Diabetes and Surgery

A surgical procedure for any patient requires a certain amount of preparation, both for the pre-operative phase and the post-operative phase. A patient with diabetes however has to be monitored very closely because they are at greater risk of developing complications than non-diabetic patients.

Your physician will tell you when you should eat before surgery and when you should take your last dose of diabetes medication prior to any surgical procedure. During the surgical procedure your blood glucose levels will be monitored to make sure that it stays with normal range (80-150 mg/dL).

Diabetic patients post operatively may experience:

  • Poor wound healing
  • Hyperglycemia or hypoglycemia
  • Infection at the wound site
  • Electrolyte imbalance
  • Diabetic ketoacidosis

After the surgical procedure is over, check your blood sugar level frequently because you may not be eating properly, may be less active, and are stressed. Diabetic patients may require a few days in the hospital post-op to have their glucose levels monitored carefully. If you are a diabetic patient and are scheduled for surgery, discuss pre and post-operative preparations with your surgeon.200252904-001

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is an allergic reaction?

Your own asthma allergyimmune system is what really causes allergic reactions.  Grass and tree pollen’s, ragweed, dust- it mistakes these harmless allergens for a serious threat and attacks them. The sneezing, watery eyes or coughing are the result of your body mistakenly attacking itself. It begins with exposure to the allergen. Even if you’ve inhaled an allergen many times before with no trouble, at some point, the body flags it as an invader. The immune system studies the allergen and readies itself for the next exposure by developing antibodies; you are now “sensitized” to the allergen.

If you are having trouble finding relief from allergies, contact Jamaica Hospital’s Ambulatory Care Center and set an appointment with one of our physicians for help at 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Let The Grilling Begin!

200422318-001With summer a season away and the time to uncover our grills is getting closer, a simple and healthy way to grill is to incorporate vegetables. We have compiled some simple rules for successful grilling vegetables.

  • Start with a clean grill and well-oiled vegetables
  • Do not move your vegetables on the grates. Leave them on the grill until they are nicely seared and lift off easily
  • Use the hottest spots on the grill for the heartier vegetables, like onions and bell peppers. Keep the more delicate produce, such as tomatoes over places with less heat.
  • Group the food by cooking time so you remember to remove everything from one area all at once, since some foods take longer to grill than others.

These tips should provide foolproof results every time!

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is My Teen Troubled?

Troubled 465581459Although there are many books that offer tips, there isn’t a universal reference guide that can prepare a parent for what will happen during their child’s teenage years.  There are so many changes that your teen is facing that could influence them in a positive or negative way.

As your teenager begins to assert their independence, some behavioral changes may become bizarre and unpredictable. Your once sweet, obedient child, who always wanted to be with you, now wants to have as little association with you as possible.  The child that hung on to your every word now rolls their eyes when you give your opinion or advice.  These are the actions of a normal teenager, but how can you know if their behavior is a sign of greater issues?

Some teenagers exhibit a break in communication, fighting, defiance, violent mood swings and explosive anger. These teens face behavioral, emotional, and learning problems that are beyond the normal teenage issues and pose a greater challenge for their parents.

Some warning signs that your teen may be troubled are:

  • Changes in appearance, if it is accompanied by problems at school other negative changes in behavior, such as self-harm or extreme weight loss or weight gain.
  • Repeated escalation of arguments, violence at home, skipping school, getting into fights, and run-ins with the law.
  • Rapid changes in personality, falling grades, persistent sadness, anxiety or sleep problems, depression, bullying or talk of suicide.
  • Alcohol consumption or drug use becomes habitual.
  • A sudden change in peer group, especially if the new friends encourage negative behavior.

The challenge for parents is to help their teen cope with emotions and deal with anger in a more constructive way.  First, parents need to establish clear rules and consequences; teens need rules now more than ever.  Secondly, suggest exercise and team sports to your teen, they have proven effective in the relief of tension and anger, give your teen and yourself, space to cool off.  Lastly, you can’t help your teen if you lose your temper as well.

Parenting a troubled teen can seem like an impossible task, but identifying red flag behaviors in your teen, seeking help from a doctor, counselor, therapist or other mental health professional is a step in the right direction.

For more information or to schedule an appointment, call the Department of Psychiatry at Flushing Hospital Medical Center 718-670-4416.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

True or False? Your toe has two bones, while the other toes have three.

Feet139550373The answer is True.The big toe (Hallux) contains two phalanx bones, the proximal and distal. The other toes consists of three phalanx bones, the proximal, middle, and distal.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Does Stress Affect Your Eating Patterns?

