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.

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 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.

Hospice Pet Therapy

Posted on September 8, 2016 by Andrew Rubin

There are many beneficial reasons why a beloved pet should be a part of a patient’s medical treatment program, especially during end of life care. When a pet visits a patient there is an increased amount of positive activity, conversation, and emotional connection.
Pets can:
• Provide unconditional love
• Reduce anxiety and stress
• Provide soothing companionship
• Reduce depression
• Lowers blood pressure

Most often dogs are the animal of choice used in pet therapy because of their loving, compassionate presence. They are also able to sense subtle human emotional and physical signs. Cats are also frequently requested because they are also very calming and bond well with people. Pigs have been used also because they are highly intelligent animals and are also affectionate and calming. Other animals that have been used are birds, horses, and rabbits. Any animal that is going to be used in pet therapy must be house broken, nonaggressive, able to sit, stay and come on command, and be properly vaccinated.
A person who is under hospice care needs to know that they are surrounded at all times by things that make them feel safe and secure. Having a pet visit a hospice patient, whether it be the patient’s own or a specially trained therapy pet, can provide immeasurable benefits to both the patient and their loved ones.

Tips For Healthy Summer Living

Posted on August 30, 2016 by Xavia Malcolm

It is not unusual for people to ignore their weight and fitness goals during summer. The season puts many in the state of mind to relax or let loose, often abandoning diet and exercise regimens once followed.

In the summer, we tend to have less time to work out because a good portion of our time is spent attending social obligations such as barbecues; where we typically eat and drink more than normal.

Additionally, we travel more and fast food often becomes our meal of choice because it is easy to grab and go. Unfortunately, there aren’t too many healthy fast food options.

Although we are nearing the end of summer, it is not too late to take advantage of the rest of the season and get back on track with your goals. Following these tips can help you along the way:

Reduce consumption of sugary drinks. Summer drinks such as lemonade or iced- tea are sometimes packed with large amounts of sugar. If sugar calories are not burned by the body, they can be converted into fat.
Drink alcoholic beverages in moderation. Did you know that having a pint of beer could be equivalent to having a slice of pepperoni pizza? Alcoholic beverages can be high in empty calories. Moderating your alcohol consumption or having light versions of your favorite drink (also in moderation); can help you maintain a healthy weight.
Be mindful of your portions. When we are socializing we tend to eat more but paying attention to portion size can help reduce excessive consumption. Other helpful tips are eating before going to your event, as well as steering clear of foods that tempt you the most and opting for healthier choices.
Pack healthy meals to go. Packing healthy meals to go is easy. Grab items such as apples, nuts and yogurt that will easily fit in your bag.
Squeeze in exercise. There is the saying, “something is better than nothing.” This is true with exercise. A few minutes of exercise each day can offer many benefits to your health. If it is too hot outside, doing simple activities such as dancing or jogging in place in your home can help you to stay active and manage your weight.

These guidelines can be helpful; however, it is recommended that you speak to your doctor if weight gain persists. Abnormal weight gain is at times an indicator of a more serious health issue.

The Benefits of Taking a Vacation

Posted on August 25, 2016 by Andrew Rubin

We live in a stressful society, therefore It is very important for people to take a break in order to stay healthy. Studies have shown not taking a vacation for a few years can increase the risk of heart disease and the potential for a heart attack.

It was also found that people who take vacations have an easier time with breaking bad habits such as nail biting, smoking, and eating poorly because the stressors that lead to these behaviors are minimalized.

There are many additional benefits to taking a vacation:
•A better outlook on life
• A chance for the body to unwind
• An increase in happiness

To really benefit from a vacation a person has to leave their work environment at home.
Today, with electronic devices so prevalent, it is recommended to not check them more than once or twice a day, while on vacation to reap the full benefits of relaxation.