Meet Our Doctors- Dr. Andrew Bi

Posted on November 17, 2025 by Patrick Hercules

Jamaica Hospital Medical Center is proud to introduce Dr. Andrew Bi, the newest member of our orthopedic surgical team.

Dr. Bi was born in Chicago, Illinois, and raised in East Lyme, Connecticut, and currently resides in Queens. He graduated from the University of Connecticut magna cum laude with honors. He then graduated from Northwestern University Feinberg School of Medicine summa cum laude with Alpha Omega Alpha honors. Then he completed his orthopedic surgery residency training at NYU Langone Orthopedics, where he served as Executive Chief Resident. Dr. Bi later underwent subspeciality training at Midwest Orthopaedics at Rush in a sports medicine fellowship, where he served as assistant team physician for the Chicago Bulls, Chicago White Sox, Chicago Steel, and DePaul University.

Dr. Bi has received numerous awards for teaching, clinical care, and research, including the Ralph Lusskin Senior Resident Teaching Award, the Marian Frauenthal Sloane Clinical Research Award, and the Rush Annual Thesis Day Award.

Dr. Bi treats all aspects of orthopedic injuries with a special interest in the management of all shoulder, elbow, hip, and knee conditions, including, but not limited to robotic-assisted joint replacements for arthritis, minimally invasive arthroscopic surgeries for sports injuries, such as anterior cruciate ligament (ACL), meniscus, cartilage, rotator cuff, and labrum injuries, and the fixation of fractures. His current research efforts involve anterior cruciate ligament injuries, meniscal allograft transplantations, rotator cuff tears, hip arthroscopy, and orthobiologics.

Dr. Bi is excited to begin at the Medisys family at Jamaica Hospital, bringing with him expertise in sports medicine subspecialization, as well as his Chinese heritage, to care for the diverse population surrounding the hospital.

If you are experiencing any conditions or injuries affecting your bones, muscles, ligaments, and tendons, you can schedule an appointment at Orthopedic Specialists of New York by calling 718-206-6923

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.

Foods Rich In Magnesium

Posted on November 14, 2025 by Patrick Hercules

Magnesium is a mineral that can be found in various foods. It helps support more than 300 different chemical processes throughout the human body, such as:

Muscle function

Regulating blood pressure and blood sugar levels

Promoting energy production

Nerve function and bone health

Mental health

When eating foods containing magnesium, experts recommend consuming between 310 and 420 milligrams (mg) of magnesium per day, depending on age and sex:

Babies 6 months and younger: 30 mg

7 to 12 months: 75 mg

1 to 3 years old: 80 mg

4 to 8 years: 130 mg

9 to 13 years 240 mg

14 to 18 years (male): 410 mg

14 to 18 years (female): 360 mg

19 to 30 years (male): 400 mg

19 to 30 years (female): 310 mg

31 and older male: 420 mg

31 and older female: 320 mg

Pregnant women should get an additional 40 mg of magnesium per day. Some, but not all, prenatal vitamins include magnesium.

Many foods contain magnesium, including:

Nuts and seeds:

- Roasted almonds- 1oz = 80 mg of magnesium

- Roasted cashews- 1oz = 72 mg of magnesium

- Whole flaxseeds- 1 Tbsp = 40 mg of magnesium

- Dry roasted peanuts- 1 oz = 49 mg of magnesium

- Hulled and roasted pumpkin seeds- 1 oz = 15 mg of magnesium

- Chia seeds- 1oz = 111 mg magnesium

Legumes:

- Boiled black beans- ½ cup = 60 mg of magnesium

- Cooked and prepared edamame- ½ cup = 50 mg of magnesium

- Cooked lima beans- ½ cup = 40 mg of magnesium

Fiber-rich whole grains:

- Cooked quinoa- ½ cup = 60 mg of magnesium

- Plain, unfrosted shredded wheat- 1 cup = 56 mg of magnesium

Low-fat dairy products:

- Nonfat milk- 1 cup = 24 to 27 mg of magnesium

- Plain low-fat yogurt- 8oz = 42 mg of magnesium

Greens:

- Cooked spinach- ½ cup = 78 mg of magnesium

- Cooked Swiss chard- ½ cup = 75 mg of magnesium

- Collard greens- ½ cup = 25 mg of magnesium

Fruit:

- One whole avocado = 58 mg of magnesium

- One medium banana = 32 mg of magnesium

- One small papaya = 33 mg of magnesium

- Blackberries- 1 cup = 29 mg of magnesium

Vegetables:

- Green peas- ½ cup = 31 mg of magnesium

- Sweet corn- ½ cup = 27 mg of magnesium

- One medium potato with skin on = 48 mg of magnesium

Dark chocolate that is 70%-85% cocoa- 1oz = 64 mg of magnesium

2 liters of water- up to 240 mg of magnesium

If you have a magnesium deficiency, a healthcare provider may suggest magnesium supplements. When magnesium is combined with other substances, it can help bring out specific benefits, including:

Magnesium glycinate: helps promote sleep

Magnesium citrate: helps digestion

Magnesium oxide: an antacid and aid to relieve migraines

Magnesium sulfate (Epsom salt): used as a muscle relaxant

Eating a meal that contains magnesium-rich foods is the foundation of a healthy diet and is beneficial for your overall health.

It is important to note that you should first speak with your doctor about making any changes to your diet and before taking any new supplements. To consult a physician about the best ways to get your daily amount of magnesium, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001.

Warning Signs of Blood Clots

Posted on November 12, 2025 by Patrick Hercules

Blood clots are gel-like clumps of blood that have partially solidified in a blood vessel. Clotting is a natural and essential process that stops bleeding when you’re injured. However, some blood clots can form anywhere along the 60,000 miles of blood vessels in the body and are most likely to happen in the veins. These are called venous blood clots. The most common kinds of venous blood clots are:

Deep vein thrombosis (DVT)- DVT usually forms in the legs in the deep veins of the body. Thrombosis is when clots stay put and block blood flow.

Pulmonary embolism (PE)- Embolisms are blood clots that break free and travel to other parts of the body. If a DVT breaks off and travels to the lungs, it can create a pulmonary embolism.

Arterial clots are less common, occurring when a blood clot clogs an artery. These clots can block oxygen from reaching the heart or brain, which can lead to a heart attack or stroke.

Anyone can develop a blood clot; however, certain factors can increase the risk of developing them, including:

Prolonged immobility, such as during long flights or hospital stays

Surgery, especially involving the legs, hips, or abdomen

Pregnancy and the postpartum period

Hormonal birth control or hormone replacement therapy

Smoking

Obesity

Family history of blood clots or clotting disorders

Cancer or cancer treatments

Recognizing the signs and symptoms of a blood clot can be lifesaving. Here are the signs and symptoms to watch out for:

Swelling in one limb

Pain or tenderness in the affected area

Red or discolored skin

Warmth in the skin

Sudden shortness of breath

Chest pain

Coughing, possibly with blood

Rapid heartbeat or palpitations

Leg fatigue or heaviness

Dizziness or fainting

Blood clots are known to be silent killers as their symptoms can be similar to symptoms of other, less serious conditions. That’s why it is crucial to understand and recognize the signs and symptoms of blood clots, especially if you are at an increased risk of developing them. Awareness and timely action can help prevent major complications from a stroke, pulmonary embolism, or heart attack.

If you are experiencing symptoms of a blood clot or think you may be at risk of developing one, you can schedule an appointment with one of our vascular surgeons in NYC or learn more about the services at our vascular surgery center in New York. Please call 718-206-6713.

Best Sleep Postures

Posted on November 7, 2025 by Patrick Hercules

Everyone has a particular position they use while sleeping. However, people frequently overlook the importance of their sleeping position.

Your sleep posture can influence how your body feels, the quality of your sleep, and even certain health conditions. Finding the right sleep position can relieve stress on the spine and joints, and may also impact factors such as a person’s breathing and risk of heartburn.

