Health Beat

Signs of High Stress

Posted on March 12, 2025 by Patrick Hercules

Stress is a natural human reaction that happens to everyone. Your body is built to react to stress in ways meant to protect you against threats from predators and other aggressors. These threats are rare today, however, that doesn’t mean that life is free of stress.

Stress responses help your body adjust to new situations. Stress can be positive by keeping you alert, motivated, and ready to avoid danger. However, stress becomes a problem when stressors continue without relief or periods of relaxation.

Stressors can be positive and negative; getting a new job or losing a job can cause stress. Other causes of stress include:

An illness or death of a loved one
Marriage, separation, or divorce
Financial issues
Moving into a new house
Going on vacation
Having a baby
Retiring

There are three main types of stress: acute, episodic acute, and chronic.

Acute stress- is a short-term stress that comes and goes quickly. It can be positive or negative. It is the feeling you get when you ride a rollercoaster or have a fight with a significant other. Everyone experiences acute stress from time to time.
Episodic acute stress- is when you experience acute stress regularly. With this type of stress, you don’t get the time you need to return to a calm, relaxed state. Episodic stress frequently affects people working in certain professions, such as healthcare providers.
Chronic stress- is long-term stress that can last for weeks or months. It can be caused by troubles in your marriage, issues at work, or financial problems. It is important to find ways to manage chronic stress because it can lead to health issues.

The body’s autonomic nervous system controls the heart rate, breathing, vision changes, and more. It also triggers the body’s “flight-or-fight” response as a way to react to stressful situations.

Having a continuous activation of this stress response can cause wear and tear on the body. It can cause you to develop stress symptoms that are physical, psychological, or behavioral.

Physical stress symptoms can include:

Aches and pains
Chest pain or the feeling of your heart racing
Exhaustion or insomnia
Headaches, dizziness, or shaking
High blood pressure
Muscle tension or jaw clenching
Stomach or digestive problems
Trouble having sex
A weakened immune system

Psychological stress symptoms can include:

Anxiety or irritability
Depression
Panic attacks
Sadness

Chronic stress can lead to several long-term issues that affect your immune, digestive, cardiovascular, and reproductive systems.

People with chronic stress try different things to cope. Some of these things can become habit-forming and can impact your health. Behavioral stress symptoms can include:

Alcohol use disorder
Gambling disorder
Overeating or developing an eating disorder
Participating compulsively in sex, shopping, or internet browsing
Smoking
Substance abuse disorder

It can be difficult to diagnose stress due to its subjectivity. It isn’t measurable with tests because only the person experiencing it can determine whether it is present and how severe it feels. A healthcare provider may use questionnaires to understand your stress and how it affects your life.

If you have chronic stress, your healthcare provider can evaluate symptoms that result from stress, such as diagnosing and treating high blood pressure.

Stress is something that can’t be avoided. However, you can prevent it from becoming overwhelming by practicing daily stress relief strategies, including the following:

Eating a healthy diet and getting regular exercise and sleep
Doing relaxation exercises such as yoga, deep breathing, massages, or meditation
Keeping a gratitude journal
Taking time for hobbies
Fostering healthy relationships and talking with your friends and family
Finding ways to include humor and laughter in your life
Volunteering in your community
Organizing and focusing on what you need to get done at home and work and removing unneeded tasks
Seeking professional counseling

Embracing mindfulness and learning to manage stress can reward you with peace of mind, fewer stressors and less anxiety, and a better quality of life. 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.

COPD Myths

Posted on March 7, 2025 by Patrick Hercules

Chronic obstructive pulmonary disease, or COPD, is a group of health conditions, such as chronic bronchitis and emphysema, that limit airflow in the lungs.

