September 10th is World Suicide Prevention Day – JHMC Wants You to Know the Facts About Suicide Prevention

Posted on September 9, 2016 by Michael Hinck

Suicide affects millions; over 800,000 people take their lives each year, and the number of people who attempt suicide is twenty five times that amount. In addition to the lives lost, suicide also affects the many friends and family members devastated by the loss of their loved one.

Suicide is largely preventable though. Through education and awareness, we can get those people who are contemplating suicide the help they need.

One of the best tools in preventing suicide is to know the risk factors. Over 90% of people who attempt suicide live with depression or another mental disorder. Alcohol or substance abuse is often a contributing factor. Adverse factions to traumatic events or stress can also lead to someone wanting to take their own life.

Other risk factors for suicide include:

• Family history of mental disorder or substance abuse
• Family history of suicide
• Family violence
• Physical or sexual abuse
• Keeping firearms in the home
• Chronic physical illness, including chronic pain
• Exposure to the suicidal behavior of others

Someone who is considering suicide usually displays certain behaviors. Loved ones should look for the following warning signs:

Always talking or thinking about death
Trouble sleeping and eating — that gets worse over time
Displaying reckless behavior that could result in death, such as driving fast or running red lights
Losing interest in things one used to care about
Making comments about being hopeless, helpless, or worthless
Talking about suicide or killing one’s self
Visiting or calling people to say goodbye

If someone you know appears to be contemplating suicide, take the issue seriously. Let the person know that you care and understand and are listening and attempt to get them immediate help from a health care professional.

If your loved one appears to be in imminent danger of committing suicide, do not leave him or her alone. Remove any weapons or drugs he or she could use. Accompany him or her to the nearest emergency room or call 911.

September 10 has been designated World Suicide Prevention Day. Many organizations from around the world have joined this cause. Jamaica Hospital’s supports their efforts and the hospital’s Department of Psychiatry offers many inpatient and outpatient services to help those in need.

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 Synthetic Marijuana

Posted on July 15, 2016 by Michael Hinck

Synthetic marijuana, also known as K2 or Spice, is a drug that is having a devastating effect on our area, and many other cities across the United States. In an attempt to raise awareness about the drug, Jamaica Hospital wants to share the following facts with the community.

K2 and other forms of synthetic marijuana are a blend of chemical substances known as cannabinoids that are sprayed on dried leaves. The result is a product that resembles marijuana, but has a much more potent effect. While the intention of synthetic marijuana is to mimic the effects traditional marijuana has on the body, the reaction to the synthetic version is often much more severe.

For a long time these products were readily available as they were sold in brightly colored packages at local corner stores and bodegas across the City. In addition to its accessibility, what has made synthetic marijuana popular for many is the cost. While a traditional marijuana joint typically can cost $5, a synthetic joint only costs about $1, making it very popular among not only the poor and homeless, but also with kids. Many users report another reason for taking synthetic marijuana is it doesn’t appear on drug tests.

In 2012 they were made illegal to sell in New York, but the law that was passed were very difficult to enforce because as the chemical products used became banned, those who made them would alter the compound to stay one step ahead of authorities.

This process of regularly changing the drug’s chemical composition also accounts for the unpredictability in the reaction by those who take it. Since the chemicals vary from packet to packet, people who use K2 may feel fine one time, and become extremely sick the next. Examples of this have been mass poisonings, most recently this week in Bedford-Stuyvesant and Bushwick.

Potential adverse reactions to smoking synthetic marijuana include: kidney failure, elevated blood pressure, loss of consciousness, violent behavior, nausea, vomiting, tremors, seizures, hallucinations, paranoia, agitation, anxiety, and even death.

In 2015 however, stricter laws were passed outlawing the sale of anything that could be marketed as synthetic marijuana, rather than going after the specific compounds. Still synthetic pot can be easily obtained in many of the poorer parts of the City and while some stores still sell it, much of the distribution has moved to the street.

Since the beginning of 2015, there have been more than 6,000 emergency-room visits in the city due to synthetic marijuana overdoses, with more than 1,200 emergency department visits occurring in July of 2015 alone. Officials say the situation has improved. Since the new laws took effect, the city has proclaimed some measure of success. In May, hospital visits for the drug were down 85 percent. While this news is encouraging, the events of this past week in Brooklyn remind us of how serious synthetic marijuana can be in our community and we urge everyone to remain aware of its dangers.

