PCOS

Posted on January 15, 2019 by Xavia Malcolm

Polycystic ovary syndrome (PCOS) is a common hormonal disorder that occurs in women of reproductive age. It affects 1 in every 10 women living in the United States.

The exact cause of PCOS is unknown; however, several factors are believed to contribute to the disorder. Factors that may play a role in the development of PCOS are genetics, low-grade inflammation or producing excessive amounts of androgens (male hormones) or insulin.

Those affected by PCOS often develop hormonal imbalance and metabolism problems, which can lead to symptoms such as:

Acne
Hirsutism ( Excessive hair on the face or in areas where only men normally have hair)
Irregular menstrual cycles
Weight gain or weight loss
Thinning hair (Male pattern baldness)
Skin tags
Darkening of skin (Especially in areas such as the groin, underneath the breast and neck creases)

PCOS is linked to other health problems. Women diagnosed with polycystic ovary syndrome are at risk of complications such as:

Diabetes
Infertility
Miscarriage or premature birth
Endometrial cancer
Depression and anxiety
High blood pressure
Sleep apnea

There is no single test used to diagnose PCOS. Your doctor may take into consideration your medical history and recommend blood tests, pelvic examinations or ultrasounds to rule out other causes for symptoms.

Treatment for PCOS is focused on managing complications. Your doctor may recommend lifestyle changes, medication or cosmetic procedures to improve symptoms.

To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

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.

Is The “Stress Hormone” Cortisol Causing You To Gain Weight?

Posted on January 9, 2019 by Joann Ariola

Obesity is one of the biggest health problems in the world. It can be a contributing factor in other diseases, such as diabetes, cardiovascular disease, cancer, stroke, and dementia. Overeating is often cited as the only reason people are obese. In discussions about weight gain and obesity, many people seem to think that it is purely a function of willpower.

Since what we weigh is, normally, attributed to what we eat we must ask the question:

Is over-eating the only reason a person becomes overweight?

Human behavior is driven by various biological factors like genetics, hormones, stress and neural circuits. Eating behavior, just like sleeping behavior, is driven by biological processes. Therefore, saying that behavior is a function of willpower is way too simplistic.

Studies have shown that when we are stressed or during tension filled times our body increases its production of the “stress hormone” Cortisol. The increase in Cortisol may be the culprit causing you to overeat.

According to increased levels of the stress hormone cortisol causes higher insulin levels which then cause your blood sugar to drop making you crave sugary, fatty foods. The end result of these actions can be an increase in appetite.

Here are some additional factors thought to be the leading causes of weight gain, obesity and metabolic disease that have nothing to do with willpower:

Genetics – Obesity has a strong genetic component. Offspring’s of obese parents are much more likely to become obese than offspring’s of lean parents.
Insulin – Insulin is a very important hormone that regulates energy storage, among other things. One of the functions of insulin is to tell fat cells to store fat and to hold on to the fat they already carry. When insulin levels elevate, energy is selectively stored in fat cells instead of being available for use.
Medications – Certain medications can cause weight gain as a side effect. Some examples include diabetes medication, antidepressants and antipsychotics. These medications don’t cause a “willpower deficiency,” they alter the function of the body and brain, making it selectively store fat instead of burning it.

Leptin –This hormone is produced by the fat cells and is supposed to send signals to the hypothalamus (the part of our brain that controls food intake) that we are full and need to stop eating. The problem for some is their leptin isn’t working as it should because the brain becomes resistant to it. This is called leptin resistance and is believed to be a leading factor in the pathogenesis of obesity.
Thyroid Disease – Thyroid hormone regulates our metabolism. Too little hormone slows the metabolism and often causes weight gain.
Cushing syndrome – Occurs when your body is exposed to high levels of the hormone cortisol for a long time. Cushing syndrome, sometimes called hypercortisolism, may be caused by the use of oral corticosteroid medication. The condition can also occur when your body makes too much cortisol on its own.

A doctor can determine if any of these conditions or treatments is responsible for your obesity. If you would like to see a physician, please contact the Jamaica Hospital Medical Center’s Ambulatory Care Center to schedule an appointment. 718-206-7001.

Make Your Mental Health a Priority This New Year

Posted on January 2, 2019 by Joann Ariola

Tis’ the season for New Year Resolutions! We are all talking about shedding some holiday pounds, keeping ourselves more organized or just living our best lives in 2019. While striving towards those goals, why not included your mental health in this years resolutions?

Did you know that mental illness affects millions of Americans, yet not surprisingly, many of those who need help do not receive it. There are many reasons why – it could be due to limited availability of services, or a strong distrust of others, or those who are mentally ill might have such a sense of hopelessness that they do not seek care.

While all of these are factors as to why someone doesn’t seek support, perhaps the biggest single reason is a sense of fear and shame associated with admitting help is needed. This sense of shame is very common and it is only reinforced by society, which has attached stigmas to mental illness. The beliefs the public has about mental illness leads those who need help to avoid it so they are not labeled as “crazy” and have their condition negatively affect their personal relationships and career goals.

