Fun Fact Friday: How Much Paper Does Jamaica Hospital Recycle Every Year?

Posted on January 27, 2017 by Michael Hinck

Jamaica Hospital Fun Fact:

Jamaica Hospital and its partners in the MediSys Health Network understand the importance of “Going Green” to help the planet.

A few years ago we established EcoMediSys, a committee of hospital employees responsible for evaluating how the hospital could become more environmentally conscious. One of the many ways we have achieved our goals is through our paper usage.

Fact:
In 2010, Jamaica Hospital printed over 19 million copies of paper. Thanks to the implementation of an electronic medical records system and incorporating other operating efficiencies, we have reduced that amount to just over 6 million last year – a reduction of over 300 percent.

In addition, we increased our recycling efforts. According to our most recent data, Jamaica Hospital now recycles an average of over 240,000 pounds of paper annually.

Paper usage is just one example of how Jamaica Hospital is dedicated to helping the environment.

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.

The Facts About the Stomach Flu

Posted on January 20, 2017 by Michael Hinck

The flu isn’t the only virus that we need to protect ourselves against this time of year. Gastroenteritis, or the stomach flu is a very contagious bug that is common in our region beginning in the fall and winter months.

Unlike influenza, which affects your respiratory system, the stomach flu attacks your intestines causing the following symptoms:

• Watery, non-bloody diarrhea
• Abdominal cramps and pain
• Nausea, vomiting or both
• Occasional muscle aches, headache, and low-grade fever

Gastroenteritis is typically spread through the sharing of food or drink with someone who is infected or sharing other items with them such as utensils or towels. Children can also spread the illness by placing their hands in their mouths after touching contaminated items or surfaces.

Symptoms usually appear within one to three days after exposure and can range from mild to severe. Typically symptoms last only a day or two, but in some cases, they may persist for up to ten days.

The main complication from viral gastroenteritis is dehydration — a severe loss of water and essential salts and minerals. If you’re healthy and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn’t be a problem. However, infants, older adults and people with suppressed immune systems may become severely dehydrated when they lose more fluids than they can replace. Hospitalization might be needed so that lost fluids can be replaced intravenously. Dehydration can be fatal, but rarely.

To avoid catching the stomach flu, it is recommended that individuals wash their hands thoroughly, use separate items around the home, disinfect all potentially infected items and surfaces, and keep your distance from those who are infected.

If you do contract gastroenteritis, follow these tips:

• Let your stomach settle. Stop eating solid foods for a few hours.
• Try sucking on ice chips or taking small sips of water. You might also try drinking clear liquids or broths or non-caffeinated sports drinks. Drink plenty of liquid every day, taking small, frequent sips.
• Ease back into eating. Gradually begin to eat bland, easy-to-digest foods, such as ginger ale crackers, toast, gelatin, bananas, rice and chicken. Stop eating if your nausea returns.
• Avoid certain foods and substances until you feel better. These include dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.
• Get plenty of rest. The illness and dehydration may have made you weak and tired.

See a doctor if you become dehydrated (characterized by excessive thirst, dry mouth, dark yellow or no urine, severe weakness or dizziness), if symptoms persist for over 24 hours, if you are vomiting blood or have blood in your stool, or if you have a temperature of 104 degrees or above.

Are We Over-Using Antibiotics?

Posted on January 6, 2017 by Michael Hinck

You have all the symptoms: fever, cough, headache, and fatigue and body pain. You’re sick! You visit your doctor looking for antibiotics to get you better quickly, but is this always the best course of treatment?

Doctors at Jamaica Hospital Medical Center are taking a long, hard look at how patients are being treated and what they are finding is that prescribing antibiotics is sometimes not the best course of action. “For a number of reasons, physicians throughout the healthcare industry prescribe antibiotics when they are not necessary” states Dr. Luigi Tullo, Family Medicine Physician at Jamaica Hospital. Dr. Tullo added “Some of the factors are physician driven and some are patient driven, but regardless of the reason, inappropriately prescribing antibiotics can have long-term health effects on our community”.

Over-prescribing antibiotics can eventually lead to the drugs becoming less effective when they are really needed. Another cause for concern is the evolution of bacteria. When exposed to the same antibiotic repeatedly, the bacteria will change its composition and become resistant to the very medications that are intended to kill. MRSA and C. difficle are two examples of drug-resistant bugs, but they are not the only ones. This growing problem in the medical community has prompted Dr. Tullo and his colleagues to develop an Antibiotic Stewardship Program to educate both the practitioner and the patient about when antibiotics are necessary and when they are not.

