Irritable Bowel Syndrome

Posted on April 13, 2017 by Andrew Rubin

For many people who suffer from Irritable Bowel Syndrome (IBS), finding out which foods agree with them and which foods cause them discomfort is essential to living successfully with the disease.
IBS is a condition whereby certain foods will cause intestinal discomfort after being consumed. These symptoms can include:
• Bloating
• Gas
• Nausea
• Abdominal cramps
• Diarrhea or constipation
There is no general rule of what to eat and what to avoid in treating IBS. A physician will go through a patient’s daily diet and see if there are certain foods that are more likely to act as irritants. Foods that typically cause a problem for people with IBS have a high concentration of insoluble fiber which are found primarily in whole grains and vegetables and that do not dissolve in water. Insoluble fiber rich foods pass through the intestine almost intact and can act as a natural laxative. The foods that physicians who treat this disease recommend avoiding include:
• Nuts
• Caffeine
• Chocolate
• Beans
• Cabbage
• Raisins
• Broccoli
The act of eating and chewing stimulates the digestive tract. It has been suggested that instead of eating one or two full meals every day, eating five or six smaller portion meals may prevent the digestive tract from becoming over stimulated.
To make an appointment with a physician specializing in IBS at Jamaica Hospital 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.

Sinusitis

Posted on April 6, 2017 by Andrew Rubin

A sinus infection develops as the result of fluid filling the spaces in the head that surround the cavities of the nose and the eyes. These sinuses are normally filled with air but when they fill with fluid they can become blocked and there is the possibility that bacteria can grow there and become infected. An infection in the sinuses is called sinusitis. A sinus infection can be caused by a cold, allergies, hay fever, a deviated septum and nasal polyps.
Sinus infection symptoms include:
• Pressure or pain around the face and eyes
• Headache
• Blockage in your nose
• Congestion
• Post nasal drip
• Fever or cough
• Thick yellow foul smelling discharge from your nose
• Reduced sense of smell
• Fatigue
• Ear pain
Relief for a sinus infection can come from antibiotics, steam, hot showers, decongestants, and antihistamines.
If you experience any of the symptoms of a sinus infection you should be seen by your physician who will recommend a course of treatment. If you would like to see a physician at Jamaica Hospital please call 718-206-7001.

Nail Fungus

Posted on March 30, 2017 by Andrew Rubin

Nail fungus, or onychomycosis as it is known medically, is a condition that is commonly found on nails of people of any age, although primarily it is seen in older adults, it can be seen in children as well.. It usually begins as a white or yellow spot under the nail that progressively takes over the whole nail. It appears more commonly on toe nails than on finger nails because this type of fungus likes to live in an environment that is warm, dark, moist, as is commonly found inside of shoes and also where there is reduced blood flow. Men tend to develop nail fungus more often than women.
Nails that are infected with fungus will show signs of being:
• Thickened
• Brittle, crumbly or ragged
• Distorted in shape
• Dark in color
A few risk factors for developing nail fungus are being diabetic, having a nail injury, being immune-compromised, living or working in humid conditions, having poor circulation, receiving chemotherapy, wearing tight fitting shoes, having poor hygiene, and having other fungal infections like athlete’s foot.
There are different ways to treat nail fungus and they range from the simple home remedy to the more intensive that is prescribed by a physician. Home remedies can include applying a vapo rub, tea tree oil, trimming and filing the nails, and over the counter nail creams and ointments. The more intense methods prescribed and administered by a physician includes oral antifungal medications, medicated nail polish, nail removal and laser light therapy.
Podiatrists are doctors who specialize in all conditions of the feet. If you would like to schedule an appointment with a podiatrist at Jamaica Hospital, please call 718-206-7001.

Artificial Sweetners

Posted on March 23, 2017 by Andrew Rubin

Anyone who has ever tried to watch their weight, protect their teeth, or has been told that they have diabetes, has probably tried something made with an artificial sweetener. The concept of using sugar substitutes has been around for a very long time. A researcher at Johns Hopkins University accidently discovered a product that would be developed into what we now know as saccharin in 1879. The use of artificial sweeteners as part of our daily lives became more prevalent in the mid 20th century.

