May 2016 - Health BeatHealth Beat

To Hookah or Not to Hookah?

Posted on May 31, 2016 by Jamaica Hospital Medical Center

Article by Jennifer Ceide, AE-C, CHES, CTTS Jamaica Hospital Medical Center

For my birthday, I am definitely going to a hookah lounge!” was excitedly determined by my cousin several years ago. As a developing tobacco treatment specialist, I wanted to proclaim my objection by saying, “Do you know that one sixty minute hookah session can be equivalent to smoking 100 cigarettes?!” Luckily, we couldn’t find a lounge that was open. Besides hookah lounges, hookah is also offered at night clubs and restaurants; it’s almost impossible not to find an opportunity to smoke hookah. So why the sudden burst in popularity, especially among never-smoked-a-cigarette millennials who without hesitation detest cigarette smoking?

So, what’s a Hookah?

Hookah is a water pipe used to smoke tobacco. Tobacco is burned at the top of the pipe, the smoke is then passed through water and the vapor is inhaled.

It’s safer…right?

Wrong! Besides the delivery of the highly addictive drug nicotine, the smoke from hookah contains toxins that contribute to cancer and other diseases. The water through which the smoke passes gives the false impression of purification; this process has not been shown to decrease any toxins associated with smoking. The vapor contains carbon monoxide, metals, and cancer-causing chemicals.

According to the World Health Organization, a hookah session can last between 20 to 80 minutes, one session can be equal to smoking 100 cigarettes.

When we consider the added risk associated with sharing a mouthpiece with others, the possibility of contracting communicable diseases such as tuberculosis, herpes, influenza, or hepatitis becomes a noteworthy threat.

To hookah or not to hookah?

From what we know so far the risks linked to smoking hookah should deter and not encourage. Because the popularity of smoking hookah is a recent trend, long term effects of the activity continue to be determined; however, we have enough evidence to conclude that hookah is not the safe alternative to smoking cigarettes. Hookah smokers are at risk for developing the same cancers and diseases that are linked to cigarette smoking in addition to the added risk of developing communicable diseases.

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.

Are Electronic Cigarettes Helpful or Harmful?

Posted on May 31, 2016 by Zakiya Hazel-Jemmott

The journey to quitting smoking has evolved from quitting cold turkey, to smoking patches, nicotine gum and today, electronic cigarettes. Also called, e-cigarettes or electronic nicotine delivery systems these battery-operated devices are designed to deliver flavored nicotine along with other chemicals to users in vapor form instead of smoke. Electronic cigarettes can be manufactured to look like traditional cigarettes, cigars or even everyday items such as pens or USB memory sticks. While e-cigarettes are being promoted as a safer alternative, in reality it’s just a diet cigarette and still potentially harmful as smoking old-fashioned cigarettes.

E-cigarettes are designed for the illusion of tobacco smoking by producing flavored aerosol that looks and feels like tobacco smoke and delivers nicotine, but with less of the toxic chemicals produced by burning tobacco leaves. Since they deliver nicotine without burning tobacco, e-cigarettes appear to be a safer and less toxic alternative to conventional cigarettes. Although they do not produce actual tobacco smoke, e-cigarettes still contain nicotine and other potentially harmful chemicals that still can lead to serious health consequences such as cancer and heart disease.

The liquid nicotine in e-cigarettes is highly concentrated and contains anywhere from six to 36 milligrams of nicotine per unit. In order to smoke an e-cigarette you have to refill the nicotine cartridges which requires direct exposure to liquid nicotine. Swallowing nicotine can cause vomiting, rapid heart rate, seizures and possibly death, depending on the amount and concentration. Nicotine can also be absorbed through the eyes, causing eye irritation.

Electronic cigarettes are still new and studies are still being conducted to determine their helpfulness in eliminating tobacco use among smokers. Some people believe e-cigarette products may help smokers lower nicotine cravings while they are trying to discontinue their tobacco use. However, at this point it is unclear whether e-cigarettes may be effective as smoking-cessation aids. There is also the possibility that they could perpetuate the nicotine addiction and thus interfere with quitting.

Cigarette smoking remains the leading preventable cause of sickness and mortality, responsible for hundreds of thousands of deaths in the United States each year. The journey to quit smoking can be difficult, but you do not have to do it alone. Jamaica Hospital’s smoking cessation team wants to help you develop a plan leading to your “quit day”. For more information on resources to quit smoking, please call 718-206-8494.

