Managing Your Stress

Posted on March 15, 2017 by Joann Ariola

For many, dealing with excessive stress has become a way of life. We often hear the words “just relax,” but sometimes we find it difficult to take that advice and de-stress due to every day hassles.

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.

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.

No Fry Eggplant Parmesan

Posted on January 30, 2017 by Joann Ariola

The new year caused us to take an accounting of our lifestyle choices and changing some of our habits to help bolster good health. Some “resolutions” may have been to become more physically active, manageing your stress better, quitting smoking and choosing a healthier diet. All of which are very important to maintaining a healthy lifestyle.

If you have been focused on adding more fruits and vegetables to your meals, you may want to consider switching from fried foods to baked foods in an effort to lower your fat consumption.

Try this easy and delicious No Fry Eggplant Parmesan to loose the fat without losing any of the taste!

For this and other “no fry” recipe’s visit –

Enjoy!

Beet, Kale, and Kohlrabi Salad with Grapefruit Vinaigrette

Posted on January 23, 2017 by Joann Ariola

There are special fruits and veggie’s that are specific to a season. For the winter season, you should be able to find some wonderful grapefruits, lemons, oranges, clementines and tangerines, as well as beets at your grocery store right now.

If you are in the mood for a Citris delight, try this receipe for a quick, nourishing and delicious salad.

WHAT YOU NEED

1 bunch kale
1 bunch lettuce
1 kohlrabi
1 beet
2 carrots
1 grapefruit
4 tablespoons olive oil
1 tablespoon honey
1 teaspoon Dijon mustard
½ teaspoon kosher salt
¼ teaspoon freshly ground pepper
¼ cup sunflower seeds or pepitas

WHAT TO DO

Remove the stems from the kale and chop it into bite-sized pieces. Chop the lettuce into bite-sized pieces. Peel the kohlrabi, beet, and 2 carrots and chop them into matchsticks (julienne) with a knife or using a food processor. Remove the sections from half of the grapefruit and peel them.
In a small canning jar, combine juice from the remaining half grapefruit (around ¼ cup), 4 tablespoons olive oil, 1 tablespoon honey, 1 teaspoon Dijon mustard, ½ teaspoon kosher salt, and ¼ teaspoon freshly ground pepper. Cover the jar and shake vigorously to combine (or whisk all ingredients together in a bowl).
To serve, place vegetables on serving plates or in bowls. Top with grapefruit vinaigrette and sunflower seeds or pepitas.

For this and other delicious seasonal receipes visit –

The Importance of an Annual Exam

Posted on November 30, 2016 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for 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.

Prostate Cancer

Posted on August 17, 2016 by Andrew Rubin

The prostate gland is a part of the male reproductive system that sits below the bladder and is normally the size of a walnut. Prostate cancer is the second leading cause of death in American men. The majority of men who reach the age of 80 are found to have prostate cancer however most types of this cancer at that age grow slowly and may not contribute to any serious harm. Some types of prostate cancer are very aggressive and can spread to other parts of the body.
Prostate cancer can occur at any age, but is more common in men over the age of 65. There is a higher incidence of it in African American males and men who have a family history of the disease.
Symptoms of prostate cancer include:
• Difficulty urinating
• Less forceful urination
• Need to urinate frequently
• Painful urination
• Blood in the urine or semen
• Pain in the lower back, hips, pelvis
• Unexplained weight loss
Prostate screenings are very important to help detect the disease. A blood test that measures prostate-specific antigen (PSA) and a digital rectal exam (DRE) are the two tests that a physician will start with to see if there are any abnormalities. If there is reason to believe that there is a problem other tests will be performed and this includes an ultrasound exam and a biopsy of the gland.
Treatment of prostate cancer depends on the age of the patient at the time of diagnosis, the overall health of the patient, and the amount of growth and spread of the disease. Treatment options can include surgery, radiation, chemotherapy, and hormone therapy.
To schedule an appointment with a urologist at Jamaica Hospital who can perform a prostate exam, please call 718-206-7110.

The White Coats are Coming!

Posted on July 7, 2016 by Joann Ariola

Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Jamaica Hospital’s Family Care Center at 718-657-7093 to schedule an appointment.

Is This Job Killing Me?

