National Afib Awareness Month

Posted on September 20, 2024 by Patrick Hercules

September is National Afib Awareness Month. Afib stands for atrial fibrillation, a type of arrhythmia or abnormal heartbeat. During Afib, the heart’s upper chambers, or the atria, beat chaotically and irregularly. They beat out of sync with the lower heart chambers, the ventricles.

Afib can lead to blood clots in the heart. It also increases the risk of stroke, heart failure, and other heart-related complications.

It usually isn’t life-threatening, but it is a serious medical condition that needs proper treatment to prevent serious health issues.

There are many symptoms of Afib, they can include:

Feelings of a fast, fluttering, or pounding heartbeat
Chest pain
Dizziness
Fatigue
Lightheadedness
Reduced ability to exercise
Shortness of breath
Weakness

People can experience three types of Afib, including:

Paroxysmal Afib
Persistent Afib
Long-standing persistent Afib

The most common cause of Afib is problems with the heart’s structure. Other health problems and heart diseases that can cause Afib include:

A congenital heart defect
Sick sinus syndrome
Obstructive sleep apnea
Heart attack
High blood pressure
Lung diseases, including pneumonia
Coronary artery disease
Thyroid diseases
Infections from viruses

Many factors can increase your risk of Afib, including:

Age
Caffeine, nicotine, or illegal drug use
Drinking too much alcohol
Changes in the level of body minerals
Family history
Long-term health conditions
Obesity
Some medicines and supplements

Healthy lifestyle choices can reduce the risk of heart disease and prevent Afib. Some basic heart-healthy tips include:

Controlling high blood pressure, high cholesterol, and diabetes
Not smoking or using tobacco
Eating a diet that is low in salt and saturated fat
Exercising at least 30 minutes a day at least five days a week
Getting at least seven to nine hours of sleep a day
Maintaining a healthy weight
Reducing and managing stress

Afib is diagnosed when a healthcare provider examines you and asks questions about your medical history and symptoms. Tests may be done to look for conditions causing irregular heartbeats such as heart disease or thyroid disease, including:

Blood tests
ECG or EKG
Holter monitor
Event recorder
Implantable loop recorder
Exercise stress tests
Chest X-ray

The goals of Afib treatment are to reset and control the heartbeat and prevent blood clots. Treatment for Afib depends on how long you’ve had it, your symptoms, and the cause of the irregular heartbeat. Afib treatment can include:

Medications
Cardioversion therapy
Surgery or catheter procedures

If you are experiencing any symptoms of Afib, 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 dial 911 right away.

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.

Oral Health

Posted on September 10, 2024 by Patrick Hercules

Your oral health is more important than you might realize. The health of your mouth, teeth, and gums can affect your overall health.

Like other areas of the body, the mouth is full of germs. Those germs are mostly harmless, but the mouth is the entryway to the digestive tract. It is also the entryway to the respiratory tract. Because of this, germs in the mouth can lead to disease throughout the body.

Oral germs and inflammation are linked to a severe form of gum disease called periodontitis. Studies suggest that germs and inflammation that form in the mouth might play a role in some diseases, including:

Endocarditis
Cardiovascular disease
Pregnancy and birth complications
Pneumonia

Most of the body’s defenses and good oral care help keep germs under control. Good oral care includes daily brushing and flossing. Without good oral hygiene, germs can reach levels that may lead to infections like tooth decay and gum disease.

While practicing good oral hygiene can lower the risk of health problems, other factors can affect oral health. Certain medicines such as decongestants, antihistamines, painkillers, water pills, and antidepressants can lower the flow of saliva. Saliva washes away food and keeps the acids germs make in the mouth in balance helping to keep them from spreading and causing disease.

Some health conditions can also affect oral health, they include:

Diabetes
HIV/AIDS
Cancer
Alzheimer’s disease

You can protect your oral health and take care of your mouth every day by:

Brushing your teeth at least twice a day for two minutes each time. Use a brush with soft bristles and fluoride toothpaste. Brush your tongue too.
Flossing between your teeth daily.
Eating a healthy diet and limiting sugary foods and drinks.
Replacing your toothbrush every three to four months. Sooner if the bristles are worn out.
Seeing a dentist at least once a year for checkups and cleanings.