There are six sugar substitutes that have been approved by the U.S. Food and Drug Administration for use in foods and beverages. These are aspartame, sucralose, stevia, neotame, saccharin, and acesulfame potassium. These products are very sweet and therefore only very small quantities need to be added to food and beverages to make them taste good. For as long as these products made with artificial sweeteners have been available there has been controversy over any harmful side effects that they may pose. So far the FDA has not been able to substantiate any claims of harmful effects from their use.

As people in the United States have become more health conscious, the use of products made with artificial sweeteners has increased. More and more products are being produced each year that are labeled “Sugar Free”, “Diet”, “Low-Cal”, “Light”, or “Artificially Sweetened”. People are naturally attracted to foods that taste sweet. It has been stated that the taste of sugar may even be addictive. While limiting the intake of sugar may be seen as a good trend, people seem to be consuming more of the artificially sweetened products which may not be beneficial in the long term. Over indulgence in products that are made with these artificial sweeteners can still cause weight gain.

National Save Your Vision Month

Posted on March 16, 2017 by Andrew Rubin

Ophthalmology eyesight examination

The month of March has been designated as “National Save Your Vision Month” by the American Optometric Association as a way to promote good eye health. This year, the campaign wants to bring attention to eye problems that can occur at work. More people are using electronic devices for both work and for pleasure than ever before and this can lead to eye problems for some people. This year the campaign wants to bring attention to eye problems that can occur at work.
People who use computers all the time, especially at work, should be aware of developing dry eyes, blurred vision and eye strain. This is because the eyes are focused for long periods of time on an object that is at a fixed distance rather than seeing objects that are moving or at varying distances which allow the muscles of the eyes to constantly move. Also, people who use computer screens for long periods of time don’t blink as frequently and this can lead to dry eyes. To alleviate some of these problems it is important to take a break from time to time and look out a window or at least look around the room.
Some tips for good eye health include keeping the computer monitor about twenty inches from your eyes, keeping the top of the screen tilted a little below eye level, the screen should be kept clean to avoid anything that can blur the images. It is also important to eat a healthy diet which will keep the eyes well nourished.
Regular eye exams can detect problems before they become serious. Correcting faulty vision early can prevent the problem from becoming serious later on. If you would like to schedule an appointment with an eye doctor at Jamaica Hospital, please call 718-206-5900.

Rapid Response Notification

Posted on March 9, 2017 by Andrew Rubin

To best serve our patients, Jamaica Hospital has implemented a patient safety initiative known as a Rapid Response Notification. A Rapid Response Notification is initiated whenever a staff member, a patient or a patient’s visitor believes that the patient is experiencing a medical crisis that requires urgent attention.

The criteria for a Rapid Response Notification include:

There is a patient emergency and no staff member is present
There is a change in the patient’s condition that the health care team is not aware of
There are concerns about the patient’s care that they feel are not being addressed.

The Rapid Response Team, comprised of a Third Year Medical Resident and / or Senior Surgical, a Primary Care Nurse, a Critical Care Nurse, a Respiratory Therapist and a Nursing Supervisor will respond to the notification. The Rapid Response Team is committed to providing critical care resources to patients who may be in crisis.

In the event that a health care provider is not present when a medical crisis occurs, Jamaica Hospital has empowered the patient’s bedside visitor to activate a Rapid Response Notification by dialing extension 1234 and providing the patient’s room and bed number.

History of Eyeglasses

Posted on February 23, 2017 by Andrew Rubin

Over 60 percent of the adult population in the United States today wears eyeglasses. Modern day eyeglasses have their roots that date back more than 1000 years. In the middle ages Monks were known to use reading stones that were glass spheres, sometimes filled with water, that were placed on top of objects in order to magnify them. The first documented use of eyeglasses was attributed to being developed in Italy. In the 13th century Venetian glass blowers made the first solid glass lenses that were held by frames and that were a primitive version of modern day wearable eyeglasses.
In the 17th century eyeglasses started to be made that could correct vision. Glasses could be made with either concave lenses, for nearsightedness, or convex lenses for farsightedness. Benjamin Franklin invented bifocal lenses in 1784. Glass was the material used in the production of eyeglasses for centuries until the latter part of the 20th century when plastic became widely used in eyeglasses as it was lighter and safer than glass. Now many eyeglasses are being made from polycarbonate which is lighter still and more resilient to scratches.

Can Excessive Teeth Whitening Be Harmful ?

