History of Physical Therapy

Posted on September 10, 2014 by Andrew Rubin

The American Physical Therapy Association defines physical therapy as the treatment or management of pain or physical disabilities without the use of medication, surgery, or radiation. Some of the methods of physical therapy include massage, exercise and hydrotherapy.

The practice of physical therapy has been documented for thousands of years with Hippocrates using it for the treatment of physical disabilities. In more modern times, physical therapy became widely used to treat injured war veterans returning from W.W. I. In the early 1920’s, physical therapy was used to treat people afflicted with polio in order to help their mobility.

Physical therapy is commonly used for:

• Back conditions

• Neck problems

• Shoulder and arm problems

• People who have undergone hip or knee replacement

• Stroke patients
• Post-op rehabilitation

Starting in the 1980’s physical therapy became more high tech through the use of computers and more advanced equipment that assisted in the process. Some of the more modern modalities developed during the past 20 years include ultrasound, electric stimulators, and cold laser therapy.

Most patients who receive physical therapy are referred by their orthopedic doctors or rheumatologists. If you have a condition that you feel may be helped by physical therapy, please contact the physical medicine department at 718-206- 7140 for 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.

The Truth About Sugar Free

Posted on September 8, 2014 by Joann Ariola

Snacks can help curb hunger and add a nutritious energy boost to your day. When you are a diabetic, planning your snacks/meals is important for managing the disease. But, what about sugar free foods?

What you may not be aware of is that sugar-free does not necessarily mean carbohydrate or calorie free. Some sugar substitutes tend not to add calories, but it is the carbohydrate that has the greatest effect on blood glucose.

If you have diabetes, you know that by cutting sugary foods out of your diet does not manage your condition. What is necessary is to count the carbohydrates and calories in the food as part of your overall meal plan.

If you eat foods with sugar replacements such as: sorbitol, mannitol, xylitol, or isomalt, (all sugar alcohols), although they do not contain sugar, they are high in carbohydrates. These foods will affect your blood glucose just as a sugar-containing food would.

However, consuming foods sweetened with aspartame or other non-caloric sweeteners like saccharin, acesulfame, potassium or sucralose do not contain carbohydrates and should not cause your blood glucose to rise.

When it comes to snacking, people often think of foods that are high in sugar or added fats, but there is a great deal of other options. Snacks can help curb hunger and add a nutritious energy boost to your day.

Experts have recommended that people with diabetes choose “free foods” as part of their daily meal planning. “Free foods” are those foods and/or drinks that have less than 20 calories per serving and no more than 5 grams of carbohydrate per serving and are proven to be a better food option for diabetics.

Some examples of free foods are:

Asparagus, cooked
Beans, green, cooked
Broccoli, cooked
Celery
Cucumber
Lettuce, iceberg
Olives, canned ripe
Peppers, sweet red
Radishes
Scallions
Spinach, cooked
Tomatoes
Tomato juice
Avocados
Rasberries
Strawberries
Macadamia Nuts

When planning your meals, try to fit in another serving of whole grains, fruits or vegetables. These foods are healthier than salty snacks and sweets. They, also, fill you up and give you the energy you need to sustain a long day.

Snack time and meal planning can be time consuming for diabetics, but is worth the result. Working with a dietitian can lessen the stress of meal planning and is beneficial when learning about the different types of foods you can eat at each meal and/or snack. If you would like to meet with a dietitian to discuss your diabetes and meal planning, please call Jamaica Hospital Medical Center at 718-206-6023 for an appointment with a Nutritionist.

Can Hypertension Lead to Dental Problems?

Posted on September 5, 2014 by Michael Hinck

Managing your high blood pressure with the appropriate medications is very important for your overall health, but sometimes those medications can negatively affect your dental health.

Often, medications that are used to treat hypertension can have side effects in the oral environment. Some of these medications can reduce the amount of saliva you produce, causing xerostomia, or dry mouth. Without the proper amount of saliva, the mouth can become irritated and inflamed. Dry mouth can also increase the risk of developing infection, gum disease, and the development of plaque, and therefore cavities.

Gum swelling or gingival overgrowth is another possible side-effect of medications used to treat high blood pressure. Gingival overgrowth occurs when gum tissue becomes so swollen that it begins to grow over the teeth. Swollen gum tissue creates a favorable environment for bacteria because plaque can easily get trapped underneath the gums, making it hard to brush and maintain good oral hygiene.

It is import to inform your dentist about any health conditions you have, and the medications you are taking. Good oral hygiene and more frequent visits to the dentist can help lower your chances of developing complications.

Jamaica Hospital operates an outpatient dental center that treats a wide variety of conditions. To make an appointment, please call 718-206-6980.

Fad Diets

Posted on September 4, 2014 by Andrew Rubin

How often do we say we need to lose 10 – 20 pounds quickly? We want to look good at the big party coming up and we are willing to try anything to make that happen. Fad dieting is a concept that has been around for a long time. The methods may change, but the goal is usually the same.

The results for fad diets are only temporary. They don’t focus on helping a person maintain the ideal weight, and in some instances can actually cause harm. Many of these diets are not well balanced nutritionally. They don’t include a variety of food types, or in the proper quantity, to maintain good health long term.

