What to Do Next After Receiving a Dementia Diagnosis

Posted on January 28, 2026 by Patrick Hercules

Receiving a dementia diagnosis can be devastating. Whether it is you are a loved one, several questions are raised after the diagnosis, namely “What do I do next?”

After receiving a dementia diagnosis, it is important to be as proactive as possible. There are several steps you can take to help you or a loved one plan for the future, as well as help everyone involved feel that they are informed, supported, and less alone. Steps include:

Learn about and understand the specific dementia diagnosis, as it helps guide healthcare decisions, treatment options, and expectations for the future.

Dementia is not a specific disease, but an overall term that describes a group of symptoms such as memory loss and the loss of other mental abilities severe enough to interfere with daily life. Dementia is caused by physical changes in the brain.

Different types of dementia include:
Lewy Body Dementia and Parkinson’s Disease
Creutzfeldt-Jakob Disease
Down Syndrome and Alzheimer’s Disease
Frontotemporal Dementia
Huntington’s Disease
Korsakoff Syndrome

There are many signs and symptoms of dementia. They include:

- Memory loss that disrupts daily life
- Challenges in planning or solving problems
- Difficulty completing familiar tasks
- Confusion with time and place
- Trouble understanding visual images and spatial relationships
- New problems with words in speaking or writing
- Misplacing things and losing the ability to retrace steps
- Decreased or poor judgment
- Withdrawal from work or social activities
- Changes in mood and personality
Communicate with you or your loved one’s healthcare providers to discuss what can be expected and how to best manage symptoms.
Plan for the future by consulting with various financial and legal experts to discuss advance care directives, such as a living will and durable power of attorney, as they outline any wishes for future medical treatment and designate someone to make decisions on your or your loved one’s behalf if/when you are unable to. A financial adviser can help you or your loved one organize and manage any expenses that may relate to long-term care
Communicate with family members and caregivers openly about your or your loved one’s diagnosis, any care preferences, and plans so that everyone is on the same page.
Maintain any and all social connections and participate in activities that encourage cognitive function. Maintaining a support network is important, as dealing with dementia can make you or a loved one feel isolated.
Ask your or your loved one’s healthcare provider about which treatments are available and recommended based on one’s specific dementia diagnosis, and ask about eligibility for clinical trials.
Start any of the recommended treatments or medications that may help manage dementia symptoms. Be sure to schedule regular appointments with your healthcare providers so they can monitor the condition and adjust care as needed. Monitor your symptoms and keep your healthcare providers up to date with them so they can offer any interventions that can help with any new symptoms that present themselves.
Remove any household hazards that may lead to falls or injuries. According to the Alzheimer’s Association, adults ages 65 and older living with dementia are at a 45.5% risk of getting injured or dying from falls, compared to 30.9% of people in the same age group who don’t have dementia. It is important to note that falls are the leading cause of death for that age group.

A dementia diagnosis is a difficult time for any family that must experience it. It is important to make sure that you, your loved ones, and any caregivers are prepared for the challenges that may arise on this journey.

If you or a loved one is experiencing any symptoms of dementia, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246.

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 May Cause Lung Cancer in Nonsmokers?

Posted on January 22, 2026 by Patrick Hercules

Lung cancer is the leading cause of cancer-related deaths in the United States. Tobacco smoking is the leading cause of lung cancer. However, people who smoke tobacco aren’t the only ones at risk of developing lung cancer.

The Centers for Disease Control and Prevention (CDC) estimates that 10% to 20% of lung cancer cases each year happen in people who never smoke.

Nonsmokers can develop lung cancer if they are exposed to secondhand smoke, air pollution, radioactive gases such as radon, asbestos, diesel exhaust, or other harmful chemicals.

According to the CDC, about 50% to 60% of lung cancers found in nonsmokers are adenocarcinomas, which is a type of non-small cell lung cancer that begins in the cells that line the tiny air sacs in the lungs and make substances such as mucus. Additionally, about 10% to 20% are squamous cell carcinomas, cancer that forms in the thin, flat cells lining the inside of the lungs, and 6% to 8% are small cell lung cancers, and the rest are other types of lung cancer.

Lung cancers in nonsmokers are often different than those that are in smokers, as they usually develop in younger people, and often have certain gene changes that differ from those in tumors found in smokers.

A person’s genes can influence their risk of developing certain diseases, including some types of cancer, as some genes help control when cells grow, divide into new cells, and die. These genes are oncogenes and tumor suppressor genes.

