Primary care takes center stage at EHS
By MELISSA BERMAN mberman@liherald.com
For many residents of the Five Towns, Far Rockaway and the surrounding peninsula communities, a visit to a doctor often comes only after a health problem has become more serious.
Physicians at Episcopal Health Services hope to change that by expanding access to primary care and encouraging patients to seek routine preventive care before chronic illnesses lead to emergencies.
The health system, which serves the Rockaway Peninsula and neighboring communities, has expanded primary care services at the new Walsh Ambulatory Pavilion while recruiting additional physicians and strengthening connections to specialists. Hospital leaders emphasized that the goal is to make it easier for residents to receive comprehensive care close to home.
"Primary care is really about preventing illness before it becomes something much more serious," said Dr. Ravi Gupta, chair of the Department of Internal Medicine at Episcopal Health Services. "Communities like this have historically been underserved, and many chronic illnesses don't cause symptoms until they're already at an advanced stage."
Gupta said residents throughout the peninsula experience disproportionately high rates of hypertension, diabetes, obesity, asthma, chronic obstructive pulmonary disease and high cholesterol. Left untreated, those conditions can lead to heart attacks, strokes, kidney failure and other life-threatening complications.
"The important thing is identifying these conditions early," he said. "If we manage high blood pressure before someone has a stroke or treat diabetes before it damages the kidneys or eyes, we can dramatically
improve quality of life and prevent hospitalizations."
Residents of Far Rockaway have long faced challenges in accessing health care, physicians said. While Episcopal Health Services has significantly expanded its medical offerings over the past decade, many residents remain unaware that services are now available much closer to home.
"In the past, patients often had to leave the peninsula to see specialists," Gupta said. "Now we've built a much larger infrastructure, but many people still assume those services aren't available here."
The expansion of the Walsh Ambulatory Pavilion has helped address that challenge by bringing primary care physicians and specialists together in one location. Patients who require additional evaluation can often be referred to a specialist within the same building rather than traveling elsewhere in Queens or Nassau County.
"We're trying to make it as easy as possible for patients to receive care quickly within the system," Gupta said. "That continuity is incredibly important."
Dr. Zubin Tharayil, an internal medicine physician and director of the Internal Medicine Residency Program, said many patients don't seek medical attention until a condition becomes severe enough to require hospitalization.
"People often think about going to the doctor only when something is wrong," Tharayil said. "By that point, they may already be having a heart attack or their diabetes may be completely out of control."
Routine office visits allow physicians to monitor blood pressure, cholesterol levels, blood sugar and other health indicators before complications develop, he added.
"It allows us to catch issues before they become out of con-
trol," Tharayil said. "That prevents unnecessary hospitalizations while reducing emotional, physical and financial stress for patients and families."
He said many of the barriers to preventive health care extend beyond insurance coverage.
"There are financial challenges, but there's also health literacy," Tharayil explained. "Some people simply don't realize that preventive care can stop these problems before they start."
Regular colonoscopies can detect precancerous polyps before they develop into colorectal cancer. Mammograms allow physicians to identify breast cancer at its earliest and most treatable stages. Low-dose CT scans help screen longtime smokers for lung cancer before symptoms appear.
"There's nothing more valuable than preventive screening," Gupta said. "If we find these conditions early, we have tremendous opportunities to improve outcomes."
Primary care physicians also routinely screen patients for diabetes using blood tests that can identify prediabetes before per-
manent damage occurs.
"We can intervene before someone actually develops diabetes," said Dr. Karina Appel, an internal medicine and primary care physician who also serves as associate program director of the Internal Medicine Residency Program. "Those regular followup visits every three to six months allow us to adjust medications and keep patients healthy."
Appel, who completed her residency at St. John's Episcopal Hospital after growing up in the area, said the peninsula's aging population makes regular primary care even more important.
"Many patients have multiple chronic conditions," she said. "Managing them requires ongoing follow-up and developing relationships over many years."
She said transportation, limited incomes and lack of insur-
ance continue to prevent some residents from receiving consistent care.
"It's important to make sure patients return for follow-up appointments," Appel said. "We remind patients because continuity really matters."
The residency program is also preparing future physicians to meet those community needs. Residents now train in the Walsh Pavilion while participating in expanded educational opportunities, including a simulation laboratory where they practice emergency procedures and clinical skills before treating patients.
"The biggest message is simple," Tharayil said. "Primary care isn't just about treating disease. It's about preventing it, improving quality of life and helping people stay healthy where they live."
Courtesy Episcopal Health Services
From left, Dr. Karina Appel, primary care physician and associate program director of the Internal Residency Program; Dr. Ravi Gupta, chair, Department of Medicine; Dr. Zubin Tharayil, internal medicine physician and internal medicine residency; and Dr. Yating Lee, internal medicine and primary care physician.
