National Falls Prevention Awareness Day

Posted on September 22, 2016 by Andrew Rubin

September 22nd is designated as National Falls Prevention Awareness Day. This observance serves to increase awareness and to educate the public about the risks of falls and how to prevent them from happening. According to the National Council on Aging, falls are the leading cause of fatal and nonfatal injuries for older Americans.
A fall, with or without serious injury, can impact a person’s quality of life. Older people have a significant fear of falling and will often limit their activities because of it. This can lead to physical decline, depression, social isolation and feeling helpless. However, if they exercise caution and follow these steps, they can reduce the risk of an accident and continue on with routine activities:
• Speak to a doctor about performing a risk of falling assessment
• Build up balance, strength and flexibility
• Have vision and hearing checked
• Remove tripping hazards in the home and make sure that there is adequate lighting
• Install grab bars in the bathroom
• Make sure that there are secure rails on all stairs
• Review medications to make sure they don’t affect balance
If you would like to schedule an appointment with a physician at Jamaica Hospital Medical Center to discuss fall risk prevention, 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.

What is Sepsis? Jamaica Hospital Educates the Community During Sepsis Awareness Month

Posted on September 17, 2016 by Michael Hinck

September is Sepsis Awareness Month and Jamaica Hospital wants to educate the community about this very serious condition.

Sepsis is a potentially life-threatening complication that stems from an infection. Sepsis occurs when chemicals released into the bloodstream meant to fight an infection trigger inflammatory responses throughout the body. This inflammation can damage multiple organ systems, causing them to fail. If not identified and treated early, sepsis can progress to a condition known as septic shock, characterized by a dramatic drop in blood pressure, which may lead to death.

Sepsis is viewed by most doctors to be a three-stage syndrome, starting with sepsis, progressing through severe sepsis, and eventually into septic shock. The goal for healthcare providers is to look for the early symptoms of sepsis and administer antibiotics and IV fluids immediately before the condition becomes more dangerous.

Early symptoms include having a suspected or confirmed infection, plus a:

• Body temperature above 101.4 F
• Heart rate higher than 90 beats a minute
• Respiratory rate higher than 20 breaths a minute

Sepsis can affect anyone, but it is most common in older adults or those with a weakened immune system. The number of cases of sepsis in the United States appears be increasing. Some of the factors attributed to this rise include:

• A growing population of people over 65 years old. This group tends to have a weaker immune system.
• An increase in the amount of antibiotic-resistant bacteria. When these drugs used to treat infections do not work, it can lead to sepsis.
• More Americans are living with weakened immune systems, caused by HIV, cancer treatments or transplant drugs.

Since hospitals and nursing homes typically treat people who are either older or who’s immunity levels are compromised, sepsis can often occur in these settings.

Understanding the need to address the situation, Jamaica Hospital has taken a very proactive approach to combating sepsis. The hospital has initiated comprehensive protocols to both identify and treat sepsis. These efforts have led to steadily improving outcomes for our patients.

What to Expect After Your Celiac Disease Diagnosis

Posted on September 13, 2016 by Xavia Malcolm

If you have received a diagnosis from your doctor that confirms you have celiac disease; it is natural to wonder what comes next. Many doctors will offer guidelines which may include tips to live gluten-free. While these guidelines are essential, it is also very important that you truly understand your medical condition.

According to the Celiac Disease Foundation, celiac disease is defined as, “a genetic autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.” It is estimated that the disease affects one in every one hundred people worldwide. If left untreated, celiac disease can cause long-term health conditions such as gall bladder malfunction, infertility or miscarriage, pancreatic insufficiency, early onset osteoporosis or osteopenia as well as vitamin and mineral deficiencies.

In addition to having a better understanding of celiac disease, educating yourself about the changes to expect in your lifestyle, will prove helpful. Some of the changes include:

Discarding of any food that contains gluten. This means sticking to a strict diet that excludes wheat, barley, farina, oats, rye and other items that are known to have gluten.
Excluding certain items from your diet may deprive you of some nutrients; it is recommended that you speak to your doctor about which vitamins and dietary supplements you should take.
Evaluating the ingredients in medications; some may have small amounts of gluten.
Taking care of your body by exercising and implementing more fruits and fresh vegetables into your diet.
Following up with your physician or dietitian as recommended. This is important as it will help them to monitor your nutritional intake and check for deficiencies.

Finding resources that can help you transition or stick to new your lifestyle, such as your doctor, support groups, organizations such as the Celiac Disease Foundation or a local hospital can help make life after your celiac diagnosis a little easier.

The Nutritional Services Department at Jamaica Hospital Medical Center supports National Celiac Awareness Day. This observance falls on September 13 of each year and was created to help people learn more about celiac disease and how it impacts lives. Jamaica Hospital’s registered dietitians assist many patients, including those with celiac disease to grow their knowledge about nutrition, wellness and healthy eating. An appointment with a registered dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting.

