Cystic Fibrosis Awareness Month

Posted on May 19, 2025 by Patrick Hercules

May is Cystic Fibrosis Awareness Month. It is observed as a month that encourages education about the battle against the disease, which affects more than 30,000 people in the United States.

Cystic Fibrosis is a genetic disorder that affects the lungs, causing constant lung infections. It also impacts other organs in the body where mucus builds up, such as the pancreas.

There are two types of cystic fibrosis, classic cystic fibrosis and atypical cystic fibrosis.

Classic cystic fibrosis often affects multiple organs. It is usually diagnosed in the first few years of life.

Symptoms of classic cystic fibrosis include:

Frequent lung infections
Loose or oily poop
Trouble breathing
Frequent wheezing
Frequent sinus infections
A nagging cough
Slow growth
Failure to thrive (inability to gain weight despite having a good appetite and taking in enough calories)

Atypical cystic fibrosis is a milder form of the disease. It may only affect one organ, or symptoms may come and go. It is usually diagnosed in older children or adults.

People with atypical cystic fibrosis may have some of the same symptoms as those with classic cystic fibrosis. Over time, they might experience symptoms that can include:

Chronic sinusitis
Nasal polyps
Dehydration or heatstroke from abnormal electrolyte levels
Diarrhea
Pancreatitis
Unintended weight loss

Changes to the cystic fibrosis transmembrane conductance regulator (CFTR) gene cause cystic fibrosis. It affects the cells that make mucus, sweat, and digestive juices. When the CFTR protein doesn’t work as it should, it results in a thick, sticky mucus in the respiratory, digestive, and reproductive systems, as well as extra salt in sweat.

Changes in the CFTR gene that cause cystic fibrosis are divided into several different groups based on the problems they cause. Different groups of gene changes affect how much CFTR protein is made and how well it works.

To have cystic fibrosis, children must get one copy of the changed CFTR gene from each parent. If children get only one copy, they won’t develop cystic fibrosis. But they will be carriers and could pass the changed gene to their children. People who are carriers may have no symptoms of cystic fibrosis or a few mild symptoms.

Because cystic fibrosis is a genetic condition, family history is a risk factor. Cystic fibrosis occurs in all races. However, it is most common in white people of North European ancestry. Because it is less common in people who are Black, Hispanic, Middle Eastern, Native American, or Asian, this may lead to a much later diagnosis.

A late diagnosis may cause worse health issues. Early and effective treatment can improve your quality of life, prevent complications, and help you live longer. If you are a person of color and have symptoms that could be cystic fibrosis, talk to your healthcare provider so you can get tested for it.

To diagnose cystic fibrosis, healthcare providers usually perform a physical exam, review your symptoms, and perform tests.

Every state in the U.S. now routinely screens newborns for cystic fibrosis. Early diagnosis means treatment can begin right away. Testing can include:

Newborn screening
A sweat test
Genetic testing

Cystic fibrosis tests may be recommended for older children and adults who weren’t screened at birth. A healthcare provider may suggest genetic and sweat tests if you have repeated bouts of symptoms of cystic fibrosis.

Unfortunately, there is no cure for cystic fibrosis, however, treatment can ease symptoms, lessen complications, and improve quality of life. Close monitoring and early, aggressive intervention are recommended to slow the worsening of cystic fibrosis over time, which can lead to a longer life.

The goals of treatment include:

Preventing and controlling infections that occur in the lungs
Removing and loosening mucus from the lungs
Treating and preventing intestinal blockages
Getting enough nutrition

To learn more about cystic fibrosis or to make an appointment with a pulmonologist at Jamaica Hospital Medical Center, please call (718) 206-7126.

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.

COPD Myths

Posted on March 7, 2025 by Patrick Hercules

Chronic obstructive pulmonary disease, or COPD, is a group of health conditions, such as chronic bronchitis and emphysema, that limit airflow in the lungs.

