Whooping Cough

Posted on October 3, 2024 by Patrick Hercules

Whooping cough or pertussis, is a highly contagious respiratory tract infection that causes a distinct “whooping” cough.

Whooping cough primarily affects children too young to have completed the full course of vaccinations, and teenagers and adults whose immunity has faded.

Once you become infected with whooping cough, it takes seven to 10 days for signs and symptoms to appear, but it could take longer. The symptoms are usually mild at first and resemble the symptoms of a common cold, which include:

Runny nose
Nasal congestion
Red, watery eyes
Fever
Cough

After a week or two, the signs and symptoms of whooping cough worsen. Thick mucus accumulates inside your airways, causing uncontrollable coughing. Severe and prolonged coughing attacks may also cause:

Vomiting
Extreme fatigue
A high-pitched “whoop” sound during the next breath of air

Whooping cough is caused by a type of bacteria called Bordetella pertussis. When the bacteria enter your respiratory system, they attach to the tiny, hair-like extensions that line your respiratory tract called cilia. The bacteria then release toxins damaging the cilia, causing the airways to swell, increasing mucus secretions, and creating severe coughing.

It is difficult to diagnose whooping cough early because the signs and symptoms resemble those of other common respiratory illnesses, like a cold, flu, or bronchitis. Doctors can sometimes diagnose whooping cough by asking about symptoms and listening to the cough. Medical tests may be needed to confirm the diagnosis. Tests can include:

A nose and throat culture and test
Blood tests
A chest X-ray

The best way to prevent whooping cough is with the pertussis vaccine, which doctors often give in combination with vaccines against two other serious diseases, diphtheria and tetanus.

Treatment for whooping cough is dependent on age and vaccination history. Infants are typically hospitalized for treatment because whooping cough is more dangerous for that age group.

Treatment for older children and adults can be managed at home. Antibiotics can be prescribed to kill the bacteria causing whooping cough.

To speak with a doctor about appropriate vaccinations, please schedule an appointment at Jamaica Hospital by calling (718) 206-7001 or your primary care physician as soon as possible.

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.

RSV

Posted on September 27, 2024 by Patrick Hercules

Respiratory syncytial virus or RSV, is a common respiratory virus that infects the nose, throat, and lungs. A seasonal virus, RSV spreads in the fall and winter along with other respiratory viruses, usually peaking in December and January.

Signs and symptoms of RSV most commonly appear about four to six days after exposure to the virus. In adults and older children, RSV usually causes mild cold-like signs and symptoms, including:

Congested or runny nose
Dry cough
Low-grade fever
Sore throat
Sneezing
Headache
Lack of energy
Decreased appetite

It is difficult to distinguish RSV symptoms from the common cold or other respiratory viruses like the flu or COVID-19.

Severe cases of RSV affect babies 12 months and younger, older adults, people with heart and lung disease, or anyone who is immunocompromised. Severe infection can spread to the lower respiratory tract causing pneumonia or bronchiolitis. Signs and symptoms include:

Fever
Severe cough
Wheezing
Rapid or difficulty breathing
Cyanosis or bluish color of skin due to the lack of oxygen

Infants are affected most severely by RSV. Signs and symptoms of severe infection in infants include:

Short, shallow, and rapid breathing
Struggling to breathe
Cough
Decreased appetite
Unusual tiredness
Irritability

RSV is very contagious. You can easily spread the virus while symptomatic, which is usually a period of three to eight days. RSV can enter the body through the eyes, nose, or mouth. It is spread through respiratory droplets when you cough or sneeze and through direct contact, such as shaking hands.

RSV can cause many complications, including:

Hospitalization
Middle ear infection
Asthma
Repeated infections

RSV can infect anyone. However, there are ways to prevent those who are at risk of getting severe infections, including:

Protection for babies and high-risk children
- Antibody product called nirsevimab
- Vaccines for pregnant people
Vaccine for older adults
Lifestyle habits that can prevent the spread of infection
- Washing your hands often
- Avoiding exposure
- Keeping surfaces and common areas clean
- Not sharing drinking glasses with others
- Not smoking
- Washing toys regularly

A healthcare provider can diagnose RSV based on the findings of a physical exam and the time of year the symptoms occur. They will listen to your lungs with a stethoscope to check for wheezing or other abnormal sounds. Lab and imaging tests aren’t usually needed but they can help diagnose RSV complications and rule out other conditions that may cause similar symptoms. These tests can include:

Blood tests to check white cell counts or to look for viruses, bacteria, and other germs
Chest X-rays to check for lung inflammation
Swab secretions from inside the mouth or nose to check for signs of the virus
Pulse oximetry to detect lower-than-normal levels of oxygen in the blood

Treatment for RSV usually involves self-care and supportive care measures to make your child more comfortable. However, hospital care may be needed if severe symptoms occur.