Oncogenes help cells grow, divide, or stay alive. Tumor suppressor genes help control cell division or cause cells to die at the right time.

Cancer can develop when any DNA changes that activate oncogenes or deactivate tumor suppressor genes occur. These changes in many different genes are usually needed to cause cancer to develop. The two primary types of gene changes are inherited gene changes and acquired gene changes.

Inherited gene changes are gene changes passed down from a person’s parents. These inherited changes to a person’s DNA may increase their risk of developing certain cancers.

Acquired gene changes cannot be inherited but are acquired during a person’s lifetime and may occur in any individual cell. Certain acquired gene changes can affect the cell’s ability to control how it grows and will ultimately mutate a non-cancer cell into a cancer cell.

It is more common for nonsmoking women, especially Asian nonsmoking women, to develop lung cancer, as they are more than twice as likely to develop it as male nonsmokers. This is due to women having an acquired gene change, such as epidermal growth factor receptor (EGFR).

Symptoms of lung cancer are the same for smokers and nonsmokers. Lung cancer symptoms include:

Feeling tired or weak all the time

Loss of appetite

A cough that doesn’t go away or gets worse

Coughing up blood or rust-colored phlegm

Chest pains

Shortness of breath

Unexplained weight loss

Hoarseness

Bronchitis or pneumonia that doesn’t go away or keeps coming back

Wheezing

If a smoker is exhibiting symptoms of lung cancer, they should see a healthcare provider.

Although there isn’t any screening guidance for nonsmokers, taking steps such as being aware of lung cancer symptoms and reducing exposure to air pollutants and radon can help reduce your risk of developing lung cancer. Some additional steps include:

Avoid secondhand smoke

Monitor the air quality in your community

Test your home for radon

Protect yourself at work by avoiding any chemicals or cleaning products that contain carcinogens

If you would like to learn more about cancer treatments for lung cancer, or to learn more about our cancer care program, you can schedule an appointment with an oncologist at our MediSys Health Network Cancer Center by calling (718) 206-6742.

Is Obstructive Sleep Apnea Linked to Parkinson’s Disease?

Posted on January 16, 2026 by Patrick Hercules

A new study conducted by Oregon Health and Science University and the Portland Veterans Administration (VA) Health Care System has found that people who have untreated obstructive sleep apnea (OSA) can have an increased risk of eventually developing Parkinson’s disease.

Obstructive sleep apnea is a common sleep disorder that occurs when people repeatedly stop and start breathing while they sleep due to the throat muscles relaxing and blocking their airway.

Parkinson’s disease is a progressive neurodegenerative disorder of the nervous system that worsens over time.

The study analyzed the health records of 13,737,081 U.S. veterans collected by the Department of Veterans Affairs from 1999 to 2022. The average age of the participants in the study was 60.5 years, with 9.8% being women.

1,552,505 participants of the study had obstructive sleep apnea. Six years after their original OSA diagnosis, there were 1.6 cases of Parkinson’s disease for every 1,000 individuals with obstructive sleep apnea, compared to those without it.

What’s more, the study shows that because OSA causes repeated airflow blockages during sleep, it leads to low oxygen levels and briefly interrupted blood flow to the brain and blood vessels. It can also lead to ischemia-reperfusion, which occurs when blood flow is restored after a period of reduced blood supply, leading to cells becoming damaged instead of healing. When this occurs, it causes fragmented sleep and triggers the autonomic centers in the brain, making neurons and blood vessels vulnerable. Similarly, Parkinson’s disease causes neurons to slowly break down and die, affecting neurological function.

People who are suffering from OSA can improve their sleep quality with early treatment using common treatments for sleep apnea, such as a continuous positive airway pressure (CPAP) mask or the new Inspire device. Unlike the CPAP mask, the Inspire device works inside the body with a patient’s natural breathing process, using mild stimulation to open 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. could help lower their risk of developing Parkinson’s disease.

If you would like to get tested for sleep apnea, you can make an appointment at Jamaica Hospital Medical Center’s Sleep Center by calling 718-206-5916.

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

If you would like to learn more about Parkinson’s disease, you can schedule an appointment with a neurologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Hidradenitis Suppurativa

Posted on January 15, 2026 by Patrick Hercules

Hidradenitis suppurativa, also known as acne inversa, is a condition that causes small, painful lumps to form underneath the skin. These lumps usually develop in areas such as the armpits, the groin, buttocks, and breasts where the skin rubs together.

Hidradenitis suppurativa starts after puberty and usually before the age of 40. It can last for many years, worsening over time.

