The trial of a former manager of the Poxabogue Golf Center in Sagaponack on a felony charge of unlawful surveillance got underway Thursday in the Arthur Cromarty Criminal Court Complex in Riverside.

John W. Cortes, an assistant district attorney arguing the case, told the jury that Steven Lee of Ronkonkoma had violated the privacy of a 16-year-old girl when, on July 28, 2015, he took a single photograph with his iPhone through what was, effectively, a two-way mirror. "This was no accident. This was no mistake," Mr. Cortes said. "He made the decision to exploit this child for his own selfish reasons."

He said that Mr. Lee had stored the photo on his phone "day after day after day, month after month after month," until his arrest in October 2015.

The Poxabogue Golf Center is a public course owned by the Town of Southampton, which contracts for its management. It was closed temporarily following Mr. Lee's arrest.

The defense did not dispute that Mr. Lee took the photograph of the girl, who was seated on a bench outside his office, and kept it on his cellphone. James O'Shea, one of Mr. Lee's two attorneys, told the jury that Mr. Lee's taking the photograph was "distasteful, stupid, but not illegal," as she was seated in a public place.

The girl was waiting for her parents to finish a golf game on the nine-hole course. The photograph shows her with legs spread and one foot up on the bench, revealing her underwear.

The town's handling of the investigation, however, was an issue for the defense.

On Thursday, Mr. Cortes called five witnesses, including Howard Matheson, who was employed at Poxabogue at the time of the incident. He told the jury that Mr. Lee, who was his manager, had shown him the photograph on the cellphone shortly after taking it, and that the photograph bothered and disgusted him.

A couple of days after being shown the image, Mr. Matheson called then-Supervisor Anna Throne-Holst to complain. She was not in, so he left a message with a secretary. Two more days went by, and he discovered a recorded message from Ms. Throne-Holst on his phone. "We are well aware of it, and things will be taken care of," she said, according to Mr. Matheson. He later deleted the message.

This, apparently, was weeks before police began an active investigation. It appeared from the testimony that Mr. Matheson was the first Poxabogue employee to be interviewed by police, on Sept. 30, 2015, nearly two months after he had contacted the town supervisor.

Mr. Matheson said he had not called police after being shown the photo. Neither had another Poxabogue employee who took the stand, John Haining, who was an assistant golf pro there. Mr. Haining said during cross-examination by Patrick O'Connell, the other attorney representing Mr. Lee, that Mr. Lee had called the photo "a view from my office." He said Mr. Lee "was laughing about it. We said he should delete it. It is not a good picture."

Mr. Lee was arrested on Oct. 21, 2015.

Also testifying was one of the supervising police officers who handled the case, Sgt. William Kiernan, who read to the jury Mr. Lee's statement to police. "A girl was sitting outside my office. I saw a girl with her legs spread," Mr. Lee is quoted as saying. "I did it kidding around. It was more of a joke than anything."

The trial is scheduled to resume on Monday in the courtroom of New York State Supreme Court Justice John J. Toomey before a jury of six men and six women.

Update, 1:30 p.m.: The East Hampton Fire Department stopped a fire from spreading throughout an industrial building Tuesday morning. Chief Ken Wessberg said the fire started while work was being done on trucks inside one of the bays in a large pole barn at 10 Washington Avenue just before 9 a.m.

According to the chief, firefighters contained the fire to just two bays occupied by a landscaping company owned by Richard Swanson. Oscar's Rock and Dirt, an excavating company, and an electrical company occupy the other bays of the building, Chief Wessberg said. The building is owned by John DiSunno of Amagansett. 

"It was a great knockdown by my guys," the chief said Tuesday afternoon after turning the investigation over to the East Hampton Town fire marshal's office. "Unfortunately, the guy lost all of his equipment," including lawn mowers, rototillers, and the like. 

The State Department of Environmental Conservation was also called in to oversee the cleanup of fertilizer. 

Originally, 9:16 a.m.: A fire broke out in a commercial building at 10 Washington Avenue, off Springs-Fireplace Road in East Hampton, on Tuesday morning. Emergency 911 dispatchers received several calls from people reporting black smoke pouring out of the building at around 8:50 a.m. 

