Assistance For Women Who Choose to Breastfeed

Posted on June 13, 2014 by Michael Hinck

For women who choose to breastfeed, but can’t nurse all the time, a breast pump is necessary. Yet, the costs of buying or renting one can be a major expense.

Now, thanks to the Affordable Care Act (ACA), women who are returning to work, want their spouse to participate in feedings, or who can’t breastfeed because of medical reasons, can pump and not worry about the associated costs.

The ACA is a law that was implemented by President Obama in 2010 and became effective in 2012. The main purpose of the ACA is to improve the quality and accessibility of health insurance coverage for Americans, as well as decrease the costs. Part of the ACA mandates that health care plans now cover the costs of equipment and consultations necessary to help mothers take care of their babies. This provision includes the cost of breast pumps, breast feeding supplies, and lactation support.

Individual health plans have different coverage allowances, supplies, vendors, and timelines required to request a breast pump. It’s important to ask your insurance company the right questions when determining what your plan covers. Benefits vary, as some insurance plans will cover the cost of a double electric pump, while others will only cover a manual hand pump. Benefits may also vary if your baby has a medical condition, such as prematurity or Down Syndrome.

If you intend on obtaining a breast pump through your heath insurance plan, start researching your coverage early. It’s important to check out all the available options for breast pumps. Here are some questions you might want to ask your provider:
�
• What types and brands of pumps are covered (hospital-grade rental, double or single electric, manual pump)?
• Do I need to go through a durable medical equipment supply company to obtain a breast pump?�
• Is it possible to purchase a breast pump out-of-network and be reimbursed? If so, how much will I be reimbursed?
• When will I be able to get a breast pump – before or after I deliver?�
• Do I have to submit proof of medical necessity in order to acquire a breast pump? If so, do I need a letter of medical necessity and/or a physician order?�
• Is there a rental breast pump option? If so, what does it cover?

The Affordable Healthcare Act applies to you if you have private or commercial medical insurance. The ACA became effective on August 1, 2012. Once the plan went into effect, insurance companies had one year to implement a fee structure and details of the benefits for each specific health care plan.

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.

Earwax: A Common Cause of Earaches

Posted on June 11, 2014 by Michael Hinck

If you are experiencing earaches or partial hearing loss, the problem might be excessive ear wax buildup.

Ear wax serves an important purpose. It traps harmful bacteria and other small particles, preventing them from entering the ear. It also coats the skin of the ear and serves as a water repellant.

Everyone produces ear wax. It is produced by tiny hair follicles and glands in the ear canal. For most, the wax usually falls out on its own or while washing. For others however, the glands produce more ear wax than can be naturally removed. Those with smaller ear canals might also experience ear wax buildup because a narrower ear canal may have a more difficult time pushing the wax out. When this excess wax fails to fall out, it can harden in the ear canal and become impacted.

The misuse of cotton swabs greatly contribute to ear wax build-up because when used incorrectly, they push the ear wax deeper into the ear canal, causing a blockage. Hearing aids and ear buds can similarly cause ear wax impactions.

There are many symptoms of ear wax impaction, including:

Dizziness
Pain
Plugged or fullness sensation
Ringing in the ear (tinnitus)
Partial & progressive hearing loss

In fact, wax blockage is one of the most common reasons for hearing loss

Blockage due to ear wax build-up is a ear problem doctors frequently see, affecting about 6% of all Americans, but it is easily treatable. A doctor can examine and diagnose ear wax buildup using an otoscope. There are a variety of over-the-counter drops designed to soften the wax. A bulb syringe can also be used to gently flush the ear with warm water. If these remedies don’t work, a doctor can suction the ear canal or remove impacted wax with a curette.

If left untreated, symptoms can worsen and lead to an infection. To make an appointment at Jamaica Hospital’s Audiology Center, please call 718-206-7110.