Hidradenitis suppurativa can affect one or more areas of the body, with several signs and symptoms, including:

Blackheads- small, pitted areas of the skin that often appear in pairs

Painful pea-sized lumps that form under the skin in areas where more sweat and oil glands are present, or where the skin rubs together, that can last for weeks or months

Leaking bumps or sores that can get bigger, break open, and drain pus with an odor

Tunnels that form under the skin. These tunnels connect lumps and heal slowly, and drain blood and pus

Some people who have hidradenitis suppurative experience only mild symptoms; however, the course of the disease varies extremely. Excess weight and smoking are associated with worse symptoms, but people who are thin and smoke can also experience severe symptoms of the disease.

Hidradenitis suppurativa occurs when hair follicles become blocked. The cause of the blockage isn’t known; however, experts think it may be connected to hormones, genetic predisposition, cigarette smoking, or excess weight.

Several risk factors can increase the chance of developing hidradenitis suppurativa. They include:

Race

Family history

Certain conditions

Smoking

Severe and persistent hidradenitis can cause complications, including:

Infection in the affected area

Restricted movement due to sores and scar tissue

Skin cancer, such as squamous cell carcinoma, has been reported with long-term hidradenitis suppurativa

Scars and skin changes after wounds have healed, leaving pitted skin and rope-like scars

Swelling in the arms, legs, or genital area, due to scar tissue caused by hidradenitis that blocks the lymph nodes in those areas from draining

Psychological effects and social isolation, such as depression, anxiety, or not wanting to go out in public due to the location, drainage, and odor of the sores

Lifelong pain

Hidradenitis suppurativa can often be mistaken for acne or pimples. A healthcare provider can make a diagnosis based on signs and symptoms, skin appearance, and medical history. Hidradenitis suppurativa can be difficult to diagnose and requires specialized care, so a healthcare provider may refer a patient to a dermatologist.

There aren’t any laboratory tests available to diagnose hidradenitis suppurativa; however, if there is pus or drainage present in the wounds, samples may be taken for testing.

Treatment for hidradenitis suppurativa can include medications, surgeries, or both to help control symptoms and prevent complications of the condition.

Medications used to treat hidradenitis suppurativa can include:

Antibiotics

Steroid injections

Hormonal therapy

Biologics

Retinoids

Pain medicine

Surgical procedures used to treat hidradenitis suppurativa include:

Uncovering the tunnels under the skin by removing tissue to expose them

Punch debridement, which removes a single inflamed bump

Laser therapy

Surgical removal of all the infected skin

If you or a loved one is suffering from hidradenitis suppurativa, you can visit Jamaica Hospital Medical Center’s Division of Dermatology. To make an appointment, please call (718) 206- 6742.

Does Nasal Irrigation Effectively Fight the Common Cold?

Posted on January 14, 2026 by Patrick Hercules

As the winter season progresses, so does cold season.

When we come down with a cold, we try different methods to relieve our cold symptoms.

However, using a simple saline or saltwater solution can help reduce the duration of these symptoms.

A pilot study conducted in 2019 found that flushing the nose with a 3% saline solution, which is higher than the standard 0.9% concentration, can reduce cold symptoms in approximately two days.

Additionally, researchers say that saline nasal drops may help reduce transmission rates of cold viruses.

In the same 2019 study, 93% of participants reported that the 3% saline solution made a difference in their symptoms, and 61% indicated that they would use it again during another cold.

Most people may catch a cold two or three times each year, as the cold virus spreads easily via contaminated droplets. Saline solution is an affordable, easy-to-use treatment that may help slow down the spread of the cold virus between family members.

Saline nasal drops may also help to clear up a runny nose. The solution may help reduce viral load, the amount of the virus in a person’s system, by flushing out the nasal passages.

Saline nasal drops help flush out mucous and inflammatory mediators, which are chemical messengers that play a crucial role in initiating and regulating the body’s inflammatory response. This can improve cold symptoms and give the immune system a better chance to fight the infection.

When you are looking to buy saline nasal drops or sprays, it is important to look for a saline percentage or the words “hypertonic” or “extra-strength” on the label. Many brands of saline solutions sell 3% hypertonic nasal spray, but it is important to read the labels carefully to confirm the product does not contain other added medications.

You can also make a saline solution at home with salt, baking soda, and water. It is important to only use distilled or boiled and cooled tap water when preparing the solution, as the quality of tap water varies, and there may be things such as bugs and germs present.

