October 2018 - Health BeatHealth Beat

Can Journaling Help Relieve Stress and Anxiety

Posted on October 31, 2018 by Joann Ariola

Did you know that keeping a journal is a great tool for relieving anxiety and stress? According to , “Journaling can relieve stress by helping you work through your anxious feelings.”

By journaling, you can minimize thoughts that may have you anxious. Writing down what is causing you to stress may help you shift feelings of fear and hopelessness to empowerment and solution orientated thoughts.

Some tips on how to get started are:

Start journaling for five to 15 minutes – Too much time shouldn’t be spent on your journaling. Write about what is concerning you most.
If an event is currently causing difficulty write it down in detail. If it is not a current issue, but something that has been plaguing you, focus on writing that you worry about the “what could possibly happen” factor.
Write how these feelings affect you in your daily life
Once your thoughts are arranged, you can write about what positive measures you can implement to help relive how you are feeling (i.e. meditation, exercise, support groups)

The hardest part about journaling is getting started. Many people think that they don’t have the time to journal, but if you have the time to fret, you have the time to put pencil to paper and work on feeling better!

For more tips on how to benefit from journaling visit –

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.

Running Do’s and Don’ts

Posted on October 30, 2018 by Xavia Malcolm

It is no secret that exercise does wonders for your health. Running, in particular, offers many benefits, and is known to improve your mental and physical wellbeing.

In a study published in the Journal of the American College of Cardiology, it was found that” five to 10 minutes a day of low-intensity running is enough to extend life by several years.” Similar studies have also indicated that running can help reduce the risks associated with obesity, diabetes, heart disease, high blood pressure and some cancers.

Given the benefits, your doctor may recommend that you include running as part of your exercise regimen. If you decide to run, there are a few things you should keep in mind in order to prevent injury and optimize your workout. Here are some running dos and don’ts:

The Do’s:

Keep your head up -This will keep your body in alignment and prevent injuries
Stretch and warm up-This reduces muscle tightness and increases your range of motion
Start slowly -Starting off too fast can lead to overexertion which may result in side aches
Schedule rest days –Allow your body days to recover and reduce the risk of exhaustion
Remain hydrated- Drinking enough water will prevent dehydration

The Don’ts:

Do not run in shoes that are worn or not intended for running- Shoes that are worn or not designed for running may lack support and lead to injuries
If running outdoors, do not run with headphones – It is important to be aware of your surroundings and avoid hazards
Do not eat big meals before running-Eating too much can slow you down
Do not ignore injuries- It is important that you rest if you are injured, not doing so can lead to complications

The most important thing to consider before starting your running routine is to speak with your doctor. Experts recommend that you receive a full medical checkup if you are over the age of 40, have preexisting medical conditions, are obese or have a family history of heart disease. Your doctor will be able to assess your health and determine if running is best for you.

Tubal Reversal Offered at Jamaica Hospital

Posted on October 29, 2018 by Jamaica Hospital Medical Center

For women, the decision to have tubal ligation, or getting their “tubes tied,” is a difficult one, but that decision no longer needs to be a permanent one. Doctors at Jamaica Hospital Medical Center now offer a tubal reversal procedure for women, giving them the opportunity to become pregnant again.

Tubal reversal is a simple, minimally invasive procedure that reconnects the fallopian tubes and restores their ability to function after a previous sterilization procedure. The surgery is performed by trained doctors, who use specially designed instruments to gain access to the fallopian tubes. The ends of the damaged tubes are reconstructed and repaired. Once the surgery is complete, testing will be performed to make sure that the tubes are open or “patent.”

Dr. Khaled Zeitoun, Reproductive Endocrinologist and Infertility Gynecologist, perform this procedure with great success at Jamaica Hospital. “This procedure gives women a second chance at having a baby,” states Dr. Zeitoun. “The effectiveness of tubal reversal is approximately above 50% and is a much more affordable fertility option than other procedures such as IVF (in vitro fertilization).”

