When To Worry About Heart Palpitations

Posted on December 9, 2025 by Xavia Malcolm

Heart palpitations are feelings or sensations of a fast-beating, fluttering, or pounding heart. They are felt when the heart beats outside its usual rhythm.

Heart palpitations are common; most aren’t cause for concern. They can be caused by fever, anxiety, stress, fear, drinking alcohol or caffeine, dehydration, menopause, pregnancy, or overactive thyroids. Certain medications and supplements can also cause heart palpitations.

While palpitations are often harmless, they can sometimes be a sign of a serious health problem. Heart palpitations lasting more than a few seconds or minutes can be a sign of arrhythmia or other heart rhythm issues.

Additionally, heart palpitations accompanied by symptoms such as chest pain, shortness of breath, fainting, dizziness, or excessive sweating can be signals of heart failure or other conditions needing immediate care.

A doctor can diagnose heart palpitations by conducting a physical examination, which includes listening to your heart and lungs. Your doctor may also order tests such as an EKG, echocardiogram, or Holter monitoring to check for an irregular heartbeat. They may also review lifestyle factors such as your diet to determine the potential cause of your heart palpitations.

Treatment for heart palpitations depends on the cause. Prescription medications or surgery may be recommended if there is an underlying issue, such as heart disease or arrhythmia. Otherwise, your doctor may suggest lifestyle changes, such as drinking less coffee, quitting smoking, avoiding certain foods, or doing less strenuous exercises to reduce triggers that lead to palpitations.

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.

Holiday Decorating Safety Tips

Posted on December 7, 2025 by Patrick Hercules

Christmas is around the corner, and many of us are decorating our homes for the holiday. However, according to the American Red Cross, December is the peak time for home fires involving candles and holiday decorations.

Here are some safety tips from the American Red Cross:

For holiday lighting, choose decorations that are flame-resistant or flame-retardant.

Some lights are only for indoor or outdoor use, but not both. It is important to make sure you have the right lights for where you are decorating

Replace any string lights with worn or broken cords or loose bulb connections

Follow the manufacturer’s instructions for the number of lights you can safely connect

Use clips instead of nails to hang lights, so the cords do not get damaged

If you choose to use a real Christmas tree, pick one that has fresh, green needles that do not fall off when touched. Before placing the tree in the stand, cut two inches from the base of the trunk.

Make sure the tree is at least three feet away from any heat source like fireplaces, radiators, candles, heat vents, or lights, and make sure the tree is not blocking an exit

Add water to the tree every day

Never use lit candles to decorate the tree, and always turn off the tree lights before leaving home or going to bed

If you are buying an artificial tree, look for a fire-resistant label. When putting it up, keep it away from fireplaces, radiators, and other sources of heat. Never use electric lights on metallic trees

When using candles to decorate, remember that a candle is an open flame, and it can easily ignite anything that can burn. As an alternative, use flameless candles, as they can look and smell like real candles. If you choose to use real candles:

- Blow out all candles when you leave a room or go to bed

- Avoid the use of candles in the bedroom and other areas where people fall asleep

- Keep candles at least one foot away from anything that can burn

- Use candle holders that are sturdy and won’t tip over easily. Put candle holders on a sturdy, uncluttered surface

- Light candles carefully

- Don’t burn a candle all the way down. Make sure to put them out before they get too close to the holder or container

- Never use a candle if oxygen is used in the home

If you are going to use candles as decoration, it is important to place smoke alarms on each level of your home, including inside and outside bedrooms and sleeping areas. In addition to testing your smoke alarms once a month, change the batteries at least once a year if your model requires it. Check the manufacturer’s date of your smoke alarms. If they’re 10 years or older, they need to be replaced because the sensor becomes less sensitive over time. Follow the manufacturer’s instructions.

It is important to decorate as safely as possible. If you or a loved one gets injured while decorating, you can receive treatment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. Call 911 if there is an emergency.

Jamaica Hospital’s New Ambulatory Surgery Unit

Posted on December 5, 2025 by Patrick Hercules

Jamaica Hospital Medical Center recently opened its new Ambulatory Surgical Unit (ASU).