Many myths and misconceptions exist about COPD. Here are some misconceptions surrounding COPD:

Myth #1: Only people who smoke get COPD

COPD is often associated with smoking, as smoking cigarettes and other tobacco products is the most common cause of the damage done to the lungs and airways. However, nearly 30% of people with COPD have never smoked a cigarette. Nonsmoking causes of COPD include:

Long-term exposure to polluted air, such as smog in an urban area or dust and fumes at a workplace
Genetics plays a role, specifically a condition called Alpha-1 antitrypsin deficiency (Alpha-1)
Asthma that’s active or even inactive. Researchers have found that 29% of people with asthma eventually receive a COPD diagnosis
Childhood respiratory illnesses, such as pneumonia

Myth #2: COPD is rare

According to estimates from the Centers for Disease Control and Prevention (CDC), over six in 100 adults in the U.S. had a COPD diagnosis in 2022.

That means millions of adults across the country have received a diagnosis of COPD. The actual proportion of adults with COPD may be higher due to delays in obtaining a diagnosis.

Myth #3: Exercise is too hard if you have COPD

Shortness of breath, wheezing, a chronic cough, and fatigue can all be a part of COPD. Any one of these symptoms can make exercising challenging.

Moderate exercise may not affect your lungs. In some cases, exercise can minimize the symptoms of COPD while strengthening the heart and helping reduce stress.

Try to build up to 20 to 30 minutes of exercise three to four times a week. Combine safe cardiovascular activities such as walking or biking with stretching and strength-building. It won’t be easy to start exercising. Speak with your healthcare provider about building an exercise plan that works for you. They may be able to connect you with a respiratory therapist for breathing techniques and exercises you can do. It is recommended that you speak to your doctor about your health before starting a new exercise regimen.

Myth #4: Only older people develop COPD

COPD is more common in people 65 or older. However, younger people can also develop this condition.

A 2023 study found that COPD affected more than 1.6% of adults ages 20 to 50 in the U.S. Adults aged 35 to 50 had a higher risk of COPD than those under the age of 35.

A history of smoking or secondhand smoke exposure significantly increases the risk of COPD in young adults.

Myth #5: COPD is a man’s disease

The Centers for Disease Control (CDC) reports that women are more likely to develop COPD than men in the U.S.

More women than men have also died from COPD since 2000 in the U.S.

Exposure to tobacco smoke and other pollutants raises the risk of COPD for anyone; however, women can experience more harmful effects than men from these pollutants.

Women with COPD also tend to get a diagnosis later than men, after the disease has progressed and treatment is less effective. This may contribute to reduced survival in women with COPD.

Myth #6: Nothing can be done to treat COPD

COPD treatments are available to help limit symptoms and potentially slow the progression of COPD.

Your treatment plan can include lifestyle changes like quitting smoking (if you smoke), as well as one or more of the following:

Vaccinations
Medications
Pulmonary rehabilitation
Supplemental oxygen
Lung transplant
Surgery

Talk with your healthcare provider to learn more about your treatment options.

Myth #7: There’s no point in quitting smoking after you develop COPD

Avoiding tobacco smoke is one of the most important things you can do to manage COPD.

If you smoke, cutting back and quitting can help limit symptoms and slow the progression of COPD.

Although more research is necessary, it may also be helpful to avoid e-cigarettes and other vaping products.

Avoiding smoking and vaping altogether is likely your healthiest option. Talk with a healthcare provider to learn about smoking cessation counseling, medication, or other resources that can help you cut back and quit smoking or vaping.

Jamaica Hospital’s Medical Home Department has partnered with the American Lung Association to bring you Freedom from Smoking, a comprehensive and successful group-based smoking cessation program. For more information or to register, call: 718-206-8494

Missed Periods

Posted on March 5, 2025 by Xavia Malcolm

Many women will have late or missed periods in their lifetime. Depending on the reason, this can be normal.

Pregnancy is one of the most common causes of a missed period; however, it is only one of several reasons why your period may be late or missed.

Missed or late periods may also be caused by:

Stress
Thyroid disorders
Perimenopause
Polycystic ovary syndrome (PCOS)
Pelvic Inflammatory disease (PID)
Breastfeeding
Sudden changes in your weight
Obesity
Extreme or excessive exercise
Taking certain medications

When you don’t get your period at all, this is known as amenorrhea. There are two kinds of amenorrhea: primary and secondary. Primary amenorrhea occurs in females aged 15 and older who have never had their first period. Secondary amenorrhea happens when women who have previously had regular periods stop menstruating for three months or more in a row.

