To Juice or Not to Juice? That is the Question.

Posted on February 8, 2018 by Joann Ariola

Juicing or juice cleanses are growing in popularity as more people are using this practice as a way to lose weight or improve their health. Juice bars are becoming a common fixture in shopping malls as the demand for freshly-made and all-natural juices increase. There are a few advantages that can be achieved by juicing.

Some advantages of juicing include:

Juicing may be an easier way for some to obtain the daily fruits and vegetables that are essential in maintaining a healthy diet. Many people find it more convenient and less time consuming to drink fruits and vegetables instead of eating them.
Juicing can help in promoting weight loss- if it is done correctly and the body is not deprived of vital nutrients and fibers.

There also disadvantages associated with all-juice diets. The disadvantages that are associated with all-juice diets include:

An all-juice diet for a prolonged period of time is not recommended as studies have shown that LDL cholesterol levels may increase. Depriving the body of whole foods that are rich in nutrients could also weaken its ability to fight infections and function properly.
Juicing can prove dangerous for individuals with chronic health conditions such as diabetes and kidney disease. High levels of fructose, which is the sugar found in fruits can elevate blood sugar levels. Excessive juicing can cause high levels of potassium and minerals to build up in the blood- this can become hazardous if one has kidney disease.
Juicing may not be the healthiest or most effective way to lose weight as your body may think it is starving and lower its metabolic rate. If your body is being deprived of the daily recommended caloric intake it could begin to burn muscle tissue instead of fat to provide energy, causing the loss of muscle mass.

If you choose to juice, consult your physician, especially if you have chronic health conditions and juice in moderation. Juicing can be beneficial if it is done properly and is supplemented with nutrient-rich whole foods. It is recommended that a glass of juice can be used to substitute one meal for example breakfast or lunch for the day. Most healthcare practitioners caution that juicing should not surpass the duration of a few days.

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.

Prostate Cancer – Screening and Treatment

Posted on January 30, 2018 by Joann Ariola

The prostate gland is a part of the male reproductive system that produces a fluid that mixes with sperm and other fluids during ejaculation. It sits just below the bladder and is normally about the side of a walnut.

Prostate cancer is an abnormal growth of cells within the prostate gland. Prostate cancer is one of the most common types of cancer in men and the second leading cause of cancer deaths among American men. The majority of men who reach the age of 80 are found to have prostate cancer however most of types of prostate cancer grow slowly and may not contribute to any serious harm. Some types of prostate cancers are more aggressive and can spread to other parts of the body.

Prostate cancer, especially in its early stages, may not have any symptoms. When symptoms are present they may include difficulty starting urination, less force to the stream of urine, dribbling at the end of urination, needing to urinate frequently, urinating frequently at night, pain while urinating, blood in the urine or semen, difficulty starting or maintaining an erection, pain with ejaculation, pain or stiffness in the lower back, hips, pelvis and upper thighs, or unintended weight loss.

Although it is not known exactly what causes prostate cancer some risk factors for developing prostate cancer are older age (more than 65% of prostate cancers are diagnosed in men older than 65), race (African-American men are 60% more likely to develop prostate cancer than Caucasian men), family history (having a father or brother with prostate cancer) and obesity.

There is an ongoing debate among physicians and medical groups about screening for prostate cancer. Currently many organizations including the U.S. Preventive Services Task Force (USPSTF) and the American Academy of Family Physicians (AAFP) recommend against routine screening for prostate cancer. Having a discussion with your doctor about prostate cancer screening can help you decide if you should consider undergoing prostate cancer screening based on your unique health history and preferences.

When screening is done there are two tests that are available. The available tests are a digital rectal exam (DRE) and prostate-specific antigen (PSA) test. To perform a digital rectal exam your doctor uses a gloved finger, inserted a few inches into your rectum, to check your prostate gland. A prostate-specific antigen test is a blood test that measures the level of PSA in your blood. Many men who have prostate cancer have elevated levels of PSA however PSA can also be elevated for less serious causes such as prostate enlargement or infection. Further testing is needed to diagnose cancer. Additional tests that your doctor may recommend to diagnose cancer include an ultrasound of the prostate and a biopsy of the prostate. A biopsy is when a small piece of the prostate is removed to look for abnormal cells.

