Calculating Smoking Pack Years

Posted on July 16, 2024 by Xavia Malcolm

A pack year is used to measure how much a person has smoked over a long period. According to the National Cancer Institute, a pack year “is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked. For example, 1 pack year is equal to smoking 1 pack per day for 1 year, or 2 packs per day for half a year, and so on.”

Along with a person’s age and smoking history, quantifying a pack year can help doctors determine whether someone should be screened for lung cancer. Lung cancer screenings are appropriate for adults who are longtime smokers and are at risk of developing the disease. The US Preventive Services Task Force (USPSTF) recommends yearly lung cancer screenings for individuals who:

Are between 50 and 80 years old
Have a 20-pack-year or more smoking history
Currently smoke or have quit within the past 15 years

A low-dose computed tomography or low-dose CT is the only recommended screening test for lung cancer at this time. This machine works by scanning the body using low doses of radiation to produce detailed images of the lungs.

The USPSTF advises yearly screenings should stop when a patient:

Has not smoked in 15 or more years
Turns 81 years old
Develops a health problem that makes them unwilling or unable to have surgery if lung cancer is found

Getting an annual screening for lung cancer can save lives by detecting the disease early when there is a greater chance it can be cured. While annual screenings are effective, they are not for everyone. Therefore, if you are at risk of developing lung cancer, speak with your doctor to learn if this is the best approach for you.

Jamaica Hospital Medical Center offers a lung cancer screening program to the community. For more information about our program, please call 718-206-5603 or email [email protected].

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.

Group B Strep Awareness Month

Posted on July 5, 2024 by Patrick Hercules

Group B Strep (GBS), or Strep B, is a bacteria that lives naturally in our bodies and comes and goes without showing symptoms or causing harm unless it enters a part of the body free from bacteria. If the bacteria infects the lining around the brain it causes it to swell resulting in meningitis.

GBS bacteria live in the gastrointestinal and genital tracts. It can cause many types of infection which can be life-threatening. These infections and their symptoms include:

Bacteremia (bloodstream infection)

Fever
Chills
Low alertness.

Sepsis (the body’s extreme response to an infection)

Fever
Chills
Low alertness.

Bone and joint infections

Fever
Chills
Swelling
Stiffness or inability to use the affected limb or joint.

Urinary tract infections

Pain or burning while urinating.
Frequent urination.
Feeling the need to urinate despite having an empty bladder.
Bloody urine.
Pressure or cramping in the groin or lower abdomen.

Meningitis

Fever
Headache
Stiff neck.
Nausea and vomiting.
Sensitivity to light.
Confusion

Pneumonia

Chest pain when breathing or coughing.
Confusion
Cough
Fatigue
Fever or chills.
Nausea, vomiting, or diarrhea.
Shortness of breath.

Skin and soft tissue infections

Fever
Red skin.
Swollen skin or infected area.
Skin or infected area is warm to the touch.
Skin or infected area is full of pus or other drainage.

GBS bacteria most commonly causes bacteremia, sepsis, pneumonia, and meningitis in newborns. This occurs when bacteria is passed on to the newborn as it goes through the birth canal during vaginal delivery.

GBS disease symptoms in newborns and babies include:

Fever
Difficulty when feeding.
Irritability or lethargy in the infant.
Difficulty breathing.
A blueish color to their skin.

Doctors diagnose GBS disease by taking samples of a patient’s blood, urine, or spinal fluid depending on the type of infection.

Treatment for GBS depends on the type of infection. Doctors usually treat GBS disease with antibiotics. People with soft tissue and bone infections may need surgery.

It is important to start treatment as soon as possible.

If you would like to get screened for GBS bacteria, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276.

Colorectal Cancer Screenings

Posted on June 28, 2024 by Patrick Hercules

Colorectal cancer is a cancer that begins in either the colon or the rectum and almost always develops from abnormal growths known as precancerous polyps.

The signs and symptoms of colorectal cancer include:

A change in bowel habits, such as diarrhea, constipation, or when narrowing of stool lasts for more than a few days.
A feeling of needing a bowel movement that’s not relieved by having one.
Rectal bleeding with bright red blood.
Blood in the stool, which might make the stool look dark brown or black.
Cramping or abdominal pain
Weakness and fatigue
Unintended weight loss

Colorectal cancer is the number one cause of death for men under the age of 50 and the number two cause of death in women in the same age group.

The U.S. Preventative Services Task Force recommends that adults aged 45 to 75 be screened for colorectal cancer.

There are two types of colorectal cancer screening tests:

Visual (structural) exams- are procedures done in a hospital setting by a doctor. These can include:

Colonoscopy
CT colonography (virtual colonoscopy)
Sigmoidoscopy

These exams are beneficial because they not only look for cancer but can also prevent it by removing polyps that could potentially become cancerous.

