Travel Tuesday: Tips For Traveling With Prescriptions

The holiday season is one of the busiest times for airplane travel. The Transportation Security Administration (TSA) recently shared that it expects almost 40 million people to fly this year. Among those travelers are people who need to pack their prescriptions for their trips.

Each country has rules for what is permissible or legal.  Therefore, it is important to check with your destination’s embassy and learn the laws when flying with your prescriptions.

For those traveling to and from the United States, TSA provides the following information:

  • It is not necessary to present your medication to or notify an officer about any medication you are traveling with unless it is in liquid form (See next bullet).
  • Medication in liquid form is allowed in carry-on bags in excess of 3.4 ounces in reasonable quantities for the flight. It is not necessary to place medically required liquids in a zip-top bag. However, you must tell the officer that you have medically necessary liquids at the start of the screening checkpoint process. Medically required liquids will be subject to additional screening that could include being asked to open the container.
  • You can bring your medication in pill or solid form in unlimited amounts as long as it is screened.
  • You can travel with your medication in both carry-on and checked baggage. It’s highly recommended you place these items in your carry-on in the event that you need immediate access.
  • TSA does not require passengers to have medications in prescription bottles, but states have individual laws regarding the labeling of prescription medication with which passengers need to comply.
  • Medication is usually screened by X-ray; however, if a passenger does not want a medication X-rayed, he or she may ask for a visual inspection instead. This request must be made before any items are sent through the X-ray tunnel.
  • Nitroglycerin tablets and spray (used to treat episodes of angina in people who have coronary artery disease) are permitted and have never been prohibited.

Packing your medications safely and according to TSA guidelines can help avoid delays during airport security screenings.  Remember to check the laws on medications for your destination; some medications that are considered legal in the U.S. may be unlicensed or classified as controlled substances in other countries.

For more information on TSA medication guidelines, please visit https://www.tsa.gov/

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.

Pinched Nerve

A pinched nerve is a non-medical term used to describe a compressed nerve. A pinched nerve sensation occurs when surrounding tissues place too much pressure on a nerve. As a result, a person may experience short-term or long-term tingling, numbness, pain, or muscle weakness in the affected area.

There are several types of pinched nerves characterized by the location of the compressed nerve and the part of the body it serves. This includes the pinching of a root nerve in the spine which causes tingling and pain in other parts of the body. This is known as radiculopathy.

A common type of radiculopathy is sciatica which causes pain along the sciatic nerve in the lower back and down the legs. Other conditions that can develop as a result of a pinched nerve are:
• Radial tunnel syndrome which occurs when the radial nerve in the elbow is affected
• Carpal tunnel syndrome which occurs when the median nerve in the wrist is affected
• Tarsal tunnel syndrome which occurs when the tibial nerve in the heel is affected

Some people are more at risk of experiencing a pinched nerve than others. They include those who:
• Were assigned female at birth
• Have rheumatoid arthritis
• Have diabetes
• Have thyroid disease
• Have bone spurs
• Are pregnant
• Are obese
• Are age 50 and older
• Perform activities that require repetitive movement of the wrist, shoulders, or hands

Most cases of a pinched nerve are mild and symptoms may go away in a few days or weeks. Your doctor may recommend treatment that involves over-the-counter medications, physical therapy, resting the affected area, pausing certain activities, or applying heat and ice.

Do not ignore the symptoms of a pinched nerve if they last longer than normal. Chronic pain, numbness, tingling, or other associated symptoms can indicate a serious problem.

Early detection can help you avoid complications. Your doctor can diagnose a pinched nerve by ordering imaging tests such as MRI, blood tests, spinal tap, or a nerve conduction study. Surgery is often used as a last resort to treat long-lasting symptoms.

An untreated neurological condition can significantly interfere with your ability to function daily, but with the help of our expert team of neurologists, you can get the treatment you need to prevent disability and maintain a high-quality, active life. To schedule an appointment, please email [email protected].

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.

Sleepwalking

Sleepwalking or somnambulism is a sleep disorder that causes you to walk around or perform other activities while asleep. Approximately 7% of people have sleepwalked once in their lifetime.

