The Winter Itch

Posted on December 2, 2015 by Joann Ariola

Seasonal itchiness is common when the cold, dry winter air takes moisture away from your skin. The top layer of skin is made up of dead skin cells embedded in a mix of natural oils. The oils in this skin layer help keep water inside the body and prevent irritants and germs from entering. The dead cells and skin oils lock some water into the top layer, which keeps the skin soft and smooth. Cold, dry air can damage the top skin layer, allowing water in the skin to escape and cause small cracks that expose underlying cells to irritants and germs. This irritation may cause nerves in the skin to send “itch” signals to the brain.

Weather-related itching may be accompanied by other dry skin symptoms, such as dullness, flakiness, roughness and more visible fine lines. Fortunately, weather-related dry skin isn’t usually serious and is easily treated.

Some products from your local stores can help, such as:

Moisturizers: In the winter, the best types of moisturizers to use are the ones that are oil-based rather than water-based. These are thicker and create a protective layer on the skin that will retain moisture in your skin for longer periods of time.
Sunscreen: Despite the cold temperatures, you can still get sunburned during the winter, which will make your skin even drier. When you plan to be outside, apply sunscreen with a minimum SPF of 15 about 30 minutes before going out. If you are out for longer periods of time reapply the sunscreen every couple of hours.
Gloves: Your hands are one part of your body that is exposed to the cold more often, so protect them whenever you can by wearing warm gloves.
Humidifier: Using a humidifier adds moisture to the air, which can help counteract the effects of using heat in your home or office. Place the humidifier in rooms where you spend most of your time to get the best results.
Oatmeal: Take an oatmeal bath to soothe the itching. In addition to taking these soothing baths, refrain from taking very hot baths and showers in the winter. Instead use warm water and try not to stay in the bath or the shower for too long.

If the itchiness you are experiencing becomes severe or the skin begins to peel or crack significantly, you may have a skin disorder in addition to the typical dryness that occurs during colder months and should consult your physician.

If you itchy skin has become red and cracked, you may want to make an appointment with the Jamaica Hospital Medical Center’s Ambulatory Care Center. It is centrally located and has convenient hours. Call 718-670-XXXXfor 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.

How “Annual” Is Your Annual Physical?

Posted on November 30, 2015 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for an appointment.

November is Diabetes Awareness Month

Posted on November 4, 2015 by Andrew Rubin

The month of November has been designated American Diabetes Awareness Month by the American Diabetes Association (ADA). Diabetes affects nearly 30 million people in the United States which is ten percent of the total population. There are 86 million more people who have pre-diabetes and are at risk of developing type II diabetes during their lifetime.

There is no cure for diabetes but there are many ways for people who have been diagnosed with the disease to live long, healthy lives if it is controlled properly. Learning to live with diabetes is one of the most important components for managing the disease. Proper nutrition, regular physical activity, monitoring blood sugar daily and taking medication to control diabetes are some of the ways that complications can be prevented. Uncontrolled diabetes can lead to many complications. It is the leading cause of blindness, non traumatic amputations, kidney disease and also increases the risk for heart attacks.

During the month of November the ADA sponsors events around the country that serve to make people aware of the risk factors and the warning signs of diabetes. For more information on events taking place, please see the American Diabetes Association’s website at . It is important to have regular medical exams to manage diabetes successfully. To schedule an appointment with a physician at Jamaica Hospital please call 718-206-6742.

Diabetes and Your Oral Health

Posted on October 30, 2015 by Michael Hinck

Living with diabetes can affect your entire body and your mouth no exception. The good news however is that by effectively managing your blood sugar and practicing good oral hygiene habits, you can avoid diabetes-related problems to your teeth and gums.
Diabetes can take a toll on your mouth in the following ways:

• Tooth decay (cavities) – When bacteria in the mouth interact with sugars and starches found in the food we eat, it creates plaque, which destroys the enamel on our teeth and creates cavities. There are more sugars and starches in the mouths of diabetics because they have higher blood glucose levels, and are therefore more susceptible to tooth erosion and damage.

• Gum disease (gingivitis) – Diabetes reduces our bodies ability to fight bacteria, such as plaque. When plaque hardens on the gum line, it creates tartar, which can irritate the gums and cause swelling and bleeding. Gum disease can advance to a condition known as periodontitis, which can result in your teeth falling out.

• Thrush -People with diabetes who take antibiotics to combat infections are more likely to develop this fungal infection of the mouth and tongue, causing a burning sensation. This fungus thrives on the high levels of blood sugar found in the saliva of diabetics.

You can do a lot to avoid these problems, including:

• Manage your diabetes by monitoring your blood sugar and keeping it within your target range

• Take good care of your mouth by brushing at least two times per day with a soft-bristled brush and floss once per day to help remove plaque.

• Schedule regular dental visits and make sure your dentist is aware that you have diabetes and provide him with your doctor’s contact information.

• Look out for early signs of gum disease such as redness, bleeding or swelling. Also alert your dentist of loose teeth or mouth pain.

• Quit smoking as it increases the risk of serious diabetic complications, including gum disease. Ask your doctor about ways to quit if you need help.

If you have diabetes and are experiencing problems with your teeth and gums, make an appointment with your dentist immediately. Jamaica Hospital operates a full-service dental facility on its main campus. For more information or to schedule an appointment, please call 718-206-6980.

The Many Benefits of Garlic

Posted on September 4, 2015 by Michael Hinck

Looking for a wonder drug that can:

• Lower your blood pressure and cholesterol? Check
• Boost your immune system? Check
• Control you diabetes? Check
• Improve your digestive and respiratory system? Check

What is this new, breakthrough drug? It’s not a medication at all; in fact you can find it at your local grocery store. It’s garlic!

Garlic is a plant that is used in many cultures for both culinary and medical purposes for hundreds of years. Eaten on its own, or more commonly used as an ingredient in many tasty dishes, garlic contains allicin, which is known to have anti-oxidant, anti-viral, and anti-bacterial properties.

Garlic has been shown to lower blood pressure by relaxing vein and artery walls. This action helps keep platelets from clumping together and improves blood flow, thereby reducing the risk of stroke. Garlic also decreases the levels of cholesterol and triglycerides, substances that increase the risk of cardiovascular diseases. Studies suggest that regularly eating garlic helps lower blood pressure and controls blood sugar and cholesterol levels.

This popular herb may also improve immunity by stimulating some of the body’s natural immune cells. Studies suggest that garlic may help prevent breast, bladder, skin, stomach, and colon cancer. Garlic’s antibacterial properties also make it a wonderful anti-viral and decongestant to prevent and combat colds, coughs, and upper respiratory tract infections. In addition, Garlic is often used to treat many other common maladies such as ear infections, toothaches, and treatment for warts and athlete’s foot.

Garlic can be digested either cooked or in raw form (but only in small amounts). If you do not like the taste of garlic there are also powdered or caplet forms. Your doctor can recommend which form of garlic is best for you.

For most people, consuming garlic does not cause any serious side effects if taken in moderation, but it can cause heartburn or stomach irritation if taken in excess. Due to its blood thinning properties, individuals taking anti-coagulant medications should speak with their doctor before increasing their daily garlic intake.

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.

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.