To schedule an appointment, please call 718-206-7001.

September 10th is World Suicide Prevention Day – JHMC Wants You to Know the Facts About Suicide Prevention

Posted on September 9, 2016 by Michael Hinck

Suicide affects millions; over 800,000 people take their lives each year, and the number of people who attempt suicide is twenty five times that amount. In addition to the lives lost, suicide also affects the many friends and family members devastated by the loss of their loved one.

Suicide is largely preventable though. Through education and awareness, we can get those people who are contemplating suicide the help they need.

One of the best tools in preventing suicide is to know the risk factors. Over 90% of people who attempt suicide live with depression or another mental disorder. Alcohol or substance abuse is often a contributing factor. Adverse factions to traumatic events or stress can also lead to someone wanting to take their own life.

Other risk factors for suicide include:

• Family history of mental disorder or substance abuse
• Family history of suicide
• Family violence
• Physical or sexual abuse
• Keeping firearms in the home
• Chronic physical illness, including chronic pain
• Exposure to the suicidal behavior of others

Someone who is considering suicide usually displays certain behaviors. Loved ones should look for the following warning signs:

Always talking or thinking about death
Trouble sleeping and eating — that gets worse over time
Displaying reckless behavior that could result in death, such as driving fast or running red lights
Losing interest in things one used to care about
Making comments about being hopeless, helpless, or worthless
Talking about suicide or killing one’s self
Visiting or calling people to say goodbye

If someone you know appears to be contemplating suicide, take the issue seriously. Let the person know that you care and understand and are listening and attempt to get them immediate help from a health care professional.

If your loved one appears to be in imminent danger of committing suicide, do not leave him or her alone. Remove any weapons or drugs he or she could use. Accompany him or her to the nearest emergency room or call 911.

September 10 has been designated World Suicide Prevention Day. Many organizations from around the world have joined this cause. Jamaica Hospital’s supports their efforts and the hospital’s Department of Psychiatry offers many inpatient and outpatient services to help those in need.

The “Eyes” Have It! Treating Pinkeye

Posted on August 19, 2016 by Zakiya Hazel-Jemmott

August is Children’s Eye Health and Safety Month, and Pinkeye, also known as conjunctivitis, affects children of all ages and at any time of the year. Symptoms include redness and swelling of the mucous membrane that line the lid and surface of the eye and discharge. Pinkeye can be caused by many things including, but not limited to, an infection, dry eyes from lack of tears or over exposure to wind and sun, chemicals, allergies and smoke.

Pinkeye is very common, is usually not serious, can be viral or bacterial, is highly contagious and can spread very easily. Therefore, preventing its spread is important.

There are home remedies for Pinkeye that will help reduce your pain and keep your eye free of drainage prior to seeing your doctor.

Some home remedies that have proven effective are – removing your contacts from infected eyes, applying cold or warm compresses to your eye (whichever feels best) to soothe any discomfort and reduce redness.

When treating your Pinkeye at home, remember to wipe your eye from the inside toward the outside and do not rub drainage back and forth between eyes. After wiping your eye, be sure to wash your hands to prevent pinkeye from spreading.

Symptoms usually last 5 to 7 days, but some cases can last for up to 3 weeks.

If symptoms persist and you would like to make an appointment to see one of our doctors, please call the Department of Ophthalmology at Jamaica Hospital Medical Center at 718-206-5900 for an appointment.

Psoriasis Awareness Month

Posted on August 15, 2016 by Zakiya Hazel-Jemmott

Psoriasis is a chronic, noncontagious, genetic disease that appears on the skin in red, scaly patches that itch, crack and bleed. This is the most common autoimmune disease in the country, affecting approximately 7.5 million Americans. It is a long-lasting disease of the immune system with symptoms ranging from mild to severe.

The exact cause of psoriasis is unknown but there are symptoms to look for:

Red patches of skin covered with silvery scales
Small scaling spots (commonly seen in children)
Dry, cracked skin that may bleed
Itching, burning or soreness
Thickened, pitted or ridged nails
Swollen and stiff joints

When your body has plaque psoriasis, your immune system is overactive, triggering skin inflammation and causing skin cells to be produced faster than normal. New skin cells are pushed to the skin’s surface in three to four days instead of the usual 28 to 30. So while new skin cells are being produced rapidly, the old skin cells are pushed to the surface, forming the thick, red, itchy, flaky patches known as plaques.

The exact cause of psoriasis isn’t fully understood, but scientists believe psoriasis is the result of several factors, including genetics, environmental factors, and the immune system.

If you have psoriasis, it’s possible that someone in your family may have had it too. One out of three people with psoriasis also have a relative with the disease. Environmental triggers vary from person to person, causing the disease to become active.

