Integrative Health Month

Posted on January 23, 2025 by Patrick Hercules

January is Integrative Health Month. It raises awareness of the need for collaborative care among various disciplines to treat the whole person instead of a symptom-only approach.

Integrative health uses an evidence-based approach to treating a patient’s mind, body, and soul. Because physical, emotional, mental, and spiritual needs are all involved, integrative health combines these therapies.

The relationships between you and your healthcare providers are important in integrative health. You are equal partners in your healing process, as integrative health aims for well-coordinated care among different providers and specialists.

A variety of healthcare providers delivers care through integrative health, including:

Physicians
Chiropractic doctors
Holistic mind-body psychotherapists
Acupuncturists
Chinese herbal therapists
Tai chi practitioners
Yoga practitioners
Massage therapists
Nutritionists
Chefs (culinary medicine)

Integrative health physicians don’t replace your primary care provider or specialist. They work with all members of your healthcare team to heal your mind, body, and spirit. Their expertise lies in preventing and managing chronic diseases not in treating acute medical problems. You should see your primary care or emergency medicine physician for acute and medical emergencies.

Many people can benefit from integrative health including those who are healthy. People with chronic or complex conditions may especially find the approach helpful. Integrative health can help you find relief for many medical conditions, including:

Autoimmune diseases
Acute and chronic pain
Breathing disorders
Headaches and migraines
Cancer and cancer-related side effects
Chronic fatigue
Cold/flu symptoms
Digestive disorders
Infertility
Menopausal symptoms
Menstrual issues
Mental and emotional health issues
Obesity
High blood pressure
Sleep issues

Integrative health techniques support the body’s natural ability to heal. They help reduce stress and promote a state of relaxation that leads to better health. Integrative health can help you achieve optimal health when you engage in your own healing and feel empowered to make lifestyle changes. Adding integrative health to your healthcare routine can help you regain control of your well-being.

To learn more about Jamaica Hospital Medical Center’s integrative health services, events, or classes, or to schedule an appointment, please call us at (718) 206-5675.

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.

POTS (Postural Orthostatic Tachycardia Syndrome)

Posted on January 22, 2025 by Patrick Hercules

Postural orthostatic tachycardia syndrome (POTS) is a condition that causes your heart to beat faster than normal when you transition from sitting or lying down to standing up.

Each word of “postural orthostatic tachycardia syndrome” has a meaning:

Postural – related to the position of your body
Orthostatic – related to standing upright
Tachycardia – a heart rate over 100 beats per minute
Syndrome – A group of symptoms that happen together

Your autonomic nervous system normally balances your heart rate and blood pressure to keep your blood flowing at a healthy pace, despite your body’s positioning. However, if you have POTS, your body can’t coordinate the balancing act of blood vessel constriction and heart rate response, meaning your body can’t keep your blood pressure steady and stable. This causes a variety of symptoms, including:

Dizziness or lightheadedness, especially when standing up, during prolonged standing in one position, or on long walks
Fainting or near fainting
Forgetfulness and trouble focusing (brain fog)
Heart palpitations or a racing heart rate
Exhaustion/fatigue
Feeling nervous or anxious
Shakiness and excessive sweating
Shortness of breath
Chest pain
Headaches
Nausea
Bloating
A pale face and purple discoloration of your hands and feet if they’re lower than the level of your heart
Disrupted sleep from chest pain, a racing heart rate, or excessive sweating during sleep

POTS symptoms often get worse in the following situations:

Being in warm environments, such as in a hot bath or shower, or on a hot day
Standing frequently, such as when you’re waiting in line or shopping
Participating in strenuous exercise
When you are sick from a cold or an infection
Having your period

You can develop POTS suddenly or it can develop gradually. Symptoms vary from person to person. They may happen immediately or a few minutes after sitting up or standing. Lying down may relieve some of the symptoms.

Researchers aren’t sure what causes POTS. They currently believe there are multiple causes, which have been put into different subtypes of POTS, including:

Neuropathic POTS – this happens when peripheral denervation (loss of nerve supply) leads to poor blood vessel muscles, especially in your legs and abdomen
Hyperadrenergic POTS – this happens when your sympathetic nervous system is overactive
Hypovolemic POTS – reduced blood volume can lead to POTS. Low blood volume can cause similar symptoms that may overlap with neuropathic and hyperadrenergic POTS

There is also growing evidence that suggests POTS might be an autoimmune disease, meaning the immune system attacks healthy tissue for unknown reasons.

