Holiday Heart Syndrome

Posted on November 16, 2015 by Joann Ariola

Holiday Heart Syndrome, coined in 1978, is a real syndrome in which the heart’s vulnerability to certain arrhythmias is increased by excessive alcohol ingestion (binge drinking) and the onset of a heart rhythm disturbance in people who are otherwise healthy.

The most frequently seen arrhythmia during the holiday season is atrial fibrillation, in which the top chambers of the heart quiver or fibrillate causing the heart to beat irregular and often quite fast.

Excessive alcohol intake in women is defined as consuming seven or more drinks per week or over three doses at one time. For men, heavy consumption is defined as over 14 drinks per week or over four drinks at one time by the U.S. Department of health and Human Service.

Alcohol alone does not fully explain Holiday Heart Syndrome. There are other risk factors for atrial fibrillation that are higher around the holidays such as:

Overeating
Stress
High levels of sodium consumption
Dehydration

Everyone has some degree of stress in their lives. Health concerns, family and relationship issues, financial problems can all cause stress which can ultimately affect your health; the idea of “letting go” at a holiday event and consuming more alcohol than usual as a way to forget the present may have a negative effect on your future.

If you have any heart symptoms, it is best to seek medical attention immediately; even if your symptoms appear ON a holiday.

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.

History of Invitro Fertilization

Posted on November 12, 2015 by Andrew Rubin

On July 25, 1978 the first baby was born that had been conceived invitro. These babies were referred to as “Test Tube Babies” because they were essentially created in a laboratory in a glass tube. Invitro Fertilization is the process where the egg harvested from a female is combined with the sperm obtained from a male in a lab and in a glass tube. This was the culmination of many years of research performed by Dr. Patrick Steptoe and Dr. Robert Edwards during the 1960’s and 1970’s in England.
The invention of the microscope in the 17th century really helped scientists understand how fertilization takes place. For hundreds of years following this development, research was done on how to implant fertilize eggs artificially, but while still within the body. It wasn’t until the beginning of the 20th century that fertilization outside of the body was begun. In 1959 the first rabbit to be conceived invitro was born, followed in 1963 by a hamster and in 1972 by the birth of a mouse. The technique that really helped advance IVF was the use of laparascopic surgery. This allows the gynecologist to remove the follicles from the ovary very precisely.
It is estimated that now over 200,000 babies have been conceived using IVF. The procedure has been improved upon tremendously in the last few years. Many times this process leads to multiple eggs being fertilized and more than one baby being conceived.
To speak to a physician at Jamaica Hospital about IVF and pregnancy in general please schedule an appointment at our Women’s Health Center at 718-291-3276.

Pain Management

Posted on November 10, 2015 by Xavia Malcolm

Pain is described as a distressful, uncomfortable feeling that tells your body something is wrong. It is physical suffering that is the result of an injury or illness. While we have all experienced sensations that we may describe as shooting pains, sharp pains, passing or steady pains; pain and pain tolerance is unique to each individual. Pain can be temporary and a nuisance for some, it can also be long term and debilitating for others.

When pain becomes long term and interferes with normal, daily physical activities, it is recommended that you seek the help of a physician for pain management. Pain management specialists use an interdisciplinary approach to diagnose the source of your pain and offer treatment options to bring you relief. They will assess your symptoms to determine the type of pain you may be experiencing.

Pain can be categorized into two main categories: acute pain or chronic pain. Acute pain occurs for a short duration of time. It typically lasts less than three to six months. Chronic pain lasts longer and signals that there is an ongoing cause for your pain.

Treating chronic pain can be challenging and your doctor may need to explore several methods of treatment. Treatment options that your pain management specialist may apply include:

Medications
Surgery
Acupuncture
Psychotherapy
Chiropractic therapy

The TJH Interventional Pain Management Practice, conveniently located on the Jamaica Hospital Medical Center campus offers an interdisciplinary approach to pain management while providing comprehensive evaluations and treatment options to patients with chronic pain in relaxing and private setting.

