National Infertility Awareness Week

April 19th to April 25th is observed as Infertility Awareness Week, a week dedicated to breaking the stigma around infertility, amplifying the stories of those who have and are experiencing infertility, and advocating for equitable access to care to help treat it. 

Infertility is the condition that causes the inability to get pregnant after one year of trying to conceive. 

The World Health Organization (WHO) estimates that roughly one in six people worldwide is affected by infertility. 

Infertility may happen because of a health issue with either you or your partner, or a mix of factors that prevent pregnancy. However, many safe and effective treatments can boost your chances of getting pregnant.  

The main symptom of infertility is not getting pregnant. There may be no other clear symptoms. Some women with infertility may have irregular menstrual periods or no periods. Some men may have some symptoms of hormonal problems, such as changes in hair growth or sexual function.  

Many couples will conceive eventually with or without treatment.  

Women should talk with a healthcare professional about infertility if they have been trying to get pregnant for at least a year. Sooner if they: 

  • Are 35 years or older and have tried to conceive for six months or longer 
  • Are over the age of 40 
  • Have had no periods or irregular or very painful periods 
  • Have known fertility problems 
  • Have endometriosis or a history of pelvic inflammatory diseases 
  • Have had one or more miscarriages  
  • Have received cancer treatment such as chemotherapy or radiation 

Men should talk to a healthcare professional if they have: 

  • A low number of sperm or other problems with sperm 
  • A history of testicular, prostate, or sexual conditions 
  • Had treatment for cancer, such as chemotherapy 
  • Had hernia surgery 
  • Testicles that are smaller than the typical adult size, or swollen veins in the scrotum 
  • Had infertility with a partner in the past 
  • Relatives with infertility problems 

Sometimes, the issues that cause infertility in couples are present at birth. Other times, they develop in life.  

Infertility can affect one or both partners. In some cases, no cause can be found. Some causes of male infertility can include: 

  • Conditions that can affect how much sperm is made or sperm quality 
  • Problems with sperm reaching the female reproductive tract 
  • Certain environmental factors 
  • Damage related to cancer and its treatment 

Some causes of female infertility can include: 

  • Ovulation disorders 
  • Uterine conditions 
  • Fallopian tube damage or blockage 
  • Endometriosis 
  • Primary ovarian insufficiency 
  • Pelvic adhesions 
  • Cancer and its treatments 

Many risk factors for both male and female infertility are the same. They include: 

  • Age 
  • Tobacco use 
  • Marijuana use 
  • Alcohol use 
  • Being overweight or underweight 
  • Exercise issues 

Some types of infertility cannot be prevented. However, the following tips may boost your chances of pregnancy: 

  • Couples should have sex often and soon after menstrual bleeding stops. One of the ovaries usually releases an egg in the middle of the cycle, which is midway between menstrual periods, for most people with menstrual cycles, that is about 28 days apart. It is ideal to have sex every day, starting five to seven days before an egg is released. Continue until two days after ovulation.  
  • Before you are tested for infertility, your healthcare team or clinic will work to understand your sexual habits. They might make recommendations to improve your chances of getting pregnant. Unfortunately, for some couples, no cause for infertility is found. This is called unexplained fertility.  

Men’s treatment for infertility may include: 

  • Lifestyle changes 
  • Medicines 
  • Surgery 
  • Sperm retrieval procedures 

Some women need only one or two treatments to improve infertility. Others may need a few types of therapies to become pregnant, including: 

  • Fertility medicines 
  • Intrauterine insemination (IUI) 
  • Surgery to restore fertility 

Assisted reproductive technology (ART) is also used. In vitro fertilization (IVF) is the most common ART technique.  

At Jamaica Hospital’s Department of Women’s Health Services, we are passionate about meeting the various needs of women in our community. We proudly treat women from all walks of life and provide a warm and welcoming environment. To learn more about our OB/GYN services or to make an appointment, contact us at 718-291-3276. 

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.

Black Maternal Health Week: ElevateHer, Centering Pregnancy, and Heartwise

Black Maternal Health Week takes place annually from April 11th to April 17th 

Founded and led by the Black Mamas Matter Alliance, this week-long campaign aims to build awareness, activism, and community-building to amplify the voices, perspectives, and lived experiences of Black mothers and birthing people.  

Black Maternal Health Week highlights the importance of addressing the inequities of maternal and infant health.  

According to data from the New York City Health Department, Black non-Hispanic women are about five times more likely to die from a pregnancy-associated cause than white non-Hispanic women.  

This is due to the unfortunate number of disparities and challenges women in minority populations, such as Black women, may face pertaining to accessing prenatal care, including transportation issues, low socioeconomic status, lack of insurance, low education levels, and disparities in rural and urban healthcare access.  

Jamaica Hospital Medical Center has three services to address these disparities: ElevateHer, Centering Pregnancy, and Heartwise.  