Treatment of prostate cancer depends on many factors including your age, your overall health and the growth and spread of the cancer when it is diagnosed. Some men who have slow growing tumors may not need treatment right away and some may never need treatment. Other types of prostate cancer are aggressive and can quickly spread to other parts of the body making treatment difficult. Common treatment options include watchful waiting or expectant management (regular testing and checkups to assess for new signs or symptoms), radiation therapy (high-energy x-rays used to kill cancer cells), chemotherapy, surgery (having the prostate gland removed) and hormone therapy. Flushing Hospital also offers robotic surgery and physicians specially trained in its use, as an option for the treatment of prostate cancer.

I Need a Nap

Posted on January 17, 2018 by Joann Ariola

An office protocol, that normally would have been grounds for termination, is now being considered for its many benefits. Several companies are now acknowledging the health benefits of a short nap during the workday, which include increased alertness, enhanced brainpower, and fewer sick days.
It is recommended that adults sleep for at least eight hours every night, however, research has shown that most individuals suffer from broken sleep and fail to get a good night’s rest. For these individuals, a short nap can help. A quick 15 to 20 minute power nap can provide the boost needed to effectively complete your workday.

There are several progressive companies, such as British Airways, Nike, Pizza Hut and Google, who are now seeking to reap these benefits. These companies have created designated nap rooms or “renewal rooms” for their employees, allowed their employees to bring a nap mat for the office, or simply encouraged their employees to sleep at their desk.

Some employers are now encouraging napping for the wellness of their employees. People who take daily 30-minute naps are 37 percent less likely to die from heart disease than those who don’t nap, according to a study published in the Archives of Internal Medicine in 2007. Naps can also boost the immune system—theoretically leading to fewer sick days—and propel employees into their most alert, energetic, and creative states, say nap advocates. Believers in this protocol feel that a well-rested employee is a pleasant employee, noting that if you’re sleep deprived, you’re going to be moody.

Napping Further Explained
Naps can be broken down into four categories:

Planned napping, also known as preemptive napping, involves taking a nap before you get sleepy. It is a good thing to do if you know you’re going to have a late night.
Emergency napping is exactly as it sounds— taking a nap when you’re so sleepy that you can’t properly engage in your current activity.
Habitual napping is the practice of taking a nap at the same time every day.
Appetitive napping is the act of napping strictly for enjoyment.

As noted, napping increases alertness, learning capacity, memory and performance— and we have known this now for several decades. Naps can also reduce stress, as well as lower blood pressure, which is important for our overall health. So, with the research and results on “power napping,” it is safe to say that a well-rested employee is a more productive employee.

Is Your New Years Resolution to #StressLess ?

Posted on January 9, 2018 by Joann Ariola

For many, each New Year their resolution is to lessen the stress that seems to have become a way of life.

There is a reason we all strive to lessen the stress in our daily lives. When you are stressed the body releases hormones such as cortisol and adrenaline- which causes the fight or flight reaction. This can speed up the normal function of several organs, including the heart. The fight or flight reaction is appropriate when we face immediate threats but can be damaging if prolonged; as our bodies are only designed to deal with the effects of stress for short intervals.

Extended periods of stress can take its toll on our health in many ways. Long-term stress is known to negatively affect several systems of the body, including:

The Nervous System– High levels of cortisol and adrenaline can impair the nervous system, which regulates heart rates, the excretion of waste, breathing rates and the dilation and constriction of blood vessels.
The Immune System– Chronic stress can weaken the immune system, which increases the risk of infections, infectious diseases, skin problems such as eczema and can slow down wound healing rates.
The Digestive System– Excessive levels of stress can stimulate the muscles of the intestines and cause diarrhea or constipation. It can also lead to indigestion or nausea and increase the risk of ulcers or irritable bowel syndrome.
The Endocrine System– Stress hormones can cause the liver to increase blood sugar levels. This is particularly dangerous for diabetics.