East Hampton Fire Department personnel on scene confirmed that there was a fire in the building. It was not immediately clear which business occupies that building. Oscar's Rock and Dirt, an excavation company, uses that address, according to a Google search. East Hampton Fire Chief Kenny Wessberg called for the town's hazardous-materials team to respond at 9:17 a.m. 

Earlier, chiefs called for backup from the Amagansett Fire Department's rapid intervention team, which stands by in case firefighters who go into the building need to be rescued. The Springs Fire Department was asked to stand by at East Hampton's firehouse in case there are any more calls. 

The East Hampton Town fire marshal's office was called to investigate the cause. 

Check back for updates as they become available. 

Four people were treated for minor injuries at Southampton Hospital Tuesday morning after a head-on collision on Montauk Highway in Water Mill.

Sgt. Frederick Boese of the Southampton Town police said a vehicle traveling west crossed into the eastbound lane, striking another vehicle near the intersection of Cobb Road at about 6 a.m. A third vehicle was also involved.

Southampton Volunteer Ambulance transported two patients and asked for assistance from the Bridgehampton Fire Department and Southampton Village Volunteer Ambulance, which transported the other two patients to Southampton Hospital.

Alfred Callahan, the second assistant chief with the Southampton Fire Department, said that "due to the extensive damage to two of the vehicles" and gas leaking from one of them, the eastbound lane was closed for about an hour while the scene was cleaned up.

Police did not release any further information.

The former Sag Harbor School Board president charged with violating the Suffolk County Social Host Law by knowingly allowing a group of Pierson High School students to drink alcohol at a birthday party at her house on Jan. 27 denied the accusation during her arraignment in Southampton Town Justice Court Friday. The charge, for which Susan Elizabeth Guinchard Kinsella faces trial, is a misdemeanor that carries a $500 fine for a first conviction.

Southampton Town police had been alerted that minors might be drinking at Ms. Kinsella's house, at 20 Barclay Drive in the West Banks neighborhood of North Haven, that night by state police who received an anonymous tip on 866-UNDER21, a line set up to encourage such reporting.

Police said an officer who arrived at the house could see, through a glass sliding door leading to the basement, a beer pong table and youths drinking out of red Solo cups. When police knocked on the door, they said Ms. Kinsella refused to allow them access. After her arraignment before Justice Deborah Kooperstein, Ms. Kinsella said that her house has about 10,000 square feet of finished floor space, and that she was in her bedroom on the second floor when police arrived, unaware of any alcohol consumption in the basement.

She was represented by Daniel G. Rodgers of Southampton, who asked for and was granted the earliest jury trial date on the justice's criminal calendar. Referring to an allegation that Ms. Kinsella had locked out police, he said, "Seriously? It was dark, you have kids in your house, and you are finding out for the first time that alcohol is being consumed."

A jury trial was set for June 29, though Ms. Kinsella and Mr. Rodgers said they may ask to have a bench trial — that is, a trial without a jury — in front of Justice Kooperstein if it could take place earlier. Bench trials generally take far less time to organize. Mr. Rodgers and his client stopped to speak with The Star outside the courthouse as heavy snow fell. "Think of if you were accused of doing something that you didn't do," Mr. Rodgers said. "You would be angry and upset and you would want your day in court."

Ms. Kinsella, who is due back in court on April 4, has agreed to waive pre-trial hearings in order to obtain a quick trial date.

The Suffolk County law Ms. Kinsella is alleged to have violated requires "corrective action" if an adult realizes that underage drinking is occurring. Police allege that Ms. Kinsella did not take such action, while Mr. Rodgers said she did, breaking up the party and questioning the students.

Police said that after Ms. Kinsella refused to let them into the house, they waited outside and spoke with the teens as they left. One of those questioned reportedly told police that Ms. Kinsella "did come downstairs to tell us to keep it down." Three of the four statements in the court file are dated the following day. It is not clear whether these statements were recorded shortly after midnight, or later.

At the arraignment, Carla Alison Egan, an assistant district attorney, asked that bail be set at $1,000. Mr. Rodgers argued that his client was not a flight risk and should be released without posting bail. "She has children. She is heavily involved in the community," Justice Kooperstein said as she rejected the prosecution's request.

Ms. Kinsella had brought a book with her and was reading before the court was called into session. "I need some Zen in my life. I am reading a book on Zen," she said afterward.

