Acute Coronary Syndrome

Posted on May 16, 2025 by Patrick Hercules

Acute coronary syndrome refers to three types of coronary disease that are related to sudden reduced blood flow to the heart.

The three types of coronary artery disease are:

Unstable angina
Non-ST-elevation myocardial infarction
ST-elevation myocardial infarction

Acute coronary syndrome can affect anyone. However, certain risk factors raise the likelihood of developing the condition. Risk factors include:

Older age
High blood pressure
High blood cholesterol
Smoking or tobacco use
Not enough physical activity
An unhealthy diet
Obesity or being overweight
Diabetes
Personal or family history of angina, heart attacks, or stroke
History of high blood pressure, preeclampsia, or diabetes during pregnancy
Early menopause
COVID-19 infection

The symptoms of acute coronary syndrome usually start suddenly. They include:

Chest pain or discomfort, which may feel like aching, pressure, tightness, or burning
Pain that starts in the chest and spreads to other body parts. These areas include the shoulders, arms, upper belly area, back, neck, or jaw
Nausea or vomiting
Indigestion
Shortness of breath
Sudden, heavy sweating
A racing heartbeat
Feeling lightheaded or dizzy
Fainting
Unusual fatigue

Acute coronary syndrome is usually caused by a buildup of fatty deposits or plaque in and on the walls of the heart’s arteries. When a fatty deposit breaks open, a blood clot can form and block blood flow to the heart, causing the heart not to receive enough oxygen.

The lack of oxygen can cause cells in the heart muscle to die. This damage can lead to a heart attack. When acute coronary syndrome doesn’t cause heart muscle cells to die, it is called unstable angina.

Acute coronary syndrome is an emergency and is usually diagnosed at a hospital. A healthcare provider runs tests to check the heart and determine the cause of symptoms.

Tests for acute coronary syndrome may include:

Electrocardiogram
Blood tests

A healthcare provider looks at the symptoms and test results to diagnose acute coronary syndrome. This information can also help classify your condition as a heart attack or unstable angina.

Other tests may be done to rule out other possible causes of symptoms and may also help determine treatment. Tests include:

Coronary angiogram
Echocardiogram
Myocardial perfusion imaging
CT angiogram
Exercise stress test

There is no cure for acute coronary syndrome. However, early diagnosis and prompt treatment can protect your heart from further damage and help it work as well as possible. A healthcare provider can discuss ways to reduce risks and avoid complications.

The immediate goals of treatment for acute coronary syndrome are to:

Relieve pain and distress
Improve blood flow
Restore heart function quickly and as much as possible

Long-term treatment goals are to:

Help the heart work as well as possible
Manage risk factors
Lower the risk of a heart attack

Treatment for acute coronary syndrome may include medicine, heart procedures, or surgery.

If you are experiencing any symptoms of acute coronary syndrome, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. If you are experiencing an emergency, call 911.

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.

Are Allergy Symptoms Worsening?

Posted on May 14, 2025 by Patrick Hercules

As we enter the height of spring, seasonal allergy symptoms may seem to be getting worse for those who suffer from them.

Seasonal allergy symptoms can include:

Sneezing
A runny or stuffy nose
Watery, itchy eyes
Itchy sinuses, throat, or ear canals
Ear congestion
Postnasal drainage

Public health and research organizations like the Centers for Disease Control and Prevention (CDC) and the Asthma and Allergy Foundation of America point to climate change as a possible contributing factor to worsening allergy seasons.

Due to the warmer temperatures, pollinating plants experience earlier and longer growing seasons, which allows them to produce more pollen.

“Climate change impacts allergy season because the consistent rhythm of, in this case of pollen, for example, new flowers being generated through spring is all off kilter. Areas that were not pollinating at a given time are pollinating earlier, while other areas are pollinating later”, says Frederic Bertley, PhD, president and CEO of the Center of Science and Industry.

More than a quarter of adults and about 1 in 5 children experience seasonal allergies in the United States.

