Injury Prevention Tips for Thanksgiving

Posted on November 17, 2020 by Jamaica Hospital Medical Center

For millions of New Yorkers, Thanksgiving is an important celebration bringing together family and friends over food and drinks.

Unfortunately, this rich American holiday is also when Jamaica Hospital Medical Center sees an increase in trauma cases involving preventable injuries.

Here are some tips to help you stay safe during this Thanksgiving.

#1 – Pay close attention to your hands when using cutting tools.

Some of the most common injuries seen during Thanksgiving involve kitchen cutting tools like knives, mandolins, graters, blender blades, and peelers. These cutting injuries normally occur when someone is not paying attention to the placement of their fingers before cutting.

Avoid distractions like talking to others, watching television, or trying to multitask multiple cooking tasks. Scheduling your food preparation and cooking times in advance may help reduce stress and allow you to properly pace yourself.

Keep all sharp objects away from counter ledges and away from children. When passing cutting tools like knives or scissors to others, be sure to practice extra caution and ensure the person receiving the cutting tool has a good handle to prevent dropping it.

When clearing out a blender, make sure it is unplugged from the wall and pay close attention to the blades.

Mandolins are notorious for fingertip injuries, so we recommend you refrain from using them unless they offer special safety features to prevent accidental cuts.

If you are using a peeler, make sure you have a good handle on the food you are peeling. Some food, such as potatoes and cucumbers can be slippery and cumbersome to hold.

Lastly, many kitchen sinks have a garbage disposal installed to grind up scraps and other food waste for easy disposal down the drain. Sometimes these garbage disposals can get clogged up. Avoid putting your fingers down the drain. Make sure the electrical switch controlling the garbage disposal is in the “off” position before unclogging the drain.

#2 – Practice extra caution around stovetops, ovens, hotplates, pots, and pans to avoid burns.

Treat any cooking surfaces with caution or assume all pots and pans are hot. Many Thanksgiving injuries involve burns from handling very hot objects without the proper protection like oven mitts. Be sure to keep small children away from the kitchen to avoid burning curious hands.

If your home has an electric stovetop, always make sure all knobs are in the off position when not in use.

When boiling water or using cooking oil, be sure to keep a close eye to avoid boil over or accidentally knocking over a pot or pan.

Look around before opening or closing the oven, and always using proper protection to avoid burns.

If you or someone does get burned, cool it down with water. Do not use ice. Cover the burn with an antibiotic ointment. Don’t use home remedies like butter or lard. If the burn blisters or covers a large portion of skin, make sure to seek medical attention at an emergency room or urgent care facility.

#3 – Do not drink and drive.

One of the more tragic and completely preventable traumas we see at Jamaica Hospital is a motor vehicle crash due to drunk driving. While sharing memories and food with alcohol is a staple of a Thanksgiving dinner, no one should be getting behind the wheel of a vehicle when they are inebriated.

Drunk driving accounts for nearly 500 deaths each year during the Thanksgiving holiday.^[1] Do not be a statistic. Keep yourself, your family, your friends, and others on the road safe.

If you see someone at your home over drinking or inebriated, ask them to slow down. Have your guests’ addresses readily available ahead of time in case they need to take a cab, Uber, or Lyft back home.

If possible, have someone your trust in charge of pouring or mixing drinks for your guests. Having one person keep track of the number of times someone asks for a refill will help you identify who needs to be cut off from further indulging in alcohol consumption.

#4 – Make your home a fall free zone.

If you have older adults visiting for Thanksgiving, such as grandparents, great-grandparents, or anyone over the age of 65, be sure to make your home easy to navigate and clutter-free. One in four older adults age 65 and older experience a fall each year in the United States. Falls are responsible for most injuries and fatalities in the senior population.

Some ways to prevent falls in your home are keeping all pathways clear of wires, books, shoes, or throw-rugs, keeping hallways and all rooms well illuminated, and checking in with seniors to see how they feel after dinner as they may feel tired.