Rock Hall Museum celebrates its history
By MELISSA BERMAN mberman@liherald.com
For nearly 260 years, Rock Hall has stood as a reminder of the Five Towns’ colonial past, quietly overlooking the busy flow of traffic along Broadway, a main street running through Lawrence.
Today, thousands of motorists make their way through the Five Towns, often unaware that one of Long Island’s most significant historic landmarks, now a museum, sits just beyond the trees and lawns at 199 Broadway. Yet long before Broadway became a main artery through the Five Towns, Rock Hall was already a fixture of the landscape.
Built in 1767, Rock Hall is considered one of the finest surviving pre-Revolutionary War homes on Long Island. The Georgian-style mansion was constructed for Josiah Martin, a wealthy British sugar plantation owner from Antigua who sought a permanent residence
overlooking Jamaica Bay. Then the surrounding area was largely rural farmland, with open fields stretching toward the water and only a handful of roads connecting small settlements.
Martin purchased roughly 600 acres and built Rock Hall as a grand country estate. During the American Revolution, the home was briefly occupied by patriot forces in 1776, making it a witness to the turbulent years that shaped the nation. After Martin’s death in 1778, the estate remained in his family until financial difficulties led to its sale. In 1824, Rock Hall was acquired by the Hewlett family, whose descendants would own the property for more than a century.
Over the years, the house evolved from a working farmstead to a summer retreat for affluent families seeking respite along Long Island’s South Shore. As the Five Towns developed and transportation
improved, the once-isolated estate found itself surrounded by growing villages and expanding roadways. Broadway, which had begun as a local route
through farmland, gradually transformed into one of the region’s most heavily traveled thoroughfares.
By the late 19th and early 20th centuries, the arrival of the Long Island Rail Road helped spur residential growth throughout the South Shore. Farms gave way to neighborhoods, businesses and schools, while Broadway emerged as the primary east-west route linking communities across the Five Towns. Through all of those changes, Rock Hall remained a recognizable landmark, visible to generations of residents who passed by its stately grounds. The mansion’s survival is particularly remarkable considering the rapid development that reshaped much of Nassau County during the post-World War II era. While many historic structures were demolished to make way for modern construction, Rock Hall endured as a symbol of preservation and community pride.
Recognizing the historical importance of the property, the Hewlett family deeded Rock Hall to the Town of Hempstead in 1948. Following an extensive restoration, the mansion reopened as a museum in 1953, preserving a rare glimpse into
18th-century life. The museum remains on the National Register of Historic Places and serves as an educational center featuring guided tours, lectures, archaeology exhibits and community programs.
In recent decades, Rock Hall has continued to expand its role as a cultural destination, hosting historical reenactments, seasonal festivals, concerts and educational programs for students and families. The museum’s collection of period furnishings, documents and artifacts helps tell the story not only of the house itself, but also of the broader history of Lawrence and the South Shore.
The contrast between Rock Hall and modern Broadway is striking. Outside its gates, traffic moves steadily through the heart of the Five Towns. Inside, visitors can step back nearly three centuries and experience the architecture, furnishings and stories of a bygone era. As Lawrence and its neighboring communities continue to grow, Rock Hall remains a rare connection to the region’s earliest history — a colonial landmark standing watch over a roadway that has become the backbone of the Five Towns.
Courtesy Rock Hall Museum
Rock Hall was built in 1767 for Josiah Martin, a wealthy West Indian plantation owner. The Georgian- style home belonged to two of the area’s most famous families, the Martins and Hewletts.
Goaltender Sam Hillebrandt made a stop on Jesse Nurmi during development camp held June 29-July 2 at Northwell Health Ice
First rounders shine at Isles development camp
By TONY BELLISSIMO tbellissimo@liherald.com
Unlike 2025 when the New York Islanders selected three players within the first 17 picks of the NHL Draft, including eventual unanimous Calder Trophy winning defenseman Matthew Schaefer No. 1 overall, they had only one pick in the first three rounds this year.
That came at No. 13 overall when Schaefer, in Buffalo for draft weekend June 26-27, stepped to the podium to announce the selection of 6-foot-4, 203-pound left-shot defenseman Malte Gustafsson.
“I’m a big two-way defender, I like to contribute all over the ice,” said the 18-year-old Gustafsson, who played 27 games in the Swedish Hockey League with HV71. “I like to use my size, my length and I play physical. Being annoying is part of my game,” he added.
Gustafsson was one of 37 players at Islanders Development Camp June 29-July 2 and impressed in the Blue & White Scrimmage played before an overflow crowd July 1 at Northwell Health Ice Center in East Meadow.
Gustafsson signed a one-year contract to remain with HV71 for the 2026-27 season, but perhaps one day he’ll be teammates with fellow Swedes Simon Holmstrom, Emil Heineman and Victor Eklund.