ElevateHer is a comprehensive pregnancy program designed to support women throughout their pregnancy and postpartum journey. By taking a “whole person” approach, the program ensures that the health and well-being of the mother and baby are addressed. The program focuses on the health literacy of expectant and postpartum mothers by providing comprehensive, integrative healthcare education.  

Heartwise care is an example of comprehensive integrative care, as it is designed to raise awareness of the heightened risks of cardiovascular disease related to pregnancy complications.  

Cardiovascular disease (CVD) is the leading cause of death in women in the U.S. It is also the leading cause of pregnancy-related deaths in the U.S., which accounts for about 26.5% of such deaths. Approximately 1 in 3 pregnancy-related deaths are due to cardiovascular problems, with higher risks observed in Black women compared to their Hispanic or White counterparts.   

Conditions, such as preterm delivery, hypertension, diabetes, etc., can increase the risk of cardiovascular disease by two to four times later in life. To combat this, the ElevateHer program partners with Jamaica Hospital’s award-winning cardiology department for patients to have the appropriate follow-ups in group settings. 

In addition to ElevateHer and Heartwise, the Centering Pregnancy program, an innovative prenatal model, is designed to promote the overall health and well-being of mother and baby. 

Unlike traditional one-on-one prenatal visits, this approach incorporates small group sessions to receive medical care, education, and emotional support, to foster meaningful relationships between participants and clinicians. 

After an initial private visit with a provider, participants in the centering pregnancy program, all of whom are in similar stages of their pregnancy, meet in a small group setting for their prenatal appointments, where participants share with and learn from each other during their pregnancy. Each of the ten-centering prenatal care group sessions is approximately 90 minutes long. This group dynamic gives each of the participants the advantage of having more time with their provider. 

At the beginning of the session, our facilitator will guide each patient to get weighed, have their blood pressure checked, and record their values for the provider to review. The provider will listen to the baby’s heartbeat and review the pertinent patient-specific information. After this information is collected, the 8-12 participants will form a circle and begin the fun and interactive educational session. 

If you would like to learn more about these services, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276. 

 

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.

Why Spring is A Good Time to Rebuild Healthy Routines

Spring has finally arrived, and with it comes warm weather, blooming flowers and trees, and longer days. It is a time for renewal and rejuvenation, and as we thaw out from winter, we may realize that spending most of our time indoors has caused us to fall into sedentary habits, such as binging comfort foods, not exercising, and other sluggish routines.  

However, spring is the perfect time to refresh your health goals, rebuild healthy routines, and establish new habits. Here are some ways you can reset for the season: 

Spring cleaning usually relates to deep cleaning our homes and decluttering our closets. However, it can also be a great way to reset your mindset. A clutter-free environment can help encourage mental clarity, productivity, and relaxation. You can start spring cleaning by organizing your workspaces, donating unused clothes and items, and deep-cleaning busy areas to create a space that feels new and cheerful. You can also declutter any digital spaces, such as emails, phone apps, and limit screen time, which can promote a more mindful relationship with technology. 

Warmer temperatures and longer daylight hours make springtime the perfect time to take advantage of the sun. It allows us to enjoy its benefits, as it can boost our mood and energy. The spring sun recharges us with the vitamin D we were lacking after a cold and dreary winter. The sun also helps regulate circadian rhythms, which improves sleep and overall well-being. Even taking a short daily walk during the daytime can increase mental clarity and reduce stress. It is important to note that you should put on sunscreen, wear sunglasses, wide-brimmed hats, and garments with long sleeves and pants while outside to help prevent skin cancer.  

Spring is a great time to assess your work-life balance and make the necessary adjustments that support your well-being. If you suffered from seasonal affective disorder or felt burnt out during winter, spring is an opportunity to rebalance work and life for less stress. Prioritize self-care and set boundaries. Make time for activities that bring you joy and happiness, such as engaging in your favorite hobbies, socializing with friends, or spending time with family. It is also important to schedule breaks, time outdoors, and moments of relaxation. A healthy work-life balance can increase mental clarity, motivation, and happiness, which can help you enter spring with restored energy and focus. 

Warm spring weather provides the perfect temperature to move your workout outdoors. The standard minimum recommended time for moderate-intensity physical activity is 150 minutes per week. Whether it’s a morning jog, yoga in the park, evening walks, or gardening, it will do as long as your muscles are activated, and you do it consistently. Exercising in the sunshine adds a mood-enhancing benefit, as being amongst nature helps reduce cortisol levels, which improves heart health.    

The longer days of spring may also benefit sleep health. The natural light of the sun during the day helps regulate the body’s melatonin production and improve your sleep quality and energy levels. Create a relaxing evening routine by winding down with calming activities such as reading, meditating, or gentle stretching. Try to avoid consuming caffeine or heavy meals late in the evening, as they can disrupt restfulness.  

Spring is the time for new beginnings, which makes it an excellent time to focus on mental wellness. Mindfulness practices, such as meditation, deep breathing, or journaling, can help decrease stress and gain clarity. Take a few minutes each day to practice gratitude, as it can change your mindset and improve your emotional well-being. Think about establishing seasonal goals that fit your values, whether it is improving your fitness, learning a new skill or language, or creating more balance in your life. Connecting with nature, practicing self-reflection, and letting go of old habits can refresh your outlook, which can help you feel more grounded and at peace. 