We encourage you and your guests to keep a close eye on seniors to notice if they are acting strangely or require assistance getting to a bathroom, walking up or downstairs, or getting up or sitting down at their seats.

#5 – Follow all instructions carefully when deep-frying a turkey.

In recent years, deep-frying a turkey has become a more common cooking method on Thanksgiving. While a deep-fried turkey does sound delicious, it can be dangerous if used incorrectly leading to serious injuries.

If you do decide to deep-fry a turkey this year, make sure you are wearing protective gear and wearing flame-retardant clothing. Wear long sleeves and use safety goggles to prevent oil splatter injuries.

Only deep-fry a turkey outdoors with plenty of space – at least 10 feet away from your home and away from any low hanging branches. The deep-fryer must be placed on a flat and leveled surface away from flammables. Always have a fire extinguisher on hand in case a fire breaks out.

Follow all instructions carefully when using the deep-fryer. Do not overfill the deep-fryer with oil. Too much oil can lead to overflow and splashing, leading to fires or burns. Never leave the deep-fryer unsupervised. You must make sure your turkey is completely defrosted before putting it into the deep-fryer. Failing to do so can lead to a fire and serious injury.

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.

Jamaica Hospital Adopts Integrative Healthcare Model to Treat Post-COVID Patients

Posted on November 12, 2020 by Jamaica Hospital Medical Center

COPD

Posted on November 10, 2020 by Jamaica Hospital Medical Center

Chronic Obstructive Pulmonary Disease (COPD) is an inflammatory lung disease that makes breathing difficult. It is caused by damage to the lungs over a prolonged period of time and is usually attributed to smoking.

COPD can result in serious, long-term disability and is the third leading cause of death in the United States.

The symptoms of COPD typically present when there is significant damage to the lung. They may include:

Shortness of breath
Chronic cough
Frequent respiratory infections
Wheezing
Swelling of the feet, ankles or legs

Those most at risk of developing COPD are individuals who:

• Are over age 40 and currently smoke or smoked at some point

• Worked or lived around chemicals or fumes

• Have certain genetic conditions

• Have asthma

If you think you have COPD, you should:

• Talk with your healthcare provider about your symptoms

• Request a breathing test, known as a spirometry

• Quit smoking! If you need help, ask your doctor

• Avoid pollutants or fumes that can irritate your lungs

COPD can lead to other health complications such as heart problems, lung cancer, or high blood pressure in the arteries that bring blood to your lungs.

While you can’t undo the damage COPD has caused to your lungs, there are steps you can take to prevent the condition from getting worse, this includes avoiding factors that can irritate lungs, taking medications as directed, enrolling in a pulmonary rehabilitation program, and receiving annual flu and pneumonia vaccines.

JHMC’s Family Medicine Department Recognized as Health Literacy Heroes

Posted on October 23, 2020 by Jamaica Hospital Medical Center

The Department of Family Medicine understands that the health literacy of our patients is influenced by many factors such as personal experience with the healthcare system, cultural norms, and social determinants of health. We appreciate that health literacy is our responsibility and can best be achieved by partnering with our patients. It is up to the healthcare team to communicate medical information in a way that meets our patients’ needs.

One of the ways we achieve this is by having patient navigators on our team who are trained in education for various chronic conditions and assist patients in navigating the healthcare system. Another fun initiative has been the social media video series “What Do You Mean?” which features our doctors breaking down medical jargon into patient-centered language making health-related concepts easier to understand.

Family Medicine is committed to Health Literacy! We are honored to be recognized as this year’s Health Literacy Heroes during Health Literacy Month.

Meet Dr. George Ferzli

Posted on October 21, 2020 by Jamaica Hospital Medical Center

Jamaica Hospital would like to introduce you to Otolaryngologist (ENT Specialist), Dr. George Ferzli.

Otolaryngologists treat conditions associated with the ear, nose, and throat and related structures of the head and neck. These are some of the most complex areas of the body as they affect your ability to breathe, eat, speak, and hear.