Some helpful techniques that can assist you in managing your daily stress are:

Meditation – is helpful to the brain’s neural pathways, making you more resilient to stress
Breathing Deeply – triggers our parasympathetic nervous system, neutralizes stress and elicits a calming feeling
Exercise – all forms of exercise can ease depression and anxiety by helping the brain releasing feel-good chemicals giving your body a chance to practice dealing with stress
Eating Healthy – choosing a diet rich in vegetables, fruits, and fiber may reduce the chance that stress can boost the body’s natural defense system

It is important to reduce excessive and prolonged periods of stress. A healthy lifestyle that helps manage stress often requires changing your mindset. But, if you are willing to make the changes that will improve your health, the impact can be far-reaching.

Visiting the Mall Can Improve Your Health!

Posted on December 19, 2017 by Joann Ariola

We all know that regular physical activity is important to our overall health, especially for seniors.

Did you know walking is a great way for older adults to remain active?

Seniors who commit to taking a brisk walk each day may be at a lower risk of:

Heart Disease
Stroke
Type 2 diabetes
Breast and colon cancers
Depression
Anxiety
Insomnia

With the onset of colder months upon us, how can older adults continue their walking routine and remain active?

The Centers for Disease Control and Prevention (CDC) suggests that in the colder months, you can utilize indoor malls for your brisk walk. Malls can be pedestrian friendly, they are climate-controlled, are well lit, have benches for resting, fountains for hydrating, restrooms, as well as security guards and cameras for safety.

For more information on mall walking programs and for other walking resources visit the CDC’s Mall Walking: A program Resource Guide at –

So get yourself a comfortable pair of walking shoes, hit the mall and improve your health!

Obesity: Lifestyle or Genetics?

Posted on November 1, 2017 by Joann Ariola

“How does she eat so much and not gain any weight?”

It’s a question that has left many puzzled and quite frustrated. The conversation about weight, however, is a longstanding one. Today, especially, weight gain and weight loss remain relevant discussions, as the United States faces an obesity epidemic.

Though several health initiatives to help fight obesity have been implemented over the past few years, it is important to first understand what factors contribute to obesity. According to a National Institutes of Health funded study conducted by UCLA, not only does behavior and environment affect obesity, but genetic factors can also play a significant role in causing obesity.

How our genes actually influence obesity varies. As explained by the Centers for Disease Control and Prevention (CDC), genes give the body instruction for responding to changes in its environment. Some research has linked genes to metabolism, pointing out that genetics affects how one’s body responds to high-fat diets. Genes can either cause an increased tendency to store fat or a diminished capacity to use dietary fats as fuel. Other research has suggested that genes influence behaviors, such as overeating and being sedentary.

The conversation about obesity can now change since research has shown that body weight is hereditary and that genetic disposition affects weight. In all efforts to fight obesity, living environments where high calorie foods are prevalent and physical activity is limited should be looked at more closely.

We understand that the road to healthier choices isn’t easy to travel, especially alone. Here at Jamaica Hospital Medical Center our outpatient registered Dietitians assist patients to grow their knowledge about nutrition, wellness and healthy eating. To schedule an appointment the outpatient nutrition services department can be reached directly at .

What are the Symptoms and Risk Factors of Prostate Cancer?

Posted on September 12, 2017 by Xavia Malcolm

Prostate cancer is one of the most common cancers that affect men living in the United States. The American Cancer Society estimates that in 2017 alone there will be about 161,360 new cases of prostate cancer and 26,730 deaths caused by the disease.

It is important for men to know if they are risk for developing prostate cancer. Risk factors for the disease include:

Age – The chance of developing prostate cancer increases after the age of 50
Race/ethnicity- Prostate cancer occurs more in men of African American and African Caribbean ancestry
Family History- Men with a family history of the disease are more likely to develop prostate cancer
While prostate cancer usually does not present symptoms until its later stages, it is also important for men to know the symptoms. Symptoms include:

Difficulty urinating
Frequent urination
Pain or burning during urination
Painful ejaculation
Blood in urine or semen
Difficulty emptying the bladder completely
Pain in the hip, pelvis or back that does not go away
If you are at risk of developing prostate cancer or are experiencing symptoms, it is recommended that you speak with your doctor as soon as possible. He or she may suggest that you receive testing to find out if you have the disease or to assess the severity of your condition. If you are diagnosed with prostate cancer, there are several treatment options available. Your doctor will discuss which treatment is best based on the advancement of the disease.

