What Should You Do During a Panic Attack?

Posted on March 13, 2024 by Jacob Lobosco

When a panic attack strikes, it can be difficult to think clearly. Panic attacks can occur suddenly and without warning, causing a feeling of intense fear as well as symptoms that may resemble other medical emergencies, such as heart attacks. Some of these symptoms include:

Chest pain
Nausea
Shortness of breath
Rapid or pounding heartbeat
Hot flashes and sweating
Numbness or tingling

While they are not necessarily dangerous to your physical health on their own, panic attacks can have a detrimental effect on your mental health, especially if they become worse or more frequent over time. If you experience one, there are certain steps you should take to get through it and improve your ability to prevent future attacks:

When in doubt, go to the emergency room: The symptoms of panic attacks are similar enough to other serious medical conditions that it may be very difficult for you to distinguish between them in the moment. The safest option is to call 911 and get to the emergency room immediately. If no signs of a heart attack or other medical emergency are found during your visit, it’s more likely that what you experienced was a panic attack.

Get a friend or family member’s help: During a panic attack, you may find it difficult to calm down or communicate clearly, so it’s important to have a friend or family member with you who can help. This person should be able to get you anything you might need while experiencing the panic attack, such as water or a quiet space to yourself, and help you communicate with any healthcare providers who treat you.

Practice deep breathing exercises: Many people hyperventilate during a panic attack, meaning that they breathe too rapidly; this can cause symptoms to worsen and increase the sense of fear that occurs during an attack. Slower, deeper, rhythmic breathing can help reduce these symptoms and make them easier to cope with.

If you experience a panic attack, it’s important to visit a psychiatrist as soon as possible to receive treatment that can reduce the severity and frequency of future attacks. You can schedule an appointment with a psychiatrist at Jamaica Hospital Medical Center’s Mental Health Clinic by calling (718) 206-5575.

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.

National Endometriosis Awareness Month

Posted on March 6, 2024 by Jacob Lobosco

March is National Endometriosis Awareness Month. Endometriosis is a condition that affects the lining of the uterus (also known as the endometrium); it currently affects an estimated 176 million women around the globe. Some of the symptoms of endometriosis include:

Painful sexual intercourse
Pain during pelvic examinations
Severe pain during menstruation
Pain during urination or a bowel movement
Excessive bleeding
Infertility

Symptoms of endometriosis tend to appear during reproductive years, between the ages of 12 and 60. The highest number of cases are diagnosed between the ages of 25 to 35; however, some women with endometriosis remain undiagnosed because they do not have symptoms. Additionally, this disorder can sometimes be mistaken for other conditions.

Endometriosis causes the inner lining of the uterus to grow outside of the uterus. This most commonly affects the ovaries, fallopian tubes, ligaments that support the uterus, and the areas between the rectum and the vagina. Rarely, endometriosis can also occur in the lungs, thighs, arms, and other parts of the body that are more distant from reproductive organs.

When endometrial tissue spreads, it develops into growths called implants. These clumps of tissue are affected by the menstrual cycle as though they were inside of the uterus, regardless of their actual location. Each month, they build up, break down, and shed. However, endometrial tissue cannot be discharged from the body if it is not inside the uterus; as a result, these implants cause inflammation, swelling, internal bleeding, and the formation of scar tissue.

Doctors do not yet know what causes endometriosis, but certain risk factors have been identified that may make you more likely to develop it. These include:

An immediate family member with endometriosis
An abnormal uterus
Menstruation that begins before the age of 11
Shorter menstrual periods, lasting less than 27 days on average
Heavy menstruation that lasts for more than one week

If you experience symptoms of endometriosis, your doctor can perform a variety of tests, such as pelvic examinations, laparoscopy, and imaging tests such as magnetic resonance imaging (MRI) to accurately diagnose it. While there is no cure for endometriosis, your doctor can work with you to develop an effective treatment that may incorporate options such as medication, surgery, or alternative therapies.

You can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center to receive high-quality treatment for endometriosis. To learn more, please call (718) 291-3276.

How Does Anesthesia Work?

Posted on February 21, 2024 by Jacob Lobosco

Anesthesia is medicine used to manage pain during a wide range of medical procedures, including everything from tooth extractions and biopsies to appendectomies, cancer surgery, and childbirth. Anesthesia is an important part of these procedures; without it, many of them would be difficult or impossible to perform.

