of food and not eating,” explains McGuinness.
“The fewer hours you eat, the fewer calories you consume, putting you in a calorie deficit for weight loss,” she says.
Still, consuming healthy foods and practicing healthy lifestyle habits can surely contribute to success. Individuals on medications should consult with their physician, says McGuinness. Whatever nutrition plan you choose, remember, no diet is a one-size-fits-all, says McGuinness, who suggests seeking out counseling if need be.
“The human body is so complex, and everyone is different,” she says, adding that it’s all about “changing the mindset.”
The Argyle Theatre at Babylon Village is taking Long Island theatergoers “under the sea” for one more weekwith the classic Broadway musical, Disney’sThe Little Mermaid.
The enchanted tale of a beautiful, brave mermaid who longs to explore life on land is an absolute must-see. Under the creative leadership of Argyle’s artistic director, Evan Pappas, The Little Mermaid sweeps audiences up in one wave, beginning with mesmerizing ocean sounds breezing through the theatre minutes before both vibrant sea and land-life take the audience by storm, quite literally. With brilliantly designed costumes and choreography, a super creative set, awesome props, intricate lighting and sound details, and a dynamic, talented cast, one would think the real Disney story has come to life in the most magical place on earth, except in this story, the magic is all on Argyle’s stage. An especially “hot crustacean [pit] band” is underneath and fills the theatre with a captivating instrumental performance.
Princess Ariel, played by Kimberly Immanuel, embodies the heart, soul, talent and beauty of the teenaged princess who dreams of becoming human, and live with the charming Prince Eric, played by the dashingly talented, Jeff Sullivan. Immanuel sings Part of Your World with a voice that is both sweet and strong, full of conviction with a hint of a dream about to come true. Her transformation on stage from mermaid to human is pure genius thanks to costume designer, Kurt Alger, whose designs are all exquisitely constructed to reflect each character’s unique personalities.
Ariel’s father King Triton is played with royal perfection by Warren Nolan Jr. He truly personifies your average, protective father and majestic ruler. Under the Sea is a blast, performed by the fiery red crustacean, Sebastian, played by Ryan Gregory Thurman. Such fun and fancy fin-work graces the stage in this scene and more, thanks to an eclectic choreography arrangement by choreographer Tara Jeanne Valle.
Courtney Balan’s performance as the evil Ursula singing Poor Unfortunate Soul, accompanied by Flotsam and Jetsam, her evil sidekicks on skates, was super powerful. Ariel’s faithful friends, Flounder, played by Matthew Rafanelli and Scuttle, played by Michael Valvo, brought that fantastic, fun-loving energy we’ve all come to adore from a Disney Classic.
Several of The Little Mermaid’s cast and crew are returnees, a true testament to the specialness of the Argyle family, started by father-son duo, Mark and Dylan Perlman. Argyle’s frequent theatergoers, too, have come to look forward to and appreciate the exceptional talent and heart that is displayed at each of Argyle’s productions.
Argyle Theatre, 34 West Main St., Babylon. argyletheatre.com, 844-631-5483. Disney’s The Little Mermaid tickets $35-$74 Through February 23.
For Meaghan Wamboldt, 26, of Dix Hills, establishing a healthy relationship with food and her body took nearly half of her lifetime to accomplish.
“Ever since I was a little girl, I always struggled with body image and self-confidence,” she recalls.
During her childhood, competitive cheerleading and dance kept her active and fit on the outside, but by the time she hit her teens, she began to crumble on the inside. Traumatic experiences, poor self-esteem, anxiety, and depression settled in, resulting in dangerous eating and lifestyle habits. By her freshman year of college, Wamboldt was diagnosed with anorexia, alcoholism, depression, anxiety, obsessive compulsive disorder, and post-traumatic stress disorder. Although presently recovered from her eating disorder, Wamboldt suffers from its physical side effects, including a heart condition (bradycardia) and infertility.