The goal of the practice is to provide comfort and improve the quality of life patients by reducing or eliminating their pain. Patients who receive pain management services generally are able to return to their normal lifestyle, quicker and without the use of addictive medications. To schedule an appointment with a pain management specialist, please call 718-206-PAIN.

Pulmonary Rehab For COPD

Posted on October 26, 2015 by Xavia Malcolm

COPD-473880188

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

A decrease in airflow often results in shortness of breath, which at times makes performing minimal physical activities difficult. One of the most recommended forms of treatments used to improve this issue is pulmonary rehabilitation for COPD. A respiratory therapist can assess the severity of a patient’s condition before enrollment into a program by administering tests such as a pulmonary function test.

This form of treatment involves a series of exercises that teaches people breathing techniques that help them build physical fitness and lung strength.

Most pulmonary rehab programs include:

Exercise-This is one of the key components in pulmonary rehab. Patients are required to do a series of physical activities such as:

Exercises to strengthen and improve breathing muscles
Upper body exercises
Lower body exercises
Strength training

Smoking cessation- In order to improve quality of life and lung function, smoking cessation is often a goal or prerequisite in pulmonary rehab. Quitting is the most important thing a smoker can do to slow the progression of COPD.
Education-Programs offer education in either a group setting or on an individual basis. Education sessions are designed to teach people ways to manage their COPD or include lessons on understanding medication as well as using oxygen therapy.

Patients who participate in pulmonary rehab programs gain several benefits. Most see significant improvement in their breathing. It is suggested that participants continue the exercises even after completing a program by incorporating them into their daily life. Those who do not may experience a decline in its benefits.

VEGAN CREAMY PUMPKIN SOUPN (GLUTEN FREE)

Posted on October 14, 2015 by Joann Ariola

For a creamy and vegan pumpkin soup recipe sprinkled with almonds and fresh rosemary, try the recipe below.

Serves: 3

Prep time – 5 minutes

Cook time – 25 minutes

Total time – 30 minutes

Ingredients

1 tablespoon olive oil
½ onion, diced
½ pumpkin, peeled and cubed
4 cloves garlic, minced
1 tablespoon fresh rosemary, diced
4-5 cups vegetable broth
½-1 cup coconut milk

Instructions

Heat oil in pot over medium heat. Add onion and cook for a few minutes until translucent. Add pumpkin and garlic and continue to cook for a few more minutes.
Add rosemary and vegetable broth. Bring to a boil, reduce heat to low and simmer until pumpkin is soft and cooked through. Add salt to taste.
Puree soup in a blender (in batches) and return to the pot.
Add coconut milk and simmer for another minute or two.

Give this recipe a try. It is simply delicious and healthy too.

How Stress Affects Your Digestive System

Posted on October 13, 2015 by Xavia Malcolm

Our brain and gut are mo stomach pain -178554755 re in sync than you may realize. For instance, the very thought of food can cause the stomach to produce digestive juices or the thought of giving a big presentation may cause constipation or uncontrollable bowels.The brain and gut are in constant communication. This direct relationship causes our gastrointestinal system to be sensitive to emotions and reactions such as stress.

When we are stressed, our brain sends signals for chemicals such as adrenaline, serotonin (a hormone that affects mood and is found in the digestive system) as well as the stress hormone cortisol to be released. These hormones can cause adverse reactions.

Stress negatively affects our digestive system in many ways. It can cause a decrease in blood and oxygen flow to the stomach, cramping, an imbalance in gut bacteria and inflammation. These symptoms can further develop into gastro intestinal (GI) disorders such as irritable bowel syndrome (IBS), irritable bowel disease (IBD), peptic ulcers or gastroesophageal reflux disease (GERD).

There are several things you can do to reduce stress and improve gut health. Practicing stress-management techniques such as exercising regularly, avoiding stressors, socializing, getting sufficient sleep or relaxing can greatly minimize your levels of stress.

