The Great American Smokeout

Posted on November 19, 2015 by Andrew Rubin

Every year, on the third Thursday of November, the American Cancer Society encourages everyone to take part in the Great American Smokeout. This event helps to make people aware of the dangers of using tobacco products as well as the tools that are available to help them quit smoking.
The Great American Smokeout started in 1970 in a small town in Massachusetts. People were asked to give up smoking for one day and to take the money that they would have spent on cigarettes and donate it to a local high school scholarship fund. The event spread to other cities both large and small and eventually led to legislation that bans smoking in workplaces, restaurants, and other public spaces both indoors and outdoors.
Smoking is responsible for one in five deaths in the United States today. Lung cancer is the leading cause of death in both men and women. Smoking is also the cause of cancer of the larynx, mouth, sinuses, throat, esophagus, and the bladder. The number of people who smoke has dramatically decreased in the United States since the anti-smoking campaigns began. In 1965 it was estimated that over 40 percent of the population were smokers and today that number is around 18 percent.
Smokers have the best chances of quitting if they use at least two of the following methods:
– Smoking Cessation Groups
– Nicotine substitute products
– Support from family and friends
– Telephone quit lines
– Counseling
Prescription medications that help to reduce the urge to smoke
If you would like more information about quitting smoking please call the American Cancer Society at 1-800-227-2345. If you would like to schedule an appointment with a doctor at Jamaica Hospital to discuss smoking cessation, please call 71b-206-8494.

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.

November is COPD Awareness Month – Know Your COPD Facts

Posted on November 13, 2015 by Michael Hinck

November is National COPD Awareness Month. This observance is an opportunity for everyone across the country to increase their overall awareness of Chronic Obstructive Pulmonary Disease.

COPD is a form of lung disease that makes breathing difficult. It is caused by damage to the lungs over a prolonged period of time and is usually attributed to smoking. COPD can result in serious, long term disability and is the third leading cause of death in the United States. It kills more than 120,000 Americans each year – that’s one death every four seconds and that number is increasing every year.

The most common symptoms of COPD include shortness of breath, chronic cough, and difficulty performing simple daily tasks, such as climbing stairs.

Those most at risk of developing COPD are individuals who:
• Are over age 40 and currently smoke or smoked at some point
• Worked or lived around chemicals or fumes
• Have certain genetic conditions

If you think you have COPD, you should:
• Talk with your healthcare provider about your symptoms
• Request a breathing test, known as a spirometry
• Quit smoking! If you need help, ask your doctor
• Avoid pollutants or fumes that can irritate your lungs

While you can’t undo the damage COPD has caused to your lungs, there are steps you can take to prevent the condition from getting worse, such as:
• Taking medications as directed by your doctor
• Enrolling in a pulmonary rehabilitation program
• Avoiding factors that can irritate your lungs
• Receiving annual flu and pneumonia vaccines

Smoking and Emphysema

Posted on October 23, 2015 by Michael Hinck

Smoking can lead to many health conditions, many of which are reversible or treatable. One disease however that is not is emphysema.

When someone has emphysema, the tiny air sacs (alveoli) at the end of the airways in their lungs are damaged. When these sacs are damaged or destroyed, their walls weaken and eventually rupture. Ultimately, this reduces the amount of oxygen that reaches their bloodstream. Smoking is the leading cause of emphysema.

While emphysema is most likely to develop in cigarette smokers, cigar and pipe smokers also are susceptible. The risk for all types of smokers increases with the number of years and amount of tobacco smoked. Other factors include:

• Age
• Exposure to secondhand smoke
• Occupational exposure to fumes or dust
• Exposure to indoor and outdoor pollution

The main symptoms of emphysema are shortness of breath and difficulty breathing. Because these symptoms develop gradually, you can have emphysema for many years without knowing it.

See your doctor if you’ve had unexplained shortness of breath for several months, especially if it’s getting worse or it’s interfering with your daily activities. Don’t try to attribute it to deconditioning, age or weight. Seek immediate medical attention if:

• You’re so short of breath that you can’t perform basic activities such as climb stairs
• Your lips or fingernails turn blue or gray with exertion
• You’re not mentally alert

Tests to determine if you have emphysema include imaging and lab tests. Lung function tests to measure how well air flows in and out of your lungs may also be performed.

Unfortunately, emphysema is not currently curable, but there are medications and therapies that can help relieve symptoms and slow the progression of the disease. In extreme cases your doctor may suggest one or more different types of surgery.

If you have emphysema, you can take a number of steps to halt its progression and to protect yourself from complications, including exercising regularly and avoiding irritants, but the most important measure you can take for your overall health and the only one that might halt the progression of emphysema is to STOP SMOKING.

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.

Is Smoking Cigars Any Safer Than Smoking Cigarettes?

Posted on May 19, 2015 by Xavia Malcolm

Cigarette sales are beginning to see a decline while cigar consumption has been rising steadily. This is partly attributed to the growing belief that cigars are a safer alternative to cigarettes. Many smokers perceive cigars as having fewer health risks because the smoke is not inhaled into the lungs but is instead sucked and kept in the mouth for the taste. However, the most concerning misconception among smokers is the belief that cigars are safer because they do not have a Surgeon General’s health warning as cigarettes do.

Research has proven all of these beliefs to be untrue. Cigars do not require health labels because they are not as regulated as cigarettes. Furthermore, they contain some of the same hazardous chemicals such as arsenic and can have the same negative health effects.