However, despite the increasing severity of allergy season, there are ways to decrease exposure to pollen and reduce symptoms, including:

Keeping pollen out of your home by closing doors and windows
Installing HEPA filters
Giving your home a deep clean
Washing your hands often
Tracking pollen levels before you go outdoors
Showering after being outdoors
Staying indoors if pollen levels are high

In addition to decreasing exposure, there are over-the-counter allergy medications that you can take to relieve symptoms, including:

Antihistamines
Decongestants
Nasal and oral corticosteroids

You can receive an accurate diagnosis and effective treatment for seasonal allergies at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Carpal Tunnel Syndrome

Posted on May 8, 2025 by Patrick Hercules

Carpal tunnel syndrome is one of the most common hand conditions. It is caused by extra pressure on the median nerve in the wrist’s carpal tunnel.

Symptoms of carpal tunnel syndrome usually start gradually and can include:

Tingling and numbness in the wrist, hand, or fingers
Weakness
Pain in the wrist, hand, or fingers
Trouble using hands to hold or control objects

Several factors have been linked to the risk of carpal tunnel syndrome. Although they may not directly cause carpal tunnel, they may increase the risk of irritation or damage to the median nerve. These include:

Anatomical factors
Sex assigned at birth
Nerve-damaging conditions
Inflammatory conditions
Medicines
Obesity
Body fluid changes
Other medical conditions
Workplace factors

To diagnose carpal tunnel syndrome, a healthcare provider will ask questions about your symptoms and perform a physical exam and other tests that include:

Tinel’s sign
Phalen’s test
X-ray
MRI
Ultrasound
Electromyography
A nerve conduction study

Healthcare providers treat carpal tunnel syndrome with nonsurgical treatments first. The most common carpal tunnel treatments include:

Modifying your daily routine
Supporting and strengthening your wrist
Taking over-the-counter medication
Wearing a splint (especially at night)
Physical therapy
Changing your posture or working environment
Corticosteroids

You may need carpal tunnel surgery if nonsurgical treatments don’t relieve symptoms. The goal of carpal tunnel surgery is to relieve pressure by cutting the ligament pressing on the median nerve. The three different techniques used in carpal tunnel surgery include:

Endoscopic surgery
Open surgery
Ultrasound-guided surgery

It is best to treat carpal tunnel syndrome as early as possible after symptoms start. There are simple things that you can do for yourself that may help symptoms go away, such as:

Taking more frequent breaks to rest the hands
Not doing activities that make symptoms worse
Using cold packs to reduce swelling

If you have any questions or concerns about carpal tunnel syndrome or carpal tunnel surgery, you can receive more detailed information from a doctor at Orthopedic Specialists of New York, located on Jamaica Hospital Medical Center’s campus. To schedule an appointment, please call (718) 206-6923.

Arthritis Awareness Month

Posted on May 7, 2025 by Patrick Hercules

May is Arthritis Awareness Month. The observance serves as an opportunity to educate the public about the complex family of debilitating diseases.

An estimated 58.5 million adults in the U.S. are affected by some form of arthritis, which is equal to about 23.7% of the population. As the number of older Americans continues to grow, and the rate of obesity and overweight increases, the number of people with arthritis-attributable activity limitations will only increase.

Osteoarthritis (OA) is the most common type of arthritis, especially amongst older people. OA mostly affects cartilage by breaking down its surface. As cartilage wears away, it allows bones to rub together, causing pain, swelling, and loss of motion. Over time, these changes can affect the bones, tendons, and other joint tissues.

Unfortunately, there is no cure for arthritis. However, joint pain and other OA symptoms can be managed through treatment, lifestyle changes, and education.

In 1972, at the urging of the Arthritis Foundation, Congress and President Richard M. Nixon designated May as National Arthritis Month, a special time to emphasize research, service, and education about arthritis and raise funds to support the cause. Every May since then, National Arthritis Month has been marked by efforts to elevate the public’s awareness of arthritis.