This season of renewal is a great time to make dietary changes. Trade in heavy, processed foods for seasonal fruits, vegetables, and lighter meals that support digestion and energy. Focus on eating foods that are rich in nutrients, such as berries, leafy greens, citrus fruits, and lean proteins. It is also important to hydrate. Increase your water intake and try drinking herbal teas or lemon water to support natural detoxification. Evaluate your eating habits and identify areas where there can be improvement. Decrease your consumption of excess sugar, refined carbs, and artificial additives. Replace them with foods that are rich in fiber, healthy fats, and lean proteins. Add more fermented foods such as yogurt and kimchi, as they can also promote gut health, boost digestion, and immunity. 

Spring can be a seasonal reset, as it allows you to feel more energized, balanced, and refreshed. Incremental changes such as spending more time outdoors, improving your diet, prioritizing rest, and tidying up your space can make a major impact on both your physical and mental well-being. Embracing renewal and positive habits can help you enter spring rejuvenated, filled with happiness, vitality, and personal growth. 

 

 

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.

IBS Awareness Month

April is observed as IBS Awareness Month, a month dedicated to raising awareness about irritable bowel syndrome (IBS), a common disorder that affects the large intestine.    

Researchers are unclear of what exactly causes IBS, but they categorize it as a neurogastrointestinal (GI) disorder. Neurogastrointestinal disorders, also known as gut-brain interaction, involve problems with how the gut and brain coordinate to help the digestive system work. This communication challenge between the brain and gut can cause: 

  • Dysmotility 
  • Visceral hypersensitivity 

Other potential causes of IBS may include: 

  • Gut bacteria 
  • Severe infections 
  • Food intolerance 
  • Childhood stress 

IBS affects approximately 15% of the U.S. population, causing abdominal pain and changes to the frequency of your bowel movements. Other symptoms of IBS include: 

  • Diarrhea, constipation, or alternating between the two  
  • Feeling like you are unable to empty your bowels after pooping  
  • Cramps 
  • Excess gas and bloating 
  • Mucus in stool that makes it look whitish 

If a person has IBS, they may notice when certain things trigger symptoms. A trigger doesn’t cause IBS itself, but it can cause or worsen symptoms to flare up. Common IBS triggers include: 

  • Periods 
  • Certain foods 
  • Stress 

Researchers categorize IBS based on how a person’s stool looks on the days when they’re having flare ups. Most people with IBS may experience days when they have normal bowel movements and days when they experience abnormal ones. The bowel movements on abnormal days define the type of IBS they have. The types of IBS include: 

  • IBS with constipation (IBS-C)- most of the stool is hard and lumpy 
  • IBS with diarrhea (IBS-D)- most of the stool is loose and watery 
  • IBS with mixed bowel habits (IBS-M)- stool is both hard and lumpy and loose and watery 
  • Post-infectious IBS- generally occurs after an infection in the intestines, and stool is either similar to IBS-D or IBS-M, with a smaller number of cases presenting stool as IBS-C 

To diagnose IBS, a healthcare provider will get a full medical history by asking about your symptoms. Depending on your symptoms, they may need other tests to confirm a diagnosis. These tests include: 

  • Lab tests 
  • Imaging tests 

No specific therapy works for everyone who has IBS. However, most people with IBS can find a treatment plan that works best for them. Typical treatment options for IBS include: 

  • Modifying your diet 
  • Exercising regularly and trying relaxation techniques 
  • Therapy 
  • Medications 

No matter what form of IBS you are experiencing, working with a gastroenterologist can help you manage your symptoms effectively. You can schedule an appointment with a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. 

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.

Treatments to Reduce Alzheimer’s Disease

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

There is currently no cure for Alzheimer’s disease. However, there is progress in Alzheimer’s and dementia research that is creating promising new treatments for those living with the disease.

The U.S. Food and Drug Administration (FDA) has approved medications for Alzheimer’s disease, which fall into two categories:

· Drugs that change disease progression in people living with early Alzheimer’s

· Drugs that temporarily ease some symptoms of Alzheimer’s

Drugs that change disease progression target the underlying biology of the disease process by aiming to slow the decline of memory and thinking, as well as function.

Anti-amyloid treatments work by removing a protein that accumulates into plaques in the brain, called beta-amyloid. Each treatment works differently and targets beta-amyloid at a different stage of plaque formation.

These treatments change the course of the disease significantly for those who are in the early stages by giving them more time to be able to participate in daily activities and live independently.

The two treatment therapies that change disease progression are Donanemab and Lecanemab.

Donanemab is an anti-amyloid antibody intravenous (IV) infusion therapy that is delivered every four weeks to treat early Alzheimer’s disease, which includes people who are living with mild cognitive impairment (MCI) or mild dementia due to Alzheimer’s who have been diagnosed with elevated beta-amyloid in the brain.