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What is a Brain Freeze?

Posted on May 27, 2016 by Michael Hinck

“SPHENOPALATINE GANGLIONEURALGIA!!!” We’re guessing you have never heard anyone yell that out after licking an ice cream cone or slurping down a frozen beverage. Perhaps you have heard someone scream “Brain Freeze” though, the more common term for this scientific condition.

A brain freeze usually occurs after a cold food or beverage touches the roof of the mouth (your palate). This sudden temperature change of the tissue stimulates nerves, causing rapid dilation and swelling of the blood vessels. This response is an attempt to direct blood to the area and warm it back up. The “headache” that follows is triggered when the pain receptors in your mouth signal your brain using the nerves in your face. The end result is a sudden, sharp pain and the usual exclamation that is synonymous with this phenomenon.

A brain freeze, also referred to as an ice cream headache, can last anywhere from a few seconds to a few minutes in duration. Brain freezes can occur as frequently in the summer as they do in the winter because the brain’s response is to the food being consumed, not to the temperature outside.

To avoid getting a brain freeze it is recommended that you eat slowly because this reaction is triggered by an immediate temperature change in the mouth. If you do suffer a brain freeze, try pressing your tongue against the roof of your mouth to warm the blood vessels. Other suggested tricks include holding your head back or breathing in through mouth and out through the nose to pass warmer air through the nasal passages.

With the weather getting warmer and more people indulging in ice cream and other frozen treats, expect to hear someone yelling out “Brain Freeze” soon. When they do, be sure to share your new found knowledge about this common sensation.

WHICH DO YOU THINK IS HEALTHIER-ICE CREAM, FROZEN YOGURT OR GELATO?

Posted on May 25, 2016 by Jamaica Hospital Medical Center

In recent years, frozen yogurt and gelato have become very popular alternatives to ice cream. Many believe that these treats are healthier options. There are several differences that set these deserts apart, making some better choices than others.

•Ice cream must contain at least 10% milk fat and cream to be legally considered ice cream. It is high in calories, sugar and fat. A scoop of vanilla ice cream has about 275 calories
•Yogurt does not have the milk fat requirement as ice cream; it is made with cultured milk. Because of the freezing process, there are no probiotics in frozen yogurt. Frozen yogurt allows for substitutions such as honey in place of sugar. A scoop of vanilla frozen yogurt has about 221 calories
•Although commonly mistaken for ice cream, gelato has a different composition that is denser than ice cream. Gelato tends to have less milk fat, calories and sugar. A scoop of vanilla gelato can have 150-200 calories.All of these treats are delicious but should always be eaten in moderation. Due to the caloric contents, sugars and fats in each, over consumption can lead to complications in your diet, which can cause obesity or diabetes.

Did You Know Vitamin C Helps Protect Your Vision From the Leading Cause of Blindness?

Posted on May 24, 2016 by Xavia Malcolm

Vitamin C benefits your health in several ways, one of which is helping to protect your vision from cataracts- the number one cause of blindness in the world.

Cataracts are caused by protein buildup and oxidation which cloud the lens of the eye. If left untreated, the condition can advance and eventually lead to a loss of vision.

The risk of developing cataracts increases with age. However, studies indicate that consuming a diet rich in vitamin C can cut the risk of cataract progression by as much as one-third. Vitamin C helps reduce this risk because of its strength as an antioxidant, which prevents the eye from oxidizing and becoming cloudy.

Vitamin C is not produced naturally by the body, so we have to obtain our daily dose by taking supplements or eating foods such as:

Red or green peppers
Broccoli
Strawberries
Oranges
Cabbage
Leafy greens

The daily recommended dose of vitamin C is 90 mg a day for men and 75 mg a day for women. However it is advised that you speak with a doctor to determine a healthy dose for you.

May is Healthy Vision Month; during this time Jamaica Hospital Medical Center is encouraging people to take National Eye Institute’s Five Steps for protecting their sight. The five steps include eating a healthy diet that promotes eye health, receiving a comprehensive eye exam, knowing your family’s health history, wearing protective eye wear while working or playing sports and wearing sunglasses to protect your eyes from the sun’s UV rays.