Diabetes and Your Kidneys

Posted on June 6, 2014 by Michael Hinck

The kidneys serve an important function – to filter waste products from the blood. For people with diabetes, however, the small blood vessels in the kidneys can become injured and fail to clean the blood properly.

Waste products are created when our bodies digest food. In the kidneys, millions of tiny blood vessels act as filters for this waste. As blood flows through the blood vessels, small molecules, such as waste products, squeeze through these holes and produce urine. Useful substances, such as protein, are too big to be filtered and remain in the blood.

A high level of blood sugar can damage the kidneys and after many years of strain, they start to leak and these useful proteins are lost into the urine. This overwork to compensate for a failing filtering system is the reason why there are no early symptoms of kidney disease. In fact, kidney damage can begin 5 to 10 years before symptoms start.

SYMPTOMS
The first symptom of kidney disease is often weight gain due to fluid buildup. Other symptoms include swelling of the ankles and legs, frequent urination, nausea, poor appetite, loss of sleep, and fatigue.

“Not everyone with diabetes develops kidney problems, but it is still important for anyone with diabetes to have their kidney function checked on a yearly basis” states Dr. Alan Roth, Chairman of Family Medicine at Jamaica Hospital, “A doctor can check blood pressure, urine (for protein), blood (for waste products), and other organs for related complications. When kidney disease is diagnosed early, there are several treatments available to prevent kidney disease from getting worse.”

Diabetics can also manage of their condition by keeping their blood sugar and blood pressure under control. Eating a low fat and low sodium diet, taking proper medications, and getting regular exercise can also help prevent or slow kidney damage.
Failure to diagnose and take proper action to slow or prevent kidney disease can result in the kidneys completely failing. At this point, the only options are dialysis or a kidney transplant.

If you have diabetes and want to make an appointment to have your kidneys examined, please call 718-657-7093.

For more health and fitness tips, Like us on Facebook or follow us on Twitter.

Can Your Diet Affect Your Sleep?

Posted on May 28, 2014 by Michael Hinck

Do you suffer from a sleep disorder? Your diet may be the key to giving you a better night’s sleep. According to Center for Disease Control and Prevention, an estimated 50 to 70 million people in the United States suffer from a wide variety of sleep disorders.

Studies show that certain foods tend to produce a more restful night’s sleep. Foods that you can pick up at any local grocery store that are likely to give you a deeper sleep are:
• Milk
• Turkey
• Honey
• Nuts (such as almonds, walnuts, etc.)
• Kale
• Rice (or other forms of carbohydrates)

The secret to these foods are the vitamins they contain, as well as the hormones they help the brain produce. The old wives’ tale of drinking a warm glass of milk before bedtime is not all that inaccurate. Calcium is a natural sleep inducer, especially when consumed with magnesium, which can be found in bananas. Melatonin is a hormone the brain produces naturally that also greatly contributes to a good night’s sleep. Calcium and magnesium both naturally produce melatonin, a hormone produced by the brain that promotes sleepiness, so eating dairy products, wheat, and beans can all lead to a more restful sleep. Additionally, some proteins, such as lean meats, produce tryptophan, an amino acid that causes sleepiness. Carbohydrates, such as starches and fibers, can also cause fatigue because the body breaks them down into sugars that become glucose, which ultimately becomes blood sugar. Some healthy carbohydrates can be found in whole grain, cereal, and vegetables.

While some foods can help you get a better night’s sleep, other foods and eating habits can reduce your amount of sleep. Some of these include:
• Eating too much or too little
• Caffeine (after lunchtime)
• Fatty foods (fast food, junk food, etc.)
• Eating late at night
• Alcohol (in large doses)

Try to avoid these bad eating habits and replace them with healthy foods that are high in calcium, magnesium, healthy carbohydrates, and protein. If you think you are suffering from a sleep disorder that cannot be helped by your diet, speak with your physician about making an appointment at Jamaica Hospital’s Sleep Center. To make an appointment, please call 718-206-5916.