According to the National Eating Disorders Association (NEDA), eating disorders are serious, potentially life-threatening conditions that could negatively and indefinitely impact an individual’s emotional, mental, and physical health. The most common eating disorders are anorexia nervosa (starvation), bulimia nervosa (self-induced vomiting following binge eating), and binge eating disorder (eating large quantities of food). Most individuals who suffer from an eating disorder also feel some sort of guilt or shame about themselves and their condition.
“An eating disorder is the degree to which thoughts, actions and behaviors about food, weight, body image and exercise begin to interfere with your quality of life and your ability to be present,” says Dr. Sondra Kronberg, licensed clinical nutritionist, certified eating disorder specialist, and founding executive director ofEating Disorder Treatment Collaborative, which has officers in Jericho and Hauppauge.
There are several potential triggers in eating disorders and Long Island is no stranger to many of them, says Kronberg.
“We live in a pretty image-driven culture on Long Island — the amount of pressure to succeed, be the best and the thinnest, stress, and affluence,” could all create an “epidemic of eating disorders,” she says.
Other triggers may include a history of a mental health condition, a relative with an eating disorder, poor body image, and weight issues, poor self-esteem, anxiety or trauma, and peer pressure, according to NEDA.
“The most obvious sign of an eating disorder is being grossly too thin or being grossly overweight,” says Barbara Crosby, M.S., certified health coach, weight management expert and eating disorder therapist. Other symptoms include thinning hair or hair loss, decreased socialization, increased isolation, not being able to eat around people, etc.
Recovery from eating disorders is “a work in progress and a lifetime responsibility,” says Crosby.
“The sooner the patient is diagnosed the easier it will be to heal,” Crosby says. Working with a mental health professional, nutritionist, physician, etc., who specializes in eating disorders is critical. “The goal is for the patient to have the courage and strength to look into and learn about themselves.”
Support of family and friends may also contribute to healing and help foster positive self-attitudes and gratitude. Crosby advises: Don’t discuss food, weight or appearance.
“Instead, chat about the weather, kids, jobs, vacations, movies … If asked how they look, “stay neutral,” she suggests, with a reply like, “You look beautiful.”
Those who succeed in recovering from an eating disorder have this in common: “They learn how to eat and care for themselves emotionally, physically and spiritually in a way that supports their aliveness, well-being, spontaneity, growth and development,” says Kronberg.
Wamboldt says her life was saved by a team of professionals including a nutritionist, psychologist, psychiatrist, medical doctor, and support group, as well as her faith.
“I no longer view my body as a battlefield, and food isn’t the enemy,” she says. “I learned that my worth and my value doesn’t come from a number on the scale, but what’s in my heart. I learned that self-esteem comes from doing esteemable acts and living my life according to my values and morals. I learned that I am loved because of who I am inside, not outside.”
Long Island parents were amongan estimated 1,000 protesters who picketed on Jan. 8 outside the New York State Capitol in Albany to rally against a pair of proposals that would mandate students to get additional vaccines to attend school.
If passed, the bills would require an annual flu vaccine for minors from age 2 months to 18 years and require the HPV vaccine for all children born on or after January 1, 2009. Supporters of the bills say the mandates are necessary for public health. Opponents say the science is not settled as to the vaccines’ safety and the government is interfering in parents’ medical decisions for their children.
”Many children in daycares and preschools are exposed to daily close contact with other young and possibly ill children,” state Sen. Brad Hoylman (D-Manhattan) wrote in his sponsor memo for the flu bill. “Often children of this age group are too young to have been properly taught to cough properly and protect themselves from disease. Vaccination is the best way to make sure our youth is protected.”
According to the U.S. Centers for Disease Control and Prevention (CDC), the flu vaccine can reduce flu illness in up to 60 percent of the general population, depending on how well the current, circulating flu virus is matched to the current flu vaccine virus. Influenza vaccine effectiveness for all vaccine types against influenza A or B for 2019 to 2020was 48 percent for children ages 6 months to 8 years and 7 percent for children ages 9 to 17, says the CDC.
“Children at that age are at high risk for complications and more likely to transmit influenza,” says Dr. Jana Shaw, chair of public education for the New York State HPV Coalition and an associate professor of Pediatrics at SUNY Upstate Medical University. “The flu vaccine is not perfect but it’s better than nothing.”
