Jet Lag and Sleep

Posted on May 2, 2017 by Xavia Malcolm

Jet lag can profoundly affect sleep and alertness. This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia and difficulty staying alert and concentrating. These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag. Here are a few you can try:

Avoid alcohol the day before your flight and during your flight.
Get plenty of rest before you fly.
Avoid caffeine or other caffeinated beverages before or while traveling.
Drink lots of water.
Wear sunglasses during your flight.
Move around the plane on long flights.
Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
Avoid heavy meals upon arrival to your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements or prescription medication.

To schedule an appointment with a sleep specialist at Jamaica Hospital Medical Center, please call 718- 206-5916.

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.

Understanding Hair Loss- When Losing Hair Becomes A Problem

Posted on April 25, 2017 by Xavia Malcolm

On average, people can lose up to 100 hairs from their scalps each day.

Occasionally finding a few stray hairs on your brush or comb or in other places is not cause for alarm. However, there are life events or lifestyle changes that can accelerate the normal rate at which a person loses hair.

Factors such as age, genetics, hormones, medication, pregnancy, cosmetic procedures (dyes and relaxers), stress, diet or certain illnesses can all serve as possible causes for a person’s hair loss.

There are several different types of hair loss (alopecia):

Androgenic alopecia- is a genetic condition that affects men and women. This condition is also referred to male or female pattern baldness.
Involuntional alopecia- occurs naturally with age
Telogen effluvium-this causes temporary hair thinning resulting from changes in the growth cycle
Scarring alopecias- inflammatory skin conditions such as cellulitis or folliculitis can result in permanent hair loss
Traction alopecia- occurs when hair is constantly being pulled at the follicles. This commonly happens to men and women who wear tight hair styles

Balding occurs when the amount hair that is being lost becomes excessive. There are cues that you can look out for that indicates excessive hair loss. They include:

Large amounts of hair on your pillow each morning
Large amounts of hair left in your brush or comb after grooming
Thinning on the top third of the scalp (for women)
Circular or patchy bald spots appearing on the scalp
Patches of scaly skin on the scalp

If you have concerns about excessive hair loss, it is recommended that you speak with a dermatologist. Your doctor may explore different types of treatments based on the reason for hair loss and severity. Treatment options may include a dietary plan, laser therapy, surgery or medication. It is important to keep in mind that while most hair loss conditions can be treated, there are some forms such as androgenic alopecia that are untreatable.

To schedule an appointment with a dermatologist at Jamaica Hospital, please call 718-206-7001. The Division of Dermatology at Jamaica Hospital offers several services, including adult and pediatric dermatology, dermatologic and skin cancer surgery, and cosmetic dermatology.

Healthy Roasted Shrimp and Vegetable Recipe

Posted on April 11, 2017 by Xavia Malcolm

This quick, delicious and healthy shrimp and vegetable dinner is easy to prepare and full of nutrients.

Ingredients

1 red onion, large dice
1 red bell pepper, large dice
1 cup crimini mushrooms, stems removed and halved
1 1/2 cups broccoli florets
3 tablespoons olive oil, divided
1 teaspoon salt, divided
1/2 teaspoon pepper, divided
1/4 teaspoon lemon pepper
3/4 teaspoon paprika, divided
1 pound uncooked shrimp, peeled and deveined
1/2 teaspoon garlic powder

Instructions

1) Preheat oven to 425 degrees. Add the onion, bell pepper, mushrooms and broccoli to a large sheet pan. Add 2 tablespoons olive oil, 1/2 teaspoon salt, 1/4 teaspoon pepper, 1/4 teaspoon lemon pepper, and 1/4 teaspoon paprika to the veggies and toss evenly. Roast in the oven for 15 minutes.
2) Meanwhile in a separate bowl add the shrimp, 1 tablespoon olive oil, 1/2 teaspoon salt, 1/4 teaspoon pepper, 1/2 teaspoon paprika, and 1/2 teaspoon garlic powder. Toss until shrimp is evenly coated.
3) Remove veggies after 15 minutes and add the shrimp directly to the pan with the veggies, spreading out evenly. Place back in the oven for another 5-7 minutes. Remove and serve alone, or over rice or pasta

http://www.lifeisbutadish.com/

April is National Donate Life Month

Posted on April 4, 2017 by Xavia Malcolm

April is National Donate Life Month, a month dedicated to celebrating the lives of people saved by organ donation and the donors who made a difference. In 2016, over 33,000 lives in the United States were saved thanks to the men and women who decided to give the gift of life.