For more health and fitness information, join us on Facebook.com/JamaicaHospital

Is Your Thyroid Causing Your High Blood Pressure?

Posted on May 16, 2014 by Michael Hinck

For most, high blood pressure, or hypertension is can be attributed to family history or lifestyle. For some, however, high blood pressure is the result of either an overactive or underactive thyroid.

An overactive thyroid, known as hyperthyroidism, is a condition where the thyroid gland produces too much of the thyroid hormone. When too much of this hormone is produced, the heart is forced to work harder than usual, which increases heart rate and raises blood pressure. Hyperthyroidism is the more common thyroid disorder that can cause hypertension.

Conversely, hypothyroidism occurs when the thyroid gland is underactive and does not produce enough hormones. Hypothyroidism can weaken the heart muscle and heart rate, reducing the heart’s pumping capacity and increase the stiffening of blood-vessel walls. The combination of these changes can lead to hypertension.

If a thyroid disorder is the reason for high blood pressure, adjustments in diet and lifestyle won’t resolve the problem and medications may not be effective. If a patient’s blood pressure does not respond to conventional treatment, a doctor can perform tests to see if the thyroid is the cause.

In cases where hypertension due to a thyroid disorder is diagnosed, medications or supplemental hormones can be prescribed to control the thyroid gland and better control blood pressure.

If you suspect you have a thyroid condition that is affecting your blood pressure, you should speak with a doctor. Jamaica Hospital’s Department of Family Medicine can help. To make an appointment, please call 718-657-7093.

Investing in a Healthier You

Posted on May 14, 2014 by Michael Hinck

Small Steps, Big Changes
Many people feel they do not have the time or energy to live a healthy lifestyle, however, establishing a healthy diet and exercise routine can make a huge difference to your overall health.

What are you eating?
With larger portions being served, it’s no wonder America is experiencing an obesity epidemic. Many restaurants have implemented the ‘bigger is better’ idea, but portion control is a factor in maintaining your weight and creating a healthier lifestyle. When dining out, try choosing appetizers instead of a full meal. Instead of choosing a meal upgrade option, stick to a kids meal which can be more moderate in calories and fat content.

Another factor is the type of foods served in your meals. A good starting point toward healthy eating is to make sure your diet is rich in whole grains, vegetables, fruits and various lean proteins and to eliminate processed sugars. Your body breaks down food and produces the energy it needs. Having too much sugar in your diet doesn’t always provide you with more energy but can cause a list of several health issues including dental cavities, diabetes, energy slumps, hyperactive behavior in some, and weight gain.

Kelly McGuire, Registered Dietician of Jamaica Hospital’s Food and Nutrition Department states, “The occasional slice of cake offered at a party is okay but sweets should be consumed in moderation.”

She adds: “Eating healthy foods doesn’t have to be boring. Find the foods you enjoy and create recipes in advance to help with your goal of healthy living.”

Become Active, Stay Active
Even minor changes in your activity can help. Many people believe they need to have a gym membership and get at least an hour of intense exercise to be healthy, but if your body isn’t used to, an extensive workout can do more harm than good. Begin by adding a simple walk, or extend your current walking routine. A good way to do this is by parking your car a bit further away than usual from your intended destination to get an extra 10-20 minutes of exercise per day. Another way of increasing you exercise routine is to choose the stairs over an elevator. Exercising every day is not necessary. Initially aim for three times a week for at least 20-30 minutes a day and notice your stamina increasing as weeks go by.

Invest in You
Small changes make the biggest impact. Begin your healthy diet exercise routine today and begin to feel the difference in your energy, appearance and overall health with time. Your annual health check-up can be the jumpstart to a new you. Invest in you and meet with your primary care physician prior to beginning any changes in diet and exercise.

Can Prenatal Massage Help During Pregnancy?

Posted on May 1, 2014 by Michael Hinck

Having a baby is a beautiful time in a woman’s life, but the pregnancy itself isn’t always a pleasant experience. Can a prenatal massage help?

