Rheumatic Fever and Heart Valve Complications

Posted on May 20, 2015 by Andrew Rubin

Rheumatic Fever is caused by a bacterial infection, resulting from having strep throat or scarlet fever. Most commonly found in 5 to 15 year old children, it can occur in people who are younger or older, and affects women more frequently than men. It usually results from a strep throat infection that wasn’t treated appropriately with antibiotics. Rheumatic fever affects the body’s connective tissue in the brain, joints, and especially the ones found in the heart valves. It causes scarring of these heart valves which doesn’t allow them to open and close properly. This is called rheumatic heart disease and is permanent unless surgically corrected.

Symptoms of rheumatic fever usually begin anywhere from a week to six weeks after a strep infection. They include:

• Fever
• Joint stiffness – ankles, knees, hands and elbows
• Joint swelling
• Chest pain
• Shortness of breath
• Stomach pain
• Loss of appetite
• Skin rash

To diagnose rheumatic fever a physician will perform a throat culture, blood tests, listen to the heart for signs of a murmur, take an x-ray and an electrocardiogram. Anyone who has a sore throat should see a physician to rule out strep throat. If a diagnosis of strep is made, antibiotics can be prescribed which should prevent the bacterial infection from spreading. In cases where the heart valves have been affected, a patient may need to be placed on a long term antibiotic, and also anti-inflammatory medication. In severe cases, surgery may be required to replace the affected heart valves.

Anyone who has a sore throat that is mild to severe should seek medical attention right away. You may schedule an appointment at Jamaica Hospital’s Ambulatory Care Center by calling 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.

Milk – Which type is best for you ?

Posted on May 14, 2015 by Andrew Rubin

Traditionally when people thought about milk, they were referring to the kind that came from a cow. Dairy milk was offered as either whole, two percent, one percent, skim, or lactose free. Today, there are many non-dairy varieties of milk, and each has its own benefits and disadvantages. Milk made from rice, almonds and soy are now commonly found in supermarkets.
Types of Milk:
Dairy Milk – whole milk contains the highest amount of fat, the most amount of calories and cholesterol. One percent milk has fewer calories, and skim milk has even less. Fat free milk contains no saturated fats but is still a good source of protein, minerals, calcium and vitamins. Lactose free milk is good for people who have difficulty digesting the sugar lactose that is found in regular milk, yet it contains all of the other nutrients.
Almond Milk – is free of cholesterol and saturated fat, is low in calories, and does not contain lactose. It is not a good source of protein and contains no calcium unless it is fortified. People who are allergic to nuts should not drink it. Also, it isn’t recommended for people with osteoporosis.
Soy Milk – contains protein, has no cholesterol, is low in saturated fat, and does not contain lactose. It can be fortified with calcium, and potassium.
Rice Milk – does not contain lactose, is good for people who are allergic to nuts, can be fortified with calcium. It is important to note however, that it is high in carbohydrates which is not recommended for people with diabetes to consume. It is also low in protein which does not make it a good choice for people who are athletes.
To find out which type of milk would be best for you, make an appointment with a nutritionist at Jamaica Hospital at 718-206-7001.

Measles Vaccine

Posted on April 30, 2015 by Andrew Rubin

The measles, once an endemic disease, responsible for as many as 542,000 cases a year, has now become almost completely eradicated in the United States due to the development of a measles vaccine.
The measles virus was first isolated by virologist John Enders in 1954. The measles vaccine was licensed in 1963 and has been widely responsible for the almost total elimination of the disease in the United States. This is due to pre-school and school aged children now being routinely vaccinated almost universally in the United States. The vaccine is now administered together with the vaccines for mumps and rubella, and is called the MMR vaccine. Despite the effectiveness of the vaccine, there are still cases being seen due to exposure to people who are bringing it in from outside the country.
To schedule an appointment with a pediatrician at Jamaica Hospital, please call 718-206-7001

Irritable Bowel Syndrome – A Proper Diet

Posted on April 23, 2015 by Andrew Rubin

April is Irritable Bowel Awareness Month. 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 718-206-6742.

Diabetes and Surgery

Posted on April 16, 2015 by Andrew Rubin

A surgical procedure for any patient requires a certain amount of preparation, both for the pre-operative phase and the post-operative phase. A patient with diabetes however has to be monitored very closely because they are at greater risk of developing complications than non-diabetic patients.