In addition to practicing stress reduction techniques, you can support your digestive health by drinking less alcoholic beverages or consuming less sugar- as too much sugar can cause an imbalance in the ratio of good and bad bacteria in the stomach. Increasing your intake of foods that promote digestive health such as those rich in probiotics or foods that aid the body in producing digestive enzymes is also helpful.

The gut is often referred to as “the second brain” of the body. If you are experiencing consistent complications of the digestive system, your body is probably trying to tell you that there may be a bigger problem. Make an appointment with a gastroenterologist who specializes in the treatment of gastrointestinal, liver, and pancreatic disorders to examine your symptoms.

Jamaica Hospital’s Division of Gastroenterology consists of board-certified gastroenterologists who provide high quality and expert care to patients who suffer from such conditions in both inpatient and outpatient settings. To schedule an appointment, please call 718 206 6742 or 718 206 7001.

High Blood Pressure and Pregnancy

Posted on September 22, 2015 by Xavia Malcolm

hypertension pregnancy -78484693 (1) Hypertension (high blood pressure) is one of the most common medical problems encountered by pregnant women. It is estimated that the disease affects six to eight percent of expecting mothers.

Women with a pre-existing history of chronic hypertension are likely to experience complications caused by the disease; however, women with no prior history are also at risk of developing high blood pressure or gestational hypertension. A high blood pressure rate during pregnancy is defined as a reading over 140/90, anything above that number is concerning.

Some women are more at risk for developing gestational hypertension than others. Your risk may be higher if you are:

African American
Carrying more than one baby
Pregnant with your first child
Over 40 years old
From a family with a history of gestational hypertension or preeclampsia
Obese

High blood pressure during pregnancy poses various medical problems not only for the mother but for the developing baby as well. Some of these problems include:

Harm to the mother’s kidneys
Placental abruption
Low birth weight
Premature labor

If left untreated, high blood pressure can develop into a serious condition known as preeclampsia. This condition is most likely to occur in women with pre-existing and chronic hypertension. The disease usually develops after the 27^th week of pregnancy and is characterized by high levels of protein in urine and elevated blood pressure levels. Women may experience symptoms such as headaches, nausea or vomiting, reduced urine or no urine output, swelling or shortness of breath.

If you have been informed by your doctor that your blood pressure levels are high it is important to get it under control immediately. You can do so by taking prescribed medications and managing your sodium intake. It is equally important that you maintain prenatal appointments to monitor the development of your baby.

For questions about prenatal care or to make an appointment with the Women’s Health Center of Jamaica Hospital, please call 718-291-3276.

Tips for the Single Parent

Posted on September 16, 2015 by Joann Ariola

Being a single parent is not easy; it has its own set of challenges.

Couples get together with the very best of intentions, full of hopes and dreams of white picket fences, 2.5 kids.

No one enters into a committed relationship with the intention of uncoupling. Nonetheless, it’s a distressingly common occurrence.

Suddenly, you find yourself a single parent. Even if you have always been an active, involved parent, this is a completely different experience.

In the best of situations, with a support team of grandparents, aunts, uncles, siblings, friends, etc. you may have bouts of frustration and fatigue.

During these times you will have to push through and step-up. There is no substitution for a parent when dealing with a crying toddler, grumpy daughter or a son who failed to make the last out. These are hurdles you and your children will have to scale together.

Some of the most common ways a single parent can cope with and reduce stress are:

Finding a balance – Remember that parenting is about the moment. Take a deep breath and let go of your expectations.
Show your love –Praise your child. Give him or her unconditional love and support.
Create a routine – Structure, such as regularly scheduled meals and bedtimes help your child know what to expect.
Find quality child care – If you need regular child care, look for a qualified caregiver who can provide a safe environment. Do not rely on an older child as your only babysitter and be careful about asking a new friend or partner to watch your child.
Set limits – Explain house rules and expectations to your child, such as speaking respectfully and enforce them.
Don’t give in to guilt – Don’t blame yourself or spoil your child to try to make up for being a single parent.
Make time for yourself – Include physical activity in your daily routine, eat a healthy diet and get plenty of sleep. Make time to enjoy alone time or activities with close friends.
Lean on others – It’s okay to join a support group for single parents or seek social services. Call on trusted loved ones, friends and neighbors for help.
Stay positive – Be honest with your child if you’re having a difficult time, but remind him or her that things will get better. Try to keep your sense of humor when dealing with everyday challenges.