The best sleep position is one that promotes healthy spine alignment from the hips to the head. What works best for a person depends on their health situation and what they find comfortable.

Some sleep positions are healthier than others. For example, sleeping on the side or back is considered more beneficial than sleeping on the stomach. In either of these positions, it is easier to keep your spine supported and balanced because it relieves pressure, allowing the muscles to relax and recover.

Spinal support is only one part of the equation. Sleeping positions can also have effects on a range of health issues, including sleep apnea, acid reflux, and pain.

If a person is suffering from sleep apnea, the best sleep position to help reduce symptoms is to sleep on their side or stomach because it keeps their airways open while they sleep.

For a person with heartburn and gastroesophageal reflux disease (GERD), the best sleeping position is on their left side, which helps make it harder for stomach acid to reach the junction between the stomach and esophagus.

Sleeping on your side with your knees slightly bent with a small pillow between them is the best sleeping position for someone who has lower back pain, which allows the entire spine to stay in a neutral position, and that spinal alignment helps reduce neck and back pain.

To help someone relieve their neck pain, the best sleeping position is on their back with their arms in a similar position. This reduces the overactivity of the muscles around the neck and doesn’t put more pressure on one side of their body.

If someone is experiencing both hip and knee pain, they can reduce the pain by sleeping on their side with a pillow between their knees, which can keep the hips, pelvis, and spine aligned, easing pressure on joints and muscles.

For women who are pregnant, the best sleeping position is on their left side with their knees bent, which improves circulation, making it easier for nutrient-rich blood to reach the placenta, and can help reduce pressure on the liver and lower back. It may also help ease swelling in the legs, feet, and hands.

When a person has allergies or a stuffy nose, sleeping upright is the best sleeping position to help their airways stay open, allowing the stuffy nose to drain.

Getting a good night’s sleep is important to your health and well-being. However, sometimes the position you choose to sleep in can cause or worsen breathing problems, such as sleep apnea, or aggravate back and neck pain. If any of these conditions arise, you may want to try to sleep in a different position.

If you are having difficulty sleeping and would like help, Jamaica Hospital’s state-of-the-art sleep center can help diagnose and treat various sleep disorders. For more information or to make an appointment, please call 718-206-5916.

What is Misophonia?

Posted on November 6, 2025 by Patrick Hercules

Misophonia is a sensory condition that causes a person to have extreme sensitivity to specific sounds or stimuli, also known as triggers, resulting in them experiencing intense emotional, physical, and behavioral responses to those triggers.

The symptoms of misophonia revolve around how a person reacts to trigger sounds. The reactions are a part of the body’s natural “fight-or-flight” instincts.

When a person experiences an emotional reaction to a trigger, the feelings can be intense or overwhelming. These feelings escalate rapidly, causing irritation or annoyance to quickly turn into anger or rage. Emotional reactions can include:

· Anger

· Anxiety

· Disgust

· Fear

· Irritation

If a person experiences a physical reaction to a trigger, the self-protective process automatically kicks in, similarly to what happens when a person is in a dangerous or frightening situation. Physical reactions can include:

· Increase in blood pressure

· Chest pressure or tightness

· Goosebumps

· Increase in heart rate

· Sweating

When a person experiences a behavioral reaction to a trigger, the reaction is usually impulse- or instinct-driven. This means that a person may not have full control over those reactions. Violent reactions, towards either people or objects, are possible but not common. Behavioral reactions can include:

· Avoiding situations where trigger sounds can happen

· Leaving the area when a trigger sound happens

· Verbal or vocal reactions, such as talking or yelling at who/what made the sound

· Non-violent action to stop the sound

· Violent action to stop the sound

This phenomenon of misophonia affects people differently. Some people may only have one trigger that causes those responses. However, some people can have several trigger sounds.

Additionally, they can have responses that are more or less severe. Some may not be able to control the emotions they feel, but can control their responses. Others may not be able to control either, causing them to react impulsively. In the most severe cases, people may not be able to do certain things or be in specific environments.

