Wellness Wednesday Tip

Our daily lives can be bombarded with constant bad news, tragedy, negativity, stress, worry, and anxiety. These factors can affect our mood and cause our nervous systems to overload, causing us to lose sleep, which can then lead to cardiovascular issues, weakened immune function, metabolic problems, and mental health conditions.  

Mindfulness and meditation are overlapping techniques proven to ease stress, improve sleep, and enhance concentration.  

Practicing mindfulness can be as simple as walking through a park, admiring nature, or using mental health apps to help anchor you in the present. Engaging in these activities can help calm anxiety, improve focus and concentration, and increase positive feelings.  

Meditation combines body and mind by focusing on sensations, such as breathing, images, or a repeated word or phrase. One exercise that works similarly well for adults and younger people is box breathing. Box breathing is a form of yogic deep breathing that uses the concept of a box with four sides, represented here by breathing while you slowly count to four, four times. Four counts of breathing in, four counts of holding your breath, four counts of exhaling, and four more counts of holding after your exhale. This rhythmic pattern of breathing helps regulate the nervous system, suppressing anxiety and stress, lowering the heart rate and blood pressure, and boosting focus. 

If you are feeling anxious or overwhelmed and need the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.  

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.

ABC Method for Better Sleep and Better Brain Health

We all have nights when we can’t get a good night’s sleep. We toss and turn all night, waking up exhausted because of poor sleep quality.  

If you are experiencing poor sleep quality, the ABC method or ABCs of respiratory therapy can help you sleep properly and efficiently. The ABC method stands for:  

  • Airway 
  • Breathing 
  • Circulation 

This method helps regulate a variety of things, primarily oxygenation, which helps your body recover and stay functioning. Finding the right sleep position is essential to the ABC method. 

According to Dr. John Saito, a representative for the American Academy of Sleep Medicine (AASM), everyone has their own idea of what a good sleep position is, whether it is on the left or right side, the back, or stomach, but it all depends on the context. 

If a person is sleeping on their back and has a good support pillow that keeps their spine and neck in a neutral position, it allows their airway to remain open and unobstructed, and they can breathe easily. However, if a person has sleep apnea, sleeping on their back can be harmful to health, as their throat muscles become too relaxed and block the body’s upper airway.  

The ABC method can also work with babies, as most doctors recommend putting them on their backs to reduce the risk of sudden infant death syndrome (SIDS), which is an unexplained death that usually occurs during sleep. 

Dr. Saito suggests that sleeping on your side can offer several benefits. Sleeping on your right side may be better for blood flow, as well as lower pressure on your heart, due to the flexible compartment located between your lungs called the mediastinum, which helps hold your heart in place. 

Sleeping on your left side can also provide some benefits, as it may be better for clearing the waste product in the brain. This is known as the glymphatic system, which is the brain’s specialized waste clearance network that clears any harmful metabolic byproducts while we sleep, including proteins linked to Alzheimer’s disease. 

Lastly, Dr. Saito points out the difference between sleeping in a fetal or curled position and spreading out. Sleeping on either side of your body, with your spine straight, helps keep it aligned, while curling up on your side helps to ease lower back pain. However, being too curled up can compress your diaphragm and chest, which restricts breathing. 

Having trouble sleeping because you can’t find a comfortable sleeping position can cause you to move a lot throughout the night as you try to reposition yourself. This can disrupt your sleep and affect the quality of your sleep. Here are ways to practice sleeping in better positions to help you get a restful night’s sleep: 

  • If you sleep on your side, place a pillow between your knees to help better align your head, neck, and hips. This neutral posture can make breathing easier and result in deeper and more restorative sleep 
  • If you sleep on your back, place a pillow under your knees 
  • If you sleep on your stomach, place a thin pillow under your hips 

Additionally, choosing a mattress that adheres to the natural curve of your spine is an essential part of getting a good night’s sleep. 