Many myths and misconceptions exist about COPD. Here are some misconceptions surrounding COPD:

Myth #1: Only people who smoke get COPD

COPD is often associated with smoking, as smoking cigarettes and other tobacco products is the most common cause of the damage done to the lungs and airways. However, nearly 30% of people with COPD have never smoked a cigarette. Nonsmoking causes of COPD include:

Long-term exposure to polluted air, such as smog in an urban area or dust and fumes at a workplace
Genetics plays a role, specifically a condition called Alpha-1 antitrypsin deficiency (Alpha-1)
Asthma that’s active or even inactive. Researchers have found that 29% of people with asthma eventually receive a COPD diagnosis
Childhood respiratory illnesses, such as pneumonia

Myth #2: COPD is rare

According to estimates from the Centers for Disease Control and Prevention (CDC), over six in 100 adults in the U.S. had a COPD diagnosis in 2022.

That means millions of adults across the country have received a diagnosis of COPD. The actual proportion of adults with COPD may be higher due to delays in obtaining a diagnosis.

Myth #3: Exercise is too hard if you have COPD

Shortness of breath, wheezing, a chronic cough, and fatigue can all be a part of COPD. Any one of these symptoms can make exercising challenging.

Moderate exercise may not affect your lungs. In some cases, exercise can minimize the symptoms of COPD while strengthening the heart and helping reduce stress.

Try to build up to 20 to 30 minutes of exercise three to four times a week. Combine safe cardiovascular activities such as walking or biking with stretching and strength-building. It won’t be easy to start exercising. Speak with your healthcare provider about building an exercise plan that works for you. They may be able to connect you with a respiratory therapist for breathing techniques and exercises you can do. It is recommended that you speak to your doctor about your health before starting a new exercise regimen.

Myth #4: Only older people develop COPD

COPD is more common in people 65 or older. However, younger people can also develop this condition.

A 2023 study found that COPD affected more than 1.6% of adults ages 20 to 50 in the U.S. Adults aged 35 to 50 had a higher risk of COPD than those under the age of 35.

A history of smoking or secondhand smoke exposure significantly increases the risk of COPD in young adults.

Myth #5: COPD is a man’s disease

The Centers for Disease Control (CDC) reports that women are more likely to develop COPD than men in the U.S.

More women than men have also died from COPD since 2000 in the U.S.

Exposure to tobacco smoke and other pollutants raises the risk of COPD for anyone; however, women can experience more harmful effects than men from these pollutants.

Women with COPD also tend to get a diagnosis later than men, after the disease has progressed and treatment is less effective. This may contribute to reduced survival in women with COPD.

Myth #6: Nothing can be done to treat COPD

COPD treatments are available to help limit symptoms and potentially slow the progression of COPD.

Your treatment plan can include lifestyle changes like quitting smoking (if you smoke), as well as one or more of the following:

Vaccinations
Medications
Pulmonary rehabilitation
Supplemental oxygen
Lung transplant
Surgery

Talk with your healthcare provider to learn more about your treatment options.

Myth #7: There’s no point in quitting smoking after you develop COPD

Avoiding tobacco smoke is one of the most important things you can do to manage COPD.

If you smoke, cutting back and quitting can help limit symptoms and slow the progression of COPD.

Although more research is necessary, it may also be helpful to avoid e-cigarettes and other vaping products.

Avoiding smoking and vaping altogether is likely your healthiest option. Talk with a healthcare provider to learn about smoking cessation counseling, medication, or other resources that can help you cut back and quit smoking or vaping.

Jamaica Hospital’s Medical Home Department has partnered with the American Lung Association to bring you Freedom from Smoking, a comprehensive and successful group-based smoking cessation program. For more information or to register, call: 718-206-8494

Pulmonary Hypertension

Posted on February 3, 2025 by Xavia Malcolm

Pulmonary hypertension (PH) is a condition that develops when the blood pressure in the pulmonary arteries, which carries blood from the right side of your heart to your lungs, is too high.