Donanemab was the third therapy that demonstrated that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

Lecanemab was the second therapy to demonstrate that removing beta-amyloid from the brain decreases cognitive and functional decline in people living with early Alzheimer’s disease.

It is important to note that anti-amyloid treatments do have side effects, such as allergic reactions, amyloid-related abnormalities (ARIA), infusion-related reactions, headaches, and falls.

As Alzheimer’s progresses, brain cells die, and the connections among those cells are lost. When this occurs, it causes cognitive and noncognitive symptoms to worsen.

Although these medications don’t stop the damage that Alzheimer’s disease causes to brain cells, they may lessen or stabilize symptoms for a limited time by affecting specific chemicals involved in delivering messages among and between the brain’s nerve cells.

The medications that are prescribed to treat symptoms related to memory and thinking include:

Cholinesterase inhibitors are prescribed to treat symptoms related to memory, thinking, language, judgment, and other thought processes. These medications prevent the breakdown of a chemical messenger important for memory and learning, called acetylcholine. Cholinesterase inhibitors support communication between nerve cells. The most prescribed cholinesterase inhibitors include:

· Benzgalantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Donepezil treats mild-to-severe dementia due to Alzheimer’s disease

· Galantamine treats mild-to-moderate dementia due to Alzheimer’s disease

· Rivastigmine treats mild-to-moderate dementia due to Alzheimer’s disease as well as mild-to-moderate dementia due to Parkinson’s disease

Possible side effects for these medications include:

· Headache

· Dizziness

· Diarrhea

· Increased frequency of bowel movements

· Nausea

· Vomiting

· Loss of appetite

Glutamate regulators are medications prescribed to improve memory, attention, reasoning, language, and the ability to perform simple tasks. This medication regulates the activity of glutamate, a different chemical messenger that helps the brain process information.

Memantine is a glutamate regulator that treats moderate-to-severe Alzheimer’s disease. It can cause side effects that include headaches, constipation, confusion, and dizziness.

A cholinesterase inhibitor combined with a glutamate regulator, such as donepezil and memantine, treats moderate-to-severe Alzheimer’s disease. Possible side effects can include nausea, vomiting, loss of appetite, confusion, dizziness, increased frequency of bowel movements, and constipation.

Alzheimer’s disease doesn’t just impact memory and thinking. It also impacts a person’s quality of life by affecting a variety of behavioral and psychological symptoms that come with dementia, such as agitation, hallucinations and delusions, and sleep disturbances. Some medications focus on treating these non-cognitive symptoms for a time; however, it is important to try non-drug strategies to manage behaviors before adding medications.

The FDA has approved only one drug to manage symptoms of insomnia that has been tested in people who are living with dementia, and one that treats agitation.

Orexin receptor antagonists are prescribed to address symptoms of insomnia and inhibit the activity of a type of neurotransmitter involved in the sleep-wake cycle called orexin.

Suvorexant treats insomnia and has been shown in clinical trials to be effective for people who are living with mild to moderate Alzheimer’s disease. Possible side effects can include a risk of impaired alertness and motor function, worsening depression or suicidal thinking, complex sleep behaviors, sleep paralysis, and compromised respiratory function.

Atypical antipsychotics are a group of antipsychotic drugs that target the serotonin and dopamine chemical pathways in the brain. These drugs are mainly used to treat schizophrenia and bipolar disorder, as well as add-on therapies for major depressive disorder. The FDA requires that all atypical antipsychotics carry a safety warning that the medication has been associated with an increased risk of death in older patients who are experiencing dementia related psychosis.

Many atypical antipsychotic medications are used “off-label” to treat dementia-related behaviors, and there is only one FDA-approved atypical antipsychotic to treat agitation associated with dementia due to Alzheimer’s disease. It is important to try non-drug strategies to help manage non-cognitive symptoms such as agitation before adding any medications.

Brexpiprazole treats agitation associated with dementia due to Alzheimer’s disease. Possible side effects may include weight gain, sleepiness, common cold symptoms, dizziness, and restlessness.

If you or a loved one is experiencing any symptoms of Alzheimer’s disease or would like to learn more about treatment options, 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.

Botox for Migraines

Chronic migraines are a severe, recurring type of headache that is often debilitating. Migraines have four phases, which are prodrome, aura, migraine headache, and postdrome. 

Although the exact cause of migraines is unknown, researchers believe genetics is a factor.  

There are a few conditions and lifestyle factors that can trigger a migraine, including: 

  • Anxiety 
  • Bipolar disorder 
  • Depression  
  • Epilepsy 
  • Sleep disorders 
  • Caffeine or withdrawal from caffeine 
  • Taking certain medications or taking them too often 

Migraines are more likely to occur in the morning, making it common to wake up with a migraine. Some people have a predictable pattern of migraines, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines. 

There is no cure for migraines, but they can be managed and prevented with over-the-counter triptans and pain relievers. 

