YIKES! Did I Really Do That?

Posted on January 29, 2016 by Joann Ariola

Whether you’ve accidently tripped over a child underfoot or walked into a doorway with your infant’s head in the lead, you’ve caused a child an accidental injury.

When you accidentally hurt your child, you may feel intense shame, even panic and a sense of self-loathing or blame. Even when your head clears, you may feel like you are a terrible parent.

These feelings are confusing. You may ask yourself, “How could I have done that?” The truth is, children and accidents are synonymous; even the preventable ones.

It is hard to see your child in pain and even harder to know that it is your fault. Your mind will replay the event in your head many times while you are slowly accepting what happened.

In most cases, the child is not badly hurt and you can find comfort in realizing that while accidents happen, most of them are not serious and your child is not quite as fragile as you think.

As you tell the story of what happened to your child, you will realize that most people understand and, in fact, it has happened to the best of parents. At this point, you will find it easier to forgive yourself. Still, you and your child suffered a trauma and it will take time for both of you to heal.

Some reactions to trauma are:

Feeling numb or disconnected
Insomnia
Nightmares
Flashbacks
Sadness or depression

During this time, you should be kind to yourself and keep in mind that you will not always feel this way. After the guilt lessens, you should experience acceptance.

If you are having difficulty coping and the reactions have become prolonged symptoms, you may be experiencing a response to trauma called Post Traumatic Stress Disorder (PTSD). If the negative feelings persist, you shouldn’t be afraid to ask for help from a physician, counselor, clergy member, friend and family member.

Jamaica Hospital Medical Center’s Mental Health Center is centrally located and has convenient hours. To make an appointment with a physician or licensed professional, 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.

Instrument Sterilization

Posted on January 28, 2016 by Andrew Rubin

Instruments that come in contact with the body during all surgical procedures and many non-surgical procedures must be free of all microbial elements. This is to ensure that the risk of infection is kept to a minimum.
Throughout history different methods were adopted using materials that were available at that time. In 3000 BC the Egyptians used pitch and tar as antiseptics. In later years the fumes from burning sulfur were found to cleanse objects of infectious material.
In 1680 a French physicist, Denis Papin invented a pressure cooker that would trap boiling water, convert it into steam, and was found to cleanse objects by cooking them. This device was further improved upon during the next two hundred years and it became possible to additionally sterilize linens, dressings, gowns using steam. Two major contributions to the art of sterilization came in the 1860’s when the French chemist and microbiologist Louis Pasteur wrote extensively on how germs cause disease and the English physician, Joseph Lister, developed a technique that used carbolic acid as a spray to disinfect instruments. During the late 1800’s steam sterilization became much more widespread. Surgical instruments were also being made out of materials that were better able to withstand high levels of heat. This allowed them to be processed at higher temperatures and were being made with smooth surfaces which allowed for more thorough cleaning.
During the 1900’s various improvements were introduced. This included sterilization with steam, irradiation, with glutaraldehyde. More recently, sterilization of instruments can be achieved using high temperature / high pressure, ultraviolet light, and the most commonly used chemical for sterilization is ethylene oxide. It can be used on almost all instruments, both metal and non-metal.
The importance of cleanliness when it involves objects that come in contact with the body cannot be stressed enough. It was recognized in ancient times and improvements are still evolving today for the safety of patients.

Vitiligo: Causes, Myths, and Facts

Posted on January 25, 2016 by Zakiya Hazel-Jemmott

Vitiligo (vit-uh-lie-go) also called ‘leucoderma’ is a condition in which there is a development of milky-white patches on the skin. Anyone can get this skin disorder. Millions of people of all races and ethnicities worldwide have Vitiligo. It occurs in 0.5-2% of the general population. Some well-known cases of vitiligo have occurred in celebrities such as Michael Jackson, supermodel Winnie Harlow, and comedian Steve Martin.

So what causes vitiligo? Vitiligo is usually seen on the skin but other areas such as the scalp, lips and genitals can also be affected. Patches of hair can turn white. It develops because color producing cells in our skin called melanocytes, die.

Scientists have not completely understood why these cells die. Multiple factors such as genetics, a weak immune system which attacks its own cells, and increased free radical-induced damage (oxidative stress) may be the cause. Those whose parents have vitiligo and associated autoimmune diseases are more likely to get it as compared to the general population, although in most cases there is no family history of the condition. Certain factors such as skin injury and severe sunburn can cause development of new patches in a predisposed individual as well.

There are several myths associated with the spread of vitiligo but the fact is that vitiligo is not contagious. People also think that it is caused by eating white foods and drinking too much milk which is also false. Certain prescribed medications can stop the spread of new vitiligo spots but is not guaranteed, as new spots may appear but recover as treatment proceeds. Although vitiligo is not life-threatening it is life-changing. Those afflicted with vitiligo and their families face social stigmatisation leading to low self-esteem, anxiety, embarrassment, anger and even serious depression.

The Division of Dermatology at Jamaica Hospital offers several services, including adult and pediatric dermatology, dermatologic and skin cancer surgery, and cosmetic dermatology. For an appointment, please call (718) 206- 6742.