Getting society to overcome the stigmas associated with mental illness is the key to having more individuals come forward, but unfortunately negative attitudes and beliefs toward people who have a mental health condition are common. These stigmas can lead to obvious and direct discrimination, such as someone making a negative remark about mental illness or it may be unintentional or subtle, such as someone avoiding an individual because they assume they could be unstable, violent or dangerous due to mental illness.

Those with mental illness should never be ashamed of their condition and here are some reasons why:

According to the World Health Organization, one out of four people will experience mental health problems at some point in their lives.
Shame is pretty much guaranteed to make things worse. Feelings of shame are proven to have detrimental effects on our mental and physical health
Mental illness is no one’s fault. No one asks to have a mental illness and it is definitely not a choice we make.
We’re not ashamed when our bodies get sick, so why should we be ashamed when our minds aren’t in top form.
There is no normal – our minds are complex things and no single brain is the same
Our mental health doesn’t define us. Don’t let your mental illness become who you are, it is just one aspect of you.

It’s time to speak out against the stigmas associated with mental illness and reframe the way we see it. Getting help is not a sign of weakness. It is a sign of strength.

To make an appointment at Jamaica Hospital’s Outpatient Mental Health Center, please call 718-206-7001.

What Will Your New Year’s Resolution Be For 2019 ?

Posted on December 26, 2018 by Andrew Rubin

Some popular resolutions that people be make for 2019 are to:

• Lose weight
• Get organized
• Spend less
• Quit smoking
• Fall in love

The percentage of people who make New Year’s resolutions is about 45% of the population. People in their twenties tend to be more successful at maintaining their resolutions as compared to people over the age of 50. By the end of the first month 65% of the people are still doing a good job of keeping to their resolution, however by the end of six months that number drops to around 44%.

Treating Asthma When You Have a Cold

Posted on December 26, 2018 by Joann Ariola

Colds make us feel miserable and coughing fits tend to bring attention to us at times when we want it least. For most catching a cold is a nuisance but for others with chronic respiratory conditions such as asthma, colds can be very serious. Colds are one of the most common causes for flare ups in asthmatics. The mildest of cold symptoms can easily lead to wheezing, shortness of breath or trigger asthma attacks.

Taking preventative measures to avoid catching a cold is one of the best recommendations that asthmatics can follow. Some of these precautions include: frequently washing or sanitizing hands, staying away from individuals who have colds and avoiding contact to the eyes and nose.

Even though prevention is highly recommended, during the cold season avoiding a cold is sometimes easier said than done. If you do contract the cold virus there are several things you can do to help control your asthma:

If you are sick stay home and take care of yourself. Staying home can help you avoid environmental factors that could worsen your condition.
Monitor your air flow by frequently using a peak flow meter. If there is a drop in peak flow rates contact your physician to discuss adjustments to medication.
Keep track of changes in your condition and developing asthma symptoms such as wheezing, tightness of the chest or coughing.
Take medication as advised by your doctor.

Following these recommendations can help you manage symptoms and reduce the risk of a serious attack. If your condition continues to get worse after several days, make an appointment to see your doctor as soon as possible.

If you’d like to make an appointment with a doctor at the Jamaica Hospital Medical Center Ambulatory Care Center, call 718-206-7001 to schedule an appointment.

HEALTHY OATMEAL RASIN COOKIES

Posted on December 19, 2018 by Joann Ariola

It’s Holiday Baking Season! Let’s start this season off right with a healthy choice.

Oatmeal Raisin Cookie

INGREDIENTS

1 1/3 cups of quick cooking oats or rolled oats
1/3 cup of all purpose flour
pinch of salt
1/4 teaspoon of baking powder
1/4 teaspoon of baking soda
1 teaspoon of ground cinnamon
1 teaspoon of vanilla
6 tablespoons of room temperature unsalted butter ( margarine may be substituted)
3/4 cup of light brown sugar
1 egg
3/4 cup of dark raisins
1/3 cup of flax seeds

INSTRUCTIONS

Preheat the oven to 350 degrees and line a baking sheet with parchment paper.
Using a hand mixer, beat the butter and brown sugar until fluffed up ( 1-2 minutes) and add the egg, cinnamon and vanilla and beat for another 30 seconds until smooth.
In a separate bowl, mix the oats, raisins, flax seeds and flour with baking powder and baking soda and pinch of salt.
Then using a rubber spatula, fold the oat mixture into the egg mixture. The dough will be a little crumbly, that’s ok.
Using a standard tablespoon measuring spoon or a small ice cream scoop or oiled hands, pick up golf ball sizes of the dough and place them on the cookie sheet about 1/2 inches apart ( these cookies don’t spread too much).
Bake the cookies ( middle rack) for 12-14 minutes depending on the size of your cookies. Take them out while the centre is still soft but the edges have set ( if you like a chewy cookie) or let them bake an extra 2 minutes until the centres are set too if you like a crunchier cookie.
Cool on the baking sheet for 2 minutes before attempting to remove them.
Now enjoy!
To freeze the dough: wrap it in wax or parchment paper and freeze it as a log or pre-measure it into golf ball sizes. When ready to bake slice the dough ( if it’s a log) or bake the gold ball frozen doughs at the same temperature for an extra 2 minutes longer.