Another treatment that can be used for chronic migraines is Botox. Botox for migraines is a type of botulinum toxin that may prevent chronic migraines and is only recommended by a healthcare provider if a person has 15 or more headaches per month. 

Although Botox is mostly known for its cosmetic use, it has medical benefits, such as blocking pain signals before they reach the brain, as certain nerves are highly active during a migraine.  

To prevent this from happening, a healthcare provider injects Botox into specific muscles in the head, neck, and shoulders using a tiny needle. These areas connect to the nerves that send pain signals during a migraine. Botox travels along these connected nerves towards the brainstem and blocks the release of chemicals that trigger pain. This may reduce how often a person gets a migraine or make their symptoms less severe when they experience one.  

Before receiving Botox for migraine treatment, you will meet with your healthcare provider, who will explain the risks and benefits of it and make sure that it is a safe option for you. If you agree to move forward, you will sign a consent form. 

It is important to let your healthcare provider know about any medications and supplements that you are currently taking, as Botox may interact with different types, such as muscle relaxants.  

Botox has many side effects, including: 

  • Mild pain and bruising at the injection site 
  • Neck pain and stiffness  
  • Headache  
  • Flu-like symptoms 
  • Temporary changes in appearance 

These side effects are usually minimal and will clear up. Let your healthcare provider know if you are experiencing any severe pain or discomfort. 

The main benefits of Botox for migraines are that it reduces: 

  • The severity of migraines
  • The frequency of migraines
  • The duration of migraines 

Botox for migraines has other benefits, including: 

  • It’s effective with long-term use and has minimal complications 
  • It can be combined with other migraine medications 
  • The side effects may be better tolerated than other medications available 

Chronic migraines can be painful and debilitating, and trying to find the right treatment to provide relief can be difficult and frustrating. If you are suffering from chronic migraines and haven’t found the right treatment options to relieve your symptoms, discuss Botox treatment for migraines with your healthcare provider.  

If you are experiencing any symptoms of chronic migraines and are interested in Botox for migraines, 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.

National Eating Disorder Awareness Week

National Eating Disorder Awareness Week (NEDAW) takes place February 23rd – March 1st. NEDAW raises awareness about eating disorders, challenges stigma, and provides hope and support to all who have been impacted by these conditions.  

Eating disorders are serious mental health conditions that can cause unhealthy relationships with how a person thinks about food, eating, weight, and how they see themselves. If eating disorders aren’t treated effectively, they can become long-term problems and can be fatal in some cases.   

Eating disorders are common. According to the National Eating Disorder Association (NEDA), studies show that 28.8 million people in the U.S. will have an eating disorder in their lifetime. 

There are several types of eating disorders. They include: 

  • Anorexia nervosa restricts food and/or caloric intake, and creates a fear of gaining weight and a distorted self-image 
  • Bulimia nervosa causes a person to binge or eat large amounts of food in a short amount of time, or believe that the food intake was large, which is followed by purging the food by vomiting or with the use of laxatives, or excessive exercise 
  • Avoidant/restrictive food intake disorder (ARFID) limits the amount or type of food eaten for reasons unrelated to a distorted self-image or an attempt to lose weight 
  • Binge eating disorder causes a person to eat or think there is a large amount of food in a short time, followed by feelings of shame, regret, guilt, or depression 
  • Pica causes a person to compulsively swallow non-food items, such as chalk, dirt, or paint 
  • Rumination disorder causes undigested food to return to a person’s mouth after swallowing it. Food is then rechewed, re-swallowed, or spit out 

It may be difficult to spot an eating disorder in a loved one, as they can often mimic some dietary or lifestyle changes. What’s more, you may not be able to tell if someone is suffering from an eating disorder by looking at them. Eating disorders have several signs and symptoms, including: 

  • Mood swings 
  • Fatigue 
  • Fainting or dizziness 
  • Thinning hair or hair loss 
  • Unexplained weight changes or drastic weight loss 
  • Unusual sweating or hot flashes 

Behavioral symptoms of eating disorders include: 

  • Restrictive eating 
  • Eating a lot of food in a short amount of time 
  • Avoiding certain foods 
  • Forced vomiting after meals or misuse of laxatives 
  • Compulsive exercising after meals 
  • Frequent bathroom breaks after eating 
  • Withdrawing from friends or social activities 
  • Hiding food or throwing it away 
  • Food rituals, such as chewing food longer than necessary or eating in secret 

These symptoms look and feel different for each person and vary depending on the type of eating disorder they have, and can affect their health, emotions, and ability to function in important areas of life 

If a person has an eating disorder, they may experience several feelings, including: 

  • Food is their enemy, or it can harm them 
  • They did something wrong or shameful after they ate food 
  • They aren’t the correct weight or body size 
  • They are perceived negatively by other people 
  • They are “failing” if they don’t meet certain food or weight requirements 
  • What and how they eat is the only thing they can control in their life 
  • They don’t want to spend time with others due to the fear of being judged 

There isn’t an exact known cause for eating disorders. However, research has suggested that several factors can lead to a person developing an eating disorder, including: 

