World Psoriasis Day – October 29 2015

Posted on October 29, 2015 by Andrew Rubin

October 29th has been designated World Psoriasis Day by the International Federation of Psoriasis Association to raise awareness about this disease. It is estimated that worldwide there are 125 million people worldwide who have psoriasis.

Psoriasis is a chronic, reoccurring, immune related inflammatory disorder of the skin. It is believed to have a genetic component which means it can run in families. The disease usually starts to appear in the younger years and continues into adulthood, and it affects men and women equally. There is no known cause other than it is triggered by a malfunctioning of the immune system. Psoriasis is unsightly but is not contagious.

Psoriasis presents as reddish plaques on the skin with silvery scales. These lesions can be very painful and itchy. It can also affect the joints (psoriatic arthritis) which can cause physical and functional deformity. There is no cure for the disease, but treatments do exist that make the skin lesions less painful and less visible.
To make an appointment a dermatologist at Jamaica Hospital’s ambulatory care 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.

Pulmonary Rehab For COPD

Posted on October 26, 2015 by Xavia Malcolm

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Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

A decrease in airflow often results in shortness of breath, which at times makes performing minimal physical activities difficult. One of the most recommended forms of treatments used to improve this issue is pulmonary rehabilitation for COPD. A respiratory therapist can assess the severity of a patient’s condition before enrollment into a program by administering tests such as a pulmonary function test.

This form of treatment involves a series of exercises that teaches people breathing techniques that help them build physical fitness and lung strength.

Most pulmonary rehab programs include:

Exercise-This is one of the key components in pulmonary rehab. Patients are required to do a series of physical activities such as:

Exercises to strengthen and improve breathing muscles
Upper body exercises
Lower body exercises
Strength training

Smoking cessation- In order to improve quality of life and lung function, smoking cessation is often a goal or prerequisite in pulmonary rehab. Quitting is the most important thing a smoker can do to slow the progression of COPD.
Education-Programs offer education in either a group setting or on an individual basis. Education sessions are designed to teach people ways to manage their COPD or include lessons on understanding medication as well as using oxygen therapy.

Patients who participate in pulmonary rehab programs gain several benefits. Most see significant improvement in their breathing. It is suggested that participants continue the exercises even after completing a program by incorporating them into their daily life. Those who do not may experience a decline in its benefits.

History of Hearing Aids

Posted on October 22, 2015 by Andrew Rubin

For hundreds of years devices have been used to help the hearing impaired. As early as the 1600s devices were made from sea shells, animal horns and then, in later years, from brass and copper. These early hearing instruments that were wide at one end to gather the sound and narrow at the other end to direct sound into the ear canal. They were described as ear trumpets because of the way they looked.
In the 1700s it was discovered that sound could be sensed as vibrations on bony surfaces of the skull so devices were placed behind the ear to help transmit these sounds.
In the 1800s devices were created that resembled tubes into which a person spoke at one end and the other end was placed in the ear of the person who was listening.
In the early part of the 20th century devices were developed that began to use electricity. This helped tremendously with the development of hearing devices that could amplify sounds and direct them into people’s ears. Some of the technology used by Alexander Graham Bell for the telephone was also used for these hearing aids. Sounds were amplified by using a carbon microphone and powered by batteries.
Over the years, batteries became smaller and transistors were developed that helped to miniaturize the devices, which improved helped sound quality.
The digital era has improved hearing aids even further both in quality of the sound and the size of the device. Hearing aids are now being used that fit in the ear canal and aren’t easily visible, making people less hesitant to wear them. While years ago hearing aids were used mainly by people who were hard of hearing, now they can be used for people who just need a little help to hear more clearly.
If you or someone you know is experiencing difficulty hearing, it is recommended that you speak with a physician who will make a referral to our audiology evaluation department. Please call 718-206-7001 for an appointment.

Teenage Depression and Anxiety

Posted on October 20, 2015 by Xavia Malcolm

Teen angst -488360124 The term “teen angst” is synonymous with the emotional changes that adolescents experience. It is commonly used to describe unpredictable mood swings and at times unexplained changes in behaviors displayed by adolescents.

Adolescent or teen angst is defined as an “acute feeling of anxiety or apprehension that is often accompanied by depression.”(www.Medscape.com). Occasional bad moods, irritability or periods of sadness are common and expected behaviors. However, if they persist for an extended period of time, it can be an indication that your child is experiencing more than the typical teen strife. They may be exhibiting symptoms of a serious mental health issue such as depression or anxiety.

