International Overdose Awareness Day

Posted on August 31, 2025 by Patrick Hercules

August 31^st is International Overdose Awareness Day. It is the world’s largest annual campaign to end overdose, remember those we have lost to an overdose, acknowledge the grief of the family and friends left behind, and renew our commitment to end overdose and related harms.

An overdose occurs when the body is overwhelmed by a toxic amount of substance or a combination of substances, including alcohol, illicit drugs, and even prescribed medications.

The physical and psychological signs of a drug overdose can vary depending on the type of drug taken and whether the drug was taken in combination with other substances.

The common signs and symptoms of a drug overdose can include:

Dilated pupils, nausea or vomiting, headache, and chest pain
Seizures, convulsions or tremors, blue lips or fingers, and abnormally high body temperature
Severe difficulty breathing, shallow breathing, or complete cessation of breath
Gurgling sounds that indicate the person’s airway is blocked
Violent or aggressive behavior, paranoia, and agitation
Disorientation or confusion, unresponsiveness, and unconsciousness
Death

The International Overdose Awareness Day campaign raises awareness of overdose, which is one of the world’s worst public health crises. It stimulates action and discussion about evidence-based overdose prevention and drug policy.

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.

Back to School Health Tips

Posted on August 27, 2025 by Patrick Hercules

As children prepare for the school year, it is important for them to return to school healthy.

Here are some tips to make sure your child is healthy before they go back to school:

Make sure they are up to date on their vaccinations. Vaccinations are essential for protecting children and others against various diseases.
Make sure they get their flu and COVID-19 shots. Every child six months or older should get their yearly flu shots, as flu season typically starts in the fall and peaks between December and February.
Make sure they get vision and hearing tests done. Children should have their hearing and vision tested with their doctor from infancy through high school. Watch for signs of hearing or vision loss and talk to your child’s healthcare provider if you notice any changes.
Help your child make healthy food choices, even at school. Encourage them to eat plenty of fruits and vegetables. When eating bread or pasta, choose 100% whole-grain products. Encourage them to choose water, not juice or soda.
Make sure to take care of their mental health. Managing school stress, relationships, and friendships can be overwhelming. Encourage them to talk about their emotional health.
Make sure to limit their screen time. Children under the age of two years old should have no screen time. Limit screen time to one to two hours a day for children two years old and over. Parents are encouraged to delay access to smartphones until at least 14 years old.
Be sure to monitor their social media use. Social media use starting during childhood can play a significant role in the relationships and experiences that impact children’s and teens’ growth, development, and mental health. Parents are encouraged to set aside time to discuss social media use, including setting privacy limits on who can see and interact with them.
Make sure your child gets a good night’s sleep. Adequate sleep helps kids focus each day at school and is important for their health. Children between the ages of three and five should sleep 10 to 13 hours (including naps). Children six to 12 years of age should sleep nine to 12 hours a night. Teenagers 13 to 18 years of age should sleep eight to 10 hours a night.

These back-to-school health tips will help you and your family return to the classroom safely and be confident in your health.

Social Anxiety Disorder

Posted on August 22, 2025 by Patrick Hercules

Social anxiety disorder (SAD) is a medical condition that causes fear and anxiety when you are around people in social situations and causes an intense fear of being judged or watched by others.

Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

Inherited traits
Brain structure
Environment

Several factors increase the risk of developing social anxiety disorder, including:

Family history
Negative experiences
Temperament
New social or work demands
Having an appearance or condition that draws attention to them

There are many signs and symptoms of social anxiety disorder, including:

Emotional and behavioral symptoms
- Fear of situations in which you may be judged negatively
- Worry about embarrassing or humiliating yourself
- Intense fear of interacting or talking with strangers
- Fear that others will notice that you look anxious
- Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of doing things or speaking to people out of fear of embarrassment
- Avoidance of situations where you might be the center of attention
- Intense fear or anxiety during social situations
- Analysis of your performance and identification of flaws in your interactions after a social situation
- Expectation of the worst possible consequences from a negative experience during a social situation
Physical and physiological symptoms
- Blushing
- Fast heartbeat
- Trembling
- Sweating
- Upset stomach or nausea
- Trouble catching your breath
- Dizziness or lightheadedness
- Feeling that your mind has gone blank
- Muscle tension