POTS can be difficult for healthcare providers to diagnose due to the many symptoms that can occur over time. People with POTS may have symptoms for months or years before they are finally diagnosed with the condition.

To confirm a POTS diagnosis or rule out other possible causes for your symptoms, your healthcare provider will ask questions about symptoms, medications, and medical history, and they will also perform a series of tests.

A tilt table test is the main way providers diagnose POTS, as it measures your heart rate and blood pressure as you change your posture and position. A healthcare provider may order other tests to help determine a diagnosis, including:

Blood and urine tests for causes of POTS and conditions that mimic POTS
QSART (a test that measures the autonomic nerves that control sweating)
Autonomic breathing test (a test that measures your blood rate and pressure response during exercise
Skin nerve biopsy

Unfortunately, there is no cure for POTS. However, healthcare providers use strategies to manage the symptoms. Treatment is highly individualized based on your symptoms and what works best for you. The main forms of treatment include:

Exercise and physical activity
Diet and nutrition

There is nothing you can do to prevent developing POTS. But there are steps you can take to try to prevent flare-ups by knowing what your triggers are, including:

Maintaining a consistent temperature
Avoiding prolonged standing
Avoiding alcohol

If you are experiencing any POTS-related symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 right away.

Jamaica Hospital Medical Center Now Offering Inspire® Therapy for Obstructive Sleep Apnea

Posted on January 21, 2025 by Patrick Hercules

Queens, NY— Jamaica Hospital Medical Center is the only hospital in Queens to offer Inspire therapy, a breakthrough treatment option for obstructive sleep apnea (OSA) for those who cannot use Continuous Positive Airway Pressure (CPAP) therapy.

OSA affects 22 million Americans and when left untreated, it can cause vehicle and workplace accidents, worsening mood and memory, stroke, heart attack, and even death. It occurs when the airway collapses during sleep and blocks oxygen flow to the brain. The brain senses a lack of oxygen and wakes the body up just long enough to breathe, then falls asleep. This cycle repeats throughout the night and causes poor, disruptive sleep.

Inspire works inside the body with a patient’s natural breathing process to treat sleep apnea. Mild stimulation opens the airway during sleep, allowing oxygen to flow naturally. The patient uses a small handheld remote to turn Inspire on before bed and off when they wake up.

Inspire’s safety and efficacy were evaluated during the STAR clinical trial. Five-year STAR trial outcomes show that patients using Inspire experience significant reductions in sleep apnea events and significant improvements in quality-of-life measures. Over 150 peer-reviewed publications on Inspire show results consistent with those seen in the STAR trial.

“In our practice, we see many patients who have stopped using or are unable to tolerate CPAP,” said Jamaica Hospital Medical Center. “Inspire represents a significant advancement in treating sleep apnea. It is clinically proven to reduce sleep apnea events and has a high level of patient satisfaction and high therapy adherence. We are excited to offer this promising therapy to sleep apnea patients who struggle with CPAP.”

Our team of otolaryngologists offers effective treatment for many common conditions affecting the ears, nose, and throat. These conditions cover various levels of severity; some, such as certain allergies and hearing problems, may pose a distracting annoyance that makes your day-to-day activities more challenging, while others, such as sinus infections, ear infections, and sleep apnea, may develop more serious complications without prompt diagnosis and treatment.

To learn more about Inspire at Jamaica Hospital Medical Center, please visit Jamaicahospital.org or call 718-206-7110 to make an appointment with an ENT doctor.

Thyroid Awareness Month

Posted on January 9, 2025 by Patrick Hercules

January is Thyroid Awareness Month.

Thyroid disease is a medical condition that keeps your thyroid from making the right amount of hormones. The thyroid is a small, butterfly-shaped gland at the front of the neck under your skin. As a part of the body’s endocrine system, it controls many of your body’s important functions by producing and releasing thyroid hormones and controlling the speed of your metabolism.

There are two main types of thyroid disease, hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid). They each have several conditions that can cause them.

Conditions that can cause hypothyroidism include:

Hashimoto’s disease – this is a lifelong autoimmune condition that can cause hypothyroidism. It is the most common cause of hypothyroidism in countries with widely available iodized salt and other iodine-enriched foods.
Iodine deficiency – the thyroid needs iodine to make the thyroid hormone, so a lack of the mineral in your diet can lead to hypothyroidism. It is the most common cause of hypothyroidism in countries that don’t have iodized salt widely available. It often causes goiters also known as an enlarged thyroid.
Congenital hypothyroidism – sometimes, babies are born with a missing or underactive thyroid. “Congenital” means present from birth. About one in every 2,000 to 4,000 babies have congenital hypothyroidism.

