Types and Stages Of Lung Cancer

Posted on April 3, 2018 by Xavia Malcolm

Non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) are the two major types of lung cancer. About 80 to 85% of diagnosed cases of the disease are attributed to NSCLC and the remaining 10 to 15% to SCLC.

Once diagnosed, a doctor will try to determine how much cancer has spread; this process is known as staging. Different stages of the disease describe how much cancer is in the body and can help doctors to decide on suitable treatment options.

The staging system most commonly used for NSCLC is the American Joint Committee on Cancer (AJCC) TNM system. There are four stages which include:

Stage 1- Cancer is found only in the lungs and has not spread to lymph nodes.

Stage 2 – Cancer is found in the lungs and surrounding lymph nodes.

Stage 3- Cancer is found in the lungs, lymph nodes, and in the middle of the chest.

Stage 4- Cancer is found in the lungs, fluid in the area around the lungs, as well as other parts of the body and other organs.

The stages of SCLC are based on the results of biopsies, physical exams, imaging tests or any additional form of testing used to determine how far this type of cancer has advanced. Doctors typically use a two-stage system to help them to decide which form of treatment is best. The stages of SCLC are:

Limited Stage- This is when cancer is found in only one side of the chest and in the lymph nodes above the collarbone – on the same side of the chest.

Extensive Stage- This describes when cancer has spread to lungs, the lymph nodes and other parts of the body.

Treatment for each type of lung cancer varies by stage. Typical approaches for NSCLC may include surgery, radiation, immunotherapy or chemotherapy. Radiation or chemotherapy are the most common types of treatment used for patients diagnosed with SCLC.

Smoking cigarettes or other tobacco products contribute greatly to the development of lung cancer. Quitting smoking can reduce your risk of developing this deadly disease.

If you are ready to quit smoking, Jamaica Hospital Medical Center provides a free smoking cessation program. To learn about our Freedom From Smoking program please call, 718-206-8494 or visit www.JamaicaHospital.org.

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.

Chronic Kidney Disease

Posted on March 6, 2018 by Xavia Malcolm

Approximately 30 million adults in the United States are living with chronic kidney disease (CKD). This condition causes damages to kidneys and leads to a loss of function over time. If your kidneys are unable to function properly, complications such as hypertension, nerve damage, weakened bones and anemia can develop. CKD also increases the risk of developing cardiovascular disease.

While high blood pressure can result from chronic kidney disease, it can also be the cause of it. Other conditions and diseases that can cause CKD include diabetes, recurrent kidney infections, prolonged obstruction of the urinary tract and vesicoureteral reflux.

Anyone at any age can develop chronic kidney disease; however, some people are more at risk than others. You may have an increased risk for CKD if you:

Have a family history of kidney failure
Have diabetes
Have hypertension
Are obese
Have cardiovascular disease
Are a smoker
Are of African American, Native American, Pacific Islander or Asian American descent
Are an older adult

Signs and symptoms of chronic kidney disease can vary by individual and may appear over time as the disease progresses. They can include:

Muscle cramps and twitches
Swelling of feet and ankles
Trouble concentrating
Fatigue
Frequent urination, especially at night
Itchy skin
Shortness of breath
Difficulty sleeping
High blood pressure
Vomiting

There are several things you can do to prevent CKD and keep your kidneys healthy. Maintaining a healthy diet and cutting back on food rich in sugar and salt is beneficial for your kidneys, as well as monitoring cholesterol levels, keeping hydrated, quitting smoking and drinking in moderation.

If you are living with chronic kidney disease, it is strongly advised that you keep blood pressure and blood sugar levels under control, moderate protein consumption, reduce salt intake, avoid NSAIDs (nonsteroidal anti-inflammatory drugs) and get the flu shot each year.

Tips for Traveling With Medication

Posted on February 26, 2018 by Xavia Malcolm

Preparing for a flight often requires careful planning and packing. When traveling with medication, knowing airport rules ahead of time can help you pack correctly and minimize setbacks on your trip.

