How to Increase Your Stamina

Posted on August 7, 2024 by Patrick Hercules

Stamina is the ability to sustain prolonged physical or mental effort.

Physical stamina is the ability to put in the maximum amount of effort during a physical activity, over some time while maintaining optimal performance.

Low stamina can negatively impact a person’s overall quality of life. Low physical stamina is associated with:

Poor athletic performance
Fatigue
Weight gain
Decreased sex drive
Erectile dysfunction
Difficulty sleeping

High physical stamina can lead to:

Increased energy levels
Improved cardiovascular health
Better sleep
Higher sex drive
Improved athletic performance

An effective way to build up physical stamina is by doing aerobic exercises and high-intensity interval training (HIIT).

Mental stamina, sometimes called mental toughness, is the ability to handle life’s stresses, perform well under pressure, and maintain focus despite distractions.

Mental stamina has multiple components that can be referred to as the four C’s of mental toughness including:

Control: feeling like you are in control of your life, circumstances, and emotions.
Commitment: sticking with your goals even when it gets difficult.
Challenge: viewing potential threats to your success as opportunities instead.
Confidence: believing in yourself and your ability to succeed.

Low mental stamina is associated with:

Difficulty with daily tasks
Depression
Increased stress levels
Decreased attention span
Irritability

High mental stamina can lead to:

Increased attention span
Improved ability to focus on a task
Decreased stress levels
Increase in productivity

There are several ways to build mental stamina, including:

Setting “S.M.A.R.T.” goals- increase mental stamina by setting specific, measurable, action-oriented, realistic, and time-efficient goals.
Find your motivation- focus on “why” you are working on a particular task to help motivate you to keep going.
Seek outside support- find people who will support you as you pursue your goals, such as a coach or other people who are pursuing similar goals.
Be positive- maintain a positive attitude about your progress and visualize yourself achieving your goal.
Stay focused- mental stamina depends on your ability to pay attention to a task for an extended amount of time.
Be aware of your environment- remove potential distractions from your environment when working on tasks to help build mental stamina.
Practice stress management techniques- reducing stress can improve mental stamina. Techniques such as mindfulness, stress therapy, and diaphragmatic breathing can be helpful.

Remember stamina can be built up, whether it’s physical or mental.

If you are experiencing any medical problems while exercising, you can schedule an appointment with a neurologist 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.

Group B Strep Awareness Month

Posted on July 5, 2024 by Patrick Hercules

Group B Strep (GBS), or Strep B, is a bacteria that lives naturally in our bodies and comes and goes without showing symptoms or causing harm unless it enters a part of the body free from bacteria. If the bacteria infects the lining around the brain it causes it to swell resulting in meningitis.

GBS bacteria live in the gastrointestinal and genital tracts. It can cause many types of infection which can be life-threatening. These infections and their symptoms include:

Bacteremia (bloodstream infection)

Fever
Chills
Low alertness.

Sepsis (the body’s extreme response to an infection)

Fever
Chills
Low alertness.

Bone and joint infections

Fever
Chills
Swelling
Stiffness or inability to use the affected limb or joint.

Urinary tract infections

Pain or burning while urinating.
Frequent urination.
Feeling the need to urinate despite having an empty bladder.
Bloody urine.
Pressure or cramping in the groin or lower abdomen.

Meningitis

Fever
Headache
Stiff neck.
Nausea and vomiting.
Sensitivity to light.
Confusion

Pneumonia

Chest pain when breathing or coughing.
Confusion
Cough
Fatigue
Fever or chills.
Nausea, vomiting, or diarrhea.
Shortness of breath.

Skin and soft tissue infections

Fever
Red skin.
Swollen skin or infected area.
Skin or infected area is warm to the touch.
Skin or infected area is full of pus or other drainage.

GBS bacteria most commonly causes bacteremia, sepsis, pneumonia, and meningitis in newborns. This occurs when bacteria is passed on to the newborn as it goes through the birth canal during vaginal delivery.

GBS disease symptoms in newborns and babies include:

Fever
Difficulty when feeding.
Irritability or lethargy in the infant.
Difficulty breathing.
A blueish color to their skin.

Doctors diagnose GBS disease by taking samples of a patient’s blood, urine, or spinal fluid depending on the type of infection.

Treatment for GBS depends on the type of infection. Doctors usually treat GBS disease with antibiotics. People with soft tissue and bone infections may need surgery.

It is important to start treatment as soon as possible.

If you would like to get screened for GBS bacteria, you can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center. To learn more, please call (718) 291-3276.

What You Should Know About The Over-The-Counter Birth Control Pill

Posted on June 11, 2024 by Xavia Malcolm

The U.S. Food and Drug Administration (FDA) approved the first over-the-counter birth control pill.