Your physician will tell you when you should eat before surgery and when you should take your last dose of diabetes medication prior to any surgical procedure. During the surgical procedure your blood glucose levels will be monitored to make sure that it stays with normal range (80-150 mg/dL).

Diabetic patients post operatively may experience:

Poor wound healing
Hyperglycemia or hypoglycemia
Infection at the wound site
Electrolyte imbalance
Diabetic ketoacidosis

After the surgical procedure is over, check your blood sugar level frequently because you may not be eating properly, may be less active, and are stressed. Diabetic patients may require a few days in the hospital post-op to have their glucose levels monitored carefully. If you are a diabetic patient and are scheduled for surgery, discuss pre and post-operative preparations with your surgeon.

The Benefits of Vacations

Posted on April 8, 2015 by Andrew Rubin

We live in a stressful society that is full of situation. It is very important for people to take a break in order to stay healthy. Studies have shown not taking a vacation for a few years can increase the risk of heart disease and the potential for a heart attack. People who take vacations have an easier time to breaking bad habits such as nail biting, smoking, and eating poorly because stress the triggers for these bad habits aren’t present.
There are many benefits to taking a vacation:
• Betters outlook on life
• Allows the body to unwind
• Increases happiness
To really benefit from a vacation a person has to leave their work environment at home.
Today, with electronic devices so prevalent, it is important to not check them more than
once or twice a day.

Castor Oil

Posted on March 26, 2015 by Andrew Rubin

Castor oil has always been portrayed in old movies and TV shows as something to be avoided at all costs because of its unpleasant taste and smell. However, it does have many beneficial properties when taken orally or when it is applied to the skin. The benefits of castor oil come from its high quantity of unsaturated fatty acids, which are derived from the castor seed.
Castor Oil is probably best known as a laxative. It also is used as an anti-inflammatory, an antioxidant, and can be used to induce labor. It has been used to treat yeast infections, migraines, acne, menstrual cramps, and hair loss.
It is recommended that you speak with your physician first before using castor oil.

Coronary Artery Bypass Graft

Posted on March 18, 2015 by Andrew Rubin

Coronary artery disease is the process where blood vessels within the heart have diminished flow of blood passing through them. The disease happens when plaque develops in the blood vessels of the heart. Plaque is composed mainly of cholesterol. If you are a male over the age of 45 or a female over the age of 55 you may be at higher risk. Heredity also plays a role in coronary artery disease.
Symptoms of coronary artery disease:
• Chest pain
• Feeling tired
• Heart palpitations
• Abnormal EKG
• Shortness of breath
Conservative treatment of coronary artery disease includes taking medications to help the flow of blood throughout the heart and the rest of the body. Taking a baby aspirin every day can also help in some cases. Diet and lifestyle changes are also recommended.
A surgical procedure, known as coronary artery bypass graft surgery ( CABG ) involves taking a vein from another part of the body, usually the leg but can also be from the chest or wrist, and bypassing the blocked portion of the coronary artery. One or more coronary arteries may have to be bypassed and is frequently referred to as double bypass, triple bypass or quadruple bypass to indicate that number.
In some cases there are no symptoms of coronary artery disease. It is very important to have an annual physical exam with an EKG. If any abnormalities are detected on an EKG or if the patient has symptoms, further testing, stress test, echocardiography, and coronary angiography, will be needed to determine the severity of the disease. Jamaica Hospital offers full diagnostic capabilities of coronary artery disease. To make an appointment with a cardiologist please call 718-206-6742.

Who Invented the Stethoscope

Posted on March 11, 2015 by Andrew Rubin

Probably the one diagnostic instrument that is used by almost every health care professional around the world is the stethoscope. It was invented by a French physician, Rene Laennec, in 1816. The idea came to him one day when he noticed two young boys sending signals to one another across a long piece of solid wood and making scratching sounds with a pin. Dr. Laennec experimented with different types of materials until he finally decided upon a hollow tube of wood, 3.5 cm in diameter and 25 cm long. The stethoscope has evolved over the years as new materials were introduced but the basic concept of being able to listen to sounds from within the chest cavity remain the same.