World TB Day

Posted on March 16, 2016 by Andrew Rubin

March 24th has been designated globally as “World TB Day”. The event began in 1982 is sponsored by the World Health Organization and the International Union Against Tuberculosis and Lung Disease and is intended to raise awareness that anyone can contract TB to make health professionals aware of the importance of testing people for the disease.
This date was chosen to celebrate the discovery by Dr. Robert Koch of the Mycobacterium tuberculoisis (the bacteria that causes tuberculosis) in 1882. This important discovery was the beginning of the steps being taken to control and hopefully one day eradicate the disease.

Unfortunately, Tuberculosis (TB) is still one of the leading causes of death around the world. TB is a contagious bacterial disease that affects mainly the lungs but can also affect the kidneys, brain and the spine. Signs and symptoms may include:

• Coughing up blood
• Fatigue
• Fever
• Chills
• Night sweats
• Loss of appetite
• Pain with breathing

TB is spread by coming into contact with the airborne droplets of the bacteria from an infected person. People most susceptible are those who have compromised immune systems and include people undergoing chemotherapy, have diabetes, are very young or very old, and have HIV/AIDS. There are antibiotics that given to fight the disease but depending on the strain and their resistance to treatment, may require months or years of treatment.

A routine physical usually includes a TB skin test. If you would like to schedule a physical exam and a TB test with one of our physicians, 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.

What You Need to Know About Endometriosis

Posted on March 9, 2016 by Xavia Malcolm

Endometriosis affects approximately every one in ten girls and women worldwide. This condition occurs when the tissue that normally lines the inside of the uterus- grows outside the uterus. This abnormal growth of tissue can commonly be found on the ovaries, fallopian tubes, ligaments that support the uterus, as well as areas between the rectum and vagina. Areas where endometriosis is less commonly found, are the lungs, thighs, arms and other areas beyond the reproductive organs or lower abdomen.

Endometrial tissue develops into growths or clumps called implants. These clusters of tissue respond to the menstrual cycle the same as they would inside the uterus. Meaning, each month the tissue builds up, breaks down then sheds. Unlike the tissue that lines the inside of the uterus; endometrial tissue cannot be discharged from the body through vaginal bleeding. This results in inflammation, swelling, the formation of scar tissue or internal bleeding.

The symptoms of endometriosis typically present themselves during reproductive years- on average between the ages of 12 to 60 years old. Symptoms include:

Painful sexual intercourse
Pain during pelvic examinations
Severe pain during menstruation
Pain during urination or a bowel movement
Excessive bleeding
Infertility

The cause of endometriosis is unknown but several factors such as genetics, retrograde period flow, immune system disorders and hormones are being researched.

Most cases are diagnosed in women between the ages of 25 to 35 years of age; however, some women with endometriosis remain undiagnosed because they do not have symptoms and the disorder is sometimes mistaken for other conditions.

Women who do experience symptoms should speak with their doctor about receiving tests such as pelvic examinations, laparascopy and imaging tests, to find out if they have endometriosis.

Although there is no cure for endometriosis, effective treatments including medication, surgery and alternative therapies are available.

If you are experiencing the symptoms it is recommended that you make an appointment to see your doctor as soon as possible. To make an appointment with a gynecologist at Jamaica Hospital, please call 718-291-3276.

Does Your Child Have Night Terrors?

Posted on March 7, 2016 by Zakiya Hazel-Jemmott

Most parents have comforted their child after the occasional nightmare. But if your child has ever experienced what’s known as a night terror (or sleep terror), his or her fear was likely inconsolable, no matter what you tried.

Unlike nightmares, which a child can usually remember, night terrors are not memorable and the child will not recall experiencing that horror the night before. Night terrors occur when a child is in a deep sleep and there are no mental images to remember.

A night terror is a sleep disruption that seems similar to a nightmare, but with a far more dramatic presentation. Though night terrors can be alarming for parents who witness them, they’re not usually cause for concern or a sign of a deeper medical issue. The sleep disorder of night terrors typically occurs in children aged three to twelve years, with a peak onset in children aged three and a half years.

