The Fight Against Obesity is a Family Affair

Posted on June 2, 2015 by Joann Ariola

The childhood obesity problem in the United States has reached epidemic proportions with many political leaders and health advocates turning their attention to bringing awareness to this issue.

Interventions have been suggested, school lunches have become healthier and more attention has been given to the benefit of outside play, recess, and cutting back on the consumption of processed foods.

One of the most effective solutions to the issue of childhood obesity may be a simple one; scheduling time for a healthy family dinner. The ritual of eating meals together, as a family, has shown to greatly improve healthy eating habits.

Studies have shown that families who dine while watching television tend to be heavier than those who make to time to sit down, together, for a meal on a regular basis. As a parent, eating with your family will give you the opportunity to encourage our children to eat mindfully, reinforce healthy eating habits and teach your children to eat slowly.

Some idea’s to make family meals regular events at your house are:

Turn off the TV
Make a date to have a meal together
Share the meal preparation process with the whole family
Select a healthy alternative to a favorite meal

In addition, eating is about so much more than the food and nutrients we receive from it. Meal time should be pleasurable, social and a time to connect with each other.

If you or someone you know is struggling with obesity, contact the Jamaica Hospital Medical Center’s Ambulatory care Center to schedule an appointment with one of our licensed Nutritionist’s at 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.

Diabetes and Surgery

Posted on April 16, 2015 by Andrew Rubin

A surgical procedure for any patient requires a certain amount of preparation, both for the pre-operative phase and the post-operative phase. A patient with diabetes however has to be monitored very closely because they are at greater risk of developing complications than non-diabetic patients.

Your physician will tell you when you should eat before surgery and when you should take your last dose of diabetes medication prior to any surgical procedure. During the surgical procedure your blood glucose levels will be monitored to make sure that it stays with normal range (80-150 mg/dL).

Diabetic patients post operatively may experience:

Poor wound healing
Hyperglycemia or hypoglycemia
Infection at the wound site
Electrolyte imbalance
Diabetic ketoacidosis

After the surgical procedure is over, check your blood sugar level frequently because you may not be eating properly, may be less active, and are stressed. Diabetic patients may require a few days in the hospital post-op to have their glucose levels monitored carefully. If you are a diabetic patient and are scheduled for surgery, discuss pre and post-operative preparations with your surgeon.

The Dangers of Sleep Apnea

Posted on March 26, 2015 by Michael Hinck

Sleep apnea is a serious disorder that occurs when a person’s breathing is interrupted during sleep.

Being overweight, over 40, or having a history of sleep apnea in your family are all factors that can increase your risk of developing this condition. Men are more likely to develop sleep apnea than women. Other health factors that can lead to sleep apnea include: reflux, GERD, sinus issues, allergies, or a nasal obstruction due to a deviated septum.
If left untreated, sleep apnea can result in a growing number of health problems, including:

• High blood pressure
• Stroke
• Heart failure, irregular heartbeat, and heart attack
• Diabetes

Symptoms of sleep apnea include loud snoring, restless sleep, frequently waking up while you are sleeping (sometimes with a choking sensation), and waking up with a sore throat. Those who suffer from sleep apnea also feel tired and lack energy while they are awake, experience mood changes, have lapses in concentration, and are forgetful. These waking symptoms can result in decreased productivity at work or school and can lead to potentially dangerous situations, especially while driving.

If sleep apnea is suspected, your doctor may recommend a sleep apnea study called a polysomnogram, which is a test administered by a qualified sleep specialist in a designated sleep center. While at the sleep center, you are assigned a private room where special equipment is used to monitor you. This equipment transmits and records specific physical activities while you sleep. Special technicians determine if you have sleep apnea. If sleep apnea is diagnosed, you may be asked to do further sleep testing in order to determine the best treatment option.

The most common form of treatment is Continuous Positive Airway Pressure (CPAP). This is a treatment in which a mask is worn over the nose and/or mouth while you sleep. The mask is connected to a machine that delivers a continuous flow of air into the nose. This air flow helps keep the airways open so that breathing is regular. Another treatment option is the utilization of dental devices designed to help keep the airway open. Some might benefit from surgery if their sleep apnea is caused by a deviated septum, enlarged tonsils, or a small lower jaw with an overbite.

There are things that people with sleep apnea can do to improve their condition including losing weight, avoiding alcohol and sleeping pills, and quit smoking. Other things that can potentially help are changing sleep positions to improve breathing and avoid sleeping on your back.

If you think you have sleep apnea, speak with your doctor about a sleep apnea test. Jamaica Hospital recently opened a state-of-the-art sleep center for those in need. For more information or to schedule an appointment, please call 718-206-5916.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

Diabetes and Circulation

Posted on February 12, 2015 by Andrew Rubin

If diabetes isn’t controlled, it can lead to complications within the body. One of the more common conditions is poor circulation. Diabetes can cause the blood vessels to narrow, harden and impair the ability of blood to circulate properly. If there is decreased blood flow in the body, especially the feet and legs, complications can occur. The following complications can occur:

• Poor wound healing
• Loss of sensation
• Muscle cramps while walking
• Higher rate of amputation

Some of the warning signs of circulatory problems caused by diabetes include:

• Blurry vision
• Foot sores
• Burning or tingling in the feet and hands
• Weight gain
• Swelling of the extremities

The long term effects of poor circulation caused by diabetes can eventually lead to blindness, kidney failure, high blood pressure, stroke and heart disease.