People living with social anxiety may avoid social situations such as:

Interacting with unfamiliar people or strangers
Attending parties or social gatherings
Going to work or school
Starting conversations
Making eye contact
Dating
Eating in front of others
Using a public restroom
Taking or making phone calls
Performing in front of people

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
A discussion of your symptoms, how often they occur, and in what situations
A review of a list of situations to see if they make you anxious
Self-report questionnaires about symptoms of social anxiety
Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

Psychotherapy (the most common treatment)
- Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
Medications
- Antidepressants
- Anti-anxiety medications
- Beta-blockers

If you or someone you know has social anxiety disorder, you can call or schedule an appointment with a mental health provider at Jamaica Hospital Medical Center. Please call 718-206-5575.

Chronic Traumatic Encephalopathy (CTE)

Posted on August 5, 2025 by Patrick Hercules

Chronic traumatic encephalopathy (CTE) is a degenerative brain condition that happens after repeated head injuries. CTE usually affects athletes who play contact sports or military personnel.

CTE causes neurodegeneration, which means it permanently destroys nerve cells in your brain. Over time, this damage can cause changes in your behavior and mental abilities. It has been associated with second impact syndrome, when a second head injury occurs before symptoms of a previous head injury have fully resolved.

Experts are still trying to understand how repeated head injuries and other factors might contribute to the changes in the brain that result in CTE. Researchers are looking at how the number of head injuries someone experiences and how bad the injuries are may affect the risk of CTE.

There are no specific symptoms that have been linked to CTE, as it shares symptoms with other brain conditions that cause neurodegeneration. It can affect your:

Cognitive function, which can cause:

Memory loss

Trouble solving problems or making plans

Trouble making a choice or judging what you should do next

Mild cognitive impairment

Mood and personality, which can cause:

Anxiety

Depression

Mood swings, especially acting or feeling more aggressive or impulsive

Personality changes

Thoughts of self-harm, suicide, or suicidal behavior

Motor function, which can cause:

Balance issues

Loss of coordination

Tremors, twitches, or other muscle movements you can’t control

There is no way to diagnose CTE in a living person. The only way healthcare providers can confirm CTE is by examining samples of a person’s brain with a microscope during their autopsy.

Even though a healthcare provider may not be able to definitively diagnose CTE while a person is alive, they can still make an educated assumption by building a diagnosis using a few factors, including:

A physical exam

A neurological exam

The symptoms a person is experiencing

A person’s medical history, especially if they have had head injuries

Experiencing CTE symptoms doesn’t automatically mean a person has it. There are a lot of conditions that can cause similar symptoms. A healthcare provider will use tests to help diagnose or rule out these other issues. Tests include:

Blood tests

CT scan

Lumbar puncture

PET scan

There is no treatment for CTE because there is currently no cure for it. Unfortunately, if a person has CTE, their symptoms will continue to get worse. Avoiding head injuries is the only way to lower your risk of developing CTE. Wear the right protective equipment for all activities and sports, especially helmets or protective headwear.

If you are experiencing any symptoms of CTE, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001. If you are experiencing an emergency, call 911.

Menopause and Memory Issues

Posted on July 18, 2025 by Patrick Hercules

Menopause occurs when a person goes 12 consecutive months without a menstrual period. Memory lapses and trouble concentrating are common symptoms of menopause and even perimenopause. These menopausal symptoms are caused by the female sex hormone estrogen, which is necessary for maintaining sexual and reproductive health.

Low estrogen levels can cause temporary bouts of brain fog and impact verbal memory, including the ability to recall words and names. However, this type of menopause-related forgetfulness isn’t the same as the early signs of dementia.

Dementia is a general term that represents a group of diseases and illnesses that cause a decline in cognitive functioning to the point that it interferes with a person’s daily life and activities. It is caused by damage to the brain, affecting its nerve cells and destroying the brain’s ability to communicate with its various areas.

The first signs of dementia are typically things like getting lost in familiar places or confusion about how to perform everyday activities, such as driving home from the store, and inability to remember names.