7 things should know about the Zika Virus

Posted on January 19, 2016 by Xavia Malcolm

Zika -480292112 Recently the CDC (Centers for Disease Control and Prevention) issued a travel warning for people visiting countries that have reported cases of the Zika virus. While the organization has issued a travel warning for all; they are stressing that pregnant women should take special precautions because the virus is suspected to cause birth defects. Here is a list of some of those precautions as well as general information about the virus:

1: The Zika virus is a mosquito-borne virus. It is transmitted to people through mosquito bites. It may also be transmitted from a pregnant woman to her child during birth- this mode of transmission is being researched.

2: The symptoms of the disease include:

Fever
Rashes
Headaches
Joint pain
Pain behind the eyes
Conjunctivitis

3: Symptoms typically appear after two to seven days after being bitten by an infected mosquito.

4: Countries included in the list of destinations where the Zika virus is ongoing include:

Brazil
Colombia
El Salvador
Haiti
Honduras
Martinique
French Guiana
Guatemala
Mexico
Panama
Paraguay
Puerto Rico
Suriname
Venezuela

5: Using insect repellant is one of the ways you can protect yourself from contracting the virus while traveling to these countries. For other tips to prevent bug bites, please visit http://wwwnc.cdc.gov/travel/page/avoid-bug-bites

6: If you are in your third trimester of pregnancy, the CDC recommends that you should consider postponing your trip to countries where the virus is ongoing. If this is not possible please take the necessary precautions to protect yourself.

7: Currently there is no vaccination to prevent the virus.

For more information about the Zika Virus, visit: http://www.cdc.gov/zika/

Motivational Monday

Posted on January 15, 2016 by Zakiya Hazel-Jemmott

In honor of Dr. Martin Luther King Jr. Day here is a reminder to stay encouraged in your goals!

National Birth Defects Prevention Month

Posted on January 13, 2016 by Joann Ariola

January is National Birth Defects Prevention Month. It is a time for raising awareness of how frequently birth defects can occur and what can be done to help prevent them.

Birth defects are defined as conditions that are present when a baby is born and can affect nearly every part of the body. Conditions such as cleft lip can be easily diagnosed. Other conditions such as deafness or heart defects may only be discovered after diagnostic testing.

The largest number of birth defects occurs during the first three months of gestation. In the U.S. approximately 120,000 babies are born with birth defects each year.

The 10 most common birth defects in the US, according to the Centers for Disease Control and Prevention (CDC) are:

Down syndrome
Cleft lip (with or without cleft palate)
Atrioventricular septal defect (hole in the heart)
Absence of malformation of the rectum and/or large intestine
Gastroschisis (hole in the abdominal wall)
Tetralogy of Fallot (a combination of heart defects)
Spina bifida without anencephaly
Reduction deformity, upper limbs
Reversal of the heart’s two main arteries

Although birth defects can’t always be prevented, there are plenty of steps pregnant women can take to help reduce the risk.

The womenshealth.gov website offers these suggestions:

Make regular visits to your doctor throughout pregnancy
Get 400mcg of folic acid each day through diet or supplements
Don’t smoke, use illegal drugs or drink alcohol while you are pregnant
Always check with your doctor before taking any medication
Get all vaccinations recommended by your doctor
If you have diabetes, keep it under control
Stick to a healthy weight

You may also request a pre-pregnancy or early pregnancy screening test in order to spot potential or real birth defects. The types of tests include a carrier test to see if you or your partner carries potentially harmful genes, as well as screening and diagnostic tests that can determine risks for and detect genetic disorders.

If you are pregnant, or planning to be, and want to discuss your options with one of our doctors, the Women’s Health Center at Jamaica Hospital Medical Center is centrally located and has convenient hours; to make an appointment call 718-291-3276.

Healthy and Pregnant Over 35

Posted on January 12, 2016 by Joann Ariola

January is Birth Defects Awareness Month and with more and more women waiting to have families well into their late 30’s and beyond we felt this is a topic worth revisiting.

According to the Centers for Disease Control, one in five women now wait until they’re 35 or older to have their first child. There may be some risks involved with a pregnancy conceived later in life, but a healthy lifestyle, along with regular visits to your Ob-Gyn can create a healthy pregnancy.

Oftentimes, women worry more about the risks of pregnancy at a later age than conception itself. While a woman’s fertility does decrease after the age of 30, certain risk factors associated with pregnancy do increase including:
• Higher risk of gestational diabetes and high blood pressure
• Greater risk of chromosomal abnormalities such as Down Syndrome
• Miscarriages and still birth
• Low birth weight

A pregnancy should be happy and welcomed news and planning should be no different. Increased risk factors and statistics should not be discouraging news. Often, statistics do not account for life style choices or pre-existing conditions. Here are a few tips to help you take the necessary steps toward a healthy pregnancy later in life:
• Schedule an appointment with your Ob-Gyn for a visit. Be very honest with your practitioner about any existing health conditions.
• Your Doctor may recommend additional testing such as genetic testing and counseling or sonograms.
• Begin taking pre-natal vitamin. Since folic-acid is important for prevention of birth defects, taking folic acid can add an important level of protection for older women.
• Exercise regularly; eat a well-balanced diet to maintain your weight. Gaining the appropriate amount of weight lessens the chance of your baby growing slowly and reduces the risk of preterm birth.
• Avoid smoking and drinking.

