Anxiety, Fatigue, Heat Intolerance and Other Telltale Signs of Graves’ Disease

Posted on August 22, 2017 by Xavia Malcolm

Graves’ disease, also referred to as Basedow’s disease is an immune system disorder that affects the thyroid gland.

The disease is caused by a malfunction in the body’s immune system that creates antibodies known as thyroid-stimulating immunoglobulins (TSI); which attach themselves to healthy thyroid cells and mimics the thyroid stimulating hormone (TSH). This causes the affected cells to work overtime in overproducing and releasing thyroid hormones.

When the body produces excessive amounts of thyroid hormones (hyperthyroidism), it can have a negative impact and lead to symptoms such as rapid heartbeat, hand tremors, weight loss and anxiety. Many of these symptoms can be found in a person diagnosed with Graves’ disease along with the following common signs:

Enlargement of the thyroid gland
Changes or irregularities in menstrual cycles
Frequent bowel movements
Fatigue
Bulging eyes (Graves’ ophthalmology)
Erectile dysfunction
Thick, red skin (Graves’ dermopathy)

Although it is possible for anyone to develop Graves’ disease, some people are more at risk than others. Factors that could increase the risk of the disease include:

Age- Individuals under the age of 40
Pregnancy- Pregnancy or recent childbirth in women who are genetically susceptible
Smoking- Smokers have an increased risk of Graves’ ophthalmology because the immune system is compromised
Gender- Women are seven to eight times more likely to develop the disease than men
Living with other autoimmune disorders- People with diseases such as type 1 diabetes or rheumatoid arthritis that compromise the immune system are more at risk

If you are at risk or experiencing symptoms, an endocrinologist, a physician who specializes in diagnosing and treating disorders of the body’s hormone- secreting glands can assess your medical history and conduct an examination. If it is determined that you do have Graves’ disease, your doctor may recommend a course of treatment that is best for you.

There are typically three options for treating patients with Graves’ disease that include: medication, radioiodine therapy or thyroid surgery. The most common approach for treatment is radioiodine therapy. In addition to treatment, your doctor may also suggest making changes in your lifestyle such as improving your diet.

To schedule an appointment with an endocrinologist at Jamaica Hospital Medical Center, please call, 718 206 7001.

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.

Treating Prostate Cancer

Posted on August 8, 2017 by Xavia Malcolm

Prostate cancer is one of the most common diseases that affect men’s health. It is estimated that one in every seven men will receive a prostate cancer diagnosis during his lifetime.

If you or a loved one has been diagnosed with prostate cancer, you most likely have questions about available treatment options.

Before recommending a course of treatment, your doctor will need to determine the stage or severity of the disease. This can be concluded by using imaging technology to assess how aggressive the cancer might be. Some of the testing methods utilized by physicians include:

multiparametric MRI
enhanced MRI
positron-emission tomography (PET)

Once the stage of the prostate cancer has been determined, your doctor will recommend the best treatment option. Treatment is unique to each individual and may include a combination of therapies and medication management.

Depending on the severity of your case, treatment may include:

Active Surveillance- This is where your doctor will monitor your cancer closely. Surveillance typically includes conducting blood tests and digital rectal exams every six months, observing changes in symptoms and possibly administering prostate biopsies each year.
Surgery- One of the most common options used to treat prostate cancer is surgery. Surgery is usually considered when cancer has not spread outside the prostate gland. A radical prostatectomy is the operation that your doctor may perform. It involves removing the entire prostate gland as well as surrounding tissue.
Radiation Therapy- Is often used to treat cancers that have grown outside the prostate gland and have spread to nearby tissues. High levels of radiation are used to kill cancer cells or to keep them from growing.
Hormone Therapy- Also known as androgen deprivation therapy (ADT) or androgen suppression therapy, is an option a physician may explore when cancer has spread too far to be treated with surgery or radiation therapy. The goal of hormone therapy is to reduce the amount of male hormones (androgens) that are produced. This helps delay the progression of prostate cancer.
Chemotherapy- If hormone therapy is not working; your doctor may consider chemotherapy as a form of treatment. During chemotherapy, a combination of cancer–fighting drugs is administered by mouth or intravenously. This form of treatment is best used to shrink or eliminate cancer cells that have spread outside the prostate gland into other parts of the body.

Making treatment decisions can be challenging. Your first step in making a decision is to learn about your options. As an informed patient, you will be able to help your doctor to make a care plan that is best for you.

To schedule an appointment with a urologist at Jamaica Hospital Medical Center, please call 718-206-7110.