It is important that you follow these tips provided by the Transportation Security Administration (TSA) to avoid delays in your travel time or confiscation of your medication:

Confirm that your prescription is legal at your destination; some medications that are allowed in the United States are prohibited in other countries.
Learn state requirements for the labeling of prescription medication. States have individual laws to which travelers must comply.
You can bring unlimited amounts of your medication in pill or solid form, as long as it is screened. Medications are typically screened by X-ray; however, if you do want them X-rayed you may ask to have them inspected instead. This request must be made before your medication enters the X-ray tunnel.
You are allowed to bring liquid medication in carry-on bags over 3.4 ounces in reasonable quantities.
If traveling with liquid medication, you must inform the inspecting officer at the start of the screening checkpoint process. Additional screening will be required and you may be asked to open the container.
Supplies associated with medication such as syringes, pumps, IV bags or needles must undergo screening.

Packing appropriately for your trip can make traveling with medication less complicated. It is highly recommended that you check the TSA’s website, www.tsa.gov, for updates as the current rules can change.

How Do You Know When It’s Safe to Go Back to Work After the Flu?

Posted on February 13, 2018 by Xavia Malcolm

You can’t stop coughing, your nose is running, and your throat ache is at a level 10. On top of this, you feel exceptionally fatigued. Chances are that you are battling the flu.

Fighting the flu can understandably be a miserable experience. For this reason, you may be worried about spreading the flu to other people in your workplace. So, for how long is the flu contagious? Here’s a rundown on what you need to know about the influenza b contagious period.

How Easily Can the Flu Spread Once You Have It?

Physicians usually recommend that you stay home if you’re battling the flu. That’s because if you go to work while sick, your coworkers can easily contract the virus.

In fact, experts say that if you have the flu, you can spread this illness to other people as far as six feet away. The flu virus is typically spread through the droplets created when you talk, sneeze, or cough.

How Long Is the Flu Contagious?

Timing your return to work properly will help to decrease other people’s chances of getting sick from the flu. As a general rule of thumb, it’s best that you stay home while you are still suffering from symptoms like vomiting, coughing with phlegm, diarrhea, and fever. Some physicians say that a safe period to stay away from the workplace once you begin to notice flu symptoms is five days. In addition, you shouldn’t return to work until you’ve been fever free for 24 hours.

How Can You Prevent the Spread of the Flu Virus This Year?

As you ponder the answer to the question “How long is the flu contagious,” you should know that even when you begin to feel better days after contracting the flu, you might still be contagious. For this reason, it’s critical that you take a few steps to prevent the flu virus from spreading:

Wash your hands.
Disinfect areas you think might be contaminated.
Avoid sharing utensils with others or sanitize them before sharing them.
Avoid coming into contact with other people.
Cover your mouth and nose when you cough or sneeze.

Call us at (718) 206-6000 for more information about the flu or to schedule a physician appointment to get checked out if you believe that you have the flu.

JHMC Partners with Shape Up NYC to Offer Free Stretch and Release Classes

Posted on February 6, 2018 by Xavia Malcolm

In an effort to improve the overall wellness of our community, Jamaica Hospital Medical Center has partnered with the New York City Department of Parks and Recreation’s; Shape Up NYC, to offer free Stretch and Release classes to everyone.

The class will be taught by the hospital’s own Janis Sharkey, Clinical Nurse Manager, who specializes in holistic care. It will focus on applying principles of the Alexander Technique and Cantienica to stretch and strengthen muscles, as well as improve balance. Postures and movements are similar to Yoga.