Dr. Ferzli is highly trained in facial plastic and reconstructive surgery and otolaryngology/head and neck surgery.

Dr. Ferzli completed his residency at S.U.N.Y Downstate Medical Center and continued his training in the highly coveted Facial Plastic and Reconstructive Surgery fellowship at the prestigious Lenox Hill Hospital. He is an active member of the American Academy of Facial Plastic Reconstructive Surgery and Otolaryngology.

He provides a wide variety of services for patients that include but are not limited to:

Nose and breathing procedures such as rhinoplasty
Adenoid surgery
Head and neck reconstruction
Tonsillectomy

One of the ways Dr. Ferzli helps his patients is by utilizing the latest technologies. He is aware of many new advances and has incorporated them into his patients’ treatment plans.

He is extremely happy to join the ENT Division at Jamaica Hospital, and work with a strong and diverse team of doctors. Dr. Ferzli feels that together they are building a much-needed service that can greatly benefit patients.

Dr. Ferzli treats patients at the following location:

TJH Surgical Services
89-05 135^th Street
Jamaica, NY 11418
718-206-7110

Kidney Stones

Posted on October 16, 2020 by Jamaica Hospital Medical Center

Kidney stones (nephrolithiasis) are lumps of crystal made from substances found in urine. They typically build up along the inner surfaces of the kidney. The size of a kidney stone can range from as small as a grain of sand to as large as a golf ball. It is estimated, one in every twenty people will develop them at some point in their life.

Stones form when there is a decrease in the amount of urine produced, causing it to become highly concentrated and therefore allowing minerals to crystallize and stick together. There are four major types of stones, they include:

Calcium stones
Uric acid stones
Struvite stones
Cystine stones

While dehydration is a major contributor to the formation of kidney stones, some people are more prone to developing them than others. People with certain medical conditions such as gout or digestive diseases, those with a family history of kidney stones, as well as people who are obese or consume a diet rich in protein, sodium and sugar are more susceptible.

Kidney stones often go undetected until they become loose and travel along the urinary tract. When they move around the kidney or pass through the ureter, the following symptoms may occur:

Pain during urination
Pain along your side or back, below the ribs
Urine that is pink, red or brown in color
Pain in the lower abdomen or groin
Difficulty urinating
Frequent urination or urge to urinate
Nausea or vomiting
Cloudy or abnormal smelling urine
Fever and chills

If these symptoms present themselves and persist it is advised that you see a doctor immediately. Your doctor may perform a series of tests that may include blood or urine tests, analysis of passed stones or abdominal x-rays to assess your condition. Depending on severity, treatment may include increasing your intake of water, pain medication or surgery.

Gallstones

Posted on October 16, 2020 by Jamaica Hospital Medical Center

Have you ever experienced sudden abdominal pain and wondered if it might be gallstones?

Gallstones form in the gall bladder, located just under the liver, and may cause no signs or symptoms. However, if a gallstone lodges in a bile duct, it could cause a blockage. Gallstone pain may last several minutes to a few hours and symptoms may include:

Sudden and rapidly intensifying pain in the upper right portion of your abdomen
Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone
Back pain between your shoulder blades
Pain in your right shoulder

Make an appointment with your doctor if you experience any of these signs or symptoms. Seek immediate care if you are experiencing:

Abdominal pain so intense that you can’t sit still or find a comfortable position
Yellowing of your skin and the whites of your eyes
High fever with chills

Laparoscopic surgery to remove the gallbladder, called a cholecystectomy, is one of the most commonly performed surgical procedures in the United States and is the treatment of choice for gallstones that cause moderate to severe pain. Symptoms usually do not return after the gallbladder has been removed. In a small number of cases, surgery may be done to prevent complications of gallstones.

Understanding Dyslexia

Posted on October 16, 2020 by Jamaica Hospital Medical Center

Dyslexia is a language-based, learning disability that affects approximately 15% of the population living in the United States. It is the most common learning disability in the country.