There are three main types of anesthesia: sedation, local, regional, and general. Sedation typically reduces pain throughout the body and makes you feel relaxed and drowsy. Local anesthesia affects a specific, small part of your body, such as a particular organ. Regional anesthesia affects a large part of your body, such as from the waist down. General anesthesia affects your entire body and renders you unconscious. Most types of anesthesia are injected or administered through an intravenous (IV) line, but general anesthesia may sometimes be administered through a breathing mask or tube.

The type of anesthesia you receive depends on the specific procedure you will be undergoing, as well as your medical history and circumstances. Certain people may face greater risks of medical complications than others from anesthesia, such as problems with brain function, malignant hyperthermia, breathing problems, and, in rare cases, death. Several factors can increase your risk of experiencing these complications, such as:

Heart disease
Diabetes
High blood pressure (hypertension)
Stroke
Lung conditions
Kidney conditions
Neurological disorders
Obesity
Allergies to anesthesia medication

The risks of anesthesia increase with the strength of its effects. Most of the severe side-effects associated with anesthesia occur in rare instances with general anesthesia. Sedation and local anesthesia, on the other hand, may rarely cause minor side-effects, such as itching at the site of injection. Regional anesthesia is also generally safe, but can sometimes cause headaches and may rarely cause nerve damage.

The best way to minimize any risks associated with anesthesia is to consult a licensed, board-certified anesthesiologist. If you’re receiving surgery, an anesthesiologist will typically meet with you ahead of time to discuss potential risks, and will also be present to monitor you throughout your procedure.

How Does Being in Love Affect Your Body?

Posted on February 13, 2024 by Jacob Lobosco

Love is no simple feeling; in fact, being in love with someone can cause a complex swirl of different emotions, like happiness, desire, and excitement, as well as some potentially negative feelings, such as anxiety and over-attachment. These emotions are linked to several chemicals and hormones produced by the body, which can result in a variety of mental and physical effects.

Many of the physical effects of love can be positive in the long term, including everything from a healthy sex drive to a decreased risk for several chronic diseases, reduced pain, and even an increased likelihood of a longer life span. However, there are some potentially negative effects, too, such as poorer judgement (making risky choices to satisfy or impress the person you love) and anxious over-attachment (agonizing over things such as what the other person is doing or how long it’s taking them to respond to you).

When you’re in love, it can make you feel euphoric, particularly when you receive affection from the person you’re in love with. This happens because of an increase in dopamine levels. Dopamine controls the brain’s pleasure and reward centers and is part of many of our body’s functions, such as learning, awareness, mood changes, sleep, arousal, and even movement. However, dopamine levels can also contribute to the development of an addiction to feelings of love, particularly in the “infatuation” stage when those feelings are strongest; this can potentially make it difficult to form a lasting relationship.

Aside from dopamine, hormones such as adrenaline and norepinephrine, which can make your palms sweat and cause your heart to race, are also shown to increase when you’re in love with someone. Additionally, when people develop a feeling of attachment to the person they’re in love with, it can trigger the development of hormones such as vasopressin and oxytocin, which create feelings of security and comfort.

A healthy, committed, long-lasting relationship will produce more good effects than bad ones over the long term, but an important part of maintaining such a relationship is noticing and taking proactive steps to manage negative thoughts or behaviors as they occur. One of the best ways to do this is with the help of a licensed psychiatrist. To schedule an appointment at Jamaica Hospital Medical Center’s Mental Health Clinic, please call (718) 206-5575.

Recognizing the Signs of Online Gambling Addiction

Posted on February 9, 2024 by Jacob Lobosco

When you’re virtually betting on a football game or playing casino games like poker or roulette through a website or an app, there are plenty of opportunities and platforms available today for online gambling. However, with such an increase in options for gambling virtually, there is also an increased risk of developing a gambling addiction, so it’s important to be able to identify the signs of this kind of addiction in yourself as they appear.

A gambling addiction, also known as gambling disorder, involves a compulsion to repeatedly gamble with increasing amounts of money in order to achieve a desired level of excitement, even when this behavior is causing financial harm to yourself and your family. Gambling can be as addictive (and, potentially, as destructive) as alcohol or drugs; in fact, the American Psychiatric Association places gambling disorder in the same classification level as these substance use disorders.

