Sibling Rivalry

Posted on March 1, 2016 by Joann Ariola

Sibling rivalry is defined as a type of competition or animosity among siblings, whether blood related or not.

The sibling bond can be complicated since they generally spend more time together during childhood than they do with their parents. Sibling rivalry can be particularly intense when the children are very close in age and of the same gender.

Although bickering between siblings can drive parents crazy, sibling rivalry is a normal part of growing up. Parents must create an equal balance of when to step in and play referee and when to let their kids work out their problems themselves.

Below are some of the common reasons for sibling rivalry:

Attention – Children are always vying for their parents’ attention. These days, parents are busier than ever and their attention on work or a new baby may cause less of a focus on each child. Children may act out and misbehave to get attention.
Sharing – With limited resources, siblings may have to share at least some of their possessions. Game systems, iPad’s or electronic items can be hard to share and require children to compartmentalize their time on each item.
Personality Differences – Some children are headstrong while others can be quieter and more introverted. Differences in temperament can lead to clashes.
Fairness issues – Children are always demanding fairness and equality and fighting for what they perceive are their natural born rights. A younger sibling might complain that her older sister gets to go to a concert and she has to stay home, while the older sister whines that she has to baby-sit her little sister instead of going out with her friends.

Your responsibility as a parent is to help your kids to learn to manage the feelings that come along with sibling rivalry. So, how can you stop the bickering? As a parent, you may have to indulge each child once in a while. Make the effort to spend “just us” time with your children and speak to them about tolerance and the benefits of being part of a family. Each child has their own unique strong points. Identify how those positive characteristics could cause them to become a role model to the other siblings.

Be sure not to confuse bullying with normal sibling rivalry. If one of your children bullies his/her siblings and has to be the boss and control the others to the point of getting physical, you will have to determine the difference, especially if there is aggression over and above the bickering.

In most instances of sibling rivalry, approach all situations with a level head and a firm stance on a standard of respect that is expected in your home. Live the model you would like them to emulate.

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.

Grandma’s Chicken Soup

Posted on February 9, 2016 by Joann Ariola

When you have a cold or flu, it is best to keep hydrated and drink at least eight glasses of fluid a day. A great way to keep hydrated, help relieve the symptomscongested nose and sore throat is to eat chicken soup.

Researchers believe that substances in chicken soup can help reduce the inflammation associated with a cold or flu.

If you would like to test the effects of chicken soup on your cold or flu you may want to try

Grandma’s Chicken Noodle Soup Recipe –

Ingredients:

2 ½ cups wide egg noodles

1 teaspoon vegetable oil

12 cups chicken broth

1 ½ tablespoons salt

1 teaspoon poultry seasoning

1 cup chopped celery

1 cup diced carrots

1 cup chopped onion

1/3 cup cornstarch

¼ cup water

3 cups diced, cooked chicken meat

Directions:

Bring large pot of lightly salted water to a boil. Add egg noodles and oil, boil for 8 minutes, or until tender. Drain and rinse under cool running water.
In a large saucepan or Dutch oven, combine broth, salt, and poultry seasoning. Bring to a boil. Stir in celery and onion. Reduce heat, cover and simmer for 15 minutes.
In a small bowl, mix cornstarch and water together until cornstarch is completely dissolved. Gradually add to soup, stirring constantly. Stir in noodles and chicken, and heat through.

Serves 12

For this and other easy, delicious recipes you may want to visit .

Arthritis and Exercise

Posted on February 3, 2016 by Joann Ariola

Did you know that if you have arthritis, exercise may benefit your bones, muscles and joints?

Now, that doesn’t mean you have to run a marathon or swim with the intensity of an Olympic competitor. Low impact exercise can help improve your health and fitness without hurting your joints. These exercises may include raising your arms over head or rolling your shoulders.

In conjunction with a treatment plan, exercise can:

Strengthen the muscles around your joints
Help you maintain bone strength
Give you more energy to get through the day
Make it easier to get a good night’s sleep
Help you control your weight
Improve your balance
Enhance your quality of life

Exercises can relieve stiffness and increase your ability to move your joints through their full range of motion. It is always good to speak with your doctor about fitting exercise into your treatment plan. The types of exercises that are best for you will depend on your type of arthritis and which joints are affected.