Stool-based tests are done at home where you collect the test samples and send them to a lab for testing. Examples are:

Fecal immunochemical test (FIT)
Stool DNA test
Guaiac-based fecal occult blood test (gFOBT)

At-home tests are less invasive and easier to perform but must be done more often. Please note, that at-home tests can present false-positive and false-negative results. Any test with a positive result will require a colonoscopy.

Choosing a colon screening test is not an easy decision, but it is a lifesaving one. Consult your doctor about the best colon screening options for you. You can commit to a screening schedule based on your personal risk factors. The earlier colon cancer is detected, the easier it is to treat.

You can receive a colorectal cancer screening from a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Employee Spotlight Shines on Anessa Madraymootoo-Ramdial, RN

Posted on June 26, 2024 by Andrew Rubin

This month, we are proud to shine our employee spotlight on Anessa Madraymootoo-Ramdial, RN, Clinical Nurse Leader on 6 South.

Anessa has been working at Jamaica Hospital Medical Center since 2018. She was born in Guyana and moved with her family to Queens when she was three years old. Since then, she has lived in the Richmond Hill, South Ozone Park area. She attended elementary school at PS 100Q, middle school at MS 226, high school at Hillcrest High School. Anessa obtained her Associate’s degree and her Bachelor’s degree from the New York City College of Technology. She was the class valedictorian. She then went on to obtain her Master’s in Nursing Administration & Leadership from Capella University in 2023.

Anessa is very family oriented and enjoys spending her free time with her loved ones. She owes much of her success to her parents and is grateful to them for their unwavering support.

Anessa enjoys different types of food, especially Thai, Italian, and West Indian cuisine. One of her favorite activities is online shopping. She enjoys travelling and has a trip planned soon to visit Singapore. One day she hopes to visit Thailand. Other activities that she likes to do are Do-it-Yourself projects and crafting. She likes to design and produce custom-made T-shirts, mugs and welcome signs for events. Her favorite types of music are Bollywood and Soca. She likes to dance as well.

Jamaica Hospital has been a part of Anessa’s life since she was a child. Her experiences as a patient in the pediatric clinic inspired her to pursue a career in healthcare. Despite the challenges that come with being a healthcare worker, Anessa derives immense satisfaction from helping others and there is no greater feeling than serving her community. She enjoys working with the diverse population that we serve. The satisfaction of her patients and colleagues is of paramount importance to her.

Anessa also has a passion for teaching nursing clinical skills to nursing students and it is something she feels very strongly about. It is also a way for her to stay up to date on new evidence-based knowledge that she can share with her colleagues.

Anessa enjoys working at Jamaica Hospital because her team feels like family to her. They support one another and with that comes great opportunities to learn and to grow professionally. We look forward to Anessa continuing to work with us for many more years into the future.

The MediSys Health Network Launches New Healthcare App

Posted on June 25, 2024 by Jamaica Hospital Medical Center

The MediSys Health Network (Comprised of Jamaica Hospital Medical Center and Flushing Hospital Medical Center) is pleased to announce the launch of its new application and comprehensive patient platform, MediSys Connect.

The MediSys Connect app is an ideal companion for patient health. The app is integrated with an intuitive platform that gives patients a smooth and hassle-free experience, allowing them to manage their healthcare conveniently from their mobile devices.

With MediSys Connect, patients can seamlessly search for healthcare providers and schedule their appointments in just a few clicks. The platform’s Find-A-Doctor feature offers a wide selection of providers, with over 100 specialties to choose from. Patients can also utilize a messaging tool within the app to securely and directly communicate with their physicians.

Other key tools allow patients to:

View test results
View medication lists
Request medication refills
Stay informed about past and upcoming appointments
eCheck-in for upcoming appointments
Enroll for paperless statements
View billing account summaries and statements
View signed and scanned documents
Manage payments
Effortlessly retrieve medical records.

In addition to these user-friendly tools, MediSys Connect provides access to newsletters and podcasts. Here, patients can stay informed by reading articles or listening to trusted healthcare experts discuss various medical and lifestyle topics.

The MediSys Health Network encourages patients to download the MediSys Connect app and explore the state-of-the-art features.

Whether you’re a guest user, a Medisys Connect member, or have a MyChart account, the platform is easy to navigate. It is designed to provide a positive and personalized healthcare experience. Information provided on the platform is available in multiple languages to help members of the network’s culturally diverse patient population manage their health.

New users can download the app from the Apple Store or Google Play. They can sign up by providing their name, birth date, and address. MyChart users can download the app from the Apple Store or Google Play and log in with their existing credentials from MyChart.

Extreme Heat Safety Tips

Posted on June 18, 2024 by Patrick Hercules

This week, we are expected to experience a highly dangerous heatwave across New York City and the rest of the Northeast and Midwest due to the presence of a heat dome. Starting Wednesday and into the weekend, temperatures are expected to be in the low 90s and could get as high as the mid to high-90s.