A hormone secreted by the hypothalamus called cortisol in times of stress can lead people, more often women than men, to stress eat.  The next time you catch yourself stress eating, try these helpful tips to prevent hitting the bottom of the snack bag:Stress Eat-158672035

  • Meditation
  • Exercise
  • Social Support

Your body will thank you for it.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

The Benefits of Vacations

vacationWe live in a stressful society that is full of situation. It is very important for people to take a break in order to stay healthy. Studies have shown not taking a vacation for a few years can increase the risk of heart disease and the potential for a heart attack. People who take vacations  have an easier time to breaking bad habits such as nail biting, smoking, and eating poorly because stress the triggers for these bad habits aren’t present.
There are many benefits to taking a vacation:
• Betters outlook on life
• Allows the body to unwind
• Increases happiness
To really benefit from a vacation a person has to leave their work environment at home.
Today, with electronic devices so prevalent, it is important to not check them more than
once or twice a day.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is the longest word in the English dictionary?

tonguetwisterThe longest word in the English dictionary is ‘pneumonoultramicroscopicsilicovolcanoconiosis’ .It is quite a tongue twister .It is defined as a lung disease caused by the inhalation of silica dust.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What You Need to Know About Body Dysmorphic Disorder

body dysmorphic 451016909A person stands in front of the mirror and glances at their reflection; they perceive their image to be severely unattractive or obese.  They become obsessed with a particular body part and deem it to be an extreme defect that alters their appearance. While this is their perception, in reality no one else sees these physical characteristics.

There is a possibility that this person may be suffering from a chronic body-image disorder known as body dysmorphic disorder (BDD), which is a compulsive obsession with an imagined or exaggerated physical trait that often no one else can see.

BDD is known to occur in both men and women and usually begins during teenage years or early adulthood.  Factors that may contribute to the development of BDD are

  • Low self-esteem
  • Traumatic events
  • Genetics
  • The influence of others who are critical of the person’s physical appearance

Characteristics of the disorder may include an obsession with skin imperfections such as scars or wrinkles, facial features (it is very common for those afflicted with BDD to be obsessed with size of the nose), body weight and hair. There are several behaviors that are identifiable with BDD, they are:

  • Constantly looking in the mirror and trying to cover up the perceived defect
  • Asking for reassurance that the defect is not obvious
  • Isolation from people due to the belief that imperfections will be noticed
  • Becoming increasingly self-conscious
  • Avoiding mirrors
  • Excessive grooming in an effort to cover up a flaw
  • Frequently consulting plastic surgeons or undergoing cosmetic procedures
  • Developing other psychological disorders such as eating and anxiety disorders

If someone you know is exhibiting these behaviors, it is recommended that they seek help immediately as this disorder can lead to self-harm. Once diagnosed with BDD, treatment will usually include a combination of cognitive behavioral therapy, group or family therapy and medication. For more information about body dysmorphic disorders or treatment please contact Jamaica Hospital’s Department of Psychiatry at 718 206 5575.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Your Child at Risk of Developing Hypertension?

Hypertension is a health concern traditionally associated with adults, but more and more children are being diagnosed with this condition, leaving parents with questions about how to manage their children’s high blood pressure.

ThinkstockPhotos-104309160There is no target number for hypertension in children. What is considered a normal blood pressure for a child changes as he or she grows. Factors such as age, gender, and height determine what a child’s ideal blood pressure should be. If a child’s blood pressure is at or above 95% of children with the same characteristics.

High blood pressure in children is usually caused by another medical condition such as heart defects, kidney disease, genetic conditions or hormonal disorders. For some children however, hypertension can be caused by lifestyle issues including poor diet and lack of exercise.

As is the case in adults, hypertension in children does cause any symptoms. Unless your child has an underlying health problem, a special visit to your pediatrician to check your child’s blood pressure is not necessary. Your child’s blood pressure should be checked at their annual check-up, beginning at age three. If your child has certain risk factors, such as being overweight or obese, speak with your child’s doctor to determine if closer monitoring is necessary.

The best way to treat your child’s hypertension is to make lifestyle changes. You can start by providing your child a healthy diet high in fresh fruits, vegetables and whole grains and reduce the amount of salt in their diet by eliminating salty snacks and paying close attention to the amount of salt you use when cooking. You should also encourage physical activity by limiting time spent in front of the television and on other electronic devices. Make an effort to get the entire family involved in the lifestyle changes because children often learn and imitate the behaviors of their parents.

If these changes in your child’s lifestyle do not reduce their blood pressure, your pediatrician can recommend certain medications, such as diuretics or beta blockers, to address the situation.

If left untreated, your child’s high blood pressure can carry over into adulthood and increase their risk of stroke, heart attack, heart failure, and kidney disease.
Speak to your pediatrician if you think your child is at risk of hypertension. To schedule an appointment at Jamaica Hospital’s Pediatric Ambulatory Care Center, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.