Updated Vaccine for Returning Students

Posted on August 21, 2024 by Patrick Hercules

The new school year is right around the corner. That means parents will be taking their children shopping for new school supplies and clothes. In addition to updating their child’s wardrobe and supplies, parents should remember to schedule vaccinations before the school year begins.

Vaccines are the best way to prevent your child from getting many illnesses and spreading them to others. Each age group has recommended vaccines they need to receive before starting their new grade:

Vaccines for children aged four to six before they start kindergarten:

Flu – needed every year
COVID-19
Measles, mumps, and rubella (MMR)
Diphtheria, tetanus, and pertussis (DTaP)
Chickenpox
Polio

Vaccines for children aged seven to 10 before they start elementary school:

Flu
COVID-19

Vaccines for children aged 11 to 12 before they begin middle school:

Flu
COVID-19
Tetanus, diphtheria, and pertussis (Tdap)
Meningococcal conjugate (MenACWY)
HPV

Vaccines for children aged 13-18 before they enter junior and high school:

Flu
COVID-19
Meningococcal conjugate (MenACWY)
HPV

Vaccines for college-aged teenagers:

Flu
COVID-19
Meningococcal conjugate (MenACWY)
HPV

You can find the complete schedule of recommended vaccines for your child by age on the Centers for Disease Control and Prevention’s website. To schedule an appointment for your child to receive the vaccines needed, you can call Jamaica Hospital Medical Center’s Ambulatory Care Center at 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.

Peripheral Neuropathy

Posted on August 15, 2024 by Patrick Hercules

Peripheral neuropathy is any condition that involves damage to peripheral nerves outside your brain or spinal cord. These conditions often cause weakness, numbness, and pain, usually in the hands and feet, but can also affect other areas and body functions like digestion and urination.

The peripheral nervous system sends information from the brain and spinal cord to the rest of the body through motor nerves. The peripheral nerves also send sensory information to the central nervous system through sensory nerves.

The nerves in the peripheral nervous system are divided into three categories and have a specific job.

Sensory nerves that receive sensation, such as temperature, pain, vibration, or touch, from the skin
Motor nerves that control muscle movement
Autonomic nerves that control functions such as blood pressure, sweating, heart rate, digestion, and bladder function

Symptoms of peripheral neuropathy depend on the nerve affected and can include:

Gradual onset of numbness, prickling, or tingling in your hands and feet. These sensations can spread upward into your arms and legs
Sharp, jabbing, throbbing, or burning pain
Extreme sensitivity to touch
Pain during activities that shouldn’t cause pain, such as pain in your feet when putting weight on them, or when they’re under a blanket
Lack of coordination and falling
Muscle weakness
Feeling as if you’re wearing gloves or socks when you’re not
Inability to move if motor nerves are affected
Heat intolerance
Excessive sweating or not being able to sweat
Bowel, bladder, or digestive problems
Drops in blood pressure, causing dizziness or lightheadedness

Peripheral neuropathy can happen for many reasons. Some include:

Type 2 diabetes
Alcohol use disorder
Vitamin and nutrient deficiencies
Autoimmune and inflammatory conditions
Medications and toxins
Tumors
Genetic conditions
Infections
Hansen disease (leprosy)
Trauma and surgery
Vascular disorders
Idiopathic neuropathy

A combination of methods are used to diagnose peripheral neuropathy including:

Symptoms and medical history
Physical and neurological exams
Lab, diagnostic, and imaging tests

Treatment of peripheral neuropathy varies depending on its cause. Treatments can include:

Medications
Surgery
Physical therapy
Devices and wearable equipment
Podiatry and foot care
Other pain treatments such as acupuncture, transcutaneous electrical stimulation, injections, or surgery to implant a spinal cord stimulator

Some causes of peripheral neuropathy are preventable. Some preventative or precautionary steps you can take include:

Eating a balanced diet
Staying physically active and maintaining a healthy weight
Wearing safety equipment as needed
Managing chronic conditions
Avoiding alcohol in excess
Avoiding exposure to toxins, poisons, and heavy metals

If you are experiencing symptoms of peripheral neuropathy, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001.