The benefits outweigh the risks, she says. But skeptics remain. Critics note that the flu shot has the most complaints filed with the Vaccine Adverse Event Reporting System (VAERS), a federal program for vaccine safety, co-managed by the CDC and the U.S. Food and Drug Administration (FDA).
“Flu vaccines like all other federally recommended vaccines, are inadequately tested,” says Mary Holland, general counsel of Children’s Health Defense and co-author of HPV Vaccine on Trial: Seeking Justice for a Generation Betrayed. “They’re not tested against true inert placebos and not tested over a long period of time. We know that many flu vaccines contain mercury and aluminum — known neurotoxins.”
Sen. Hoylman is also sponsoring the HPV bill.
“Human papillomavirus is an incredibly common sexually transmitted infection that can be passed on even when an infected person is asymptomatic, and can cause genital warts or cancer,” he says in his sponsor memo for the HPV bill.
According to the CDC, the numbers of cases and the number of deaths from cervical cancer have decreased significantly in the past 40 years, due mostly to women getting regular Pap tests, which can identify cervical precancer.
Dr. Shaw says the HPV vaccine can prevent that precancer — HPV infection — and cancer in the future.
“Most of the infections happen early in life,” she says. “You can be infected with HPV. You will have no symptoms and no idea you are infected and then you will go on developing cancer.”
An annual Pap smear and consistent medical care — not the HPV vaccine, Gardasil 9 — are the safest and most effective means of preventing cancer, critics say. According to VAERS, more than 60,000 serious injuries and more than 500 deaths were reported from the HPV vaccine as of October 14, 2019.
“The HPV vaccine has never been proven to prevent a single case of cancer ever,” Holland says. “The clinical trials to license Gardasil 9 were grossly inadequate and fraudulent. The injuries and deaths from the HPV vaccine are real. No parent knowing the real risks would choose to give it to their child.”
Bills that would permit minors to receive this vaccine without parental knowledge or consent “are unethical and violate the principle of informed consent,” she adds.
New York State Assemblyman David DiPietro (R-Erie County) says the proposed mandates are an example of government overreach and the pharmaceutical industry flexing its muscle, as he suggests was the case in 2019, with the controversial repeal of religious exemptions for vaccines for students in the wake of the measles outbreak.
“It’s not a coincidence that on June 13 — our last day in session — we passed this bill and then on June 14 when we were not in Albany, the [pharmaceutical] company Merck drops 48 million in New York State,” DiPietro says.
With a fabulous cast ranging in age from 7 years to grown-up, an extraordinary creative score, catchy tunes, fantastic special effects, and awesome choreography, Matilda the Musical will entertain audiences of all ages at Cultural Arts Playhouse (CAP) in Syosset.
The role of the tiny yet ever-so-capable Matilda Wormwood is shared by three super talented girls: Goldie Lynne Centamore, Claire Daly, and Sofia Jarmel.
“Their innocence and sweetness, as well as their talent shine through and their ability to memorize such massive material is amazing,” says Bruce Grossman, CAP’s owner and artistic director.
Based on the beloved Roald Dahl classic, Matilda is the story of an exceptional, seemingly enchanted girl who at 5 years old has read hefty titles as Crime and Punishment and Jane Eyre, and even speaks Russian. Rather than praise their daughter and shower her with kisses of pride, Matilda’s parents resent her for not being a boy and are incredibly cruel to her. Matilda attends a private school with a monstrous headmistress, Miss Trunchbull, played by John DiGiorgio and Jerry Callahan. Fortunately, Matilda and her school friends meet kindness in their teacher, Miss Honey, played by Alyson Endlich and Samantha Eagle. The children discover that “even if you’re little, you can do a lot,” a message that resonates well with CAP.
“Our theater is pretty profound for its development and work with kids,” Grossman says. “We give very good training and bring them up in a very positive fashion and help instill confidence.”
CAP offers youth classes and productions, as well as mainstage performances. It makes it a mutually enjoyable experience when child and adult actors collaborate for a mainstage production.