Exercise, especially walking, can help to improve circulation. Depending on the severity of the problem, a physician may be able to prescribe medications that will help the circulation. Speak to your physician about how to keep your diabetes under control. You may schedule an appointment with an endocrinologist at Jamaica Hospital by calling 718-206-6742.

Palliative Care vs Hospice Care

Posted on February 3, 2015 by Joann Ariola

When you are faced with the decision of choosing whether palliative care or hospice care better suites the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS) and other neurological diseases. Palliative care can be used at any stage of illness –not just advanced stages.

Hospice care is palliative by nature, but is only offered when the patient has progress to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited with palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure, but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social worker, spiritual care, bereavement care and volunteers. In some cases physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity and quality of life and not about giving up. If you, or a loved one should need information on palliative or hospice care, Jamaica Hospital Medical Center’s Palliative Care and Hospice Care services can help. To schedule an appointment for an evaluation, or to just talk, call 718-206-6914.

The NERVE of Diabetes

Posted on January 9, 2015 by Joann Ariola

According to the Centers for Disease Control and Prevention, 25.8 million people in the United States have diabetes. Typically, 60 to 70 percent of people with diabetes have some sort of nerve problems, know as neuropathy.

Neuropathy is a shorter term for peripheral neuropathy, meaning nerve damage in the peripheral nervous system. Neuropathy from diabetes can damage the nerves in your hands, arms, feet and legs. This condition can cause pain, numbness and weakness. Depending on the degree of neuropathy, and how long you have been a diabetic, nerve problems can occur in every organ system, including the digestive tract, heart and reproductive organs.

The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathy also appears to be more common in people who have issues with controlling their blood glucose, have high blood pressure and are overweight.

Symptoms of diabetic neuropathy vary depending on the nerves affected and develop gradually over the years. Symptoms may include:

Trouble with balance
Numbness and tingling of extremities
Abnormal sensation to a body part (Dysesthesia)
Diarrhea
Erectile dysfunction
Urinary incontinence
Vision changes
Burning or electric pain in extremities

When treating diabetic neuropathy, a nutritionist may recommend healthier food choices and exercise to help lower your glucose and glycohemoglobin levels. Additionally, analgesics and low doses of antidepressants can be prescribed for pain relief, burning and tingling.

If you are a diabetic and have been experiencing symptoms of neuropathy, Jamaica Hospital Medical Center’s Ambulatory Care Center and Department of Nutrition can help. Call 718-206-7001 to get the process started.

What Happens During A Diabetic Coma

Posted on November 25, 2014 by Xavia Malcolm

A diabetic coma results from either very high or very low blood glucose levels. This is a life-threatening complication which causes the patient to fall into a state of unconsciousness. The coma is reversible if treated immediately, but if left untreated they may receive permanent brain damage or potentially die. There are three main types of diabetic comas: severe hypoglycemia, diabetic ketoacidosis and diabetic hyperosmolar. Each type of coma can be brought on by excessive food intake, failure to take the proper doses of medication, trauma, illegal drug use, alcohol consumption or infection.

Hypoglycemia occurs when the body has insufficient glucose. If the brain does not have enough glucose, it cannot function properly which later causes you to pass out. Diabetic Ketoacidosis is common amongst people with type 1 diabetes and is triggered by the build-up of ketones. Ketones build up when sugar levels are too low and the body begins to burn fat for energy. Diabetic hyperosmolar occurs when your blood sugar is dangerously high, causing your blood to get thick and syrupy. Your body will try to get rid of the excess sugar by passing it in urine. This will cause frequent urination that can lead to dehydration.

There are several symptoms that will alert you if your sugar levels are dangerously high or low:

Fatigue
Sudden and extreme hunger
Frequent urination
Fruity-smelling breath
Shaking or nervousness
Irregular heartbeat
Confusion

If you are experiencing these symptoms check your blood glucose levels right away and seek immediate medical attention. The best way to avoid diabetic comas is through prevention and managing your diabetes. You can manage your diabetes by checking your blood sugar regularly, exercising, sticking to your recommended diet, staying hydrated and taking the proper doses of medication. For more information on diabetes management and early prevention Jamaica Hospital offers a free diabetes prevention program, to sign up please call 718-206-7088.

Your Child and the Battle Against Junk Food

Posted on October 20, 2014 by Xavia Malcolm

Childhood obesity has become a common health concern for parents. It is estimated that one in every five children is overweight. A child is defined as obese when they are well above the normal weight for their age. One of the contributing factors in obesity is unhealthy eating habits. It is recommended that parents introduce healthy eating to children as early as possible. For some, this may be easier said than done, because children are so easily attracted to the appeal of junk food.

What makes junk food enticing to children is sugar, high sodium, the taste of fat; commonly hydrogenated oils, in addition to bright, colorful packaging, fun shapes and unnatural food coloring. Parents can win the fight against junk food by making healthy food more appealing to children’s senses.

Here are a few tips on converting kid favorites into 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.
Meat lasagna- Load lasagna with vegetables instead of meat, choose low-fat cheese and whole-grain pasta.
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 and Twitter pages for suggestions. In addition to healthy eating, keep your family physically active and also make an appointment with your family doctor to ensure that everyone is at their recommended weight. Feel free to share these tips with friend and family.