Jamaica Hospital Celebrates World Breastfeeding Week

Posted on August 1, 2017 by Xavia Malcolm

Today Jamaica Hospital Medical Center hosted a baby shower for women in our community in celebration of World Breastfeeding Week. Our lactation consultants along with special guests spoke to moms-to-be about the importance of breastfeeding and the many health benefits it provides.

Each year, August first to seventh is designated World Breastfeeding Week to encourage breastfeeding around the world and improve the health of babies.

World Breastfeeding Week was created 25 years ago by the World Alliance for Breastfeeding Action (WABA) to promote the health benefits infants receive from being fed breast milk exclusively for the first six months of life. The observation is supported by the World Health Organization (WHO) and the United Nations Children Fund (UNICEF).

Organizations including WHO and the American Academy of Pediatrics have found that in addition to being an optimal source of nutrition, breastfeeding offers babies protection from bacteria and viruses that can lead to potential life threatening diseases. Breastfeeding also benefits mothers; women who choose to breastfeed are less likely to develop breast or ovarian cancer, diabetes and post-partum depression.

Jamaica Hospital Medical Center is a designated Baby-Friendly USA facility that promotes exclusive breastfeeding. Our hospital provides several social and clinical programs to support pregnant and nursing mothers. Some of our programs include breastfeeding education classes, CenteringPregnancy and breastfeeding support groups.

Last year, we opened a lactation lounge for our community to utilize and access 24 hours, 7 days a week.

For more information about the services we provide, please visit www.JamaicaHospital.org.

If Your Baby is Not Latching On, It Could Be a Condition Called Tongue-Tie

Posted on July 14, 2017 by Xavia Malcolm

For many mothers who choose to breastfeed, a sense of accomplishment is often gained when their baby first latches on. Breastfeeding provides a time to nurture, comfort and build a bond with their babies. However, if a baby is unable to latch on and breastfeed properly, mothers can develop feelings of rejection or frustration. Before becoming distressed, lactation experts at Jamaica Hospital Medical Center are advising moms to look into the reasons why their baby is not latching on. One of those reasons may be due to a condition called ankyloglossia, otherwise known as tongue tie.

Tongue tie is a medical condition that is present at birth. It restricts the tongue’s range of motion. This restriction is caused by an abnormally thick and short lingual frenulum (The frenulum of the tongue is the soft tissue that connects your tongue to the base of your mouth).

The degree of severity of tongue tie varies from mild cases, where the lingual frenulum loosens over time or severe cases of complete ankyloglossia where the tongue is tethered to the floor of the mouth.

Tongue tie can complicate breastfeeding because it may not allow a baby to open the mouth widely enough to latch on at the correct angle or make a good seal around the breast.

During an examination of the baby’s mouth, a lactation specialist, nurse or physician can perform an assessment to determine if an infant has tongue-tie or if the ability to feed is compromised. Depending on severity, further consultation for a simple and quick surgery may be suggested.

The surgical procedure most commonly recommended is called a frenectomy; which can be done with or without anesthesia. A physician will examine the frenulum, then use sterile scissors or a laser to cut it free.

In an effort to promote breastfeeding, Jamaica Hospital Medical Center offers many services and resources to the community. One of the services the hospital has made available to mothers is frenectomy in an outpatient setting. Procedures are performed by our highly trained dentists, utilizing laser technology. The procedure is quick, painless and there is very little or no bleeding. After surgery, the infant’s tongue movement should improve greatly and in most cases, breastfeeding can commence immediately.The dental clinic can be reached at 718-206-6980.

Jamaica Hospital Medical Center is pleased to announce that the hospital has received official Baby Friendly-USA® Designation. Baby-Friendly® hospitals and birth centers are required to meet the gold standard of providing excellent maternal care and achieving optimal infant feeding outcomes, in relation to breastfeeding.

Kids Home for The Summer Healthy Snack Swaps

Posted on July 10, 2017 by Xavia Malcolm

The kids are home for the summer and parents are now challenged with providing them with healthy and nutritious snacks throughout the day. Finding the balance between snacks that children are drawn to and snacks that are healthy can become difficult.

Sugar, high sodium, colorful packaging, fun shapes and unnatural food coloring are a few factors that make junk food enticing to children. However, parents can win the fight against junk food by making healthy food more appealing to their kid’s senses.

