The Importance of an Annual Exam

Posted on November 30, 2016 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 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.

Kitchen Safety Tips for the Holiday Season

Posted on November 22, 2016 by Joann Ariola

As the holiday season approaches, the kitchen can become especially busy for many. During this time of year, we tend to host more family dinners, and holiday parties. With all this increased kitchen activity, safety can sometimes be overlooked.

While cooking-related injuries can take place any time of year, these incidents tend to increase in frequency around the holidays. Some of the injuries that take place in the kitchen include cuts, sprains and eye-related injuries, but the most common type of cooking-related injury are burns to the skin from hot liquids such as water, grease, or other substances.

Caution is the best practice for avoiding burns especially, while frying or boiling your favorite holiday foods. It is best to keep the flame at a reasonable level to avoid splatter burns when frying food. Also, be careful with your eyes while working in the kitchen as oil or hot water can cause irritation, injury or infection.

In addition to burns, hospitals also treat many people who suffered lacerations from knives while chopping or carving foods. Most injuries occur on the hand, knuckles or tips of the fingers. In some cases these injuries can result in stiches or even the loss of a digit. When using knives it is very important to use the right tool for the job. Don’t use a bread knife to carve a piece of meat or try to chop vegetables with a paring knife. It might sound odd, but always keep your knives sharpened. More kitchen injuries come from people using cutlery with dull blades than sharp ones.

Here are a few additional cooking safety tips:
• When chopping vegetables, slice downward and away from your body while keeping your fingers away from the blade.

• Never fry a turkey indoors or in a garage or other structure attached to a building. Be careful to follow specific thawing, preparation, and cooking temperature and timing instructions to avoid potential serious injury.

• Keep a fire extinguisher handy in the kitchen, and know how to use it.

• Never leave your food unattended while frying or grilling.

• Use a timer and routinely check whatever you’re cooking.

• Keep your cutting area well-lit and dry. Good lighting will help prevent an accidental cut of the finger and making sure your cutting surface is dry will prevent ingredients from slipping while chopping.

• Make sure to wear a mitten when you are grabbing food from the oven.

Jamaica Hospital’s Trauma Division recognizes that many of these injuries, accidents, and fatalities are preventable. Our Trauma Division is fully dedicated to reducing and preventing these injuries through community outreach, education and advocacy.

Non-Traditional Thanksgiving Recipe

Posted on November 21, 2016 by Zakiya Hazel-Jemmott

Who said Thanksgiving has to be traditional? If you’re looking to put a modern twist on some old school recipes then you might want to try this recipe. Chef John’s Pumpkin flan is a gluten-free and crust-less alternative to the usual pumpkin pie that gets passed around every year. All the flavor with less fat. Isn’t that what we all want? This video gives you an easy recipe for a light version of pumpkin flan: http://allrecipes.com/video/451/low-fat-pumpkin-flan/?internalSource=hn_carousel%2002_Chef%20John%27s%20Pumpkin%20Flan&referringId=16956&referringContentType=recipe%20hub&referringPosition=carousel%2002

Can Lifestyle Choices Affect Infertility

Posted on November 16, 2016 by Joann Ariola

Did you know that infertility affects 10-15% of couples in the United States. Although it is commonly assumed that this condition occurs only in women; it affects both genders.

Infertility is usually diagnosed after a couple has tried to conceive for over one year without success. In women this problem can be the result of several problems such as ovulation disorders, pelvic inflammatory disease, blocked Fallopian tubes or uterine fibroids. Factors that can cause infertility in men may include oligospermia (very few sperm cells are produced) or azoospermia (no sperm cells are produced).

There are also lifestyle practices that can increase the risk of infertility. Smoking, consuming too much alcohol, mental stress and poor diet are all known to affect fertility.

Excess stress can affect the function of the hypothalamus gland; which regulates the hormones that tells the ovaries to release eggs. Recent studies have also indicated that women experiencing greater amounts of stress were more likely to produce high levels of alpha-amylase and had a more difficult time getting pregnant.

The toxins inhaled from cigarette smoke can affect fertility by causing damage to reproductive organs, eggs and sperm. Heavy and prolonged alcohol consumption can also cause imbalances in the hormones of the reproductive systems of women and can also damage sperm in men.

Adopting a healthy diet that includes foods known to improve reproductive health and boost fertility can increase the chances of healthy ovulation. Dietitians often recommend eating organic foods and cold water fish such as salmon, increasing the intake of whole grains and drinking freshly squeezed fruit juices to couples who are trying to conceive.

If you have been trying to conceive for at least one year without success, it is possible that your lifestyle could be a contributing factor. It is recommended that you consult an Ob/Gyn to explore the possible causes of your infertility.

To learn more about infertility and treatments please call the Women’s Health Center at Jamaica Hospital Medical Center at 718-291-3276.

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.

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!