The absence of your period, when not caused by perimenopause, menopause, pregnancy, or breastfeeding, can be indicative of an underlying health condition.

You should see a doctor for missed periods if:

You have missed your period for three months or more consecutively
You have fewer than nine periods in a year
You have not had your period by the age of 16 or 17
There are changes in the pattern of your periods

Your doctor may perform a pelvic examination and order tests, including imaging and hormonal tests, to determine a diagnosis. Treatment for amenorrhea depends on the underlying cause and may involve medications or surgery.

If you have concerns about missed or late periods, please contact Jamaica Hospital Medical Center’s Women’s Health department for an appointment by calling 718-291-3276.

Measles

Posted on March 4, 2025 by Jamaica Hospital Medical Center

Measles is a highly contagious disease that is caused by a virus. It can affect anyone but is most common in children.

Some risk factors for measles include:

Being unvaccinated
Traveling internationally
Having a vitamin A deficiency

Measles infects the respiratory tract and then spreads throughout the body. Signs and symptoms of measles appear around 10 to 14 days after exposure to the virus, they include:

Fever
Dry cough
Runny nose
Sore throat
Inflamed eyes
Koplik’s spots (tiny white spots with bluish-white centers on a red background, which form on the inner lining of the cheek)
A skin rash made up of large, flat blotches that often flow into one another

The infection occurs in stages that span over two to three weeks. These stages include:

Infection and incubation- the measles virus spreads in the body for 10 to 14 days after infection. During that time, there are no signs or symptoms.
Nonspecific signs and symptoms- measles typically begins with a mild to moderate fever, a persistent cough, a runny nose, inflamed eyes, and a sore throat. This mild illness can last two to three days.
Acute illness and rash- a rash consisting of small red spots, some may be slightly raised. Spots and bumps in tight clusters give the skin a splotchy red appearance. The face is usually the first place it appears. The rash spreads down the arms, chest, and back, then over the thighs, lower legs, and feet over the next few days. At the same time, the fever rises to temperatures as high as 104 to 105.8.
Recovery- the measles rash can last for about seven days. The rash fades gradually from the face and lastly the thighs and feet. As other symptoms go away, coughing and the darkening or peeling of the skin where the rash was, lasts about 10 days.

A person with measles can spread the virus to others for about eight days. Starting four days before the rash appears and ends when the rash has been present for four days.

When an infected person coughs, sneezes, or talks, infectious droplets spray into the air where others can breathe them in. Infectious droplets can stay in the air for about an hour and on a surface for several hours.

Many complications can arise from measles, including:

Diarrhea and vomiting
Ear infection
Bronchitis, laryngitis, or croup
Pneumonia
Encephalitis
Pregnancy problems

The U.S. Centers for Disease Control and Prevention (CDC) recommends that children and adults receive the measles vaccine to prevent infection.

Your healthcare provider can usually diagnose measles based on the disease’s characteristic rash and the Koplik’s spot on the inner lining of the cheek. Your healthcare provider may ask whether you or your child received measles vaccines, whether you traveled outside of the U.S. recently, and if you had contact with anyone who has a rash or fever.

The rash can be confused with many other illnesses, however, a blood test can be done to confirm whether the rash is measles. A test using a throat swab or urine sample can also be used.

There is no specific treatment for a measles infection once it occurs. Treatment can include providing comfort measures to relieve symptoms such as rest and treating or preventing complications.