Another key factor in someone affected by dementia is age. Alzheimer’s disease mainly affects people over the age of 65. Less than 10% of cases occur in people younger than 65, especially those without a family history of early-onset Alzheimer’s.

Menopause, on the other hand, usually happens in your mid-40s to mid-50s, and perimenopause can start years earlier.

Midlife “brain fog” can be frustrating and worrisome at times. However, with some extra care and attention to your health, it can be managed and controlled.

Here are some ways to cope with menopausal memory issues:

Get enough sleep

Eat a balanced diet that includes brain-enhancing foods, such as cruciferous vegetables rich in color, to serve as antioxidants

Create and stick to a regular exercise routine

Stop multitasking, as it can drain the brain’s abilities

Exercise your brain by doing activities that can improve your mental fitness, such as:

Doing crossword puzzles, board games, or chess

Going for a vigorous walk

Reading a novel

Taking up a new physical activity, such as ballroom dancing or boxing

Meditating

Starting a journal about positive experiences

Learning a foreign language

Trying tai chi

If you are experiencing symptoms of menopausal memory loss, you can visit Jamaica Hospital Medical Center’s Women’s Health Center or contact us at 718-291-3276 to make an appointment.

How to Take Care of Your Health after Cancer Treatment

Posted on June 1, 2025 by Patrick Hercules

After you are diagnosed with cancer and go through the treatment process, the time afterward is just as important as the time before. When your treatment is finished, a healthcare provider may tell you that you should get checkups or tests in the future. This is called follow-up care. These tests can help find early signs of a new cancer or the same cancer.

After your initial recovery, there are ways to improve your long-term health to enjoy the years ahead. The recommendations for cancer survivors are no different from those for anyone who wants to improve their health, including:

Exercising- regular exercise increases your sense of well-being after cancer treatment and can make you recover faster. Cancer survivors who exercise may experience:
- Increased strength and endurance
- Fewer symptoms of depression
- Less anxiety
- Reduced fatigue
- Improved mood
- Higher self-esteem
- Less pain
- Improved sleep
- Lower risk of the cancer coming back
- A sense of well-being
Eating a balanced diet- it is important to vary your diet to include lots of fruits and vegetables and whole grains. The American Cancer Society recommends that cancer survivors:
- Eat at least 2.5 to 3 cups of vegetables and 1.5 to 2 cups of fruits every day
- Choose healthy fats, including omega-3 fatty acids, such as those found in fish and walnuts
- Select proteins that are low in saturated fat, such as fish, lean meats, eggs, nuts, seeds, and legumes
- Opt for healthy sources of carbohydrates, such as whole grains, legumes, and fruits and vegetables
Maintaining a healthy weight- you may have gained or lost weight during treatment. Try to get your weight to a healthy level. Talk to your healthcare provider about what a healthy weight is for you and the best way to achieve that goal.
Getting good sleep- sleep problems are more common in people with cancer and cancer survivors. This can be due to physical changes, side effects of treatments, stress, or other reasons. Getting enough sleep is an important part of your recovery, as sleeping gives your mind and body time to recover and refresh to help you function at your best while awake. To optimize your chances of getting good sleep, practice healthy sleep habits, such as:
- Avoid caffeine for at least eight hours before bedtime
- Stick to a regular sleep schedule
- Avoid computer and television screens for one to two hours before bedtime
- Exercise no later than two to three hours before going to bed
- Keep your bedroom quiet, dim, and cool
Reducing stress- as a cancer survivor, you may find that the physical, emotional, and social effects of having cancer have taken a toll on you. Using effective coping strategies to deal with stress can greatly improve your quality of life. It can help relieve depression, anxiety, and symptoms related to cancer and its treatment. Effective stress management strategies may include:
- Relaxation or meditation techniques, such as mindfulness training
- Counseling
- Cancer support groups
- Medicines for depression or anxiety
- Exercise
- Interacting with friends and family
Avoiding tobacco usage- smoking or using chewing tobacco puts you at risk of several types of cancer. Quitting could reduce your risk of cancer coming back and lower the risk of developing a second type of cancer.
Limiting the amount of alcohol you drink- if you choose to drink alcohol, do so in moderation. For healthy adults, up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger.