There is research that shows that misophonia can affect anyone, but it seems to be more common in women. Estimates on how it affects people based on sex vary, ranging from 55%-83% of cases happening in women.

Misophonia can develop at any age. However, research indicates that it is most likely to develop in the early teenage years.

More research is necessary to determine if other factors can affect who is most likely to develop misophonia, but available research indicates misophonia may affect approximately one in five people during their lifetime.

Experts aren’t sure what causes misophonia. However, they suspect it may be a combination of factors, including:

· Brain structure differences

· Other conditions such as neurodivergence, mental health conditions, and hearing-related conditions or symptoms

· Family history or genetics

The American Psychiatric Association hasn’t recognized misophonia in the fifth and most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), yet. However, in 2022, an expert committee created a consensus definition for research, diagnosis, and treatment purposes.

A healthcare provider can recognize the most common features of misophonia by asking questions about what you experience. Based on your answers, they can tell you if you seem to have the condition. However, that is not the same as a formal diagnosis.

Although misophonia isn’t an officially recognized condition, that doesn’t mean its effects are untreatable. The similarities and links between misophonia and other conditions, such as obsessive-compulsive disorder (OCD) or post-traumatic stress disorder (PTSD), indicate that people with this condition may benefit from various forms of mental health therapy.

While mental health therapies can’t cure a condition such as misophonia, they can help with the following:

· Identifying triggers

· Finding ways to minimize or prevent trigger sounds

· Developing coping strategies and techniques to avoid impulsive reactions to trigger sounds

· Reducing sensitivity to existing triggers

Treatments for misophonia-related conditions, such as anxiety or OCD, can also help with misophonia symptoms. A healthcare provider is the best person to tell you if treating related conditions can help and what treatments they recommend.

Many people with sound sensitivity conditions, including misophonia, can adapt to or manage this condition using common items, technology, or adaptation techniques, including:

· Earplugs or noise-canceling headphones/earbuds

· Listening to something to keep the brain’s hearing-related processes focused on something other than listening for a trigger sound

· Noise generator sounds, especially white, pink, or brown noise sounds

If you need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

RSV Vaccine

Posted on November 5, 2025 by Patrick Hercules

Respiratory syncytial virus, or RSV, is a common respiratory virus that infects the nose, throat, and lungs. A seasonal virus, RSV, spreads in the fall and winter, often in conjunction with other respiratory viruses, typically peaking in December and January.

Signs and symptoms of RSV most commonly appear about four to six days after exposure to the virus. In adults and older children, RSV usually causes mild cold-like signs and symptoms, including:

Congested or runny nose

Dry cough

Low-grade fever

Sore throat

Sneezing

Headache

Lack of energy

Decreased appetite

Distinguishing RSV symptoms from those of the common cold or other respiratory viruses, such as the flu or COVID-19, can be challenging.

RSV can infect anyone. However, severe cases of RSV affect babies who are 12 months and younger, older adults, people with heart and lung disease, or anyone who is immunocompromised. Severe infection can spread to the lower respiratory tract, causing pneumonia or bronchiolitis, presenting symptoms such as:

Fever

Severe cough

Wheezing

Rapid or difficulty breathing

Cyanosis, or a bluish color of the skin due to a lack of oxygen

Infants are affected most severely by RSV. Signs and symptoms of severe infection in infants include:

Short, shallow, and rapid breathing

Struggling to breathe

Cough

Decreased appetite

Unusual tiredness

Irritability

RSV is very contagious. You can easily spread the virus while symptomatic, which is usually a period of three to eight days. RSV can enter the body through the eyes, nose, or mouth. It is spread through respiratory droplets when you cough or sneeze and through direct contact, such as shaking hands.