The Opill (norgestrel) tablet is a daily, non-prescription, progestin-only, oral contraceptive medication that is used to prevent pregnancy. It can be purchased online, at pharmacies, convenience stores, and grocery stores.

Opill is a convenient birth control option and according to its manufacturer, pharmaceutical company Perrigo, it is 98% effective in preventing unintended pregnancy when used as directed. To work effectively, the medication must be taken daily, at the same time every day. Perrigo also advises users to avoid taking medications that may cause an interaction with Opill, as this can reduce efficacy, and result in unintended pregnancy. Additionally, Perrigo recommends that Opill should not be taken with other hormonal birth control products such as an intra-uterine device (IUD), contraceptive patches, or injections.

Although Opill is generally safe, there are a few side effects that may occur. They include:

Headaches
Dizziness
Nausea
Abdominal pain, cramps or bloating
Irregular bleeding
Increased appetite
Acne

The convenience of buying a birth control pill over the counter can be appealing to many; however, not everyone should take Opill. This group includes those who:

Suspect they are pregnant
Have breast cancer or a history of breast cancer
Have certain liver diseases

It is also recommended that individuals living with other forms of cancer besides breast cancer speak with their doctors before taking the medication.

While Opill is effective in preventing unintended pregnancy, it is important to note that it does not prevent the transmission of sexually transmitted diseases (STDs). To stop the spread of STDs, please practice safe sex by using condoms.

Black Maternal Health Week

Posted on April 12, 2024 by Jacob Lobosco

Black Maternal Health Week is observed from April 11^th to 17^th; it is focused on raising awareness about inequities in health outcomes among Black mothers throughout the United States. According to the Government Accountability Office (GAO), the U.S. has one of the highest maternal mortality rates among high-income nations. While this crisis affects all mothers, Black mothers are disproportionately likely to die due to pregnancy complications.

Several factors contribute to Black mothers’ increased mortality rate, including:

Limited access to high-quality medical care due to geographic factors and the potentially high cost of needed treatments
Organizational structures and policies that provide inadequate support for Black mothers
A lack of sufficient data and understanding on the part of organizations and providers regarding the health needs and circumstances of individual Black mothers and their children

At Jamaica Hospital Medical Center, Black maternal health is important to us, and we have initiated and continually improved upon several programs designed to create a more equitable care environment for mothers at our hospital. For example, our CenteringPregnancy program offers pre-natal care in a group setting facilitated by doctors, nurses, and midwives, where expectant mothers with similar due dates can share experiences, receive support, and learn effective ways of staying healthy throughout pregnancy.

In addition to CenteringPregnancy, our hospital also offers access to midwife care and support from doulas, who help to ensure that mothers receive the guidance and support they need throughout their care. We also adhere to the Respectful Care at Birth initiative, a New York City Department of Health program focused on:

Providing easy-to-understand information about pregnancy, childbirth, and the care you will receive
Providing a sanitary, supportive environment in which to receive the care you need and give birth to your child
Supporting the ability and authority of mothers to make informed decisions about their care
Reinforcing the expectation that patients of all races and backgrounds will be treated with dignity and respect throughout their care
Ensuring that mothers have the support they need in terms of information, care, and having family members (or other people of their choosing) present during their care

No matter your race or background, you can always expect to receive comprehensive, high-quality maternal care at Jamaica Hospital’s Women’s Health Center. To learn more or to schedule an appointment, please call (718) 291-3276.

National Endometriosis Awareness Month

Posted on March 6, 2024 by Jacob Lobosco

March is National Endometriosis Awareness Month. Endometriosis is a condition that affects the lining of the uterus (also known as the endometrium); it currently affects an estimated 176 million women around the globe. Some of the symptoms of endometriosis include:

Painful sexual intercourse
Pain during pelvic examinations
Severe pain during menstruation
Pain during urination or a bowel movement
Excessive bleeding
Infertility

Symptoms of endometriosis tend to appear during reproductive years, between the ages of 12 and 60. The highest number of cases are diagnosed between the ages of 25 to 35; however, some women with endometriosis remain undiagnosed because they do not have symptoms. Additionally, this disorder can sometimes be mistaken for other conditions.

Endometriosis causes the inner lining of the uterus to grow outside of the uterus. This most commonly affects the ovaries, fallopian tubes, ligaments that support the uterus, and the areas between the rectum and the vagina. Rarely, endometriosis can also occur in the lungs, thighs, arms, and other parts of the body that are more distant from reproductive organs.

When endometrial tissue spreads, it develops into growths called implants. These clumps of tissue are affected by the menstrual cycle as though they were inside of the uterus, regardless of their actual location. Each month, they build up, break down, and shed. However, endometrial tissue cannot be discharged from the body if it is not inside the uterus; as a result, these implants cause inflammation, swelling, internal bleeding, and the formation of scar tissue.

