What is Exertional Asthma ?

Posted on August 28, 2019 by Andrew Rubin

Do your asthma attacks coincide with participation in physical activity such as exercise? As in all types of asthma, as the airways tighten, it becomes difficult to take a complete breath, and the airways produce extra mucous.

The symptoms of exertional asthma include:

 Wheezing
Tightness of the chest
Coughing
Feeling tired
Inability to catch your breath

Some activities that can lead to heavier than normal breathing such as recreational sports including: running, basketball, football, soccer, and aerobic exercise. These can lead to exertional asthma. Additionally, when the air is cold and dry, activities such as shoveling snow or walking for long periods of time can also trigger an asthma attack.

Other contributing factors of exertional asthma can include:

 Smoke or smog
High pollen counts
Having a cold or other respiratory infection
Chlorinated pools or other chemical irritants

Treatment of exertional asthma includes taking medications both on a regular basis and prior to doing strenuous exercise to limit symptoms and control breathing. Some activities and sports should be avoided if they bring on asthma attacks.

If you are experience difficulty breathing while participating in strenuous activities, you should consult with a pulmonary specialist for a complete respiratory evaluation. Please call 718-206-7001 to schedule an appointment with a pulmonologist at Jamaica Hospital Medical Center.

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 Relationship Between Asthma and GERD

Posted on August 13, 2019 by Andrew Rubin

There is strong evidence that a relationship exists between asthma and gastroesophageal reflux disease (GERD). According to research, more than 75 percent of people living with asthma have GERD. The reason for this is not certain but studies show a relationship between stomach acid and airways.

GERD which is the reverse flow of stomach acid into the esophagus seems to worsen asthma. One explanation as to why this happens may involve stomach acid which flows back in to the esophagus irritating the throat, the airways and the lungs. It is also a possibility that the acid affects a nerve in the esophagus which causes the lungs to tighten.

Ways to avoid the effects of GERD include:

Raising the head of the bed by 6 inches to keep stomach acid from flowing back in to the esophagus
Waiting three to four hours after eating a meal before laying down
Eating smaller meals
Keeping your weight under control
Quitting smoking
Avoid eating fatty food, chocolate, spicy foods, citrus fruits, tomato sauce, coffee, tea, or alcohol before laying down

Speak to your physician about treatment options that may be best for you. You can also schedule an appointment with a physician at Jamaica Hospital Medical Center by calling .

Today is World Hepatitis Day

Posted on July 27, 2019 by Andrew Rubin

In 2010 the World Health Organization ( W.H.O. ) designated July 28th as World Hepatitis Day. This serves to increase awareness about viral hepatitis and to influence change in disease prevention, testing and treatment.

Hepatitis is a virus that causes an inflammation of the liver. The liver is an organ in the body that processes nutrients, filters the blood and fights infections.

The most common forms of hepatitis are A, B, and C. Hepatitis B and C kill close to 1.4 million people each year and cause almost 80 percent of all liver cancer cases. Many people have the hepatitis virus and are unaware of it.
Symptoms of acute hepatitis B include:
• Fever
• Nausea
• Loss of appetite
• Jaundice
• Abdominal pain
• Fatigue

Hepatitis is spread from person to person through contact with bodily fluids. It is possible that people remain without symptoms for many years but during this time the disease is slowly destroying the liver. It can take many years for the symptoms to appear.

Blood tests are available that can detect the virus at an early stage.
Ways to reduce infection:
• Use only sterile equipment for injections
• Test all donated blood for hepatitis
• Practice safe sex
• Encourage people to get hepatitis B vaccine

Medication exists that can cure hepatitis C and can control hepatitis B infection. When given properly, people are less likely to die from liver cancer and cirrhosis and also are less likely to transmit the disease to others. The hepatitis B vaccine is given in three doses over a six month period and it is recommended that it be initiated right after birth if possible.

To make an appointment with a physician at Jamaica Hospital to discuss the vaccine, please call 718-206-7001.

Why Does Warm Weather Increase the Frequency of Kidney Stones ?

Posted on July 18, 2019 by Andrew Rubin

Why do kidney stones occur more frequently during warmer weather? When the weather is warm, we are more likely to become dehydrated which increases the risk for our bodies to develop kidney stones.

We tend to sweat more in the hotter months which deplete our body of fluids; this in turn will make our urine more concentrated. Urine that is highly concentrated allows for the formation of stones made up of calcium, oxalate or uric acid. A stone can be as small as a grain of sand or as large as a pea.