With ominous weather expected to descend on the Northeast overnight, officials are gearing up for what Suffolk County Executive Steve Bellone said will be "a massive storm." Many local government offices will be closed on Tuesday, and some schools have begun announcing closures.

Most of Long Island remains under a blizzard warning, except for the eastern end of Long Island. Suffolk County is on "the southern edge of this weather pattern," Mr. Bellone said in a teleconference with the media on Monday afternoon. "If it tracks one way or another, it would create more or less of an impact," he said, though he added it will be serious regardless. "How significant it is remains to be seen." However, he said, "As we get closer and closer to the event, the likelihood of any major shift is decreasing rapidly."

The East End remains under a winter storm warning from midnight on Tuesday to midnight on Wednesday. Snow accumulations of 8 to 12 inches are expected, with "blizzard conditions" still in the forecast for Tuesday morning, turning to a mixture of rain and snow in the afternoon.

Snow is expected to begin around 3 a.m. "The worst of the storm will be tomorrow morning during the commuting hours," Mr. Bellone said, anticipating the roads will be "treacherous" if predictions hold up. Coastal flooding and high winds over the next 24 hours are also cause for concern.

East Hampton Town Police Chief Michael Sarlo used the same word to describe expected road conditions on the South Fork, despite anticipating less accumulation than the western part of the county.

East Hampton and Southampton Town and East Hampton and Sag Harbor Village offices have already been closed, and public meetings have canceled ahead of the storm. Southampton Town Supervisor Jay Schneiderman declared a snow emergency on Monday afternoon, effective at midnight through Tuesday. Motorists are being asked to stay off the roads and travel only when it is absolutely necessary. Sag Harbor Mayor Sandra Schroeder also declared a snow emergency Monday afternoon, effective Tuesday morning at 7. Parking will be prohibited on all village streets and Village Hall will be closed.

So far on the South Fork, the Amagansett School, the Bridgehampon School, the East Hampton School District, the Sag Harbor School District, the Ross School, and the Hayground School have alerted parents that they will not open.

Mr. Bellone said a county and state snow emergency will also likely be declared in the coming hours. He has been in contact with state officials and will act as the liaison to the state for local officials.

He recommended that residents sign up for the CODE RED emergency notification alert system to stay up to date through Suffolk County's website. The county's website will have emergency numbers and information starting at 5 p.m. on Monday.

Power outages or downed wires should be reported directly to PSEG at 1-800-490-0075.

For a list of closures and cancellations, click here. Check back often for additional closures as they are announced. 

This article has been updated with more school closures.

While the East End dodged much of the snow that had been forecasted Tuesday, heavy rain and heavy winds did wreak some havoc. 

A large American elm tree just east of the East Hampton Presbyterian Church cracked and fell across Main Street late Tuesday morning. Village police shut down the road in both directions for a time, though the westbound lane has now been open. The Village Public Works Department and the State Department of Transportation are working to remove the tree from the eastbound lanes, according to Police Chief Mike Tracey.

Flooding was reported on some local roads, including Stephen Hand's Path between Long Lane and Route 114. East Hampton Town police asked drivers to avoid the area, and then closed that portion of the road. Many roads in low-lying areas had at least some flooding, making for challenging driving conditions.

Heavy rain continued to fall over East Hampton and eastern Long Island at midday on Tuesday. The air temperature at East Hampton Airport was 40 degrees at about 1 p.m.

Southampton Town Supervisor Jay Scheiderman lifted an emergency order by 10 a.m. that had been place since early Tuesday when snow was expected to fall. Instead, the snowstorm moved to the west. 

While East Hampton and Southampton Town Halls and town facilities were closed Tuesday, they are expected to resume normal operations on Wednesday.  

According to the National Weather Service, precipitation on Tuesday should taper off by nightfall and end before 10 p.m. The forecast was for temperatures to fall gradually after 8 tonight, with a low early Wednesday morning of about 25.

Winds are also expected to decline over the South Fork, from about 23 miles per hour from the east with gusts to 35, shifting to the west tonight and dropping to about 13 to 18 miles per hour by 5 a.m. on Wednesday.

There is a slight chance of snow Wednesday morning with a greater chance in the afternoon. The remainder of the work week looks dry and cold.

Most schools on the South Fork will have a delayed opening Wednesday morning due to the icy road conditions expected for the morning commute. 