Gambling disorder develops gradually, so you may not immediately recognize signs of this problem when they begin to appear. According to the American Psychiatric Association, a doctor may diagnose a person with gambling disorder if they recognize four or more of the following symptoms:

Compulsion to gamble with increasing amounts money for excitement
Restlessness or irritability while trying to reduce gambling
Repeated unsuccessful attempts to limit time spent gambling
Frequent thoughts about gambling
Gambling as a result of distress
Often attempting to win back gambling losses
Hiding gambling activity
Risking relationships, employment, or educational opportunities to continue gambling
Relying on other people for help with financial problems while gambling

For people who gamble virtually, the risks of developing an addiction are significantly higher than someone who only does it in a physical location, as opportunities to continue gambling are always available and accessible. Some steps you can take to prevent or treat gambling disorder in this situation include:

Reaching out for mental and emotional support from trusted people or support groups
Distracting yourself with different activities
Thinking about what will happen when you gamble, particularly in terms of damage to relationships and opportunities
If necessary, deleting gambling-related apps from your device
Getting help from a licensed psychiatrist

If you need professional help coping with gambling disorder, you can schedule an appointment with a psychiatrist at Jamaica Hospital Medical Center’s Outpatient Psychiatric Clinic by calling (718) 206-5575.

What is the Difference Between RSV and the Common Cold?

Posted on February 7, 2024 by Jacob Lobosco

In the cold weather seasons, illnesses such as the common cold and respiratory syncytial virus (RSV) often run rampant, infecting millions of people each year. Both share similar symptoms, which can make it difficult to tell them apart.

Because RSV and the common cold are also extremely common, it is very likely that the average person will develop one or both of them at some point in a given year. Additionally, RSV and the common cold are more likely to develop in:

Infants and young children
Adults over the age of 70
People with weakened or compromised immune systems
People who are frequently in spaces with many other people, such as a college dorm, gym, shared workspace, or public transportation

While it can be difficult to differentiate between the two, one important distinction to keep in mind is that, unlike RSV, which refers to a single type of viral illness, the term “common cold” can refer to any one of hundreds of different viruses, all of which cause similar symptoms. These symptoms occur in three stages, in which they begin to appear, worsen to their peak intensity, and finally start to improve. They typically include:

A sore throat (usually the first symptom to appear)
A runny nose
Frequent coughing
Aches throughout your body
In some cases, a fever

A person with RSV will also usually experience these same symptoms. However, someone who develops RSV is more likely to have a fever and may experience more wheezing than someone with a cold. It is also more likely to cause someone to lose their appetite.

It is important to note symptoms of both the common cold and RSV, as they can develop into more serious illnesses for certain groups of people. In the case of a cold, this is more likely to occur in people with weakened immune systems or a respiratory condition, such as asthma. For RSV, this risk is greater for infants, older adults, and people with heart and neuromuscular conditions.

Both RSV and the common cold usually don’t require much treatment aside from rest, fluids, and over-the-counter medications to help reduce symptoms. However, if your symptoms are severe or last longer than 10 days and do not improve, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Wellness Wednesday: Tips for Supporting Your Physical Well-Being

Posted on January 31, 2024 by Jacob Lobosco

With the first month of 2024 coming to an end, it’s a great time to check in on the progress you’ve made toward the goals you’ve set for the year. Whether you’re looking to get into better physical shape, reach a career milestone, or gain better control over any medical conditions you experience on a regular basis, wellness is an important part of moving toward your goals in a steady, efficient way. Make sure that you are:

Staying physically active (about 150 minutes of moderate exercise, including 2 days of strength training, each week)
Getting enough sleep (at least 7 hours per night)
Making some time each week for social connections with friends and loved ones
Eating enough food for your size
Avoiding smoking and limiting consumption of harmful substances such as alcohol
Making some time each week for leisurely activities that you enjoy
Practicing mindfulness and staying focused on the present moment
Keeping up with preventative medical screenings and addressing medical problems as they appear by visiting a doctor

For preventative visits and specialized treatment for medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Meet Our Doctors: Dr. Morteza Modaber

Posted on January 29, 2024 by Jacob Lobosco

We are pleased to introduce Dr. Morteza Modaber, the new Director of Neurology for both Jamaica Hospital and Flushing Hospital Medical Center.

Dr. Modaber obtained his medical degree at Shahid Behesti University of Medical Sciences in Tehran, Iran, before coming to practice medicine in the United States. After four years of neuromodulation research at the University of California, Los Angeles, he completed an internship program in internal medicine at SUNY Upstate Medical University from 2016 to 2017. He then completed a residency program in neurology at the Zucker School of Medicine at Hofstra/Northwell from 2017 to 2020, where he also completed a fellowship program in vascular neurology.