Doctors do not yet know what causes endometriosis, but certain risk factors have been identified that may make you more likely to develop it. These include:

An immediate family member with endometriosis
An abnormal uterus
Menstruation that begins before the age of 11
Shorter menstrual periods, lasting less than 27 days on average
Heavy menstruation that lasts for more than one week

If you experience symptoms of endometriosis, your doctor can perform a variety of tests, such as pelvic examinations, laparoscopy, and imaging tests such as magnetic resonance imaging (MRI) to accurately diagnose it. While there is no cure for endometriosis, your doctor can work with you to develop an effective treatment that may incorporate options such as medication, surgery, or alternative therapies.

You can schedule an appointment with an OB/GYN at Jamaica Hospital Medical Center’s Women’s Health Center to receive high-quality treatment for endometriosis. To learn more, please call (718) 291-3276.

What is Uterine Cancer?

Posted on July 12, 2023 by Jacob Lobosco

Uterine cancer occurs in the uterus, the part of a woman’s reproductive system where a fetus develops during pregnancy. Approximately 3% of all people assigned female at birth are diagnosed with uterine cancer at some point during their lives.

There are two types of uterine cancer. The most common form is endometrial cancer, which develops in the inner lining of the uterus (the endometrium). Uterine sarcoma, which develops in the muscle wall of the uterus (the myometrium) occurs much more rarely.

Endometrial cancer and uterine sarcoma share some symptoms. These include:

Vaginal bleeding between periods or after menopause
Lower abdominal or pelvic pain
Thin white or clear vaginal discharge after menopause
Heavy or prolonged vaginal bleeding after the age of 40

People with uterine sarcoma may also experience a feeling of fullness in the abdomen, frequent urination, and constipation.

While there’s no clear cause for either form of uterine cancer, certain factors can increase your risk, such as:

Age
Genetics
Diabetes
Obesity
Ovarian diseases that raise estrogen levels and lower progesterone levels
Long lifetime menstruation period, beginning before the age of 12 and/or ending after the age of 50
Not getting pregnant
Medical treatments that cause radiation exposure to the pelvic region or increase estrogen levels

Treatment for uterine cancer typically involves surgery combined with additional treatments such as chemotherapy, radiation therapy, hormone therapy, immunotherapy, and medication that targets specific cancer cells.

The surgery most commonly performed to treat uterine cancer is a hysterectomy, which involves the removal of the uterus and cervix. You may also require a bilateral salpingo-oophorectomy, which involves the removal of your ovaries and fallopian tubes to prevent the further spread of the cancer, as well as lymph node dissection, which involves the removal of lymph nodes to determine if the cancer has spread.

If you are experiencing symptoms of uterine cancer and require a diagnosis or treatment, you can schedule an appointment at Jamaica Hospital Medical Center’s Women’s Health Center by calling (718) 291-3276.

What is Eclampsia?

Posted on June 28, 2023 by Jacob Lobosco

Eclampsia is a condition that causes seizures during pregnancy. It is a rare complication in people with preeclampsia, which causes high blood pressure and protein in urine during pregnancy. Eclampsia generally occurs after the 20^th week of pregnancy and requires emergency medical care.

Aside from seizures, people with eclampsia may also experience severe distress, confusion, or loss of consciousness. Before the onset of these symptoms, certain warning signs may occur, such as:

Severe headaches
Nausea and vomiting
Distorted vision or loss of vision
Swelling of the hands, face, or ankles
Difficulty breathing or urinating
Abdominal pain, particularly on the upper right side of the abdomen

A few factors may increase a person’s risk of developing eclampsia. These include:

A family or personal history of preeclampsia or eclampsia (though most people with preeclampsia do not develop this condition)
Being pregnant for the first time
Twins or triplets
Autoimmune conditions
Obesity
Diabetes
Kidney disease
Pregnancy at an age younger than 17 or older than 35

While certain factors that increase your risk of eclampsia may be beyond your control, there are steps you can take to manage many of them. You should attend all of your pre-natal medical appointments and get prompt care from your doctor as needed, particularly if you experience symptoms of preeclampsia. Additionally, maintaining a healthy weight through a balanced, moderate diet and regular exercise can help to control your blood pressure.

If you have been diagnosed with eclampsia, your doctor may suggest inducing labor if the fetus is at 37 weeks gestation or more, as this is the most effective means of treating the condition and protecting the health of yourself and your baby. During pregnancy, you may also be prescribed medication to prevent seizures, lower blood pressure, and strengthen the fetus’ lungs.

You can receive treatment for eclampsia at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment, please call (718) 291-3276. If you are experiencing a medical emergency, please dial 911 immediately.

What is Female Pattern Baldness?

Posted on March 29, 2023 by Jacob Lobosco

Approximately one in three women will experience hair loss at some point within their lifetime, with about 55% losing some amount of hair by the age of 70.