When the body is dehydrated, there is also less of a flow of urine through the ureters (the tube between the kidney and the bladder) which is an important factor in moving the kidney stones through this passageway.

Kidney stones can cause a tremendous amount of pain when passing through the ureter. This pain can be felt in the lower back and groin.

Additional symptoms of kidney stones include:

Blood in the urine
Nausea
Fever and Chills
Vomiting
If you have had kidney stones, there is a 50 percent chance that you can develop more within the following five years. However, you can take a few precautions to lower your risk or prevent stones from developing. Ways to prevent kidney stones include:

Drinking at least eight to twelve glasses of water each day to dilute the urine
Limiting your salt intake
Cutting back on red meats, organ meats and shellfish
Drinking sugar free lemonade or limeade as the citrate will prevent stone formation
If you are experiencing any of the symptoms of a kidney stone, seek medical help right away. If you would like to schedule an appointment with a urologist at Jamaica Hospital Medical Center please call .

Bruises – Why We Get Them

Posted on July 9, 2019 by Andrew Rubin

A bruise is a common injury that causes the skin to become discolored. When there is bleeding beneath the surface of the skin it becomes evident as a black and blue mark. Eventually, if the person is healthy, the skin will reabsorb the blood and the black and blue mark will fade. A bruise may hurt at first but the pain subsides usually before the discoloration goes away.

Bruising occurs more frequently in:

Older people because their skin isn’t as thick as it once was.
Women because they typically have thinner skin.
People who exercise vigorously.
People who take anti-coagulating medications such as aspirin.
People who use topical or oral cortical steroids bruise more easily because it can make the skin thinner
People who use the dietary supplement ginkgo can also cause the skin to bruise more easily because it acts as a blood thinner

People who bruise easily should be checked to see if they have serious medical conditions. This would include having blood clotting issues due to taking certain medications or not having the correct amount of blood clotting proteins in the body. Bruising can also be a sign of physical abuse and this must be followed up with a physician or with the police if it is noticed and there is no explanation as to why it occurred.

Treating a bruise includes using a cold compress, elevating an extremity if it is on an arm or leg, taking acetaminophen for discomfort, and after the initial 48 hours, using a warm compress to help the flow of blood in the area.

While most bruises will resolve on their own, it is important to get medical attention if the bruise has a lot of swelling and pain or if it doesn’t start to resolve in two weeks and is still present after a month. Any bruising of the head or the eye should be followed up with a physician.

You can schedule an appointment with a physician at Jamaica Hospital Medical Center by calling 718-206-7001.

Employee Spotlight Shines on Lauren Banner, RN

Posted on June 25, 2019 by Andrew Rubin

This month we are proud to shine our Employee Spotlight on Lauren Banner, RN. Lauren started her career at Jamaica Hospital nine years ago as a registrar in the Emergency Department and upon completion of her nursing degree she joined the Nursing Department, where she is currently assigned to the surgical and orthopedic unit on 3 North.

Lauren grew up in Franklin Square and graduated from Carey High School. She obtained her RN from Nassau Community College and then her BS in Nursing from the Chamberlin School of Nursing. She currently lives in Queens with her 15 month old daughter Ariella, her fiancé, and her two year old Shitzu Yorkie mix named Harley.

Lauren has a special connection to Jamaica Hospital. Her mother Donna has worked at the hospital for many years and several of her mother’s colleagues have known her since she was a little girl. There is also another connection to nursing in her family. Her brother recently graduated from nursing school.

In her free time Lauren enjoys going out to eat, especially to Mexican and Italian restaurants, and she enjoys spending time with her family and friends. Lauren maintains a very close relationship with many of her high school friends and enjoys getting together with them as often as possible. She enjoys all kinds of music, especially oldies, hip-hop, and country.

Lauren really enjoys working at Jamaica Hospital and especially on her unit. She says that they all work together really well and that it feels like they area family. Lauren intends to stay at Jamaica Hospital for a long time and we hope she does.

Streptococcus B

Posted on June 24, 2019 by Andrew Rubin

Streptococcus B is a type of gram-positive bacterial infection that is commonly found in the intestine, the vagina, and the rectal area of women.

It can affect newborns as well as adults. Most pregnant women who carry this infection don’t have any symptoms. It is transmitted during childbirth to the newborn as it passes through the birth canal. It is also a leading cause of sepsis and meningitis in newborns.