During National Donate Life Month, organizations such as LiveOnNY carry out missions or campaigns to educate communities about the importance of organ donation. These initiatives are very important because they address many concerns people may have about becoming a donor, such as:

Religion- Most major religions such as Buddhism, Judaism, Christianity, Islam and others are in support of organ donation.
Age – If you have been given approval by your doctor to be a donor, you are never too old. The oldest person in the U.S. on record to be a donor was 93 years old.
Health conditions- It is important that you do not rule yourself out as a donor due to medical conditions. Each case is different.
Premature death- The primary goal of doctors is to save your life. Donation is only considered when all efforts to save a patient’s life have failed.

Jamaica Hospital is encouraging people to help play a role in saving or improving lives by registering as organ donors. Research shows that 90 percent of New Yorkers support organ donation but only 25 percent are registered. By registering, you can make a difference and help save up to eight lives.For more information please visit, http://www.liveonny.org/ or www.organdonor.gov

Seizure First Aid Do’s and Don’ts

Posted on March 28, 2017 by Xavia Malcolm

A seizure can be a frightening event for the person who is experiencing it as well as the bystander. According to WebMD, “tonic-clonic seizures are the most dramatic and frightening.”

During tonic-clonic (grand mal) seizures, a person may convulse (jerking movements), lose consciousness, have stiffened muscles or bite their tongue or cheek. A person can also lose control of their bladder or bowels.

What should you do in the event that someone you know is having a tonic- clonic seizure? Here is how you can help them:

Keep calm
Cushion or support their head
Look to see if they own an epilepsy card or identification jewelry-this may provide you with information about the next steps you can take
Protect them from injury by removing objects within reach
Lay them on their side
Loosen tight clothing, especially around the neck
Time how long convulsions last
Once convulsions have stopped, place them in the recovery position (pictured below)

It is also important to know what not to do during these seizures, do not:

Put anything in their mouths
Restrict or restrain their movements
Try to move them (only do so if they are in danger)
Feed them or give them beverages (wait until they are fully alert)

If seizures continue for more than five minutes, call 9-1-1 immediately. Other times you should call emergency services is if, you know this is the person’s first seizure, they are having seizures one after the other, they are pregnant, there are injuries caused by the seizure or you believe they are in need of urgent medical attention.

For more information on seizure first aid, please visit the Centers for Disease Control and Prevention (CDC) https://www.cdc.gov/epilepsy/basics/first-aid.htm.

Seasonal Allergies Tips and Treatments

Posted on March 21, 2017 by Xavia Malcolm

While spring signals the beginning of beautiful weather and warmer days for many; it also marks the beginning of allergy symptoms for those who suffer from seasonal allergies. If you are one of these people, symptoms such as sneezing, itchy eyes, congestion and headaches can leave you feeling miserable.

Dr. Lisa Roth, allergist and immunologist at Jamaica Hospital Medical Center advises, “There are several things you can do to find relief. If symptoms are mild, try the following suggestions which may provide temporary relief:

Closing windows and doors at night or whenever pollen counts are high
Trying over the counter remedies such as decongestants or antihistamines
Rinsing your eyes with a saline solution
Trying nasal irrigation
Taking steamy showers
Wearing a mask while doing yard work
Washing clothes and linens frequently
Using air purifiers equipped with HEPA filters
Keeping indoor air dry by using a dehumidifier
Thoroughly washing your face and hair when you get home

If your symptoms are continuous and affect your ability to carry out routine activities- you should speak with an allergist. Your allergist will be able to help you identify what triggers your seasonal allergies and provide the best course of treatment to offer relief or stop symptoms.