If you have arthritis and would like to explore adding exercise to your treatment plan, you can speak with one of the dozens of trained physicians at Jamaica Hospital Medical Center’s Ambulatory Care Center. To make an appointment with a physician, call 718-206-7001.

YIKES! Did I Really Do That?

Posted on January 29, 2016 by Joann Ariola

Whether you’ve accidently tripped over a child underfoot or walked into a doorway with your infant’s head in the lead, you’ve caused a child an accidental injury.

When you accidentally hurt your child, you may feel intense shame, even panic and a sense of self-loathing or blame. Even when your head clears, you may feel like you are a terrible parent.

These feelings are confusing. You may ask yourself, “How could I have done that?” The truth is, children and accidents are synonymous; even the preventable ones.

It is hard to see your child in pain and even harder to know that it is your fault. Your mind will replay the event in your head many times while you are slowly accepting what happened.

In most cases, the child is not badly hurt and you can find comfort in realizing that while accidents happen, most of them are not serious and your child is not quite as fragile as you think.

As you tell the story of what happened to your child, you will realize that most people understand and, in fact, it has happened to the best of parents. At this point, you will find it easier to forgive yourself. Still, you and your child suffered a trauma and it will take time for both of you to heal.

Some reactions to trauma are:

Feeling numb or disconnected
Insomnia
Nightmares
Flashbacks
Sadness or depression

During this time, you should be kind to yourself and keep in mind that you will not always feel this way. After the guilt lessens, you should experience acceptance.

If you are having difficulty coping and the reactions have become prolonged symptoms, you may be experiencing a response to trauma called Post Traumatic Stress Disorder (PTSD). If the negative feelings persist, you shouldn’t be afraid to ask for help from a physician, counselor, clergy member, friend and family member.

Jamaica Hospital Medical Center’s Mental Health Center is centrally located and has convenient hours. To make an appointment with a physician or licensed professional, call 718-206-7001.

What is Pre-Diabetes?

Posted on January 29, 2016 by Joann Ariola

Are you one of the estimated 54 million people in this country who have pre-diabetes?

Pre-diabetes is a silent health condition that has no symptoms and is almost always present before you develop type 2 diabetes.

It is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as full-blown diabetes. If you haven’t visited your doctor, a good way to see if you are at increased risk for pre-diabetes is to take the American Diabetes Association’s (ADA) Diabetes risk test by visiting

Among those who should be screened for pre-diabetes include overweight adults age 45 and older or those under age 45 who are overweight and who have one or more of the following risk factors:

Habitually physically inactive
Have previously been identified as having impaired fasting glucose (IFG) or impaired glucose tolerance (IGT)
Have a family history of diabetes
Are members of certain ethnic groups (including Asian, African-American, Hispanic or Native American)
Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
Have elevated blood pressure
Have elevated cholesterol
Have polycystic ovary syndrome
Have a history of vascular disease

That said, if you have pre-diabetes, your risk of developing type 2 diabetes can be reduced by a sustained modest weight loss and increased moderate-physical activity, such as walking 30 minutes a day.

Through weight loss and increased physical activity, a dietitian may direct you on how to make food choices that cut down on the amount of fat and carbohydrates by:

Eating more foods that are broiled and fewer foods that are fried
Decrease the amount of butter you use in cooking
Eat more fish and chicken
Eat more meatless meals
Re-Orient your meals to reflect more vegetables and fruit

If you have symptoms such as increased thirst, frequent urination, fatigue and blurred vision, you may have crossed from pre-diabetes to type 2 diabetes.

It’s best to consult a physician if you’re concerned about pre-diabetes or if you notice any type 2 diabetes signs or symptoms. Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. To make an appointment, call 718-206-7001.

National Birth Defects Prevention Month

Posted on January 13, 2016 by Joann Ariola

January is National Birth Defects Prevention Month. It is a time for raising awareness of how frequently birth defects can occur and what can be done to help prevent them.

