November is Diabetes Awareness Month

Posted on November 10, 2016 by Andrew Rubin

The month of November has been designated American Diabetes Awareness Month by the American Diabetes Association (ADA). Diabetes affects nearly 30 million people in the United States which is ten percent of the total population. There are 86 million more people who have pre-diabetes and are at risk of developing type II diabetes during their lifetime.

There is no cure for diabetes but there are many ways for people who have been diagnosed with the disease to live long, healthy lives if it is controlled properly. Learning to live with diabetes is one of the most important components for managing the disease. Proper nutrition, regular physical activity, monitoring blood sugar daily and taking medication to control diabetes are some of the ways that complications can be prevented. Uncontrolled diabetes can lead to many complications. It is the leading cause of blindness, non traumatic amputations, kidney disease and also increases the risk for heart attacks.

During the month of November the ADA sponsors events around the country that serve to make people aware of the risk factors and the warning signs of diabetes. For more information on events taking place, please see the American Diabetes Association’s website at www.diabetes.org. It is important to have regular medical exams to manage diabetes successfully. To schedule an appointment with a physician at Jamaica Hospital please call 718-206-6742.

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.

Healthy Mind, Healthy Body, Healthy Soul

Posted on November 8, 2016 by Joann Ariola

With all the running around we do and the stress we deal with each and every day, try to take a moment to center your mind and bring wellness to your entire being. Try reciting these and other positive affirmations to help start your day in a positive way.

When Are Antibiotics Appropriate?

Posted on November 4, 2016 by Michael Hinck

You have all the symptoms: fever, cough, headache, and fatigue and body pain. You’re sick!! You visit your doctor looking for antibiotics to get you better quick, but is this always the best course of treatment?

Doctors at Jamaica Hospital Medical Center are taking a long, hard look at how patients are being treated and what they are finding is that prescribing antibiotics is sometimes not the best course of action. “For a number of reasons, physicians throughout the healthcare industry prescribe antibiotics when they are not necessary” states Dr. Luigi Tullo, Family Medicine Physician at Jamaica Hospital. Dr. Tullo added “Some of the factors are physician driven and some are patient driven, but regardless of the reason, inappropriately prescribing antibiotics can have long-term health effects on our community”.

Over-prescribing antibiotics can eventually lead to the drugs becoming less effective when they are really needed. Another cause for concern is the evolution of bacteria. When exposed to the same antibiotic repeatedly, the bacteria will change its composition and become resistant to the very medications that are intended to kill. MRSA and C. difficle are two examples of drug-resistant bugs, but they are not the only ones. This growing problem in the medical community has prompted Dr. Tullo and his colleagues to develop an Antibiotic Stewardship Program to educate both the practitioner and the patient about when antibiotics are necessary and when they are not.

To help the doctor, Jamaica Hospital has implemented multiple tools into its electronic medical records system. These tools require the doctor to provide further documentation before prescribing antibiotics to their patients. Sometimes however, even against the doctor’s best judgment, a patient may insist on receiving a prescription of antibiotics. Dr. Tullo explains, “A culture has been created that implies if a doctor doesn’t provide a prescription after examining you, then he or she isn’t taking care of you. Patients think that antibiotics are some sort of magic wand, when in fact they are not.”

To better change this perception, Jamaica Hospital, working together with the Centers for Disease Control and Prevention (CDC) is embarking on an educational campaign to help explain that antibiotics are appropriate for bacterial infections, but not for a virus. These colorful, multi-lingual posters created by the CDC will hang in all Jamaica Hospital out-patient clinics and offer guidance and education to patients.

In addition to the posters and other educational handouts, Dr. Tullo believes an emphasis must be placed on how doctors explain the patient’s condition to them. According to Dr. Tullo, “if it is explained that not needing antibiotics is a good thing, since they have a virus, the message will be better received.”

Jamaica Hospital continues to strive to do the best for their patients and hopes that through this effort, they can improve the long-term health of the community.

What Are Your Chances of Developing Heart Disease and Ways to Reduce Risks

Posted on November 1, 2016 by Xavia Malcolm

The term heart disease is used to describe a range of conditions that affect heart function. Some of the most common types of heart disease are coronary artery disease, cardiomyopathy, atrial fibrillation and arrhythmia.