Stretch and Release will begin on February 1st and will take place every Thursday at 5:15 pm at the MediFit Gym at Jamaica Hospital; 134-20 Jamaica Ave; 3rd Floor. For more details please visit https://www.nycgovparks.org/programs/recreation/shape-up-nyc

Surprising Health Benefits of Eating Apples

Posted on January 22, 2018 by Xavia Malcolm

“An apple a day keeps the doctor away,” is an old Welsh proverb that many of us have heard at some point in our lives. While the saying is not accurate, and leading a healthy lifestyle requires much more than eating this fruit each day; studies have found that apples provide us with several health benefits.

Apples are one of the best foods to include in your diet. They are rich in important components such as quercetin, vitamin C, pectin and more. Studies have associated these substances with several benefits which include:

Improving neurological health– Quercetin contains two compounds that are known to help reduce cellular death caused by the oxidation and inflammation of neurons.
Reducing the risk of certain cancers- The American Association for Cancer Research has found that consuming apples rich in flavonoids such as quercetin and rutin can help to reduce the risk of pancreatic cancer. Apple peels contain compounds that promote anti-growth activity in cancer cells that develop in the breast, liver and colon.
Lowering cholesterol- Fibers found in apples such as pectin are linked to lowering levels of LDL cholesterol.
Boosting immunity- Apples are a good source of immune-boosting nutrients such as vitamin C.
Reducing the risk of type 2 diabetes- A study published in the American Journal of Clinical Nutrition found that flavonoids such as anthocyanins are associated with lowering the risk of developing type 2 diabetes.

While eating apples each day may not keep your doctor away, they can be a key factor in helping you to maintain your health. Eating a diet rich in fruits and vegetables can help to reduce the risk of several diseases and improve overall wellness.

Is It The Winter Blues or Something More?

Posted on January 16, 2018 by Xavia Malcolm

Understandably, the winter season can make you feel glum. It is the coldest time of year and the hours of sunlight are much shorter. These factors can contribute to a dip in your mood or a lack of energy which you may attribute to the ‘winter blues.’

According to the National Institutes of Health ((NIH), the winter blues is “fairly common and it’s more mild than serious. It usually clears up on its own in a fairly short amount of time.” However, if feelings such as sadness, loss of interest in activities you once enjoyed and lethargy persist, they may be signs of a more serious condition known as seasonal affective disorder (SAD).

Seasonal affective disorder is a form of depression that is related to the changes of the seasons. While the exact cause of SAD is unknown, it has been found that factors such as the reduction in sunlight during the winter and reduced levels of serotonin (the brain chemical that affects mood) are contributors.

Some people are more at risk for SAD than others; women, people who live far from the equator, people between the ages of 15 and 55 and those with a family history of seasonal affective disorder have a higher chance of occurrence.

Signs and symptoms of SAD may appear in late fall, early winter and subside during the spring or summer; they can include:

Feeling depressed most of the day and nearly every day
Sleeping excessively
Craving more carbohydrates than usual
Gaining weight
Having difficulty concentrating
Feeling apathetic towards things that were once enjoyable

If these symptoms make it difficult to function normally in your life, it is highly advised that you seek the help of a trained mental health practitioner.

Diagnosing SAD can be difficult due to similarities shared with other forms of depression and mental health conditions. However, to help rule out possible underlying health problems, your doctor will conduct a thorough evaluation which generally includes lab tests, physical examinations and psychological assessments to determine a conclusion.

Treatment for seasonal affective disorder may include a combination of light therapy, medication and counseling.

To schedule an appointment with a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575.

Why Eye Exams Are Important For Your Overall Health- What Will Your Doctor Check For?

Posted on January 9, 2018 by Xavia Malcolm

Many people decide to see an eye doctor when they have experienced a change in their vision. However, it is advised that whether or not there has been a change in your sight, you should make checking your eyes a priority.

Comprehensive examinations can help doctors to not only detect existing and potential eye problems but can also provide signs of other health complications that may be developing in your body.

Routine exams can identify signs of eye problems that develop silently as well as serious illnesses such as high blood pressure, diabetes, high cholesterol and brain tumors.