RSV can cause many complications, including:

Hospitalization

Middle ear infection

Asthma

Repeated infections

To treat RSV, the Centers for Disease Control and Prevention (CDC) recommends a single dose of any FDA-licensed RSV vaccine for all adults 75 and older, and adults 60-74 at increased risk of severe RSV. Adults 60-74 who are at increased risk include those with:

Chronic heart or lung disease

A weakened immune system or certain other chronic medical conditions

Those who are residents of nursing homes

The CDC also recommends a one-time dose of RSV vaccine for pregnant women from week 32 through week 36 of pregnancy, for the prevention of RSV in their infants during the first six months of life. Most infants will not need both maternal vaccination and infant RSV antibodies. The recommended administration of infant RSV antibody is from October through March, with the optimal timing for antibody administration being shortly before the RSV season begins in October-November, or within a baby’s first week of life if born October through March, ideally during the birth hospitalization.

Additionally, the CDC recommends that eligible adults get the RSV vaccine at any time, with the best time being in late summer and early fall before RSV usually starts to spread.

If you or a loved one would like to receive the RSV vaccine, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001.

Benefits of Yoga for Heart Health

Posted on October 31, 2025 by Patrick Hercules

There are many aerobic exercises that can increase the heart rate and help prevent or manage heart disease. However, calming exercises such as yoga are good for the heart as well.

Yoga is a mind-body activity that involves moving through a series of body poses and breathing exercises that can improve strength, flexibility, balance, and relaxation. There are dozens of different formats, or practices of yoga, such as hatha, anusara, and ashtanga, that emphasize different focuses, such as toning, strength training, or meditation.

One of yoga’s clearest benefits to the heart is its ability to relax the body and mind. Emotional stress can cause several physical effects, including the release of hormones such as cortisol and adrenaline, which can narrow the arteries and increase blood pressure. The relaxation response that yoga provides not only slows the heart rate and lowers blood pressure; it may also reduce inflammation and promote favorable changes in blood vessel function that protect the heart.

Additionally, practicing yoga can help lower blood cholesterol and blood glucose levels.

As mind-body practices, yoga encourages people to slow down and be more mindful about heart-healthy behaviors, such as eating well and getting enough sleep. These habits, along with positive emotions that some forms of yoga aim to inspire, such as compassion and gratitude, may also help foster cardiovascular health.

Recent studies support the benefits of yoga for heart health. One study has shown that blood measurements and waist circumference, which are signs of heart disease, improved in middle-aged adults with metabolic syndrome who practiced yoga for three months.

Another study has shown that attending slow-paced yoga classes twice a week reduced the frequency of atrial fibrillation episodes in patients with that condition. Additionally, in another report, patients with heart failure who went through an eight-week yoga program showed improvement in exercise capacity and quality of life. They also had lower blood levels of markers for inflammation, which contributes to heart disease.

Research has also indicated that yoga may be a useful tool in helping smokers quit, as smoking is one of the biggest risk factors for heart disease.

If you would like to learn about other ways to be heart healthy, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100.

National Sudden Cardiac Arrest Awareness Month

Posted on October 22, 2025 by Patrick Hercules

October is National Sudden Cardiac Arrest Awareness Month. It is a call to action aimed at raising awareness about the signs and symptoms of sudden cardiac arrest and highlighting its impact on individuals, as well as guiding how to help save lives.

Here are some things to know about cardiac arrest:

· More than 356,000 out-of-hospital cardiac arrests occur annually in the U.S., and nearly 90% of them are fatal

· Cardiopulmonary resuscitation (CPR) can double or triple survival rates, yet fewer than half of victims receive bystander aid

· Sudden cardiac arrest kills one person every two minutes

· About 70% of cardiac arrests happen at home

· An estimated 10,000 cardiac arrests occur at work each year in the U.S.

· Sudden cardiac arrest is the leading cause of death on school campuses

Having a heart attack can increase your risk of experiencing sudden cardiac arrest; however, there are distinct differences between a heart attack and cardiac arrest, their causes, and symptoms.

A heart attack occurs when blood flow to the heart is severely reduced or blocked. The blockage is typically caused by a buildup of fat, cholesterol, or other substances in the coronary arteries.

