The Winter Itch

Posted on December 2, 2015 by Joann Ariola

Seasonal itchiness is common when the cold, dry winter air takes moisture away from your skin. The top layer of skin is made up of dead skin cells embedded in a mix of natural oils. The oils in this skin layer help keep water inside the body and prevent irritants and germs from entering. The dead cells and skin oils lock some water into the top layer, which keeps the skin soft and smooth. Cold, dry air can damage the top skin layer, allowing water in the skin to escape and cause small cracks that expose underlying cells to irritants and germs. This irritation may cause nerves in the skin to send “itch” signals to the brain.

Weather-related itching may be accompanied by other dry skin symptoms, such as dullness, flakiness, roughness and more visible fine lines. Fortunately, weather-related dry skin isn’t usually serious and is easily treated.

Some products from your local stores can help, such as:

Moisturizers: In the winter, the best types of moisturizers to use are the ones that are oil-based rather than water-based. These are thicker and create a protective layer on the skin that will retain moisture in your skin for longer periods of time.
Sunscreen: Despite the cold temperatures, you can still get sunburned during the winter, which will make your skin even drier. When you plan to be outside, apply sunscreen with a minimum SPF of 15 about 30 minutes before going out. If you are out for longer periods of time reapply the sunscreen every couple of hours.
Gloves: Your hands are one part of your body that is exposed to the cold more often, so protect them whenever you can by wearing warm gloves.
Humidifier: Using a humidifier adds moisture to the air, which can help counteract the effects of using heat in your home or office. Place the humidifier in rooms where you spend most of your time to get the best results.
Oatmeal: Take an oatmeal bath to soothe the itching. In addition to taking these soothing baths, refrain from taking very hot baths and showers in the winter. Instead use warm water and try not to stay in the bath or the shower for too long.

If the itchiness you are experiencing becomes severe or the skin begins to peel or crack significantly, you may have a skin disorder in addition to the typical dryness that occurs during colder months and should consult your physician.

If you itchy skin has become red and cracked, you may want to make an appointment with the Jamaica Hospital Medical Center’s Ambulatory Care Center. It is centrally located and has convenient hours. Call 718-670-XXXXfor an appointment.

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.

SNACK CHIPS THAT WON’T GO STRAIGHT TO YOUR HIPS!

Posted on December 1, 2015 by Joann Ariola

With the holiday season in full swing and snacking at an all-time high, you may be interested in this delicious and healthy alternative potato chips for your party table…

Cracked Pepper Potato Chips with Onion Dip

Ingredient’s for the chips:

3 Large russet potatoes (2 ¼ pounds total), sliced into 1/8-inch thick rounds
2 tablespoons olive oil
2 teaspoons coarsely ground black pepper
Salt

Ingredient’s for the dip:

2 teaspoons olive oil
1 small onion, minced
2 scallions, thinly slices, greens and whites separated
1 ¼ cups nonfat Greek style yogurt or 1 2/3 cups regular nonfat plain yogurt
¼ cup of mayonnaise
¾ teaspoon garlic powder
½ teaspoon salt
¼ teaspoon pepper

How to make this recipe:

Chips – Toss potatoes in a large bowl with 2 tablespoons of oil, and pepper until well coated. Preheat oven to 450 degrees F. Arrange potato slices in 1 layer on 2 cookie sheets. Bake for 20 to 25 minutes until chips are crisped and lightly browned. Remove from oven, season with salt and cool.

Dip – Heat oil over a medium heat and add onions and scallion whites. Cook, stirring often, until golden brown and soft, about 10 minutes. Remove from heat and allow to cool. If using regular yogurt, place it in a strainer lined with a paper towel and set the strainer over a bowl. Let the yogurt drain and thicken for 20 minutes.

Combine onions with thickened or Greek style yogurt, mayonnaise, onion powder, garlic powder, salt pepper and scallion greens and stir well to incorporate. Chill for 1 hour to let flavors meld.

Serve with chips

Excellent source of Vitamin C

Good source of Potassium

For more healthy snack recipes visit http://www.foodnetwork.com/healthy/packages/healthy-every-week/healthy-appetizer-recipes/healthy-appetizer-recipes.html

How “Annual” Is Your Annual Physical?

Posted on November 30, 2015 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for an appointment.

Holiday Heart Syndrome

Posted on November 16, 2015 by Joann Ariola

Holiday Heart Syndrome, coined in 1978, is a real syndrome in which the heart’s vulnerability to certain arrhythmias is increased by excessive alcohol ingestion (binge drinking) and the onset of a heart rhythm disturbance in people who are otherwise healthy.

The most frequently seen arrhythmia during the holiday season is atrial fibrillation, in which the top chambers of the heart quiver or fibrillate causing the heart to beat irregular and often quite fast.