People who are dyslexic find it difficult to read because they are unable to properly identify speech sounds and learn how they relate to letters and words. They often have difficulty with writing, math and comprehension as well.

Dyslexia is a lifelong disability that cannot be cured. However, an individual can overcome its many challenges when early intervention and specialized education approaches are applied.

The exact cause of dyslexia is unknown; however, the condition tends to run in families. In addition to genetics, there are other factors attributed to dyslexia; they include:

Premature birth or a low birth weight
Exposure to substances such as nicotine, alcohol or illegal drugs during pregnancy

Symptoms and signs of dyslexia vary with each individual. They may experience the following:

Difficulty forming words correctly –they may reverse the sound in words or confuse words that sound alike
Late speech
Difficulty remembering or naming colors , letters and numbers
Reading well below average
Difficulty playing rhyming games or learning rhyming songs
Problems with math or spelling
Difficulty following directions
Disinterest in books
Difficulty remembering details
Trouble understanding puns and idioms
Difficulty telling right from left
Difficulty understanding the concept of time

A significant number of children with dyslexia go undiagnosed because symptoms are not recognized. Many children who are undiagnosed, struggle in school and grow up to be adults who are unaware that they have dyslexia; therefore, it is very important for parents to note warning signs and seek assistance from a specialist. In most cases, a diagnosis of dyslexia is determined by a licensed educational psychologist after completing a series of evaluations.

Urinary Incontinence

Posted on October 16, 2020 by Jamaica Hospital Medical Center

Urinary incontinence is the inability to control the flow of urine resulting in a person urinating when they don’t want to. The basic cause is due to loss of control of the urinary sphincter. This is a fairly common condition, occurring more frequently in women than in men.

The American Urological Association estimates that one quarter to one-third of people in the United States experiences urinary incontinence.

Types of incontinence:
• Stress Incontinence – urine leaks when there is pressure put on the bladder by coughing, sneezing, laughing, lifting heavy objects
• Urge Incontinence – the urge to urinate can be very intense and can be caused by a severe infection or a chronic condition like diabetes or a neurological condition
• Overflow Incontinence – when the bladder doesn’t empty completely it can lead to dribbling
• Functional Incontinence – when there is a physical or mental condition that inhibits you from getting to the bathroom quickly enough. (This can be due to age or a physical disability)
• Mixed Incontinence – when there is more than one factor that leads to being unable to control the flow of urine

Diagnosing urinary incontinence can be done in different ways and depends on what the underlying cause is thought to be. In men, this may include a prostate exam and in women, this may involve checking the pelvic floor. A blood test may be performed to assess kidney function. Urinalysis may show if there are signs of infection. It may be necessary to examine the bladder by performing a post-void residual test to see if the bladder is emptying properly. A pelvic ultrasound can be used to see if there are obstructions in the ureters and bladder. A cystogram is an x-ray of the bladder. Another exam is a cystoscope whereby a tiny probe is placed into the urethra to see if there are abnormalities.

Treatment options for urinary incontinence depend on what is causing the problem. Options include muscle strengthening, delaying urination as a way of gaining control, going to the bathroom to urinate at set times to avoid a buildup of urine in the body. There are also medications that may be helpful in controlling an overactive bladder and weakened sphincters.

Bursitis

Posted on October 16, 2020 by Jamaica Hospital Medical Center

According to the Mayo Clinic, Bursitis is a painful condition that affects the small, fluid-filled sacs called bursae that cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed. The most common locations for bursitis are in the shoulder, elbow and hip.

Although Bursitis typically affects the shoulder, elbow and hip, it can also affect your knee, heel and the base of your big toe. Bursitis often occurs near joints that perform frequent repetitive motion.

Some symptoms of Bursitis are:

Achy or stiff joints
Pain when the joint is moved or touched
Redness and swelling in the affected area

The treatment of Bursitis usually includes resting the inflamed joint and guarding it from further trauma. Bursitis pain can last for a few weeks and is prone to recurrent flare-ups.