Why Do We Snore?

Posted on August 12, 2015 by Michael Hinck

hat do half of all Americans do, but very few admit to, partly because they are unaware that they are doing it? The answer is snore.

Snoring occurs when the flow of air is partially obstructed in some way while we sleep. As air flows past relaxed tissue in the throat, the resulting vibrating sound is snoring. Snoring can take place for a variety of reasons, including:

• The anatomy of your mouth – Having an elongated soft palate or uvula can narrow the opening from the nose to the throat

• Being overweight – Those who are overweight have extra, bulky throat tissue that may narrow the airways

• Obstructed nasal airways – Allergies, a nasal infection or a deviated septum can all contribute to snoring

• Alcohol consumption – Drinking alcohol before bed can relax muscles in the tongue and throat can obstruct the airways

• Sleep apnea – This is a serious condition when your throat tissues partially or completely block your airway, preventing your from breathing

Unless you have an upset spouse inform you that you are snoring, you may be unaware that you have a problem. Look out for the following symptoms if you suspect you are snoring:

• Excessive daytime sleepiness
• Difficulty concentrating
• Sore throat
• Restless sleep
• Chest pain at night
• High blood pressure

To determine the cause of your snoring, your doctor will review your signs and symptoms, review your medical history, and perform an examination. Your doctor may request an x-ray or other imaging tests to check the structure of your airway. To determine is sleep apnea is the reason for your snoring, a sleep study to monitor brain waves, breathing and heart rate, and blood oxygen levels may also be ordered.

Lifestyle changes including losing weight, avoiding consuming alcohol before bed and changing your sleep position by either raising your head or sleeping on your side can reduce the liklihood of snoring. Other aids, such as nasal strips, form fitting mouth pieces, and short term decongestants for allergies or infections can also be helpful.

If these efforts prove unsuccessful, there are a variety of surgical and non-surgical interventions that your doctor could recommend. One of the most common therapies is continuous positive airway pressure (CPAP), which involves wearing a pressurized mask that pumps air through your airways while you sleep.

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.

Smoking Cessation and Weight Gain

Posted on August 4, 2015 by Andrew Rubin

One of the reasons that people don’t want to stop smoking is because they are worried about gaining weight. Smoking increases the rate of metabolism so when a person quits, their metabolism slows and they tend to eat a little bit more than they did when they were still smoking. As a result, people will typically gain four to 10 pounds when they quit. When you snack between meals, over the course of time, you can slowly be adding on the pounds. Nicotine is an appetite suppressant, so it reduces these cravings. Smoking also makes people feel good, so that is another reason that people will eat sweet foods such as cookies and cake to replace cigarettes.
If you find yourself craving something sweet to eat, there are healthy alternatives:
• Fruits and vegetables
• Fat free or low fat snacks
• Sugar free candies
Drinking plenty of water and brushing your teeth frequently throughout the day will keep your breath fresh and will take away the urge to smoke.
Try finding alternate activities that will keep you busy so that you won’t have the desire to reach for a cigarette. It might be helpful to go to a movie theater, take a long walk, use the stairs instead of an elevator when possible, read a book and spend time with people who are supportive and who don’t smoke.
Smoking is a leading factor in heart disease, cancer, stroke, and many other illnesses. Speak to your physician to learn about ways to quit and how to manage the changes your body will experience. If you would like to speak with a physician at Jamaica Hospital Medical Center, please call 718-206-7001 to schedule an appointment.

BBQ Leftover’s Tips and Yummy Recipe

Posted on June 29, 2015 by Joann Ariola

When you barbeque, you always seem to prepare more food than you need. Of course, this will leave you with leftovers more often than not. So what do you do with all that extra chicken?

If you are planning on finishing off your leftover chicken within a few days, wrap it tightly and keep it in the refrigerator. If you want to keep it for more than a few days, wrap the chicken in foil and seal it in a zip lock bag. Try to get as much air as possible out of the bag to preserve the leftovers for several months.

Take precaution when you are reheating your leftovers. You do not have to reheat it on as low a temperature and slowly as you did the first time. An oven temperature of around 325 degrees will work great. Do not overcook your chicken. Overcooking can cause the chicken to become dry.

Properly reheated, your barbecued chicken should be just about as good as it was the day you first cooked it.

Now that we have discussed how to preserve your BBQ chicken, here’s a great way to reheat that chicken. Click the link below and follow the simple recipe that will take your leftover chicken and make it appear like an entirely different meal!

http://addapinch.com/cooking/bbq-chicken-bites-recipe/

The Fight Against Obesity is a Family Affair

Posted on June 2, 2015 by Joann Ariola

The childhood obesity problem in the United States has reached epidemic proportions with many political leaders and health advocates turning their attention to bringing awareness to this issue.

Interventions have been suggested, school lunches have become healthier and more attention has been given to the benefit of outside play, recess, and cutting back on the consumption of processed foods.