Some of the principles include:

• Controlled carbohydrates

• Low fat/ high carbohydrates

• Controlled portion size

• Diet pills

• Herbal remedies

• Liquid protein

Weight loss is something that should be done gradually and in a manner that is tailored to a person’s individual nutritional needs. A person who wants to lose weight should always consult with their physician before attempting a diet plan. To speak to a physician at Jamaica Hospital about a weight loss program, you can call 718-206-6742 to schedule an appointment with an internal medicine specialist. They may then recommend that you follow up with a professional nutritionist to tailor a diet to help you meet your goal.

The Potential Dangers of Tattoos

Posted on August 29, 2014 by Michael Hinck

Tattoos are more common than ever. It is now estimated that 21 percent of adults have tattoos, and approximately 36 percent of those ages 18-25 have them. Before getting a tattoo, one must consider many things, including the health risks.

Using unsterilized or used needles and equipment can cause serious health problems, such as HIV and hepatitis. Even if everything is sterile however, there are still risks associated with getting a tattoo.

Tattoo sites can easily become infected when contaminated or expired ink is used and enters the bloodstream. The first signs of an infection usually take place two to three weeks later. Red rashes, swelling, pain, and a pus-like discharge are all common early symptoms of an infection. Pain, fever, chills, and sweats can develop if the infection is not treated. A doctor can prescribe antibiotics to treat an infection.

An allergic reaction to the dyes used in tattoo ink is another cause for concern, specifically the red, blue, yellow, and green dyes. Some people are allergic, but don’t realize it until after they get a tattoo. An allergic reaction can result in an itchy rash or skin bumps at the tattoo site. Allergic reactions can occur immediately, or several months or years later.

Other potential problems associated with tattoos include keloid scarring and sensitivity to MRI exams.

If you do decide to get a tattoo, follow these simple steps to minimize the chances for complications.

• Go to a registered tattoo parlor with licensed tattoo artists.
• Inquire about the expiration date of the ink.
• Make sure inks being used are approved for tattoos.
• Carefully follow aftercare instructions.
• See a doctor immediately if you think you have an infection.

Deciding to get a tattoo is an important decision and should not be taken lightly. You should be informed to make the best decision and do what is safe and best for you.

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Colon Cleansing

Posted on August 28, 2014 by Andrew Rubin

Colon Cleansing

What do you know about colon cleansing?

The colon is the end portion of the intestinal tract that is very important for the absorption of fluids and electrolytes from the digestive tract and stores waste products for elimination. It is typically about three to four feet in length and two to three inches in diameter.

Traditional medical doctors feel that the body has its own way of regulating what goes in and what comes out. Doctors today will tell you that the only time you need to clean out your colon is prior to undergoing a colonoscopy or a surgical procedure that involves the intestinal tract. Medical professionals feel that this part of the body takes care of itself.

People who chose to have colon cleansings will often say that they feel much healthier after the treatment. Some of the reasons they have the procedure is to remove toxins that may accumulate in the colon, improve their bowel regularity, and improve their overall health. Colon cleansings have been used for centuries, but less frequently now than years ago.

A colonic cleansing consists of inserting a tube into the rectum and slowly sending warm, filtered water through this tube, expanding the colon. The body’s normal response is to expel this fluid, along with any waste products that may have accumulated in this area, back through the tube to an external container.

Colon cleansing can sometimes be very dangerous. Side effects include:

 Risk of dehydration

 Potential for infection

 Cramping, bloating, nausea and vomiting

 Potential for puncturing the bowel

 Loss of intestinal flora (needed for proper digestion)

People who should not have a colon cleansing are: women who are pregnant, people with heart conditions, anemic, have abdominal hernias, have ulcerative colitis, Crohn’s disease, and hemorrhoids. If you are considering having a colon cleansing, speak with your physician first to see if they think it is beneficial. Keep in mind that while the USDA regulates the production of the equipment used in colon cleansing, it does not regulate how it is used. Caution should be taken if a person makes the decision to have this type of treatment.

Playground Safety

Posted on August 25, 2014 by Joann Ariola

Playgrounds are usually locations where children have fun and spend time with their friends and family. Unfortunately, this day of fun can end with a visit to the nearest emergency room.

According to the Center for Disease and Control and Prevention, each year, in the United States, emergency departments treat more than 200,000 children for playground related injuries.

The consequences of playground-related injuries are: fractures, internal injuries, concussions, dislocations and, in some cases, an injury can be fatal. Most of the non-fatal injuries are related to playground equipment at schools yards, public parks and daycare centers.

One of the ways to combat injury is to know that the equipment in a playground is designed for different age groups. Making sure that your child is playing on age appropriate equipment is one of the key measures for safe play. The rule is; if the equipment is less than four feet tall, it is suitable for children under 5 years of age. Equipment less than eight feet tall is suitable for children ages 5 through 12.

As a further measure of safety, you should never leave your child unsupervised while at a playground. Play areas should be designed to allow an adult to clearly see the child while they are playing.

Newer playgrounds are built with materials that absorb shocks from falls such as, wood chips, pea gravel, shredded tires, double shredded bark mulch, fine gravel or sand that completely covers the playground floor.