The National Weather Service said in a statement issued at about 8:30 p.m. that below freezing temperatures will turn slush on the roads to black ice overnight. The low Tuesday night will be around 23, with wind chill values of between 15 and 20.

The East Hampton Town police warned motorists through its social media accounts that, "Dropping temperatures through the evening will freeze standing water causing hazardous, slippery conditions on roads and walkways." 

The Amagansett, Bridgehampton, East Hampton, Montauk, Springs, and Southampton School Districts will start classes two hours later than usual on Wednesday morning. The Ross School is also on a two-hour delay. 

Wednesday will bring scattered snow showers, mainly after noon. It will be mostly cloudy with a high near 31. 

This article was updated at 10 p.m. 

As I write this, a big storm is on the way, maybe the biggest since the 1888 blizzard that killed more than 400 people in the greater metropolitan-Long Island area. Blizzards, hurricanes, northeasters, tropical cyclones, and record rainfalls are just a few of the “acts of God” that are responsible for culling species, diminishing their numbers. The most famous one was the comet that hit 60 million years ago, wiping out the dinosaurs and many other animal species.

In this hemisphere, and in the temperate United States in particular, big weather events that occur in March, April, May, and June are the worst for birds because they are returning from the south, beginning to set up breeding territories, laying eggs, raising chicks, and teaching them how to fly.

Great horned owls are the first to breed locally, followed by bald eagles, then piping plovers as well as several songbird species, woodpeckers, and killdeers. Ospreys are particularly susceptible to bad weather events, as their nests, at least these days in this area, are on tall poles out in the open. Winds, heavy rains, and extra-seasonal snowstorms can inflict heavy damage on both the nests and the chicks growing up in them. Victoria Bustamante recorded the first local osprey I know of on March 1 flying over the westernmost part of Peconic Bay near Indian Island County Park in Riverhead. She has not seen another since.

Being the first to set up camp has its advantages. “The early bird catches the worm” or, in the osprey’s case, the fish. It’s bad enough that the ospreys, which have made a comeback since the DDT days in the 1960s, have to contend with cormorants, seals, and eagles for their dinner; unkindly storms can inflict heavy losses.

Passenger pigeons, which passed from the Earth in the early 1900s, would travel in flocks of thousands on their way back from winter in the south. They died by the hundreds when they finally arrived here after exhausting flights only to find the ground covered with 12 inches of snow. There were very few feeders for birds in those days, and pigeons were likely to be shot at if they came too close to humans. So it was a betting game of sorts. Get here early, set up early, breed early, and do well, or get here early, set up early, and breed early only to be wiped out en masse.

Great blue herons that choose to stay around during the winter run a similar risk. If the coastal waters freeze up, they cannot fish. If they cannot fish they either starve or become so weak that they are easy prey for foxes, eagles, and other predators. Damned if you do, damned if you don’t.

Most of the birds that breed here are not back yet. But a good number of them, the ones that hop from spot to spot on their way north, are in transit. The mid-March snowstorm has already covered many areas in the south with a foot of snow. It’s not easy to feed in the snow or fly in it for that matter.

One wonders if there are type A birds, frogs, reptiles, and mammals as there are type A people. Go like hell, get there first, and command the best feeding and breeding territories, but, perhaps, pay a price. I can’t help mentioning the University of California Berkeley professor’s findings when he separated mice by intellect and curiosity. The smartest and most curious were the most likely to be taken by predators, the most secretive and least smart stayed safe in their hideaways.

Those turkey vultures that appeared during the past few weeks of warm weather are up against the same odds. If animals that are prone to becoming roadkill are not moving but waiting for the good times of spring, those vultures will find it hard to survive. 

Common crows, on the other hand, are omnivorous and not totally dependent on roadkill. They do fine in almost any kind of weather; however, fish crows, their close cousins, more southern but now fairly well established as breeders on Long Island, continue their migratory ways. You won’t find more than one or two overwintering here.

Then, too, there are the early risers from hibernation. The fabled woodchucks are not one of them. But our little chipmunks can be. If one runs out of its stores of cached food in its underground kitchen and emerges early, it is liable to be predated or go hungry should a big snowstorm comes its way. Fortunately for them, we had a record acorn year, such that their stashes may still be full. Owing to a warm February, the chipmunk at the back of my house has been out regularly since Feb. 6. I just hope that he or she has sense enough to stay under cover until the final snows blow over or melt away. Chipmunks do not have a lot of fat to metabolize, so when acorns are scarce, they are prone to disease and malnutrition. 