Sleepwalking tends to run in families, and it occurs more commonly in children than adults. Children usually outgrow the condition by the time they’ve reached their teenage years or by the time they become adults. Sleepwalking may however continue into adulthood for some individuals.

In addition to age and genetics other factors that may lead to sleepwalking include:

  • Taking certain medications
  • Stress
  • Lack of sleep
  • Fever
  • Obstructive sleep apnea
  • Restless leg syndrome
  • Alcohol use

Sleepwalking typically happens 1 to 2 hours after falling asleep and may last for several minutes. SleepFoundation.org states that a sleepwalking episode may involve:

  • Walking or running
  • Urinating in inappropriate places
  • Open, glassy eyes with a blank look on the face
  • Routine actions, like getting dressed
  • Minimally responsive or incoherent speech

People who sleepwalk may also sleep eat or take part in sexual activity without being aware of it.

It is important to take steps to create a safe environment and prevent injuries in people who sleepwalk. This can be done by keeping doors and windows locked, securing dangerous items, removing breakable items, or using alarms or motion-sensing devices.

Sleepwalking occasionally is not a concern and does not require treatment. However, if episodes occur frequently, for example, one or two nights a week, or more you should see a doctor.  You should also speak with a doctor if sleepwalking leads to dangerous behaviors, disturbs or puts others at risk for injury, continues into a child’s teen years, or begins in adulthood.

Diagnosing sleepwalking may include a physical examination, reviewing your medical history, or participating in an overnight sleep study.  Treatment may involve cognitive behavioral therapy, applying relaxation and stress reduction techniques, scheduled waking, or medication.

To speak with a specialist about sleep-related health problems you may be experiencing, please schedule an appointment with Jamaica Hospital’s Sleep Center by calling 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.

Foods Asthma Sufferers May Want To Avoid

Although food is not a common trigger for asthma, some people with the disease may develop symptoms or adverse reactions as a result of eating certain foods or additives.

According to the Asthma and Allergy Foundation of America, asthma-triggering foods can include those that contain sulfites an additive found in:

• Pickled foods
• Packaged potatoes
• Dried fruits and vegetables
• Wine and beer
• Shrimp
• Bottled lemon or lime juices
• Some condiments

Foods that contain salicylates, a naturally occurring chemical compound, have also been known to trigger symptoms in some people with asthma. Salicylates can be found in:

• Teas and coffees
• Certain herbs and spices

Additionally, foods that can cause gas or bloating such as beans, fried foods, carbonated drinks, onions, or garlic may make breathing more difficult for people with asthma.

Lastly, if you are allergic to certain foods, it is best to avoid them. An allergic reaction to these foods can also trigger an asthma attack.

Asthma sufferers should be careful about the foods they eat. Food allergies or reactions vary depending on the individual; therefore, speaking with a doctor about foods to eliminate or add to a diet is recommended.

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.

Eastern Equine Encephalitis

Eastern equine encephalitis (EEE) is a serious infection that causes encephalitis or severe brain inflammation. It is spread through the bite of a mosquito infected with the EEE virus or EEEV.  Eastern equine encephalitis cannot be transmitted from person to person.

The EEE virus can affect the way the brain and nerves function, and potentially lead to long-term or life-threatening complications.

Some people infected with EEEV may not present with any symptoms; however, if symptoms appear, they could range from mild to severe and include:

  • Fever
  • Muscle pain
  • Joint pain
  • Chills
  • Diarrhea
  • Headache
  • High fever
  • Vomiting
  • Drowsiness

The symptoms of an EEE infection typically appear 4-10 days after being bitten by an infected mosquito.

An EEE infection may progress into more serious complications such as:

  • Seizures
  • Coma
  • Behavioral changes
  • Paralysis

According to the Centers for Disease Control and Prevention (CDC), a third of the people who develop severe EEE die and those who survive may have some degree of brain damage; therefore, it is important that you see a doctor if you are experiencing any symptoms.