Some measures can be taken to protect individuals who don’t have immunity to measles after they have been exposed to the virus, they include:

Post-exposure vaccination
Immune serum globulin
Medications
- Fever reducers
- Antibiotics
- Vitamin A

If you become sick with severe symptoms, particularly after potential exposure to the measles virus, you must receive treatment from a doctor as soon as possible. You can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Trauma Department- Pedestrian Safety

Posted on February 20, 2025 by Patrick Hercules

Pedestrian safety is critical whether you are driving or walking on the sidewalk. We each have a responsibility to keep each other safe. Here are some safety tips for drivers that will keep themselves and pedestrians safe:

Look out for pedestrians everywhere at all times
Use extra caution when driving in hard-to-see conditions, such as nighttime or bad weather
Slow down and be prepared to stop when turning or otherwise entering a crosswalk
Yield to pedestrians in crosswalks and stop well back from the crosswalk to allow other vehicles to see the crossing pedestrians so they can stop too
Never pass vehicles stopped at a crosswalk. There may be people crossing where you can’t see
Never drive under the influence of alcohol and/or drugs
Follow the speed limit, especially around people on the street, in schools, and in neighborhoods where children are present
Be extra cautious when backing up and look for pedestrians

Here are some safety tips for pedestrians:

Follow the rules of the road and obey signs and signals
Walk on sidewalks whenever they are available
If there is no sidewalk, walk facing traffic and as far from traffic as possible
Cross streets at crosswalks or intersections. Look for cars in all directions, including those turning left or right
If a crosswalk or intersection is not available, locate a well-lit area where you have the best view of traffic. Wait for a gap in traffic that allows enough time to cross safely and continue watching for traffic as you cross
Watch for cars entering or exiting driveways, or backing up in parking lots
Avoid alcohol and drugs when walking as they impair your abilities and your judgment

Taking the proper precautions whether you are a driver or pedestrian is for your safety and the safety of others.

If you or anyone you know is injured due to a car accident, make sure to call 911 right away. Each day Jamaica Hospital Medical Center’s Level 1 Trauma Center treats a high volume of motor vehicle collision injuries in New York City. To learn more, please call (718) 206-6000.

Robotics: Appendectomy

Posted on February 19, 2025 by Patrick Hercules

An appendectomy is a surgical procedure to remove an inflamed or infected appendix. An inflamed or infected appendix is the result of appendicitis.

Appendicitis occurs when your appendix, the finger-shaped pouch that sticks out from the colon on the lower right side of the abdomen gets clogged, infected, and inflamed. It can cause acute pain in your lower abdomen, however, for most people, pain begins around the belly button and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes serious.

Symptoms of appendicitis include:

Sudden pain that begins on the right side of the lower belly
Sudden pain that begins around the belly button and often shifts to the lower right belly
Pain that worsens with coughing, walking, or making other jarring movements
Nausea and vomiting
Loss of appetite
Low-grade fever that may rise as the illness worsens
Constipation or diarrhea
Belly bloating
Gas

Additional symptoms that may develop later in some people can include:

Malaise
Urinary symptoms- needing to go more frequently or more urgently
Bowel paralysis

The size and location of the appendix make it easy for it to become clogged and infected. Your large intestine is home to many bacteria. If they become trapped in your appendix, they overgrow and cause an infection. The bacteria then multiplies quickly causing the appendix to become inflamed and filled with pus. If it is not treated right away, the appendix may burst or break open.

Some common causes of inflammation, swelling, obstruction, and infection in your appendix include:

Hardened poop (appendix stones)
Lymphoid hyperplasia
Colitis

Other factors that could block the opening of your appendix can include:

Tumors
Parasites
Cystic fibrosis

Risk factors for appendicitis include:

Age – anyone can develop appendicitis, but it most often happens in people between the ages of 10 and 30
Your sex – men have a slightly higher risk of appendicitis than women

To help diagnose appendicitis, a healthcare provider will likely take a history of symptoms and examine the abdomen. Tests used to diagnose appendicitis can include:

A physical exam
Blood tests
Urine tests
Imaging tests

Appendicitis may spontaneously resolve if the cause suddenly goes away on its own. This might happen if an obstruction in your appendix gets unblocked and passes through the intestines, or if an infection causing lymphoid hyperplasia in your appendix suddenly improves. However, you shouldn’t assume this will happen or that it has happened, even if your pain has reduced.