Treatment options may include prescription medication to control symptoms or immunotherapy. “Allergy immunotherapy, also known as allergy shots, is a form of long-term treatment for allergic disorders that decreases symptoms for many people by modulating the immune system in a beneficial way. Allergy shots decrease sensitivity to allergens providing lasting relief of allergy symptoms,” explains Dr. Roth. Allergy shots are highly effective and can help alleviate many symptoms.

The Division of Allergy and Immunology at Jamaica Hospital focuses on the diagnosis and long-term treatment of allergic and immunologic conditions. To schedule an appointment with an allergist such as Dr. Lisa Roth, please call 718-206-6742.

Q and A: Medication Expiration Dates

Posted on March 10, 2017 by Xavia Malcolm

Q: Do over -the-counter and prescription medications have expiration dates? Do they mean anything and is it safe to take them past the expiration date?

A: Over-the-counter and prescription medications are time stamped with expiration dates. Time stamps can be found on the labels or on the actual container. It is important that you pay attention to these dates. The expiration dates indicate a guarantee of full potency and safety within the recommended shelf life.

According to the United States Food and Drug Administration (FDA) – “Don’t be tempted to take expired medications.” The FDA states, using expired medical products is “risky and possibly harmful to your health.” This is because the efficiency of a medication may lessen over time due to changes in its chemical composition or a decrease in its potency.

Do You Know How to Dispose of your Expired Medications?

Read here to learn how:

Colorectal Cancer Risk factors and Prevention

Posted on March 7, 2017 by Xavia Malcolm

Colorectal cancer is a disease that causes abnormal cells or tumors to develop in the colon or rectum. It is the third most commonly diagnosed type of cancer found in men and women in the United States.

Although colorectal cancer causes the deaths of approximately 50,000 people each year; the rate of survival is improving due to education, early detection and treatment.

Learning the risk factors of colorectal cancer is essential as there are risk factors you can control and some you cannot. The risk factors you can control include:

Smoking
Being overweight or obese
Lack of physical activity
Poor diet – a diet rich in red meats and processed meats can increase your risk
Heavy alcohol consumption

These factors can be addressed by quitting smoking, exercising, eating a healthy and balanced diet and moderating your consumption of alcoholic beverages.

The factors that you cannot control that may contribute to colorectal cancer are:

Age- people over the age of 50 have a higher risk in developing the disease
A family history of colorectal cancer or adenomatous polyps
A personal history of colorectal polyps, colorectal cancer or inflammatory bowel disease
Having an inherited gene defect that can cause family cancer syndromes such as familial adenomatous polyposis (FAP), Gardner syndrome, Turcot syndrome or Lynch syndrome
Race or ethnicity
Having type 2 diabetes

Knowing your risk factors and taking appropriate actions can help you to reduce the probability of developing the disease.

Although it is not completely clear what causes colorectal cancer; it can be prevented by receiving regular screenings. With regular screenings, polyps or colon cancer can be found and treated early before advancing.

There are several testing methods your doctor may use to screen for colorectal cancer. Screening tests may include a colonoscopy or other testing methods such as fecal occult blood test, flexible sigmoidoscopy, CT colonography or double-contrast barium enema. The American Cancer Society recommends that men and women should receive screenings beginning at the age of 50.

For a complete guide to the American Cancer Society’s recommendations for colorectal cancer early detection, please visit https://www.cancer.org/cancer/colon-rectal-cancer/early-detection/acs-recommendations.html

Dr’s Tips- Snoring and Solutions

Posted on February 28, 2017 by Xavia Malcolm

Here is a wake-up call for snorers; did you know that snoring affects approximately 90 million adults living in the United States? “Although snoring is common and many of us have learned to live with it, the truth is snoring is not normal and should not be ignored,” states Dr. Mayank Shukla; sleep specialist at Jamaica Hospital Medical Center.