To make the saline solution, combine three tablespoons of salt and one teaspoon of baking soda. Avoid any salts that contain iodine, preservatives, or anti-caking agents because these can irritate your nose. Put one teaspoon of the salt-baking soda mixture into eight ounces of distilled or boiled water. Baking soda helps reduce irritation; however, you may still experience some irritation in the nose or throat after using the saline solution.

Although hypertonic nasal drops or sprays could be prepared correctly, they can still irritate the nose and throat. Some people may even experience a temporary burning sensation. Use the hypertonic saline solution as tolerated. It is important to talk to your healthcare provider about alternative cold remedies if the saline solution doesn’t work well for you and if your cold symptoms persist or get worse.

If you are suffering from common cold symptoms and would like to learn more about nasal irrigation, you can make an appointment with an ENT doctor at Jamaica Hospital Medical Center by calling 718-206-7110.

Tips to Help You Keep Your New Year’s Health Resolutions

Posted on January 9, 2026 by Patrick Hercules

Every New Year’s Eve, we ambitiously make resolutions that we intend to keep. Unfortunately, keeping those resolutions is easier said than done.

For many of us, we set many long-term goals as a New Year’s resolution. Setting long-term goals, such as losing a certain amount of weight without a plan or outline of specific ways to accomplish that goal, often sets us up for failure. This is why experts recommend that we achieve long-term goals by making a plan and taking small incremental steps that help us change our behaviors over time. These behavioral modifications must be repeated for them to become routine.

Here are some additional tips to help you stay on track with keeping your New Year’s resolution:

Instead of stopping an old habit, try starting a new habit. Rather than stop eating candy, try to eat more fruits and vegetables. Starting a new habit can push an old habit aside, which may make it more likely that you will stick with your new routine
Add another habit onto one of your current ones. For example, you can do stretches after brushing your teeth. Pairing a new habit with an old or current one can be an effective way to create a long-term lifestyle change
Focus on the process of achieving your goal rather than focusing on the outcome. Fixating on the outcome can cause you to be discouraged when you have trouble accomplishing that goal
Track your progress by using an app, journal, or calendar to help you monitor the progress you are making. Keeping data on your progress can be a positive reinforcement and help keep you accountable
Plan ahead by considering any challenges you may face while trying to keep your resolution. For example, if you are trying to eat healthy, think about what you are going to buy at the grocery store or what you may order at a restaurant. If you are trying a new exercise routine, schedule when you are going to exercise so it doesn’t conflict with any other activities
Give yourself grace when you make a mistake. Being negative and self-critical when you mess up may make you less likely to stick to your new habits. Be more compassionate with yourself and be as consistent as you can

If you would like help keeping your New Year’s health resolutions, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Thyroid Awareness Month

Posted on January 8, 2026 by Patrick Hercules

January is Thyroid Awareness Month, a month that observes the importance of raising awareness of thyroid disorders and how they affect the lives of millions of people around the world.

The thyroid is a gland located in front of the neck. It is a part of the body’s endocrine system and produces hormones that play an important role in many of the body’s systems, such as cells and tissues, the heart, brain, liver, and kidneys.

The hormones the thyroid produces include:

Thyroxine (T4)- the primary hormone made and released by the thyroid. It is the hormone that the thyroid makes the most of; however, it doesn’t have much of an effect on the metabolism

Triiodothyronine (T3)- the thyroid makes lesser amounts of this hormone, but it has a much bigger impact on the metabolism than T4

Reverse triiodothyronine- the thyroid makes very small amounts of RT3. This hormone reverses the effects of T3

Calcitonin- this hormone helps regulate the amount of calcium in the blood

These hormones also affect several bodily functions, including:

Blood pressure

Body temperature

Heart rate

Metabolism

Breathing

Digestion

Brain development

Mental activity

Skin and bone maintenance

Fertility

Four main conditions affect the thyroid, including:

Hypothyroidism, which is an underactive thyroid gland

Hyperthyroidism, which is an overactive thyroid gland

Goiter, which is an enlarged thyroid gland

Thyroid cancer

Different thyroid conditions have different symptoms. Symptoms depend on whether the thyroid is under- or over-producing hormones and can often be silent or present symptoms that are overlooked due to their subtlety.

Symptoms that may signal a thyroid condition include:

Slow or rapid heart rate

Unexplained weight loss or weight gain

Difficulty tolerating the cold or heat

Depression (caused by hypothyroidism) or anxiety (caused by hyperthyroidism)

Irregular menstrual periods

When a healthcare provider wants to check the health of a person’s thyroid, they perform a blood test that measures the levels of thyroid-stimulating hormone (TSH). They will also check the levels of T4 and T3 in the blood. If the results of these tests come back and are abnormal, the healthcare provider may suggest an imaging test such as a thyroid scan or an ultrasound of the thyroid.

