I Am So Stressed! Where Are My Cigarette’s?

Posted on March 27, 2015 by Joann Ariola

Is smoking a cigarette when you are stressed, depressed or irritable a proven way to relieve those emotions or improve your mood?

The answer is, no. The relief you get from smoking comes from the act of taking the “time out” necessary to smoke a cigarette. It does not have to do with the chemical actions of nicotine in your brain.

If you finish your cigarette and return to your stressful situation, the feeling of tension will come back. Therefore, the act of smoking is only a temporary solution for handling stress.

A proven way to control stress, tension or depression in your life is to identify what brings on those emotions and learning how to change the way you react to the events and situations in your life.

If you have been using smoking as a way to reduce stress, a great time to
“kick the habit” is to participate in The Great American Smoke out, Wednesday, November 18th, 2015.

Jamaica Hospital Medical Center can help. Enroll, today, for our smoking cessation classes. For more information or to register, call: 718-206-8494.

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.

Cardiomyopathy

Posted on March 26, 2015 by Joann Ariola

Cardiomyopathy is a disease which causes the heart muscle to become enlarged, thickened or rigid. The cause of cardiomyopathy is often unknown; however, many believe genetics or previous and chronic heart disorders are contributing factors. Cardiomyopathy is not specific to any age group but it is more prevalent among adults.

This condition may lead to weakening of the heart, which makes it incapable of pumping sufficient blood throughout the body and maintaining a normal electrical rhythm.

The inability of the heart to function properly can potentially cause heart valve problems, heart failure and arrhythmias. Additional complications that can also occur include fluid build-up of the lungs, ankles, feet, legs and abdomen.

Symptoms of cardiomyopathy can vary. In the early stages of the disease, there may not be any symptoms but as the condition advances, they begin to appear. Some symptoms may include:

Breathlessness with exertion or even at rest.
Coughs.
Fatigue.
Irregular heartbeats which are rapid, pounding or fluttering.
Dizziness, lightheadedness and fainting.

Cardiomyopathy cannot be reversed or cured; it can be controlled with lifestyle changes and treated with medications such as diuretics, surgically implanted devices such as pacemakers and defibrillators. As a last resort heart transplant surgery may be recommended.

It is advised that you see your doctor if you have one or more of the symptoms associated with cardiomyopathy. You can contact Jamaica Hospital Medical Center’s Department of Cardiology at 718-206-7100 for an appointment and evaluation.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Breastfeeding is Nutritious, Effective and FREE!

Posted on March 11, 2015 by Joann Ariola

There are many factors to consider when choosing to breast feed or formula feed your baby.

The American Pregnancy Association recommends breastfeeding for most families because breast milk provides the ideal nutrition for infants. It is a nearly perfect mix of all the ingredients your baby will need to grow. Breast milk contains vitamins, protein, and antibodies that help your baby fight off viruses, as well as, being more easily digested than infant formula.

A mother’s milk is always the perfect temperature, does not have a preparation time and is readily available at any time and place.

There is also a great financial benefit to breastfeeding. Formula prices can range from $54.00 to $198.00 per month depending on the brand. The additional cost of bottles, nipples and preparation should also be factored into this expense.Breast feeding not only saves you time and money, it will give you time to relax quietly with your newborn and bond.If you have any questions about breastfeeding and would like to speak with a lactation specialist, call Jamaica Hospital’s Women’s Health Center at 718-291-3276.

Quieting That Cough, Naturally

Posted on February 23, 2015 by Joann Ariola

Coughing is a common health problem. When there is a blockage or irritant in your throat, your brain thinks a foreign element is present and tells your body to cough to remove that element.

Some reasons you may cough are itchy throat and congestion. Instead of using over-the-counter cough suppressants, you may want to try a natural cough treatment using readily available ingredients in your kitchen.

Ginger tea is one of the most popular cures for a cough and is a proven home remedy.

Follow the recipe below for a simple and effective way to quiet a cough.

GINGER TEA

· Cut fresh ginger into small slices and crush them slightly. Place them in a cup of water and bring to a boil. You can also use some lemon juice and honey to taste.

It is suggested to drink this herbal solution three to four times a day for relief from a sore throat, coughing and even chest congestion.

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Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

Palliative Care vs Hospice Care

Posted on February 3, 2015 by Joann Ariola

When you are faced with the decision of choosing whether palliative care or hospice care better suites the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS) and other neurological diseases. Palliative care can be used at any stage of illness –not just advanced stages.

Hospice care is palliative by nature, but is only offered when the patient has progress to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited with palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure, but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social worker, spiritual care, bereavement care and volunteers. In some cases physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity and quality of life and not about giving up. If you, or a loved one should need information on palliative or hospice care, Jamaica Hospital Medical Center’s Palliative Care and Hospice Care services can help. To schedule an appointment for an evaluation, or to just talk, call 718-206-6914.

Perils of the Pregnant Partner – Couvade Syndrome

Posted on January 21, 2015 by Joann Ariola

During pregnancy the focus is often on the changes that the expectant mother is experiencing and ignores the emotional changes of the other parent to be, who may be experiencing emotional and physical changes that are valid and deserving of the proper attention and support.

Impending parenthood can bring a rush of feelings and fears. Whether the pregnancy is planned or unexpected, the news may cause you to become introspective about many things including your relationship with your partner, the fear of newly acquired responsibilities, financial implications, feelings of inadequacy and, in some cases, sympathy pains or a condition known as, Couvade Syndrome.

Partners who have Couvade Syndrome experience symptoms that mimic pregnancy such as, constipation, gas, bloating, irritability, weight gain, cravings and nausea right along with the expectant mom.

Fortunately, the symptoms are almost always temporary and are not treated with medication. They, usually, resolve once the baby is born.

Has your New Year Resolution been postponed to next year?

Posted on January 21, 2015 by Joann Ariola

New Year Resolutions are great to make and even better to keep. Here are some tips on how to make your NYR stick.

Be realistic
Plan ahead
Outline your plan
Make a “pros” and “cons” list
Talk about it
Reward yourself
Track your progress
Don’t beat yourself up
Stick to it
Keep trying

The NERVE of Diabetes

Posted on January 9, 2015 by Joann Ariola

According to the Centers for Disease Control and Prevention, 25.8 million people in the United States have diabetes. Typically, 60 to 70 percent of people with diabetes have some sort of nerve problems, know as neuropathy.

Neuropathy is a shorter term for peripheral neuropathy, meaning nerve damage in the peripheral nervous system. Neuropathy from diabetes can damage the nerves in your hands, arms, feet and legs. This condition can cause pain, numbness and weakness. Depending on the degree of neuropathy, and how long you have been a diabetic, nerve problems can occur in every organ system, including the digestive tract, heart and reproductive organs.

The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathy also appears to be more common in people who have issues with controlling their blood glucose, have high blood pressure and are overweight.

Symptoms of diabetic neuropathy vary depending on the nerves affected and develop gradually over the years. Symptoms may include:

Trouble with balance
Numbness and tingling of extremities
Abnormal sensation to a body part (Dysesthesia)
Diarrhea
Erectile dysfunction
Urinary incontinence
Vision changes
Burning or electric pain in extremities

When treating diabetic neuropathy, a nutritionist may recommend healthier food choices and exercise to help lower your glucose and glycohemoglobin levels. Additionally, analgesics and low doses of antidepressants can be prescribed for pain relief, burning and tingling.

If you are a diabetic and have been experiencing symptoms of neuropathy, Jamaica Hospital Medical Center’s Ambulatory Care Center and Department of Nutrition can help. Call 718-206-7001 to get the process started.