The expanded ASU enables the hospital to enhance its surgical services by increasing volume and provides a more efficient and enhanced layout, with a dedicated space for the timely service of elective and same-day procedures. “The new ASU will allow us to increase our volume and accommodate our growing surgical services to meet the needs of our community”, said Dr. Antonietta Morisco, Chairperson of Anesthesiology.

Jamaica Hospital’s ASU features four state-of-the-art operating rooms, a spacious admitting and recovery area for patients, and a comfortable waiting area for family members. Patients who have been to the ASU are amazed at how beautiful and modern the facility is and have said they have had a wonderful experience there.

The ASU has the latest technology to support minimally invasive surgical procedures, highlighted by a da Vinci robot. A few of the surgical subspecialties provided at the ASU include general surgery, ENT, urology, orthopedics, podiatry, gynecology, pain management, and pediatrics. Jamaica Hospital’s new ASU has a dedicated team of doctors, nurses, anesthesiologists, and support staff.

With the new amenities at the Ambulatory Surgery Unit, the team at the ASU looks forward to continuing to provide the community with high-quality care, building on its commitment to giving patients the best and most stress-free experience possible before, during, and after their surgical procedures.

What is the New Flu Virus Variant?

Posted on December 4, 2025 by Patrick Hercules

A new variant of the flu virus, known as H3N2 subclade K, is affecting the U.S. this season, having circulated in other countries since the summer.

This variant is a mutated strain of H3N2, which is a subtype of influenza A. According to the Centers for Disease Control and Prevention (CDC), H3N2 is the main type of flu spreading in the U.S. as of mid-November.

Additionally, scientists from around the world have reported that H3N2 subclade K, a mutation of H3N2, has undergone several mutations, which haven’t been seen before in flu viruses. These mutations may make this new strain more severe than usual, with some experts suggesting that these changes could reduce the effectiveness of the current flu vaccine in preventing infection.

However, it is important to note that it is still recommended to receive the flu vaccine, as the CDC notes that the H3N2 subclade K strain can cause severe symptoms in older adults over the age of 65 and children under the age of five. Other people who are vulnerable to severe symptoms of the subclade K strain include:

Anyone who is immunocompromised

Pregnant people

People with underlying chronic conditions such as diabetes, heart disease, or lung disease

Doctors warn that flu infections, if left untreated or not treated early enough, can increase the risk of complications such as ear infections and sinus infections, as well as more serious complications such as pneumonia, hospitalization, and even death.

Last year, data from the CDC showed that the U.S. had the most total flu-related hospitalizations in about 15 years, and close to 280 pediatric deaths from the flu.

People who are infected with the flu usually develop symptoms about one to four days after being exposed. Flu symptoms include:

Fever and chills

Muscle and body aches

Headaches

Sore throat

Cough

Deep fatigue or tiredness

Runny nose or stuffy nose

Vomiting and diarrhea (in some cases, especially in children)

For most healthy people, the flu resolves within a week or two with rest and fluids. However, certain symptoms are red flags that indicate you need to seek immediate medical attention.

Difficulty breathing or shortness of breath

Persistent pain or pressure in the chest or abdomen

Persistent dizziness, confusion, or inability to wake up

Seizures

Not urinating, which is a sign of severe dehydration

Severe muscle pain

A high fever that does not respond to fever-reducing medication

Symptoms that improve but then return with a fever and worse cough

It is important to remember that getting vaccinated is the best way to prevent serious symptoms of the flu virus. There are also several steps you can take to reduce your risk of getting and spreading the flu. They include:

Washing your hands frequently with soap and water.

Avoiding touching your eyes, nose, and mouth.

Staying home when you are sick to prevent the spread of the virus to others.

Covering your cough and sneeze with a tissue or your elbow.

Considering wearing a mask in crowded indoor spaces, especially if you are around high-risk individuals.

If you are experiencing any flu symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Cold Cap Hair Loss Cancer Treatment

Posted on December 4, 2025 by Patrick Hercules

Hair loss can be a big concern for people who are going through chemotherapy. While hair typically grows back after treatment, the loss of hair can be distressing, as it is a reminder of how cancer has changed them.

Cold capping, or scalp cooling, is a type of therapy that might reduce hair loss caused by chemotherapy.

Cold capping treatment uses a device to lower the temperature of the scalp and constrict the blood vessels. The cold helps keep cell-killing chemo away from hair follicles to protect the hair.