To help the doctor, Jamaica Hospital has implemented multiple tools into its electronic medical records system. These tools require the doctor to extensive documentation before prescribing antibiotics to their patients. Sometimes however, even against the doctor’s best judgment, a patient may insist on receiving a prescription of antibiotics. Dr. Tullo explains, “A culture has been created that implies if a doctor doesn’t provide a prescription after examining you, then he or she isn’t taking care of you. Patients think that antibiotics are some sort of magic wand, when in fact they are not.”

To change this perception, Jamaica Hospital, working together with the Centers for Disease Control and Prevention (CDC) is embarking on an educational campaign to help explain that antibiotics are appropriate for bacterial infections, but not for a virus. These colorful, multi-lingual posters created by the CDC will hang in all Jamaica Hospital out-patient clinics and offer guidance and education to patients.

In addition to the posters and other educational handouts, Dr. Tullo believes an emphasis must be placed on how doctors explain the patient’s condition to them. According to Dr. Tullo, “if it is explained that not needing antibiotics may be a good thing, when they have a virus, the message will be better received.”

Jamaica Hospital continues to strive to do the best for their patients and hopes that through this effort, they can improve the long-term health of the community.

Is Overuse of Your Tablet Harming Your Neck?

Posted on December 9, 2016 by Michael Hinck

Tablets are becoming more advanced and convenient; so much so that we now use them for practically everything. While this technology provides many benefits, our increased reliance on them is leading to a new health concern for some known as tablet neck.

Tablet neck is a trending medical term that describes the condition associated with people who spend a lot of time on tablets. When we use these devices, we often hang our heads in a downward position. Whether we are holding them in our hands or resting them in our laps, the position of our heads while using these devices can place a great deal of strain on our head, neck, shoulders and back. In addition, this hunched position can lead to poor posture, muscle spasms, headaches and restricted range of motion to our head and neck area.

Doctors are reporting an increase in the number of patients who are experiencing head and neck pain as a result of overuse of their tablets. This practice can affect anyone, but not surprisingly, the age group that has been impacted the most is teenagers and young adults as they spend the most time playing games on these devices.

To avoid developing head and neck issues from using your tablet, doctors recommend the following tips:

• Keep your tablet at eye level to reduce hanging your head in a downward position.
• Shift positions while using your tablet to prevent neck and shoulder muscles from tensing up.
• Purchase a standing case and place your device on a flat surface instead of holding it.
• Never use a tablet while lying in bed. Ergonomically, there is no way to do this without causing damage to your neck.
• Take breaks from using your tablet every 15 minutes.
• Most importantly, limit the use of time you spend on tablet devices.

If you are experiencing prolonged head, neck, shoulder or back pain, please consult your physician about treatment options. If you do not have a doctor, please call Jamaica Hospital’s Ambulatory Care Center at 718-206-7001 to make an appointment.

When Are Antibiotics Appropriate?

Posted on November 4, 2016 by Michael Hinck

You have all the symptoms: fever, cough, headache, and fatigue and body pain. You’re sick!! You visit your doctor looking for antibiotics to get you better quick, but is this always the best course of treatment?

To help the doctor, Jamaica Hospital has implemented multiple tools into its electronic medical records system. These tools require the doctor to provide further documentation before prescribing antibiotics to their patients. Sometimes however, even against the doctor’s best judgment, a patient may insist on receiving a prescription of antibiotics. Dr. Tullo explains, “A culture has been created that implies if a doctor doesn’t provide a prescription after examining you, then he or she isn’t taking care of you. Patients think that antibiotics are some sort of magic wand, when in fact they are not.”

To better change this perception, Jamaica Hospital, working together with the Centers for Disease Control and Prevention (CDC) is embarking on an educational campaign to help explain that antibiotics are appropriate for bacterial infections, but not for a virus. These colorful, multi-lingual posters created by the CDC will hang in all Jamaica Hospital out-patient clinics and offer guidance and education to patients.

In addition to the posters and other educational handouts, Dr. Tullo believes an emphasis must be placed on how doctors explain the patient’s condition to them. According to Dr. Tullo, “if it is explained that not needing antibiotics is a good thing, since they have a virus, the message will be better received.”