Excessive alcohol intake in women is defined as consuming seven or more drinks per week or over three doses at one time. For men, heavy consumption is defined as over 14 drinks per week or over four drinks at one time by the U.S. Department of health and Human Service.

Alcohol alone does not fully explain Holiday Heart Syndrome. There are other risk factors for atrial fibrillation that are higher around the holidays such as:

Overeating
Stress
High levels of sodium consumption
Dehydration

Everyone has some degree of stress in their lives. Health concerns, family and relationship issues, financial problems can all cause stress which can ultimately affect your health; the idea of “letting go” at a holiday event and consuming more alcohol than usual as a way to forget the present may have a negative effect on your future.

If you have any heart symptoms, it is best to seek medical attention immediately; even if your symptoms appear ON a holiday.

Fun Holiday Breakfast for Kids

Posted on November 16, 2015 by Joann Ariola

This is a great recipe for a fun breakfast you can make and the kids can help! Courtesy of parenting.com

Knead and roll dough, add reindeer parts.

What you need:

Dough
1 1/2 Cups whole wheat flour
1 Cup white flour
2 1/2 Tsp. baking powder
3/4 Tsp. salt
2 Tbsp. sugar
1/2 Tsp. cinnamom (optional)
1 Cup plain Greek yogurt
1/2 Cup applesauce
1 Tbsp. butter

Filling:

1 Tbsp. melted butter
3 Tbsp. brown sugar
1 Tsp. cinnamon

Decorating:

Stick Pretzels
Cranraisins
Red string licorice
Raisins
Green candies

Mix dry ingredients for dough. Add yogurt and melted butter. Spoon dough onto a heavily-floured surface. Dough will be sticky, so add a little more flour to the top of the dough. Flour hands and knead dough until smooth. Add additional flour if necessary. Roll dough into a rectangular about 1/2 inch thick.
For filling, spread melted butter on dough and sprinkle with cinnamon/sugar mixture. Starting from longer side, roll dough into coil and cut 2 inch pieces. Set rolls on end in a lightly greased muffin pan and bake at 425 for about 20 minutes. Let cool thoroughly before decorating.
If a glaze is desired, mix 2 tablespoons water and 3/4 cup confectioners sugar. Drizzle on rolls while hot.

Southwestern Turkey Soup

Posted on November 16, 2015 by Joann Ariola

Re-purpose your leftover turkey with this delicious Southwestern Turkey Soup courtesy of allrecipes.com

INGREDIENTS:

1 ½ cups shredded cooked turkey

4 cups vegetable broth

1 (28 ounce) can whole peeled tomatoes

1 (4ounce) can chopped green chile peppers

2 roma (plum tomatoes), chopped

1 onion chopped

2 cloves, garlic, crushed

1 tablespoon lime juice

½ teaspoon cayenne pepper

½ teasp9oon ground cumin

Salt and pepper to taste

1 avocado – peeled, pitted and diced

½ teaspoon cilantro

1 cup shredded Monterey Jack Cheese

DIRECTIONS:

In a large pot over medium heat, combine turkey, broth, canned tomatoes, green chiles, fresh tomatoes, onion, garlic, and lime juice. Season with cayenne, cumin, salt, and pepper. Bring to a boil, then reduce heat, and simmer 15 to 20 minutes.

Stir in avocado and cilantro, and simmer 15 to 20 minutes, until slightly thickened. Spoon into serving bowls, and top with shredded cheese

Baby’s First Year

Posted on November 2, 2015 by Joann Ariola

If you are a new mom or dad, you may wonder what to expect and how to know if your baby’s development is on target.

In the first 12 months, your baby will undergo an incredible transformation with every month bringing new and exciting developmental strides.

There is a wide “window” for when it is normal for a baby to reach a particular developmental stage. If your baby reaches one milestone sooner and another later, he or she may be focused on perfecting another skill.

Keeping in mind that babies will progress at their own pace, here’s a list of what your baby may be doing during each three-month stage of the first year:

Zero to Three months

Early on, it will be just to him/her, but within three months, baby will be smiling in response to your smiles and trying to get you to smile back
Raising head and chest when placed on the tummy
Track objects with eyes and gradually decrease eye crossing
Open and shut hands and bring hands to mouth
Grip objects in hands
Take swipes at or reach for dangling objects

Four to Six Months

Roll over from front to back or back to front. Front to back usually comes first
Babble, making sounds that can sound like real language
Laugh
Reach out for and grab objects
Manipulate toys with their hands
Sit up with support and have great head control

Seven to Nine Months

Start to crawl
Sit without support
Respond to familiar words such as name
Babble becomes “Mama” and “Dada”
Clap and play games such as peekaboo
Learn to pull up to a standing position

Ten to 12 Months

Self-feeding and holding small objects such as O-shaped cereal between thumb and forefinger
Cruising or moving around the room
“Mama and “Dada” become more specific as a name for parents. The average is about three spoken words by the first birthday
Take first steps

If you are concerned that your baby may not be marking the strides expected each month after birth and would like to speak with a pediatrician, call Jamaica Hospital Medical Center’s Ambulatory Care Center for an appointment at 718-206-7001.