A heatwave is when temperatures rise above 90 degrees for at least three days. A heat dome is when a ridge of high pressure builds over an area and doesn’t move for up to a week or more.

Extreme heat causes two heat-related illnesses in that your body can’t control its temperature: heat exhaustion and heatstroke.

Heat exhaustion symptoms include:

Heavy sweating
Nausea or vomiting
Muscle cramps
Fatigue
Dizziness and fainting

Here are some ways to prevent symptoms of heat exhaustion: Move to a cool place, loosen clothing, use cold compresses, and sip cool (not cold) water.

Heatstroke or Sunstroke symptoms can include:

A fever of 104 degrees or more
Severe headache
Behavioral changes
Confusion
Hot, red skin
No sweating
Rapid heartbeat and loss of consciousness

Here are some ways to prevent heatstroke: Quickly move yourself or the individual to a cooler place, use cold compresses, and do not give them anything to drink.

Some overall tips for staying safe in extreme heat include:

Stay hydrated- Drink extra fluids and don’t wait until you’re thirsty.
Wear sunscreen- Apply properly and as recommended to prevent sunburn which can make you dehydrated and affect your ability to cool down.
Limit your time outside- Shorten your exercise time and rest often in shady areas. Try to exercise in the early morning or evening when it is cooler.
Monitor high-risk loved ones- Pay attention to the warning signs of certain illnesses or medical conditions. Extreme heat can be dangerous for everyone, especially for those with a history of:

Heart disease
Asthma
High blood pressure
Stroke
Obesity
Diabetes

Others at risk due to extreme heat include the elderly, young children, those who work outdoors, people with disabilities, those who live alone, those without access to air conditioning, people who take certain medications, and pets.

Check the car- Never leave children or pets in a parked car, even if the windows are cracked open.

Usually, we would look to a cool summer night for relief from a hot summer day. Unfortunately, night temperatures aren’t dropping as they should.

Here are some things you can do before going to bed during the heatwave:

Stay hydrated
Eat light
Dress lightly
Look for chances to cool the bedroom
Avoid alcohol
Set time aside to relax
Shower in lukewarm or cool water
Find the coolest place to sleep
Keep a regular sleep schedule

Extreme heat is the deadliest weather-related hazard in the United States, so it is important to understand the risks of extreme heat and to make a heat emergency plan that works for you and your family.

If you are experiencing any heat-related symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away.

National Migraine & Headache Awareness Month

Posted on June 7, 2024 by Patrick Hercules

June is National Migraine and Headache Awareness Month. According to the World Health Organization (WHO), headache disorders are some of the most common disorders of the nervous system. The WHO also states that 1 in 7 adults worldwide has migraines and that it can be three times more common in women than men.

Headache is a general term that describes the pain in the scalp, head, and neck. There are many different types of headaches. They may be primary conditions such as tension headaches, migraines, and cluster headaches, or they may occur due to underlying health conditions.

Tension headaches are the most common type of headache and are more common in women. People often experience occasional tension headaches and don’t seek medical care. If you are experiencing tension headaches for 15 days or more a month, consult your primary care provider.

Causes of Tension Headaches:

Stress
Anxiety
Depression
Alcohol
Caffeine or caffeine withdrawal
Dental problems such as frequently grinding your teeth or clenching your jaw.
Eyestrain
Keeping your head in one position for a long time.
Not getting enough sleep.

Symptoms of tension headaches typically feel like dull pressure around the head. You may also feel muscle tightness in your head or neck. The pain is usually mild to moderate and is not accompanied by other symptoms. Tension headaches can last from half an hour to a week.

Ways to treat and prevent tension headaches:

Exercising regularly
Getting enough sleep
Maintaining good posture while seated and taking breaks from sitting.
Managing daily stress

Migraines are a severe, recurring type of headache that is often debilitating. Migraines have four phases which are prodrome, aura, migraine headache, and postdrome.

Although the exact cause of migraines is unknown, researchers believe genetics are a factor.

There are a few conditions and lifestyle factors that can trigger a migraine:

Anxiety
Bipolar disorder
Depression
Epilepsy
Sleep disorders
Caffeine or withdrawal from caffeine
Certain medications or taking particular medications too often

Migraines are more likely to occur in the morning, making it common to wake up with a migraine. Some people have a predictable pattern or migraines, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines.

There is no cure for migraines but they can be managed and prevented with over-the-counter triptans and pain relievers.

Cluster headaches are sudden, severe headaches on one side of the head that peak within the first 10 minutes. You may also have a stuffy nose, drooping eyelid, a watery eye, and swelling or redness on the same side as the pain.

The cause of cluster headaches is unknown, but they often run in families and affect more men than women.

