Bobby Serina, RN

The entire staff of Jamaica Hospital Medical Center’s Emergency Department is critical to treating hundreds of patients every day. For over twenty years, one of the people who has dedicated his career to taking care of patients is Bobby Serina, RN.
Bobby grew up in the Philippines where he attended Liceo De Cagayan College of Nursing. He graduated in 1979 then started working at Doctor’s General Hospital in Cagayan de Oro City in 1980 as an ER/OR nurse. Bobby furthered his education during this time and obtained his BSN Supplemental in 1981. In 1985 he decided to go abroad, traveling to the Kingdom of Saudi Arabia where he worked at the 1400 bed Riyadh Central Hospital in the emergency room.
While Bobby was working in Saudi Arabia he met his beautiful wife Menchi who is also an ER nurse. They are blessed with three beautiful children and two grandchildren. He worked in Saudi Arabia for ten years and had the opportunity of a lifetime when he went to work in the Royal Palace clinic in Riyadh. In the years that Bobby spent in Saudi Arabia he learned the culture of the country and the Arabic language which he still speaks very well. In 1983 Bobby’s wife came to the United States and shortly afterwards, he followed.
Bobby has been working at Jamaica Hospital for twenty years and he describes his experiences at the hospital as amazing and would not trade it for anything.  He feels that he learns something new every day which he feels is so important. He enjoys working with the wonderful people at the hospital who come from so many different parts of the world. Bobby describes the ER as a collaborative effort between the EMS responders, PCA’s, PAR’s, transporters, PA’s, physicians and hospital administration. The camaraderie amongst the staff and the fact that they share a common goal of helping our patients is why they work together so well. Bobby really enjoys making a big difference in patients’ lives and he says, no matter how stressful each day can be, at the end of the day he says he feels a great deal of accomplishment.
Bobby is dedicated to his profession and to providing patients with the highest level of care and compassion. When he isn’t working, he enjoys running, working out, playing tennis and basketball. What is especially important to Bobby is his family and he enjoys spending time with them as often as possible.

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.

Can Yoga Naturally Lower your Blood Pressure?

Practicing yoga can give your overall health an added boost.  Studies have found that it is also helpful in fighting hypertension when combined with other methods of management such as a healthy diet, medication and aerobic exercise.  Research indicates that on average patients who incorporated yoga into their care management routine saw a notable reduction in their systolic blood pressure (top number) and diastolic blood pressure (bottom number).

It is believed that yoga is an effective complementary treatment for hypertension because it increases and strengthens the body’s ability to take in oxygen.  Additionally it can help improve resiliency to stress; a trigger in elevating blood pressure levels.

If you decide to include yoga as a part of your care, it is important to know that not all yoga poses are created equal in high blood pressure management. There are some poses that are helpful and there are others that can be harmful.

Yoga poses that can be beneficial are:

  • Bridge pose
  • Posterior stretch pose
  • Savasana pose
  • Child pose

Yoga poses that should be avoided or modified include:

  • Bow pose
  • Camel pose
  • Feathered peacock pose
  • Balasana pose

It is important that you speak with your physician before trying yoga.  Your physician will assess your health and advise if you are physically capable.  If your doctor has given you the green light, inform your yoga instructor about your hypertension.  This information will help in the prevention of injuries or the exacerbation of your medical condition.

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.

Testing for Allergies

It is estimated that 30 percent of Americans suffer from allergies. Historically, allergy testing was performed by specialists in the field of Allergy and Immunology. Often times this involved performing skin tests and then monitoring the results. Now this whole process can be performed by a physician through a simple blood serum test and Jamaica Hospital is now one of the few hospitals in New York that is offering this new and exciting technology.
Often times, allergy symptoms are similar to other health conditions such as colds and sinus infections. Allergies typically do not cause fever but they can cause itchiness, eye discomfort and a runny nose. It is important to determine what the cause of these symptoms is before treating the symptoms. People tend to purchase medications over the counter to treat their symptoms, but they may not be treating the correct cause of their discomfort.
With the new technology and equipment that is available at Jamaica Hospital, testing of a small sample of blood serum IgE, can determine if a person is allergic to any of the hundreds of known allergens. This quick testing will help to determine wat course of treatment should be started on. Another advantage of this testing is that it can be ordered by any physician. A correct diagnosis leads to a more accurate treatment plan.
If you would like to schedule an appointment with a physician at Jamaica Hospital to discuss having  allergies, 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.

Do You Need More Or Less Sleep As You Get Older?