Night terrors usually occur about two or three hours after a child falls asleep, when sleep transitions from the deepest stage of non-REM sleep to lighter REM sleep, a stage where dreams occur. During a night terror, a child might suddenly sit upright in bed and shout out or scream in distress. The child’s breathing and heartbeat might be faster, he or she might sweat, thrash around, and act upset and scared. After a few minutes, or sometimes longer, a child simply calms down and returns to sleep.

Night terrors can be caused by fever, lack of sleep, stressful or traumatic life events or some medications that control the central nervous system. Parents may take some precautions at home to try and prevent night terrors:

Eliminate all sources of sleep disturbance like loud noises or excessive light in your child’s room.
Maintain a consistent bedtime routine and wake-up time.
Observe how many minutes the night terror occurs from your child’s bedtime.
Awaken your child 15 minutes before the expected night terror, and keep them awake and out of bed for five minutes.
You may want to take your child to the bathroom to see if they will urinate.

Continue this routine for a week. Also, make the child’s room safe to try to prevent the any injuries during an episode.

Unfortunately, no adequate treatment exists for night terrors. Management primarily consists of educating family members about the disorder and reassuring them that the episodes are not harmful. Night terror episodes are short-lived and usually occur over several weeks. Nearly all children outgrow night terrors by adolescence.

If the night terrors continue and appear to get worse consult your pediatrician immediately. The Sleep Center at Jamaica Hospital is open from 7:00pm to 7:00 am and available to diagnose and monitor sleeping patterns. For additional information or to schedule an appointment, please call 718-206-5916.

Is High Blood Pressure Affecting your Kidneys?

Posted on March 7, 2016 by Joann Ariola

High blood pressure is the second leading cause of kidney failure in the United States after diabetes.

High blood pressure, also known as Hypertension, can damage blood vessels in the kidneys, reducing their ability to work properly. When the force of blood flow is high, blood vessels stretch so blood flows more easily. Eventually, this stretching scars and weakens blood vessels throughout the body, including those in the kidneys.

If the kidneys’ blood vessels are damaged, they may stop removing wastes and extra fluid from the body. Extra fluid in the blood vessels may then raise blood pressure even more, creating a dangerous cycle.

Most people with high blood pressure do not have symptoms. In rare cases, high blood pressure can cause headaches.

Kidney disease also does not have symptoms during its early stages. A person may have swelling called edema, which happens when the kidneys cannot get rid of extra fluid and salt. Edema can occur in the legs, feet, or ankles and less often in the hands or face.

Once kidney function decreases further, symptoms can include:

Appetite loss
Nausea
Vomiting
Drowsiness or feeling tired
Trouble concentrating
Sleep problems
Increased or decreased urination
Generalized itching or numbness
Dry skin
Headaches
Weight loss
Darkened skin
Muscle cramps
Shortness of breath
Chest pain

Following a healthy eating plan can help lower blood pressure. Your health care provider may recommend a dietary approach that includes foods that are low in fat and cholesterol, dairy that is fat-free or low-fat, fish, poultry and nuts, as well as, consuming less read meat, sweets and added sugars.

If you are experiencing symptoms and would like to speak with a physician, please call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001.

Whiplash – A Real Pain in the Neck

Posted on March 3, 2016 by Andrew Rubin

Whiplash is a neck injury caused by the sudden, forceful, movement of the head and neck. Often times it is caused by a rear end car accident but can also be caused by other forms of trauma like a sports related accident, shaking a baby forcefully, or if one person hits another in the head.

Signs and symptoms of whiplash sometimes don’t show up right away. It may take a day or two for some or all of the following symptoms to appear:

• Neck pain and stiffness
• Limitation of neck range of motion
• Headache
• Shoulder and back pain
• Tingling in the arms
• Dizziness
• Feeling tired
• Blurred vision

A complete examination by a physician will include checking range of motion of the neck and shoulders, tenderness in the shoulders, neck and back, checking reflexes and muscle strength in the arms. The exam will also probably include an x-ray, and a CT scan or MRI of the upper part of the body.