Posted on February 15, 2017 by Andrew Rubin

Woman holding up tooth whitening chart, smiling, portrait, close-up

Many people wish to have that “Movie Star” smile with bright white teeth. To get that perfect smile many people will purchase teeth whitening kits to use at home. Teeth whitening products use a chemical that in effect bleaches the outer layer of the teeth. Teeth that are yellow in color tend to respond best to this type of treatment. Teeth that are brownish in color or those that have been stained by long term use of tobacco, caffeine, wine or by the use of certain medications may not respond as well.
If used correctly, teeth whitening can be effective for many people. There are however risk s involved if the products are not used properly. Risks can include teeth sensitivity and damage to the roots of the teeth. Excessive teeth whitening can lead to the edges of your teeth becoming permanently bluish and translucent.
It is strongly advised that anyone considering whitening their teeth consult with a dentist first. It is also advisable to have your teeth professionally cleaned prior to home whitening which may remove some of the material that is staining the teeth.
If you would like to schedule an appointment with a dentist at Jamaica Hospital’s Dental Center, please call 718-206-6982.

Emergency Preparedness Kit

Posted on February 7, 2017 by Andrew Rubin

When disaster hits there is often very little time to prepare. By taking the time to gather a few items in advance for yourself and your loved ones, you will be able to get through the first few days until help arrives.
An Emergency Preparedness Kit should include:
• One gallon of water per person per day, a minimum of a three day supply
• Nonperishable food and easy to prepare items, three day supply per person
• Battery powered radio
• Battery powered flashlight
• Cell Phone and chargers
• Whistle to signal for help
• Moist towelettes
• Garbage bags
• Diapers and formula for people with babies
• First aid kit
• Prescription medications
• Insurance documents
• List of important contact names and numbers
• Cash
• Fire extinguisher
• Matches in a water proof container
• Three day supply of pet food
• Personal hygiene items
• Paper and pencil
• Paper cups, plates, utensils, paper towels
• Towels, blankets, sleeping bags, pillows
• Rain gear
• Gloves
By keeping these items in a safe, easy to access place in your home, they will serve you well in case of an unforeseen emergency. For further information regarding Emergency Preparedness, there is information available on the following websites:
http://www.fema.gov/media-library/assets/documents/90354
http://www.redcrossstore.org

Plantar Warts

Posted on February 2, 2017 by Andrew Rubin

Plantar warts are skin growths that occur on the bottom of the feet in the outer layer of the skin. These warts look like small callouses, about the size of a pencil eraser that grows inward and are tender to the touch. Sometimes they appear to have little black dots inside of them caused by tiny blood vessels that have grown within. These warts are viral infections caused by the human papillomavirus (HPV) and they are noncancerous. They tend to be painful because of the pressure that is exerted on them when a person walks. They typically get in to the skin on the bottom of the foot through cuts, breaks or weak spots in the skin.
Plantar warts thrive in areas that are warm and moist. Examples of this are gym locker rooms, around the sides of a pool, and in people’s shoe gear. The wart is not easily transmitted from person to person unless direct contact is made with the site of infection.
People who are susceptible to plantar warts include:
• Children and teenagers
• People with weakened immune systems
• People who have had plantar warts in the past
• People who frequently go barefoot in public showers.
Treatment options for plantar warts are prescribed by a physician and include:
• Salicylic Acid – When applied to the infected skin will cause it to peel off in layers over time. It is a slow process but effective and requires multiple treatments.
• Cryotherapy – Freezing the wart with liquid nitrogen. This method tends to be a little painful and usually takes a few weeks to see results. Typically it has to be performed more than once.
• Laser treatment – A treatment whereby a pulse dyed laser cauterizes (burns) the wart and destroys the blood vessels that lead to it.
• Minor surgery – The wart is destroyed using an electric needle. It is painful and may cause a scar so it isn’t used frequently.
There is also a home remedy whereby a person will cover the wart with silver duct tape, soak it in warm water every day and remove the tape every six days. The wart is left uncovered for 12 hours and then the process is repeated. This is method may be popular but not very effective for everyone.
In healthy people, plantar warts will usually resolve on their own in a year or two. However because they can be uncomfortable, people usually chose to seek medical treatment. A podiatrist (foot doctor) is specially trained to treat plantar warts. If you would like to schedule an appointment with one at Jamaica Hospital, please call 718-206-7001.