Jamaica Hospital Celebrates Infection Prevention Week

Posted on October 15, 2018 by Michael Hinck

October 14th marks the beginning of Infection Prevention week, an annual effort to highlight the importance of infection prevention among healthcare professionals, administrators, legislators, and consumers.

Over the past 32 years, infection prevention week has gained a great deal of recognition around the world and patients are now benefiting from the safer healthcare practices that are shared during this week-long observance. The theme of Infection Prevention week this year is Protecting Patients Everywhere.

Jamaica Hospital Medical Center supports the prevention of infection among our patients, visitors, and staff. To help eliminate the spread of bacterial infection we urge every person who steps foot inside our hospital to learn about the best ways to protect themselves and others.

Below is a list of ways patients can reduce the risk of infection provided by the Association of Professionals in Infection Control (APIC):

Speak up for your care
Clean your hands often
Ask about safe injection practices
Ask to have your room cleaned
Ask questions about your medications
Ask if you should shower before having surgery
Ask each day if you still need a catheter
Ask about vaccinations so you stay healthy
Learn about healthcare associated infections

Jamaica Hospital is proud to share that we have made great strides in our infection prevention and control initiatives. We are currently at 97% hand hygiene compliance, which has led to very low hospital-acquired infection rates including urinary catheter infections, surgical site infections, and bloodstream infections.

Jamaica Hospital knows that by practicing good hand hygiene and adhering to other patient safety initiatives as well as continuing to educate our patients, we are creating an even safer environment for our patients, staff and visitors.

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.

EATING FOR ENERGY

Posted on October 10, 2018 by Joann Ariola

If you conducted a survey, most people will tell you that between the hours of 3:00PM and 4:00PM each day, a feeling of fatigue may set in which makes them feel less productive.

This is typically the time of day when they may reach for a less healthy choice of food or beverage to “perk-up.”

Many of their snack options are laden with sugar and fat and have no nutritional value. There are several healthy foods available that give us both a boost and essential nutrients.

Some healthy foods that have been proven to help raise energy levels are:

Bananas – Bananas contain carbohydrates, potassium and vitamin B6, all proven to boost energy levels in your body.

Sweet Potatoes – Sweet potatoes contain fiber and complex carbs, as well as manganese, which can help break down nutrients in order to produce energy.
Brown Rice – Brown Rice is less processed than white rice so it retains more fiber, vitamins and minerals. It also has a low glycemic index and could help regulate blood sugar levels to help maintain steady energy levels all day long.
Coffee – Coffee is rich in caffeine. Caffeine quickly passes from your bloodstream to your brain. The result is the production of epinephrine. Epinephrine is a hormone that stimulates the body and brain allowing you to keep more focused.
Eggs – Eggs are rich in protein and leucine. These are both known to stimulate energy.
Water – Not drinking enough water could cause dehydration which can cause your body functions to slow down and make you feel sluggish. It is a good habit to drink water throughout your day, even if you are not thirsty.
Dark Chocolate – Dark chocolate has a high content of cocoa. Cocoa has antioxidants that have proven health benefits, like increasing your blood flow. An increased blood flow helps deliver oxygen to the brain and muscles, improving their functions. Additionally, dark chocolate contains compounds such as caffeine, a known ingredient to enhance mental energy and mood.

If you’d like to speak with a Jamaica Hospital Medical Center licensed nutritionist, call 718-206-7001 to schedule an appointment.

For these and other healthy food and beverages that can give your day a boost, visit healthline.com.

Can Too Much Sleep Be Bad For Your Health?

Posted on October 5, 2018 by Michael Hinck

“You have to get enough sleep if you want to stay healthy.” It’s a common phrase that emphasizes how important getting enough sleep is to our overall well-being. So if sleep is that important, it would make sense that the more we get of it, the better we will feel. However, the idea that there is no such thing as getting “too much sleep” is one that is totally wrong. In fact, chronic oversleeping can lead to a wide variety of health issues.

While the recommended amount of sleep for adults varies based on age, activity level, and lifestyle habits, generally speaking, most adults should get an average of between seven and nine hours of sleep every night. Sure, it’s okay to sleep in a little late on the weekends, but if you find yourself requiring over nine hours of sleep on a consistent basis, or feel that you don’t feel well–rested when you don’t, it may be a sign of a another issue.