Your doctor may diagnose EEE based on signs and symptoms, travel history (traveling to areas where the EEE virus is prevalent), mosquito exposure, and blood or spinal lab tests. Treatment typically involves getting enough fluids, rest, or taking over-the-counter medications to relieve pain. Patients may require hospitalization in severe cases.

Eastern equine encephalitis can be prevented by protecting yourself from mosquito bites. The CDC recommends using insect repellant, wearing protective clothing, and taking steps to control mosquitos indoors and outdoors.

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.

Hypersomnia

Hypersomnia is a chronic sleep disorder characterized by excessive sleepiness. Hypersomnia can be categorized as primary or secondary.

Primary hypersomnia is not caused by any other medical conditions; it is a condition in its own right.  Conditions classified as primary hypersomnia include narcolepsy, Kleine-Levin syndrome, and idiopathic hypersomnia.

Secondary hypersomnia results from other medical conditions such as epilepsy, multiple sclerosis, Parkinson’s disease, obstructive sleep apnea, depression, or bipolar disorder. It can also result from taking certain medications such as anti-hypertensive drugs, barbiturates, and anti-psychotics.

People living with hypersomnia feel extremely tired or sleepy during the day, even after getting adequate sleep at night.  They have difficulty staying awake and fall asleep several times during the day. Other signs and symptoms of hypersomnia include:

  • Sleeping longer than normal (10 or more hours each day)
  • Difficulty waking up in the mornings
  • Difficulty concentrating
  • Memory problems
  • Hallucinations
  • Slow thinking and speech
  • Anxiety
  • Low energy
  • Irritability
  • Headache

Ignoring the signs and symptoms of hypersomnia can put you at risk for accidents and greatly affect your social, work, and personal life.

If you are consistently feeling sleepy despite getting adequate rest, you should speak with your doctor who can order several tests to determine a diagnosis.

Diagnosing hypersomnia may include getting an overnight sleep test, a multiple sleep latency test, or assessing your sleepiness using an Epworth Sleepiness Scale.

Treatments for hypersomnia may include medications and making lifestyle changes such as sticking to a sleep schedule and avoiding alcohol and other substances that can affect your sleep.

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.

10 Signs And Symptoms of Cancer You Should Not Ignore

The American Cancer Society has recently reported that a little over 2 million new cancer cases are expected to be diagnosed in the US in 2024. Within that group, approximately 611,720 individuals may lose their battles to the disease.

Early detection of certain cancers and early intervention can increase survival rates, or help many people live longer after a cancer diagnosis.

Screenings are essential in detecting some cancers early and helping to prevent cancer-related deaths. Paying attention to signs and symptoms of the disease and notifying your doctor can also help with early detection.

Here are 10 signs and symptoms of cancer you should not ignore:

  1. Chronic coughs or hoarseness
  2. Shortness of breath
  3. Unexplained weight loss
  4. Extreme fatigue that does not get better with rest
  5. Skin changes, such as changes in moles
  6. Changes in bowel or bladder movements
  7. Unusual bleeding or bruising
  8. Breast lumps
  9. Difficulty swallowing
  10. Frequent fevers

See your doctor if you are experiencing any of these symptoms, especially if they are persistent. Your physician can conduct tests to determine a diagnosis.  There is no single test to diagnose cancer; therefore, testing may include a combination of diagnostic imaging, biopsies, blood tests, urinalysis, genetic testing, or endoscopic examination.

To schedule an appointment with an oncologist at our MediSys Health Network Cancer Center, or to learn more about our cancer care program, please call (718) 206-6742.

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.

Can Diabetes Be Reversed?

Diabetes is a disease that occurs when our blood sugar or glucose is too high. This happens when the pancreas does not produce enough insulin, or can’t use insulin properly to regulate blood glucose.

Diabetes is diagnosed in a significant amount of people in our population; the Centers for Disease Control and Prevention recently reported that approximately 38.4 million people in the United States have diabetes, which is 11.6% of the population.

Complications such as vision loss, amputation, heart attacks, stroke, kidney disease, and even death can occur as a result of diabetes.