Senator Comrie and Jamaica Hospital -Promoting Wellness Through Walking

Posted on July 8, 2016 by Michael Hinck

Jamaica Hospital Medical Center Community Outreach Department applaud the steps Senator Leroy Comrie is taking to prevent childhood and adult obesity by promoting healthier lifestyle options that include walking.

Obesity is a problem that affects many Americans. According to the Centers for Disease Control and Prevention (CDC) approximately one-third, or 78.6 million Americans are obese. In addition, 17%, or 12.7 million children are obese. Obesity is a leading cause of a number of serious health problems, including heart disease, stroke, diabetes, and certain forms of cancer

Living a healthy lifestyle, which includes physical activity, in combination with a healthy diet is the best way to combat obesity. While many forms of physical activity require time and financial commitments that many of us do not have, one of the easiest ways to get your daily dose of physical activity is through walking.

Walking is very important for weight control. Of course, the more you walk and the quicker your pace, the more calories you’ll burn. Generally speaking, by adding 30 minutes of brisk walking to your daily routine, you could burn approximately 150 calories a day. If you walk at a more vigorous pace and for a longer duration of time, you can burn even more calories and lose even more weight.

Senator Leroy Comrie and other local elected officials understand the importance of promoting physical activity to combat obesity, so together they created the “Walk for Wellness” event. This second annual series of walks are held in various parks and playgrounds through Southeast Queens on select Saturdays. The walks began in June and continue into October. Each walk begins at 8:30 a.m. and is open to all.

According to Senator Comrie, “The Walk for Wellness event was created to be a community-wide initiative to combat obesity. By supporting one another in this effort, we can really make a difference by improving our health and the health of our neighbors.”

Of course, if you have underlying health issues, speak to a doctor before beginning any exercise program. If you do not have a doctor, you can call Jamaica Hospital’s Ambulatory Care Center at 718-206-7001 to schedule an appointment to determine how much walking is appropriate for you.

To learn more about the Walk for Wellness event, please call Senator Comrie’s office at 718-454-0162.

Jamaica Hospital Offers Coordinated Care for Diabetics at St. Albans Center

Posted on June 24, 2016 by Michael Hinck

According to the most recent data from the American Diabetes Association, nearly 30 million Americans are living with diabetes, many of whom are undiagnosed. Diabetes is a serious condition that if not managed properly can lead to a variety of health problems and it is the seventh leading cause of death in the United States.

For many diabetics, living with the disease means juggling medical appointments with various specialists to help them manage their condition. To help those living with diabetes in our community properly maintain their health, Jamaica Hospital has coordinated many services under one roof. The hospital’s MediSys Family Care Center in St Albans recently added ophthalmology, podiatry, and nutritional counseling to its list of services and a schedule was created so that each service would be available on the same day, allowing patients to easily go from one appointment to the next without leaving the building.

DIABETES AND OPTHALMOLOGY
Diabetes can lead to a variety of vision problems. One of the most common diabetic-related eye disorders is glaucoma. People with diabetes are 40% more likely to suffer from glaucoma than people without diabetes. In addition, diabetics are 60% more likely to develop cataracts. If left untreated, these issues can become serious and can even lead to blindness.

DIABETES AND PODIATRY
Uncontrolled diabetes can damage the nerves in your extremities, especially in your feet. This lack of feeling is called sensory diabetic neuropathy. Diabetes also affects the flow of blood. Without good blood flow, it takes longer for a sore or cut to heal. If you have an infection that will not heal because of poor blood flow, you are at risk for developing ulcers or gangrene. For people with diabetes common foot problems can possibly lead to infection and serious complications, including amputation.

DIABETES AND NUTRITION
Healthy eating habits can help keep blood glucose, also called blood sugar, within target range. A nutritionist can help diabetics by teaching them what to eat, how much to eat, and when to eat. For those with diabetes, a proper diet can improve their overall health and reduce the risk of heart disease, stroke and other conditions caused by diabetes.