There are several treatment options for thyroid conditions, depending on what they are and their severity. The three main treatment options for thyroid conditions include:

Medication

Surgery

Radiation therapy and chemotherapy

Thyroid conditions are common and can affect anyone at any age. However, some people face a higher risk if they:

Have a family history of thyroid disease

Have an autoimmune condition, such as type 1 diabetes, rheumatoid arthritis, or lupus

Take a medication that’s high in iodine

Are older than 60, especially if you’re female

Fortunately, there is a way for a person to keep their thyroid healthy. This can be done by getting enough iodine in their diet with foods that are fortified with iodine, such as cheese, cow milk, eggs, yogurt, saltwater fish, shellfish, seaweed, soy milk, and soy sauce.

If you would like to get your thyroid checked or to receive more information about Jamaica Hospital’s endocrinology service, you can make an appointment by calling 718-206-7001.

The Importance of an Annual Physical Exam

Posted on January 7, 2026 by Patrick Hercules

A new year is upon us, and we are all looking for ways to improve our health. An important way to do so is to get an annual physical exam.

Getting a physical exam provides us with an opportunity to check our overall health and prevent any health issues from becoming more serious. It can also cultivate a relationship with a primary healthcare provider who can help:

· Manage current health issues

· Prevent illnesses

· Monitor the risk of chronic disease

· Identify illnesses that don’t have symptoms

· Monitor your weight, blood pressure, heart rate, and basic body chemistry

· Adjust your lifestyle to one that is suitable for your age

Even if you feel fine, it is a good idea to see your healthcare provider to ensure you are taking the right steps to maintain and improve your health.

If you would like to receive a physical exam, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

New Year’s Eve Safety Tips

Posted on December 31, 2025 by Patrick Hercules

New Year’s Eve is a time when we come together to reflect on the previous year, as we prepare to celebrate the start of a new one. However, these celebrations can come with dangers and responsibilities.

Here are a few tips to keep you and your loved ones safe this New Year’s Eve:

Plan your rides in advance. On average, driving accidents rise during the holidays, so it is extremely important to have a safe ride when so many people will be out that night celebrating. Do not assume that you will be able to get a cab. Knowing your options in advance can help you decide whether you will be taking public transportation, using a rideshare app, or carpooling with friends.

Plan for the safety of your guests. If you are going to host a party, be sure your guests get home safely. Hire a driver for the evening who can provide people with a way to get home. Stop serving alcohol at least one hour before the end of the party, provide additional food or snacks, and ensure that your guests don’t drive after drinking.

Make a plan with your kids. Set a reasonable curfew for your kids for their New Year’s Eve activities. If they are old enough to drive, be sure they understand the dangers of driving on that holiday. Encourage them to stay in one location instead of going from party to party. Discuss the dangers of driving distractions and how to avoid them. A teen passenger and teens driving with friends face a higher risk than teens who are driving alone.

Take care of your pets. New Year’s Eve can cause high anxiety in pets. You can keep them safe in the house and comfortable by drowning out any sounds outside that are loud. If your pet has a history of high anxiety, consider consulting your vet for anxiety medication.

Avoid leaving your car somewhere overnight, as New Year’s Day is the most active holiday for cars to get stolen. If you do have to leave your car overnight, make sure it is locked and try to pick it up as early as possible the next day. If you do decide to drive home, be sure to let someone know when you leave and when you get home safely.

If you or a loved one is experiencing any medical problems, you can receive treatment by a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001. If you are experiencing an emergency, call 911.

Holiday Driving Safety Tips

Posted on December 26, 2025 by Patrick Hercules

The holiday season is a time for celebrating with family and friends. Depending on where you are or where you are going, many challenges, such as weather conditions, limited daylight, and driving in unfamiliar areas, can make driving difficult. Here are some tips to help keep you safe while driving this holiday season:

Prepare your vehicle for the winter and keep an emergency kit with you
Get a good night’s sleep before leaving to avoid drowsy driving
Leave early to avoid heavy traffic
Make sure that every person in the vehicle is buckled up properly
Practice defensive driving
Don’t drive impaired
Avoid distractions
Check the weather conditions before driving
Stick to the speed limit

Taking the proper precautions before and during your drive is for your safety, the safety of your passengers, and other drivers on the road.

If you or any of your passengers are injured due to a car accident, make sure to call 911 right away.