The Department of Ophthalmology at Jamaica Hospital Medical Center offers a wide range of comprehensive medical, diagnostic and surgical services for those with vision and eye conditions. To make an appointment, please call 718-206-5900.

Asthma and Allergies

Posted on May 23, 2016 by Zakiya Hazel-Jemmott

The month of May has been designated as “National Asthma and Allergy Month by the Asthma and Allergy Foundation of America. Spring is the beginning of the peak season for asthma and allergy sufferers. Asthma affects over 25 million Americans, 6.3 million of them are under the age of 18. More than 50 million people in the United States have some type of allergy and that number is increasing every year.
If a person knows that they have asthma, it is suggested that they avoid things that can trigger an attack. Triggers are anything that the body is sensitive to that causes the airways to become inflamed.
Common triggers are:
• Pollen
• Changes in weather
• Dust
• Stress
• Exercise
• Chemicals
Symptoms of asthma are shortness of breath, wheezing, chest tightness, and coughing. There is no cure for asthma however there are medications that can help to keep it controlled.
Allergies are a very common chronic illness that lasts a long time or occurs frequently. Allergies occur when the body comes in to contact with a substance that causes the immune system to overreact.
Some of the more common substances people are allergic to are:
• Food
• Insect bites
• Latex
• Mold
• Pets
• Pollen
• Medications
Symptoms of allergies may include watery eyes, sneezing, itchiness, rash, hives and difficulty breathing. Severe cases can lead to anaphylactic shock which is potentially life threatening due to a lowering of the blood pressure and a dilation of the blood vessels, if not treated quickly.
Doctors can perform tests to see how you respond to small amounts of allergens. There are ways to treat allergies, the best method though is to avoid things that you know will cause a reaction in the first place. There are medications available to control allergic reactions and doctors can give injections that act to train the immune system to not overreact to these substances.
To schedule an appointment at Jamaica Hospital with a physician to discuss controlling asthma and allergies, please call 718-206-7001.

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Diabetes Friendly Recipes

Posted on May 23, 2016 by Zakiya Hazel-Jemmott

Living with diabetes is already difficult enough without having to worry about your diet restrictions. You can enjoy healthy meals, even if time is tight in your schedule. Here are some quick, diabetes conscious recipes to keep you going through the day.

Start your morning off with this delicious fruit and almond smoothie. You will need one cup of almond milk, one cup of frozen strawberries and peaches, and 2 ounces of flavored Greek yogurt of your choice. Combine all of the ingredients in a blender, blend until smooth and thick, pour and enjoy! See the full recipe here: http://www.diabetes.org/mfa-recipes/recipes/2012-04-fruit-and-almond-smoothie.html
This healthy chicken and vegetable casserole is cooked in one pan and makes an easy mid-day meal. You will need chicken breasts, broccoli, spinach, wild brown rice, and cheese of your choice. See the full recipe here: http://www.diabeticlivingonline.com/recipe/chicken/chicken-and-wild-rice-casserole
End your day with this orange soy salmon recipe. This heart-healthy meal can be prepared, popped in the microwave, and served in less than 15 minutes. Salmon fillets are cooked over spinach and served alongside a veggie mix, all drizzled with a tangy topping of orange juice, soy sauce, fresh ginger, hoisin sauce, and sesame oil. See the full recipe here: http://www.culinaryarts.com/Recipes/recipefiles/orange_soy_glazed_salmon.htm

Cooking a diabetes-friendly meal doesn’t have to be a time-consuming endeavor that traps you in the kitchen. Whether you have type 1 or type 2 diabetes, are prediabetic, or cook for someone who has diabetes, you can still enjoy a healthy and delicious dish!

Jamaica Hospital provides a support group service for diagnosed diabetics along with prevention programs for those at risk. For more information on managing your diabetes, please call 718-206-7088.

Jamaica Hospital: Raising Awareness About Food Allergies

Posted on May 20, 2016 by Jamaica Hospital Medical Center

May has been designated as Food Allergy Action Month in an effort to educate Americans about food allergies and to support those who suffer from them.

Recent surveys indicate that 15 million Americans now suffer from food allergies. This number indicates that food allergies are much more common than previously believed and the number of people with allergies is steadily growing. It is now estimated that one out of every 13 children has a food allergy.