The most common cause of hair loss in women is female pattern baldness. There’s no specific known cause for female pattern baldness, but several factors have been identified that may be linked to it. These include aging, changes in androgen levels, a family history of male or female pattern baldness, significant blood loss during menstrual periods, and certain medications, such as birth control pills.

In most cases, female pattern baldness begins in the crown of the scalp and the top of the head, becoming thinner in these areas over time. While the hairline does not recede beyond average levels, the center part of the hair that runs across the top of the head may become wider. Unlike male pattern baldness, however, female pattern baldness does not typically result in an eventual total loss of hair.

Hair loss may also be an indicator of other, potentially more serious conditions. Alternative causes such as alopecia areata, which causes your immune system to attack your hair follicles, are not particularly dangerous to your health. However, causes of hair loss such as thyroid disease or anemia are potentially life-threatening illnesses if they are not adequately managed.

If you begin to experience symptoms of female pattern baldness, you should speak with a dermatologist for an accurate diagnosis. Certain signs, such as new hair growth on your face or in other abnormal parts of your body, may indicate heightened levels of androgen and support female pattern baldness as the most likely cause of your hair loss. A dermatologist can also perform a skin biopsy or blood test to diagnose you.

To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, please call our Ambulatory Care Center at (718) 206-7001.

Ovarian Cysts

Posted on November 15, 2022 by Xavia Malcolm

The U.S. Department of Health and Human Services’ Office Of Women’s Health defines ovarian cysts as fluid-filled sacs in the ovary. Ovarian cysts are common and usually form during ovulation. Most women will develop cysts at least once in their lifetime.

The two most common types of ovarian cysts are follicle and corpus luteum cysts. Other cysts that are less common include endometriomas, dermoids, and cystadenomas.

Anyone born female is at risk for developing ovarian cysts; however, the risk factor is higher with

Previous ovarian cysts
Hormonal problems
Pregnancy
Severe pelvic infections
Endometriosis

In most cases, ovarian cysts are symptomless and do not lead to further complications. They typically disappear within a few months without treatment. However, if cysts continue to grow and become enlarged, twisted, or ruptured, symptoms such as pelvic pain, bloating, painful intercourse, and pain in the lower back or thighs can occur. Cysts can also lead to complications such as infertility.

If you are experiencing symptoms, speak with your doctor. If cysts are discovered after a thorough examination and testing, your doctor will determine the course of treatment based on the type of cyst and severity. Medication or surgery may be recommended.

Spina Bifida Awareness Month

Posted on October 13, 2022 by Jacob Lobosco

Approximately 1,400 babies are born with spina bifida in the United States each year. It can affect every child differently, but typically comes in three main forms: spina bifida occulta, meningocele, and myelomeningocele.

Spina bifida occulta, or “hidden” spina bifida, is the most common form of the condition, affecting up to 15% of the general population. It’s also the mildest form of spina bifida; a gap forms in the spine, but no opening or growth develops in a baby’s back and the spinal cord and nerves are left relatively unaffected.

Another form of spina bifida, meningocele, causes a sac of fluid to develop in a baby’s back, but does not contain any part of the spinal cord and causes little to no nerve damage, leading to only minor disabilities.

The most serious form of this condition, myelomeningocele, typically involves a sac of fluid forming within a gap in a baby’s back which may contain part of the spinal cord and nerves, potentially leading to severe disabilities in a person’s lower body.

Spina bifida is usually diagnosed within the first 28 days of pregnancy through an alpha-fetoprotein test, an ultrasound, or an amniocentesis test, though in certain cases, it may be diagnosed after birth.

Several comorbidities are associated with spina bifida. Approximately 68% of children diagnosed with the condition develop a latex allergy. Additionally, it increases a child’s risk of experiencing mental health issues such as anxiety or depression. Eighty percent of children with spina bifida also develop hydrocephalus, a condition which causes an abnormal buildup of fluid in the ventricles of the brain.

Due to the symptoms of spina bifida and the various conditions that may accompany it, people with this condition undergo an average of at least eight surgeries by 18 years of age. Many babies will require spinal surgery to prevent further injury and infection, and babies who also develop hydrocephalus will require a ventricular shunt, which may need to be replaced once they reach two years of age as well as several years later.

While there is no cure for spina bifida, surgery can prevent the condition from worsening. Additionally, pre-natal care can help prevent spina bifida from developing. Four hundred micrograms of folic acid are recommended for new mothers every day before and during early pregnancy. Controlling fevers, body heat, and chronic conditions such as diabetes or obesity can also help.

A doctor can help you identify potential risks and create a treatment plan to prevent spina bifida and other congenital conditions at Jamaica Hospital Medical Center’s Women’s Health Center. To schedule an appointment or receive more information, please call (718) 291-3276.