During this Arthritis Awareness Month, get involved by helping raise awareness for this public health priority.

Common Pediatric Surgeries

Posted on April 30, 2025 by Patrick Hercules

Children can experience several health conditions, some of which may require surgery. These surgical procedures can be minor or major. Pediatric surgery focuses on diagnosing and treating surgical conditions in infants, children, and adolescents. These conditions can include:

Surgery for abnormalities of the groin in childhood and adolescence, such as undescended testes, hernias, and hydroceles
Surgical repair of birth defects
Surgical repair of serious injuries
Surgical removal of tumors
Transplantation surgeries
Minimally invasive endoscopic procedures
All other general surgical procedures for children

The most common pediatric surgical procedures are those related to the ear, nose, and throat, such as tonsillectomies, adenoidectomies, and tympanostomy tube replacement. Other common pediatric surgical procedures include:

Appendectomy
Gallbladder removal
Thyroidectomy
Hernia repair
Trauma surgeries

The pediatric surgeons at Jamaica Hospital Medical Center provide many different surgical services to younger patients. For more information about our Queens, NYC pediatric surgical services or to make an appointment, please call (718) 206-7001.

Patient Testimonial- Wayne Texeira says, “Dr. Lasic and Jamaica Hospital Medical Center Gave Me a Second Chance.”

Posted on April 25, 2025 by Patrick Hercules

“I got a second chance”, is what Wayne Texeira said after his experience at Jamaica Hospital Medical Center. While working at Jamaica Hospital, Mr. Wayne Texiera suddenly couldn’t breathe and fell to his knees. He saw the lights fading and passed out. While in the ER, he was told his lungs were filling with fluid, he had heart failure, and he almost died. His doctor, Dr. Zoran Lasic, told Mr. Texiera that he had to change his lifestyle after performing an angiogram that showed that he had 30% functionality in his heart.

Over the next year, through the care and recommendations from Dr. Lasic, Mr. Texeira lost 45 pounds, quit smoking, and stopped eating unhealthy foods. He also gained 60% functionality in his heart, which is remarkable. “I am very grateful to Jamaica Hospital Medical Center, the staff, and the doctors. My perception changed after I got a second chance.” Now living in Georgia with his wife and daughter, the catalyst for his lifestyle change, “I kept looking at her and I didn’t want her not to have a father, Mr. Texeira said. With a second chance, Mr. Texeira is grateful, “Life has been good. I have no regrets.”

Guillain-Barre Syndrome

Posted on April 23, 2025 by Patrick Hercules

Guillain-Barre syndrome is a rare autoimmune condition in which the body’s immune system attacks the peripheral nerves, causing sudden numbness and muscle weakness.

Guillain-Barre syndrome often begins with tingling and weakness starting in the legs and feet and spreads to the upper body and arms. Some people may notice the first symptoms in the arms or face. As the condition progresses, muscle weakness can turn into paralysis. Symptoms of Guillain-Barre syndrome include:

A pins and needles feeling in the fingers, toes, ankles, or wrists
Weakness in the legs that spreads to the upper body
An unsteady walk, or not being able to walk or climb stairs
Trouble with facial movements, including speaking, chewing, or swallowing
Double vision or inability to move the eyes
Severe pain that may feel achy, shooting, or cramp-like, and may be worse at night
Trouble with bladder control or bowel function
Rapid heart rate
Low or high blood pressure
Trouble breathing

People with Guillain-Barre syndrome usually experience their most significant weakness within two weeks after symptoms begin.

The symptoms of Guillain-Barre syndrome differ depending on the type, as there are several forms of the condition. The main types are:

Acute Inflammatory Demyelinating Polyradiculoneuropathy (AIDP)
Miller Fisher syndrome (MFS)
Acute motor axonal neuropathy (AMAN) and acute motor-sensory axonal neuropathy (AMSAN)

There is no exact known cause of Guillain-Barre syndrome. It usually appears days or weeks after a respiratory or digestive tract infection. Rarely, a recent surgery or vaccination can trigger it.