It is estimated that one in eight teenagers suffer from depression or anxiety and in some cases both disorders. Many of these behaviors are dismissed or overlooked as moodiness. This is concerning because if left untreated depression or anxiety can lead to highly destructive actions such as, drug abuse, self-mutilation, or in extreme situations- suicide.

There are several signs that may present themselves that can help parents recognize if their child is suffering from a depression or anxiety disorder. Some of which are:

Frequent sadness or crying
Persistent boredom or the inability to enjoy activities
Increased hostility, anger or irritability
Frequent absences from school or extracurricular activities they once enjoyed
Extreme fear of rejection or failure
Chronic fatigue or tiredness
Frequent complaints about headaches and stomach aches, without real cause for illness
Poor concentration
Constantly speaking about death or suicide
Persistent social isolation or difficulty with relationships
Major changes in eating or sleeping patterns

If your child is displaying any of these signs, it is recommended that you have a non-judgmental conversation with them. Let them know that you have observed atypical behaviors and that you are concerned. Encourage them to open up. If they are uncomfortable speaking to you about what they are experiencing, offer support gand seek the help of a mental health professional.

For more information of adolescent depression or anxiety or to speak with a mental health professional at Jamaica Hospital, please call 718-206-7135.

Fun Facts About Your Eyebrows

Posted on October 16, 2015 by Michael Hinck

Our eyebrows – they are two (for some, maybe one) tufts of hair that grow directly above our eyes. Throughout our evolution, we have lost most of the hair that once covered our bodies, yet the eyebrow remains. Why? Actually there are a few good reasons why they remain in the middle of our face.

Our eyebrows offer protection for our eyes. Like our eye lashes, eyebrows deflect dirt from entering the eyes. They also trap liquids like rain or sweat from running down our face and into our eyes. They even offer protection from glaring rays from the sun.

In addition, your eyebrows serve as markers for our face. Without them, identifying someone is much more difficult than you would think. In a recent study, researchers showed people images of famous celebrities without their eyebrows. Amazingly, the participants were only able to identify 46% of the faces.

Lastly, your eyebrows are a crucial tool in non-verbal communication. This collection of about 250 hairs is considered the most expressive parts of our faces. Think about it! You can tell exactly how someone is feeling based on the positioning of their eyebrows. If they have furrowed brows they’re probably angry. If one is raised it could mean they are feeling inquisitive or confused, and if they are feeling shocked, both eyebrows might be raised.

So, now you know, our eyebrows were not just placed on our heads to be plucked or waxed. They actually have some really interesting purposes.

VEGAN CREAMY PUMPKIN SOUPN (GLUTEN FREE)

Posted on October 14, 2015 by Joann Ariola

For a creamy and vegan pumpkin soup recipe sprinkled with almonds and fresh rosemary, try the recipe below.

Serves: 3

Prep time – 5 minutes

Cook time – 25 minutes

Total time – 30 minutes

Ingredients

1 tablespoon olive oil
½ onion, diced
½ pumpkin, peeled and cubed
4 cloves garlic, minced
1 tablespoon fresh rosemary, diced
4-5 cups vegetable broth
½-1 cup coconut milk

Instructions

Heat oil in pot over medium heat. Add onion and cook for a few minutes until translucent. Add pumpkin and garlic and continue to cook for a few more minutes.
Add rosemary and vegetable broth. Bring to a boil, reduce heat to low and simmer until pumpkin is soft and cooked through. Add salt to taste.
Puree soup in a blender (in batches) and return to the pot.
Add coconut milk and simmer for another minute or two.

Give this recipe a try. It is simply delicious and healthy too.

How Stress Affects Your Digestive System

Posted on October 13, 2015 by Xavia Malcolm

Our brain and gut are mo stomach pain -178554755 re in sync than you may realize. For instance, the very thought of food can cause the stomach to produce digestive juices or the thought of giving a big presentation may cause constipation or uncontrollable bowels.The brain and gut are in constant communication. This direct relationship causes our gastrointestinal system to be sensitive to emotions and reactions such as stress.

When we are stressed, our brain sends signals for chemicals such as adrenaline, serotonin (a hormone that affects mood and is found in the digestive system) as well as the stress hormone cortisol to be released. These hormones can cause adverse reactions.