Mistakes may be made, but with love and the best of intentions, you’ll make it through.

September is Ovarian Cancer Awareness Month

Posted on September 10, 2015 by Andrew Rubin

Ovarian Cancer is one of the most serious cancers affecting women. In the United States an estimated 22,000 annually women will be diagnosed with this disease and approximately 14,250 will die as a result of it. This type of cancer typically affects women who are in their fifties and sixties, and frequently have a family history of the disease. When the disease is detected early, the five year survival rate is above 93%.
Symptoms of ovarian cancer are:
• Bloating
• Nausea, indigestion, gas, and constipation
• Abdominal and pelvic pain
• Fatigue
• Backaches
• Urinary frequency and urgency
When a physician suspects ovarian cancer, they will perform certain tests to confirm the diagnosis. The exam will include a blood test for the CA-125 marker, examination of the abdomen to see if there is tenderness, a pelvic exam, ultrasound, and a biopsy.
There are four main stages of ovarian cancer.
Stage I – completely confined to one or both ovaries
Stage II – Found in one or both ovaries with spread to other pelvic organs (bladder, colon, rectum, uterus)
Stage III – Cancer is found in one or both ovaries and has spread to the lining of the abdomen and/or the lymph nodes
Stage IV – Most advanced stage of the disease with spread to additional organs such as liver and lung
The three main types of ovarian cancer are: epithelial cell tumors (most common), Germ cell tumors and Stromal cell tumors. When these tumors are benign they never spread beyond the ovary. When they are malignant these tumors can spread to parts of the body beyond the pelvis and be fatal.
Treatment options for ovarian cancer include chemotherapy, surgical removal of the affected organ(s), hormone therapy, and radiation. The type of treatment will be determined by the type of ovarian cancer, the age of the patient, and the stage of the disease.
Early detection is important and women should have an annual gynecological exam once a year. If you would like to make an appointment at Jamaica Hospital’s Women’s Health Center, please call 718-291-3276.

How Your Body Makes Milk for Your Baby

Posted on September 1, 2015 by Xavia Malcolm

breastfeeding-475378452 Your breasts give you the earliest clues that you are pregnant. When you become pregnant, they become swollen, tender and the skin on your nipples and areolas become darker. Within the first trimester you will continue to experience physical changes in your breasts-such as the bumps(Montgomery glands) surrounding your areolas increasing in size. Milk –producing cells (alveoli) and ducts in the mammary glands will also multiply in preparation for the distribution of milk.

Usually by your fourth to sixth month of pregnancy, hormones will be released which tell your mammary glands to begin producing milk. The alveoli draw fats, proteins and sugars from your blood to make breast milk. At this point of pregnancy, it is not unusual for your body to begin leaking milk. This form of milk is called colostrum and may be yellow or orange in color and sticky.

After the birth of your baby the body increases levels of the hormone prolactin. This hormone releases signals to produce more milk. It is also known as the hormone that makes mothers feel maternal.

You can attempt to feed your baby soon after delivering; however some mothers are not fully capable of feeding their newborn within 24 to 48 hours after delivery. Your “first milk” will be colostrum, which will have a creamy appearance. Colostrum is specially created for newborns; it is high in protein, low in fat and sugar and is easy to digest. It also helps your baby to make the first bowel movement and provides antibodies that strengthen the immune system.

As you can see, your body is designed to make the nutrients most essential to your baby’s health. Breastfeeding will provide many benefits for your bundle of joy and it will also provide you with countless health, emotional and financial benefits.