VEGAN CREAMY PUMPKIN SOUPN (GLUTEN FREE)

Posted on October 14, 2015 by Joann Ariola

For a creamy and vegan pumpkin soup recipe sprinkled with almonds and fresh rosemary, try the recipe below.

Serves: 3

Prep time – 5 minutes

Cook time – 25 minutes

Total time – 30 minutes

Ingredients

1 tablespoon olive oil
½ onion, diced
½ pumpkin, peeled and cubed
4 cloves garlic, minced
1 tablespoon fresh rosemary, diced
4-5 cups vegetable broth
½-1 cup coconut milk

Instructions

Heat oil in pot over medium heat. Add onion and cook for a few minutes until translucent. Add pumpkin and garlic and continue to cook for a few more minutes.
Add rosemary and vegetable broth. Bring to a boil, reduce heat to low and simmer until pumpkin is soft and cooked through. Add salt to taste.
Puree soup in a blender (in batches) and return to the pot.
Add coconut milk and simmer for another minute or two.

Give this recipe a try. It is simply delicious and healthy too.

Is There Really A Way Even If You Have The Will?

Posted on October 5, 2015 by Joann Ariola

Obesity is one of the biggest health problems in the world. It can be a contributing factor in other diseases, such as diabetes, cardiovascular disease, cancer, stroke, and dementia. Overeating is often cited as the only reason people are obese. In discussions about weight gain and obesity, many people seem to think that it is purely a function of willpower.

Since what we weigh is, normally, attributed to what we eat we must ask the question:

Is over-eating the only reason a person becomes overweight?

Human behavior is driven by various biological factors like genetics, hormones, and neural circuits. Eating behavior, just like sleeping behavior, is driven by biological processes. Therefore, saying that behavior is a function of willpower is way too simplistic.

Here are some factors thought to be the leading causes of weight gain, obesity and metabolic disease that have nothing to do with willpower:

Genetics – Obesity has a strong genetic component. Offspring’s of obese parents are much more likely to become obese than offspring’s of lean parents.
Insulin – Insulin is a very important hormone that regulates energy storage, among other things. One of the functions of insulin is to tell fat cells to store fat and to hold on to the fat they already carry. When insulin levels elevate, energy is selectively stored in fat cells instead of being available for use.
Medications – Certain medications can cause weight gain as a side effect. Some examples include diabetes medication, antidepressants and antipsychotics. These medications don’t cause a “willpower deficiency,” they alter the function of the body and brain, making it selectively store fat instead of burning it.
Leptin –This hormone is produced by the fat cells and is supposed to send signals to the hypothalamus (the part of our brain that controls food intake) that we are full and need to stop eating. The problem for some is their leptin isn’t working as it should because the brain becomes resistant to it. This is called leptin resistance and is believed to be a leading factor in the pathogenesis of obesity.

Thyroid Disease – Thyroid hormone regulates our metabolism. Too little hormone slows the metabolism and often causes weight gain.
Cushing’s syndrome – This condition results when the adrenal glands (located at the top of each kidney) produces an excess amount of a steroid hormone called cortisol. This leads to a buildup of fat in characteristic sites such as the face, upper back and abdomen.

A doctor can determine if any of these conditions or treatments is responsible for your obesity. If you would like to see a physician, please contact the Jamaica Hospital Medical Center’s Ambulatory Care Center to schedule an appointment. 718-206-7001.

The Modern Day Zombie

Posted on September 21, 2015 by Joann Ariola

Walking Corpse Syndrome (also known as Cotard’s Syndrome) is a rare neuropsychiatric disorder in which the afflicted person holds the delusion that he or she is dead, missing their soul, organs, blood or other body parts, as well as being in a state of existence denial. Conversely, some patients may have delusions of immortality.

For people with this condition, entertainment like cable TV’s “The Walking Dead” may be too close for comfort.

Studies indicate that the disease is more prevalent in older patients and women with depression. It is also more likely to occur in patients with disorders such as:

Schizophrenia
Bipolar disorders
Brain injury
Brain atrophy
Seizure disorders
Depression
Brain tumors
Stroke
Migraine

Though it is thought that lesions in the frontal and temporal regions (front and sides) of the right hemisphere of the brain have been associated with the disease, Cotard’s disease is so rare that it is difficult to pinpoint the mechanisms that cause it.

Tests are used to diagnose associated diseases and rule out other conditions. Current treatment for Cotard’s Syndrome involves medication with antidepressants, antipsychotics and mood stabilizers. Electroconvulsive therapy, in combination with medication, has been reported to be more effective than medications alone.

Fortunately, patients with Cotard’s Syndrome can experience a complete recovery, even in severe cases.