If you are interested in pre-pregnancy and fertility counseling, contact Jamaica Hospital Women’s Health Center at 718-291-3276 to make an appointment.

How smoking affects nutrition

Posted on January 7, 2016 by Andrew Rubin

Smoking plays a large role in the body’s ability to absorb and process nutrients. The nicotine in cigarettes is a potent chemical that negatively affects the systems of the body and how they function. One of the functions that nicotine affects is the body’s ability to maintain the proper level of nutrients.
Vitamin and mineral absorption is also diminished by nicotine, and is more likely to be drained from stores within the body. Vitamin C which the body needs to prevent organ damage is depleted when nicotine is present. People who smoke also tend to have a higher incidence of osteoporosis because less vitamin D absorption leads to less calcium available to strengthen bones.
Nicotine suppresses a person’s appetite by interacting with the brain and central nervous system. One of the ways it occurs is by altering the way we detect flavor.
Quitting smoking will help to restore the body to a better nutritional status. Until a person is able to stop smoking completely, it is a good idea to add fruits and vegetables to the diet. This will help the body by making more minerals and vitamins available to be absorbed. Jamaica Hospital offers a program to help people who are interested in quitting. To learn more, please call 718-206-8494.

Meditation Does A Body Good

Posted on January 7, 2016 by Joann Ariola

Generalized anxiety disorder (GAD) is characterized by Webmd.com as an excessive, exaggerated anxiety and worry about everyday life events with no obvious reasons for worry.

An estimated 6.8 million people in the United States are afflicted with GAD. They cannot stop worrying about issues such as health, money, family, work or school. Their degree of worry is typically out of proportion for the situation and daily life may become a constant state of worry, fear or dread.

There are various prescription medications designed to help people with GAD manage their anxiety, but some holistic and traditional experts say that practice of meditation can also help those with the disorder. Being in a meditative state is said to quiet an overactive mind, one of the traits of anxiety.

Meditation is a state of deep physical relaxation combined with acute mental alertness. It is likened to taking a nap, but you don’t fall asleep. Meditative practices can include silent, repetitive praying or chanting. Other techniques involve sitting and focusing on something that will hold your attention for five to 30 minutes. By progressively relaxing your body’s muscles with a word, calming music or an image, you will naturally cause your breathing to become slower and deeper as you relax.

People with anxiety may shy away from meditation feeling that they are too restless to sit still. The good news is being able to center yourself through meditation is a skill that anyone can learn, once they have the intention and the experience of what it feels like.

Besides reducing anxiety, meditation is known to also help:

Decrease respiratory rate, heart rate and elevated blood pressure
Relieve muscle tension
Causes stress hormones in the blood to drop
Boost immunity
Offer a more restful sleep

If you have a family history of anxiety, prolonged bouts with anxiety or have acute anxiety (panic attacks); you will likely need to see a physician for suggested treatment. Jamaica Hospital Medical Center’s Mental Health Center is centrally located and has convenient hours. To schedule an appointment, call 718-206-7071.

Baby Not Latching? Maybe Baby is Tongue-Tied

Posted on January 5, 2016 by Joann Ariola

One of the most intimate moments shared between mother and baby is during breastfeeding. If the infant does not latch on to the mother’s breast she may feel rejected, bewildered and frustrated. Before becoming distressed a mother should look into reasons why the baby is refusing to breastfeed; one of which could be a condition called ankyloglossia, otherwise known as tongue-tie.

Tongue-Tie is a congenital condition which restricts the tongue’s range of motion. It is caused by an abnormally thick and short lingual frenulum. The frenulum is the membrane which connects the underside of the tongue to the floor of the mouth. The degree of severity in tongue-tie varies from mild cases, where the lingual frenulum loosens over time or severe cases of complete ankyloglossia where the tongue is tethered to the floor of the mouth. This can affect feeding.

Breastfeeding requires the baby to place the tongue over the lower gum while sucking. If the infant‘s range of motion is limited and is unable to place the tongue in the right position, this will interfere with the ability to get milk. Poor breastfeeding can lead to poor nutrition.

A consultation with a lactation specialist or physician to explore all causes for breast-feeding refusal is usually the first step in evaluating the baby. If it is determined that the infant does have severe tongue-tie and the ability to feed is compromised, a simple and quick surgery may be suggested.

The surgical procedure most commonly recommended is called a frenotomy; which can be done with or without anesthesia. During the procedure a physician will examine the frenulum, then use sterile scissors to snip it free. A frenotomy can also be done by laser. The physician may also recommend a frenectomy which is a surgical revision of the frenulum.

After surgery the infant’s tongue movement should improve greatly and in most cases breastfeeding can commence immediately.

To obtain more information about breastfeeding or to schedule a consultation with a lactation specialist at Jamaica Hospital, please call 718-291-3276.