Sudden cardiac arrest occurs when the heart suddenly stops beating and pumping blood to vital organs.

Signs of sudden cardiac arrest include:

· Unconsciousness

· No breathing or only gasping for air

Many factors can put someone at risk of sudden cardiac arrest, including:

· Family history of coronary artery disease

· Smoking

· High blood pressure and high cholesterol

· Obesity

· Diabetes

· A sedentary lifestyle

· Drinking too much alcohol

· Using illegal drugs such as cocaine or amphetamines

Every second counts in a sudden cardiac arrest. In 95% of sudden cardiac arrest cases, the victim is lost. Survival from an out-of-hospital cardiac arrest greatly depends on nearby loved ones or bystanders promptly calling 911, initiating CPR, and using an automated external defibrillator (AED). For every minute that immediate CPR and use of a defibrillator are delayed, the odds of survival decrease by 10%.

Knowing how to start CPR and how to use an AED greatly increases the chance of survival of a sudden cardiac arrest. The survival rate of sudden cardiac arrest is about 10% for out-of-hospital incidences and 21% for in-hospital events, yet research shows that high-quality CPR has a significant impact on survival outcomes, whether inside or outside the hospital.

Unfortunately, sometimes people refrain from helping someone who needs CPR because of the fear of injuring the person or doing something wrong. Calling 911 and starting chest compressions is better than doing nothing at all because it can help give the person a better chance of survival.

Here is what you can do when someone is in sudden cardiac arrest:

· Call 911 or have someone nearby call 911 immediately. The emergency dispatcher can guide you on what you can do until advanced medical help arrives. This includes how to perform Hands-Only CPR.

· Check to see if the person is breathing or responsive

· Send someone to get the AED

· If the person is not breathing, or gasping for air, and they are not responsive, start CPR immediately. If you don’t know CPR, perform hands-only CPR, pushing hard and fast on the center of the chest

· Use an AED if available. Portable AEDs are available in many public places

Sudden cardiac arrest can affect anyone and everyone. That is why it is important to be educated about sudden cardiac arrest, the warning signs, and how to respond if someone around you goes into cardiac arrest.

A Delicious and Comforting Potpie Recipe that Will Keep You Cozy This Fall

Posted on October 17, 2025 by Patrick Hercules

As fall progresses, the days will become shorter, the nights will become colder, and we will be looking for things to keep us cozy on those crisp autumn evenings. Here is a potpie recipe that is both delicious and comforting.

https://www.foodnetwork.com/recipes/basic-potpie-recipe-recipe-1939630

Patient Testimonial- Chris Barker says, “Dr. Guerges was very professional, and explained everything in depth”

Posted on October 17, 2025 by Patrick Hercules

“Dr. Guerges was very professional, and explained everything in depth”, is what Chris Barker, a certified gemologist and construction contractor, said after having surgery to fix a blockage in his leg.

While Mr. Barker was working his construction job, he began having health problems and fell ill. He then started to notice a pain and burning sensation in his leg. This leg pain was so severe that it prevented him from walking long distances and significantly impeded his ability to carry out his day-to-day functions and to carry out his job. That is when he came to Jamaica Hospital Medical Center and met with Dr. Mina Guerges, the attending vascular surgeon.

During a consultation, Dr. Guerges discovered that Mr. Barker was suffering from a long-standing blockage in his leg that was preventing blood from reaching his foot, and he made plans to perform surgery to fix the blockage in his leg immediately. The surgery went smoothly. Using state-of-the-art technology, Dr. Guerges was able to restore blood flow to Mr. Barker’s leg, and he was immediately pain-free and back at work. “The surgical team was very professional”, said Mr. Barker.

Mr. Barker says he is doing well now since the surgery. Mr. Barker is grateful to Dr. Guerges and his team for their assistance throughout this experience.

At Jamaica Hospital, our surgical team is using cutting-edge technology to salvage limbs and prevent major amputations. To schedule an appointment with one of our vascular surgeons in NYC or learn more about the services at our vascular surgery center in New York, please call 718-206-6713.