Asthma and Alcoholic Drinks

Posted on January 5, 2015 by Andrew Rubin

For most people, a glass of wine, beer or distilled liquor is a nice way to relax, but did you know that for a person with asthma it can cause an attack? Many people end up in hospital emergency departments with alcohol related asthma attacks.

Alcohol contains varying amounts of chemicals, such as histamines and sulfites, that can cause people with asthma to have an attack. They trigger a tightening of the airway which makes it hard to take full breaths. Alcoholic may also cause acid reflux which occurs when liquid in the stomach goes back up in to the esophagus. This reaction can lead to irritation of the airways causing them to swell..

Anyone who knows that they have asthma should be aware of these reactions and should use extra caution when drinking alcohol. Speak to your physician about what to do in case you have this type of reaction and they may be able to recommend a medication that will help to alleviate the symptoms.

If you have asthma and would like to speak with a pulmonologist at Jamaica Hospital, please call 718-206-6742.

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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.

Motor Vehicle Accidents and the Holidays

Posted on December 17, 2014 by Michael Hinck

What time of the year are you most at risk of getting into a motor vehicle accident?

The odds of getting into an accident increase during periods when there are more cars on the road, such as rush hour, or when during periods of inclement weather. But when the number of alcohol impaired drivers increase, the odds skyrocket.

According to National Highway Traffic Safety Administration (NHTSA), 36 fatalities occur per day on average in the United States as a result of crashes involving an alcohol-impaired driver. At certain times of the year, such as holidays, those numbers rise dramatically. For example, during the Christmas season, an average of 45 fatalities involving an alcohol-impaired driver occurred each day, and soars to 54 per day over the New Year’s holiday.

New Year’s Eve is more than just the last day of every year; it is also the holiday with the most arrests made by law enforcement agencies across the United States for suspected drinking and driving.

Jamaica Hospital wants to remind everyone not to drink and drive and to exercise good judgment while on the road this holiday season.

Don’t Throw the Baby Out with the Bath Water

Posted on December 17, 2014 by Joann Ariola

Whether you are a new or seasoned parent, sleepless nights caused by your newborns restlessness can be un-nerving. You ask yourself the basic questions, “Is my baby’s diaper dry or is he/she hungry?” The answer could be, neither. If your baby is fussy, cranky and seems to be experiencing stomach pain, they could be “colicky.”

The condition known as colic is the term that applies to any healthy, well-fed infant, approximately two to three weeks old, who cries more than three hours a day, more than three days per week, for more than three weeks. The exact cause of Colic is unknown, which is why there isn’t a defined prescription to alleviate the discomfort associated with this condition.

Reasons for symptoms could be:

Tummy trouble, perhaps a problem with cow’s milk protein or lactose in some baby formulas.
Reflux, which is heartburn due to stomach acid and milk flowing back into the windpipe.
A growing digestive system with muscles that often spasm.
Hormones that cause stomachaches or a fussy mood.
Oversensitivity or over-stimulated by light, noise, etc.
A moody baby.
A still-developing nervous system.

It is helpful to attempt to ease your infant’s acid reflux. Try feeding half as much and twice as often. A smaller volume of food will empty from the stomach faster leaving less chance of it rising back up in the esophagus. An infant’s stomach is only the size of their own fist, so you can understand why their stomach can become overwhelmed.

Another measure you can take in preventing colic is to make sure you are relieving any gas that may be trapped. Gently rub your baby’s back, in an upward motion, to help release any gas that may have formed during their feeding. Laying your infant down, immediately after a feeding, is discouraged since a prone position can cause acid-reflux.

In addition, crying after a feeding increases intro-abdominal pressure, this can cause abdominal pain so attempt to soothe your infant. The calmer your baby is, the better their stomach will tolerate milk.

There is light at the end of the tunnel. The symptoms usually begin to subside, on its own, by the time the infant reaches three or four months old.

If your baby is experiencing the symptoms of colic, you can make an appointment at The Jamaica Hospital Medical Center’s Ambulatory Care Center. Call 718-206-7005

Can Children with Asthma Keep Pets?

Posted on December 16, 2014 by Xavia Malcolm

The presence of some pets in the home can trigger asthma attacks in children. While many believe pets’ fur is the culprit, it is actually the allergens such as dust and proteins found in pets’ dander, saliva, dead-skin flakes, urine and feathers that can cause a reaction.

These allergens and proteins are airborne-they can enter the body by way of the mouth or nose. When they are combined with antibodies (a substance that the body recognizes as foreign) and inhaled into the lungs, they can trigger the body’s defense mechanisms, causing inflammation and eventually restricting air flow.

It is recommended that the easiest way to reduce the hazards of pet dander and allergens in the home is to relocate the animal. For some, this decision can be difficult as pets often become members of the family. If the option of relocating the animal is not likely, then the following solutions should be considered.

