March 2023 - Health Beat

Can Exercise Relieve Nasal Congestion?

Posted on March 24, 2023 by Jacob Lobosco

Mild to moderate physical exercise can temporarily relieve nasal congestion. A runny nose often occurs because of irritation in your nasal passages. This can occur due to a variety of causes, including sinus infections, airborne substances such as smoke or strong perfumes, and allergies.

Exercises such as push-ups can provide quick relief by opening your nasal passages and reducing inflammation that may be affecting them. However, this may not be the best approach in all cases.

Relieving nasal congestion through light exercise can be helpful when your symptoms are not severe and are limited to your nose, throat, or other parts of your head. However, if you’re experiencing symptoms that are worse or occurring in other parts of your body, such as a fever, fatigue, chest congestion, or muscle aches, it may be best to rest and avoid unnecessary exertion.

Additionally, physical exercise may even be a contributing factor to your nasal congestion in certain cases. If you have asthma, for example, your congestion may be a result of exercise-induced asthma, which causes your airways to constrict in response to hard physical activity.

Before exercising with nasal congestion or a cold, you should talk to an ear, nose, and throat doctor (ENT), also known as an otolaryngologist, to determine the cause of your congestion and whether physical exercise may help or harm your symptoms. An otolaryngologist can also prescribe decongestant medication or recommend alternative methods of relieving your congestion that may be safer for you, such as:

Using a humidifier
Taking a hot shower
Drinking more water throughout the day
Applying a warm compress to your face

If you’re experiencing nasal congestion, you can find an otolaryngologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7110.

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.

Stomach Flu

Posted on March 23, 2023 by Andrew Rubin

Gastroenteritis, or the stomach flu, is a very contagious bug that is common in our region beginning in the fall and winter months.

The stomach flu attacks your intestines causing the following symptoms:

Watery, non-bloody diarrhea
Abdominal cramps and pain
Nausea, vomiting or both
Occasional muscle aches, headache, and low-grade fever

Gastroenteritis is typically spread through the sharing of food or drink with someone who is infected or sharing other items with them such as utensils or towels. Children can also spread the illness by placing their hands in their mouths after touching contaminated items or surfaces.

Symptoms usually appear within one to three days after exposure and can range from mild to severe. Typically symptoms last only a day or two, but in some cases, they may persist for up to ten days.

The main complication from viral gastroenteritis is dehydration — a severe loss of water and essential salts and minerals. If you’re healthy and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn’t be a problem. However, infants, older adults and people with suppressed immune systems may become severely dehydrated when they lose more fluids than they can replace. Hospitalization might be needed so that lost fluids can be replaced intravenously. Dehydration can be fatal, but rarely.

To avoid catching the stomach flu, it is recommended that individuals wash their hands thoroughly, use separate items around the home, disinfect all potentially infected items and surfaces, and keep your distance from those who are infected.

If you do contract gastroenteritis, follow these tips:

1) Let your stomach settle. Stop eating solid foods for a few hours.
2) Try sucking on ice chips or taking small sips of water. You might also try drinking clear liquids or broths or non-caffeinated sports drinks. Drink plenty of liquid every day, taking small, frequent sips.
3) Ease back into eating. Gradually begin to eat bland, easy-to-digest foods, such as ginger ale crackers, toast, gelatin, bananas, rice and chicken. Stop eating if your nausea returns.
4) Avoid certain foods and substances until you feel better. These include dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.
5) Get plenty of rest. The illness and dehydration may have made you weak and tired.

For babies and young children, seek medical care if vomiting is frequent, there hasn’t been a wet diaper in 6 hours, has bloody stools, if diarrhea is severe, cries without tears, and if they are unusually drowsy, sleepy or unresponsive.

See a doctor if you become dehydrated (characterized by excessive thirst, dry mouth, dark yellow or no urine, severe weakness, change in mental status or dizziness), if symptoms persist for over 24 hours, if you are vomiting blood or have blood in your stool, or if you have a temperature of 104 degrees or above.

While most people will recover from a stomach virus after 24 – 48 hours, in some severe cases it may be necessary to go to the nearest emergency room. If you would like to schedule an appointment with a physician at Jamaica Hospital Medical Center, please call 718-206-7001.

Jamaica Hospital EMS Team Receives NAEMSP Quality and Safety Award

Posted on March 20, 2023 by Jacob Lobosco

Jamaica Hospital Medical Center’s dedicated emergency medical services (EMS) team has received the Quality and Safety Award from the National Association of EMS Physicians (NAEMSP). The Quality and Safety Award is given to participants in the NAEMSP’s year-long Quality and Safety course who demonstrate “outstanding contributions in quality improvement of prehospital emergency care,” bringing the fundamentals of quality improvement to their communities.