Part of what Dr. Modaber finds so engaging about his new role is the opportunity it offers to serve unmet needs for patients living in Queens. “There’s a massive need in the Queens community for neurological care,” said Dr. Modaber. “There isn’t enough access to medical professionals with a neurological background. I’m very excited to be able to help provide that care.”

Both the community he serves and the people that he works with bring joy and purpose to Dr. Modaber’s career. “Our hospitals and the communities they serve are melting pots of different cultures and different groups of people from a variety of backgrounds. I’m very happy to be working in an environment where diversity is celebrated,” said Dr. Modaber.

As Director of Neurology, Dr. Modaber plans to expand the Neurology Department in ways that will allow it to provide comprehensive neurological care to the Queens community. “I want to be able to offer people in Queens the best neurological care they can get in New York without having to take a long trip to Manhattan, Long Island, or somewhere else to get it,” said Dr. Modaber. “We’ve been recruiting a lot of highly-skilled people and are well on our way to achieving that goal.”

We are proud to welcome Dr. Modaber to our team and look forward to the work that he and the rest of the Neurology Department will do to provide high-quality neurological care to our community.

When is a Cough Serious?

Posted on January 24, 2024 by Jacob Lobosco

Coughing is a normal reflex and often does not signify a serious underlying medical condition. However, a cough could be connected to a more significant health issue and should be evaluated by a doctor when it is:

Severe
Worsening over time
Occurring frequently over several days or weeks

A cough can be either “acute,” meaning that it lasts less than three weeks, or “chronic,” meaning that it lasts longer. Some causes of acute cough, such as the common cold or exposure to airborne irritants, are not necessarily causes for concern on their own, but others, such as pneumonia and influenza, are potentially life-threatening for some people, such as older adults, infants, and people with compromised immune systems or chronic health conditions.

In many cases, chronic coughing is also not indicative of a major, life-threatening health problem, such as when it is caused by mild allergies or asthma. However, it may be a cause for concern when it is severe, frequent, or accompanied by one or more other symptoms, including (but not limited to):

Coughing up blood
Wheezing
Shortness of breath
Chest tightness
Fatigue
Unintended weight loss

These symptoms could indicate that a cough is associated with a serious underlying medical condition, such as chronic obstructive pulmonary disease (COPD), emphysema, lung cancer, cystic fibrosis, or pulmonary embolism. If you experience these symptoms, it’s important to get evaluated by a doctor as soon as possible.

You can receive diagnostic care and specialized treatment for your cough at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

What is Hashimoto’s Disease?

Posted on January 10, 2024 by Jacob Lobosco

Hashimoto’s disease is an autoimmune condition that causes your thyroid gland to become enlarged (also known as goiter) and become underactive (also known as hypothyroidism). These symptoms may not appear at first, and in some people they may not develop at all, but they can occur gradually and lead to a variety of other issues, such as fatigue, weight gain, a slowed heart rate, difficulty concentrating, or a low mood.

Approximately 5% of people in the United States experience Hashimoto’s disease. It is one of the most common causes of hypothyroidism worldwide, aside from iodine deficiency. While it can affect people of any age, sex, or ethnic background, it is much more common among people assigned female at birth (AFAB) than people assigned male at birth (AMAB). It is also typically diagnosed between the ages of 30 and 50.

A person develops Hashimoto’s disease when their immune system creates antibodies to attack thyroid tissue. This causes thyroid inflammation and damage due to an accumulation of white blood cells in your thyroid. People with other autoimmune conditions, such as lupus, celiac disease, type 1 diabetes, or rheumatoid arthritis, are more likely to develop Hashimoto’s disease than people who do not experience these conditions.

Your doctor can diagnose Hashimoto’s disease through a physical examination, a review of your medical history, and blood tests. Specific tests that help with this diagnosis include a thyroid-stimulating hormone test (which is typically used to check for hypothyroidism) and an antithyroid antibody test (which looks for certain types of antibodies in your blood to determine whether Hashimoto’s disease is the cause of your hypothyroidism).

Hashimoto’s disease cannot be cured, but in cases where it causes hypothyroidism, it can often be managed through medication. The standard treatment is levothyroxine, which supplements the hormone thyroxine (T4) and ensures that your body has enough of it to function normally. While you would need to take this medication for the rest of your life, it is effective at managing the symptoms of this condition for most people.

If you are experiencing symptoms of Hashimoto’s disease and require a diagnosis or treatment, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-7001.