While the overall success rate for conception is high for those who have tubal reversal surgery, there are some factors that affect this success, such as the degree of damage to the tubes during the original tubal ligation procedure, the weight and health status of the patient and other medical factors in the patient and the partner.

The procedure traditionally takes from 2-4 hours and recovery time is minimal. “In most cases, patients can try to become pregnant during their next ovulation cycle and every cycle after that, which is another benefit when compared to other options which only allow patients one chance of conception,” explains Dr. Zeitoun.

To learn more about the tubal reversal procedure or to schedule an appointment with Dr. Zeitoun, please call 718-206-7642.

Intimate Partner Violence

Posted on October 26, 2018 by Sujal Singh D.O.

October is domestic violence awareness month. Here’s what you should know about this public health issue:

What is Intimate Partner Violence?

Intimate partner violence (IPV) involves four types of aggressive behavior that harms someone in a close relationship. An intimate partner can be a current or former boyfriend, girlfriend, fiancé or spouse. The violence can be as brief as one episode or it can continue on for years.

What are the four different forms of violence?

Physical Violence – this involves physical force used by a partner. Some examples include hitting, kicking, slapping, pushing, and the use of any weapons.

Sexual Violence – this involves forcing a partner to engage in any sexual act that is non-consensual. This can also include unwanted sexual messages or images via text message or social media.

Stalking – this involves watching, following, repetitive calling, incessant messaging or any form of unwanted and unsolicited attention from a current or past partner.

Psychological Aggression – this involves mental, emotional, or psychological harm caused by a partner who wishes to gain power and control over the other partner. Examples include threats, accusations, and coercion.

Who is affected?

The CDC reports that millions of Americans in heterosexual or same-sex relationships are affected by one or more forms of IPV every year. 1 out of 4 women and 1 out of 7 men report experiencing one or more forms of IPV in their lifetime.

What are the consequences of Intimate partner violence?

For the individual, IPV can cause physical injury, mental health issues (depression, PTSD), and chronic gastrointestinal and musculoskeletal issues. IPV can even result in death; the U.S. crime database reports that 1 in 6 homicide victims are killed by an intimate partner.

What can I do about it?

Encourage victims to speak up. If you are a victim, talk to your doctor. Your physician can help you to locate the resources needed to assist you. Utilize resources such as safe havens or healthy relationship counseling that offer support to those affected by IPV. For more information and to learn about services available, please visit CDC.gov/violenceprevention.

If you or someone you know suffers from intimate partner violence, tell your doctor immediately. To schedule an appointment with a Family Medicine Doctor at Jamaica Hospital Medical Center, please call 718-206-6942.

Sujal Singh D.O.

Employee Spotlight Shines on Crystal Faninn

Posted on October 25, 2018 by Andrew Rubin

This month we shine our employee spotlight on Crystal Fannin, Emergency Department Registrar Supervisor. One of the many things that make Crystal special is that she has been working in the same department for over 39 years. Jamaica Hospital has been her only job and she is very proud to tell that to everyone she meets. She is very proud of the fact that she signed one of the bricks that was used to build the new main building and was also one of the people who got to sign the last steel beam placed in the new Trump Pavilion.

Crystal was born in Brooklyn and moved to Queens when she was 11 years old. She attended Andrew Jackson High School and currently lives in the St. Albans area. She has two children, a son and a daughter and two grandchildren. Her children and grandchildren were all born at Jamaica Hospital so she has experience on many levels of the quality care people receive.

Though Crystal spends much of her time at work, she does have a variety of things that she enjoys in her free time. She loves to cook, all types of food but her favorite is soul food, especially ribs and cornbread. She enjoys all kinds of music, in particular funk and jazz, and at one time she even played the drums. One of her favorite activities is going to the racetrack. Crystal says you only live once and you have to have fun. To prove her point, she has gone skydiving twice.

Over the years, Crystal has done just about everything an emergency room registrar can do. She knows many of the patients by name because she has seen them so many times. She can be described as a real people person. Everyone who meets her feels her sincerity and compassion. Jamaica Hospital is like a family to her and that is why she enjoys coming to work every day. Crystal feels very strongly about giving back to the hospital and the community. She and her mother raised money, much of it their own, to buy toys for the children during holiday time.