Cigars contain high levels of the addictive substance nicotine. Nicotine can enter the body by being inhaled into the lungs and can also be absorbed through the lining in the mouth. Cigars are also known to contain more tar than cigarettes. Tar contains the carcinogen (cancer-causing substance) benzo(a)pyrene. Cigar smokers are at a high risk for developing cancers of the mouth, larynx and esophagus.

Cigar smoke has been linked to other health conditions such as oral, lung and cardiovascular disease. Chronic cigar smokers may be twice as likely to be at risk for COPD (chronic obstructive pulmonary disease). They may also face a higher risk of premature death caused by aortic aneurysms and damage to the heart. Cigars can also wreak havoc on dental health by causing tooth loss, bad breath and stained teeth.

The National Cancer Institute has determined that cigars are no safer than cigarettes and there are no safe tobacco products. There is also no safe level of tobacco smoke exposure. For this reason and others previously discussed, the best option for smokers to improve their health and prevent the risk of developing chronic diseases is to stop smoking.

If you or someone you know needs help in quitting smoking please contact Jamaica Hospital’s Freedom From Smoking program at 718 206 8494 or visit www.smokefree.gov for more information.

Smoking and Rheumatoid Arthritis

Posted on May 1, 2015 by Michael Hinck

Smoking is a bad habit for anyone, but for those with rheumatoid arthritis (RA), it is a habit that is especially dangerous.

Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling, and loss of function in the joints. It occurs when your immune system, the system that protects your body from outside harm, mistakenly starts attacking healthy tissue. If not managed properly, over time, RA can cause joint damage—and can even result in permanent joint destruction.

Unlike the more common osteoarthritis, RA is not associated with factors such as aging, obesity, or injury, but lifestyle choices, such as smoking, not only increase your odds of developing the disease but also make the condition worse for those who already have it. In addition, smoking combined with RA can lead to even greater problems, such as heart disease.

Recent studies indicate that tobacco is highly associated with and the probable cause of RA in many instances and is a leading factor when the condition worsens. According to one study, Smokers with a specific gene makeup are 50% more likely to develop RA than those who do not smoke, and those who get it, usually develop a more serious form of the disease.

Smoking also affects how well those who develop RA respond to treatments. In general, smokers are less likely to achieve remission and have worse outcomes because tobacco reduces the effectiveness of medications used to treat swelling and reduce pain for rheumatoid arthritis patients.

Having rheumatoid arthritis, in and of itself, it’s a risk factor for developing heart disease. In fact, over the last ten years, the leading cause of death for people with RA is cardiovascular disease. Smoking, combined with RA raises your risk of developing heart disease to a much higher level.

Quitting smoking can go a long way toward rheumatoid arthritis prevention. If you’re at risk for developing RA or if you already have it, you don’t want to light up, and if you’re already smoking, you want to quit.

May is arthritis awareness month. If you or a loved one either has or is at risk of developing arthritis, please speak to your doctor immediately about treatment options. To make an appointment at Jamaica Hospitals’ Ambulatory Care Center, please call 718-206-7001.

I Am So Stressed! Where Are My Cigarette’s?

Posted on March 27, 2015 by Joann Ariola

Is smoking a cigarette when you are stressed, depressed or irritable a proven way to relieve those emotions or improve your mood?

The answer is, no. The relief you get from smoking comes from the act of taking the “time out” necessary to smoke a cigarette. It does not have to do with the chemical actions of nicotine in your brain.

If you finish your cigarette and return to your stressful situation, the feeling of tension will come back. Therefore, the act of smoking is only a temporary solution for handling stress.

A proven way to control stress, tension or depression in your life is to identify what brings on those emotions and learning how to change the way you react to the events and situations in your life.

If you have been using smoking as a way to reduce stress, a great time to
“kick the habit” is to participate in The Great American Smoke out, Wednesday, November 18th, 2015.

Jamaica Hospital Medical Center can help. Enroll, today, for our smoking cessation classes. For more information or to register, call: 718-206-8494.

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.

The Dangers of Secondhand Smoke

Posted on October 13, 2014 by Xavia Malcolm

Secondhand smoke is a combination of side stream smoke-which comes from the end of a burning cigarette and mainstream smoke-which is exhaled by the smoker. It may seem harmless but the smoke that comes from the end of the cigarette is considered to be even more harmful than the smoke inhaled by the smoker; because there are no filters. Secondhand smoke is harmful to everyone; however, pregnant women, children and partners of people who smoke are the most vulnerable.

There are over 250 harmful chemicals that can be found in the smoke created by tobacco products. Some of these chemicals are carbon monoxide, hydrogen cyanide, ammonia, arsenic, vinyl chloride and formaldehyde. The Environmental Protection Agency categorizes secondhand smoke as a Group A carcinogen; meaning that it can cause cancer in humans.

The more you are exposed to secondhand smoke, the higher your risk of developing diseases and suffering from the health effects. Respiratory symptoms such as wheezing, breathlessness and coughing can be triggered by secondhand smoke. Other harmful health effects include the increased risk of developing heart disease, respiratory disease and strokes.

Pregnant women who consistently breathe secondhand smoke may have miscarriages or give birth to low birth-weight and premature babies. For newborns exposure can escalate the risk of Sudden Infant Death Syndrome. Children can experience increased occurrences of asthma, pneumonia, bronchitis and ear infections.

Secondhand smoke is harmful, despite the level of exposure. Breathing in even a little smoke can be dangerous and the effects on your health can be immediate. There are several ways to reduce the risk of exposure to second hand smoke. You can ask members in your family not to smoke in your home, disallow smoking in your car and choose smoke- free restaurant and indoor places.