There is no cure for diabetes; however, the disease can be managed, and in some cases reversed through treatment and (or) healthy weight loss and lifestyle changes.

Reversing diabetes or putting it in remission means managing blood sugar levels and keeping your A1c below 48 mmol/mol or less than 6.5%, without needing to take medications for three months or more.  This may be achieved by:

  • Losing weight, which may help cells respond to insulin
  • Exercising by doing a combination of aerobic and strength training activities
  • Eating a healthy diet that is rich in lean proteins, vegetables, fruits, healthy fats and whole grains
  • Avoiding foods that are high in carbohydrates

It is important to note that diabetes reversal or remission is not permanent. Therefore, there is a chance that symptoms can return.  Please see your doctor right away if you are experiencing any of the following signs that are indicative of your diabetes being out of remission.

  • Frequent infections
  • Increased hunger, thirst, or urination
  • Blurry vision
  • Unexplained weight loss
  • Fatigue
  • Slow healing wounds
  • Tingling or numbness in hands or feet

In addition, continue to see your healthcare provider regularly to ensure your diabetes is being managed well.

To schedule an appointment with a doctor 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.

Calculating Smoking Pack Years

A pack year is used to measure how much a person has smoked over a long period. According to the National Cancer Institute, a pack year “is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked. For example, 1 pack year is equal to smoking 1 pack per day for 1 year, or 2 packs per day for half a year, and so on.”

Along with a person’s age and smoking history, quantifying a pack year can help doctors determine whether someone should be screened for lung cancer.  Lung cancer screenings are appropriate for adults who are longtime smokers and are at risk of developing the disease.  The US Preventive Services Task Force (USPSTF) recommends yearly lung cancer screenings for individuals who:

  • Are between 50 and 80 years old
  • Have a 20-pack-year or more smoking history
  • Currently smoke or have quit within the past 15 years

A low-dose computed tomography or low-dose CT is the only recommended screening test for lung cancer at this time.  This machine works by scanning the body using low doses of radiation to produce detailed images of the lungs.

The USPSTF advises yearly screenings should stop when a patient:

  • Has not smoked in 15 or more years
  • Turns 81 years old
  • Develops a health problem that makes them unwilling or unable to have surgery if lung cancer is found

Getting an annual screening for lung cancer can save lives by detecting the disease early when there is a greater chance it can be cured.  While annual screenings are effective, they are not for everyone.  Therefore, if you are at risk of developing lung cancer, speak with your doctor to learn if this is the best approach for you.

Jamaica Hospital Medical Center offers a lung cancer screening program to the community. For more information about our program, please call 718-206-5603 or email [email protected].

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.

How Being Outdoors Benefits Mental Health

Nature provides us with many healing properties including natural light from the sun, green spaces such as parks, and blue spaces such as bodies of water; all of which have been proven to have positive effects on our mental health.

Spending time regularly in nature can promote good mental health by helping our minds to relax and rejuvenate. Furthermore, research shows that regular exposure to nature has been linked to a host of other mental health benefits. Here are a few:

  • Improved cognitive function
  • Improved focus
  • Improved memory
  • Increased creativity
  • Decreased stress
  • Decreased anxiety symptoms
  • Decreased feelings of loneliness
  • Reduced depression symptoms

We must connect regularly with nature to reap its benefits. We can nurture our connection by partaking in activities such as hiking, going to the beach, or camping.

For those who are unable to plan getaways or excursions, getting access to nature does not always need to include extensive planning or activities. We can also enjoy nature in urban or small spaces, and in a few minutes each day by:

  • Going to a park
  • Tending to a plant or garden at home
  • Spending time in our backyards
  • Looking outside our windows at trees and plants
  • Placing a plant in our workspaces
  • Sitting by a pond
  • Listening to nature sounds, such as raindrops or the ocean

Maintaining good mental health is crucial for our overall well-being. This can be accomplished by incorporating time in nature into our daily routines, and, most importantly, seeking the care and support we need when we experience symptoms of a mental health condition.

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.

 

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.