“The kids absolutely love working with an adult cast — it makes them feel like it’s Broadway,” he says. “The adults are very appreciative because they know it will enhance the show to have really talented kids in the appropriate roles.”
Matilda the Musical is one monumental endeavor, says Grossman, but a welcome challenge that comes with great reward for CAP’s dedicated, creative production team that includes Tony Frangipane, artistic director; Amanda Schmidt, stage manager; Kristina King, choreographer; and Rich Giordano, music director.
Matilda the Musical runs from Jan. 4 to Feb. 2 at Cultural Arts Playhouse, Syosset, 170 Michael Drive. 516-694-3330. culturalartsplayhouse.com Tickets are $24-$38.
Editor’s note: Goldie Lynne Centamore is Michelle’s daughter.
Every year, on December 31 as the clock approaches midnight, billions of people around the world envision a better year ahead.
They dream of a healthier, happier, and more successful life — smiles, laughter, everything coming up roses.
New Year’s resolutions can motivate us to create positive change personally and professionally, but experts advise: To make those resolutions stick, make both your goals and steps to achieving them attainable.
To successfully accomplish your goals and realize your true potential, look within and “focus on you,” says Dr. Christine Grimaldi, founder of The Body Mantra Method, a fitness program for on-the-go celebrities and owner of Body Mantra and Barre Salt Spa in Smithtown. Dr. Grimaldi’s paramount advice: “The key to daily, sustainable happiness for yourself, and even for helping others, is to make yourself a priority.”
Daily meditation can help, Dr. Grimaldi suggests.
“Spend five minutes at night making a gratitude list of that day and then a brighter meditation,” she says. “Implementing these tasks will make you a happier and healthier person as a whole.”
PICK A WORTHY RESOLUTION
Consider your reasons for pursuing your resolution, advises Ron Villano, psychotherapist, founder and director of Family & Personal Counseling and Hypnosis of Long Island, and author of the self-help book The Zing.
“Does it align with your values and beliefs or is it something you’re doing because someone else thinks it’s important for you to do?” he asks.
Stefani Kavner, clinical social worker, certified holistic health coach and personal trainer and owner of Huntington-based health and wellness organization Fit for Life, recalls a 78-year-old client who wanted to improve his health so he could dance with his granddaughter at her wedding and one day meet his great grandchildren.
He “showed up” to work out three times per week for years. At first, “he could hardly do a crunch and within months he was doing full sit-ups. I watched him gain strength and confidence and dance with his granddaughter at her wedding. He’s continued to work out three days a week at 82 years old.”
“Most of us want to lose weight but planning to lose 10 pounds in 10 days is impossible to achieve,” notes Kavner. An alternative, attainable goal, she suggests, is aiming to lose five pounds in one month. Baby steps.
“If you want to start waking earlier to exercise first thing in the morning, start by setting your clock back 15 minutes earlier than your normal wake-up time for an entire week before setting it back another 15 minutes the following week,” she says.
If detaching from technology is your mission, start small, suggests Villano.
“Going cold turkey is not a realistic solution,” he says. Instead, he suggests, “For the month of January, I will not look at my cell phone past 9 p.m. … It gets you on the right path and sets a realistic goal designed to give you a win!”
HOLD YOURSELF ACCOUNTABLE
Write everything down. Break down your goals into smaller, more manageable timeframes and record your progress.
“You can tweak as things change for you, as life is constantly changing,” says Kavner.
For goals that are particularly challenging — like quitting smoking, ending addiction, losing weight — it’s all right to seek professional counseling or support from family and friends.
“Resolving to make major lifestyle changes to benefit your health and welfare takes a team—with you in the driver’s seat,” says Villano.
“Permanent change is the eventual goal but taking notice of the successes you make along the way will help you build that momentum to stick to it,” says Villano.
Mistakes happen and that’s OK — that’s life.
“Give yourself a good old-fashioned pat on the back for sticking to the long-term change,” he says.
“Real, lasting change is hard and happens by changing small habits over time,” adds Kavner. “Time is your friend.”