Minimizing contact by keeping your pet outdoors as much as possible or prohibiting the animal from the bedroom of the person with asthma.
Using vacuums with HEPA filters to frequently vacuum surfaces where dander can accumulate.
Wash pets often and groom them outside the home.
Keep animals off surfaces such as the couch, which collects pet dander.
Dust frequently. It is best to dust when the person with asthma is not home.
Clean bird and rodent cages thoroughly at least once a week.
Purchase air cleaners with HEPA filters.
Keep children away from litter boxes or places designated for the animal to eliminate waste.
Change carpeted floors to hard wood floors.

It is highly advised that you consult a physician to confirm that it is okay to keep your pet and to explore the best ways to reduce the risks of triggering an asthma attack. Your doctor may be able to develop a treatment plan, which can include allergy shots, sprays or pills to help manage symptoms.

Schizophrenia

Posted on December 11, 2014 by Andrew Rubin

Schizophrenia is a disorder of the brain that is severe, chronic and disabling. Research has shown that there is a brain chemical imbalance that causes the disease. People with the illness do not interpret reality in a normal manner. It occurs in approximately one percent of the population, but if there is a family history of the illness the frequency is much higher. Men and women are affected equally but symptoms are usually seen earlier in men. Usually the illness is first noticed in the early 20’s for men and late 20’s for women. When teenagers develop the illness they tend to be withdrawn socially, perform poorly in school, become irritable and lack motivation. It is unlikely for most people to develop the illness after their mid forties.

Adult Symptoms of Schizophrenia:

• Hallucinations – People hear, see, smell or feel things that do not exist
• Delusions – false beliefs like imagining they are someone else
• Thought disorders – Having trouble organizing thoughts and speaking without making sense
• Movement disorders – A person may make agitated movements or not move at all
• Lack of caring about personal hygiene

The treatment goal is to be able to control symptoms Treatment for schizophrenia includes taking antipsychotic medications and receiving psychosocial treatments.. It is important that a treatment plan for the patient include counseling for their families as well. One important method of therapy is cognitive behavioral therapy which is where the patient is taught how to manage their symptoms.

If you would like to schedule an appointment with a mental health professional at Jamaica Hospital, please call 718-206-7160.

What is White Coat Hypertension?

Posted on December 5, 2014 by Michael Hinck

Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Jamaica Hospital’s Family Care Center at 718-657-7093 to schedule an appointment.

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Oh My Aching Feet!

Posted on December 2, 2014 by Joann Ariola

Corns and calluses are caused by pressure or friction on skin, which leads to the formation of thickened skin on the top or side of a toe. Complications from corns and calluses are rarely serious; however, if you are a diabetic they can lead to more serious issues.

Diabetics often have impaired sensitivity and may not be aware of the friction or presence of a corn or callous. Since they are unaware, the corn or callous can progress into ulcers or secondary infections without the person knowing.

In addition, diabetics don’t, usually, heal as quickly as non-diabetics and their infections can become life-threatening.

Indications that you may have a corn or callous:

Skin is thick and hardened.
Skin may be flaky and dry.
Hardened, thick skin areas are found feet or other areas that may be rubbed or pressed.
The affected areas can be painful and may bleed.

According to the National Institutes of Health, preventing friction by wearing proper fitting shoes and avoiding walking barefoot are often the only preventative measures you can take.

Regular examination of you feet can help you to identify any problems and, if you receive a foot injury, you should seek immediate medical attention.

If you have diabetes and are experiencing corns/calluses that are painful, red, warm, or there is drainage in the area, you should call your healthcare provider immediately to determine the cause.

To make an appointment with a Doctor of Podiatric Medicine at Jamaica Hospital Medical Centers Ambulatory Care Center, please call 718-206-7005 to schedule an appointment.

Tap V. Bottled Water: Which is Better?

Posted on November 26, 2014 by Michael Hinck

Remember sipping water from a fountain in the park or turning on the kitchen sink for a glass of H2O? Many people today do not have those same experiences because fewer and fewer are drinking tap water. In a recent study, it was revealed that one out of every five U.S. households uses bottled water as their primary or only source of water. Many Americans believe it is a healthier option, but is it really better for you?

Tap water and bottled water are regulated by two different agencies. The Environmental Protection Agency oversees tap water and the Food and Drug Administration regulates bottled water. Despite the different governing agencies, the standards of ensuring safety are very similar. Both have strict quality control measures in place to protect the water we drink from harmful bacteria and other contaminates.

Another similarity between tap and bottled water is often the source. There are over 500 bottled water plants in the United States and while some of the bottled water originates from sparkling springs, many others come from a municipal water supply. The water is treated, purified and sold to the public at an inflated cost. In fact, bottled water is estimated to cost up to 1,000 times more than tap water.