Conditions that can cause hyperthyroidism include:

Graves’ disease – this is a chronic autoimmune condition that causes an overactive thyroid. It is the most common cause of hyperthyroidism.
Thyroid nodules – these are abnormal lumps on your thyroid gland. If the nodules are hyper-functioning, they can lead to hyperthyroidism.
Excessive iodine – when you have too much iodine in your body, your thyroid makes more thyroid hormones than you need. You may develop excessive iodine by taking certain medications.

Some conditions can cause both hypothyroidism and hyperthyroidism at different times, including:

Thyroiditis – which is the inflammation of the thyroid gland. It typically causes temporary hyperthyroidism at first and then temporary or chronic hypothyroidism.
Postpartum thyroiditis – this is a relatively rare condition that affects some birthing parents after pregnancy. An estimated 5% of people may experience this after giving birth. It typically causes hyperthyroidism first, followed by hypothyroidism. It is usually temporary.

There are a variety of thyroid disease symptoms. Unfortunately, symptoms of a thyroid condition are often similar to the signs of other medical conditions and stages of life, making it difficult to know if the symptoms are related to a thyroid issue or something else.

Symptoms of hypothyroidism include:

Slower-than-usual heart rate
Fatigue
Unexplained weight gain
Feeling sensitive to the cold
Dry skin and dry coarse hair
Depression
Heavy menstrual periods

Symptoms of hyperthyroidism include:

Faster-than-usual heart rate
Difficulty sleeping
Unexplained weight loss
Feeling sensitive to the heat
Clammy or sweaty skin
Feeling anxious, irritable, or nervous
Irregular menstrual cycles or lack of periods

Many factors can put you at a higher risk of developing a thyroid condition, including:

Being assigned female at birth (AFAB). People AFAB are five to eight times more likely to have a thyroid condition than people assigned male at birth (AMAB)
Have a family history of thyroid disease
Have Turner syndrome
Take a medication that is high in iodine
Live in a country or area that doesn’t have iodized table salt, which can lead to iodine deficiency
Are older than 60 years of age, especially if you are AFAB
Have received radiation therapy to your head and/or neck

Having an autoimmune disease also increases your risk, especially if you have:

Pernicious anemia
Type 1 diabetes
Celiac disease
Addison’s disease
Lupus
Rheumatoid arthritis
Sjögren’s syndrome

Thyroid disease can be diagnosed using blood and imaging tests after a healthcare provider performs a physical exam.

Treatment for thyroid disease depends on the type of condition and the cause. The goal is to return your thyroid hormone levels to a healthy range. Hyperthyroidism is treated with antithyroid drugs, radioiodine therapy, beta-blockers, and surgery. Hypothyroidism is treated with thyroid replacement therapy.

If you’re experiencing symptoms of any thyroid disease, you can call and make an appointment with Jamaica Hospital Medical Center’s endocrinology service, at 718-206-7001.

Making Your Mental Health a Priority for the New Year

Posted on January 3, 2025 by Patrick Hercules

Anxiety and depression are mental health issues that many people face daily. As we begin a new year, it is important to identify any mental health issues you are experiencing, the potential causes of those issues, and what you can do to improve them.

Some steps you can take to make positive changes for your mental health include:

Improving your physical health – your mental and physical health are closely connected as they can impact each other. Exercising regularly, eating a balanced diet, and getting a good night’s sleep can greatly improve your mood, outlook, ability to focus, and cope more effectively when mental health challenges arise.
Recognizing the positive things in your life – if you begin to have negative emotions or thoughts, it is important to recognize and be grateful for the positive things you have in your life.
Developing healthy and effective coping mechanisms – coping mechanisms are an important tool for those who experience mental health issues. They allow you to adjust how you process things that distress you, making them easier to deal with. Some healthy coping mechanisms include:
- Finding ways to resolve what is causing the distress
- Looking at the problem(s) from a different point of view
- Talking to someone in your support system

You can make positive, effective changes to improve your mental health this year with the help of a psychiatrist at Jamaica Hospital Medical Center’s Mental Health Clinic. To schedule an appointment, please call (718) 206-5575.

15 Foods to Add to Your Diet to Boost Your Brain Health

Posted on December 27, 2024 by Patrick Hercules

The brain is the command center of the body. It processes information and sends messages controlling everything your body does from thoughts and emotions to memory and motor skills.