Birth defects are defined as conditions that are present when a baby is born and can affect nearly every part of the body. Conditions such as cleft lip can be easily diagnosed. Other conditions such as deafness or heart defects may only be discovered after diagnostic testing.

The largest number of birth defects occurs during the first three months of gestation. In the U.S. approximately 120,000 babies are born with birth defects each year.

The 10 most common birth defects in the US, according to the Centers for Disease Control and Prevention (CDC) are:

Down syndrome
Cleft lip (with or without cleft palate)
Atrioventricular septal defect (hole in the heart)
Absence of malformation of the rectum and/or large intestine
Gastroschisis (hole in the abdominal wall)
Tetralogy of Fallot (a combination of heart defects)
Spina bifida without anencephaly
Reduction deformity, upper limbs
Reversal of the heart’s two main arteries

Although birth defects can’t always be prevented, there are plenty of steps pregnant women can take to help reduce the risk.

The womenshealth.gov website offers these suggestions:

Make regular visits to your doctor throughout pregnancy
Get 400mcg of folic acid each day through diet or supplements
Don’t smoke, use illegal drugs or drink alcohol while you are pregnant
Always check with your doctor before taking any medication
Get all vaccinations recommended by your doctor
If you have diabetes, keep it under control
Stick to a healthy weight

You may also request a pre-pregnancy or early pregnancy screening test in order to spot potential or real birth defects. The types of tests include a carrier test to see if you or your partner carries potentially harmful genes, as well as screening and diagnostic tests that can determine risks for and detect genetic disorders.

If you are pregnant, or planning to be, and want to discuss your options with one of our doctors, the Women’s Health Center at Jamaica Hospital Medical Center is centrally located and has convenient hours; to make an appointment call 718-291-3276.

Healthy and Pregnant Over 35

Posted on January 12, 2016 by Joann Ariola

January is Birth Defects Awareness Month and with more and more women waiting to have families well into their late 30’s and beyond we felt this is a topic worth revisiting.

According to the Centers for Disease Control, one in five women now wait until they’re 35 or older to have their first child. There may be some risks involved with a pregnancy conceived later in life, but a healthy lifestyle, along with regular visits to your Ob-Gyn can create a healthy pregnancy.

Oftentimes, women worry more about the risks of pregnancy at a later age than conception itself. While a woman’s fertility does decrease after the age of 30, certain risk factors associated with pregnancy do increase including:
• Higher risk of gestational diabetes and high blood pressure
• Greater risk of chromosomal abnormalities such as Down Syndrome
• Miscarriages and still birth
• Low birth weight

A pregnancy should be happy and welcomed news and planning should be no different. Increased risk factors and statistics should not be discouraging news. Often, statistics do not account for life style choices or pre-existing conditions. Here are a few tips to help you take the necessary steps toward a healthy pregnancy later in life:
• Schedule an appointment with your Ob-Gyn for a visit. Be very honest with your practitioner about any existing health conditions.
• Your Doctor may recommend additional testing such as genetic testing and counseling or sonograms.
• Begin taking pre-natal vitamin. Since folic-acid is important for prevention of birth defects, taking folic acid can add an important level of protection for older women.
• Exercise regularly; eat a well-balanced diet to maintain your weight. Gaining the appropriate amount of weight lessens the chance of your baby growing slowly and reduces the risk of preterm birth.
• Avoid smoking and drinking.

If you are interested in pre-pregnancy and fertility counseling, contact Jamaica Hospital Women’s Health Center at 718-291-3276 to make an appointment.

Meditation Does A Body Good

Posted on January 7, 2016 by Joann Ariola

Generalized anxiety disorder (GAD) is characterized by Webmd.com as an excessive, exaggerated anxiety and worry about everyday life events with no obvious reasons for worry.

An estimated 6.8 million people in the United States are afflicted with GAD. They cannot stop worrying about issues such as health, money, family, work or school. Their degree of worry is typically out of proportion for the situation and daily life may become a constant state of worry, fear or dread.

There are various prescription medications designed to help people with GAD manage their anxiety, but some holistic and traditional experts say that practice of meditation can also help those with the disorder. Being in a meditative state is said to quiet an overactive mind, one of the traits of anxiety.