There isn’t just one best position to sleep in. A lot of factors go into how your sleep position affects your quality of sleep. Whether you suffer from sleep apnea, back pain, are a chronic snorer, or are pregnant, the major goal is to find a comfortable and unobtrusive sleeping position that allows you to get a good night’s sleep. Choose whichever sleep position that makes you the most comfortable, as it will give you the best and most rest. 

Our New York Sleep Clinic staff consists of board-certified sleep specialists and respiratory therapists who are highly skilled in evaluating and treating sleep disorders. Our compassionate staff will ensure your stay is pleasant and helpful to your health. For additional information or to make an appointment, please call 718-206-5916. 

 

 

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.

Common Vaccines That Can Prevent Chronic Diseases or Some Cancers

Vaccines don’t just protect you from specific infectious diseases or help reduce the severity of symptoms if you get sick. They also play a significant role in preventing you from developing common chronic diseases, including certain cancers. 

What’s more, there is an increasing amount of research that has shown that vaccines can reduce the risk of developing dementia and heart conditions. 

Here are some common vaccines that can prevent chronic diseases and some cancers: 

HPV Vaccine 

Human papillomavirus (HPV) is a common infection spread by skin-to-skin contact, often through sex, and is responsible for most cervical cancers. It can also cause a large number of lower genital cancers and certain head and neck cancers. 

Studies have shown that rates of HPV infection, early signs of precancer, and cervical cancer have fallen since the HPV vaccine was introduced. A 2024 study of an estimated 3.5 million participants found fewer cases of HPV-related cancers in people who were vaccinated. Another study found that cervical cancer deaths among women younger than 25 years old dropped more than 60 percent in recent years, with researchers suggesting that the significant decline was most likely the result of vaccinations.  

The HPV vaccine should be administered to all young people between the ages of nine and 26. It can be given to people up to the age of 45; however, the vaccine is less effective the older you are. Two doses of the vaccine are recommended for most people younger than 15 years old, and three shots for people between 15 and 26 years old and those who are immunocompromised. 

Shingles Vaccine 

Shingles is caused by the same virus that causes chicken pox. Unfortunately, the virus doesn’t leave your body after you have recovered from chicken pox and stays dormant in your nervous system, and for some people, it can reactivate and cause a painful rash. In the U.S., an estimated one million people get shingles each year, and for certain people, it can sometimes also cause lifelong chronic pain conditions or other serious complications, such as vision loss. 

According to the Centers for Disease Control and Prevention (CDC), the shingles vaccine is 97 percent effective in preventing shingles in adults between 50 and 69 years old.  

Additionally, many large-scale studies have reported a connection between the shingles vaccine and reduced risk of dementia. There is also research that suggests the vaccine could reduce the risk of cardiovascular events such as stroke, heart failure, and coronary artery disease. The CDC recommends two doses of a shingles vaccine for adults 50 and older, or people 19 years or older with weakened immune symptoms. The chicken pox vaccine for children can help prevent shingles when they’re older. 

Hepatitis B Vaccine 

The hepatitis B virus is a leading risk factor for liver disease and cancer later in life. It can be contracted through sexual contact, needles, and childbirth, and can be passed from person to person through blood, semen, or other bodily fluids.  

Acute hepatitis B can be a short-term illness that happens within the first six months of exposure to the virus. It can cause people to have no symptoms or only mild sickness. However, the illness, which is a liver infection that can become a lifelong chronic condition if left untreated, could lead to cirrhosis and liver cancer. It is recommended that all infants receive the vaccine at birth, with the series of shots to be completed in the first 15 months of their life. 

Flu, Coronavirus, and RSV Vaccine 

Vaccines that help prevent infections from respiratory viruses are important because they protect us against serious disease, as well as flare-ups or worsening of existing chronic health conditions.  