For some, oversleeping could be due to a condition known as hypersomnia, which causes people to require unusually long periods of sleep at night and suffer from extreme sleepiness throughout the day. Those with hypersomnia also have low levels of energy, experience problems remembering things and do not feel recharged from a nap like the rest of us do.

Hypersomnia is not the only reason one might require extra sleep. Other reasons may include the use of certain substances, such as alcohol or some prescription medications. Obstructive sleep apnea may also be another reason why someone needs more sleep as those with this condition have their sleep cycles obstructed, making them feel less rested. Lastly, depression is another leading cause for oversleep in many individuals as those who are clinically depressed are more lethargic and more likely to want to stay in bed.

Regardless of the reason why someone sleeps too much, the condition needs to be addressed as studies have indicated that oversleep can lead to many other health problems, including:

Diabetes
Heart Disease
Stroke
Obesity
Headaches
Back Pain
Depression
Cognitive Impairment
Fertility Issues

In addition to, or perhaps as a result of these other issues, those who oversleep have been found to have higher death rates than people who sleep seven to nine hours a night.

If you are oversleeping, it is important to address the reason why. If it is caused by alcohol or prescription medications, look to cut back or eliminate those substances from your daily routine. If you think you are oversleeping due to depression seek help from a mental health professional. Likewise, if you have been diagnosed with hypersomnia or another medical condition, treating the disorder may help you return to a normal night’s sleep.

You should also look to ensure that the sleep you get is restful by practicing good sleep habits. Try to establish a set bedtime and wake-up time, avoid eating a heavy meal or consuming caffeine before bed, and maintain a comfortable sleep environment. Exercising before bed can also help you relax and fall asleep easier.

Jamaica Hospital offers a comprehensive sleep center, which diagnoses and treats a wide variety of sleep disorders. If you believe you require too much sleep, we can help you figure out why. To make an appointment at our Sleep Center, call 718-206-5916.

What Pregnant Women Should Know About the Whooping Cough Vaccine

Posted on October 2, 2018 by Xavia Malcolm

Whooping cough or pertussis is a highly contagious bacterial infection that affects the respiratory system. It is spread person-to-person by coughing, sneezing, or sharing the same breathing space as someone who is infected.

Complications of pertussis can lead to serious illnesses or death in babies. Infants under the age of one are at the greatest risk because their immune systems are not fully developed. According to the Centers for Disease Control and Prevention (CDC), “About half of babies younger than 1 year who get the disease need care in the hospital.” Complications of whooping cough may vary by individual and can result in:

Pneumonia
Seizures
Brain damage
Apnea (slowed or stopped breathing)

The best way to protect babies from whooping cough is for pregnant women to get the diphtheria-tetanus-pertussis (DTaP) shot. The CDC recommends that, “women get the whooping cough vaccine between 27 and 36 weeks of each pregnancy.” By receiving the vaccine during this time, mothers can pass on protective antibodies to their babies before birth. This will offer protection to babies during their first few months of life before they are able to get vaccinated.

If safety is a concern, the CDC advises that getting the vaccine is very safe for mothers and babies. Severe side effects are extremely rare. The most common side effects women may experience include:

Feeling tired
Pain, redness or swelling of the area the vaccine was given
Body aches
Headaches

If you are pregnant, speak with your Ob/Gyn about getting the DTaP vaccination, as well as other vaccinations needed to protect your baby. To schedule an appointment with an Ob/Gyn at Jamaica Hospital Medical Center, please call 718-291-3276.

When is the Best Time to Get a Flu Vaccine ?

Posted on October 2, 2018 by Andrew Rubin

Flu season can start in September and run until May. Even before the summer is over, pharmacies start advertising that the flu vaccine is available. While many people believe that the best time to get a flu vaccine is as soon as possible, getting it in October probably is the best option. Some research has shown that the effects of the vaccine start to wear off after six months so we want to make sure we are well protected when the height of the flu season is upon us.

Every year the flu vaccine is different, manufactured with the hope that it will be effective against the prevalent strain expected for that year. It is estimated that it takes approximately two weeks for the vaccine to become fully effective, so being covered early is important. Everyone who is going to be vaccinated wants to be prepared before the peak of the flu season which runs from December to late March. If you would to schedule an appointment for a flu vaccine in the Ambulatory Care Center please call 718-206-7001.

SUGAR FREE LEMON POUND CAKE

Posted on October 1, 2018 by Joann Ariola

Being the wife of a diabetic, I see how difficult it is for my husband to pass up so many delicious, sugary desserts.