While it may take an entire overhaul of your lifestyle to achieve all these goals, following these simple steps can improve your quality of life, helping you transition into being a survivor.

To schedule an appointment with an oncologist at our MediSys Health Network Cancer Center, or to learn more about our cancer care program, please call (718) 206-6742.

How Your Social Media Consumption Can Influence Your Eating Habits

Posted on May 22, 2025 by Patrick Hercules

Social media has made it easier for us to connect with loved ones and even celebrities. For better or worse, social media has changed our lives.

Whether it is foodies posting photos of their meals, following food influencers, home chefs, or nutritionists, our social media consumption consciously and unconsciously affects what and how we eat.

A study from the University of Birmingham examined how Facebook users’ perceptions of food-related content in their social networks influenced their eating habits. Researchers found that perceived social norms about food consumption significantly predicted users’ intake of fruits, vegetables, energy-dense snacks, and sugar-sweetened beverages.

The study found that when people believed their peers ate more fruits and vegetables, they were likely to do the same. Furthermore, perceived norms around high-calorie snacks and sugary drinks also influenced consumption, whether encouraging or discouraging these choices.

While this implies that exposure to health-conscious content could promote healthier eating habits, it also poses the problem of someone’s social media feed being filled with fad diets, misleading nutrition information, or a lack of nutrient-dense food representation, which may negatively affect their dietary choices.

Research suggests that when social media users’ feeds are flooded with images of bodies that fit the “ideal” body image, they have lower self-esteem, feel shame, and feel the need to manipulate their diet to lose weight, gain weight, or gain muscle, leading to disordered eating, which is often misdiagnosed as healthy or disciplined eating habits.

With the negative feelings that can come with a social media feed, there are new movements such as intuitive eating, Health at Every Size (HAES), body acceptance, and body positivity that are helping bring a positive effect.

Research shows that these movements help to rectify the impact of social media on disordered eating behaviors and negative body image:

When compared to a control group, people enrolled in a HAES intervention were less susceptible to hunger and inhibition than those in the control group
A systematic review of HAES interventions demonstrated a positive effect on mental health outcomes and physical activity, and they also promote positive changes in eating habits.
An eight-year longitudinal study found that intuitive eating produces better psychological health and lower use of disordered eating behaviors
Body acceptance and body positivity movements on social media show diverse body types and sizes through fashion and beauty-related activism, physically active portrayals of people in bigger bodies, and a focus on holistic wellbeing. However, like any community-driven movement, these movements are not immune to conflicting messaging.

As social media continues to play a powerful role in how it shapes its users’ perceptions of health, nutrition, and body image, it is up to us to understand that our self-worth, eating, and wellness habits shouldn’t be dictated by social media.

Tips for Choosing a Therapist

Posted on April 17, 2025 by Patrick Hercules

When considering therapy, it is essential to know what you are seeking therapy for. Whether it is to restore a relationship, recover from trauma, adjust to a new life phase, improve your mental health, or just talk to someone, finding the right therapist is the first step.

After you figure out the reason or reasons why you are seeking therapy, it is important to consider the kind of therapist that best fits your mental health needs. Here are some tips for searching for a therapist:

Think about your goals ahead of time
Consult your insurance and finances
Ask someone you trust
Explore local resources
Use a reliable online database
Reach out to organizations that address your area of concern
Ask questions about the things that matter to you
Pay close attention to your own responses

Once you have found some prospective therapists, there are many questions to consider before and/or during your therapy sessions. These questions include:

Do I feel comfortable opening up to this person, and is there a strong connection? Studies show that this is crucial for achieving success in any therapy.
Is the therapist empathic and a good listener?
Does the therapist seem to have an agenda? Are they trying to have you commit too soon to a schedule before accurately assessing your motivation and the range of available options?
What are their credentials and level of expertise, and have they treated many others with your particular condition?
What types of therapy do they offer? They should be able to explain why one type is better than another for your particular condition.
How do they manage the fee/billing, and do they offer a sliding scale?
How do they collaborate with your psychiatrist or PCP, as this will greatly improve the quality of care?
Do they offer evening and weekend hours, and what is the recommended frequency of sessions?
Finally, what are the agreed-upon goals and endpoints for therapy?