The latter two became Islanders property during the early stages of the 2025 Draft when General Manager Mathieu Darche dealt defenseman Noah Dobson to Montreal. Heineman scored 22 goals in his debut season on Long Island, while Eklund, drafted 16th, and defenseman Kashawn Aitcheson, 17th, were nothing short of dynamic in the SHL and Ontario Hockey League, respectively.
Eklund is very much looking forward to playing a full season in North America, either with the Islanders or recently relocated Hamilton Hammers of the American Hockey League. The 19-year-old winger registered 6 goals and 18 assists in 43 games for Djurgardens IF in the SHL and made his way to the Bridgeport Islanders (10 points in nine games) and ultimately Long Island for his NHL debut April 14. He recorded his first NHL point, an assist, against Carolina.
“I think I made the right decision at the end of last season to come to North America and adapt as fast as I can,” Eklund said after the Blue & White Scrimmage. “Being here with the boys and playing in front of the fans is a lot of fun. Now I’m looking to get stronger, gain weight and be ready for camp in September.”
Aitcheson, who brings a rare combination of physicality and offensive sizzle, is ready for the next step as well after the 19-year-old earned the OHL’s Most Outstanding Defenseman award after posting 70 points (28 goals, 34 assists) during the regular season and 27 in the playoffs (8, 19) for the Barrie Colts, helping them to the finals.
“Just putting my head down and putting the work in,” Aitcheson said. “This is another step to get ready for training camp. It’s been fun so far.”
Nobody had more fun at the Blue & White Scrimmage than Gleb Veremyev, an undrafted 23-year-old 6-5, 218-pound forward born in Brooklyn. He had a hat trick to lead Team Blue to a 6-3 victory and also scored the winner in a shootout that followed the 40-minute game.
“I’m trying to take everything in this summer, and I feel like I have something to prove for the rest of my career,” Veremyev said.
Kashawn Aitcheson, one of the Islanders’ three firstround picks in 2025 is ready for the next level after starring in the Ontario Hockey League.
Tony Bellissimo/Herald photos
Center in East Meadow.
EDITOR/REPORTER
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Now we need a backflow-prevention device?
Q. We received a letter several weeks ago about yet another expense for our home, to add a backflow device because we have a sprinkler. We’re wondering if this is really necessary. We’ve had a sprinkler for 40 years, and have never had a problem. Can you explain why we need this, and what will happen if we don’t put one in? We got estimates that it could be $750 to $1,000. Is this somehow related to legionnaires’ disease?
A. Yes, you are now required to have a backflow device on your home water line, especially for the sprinkler connection. This became a safeguard, debated for many years, as a reaction to backsiphoning of plumbing lines when there were pressure changes.
The backflow prevention device is a one-way water valve that allows water to flow from the public water main into your home or sprinkler system, but not back into the public water supply. Pressure changes in the line can happen for several reasons, including flushing of public water pipes, which you are notified about, because people report the discoloration of their water from time to time. It can also happen when a fire hydrant is being used or when there’s a water main break.
Any which way it happens, this is a real issue, even if you’ve never noticed it over the past 40 years. You wouldn’t necessarily be the consumer of the contaminants that flowed from your sprinkler line back into the public water supply, but let’s face it, sprinkler heads are exposed to animal waste, pesticides, fertilizers, soil, bacteria and standing water on a regular basis, and you wouldn’t want to drink any of these potentially sickening substances. You’d probably wonder what made you sick, but never connect the dots back to your drinking or cooking water.
I remember the uproar over seat belts in the 1960s, when we were first asked to wear those cumbersome and restrictive devices. Before that, we kids had the freedom to roam from window to window for a better view, to avoid the boredom of long family road trips or grocery store errands. Then seat belts became law. People were defiant, and some even survived accidents without seatbelts. We’ve now had two generations of youngsters who were strapped in like they were astronauts in a rocket sled, and it seems pretty standard now.
The time will come when the contaminants in our water lines will be avoided and we won’t give it another thought. As for legionnaires’ disease, there is little connection between the two. Legionnaires’ disease is mainly caused by stagnant water in a breeding ground of a dark holding tank, in temperatures between 77 and 113 degrees. Those old water tanks, sitting on top of buildings, feeding the drinking and domestic water through buildings by gravity, became perfect for bacterial growth.
Unless you have a well pump sprinkle your lawn, you must add the device — or possibly be fined and forced to do it anyway. Good luck
© 2026 Monte Leeper
Readers are encouraged to send questions to yourhousedr@aol.com, with “Herald question” in the subject line, or to Herald Homes, 2 Endo Blvd., Garden City, NY 11530, Attn: Monte Leeper, architect.
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