A study done in 2020 found higher rates of severe flu infections among adults with certain chronic medical conditions, such as diabetes, kidney disease, congestive heart failure, coronary artery disease, chronic obstructive pulmonary disease (COPD), and asthma. Additionally, a study of 46 million adults observed that the incidence of heart attacks and strokes decreased after people received coronavirus vaccinations.  

The CDC recommends that everyone six months and older should get an annual flu shot.  

It is also important for those who have chronic conditions to get the coronavirus and RSV vaccines.  

RSV can be devastating for children and elderly people. Getting the RSV vaccine is recommended for babies, pregnant women to protect their babies, adults ages 50 to 74 with chronic health conditions, and all adults 75 and older. 

Bacterial Vaccines 

Bacterial infections such as meningitis and pneumonia can also lead to chronic disabilities or even death.  

The longer a person has a meningitis infection, the greater the risk of the infection causing serious complications such as hearing loss, vision troubles, memory issues, learning disabilities, brain damage, seizures, and kidney failure. 

Pneumonia can have long-term effects, such as depression, heart disease, and blood vessel diseases that worsen. According to the National Heart, Lung, and Blood Institute, pneumonia could cause kidney, liver, and heart damage due to the organs not getting enough oxygen to function properly, or because of the immune system responding negatively to the infection.  

Both bacterial meningitis and pneumonia can lead to sepsis. If treated early, a person suffering from sepsis can recover completely; however, others might experience long-term effects, including insomnia, nightmares or hallucinations, panic attacks, joint and muscle pain, decreased cognitive function, and organ failure.  

The CDC recommends all preteens and teens, as well as children and adults who are at an increased risk, receive the meningococcal vaccine, as it protects against the disease that causes meningitis. Children five years and younger and adults 50 or older should receive the pneumococcal vaccine, which helps prevent pneumonia and other infections, including meningitis and sepsis.  

It is important to remember that getting vaccinated is the best way to protect against worsening or serious symptoms of illness and developing chronic diseases and cancers. 

To learn more about our infectious disease services or to make an appointment with our infectious disease physicians, please contact Jamaica Hospital Medical Center at 718-206-6000. 

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.

Patient Testimony- Neil Moir

“You saved my life” is what I said after Dr. Yahya Atalay and the staff at Jamaica Hospital Medical Center saved my life after I had a major stroke at JFK Airport. 

On November 3rd of last year, I ended up in the emergency room at Jamaica Hospital Medical Center after having a major stroke while I was in the departure lounge at JFK Airport while travelling back to the UK. 

While in Jamaica Hospital’s emergency department, it was discovered that I had a blood clot in my brain. Dr. Yahya Atalay, a neuro-intervention specialist, treated me and successfully performed a thrombectomy, a procedure to remove the clot from my brain via my groin. 

After the operation, I was completely unable to move the right-hand side of my body and could not talk. Over the next three days, I regained full use of my right-hand side, and my speech was almost back to normal with only a slight impediment, which only my wife had noticed. 

The care I received was second to none. All the staff at the hospital were professional, dedicated, and caring. I was discharged after three days, which everyone seemed quite impressed with.  

My family and I cannot thank all the hospital staff enough for what they did over my three-day stay with them.  

I would also like to thank my wife, Serena, who has been a rock over the last few months during my recovery after my episode.  

Kindest Regards, 

Neil Moir 

 

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.

Aphasia Awareness Month

June is National Aphasia Awareness Month, a month dedicated to increasing understanding of aphasia. This acquired communication disorder impairs a person’s ability to process language but does not affect their intelligence.  

Aphasia affects the ability to speak and understand others, causing most people with the disorder to have trouble reading and writing. 

The most common cause of aphasia is stroke. About 25 to 40 percent of stroke survivors are afflicted with aphasia. It can also be a result of a head injury, a brain tumor, or other neurological causes. 