To schedule an appointment with a doctor a Jamaica Hospital Medical Center, please call 718-206-7001.

Treating Prostate Cancer

Posted on August 8, 2017 by Xavia Malcolm

Prostate cancer is one of the most common diseases that affect men’s health. It is estimated that one in every seven men will receive a prostate cancer diagnosis during his lifetime.

If you or a loved one has been diagnosed with prostate cancer, you most likely have questions about available treatment options.

Before recommending a course of treatment, your doctor will need to determine the stage or severity of the disease. This can be concluded by using imaging technology to assess how aggressive the cancer might be. Some of the testing methods utilized by physicians include:

multiparametric MRI
enhanced MRI
positron-emission tomography (PET)

Once the stage of the prostate cancer has been determined, your doctor will recommend the best treatment option. Treatment is unique to each individual and may include a combination of therapies and medication management.

Depending on the severity of your case, treatment may include:

Active Surveillance- This is where your doctor will monitor your cancer closely. Surveillance typically includes conducting blood tests and digital rectal exams every six months, observing changes in symptoms and possibly administering prostate biopsies each year.
Surgery- One of the most common options used to treat prostate cancer is surgery. Surgery is usually considered when cancer has not spread outside the prostate gland. A radical prostatectomy is the operation that your doctor may perform. It involves removing the entire prostate gland as well as surrounding tissue.
Radiation Therapy- Is often used to treat cancers that have grown outside the prostate gland and have spread to nearby tissues. High levels of radiation are used to kill cancer cells or to keep them from growing.
Hormone Therapy- Also known as androgen deprivation therapy (ADT) or androgen suppression therapy, is an option a physician may explore when cancer has spread too far to be treated with surgery or radiation therapy. The goal of hormone therapy is to reduce the amount of male hormones (androgens) that are produced. This helps delay the progression of prostate cancer.
Chemotherapy- If hormone therapy is not working; your doctor may consider chemotherapy as a form of treatment. During chemotherapy, a combination of cancer–fighting drugs is administered by mouth or intravenously. This form of treatment is best used to shrink or eliminate cancer cells that have spread outside the prostate gland into other parts of the body.

Making treatment decisions can be challenging. Your first step in making a decision is to learn about your options. As an informed patient, you will be able to help your doctor to make a care plan that is best for you.

To schedule an appointment with a urologist at Jamaica Hospital Medical Center, please call 718-206-7110.

TALK YOURSELF POSITIVE

Posted on August 8, 2017 by Joann Ariola

With all the running around we do and the stress we deal with each and every day, try to take a moment to center your mind and bring wellness to your entire being. Try reciting these and other positive affirmations to help start your day in a positive way.

Can Yoga Naturally Lower your Blood Pressure?

Posted on July 26, 2017 by Joann Ariola

Practicing yoga can give your overall health an added boost. Studies have found that it is also helpful in fighting hypertension when combined with other methods of management such as a healthy diet, medication and aerobic exercise. Research indicates that on average patients who incorporated yoga into their care management routine saw a notable reduction in their systolic blood pressure (top number) and diastolic blood pressure (bottom number).

It is believed that yoga is an effective complementary treatment for hypertension because it increases and strengthens the body’s ability to take in oxygen. Additionally it can help improve resiliency to stress; a trigger in elevating blood pressure levels.

If you decide to include yoga as a part of your care, it is important to know that not all yoga poses are created equal in high blood pressure management. There are some poses that are helpful and there are others that can be harmful.

Yoga poses that can be beneficial are:

Bridge pose
Posterior stretch pose
Savasana pose
Child pose

Yoga poses that should be avoided or modified include:

Bow pose
Camel pose
Feathered peacock pose
Balasana pose

It is important that you speak with your physician before trying yoga. Your physician will assess your health and advise if you are physically capable. If your doctor has given you the green light, inform your yoga instructor about your hypertension. This information will help in the prevention of injuries or the exacerbation of your medical condition.