The standard treatment includes medicine such as antibiotics and surgery to remove the appendix. Appendicitis is considered an emergency, so it is treated in the emergency room.

An appendectomy can be performed open, laparoscopically, or robot-assisted.

Through the acquisition of the Da Vinci robot surgical platform, Jamaica Hospital Medical Center can now perform minimally invasive robotic surgical procedures.

There are many potential advantages of robotic-assisted surgery over other types of surgery, including:

Robot-assisted surgery provides the surgeon with 3D images inside the abdomen and pelvis that create a clearer picture to reference as they operate.
Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand
You’ll have a few tiny scars.
You’re more likely to experience less pain and less bleeding after surgery compared to open surgery.
A shorter hospital stay.

For more information about robotic surgery or to learn more about other surgical options at Jamaica Hospital Medical Center’s Department of Surgery, please call (718) 206-7001 to make an appointment.

Elevate Her- Gestational Diabetes

Posted on February 13, 2025 by Patrick Hercules

Gestational diabetes is a type of diabetes that develops exclusively in pregnancy when blood sugar levels are too high.

Gestational diabetes develops when hormones from the placenta interfere with your body’s ability to make or use insulin. Insulin breaks down the glucose from food and delivers it to your cells. It keeps the glucose levels in your blood at a healthy level. If insulin doesn’t work right or you don’t have enough of it, sugar builds up in your blood and leads to diabetes.

Anyone can get gestational diabetes during pregnancy. However, certain factors can increase your risk, including:

Heart disease
High blood pressure
Being obese or overweight before pregnancy
Personal history of gestational diabetes in previous pregnancies
Family history of Type 2 diabetes
Having prediabetes
Having polycystic ovary syndrome
Having previously delivered a baby weighing more than nine pounds
Being of a certain race or ethnicity, such as Black, Hispanic, American Indian, and Asian American
Being of an advanced maternal age

There are usually no obvious warning signs of gestational diabetes. Symptoms are too mild and often go unnoticed until your pregnancy care provider tests you for the disease. If you do have symptoms, they can include:

Frequent urination
Excessive thirst
Tiredness
Nausea

Gestational diabetes that isn’t carefully managed can lead to high blood sugar levels. High blood sugar can cause problems for you and your baby, including an increased likelihood of needing a C-section to deliver the baby. If you have gestational diabetes, your baby may be at an increased risk of:

Excessive birth weight
Preterm birth
Serious breathing difficulties at birth
Low blood sugar
Obesity and Type 2 diabetes later in life
Stillbirth

To diagnose gestational diabetes, your healthcare provider will test your blood sugar during pregnancy with a blood test. Often the first test is a screening. If you don’t pass the screening, a provider will order a second blood test which is more comprehensive and includes:

Glucose challenge test
Glucose tolerance test

If you have gestational diabetes, you will need more frequent checkups during your pregnancy. Treatment for gestational diabetes includes:

Lifestyle changes
Blood sugar monitoring
Medication, if necessary

Managing your blood sugar levels helps keep you and your baby healthy. Close management can also help you avoid complications during pregnancy and delivery.

Gestational diabetes isn’t entirely preventable. However, there are steps you can take to reduce your risk. Eating balanced and nutritious meals and getting regular exercise before and after your pregnancy are the best ways to reduce the risk of developing gestational diabetes.

To learn more about the OB/GYN services at Jamaica Hospital Medical Center’s Department of Women’s Health Services or to make an appointment, call 718-291-3276.

Asthmatic Bronchitis

Posted on February 11, 2025 by Xavia Malcolm

Bronchitis is the inflammation of the bronchial tubes or bronchi, which carry air to and from the lungs. It can be caused by a bacterial or viral infection or, in some cases, environmental exposures.

People with asthma are more susceptible to getting bronchitis because asthma can also lead to inflammation of the bronchi— Inflammation caused by asthma narrows the airways, making it easier for bacteria and viruses to become trapped and infect the bronchi.