She is truly an important part of the Jamaica Hospital family and we are happy to be able to shine the spotlight on her this month.

Breast Feeding After Augmentation

Posted on October 24, 2018 by Joann Ariola

According to the National Institute of Health (NIH), breast augmentation has become the #1 cosmetic procedure for the last decade. Since the best age for breast augmentation is anywhere from 18 to 50 years old, a woman’s desire to look younger may overlap with the tick of her biological clock.

One of the most popular questions women ask before having surgery is, “Will I be able to breastfeed?”

The answer is, yes. Breastfeeding after breast augmentation is absolutely possible.

Although the prior condition of the breasts, position of the implant and incision could have a direct bearing on milk production, it is very likely that you will have a positive experience when nursing your child.

If you have any questions regarding breastfeeding your baby, you can call Jamaica Hospital’s Lactation Consultant at 718-670-4200 for answers to FAQ’s.

Gout

Posted on October 23, 2018 by Xavia Malcolm

Gout is a common form of arthritis that is characterized by attacks of pain, swelling, stiffness, redness or tenderness in the joints. These attacks or flares typically affect one joint at a time. They can occur suddenly and return over time.

Gout is caused by an accumulation of urate crystals in the joint. Urate crystals form when there are high levels of uric acid in your blood. Uric acid is produced when your body breaks down purines; substances that are found naturally in our bodies and in foods such as steak, seafood and organ meats. Alcoholic beverages and drinks sweetened with fructose (fruit sugar) are known to promote higher levels of uric acid in the body.

Some people are more likely to develop gout than others. Factors that increase your risk include:

Being obese; If you are overweight your body produces more uric acid and your kidneys may not be able to properly eliminate excessive amounts
Having a diet that is rich in purines, this includes seafood, red meat, organ meat, or beverages sweetened with fructose
Consuming excessive amounts of alcohol
Having certain health conditions such as hypertension, diabetes, heart and kidney disease
Using certain medications such as diuretics or low-dose aspirin

Men are more at risk of developing gout than women; this is because women tend to produce lower levels of uric acid. Men are also more likely to develop gout at an earlier age than women. In men, symptoms may occur as early as the age of 30, and in women after menopause.

There are a few things you can do to reduce your risk for gout or prevent future attacks, they include:

Drinking plenty of water
Limiting your intake of seafood and meat
Limiting or avoiding alcohol
Maintaining a healthy weight

If you are experiencing symptoms of gout, or believe that you may be at risk, make an appointment to see a physician. Your doctor may order a series of test or assess your current state of health to receive a diagnosis or to determine if you are at risk.

Stuttering

Posted on October 22, 2018 by Jamaica Hospital Medical Center

Stuttering, sometimes called stammering or dysfluency is a disruption in the normal patterns of speech. It can take many forms, such as:

• Repeating a sound or a syllable, especially at the beginning of the word, such as “li- li- like.”
• Prolongation of a sound such as “ssssss”
• Complete stoppage of speech or the omission of a sound.
• Repeated interruption of speech with sounds such as “uh” or “um.”

Stuttering can begin at any age, but it’s most common among children who are learning to form words into sentences. Boys are more likely than girls to stutter.

Approximately one out of every 20 children will develop stuttering that lasts for more than six months, but this does not necessarily mean that stuttering is going to be a lifelong problem. Knowing what to look for and responding appropriately to your child’s stuttering will go a long way toward preventing it from becoming a more long-term or even permanent condition.

Why does stuttering begin? At one time many people thought that stuttering was the result of either physical or emotional trauma. While there are rare instances of stuttering following traumatic events, this is not the typical factor when determining why stuttering begins. Instead, experts point to other factors that contribute to stuttering:

• Family History – According to research, 60% of all stutterers have someone in the family who also stutters.
• Child Development. – Children who have other language and speech problems are more likely to stutter than children who don’t.
• Neurophysiology – Which part of the brain processes language can contribute in identifying why some children stutter
• Family Dynamics – Some children’s stuttering has been attributed to high family expectations and a fast-paced lifestyle.