Causes of Chest Pains That Aren’t Heart-Related

Posted on August 14, 2024 by Patrick Hercules

Chest pains are usually associated with heart problems. However, there are many other causes that you should be aware of.

Chest pain that isn’t heart-related is called noncardiac chest pain. Noncardiac chest pain is often described as feeling a painful squeezing or tightness in your chest, or a pressure of heaviness behind your sternum. The pain may be felt on the right or left side or in the middle of your chest.

Many symptoms may occur with noncardiac chest pain including:

A sour taste or a sensation of food entering the mouth
Trouble swallowing
Pain that gets better or worse when you change body position
Pain that gets worse when you breathe deeply or cough
Tenderness when you push on your chest
Pain that continues for many hours

You may not be able to tell the difference between a heart attack and noncardiac chest pain, for that reason it is important to take any chest pain seriously. If it is sudden or new and lasts longer than five minutes, go to the emergency room. If it goes away after a few minutes, you should see your healthcare provider as soon as possible to determine the cause.

Some causes of noncardiac chest pain include:

Digestive issues
- Heartburn
- Swallowing disorders
- Gallbladder or pancreatic problems
Muscle and bone injuries
- Costochondritis
- Sore muscles
- Injured ribs
Lung-related issues

- Pulmonary Embolism
- Pleurisy
- Collapsed lung
- Pulmonary Hypertension

Panic attacks
Shingles

Some risk factors associated with noncardiac chest pain can include:

High Body Mass Index (BMI)
Smoking or tobacco use
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Anxiety

Some immediate tests used to help diagnose the cause of chest pain include:

ECG or EKG
Blood tests
Chest X-ray
CT scan

Follow-up tests may need to be done depending on the results of the first tests. They include:

Echocardiogram
CT scan
Stress tests
Coronary catheterization

Treatment for chest pain varies depending on the cause. Some treatments can include:

Medications if the cause isn’t heart-related such as:

Blood thinners
Acid-reducing medicines
Antidepressants

Surgical procedure if the cause isn’t heart-related such as:

Lung re-inflation

If you are experiencing any chest pain symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. If you are experiencing an emergency, call 911.

What Parents Should Know About Oral Nicotine Pouches

Posted on August 9, 2024 by Patrick Hercules

According to the Centers for Disease Control and Prevention, cigarette smoking hit a historic low in 2023, with the adult smoking rate dropping to 11%. Because of the steady decline of smokers over the years, tobacco companies have tried other ways to retain customers as well as attract new ones by introducing new products.

One of those new products is oral nicotine pouches. Oral nicotine pouches are small permeable pouches typically placed between the lip and the gum containing crystalized nicotine powder in various flavors. Although little is known about the product, nicotine pouches have become one of the fastest-growing categories, increasing sales from about 126 million units to over 800 million units between 2019 and 2022.

Oral nicotine pouches are aimed at adults who are looking for a tobacco-less, smoke-free alternative to cigarettes as they try to stop smoking. However, according to the 2023 National Youth Tobacco Survey conducted by the Food and Drug Administration and the Centers for Disease Control and Prevention, in October of 2023, 1.5% of middle and high school students reported using nicotine pouches in the previous 30 days.

Tobacco companies sell nicotine pouches in attractive packaging and assorted flavors, including citrus, berry, peppermint, coffee, and mango. Researchers are concerned that this marketing tactic is likely to appeal to young people who may not be aware of the harmful effects of nicotine. Some social media influencers have promoted the use of nicotine pouches by showing how they use them in their daily lives, discreetly placing them in their mouths at work and school, as well as doing taste tests.

“Nicotine pouches are marketed as a nicotine product that provides a buzz without the harmful effects of tobacco or smoking. However, people using these products should be aware that ‘tobacco-free’ does not mean ‘risk-free’”, says Alexandra Howell, DMD, Oral Medicine Specialist and Assistant Professor in the Department of Oral Diagnostic Services at Virginia Commonwealth’s University’s School of Dentistry.

Despite the long-term health impact of nicotine pouches being unknown, the side effects of its use can include:

Nicotine addiction
Irritation of the gums
Lung problems
Infertility problems
Stomach problems
Sore mouth
Hiccups
Nausea

Nicotine pouches can also present several cardiovascular risks. The use of these products can lead to increased heart rate and blood pressure increasing the risk of developing cardiovascular diseases such as hypertension, heart disease, and potential heart attacks.