  • Genetics 
  • Brain biology 
  • Underlying mental health conditions 
  • Cultural and social ideals 

Eating disorders can be developed by anyone at any age but are most common among adolescents and teenagers. A person may be at increased risk of developing an eating disorder if they: 

  • Have a history of eating disorders or other mental health conditions in their biological family 
  • Have an underlying mental health condition such as anxiety, depression, or obsessive-compulsive disorder (OCD) 
  • Experienced a physical, emotional, or sexual trauma 
  • Participate in activities where their weight or body size is a factor, such as swimming, gymnastics, or wrestling 
  • Have gone through a major change, such as starting a new school or job, a divorce, or a move 
  • Have type 1 diabetes. Studies have found that up to 25% of women with type 1 diabetes develop an eating disorder 
  • Has a driven personality and is a perfectionist 

Untreated eating disorders can cause a person to have several serious health complications, as severely restricting calories, vomiting, or extreme exercise can take a toll on their physical health. Complications include: 

  • Arrhythmia, heart failure, and other heart problems 
  • Stroke  
  • Gastrointestinal problems 
  • Acid reflux 
  • Low blood pressure 
  • Osteoporosis 
  • Organ failure and brain damage 
  • Severe dehydration and constipation 
  • Stopped menstrual cycles 
  • Tooth damage 

A healthcare provider may diagnose a person’s eating disorder by reviewing their symptoms, performing a physical exam, and ordering imaging, blood, or urine tests.  

A mental health professional, such as a psychologist or psychiatrist, can also diagnose an eating disorder by conducting a psychological evaluation to learn more about a person’s eating behaviors and beliefs. They will use the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5-TR) to make a diagnosis. The DSM-5-TR outlines symptoms for each type of eating disorder. 

Treatments for eating disorders can vary by type, but they can include: 

  • Psychotherapy, such as cognitive behavioral therapy (CBT) 
  • Medications such as antidepressants, antipsychotics, or other medications 
  • Nutrition counseling from a registered dietitian 

As a mental health condition, your feelings about food or your body image may put you at risk of suicide or suicidal thoughts. If at any time you feel overwhelmed or need someone to talk to, call or text 988 to reach the Suicide and Crisis Lifeline (U.S.). Someone is available to help you 24/7. 

If you or a loved one is experiencing symptoms of an eating disorder and needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment. Call 911 if there is an emergency. 

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.

Helping Kids Cope with Bullying

Many children get teased by siblings or friends at some point in their childhood. Teasing isn’t usually harmful when done in a mutual, friendly, and playful way. When teasing constantly turns hurtful and cruel, it becomes bullying. Unfortunately, bullying is something that children experience at one time or another.   

Bullying is when peers intentionally use physical, verbal, or psychological ways to torment someone else, using a real or perceived power imbalance between the bully and the victim.  

Bullying affects 75% of kids at some point between kindergarten and 12th grade. Sadly, 10%-20% of kids will be chronically bullied and at risk for poor physical and mental health outcomes, such as physical illnesses, depression and anxiety, aggression, and in extreme cases, suicide. Moreover, they may also face lower graduation rates and less successful career placement.  

Chronic bullying has three components: 

  • A power differential between the child and their aggressor 
  • Repeated bullying day after day 
  • Social sanctioning, which regulates another person’s behavior, enforces social standards, and maintains order 

There are several reasons why children bully other children. Sometimes they do it because they need a victim, someone who seems to be emotionally or physically weaker, or acts or looks different in some way that makes the bully feel more important, popular, or in control. It may seem like bullies are bigger and stronger; however, that isn’t always the case.  

Additionally, children can sometimes bully others because that is the way they have been treated. This behavior has been normalized because they may come from families or other environments where everyone regularly gets angry shouts or calls each other names.  

It can be hard to know whether a child is being bullied or not, unless they tell a parent, guardian, or trusted adult, or if they have visible injuries or bruises.  

However, there are some warning signs. A parent may notice a child is: 

  • Not eating, sleeping well, or not doing the things they usually enjoy 
  • Moodier or more easily upset than usual 
  • Acting differently or anxious 
  • Avoiding certain situations, such as going to school or taking the bus 

Kids can be reluctant to tell adults about bullying experiences because they feel embarrassed and ashamed that it’s happening, or worried that their parents will be disappointed, upset, or angry with them. They may feel like getting bullied is their own fault, or that if they looked or acted differently, they wouldn’t get bullied. They may also be reluctant to tell someone about the bullying, because they believe that the bullying will get worse due to the fear of their bully finding out they told someone.  

If a parent suspects that their child is being bullied and their child is hesitant to open up, it is important to find ways to approach the issue. If a child tells their parents that they are being bullied or if they see it happening to someone else, it is important to listen calmly and offer them comfort and support. Parents should praise their child for doing the right thing by talking about it and reminding them that they aren’t alone, as a lot of people get bullied at some point. They should also explain that it is the bully who is behaving badly, not them, and reassure them that they will figure out what to do about the bullying together.  