There are six types of aphasia, including: 

  • Global aphasia is the most severe form of aphasia and is applied to patients who can produce few recognizable words and understand little or no spoken language. People with global aphasia can’t read or write. It is often seen immediately after the patient has suffered a stroke and may rapidly improve if the damage to the brain has not been too extensive. However, with greater brain damage, there may be severe and lasting disability. 
  • Broca’s aphasia, or non-fluent aphasia, is a form of aphasia in which the speech output is severely reduced and is limited mainly to short utterances of less than four words. A person’s vocabulary access is limited, and so is their ability to form sounds. 
  • Mixed non-fluent aphasia is a form of aphasia that applies to people with sparse and effortful speech, which can resemble severe Broca’s aphasia. However, they remain limited in their speech comprehension and do not read or write beyond an elementary level. 
  • Wernicke’s aphasia, or fluent aphasia, is a form of aphasia in which the ability to grasp the meaning of spoken words is impaired. However, the ease of producing connected speech is not much affected. Reading and writing are often severely impaired. 
  • Anomic aphasia is a form of aphasia that is applied to people left with a persistent inability to supply the words for the things they want to say, particularly significant nouns and verbs. 
  • Primary progressive aphasia (PPA) is a neurological syndrome in which language capabilities become slowly and progressively impaired. Unlike the other forms of aphasia that result from stroke or brain injury, PPA is caused by Alzheimer’s or frontotemporal lobar degeneration. 

A healthcare provider can diagnose aphasia by performing physical and neurological exams. They can also use imaging tests, such as an MRI and a CT scan, to identify what is causing aphasia. 

Aphasia can also be diagnosed with the help of a speech-language pathologist who can complete a comprehensive language assessment to confirm the presence of aphasia and determine the appropriate course of language treatment. 

The assessment helps find out whether the person can: 

  • Name common objects 
  • Engage in a conversation 
  • Understand and use words correctly 
  • Answer questions about something read or heard 
  • Repeat words and sentences 
  • Follow instructions 
  • Answer yes and no questions and respond to open-ended questions about common subjects 
  • Read and write 

There are several treatments for aphasia, including: 

Speech and language rehabilitation therapy aims to improve the ability to communicate and help restore as much language as possible. This is done by teaching the person with aphasia how to make up for lost language skills and find other communication methods. This therapy: 

  • Starts early 
  • Often works in groups 
  • May include the use of computers 

Medications are being studied to treat aphasia that may improve blood flow to the brain and enhance its ability to recover or help replace the depleted chemicals in the brain. 

Brain stimulations, such as transcranial magnetic and direct current stimulation, are being studied to help improve the ability to name things. 

Because aphasia is often a sign of a serious problem, such as a stroke, seek emergency medical care if you suddenly develop any symptoms. 

If you are experiencing any symptoms of aphasia, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

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.

Men’s Health Month- Health Screenings for Men

June is Men’s Health Month. This observance aims to raise awareness about preventable health problems that affect men and boys.  

Statistics show men are less likely than women to seek medical attention when something affects their health. Men are also less likely to have preventative screenings and checkups with their healthcare providers. This is a problem as early detection of a medical condition is the best way to effectively treat and manage it. 

Additionally, avoiding or delaying checkups or screenings could result in a treatable condition becoming severe and/or fatal. 

The U.S. Preventative Services Task Force (USPSTF) publishes a list of recommended, age-specific screening guidelines for men to help them manage their health: 

Screenings guidelines recommended for men ages 18-39 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colon cancer screenings 
  • Dental examinations 
  • Prediabetes and type 2 diabetes screenings 
  • Eye examinations 
  • Immunizations  
  • Skin examinations 
  • Infectious disease screenings 

Screenings guidelines recommended for men ages 40-64 include: 

  • Physical examinations 
  • Blood pressure screenings 
  • Cholesterol screenings 
  • Colorectal cancer screenings 
  • Prostate cancer screenings 
  • Osteoporosis screening 
  • Lung cancer screening 
  • Infectious disease screening 
  • Immunizations 
  • Eye examinations 
  • Dental examinations 
  • Skin examinations 

It is important to visit your healthcare providers regularly, even if you are feeling healthy. These visits can help: 

  • Screen for any medical issues 
  • Encourage a healthy lifestyle 
  • Assess your risk for any future medical problems 
  • Update vaccinations and other preventative care services 
  • Help you get to know your healthcare provider in case of an illness 

If you are experiencing any medical problems or would like to receive health screenings, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center, by calling (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.