One of the most effective solutions to the issue of childhood obesity may be a simple one; scheduling time for a healthy family dinner. The ritual of eating meals together, as a family, has shown to greatly improve healthy eating habits.

Studies have shown that families who dine while watching television tend to be heavier than those who make to time to sit down, together, for a meal on a regular basis. As a parent, eating with your family will give you the opportunity to encourage our children to eat mindfully, reinforce healthy eating habits and teach your children to eat slowly.

Some idea’s to make family meals regular events at your house are:

Turn off the TV
Make a date to have a meal together
Share the meal preparation process with the whole family
Select a healthy alternative to a favorite meal

In addition, eating is about so much more than the food and nutrients we receive from it. Meal time should be pleasurable, social and a time to connect with each other.

If you or someone you know is struggling with obesity, contact the Jamaica Hospital Medical Center’s Ambulatory care Center to schedule an appointment with one of our licensed Nutritionist’s at 718-206-7001.

Asthma v. COPD

Posted on March 17, 2015 by Joann Ariola

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

Asthma, on the other hand, is considered a separate respiratory disease, but is occasionally mistaken for COPD because of its similar symptoms.

These symptoms include:

Chronic coughing
Wheezing
Shortness of breath

The majority of COPD sufferers also have asthma, which is considered a risk factor for developing the disease. As you age, the likelihood of this duel-diagnosis increases.

COPD and asthma respond well to treatments such as smoking cessation and airway-opening medications like bronchodilators. At times, inhaled steroids are also needed. However, lung function is only fully reversible in asthma patients. A diagnosis of asthma, along with COPD, often means a significant decline in lung function as the COPD progresses. This progression is true even in patients with mild forms of the disease.

By nature of the similarity of the symptoms of COPD and asthma, many patients can go undiagnosed or misdiagnosed. Early detection of COPD, especially in current or past smokers, is critical to preserving lung function “Undiagnosed or poorly controlled asthma and COPD can lead to a decreased quality of life by limiting a person’s ability to perform everyday activities. Teaching patients to take their medicine as prescribed, to never run out of their medications, and to keep their doctors’ appointments is essential to improving their outcomes.” Dr. Kamica Lewis.

If you think you may have symptoms of asthma or COPD, please contact Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 to make an appointment with a doctor for an evaluation.

Peripheral Vascular Disease and Hypertension

Posted on February 23, 2015 by Joann Ariola

Peripheral Vascular Disease or PVD as it’s more commonly known, is a condition that is often associated with Hypertension.

PVD is a slow and progressive circulation disorder involving diseases in any of the blood vessels outside of the heart, the lymph vessels – arteries, veins, and lymphatic vessels. Organs supplied by these vessels, such as the brain, heart and legs may not receive adequate blood flow for ordinary function.

However, the legs and feet are the most commonly affected.

Up to half of the people diagnosed with PVD are symptom free. For those experiencing symptoms, most common and first symptom is intermittent leg discomfort described as cramping that occurs with exercise and is relieved by rest. During rest, the muscles need less blood flow, so the pain disappears. It may occur in one or both legs depending on the location of the blocked or narrowed artery.

Other symptoms of PVD may include:

Decreased skin temperature
Diminished pulses in the legs and feet
Hair loss on the legs
Impotence
Numbness, weakness, or heaviness in muscles
Reddish coloring of the extremities

Some risk factors for peripheral vascular disease include factors that can be changed or treated with lifestyle changes, such as controlling your blood pressure or increasing physical activity. Unfortunately, risk factors like age and family history of heart disease and hypertension cannot be changed.

It is important to take steps to prevent PVD. A prevention plan may also be used to prevent or lessen the progress of PVD once you are diagnosed. If you would like to consult a physician, call Jamaica Hospital Medical Center’s 718-206-7001 for diagnosis and treatment.

Perils of the Pregnant Partner – Couvade Syndrome

Posted on January 21, 2015 by Joann Ariola

During pregnancy the focus is often on the changes that the expectant mother is experiencing and ignores the emotional changes of the other parent to be, who may be experiencing emotional and physical changes that are valid and deserving of the proper attention and support.

Impending parenthood can bring a rush of feelings and fears. Whether the pregnancy is planned or unexpected, the news may cause you to become introspective about many things including your relationship with your partner, the fear of newly acquired responsibilities, financial implications, feelings of inadequacy and, in some cases, sympathy pains or a condition known as, Couvade Syndrome.

Partners who have Couvade Syndrome experience symptoms that mimic pregnancy such as, constipation, gas, bloating, irritability, weight gain, cravings and nausea right along with the expectant mom.

Fortunately, the symptoms are almost always temporary and are not treated with medication. They, usually, resolve once the baby is born.

The NERVE of Diabetes

Posted on January 9, 2015 by Joann Ariola

According to the Centers for Disease Control and Prevention, 25.8 million people in the United States have diabetes. Typically, 60 to 70 percent of people with diabetes have some sort of nerve problems, know as neuropathy.