Parents can help kids learn how to deal with bullying if it happens. Some parents or caregivers may be tempted to tell a child to fight back against their bully; however, it is important to advise them not to respond to bullying by fighting or bullying in return. This can quickly escalate into violence, trouble, and someone getting injured. Instead, advise them that it is best to walk away from the situation, spend time with others, and tell an adult. Some other ways kids can improve the situation and feel better are by: 

  • Telling an adult 
  • Talking about it 
  • Avoiding the bully and using the buddy system 
  • Holding onto the anger 
  • Acting brave, walking away, and ignoring the bully  

A child’s confidence can be greatly affected by bullying. A parent can help rebuild it by encouraging them to spend time with friends who have a positive influence on them. They can also participate in any sports, clubs, or any other activities that they enjoy that build strength and friendships.  

Parents can also provide their child with a sympathetic ear and listen attentively to their tough situations, but they should also encourage them to talk about the good parts of their day, so a line of open communication becomes a habit for everyone. It is important to make sure they know that they are believed and that their parents will do what they can to address the bullying.  

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

 

 

 

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.

Do Using Smart Rings Actually Help You Be Healthier?

Recently, technology has brought us fitness trackers and smart watches that can help us track our workouts, daily steps, and even monitor our sleep, stress, heart rate, and blood oxygen levels.  

However, smart rings have become another way to track our health, and can be used to monitor movement, body temperature, sleep, heart rate, stress, as well as menstrual cycles. 

Unlike smartwatches, smart rings don’t have screens to view these health metrics. Instead, they use a Bluetooth connection to send health data to your smartphone.  

When a smart ring detects a person’s cardiovascular health, it uses infrared photoplethysmography technology (PPG), which uses a light source and a photodetector on the surface of the skin to measure the variations in blood circulation. These variations can estimate heart rate variability, blood oxygen saturation, blood pressure, and artery stiffness.  

Out of the different sensors a smart ring has, the PPG is the most studied one due to its proposed accuracy in tracking heart rate and monitoring overall cardiovascular health. However, most studies note that they are significantly less accurate than medical-grade technology.  

According to the National Library of Medicine, in a study with 35 healthy individuals, researchers compared the heart rate and heart variability measured by a smart ring with an ECG during the night. Results showed that some health parameters matched the medical-grade measurement, but most were inaccurate. 

To monitor body temperature, smart rings use a sensor called a thermistor, which estimates body temperature based on a person’s skin temperature. Smart rings also use this feature to assess stress levels and identify other bodily issues. However, a systematic review of the sensors and functionalities of wearable health technology, like a smart ring, indicates that these devices may not accurately indicate a person’s core body temperature, as researchers point out that a person’s skin temperature is a few degrees Fahrenheit lower than their body’s temperature.  

What’s more, researchers emphasize that a person’s skin temperature fluctuates based on environmental conditions. When considering these two factors, it may be assumed that the thermistor sensor won’t be accurate. 

Companies that produce smart rings have detailed the use of a variety of sensors to support women’s health. This feature relies mostly on the smart ring’s temperature feature, which they claim to use to track menstrual cycles and fertility windows. 

Numerous studies have examined the accuracy of smart rings, which have produced promising results. According to the National Library of Medicine, in a pilot study with 22 participants, researchers used a smart ring to analyze temperature changes during the menstrual cycle. They discovered that the temperature readings were consistent with oral temperatures that were taken with ambulatory equipment.  

In a separate study with 26 participants, it was found that this study was consistent with the previous study’s findings, demonstrating that smart rings could be a beneficial tool for monitoring menstruation. This study also detected that there was a significant temperature drop around ovulation, highlighting that smart rings could be an additional tool to track fertility. 

Although these results are promising based on limited studies on smart rings, further research is needed as they are not 100% accurate.  

Most of the smart rings on the market combine various metrics such as heart rate, heart rate variability, body temperature, and movement, to estimate a person’s daily stress levels and provide tips to reduce them. 

According to the National Library of Medicine, research suggests that there is a connection between stress and decreased parasympathetic regulation, the regulation that affects heart rate, heart rate variability, and respiratory rate. These are changes that a smart ring could potentially detect.  

Additionally, a study with 525 college students explored this subject further. The study indicated that sleep data from smart rings could help predict stress. Notably, some experts do not consider smart rings as promising as research, as they highlight the negative effect smart rings may have on mental health. The reason is that while smart rings are promoted as a tool to shift lifestyle habits, they may cause the opposite effect, noting that constant monitoring of health metrics can create obsessive behaviors and paranoia about a person’s well-being. It could also be harmful to a person’s self-confidence, as a person may feel like they are not meeting the expectations and goals that a smart ring sets for them. 

Smart rings can perform a sleep analysis by tracking a person’s heart rate, blood oxygen, and sleep cycles. They may also include features, such as a snoring score and a recovery metric that indicates energy levels before a person starts their day.  