The two main types of scalp cooling devices are automated and manual, and they work in different ways.

Automated cold caps are automated scalp cooling systems that are regulated by the Food and Drug Administration (FDA) and are covered by insurance. They work by connecting a special cap to an automated device that circulates a liquid or gel cooled to a specific temperature. Automated cold caps are only approved for chemo-induced hair loss related to solid tumor cancers, not blood cancers.

Manual scalp cooling devices are frozen gel caps that are not regulated by the FDA and are not covered by insurance. This type of device doesn’t use an automated cooling system. Instead, it is manually cooled in a freezer or with dry ice. The temperature for frozen gel caps must be much lower compared to automated cold cap systems, because the cap starts to warm as soon as it is put on a person’s head. A new frozen cap must be put on every 30 minutes.

A cancer care team may advise against a patient using cold capping if they:

Have blood cancers, such as leukemia or lymphoma, or have a central nervous system cancer

Have a history of migraines

Live with liver disease

Had or will have radiation therapy to the skull

Are preparing for a bone marrow transplant

Are under the age of 18

Research has shown that each person responds to scalp cooling differently. These devices work better for certain types or doses of chemotherapy. For example, if a chemo regimen includes anthracycline, scalp cooling might not work as well to reduce or prevent hair loss.

Some research also suggests that scalp cooling to prevent hair loss might not work as well for people with a thicker hair layer, compared to those with a thinner layer of hair. This could be because thicker hair insulates the scalp, preventing it from cooling down enough.

Additionally, there is research that suggests that the fit of a cooling cap is important. Cooling caps that aren’t fitted tightly have been linked with more hair loss. Increased hair loss often happens in patches where the cap’s contact with the scalp is poor. Therefore, it is highly recommended to receive cold cap therapy with the assistance or guidance of a trained healthcare professional.

Scalp cooling side effects are rare and usually tolerable. The most common side effects reported include:

Headaches

Nausea

Dry skin

Claustrophobia

General discomfort related to feeling cold

There have been a small number of reports of scalp thermal injuries that happened when people use the non-regulated manual cold caps. The MediSys Health Network Cancer Center offers cold cap treatment approved by the FDA to help patients lower their risk of chemotherapy hair loss.

If you would like to learn more about cancer treatments such as cold capping, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742.

What is HER2 Breast Cancer?

Posted on December 3, 2025 by Patrick Hercules

HER2-positive (HER2+) breast cancer is a fast-growing form of invasive breast cancer, one that spreads to other parts of the body. When a person has this type of cancer, tests show high levels of a specific protein, human growth factor receptor 2, which manages how cells grow and divide.

In 2023, the American Cancer Society estimated that invasive breast cancers would affect more than 290,000 women. Invasive breast cancers are cancers that have spread to the surrounding breast tissue. These cancers include:

· Invasive ductal carcinoma

· Lobular breast cancer

Additionally, of those 290,000 cases, between 15% and 20% of those breast cancers will be HER2-positive. Men rarely develop HER2-positive breast cancer.

Similar to many types of breast cancer, HER2-positive breast cancer may not cause obvious symptoms. When it does cause obvious symptoms, you may experience:

· A change in the size, shape, or contour of the breast

· A mass or lump, which may feel as small as a pea

· A lump or thickening in or near the breast or in the underarm that persists through a menstrual cycle

· A change in the look or feel of the skin of the breast. The skin may look dimpled, scaly, or inflamed, and may look reddish or darker than usual.

· A marble-like hardened area under the skin

· A blood-stained or clear fluid discharge from the nipple

HER2-positive breast cancer happens when the HER2 gene mutates, creating the HER2 protein. HER2 proteins or receptors are on all breast cells’ surfaces.

Normally, HER2 proteins manage breast cell growth and repair, making sure cells divide as needed to replace any cells that are damaged or dying. When HER2 genes mutate, they create more copies of themselves, which means more proteins that cause more breast cells to divide and grow and become cancerous tumors.