How often you receive a complete eye exam depends on several factors including, age, family history, if you wear glasses or contacts and if you are at risk for developing eye disease. Most eye experts agree that you should have your eyes examined every one or two years.

During your visit, your doctor may perform the following tests or procedures to help determine the current status of your health:

Visual Acuity Tests- to measure the sharpness of your vision.
Cover Test- to check how well your eyes work together.
Slit Lamp Exam- to examine the structures of your eye. Several eye diseases and health conditions can be detected during a slit lamp exam such as diabetic retinopathy, corneal ulcers, macular degeneration and cataracts.
Glaucoma Test- to measure the pressure of your eyes and identify signs of glaucoma.
Pupil Dilation- to obtain a better view when looking inside your eyes. This allows the doctor to perform a thorough examination which is crucial for people who are at risk for developing eye disease.

Getting your eyes checked as recommended is highly important for your vision and overall health. Your doctor can identify and create a successful care plan for many diseases while in their early stages.

The Division of Ophthalmology at Jamaica Hospital Medical Center offers a full range of comprehensive medical, diagnostic, and surgical services. From annual eye examinations to surgical procedures, our board certified and fellowship trained ophthalmologists are dedicated to the prevention, diagnosis, and treatment of eye disorders and ophthalmic conditions. To schedule an exam, please call 718-206-5900.

Now That You’ve Quit Smoking –How Do You Resist Temptation?

Posted on January 8, 2018 by Xavia Malcolm

Congratulations, you have quit smoking. You have accomplished a major milestone in your journey to achieving good health. A challenge you may face after your Quit Day is remaining tobacco-free by resisting the temptation to smoke again. Coping with tobacco cravings can be difficult; however, by applying the following tips you can decrease the urge to smoke:

Remove yourself from situations that may trigger the urge to smoke
Spend free time in environments where smoking is not allowed
Reduce alcohol consumption
Create or join a support group
Think about how harmful tobacco is to your health
Think about the health benefits you will gain by remaining smoke-free
Try nicotine replacements such as gum, patches or prescription medications
Do not have just one cigarette to satisfy a craving- one cigarette will make you want more
If you miss the feeling of having a cigarette in your mouth try a toothpick, a stick of gum, celery -anything besides a cigarette
Exercise
Practice relaxation techniques
Give yourself credit for each day you are tobacco free
Envision being tobacco-free long-term

Quitting smoking and remaining smoke-free can be difficult and requires a life-long commitment but the benefits to your health are immeasurable.

Jamaica Hospital Medical Center offers a Freedom from Smoking Tobacco Cessation Program to help you overcome your addiction to tobacco and enjoy the benefits of better health in a fun and interactive environment. Receive personalized attention as well as the support from group members who are experiencing this journey with you. For more information, please call 718-206-8494.

Can Breastfeeding Help Moms Lose Weight?

Posted on December 26, 2017 by Xavia Malcolm

According to La Leche League International, when combined with maintaining a healthy diet and exercise, breastfeeding can help most moms to lose weight after childbirth.

The body requires energy to create breast milk. On average, most women who choose to breastfeed burn an additional 300-500 calories each day than those who do not. When compared to certain physical activities such as thirty-minute aerobic workouts, breastfeeding can burn a comparable amount of calories.

Although breastfeeding can help mothers to shed pounds, eating well-balanced meals and including physical activities in your daily routine is also strongly encouraged for healthy weight loss.

Experts at La Leche League remind women to set realistic goals as losing weight will occur gradually over time. It may take most women six to nine months, in some instances longer, to shed pounds gained during pregnancy.

The organization further advises mothers to consult with their doctor before beginning a diet or weight loss regimen. Depending on the circumstance, most doctors would recommend that new moms wait six weeks after delivery to begin a diet or weight loss routine. This time is needed to help the body to establish a good supply of milk.

Your doctor can help you to create a healthy weight loss plan that is compatible with your lifestyle and current state of health.