The award was presented to Joshua Kimbrell, Paramedic and Quality Improvement Coordinator for Jamaica Hospital’s Department of Prehospital Care, as well as paramedics Mikiel Lala and Dheuris Rodriguez at the NAEMSP Conference in Tampa, Florida. However, this award recognizes the efforts of our entire team of EMS personnel.

The NAEMSP counts over 2,000 physicians, paramedics, nurses, administrators, educators, researchers, and EMS personnel among its members. The organization hosts events, publicly advocates, and provides resources for education and networking among emergency medical personnel.

As part of the NAEMSP’s Quality and Safety course, members of Jamaica Hospital’s EMS staff completed a capstone project on improving cardiac arrest care and patient survival among patients in the local Queens community. This project involved developing a strategy to improve chest compression fraction, return of spontaneous circulation (ROSC), and patient survival in advanced life support (ALS) cardiac arrest responses. The team presented their case at the conference with a published abstract in the Prehospital Emergency Care journal.

“The strategy our team developed resulted in significant improvements in patient outcomes,” said Joshua Kimbrell. “This award was an achievement for our entire department.

Congratulations to all members of our EMS staff!

Meet Our Doctors: Dr. Xun Li

Posted on March 16, 2023 by Jacob Lobosco

This month, Jamaica Hospital Medical Center would like to tell you more about Dr. Xun Li. He is a full-time attending neurosurgeon at both Jamaica and Flushing Hospital Medical Center who treats patients experiencing various brain and spine problems. Dr. Li is a dual-trained spine surgeon, meaning that he is able to perform surgeries within the spinal cord itself in addition to the bones, joints, ligaments, and discs around the spinal cord.

Dr. Li’s interest in neurosurgery stems from the effects of aging on the brain and spine. “As we age, most of us develop problems with our necks and backs due to being creatures that walk upright on two feet,” said Dr. Li. “However, the good news is that spine surgery has advanced so rapidly over the past couple of decades that we now have simple and effective surgical solutions for many problems. The days of simply accepting that neck and back pain is part of getting older are, thankfully, long gone.”

Dr. Li was born in Beijing, China, and grew up traveling around the world as part of his father’s career. He attended many local schools and learned a variety of languages during this time, but at home, he and his family only spoke Mandarin Chinese. “I am very thankful for that now,” said Dr. Li, “as I have not lost my mother tongue like so many other people in my shoes.”

After attending schools such as Allegheny College, Temple University, Brown University, and the University of Pennsylvania, as well as completing his education in neurosurgery and a subspecialty fellowship in orthopedic spine surgery, Dr. Li found that the opportunity to work at Jamaica and Flushing Hospital in Queens allowed him to take advantage of his bilingual fluency in Mandarin Chinese and English in a way he had always wanted.

“When the opportunity to work in Queens presented itself, I embraced it enthusiastically. It has been very fulfilling to be able to speak with my patients in our native language; it creates a stronger bond and deeper sense of trust as we discuss various brain or spine surgeries that are often inherently high risk, but that also come with high reward,” said Dr. Li.

In addition to performing emergency neurosurgery at Jamaica and Flushing Hospital, Dr. Li also treats routine simple and complex neurological problems for patients during regular business hours.

Sleep Awareness Week

Posted on March 14, 2023 by Jamaica Hospital Medical Center

The keys to a healthy lifestyle are eating right, exercising, and getting adequate sleep. While we give a great deal of attention to the first two, the importance of a good night’s sleep is often overlooked. March 12th through the 18th has been designated Sleep Awareness Week, the 25^th Anniversary of this event. Jamaica Hospital Medical Center and the National Sleep Foundation (NSF) want to raise awareness and educate the community about how important sleep is to each and every one of us.

There are many health benefits that sleep can provide. Sleep aids our heart, brain, lungs, and muscles to function properly. Additional benefits include:

Improved immunity
Decreased pain
Increased alertness
Lower risk of injury
Improved memory
Better mood

The NSF recommends that adults receive seven to nine hours of sleep each night. They also provide the following tips to ensure a restful night’s sleep.