Jamaica Hospital continues to strive to do the best for their patients and hopes that through this effort, they can improve the long-term health of the community.

Jamaica Hospital Working to “Break the Chain of Infection”

Posted on October 18, 2016 by Michael Hinck

International Infection Prevention Week (IIPW), which takes place the third week of October each year, is intended to raise awareness about how infection prevention plays an important role in patient safety.

Established in 1986 by President Ronald Reagan, the Association of Professionals in Infection Control and Epidemiology (APIC) has spearheaded the annual effort to highlight the importance of infection prevention among healthcare professionals, administrators, legislators, and consumers.

Over the years, this week of recognition has vastly expanded to every corner of the globe, including Australia, the United Kingdom, the Middle East, and Southeast Asia. As the reach of IIPW widens, more patients benefit from safer healthcare practices and reduced threat of healthcare-associated infections.

This week gives an opportunity to infection control professionals to educate staff and the community about the importance of infection prevention and to promote the important work that is being done by infection control professionals in a visible and fun way.

The 2016 theme is “Break the Chain of Infection.” Infection Prevention Professionals want to spread the message about how the public and healthcare professionals can help “Break the Chain of Infection” in healthcare settings and in the community.

To help spread the word about Infection Prevention; Jamaica Hospital Medical Center’s Infection Control Department will be sharing information in the hospital’s main lobby on Wednesday, October 19. Join us to learn more about how you can break the chain of infection.

Learn How to Stay Safe During Eye Injury Prevention Month

Posted on October 14, 2016 by Michael Hinck

Nearly 2.5 million Americans suffer some form of eye injury every year and approximately 1 million of those injuries result in some degree of vision loss. While many employers have instituted safety measures to reduce the incidence of workplace-related accidents, there are no regulations in place to protect you from the place where nearly half of all eye injuries occur…your home.

October has been designated Eye Injury Prevention Month and Jamaica Hospital Medical Center would like to take this opportunity to educate the community on how to decrease the chances of sustaining an eye injury while working in, or around your house.

Eye injuries can vary from deep puncture wounds requiring surgical treatment to minor surface scratches. Some of the most common types of eye injuries occur:

In the House: When using household chemicals, read the instructions carefully and make sure to point spray nozzles away from your face. Many chemicals are extremely hazardous and can permanently destroy the surface of the eyes, resulting in blindness.

In the Workshop: While working with power tools there is a high likelihood of wood, metal or other material fragments, fumes or dust particles flying through the air and getting into your eyes. Many of these objects can cause injury.
In the Garden: When operating a lawnmower, power trimmer or edger, be sure to check for rocks and stones, because they can become dangerous projectiles as they shoot from these machines.

In the Garage: Battery acid sparks and debris from damaged or improperly jump-started auto batteries can severely damage the eyes.

Protecting your eyes from injury while working around the house is one of the most basic and easiest things you can do to keep your vision healthy throughout your life. The best way to protect yourself from an eye injury is by wearing protective eyewear during home-based activities. Wearing safety goggles or other forms of protective eyewear can prevent 90% of all eye injuries, yet only 35 percent of respondents said they wear protective eyewear when performing home repairs or maintenance.

Jamaica Hospital urges everyone to avoid an unnecessary trip to the Emergency Department by practicing proper eye safety around the house.

Why It’s Important For Your Child To Get The Flu Shot This Year

Posted on October 7, 2016 by Michael Hinck

Flu season is coming and once again, many parents wonder if they should get their children vaccinated. Below is some information about the flu vaccine that parents should know.

The flu is more serious than the common cold for kids. Young children often require medical care after getting the flu. In fact, each year, an average of 20,000 children under the age of five are hospitalized due to complications from the flu, and for some, the illness can even result in death.

The best way to protect your children from the flu is to get them vaccinated. The Centers for Disease Control and Prevention (CDC) recommends all children six months and older get a seasonal flu vaccine. Ideally, the best time to get the flu vaccine is as soon as it becomes available as it usually takes up to two weeks before your child is fully protected.

Flu shots can be administered either by injection or by a nasal spray. The nasal spray flu vaccine can be given to children between two and eight years old. Side effects can include runny nose, cough, fever, wheezing, and head or muscle aches. The flu shot can be given to children ages six months and over. Side effects of the flu shot include soreness, redness, or swelling at the injection site or a low-grade fever.