If you suspect that you may have psoriasis, see your doctor for an examination. Also, talk to your doctor if your psoriasis:

Progresses beyond the nuisance stage, causing you discomfort and pain
Makes performing routine tasks difficult
Causes you concern about the appearance of your skin
Leads to joint problems, such as pain, swelling or inability to perform daily tasks

August is Psoriasis Awareness Month. Although the skin condition is not contagious, awareness about it is. People commonly think of psoriasis as just a “skin condition” but there is more to understand about it. Researchers and doctors have not yet discovered a specific cause of psoriasis but the National Psoriasis Foundation has grown to be the world’s largest nonprofit patient advocacy organization serving people with psoriasis. Learn more about the NPF and its investment in cutting-edge research at www.psoriasis.org/research.

Jamaica Hospital Recognizes World Sickle Cell Day

Posted on June 16, 2016 by Michael Hinck

June 19 has been designated as World Sickle Cell Day to help bring attention to this genetic disease that affects an estimated 100,000 Americans.

Sickle cell disease is an inherited form of anemia – a condition in which red blood cells are unable to carry oxygen throughout the body. For most, red blood cells are round and can move easily through blood vessels, but the red blood cells in people with sickle cell disease are crescent, or half-moon shaped. These irregular shaped cells can get stuck in blood vessels, which can slow or block the flow of oxygen to certain parts of the body.

In addition to being irregular in shape, sickle cells are fragile and break apart easily. Normal red blood cells live an average of four months before they die and need to be replaced. Sickle-shaped cells however only live an average of 20 days. The result of this shortage of blood cells is a loss of energy and general sense of fatigue.
Other symptoms of sickle cell disease include:

• Hand-Foot Syndrome – Often the first sign of sickle cell disease. It is caused by a lack of blood flow to the hands and feet

• Episodes of Pain – Referred to as a “crisis”, these episodes of pain occur when blood flow is blocked to the chest, abdomen, and joints. The frequency and duration of the episodes vary from person to person, but in severe cases, they can result in hospitalization.

• Frequent Infections and Fever– Sickle Cell can cause damage to the spleen, an organ that fights infection, making those with sickle cell at greater risk of developing an infection and an accompanying fever.

• Changes in Skin – People with sickle cell disease can develop a yellow tint to their skin or the whites of their eyes. Skin and nail beds can often become pale.

• Delayed growth – By not receiving enough oxygen rich red blood cells, those with sickle cell disease may also not get the necessary nutrients essential for growth.

The risk of inheriting sickle cell disease is a genetic one. For a baby to be born with it, both parents must carry the sickle cell gene. Doctors can diagnose sickle cell disease before a child is born. Couples who are at risk for passing on this disease to their children may want to talk with a genetic counselor about prenatal testing. The sickle cell gene is more common in families that come from Africa, India, Carribbean islands, and Central and South America.

To determine if you have sickle cell disease, your doctor can order a test to check for hemoglobin S, the defective form of hemoglobin that underlies sickle cell anemia. Further tests can confirm the existence of one gene (carrying the sickle cell trait) or two genes (sickle cell anemia). For those who have sickle cell anemia, treatment is aimed at treating the symptoms and avoiding crisis. Regular check-ups to monitor your red blood cell count are important. Medications are available to reduce pain and prevent complications can be prescribed, and blood transfusions, supplemental oxygen and even bone marrow transplants may also be necessary.

Jamaica Hospital serves a culturally rich and diverse population. Many members of our community are from the parts of the world most often affected by sickle cell disease. In recognition of National Sickle Cell Awareness Month, Jamaica Hospital’s encourages anyone living with sickle cell disease to carefully manage their condition. The hospital also recommends all potential parents to be tested for the sickle cell trait.

Are You at Risk for Developing Cataracts?

Posted on June 14, 2016 by Xavia Malcolm

Cataracts are the leading cause of blindness globally. They are very common in older adults- in fact; it is estimated that more than 75% of people over the age of 65 will develop cataracts. Although less common, people can develop this medical condition in their forties and fifties as well.

As you age, proteins in the eye begin to break down, causing clouding in the lens and the formation of cataracts. Many who are affected are unaware that this process is occurring because cataracts grow very slowly and does not impede vision during its early stages. There are symptoms that can indicate the development of cataracts. Here are some that you can look out for:

Colors appear faded
Clarity in vision decreases and cannot be corrected with eyeglasses
An increase in sensitivity to light and glare
Halos appearing around lights
Poor night vision
Frequent changes in prescription eyewear
Double vision

Some people are more at risk of developing cataracts than others. These factors increase your risks:

Diabetes
Exposure to prolonged durations of sunlight
Heavy drinking
Smoking
Obesity
Family history
Advanced age
High blood pressure
Previous eye injury or surgery

June is Cataract Awareness Month. During this time, the Department of Ophthalmology at Jamaica Hospital Medical Center wants you to know, there are several things you can do to be proactive and slow the progression of cataracts. Eating healthy is a good start. A balanced diet rich in vitamin C has shown to be effective. Wear sunglasses to shield your eyes from the Sun’s UV rays. If you are a smoker- stop smoking and drink in moderation. Early detection can save your eyesight therefore, scheduling routine eye exams is very important.