Here are a few tips on swapping kid favorites with healthier choices:

Hot dogs- Instead of regular beef and pork hot dogs, purchase turkey franks with low sodium and without added nitrates. Decorate the hot dog with colorful vegetables such as cucumbers, carrots, red and yellow peppers.
Salty cheese snacks- Make plain cheese fun by cutting it into quirky shapes or adding bright and sweet fruit. You can make cheese and fruit shish kebabs.
French fries- Opt for baked sweet potato fries and sprinkle lightly with sea salt. Sweet potatoes are high in vitamin C, B6, and D. They are a source of Iron, magnesium and potassium.
Ice cream- Frozen yogurt is just as tasty and contains less sugar and fat. Adding toppings such as fruit and granola is a plus.
Popsicles- Freeze real fruit juices with bits of fruit into bars.
Potato chips- Kale chips are rich in vitamin A and easy to make at home. Make them delicious by adding herbs and spices.
Candy- Healthy alternatives to candy include raisins or strawberries and bananas lightly drizzled with chocolate.
Milkshakes- Smoothies made with fresh fruit and low-fat yogurt are a healthier option.
Macaroni and cheese-Use low-fat cheese, add Greek yogurt to make it creamy and spinach to make it nutritious.

The battle against junk food is not lost. Keep food exciting and nutritious for your family by sourcing healthy recipe websites or visiting Jamaica Hospital’s Facebook.

Jamaica Hospital Officially Opens the Ferrara Family Center for Hospice Care

Posted on June 30, 2017 by Xavia Malcolm

Jamaica Hospital Medical Center is proud to announce that it officially re-opened its Hospice Care Unit, The Ferrara Family Center for Hospice Care, after undergoing a complete renovation.

To commemorate the important milestone, a ribbon cutting ceremony was held earlier this month on the unit. Joining Jamaica Hospital in celebrating the completion of the project were elected officials Borough President Melinda Katz, Senator Joseph Addabbo and Assembly Member Stacey Pheffer-Amato as well as others who support the hospital’s efforts to provide essential services to the community.

The journey for the Ferrara Family Center for Hospice Care began last year when a $1.3 million capital campaign was initiated by the Hospital’s leadership in an effort to facilitate the renovation. Thanks to the generosity of several donors, including Board Member Joseph Ferrara, the namesake of the unit, the hospital has successfully completed construction.

News of the grand re- opening of the unit has been well received by many in the community, as the Ferrara Family Center for Hospice Care was designed to offer end-of-life care in a family-oriented environment. Many upgraded amenities have been provided for patients and families that promote serenity, privacy and will allow them to feel more at home during a difficult time. Additionally, the unit offers comforts such as private and spacious suites for patients, family meeting rooms and a relaxing family lounge that offers loved ones a space to gather, de-compress or reflect.

Jamaica Hospital’s staff is very appreciative of the community’s positive reception of the Ferrara Family Center for Hospice Care and the services it will provide. “It is our goal that our patients and their loved ones receive compassion and comfort during a time that can be very difficult,” said Dr. Alan Roth; Chairman of Family Medicine and Chief of Palliative Care Medicine. Dr. Roth continued “We will continue to apply this approach in a new, modern and family environment.”

Watch our Interview on NY1 News.

Today is National HIV Testing Day

Posted on June 27, 2017 by Xavia Malcolm

There are 1.1 million people living with HIV in the United States, and one in seven are unaware they have the virus.

Jamaica Hospital Medical Center, along with other health organizations is working together to raise awareness about the importance of getting tested and early HIV diagnosis. The Centers for Disease Control and Prevention (CDC) recommends “that everyone between the ages of 13 and 64 get tested for HIV at least once as part of routine health care.”

We are encouraging people to know their status. There are now more ways than ever to get tested.

Jamaica Hospital’s clinics offer HIV testing to the community. For a list of our clinics and contact information, please visit https://jamaicahospital.org/clinical-services/ambulatory-care/

If a patient tests positive we also provide HIV counseling and treatment. We offer integrated clinical care, social and educational services in a comfortable and caring environment.

To receive more information about National HIV Testing Day and to learn more about the virus, please visit, https://www.cdc.gov/hiv/library/awareness/testingday.html

Tips for Healthy Summer Living

Posted on June 20, 2017 by Xavia Malcolm

It is not unusual for people to ignore their weight and fitness goals during summer. The season puts many in the state of mind to relax or let loose, often abandoning diet and exercise regimens once followed.

In the summer, we tend to have less time to work out because a good portion of our time is spent attending social obligations such as barbecues; where we typically eat and drink more than normal.

Additionally, we travel more and fast food often becomes our meal of choice because it is easy to grab and go. Unfortunately, there aren’t too many healthy fast food options.

