Want to Quit Smoking? We Can Help!

Posted on June 13, 2017 by Joann Ariola

Tobacco is the single greatest cause of multiple diseases and premature deaths in the USA today. It kills more Americans each year than alcohol, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined. There are an estimated 480,000 deaths in the United States annually that are due to tobacco use. It is the only legal consumer product that is lethal when used exactly as recommended by the manufacturer.

Smoking cigarettes affects many aspects of health. Tobacco smoke contains about 7000 chemicals, including low concentrations of such strong poisons as ammonia, cyanide, arsenic and formaldehyde. It also contains 69 carcinogens – substances that are known to cause cancers in humans. Direct association has been established between smoking and cancers of the lung, mouth, nose, throat, larynx, esophagus, colon and rectum, stomach, pancreas, cervix, bladder, kidney and blood.
In the United States, Illnesses caused by smoking cost more than 300 billion dollars per year in direct medical care and lost productivity. Smokers pay twice as much for life insurance and will die on average of 13-14 years earlier than non-smokers. It costs tobacco companies approximately 5 cents to produce a pack of cigarettes.

Many lung conditions are either caused or aggravated by cigarette smoke. It irritates bronchial airways and stimulates mucous production leading eventually to decreased elasticity and functional failure. Patients suffering from COPD, Asthma, Chronic Bronchitis or Emphysema have a much higher risk of dying when repeatedly exposed to smoke.
Smokers are also at greater risk for cardiovascular disease. Smoking damages blood vessels making them stiff and narrow, obstructing blood flow which results with elevated blood pressure, heart attacks, strokes, kidney failure or chronic skin changes.

Pregnant women exposed to tobacco smoke have increased risk of complications like miscarriage, premature birth, and brain and lung damage in developing baby. Sudden infant death syndrome is three times more likely if mother smoked during pregnancy.
Secondhand smoke is the smoke exhaled by smokers or given off by a burning cigarette or pipe. Inhaling secondhand smoke is as hazardous as smoking a cigarette. There is no safe level for secondhand smoke exposure established. People can inhale it at work, homes, cars or public spaces and have all the complications mentioned above.

Smoking tobacco is an addiction similar to heroin and cocaine. It can be successfully treated but the majority of cases require three or more attempts. Quitting smoking offers a chance of feeling better and living longer. Studies have shown that five, common sense steps, provide the best chance for quitting smoking for good:

1. Get ready: set a quit date and throw out all cigarettes and ashtrays from your home.

2. Get support: tell your family, friends and doctor about quitting plans; search the internet for advice.

3. Learn new behaviors: distract yourself from the urge to smoke; exercise or go for a walk.

4. Get medication: combining medication like nicotine patches or Zyban with behavioral adaptation and family support quadruples your chances of success.

5. Be prepared for relapse and difficult situations- most people try to quit a few times before succeeding.

If you would like to learn more about quitting smoking, please call 718-206-8494.

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.

Quinoa Edamame Salad

Posted on June 12, 2017 by Jamaica Hospital Medical Center

QUINOA EDAMAME SALAD aka Traffic Light Salad

Yields: Approximately 12 – 15 servings

Preparation time and cook time: total 15 minutes

Salad Ingredients:

1 cup uncooked quinoa, prepared according to package direction

1 12 oz bag frozen shelled edamame, defrosted

3 scallions chopped

1 red pepper chopped

1 can of yellow corn

1 avocado chopped

Dressing Ingredients:

¼ cup red wine vinegar

3 Tbsp water

½ cup olive oil

1 Packet Good Seasons Italian Salad Dressing Packet (0.7oz)

Directions:

In a small pot, combine quinoa and 1 cup water. Bring to a boil; reduce heat. Cover; simmer for 12 – 15 minutes or until water is absorbed. Remove from heat; set aside.

In a large bowl combine the quinoa, edamame, corn, red pepper, scallions, and avocado; toss to combine. Add dressing; toss to coat.

Source: Anonymous

Registered Dietitians at Jamaica Hospital Medical Center assist patients to grow their knowledge about nutrition, wellness, and healthy eating. An appointment with a Registered Dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting. Each goal established is individually tailored to patient’s specific nutritional and medical issues. Our outpatient Registered Dietitians specialize in weight management counseling, diabetes, as well as pediatric and prenatal nutrition.

To schedule an appointment, please call 718-206-7056.

Safe Driving This Holiday Weekend

Posted on May 24, 2017 by Andrew Rubin

A holiday weekend is upon us and that means many people will be hitting the road to visit family and friends, taking shopping trips to the mall, the beach, barbeques, or just celebrating at home. Many people get time off from work and everyone wants to have a good time. By taking a few precautions you can get to your destination safely and have a wonderful time.
Safe driving is a key component of having a happy holiday weekend. To make sure that everything goes well, here are some safety tips to follow:
• Do not speed
• Do not text while driving
• Do not drink and drive
• Plan your route in advance
• Make sure your car is operating properly – check fluids, brakes and lights
• Make sure that you are well rested before getting behind the wheel
• Make sure that everyone in the vehicle is buckled up
Following these safe driving tips will make sure your holiday weekend will be a lot happier.

Jet Lag and Sleep

Posted on May 2, 2017 by Xavia Malcolm

Jet lag can profoundly affect sleep and alertness. This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia and difficulty staying alert and concentrating. These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag. Here are a few you can try:

Avoid alcohol the day before your flight and during your flight.
Get plenty of rest before you fly.
Avoid caffeine or other caffeinated beverages before or while traveling.
Drink lots of water.
Wear sunglasses during your flight.
Move around the plane on long flights.
Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
Avoid heavy meals upon arrival to your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements or prescription medication.

To schedule an appointment with a sleep specialist at Jamaica Hospital Medical Center, please call 718- 206-5916.