Long Island professionals gathered on Nov. 22 at the Stonebridge Country Club in Smithtown for the Hauppauge Industrial Association of Long Island’s (HIA-LI) 9th annual Women Leading the Way Executive Breakfast.
Some of the most distinguished female executives on LI served as featured panelists. They included Discover Long Island CEO Kristen Jarnagin, Carolyn Mazzenga, managing partner of the Melville office of Marcum LLP and tax partner and leader of Family Wealth Services Group at Marcum LLP, Rebecca O’Connell, managing director and region-head of Chase Bank, and Long Island Press Publisher Joanna Austin. The event was moderated by Domenique Camacho-Moran, partner, Farrel Fritz, P.C.
The panelists explored common issues experienced by local female professionals and empowered attendees to approach their careers with knowledge, strength, courage, and faith and to never give up on a dream, whether personal or professional.
Here are some key takeaways:
FIND YOUR INSPIRATION
Inspiration is a key motivator for personal and professional success, according to Austin.
“You have to find inspiration from every aspect of your life whether it is from your family that influences your work or your work that influences your family,” she said.
For Austin, “the everyday hero” who gets the job done, is happy, and is still standing at the end of the day is certainly applaudable.
DEFINE YOUR SUCCESS
For most of the panelists, the definition of “success” was initially tied solely to financially security but evolved to include more substantial values.
While in college, O’Connell said, “I had my eye on the money.” Her vision changed once she embarked on her career. She came to define success not only by earnings but also by abilities, thriving on her own courage, commitment, humility, and ability to connect with others.
“The minute that I recognized that and started leading in that capacity was the minute I started making a difference in the organization, as well as for myself and for the individuals around me,” she said.
PROMOTE AND PERSEVERE
“Hope is not a strategy,” said Mazzenga.
She recalled a childhood memory in which she asked her mother why there were no female paper carriers; her mother could not answer. From that point on, Mazzenga was determined to not let anything stand in the way of her success.
“If you can’t tell me why I can’t do it, then I’m going to do it,” she said. “That drove me all through my career.”
Success takes wholeheartedness and ambition, asserts Jarnagin.
“You have to have the passion for what you love and what you do,” she added.
OWN YOUR SKILLS
O’Connell offered some key advice she received from her mentor while at a crossroads in her career. She said these words helped her reach a greater level of success.
“Don’t sit back and wait,” she said. “Find outside opportunities and be proactive.”
Jarnagin said the proof is in the pudding.
“If you want to be a manager, act like it,” said Jarnagin. “Take on management roles and show that you can do it.”
Austin added, “You have to have the courage to push boundaries.”
Respect yourself and respect your team.
“Listen,” Austin advised.
DON’T FEEL GUILTY
Leaders can have hearts, but they also need to have thick skin and the ability to make difficult choices, said Mazzenga.
Regarding terminating an employee, she said, “There are times when you just need to part ways.”
It’s possible to do with no hard feelings.
FIND A BALANCE
“If you want to have it all, you need to manage your sacrifices,” said Jarnagin.
While work and family are both a priority, she notes that sometimes, something’s gotta give. Finding the balance to keep everyone including yourself happy is critical, she noted.
There’s no hard-fast formula to achieving work/life balance, said Austin. It’s personal.
Notice something suspicious on your skin? Early detection saves lives, reminds the Skin Cancer Foundation.
But what do you do when you call for an appointment and you’re told you’ll have to wait days or even weeks for an appointment? Enter the new convenient care, designed to help patients avoid panic mode, achieve peace of mind, and receive professional treatment in a timely fashion: Walk-in Dermatology in Greenvale, Long Island’s first local walk-in dermatologic office.
“The increase in public awareness of skin cancers and advanced treatments available for chronic skin conditions has encouraged more people to have their skin examined,” says Stacey Brisman, M.D., F.A.A.D. ”This, combined with the shortage of dermatologists, has contributed to long wait times to see a board-certified dermatologist.