“We are happy to provide all of these services to our diabetic patients under one roof, especially on the same day” stated Dr. Nicholas Pantaleo Medical Director of the site. “By creating this comprehensive range of services, we are helping those living with diabetes better maintain their health. Our goal is to improve the health of our community and we hope that this coordination of services helps us achieve that goal.”

For more information about the full range of diabetes services at Jamaica Hospital’s MediSys St Albans Family Care Center, including hours of operation, please call 718-206-9888.

Jamaica Hospital Recognizes World Sickle Cell Day

Posted on June 16, 2016 by Michael Hinck

June 19 has been designated as World Sickle Cell Day to help bring attention to this genetic disease that affects an estimated 100,000 Americans.

Sickle cell disease is an inherited form of anemia – a condition in which red blood cells are unable to carry oxygen throughout the body. For most, red blood cells are round and can move easily through blood vessels, but the red blood cells in people with sickle cell disease are crescent, or half-moon shaped. These irregular shaped cells can get stuck in blood vessels, which can slow or block the flow of oxygen to certain parts of the body.

In addition to being irregular in shape, sickle cells are fragile and break apart easily. Normal red blood cells live an average of four months before they die and need to be replaced. Sickle-shaped cells however only live an average of 20 days. The result of this shortage of blood cells is a loss of energy and general sense of fatigue.
Other symptoms of sickle cell disease include:

• Hand-Foot Syndrome – Often the first sign of sickle cell disease. It is caused by a lack of blood flow to the hands and feet

• Episodes of Pain – Referred to as a “crisis”, these episodes of pain occur when blood flow is blocked to the chest, abdomen, and joints. The frequency and duration of the episodes vary from person to person, but in severe cases, they can result in hospitalization.

• Frequent Infections and Fever– Sickle Cell can cause damage to the spleen, an organ that fights infection, making those with sickle cell at greater risk of developing an infection and an accompanying fever.

• Changes in Skin – People with sickle cell disease can develop a yellow tint to their skin or the whites of their eyes. Skin and nail beds can often become pale.

• Delayed growth – By not receiving enough oxygen rich red blood cells, those with sickle cell disease may also not get the necessary nutrients essential for growth.

The risk of inheriting sickle cell disease is a genetic one. For a baby to be born with it, both parents must carry the sickle cell gene. Doctors can diagnose sickle cell disease before a child is born. Couples who are at risk for passing on this disease to their children may want to talk with a genetic counselor about prenatal testing. The sickle cell gene is more common in families that come from Africa, India, Carribbean islands, and Central and South America.

To determine if you have sickle cell disease, your doctor can order a test to check for hemoglobin S, the defective form of hemoglobin that underlies sickle cell anemia. Further tests can confirm the existence of one gene (carrying the sickle cell trait) or two genes (sickle cell anemia). For those who have sickle cell anemia, treatment is aimed at treating the symptoms and avoiding crisis. Regular check-ups to monitor your red blood cell count are important. Medications are available to reduce pain and prevent complications can be prescribed, and blood transfusions, supplemental oxygen and even bone marrow transplants may also be necessary.

Jamaica Hospital serves a culturally rich and diverse population. Many members of our community are from the parts of the world most often affected by sickle cell disease. In recognition of National Sickle Cell Awareness Month, Jamaica Hospital’s encourages anyone living with sickle cell disease to carefully manage their condition. The hospital also recommends all potential parents to be tested for the sickle cell trait.

Does Our Nose and Our Ears Really Continue to Grow as We Age?

Posted on June 9, 2016 by Michael Hinck

At some point in your life, someone has probably shared with you a little nugget of wisdom about how our nose and our ears never stop growing. You might then look around and see a bunch of senior citizens and notice that, in-fact, their facial appendages are slightly larger than their younger counterparts and believe this fact to be true…but is it?

The truth is that “Yes”, as we age, our nose and our ears do get bigger, but not because they are growing. The real reason is a common scientific force known as GRAVITY. You see, our nose and our ears are made of cartilage and while many people mistakenly believe that cartilage never stops growing, the fact is cartilage does stop growing. However, cartilage is made of collagen and other fibers that begin to break down as we age.