Acts of God or acts of man? Which are the toughest in terms of a given species’s chances of survival? They are both tough. The former will crop up here and there until the sun finally goes out, and if we love ourselves and all of the creatures around us, as we should, we need to work diligently to reduce the bad acts of man, and, let me tell you, there are plenty!

Larry Penny can be reached via email at [email protected].

East Hampton Town police made a second arrest involving an alleged under-age party house on Neck Path in Springs, this time of a man they say acted as a bouncer for at least two of the parties there. 

Robert Andrade, 41, “collected currency at the door” as entrance fees to the house, said Rudy Migliore Jr., the assistant district attorney who handled Mr. Andrade’s arraignment in East Hampton Town Justice Court last Thursday.

One of the parties beginning the night of Dec. 2, lasted about 30 hours, police said; the other occurred on Dec. 9.

The owner of the house, Jefferson Davis Eames, was arrested on March 2, on numerous charges related to those and other gatherings at the house that police say involved under-age alcohol and drug use. 

Mr. Andrade has been charged with four misdemeanor counts of endangering the welfare of a child. He was arrested on March 8, and was released from police custody with an appearance ticket for last Thursday’s arraignment after posting $100 bail. Justice Lisa R. Rana agreed not to increase the bail amount. 

Mr. Andrade’s attorney, Trevor Darrell, entered a not-guilty plea to the charges. Justice Rana issued an order of protection from the bench, requiring Mr. Andrade to have no contact with a minor whom the police interviewed. “I’m going to tell you now, if you violate this order, if you have any issues at all,” she said, bail would be revisited.

Mr. Andrade said during his arraignment that he moved to Southampton two weeks ago, but had previously lived in Amagansett and graduated from East Hampton High School.

After the arraignment, Mr. Darrell questioned the strength of the case, saying that it was based on the testimony of a minor who seemed unsure of the dates in the complaint.

Mr. Eames was also on the court calendar last Thursday. He was charged on March 2 with 13 misdemeanors, including 9 charges of endangering the welfare of a minor, and one felony related to allegedly providing a quarter tablet of Xanax to a 16-year-old girl at his residence. Besides those charges, he is facing five other sets of charges in East Hampton, the oldest of which is a harassment charge from 2015.

Before Mr. Eames was called, Justice Rana sat down for a private conference with Eileen Powers, who represents Mr. Eames in all but the oldest case, and Mr. Migliore to address the many charges Mr. Eames is facing. That discussion lasted well over an hour.

When they returned to the courtroom, Justice Rana announced that she would hold a bench trial on Tuesday at 9 a.m. on the 2015 harassment charge.

“I strongly, strongly, strongly suggest that you get yourself into some kind of counseling,” she said. The trial will have no effect on the other sets of charges against Mr. Eames. 

The harassment charge was made in June 2015, after an alleged incident in April of that year in which Mr. Eames was said to have gunned the engine of a pickup truck in a gravel driveway, spinning his wheels to intentionally shoot stones and rocks at a Harbor View Drive house belonging to Kyle Cao. Michael Griffith is Mr. Eames’s representative in that case. 

Because that charge is not a crime, but simply a violation, the trial will be conducted by Justice Rana without a jury. If convicted, Mr. Eames could be sentenced to 15 days in jail.

The five other more serious sets of charges in East Hampton will remain open and will be dealt with at a future date, Justice Rana indicated. An additional case, dating to December 2013, which involved an alleged road rage incident near Mr. Eames’s house, was moved to Riverhead Town Court after both Justice Rana and Justice Steven Tekulsky recused themselves. The alleged victim in that case is the wife of an East Hampton Town police officer. Mr. Eames has since sued the town and its Police Department in federal court, claiming the town violated his constitutional rights. 

Beyond the charges Mr. Eames is facing in criminal court, he has also been accused by the town’s Code Enforcement Division of numerous misdemeanor violations of the town’s zoning code, starting in September 2016. Those include allegations that he has changed the use of the property from residential to commercial for his tree-cutting business, with code enforcement officers stating that they found heavy machinery, piles of debris, and stacks of wood on the land. 