The goals of a prenatal massage are the same as a regular massage – to relax tense muscles, improve circulation, offer relaxation, and to re-energize the body and mind.

Many women experience joint pain, neck and back pain, leg cramping, and sciatica during pregnancy. Massage therapy addresses the inflamed nerves by helping release tension in nearby muscles.

A prenatal massage also improves blood circulation and reduces the risk of edema, or swelling of the joints during pregnancy by stimulating soft tissue. This reduces fluid build-up around joints. Improved blood flow also helps the body’s lymphatic system work more efficiently by aiding in the removal of toxins and tissue waste.

By ridding the body of certain stress hormones, a prenatal massage can reduce anxiety and improve an expecting mother’s overall mood. Other benefits include the alleviation of headaches, reduced instances of insomnia, decreased levels of depression, and even improved labor outcomes.

When choosing a massage therapist, be sure to pick one who is certified in prenatal massage. Certified Prenatal Massage Therapists are trained to provide relief to known sore spots and also know to avoid applying pressure to very sensitive pressure points. They know the appropriate techniques to use and positions to recommend and may even have a specially designed massage table for pregnant women.

A prenatal massage may not be for everyone. Women with certain conditions, such as preeclampsia, pregnancy induced hypertension or with a history of pre-term labor should not receive a prenatal massage. All women should consult with their prenatal care provider before scheduling a massage.

If you have questions about prenatal massage or would like to schedule an appointment with an OB/GYN at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

For more health tips and information visit us on Facebook.com/JamaicaHospital

Is Your Child An Internet Addict?

Posted on April 15, 2014 by Michael Hinck

It’s often difficult for parents to know how much time their children spend online.Often children play video games, view videos and browse social networking sites.

Spending too much time online can lead to the deterioration of your child’s school work and can cause problems with their relationships with family and friends.

Experts at Jamaica Hospital Medical Center warn that time spent online is at an all-time high, and rapidly increasing with children, tweens and teens.

“It’s easy to see why parents can be overwhelmed by their child’s excessive internet use,” said Dr. Fermin Gonzalez, Psychiatrist at JamaicaHospital Medical Center. “According to a recent study by the Kaiser Family Foundation, children ages 8 to 18 spend an average of 7 hours and 38 minutes a day consuming media for fun, including TV, music, video games and other content. About two-thirds of 8 to 18 year-olds had no rules on the amount of time spent watching TV, playing video games, or using a computer.”

The American Academy of Pediatrics recommends that parents limit their kids screen time for entertainment to less than two hours per day and children under 2 have no TV or internet exposure.

Research shows that academic failure correlates with addictive video game play, and to a higher incidence of attention problems. Conversely, academic achievers spend less time online. Research has also revealed that child and adolescent video game addiction correlates with functional impairment, emotional problems, poor conduct, hyperactivity and peer problems, as well as with depression and social phobia. In addition, several studies have proven a relationship between excessive video game play and obesity and poor diet among children in grades 4 through 6.

Parents should discuss with their children their expectations for responsible online usage and set limits on how much time can be spent online. Dr. Gonzalez suggests the following rules for internet use:

Regularly determine how much time your kids are online every day.
Don’t put a computer or game console in your child’s bedroom—rather put them in the living room.
Avoid online activity before bedtime.
Charge children’s cell or smart phone or other handheld devices overnight in your bedroom.
Be a role model. Set an example with your own internet usage.
Use an alarm clock or timer to limit your child’s time online.
Provide alternatives to online activity and video games: sports, reading, play dates, time with pets, etc.
Set a rule: no handheld devices at the table during meals.

For more information or to schedule an appointment for your child with one of Jamaica Hospital’s Child Psychiatrists, please call 718-206-5575.

For more health and fitness tips find us on Facebook.com/JamaicaHospital and follow us on twitter @JamaicaHospital.