To schedule an appointment with an ophthalmologist (eye doctor) at Jamaica Hospital, please call, 718-206-5900.

To Hookah or Not to Hookah?

Posted on May 31, 2016 by Jamaica Hospital Medical Center

Article by Jennifer Ceide, AE-C, CHES, CTTS Jamaica Hospital Medical Center

For my birthday, I am definitely going to a hookah lounge!” was excitedly determined by my cousin several years ago. As a developing tobacco treatment specialist, I wanted to proclaim my objection by saying, “Do you know that one sixty minute hookah session can be equivalent to smoking 100 cigarettes?!” Luckily, we couldn’t find a lounge that was open. Besides hookah lounges, hookah is also offered at night clubs and restaurants; it’s almost impossible not to find an opportunity to smoke hookah. So why the sudden burst in popularity, especially among never-smoked-a-cigarette millennials who without hesitation detest cigarette smoking?

So, what’s a Hookah?

Hookah is a water pipe used to smoke tobacco. Tobacco is burned at the top of the pipe, the smoke is then passed through water and the vapor is inhaled.

It’s safer…right?

Wrong! Besides the delivery of the highly addictive drug nicotine, the smoke from hookah contains toxins that contribute to cancer and other diseases. The water through which the smoke passes gives the false impression of purification; this process has not been shown to decrease any toxins associated with smoking. The vapor contains carbon monoxide, metals, and cancer-causing chemicals.

According to the World Health Organization, a hookah session can last between 20 to 80 minutes, one session can be equal to smoking 100 cigarettes.

When we consider the added risk associated with sharing a mouthpiece with others, the possibility of contracting communicable diseases such as tuberculosis, herpes, influenza, or hepatitis becomes a noteworthy threat.

To hookah or not to hookah?

From what we know so far the risks linked to smoking hookah should deter and not encourage. Because the popularity of smoking hookah is a recent trend, long term effects of the activity continue to be determined; however, we have enough evidence to conclude that hookah is not the safe alternative to smoking cigarettes. Hookah smokers are at risk for developing the same cancers and diseases that are linked to cigarette smoking in addition to the added risk of developing communicable diseases.

Jamaica Hospital: Raising Awareness About Food Allergies

Posted on May 20, 2016 by Jamaica Hospital Medical Center

May has been designated as Food Allergy Action Month in an effort to educate Americans about food allergies and to support those who suffer from them.

Recent surveys indicate that 15 million Americans now suffer from food allergies. This number indicates that food allergies are much more common than previously believed and the number of people with allergies is steadily growing. It is now estimated that one out of every 13 children has a food allergy.

An allergic reaction occurs when the body’s immune system mistakenly identifies a food component as a hazardous substance and attacks it. The effects of food allergies may appear on the skin, in the respiratory passage, or in the gastrointestinal tract. The symptoms of food allergies may vary from mild to severe, and in extreme cases, they can even be fatal.

Minor reactions include:
• Skin rash
• Eczema
• Diarrhea
• Stomach cramps
• Nausea

Serious Reactions Include:
• Obstructive inflammation of the tongue and respiratory tract
• Panting and wheezing
• Lack of oxygen, leading to blue lips
• Unconsciousness
• Drop in pulse rate

Anaphylaxis is a very serious allergic reaction that can cause death. This type of allergic reaction requires immediate action and medical attention. If you or a loved one has a severe food allergy, you must be prepared for an emergency. Learn the signs and symptoms of anaphylaxis and know what the emergency care plan is. It may include the administration of epinephrine, a life-saving drug.

Over 170 different foods have been reported to cause an allergic reaction, but the food products that cause the most reactions are:
• Soy
• Milk
• Fish / Shellfish
• Peanuts / Tree Nuts
• Eggs
• Wheat

There is currently no cure for food allergies. To prevent an allergic reaction, it is important for the person with the allergy to stay away from foods that cause symptoms. Contact with even the smallest amounts of the allergen can cause serious problems. To avoid an allergic reaction, take the following precautions:
• Learn to carefully read food labels and ask about ingredients in prepared foods
• Wash your hands with soap and warm water before and after touching food
• Use clean, uncontaminated utensils when preparing foods
• Educate others about food allergies.

Every year in the United States, approximately 30,000 individuals are brought to hospital emergency departments and 150 people die due to severe allergic reactions. Jamaica Hospital joins the effort to raise awareness about food allergies and urges everyone to learn more about this growing, yet manageable issue.