Posted on June 6, 2016 by Joann Ariola

Some workplace stress is normal, but excessive stress can interfere with productivity and impact your physical and emotional health. If you are feeling overwhelmed at work, you can lose confidence, and become irritable or withdrawn.

Health issues that can be caused by excessive stress are:

Heart disease
Asthma
Obesity
Diabetes
Headaches
Depression and anxiety
Gastrointestinal problems

How you manage your stress is one way of avoiding the negative health impacts of a stressful lifestyle. By realizing that not being able to control everything in your work environment does not mean you are powerless, you can find ways to manage your workplace stress without rethinking career ambitions.

Some quick, office stress relievers are:

Take a short walk
Drink water
Stretch
Make a plan or to-do list
Unplug from email and social media
Breathe
Act rather than react
Ask for help

One of the best ways of coping with stress is to identify what your stress triggers are. Once you have identified them, you can find ways to resolve them.

If using these steps to relieve your feelings of being stressed is not helping, you may want to consult a mental health professional at Jamaica Hospital Medical Center’s Department of Mental Health and Psychiatry. Call 718-206-7160 for an appointment.

Bistro Roasted Chicken

Posted on June 1, 2016 by Joann Ariola

Looking to cook a healthy and filling meal for two? Take a look at the recipe below and Bon Appetit!

Bistro Roasted Chicken

Ingredients

2 chicken leg quarters (about 1 1/2 pounds)
1 tablespoon chopped fresh or 1 teaspoon dried basil
1 tablespoon chopped fresh or 1 teaspoon dried thyme
1 tablespoon chopped fresh or 1 teaspoon dried rosemary, crushed
2 teaspoons olive oil
1/2 teaspoon salt
1/4 teaspoon black pepper
2 whole garlic heads

Preparation

Preheat oven to 375°.

Rinse chicken with cold water; pat dry. Trim excess fat. Loosen skin from thigh and leg by inserting fingers, gently pushing between skin and meat. Combine basil and next 5 ingredients (basil through pepper). Rub herb mixture under loosened skin. Place chicken on a broiler pan. Insert meat thermometer into meaty part of thigh, making sure not to touch bone.

Remove white papery skin from garlic heads (do not peel or separate the cloves). Wrap each head separately in foil; place on broiler pan with chicken. Bake at 375° for 45 minutes. Increase oven temperature to 450° (do not remove chicken from oven). Bake 30 minutes or until thermometer registers 180°. Cover chicken loosely with foil; let stand 10 minutes. Discard skin.

For this and other delicious healthy meals for two check out –

Mosquito Bites – More Than Just an Itch

Posted on June 1, 2016 by Joann Ariola

Summertime means most of us will spend more time outdoors, but this means we must share our space with mosquitoes. Of the 3,000 species of mosquitoes in the world, roughly 200 can be found in the USA.

According to the Centers for Disease Control and Prevention (CDC), mosquitos have been labeled the most dangerous animal in the world since estimates hold mosquitos responsible for hundreds of millions of malaria cases each year, as well as transmitting West Nile virus, yellow fever and the more notable Zika virus.

We are told by health professionals and monitoring agencies that the Zika virus is primarily spread to people through the bite of an insect, the Aedes aegypti mosquito to be more specific. Additionally, there have been some cases where Zika has been spread through having sexual relations with an infected male. Men and women who have traveled to Zika hot spots should consider condom use during pregnancy if the man has been exposed.

The most common symptoms of the Zika virus disease are:

Fever
Rash
Joint pain
Conjunctivitis (pink eye)

The CDC goes on to state that the Zika virus is usually mild with symptoms that last from several days to one week, but with Zika being linked to birth defects in women infected during pregnancy, the CDC recommends the following measures to protect you against being bitten:

Repellents – When used as directed, insect repellents are the best way to protect yourself and family from getting mosquito bites. The higher percentages of active ingredients provide longer lasting protection.
Cover up – When weather permits, wear long-sleeved shirts and pants.
Keep mosquitoes outside – Use air conditioning or make sure that you repair and use window/door screens
Protect yourself when traveling – learn about the country-specific travel advice, health risks and how to stay safe.

Since specific areas where Zika is spreading, and most prevalent, are often difficult to determine and are likely to change over time, please visit the CDC Travelers’ Health Site for the most updated information at http://wwwnc.cdc.gov/travel/page/zika-travel-information