Health Benefits of Tai Chi

Integrative health is a progressive approach to healthcare in which leading treatment services offered by modern medicine are combined with a deep understanding of the nature of illness, healing, and wellness.  

This approach combines modern and holistic medicines to help prevent the onset of disease, address existing chronic conditions, and promote healing in patients at the center of a treatment plan that considers their physical, emotional, and social needs. 

A treatment plan that accomplishes this is tai chi. Tai chi has been a tenet of traditional Chinese medicine (TCM) for centuries. Sometimes called meditation in motion, tai chi is a series of exercises that help bring harmony between the body’s energy and mind, by using slow, highly coordinated movements and physical postures with meditation and controlled breathing, aimed to energize and balance the body’s energy, known as qi, pronounced “chi”. According to traditional Chinese principles, when the qi is balanced, the body functions at its best.  

Although tai chi is a low-impact exercise with movements that look leisurely, these movements are bodyweight exercises with physical demand.  

There are hundreds of studies on tai chi, with researchers finding that tai chi has several benefits that may help with numerous health concerns. Here are some health benefits of tai chi: 

  • According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year. A review of ten studies on tai chi and balance found that people who practiced it had up to 50% fewer falls than those who didn’t. Both the CDC and the American Geriatric Society recognize tai chi as an effective way to lower fall risk as it helps build stability and strength, increasing balance, which helps prevent falls. 
  • Research indicates that practicing tai chi can slow the progression of dementia by boosting cognition and brain health, as it can help with learning, memory, and other mental functions. Researchers found that older adults who practiced tai chi daily for 12 weeks had more activity in their prefrontal cortex, the area of the brain responsible for higher-level thinking skills. A study conducted by tai chi researcher and Chief of Geriatrics in the Division of General Internal Medicine and Geriatrics at Oregon Health & Science University, Elizabeth Eckstrom, showed that people who practiced a simple form of tai chi called Tai Ji Quan twice a week for six months improved their score on a cognitive test by one and a half points. Additionally, the study showed that if they added a cognitive challenge while practicing tai chi, such as counting backwards from 20 or spelling words backward, their scores jumped by another three points. 
  • Tai chi can bring a sense of calmness and quiet as it focuses on breathing and movement, which takes the mind away from any stressors, helping the stress melt away. One study conducted on participants who are deemed healthy but stressed showed that practicing tai chi for 12 weeks lowered their anxiety levels substantially.  
  • There are studies that have shown that tai chi can reduce blood pressure as well as or better than antihypertensive drugs or other types of exercise. In 2024, one randomized controlled trial published in the Journal of the American Medical Association (JAMA) Open Network assigned 342 people with prehypertension to two groups: one group performed four sessions of tai chi each week, and the other group performed four sessions of aerobic exercise. After a year, both groups displayed lower systolic blood pressure readings. However, the group that practiced tai chi experienced a larger decline of 7.01 mg Hg on average, compared to the aerobic group, which was 4.61 mm Hg. 
  • According to the CDC, one in five people in the U.S. lives with chronic pain that affects their daily life and activities. One review of people with chronic knee osteoarthritis found that they had significantly less pain and better physical function after practicing tai chi. The American College of Rheumatology and the Arthritis Foundation strongly recommend practicing tai chi to manage both chronic knee and hip osteoarthritis, as it helps improve muscle and core strength and coordination, leading to better joint stability. Studies have also indicated that tai chi can help people with fibromyalgia, with research showing it may relieve symptoms even better than aerobic exercise. 
  • In 2021, a review of 23 studies by the National Center for Complementary and Integrative Health found that tai chi improved the exercise capacity, lung function, and quality of life for patients with chronic obstructive pulmonary disease (COPD) due to tai chi’s focus on deep abdominal breathing and movement, which can help increase breathing efficiency and oxygen intake. 
  • Practicing tai chi can help the 10%-30% of older adults who suffer from insomnia. One systematic review of nine randomized trials published in the Journal of Sleep Disorders and Therapy reported that older adults who practiced tai chi one and a half to three hours a week significantly improved their sleep quality and had an enhanced functional ability. What’s more, Elizabeth Eckstrom’s research showed that people fell asleep 17 minutes sooner and slept 42 minutes longer after doing tai chi.  