He was also charged in January of this year with failing to properly enclose a swimming pool and failing to maintain his property. On Feb. 21, he was hit with two more misdemeanor zoning charges, one for burning an unattended fire, another for lacking a building permit for a structure on the property. He is due back in court on the zoning charges on March 27.

Emergency cardiac care is to become more accessible for East End residents with the opening before long of cardiac catheterization and electrophysiology laboratories in Southampton and Riverhead. The facilities, which can provide lifesaving diagnostics and treatment, will be at Southampton Hospital and the Peconic Bay Medical Center in Riverhead. Each received approval for the labs from the New York State Department of Health on Tuesday. 

In cardiac catheterization labs, stenosis and blockages are treated. Stents are placed in a patient’s heart to open blocked or narrowed passageways, as well as other lifesaving procedures. In electrophysiology labs, heart arrhythmias are diagnosed and treated. Both require special staff and specialized equipment. 

This N.Y.D.O.H. approval brings critical care technology close to home for many people and it is a harbinger of the significant technical advances we will see through our partnership with Stony Brook Medicine,” said Robert Chaloner, the president and chief executive officer of Southampton Hospital, in making the announcement. 

At present, patients at Southampton Hospital in need of diagnostic and interventional cardiac procedures are transferred by ambulance to facilities like Stony Brook University Hospital that provide them. A patient experiencing a heart attack at home, confirmed by paramedics using mobile heart monitors, is often driven by emergency medical personnel to Brookhaven Hospital or Stony Brook — an average 45-minute drive from Bridgehampton, for example — or transported by medevac helicopter, if one is available.

“Time is muscle,” said Philip Cammann, a longtime paramedic on the South Fork and a member of the East End Ambulance Coalition, which supported Southampton Hospital’s application for a cath lab.

 “It’s very similar to the concept of when Southampton became a stroke center. The fact that you can go in there and open up that blocked artery, which for the stroke center means that you are potentially saving brain matter. Now, you are going in and catheterizing and reperfusing the portion of the heart that is basically being choked of oxygen and glucose.” 

A cardiac catheterization and electrophysiology laboratory at Southampton Hospital’s Audrey and Martin Gruss Heart and Stroke Center could open late this summer, according to Marsha Kenny, a hospital spokeswoman. 

She said little was required in new construction because the stroke center, an addition that was completed in 2015, was built with anticipation of a future cath lab. The hospital will now immediately focus on recruiting staff. Start-up costs are close to $1 million, Ms. Kenny said.

Stony Brook University Hospital will oversee the labs at Southampton Hospital, and policies and procedures in place at Stony Brook will be incorporated into Southampton’s program, she said. 

“Residents of eastern Long Island will enjoy greater access to timely cardiac care because of the close collaboration and exceptional leadership between Stony Brook Medicine and Southampton Hospital in gaining approval for this new facility,” said Dr. Kenneth Kaushansky, the senior vice president of health sciences and the dean of the Stony Brook University School of Medicine. 

Meanwhile, at Peconic Bay Medical Center, which is part of Northwell Health, interim cath labs could open as early as this summer, according to Lauren Jacobsen, a spokeswoman, though more permanent labs are being built as part of a large, $60 million project the hospital will start in June.

Peconic Bay Medical Center has received state approval to establish two cardiac catheterization laboratories and electrophysiology suites, as well a rooftop helipad. The cath labs will be part of a comprehensive Cardiac Care Center in a new critical care tower, to be named the Kanas Regional Heart Center. Construction of the tower could take approximately two years, though the hospital hopes it might be completed sooner, Ms. Jacobsen said.

“East End residents have had to travel farther for advanced cardiac services than anyone else in the tristate area,” said Andrew Mitchell, the president and C.E.O. of Peconic Bay Medical Center, “and considering that heart ailments require quick diagnosis and treatment, this facility will make a real difference. It will save lives.” 

The Town of Riverhead has approved a zoning change and site plan for the hospital’s expansion. Peconic Bay Medical Center received a $5 million gift from the John and Elaine Kanas Family Foundation to be used toward advanced cardiac care. 

The hospital’s helipad, now on the ground, will be moved to the roof, which Ms. Jacobsen said is safer. The hospital now has to stop all vehicular and pedestrian traffic when a helicopter is landing or taking off. The rooftop helipad will be the only one of its kind at East End hospitals.