Treatment for whiplash depends on severity as each case is different. It includes rest, immobilization of the neck with a foam collar, pain management with medication, ice or heat to the affected area, muscle relaxants, or physical therapy. It can take weeks or months for the symptoms to subside.

If you would like to schedule an appointment with a physician at Jamaica Hospital Medical Center, please call 718-206-7001.

March is National Kidney Month

Posted on March 1, 2016 by Joann Ariola

March is National Kidney Month and the National Kidney Foundation is urging all Americans to give their kidneys a well-deserved checkup.

The kidneys are two, fist-sized organs in your lower back. They maintain overall health by serving following functions:

Filtering waste out of 200 liters of blood each day
Regulating of the body’s salt, potassium and acid content
Removing toxins from the body.
Balancing the body’s fluids
Releasing hormones that regulate blood pressure
Producing an active form of vitamin D that promotes strong, healthy bones
Controlling the production of red blood cells

According to the U.S. Centers for Disease and Control, some quick facts on Kidney Disease are:

Kidney disease is the 9^th leading cause of death in the country.
More than 26 million Americans have kidney disease, and most don’t know it.
There are over 95,000 people waiting for kidney transplants.
Currently, more than 590,000 people have kidney failure in the U.S. today.

Often times, kidney failure can be prevented or delayed through early detection and proper treatment of underlying disease such as diabetes and high blood pressure which can slow additional damage to the kidneys.

If you are 18 years or older with diabetes, high blood pressure, cardiovascular disease or a family history of kidney disease, you should schedule an appointment with your doctor and ask that you be screened for kidney disease.

If you would like to make an appointment to have your Kidney’s checked, you can call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 for an appointment.

Bunions

Posted on February 25, 2016 by Jamaica Hospital Medical Center

Bunion_Progression_Scale

If you have ever looked down at your foot and said, “When did that get there?” you’re probably referring to a bunion, especially if it’s painful. A bunion is the painful swelling of the first joint on the toe. For many people, bunions run in the family. Bunions sometimes develop with arthritis. Three out of four Americans will experience a common foot problem in their lifetime. Therefore, you’re not alone.

Women are more likely to develop bunions due to years of wearing tight, poorly fitting shoes, especially heels with pointed-toe closures. Athletes who run track or are required to wear cleats can also get bunions easily.

There are a few cosmetic ways to comfort your bunion without surgery. However, most times when the bunion has gone untreated for too long, the pain becomes too severe and requires surgical removal.

Bunionectomy is the surgery performed to remove bunions. Bunions form when the bone or tissue at the joint at the bottom of the big toe moves out of place. Years of abnormal motion and pressure on the joint forces the big toe to bend toward the others, which causes an often-painful lump on the joint. Your doctor also may recommend surgery because bunions can result in other painful foot problems, such as hammertoes, bursitis, a bunion below the little toe, or pain in the balls of your feet. The goal of surgery is to return the big toe to its correct position. A surgeon puts bones, ligaments, tendons and nerves back into correct order, and removes the bump.

To prevent growth of your bunion you can wear properly fitting shoes that allow room for all of your toes and wear low-heeled shoes if you are used to wearing high heels or stilettos. If the pain caused by your bunion is still too unbearable you should speak to your doctor about surgery.

The Ambulatory Surgery Unit at Jamaica Hospital is here to help you through your experience. All nurses are trained with full holistic/relaxation techniques and will help you to make this a calm procedure. “We want you to feel like Jamaica ASU is a part of your family, ‘Jamaica Cares’” the nurse manager, Cheryl Gallotta-Dimassi is available to assist you, and welcomes you to seek her out.

Jamaica Hospital’s on-site Ambulatory Surgery Unit is located on the first floor of the hospital. The Center is open Monday through Friday, from 6:00 a.m. to 7:00 p.m. For an appointment, call 718-206-6102.