According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death in the United States. It is the cause of approximately one in every four deaths. These numbers are alarming and may affect you if you are at risk of developing certain heart conditions.

Your chances of developing heart disease are determined by risk factors you may or may not be able to control. Risk factors that you can control (modifiable) are:

Obesity
Diet
Smoking
Lack of physical activity
Excessive alcohol consumption

Risk factors that you cannot control (non-modifiable) are:

Family history
Age
Gender

Whether your risks are modifiable or non-modifiable, the good news is, there are many things you can do to lower the chances or prevent heart disease from developing.

Eating a healthy diet- Eating a moderate and well- balanced diet can help with obesity. Additionally, it can reduce the risk of diseases such as diabetes and hypertension which have been linked to heart disease.
Quit smoking – Smoking damages the lining of the arteries and compromises the function of the heart. Quitting smoking will not only benefit your heart but other organs that can also be affected by tobacco smoke.
Exercising- Exercising as recommended can help regulate blood pressure, keep arteries and blood vessels flexible and improve cholesterol levels.
Moderating alcohol consumption- Excessive alcohol consumption can harm your heart and lead to heart failure, high blood pressure as well as cardiac arrhythmia.

In addition to applying healthy lifestyle changes to your daily routine, it is also helpful to schedule annual physical exams to ensure that your body is functioning normally. To schedule an appointment with a doctor at Jamaica Hospital Medical Center, please call 718-206-7001.

Electronic Cigarettes – Are They Safe ?

Posted on October 27, 2016 by Andrew Rubin

girn in cafe with E-Cigarette

Electronic cigarettes, or as they are more popularly called, e-cigarettes, are designed to look like traditional tobacco cigarettes. Though the e-cigarettes contain no tobacco, they can be harmful because they contain nicotine which is a cancer causing chemical.
Their manufacturers would like the public to believe that they are a safer alternative to cigarettes, but this may not be the case.

How they work – The user inhales through a mouthpiece similar to traditional cigarettes. This flow of air triggers a sensor that turns on a small battery operated heater. The heater warms up a capsule that contains nicotine and propylene glycol. The vapor that is created gives the user the sensation of smoking a traditional cigarette. The vapor from these e-cigarettes also contains formaldehyde and acetaldehyde which can also cause cancer.

The U. S. Food and Drug Administration has done a preliminary analysis of these devices and concluded that the vapors that they emit contain other carcinogens, such as nitrosamines and diethylene glycol. It is presumed that the effects of smoking these e-cigarettes would have similar second hand effects as regular tobacco products and their use should be regulated in a similar manner.

Though they have been marketed as an aid to stop smoking for those trying to quit, there is no evidence that proves that these e-cigarettes accomplish that goal.. If you smoke, or know someone who does, and are interested in quitting we recommend speaking with your physician. You can also schedule an appointment with one of our pulmonary specialists at 718-206-6742 who can assist you.

Halloween Safety Tips

Posted on October 25, 2016 by Joann Ariola

Halloween is known as a kid-favorite holiday full of spooky fun and lots of candy. However, it can also present many opportunities for injury, as children take to the streets in pursuit of trick-or-treat goodies.

Statistics show that roughly four times as many children aged 5-14 are killed while walking on Halloween evening compared with other evenings of the year. Also, injuries such as falls are a leading cause of injuries among children on Halloween.

Parents can help minimize the risk of children getting injured at Halloween by following these safety tips from the American Academy of Pediatrics, the Centers for Disease Control and Prevention and the National Safety Council.

On Halloween children should:

Go only to well-lit houses and remain on porches than entering houses.
Travel in small groups accompanied by an adult.
Use costume plastic knives and swords that are flexible, not rigid or sharp.
When walking through neighborhoods trick or treating, use flashlights, stay on sidewalks, and avoid crossing yards.
Cross at the corner, use crosswalks and do not cross between parked cars.
Be sure to stop at all corners and stay together in a group before crossing.
Wear clothing or costumes that are bright, reflective and flame retardant.
Consider using face paint instead of masks which can obstruct a child’s vision.
Avoid wearing hats that will slide over children’s eyes.
Avoid wearing long, baggy or loose costumes or oversized shoes to prevent tripping.
Be reminded to look left, right and left again before crossing a street.