When someone with asthma develops bronchitis, it is called asthmatic bronchitis (this is not an official medical diagnosis but a term used to describe people with asthma and bronchitis symptoms).

The symptoms of asthmatic bronchitis are similar to those of bronchitis, which are:

Wheezing
Cough with mucus
Chest tightness
Chest congestion
Shortness of breath
Excess mucus production

Common triggers of asthmatic bronchitis include:

Viral or bacterial infections
Pollution
Tobacco smoke
Certain medications
Allergens such as mold, dust, or pollen
Breathing in dangerous chemicals

If you are experiencing symptoms of asthmatic bronchitis, you should see a doctor. Your doctor may ask questions about your symptoms, conduct a physical examination, or order tests.

Treatment for asthmatic bronchitis focuses on getting rid of mucus, reducing inflammation of the airways, and keeping them open. This can be achieved by using inhalers that contain bronchodilators and possibly corticosteroids. Treatment may also involve antibiotics or humidifiers.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call the Division of Pulmonary Medicine at 718-206-5916.

Postpartum Breast Engorgement

Posted on February 10, 2025 by Xavia Malcolm

The body undergoes various physical changes in the first few days after giving birth, including the production of breast milk in preparation for breastfeeding.

As your milk “comes in,” you may experience breast engorgement, which occurs when the breasts become painfully swollen or overly full due to an increase in blood flow, fluid, and milk production.

Postpartum breast engorgement typically happens within the first week after giving birth; however, it may also occur as late as day nine or 10. When breasts are engorged, you may experience:

Pain or tenderness of your breasts
A mild fever
Swelling of both breasts
Hardness or firmness of the breast
Breasts that are warm to the touch
Flat or hard nipples

These symptoms should go away within a few days if you are breastfeeding, but you can also manage them by:

Using a warm compress to encourage milk let down
Applying a cold compress to relieve pain and swelling
Hand expressing a small amount of milk to relieve pressure (Do not express too much milk as this may signal the body to produce more)
Wearing a supportive bra
Taking physician-approved pain medication
Breastfeeding regularly (if you have chosen to breastfeed)

It’s important to note that you may still experience engorgement even if you have chosen not to breastfeed. If you decide not to breastfeed, your body will recognize that it doesn’t need to produce milk, and over time, your milk supply will dry up.

Managing symptoms of breast engorgement is crucial. Prolonged symptoms may indicate more serious health issues, such as mastitis. If symptoms persist for several days, contact your doctor or lactation consultant as soon as possible.

Patient Testimonial – Agostino Romano says, “If it wasn’t for Dr. McKenzie, I’d be dead”, after Dr. Katherine McKenzie Saved His Life.

Posted on February 7, 2025 by Patrick Hercules

“If it wasn’t for Dr. McKenzie, I’d be dead”, is what Agostino Romano said after his experience at Jamaica Hospital Medical Center. Mr. Romano has been a patient of Dr. Katherine McKenzie for the last four years. He was first seen by her to treat perforated appendicitis in 2021. During this time, Dr. McKenzie observed that Mr. Romano wasn’t responding well to standard treatment. She suspected an underlying malignancy and investigated further. Dr. McKenzie diagnosed Mr. Romano with a rare and aggressive cancer called Burkitt’s lymphoma.

Mr. Romano received treatment for the cancer and has been in remission. He returned to see Dr. McKenzie for surgery, an abdominal wall reconstruction with a component separation in 2023. He recovered and is doing well. He continues to see Dr. McKenzie every four to six months. He is back at work and has been able to resume his passions which include cooking and sharing Italian food. He has even made trips to see his family in Italy.

“I wouldn’t go to any other hospital. I’ve formed a bond with them,” Mr. Romano said of Dr. McKenzie and her team. Born in Italy, Mr. Romano lives with his wife of 30 years in Ozone Park, Queens. Despite the surgeries and cancer diagnosis, Mr. Romano keeps a positive perspective: “I have nothing but great things to say, even in the dark times.”