Following these tips can help you to keep diet and fitness goals while enjoying the spoils of summer:

Reduce consumption of sugary drinks. Summer drinks such as lemonade or iced- tea are sometimes packed with large amounts of sugar. If sugar calories are not burned by the body, they can be converted into fat.
Drink alcoholic beverages in moderation. Did you know that having a pint of beer could be equivalent to having a slice of pepperoni pizza? Alcoholic beverages can be high in empty calories. Moderating your alcohol consumption or having light versions of your favorite drink (also in moderation); can help you maintain a healthy weight.
Be mindful of your portions. When we are socializing we tend to eat more but paying attention to portion size can help reduce excessive consumption. Other helpful tips are eating before going to your event, as well as steering clear of foods that tempt you the most and opting for healthier choices.
Pack healthy meals to go. Packing healthy meals to go is easy. Grab items such as apples, nuts and yogurt that will easily fit in your bag.
Squeeze in exercise. There is the saying, “something is better than nothing.” This is true with exercise. A few minutes of exercise each day can offer many benefits to your health. If it is too hot outside, doing simple activities such as dancing or jogging in place in your home can help you to stay active and manage your weight.

These guidelines can be helpful; however, it is recommended that you speak to your doctor if weight gain persists. Abnormal weight gain is at times an indicator of a more serious health issue.

Summer Travel Tips for Breastfeeding Moms

Posted on June 13, 2017 by Xavia Malcolm

Summer is almost here! During this time of year, we are more likely to spend more time traveling away from home, and doing so while breastfeeding can be challenging for moms.

While breastfeeding your baby on-the-go can be tricky, utilizing the following tips can make traveling a little easier for you:

Plan ahead- Planning ahead can alleviate some of the frustration associated with breastfeeding and traveling. Mapping out rest stops or other locations that provide a space to breastfeed can be very helpful. Many airports offer breastfeeding lounges or a clean and quiet place to pump- check before you fly. If traveling without your baby, be sure to pump extra breast milk before you go.
Learn breast milk travel regulations- Before taking a flight; learn the breast milk travel allowances for your airport. According to the United States’ Transportation Security Administration (TSA), “Formula, breast milk and juice are allowed in reasonable quantities in carry-on bags.” These items will be screened separately from the rest of your belongings. The organization advises that travelers check their website, tsa.gov for policy updates. It is also important that you take note of the breastfeeding regulations in foreign countries; some have stricter rules than others.
Bring bottled water-It is important to stay hydrated while you travel. Dehydration can negatively affect your breastmilk supply. Washing breastfeeding equipment in water fountains or public bathroom sinks is not recommended, it is better to wash these items with bottled water.
Keep breastmilk cool- Storing pumped breast milk in room or cool temperatures is important. Temperatures can increase during travel so packing breastmilk in a cooler or similar device is helpful. It is advised that you inquire if your hotel or lodging accommodation is equipped with a refrigerator.
Wear comfortable clothing- Wear comfortable or loose tops that make breastfeeding easy. Wearing a nursing bra or tank top provides easy access for mealtimes.

Jamaica Hospital Medical Center is currently offering a breastfeeding education program, to schedule a breastfeeding education session or for further information, please call 718-291-3276.

Planning End of Life Care

Posted on June 1, 2017 by Xavia Malcolm

Planning for end of life is difficult but also necessary. Taking the time to prepare for this stage of life can help you and loved ones with making challenging decisions about your care that may arise in the future.

When planning your end-of-life care it is important to consider what your wishes are and how they should be carried out. Your wishes typically reflect your personal concerns, values or beliefs. A few questions to ponder during this process are:

How will religious or spiritual beliefs be honored?
If possible, would you rather last moments to be at your home?
How do you feel about life-prolonging measures, such as resuscitation, ventilators or life support?

Once you have come up with a plan of care, it is recommended that you write instructions or advance directives in a document to record your end -of-life wishes and provide guidance for loved ones.

Choosing a family member or loved one to be your healthcare proxy is usually the next step in planning your end-of-life care. It is important that you communicate to them your wishes so that they can make desired decisions on your behalf. These requirements should also be shared with your physician or medical team.

If you are unable to designate a person to carry out your wishes, you can give specific instructions by writing a living will. According to The National Institutes of Health (NIH Senior Health), “A living will records your end-of-life care wishes in case you are no longer able to speak for yourself. It spells out what life-sustaining treatment you do or do not want if you are terminally ill, permanently unconscious, or in the final stage of a fatal illness. You may wish to meet with your health care provider before preparing a living will to discuss treatment options for a variety of medical situations.”

To receive further information about planning end –of-life care, Jamaica Hospital Medical Center’s Palliative Care Division recommends utilizing comprehensive resources such as The Conversation Project. The organization provides a starter kit, “as a useful tool to help people have conversations with their family members or other loved ones about their wishes regarding end-of-life care.” For more information, visit www.theconversationproject.org.