Taking care of your oral health protects your overall health.

If you would like to schedule an appointment with a dentist at Jamaica Hospital Medical Center, you may call 718-206-6980

MPox

Posted on September 7, 2024 by Patrick Hercules

Mpox previously known as monkeypox, is a viral illness caused by the monkeypox virus. The virus usually affects rats, mice, or monkeys. But it can occur in people as well.

Mpox usually occurs in Central and West Africa. Cases outside of Africa are due to international travel, imported animals, and close contact with an animal or person infected with mpox.

Mpox symptoms may start three to 17 days after exposure. Symptoms last two to four weeks and may include:

Fever
Skin rash
Swollen lymph nodes
Headache
Muscle aches and backaches
Chills
Fatigue

A skin rash starts about one to four days after a fever. It first appears on the face, hands, or feet and then spreads to other body parts. You can spread mpox while you have symptoms.

There are many ways that mpox can spread, including:

Person to person
- Direct contact with rashes, scabs, or bodily fluids of a person with mpox
- Extended close contact with respiratory droplets from an infected person, including sexual contact
- Clothes, sheets, blankets, or other materials that have been in contact with rashes or bodily fluids of an infected person
- An infected pregnant person can spread the mpox virus to a fetus
Animal to person
- Animal bites or scratches
- Wild game that is cooked for food
- Products, such as skins or furs made from infected animals
- Direct contact with bodily fluids or rashes of animals with mpox

There are many steps you can take to prevent infection or the spread of the mpox virus, including:

Avoiding close contact with people who have a rash that looks like mpox
Avoiding the handling of clothes, sheets, blankets, or other materials that have been in close contact with an infected animal or person
Quarantining people who have mpox from healthy people
Washing your hands well with soap and water after contact with an infected person or animal. If soap and water aren’t available, use an alcohol-based hand sanitizer
Avoiding animals that may carry the virus

The treatment for most people with mpox is aimed at relieving symptoms. Care may include managing skin damage from the mpox rash, drinking enough fluids to help keep stool soft, and pain management. There is no specific treatment approved for mpox. Healthcare professionals may treat mpox with antiviral drugs used to treat smallpox. If you have mpox, quarantine at home in a room separate from family and pets until your rash and scabs heal.

You can make an appointment for mpox treatment and prevention at Jamaica Hospital Medical Center’s on-site Ambulatory Care Center by calling (718) 206-7001.

Sickle Cell Awareness Month

Posted on September 5, 2024 by Patrick Hercules

September is sickle cell awareness month. Sickle cell disease is a group of inherited red blood cell disorders that affect hemoglobin, the protein that carries oxygen through the body. It is the most common inherited blood disorder in the United States. The disease gets its name from the abnormal crescent or “sickle” shape that some red blood cells develop, causing those red blood cells to block the blood flow through the body creating recurring episodes of pain.

Sickle cell disease is a lifelong disease affecting more than 100,000 people in the United States and 20 million worldwide. In the U.S., most people who have sickle cell disease are of African ancestry or identify themselves as black. About one in 13 Black or African American babies are born with the sickle cell trait and about one in every 365 Black or African American babies are born with sickle cell disease. Many people who come from Hispanic, Southern European, Middle Eastern, or Asian Indian backgrounds also have sickle cell disease.

There are many symptoms of sickle cell disease. Early symptoms can include:

Jaundice- a condition that causes the color of the skin or whites of the eyes to turn yellow
Extreme tiredness
Painful swelling of the hands and feet

Many serious symptoms and complications of sickle disease can include:

Episodes of severe pain
Anemia symptoms- fatigue, shortness of breath, dizziness, and an irregular heartbeat
Fever
Acute chest syndrome
Stroke
Priapism
Avascular necrosis
Pulmonary hypertension
Organ damage
Leg ulcers
Gallstones
Deep vein thrombosis
Pregnancy complications
Vision problems
Frequent infections

There are many ways to manage and treat sickle cell disease including:

Medicines
Blood transfusions
Blood and bone marrow transplant
Gene therapies
Complementary and alternative medicine (CAM)

Your healthcare team will probably include a doctor specializing in blood diseases called a hematologist.