The Mental Health Benefits for Adults Using Coloring Books

Posted on February 23, 2016 by Xavia Malcolm

The popularity of adult coloring books has grown rapidly over the past year and the idea that it’s just for kids is fading just as quickly.

Mental health professionals have long utilized art in treating patients because it has a profoundly positive effect on mental well-being. This form of therapy encourages self- exploration and helps in organizing emotions. Although art therapy received from a professional is more effective than coloring on your own; coloring does have several benefits. It has been found that coloring can help adults:

1: De-stress

2: Achieve a state of meditation

3: Reduce anxiety

4: Alleviate less severe symptoms of depression

5: Improve concentration

6: Boost creativity

While coloring can be beneficial; it is important for individuals to note that it is not art therapy and should not be used as a method of self-treatment for mental health disorders. Art therapy differs from coloring because it relies on a patient-therapist relationship. This dynamic is important in helping patients to express their problems to the therapist through art when they are not able to in words.

Creative arts therapy has been an integral part of the Department of Psychiatry at Jamaica Hospital for nearly 20 years. For more information about the program or to schedule an appointment, please call 718-206-5575.

Which Type of Chocolate Do You Prefer – Milk or Dark ?

Posted on February 18, 2016 by Andrew Rubin

Everyone has a preference when it comes to eating chocolate, however research has shown us that dark chocolate is more beneficial to your health.
Some of the benefits of eating Dark Chocolate may include:
• Lowers blood pressure
• Improves blood flow
• Decreases cardiovascular disease
• Can protect the skin from sun induced damage
Dark chocolate contains a higher concentration than milk chocolate of polyphenols and flavanols. These chemicals have a beneficial effect on the body.
When eaten in small quantities, dark chocolate is healthy for you, but as with anything that we enjoying eating, too much of a good thing can outdo the benefits we obtain.

Is Obesity Culturally Influenced ?

Posted on February 11, 2016 by Andrew Rubin

Obesity is a problem that is well known but not well controlled in the United States today. It has become a very big problem for both men and women and affects all racial, socioeconomic and ethnic groups, but how much does culture contribute to someone’s obesity risk factor? People who are defined as being obese are severely overweight and are also at greater risk of developing circulatory problems, diabetes, hypertension and cardiovascular problems.
Cultural factors play a role in why some groups of people are more likely to become obese during their lifetime. To understand how cultural factors play a role in obesity one has to understand that a culture is a set of rules, learned by sharing experiences, of a certain group of people. A group of people who share the same culture also share the same values and have shared experiences. How that group defines what is an acceptable way of eating, and how they appear to others is what makes them unique. There are some cultures for example that see being overweight as a sign of affluence because food may be scarce in that region.
People who share a cultural background tend to reside in the same neighborhood. An example of this would be when immigrants from other countries or from different parts of the same country, migrate to an area, these people tend to eat foods that are familiar to them. Those food choices may not be healthy but are comforting and may be eaten in quantities that are excessive.
Where people live and what resources they have available to them also can play a role in what choices they make are available for healthy eating. People who eat a lot of fast food because of its low cost are consuming food that is high in calories, fats, and refined sugars, all of which contribute to becoming obese in the long term. Fresh fruit and vegetables which are more beneficial to overall weight control tend to be more expensive and therefore not eaten as often. People living in societies that are more economically developed tend to be more obese than in parts of the country that are rural because they are more likely to eat prepared , packaged, and processed foods.
There has been a slow increase in the number of people who care considered to be obese in the United States and this is due to poor choices in foods and less physical activity, influenced by culture changes and lifestyles. People make choices in how they live their lives, and a society that allows for poor choices on how they eat, get physical activity and spend their leisure time will be doomed to an even greater population of obese people.
It is important for people with poor eating habits to adopt healthier diets. To schedule an appointment with a physician at Jamaica Hospital who can help you to improve your diet, please call 718-206-7001.