What Time Do You Typically Eat Dinner ?

Posted on April 20, 2017 by Andrew Rubin

Typically people eat dinner between 6:00 PM and 7:30 PM. Dinner time fifty years ago people ate between 5:00 PM and 6:30PM but now due to work and commuting schedules dinner time for many of us has shifted to eating later. The time that most people sit down for their dinner also varies in different parts of the country and the world. In some places around the world dinner isn’t eaten until 9 o’clock or later.
Research has shown though that eating a big dinner close to bed time can lead to weight gain because you probably won’t burn up all of the calories you take in. Also, late night eating can increase the amount of glucose and insulin in your body which can have an Effect on your ability to fall asleep. If you are going to be eating dinner late at night, it is best to make it a light one.

Are THere Any Known Dangers to Virtual Reality Headsets?

Posted on February 17, 2017 by Michael Hinck

Virtual Reality (VR) headsets have become a very popular item for teens and pre-teens. Users can simply download virtual reality apps onto their smartphone and place the phones into specially designed headsets that transform the viewer into a three-dimensional, virtual world. While technology is an amazing experience, some are raising concerns about whether or not it is safe for children.

Most VR headsets products have recommendations for use in place. These usually include a minimum age of either ages 12 or 13 and older. Other manufacturers suggest children only use them while under adult supervision and most suggest taking breaks every 30 minutes when using these products. When trying to determine why these warnings are in place, the answers aren’t so clear. The most logical answer is that these advisories are precautionary since the technology is so new that there is not enough information on whether or not there are any health concerns.

One of the most common concerns being asked is what the consequences of wearing VR headsets can have on a child’s eyesight. The reason some believe it can lead to problems with vision is that the process of creating a 3-D illusion in a VR headsets requires that the eyes focuses on objects differently than they would in the real world. Others believe that using VR headsets can actually help diagnose ocular disorders when the user is unable to view objects in the headset correctly.

Like all new technology, it is best to carefully read the manufacturers suggestions and follow them accordingly.

Are We Over-Using Antibiotics?

Posted on January 6, 2017 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 quickly, 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 extensive 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 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 may be a good thing, when 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.

FDNY Fire Safety Education Unit’s Holiday Safety Tips

Posted on December 20, 2016 by Xavia Malcolm

During a recent interview with Lieutenant Anthony Mancuso, head of the FDNY’s Fire Safety Education Unit, we learned that the three major causes of residential fires during the holiday season are candles, cooking and electrical failure or malfunction.

Cooking

According to the Lieutenant, cooking stands at the top of the list because it is the leading cause of fire-related residential property damage. Mancuso explained that unattended cooking is a major contributor to incidents- especially during this time of year. His advice for holiday chefs is to:

Never leave cooking food unattended
Avoid distractions while cooking
Properly prepare and follow guidelines when deep frying turkeys or other foods

In the event of a kitchen fire it is important to:

Never use water to extinguish a grease fire
Use generous amounts of baking soda to extinguish small fires. Otherwise use a fire extinguisher (if available) and call 9-1-1 immediately.

Candles

While candles are aromatic and delightful, if not handled safely they can be dangerous. Lieutenant Mancuso recommends flame-less candles, “If aromatic candles are what you prefer, there are many flame-less candle brands that offer that option.” He added, “If you choose to use real candles, do not leave them unattended.”

Electrical

When using electrical lights for decoration it is important to ensure that these products have been tested for safety. Look for UL or ETL listings or certifications on these devices. Without a UL or ETL label, you will not know how safe a product truly is. Other things to keep in mind are to never leave lights on while you are sleeping or not home and to use extension cords and power strips appropriately.

Lastly, Lieutenant Mancuso encourages residents to ensure that their smoke alarms are operational and to make certian batteries are changed as recommended. He also wants members of our community to keep in mind that following these very important tips can be the difference between life and death in some cases. The Fire Safety Education Unit of the FDNY recommends that everyone should visit http://www.fdnysmart.org/safetytips/ to learn more about fire safety.

Lieutenant Mancuso and the Fire Safety Education Unit of the FDNY wishes everyone, “A happy and safe holiday.”

Is Overuse of Your Tablet Harming Your Neck?

Posted on December 9, 2016 by Michael Hinck

Tablets are becoming more advanced and convenient; so much so that we now use them for practically everything. While this technology provides many benefits, our increased reliance on them is leading to a new health concern for some known as tablet neck.

Tablet neck is a trending medical term that describes the condition associated with people who spend a lot of time on tablets. When we use these devices, we often hang our heads in a downward position. Whether we are holding them in our hands or resting them in our laps, the position of our heads while using these devices can place a great deal of strain on our head, neck, shoulders and back. In addition, this hunched position can lead to poor posture, muscle spasms, headaches and restricted range of motion to our head and neck area.

Doctors are reporting an increase in the number of patients who are experiencing head and neck pain as a result of overuse of their tablets. This practice can affect anyone, but not surprisingly, the age group that has been impacted the most is teenagers and young adults as they spend the most time playing games on these devices.

To avoid developing head and neck issues from using your tablet, doctors recommend the following tips:

• Keep your tablet at eye level to reduce hanging your head in a downward position.
• Shift positions while using your tablet to prevent neck and shoulder muscles from tensing up.
• Purchase a standing case and place your device on a flat surface instead of holding it.
• Never use a tablet while lying in bed. Ergonomically, there is no way to do this without causing damage to your neck.
• Take breaks from using your tablet every 15 minutes.
• Most importantly, limit the use of time you spend on tablet devices.

If you are experiencing prolonged head, neck, shoulder or back pain, please consult your physician about treatment options. If you do not have a doctor, please call Jamaica Hospital’s Ambulatory Care Center at 718-206-7001 to make an appointment.

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.