Below is a recipe that I have made myself and recommend highly. Although I am not the creator of the recipe, I thought it delicious enough to share.

-Joann Ariola, Director of Intergovernmental Affairs, MediSys Health Network

INGREDIENTS:

1	(18.25 Ounce) Package Sugar-free Yellow Cake Mix
1	(3.4 Ounce) Sugar-free Lemon Pudding Mix
1¾ cups	Water
3	Egg Whites
¾ cups	Reduced-fat Milk
½ tsp	Lemon Extract
1	(1 Ounce) Package Sugar-free Vanilla Pudding Mix
1	(ounce) Sugar-free
	Cooking Spray

DIRECTIONS:

Preheat oven to 350 degrees F and coat a 10×15-inch pan with cooking spray.

Combine yellow cake mix and lemon pudding mix in a large mixing bowl. Stir in water and egg whites. Beat mixture on low speed for 1 minute. Beat for an additional 4 minutes on high speed.

Place batter into prepared pan and bake for 30 minutes or until cooked through.

Meanwhile mix milk, lemon extract, and vanilla pudding mix in a large mixing bowl. Add in cool whip and mix well. Spread mixture over the cake once it has cooled.

Preventing Constipation

Posted on September 28, 2018 by Wesley Cheng DO

Constipation is a common problem among people of all ages. Often, those experiencing symptoms describe having hard or pebbly stools, having infrequent bowel movements or straining while trying to use the bathroom. People may also complain of stomach pains, bloating, gas or being unable to have a full bowel movement. These symptoms may vary with each individual.

Constipation can be caused by many different problems, but the most common reasons are a lack of fiber in your diet and not drinking enough water. Certain medications or iron supplements can also contribute to constipation.

There are several things you can do to prevent constipation, one of which is making sure you are consuming enough fiber. Eating enough fiber helps to soften your stool and helps your body to move waste through your digestive tract. It is recommended that you eat 20 to 35 grams of fiber every day.

Fiber can be found in many vegetables; grains such as whole wheat, oatmeal, bran, brown rice; nuts; and fruits such as apples, cherries, peaches, and grapes. Whole fruits are particularly helpful in preventing constipation because their sugars help to keep more water in the intestines which softens your stool. Prunes, raisins, and other dried fruits are often used to relieve constipation because they have high amounts of fiber and sugar. If you are diabetic, be careful when choosing the fruits you eat, as some are very rich in sugar.

Adopting other healthy habits can also reduce the occurrence of constipation. Exercise can help improve your bowel movements; moving your body promotes movement along your digestive system. Using the bathroom around the same time every day is also beneficial and will help your body to develop a routine. Most people tend to go more frequently in the morning as the activity in their digestive tract peaks shortly after waking up. If you feel the need to have a bowel movement at other times throughout the day, it is best to go and not hold it in as this can also lead to constipation.

Laxatives (over-the-counter and prescription) are often used as a form of relief from constipation; however, it is important to keep in mind that the frequent use of laxatives is not recommended as your body may become dependent on them for bowel movements.

Just about everyone will have difficulty with going to the bathroom from time-to-time; however, if symptoms of constipation persist for more than three weeks, or if you are experiencing blood in your stools or stomach pain, you should see your physician. There may be a more serious cause for your constipation.

Please do not hesitate to talk to your doctor if you are concerned about changes in your bowel movements. To schedule an appointment with a Family Medicine physician at Jamaica Hospital Medical Center, please call 718-206-6942.

Dr. Wesley Cheng D.O. Family Medicine

Employee Spotlight Shines on Tracey Kunj-Ramen

Posted on September 27, 2018 by Andrew Rubin

This month Jamaica Hospital Medical Center shines its employee spotlight on one of our newest employees, Tracey Kunj-Ramen, the Certified Child Life Specialist for Pediatrics. Tracey joined our staff two weeks ago but is very familiar with Jamaica Hospital. She had been a volunteer on 2 South since 2007 while she was still a student. Tracey also spent some time doing an internship at Flushing Hospital Medical Center.

Tracey was born in Guyana, and grew up in Queens where she spent most of her life living, and continues to reside. She attended elementary, middle and began high school at Thomas Edison H.S. before moving for a short while to Connecticut. After she completed high school, she graduated from Hunter College with a BA in Psychology and received a Master’s of Science in Psychology from Southern New Hampshire University specializing in Child and Adolescent Development.