Dr. Brisman is a board-certified dermatologist and member of the American Academy of Dermatology, Women’s Dermatology Society and Skin Cancer Foundation. In April, she and Steven Dresner cofounded Walk-in Dermatology, which provides medical and cosmetic dermatologic services and allows patients to book online, call the office or simply walk in on the same day to be seen by a dermatologist. Dr. Brisman is joined by dermatologists Dr. Louis Siegel and Dr. Kumar Sukhdeo, both Fellows of the American Academy of Dermatology.
At Walk-in Dermatology, “anyone can walk in and be seen seven days a week for any skin care condition,” Dr. Brisman says. Plus, the office accepts most health insurance plans.
The secret to Walk-in Dermatology’s success is quite simple, says Dr. Brisman. While the practice provides the same services — full-body skin examinations, diagnostics, cosmetic procedures, etc. — as a traditional dermatology office, their approach is more modern and keeps in mind that people are busy and sometimes waiting is not an option.
“It’s all in the scheduling,” she notes. “We manage our calendar to avoid scheduling back-to-back patients so that someone who needs to be seen the same day can simply walk into the office.”
“In dermatology, faster is better,” notes Dr. Brisman. “The sooner you are diagnosing any kind of skin cancer, the more treatable it is…rashes, contact dermatitis and other skin issues need to be dealt with faster before they spread.”
The goal of Walk-in Dermatology’s founders is to achieve efficiency in patient management, monitoring and follow-up by utilizing advanced technology systems to manage electronic medical records.
“It’s super high-tech stuff and we believe this is really the future of care,” Dr. Brisman says.
While Dr. Brisman is thoroughly enjoying being able to serve patients more efficiently at Walk-in Dermatology, she notes, “The hardest part about starting a new practice for me was leaving the special bonds that I had made with so many of my prior patients.”
She says thankfully she has been reacquainted with some familiar faces. Robyn Doubert of Port Washington was a patient of Dr. Brisman’s at her previous practice who says she owes her life to Dr. Brisman. For years, other physicians missed a spot that had concerned Doubert; Dr. Brisman tested the area and diagnosed Doubert with melanoma, the most serious type of skin cancer.
“I was very lucky and thankful she is so thorough,” Doubert says. She has also taken her three children to Walk-in Dermatology. “It’s a big relief to know you can get right in. We maybe waited twenty minutes; you can wait an hour plus 20 [minutes] at a regular doctor’s office.”
Great Neck residents Harold and Jacqueline Lamkay also followed Dr. Brisman to Walk-in Dermatology.
“We were so impressed with her there; we’d follow her wherever she goes,” Harold says.
The quick and easy access to care at Walk-in Dermatology has come in handy for Mr. Lamkay. Upon returning with his wife from a recent trip overseas, he had noticed a rash.
“She [Dr. Brisnan] saw me immediately and prescribed medication; she gave me her cell,” he says.
The rash was healed in five days.
“I feel humbled everyday with the incredibly positive feedback from patients old and new about the convenience of Walk-in Dermatology and the exceptional care they received by our board-certified dermatologists,” says Dr. Brisman.
Walk-in Dermatology is located at 50 Glen Cove Rd. in Greenvale. It can be reached at 516-621-1982 or walkindermatology.com
Between 2012 and 2016, there were 13,064 new cases of female breast cancer in Nassau and Suffolk counties, according to the U.S. Centers for Disease Control and Prevention.
In response, New York State and Long Island healthcare systems continue to raise the bar in care and treatment for patients facing a breast cancer diagnosis, enhancing their approach from an emotional, physical, and physiological perspective and making it more accessible overall. To date, most healthcare systems have embraced a multidisciplinary approach to treating breast cancer, as well as innovative practices to improve their patients’ outcomes.
“It’s easier to share information and sharing information leads to more consistency and higher quality care,” says Dr. Brian O’Hea, director of the Carol M. Baldwin Breast Care Center in Stony Brook.
As an academic medical center, Stony Brook has access to the most current clinical trials, in addition to standard of care, he says.
“We also have a radiation oncology team looking for ways to treat patients successfully with less radiation treatments,” he says, noting that the goal is “patient-centered and patient-focused care.”