An allergic reaction occurs when the body’s immune system mistakenly identifies a food component as a hazardous substance and attacks it. The effects of food allergies may appear on the skin, in the respiratory passage, or in the gastrointestinal tract. The symptoms of food allergies may vary from mild to severe, and in extreme cases, they can even be fatal.

Minor reactions include:
• Skin rash
• Eczema
• Diarrhea
• Stomach cramps
• Nausea

Serious Reactions Include:
• Obstructive inflammation of the tongue and respiratory tract
• Panting and wheezing
• Lack of oxygen, leading to blue lips
• Unconsciousness
• Drop in pulse rate

Anaphylaxis is a very serious allergic reaction that can cause death. This type of allergic reaction requires immediate action and medical attention. If you or a loved one has a severe food allergy, you must be prepared for an emergency. Learn the signs and symptoms of anaphylaxis and know what the emergency care plan is. It may include the administration of epinephrine, a life-saving drug.

Over 170 different foods have been reported to cause an allergic reaction, but the food products that cause the most reactions are:
• Soy
• Milk
• Fish / Shellfish
• Peanuts / Tree Nuts
• Eggs
• Wheat

There is currently no cure for food allergies. To prevent an allergic reaction, it is important for the person with the allergy to stay away from foods that cause symptoms. Contact with even the smallest amounts of the allergen can cause serious problems. To avoid an allergic reaction, take the following precautions:
• Learn to carefully read food labels and ask about ingredients in prepared foods
• Wash your hands with soap and warm water before and after touching food
• Use clean, uncontaminated utensils when preparing foods
• Educate others about food allergies.

Every year in the United States, approximately 30,000 individuals are brought to hospital emergency departments and 150 people die due to severe allergic reactions. Jamaica Hospital joins the effort to raise awareness about food allergies and urges everyone to learn more about this growing, yet manageable issue.

National Senior Health and Fitness Day

Posted on May 18, 2016 by Joann Ariola

May 25, 2016, is National Senior Health and Fitness Day. This observance is designed to shed light on the importance of the health and fitness of older adults.

Exercise is essential to improving health at any age, and seniors are not an exception. A low-impact exercise routine can benefit your health by stretching and strengthening muscles, reducing stress and can even help to lower high blood pressure.

Staying fit doesn’t have to require a gym. You can work out, at your own pace, with an instructor in class, on a home gym machine such as a treadmill, or utilize the great outdoors by taking a walk.

The four categories of Low –impact exercises are:

Endurance –walking, swimming, or cycling.
Strength –light weight training
Flexibility – Yoga
Balance –Ti Chi

No matter what workout routine you choose, adding some gentle stretches will improve flexibility and range of motion.

After speaking with your physician and identifying what type of exercise is safe for you, an appropriate exercise regimen can lessen your visits to the doctor, lower your chance of being hospitalized and reduce the need for medications for a variety of illnesses.

Natural Relief From Arthritis Pain

Posted on May 13, 2016 by Zakiya Hazel-Jemmott

May is recognized each year as National Arthritis Awareness Month. Arthritis is a painful and degenerative condition marked by swelling in the joints that causes stiffness and pain. It is the number one cause of disability for more than 50 million Americans.

The most common type of arthritis, osteoarthritis, gets worse with age and is caused by wear and tear over the years. Unfortunately there isn’t a cure for arthritis but there are treatment and medication options to ease the pain. Doctors traditionally treat arthritis with anti-inflammatory medications and painkillers. However, some medications cause side effects, and a natural approach to pain relief is also an option.

Reduce the stress on your joints by losing weight will improve your mobility, decrease pain, and prevent future damage to your joints.
Get more exercise. Regular movement helps to maintain flexibility in your joints.
Try Acupuncture. It is thought that acupuncture has the ability to reduce arthritis pain. If you want to try this treatment method, be sure to find an experienced acupuncturist with good references.
Add turmeric spice to your dishes. Turmeric, the yellow spice common in Indian dishes, contains a chemical called curcumin that may be able to reduce arthritis pain. The secret is its anti-inflammatory properties.
Try herbal supplements. Some of the herbs touted for arthritis pain include boswellia, bromelain, devil’s claw, ginkgo, stinging nettle, and thunder god vine.

Before trying any of these natural alternatives to joint pain relief, consult with your doctor first to decide what works best for you.