The result is drooping. So what appears to be growth is just gravity doing its job. Our noses and our earlobes sag and become larger. Adding to the misconception is what happens to other parts of our face. While our nose might sag, our cheeks and lips actually lose volume, making everything else look comparatively larger.

Unfortunately, aging – and gravity – are both unavoidable. Our only defense against this natural occurrence is finding the fountain of youth or moving to the moon.

Is Your Mattress Contributing to Your Back Pain?

Posted on June 3, 2016 by Michael Hinck

There are many possible reasons someone might experience back pain. One potential contributing factor could be the mattress you sleep on.

Waking up with lower back pain can be an indicator that your mattress is to blame. It is recommended that you evaluate the condition of your mattress every five to seven years since this is when they begin to break-down. Nearly two-thirds of those who suffer with lower back pain report significant improvements after purchasing a new mattress.

Selecting a mattress can be tricky. It has long been believed that a firm mattress works best, but others believe that a medium to firm mattress is better. At the end of the day, what matters most is what feels best for you, so lie down and “test” a few mattresses in the store before making a decision.

Purchasing a mattress can be an expensive investment. For those who can’t afford to buy a new mattress, follow these tips can help:

• Use a plywood board between your mattress and box-spring or frame for added support
• Place a pillow under your knees if you sleep on your back or between your knees if you sleep on your side to take pressure off of your spine
• Wrap a rolled-up towel around your waist to help maintain a proper curve in your spine
• Never get out of bed too fast. Instead, roll on your side, bend your knees and push yourself up with your hands
• Even if you are experiencing back pain, don’t remain in bed too long. This can relieve stiffness and pain

While these tips can be helpful for some, they might not work for everyone. if you continue to experience back pain, or if your pain is worse at night, speak to your doctor immediately.

What is a Brain Freeze?

Posted on May 27, 2016 by Michael Hinck

“SPHENOPALATINE GANGLIONEURALGIA!!!” We’re guessing you have never heard anyone yell that out after licking an ice cream cone or slurping down a frozen beverage. Perhaps you have heard someone scream “Brain Freeze” though, the more common term for this scientific condition.

A brain freeze usually occurs after a cold food or beverage touches the roof of the mouth (your palate). This sudden temperature change of the tissue stimulates nerves, causing rapid dilation and swelling of the blood vessels. This response is an attempt to direct blood to the area and warm it back up. The “headache” that follows is triggered when the pain receptors in your mouth signal your brain using the nerves in your face. The end result is a sudden, sharp pain and the usual exclamation that is synonymous with this phenomenon.

A brain freeze, also referred to as an ice cream headache, can last anywhere from a few seconds to a few minutes in duration. Brain freezes can occur as frequently in the summer as they do in the winter because the brain’s response is to the food being consumed, not to the temperature outside.

To avoid getting a brain freeze it is recommended that you eat slowly because this reaction is triggered by an immediate temperature change in the mouth. If you do suffer a brain freeze, try pressing your tongue against the roof of your mouth to warm the blood vessels. Other suggested tricks include holding your head back or breathing in through mouth and out through the nose to pass warmer air through the nasal passages.

With the weather getting warmer and more people indulging in ice cream and other frozen treats, expect to hear someone yelling out “Brain Freeze” soon. When they do, be sure to share your new found knowledge about this common sensation.

Jamaica Hospital Helping to Raise Awareness About Stuttering

Posted on May 12, 2016 by Michael Hinck

The National Stuttering Awareness Week is an observance in the United States for those who stutter. It was established in 1988, by a President’s proclamation as the second week in May in response to the advocacy of the members of the National Stuttering Association.

Stuttering, sometimes called stammering or dysfluency, is a disruption in the normal patterns of speech. It can take many forms, such as:

• Repeating a sound or a syllable, especially at the beginning of the word, such as “li- li- like.”
• Prolongation of a sound such as “ssssss”
• Complete stoppage of speech or the omission of a sound.
• Repeated interruption of speech with sounds such as “uh” or “um.”

Stuttering can begin at any age, but it’s most common among children who are learning to form words into sentences. Boys are more likely than girls to stutter.

Approximately one out of every 20 children will develop stuttering that lasts for more than six months, but this does not necessarily mean that stuttering is going to be a lifelong problem. Knowing what to look for and responding appropriately to your child’s stuttering will go a long way toward preventing it from becoming a more long-term or even permanent condition.