If you need help managing symptoms of sickle cell disease or sickle cell trait, schedule an appointment with a hematologist at Jamaica Hospital Medical Center’s Department of Internal Medicine at (718) 206-7001.

Social Anxiety

Posted on August 28, 2024 by Patrick Hercules

Social anxiety disorder is a medical condition that causes intense fear of being judged or watched by others in social situations.

Social anxiety disorder typically begins in the early to mid-teens, though it can sometimes start in younger children or adults.

Like many other mental health conditions, social anxiety disorder likely arises from a complex interaction of biological and environmental factors, which may include:

Inherited traits
Brain structure
Environment

Several factors increase the risk of developing social anxiety disorder, including:

Family history
Negative experiences
Temperament
New social or work demands
Having an appearance or condition that draws attention to them

There are many signs and symptoms of social anxiety disorder, including:

Emotional and behavioral symptoms
- Fear of situations in which you may be judged negatively
- Worry about embarrassing or humiliating yourself
- Intense fear of interacting or talking with strangers
- Fear that others will notice that you look anxious
- Fear of physical symptoms that may cause you embarrassment, such as blushing, sweating, trembling, or having a shaky voice
- Avoidance of doing things or speaking to people out of fear of embarrassment
- Avoidance of situations where you might be the center of attention
- Intense fear or anxiety during social situations
- Analysis of your performance and identification of flaws in your interactions after a social situation
- Expectation of the worst possible consequences from a negative experience during a social situation
Physical and physiological symptoms
- Blushing
- Fast heartbeat
- Trembling
- Sweating
- Upset stomach or nausea
- Trouble catching your breath
- Dizziness or lightheadedness
- Feeling that your mind has gone blank
- Muscle tension

People living with social anxiety may avoid social situations such as:

Interacting with unfamiliar people or strangers
Attending parties or social gatherings
Going to work or school
Starting conversations
Making eye contact
Dating
Eating in front of others
Using a public restroom
Taking or making phone calls
Performing in front of people

The symptoms of social anxiety disorder can change over time. They may flare up if you’re facing many changes, stresses, or demands in your life.

Although avoiding situations that produce anxiety may make you feel better in the short term, your anxiety is likely to continue over the long term if you don’t get treatment. Therefore, you should speak to your doctor about the symptoms you are experiencing. Your healthcare provider will want to determine whether other conditions may be causing your anxiety or if you have a social anxiety disorder along with another physical or mental health disorder. They may determine a diagnosis based on the following:

A physical exam to help assess whether any medical condition or medication may trigger symptoms of anxiety
A discussion of your symptoms, how often they occur, and in what situations
A review of a list of situations to see if they make you anxious
Self-report questionnaires about symptoms of social anxiety
Criteria listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association

Treatment depends on how much social anxiety disorder affects your ability to function in daily life. Treatments can include:

Psychotherapy (the most common treatment)
- Cognitive behavioral therapy (CBT) is the most effective type of psychotherapy for anxiety
Medications
- Antidepressants
- Anti-anxiety medications
- Beta-blockers

If you or someone you know has a social anxiety disorder, you can call or schedule an appointment with a mental health provider at Jamaica Hospital Medical Center, please call 718-206-5575.

Peripheral Neuropathy

Posted on August 15, 2024 by Patrick Hercules

Peripheral neuropathy is any condition that involves damage to peripheral nerves outside your brain or spinal cord. These conditions often cause weakness, numbness, and pain, usually in the hands and feet, but can also affect other areas and body functions like digestion and urination.

The peripheral nervous system sends information from the brain and spinal cord to the rest of the body through motor nerves. The peripheral nerves also send sensory information to the central nervous system through sensory nerves.

The nerves in the peripheral nervous system are divided into three categories and have a specific job.