Dr. O’Hea was the first fellowship-trained breast surgeon on Long Island.
“Breast cancer surgery was [initially] mixed in with hernia and gall bladder surgery,” he says. “The advent of breast fellowships and specially trained breast surgeons trained on the technical aspects of breast cancer surgery, and also including adjuvant therapies, was a huge innovation for women.”
Stony Brook was also the first in New York State to receive accreditation from the National Accreditation Program for Breast Centers (NAPBC), he notes.
Going forward, Stony Brook remains committed to research, for example, “looking for better imaging of the armpit lymph nodes to see whether there is cancer or not using a special MRI coil,” Dr. O’Hea says.
The center isn’t alone in its innovation. South Nassau Communities Hospital in Oceanside recently partnered with Mount Sinai to becomeMount Sinai South Nassau.
“We are pleased to be the flagship hospital for Mount Sinai,” says Dr. Christine Hodyl, director of breast services at Mount Sinai South Nassau.“All of the components are here in the hospital, with less travel and having expertise in breast cancer care in a patient’s own backyard.”
Mount Sinai is embracing new approaches to breast cancer surgery, utilizing oncoplastic techniques.
“We provide the most innovative surgical techniques that have excellent cosmetic results and improve the functional quality for a patient,” Dr. Hodyl says. For example, “We are now placing implants above the muscle and we are able to do an immediate implant reconstruction at the same time as a mastectomy, leaving the muscle in place; and this leads to less pain, quicker recovery and a smaller number of surgical procedures.”
Mount Sinai is also adding genetic testing programs, genetic counselors, and nurse navigation to its protocol in order to best serve patients with breast cancer.
NYU Langone Medical Center and Winthrop-University Hospital in Mineola united several years ago to enhance their healthcare networks on Long Island.
“We are able to provide the same kind of care that is provided at NYU Langone at the Perlmutter Cancer Center on Long Island,” says Dr. Nina D’Abreo, medical director for Breast Health at Perlmutter Cancer Center at NYU Winthrop.
Perlmutter aims to improve the multidisciplinary approach to breast cancer care and breast cancer survivorship. Dr. D’Abreo chairs an annual breast health symposium committed to offering up-to-date care and the latest innovations “right from prevention to survival,” she says. This includes everything from education and screening to social work and navigation to research and advanced treatments.
Perlmutter has dedicated breast surgeons who are skilled in minimally invasive techniques for breast surgery-reducing lymph node surgery, as well as Savi Scout technology, which uses radar technology to guide a surgeon and target breast tissue during a lumpectomy or biopsy procedure, Dr. D’Abreo notes. Perlmutter helped pioneer prone breast radiation therapy, which minimizes radiation damage to the lungs and the heart, she adds.
The Perlmutter Center is researching immune therapy for triple negative breast cancer, participating in local and national clinical trials, says Dr. D’Abreo.
Located in Uniondale,Memorial Sloan Kettering Nassauoffers expert cancer care including chemotherapy, immunotherapy and radiation — with greater convenience for Long Islanders.
“At Memorial Sloan Kettering, we have many clinical trials that are available to patients in all stages of breast cancer treatment both up front, as well as clinical trials that have cutting-edge therapies for metastatic disease,” says Dr. Tiffany Troso-Sandoval, board-certified medical oncologist at Memorial Sloan Kettering.
“The role of DNA molecular profiling gives a more comprehensive understanding of the DNA mutations that contribute to the cancers’ function,” she says. “This test is run on every patient that has recurring or metastatic cancer. Results are placed in a databank shared with physicians and patients so if a clinical trial should arise and a patient has that same gene, our computers will pick that up immediately.”
“MSK is considered to be one of the top organizations with cutting-edge evaluation and therapy for breast cancer,” she continues. “Our facility at Nassau has full-time social work, nutrition, and physical therapy, in addition to layers of supportive nursing and multiple subspecialty positions to help support the patients physically and emotionally.”