Dangers of Texting While Driving

Posted on April 7, 2014 by Michael Hinck

Motor vehicle accidents (MVAs) are one of the leading causes of death in the United States today. Each year, nearly 2.5 million Americans are treated in hospital emergency departments as a result of an MVA. While the numbers are staggering, Jamaica Hospital’s Trauma Team wants everyone to know that most vehicle-related injuries are avoidable.

Jamaica Hospital operates a Level 1 Trauma Center, the highest designation to treat critically injured patients. Last year, Jamaica Hospital’s ER treated over 500 patients injured as a result motor vehicle accidents and the staff wants to offer the following tip to our community on how to avoid serious injury.

Stay Focused on the Road and Avoid Becoming a “Distracted Driver.”

Each day, more than 15 people are killed in accidents involving a distracted driver, a driver engaged in another activity that distracts them while driving. Distractions can impair a driver in three ways:

• Visually – Forcing the driver to take his or her eyes off the road
• Manually – Forcing the driver to take his or her hands off of the steering wheel
• Cognitively – Forcing the driver to take his or her mind off of driving while they are doing something else

While there are many forms of distractions for drivers, the type that has seen the largest increase in occurrences is texting while driving. Texting while driving is especially dangerous because it impairs the driver’s visual, manual, and cognitive abilities. In a recent study by the CDC, 9% of U.S. drivers reported texting or emailing regularly or fairly often while driving.

Last year, nearly 6,000 people died and approximately another 500,000 were injured in automobile accidents that were reported to involve a distracted driver – and the numbers are steadily rising.

April is National Distracted Driving Awareness Month. Jamaica Hospital’s Trauma Team is well aware of the growing trend involving injuries and fatalities associated with texting and driving and they want to warn drivers to resist the urge to text “LOL” or you might end up “DOA!”

The Benefits of Sleep

Posted on March 28, 2014 by Michael Hinck

Feeling tired? You’re not alone. According to The National Sleep Foundation, millions of Americans lack adequate sleep and suffer from a sleep disorder. To better help individuals get a good night’s rest, Jamaica Hospital has opened a brand new, state-of-the-art Sleep Center.

The Sleep Center staff is comprised of Board Certified Sleep Specialists and Respiratory Therapists who work together to diagnose and treat the following sleep disorders: narcolepsy (falling asleep suddenly during the day often without warning), sleep apnea (irregular interruptions in breathing during sleep), snoring, shift work sleep disorders (sleep difficulties stemming from working irregular hours or overnight shifts), and pediatric sleep disorders, such as night terrors.

“Our lives are consumed with work, family, and personal responsibilities, all of which greatly impact the time we get to rest,” said Dr. Mayank Shukla, Director of Sleep Medicine at Jamaica Hospital. “Inadequate sleep is considered the norm but we have to understand that sleep affects our overall health, so if you’re not getting enough rest, it’s important to find out why.”

Dr. Shukla adds that the various symptoms of a sleep disorder can include: daytime sleepiness, fatigue, falling asleep at inappropriate times, loud snoring, frequent nocturnal movements, nighttime chest pains, poor memory and concentration, and morning headaches.

Jamaica Hospital’s Sleep Center performs overnight tests, where a patient wears electrodes so that their breathing, brain waves, muscle movements, snoring, and heart rate can be monitored by a technician throughout the night. The testing environment is comfortable and homelike. Each patient room has soundproof walls for privacy and is furnished with a queen size bed, a flat screen television, and a DVD player. A continental breakfast is also available to patients before their morning departure.

“Sleep disorders and lack of sleep is a growing problem,” said Dr. Shukla. “People often ignore their continued sleepiness, not realizing that it can be the result of a sleep disorder. It’s important that people mention this problem to their doctor.”

If you have a sleep disorder or suspect that you have a sleep disorder and would like to schedule an appointment, ask your doctor to provide you with a referral to Jamaica Hospital’s Sleep Center.