There is also other research that has linked tai chi to lower cholesterol and inflammation levels, and evidence that it may help reduce complications of Parkinson’s disease as well. 

If you are interested in learning more about any of our integrative health services, events, or classes, or would like to schedule an appointment, please call us at (718) 206-5675. 

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.

Snow STEMI

A powerful winter storm called a Nor’easter has brought blizzard-like conditions and a large amount of snowfall to our area.

When we get such large amounts of snow, the easy part is watching the beauty of the snow falling. Unfortunately, the most difficult part is having to shovel several inches of snow from the sidewalk and driveway.

A major worry when shoveling large amounts of snow is how it can affect our health.

According to the National Library of Medicine, heavy snowfall, cold temperatures, and low atmospheric pressure during the winter months have been associated with increased adverse cardiovascular events, such as “snow-shoveler’s ST-elevated myocardial infarction (STEMI).”

Snow-shoveler’s STEMI is a type of heart attack that occurs when there is a partial or complete blockage in one of the coronary arteries, which stops blood flow to part of the heart muscle. This can especially occur due to the over-exertion caused by shoveling snow.

Per the American Heart Association, shoveling snow can put some people at risk of a heart attack, but most people won’t have a problem. Sudden exertion, such as shoveling hundreds of pounds of snow or pushing a heavy snow blower after being sedentary for several months, can put a huge strain on the heart.

There is also a factor of cold weather, as it can increase heart rate and blood pressure, and make blood clots form more easily and constrict arteries, which can decrease blood supply. This can even affect healthy people. People who are over the age of 40 years old, or are relatively inactive, are especially at risk. Other people who are at risk of STEMI include:

Those with preexisting heart conditions:

  • Those with high blood pressure (hypertension)
  • Those who smoke tobacco products

According to Medical News Today, research indicates that heavy snowfall is linked to a 6% higher likelihood of hospital admission for men with a heart attack and a 34% increase in dying.

The National Safety Council recommends the following safety tips to shovel safely:

  • Know the signs of a heart attack, stop immediately, and call 911 if you’re experiencing any of them; every minute counts

The warning signs of a heart attack include:

    • Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
    • Pain or discomfort in the arms, back, neck, jaw, and stomach
    • Shortness of breath

Other signs of a heart attack can include:

    • Breaking out in a cold sweat
    • Nausea
    • A rapid or irregular heartbeat
    • Unusual tiredness
    • Heartburn or indigestion
    • Lightheadedness
  • Take it slow and stretch before you start shoveling
  • Shovel only fresh, powdery snow because it is lighter
  • Push the snow instead of lifting it. If you do lift the snow, use a small shovel or only partially fill the shovel
  • Lift with your legs and not your back
  • Dress in warm layers
  • Do not shovel after eating or while smoking
  • Do not work to the point of exhaustion

If you have a history of heart disease, do not pick up a shovel without the permission of your healthcare provider.

If you or a loved one is experiencing any symptoms of STEMI, while, during, or after shoveling snow, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 immediately.

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.

Do Using Smart Rings Actually Help You Be Healthier?