Symptoms of strep B in newborns include:
• Fever
• Breathing problems
• Poor feeding
• Lethargy
• Symptoms of strep-B in adults include:
• Sepsis
• Skin infection
• Bone and joint infection
• Urinary tract infection
• Pneumonia

Strep B is diagnosed by taking a culture of blood, urine or performing a spinal tap. If the results are positive, it can be treated by antibiotics, usually given intravenously. If Strep – B has infected the skin, then surgical intervention may be necessary.

Routine screening is recommended for women who are pregnant as to avoid transmitting the bacteria during childbirth to the newborn. It is also possible to schedule an appointment at the Women’s Health Center at 718-291-3276.

Safety Tips for Driving at Night

Posted on June 5, 2019 by Andrew Rubin

The National Safety Council estimates that even though we do only a quarter of our driving at night, approximately 50% of all traffic accidents occur after dark. This leaves many wondering why so many accidents take place at night.

One of the main reasons is that at night, our depth perception is reduced, as is peripheral vision and the ability to see colors. We are also more likely to be more tired at night which can affect our reflexes. People who don’t get enough sleep or who have been working long hours are more prone to having an accident.

Another factor that can affect our ability to drive and see well at night is age. According to the National Safety Council, a person who is older than fifty years of age may need twice as much light to see well as a person who is only 30. Older drivers may also have compromised vision as a result of degenerative eye diseases or cataracts.

There are a few precautions drivers can take to prevent accidents while driving at night. Jamaica Hospital’s Trauma service and the National Safety Council recommends the following:

Keeping the windshield clean
Making sure headlights are aimed properly
Reducing your speed
Turning your headlights on as soon as it starts to get dark so others can see you
Increasing the distance between your car and the car ahead
Pulling over if you feel too tired to drive
Getting at least seven hours of sleep

Older drivers are encouraged to get annual eye exams to make sure that their eyes are healthy. These annual exams can also see if there are cataracts forming which can impair vision, and can check to see if eyeglass prescriptions are needed.

If you would like to schedule an appointment with an eye doctor at Jamaica Hospital Medical Center, please call 718-206-5900.

Shining the Employee Spotlight on Yanina Levanidova

Posted on May 30, 2019 by Andrew Rubin

This month Jamaica Hospital is proud to shine its employee spotlight on Yanina Levanidova, a nurse in the Emergency Department who has been with the hospital for ten years.

Yanina is originally from St. Petersburg Russia and came to New York in 1994. Prior to leaving Russia, she graduated from college in St. Petersburg with a degree in computer science. Yanina received her nursing degree from Molloy College in 2001 and received her Nurse Practioner degree from Stony Brook University in 2006.

Yanina currently lives in Queens and enjoys the diversity of the different neighborhoods that are in the borough.

She enjoys going to the movies, going out to eat, and visiting museums. Her favorite artist is Salvador Dali. Yanina says her favorite way to spend her free time is visiting new places. She loves to travel and she tries to do it as often as possible. Her favorite destinations to travel to, besides her native St. Petersburg, typically have a beach and an ocean.

Being a nurse in the ED can be very challenging, but it has many rewards as well. Helping people who are very sick who come in to the Emergency Room to feel better is a very satisfying. Yanina says that working at Jamaica Hospital is like being with family. Ever work swell together. We are very fortunate to have Yanina as a member of our team.

Diabetes and the Myths that go with it.

Posted on May 15, 2019 by Andrew Rubin

Diabetes is a serious illness. It affects 30 million people in the United States. There are many facts that we know about the disease, and not surprisingly, many myths associated with it as well.

Some of these myths include:

You can catch diabetes from someone else. False Diabetes is not contagious
People with diabetes catch more colds and other illnesses. False. Diabetics aren’t any more at risk for catching a cold than anyone else.
People with diabetes can’t eat sugar. False. Sugar should be consumed in small quantities as part of a balanced meal.
Only overweight people get diabetes. False. A person can be slim, medium build or heavy and still be a diabetic.
People who have diabetes shouldn’t drive. False. People with diabetes can do anything a person who doesn’t have diabetes does.
Type II diabetes is not as serious as Type I. False. Every form of diabetes is to be taken seriously. It is just treated differently.
Nobody in my family has diabetes therefore I won’t get it. False. While it does run in families, anyone is at risk regardless of family history.
Borderline diabetes is not real diabetes. False. It may only mean you are at higher risk of developing diabetes.
Eating fruit is bad for diabetes. False. Fruit should be eaten in small portions. Excessive amounts may cause a problem because fruit contains carbohydrates.

Speak to your physician if you would like to clarify the facts about diabetes and your ability to do things. You can schedule an appointment with a physician at Jamaica Hospital by calling 718-206-6742.