Here are some triggers of cluster headaches:

Alcohol
Being exposed to heat
Bright lights
Overexertion
Processed foods
Smoking

Cluster headaches, especially acute ones are often treated with anti-inflammatories, triptan medications, and DHE injections.

If you commonly experience migraines or headaches, you can receive specialized treatment from a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Summer Heart Health Tips

Posted on June 5, 2024 by Patrick Hercules

The summer months come with many things. Warmer weather, beautiful flowers, longer days full of trips to the beach, and parties and barbecues. Warmer weather also brings extreme heat and added risk factors that can affect heart health.

As the body works harder to keep its core temperature to normal levels, a strain is placed on our organs, especially the heart. This can have hazardous effects on people with pre-existing cardiovascular problems and people with a healthy heart as well.

Being in extreme heat for too long can cause two serious heat-related illnesses in which your body can’t control its temperature: heat exhaustion and heatstroke.

Heat exhaustion symptoms include:

Heavy sweating
Nausea or vomiting
Muscle cramps
Tiredness
Dizziness and fainting

Here are some ways to prevent heat exhaustion: Move to a cool place, loosen clothing, use cold compresses, and sip cool (not cold) water.

Heatstroke or sunstroke symptoms include:

Fever of 104 degrees or more
Severe headache
Behavioral changes
Confusion
Hot, red skin
No sweating
Rapid heartbeat and loss of consciousness

Here are ways to prevent heatstroke: Quickly move the individual to a cooler place, use cold compresses, and do not give them anything to drink.

People at risk of being severely affected by extreme heat are those with a history of:

Heart disease
High blood pressure
Stroke
Obesity
Diabetes

There are many ways to take preventative measures to ensure you stay safe in warmer and sometimes extreme temperatures.

You can do this by:

Knowing the heat illness warning signs.
Seeing your doctor to know if you’re at risk of having heat-related heart problems.
Avoiding spending too much time outdoors during the hottest days of the summer
Applying sunscreen 30 minutes before going outside, especially during peak sun.
Wearing loose, lightweight, and light-colored clothing.
Staying cool in areas where there is air-conditioning or a fan. If either isn’t accessible, apply cold compresses (ice-pack or ice-water-filled bottle to your pulse points.
Hydrating by drinking plenty of water to help regulate your body temperature, and avoiding drinking too many alcoholic drinks because they can dehydrate you.
Eating water-rich foods like watermelon, cucumbers, salads, and cold soups.
Being smart about exercising. If it is too hot to work outside, do it indoors.

If you are experiencing any of these symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away.

A Tasty Recipe for Baked Lemon Chicken

Posted on May 22, 2024 by Andrew Rubin

Warm spring evenings call for an easy to prepare recipe for baked lemon chicken to enjoy. Here is a recipe from the Food Network that we recommend.

https://www.foodnetwork.com/recipes/food-network-kitchen/baked-lemon-chicken-recipe-2128674

Spotlighting Jamaica Hospital’s Mobile Crisis Team

Posted on May 22, 2024 by Xavia Malcolm

May is Mental Health Awareness Month, and we are highlighting the important work of Jamaica Hospital Medical Center’s Mobile Crisis Program in our community.

Jamaica Hospital’s Mental Health Department operates the Mobile Crisis Program as part of its mental health emergency services. The program is the only one of its kind to serve our community and hospital, responding to mental health crisis referrals, 24/7, 365 days a year. Our providers rapidly provide in-person visits within two hours of receiving a referral.

The program is staffed by a team of dedicated mental health administrators, coordinators, and social workers who provide comprehensive crisis intervention, home-visit, repatriation, counseling, and support services to countless patients and families.

Jamaica Hospital’s mobile crisis team emphasizes compassion and empathy when delivering mental health care and support. Each care provider is highly trained to engage appropriately with individuals in crisis or those experiencing psychiatric emergencies. Our team serves a very diverse population; therefore, special attention is paid to the unique and cultural needs of each individual and loved one encountered.

The primary goal of the hospital’s mobile crisis program is to go above and beyond to offer assistance. This goal is achieved by providing more support than average, which involves thorough follow-up care, and connecting individuals to social services and programs needed to improve their mental health and overall quality of life.

Jamaica Hospital’s Mobile Crisis Program aims to help individuals and families in our community by safely and compassionately engaging with those experiencing a mental health crisis, reducing unnecessary hospitalizations, and reducing the risk of future crises through the provision of continuous care. Participation is voluntary; however, if it is determined that a person in crisis needs further psychiatric or medical assessment, arrangements may be made for them to be transported to a hospital psychiatric emergency room.

In New York City, you can request help from a mobile crisis team if you are concerned about a family member, friend, or acquaintance who is experiencing or is at risk of a mental health crisis. You can also request a team for yourself. To request a team, please call 988.