In Guillain-Barre syndrome, the immune system attacks the nerves. In AIDP, the myelin sheath protecting the nerves is damaged. The damage prevents nerves from transmitting signals to your brain, causing weakness, numbness, or paralysis. It can be triggered by:

Most commonly, an infection with Campylobacter, a type of bacteria often found in undercooked poultry
Influenza virus
Cytomegalovirus
Epstein-Barr virus
Zika virus
Hepatitis A, B, C, and E
HIV
Mycoplasma pneumonia
Surgery
Trauma
Hodgkin lymphoma
Rarely, influenza vaccinations or childhood vaccinations
COVID-19 virus

Healthcare providers can typically diagnose Guillain-Barre syndrome based on symptoms and medical history. They may ask how and when your symptoms started and if you have been sick recently. They will also perform physical and neurological exams to look for signs of muscle weakness and weak or absent deep tendon reflexes.

Unfortunately, many other neurological conditions share similar symptoms to Guillain-Barre syndrome, so a healthcare provider will need to perform other tests to rule out other conditions. These tests can include:

Electromyography (EMG) and nerve conduction tests
A spinal tap
An imaging test

There is no cure for Guillain-Barre syndrome. However, two types of treatment can speed recovery and reduce symptoms. They include:

Plasma exchange
Immunoglobulin therapy

These treatments are equally effective. Mixing them or using one after the other is no more effective than using either method alone. You are also likely to be given medicine to:

Relieve severe pain
Prevent blood clots

People with Guillain-Barre syndrome need physical help and therapy before and during recovery. Care may include:

Movement of your arms and legs by caregivers before recovery helps keep muscles flexible and strong
Physical therapy during recovery helps you cope with fatigue and regain strength and proper movement
Training with adaptive devices, such as a wheelchair or braces, to give you mobility and self-care skills

You can receive pain management treatments, such as nerve blocks, at Jamaica Hospital Medical Center. To schedule an appointment with a pain specialist, please call (718) 206-7246.

Meet Our Doctors: Dr. Jevon Fragoso

Posted on April 18, 2025 by Patrick Hercules

We are pleased to introduce Dr. Jevon Fragoso, the newest member of the rheumatology team.

Dr. Jevon Fragoso was born and raised in Queens, New York. He graduated Magna cum Laude from Stony Brook University with a degree in Pharmacology and then received his medical degree at Temple University in Philadelphia. After medical school, Dr. Fragoso completed his Internal Medicine Residency and Rheumatology Fellowship at North Shore University Hospital/Long Island Jewish Medical Center with Northwell Health. Dr. Fragoso has extensive training in managing rheumatoid arthritis, lupus, gout, myositis, and systemic sclerosis. Outside of the clinic, Dr. Fragoso enjoys cooking and martial arts.

We are proud to welcome Dr. Fragoso to our team and look forward to the work he and the rest of the Rheumatology Department will do to provide high-quality care to our community.

Tips for Choosing a Therapist

Posted on April 17, 2025 by Patrick Hercules

When considering therapy, it is essential to know what you are seeking therapy for. Whether it is to restore a relationship, recover from trauma, adjust to a new life phase, improve your mental health, or just talk to someone, finding the right therapist is the first step.

After you figure out the reason or reasons why you are seeking therapy, it is important to consider the kind of therapist that best fits your mental health needs. Here are some tips for searching for a therapist:

Think about your goals ahead of time
Consult your insurance and finances
Ask someone you trust
Explore local resources
Use a reliable online database
Reach out to organizations that address your area of concern
Ask questions about the things that matter to you
Pay close attention to your own responses

Once you have found some prospective therapists, there are many questions to consider before and/or during your therapy sessions. These questions include:

Do I feel comfortable opening up to this person, and is there a strong connection? Studies show that this is crucial for achieving success in any therapy.
Is the therapist empathic and a good listener?
Does the therapist seem to have an agenda? Are they trying to have you commit too soon to a schedule before accurately assessing your motivation and the range of available options?
What are their credentials and level of expertise, and have they treated many others with your particular condition?
What types of therapy do they offer? They should be able to explain why one type is better than another for your particular condition.
How do they manage the fee/billing, and do they offer a sliding scale?
How do they collaborate with your psychiatrist or PCP, as this will greatly improve the quality of care?
Do they offer evening and weekend hours, and what is the recommended frequency of sessions?
Finally, what are the agreed-upon goals and endpoints for therapy?

Choosing a therapist is not an easy task. It is important to take your time before you make a decision, as it is not to be taken lightly. It is also important to note that you are not obligated to stay if a therapist isn’t the right fit. You can get free consultations through your insurance.

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

Sleep Paralysis

Posted on April 11, 2025 by Patrick Hercules

Sleep paralysis is a type of parasomnia that occurs when the body is between stages of sleep and wakefulness lasting for a few seconds to a couple of minutes.

During an episode of sleep paralysis, you are aware of your surroundings but can’t speak or move. You can still move your eyes and breathe. You may also feel:

Fear
Panic
Helplessness
Anxious

When it ends, you may feel confused because you will regain movement of your body as if nothing happened. You can feel nervous about going to sleep after an episode of sleep paralysis, and it can affect how you feel and function during the day.

Sleep paralysis isn’t dangerous, however, it can cause emotional distress during an episode. Some cases of sleep paralysis are linked to other disorders.

You can experience several symptoms during an episode of sleep paralysis either right before falling asleep or as you’re waking up, including:

You can’t move your arms and legs
You can’t speak
Sensations of pressure against your chest or moving out of your own body
Hallucinations, such as a dangerous person in your room
Daytime sleepiness

Symptoms may first appear in childhood or adolescence. Episodes are more frequent in your 20s and 30s.

The exact cause of sleep paralysis is unknown. However, healthcare providers believe it could happen due to the following:

Narcolepsy
Sleep deprivation
An irregular sleep schedule
Obstructive sleep apnea
Mental health conditions such as anxiety, bipolar disorder, post-traumatic stress disorder (PTSD), or panic disorder
Certain medications
Substance use disorder

To diagnose sleep paralysis, healthcare providers can confirm or rule it out after a physical exam and a sleep evaluation. A provider may ask you about the following:

Your symptoms, such as how often you experience sleep paralysis, what it feels like, and when it started
The quantity and quality of sleep you get, such as how many hours you sleep at night and whether you feel tired during the day
Your medical history, including what medications you currently take and whether you smoke, use alcohol, or non-prescribed drugs
Your family history and if you’re aware of any biological family members who experience sleep paralysis

To further diagnose sleep paralysis, a healthcare provider may recommend testing if they suspect certain sleep disorders like narcolepsy. Tests can include:

An overnight sleep study
Multiple sleep latency test (MSLT)

Treatment for sleep paralysis will depend on the reason why you have it. A healthcare provider may recommend the following:

Taking medications that prevent you from reaching the REM stage of sleep
Taking medications to treat an underlying mental health condition or sleep disorder, such as antidepressants
Improving your sleep hygiene
Talking to a mental health provider if you experience frequent stress

There isn’t much you can do to prevent sleep paralysis from happening. However, there are steps you can take to lower your risk.

One of the best ways to avoid sleep paralysis is to improve your quality of sleep. You can do this by:

Having a set sleep schedule with specific times for going to bed and waking up
Creating a comfortable sleep environment that is dark and quiet
Putting phones, tablets, e-readers, and computers away before bedtime
Relaxing before bed by taking a bath, reading, or listening to soothing music

If you are suffering from sleep paralysis, Jamaica Hospital’s state-of-the-art sleep center can help diagnose and treat various sleep disorders. For more information, or to make an appointment, please call 718-206-5916.