Many factors can increase the risk of developing HER2 breast cancer, including:

· Having an inherited genetic mutation, such as BRCA1 or BRCA2

· Having a personal history of breast cancer

· Having a condition such as atypical ductal hyperplasia

· Starting your menstrual cycle earlier than usual

· Starting menopause later than usual

· Taking hormone replacement therapy

· Having more than one alcoholic beverage in a day

· History of radiation therapy for conditions, including types of lymphoma

HER2-positive breast cancer causes many complications as it can spread or metastasize. About half of the people with it are diagnosed after the cancer has spread to other areas of the body, including the brain. Metastatic breast cancer in the brain can be life-threatening.

All breast cancers are diagnosed by healthcare providers when they perform breast biopsies. If the biopsies find cancer, a medical pathologist will examine breast tissue cells for signs of HER2 proteins. Laboratory tests can include:

· Immunohistochemistry

· Fluorescence in situ hybridization (FISH)

Since HER2-positive breast cancer is a form of invasive breast cancer, treatments will vary depending on factors such as cancer stage and HER2 status. Treatments may include:

· Targeted therapy

· Chemotherapy

If you would like to learn more about HER2-positive breast cancer, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742.

High Functioning Depression

Posted on December 2, 2025 by Xavia Malcolm

Depression is a mental health disorder characterized by a persistent feeling of sadness, hopelessness, or a loss of interest in things once enjoyed.

Depression affects approximately eight percent of adults living in the United States each year. Several of whom may experience debilitating symptoms that can affect their ability to keep up with the demands of day-to-day life.

While the symptoms of depression can present significant challenges for some individuals—affecting their work, relationships, and social lives—others may appear to cope successfully with their symptoms. The term “high-functioning depression” describes people who live with depression and seem to manage well on the outside, even though they are struggling with symptoms internally.

It’s important to note that high-functioning depression is not an official clinical diagnosis. Instead, the term emphasizes the experience of living with depression while still functioning or meeting the demands of everyday life.

The symptoms of high-functioning depression are generally similar to those of major depressive disorder; however, the intensity and frequency may vary, with symptoms sometimes considered mild or moderate. These symptoms can include:

Feelings of hopelessness
Persistent sadness
Irritability
Loss of interest or pleasure
Difficulty concentrating
Trouble sleeping
Fatigue
Changes in appetite

Although the intensity or frequency of symptoms in individuals who seem high-functioning may not be debilitating, they should not be overlooked. It is crucial to seek help. There is no shame in reaching out to a mental health professional and building a support system.

Treatment for depression may include a combination of psychotherapy or talk therapy, medications, brain stimulation therapies, complementary medicine, or lifestyle modifications.

To schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

Infant Botulism

Posted on December 1, 2025 by Patrick Hercules

Infant botulism is a rare, life-threatening condition that causes a slow form of paralysis. It affects infants under one year old.

Infant botulism differs from botulism in older children and adults as it develops slowly and worsens gradually. Recognizing symptoms early and seeking medical care promptly can make a significant difference in treatment and recovery. Symptoms of infant botulism can include:

Respiratory difficulty and possible respiratory arrest

Choking when trying to feed

Constipation

Weak or poor feeding

Eyelid drooping

Lack of facial expressions, being unable to lift their head, or other signs of muscle weakness or paralysis

Weak and altered crying

Weakness or decreased muscle tone, which prevents them from reaching or grabbing

Changes in bowel movement, such as not pooping for days or weeks at a time

Since infants cannot express how or what they are feeling, it is essential to recognize and be aware of potential warning signs.

Infants can contract botulism if they eat something, such as honey, that contains spores from the bacteria Clostridium botulinum, which is why infants under a year old should never be given honey. A recent outbreak of infant botulism is suspected to be linked to the contamination of infant formula. When an infant ingests Clostridium botulinum, the bacteria multiply and make a toxin, which disrupts the infant’s nervous system after entering its bloodstream, causing symptoms of botulism.

Infants under a year old are at a higher risk of contracting botulism, with 95% of cases occurring in infants younger than six months old.

A healthcare provider can diagnose infant botulism by observing symptoms and performing physical and neurological exams. Testing stool for botulinum toxin is the best way for a healthcare provider to confirm a diagnosis.

Infant botulism is treatable with an antitoxin called botulism immune globulin, which is administered through an IV.

The Department of Pediatrics at Jamaica Hospital Medical Center provides comprehensive healthcare to infants, children, and adolescents. If your infant is experiencing symptoms of botulism, you can make an appointment by calling 718-206-7001.