To speak with a Family Medicine doctor at Jamaica Hospital Medical Center about smoking cessation, please call (718) 206-6942.

Blood Clots

Posted on August 8, 2024 by Patrick Hercules

Blood clots are gel-like clumps of blood that form in your arteries and veins. Blood clots help control bleeding, but can also cause serious medical issues like deep vein thrombosis, pulmonary embolism, and heart attack.

Blood clots are the first line of defense if something damages your blood vessels. This is why bleeding usually stops after a few minutes when you cut yourself. You can also develop a blood clot when you have been immobile for a long time or have medical conditions that increase your risk of getting them.

Blood clots are made of small colorless fragments of cells produced by your bone marrow called platelets. They are also made of a sticky blood protein that looks like strings called fibrin. Platelets and fibrin work together to seal injured areas of your blood vessels.

You can have blood clots anywhere in your body. When they develop in the veins of your arms and legs it’s called deep vein thrombosis. Blood clots that form in the arteries of your lungs are called pulmonary embolism. A stroke occurs when blood clots block blood flow to your brain. When blood clots are in your heart, they can cause a heart attack.

If you are experiencing leg pain, swollen legs, or skin discoloration, these may be symptoms of deep vein thrombosis. Chest pain or shortness of breath can be symptoms of blood clots in your lungs or heart.

Some other possible symptoms of blood clots to be mindful of include:

A cough that produces blood sputum
A fast heartbeat
Lightheadedness
Pain that spreads to the shoulder, arm, back, or jaw
Sudden weakness or numbness of the face, arm, or leg
Sudden difficulty speaking or understanding speech

Some conditions focus on blood clots such as blood clotting issues. Some blood clotting disorders include:

Factor V Leiden- an inherited disorder and most common blood clotting disorder. It slightly increases your risk of deep vein thrombosis or pulmonary embolism.
Prothrombin Gene Mutation- an inherited condition that slightly increases your risk of deep vein thrombosis or pulmonary embolism.
Antiphospholipid Syndrome- an autoimmune disorder that increases the risk of blood clots.

People who have an increased risk of developing blood clots include:

People 65 years of age or older
Pregnancy
People who are obese
People who have cancer
Those on birth control or hormone therapy
Smokers
Immobile people

Ways to reduce the risk of developing blood clots include:

Avoid sitting for long periods
Drinking plenty of fluids
Changing your lifestyle

If you are experiencing any of these symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. If you are experiencing an emergency, call 911.

How to Increase Your Stamina

Posted on August 7, 2024 by Patrick Hercules

Stamina is the ability to sustain prolonged physical or mental effort.

Physical stamina is the ability to put in the maximum amount of effort during a physical activity, over some time while maintaining optimal performance.

Low stamina can negatively impact a person’s overall quality of life. Low physical stamina is associated with:

Poor athletic performance
Fatigue
Weight gain
Decreased sex drive
Erectile dysfunction
Difficulty sleeping

High physical stamina can lead to:

Increased energy levels
Improved cardiovascular health
Better sleep
Higher sex drive
Improved athletic performance

An effective way to build up physical stamina is by doing aerobic exercises and high-intensity interval training (HIIT).

Mental stamina, sometimes called mental toughness, is the ability to handle life’s stresses, perform well under pressure, and maintain focus despite distractions.

Mental stamina has multiple components that can be referred to as the four C’s of mental toughness including:

Control: feeling like you are in control of your life, circumstances, and emotions.
Commitment: sticking with your goals even when it gets difficult.
Challenge: viewing potential threats to your success as opportunities instead.
Confidence: believing in yourself and your ability to succeed.