Sensory nerves that receive sensation, such as temperature, pain, vibration, or touch, from the skin
Motor nerves that control muscle movement
Autonomic nerves that control functions such as blood pressure, sweating, heart rate, digestion, and bladder function

Symptoms of peripheral neuropathy depend on the nerve affected and can include:

Gradual onset of numbness, prickling, or tingling in your hands and feet. These sensations can spread upward into your arms and legs
Sharp, jabbing, throbbing, or burning pain
Extreme sensitivity to touch
Pain during activities that shouldn’t cause pain, such as pain in your feet when putting weight on them, or when they’re under a blanket
Lack of coordination and falling
Muscle weakness
Feeling as if you’re wearing gloves or socks when you’re not
Inability to move if motor nerves are affected
Heat intolerance
Excessive sweating or not being able to sweat
Bowel, bladder, or digestive problems
Drops in blood pressure, causing dizziness or lightheadedness

Peripheral neuropathy can happen for many reasons. Some include:

Type 2 diabetes
Alcohol use disorder
Vitamin and nutrient deficiencies
Autoimmune and inflammatory conditions
Medications and toxins
Tumors
Genetic conditions
Infections
Hansen disease (leprosy)
Trauma and surgery
Vascular disorders
Idiopathic neuropathy

A combination of methods are used to diagnose peripheral neuropathy including:

Symptoms and medical history
Physical and neurological exams
Lab, diagnostic, and imaging tests

Treatment of peripheral neuropathy varies depending on its cause. Treatments can include:

Medications
Surgery
Physical therapy
Devices and wearable equipment
Podiatry and foot care
Other pain treatments such as acupuncture, transcutaneous electrical stimulation, injections, or surgery to implant a spinal cord stimulator

Some causes of peripheral neuropathy are preventable. Some preventative or precautionary steps you can take include:

Eating a balanced diet
Staying physically active and maintaining a healthy weight
Wearing safety equipment as needed
Managing chronic conditions
Avoiding alcohol in excess
Avoiding exposure to toxins, poisons, and heavy metals

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

Causes of Chest Pains That Aren’t Heart-Related

Posted on August 14, 2024 by Patrick Hercules

Chest pains are usually associated with heart problems. However, there are many other causes that you should be aware of.

Chest pain that isn’t heart-related is called noncardiac chest pain. Noncardiac chest pain is often described as feeling a painful squeezing or tightness in your chest, or a pressure of heaviness behind your sternum. The pain may be felt on the right or left side or in the middle of your chest.

Many symptoms may occur with noncardiac chest pain including:

A sour taste or a sensation of food entering the mouth
Trouble swallowing
Pain that gets better or worse when you change body position
Pain that gets worse when you breathe deeply or cough
Tenderness when you push on your chest
Pain that continues for many hours

You may not be able to tell the difference between a heart attack and noncardiac chest pain, for that reason it is important to take any chest pain seriously. If it is sudden or new and lasts longer than five minutes, go to the emergency room. If it goes away after a few minutes, you should see your healthcare provider as soon as possible to determine the cause.

Some causes of noncardiac chest pain include:

Digestive issues
- Heartburn
- Swallowing disorders
- Gallbladder or pancreatic problems
Muscle and bone injuries
- Costochondritis
- Sore muscles
- Injured ribs
Lung-related issues

- Pulmonary Embolism
- Pleurisy
- Collapsed lung
- Pulmonary Hypertension

Panic attacks
Shingles

Some risk factors associated with noncardiac chest pain can include:

High Body Mass Index (BMI)
Smoking or tobacco use
Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Anxiety

Some immediate tests used to help diagnose the cause of chest pain include:

ECG or EKG
Blood tests
Chest X-ray
CT scan

Follow-up tests may need to be done depending on the results of the first tests. They include:

Echocardiogram
CT scan
Stress tests
Coronary catheterization

Treatment for chest pain varies depending on the cause. Some treatments can include:

Medications if the cause isn’t heart-related such as:

Blood thinners
Acid-reducing medicines
Antidepressants

Surgical procedure if the cause isn’t heart-related such as:

Lung re-inflation

If you are experiencing any chest pain 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.

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.

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.