Pulmonary hypertension causes blood vessels in the lungs to become narrowed, blocked, or damaged. The heart must work harder than normal to pump blood into the lungs because of these problems. This can cause damage to the heart and lead to symptoms including:

Chest pain or pressure
Shortness of breath
Fatigue
Dizziness or fainting
Heart palpitations
Edema or swelling of the feet, legs, or abdomen

Pulmonary hypertension can lead to serious complications such as:

Bleeding in the lungs
Heart failure
Heart enlargement
Arrhythmias or irregular heartbeats
Pregnancy complications
Liver damage
Anemia

The causes of pulmonary hypertension depend on the type of pulmonary hypertension you might have. Here are the five classifications of PH based on their causes:

Group 1: Pulmonary arterial hypertension (PAH) –The causes of PAH can be idiopathic (an unknown cause or caused by an underlying health condition) or genetic. PAH can also develop due to illegal drug use, congenital heart defects, or certain medical conditions such as lupus.
Group 2: Pulmonary hypertension caused by left-sided heart disease- This is the most common type of PH. The causes include left heart failure or left-sided heart valve disease.
Group 3: Pulmonary hypertension due to lung disease and/or hypoxia- This develops due to pulmonary fibrosis or the scarring of the lungs, obstructive sleep apnea, chronic obstructive pulmonary disease (COPD), or prolonged exposure to high altitudes.
Group 4: Pulmonary hypertension due to pulmonary artery obstructions or blockages in the lungs– Blockages or obstructions may include blood clots in the lungs or tumors that block pulmonary arteries.
Group 5: Pulmonary hypertension caused by other disorders or health conditions- These disorders or health conditions can include kidney disease, blood disorders such as sickle disease, or metabolic conditions such as thyroid disease.

The risk factors for developing pulmonary hypertension include:

A family history of blood clots
A family history of pulmonary hypertension
Living at high altitudes
Use of illegal drugs
Smoking or using tobacco products
Exposure to asbestos
Taking certain medications designed to treat depression or cancer
Age (PH is usually diagnosed in adults between ages 30 and 60. The risk increases as you get older.)

Pulmonary hypertension is diagnosed by a healthcare professional through various tests, such as an echocardiogram, which measures the pressure in the pulmonary arteries. Additional tests may include blood tests, chest X-rays, and electrocardiograms (ECG or EKG). Your healthcare provider will also assess your medical history and symptoms to determine if you have pulmonary hypertension. Treatment options for pulmonary hypertension may include medication, lifestyle changes, or surgery.

If you are experiencing symptoms of pulmonary hypertension or are at risk, please call the Division of Pulmonary Medicine at 718-206-5916 to schedule an appointment.

Walking Pneumonia in Children

Posted on November 12, 2024 by Patrick Hercules

Walking pneumonia is a mild form of pneumonia. Pneumonia is a lung infection that causes your airways to swell, and the air sacs in your lungs to fill with mucus and other fluids. It can also cause a high fever and a cough with mucus.

A cold lasting longer than seven to ten days, especially with a cough that gets worse over time is often a sign of walking pneumonia. Other symptoms may include:

· A fever of 101 degrees F or below

· Fatigue

· Headache, chills, sore throat, and other cold or flu-like symptoms

· Fast breathing or breathing with grunting or wheezing sounds

· Labored breathing that makes rib muscles retract

· Ear pain

· Chest or stomach pain

· Malaise or feeling of discomfort

· Vomiting

· Loss of appetite

· Rash

· Joint pain

Symptoms can come on suddenly or take longer to start. The symptoms are often mild, but can sometimes be more severe

Most children with walking pneumonia don’t feel sick enough to stay home, but even a child who feels fine should stay home for a few days until antibiotic treatment kicks in and symptoms improve

Walking pneumonia symptoms usually depend on where the infection is concentrated. A child with an infection in the top or middle part of the lungs will probably have labored breathing. A child with an infection in the lower part of the lungs may have no breathing problems but may have an upset stomach, nausea, or vomiting.

Walking pneumonia is often caused by bacteria called Mycoplasma pneumoniae. Other bacteria, viruses, or mold can also cause it.

Doctors usually diagnose walking pneumonia by performing an exam. They will check a child’s breathing and listen for a crackling sound that often indicates walking pneumonia. If needed, a chest x-ray or test of mucus samples from the child’s throat or nose will be ordered to confirm the diagnosis.