Recently, technology has brought us fitness trackers and smart watches that can help us track our workouts, daily steps, and even monitor our sleep, stress, heart rate, and blood oxygen levels.  

However, smart rings have become another way to track our health, and can be used to monitor movement, body temperature, sleep, heart rate, stress, as well as menstrual cycles. 

Unlike smartwatches, smart rings don’t have screens to view these health metrics. Instead, they use a Bluetooth connection to send health data to your smartphone.  

When a smart ring detects a person’s cardiovascular health, it uses infrared photoplethysmography technology (PPG), which uses a light source and a photodetector on the surface of the skin to measure the variations in blood circulation. These variations can estimate heart rate variability, blood oxygen saturation, blood pressure, and artery stiffness.  

Out of the different sensors a smart ring has, the PPG is the most studied one due to its proposed accuracy in tracking heart rate and monitoring overall cardiovascular health. However, most studies note that they are significantly less accurate than medical-grade technology.  

According to the National Library of Medicine, in a study with 35 healthy individuals, researchers compared the heart rate and heart variability measured by a smart ring with an ECG during the night. Results showed that some health parameters matched the medical-grade measurement, but most were inaccurate. 

To monitor body temperature, smart rings use a sensor called a thermistor, which estimates body temperature based on a person’s skin temperature. Smart rings also use this feature to assess stress levels and identify other bodily issues. However, a systematic review of the sensors and functionalities of wearable health technology, like a smart ring, indicates that these devices may not accurately indicate a person’s core body temperature, as researchers point out that a person’s skin temperature is a few degrees Fahrenheit lower than their body’s temperature.  

What’s more, researchers emphasize that a person’s skin temperature fluctuates based on environmental conditions. When considering these two factors, it may be assumed that the thermistor sensor won’t be accurate. 

Companies that produce smart rings have detailed the use of a variety of sensors to support women’s health. This feature relies mostly on the smart ring’s temperature feature, which they claim to use to track menstrual cycles and fertility windows. 

Numerous studies have examined the accuracy of smart rings, which have produced promising results. According to the National Library of Medicine, in a pilot study with 22 participants, researchers used a smart ring to analyze temperature changes during the menstrual cycle. They discovered that the temperature readings were consistent with oral temperatures that were taken with ambulatory equipment.  

In a separate study with 26 participants, it was found that this study was consistent with the previous study’s findings, demonstrating that smart rings could be a beneficial tool for monitoring menstruation. This study also detected that there was a significant temperature drop around ovulation, highlighting that smart rings could be an additional tool to track fertility. 

Although these results are promising based on limited studies on smart rings, further research is needed as they are not 100% accurate.  

Most of the smart rings on the market combine various metrics such as heart rate, heart rate variability, body temperature, and movement, to estimate a person’s daily stress levels and provide tips to reduce them. 

According to the National Library of Medicine, research suggests that there is a connection between stress and decreased parasympathetic regulation, the regulation that affects heart rate, heart rate variability, and respiratory rate. These are changes that a smart ring could potentially detect.  

Additionally, a study with 525 college students explored this subject further. The study indicated that sleep data from smart rings could help predict stress. Notably, some experts do not consider smart rings as promising as research, as they highlight the negative effect smart rings may have on mental health. The reason is that while smart rings are promoted as a tool to shift lifestyle habits, they may cause the opposite effect, noting that constant monitoring of health metrics can create obsessive behaviors and paranoia about a person’s well-being. It could also be harmful to a person’s self-confidence, as a person may feel like they are not meeting the expectations and goals that a smart ring sets for them. 

Smart rings can perform a sleep analysis by tracking a person’s heart rate, blood oxygen, and sleep cycles. They may also include features, such as a snoring score and a recovery metric that indicates energy levels before a person starts their day.  

Polysomnography (PSG) is used to track sleep, which uses a variety of signals such as brain activity, eye movements, muscle activity, blood pressure, heart rate, and more. Although smart rings are not as accurate as PSG, researchers have been drawn to them due to the smart ring’s potential to monitor a person’s sleep at home comfortably.  