Meditation is a state of deep physical relaxation combined with acute mental alertness. It is likened to taking a nap, but you don’t fall asleep. Meditative practices can include silent, repetitive praying or chanting. Other techniques involve sitting and focusing on something that will hold your attention for five to 30 minutes. By progressively relaxing your body’s muscles with a word, calming music or an image, you will naturally cause your breathing to become slower and deeper as you relax.

People with anxiety may shy away from meditation feeling that they are too restless to sit still. The good news is being able to center yourself through meditation is a skill that anyone can learn, once they have the intention and the experience of what it feels like.

Besides reducing anxiety, meditation is known to also help:

Decrease respiratory rate, heart rate and elevated blood pressure
Relieve muscle tension
Causes stress hormones in the blood to drop
Boost immunity
Offer a more restful sleep

If you have a family history of anxiety, prolonged bouts with anxiety or have acute anxiety (panic attacks); you will likely need to see a physician for suggested treatment. Jamaica Hospital Medical Center’s Mental Health Center is centrally located and has convenient hours. To schedule an appointment, call 718-206-7071.

Baby Not Latching? Maybe Baby is Tongue-Tied

Posted on January 5, 2016 by Joann Ariola

One of the most intimate moments shared between mother and baby is during breastfeeding. If the infant does not latch on to the mother’s breast she may feel rejected, bewildered and frustrated. Before becoming distressed a mother should look into reasons why the baby is refusing to breastfeed; one of which could be a condition called ankyloglossia, otherwise known as tongue-tie.

Tongue-Tie is a congenital condition which restricts the tongue’s range of motion. It is caused by an abnormally thick and short lingual frenulum. The frenulum is the membrane which connects the underside of the tongue to the floor of the mouth. The degree of severity in tongue-tie varies from mild cases, where the lingual frenulum loosens over time or severe cases of complete ankyloglossia where the tongue is tethered to the floor of the mouth. This can affect feeding.

Breastfeeding requires the baby to place the tongue over the lower gum while sucking. If the infant‘s range of motion is limited and is unable to place the tongue in the right position, this will interfere with the ability to get milk. Poor breastfeeding can lead to poor nutrition.

A consultation with a lactation specialist or physician to explore all causes for breast-feeding refusal is usually the first step in evaluating the baby. If it is determined that the infant does have severe tongue-tie and the ability to feed is compromised, a simple and quick surgery may be suggested.

The surgical procedure most commonly recommended is called a frenotomy; which can be done with or without anesthesia. During the procedure a physician will examine the frenulum, then use sterile scissors to snip it free. A frenotomy can also be done by laser. The physician may also recommend a frenectomy which is a surgical revision of the frenulum.

After surgery the infant’s tongue movement should improve greatly and in most cases breastfeeding can commence immediately.

To obtain more information about breastfeeding or to schedule a consultation with a lactation specialist at Jamaica Hospital, please call 718-291-3276.

We’re Spilling The Beans!

Posted on January 5, 2016 by Joann Ariola

Kidney, lima, soy and cannelloni are just a few of the different kinds of beans that are celebrated on National Bean Day.

January 6^th, of every year, recognizes the bean vegetable in all sizes, shapes and colors.

To honor of these miniature marvels, try this delicious three bean dip courtesy of…http://allrecipes.com/recipe/45134/three-bean-dip/

Three Bean Dip Ingredients:

1 Can refried beans

1 packet taco seasoning

1 (8 ounce) package cream cheese

2 small tomatoes chopped

3 bunches green onions chopped

1 cubanella pepper chaopped

1 (15 ounce) can black beans rinsed and drained

1 (15.5. ounce) can navy beans rinsed and drained

Directions:

Spread the refried beans in a layer in the bottom of a 9 inch square baking dish. In a small bowl, stir together the taco seasoning mix and cream cheese. Spread the mixture over the refried beans. In a separate bowl, toss together the tomatoes, green onions, cubanella pepper, black beans and navy beans. Spread over the layer of cream cheese. Cover and refrigerate for at least 4 hours before serving to blend the flavors.