Neuropathy is a shorter term for peripheral neuropathy, meaning nerve damage in the peripheral nervous system. Neuropathy from diabetes can damage the nerves in your hands, arms, feet and legs. This condition can cause pain, numbness and weakness. Depending on the degree of neuropathy, and how long you have been a diabetic, nerve problems can occur in every organ system, including the digestive tract, heart and reproductive organs.

The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathy also appears to be more common in people who have issues with controlling their blood glucose, have high blood pressure and are overweight.

Symptoms of diabetic neuropathy vary depending on the nerves affected and develop gradually over the years. Symptoms may include:

Trouble with balance
Numbness and tingling of extremities
Abnormal sensation to a body part (Dysesthesia)
Diarrhea
Erectile dysfunction
Urinary incontinence
Vision changes
Burning or electric pain in extremities

When treating diabetic neuropathy, a nutritionist may recommend healthier food choices and exercise to help lower your glucose and glycohemoglobin levels. Additionally, analgesics and low doses of antidepressants can be prescribed for pain relief, burning and tingling.

If you are a diabetic and have been experiencing symptoms of neuropathy, Jamaica Hospital Medical Center’s Ambulatory Care Center and Department of Nutrition can help. Call 718-206-7001 to get the process started.

Getting Fit and Bicycle Riding Safety Tips

Posted on October 28, 2014 by Xavia Malcolm

Riding a bicycle can be a fun and effective way to get fit. Cycling is beneficial for the cardiovascular system because it increases oxygen intake and stimulates the heart. Studies show that riding can increase energy levels by 20 percent and in one hour burn up to 488 calories when pedaling at 12 to 14 miles per hour.

Although a bicycle is an excellent fitness tool, it is also considered a vehicle. Therefore, the rules of the road must be obeyed and a bicycle should be operated safely to prevent injuries and accidents.

In a study conducted by Jamaica Hospital’s Trauma Division, over the past year from September 2013- September 2014 there has been over 500 cyclists and pedestrians struck in areas surrounding the hospital. Bicyclists face higher risks in crash-related injuries and deaths than drivers in a motor vehicle. Follow these basic riding tips to ensure your safety and reduce the risks:

Always ride in the same direction as traffic and do not weave in between other vehicles.
Obey traffic laws and signals.
Do not listen to music or speak on cell phones while riding.
Wear a proper fitting helmet.
Never pass another vehicle on the right.
Always keep your hands on the brakes.
Stay aware of dangerous road hazards such as potholes and broken glass.
Use hand signals to show motorist where you are going.

Bicycling is a great way to get fit; however, cyclists should continue to keep in mind that they share the same rules and regulations as others. Follow the rules of the road to reduce the risk of injuries and accidents.

Your Child and the Battle Against Junk Food

Posted on October 20, 2014 by Xavia Malcolm

Childhood obesity has become a common health concern for parents. It is estimated that one in every five children is overweight. A child is defined as obese when they are well above the normal weight for their age. One of the contributing factors in obesity is unhealthy eating habits. It is recommended that parents introduce healthy eating to children as early as possible. For some, this may be easier said than done, because children are so easily attracted to the appeal of junk food.

What makes junk food enticing to children is sugar, high sodium, the taste of fat; commonly hydrogenated oils, in addition to bright, colorful packaging, fun shapes and unnatural food coloring. Parents can win the fight against junk food by making healthy food more appealing to children’s senses.

Here are a few tips on converting kid favorites into healthier choices:

Hot dogs- Instead of regular beef and pork hot dogs, purchase turkey franks with low sodium and without added nitrates. Decorate the hot dog with colorful vegetables such as cucumbers, carrots, red and yellow peppers.
Salty cheese snacks- Make plain cheese fun by cutting it into quirky shapes or adding bright and sweet fruit. You can make cheese and fruit shish kebabs.
French fries- Opt for baked sweet potato fries and sprinkle lightly with sea salt. Sweet potatoes are high in vitamin C, B6, and D. They are a source of Iron, magnesium and potassium.
Ice cream- Frozen yogurt is just as tasty and contains less sugar and fat. Adding toppings such as fruit and granola is a plus.
Popsicles- Freeze real fruit juices with bits of fruit into bars.
Potato chips- Kale chips are rich in vitamin A and easy to make at home. Make them delicious by adding herbs and spices.
Candy- Healthy alternatives to candy include raisins or strawberries and bananas lightly drizzled with chocolate.
Milkshakes- Smoothies made with fresh fruit and low-fat yogurt are a healthier option.
Meat lasagna- Load lasagna with vegetables instead of meat, choose low-fat cheese and whole-grain pasta.
Macaroni and cheese-Use low-fat cheese, add Greek yogurt to make it creamy and spinach to make it nutritious.

The battle against junk food is not lost. Keep food exciting and nutritious for your family by sourcing healthy recipe websites or visiting Jamaica Hospital’s Facebook and Twitter pages for suggestions. In addition to healthy eating, keep your family physically active and also make an appointment with your family doctor to ensure that everyone is at their recommended weight. Feel free to share these tips with friend and family.