Research indicates that as you get older, you will need less sleep. The National Sleep Foundation recommends the following hours for each age group:

• Newborns (0-3 months): 14-17 hours

• Infants (4-11 months): 12-15 hours

• Toddlers (1-2 years): 11-14 hours

• Preschoolers (3-5): 10-13 hours

• School-age children (6-13): to 9-11 hours

• Teenagers (14-17): to 8-10 hours

• Younger adults (18-25): 7-9 hours

• Adults (26-64): 7-9 hours

• Older adults (65+): 7-8 hours

It was also found that adults tend to take longer to doze off, sleep more lightly and wake up more often during the night than children and adolescents.

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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.

If Your Baby is Not Latching On, It Could Be a Condition Called Tongue-Tie

For many mothers who choose to breastfeed, a sense of accomplishment is often gained when their baby first latches on.   Breastfeeding provides a time to nurture, comfort and build a bond with their babies.   However, if a baby is unable to latch on and breastfeed properly, mothers can develop feelings of rejection or frustration.  Before becoming distressed, lactation experts at Jamaica Hospital Medical Center are advising moms to look into the reasons why their baby is not latching on. One of those reasons may be due to a condition called ankyloglossia, otherwise known as tongue tie.

Tongue tie is a medical condition that is present at birth. It restricts the tongue’s range of motion.  This restriction is caused by an abnormally thick and short lingual frenulum (The frenulum of the tongue is the soft tissue that connects your tongue to the base of your mouth).

The degree of severity of tongue tie varies from mild cases, where the lingual frenulum loosens over time or severe cases of complete ankyloglossia where the tongue is tethered to the floor of the mouth.

Tongue tie can complicate breastfeeding because it may not allow a baby to open the mouth widely enough to latch on at the correct angle or make a good seal around the breast.

During an examination of the baby’s mouth, a lactation specialist, nurse or physician can perform an assessment to determine if an infant has tongue-tie or if the ability to feed is compromised. Depending on severity, further consultation for a simple and quick surgery may be suggested.

The surgical procedure most commonly recommended is called a frenectomy; which can be done with or without anesthesia.  A physician will examine the frenulum, then use sterile scissors or a laser to cut it free.

In an effort to promote breastfeeding, Jamaica Hospital Medical Center offers many services and resources to the community. One of the services the hospital has made available to mothers is frenectomy in an outpatient setting. Procedures are performed by our highly trained dentists, utilizing laser technology. The procedure is quick, painless and there is very little or no bleeding.  After surgery, the infant’s tongue movement should improve greatly and in most cases, breastfeeding can commence immediately.The dental clinic can be reached at 718-206-6980.

Jamaica Hospital Medical Center is pleased to announce that the hospital has received official Baby Friendly-USA® Designation.   Baby-Friendly® hospitals and birth centers are required to meet the gold standard of providing excellent maternal care and achieving optimal infant feeding outcomes, in relation to breastfeeding.

 

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.

Put a lid on it! – The Benefits of Wearing a Bike Helmet for Safety

It’s no secret that the main advantage of wearing a helmet while riding your bicycle to increase safety. This is exactly why helmets were devised and it’s the reason that they’re required, by law, in the New York State.

Since you can never predict exactly when, where and how you’ll fall from your bike, it pays to heed the warning of the experts and statistics that prove the benefit of wearing a helmet while riding a bicycle a bit further.

The National Highway Traffic Safety Administration cites that 70% of bicyclists involved in a fatal crash suffer from head injuries. The NHTSA further cites that helmets are 85 to 88 percent effective in preventing head and brain injuries and refers to helmets as “the single most effective way to reduce head injuries and fatalities from bicycle crashes.”

The Bicycle Helmet Safety Institute goes on to state that non-helmeted riders are 14 times more likely to be involved in a fatal crash than helmeted riders. While there’s no guarantee that a helmet will save your life, it’s clear that wearing one is much safer than not wearing one.

If you are going to riding your bicycle, it would be a wise safety measure to purchase a helmet before taking that bike on the road

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.

Kids Home for The Summer Healthy Snack Swaps

The kids are home for the summer and parents are now challenged with providing them with healthy and nutritious snacks throughout the day. Finding the balance between snacks that children are drawn to and snacks that are healthy can become difficult.

Sugar, high sodium, colorful packaging, fun shapes and unnatural food coloring are a few factors that make junk food enticing to children. However, parents can win the fight against junk food by making healthy food more appealing to their kid’s senses.

