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Legislative District 05

Posted on: February 13, 2024


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A Journey of the Heart

By Seth I. Koslow

February is American Heart Month, and this is a story about my heart – both figuratively and literally. It’s the reason I am where I am today.  

I was born with a significant heart defect called Dextrocardia, as well as a ventricular septal defect. Basically, my heart was on the wrong side of my chest cavity and inverted – and, it had a hole in it. 

When I was three months old, my doctors told my parents that I needed open heart surgery to close the hole. However, at that time, my mother was pregnant with my sister. My parents decided to wait until my sister was born before I underwent surgery. But somehow, for some reason, my heart decided that it had to be whole, and the hole I was born with began to close. My heart could stay as it was - imperfect and misplaced, but untouched.  

Growing up, I found that I was doing a lot of things half-heartedly. Schoolwork wasn’t heartening, and there were few things that excited me. I dreamed of becoming a lawyer, but I couldn’t muster up the resolve to pursue that dream - LSATs, law school, internships. Thousands in loans, six more semesters of school, and years of building a professional profile.  

Deterred by these seemingly insurmountable obstacles, I remained listless through my early twenties. For a few years after college, I worked in sales. I was good at it, but my heart was definitely in a different place.  

That is, until it wasn’t.  

In my early twenties, I was diagnosed with Atrial Fibrillation (A-Fib).  A-Fib, also known as an irregular heartbeat, is fairly common amongst senior citizens, but as a twenty-something in college, I was now a member of not-so-enviable, exclusive club. During the next several years, I battled my irregular heartbeats, underwent more than a dozen cardioversions and tried various cocktails of medications, all to no avail.  Eventually, I met a cardiologist who specialized in adults with congenital heart defects - adults like me.   

He informed my family and me that the hole in my heart had re-opened and that it was substantially larger than it was when I was a child. This was causing my irregular heartbeat, and it would at last need to be closed. At 25 years old, because of the placement of my heart, I was about to undergo a potentially first-of-its-kind open heart surgery.   

On March 15, 2007, after five hours of surgery, I awoke to a heart that was beating normally for the first time in almost five years. Making it through that operation sparked something in my soul. Instead of whining about what I had to do to get to where I wanted, I decided to ball my fists up, dig in, and do it. After all, I had just made it through open heart surgery. Was there anything I couldn’t make it through?  I finally sat for the LSAT and got myself into law school.   

That’s the attitude that’s gotten me to where I am today. When I was burning the candle at both ends cramming for law school exams, and eventually bar exams, I would remind myself that I had been getting stronger. When I was struggling to build up my own practice while juggling my responsibilities as a husband and father, I would remind myself of all that my heart could handle.  

Naturally, when I saw an opportunity to run for office, an opportunity to represent and fight for all the communities our local government has left behind, I knew that I could take the heartburn of an arduous campaign and that I could win over hearts and minds.  It is the same mentality that I bring to my law practice and to my work with my fellow Legislators.    

The arc of my life’s journey is proof that we are all stronger than we know - that we are all more capable than we can comprehend.

Seth I. Koslow, of Merrick, was elected in 2023 to represent the Fifth District of the Nassau County Legislature. 


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