Polysomnography (PSG) is used to track sleep, which uses a variety of signals such as brain activity, eye movements, muscle activity, blood pressure, heart rate, and more. Although smart rings are not as accurate as PSG, researchers have been drawn to them due to the smart ring’s potential to monitor a person’s sleep at home comfortably.  

Any current evidence on smart rings for tracking sleep is still very limited and conflicting. While some small studies highlight their potential. However, studies with bigger sample sizes indicate that smart rings can over- or underestimate some sleep parameters. A study in the National Library of Medicine compared the accuracy of several health technology devices on 35 individuals overnight. The study found that a smart ring surpassed the accuracy of smartwatches in various sleep parameters such as wake, light sleep, deep sleep, and REM sleep. 

Smart rings can measure a person’s physical activity with two sensors: an accelerometer that tracks movement and speed, and a gyroscope that helps determine orientation. Smart rings gather data from these motion sensors, as well as the PPG and body temperature trackers, to understand how physical activity affects the body.  

Research is limited in this area; however, a study in the National Library of Medicine focused on the accuracy of smart rings in measuring caloric expenditure and steps. The results indicated that smart rings were far from accurate, causing researchers to note the need to improve these devices, specifically their estimation of energy expenditure. 

Another study on step count was consistent with a study that indicated a smart ring overestimated step count, compared to a medical-grade device to detect motion called ActiGraph. 

A systematic review on wearable tech devices supported the findings of the studies, noting that they may be useful for estimating step count but shouldn’t be trusted to measure calorie expenditure. 

Smart rings and other wearable devices that can track a person’s health can be useful. However, it is important not to use them to self-diagnose conditions. It is important to see a healthcare provider when experiencing any symptoms to professionally diagnose conditions.  

If you are experiencing any medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. 

 

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.

How Does Negative News Affect Your Mental Health?

Current events in the news have been very tense, stressful, and depressing. The constant barrage of negative news on local and cable news stations, as well as social media, feels never-ending.  

Watching or reading the news can have a negative impact on our mental health.  

When we watch news footage that upsets us, our body’s “fight or flight” response is activated. Adrenaline and the stress hormone cortisol are released, causing us to experience symptoms similar to those we feel when we are in danger, such as a rapid heart rate, shallow breathing, and an upset stomach, among others. 

Negative news can increase symptoms of depression and anxiety. According to Mental Health America (MHA), one study found that people showed an increase in symptoms after only 14 minutes of news consumption. The symptoms worsen when people feel they have no ability to improve the situations they are learning about on the news.  

As these symptoms worsen, they can cause a person to doomscroll. Doomscrolling is when a person actively seeks saddening or negative material to read or scroll through on social media or news media outlets. Doomscrolling can also greatly impact your mental health as it reinforces negative thoughts and a negative mindset, and can also cause feelings of: 

  • Apprehension 
  • Sadness and anger 
  • Uncertainty about the future 

Doomscrolling has many potential effects, including: 

  • May worsen mental health issues 
  • May lead to insomnia 

Doomscrolling can be attributed to someone relying on social media for their news, which can drive addictive behavior. In 2020, the Pew Research Center found that about 53% of U.S. adults said they “often” or “sometimes” get their news from social media. Among the social media sites where they get their news from, 36% of Americans regularly get their news from Facebook, 23% from YouTube, and 15% from Twitter/X.  

Regularly getting your news can be detrimental as clickbait headlines, mis- and disinformation, and social media algorithms are designed to keep you coming back for more, making it difficult to stop returning to apps for your news.  

People are more likely to be negatively affected by the news when it is personally relevant to them and when they share an identity with the people involved in the news story. This is the case for members of the BIPOC and LGBTQIA+ communities because they are more often targets of violence and hate crimes. 

With all the negative news, there are many ways to support ourselves and each other during these times, such as: 

  • Identifying your triggers by taking time to think about the topics that cause symptoms of anxiety and depression, so you can limit your consumption of media with triggering content 
  • Reading the news instead of watching news videos. Studies done by the American Psychological Association (APA) show that this can be less triggering due to written news articles containing less disturbing imagery 
  • Limiting your time watching or reading the news. Although doomscrolling may help you feel more informed, it ultimately does more harm than good. Aim for no more than 30 minutes a day if possible 
  • Engaging in an enjoyable activity after taking in the news to help you decompress 
  • Getting involved with a group that is working on the issues you are passionate about can help you feel empowered to make a change instead of feeling helpless about the world around you 
  • Joining a supportive community of people who share a common identity, such as an affinity group, can help foster resilience and create solidarity during these difficult times of prejudice or injustice 
  • Being conscious of where your news sources come from, as some can be more based on opinions than facts. Make sure the information you’re getting is accurate and provides diverse perspectives 
  • Focusing more on what brings you joy and happiness, such as engaging in social activities, spiritual practices, physical movement, mindfulness and gratitude practices, creative hobbies, journaling, or spending time with a pet 

Today’s 24-hour news cycle can seem difficult to stay clear of. 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. 

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.