Some self-care and supportive care treatment measures include:

Over-the-counter medication
Nasal saline drops
Using a humidifier
Drinking fluids
Staying away from cigarette smoke

Some hospital care treatments include:

Intravenous fluids
Humidified oxygen
A breathing machine

If you or someone you know has developed RSV symptoms that require medical attention, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Wellness Wednesday: Meditation

Posted on September 25, 2024 by Patrick Hercules

Meditation is the habitual process of training your mind to focus and redirect your thoughts. It can wipe away the day’s stress and bring inner peace. It can also be used as a practice to develop other beneficial habits and feelings, such as a positive mood and outlook, self-discipline, healthy sleep patterns, and even increased pain tolerance.

There are many types of mediation, including:

Guided meditation
Mantra meditation
Mindfulness meditation
Qigong
Tai chi
Yoga

Each type of meditation includes certain features to help you meditate. The most common features include:

Focused attention- focusing your attention is one of the most important elements of meditation. It helps free your mind from the many things that cause stress and worry.
Relaxed breathing- this meditation technique involves deep, even-paced breathing using the diaphragm to expand your lungs. The purpose is to slow your breathing, take in more oxygen, and reduce the use of shoulder, neck, and upper chest muscles while breathing so that you breathe better.
A quiet setting- if you’re a beginner, meditation may be easier to do if you’re in a quiet spot to have fewer distractions. As you get more skilled at meditation, you may be able to do it anywhere, including high-stress places.
A comfortable position- you can practice meditation whether sitting, lying down, walking, or in other positions or activities. Ensure you are comfortable to get the most out of your meditation. Aim to keep a good posture during meditation.
An open attitude- let thoughts pass through your mind without judging them.

Here are some emotional and physical benefits of meditation:

It helps reduce stress
It helps to control anxiety
It supports emotional health
It enhances self-awareness
It increases your attention span
It may reduce age-related memory loss
It can help generate kindness
It may help with addiction
It helps to improve sleep
It helps control pain
It can help decrease blood pressure
It is accessible anywhere
It enables you to be more patient

Meditation is something everyone can do to improve their mental and emotional health without special equipment or costly memberships. Trying a style of meditation suited to your goals is a great way to improve your quality of life, even if you only have a few minutes a day.

If you want to learn more about Jamaica Hospital Medical Center’s integrative health services, events, or classes or would like to schedule an appointment, please call us at (718) 206-5675.

The Importance of Staying Up To Date With COVID Vaccines

Posted on September 13, 2024 by Jamaica Hospital Medical Center

The Centers for Disease Control and Prevention (CDC) recommends that individuals aged six months and older should receive the 2024-2025 COVID-19 vaccine.

COVID-19 vaccines effectively protect you from severe illness; however, their efficiency decreases over time. This is why it is important to stay up to date with vaccinations.

Currently, three vaccines are available for use in the United States. They include the:

2024–2025 Moderna COVID-19 Vaccine; recommended for those six months and older
2024–2025 Pfizer-BioNTech COVID-19 Vaccine; recommended for those six months and older
2024–2025 Novavax COVID-19 Vaccine; recommended for those 12 years and older

Everyone eligible for a vaccine should receive one, but it is especially important for the following people to get vaccinated:

Those who never received the COVID vaccine
Those at risk for severe COVID-19
Those 65 years and older
Those living in long-term care facilities
Those who are trying to get pregnant or might want to become pregnant in the future, are pregnant or are breastfeeding
Those who want to lower their risk of developing Long COVID

The CDC states that COVID vaccines are generally safe. They are effective in helping our bodies build immunity against the virus. Sometimes, in the process of building immunity, we may experience side effects or symptoms such as fever or body aches, which are normal signs the body is building immunity.

Although the COVID vaccines are safe, it is highly advised that people who have a severe allergic reaction after vaccination or are allergic to ingredients in the vaccine should not get vaccinated.

For more information on the 2024-2025 COVID vaccine, please visit the CDC website https://www.cdc.gov/covid/vaccines/stay-up-to-date.html. To schedule an appointment to speak with a doctor or receive vaccination, please call Flushing Hospital Medical Center at 718-670-5486.

Oral Health

Posted on September 10, 2024 by Patrick Hercules

Your oral health is more important than you might realize. The health of your mouth, teeth, and gums can affect your overall health.

Like other areas of the body, the mouth is full of germs. Those germs are mostly harmless, but the mouth is the entryway to the digestive tract. It is also the entryway to the respiratory tract. Because of this, germs in the mouth can lead to disease throughout the body.