For this an other delicious cookie recipes visit –

Home Remedy for an Upset Tummy…

Posted on December 12, 2018 by Joann Ariola

The Chinese have used ginger to treat nausea and digestive issues for over 2,000 years. While research has debated the extent of its effectiveness as a natural remedy, it’s thought that active components, such as gingerol, directly affect the digestive and central nervous systems.

Most doctors and herbal medicine practitioners agree that using fresh ginger in teas and water or natural ginger candies will help relieve nausea, especially during pregnancy. Some studies suggest it is an effective treatment for post-operative and chemotherapy-related nausea, as well.

Ginger also has anti-inflammatory properties that may help boost immunity. Bottom line, there are no disadvantages to ingesting a little ginger to help ease nausea and digestive issues.

Flu Season Precautions

Posted on December 4, 2018 by Andrew Rubin

We are in the month of December and cases of flu are being reported by physician’s offices and hospital emergency rooms. None of us want to catch the flu so it is a good idea to take some preventative measures that can help us to stay healthy.

Here are a few of the ways we can prevent getting the flu:

• Everyone who is six months of age and older should get the vaccine every year
• Avoid close contact with people who are sick.
• Wash your hands frequently with soap and water.
• Keep a hand sanitizer handy for the times soap and water are not available.
• Avoid touching your hands to your eyes, nose and mouth.
• Whenever possible, disinfect surfaces that are frequently used by others such as tables and chairs.
• Clean your drinking glasses and dishes in hot water and with soap
• Keep your immune system healthy by eating a balanced diet, exercising regularly and getting enough sleep every night
• Tobacco can suppress the immune system, so it is highly recommended to quit smoking.

If you would like to schedule an appointment with a physician at Jamaica Hospital Medical Center to discuss the flu vaccine and other ways to stay healthy, please call 718-206-7001.

Does Your Child Have a Growth Disorder?

Posted on December 4, 2018 by Jamaica Hospital Medical Center

When is a lack of growth a cause for concern? All children grow at different rates. The same boy that is the smallest in his class in elementary school might be the tallest at his high school graduation. In most cases lack of height can be attributed to genetic factors or in other instances it could just be that the child is a “late bloomer.”

After years of collecting statistics on childhood development experts have developed a standard growth chart. Pediatricians use this chart as a guideline to monitor the growth of their patients against other children of the same age during a child’s annual well visit. Children are ranked by percentile (from 1 to 100). If a child is ranked either below the 3^rd or above the 97^th, a doctor will usually want to investigate potential reasons as to why.

While in most cases there is no need for concern, for some children, a lack of growth could be caused by a growth disorder. The most common reason for a growth disorder is related to the pituitary gland, which is located at the base of the brain. One of the main functions of this gland is to release growth hormones to your body. When the pituitary gland doesn’t make enough growth hormone, it causes a condition known hypopituitarism, which can slow down a child’s rate of growth. Special tests can determine if a child isn’t producing enough growth hormone. If not, daily injections of growth hormone can often help them grow at a more conventional rate.

Another gland that produces hormones important for growth is the thyroid. Your thyroid makes a hormone called thyroxine. If it makes too little, the condition is called hypothyroidism. Having too little thyroxine cause a child to grow more slowly. Doctors can do a simple blood test for hypothyroidism. If it’s needed, pills can be prescribed to compensate for the lack of this hormone.

Thankfully, many growth disorders can be successfully treated today. The best advice is to make sure your child sees their pediatrician for their annual visit so any issue can be immediately identified. If you do not have a pediatrician, you can make an appointment to see one inJamaica Hospital’s Ambulatory Care Center.

For more information, or to make an appointment, please call 718-206-7001.

Anemia in Older Adults

Posted on November 28, 2018 by Joann Ariola

Anemia is a condition that occurs when your blood lacks enough healthy red blood cells (hemoglobin). Hemoglobin is the part of the cell that that binds oxygen. If your hemoglobin is low, the cells in your body will not receive enough oxygen.

Although anemia can happen at any age, this condition is extremely common in adults 60 years and older. In fact, it is estimated that about 10% of older adults living independent lives over the age of 65 have anemia.

Since anemia is usually caused by poor nutrition or other medical issues, such as receiving chemotherapy, vitamin deficiency, or internal bleeding, older adults are at greater risk of developing the condition.

Common symptoms of anemia are:

Fatigue
Weakness
Shortness of breath
High heart rate
Headaches
Becoming paler (which is often first seen by checking inside the lower lids)
Lower blood pressure (especially if the anemia is caused by bleeding)

If you are experiencing some or all of the symptoms of anemia, your physician can perform a simple complete blood count (CBC) test to determine your overall health and detect a wide range of blood disorders including anemia.

Jamaica Hospital Medical Center’s Ambulatory Care Center offers medical testing to diagnose testing. If you are interested in scheduling an appointment, call 718-206-7001.