Talk to your doctor if you are concerned about your child’s stuttering. Your doctor may refer you to a specialist known as a speech-language pathologist (SLP) who can evaluate your child and determine whether or not there is a risk of a long-term problem. In most cases, treatment primarily focuses on training and working with the parents to develop techniques to help the child cope with and get beyond his or her stuttering.

Parents of children who stutter can also help by creating a relaxing atmosphere at home that encourages speech, even if a stutter is present. Some tips include:

• Create opportunities for talking that are relaxed, fun, and enjoyable.
• When conversing with your child, try to create an environment with limiting distractions, such as the presence of television.
• Don’t be critical of your child’s speech or insist on precise or correct speech. Don’t correct his speech, or complete his sentences.
• Don’t put pressure on your child to verbally interact with others when stuttering becomes a problem.
• Listen attentively to what your child is saying, maintaining normal eye contact without displaying signs of impatience or frustration.
• Model a slow, relaxed way of speaking to help your child slow down his own speech.
• Don’t be afraid to talk with your child about stuttering and answer questions. Explain that disruptions in speech are common.

October is Home Eye Safety Month

Posted on October 18, 2018 by Andrew Rubin

October is recognized as Home Eye Safety Month to bring awareness of all of the hazards that can be found in the home and provide information on ways to prevent eye related injuries. Statistics show that almost half of the accidents that involve the eyes occur within the home. It is estimated that over 125,000 eye injuries occur in the home annually and are due to improper use of household products.

Some of the ways eye injuries in and around the home can be prevented include:

Wearing safety goggles when using hazardous chemicals
Ensuring that areas are well lit
Keeping paints, pesticides, fertilizers and other chemicals in a secure location
Making sure that children’s toys don’t have sharp edges.
Keeping scissors, paper clips, knives, coat hangers, pens and pencils out of reach of small children
Checking to make sure that there are no objects with sharp points left in places children can reach
Playing with fireworks should be avoided by everyone but especially young children

If an eye injury occurs, it is important to seek medical care immediately. Do not rub, touch or apply pressure to the eye. Never apply ointments or medication to the eye without being told to by a physician. If a chemical gets into the eye, begin flushing it out with water right away. Foreign objects in the eye should only be removed by a trained professional.

If an injury occurs to the eye, seek medical attention immediately by calling 911 or going to the closest emergency room. Your sight is very important and a little precaution can go a long way to making sure nothing happens to cause you to lose it.

DANGERS OF INFANT WALKERS

Posted on October 17, 2018 by Joann Ariola

The American Association of Pediatrics’ (AAP), has recommended a ban on infant walkers as a result of a recent study that revealed over 230,000- children less than 15 months old were treated for infant walker related injuries in U.S. emergency departments from 1990 to 2014. The majority of injuries were to the head or neck noting that the injuries were sustained by falling down stairs in their infant walker.

states that most walker injuries happen while an adult is watching. Even the most attentive parent or caregiver cannot respond quickly enough to prevent a child from falling since a child in a walker can move more than 3 feet in 1 second. That is why walkers are never safe to use, even with an adult close by.

The AAP recommends that instead of infant walkers, parents choose:

Stationary activity centers – They resemble walkers without wheels. They often have seats that rotate, tip and bounce.
Play yards or playpens – These can be used as safety zones for children as they learn to sit, crawl or walk.
High chairs – As your child grows, they can enjoy sitting in a high chair to play with toys on the tray.

Before 1997, there weren’t any standards for baby walkers in place. These standards caused manufacturers to make the base of a walker wider so as to not fit through most door ways and having brakes that stop them at the edge of a step. Although necessary, these improvements cannot and have not prevented all injuries from walkers.

Research has shown that walkers do not provide any advantage to accelerating a child’s development. In fact, they may hinder development because they do not teach infants to walk. A better practice is to allow your baby the freedom in a safe environment that allows them the opportunity for pulling themselves up, creeping and crawling.