Here are a few tips on swapping kid favorites with healthier choices:

  • Hot dogs- Instead of regular beef and pork hot dogs, purchase turkey franks with low sodium and without added nitrates. Decorate the hot dog with colorful vegetables such as cucumbers, carrots, red and yellow peppers.
  • Salty cheese snacks- Make plain cheese fun by cutting it into quirky shapes or adding bright and sweet fruit. You can make cheese and fruit shish kebabs.
  • French fries- Opt for baked sweet potato fries and sprinkle lightly with sea salt. Sweet potatoes are high in vitamin C, B6, and D. They are a source of Iron, magnesium and potassium.
  • Ice cream- Frozen yogurt is just as tasty and contains less sugar and fat. Adding toppings such as fruit and granola is a plus.
  • Popsicles- Freeze real fruit juices with bits of fruit into bars.
  • Potato chips- Kale chips are rich in vitamin A and easy to make at home. Make them delicious by adding herbs and spices.
  • Candy- Healthy alternatives to candy include raisins or strawberries and bananas lightly drizzled with chocolate.
  • Milkshakes- Smoothies made with fresh fruit and low-fat yogurt are a healthier option.
  • Macaroni and cheese-Use low-fat cheese, add Greek yogurt to make it creamy and spinach to make it nutritious.

The battle against junk food is not lost. Keep food exciting and nutritious for your family by sourcing healthy recipe websites or visiting Jamaica Hospital’s Facebook.

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.

How Long After a Meal Should I Wait to Swim?

We have all been warned to wait 30 minutes after eating before going into the pool, but is that a Fact or a Myth?

Well, in this instance, it is a myth.  Swimming on a full stomach does not impact your ability to swim.  It is true that blood rushes into the stomach to aid in the digestion process, but it is not enough blood to cause your muscles to lose energy and function.

There are cases of stomach upset when swimming after eating a large meal such as cheese burgers, fries, or wings.  A good suggestion would be, if you desire to go into the pool directly after eating, you may want to make a healthier food choice to avoid any type of stomach upset and if you have eaten a heavy meal start off with a low to moderate level of swimming intensity.

Although developing cramps can happen while swimming on a full stomach, they would not be debilitating enough to cause drowning.  In fact, Less than one percent of drowning deaths in the United States have been linked to a full stomach.

 

 

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 Dangers of Thirdhand Smoke

Much has been written about the effects that smoking and secondhand smoke have on people’s health. Recently, attention has been given to another dangerous byproduct of smoking, it is called thirdhand smoke.  This is the phenomenon where nicotine and other chemicals found in cigarette smoke lingers in carpeting, clothing, furniture, bedding, wall, cars, and any place where people have smoked a cigarette. It doesn’t go away easily. Some suggest coming into contact with thirdhand smoke residue can lead to serious health issues, similar to those associated with second hand smoke .
The effects of thirdhand smoke can include difficulty with breathing, coughing, and potentially many of the other complications that can come from smoking a cigarette.Children are more susceptible than adults to thirdhand smoke because they come in to contact with more surfaces within a home during a typical day. They play on the floor, they run their hands across table tops, and they are more likely to touch surfaces that are hard to clean.
Thirdhand smoke is difficult to remove from an indoor area. Simple cleaning is often not effective. The best way to avoid thirdhand smoke is to maintain a smoke free environment. There are no benefits to smoking only bad effects and it is important for people who smoke to realize that they are not only harming themselves, but also those who they share space with.
If you would like to stop smoking, please contact one of the counselors at Jamaica Hospital at 718-206-8494 who will assist you.

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’s Bugging You?

Summer usually means picnics and family reunions, but it also means a reunion with insects that can wreak havoc on outdoor activities. Follow these tips to minimize the potential for bug bites and bee stings.

When outdoors – especially in wooded areas – wear long sleeves, pants, and socks to help protect your skin from insect bites. Be aware that insects may be drawn to scented soaps and perfumes. Also, cover food and drain or dump standing water, which attracts most insects.

Mosquito bites can be more than just annoying and itchy, they can also make you really sick. Using insect repellent is the best way to protect yourself and your family, especially when traveling overseas. Repellent is the best way to prevent diseases like Zika that are primarily spread by mosquitoes.

Treating Bites and Bee Stings

If a sting occurs, remove the stinger as soon as possible by scraping the area with your fingernail or something with a flat surface, such as a credit card. For bee and wasp stings and non-poisonous spider bites, wash the area thoroughly with soap and water and apply ice to reduce swelling. Continue to wash two or three times daily until the skin has healed.

Severe Reactions

If you are stung in the mouth, seek medical attention immediately. Severe swelling occurs quickly in oral mucous membranes and can block airways, making breathing difficult or impossible.

If you have a severe reaction to a bug bite, go to the nearest hospital Emergency Room or call 911. Otherwise Jamaica Hospital’s Ambulatory Care Center is available to help, to schedule an appointment, please call 718-206-7001.

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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.