Walking pneumonia is treated with antibiotics because they are an effective treatment. A five to ten-day course of oral antibiotics is usually recommended. If your doctor prescribes antibiotics, make sure your child takes them on schedule for as long as directed to recover more quickly.

To schedule an appointment with a physician at Jamaica Hospital Medical Center, please call 718-206-7001.

Blood Clots

Posted on August 8, 2024 by Patrick Hercules

Blood clots are gel-like clumps of blood that form in your arteries and veins. Blood clots help control bleeding, but can also cause serious medical issues like deep vein thrombosis, pulmonary embolism, and heart attack.

Blood clots are the first line of defense if something damages your blood vessels. This is why bleeding usually stops after a few minutes when you cut yourself. You can also develop a blood clot when you have been immobile for a long time or have medical conditions that increase your risk of getting them.

Blood clots are made of small colorless fragments of cells produced by your bone marrow called platelets. They are also made of a sticky blood protein that looks like strings called fibrin. Platelets and fibrin work together to seal injured areas of your blood vessels.

You can have blood clots anywhere in your body. When they develop in the veins of your arms and legs it’s called deep vein thrombosis. Blood clots that form in the arteries of your lungs are called pulmonary embolism. A stroke occurs when blood clots block blood flow to your brain. When blood clots are in your heart, they can cause a heart attack.

If you are experiencing leg pain, swollen legs, or skin discoloration, these may be symptoms of deep vein thrombosis. Chest pain or shortness of breath can be symptoms of blood clots in your lungs or heart.

Some other possible symptoms of blood clots to be mindful of include:

A cough that produces blood sputum
A fast heartbeat
Lightheadedness
Pain that spreads to the shoulder, arm, back, or jaw
Sudden weakness or numbness of the face, arm, or leg
Sudden difficulty speaking or understanding speech

Some conditions focus on blood clots such as blood clotting issues. Some blood clotting disorders include:

Factor V Leiden- an inherited disorder and most common blood clotting disorder. It slightly increases your risk of deep vein thrombosis or pulmonary embolism.
Prothrombin Gene Mutation- an inherited condition that slightly increases your risk of deep vein thrombosis or pulmonary embolism.
Antiphospholipid Syndrome- an autoimmune disorder that increases the risk of blood clots.

People who have an increased risk of developing blood clots include:

People 65 years of age or older
Pregnancy
People who are obese
People who have cancer
Those on birth control or hormone therapy
Smokers
Immobile people

Ways to reduce the risk of developing blood clots include:

Avoid sitting for long periods
Drinking plenty of fluids
Changing your lifestyle

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

Nebulizers: What You Should Know

Posted on April 10, 2024 by Jacob Lobosco

Over 34 million people throughout the United States live with a chronic lung disease such as asthma or chronic obstructive pulmonary disorder (COPD). Any type of lung disease can have a significant detrimental impact on your quality of life without effective treatment to manage it. One of these treatments is the usage of nebulizers, which turn liquid medicine into a mist that can be easily inhaled.

While they function in a similar way, nebulizers are not the same thing as inhalers. An inhaler delivers medication more quickly, is often smaller and more portable, often costs less, and usually causes fewer side effects. However, they are not as easy to use properly as nebulizers, which allow you to breathe normally to get the dose of medicine you need.

You may need a nebulizer if you plan to take certain types of medication, such as bronchodilators (which relax your airway muscles) or corticosteroids (which prevent airway inflammation). Nebulizers can also be used with some antibiotics (if you have a bacterial lung infection) or medications that loosen mucus in your lungs.