Distinguishing which is healthier is hard to do. The levels of certain important minerals in your water, such as calcium and magnesium, depend on what type of bottled water you purchase or the source of your tap water. Areas that use water sources that contain lower levels of these minerals have a higher rate of heart disease than areas with higher levels.
What about taste? Some people prefer the taste of bottled water, citing a funny taste in tap water. The taste that they are referring to is the trace amounts of chlorine used as a disinfectant to guard against the regrowth of microorganisms. Bottled water often utilizes ozone disinfection, which is tasteless and odorless.

The last factor to consider when choosing between tap and bottled water is the effect bottled water consumption has on the environment. It is estimated that Americans consume nearly ten billion gallons of bottled water every year. It is also estimated that less than 20% of water bottles are recycled.

What do you prefer to drink and why? Jamaica Hospital wants to know.

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Delicious and Healthy Herbed Cornbread Stuffing Recipe

Posted on November 26, 2014 by Xavia Malcolm

Full Herbed Cornbread Healthy Recipe courtesy of www.eatingwell.com

CORNBREAD

1 1/2 cups cornmeal

1 cup white-whole wheat flour

3 tablespoons sugar

1 1/2 tablespoons baking powder

1/2 teaspoon salt

1 cup plus 2 tablespoons buttermilk

1/2 cup low-fat milk

2 large eggs

1 large egg white

3 tablespoons butter, melted and cooled

3 tablespoons canola oil

STUFFING

8 tablespoons unsalted butter (1 stick), divided

1 1/4 cups chopped celery

1 1/4 cups chopped shallots

2 sweet-tart apples, such as Jonagold, peeled and chopped

3 tablespoons finely chopped fresh sage

1 1/2 tablespoons finely chopped fresh thyme

1/2 cup reduced-sodium chicken broth or turkey stock

3 tablespoons finely chopped flat-leaf parsley

1 teaspoon Old Bay seasoning

1/4 teaspoon salt

Ground pepper to taste

PREPARATION

To prepare cornbread: Preheat oven to 375°F. Coat a 9-by-13-inch baking pan with cooking spray.

Whisk cornmeal, flour, sugar, baking powder and salt in a large bowl. Whisk buttermilk, milk, eggs, egg whites, melted butter and oil in a medium bowl until well combined. Add the wet ingredients to the dry ingredients and mix just until blended.

Scrape the batter into the prepared pan. Bake until a toothpick in the center comes out clean, 25 to 30 minutes. Let cool completely on a wire rack. If time allows, let stand, uncovered at room temperature, before preparing the stuffing.

To prepare stuffing: Preheat oven to 350°F. Coat a 9-by-13-inch baking dish with cooking spray.

Heat 2 tablespoons butter in a large skillet over medium heat. Add celery, shallots and apples; cook, stirring occasionally, until softened, 8 to 10 minutes.

Meanwhile, crumble cornbread into medium pieces in a large bowl.

Add sage and thyme to the pan; cook, stirring, for 1 minute more. Scrape the mixture into the bowl and toss to combine with the cornbread.

Melt the remaining 6 tablespoons butter. Add to the stuffing mixture along broth, parsley, Old Bay, salt and pepper. Scrape into the prepared baking dish and cover with foil.

Bake the stuffing for 30 minutes. Remove foil and continue baking until lightly brown, 20 to 25 minutes more.

November is Diabetes Awareness Month

Posted on November 26, 2014 by Andrew Rubin

November is Diabetes Awareness Month and a good time to find out if you are at risk. With 30 million Americans diagnosed with diabetes and an additional 86 million at risk, there is a possibility that you either have it, are at risk for it, or know someone who has been diagnosed.

Risk factors for diabetes include having a family history of the disease, obesity, living a sedentary life style and having heart disease. Africn Americans, Hispanics, Asian and Native Americans are also at higher risk. Signs and symptoms include blurry vision, sudden change in weight, frequent urination, feeling thirsty all the time and fatigue. People who are at risk should start having annual assessments starting at age 45.

Diabetes is a disease that leads to elevated blood sugar. Either the body doesn’t produce enough of the hormone, insulin, that helps the cells absorb glucose (type I diabetes) or the body produces insulin and the cells don’t recognize it (type II diabetes).Type I diabetes affects children most frequently and can’t be prevented so it must be treated with medication. Type II diabetes, also known as adult onset, is not always preventable but it can sometimes be delayed or controlled by diet and exercise.

The key to successfully managing diabetes and preventing secondary complications is to control blood sugar levels. Type I diabetes is treated by taking insulin injections on a daily basis. Type II diabetes can be treated by taking medication. These medications can either be administered in tablet form or in more severe cases by taking tablets and insulin injections.

People at risk should speak to their physician about being tested for diabetes. If you would like to make an appointment with a physician at Jamaica Hospital, please call 718-206-7001.