Snoring occurs when air flow through the nose or mouth is physically obstructed while sleeping. This can be the result of several factors including nasal congestion, excessive throat and nasal tissue, sleep deprivation or a tongue muscle that has become too relaxed during sleep.

Snoring on occasion does not raise cause for great concern. People who snore occasionally could try the following solutions recommended by Dr. Shukla to help them or their loved ones to get a restful night’s sleep:

Avoid sleeping on your back
Use a humidifier if the air in your room is dry
Adjust your pillows to keep your head elevated
Open nasal passages by using steam , nasal strips or salt water rinse
Reduce consumption of alcohol or other sedatives
Stay hydrated
Get your recommended amount of sleep

However, if you are a frequent snorer, these solutions may not benefit you as there may be serious health conditions such as stroke, heart disease or hypertension connected to your chronic snoring. Dr. Shukla suggests that you consult your physician as soon as possible if you are experiencing the following symptoms:

Frequent waking from sleep
Chronic headaches
Daytime sleepiness
Irritability
Difficulty concentrating
Gasping for air or choking while snoring

These symptoms are commonly associated with Obstructive Sleep Apnea (OSA), a disorder which causes a person to stop breathing for short periods of time during sleep. OSA can lead to complications such as heart disease, stroke and in severe cases, death. A sleep study may be required to diagnose OSA.

There are several treatments your doctor may recommend; the most common is a CPAP (continuous positive airway pressure) machine. Additional methods of treatment may include medication, oral appliances, surgery, or lifestyle adjustments such as losing weight or quitting smoking.

Jamaica Hospital’s state- of-the-art Sleep Center provides several testing options to diagnose and treat sleep disorders such as obstructive sleep apnea. Our staff consists of highly skilled, board-certified sleep specialists and respiratory therapists. We also boast an impressive 2:1 technician patient ratio, which provides our patients with the optimal attention they need during their sleep study. To schedule an appointment with Dr. Mayank Shuklah or other sleep specialists at Jamaica Hospital, please call, 718-206-5916.

Natural Ways to Maintain a Healthy Metabolism

Posted on February 21, 2017 by Xavia Malcolm

Metabolism is the process in which our bodies convert fuel from the food we eat into energy. The body will either use this fuel immediately or store it in the tissues of the liver or muscles as glycogen or other parts of the body as fat.

The metabolic process involves combining the calories in food with oxygen to produce the energy needed to help the body function optimally. The number of calories your body utilizes to carry out basic functions such as moving, growing and cell repair is known as your basal metabolic rate (BMR).

It is essential that you maintain a healthy BMR. Fluctuations or abnormalities of the basal metabolic rate can result in weight gain, fatigue, endocrine and immune dysfunction.

The first step in maintaining a healthy BMR is to find out what your numbers are. Basic metabolic rate is usually determined by using one of two formulas:

Men: BMR = 88.362 + (6.251 x weight in lbs) + (12.189 x height in inches) – (5.677 x age in years)

Women: BMR = 447.593 + (4.203 x weight in lbs) + (7.869 x height in inches) – (4.330 x age in years)

It is highly recommended that you obtain accurate numbers from a certified fitness professional, a registered dietitian or your physician.

According to Jamaica Hospital Medical Center, Registered Dietitian, Lindsay Chetelat, “Your next steps to maintaining a healthy BMR include applying long-term lifestyle changes.” Some of these changes are:

Eating a healthy breakfast every morning
Exercising – Cardio with strength training
Including sources of lean protein at all meals
Eating regularly- Chetelat advises eating small and nutritious meals every three to four hour
Eating enough- Eating less than 1200 calories per day can actually cause your metabolism to slow down.

Jamaica Hospital Medical Center’s Nutritional Services Department assists patients to grow their knowledge about nutrition, wellness and healthy eating. An appointment with a Registered Dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting. To make an appointment, please call 718-206-7056.