Before using your nebulizer, it’s important to make sure you’re setting it up correctly. You should:

Read the manufacturer’s instructions for setting up and using your nebulizer, which should be included
Wash your hands
Fill the medicine cup and close it tightly
Make sure the hose is connected to the air compressor, mouthpiece, and medicine cup
Plug in and turn on the nebulizer

While using the nebulizer, you should:

Keep your lips firmly around the mouthpiece
Breathe through your mouth until the medicine cup is empty (this can take up to 20 minutes)

It’s also important to make sure you’re keeping your nebulizer sanitary for future use. Each time you finish using it, you should:

Turn off and unplug the machine
Wash the mouthpiece and medicine cup under warm, running water
Air dry the nebulizer and run air through it for at least 20 seconds to ensure all parts of it are dry
Remove all detachable parts (such as the mouthpiece and medicine cup) and store the nebulizer in a covered place until the next time you use it
Change the machine’s filter as needed (see the instructions that came with your nebulizer)

If you experience symptoms of asthma or another type of lung disease, you can receive high-quality treatment from Jamaica Hospital Medical Center’s Division of Pulmonary Medicine. To learn more or to schedule an appointment, please call (718) 206-7126.

When is a Cough Serious?

Posted on January 24, 2024 by Jacob Lobosco

Coughing is a normal reflex and often does not signify a serious underlying medical condition. However, a cough could be connected to a more significant health issue and should be evaluated by a doctor when it is:

Severe
Worsening over time
Occurring frequently over several days or weeks

A cough can be either “acute,” meaning that it lasts less than three weeks, or “chronic,” meaning that it lasts longer. Some causes of acute cough, such as the common cold or exposure to airborne irritants, are not necessarily causes for concern on their own, but others, such as pneumonia and influenza, are potentially life-threatening for some people, such as older adults, infants, and people with compromised immune systems or chronic health conditions.

In many cases, chronic coughing is also not indicative of a major, life-threatening health problem, such as when it is caused by mild allergies or asthma. However, it may be a cause for concern when it is severe, frequent, or accompanied by one or more other symptoms, including (but not limited to):

Coughing up blood
Wheezing
Shortness of breath
Chest tightness
Fatigue
Unintended weight loss

These symptoms could indicate that a cough is associated with a serious underlying medical condition, such as chronic obstructive pulmonary disease (COPD), emphysema, lung cancer, cystic fibrosis, or pulmonary embolism. If you experience these symptoms, it’s important to get evaluated by a doctor as soon as possible.

You can receive diagnostic care and specialized treatment for your cough at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Lung Cancer Awareness Month

Posted on November 17, 2019 by Andrew Rubin

November is recognized as Lung Cancer Awareness Month. The importance of this designation is to bring awareness to the fact that Lung Cancer is responsible for approximately 25 percent of all cancer deaths. Lung cancer takes more lives each year than colon, breast, and prostate cancers combined.

Lung cancer is a form of cancer that starts in the lungs. In the early stages there may not be any signs or symptoms. A history of smoking definitely contributes to a higher risk of being diagnosed with the disease, though non-smokers also can develop lung cancer.

Signs and Symptoms of Lung Cancer include:
• A cough that doesn’t get better
• Coughing up blood
• Shortness of breath
• Chest pain
• Wheezing
• Hoarseness
• Weight loss that isn’t intentional

It is now recommended that certain patients who are over 55 years of age and have smoked for many years consider screening for lung cancer by doing a a low dose CAT scan of the lungs. This may detect cancers at an early stage where they may be more curable. It is important to have a conversation with your physician prior to performing a screening CT scan so that the patient understands the pros and cons of screening. For example, many scans will show small nodules (small spots in the lungs) that are not cancerous but will require follow-up and patient’s need to understand this and be prepared for this possibility.

There are several types of lung cancer based on their appearance under the microscope. These include small cell cancer and non-small cell cancer, which is a group of cancers that includes squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.

Testing that can help make the diagnosis of cancer includes chest x-rays, CT scans, PET scans, examination of the sputum, bronchoscopy ( a test in which a fiber optic scope is passed into the lungs), and lung biopsies (which can be done by a needle although sometimes a surgical procedure is required). Not all tests will be required for every patient.

Once the diagnosis is established it is important to determine what stage the cancer is. Factors that go into staging cancer include the size of the tumor itself location and whether it has spread to the lymph nodes in the chest or to other parts of the body such as the brain, liver, bone or adrenal glands.

To schedule an appointment with a pulmonologist at Jamaica Hospital, please call 718-206-6742.

What is Popcorn Lung and Can Vaping Cause It?