Any current evidence on smart rings for tracking sleep is still very limited and conflicting. While some small studies highlight their potential. However, studies with bigger sample sizes indicate that smart rings can over- or underestimate some sleep parameters. A study in the National Library of Medicine compared the accuracy of several health technology devices on 35 individuals overnight. The study found that a smart ring surpassed the accuracy of smartwatches in various sleep parameters such as wake, light sleep, deep sleep, and REM sleep. 

Smart rings can measure a person’s physical activity with two sensors: an accelerometer that tracks movement and speed, and a gyroscope that helps determine orientation. Smart rings gather data from these motion sensors, as well as the PPG and body temperature trackers, to understand how physical activity affects the body.  

Research is limited in this area; however, a study in the National Library of Medicine focused on the accuracy of smart rings in measuring caloric expenditure and steps. The results indicated that smart rings were far from accurate, causing researchers to note the need to improve these devices, specifically their estimation of energy expenditure. 

Another study on step count was consistent with a study that indicated a smart ring overestimated step count, compared to a medical-grade device to detect motion called ActiGraph. 

A systematic review on wearable tech devices supported the findings of the studies, noting that they may be useful for estimating step count but shouldn’t be trusted to measure calorie expenditure. 

Smart rings and other wearable devices that can track a person’s health can be useful. However, it is important not to use them to self-diagnose conditions. It is important to see a healthcare provider when experiencing any symptoms to professionally diagnose conditions.  

If you are experiencing any medical problems, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center. 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.

Warning Signs of Blood Clots

Blood clots are gel-like clumps of blood that have partially solidified in a blood vessel. Clotting is a natural and essential process that stops bleeding when you’re injured. However, some blood clots can form anywhere along the 60,000 miles of blood vessels in the body and are most likely to happen in the veins. These are called venous blood clots. The most common kinds of venous blood clots are: 

  • Deep vein thrombosis (DVT)- DVT usually forms in the legs in the deep veins of the body. Thrombosis is when clots stay put and block blood flow. 
  • Pulmonary embolism (PE)- Embolisms are blood clots that break free and travel to other parts of the body. If a DVT breaks off and travels to the lungs, it can create a pulmonary embolism.  

Arterial clots are less common, occurring when a blood clot clogs an artery. These clots can block oxygen from reaching the heart or brain, which can lead to a heart attack or stroke. 

Anyone can develop a blood clot; however, certain factors can increase the risk of developing them, including: 

  • Prolonged immobility, such as during long flights or hospital stays 
  • Surgery, especially involving the legs, hips, or abdomen 
  • Pregnancy and the postpartum period 
  • Hormonal birth control or hormone replacement therapy 
  • Smoking 
  • Obesity 
  • Family history of blood clots or clotting disorders 
  • Cancer or cancer treatments 
  • Age 

Recognizing the signs and symptoms of a blood clot can be lifesaving. Here are the signs and symptoms to watch out for: 

  • Swelling in one limb 
  • Pain or tenderness in the affected area 
  • Red or discolored skin 
  • Warmth in the skin 
  • Sudden shortness of breath 
  • Chest pain 
  • Coughing, possibly with blood 
  • Rapid heartbeat or palpitations 
  • Leg fatigue or heaviness 
  • Dizziness or fainting 

Blood clots are known to be silent killers as their symptoms can be similar to symptoms of other, less serious conditions. That’s why it is crucial to understand and recognize the signs and symptoms of blood clots, especially if you are at an increased risk of developing them. Awareness and timely action can help prevent major complications from a stroke, pulmonary embolism, or heart attack.  

If you are experiencing symptoms of a blood clot or think you may be at risk of developing one, you can schedule an appointment with one of our vascular surgeons in NYC or learn more about the services at our vascular surgery center in New York. Please call 718-206-6713. 

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.