Stick to a sleep schedule with the same bedtime and wake-up time, even on the weekends.
Practice a relaxing bedtime ritual. Try to separate your sleep time from activities that can cause excitement, stress, or anxiety; a lot of which can make it more difficult to fall asleep.
If you have trouble sleeping, avoid naps, especially in the afternoon. Napping may help you during the day, but it can interfere with your ability to sleep at night
Avoid drinking any caffeinated beverages at least five to six hours before bed.
Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity.
Evaluate your sleep environment. Remove any noisy distractions, eliminate bright lights, and set a comfortable temperature to optimize your sleep.
Sleep on a comfortable mattress and Make sure your mattress is supportive.

If you still have trouble falling asleep or getting a restful night’s sleep, you should speak with your doctor as there may be an underlining medical issue. Jamaica Hospital operates a state-of-the-art sleep center that can help diagnose and treat a variety of sleep disorders. For more information, or to make an appointment, please call 718-206-5916.

Jamaica Hospital’s Cure Violence Program Receives Over $1 Million to Address Gun Violence in our Community

Posted on March 13, 2023 by Michael Hinck

Congratulations to the Trauma team at Jamaica Hospital Medical Center for being awarded over $1 million by the Mayor’s Office of Criminal Justice for the continuation and expansion of the hospital’s Cure Violence program. The goal of Cure Violence program is to fund anti-violence community groups in their efforts to steer young New Yorkers away from violence and gun use.

In 2021 Jamaica Hospital created the VETO (Violence, Elimination and Trauma Outreach) program to provide a comprehensive and patient centered approach to victims of gun violence. The VETO team engages patients who are victims of gun violence, develop specific care plans to address social determinates of health, and follow them until all of their care plan goals are met.

The VETO program was awarded the Marla Becker Scholarship from The HAVI foundation for new and emerging HVIP’s, connecting us with HVIP’s in Philadelphia and our community for consultation in structuring our hospital-based violence intervention program.

In addition, Jamaica Hospital has also formed partnerships with numerous community organizations including violence interrupter groups to address the issue of gun violence in our community.

National Colorectal Cancer Awareness Month

Posted on March 8, 2023 by Jacob Lobosco

Colorectal cancer is the second most common cause of cancer-related death among men and women in the United States. The American Cancer Society estimates that 153,020 cases of colorectal cancer will appear in 2023.

Someone with this form of cancer may only begin to experience symptoms from stage two onward, with many cases only presenting symptoms in the third and fourth stages of the disease. When symptoms appear, they typically include changes in bowel habits and stool consistency, bloody stool, chronic abdominal pain, and unexplained weight loss.

The primary risk factor for colorectal cancer is age. The Centers for Disease Control and Prevention recommend regular screening for this form of cancer starting at age 45. However, if you’re at higher-than-average risk for colorectal cancer, screening may need to begin at an earlier age.

Other risk factors include:

Inflammatory bowel disease
A family history of colorectal cancer or polyps
Certain genetic syndromes such as Lynch syndrome
Obesity
Alcohol consumption
Tobacco usage

Aside from improving lifestyle factors such as physical activity levels and nutrition, the best way to reduce your risk of colorectal cancer is to keep up with regular diagnostic screening. Procedures for screening include:

Stool tests: These tests check for blood or changes to your DNA in your stool. The guaiac-based fecal occult blood test (gFOBT) and fecal immunochemical test (FIT) which check for blood, are performed annually. The FIT-DNA test, which checks the DNA in your stool, is performed every three years.

Flexible Sigmoidoscopy: This test checks for polyps and cancer inside the lower third of your rectum and is performed every five years or every 10 years if you receive a FIT annually.

Colonoscopy: A standard colonoscopy checks for polyps and cancer throughout the rectum and the entire colon, allowing your doctor to spot and even remove most of them. This is performed every 10 years for people with an average risk of colorectal cancer. Alternatively, a virtual colonoscopy, which produces images of the entire colon using X-rays, can be performed every 5 years.

You can receive a colorectal cancer screening from a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Low FODMAP Diet

Posted on March 7, 2023 by Xavia Malcolm

The low FODMAP diet is a short-term, elimination diet designed to help people living with irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO).

Research shows that following a low FODMAP diet as recommended by a doctor or nutritionist can reduce symptoms in up to 86% of people diagnosed with IBS or SIBO.

The acronym FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which are carbohydrates that are difficult to digest. They can trigger symptoms such as bloating, gas, constipation, or diarrhea in some people.

High FODMAP foods that are notorious for causing digestive symptoms include:

Onions
Garlic
Products containing lactose such as milk, cheese, or ice cream
Dairy alternatives such as coconut milk (in the carton) or soy milk
Foods containing fructose such as apples, pears, watermelon, agave nectar, or honey
Cauliflower
Mushrooms
Snow peas
Ingredients found in calorie sweeteners such as isomalt and xylitol

Excluding these foods temporarily from a diet for about two to six weeks, or as recommended by a physician; then slowly reintroducing them, can help identify which foods are causing symptoms to occur. Once it is determined which foods are causing symptoms, they will be limited or avoided.