As we age, the brain experiences physiological changes that affect memory, focus, and word recall. Fortunately, we can combat some of these changes with our diet, which plays a major role in keeping our minds sharp and maintaining our mental function.

Brain foods are foods that can benefit brain health. They contain various nutrients that keep the brain functioning well. They include:

Omega-3 fatty acids
B vitamins
Vitamin E
Vitamin C
Vitamin K
Selenium
Iron
Choline

Eating a diet rich in these nutrients can help fight off common brain-related conditions and symptoms often associated with age. These nutrients may help with:

Brain development
Proper signaling of neurotransmitters
Processing and understanding new information
Memory
Protein balance
Reducing the risk of brain-related conditions linked to inflammation, such as depression and dementia

Here are 15 foods to add to your diet that are rich in essential nutrients:

Eggs
Fatty fish
Berries such as blueberries, raspberries, and strawberries
Broccoli
Mushrooms
Walnuts
Turmeric
Coffee
Leafy greens
Green tea
Dark chocolate
Fermented dairy
Avocados
Certain fruit juices such as pomegranate, grape, and cherry juice
Whole grains

Remember, no food on its own will magically transform your brain. However, eating brain foods regularly can keep your brain sharp and maintain your cognitive ability as you age. Maintaining an overall healthy eating pattern is important to reap the health benefits of these nutrient-rich foods.

What Causes Lymph Nodes to Swell?

Posted on December 26, 2024 by Patrick Hercules

Lymph nodes are part of the lymphatic system and a vital part of the body’s immune system. Swollen lymph nodes are your body’s natural reaction to illness or infection. They act as filters that help rid the body of germs, cells, or other foreign matter that passes through your lymph fluid.

Your lymphatic system is a network of organs, vessels, and lymph nodes throughout the body. Many lymph nodes are located in the head and neck region, the armpits, and the groin where they frequently swell.

When lymph nodes swell, it is a sign that something is wrong somewhere in your body. When they first swell, you might notice:

Tenderness and pain in the lymph nodes
Swelling that may be the size of a pea or kidney bean, or even larger in the lymph node

Depending on the cause of the swollen lymph nodes, other signs and symptoms might include:

Runny nose, sore throat, fever, and other indications of an upper respiratory infection
General swelling of lymph nodes throughout your body. When this happens, it can indicate an infection.
Hard, fixed, rapidly growing nodes, indicating possible cancer
Fever
Night sweats

The most common cause of swollen lymph nodes is an infection, particularly a viral infection, such as the common cold. Other possible causes of swollen lymph nodes include:

Common infections
- Strep throat
- Measles
- Ear infections
- An infected (abscessed) tooth
- Skin or wound infections, such as cellulitis
- HIV
Uncommon infections
- Tuberculosis
- Certain sexually transmitted diseases, such as syphilis
- Toxoplasmosis- a parasitic infection resulting from contact with the feces of an infected cat or eating undercooked meat
- Cat scratch fever- a bacterial infection from a cat scratch or bite
Immune system disorders
- Lupus
- Rheumatoid arthritis
Cancers
- Lymphoma
- Leukemia
- Other cancers that have spread to the lymph nodes

To diagnose what is causing your swollen lymph nodes, your healthcare provider may need:

Your medical history
A physical exam
Blood tests
Imaging studies
A lymph node biopsy

Swollen lymph nodes caused by a virus usually return to normal after the viral infection ends. Treatment for swollen lymph nodes from other causes depends on the cause:

Infection- antibiotics are the most common treatment for lymph nodes caused by bacterial infections. If your swollen lymph nodes are due to an HIV infection, you’ll receive specific treatment for that condition.
Immune disorder- if your swollen lymph nodes are caused by certain conditions, such as lupus or rheumatoid arthritis, treatment is directed at the underlying condition.
Cancer- swollen lymph nodes caused by cancer require treatment for the cancer. Depending on the type of cancer, treatment may involve surgery, radiation, or chemotherapy.

To make an appointment with an ENT doctor at Jamaica Hospital Medical Center, please call 718-206-7110.

Ear Infections

Posted on December 18, 2024 by Patrick Hercules

An ear infection, or acute otitis media, occurs when a virus or bacteria infects the space behind the eardrum. Children are more likely to get ear infections than adults, making them one of the most common childhood illnesses besides colds.