Oral germs and inflammation are linked to a severe form of gum disease called periodontitis. Studies suggest that germs and inflammation that form in the mouth might play a role in some diseases, including:

Endocarditis
Cardiovascular disease
Pregnancy and birth complications
Pneumonia

Most of the body’s defenses and good oral care help keep germs under control. Good oral care includes daily brushing and flossing. Without good oral hygiene, germs can reach levels that may lead to infections like tooth decay and gum disease.

While practicing good oral hygiene can lower the risk of health problems, other factors can affect oral health. Certain medicines such as decongestants, antihistamines, painkillers, water pills, and antidepressants can lower the flow of saliva. Saliva washes away food and keeps the acids germs make in the mouth in balance helping to keep them from spreading and causing disease.

Some health conditions can also affect oral health, they include:

Diabetes
HIV/AIDS
Cancer
Alzheimer’s disease

You can protect your oral health and take care of your mouth every day by:

Brushing your teeth at least twice a day for two minutes each time. Use a brush with soft bristles and fluoride toothpaste. Brush your tongue too.
Flossing between your teeth daily.
Eating a healthy diet and limiting sugary foods and drinks.
Replacing your toothbrush every three to four months. Sooner if the bristles are worn out.
Seeing a dentist at least once a year for checkups and cleanings.

Taking care of your oral health protects your overall health.

If you would like to schedule an appointment with a dentist at Jamaica Hospital Medical Center, you may call 718-206-6980

MPox

Posted on September 7, 2024 by Patrick Hercules

Mpox previously known as monkeypox, is a viral illness caused by the monkeypox virus. The virus usually affects rats, mice, or monkeys. But it can occur in people as well.

Mpox usually occurs in Central and West Africa. Cases outside of Africa are due to international travel, imported animals, and close contact with an animal or person infected with mpox.

Mpox symptoms may start three to 17 days after exposure. Symptoms last two to four weeks and may include:

Fever
Skin rash
Swollen lymph nodes
Headache
Muscle aches and backaches
Chills
Fatigue

A skin rash starts about one to four days after a fever. It first appears on the face, hands, or feet and then spreads to other body parts. You can spread mpox while you have symptoms.

There are many ways that mpox can spread, including:

Person to person
- Direct contact with rashes, scabs, or bodily fluids of a person with mpox
- Extended close contact with respiratory droplets from an infected person, including sexual contact
- Clothes, sheets, blankets, or other materials that have been in contact with rashes or bodily fluids of an infected person
- An infected pregnant person can spread the mpox virus to a fetus
Animal to person
- Animal bites or scratches
- Wild game that is cooked for food
- Products, such as skins or furs made from infected animals
- Direct contact with bodily fluids or rashes of animals with mpox

There are many steps you can take to prevent infection or the spread of the mpox virus, including:

Avoiding close contact with people who have a rash that looks like mpox
Avoiding the handling of clothes, sheets, blankets, or other materials that have been in close contact with an infected animal or person
Quarantining people who have mpox from healthy people
Washing your hands well with soap and water after contact with an infected person or animal. If soap and water aren’t available, use an alcohol-based hand sanitizer
Avoiding animals that may carry the virus

The treatment for most people with mpox is aimed at relieving symptoms. Care may include managing skin damage from the mpox rash, drinking enough fluids to help keep stool soft, and pain management. There is no specific treatment approved for mpox. Healthcare professionals may treat mpox with antiviral drugs used to treat smallpox. If you have mpox, quarantine at home in a room separate from family and pets until your rash and scabs heal.

You can make an appointment for mpox treatment and prevention at Jamaica Hospital Medical Center’s on-site Ambulatory Care Center by calling (718) 206-7001.

A Flavorsome and Comforting Chicken Chili Recipe for Fall Dinners

Posted on September 6, 2024 by Patrick Hercules

As the summer fades into fall, here is a comforting and delicious recipe for chicken chili to add to your dinner rotation.

https://www.foodnetwork.com/recipes/katie-lee/chicken-chili-3869708

Sickle Cell Awareness Month

Posted on September 5, 2024 by Patrick Hercules

September is sickle cell awareness month. Sickle cell disease is a group of inherited red blood cell disorders that affect hemoglobin, the protein that carries oxygen through the body. It is the most common inherited blood disorder in the United States. The disease gets its name from the abnormal crescent or “sickle” shape that some red blood cells develop, causing those red blood cells to block the blood flow through the body creating recurring episodes of pain.

Sickle cell disease is a lifelong disease affecting more than 100,000 people in the United States and 20 million worldwide. In the U.S., most people who have sickle cell disease are of African ancestry or identify themselves as black. About one in 13 Black or African American babies are born with the sickle cell trait and about one in every 365 Black or African American babies are born with sickle cell disease. Many people who come from Hispanic, Southern European, Middle Eastern, or Asian Indian backgrounds also have sickle cell disease.