Why does stuttering begin? At one time many people thought that stuttering was the result of either physical or emotional trauma. While there are rare instances of stuttering following traumatic events, this is not the typical factor when determining why stuttering begins. Instead, experts point to other factors that contribute to stuttering:

• Family History – According to research, 60% of all stutterers have someone in the family who also stutters.
• Child Development. – Children who have other language and speech problems are more likely to stutter than children who don’t.
• Neurophysiology – Which part of the brain processes language can contribute in identifying why some children stutter
• Family Dynamics – Some children’s stuttering has been attributed to high family expectations and a fast-paced lifestyle.

Talk with your doctor if you are concerned about your child’s stuttering. Your doctor may refer you to a specialist known as a speech-language pathologist (SLP) who can evaluate your child and determine whether or not there is a risk of a long-term problem. In most cases, treatment primarily focuses on training and working with the parents to develop techniques to help the child cope with and get beyond his or her stuttering.

Parents of children who stutter can also help by creating a relaxing atmosphere at home that encourages speech, even if a stutter is present. Some tips include:

• Create opportunities for talking that are relaxed, fun, and enjoyable.
• When conversing with your child, try to create an environment with limiting distractions, such as the presence of television.
• Don’t be critical of your child’s speech or insist on precise or correct speech. Don’t correct his speech, or complete his sentences.
• Don’t put pressure on your child to verbally interact with others when stuttering becomes a problem.
• Listen attentively to what your child is saying, maintaining normal eye contact without displaying signs of impatience or frustration.
• Model a slow, relaxed way of speaking to help your child slow down his own speech.
• Don’t be afraid to talk with your child about stuttering and answer questions. Explain that disruptions in speech are common.

Jamaica Hospital joins the effort to raise awareness about stuttering. Through understanding the factors that lead to stuttering and providing support to those who stutter will help those with this problem.

Know The Facts About Osteoporosis

Posted on May 6, 2016 by Michael Hinck

May is Osteoporosis Awareness and Prevention Month and Jamaica Hospital wants to help raise awareness about this condition.

Osteoporosis, meaning “porous bones,” is defined as a condition, in which bones become weak and brittle, making individuals more susceptible to fractures. Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone tissue doesn’t keep up with the removal of old bone tissue.

Osteoporosis affects men and women, but older women who are past menopause are at highest risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss or strengthen already weak bones.

Your chances of developing osteoporosis partly depends on how much bone mass you accumulate in your youth, when you are at you peak bone building mass age. During this period in your life, you can build-up a bone mass reserve that can be used later in life when you are more likely to develop osteoporosis.

Signs and symptoms of osteoporosis include:
• Back pain, caused by a fractured or collapsed vertebra
• Loss of height over time
• A stooped posture
• A bone fracture that occurs much more easily than expected

There are a number of factors that can increase the likelihood that you’ll develop osteoporosis – some are controllable, but others are not. Some of the factors are:

• Gender – Women are much more likely to develop osteoporosis than men.
• Age – The older you get, the greater your risk of osteoporosis.
• Race – You’re at the greatest risk of osteoporosis if you’re white or of Asian descent.
• Family history – Having a parent or sibling with osteoporosis puts you at greater risk.
• Body frame size – Men and women who have small body frames tend to have a higher risk because they may have less bone mass to draw from as they age.
• Hormone levels – Osteoporosis is more common in people who have too much or too little of certain hormones in their bodies.
• Dietary factors – Those with a lower calcium intake or have a history of eating disorders are at an increased risk
• Medications – Long term use of oral or injectable steroids can interfere with the bone rebuilding process
• Lifestyle – Excessive alcohol consumption and tobacco use can contribute to the weakening of bones.

A bone density test can be performed to measure the proportion of mineral in your bones. During this painless test, you lie on a padded table as a scanner passes over your body. In most cases, only a few bones are checked — usually in the hip, wrist and spine.

Hormone therapy or medications can be administered to treat osteoporosis, but there are side effects. Please consult your doctor. If you do not have a doctor, Jamaica Hospital has qualified physicians at our Ambulatory Care Center. To make an appointment, please call 718-206-7001.