Signs and symptoms of an ear infection common in children include:

Ear pain, especially when lying down
Tugging or pulling at an ear
Trouble sleeping
Crying more than usual
Fussiness
Trouble hearing or responding to sounds
Loss of balance
Fever of 100˚ F (38˚ C) or higher
Drainage fluid from the ear
Headache
Loss of appetite

Common signs and symptoms of an ear infection in adults include:

Ear pain
Drainage of fluid from the ear
Trouble hearing

Ear infections often begin after a cold or another upper respiratory infection. The germs travel into your middle ear through the Eustachian tube, causing the Eustachian tube to swell and become blocked. The blockage leads to poor Eustachian tube function and infected fluid in your middle ear.

Ear infections aren’t contagious, but the viruses and/or bacteria that cause them are.

Several factors can cause a risk of ear infections, including:

Age
Family history
Colds
Chronic illnesses
Ethnicity
Poor air quality and smoky environments

Most healthcare providers can tell if you have an ear infection based on symptoms and a physical exam. Other tests include:

Tympanometry test
Acoustic reflectometry test
Tympanocentesis test

Treatment for ear infections can include:

Pain medication
Anesthetic drops
Antibiotic therapy

To make an appointment with an ENT doctor at Jamaica Hospital Medical Center, please call 718-206-7110.

Foot Drop

Posted on December 13, 2024 by Patrick Hercules

Foot drop or drop foot, is a general term for difficulty lifting the front part of the foot. It happens when you can’t raise the front part of your foot due to weakness or paralysis of the muscles that lift it.

Foot drop may cause a person to drag their feet on the floor when they walk. To avoid this, a person with foot drop may raise the thigh more than usual when walking as though they were climbing stairs. This way of walking, called steppage gait, causes the foot to slap against the floor with each step, sometimes causing the skin on the top of the foot and toes to feel numb.

Foot drop isn’t a disease. It is more a sign of an underlying neurological, muscular, or anatomical problem. Foot drop has several possible causes, typically due to an issue with your nerves and/or muscles. The most common causes are lumbar radiculopathy and peroneal nerve injury. Other causes include:

Brain conditions
Motor neuron conditions
Peripheral neuropathies
Muscle conditions

To diagnose foot drop, a healthcare provider will perform a physical exam, which may show:

Loss of muscle control in your lower leg(s) and foot/feet
Muscle atrophy in your foot or leg
Difficulty lifting your foot and toes

Your healthcare provider may also order any of the following tests to find the underlying cause of foot drop, including:

Imaging tests such as X-rays, ultrasound, and/or an MRI to look for compression or damage in your legs, spine, or brain
Certain blood tests, such as a blood sugar test to check for diabetes and diabetes-related neuropathy
Nerve conduction tests to examine how your nerves are functioning
Electromyography to measure the electrical activity in your leg muscles

Foot drop treatment depends on what is causing it. Sometimes foot drop is temporary, but it can be permanent. If the cause is a chronic condition like multiple sclerosis or ALS, foot drop may be permanent. Possible treatments for foot drop include:

Physical and occupational therapy to help stretch and strengthen your muscles and help you walk better
Braces, splints, or shoe inserts to help support your ankle and foot and keep it in a more natural position

In some cases, people need surgery to relieve pressure on their peroneal nerve or to repair it. If you have chronic foot drop, your healthcare provider may suggest fusing your ankle or foot bones. Or you may have tendon surgery in which a surgeon transfers a tendon from your other leg to the muscle in your affected leg to help it pull your foot up.

If you are experiencing any symptoms of foot drop, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

Living with Diabetes during the Holidays

Posted on December 12, 2024 by Patrick Hercules

Making healthy choices during the winter holidays can be challenging for many people. It can be even more challenging for people with diabetes.

If you are a diabetic, it is important to eat mindfully by following your diet and making a plan. Here are some tips to help you enjoy a diabetes-friendly holiday season:

Monitor your blood sugar levels regularly
Stay hydrated
Communicate with family and friends about your diabetes needs and how they can support you
Stay active
- Take short walks
- Dance or play games
Plan for holiday meals
- Choose healthier options
- Watch portion sizes
- Balance your plate
Prepare for travel
- Pack your diabetes kit
- Carry snacks
Get enough sleep
Don’t skip meals
Watch what you drink and how much
Talk to your doctor about changes in your health
Take care of your mental health
- Practice mindfulness
- Set realistic expectations

With some planning and preparation, you can still enjoy the holidays and your favorite foods while managing your blood sugar.

To schedule an appointment with an endocrinologist, please call Jamaica Hospital Medical Center’s Ambulatory Care Center at (718) 206-7001.