Low mental stamina is associated with:

Difficulty with daily tasks
Depression
Increased stress levels
Decreased attention span
Irritability

High mental stamina can lead to:

Increased attention span
Improved ability to focus on a task
Decreased stress levels
Increase in productivity

There are several ways to build mental stamina, including:

Setting “S.M.A.R.T.” goals- increase mental stamina by setting specific, measurable, action-oriented, realistic, and time-efficient goals.
Find your motivation- focus on “why” you are working on a particular task to help motivate you to keep going.
Seek outside support- find people who will support you as you pursue your goals, such as a coach or other people who are pursuing similar goals.
Be positive- maintain a positive attitude about your progress and visualize yourself achieving your goal.
Stay focused- mental stamina depends on your ability to pay attention to a task for an extended amount of time.
Be aware of your environment- remove potential distractions from your environment when working on tasks to help build mental stamina.
Practice stress management techniques- reducing stress can improve mental stamina. Techniques such as mindfulness, stress therapy, and diaphragmatic breathing can be helpful.

Remember stamina can be built up, whether it’s physical or mental.

If you are experiencing any medical problems while exercising, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001.

Summer Allergies

Posted on July 19, 2024 by Patrick Hercules

The summer months come with beautiful flowers, warm weather, and longer days. They also bring the onset of summer allergies.

There are many causes of summer allergies. Some of which include:

Ragweed (the most common allergy trigger)
Grasses
Trees
Smog
Air pollution
Insect bites
Mold
Dust mites

Summer allergy symptoms can include:

Runny nose
Watery eyes
Sneezing
Itchy eyes and nose
Dark circles under your eyes.

Some ways you can reduce your exposure to allergy triggers include:

Staying indoors on dry, windy days. The best time to go outside is after a good rain, which helps clear pollen from the air.
Avoiding garden chores like mowing the lawn and pulling weeds that stir up allergens.
Removing clothes worn outside and showering to rinse pollen from your skin and hair.
Avoid hanging laundry outside because pollen can stick to sheets and towels.
Wearing a face mask when doing chores outside.
Checking your local TV news station or the internet for pollen forecasts and the current pollen levels.
Taking allergy medication before symptoms start or if high pollen counts are forecasted.
Closing doors and windows at night when there are high pollen counts.
Avoiding outdoor activity when pollen counts are highest.

There isn’t a miracle product that can get rid of all allergens from the air in your home, but ways to keep indoor air clean include:

Using air conditioning in your house.
Using high-efficiency filters if you have a forced air conditioning or heating system, and following regular maintenance schedules.
Keeping indoor air dry with a dehumidifier.
Using a portable HEPA filter in your bedroom.
Cleaning floors with a vacuum cleaner that has a HEPA filter regularly.

Here are some over-the-counter medications that can help ease allergy symptoms:

Oral antihistamines
Corticosteroid nasal sprays
Cromolyn sodium nasal spray
Oral decongestants

You can receive an accurate diagnosis and effective treatment for seasonal allergies at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Essential Tremors

Posted on July 18, 2024 by Patrick Hercules

Essential tremors are a neurological condition that causes involuntary and rhythmic shaking. It affects any part of the body but mostly occurs in the hands.

Essential tremors are normally not dangerous but can worsen and become severe in some people. It is sometimes confused with Parkinson’s disease.

The symptoms of essential tremors include:

They start gradually and are more noticeable on one side of the body.
They worsen with movement.
They occur in the hands first, affecting one or both hands.
They cause a “yes-yes” or “no-no” motion of the head.
They may be aggravated by emotional stress, fatigue, caffeine, or extreme temperature changes.

About half the people with essential tremors appear to have an altered gene that causes them. This is called familial tremor. It is unclear what causes essential tremors in people without familial tremors.

There are a couple of known risk factors for essential tremors including:

Altered gene
Age- Essential tremors, which are more common in people 40 and older.

Complications caused by essential tremors include difficulty:

Holding a cup or glass without spilling.
Eating without shaking.
Putting on makeup or shaving.
Talking, if the voice box or tongue is affected.
Writing clearly.

There are no medical tests to diagnose essential tremors. It is often a matter of ruling out other conditions that could be causing symptoms. A healthcare provider may do this by reviewing your medical history, family history, and symptoms, and completing a physical examination. Some tests used to do this include:

Neurological examination that tests the functionality of your nervous system
- Tendon reflexes.
- Muscle strength and tone.
- Ability to feel certain sensations.
- Posture and coordination.
- Way of walking.
Laboratory tests- blood and urine may be tested for several factors including:
- Thyroid disease.
- Metabolic problems.
- Medicine side effects.
- Levels of chemicals that may cause tremors.
Performance tests- a healthcare provider may ask you to:
- Drink from a glass.
- Hold your arms outstretched.
- Write words or a sentence.
- Draw a spiral.