On Halloween parents and adults should:

Supervise the trick or treat outing for children under age 12.
Avoid giving choking hazards such a gum, peanuts, hard candies, or small toys as treats to young children.
Parents and adults should ensure the safety of pedestrian trick or treaters.
Make sure children under age 10 are supervised as they cross the street.
Drive slowly.
Watch for children in the street and on medians.
Exit driveways and alleyways slowly and carefully.
Have children get out of cars on the curbs side, not on the traffic side.

By following these simple tips, you and your children can have a safe and fun Halloween!

Garlic Chicken

Posted on October 10, 2016 by Joann Ariola

The ancient Greek physician Hippocrates said “Let food by thy medicine and medicine by thy food.” Hippocrates was known to prescribe garlic to treat a variety of medical conditions.

Modern science has recently confirmed the beneficial health effects of garlic. Below is link for a tasty garlic chicken recipe that will help you add garlic to your nutritional regiment –

For this and more garlic based recipe’s visit allrecipes.com

National Depression Screening Day

Posted on October 6, 2016 by Andrew Rubin

October 6^th has been designated as National Depression Screening day, an annual event held during Mental Illness Awareness Week. This event was started 26 years ago as an effort to provide people with mental health education materials and give them resources for support services. National Depression Screening Day was also created with the hope of removing the stigma from mental illness.

The World Health Organization estimates that 350 million people worldwide suffer from depression. The organization states that early recognition and treatment of the disease offer the best opportunity for successful outcomes. If depression is left untreated it can lead to destructive behaviors and possibly suicide.

In an effort to raise awareness, Jamaica Hospital Medical Center’s Department of Psychiatry observed National Depression Screening Day by providing free depression screenings to the community. The community outreach initiative took place in the hospital’s Ambulatory Care building where members of the department educated guests about symptoms of depression and when to seek help. The group reminded everyone that mental illness is nothing to be ashamed of and they should not delay getting help for that reason.

Depression screenings help to distinguish between short term feelings of sadness and stress due to transient life episodes, and more severe cases that can go on for months and years. The tests usually last between two to five minutes and the scores will indicate whether a further evaluation by a mental health professional is needed. It is important for people to know that help is available.

To schedule an appointment with the Mental Health Department of Jamaica Hospital, please call 718-206-7160.

OBESITY OR GENETICS

Posted on October 5, 2016 by Joann Ariola

“How does she eat so much and not gain any weight?”

It’s a question that has left many puzzled and quite frustrated. The conversation about weight, however, is a longstanding one. Today, especially, weight gain and weight loss remain relevant discussions, as the United States faces an obesity epidemic.

Though several health initiatives to help fight obesity have been implemented over the past few years, it is important to first understand what factors contribute to obesity. According to a National Institutes of Health funded study conducted by UCLA, not only does behavior and environment affect obesity, but genetic factors can also play a significant role in causing obesity.

How our genes actually influence obesity varies. As explained by the Centers for Disease Control and Prevention (CDC), genes give the body instruction for responding to changes in its environment. Some research has linked genes to metabolism, pointing out that genetics affects how one’s body responds to high-fat diets. Genes can either cause an increased tendency to store fat or a diminished capacity to use dietary fats as fuel. Other research has suggested that genes influence behaviors, such as overeating and being sedentary.

The conversation about obesity can now change since research has shown that body weight is hereditary and that genetic disposition affects weight. In all efforts to fight obesity, living environments where high calorie foods are prevalent and physical activity is limited should be looked at more closely.

We understand that the road to healthier choices isn’t easy to travel, especially alone. Here at Jamaica Hospital Medical Center our outpatient registered Dietitians assist patients to grow their knowledge about nutrition, wellness and healthy eating. To schedule an appointment the outpatient nutrition services department can be reached directly at.

#Wellness Wednesday

Posted on September 28, 2016 by Joann Ariola

Leonardo da Vinci, although best known as a painter, happend to be fascinated by science. Like any modern day scientist, he used observations, common-sense reasoning and research to find answers to satisfy the many questions he had regarding the health of the human body, mind and soul.

He cataloged his findings in his “Notebooks.” We are sharing one of his thoughts here and wish you a great #wellnesswednesday

“Vitality and beauty are gifts of Nature for those who live according to its laws.” ~ Leonardo da Vinci