There are many symptoms of sickle cell disease. Early symptoms can include:

Jaundice- a condition that causes the color of the skin or whites of the eyes to turn yellow
Extreme tiredness
Painful swelling of the hands and feet

Many serious symptoms and complications of sickle disease can include:

Episodes of severe pain
Anemia symptoms- fatigue, shortness of breath, dizziness, and an irregular heartbeat
Fever
Acute chest syndrome
Stroke
Priapism
Avascular necrosis
Pulmonary hypertension
Organ damage
Leg ulcers
Gallstones
Deep vein thrombosis
Pregnancy complications
Vision problems
Frequent infections

There are many ways to manage and treat sickle cell disease including:

Medicines
Blood transfusions
Blood and bone marrow transplant
Gene therapies
Complementary and alternative medicine (CAM)

Your healthcare team will probably include a doctor specializing in blood diseases called a hematologist.

If you need help managing symptoms of sickle cell disease or sickle cell trait, schedule an appointment with a hematologist at Jamaica Hospital Medical Center’s Department of Internal Medicine at (718) 206-7001.

Hand Hygiene for Children

Posted on September 4, 2024 by Patrick Hercules

Hand hygiene is essential for overall health. Parents and caretakers play an important role in teaching children how to wash their hands. Good hand washing is the first line of defense against the spread of many illnesses as it is the best way to keep children from getting sick.

Here are some tips you can use to turn handwashing into a healthy habit for life:

Explain the benefits of handwashing
Demonstrate the correct steps of handwashing
- Step 1: Wet hands with running water
- Step 2: Apply enough soap to cover wet hands
- Step 3: Scrub all surfaces of the hands, including the back of the hands, between the fingers, and under the nails
- Step 4: Rinse hands thoroughly with running water
- Step 5: Dry hands with a clean cloth or a single-use towel
Hands should be washed with soap for at least 20-30 seconds. An easy way to determine the time is by singing the entire “Happy Birthday” song twice.
Set the times when they should be washing their hands
- When they are visibly dirty
- Before and after eating
- After using the toilet
- After touching animals and pets
- After blowing their nose or when they cough or sneeze
- Before and after visiting friends and relatives
Turn it into a fun family activity

There might be moments when children can’t get to a bathroom to wash their hands with soap and water. Teach them how to use hand sanitizer, especially one that contains at least 60% alcohol.

Handwashing can become a lifelong habit if you start teaching it to children at an early age. The time you spend at the sink could save you trips to the doctor’s office.

Employee Spotlight Shines on Denise Roman, PT, DPT

Posted on August 29, 2024 by Andrew Rubin

This month, we are proud to shine our Employee Spotlight on Denise Roman, PT, DPT, PPS coordinator and a PT supervisor in the department of physical medicine and rehabilitation.

Denise has been at Jamaica Hospital Medical Center for 34 years. She was born and raised in Georgetown, Guyana. Denise attended Fountain A.M.E and St. Mary’s primary schools, and the Bishop’s High School. After graduating from high school, Denise traveled to Jamaica, West Indies where she studied and received her degree in Physical Therapy at the School of Physical Therapy on the Mona campus of the University of the West Indies. In 1989, Denise immigrated to the United States. She continued her studies at the Empire College, receiving a BS in Community and Human Services. Denise then went on to receive a post graduate certificate in Early Intervention from the Westchester Medical College and a Doctorate in Physical Therapy from Utica College.

Denise currently resides in Springfield Gardens. She loves pets and while living in Guyana she had many, but currently doesn’t have any. In her free time she enjoys reading and volunteering with youth programs at her church. Denise has also volunteered with Habitat for Humanity. She believes that volunteering and giving back to the community are very important qualities. Denise has never forgotten the people who have helped her along the way and she feels that that she always wants to do her best to be of service to others.

Denise has traveled extensively and some of the places she has visited are Europe, and the Caribbean Islands. Of course, Guyana is one of her favorite places to visit. Denise enjoys many different types of food, especially West Indian, Mexican and Asian. Her favorite types of music to listen to are gospel, reggae, soca, R&B, jazz and folk. Denise enjoys watching cricket, and track and field. She played netball in school and likes outdoor activities that include walking, parasailing, and white water rafting.

Denise loves working at Jamaica Hospital as it has allowed her to grow professionally and has given her the opportunity to watch the hospital expand . She is proud of the fact that her colleagues work together as a team to ensure the best possible outcomes for our patients. This was very evident during the COVID pandemic as the staff continued to give their best despite the dangers of the disease and being mentally and physically challenged. Denise was very thankful for the care her mother received while being a patient at the hospital and credits the staff for saving her life. We are very proud to have Denise as a member of our team and we look forward to her continuing to work with us for many more years to come.