Tracey has two sons, ages five and two, who she loves spending time with. One of the things she and her husband enjoy doing is taking the boys on spontaneous road trips on the weekends. They enjoy discovering new places and having quality family time together. She also enjoys reading, dancing and eating Italian food whether at home or going out to her favorite restaurants.

Tracey enjoys working with the children who come to the hospital as patients. She understands how important it is to make not only the children feel comfortable and less anxious, but also how important it is to be reassuring to the parents. Tracey takes pride in her duties as a Child Life Specialist because she feels that people who have a positive experience at the hospital will feel confident about recommending their friends, family and neighbors.

We welcome Tracey to Jamaica Hospital and look forward to her contributions to our team of doctors, nurses, and other specialists who provide care to our youngest patients.

Hemorrhoids

Posted on September 25, 2018 by Xavia Malcolm

Hemorrhoids often referred to as piles, are swollen veins located in the lower part of your rectum or around the anus. They are very common; in fact, nearly three out of four adults will get hemorrhoids in their lifetime.

The causes of hemorrhoids vary, they can result from increased pressure on the veins due to pregnancy, straining during bowel movements, sitting for long periods of time on the toilet or being overweight.

Hemorrhoids are sometimes symptomless, so it is common for people to have them and be unaware. If symptoms do present, they may include:

Itching, pain or discomfort around the anus
Swelling around the anus
Painless bleeding during a bowel movement
Lumps near the anus

The symptoms of hemorrhoids are rarely severe; there are several remedies or over-the-counter medications you can try to get some relief. Treatments you can try at home include:

Non-prescription creams or wipes
Ice packs
Sitz baths
Oral pain relievers
Sitting on cushions or other soft surfaces

If symptoms persist for more than one week or if you have bleeding of the rectum, make an appointment to see your doctor right away. Your doctor can diagnose hemorrhoids by assessing your family history and conducting a physical exam. If further medical treatment is required your doctor may recommend minimally invasive procedures such as rubber band ligation or sclerotherapy (injection) to shrink the hemorrhoids or coagulation to harden and shrivel the hemorrhoids. If these procedures are unsuccessful, surgical procedures such as a hemorrhoidectomy or hemorrhoid stapling may be necessary.

Jamaica Hospital’s Trauma Team Offers Driving Safety Tips to Seniors

Posted on September 21, 2018 by Michael Hinck

Everyone remembers the day they passed their road test and received their driver’s license. Getting a license opens up a world of options for drivers and provides them with a sense of independence that they didn’t have before.

If you received your license a long time ago, and are now a senior citizen driver, you may begin to notice certain limitations that could potentially impact your ability to operate a vehicle. While for some, driving at an advanced age may no longer be advised, most seniors can still enjoy the benefits of driving by taking a few extra precautions.

Jamaica Hospital’s Trauma Division is offering the following tips to senior drivers to help them avoid injury to themselves, other drivers or pedestrians while on the road.

Have Your Vision and Hearing Checked Regularly – Be aware of any ocular conditions, such as cataracts, glaucoma, or macular degeneration that might affect your vision. If you wear glasses or contacts, make sure you wear them while driving. Similarly, if you require a hearing aid, make sure you don’t drive without one as it is an important device to help you hear car horns and emergency sirens.
Be Aware of Other Health Factors – Pain or stiffness in the joints can limit mobility and your ability to check mirrors or turn your head. Chronic fatigue can be a problem, especially during long drives, and certain chronic conditions such as diabetes or seizure disorders can affect your safety. Side effects from medications can also impact driving and should be discussed with your doctor or pharmacist before driving.
Know Your Limitations – As you age, it’s important to acknowledge that certain motor functions might not be as sharp as they once were and should be taken into consideration while on the road. It is advised that seniors should increase their following distance, use their brakes earlier, try to anticipate situations before they occur, and try to avoid highly trafficked areas when possible.
Avoid Dangerous Driving Conditions – Controlling your car in inclement weather, such as rain or snow is more difficult and therefore should be avoided. Driving at night can also pose increased risks because reaction times are often affected during this time of day. Lastly, driving during rush hour presents additional opportunities for accidents to occur because other drivers tend to be more aggressive and inpatient. Under these conditions.

Getting older doesn’t mean that you can no longer drive. By following these tips, you can continue to drive without feeling as if you are a danger to yourself or others.

If however, you feel concerned about your ability to drive, it doesn’t mean you have to give up your independence. There are many car fare services and public transportation options that can still get you where you want to go.