The FODMAP diet is very restrictive; therefore, it is beneficial to plan your meals. Your nutritionist or physician may recommend that you base your meals around low FODMAP foods such as:

Almond milk
Vegetables such as eggplant, spinach tomatoes, zucchini, and potatoes
Fruits such as grapes, pineapples, or strawberries
Proteins such as chicken, lamb, or fish

A low FODMAP diet is not for everyone. It can do more harm than good to those who have not been diagnosed with IBS or SIBO. Low FODMAP diets can also be challenging; however, working with a physician or dietitian can help you to stick to the guidelines and maintain proper nutrition.

To schedule an appointment with a doctor or dietitian at Jamaica Hospital Medical Center, please call 718-206-7001.

When To See A Doctor If You Have A Sinus Infection?

Posted on March 3, 2023 by Jamaica Hospital Medical Center

A sinus infection, also known as sinusitis, is a very common type of infection that occurs when the sinuses or cavities in the front of the face, around the eyes, and behind the nose become filled with mucous.

The majority of sinus infections are caused by viruses. Sinus infections can also be caused to a much lesser extent by bacteria or fungus, however, and are less likely to be transmitted from one person to another. They can also be caused by allergies, blocked nasal passages, asthma, and nasal blockages due to polyps.

Acute viral sinusitis typically lasts seven to ten days and may follow a cold. Chronic sinusitis can last for 12 weeks or longer.

Symptoms of a sinus infection include:

Facial pain or pressure on the forehead or between the eyes
Runny or stuffy nose
Thick yellow, green, or cloudy nasal discharge
Inability to smell
Cough
Sore throat
Fever

Sinus infections typically begin to improve by themselves in about 10 days. You should contact your physician if the infection is not improving or if it is getting worse. Anyone who experiences any of the following should see a physician as soon as possible:

Fever over 102 degrees Fahrenheit
Confusion
Stiff neck
Vision changes
Swelling and redness around the eyes
Intense headache

A sinus infection can spread to the brain or the eye if it is left untreated. People who have frequent or chronic sinus infections should see an otolaryngologist, also known as an ear, nose, and throat specialist (ENT) to see if there is an underlying reason these are occurring.

If you think you may have a sinus infection, you can try several remedies at home such as a warm compress on the face, over-the-counter decongestants, saline nasal sprays, and over-the-counter pain relievers. These shouldn’t be used for more than three days.

Speak to your physician if the symptoms of a sinus infection don’t improve or worsen after ten days. If you would like to schedule an appointment with a physician at 718-206-7001.

March is National Kidney Month

Posted on March 2, 2023 by Andrew Rubin

March is National Kidney Month and the National Kidney Foundation is urging all Americans to give their kidneys a well-deserved checkup.

The kidneys are two fist-sized organs, located just below the rib cage, in your lower back. The left kidney is on the left side of the spine and the right kidney is on the right side of the spine. Blood flows through the kidneys many times a day. They maintain overall health by serving the following functions:

Filtering waste out of 200 liters of blood each day
Regulating of the body’s salt, potassium and acid content
Removing toxins from the body.
Balancing the body’s fluids
Releasing hormones that regulate blood pressure
Producing an active form of vitamin D that promotes strong, healthy bones
Controlling the production of red blood cells

According to the U.S. Centers for Disease and Control, some quick facts on Kidney Disease are:

Kidney disease is the 9^thleading cause of death in the country.
More than 26 million Americans have kidney disease, and most don’t know it.
There are over 95,000 people waiting for kidney transplants.
Currently, more than 590,000 people have kidney failure in the U.S. today.
Risk factors for kidney disease are hypertension, diabetes, family history, and age over 60.

Symptoms of kidney disease include:

Swelling of the face, hands, abdomen, ankles, and feet
Blood in the urine
Puffy eyes
Painful urination
Increased thirst
Fatigue

Often times, kidney failure can be prevented or delayed through early detection and proper treatment of underlying disease such as diabetes and high blood pressure which can slow additional damage to the kidneys.

If you are 18 years or older with diabetes, high blood pressure, cardiovascular disease or a family history of kidney disease, you should schedule an appointment with your doctor and ask that you be screened for kidney disease.

If you would like to make an appointment to have your kidney’s checked, you can call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 for an appointment.