Stress negatively affects our digestive system in many ways. It can cause a decrease in blood and oxygen flow to the stomach, cramping, an imbalance in gut bacteria and inflammation. These symptoms can further develop into gastro intestinal (GI) disorders such as irritable bowel syndrome (IBS), irritable bowel disease (IBD), peptic ulcers or gastroesophageal reflux disease (GERD).

There are several things you can do to reduce stress and improve gut health. Practicing stress-management techniques such as exercising regularly, avoiding stressors, socializing, getting sufficient sleep or relaxing can greatly minimize your levels of stress.

In addition to practicing stress reduction techniques, you can support your digestive health by drinking less alcoholic beverages or consuming less sugar- as too much sugar can cause an imbalance in the ratio of good and bad bacteria in the stomach. Increasing your intake of foods that promote digestive health such as those rich in probiotics or foods that aid the body in producing digestive enzymes is also helpful.

The gut is often referred to as “the second brain” of the body. If you are experiencing consistent complications of the digestive system, your body is probably trying to tell you that there may be a bigger problem. Make an appointment with a gastroenterologist who specializes in the treatment of gastrointestinal, liver, and pancreatic disorders to examine your symptoms.

Jamaica Hospital’s Division of Gastroenterology consists of board-certified gastroenterologists who provide high quality and expert care to patients who suffer from such conditions in both inpatient and outpatient settings. To schedule an appointment, please call 718 206 6742 or 718 206 7001.

The Importance Of Early Detection

Posted on October 6, 2015 by Xavia Malcolm

breast cancer awareness -517467601 October is Breast Cancer Awareness month. Did you know that breast cancer is one of the most common cancers found in women in the United States? Every year there are an estimated 230,000 new cases of breast cancer. About 40,000 women are expected to die annually from this disease. However, more women are surviving breast cancer due to improvements in treatment and early detection.

Cancer deaths can be decreased by as much as one-third with early detection and treatment.

Early detection can start from home. Doctors suggest that women perform monthly breast self-exams. In addition to yearly screenings and mammograms, self-exams can help women to monitor changes or abnormalities that may occur in her breasts. It is important to remember that breast self-exams are never a substitute for clinical breast exams or mammograms.

The American Cancer Society recommends that women should begin receiving clinical breast exams in their twenties. Women below the age of forty are advised to receive them every three years. Those over 40 should schedule yearly mammograms and clinical breast exams.

Mammograms are one of the most effective breast screening and diagnostic tools; however, other tools such as MRI’s or ultrasounds may also be used to further evaluate abnormalities or help diagnose breast cancer.

Early and immediate treatment is one of the benefits women will gain from early detection of cancer. If you are age forty and older schedule an appointment for a mammogram as soon as possible. The American College of Radiology is a great resource to find accredited facilities and breast imaging centers.

National Depression Screening Observation Day

Posted on October 5, 2015 by Andrew Rubin

National Depression Screening Day which is recognized as October 8th was started in 1990 as a way to make people aware of this disease and to provide them with mental health information and access to support services. Though many mental health conditions are treatable, many people go through life not seeking help because they haven’t been properly diagnosed. Medical professionals estimate that one in five Americans has a mental health condition in any given year and less than half will receive treatment.
Depression affects one in 10 adults and is more common in women than in men. Depression can be categorized either as Major Depression which interferes with the ability to sleep, eat, work and study or as Persistent Depressive Disorder which lasts for at least two years having varying levels of severity and which does include Major Depression during this time. Depression is caused by a combination of genetic, biological, environmental, and psychological factors.

Signs and symptoms of depression include:
• Waking up and feeling exhausted
• Sleeplessness
• Difficulty concentrating
• Short temper
• Always worrying or anxious
• Lack of energy
• Sadness
Take this quick and to see how you are doing.
(This screening tool © Copyright Mental Health America”
Depression is real and there are ways to treat it. Treatment options include therapy with a trained professional and in some situations medication may be prescribed. If you would like to make an appointment to speak to one of our mental health professionals, please call 718-206-7071

Is There Really A Way Even If You Have The Will?

Posted on October 5, 2015 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, 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.

Here are some 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’s syndrome – This condition results when the adrenal glands (located at the top of each kidney) produces an excess amount of a steroid hormone called cortisol. This leads to a buildup of fat in characteristic sites such as the face, upper back and abdomen.

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.