Northwell Health is committed to assuring that “patients are better informed, more supported and experience a better journey when they’re diagnosed,” says Dr. Karen Kostroff, chief of breast surgery at Northwell Health. Northwell’s cancer centers throughout Long Island — including Huntington, Great Neck and the Imbert Cancer Center in Bay Shore — make expert care accessible and offer everything from screening and diagnosis to surgery to posttreatment, which includes a breast survivorship program.
Northwell’s multidisciplinary team allows for consultation and discussion to ascertain an appropriate plan of treatment for individual breast cancer patients. Treatment could include radiation, chemotherapy, surgery, etc., however, there is no one-size-fits-all approach, explains Dr. Kostroff, noting that genetic history and testing is also valued.
Dr. Kostroff leads a systemwide tumor board that addresses patients whose cancer is uniquely “challenging and complicated.” This forum includes 12 sites throughout the Northwell system.
“All of these physicians are learning and discussing — sharing updated information on new clinical trials and education,” she explains. “We are also involved in a tumor donation program, where instead of the tissue being discarded once it’s studied, it is given to Cold Spring Harbor Laboratories so they to can research on a fresh tumor.”
With Northwell Health’s Center for Wellness and Integrative Medicine, “patients can also focus on taking care of their bodies through programs such as reiki, Pilates, massage and more,” says Dr. Kostroff.
Catholic Health Services offers patients diagnosed with breast cancer treatment and services throughout Long Island. CHS’ six hospitals include Good Samaritan Hospital Medical Center in West Islip, Mercy Medical Center in Rockville Centre, St. Catherine of Siena Medical Center in Smithtown, St. Charles Hospital in Port Jefferson, St. Francis Hospital The Heart Center in Roslyn, and St. Joseph Hospital in Bethpage.
CHS offers early detection and imaging services, utilizes minimally invasive techniques for breast disease, and also provides genetic counseling for individuals who have an increased risk for breast cancer. Education and support groups are offered to ensure patients are provided with emotional as well as physical care. Like the majority of, if not all healthcare systems, CHS also embraces a multidisciplinary approach to breast cancer.
Lifting spirits while dropping their drawers is the cast of the smash hit Broadway musical The Full Monty, which opens Sept. 12 at The Argyle Theatre at Babylon Village.
This comedic masterpiece, based on Terrence McNally’s book with music and lyrics by David Yazbek and the 1997 film proudly struts the stage beginning September 12, thanks to Argyles’ beloved father-son duo and owners Mark and Dylan Perlman and brilliant artistic director Evan Pappas.
“The audience will want to root for everybody,” says Pappas. “At the end of the day, these wonderful, glorious people are just trying to survive out of their love for their families and children, and just to work and protect their world by doing something so wonderfully silly.”
The musical follows the story of six recently unemployed steelworkers from Buffalo, all low on funds, self-esteem, and hope but high on anxiety and desperation. The story takes place in the 1980s, when Chippendales dancers were bringing in lots of dough. Feeling inspired and eager to pay overdue bills and child support, and improve their relationships with themselves and their loved ones, the guys unite to create their own act, in which they will strip down to nothing to give their audience The Full Monty.
The actual story of The Full Monty is “brilliant,” and “so well written,” including the lyrics that emit a fun, urban vibe, says Pappas. The audience will find they can surprisingly relate to the story’s central themes and characters. Pappas says his vision for the production included keeping it real, as well as hilariously funny. Picture six average Joes preparing for their act in the living room.
In addition to a stellar cast, bringing this awesome musical comedy to life is Argyle’s fantastic creative team, including set design by Front Row Theatrical, costume design by Peter Fogel, lighting design by Graham Kindred, sound design by Carlos Dias, Jr., props and production coordination by Alison Savino, Technical Director Michael Kauffman, Production Stage Manager Krista Swan, Assistant Stage Manager Julianna Cricchio, and Casting Director Michael Cassara.
Get your tickets today!
Argyle Theatre at Babylon Village, 34 West Main St., Babylon. argyletheater.com, 844-631-5483. The Full Monty tickets $49-$74. Sept. 12-Oct. 20.