Posted on July 5, 2019 by Michael Hinck

“Popcorn lung” is the nickname for bronchiolitis obliterans, a serious and irreversible lung disease that can damage the smallest airways in your lungs, resulting in coughing and shortness of breath.

The condition got its nickname because of the chemical diacetyl, a buttery flavored chemical that was commonly found in microwave popcorn. After workers at the factories that produced microwave popcorn began to experience symptoms associated with bronchiolitis obliterans after inhaling diacetyl, manufacturers removed it from their products.

While diacetyl is no longer a threat from microwaved popcorn, many are now being exposed to it through e-cigarette vapor. Diacetyl is often added to “e-juice” liquid by some e-cigarette companies to complement flavorings such as vanilla, maple, coconut and more. In fact, recent studies have found that more than 75 percent of flavored e-cigarettes and refill liquids tested positive for diacetyl

So how does diacetyl cause popcorn lung? Your lungs are where your blood receives oxygen before carrying it to cells in the rest of your body through tiny air sacs called alveoli. Exposure to diacetyl can irritate or scar the alveoli, causing inflammation or narrowing, making it difficult for them to deliver oxygen to your blood.

The main symptoms of popcorn lung are a dry cough and shortness of breath. These show up between two weeks and two months after you’ve been around a toxic gas or had an illness. You’re especially likely to have them after exercising or heavy labor.

Other symptoms may include:

Flu-like illness with fever
Unexplained fatigue
Weight loss
Wheezing
Eye, skin, mouth, or nose irritation, if caused by chemical exposure

Popcorn lung is often misdiagnosed as asthma, bronchitis, or emphysema. To diagnose popcorn lung, your doctor will order an X-ray, CT scan or a surgical lung biopsy. Your doctor may also want to measure your lung’s function by conducting a pulmonary function test.

Unfortunately, there is no cure for popcorn lung, but there are treatments to help alleviate the symptoms or slow the progression of the disease. Treatment options include prescription corticosteroids, cough suppressants, bronchodilators to open the airways or immunosuppressant therapy to decrease your body’s immune response. In severe cases oxygen supplementation may be needed. If left untreated, popcorn lung can be fatal in some cases.

The best way to prevent developing popcorn lung is to avoid exposure to harmful chemicals like diacetyl, found in e-cigarettes.

If you are experiencing symptoms of popcorn lung, make an appointment to see your doctor. To make an appointment with a Pulmonologist at Jamaica Hospital, please call our Ambulatory Care Department at 718-206-7001.

Mesothelioma

Posted on June 4, 2019 by Xavia Malcolm

Mesothelioma is an aggressive form of cancer. It affects the tissue that lines the body’s internal organs. There are four main types of mesothelioma based on location, they include:

Pleural Mesothelioma (Lungs)
Pericardial Mesothelioma (Heart)
Testicular Mesothelioma (Testes)
Peritoneal Mesothelioma (Abdomen)

Most people who develop the disease are those who have swallowed or inhaled asbestos particles over a period of time (Mesothelioma can take many years to develop after exposure; it may take anywhere between 20 to 60 years to form). There are other contributing factors that increase the risk of the mesothelioma including living with someone who works with asbestos, having a family history of the disease or receiving radiation therapy to the chest.

Symptoms of mesothelioma may vary depending on the location of which the cancer develops. They can include:

Painful coughing
Chest pain
Shortness of breath
Fluid buildup around the lungs
Abdominal pain and swelling
Bowel obstruction
Nausea
Unexplained weight loss
Irregular heartbeat
Pain in the testes
Swelling in the scrotum

If you are experiencing any of these symptoms and are at risk for developing mesothelioma, it is advised that you see your doctor as soon as possible. Your doctor can order a series of tests that may include a biopsy, imaging or blood tests. Testing can help your doctor detect mesothelioma and assign a stage.

There is no cure for mesothelioma. Treatment for the disease is dependent on the stage and location of the cancer, as well as certain aspects of your health. According to the National Cancer Institute, treatment may include surgery, radiation therapy, chemotherapy or targeted therapy.

To learn more about mesothelioma, please visit the National Cancer Institute’s website at www.cancer.gov.