Choosing a therapist is not an easy task. It is important to take your time before you make a decision, as it is not to be taken lightly. It is also important to note that you are not obligated to stay if a therapist isn’t the right fit. You can get free consultations through your insurance.

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.

How Stress Affects Diabetes #StressAwarenessMonth

Posted on April 10, 2025 by Patrick Hercules

When we are under stress, the body releases hormones that increase blood glucose levels. This can cause adverse symptoms in people with diabetes.

If you experience stress or feel threatened, your body reacts with the fight-or-flight response. During this response, the body releases adrenaline and cortisol into the bloodstream increasing respiratory rates. This can also increase blood glucose levels if the body can’t adequately process it.

Stress affects people differently. The type of stress that people experience can impact their body’s physical response.

When people with type 2 diabetes are under mental stress, they can experience an increase in their blood glucose levels. People who have type 1 diabetes may have a more varied response as they experience either an increase or decrease in their blood glucose levels.

Mental symptoms of stress include:

Feeling unmotivated
Feeling irritable
Feeling depressed
Feeling restless
Feeling anxious

When you are under physical stress, your blood sugar can also increase. This can happen due to sickness or injury. This affects people with type 1 and type 2 diabetes.

Physical symptoms of stress include:

Headaches
Muscle pain or tension
Sleeping too much or too little
General feelings of illness
Fatigue

There are several ways to manage the effects of different forms of stress which could help lessen or limit the stressors in your life, including:

Exercising regularly
Practicing relaxing activities such as yoga or tai chi
Practicing mindfulness techniques such as meditation
Avoiding known stressors, such as high-stress social situations
Reducing caffeine intake
Spending time with loved ones

If you are feeling stressed, you can also connect with people online or in your community for solidarity and support by:

Joining an online support group
Joining an in-person support group
Seeking therapy

If mental or physical stress symptoms are affecting your diabetes, you can schedule an appointment with an endocrinologist, please call Jamaica Hospital Medical Center’s Ambulatory Care Center at (718) 206-7001.

Gut Health

Posted on April 8, 2025 by Patrick Hercules

Digestive problems such as heartburn, gas, bloating, and constipation reflect what is happening throughout your body. They can also be indicative of problems that may be affecting your gut health.

The main drivers of gut health change are shifts in stomach acid, gut immunity, and gastrointestinal flora, or the “gut microbiome.” The gut microbiome refers to the microorganisms living in your intestines.

Each person has about 200 different species of bacteria, viruses, and fungi in their digestive tract. Some microorganisms can be harmful to our health; however, many are incredibly beneficial and even necessary for a healthy body.

Research indicates that having a large variety of bacteria in the gut may help reduce the risk of conditions that include:

Diabetes
Inflammatory bowel disease (IBD)
Psoriatic arthritis

Over the past few decades, research has found a connection between gut health and mental health disorders, autoimmune diseases, endocrine conditions, gastrointestinal disorders, cardiovascular disease, and cancer.

A higher level of diversity in gut bacteria may be associated with improved gut health, as well as your general mental and physical health.

You may be able to improve and possibly reset your gut health through lifestyle and diet changes. Some ways you can improve your gut health naturally include:

Managing and lowering your stress levels
Eating the right foods
Getting enough sleep
Eating slowly
Staying hydrated
Taking a prebiotic or probiotic
Checking for food intolerances
Changing your diet
Being more physically active
Getting help for issues such as anxiety and depression

Diet and gut health are very closely linked. Avoiding processed foods, high-fat foods, and foods high in refined sugars is important for maintaining a healthy microbiome, as these foods may promote the growth of damaging bacteria.

Eating certain foods that actively promote the growth of beneficial bacteria contributes to your overall health. These foods include:

Foods high in fiber
Garlic
Fermented foods
Collagen-boosting foods

Jamaica Hospital’s Division of Gastroenterology consists of board-certified gastroenterologists who provide high-quality, expert care to patients suffering from such conditions in inpatient and outpatient settings. To schedule an appointment, please call 718-206-6742 or 718-206-7001.