People with mild symptoms of essential tremors don’t require treatment. But if it is causing difficulty in performing daily activities treatment options may include:

Medicines
- Beta-blockers
- Anti-seizure medications
- Tranquilizers
- Botox injections
Physical or occupational therapy
Nerve stimulation devices
Surgery
- Deep brain stimulation
- Focused ultrasound thalamotomy

You can receive pain management treatments such as nerve blocks at Jamaica Hospital Medical Center. To schedule an appointment with a pain specialist, please call (718) 206-7246.

Group B Strep Awareness Month

Posted on July 5, 2024 by Patrick Hercules

Group B Strep (GBS), or Strep B, is a bacteria that lives naturally in our bodies and comes and goes without showing symptoms or causing harm unless it enters a part of the body free from bacteria. If the bacteria infects the lining around the brain it causes it to swell resulting in meningitis.

GBS bacteria live in the gastrointestinal and genital tracts. It can cause many types of infection which can be life-threatening. These infections and their symptoms include:

Bacteremia (bloodstream infection)

Fever
Chills
Low alertness.

Sepsis (the body’s extreme response to an infection)

Fever
Chills
Low alertness.

Bone and joint infections

Fever
Chills
Swelling
Stiffness or inability to use the affected limb or joint.

Urinary tract infections

Pain or burning while urinating.
Frequent urination.
Feeling the need to urinate despite having an empty bladder.
Bloody urine.
Pressure or cramping in the groin or lower abdomen.

Meningitis

Fever
Headache
Stiff neck.
Nausea and vomiting.
Sensitivity to light.
Confusion

Pneumonia

Chest pain when breathing or coughing.
Confusion
Cough
Fatigue
Fever or chills.
Nausea, vomiting, or diarrhea.
Shortness of breath.

Skin and soft tissue infections

Fever
Red skin.
Swollen skin or infected area.
Skin or infected area is warm to the touch.
Skin or infected area is full of pus or other drainage.

GBS bacteria most commonly causes bacteremia, sepsis, pneumonia, and meningitis in newborns. This occurs when bacteria is passed on to the newborn as it goes through the birth canal during vaginal delivery.

GBS disease symptoms in newborns and babies include:

Fever
Difficulty when feeding.
Irritability or lethargy in the infant.
Difficulty breathing.
A blueish color to their skin.

Doctors diagnose GBS disease by taking samples of a patient’s blood, urine, or spinal fluid depending on the type of infection.

Treatment for GBS depends on the type of infection. Doctors usually treat GBS disease with antibiotics. People with soft tissue and bone infections may need surgery.

It is important to start treatment as soon as possible.

If you would like to get screened for GBS bacteria, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276.

Fireworks Safety Tips

Posted on July 3, 2024 by Patrick Hercules

July Fourth is a fun time to spend with friends and family. We have barbecues, cookouts, and watch fireworks to celebrate Independence Day.

You may want to set off fireworks as part of your Fourth of July celebration, however, it is important to know that all fireworks including Roman candles, bottle rockets, bombs, skyrockets, and other aerial devices are illegal in New York City.

New York State law allows the sale and use of sparklers but limits the types and sizes. They must be handheld or mounted on a base or spike, and be no more than 500 grams of pyrotechnic composition.

However, if you live on Long Island, New York City, or in parts of the Hudson Valley sparklers are banned.

If you do use fireworks in a state, city, or county where they are legal, follow these tips for the safety of yourself and your loved ones:

Read and follow all safety information and instructions for proper use.
Keep small children away from fireworks.
Have a bucket of water or hose ready to extinguish accidental fires.
Never allow anyone under the influence of alcohol or drugs to use fireworks.
Light one device at a time.
Never try to relight a device that didn’t light the first time.
Only use fireworks away from people, pets, buildings, and flammable materials.
Soak all used and unused fireworks in water for a few hours before throwing them away.

Fireworks are best left to professionals. If you choose to use fireworks to celebrate Independence Day or other occasions or milestones, confirm the type of fireworks your state and local ordinances allow.

If you or someone you are with are experiencing an emergency, call 911 immediately.