Be observant and check to see that the playground is well maintained, hooks are closed on swings and there are safety bars at the top of all slides so that children will have to sit before going down. Additionally, be mindful of your child’s attire when going to a playground. Hoods or drawstrings may get caught on play equipment.

Taking your child to the park or playground to play is probably one of the easiest, fun-packed, and inexpensive forms of family entertainment. It’s also a great excuse to enjoy some much-needed fresh air. By following these helpful tips, you can make your day of fun a safe one too!

The Fungus among Us…Mold

Posted on August 25, 2014 by Joann Ariola

What is mold? Mold is microscopic fungi that live on plant and animal matter. They are most present in dark moist areas.

When mold grows, tiny spores are created that reproduce and float through the air continually. As spores land on damp places, they will begin to grow.

Fabrics, rugs, stuffed animals, books, and wallpaper can contain mold spores if they become damp or are kept in a damp space. Additionally, mold can live in the soil, on compost and on plants that are damp. For people who are sensitive to mold, inhaling spores can trigger an asthma attack.

Preventative measures you can take:

Clean up mold and eliminate sources of moisture in your home.
Use exhaust fans or open a window in the bathroom and kitchen when showering, cooking or washing dishes.
Fix water leaks, as soon as possible, to prevent mold from growing.
Change furnace and air conditioner filters often.
Use high efficiency particulate air (HEPA) filters.
Central heating and air conditioning systems can help control mold.
Maintain low indoor humidity, ideally between 30-50% relative humidity levels can be measured by hygrometers.

Studies have shown that mold reduction is associated with significant improvements in asthma symptoms among patients who are sensitive to molds.

If you have any questions, or would like to schedule an appointment withJamaicaHospital’sAmbulatoryCareCenterto discuss mold as a trigger for asthma, call 718-206-7001.

Gallbladder Disease

Posted on August 25, 2014 by Joann Ariola

The majority of American’s see a doctor, yearly, for a general health check-up. We are diligent when it comes to making sure our major organs remain healthy, but what about the organs that go relatively unnoticed, like the gallbladder.

The gallbladder is the small sac in our body that stores bile from the liver and is located just below your liver. The gallbladder releases bile, through the cystic duct, into the small intestine to help break down the foods you eat, in particular, fatty foods.

Usually, the gallbladder will not cause too many problems; however, if something slows or blocks the flow of bile from the gallbladder, a number of problems can arise and lead to gallbladder disease.

Specific symptoms may vary based on what type of gallbladder condition you have, although many symptoms are common among the different types of gallbladder problems. But most gallbladder symptoms start with pain in the upper abdominal area, either in the upper right or middle.

Some common symptoms of gallbladder conditions are:

Severe abdominal pain
Pain that may extend beneath the right shoulder blade or to the back
Pain that worsens after eating a meal, particularly fatty or greasy foods
Pain that feels dull, sharp, or cramp-like
Pain that increases when you breathe in deeply
Chest pain
Heartburn, indigestion, and excessive gas
A feeling of fullness in the abdomen
Vomiting, nausea, fever
Shaking with chills
Tenderness in the abdomen, particularly the right upper quadrant
Jaundice (yellowing of the skin and eyes)
Stools of an unusual color (often lighter, like clay)

The gallbladder seems insignificant until it is causing you severe pain. If you are exhibiting the symptoms of gallbladder disease, and would like to schedule an appointment with the Jamaica Hospital Medical Center’s Ambulatory Care Department for a consultation, call 718-206-7005 for an appointment.

New Free Treatment for IPF at Jamaica Hospital

Posted on August 23, 2014 by Michael Hinck

Jamaica Hospital is now offering a promising free treatment option for those living with Idiopathic Pulmonary Fibrosis (IPF), a rare, but serious lung disease that worsens over time.

Individuals with IPF develop scarring in the lungs, which leads to shortness of breath and an irreversible loss of lung function. The rate of deterioration is variable with many patients worsening over months to a few years. Currently, there is no FDA approved therapy for this disease, but recently published trials suggest that new treatments may be on the horizon.

Pirfenidone is an anti-fibrotic medication that is taken orally and has been shown to slow the loss of lung function and may improve mortality in IPF. Pirfenidone has already been approved for treatment of this disease in Japan, Canada, and most European countries.

Although Pirfenidone is not currently approved by the Food and Drug Administration (FDA), there are indications that it will be in the near future. Recently, the FDA announced that Pirfenidone has been granted Breakthrough Therapy Designation. This designation is reserved for drugs that are intended to treat serious or life threatening disease where preliminary evidence indicates that the drug demonstrates substantial improvement over existing treatments.

Jamaica Hospital is one of only a handful of hospitals in the region, and the only one in Queens, offering this free treatment as part of an early expanded access program. Patients are monitored for safety in this program. It is open to most patients with mild to moderate IPF. This program is being coordinated by the Division of Pulmonary Medicine and the Department of Clinical Research at Jamaica Hospital.

For more information about the Pirfenidone expanded access program at Jamaica Hospital, please call 718-206-5844 or 718-206-5800.