Children under six months old are too young to be vaccinated. The best defense for them is to make sure those around them are vaccinated.

Some children who get the flu shot may require two doses. If your child is under nine years old and has never gotten the shot before, two separate doses will be necessary. These doses must be administered at least four weeks apart. If your child has gotten the seasonal flu vaccine before or is over nine years old, only one dose is required.

Please speak with your pediatrician before getting your child vaccinated if:

If your child isn’t feeling well
If your child recently had other vaccines
If your child has any medical conditions
If your child is allergic to eggs
If your child had a severe reaction to a previous flu vaccine

Please call your pediatrician now to schedule you child’s flu shot. If you do not have a pediatrician, please call Jamaica Hospital’s Pediatric Clinic at 718-206-7001 to make an appointment with one of our qualified pediatric specialists.

Facts About Lung Cancer

Posted on September 30, 2016 by Michael Hinck

Lung cancer is a form of cancer that starts in the lungs. It is the leading cause of cancer death in the United States in both men and women. More people die each year from lung cancer than from colon, prostate ovarian, and breast cancer combined.

In the early stages there may not be any signs or symptoms. A history of smoking definitely contributes to a higher risk of being diagnosed with the disease, though non-smokers also can develop lung cancer. Smoking causes cancer by irritating the lining of the lungs. This causes changes in the lung tissue. It is believed that the effects of smoking may be reversible in the very early phases but repeated exposure to the chemicals found in smoke will eventually be irreversible.

Signs and Symptoms of Lung Cancer include:
• A cough that doesn’t get better
• Coughing up blood
• Shortness of breath
• Chest pain
• Wheezing
• Hoarseness
• Headache
• Weight loss that isn’t intentional

If lung cancer is suspected, a few tests to make the diagnosis definitive will be ordered. A chest x-ray will be performed and if there are any lesions found on the lung a CT scan will to get a better view of the lungs. An exam of the sputum can sometimes reveal lung cancer cells and to complete the diagnosis a lung biopsy will be done to examine the cells to see if they are cancerous.

Depending on the stage of the cancer, treatment options vary and can include chemotherapy, radiation and / or surgery. A common surgical option is called a lobectomy, removal one of the lobes of the lung.

There is no way to prevent lung cancer, but the best way to reduce your risk is to not smoke. If you do smoke, quit immediately. Also avoid second hand smoke, radon, and harmful carcinogens.

What is Sepsis? Jamaica Hospital Educates the Community During Sepsis Awareness Month

Posted on September 17, 2016 by Michael Hinck

September is Sepsis Awareness Month and Jamaica Hospital wants to educate the community about this very serious condition.

Sepsis is a potentially life-threatening complication that stems from an infection. Sepsis occurs when chemicals released into the bloodstream meant to fight an infection trigger inflammatory responses throughout the body. This inflammation can damage multiple organ systems, causing them to fail. If not identified and treated early, sepsis can progress to a condition known as septic shock, characterized by a dramatic drop in blood pressure, which may lead to death.

Sepsis is viewed by most doctors to be a three-stage syndrome, starting with sepsis, progressing through severe sepsis, and eventually into septic shock. The goal for healthcare providers is to look for the early symptoms of sepsis and administer antibiotics and IV fluids immediately before the condition becomes more dangerous.

Early symptoms include having a suspected or confirmed infection, plus a:

• Body temperature above 101.4 F
• Heart rate higher than 90 beats a minute
• Respiratory rate higher than 20 breaths a minute

Sepsis can affect anyone, but it is most common in older adults or those with a weakened immune system. The number of cases of sepsis in the United States appears be increasing. Some of the factors attributed to this rise include:

• A growing population of people over 65 years old. This group tends to have a weaker immune system.
• An increase in the amount of antibiotic-resistant bacteria. When these drugs used to treat infections do not work, it can lead to sepsis.
• More Americans are living with weakened immune systems, caused by HIV, cancer treatments or transplant drugs.

Since hospitals and nursing homes typically treat people who are either older or who’s immunity levels are compromised, sepsis can often occur in these settings.

Understanding the need to address the situation, Jamaica Hospital has taken a very proactive approach to combating sepsis. The hospital has initiated comprehensive protocols to both identify and treat sepsis. These efforts have led to steadily improving outcomes for our patients.