Carbon Monoxide Safety

Posted on February 13, 2018 by Andrew Rubin

Carbon monoxide is an odorless, tasteless and colorless gas that is produced when substances containing carbon are burned. It has been referred to as the “silent killer.”
Common sources of carbon monoxide include heaters, car exhaust, fireplaces, cigarette smoke, and portable generators. When the fumes from these devices aren’t properly vented, carbon monoxide can reach dangerous levels and cause serious health issues even death.
The effects of carbon monoxide poisoning become noticeable when its level in the blood becomes too high. Diagnosing elevated levels of carbon monoxide in the body is usually done through a blood test.
Symptoms of carbon monoxide poisoning include:
• Headaches
• Nausea
• Feeling tired
• Shortness of breath
• Chest pain
• Memory problems
• Agitation
• Coughing
The best way to avoid carbon monoxide poisoning is to use caution and preventative measures when in a space where things are burning. It is important to have a functioning carbon monoxide detector in the on each level of the home. Chimneys in homes must be kept clear of debris, fireplaces should be inspected at least once a year and keep ducts open and clean that come from water heaters, stoves, and clothes dryers. In addition, do not use gas powered machines in closed spaces,
Anyone who is suspected of being exposed to high levels of carbon monoxide should be taken to an emergency room immediately. Treatment requires being given oxygen, sometimes in high quantities, to flush out the carbon monoxide. If not treated quickly the results are often fatal. If you suspect that there is a carbon monoxide, or any other gas problem in your home, best to evacuate the premises and call 911.

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 You See “Floating” Spots in Your Field of Vision?

Posted on February 12, 2018 by Michael Hinck

Have you ever experienced small specs or thin lines in your field of vision? Those spots, lines, or other shapes you see before your eyes are commonly referred to as “floaters.” In almost all cases floaters, while annoying, are no cause for concern and should not interfere with your sight.

Floaters earn their name by moving around in your eye. They tend to dart away when you try to focus on them. They usually come and go over time and appear most often when you look at something bright.

The onset of floaters usually occurs in individuals 50 years and older and once you get them, they usually don’t go away. Most people who experience floaters state that they notice them less over time.

Floaters come in many different shapes, such as:

Black or gray dots
Squiggly lines
Threadlike strands, which can be knobby and almost see-through
Cobwebs
Rings

Most floaters are small flecks of a protein called collagen that are part of a gel-like substance in the back of your eye called the vitreous. As we age, these protein fibers that make up the vitreous shrink down and clump together, forming a shadow on our retina – or a floater.

Floaters are more common in those who are nearsighted or have had cataract surgery. It’s rare, but floaters can also result from:

Eye Disease
Eye injury
Diabetic retinopathy
Eye tumors

Most people ignore floaters and learn to live with them. Only in rare cases do they get bad enough to require treatment. The best way to temporarily remove floaters from your field of vision is to circulate the fluid in your eyes by shifting your eyeballs up and down.

If however you have so many floaters that your vision is compromised your doctor may suggest surgery called a vitrectomy. During this procedure, the vitreous is removed and replaced with a salt solution.

If you only have a few eye floaters that don’t change over time, don’t sweat it, but go to the doctor immediately if you notice:

A sudden increase in the number of floaters
Flashes of light
A loss of side vision
Changes that come on quickly and get worse over time
Floaters after eye surgery or eye trauma
Eye pain

The risk is low, but these symptoms may indicate a tear or a more serious break in your retina. You should treat a possible retinal break or detachment as an emergency. Treatment may save your sight.

To speak to an eye specialist at Jamaica Hospital’s Ophthalmology Center, please call 718-206-5900.

Congenital Heart Defect Awareness Week – Know The Facts About CHD

Posted on February 9, 2018 by Michael Hinck

Every year, February 7th to the 14th is designated as Congenital Heart Defects (CHD) Awareness week. This annual week of recognition was created to raise awareness about CHD and to empower all patients and families affected by this condition.

Congenital heart defects are problems with the heart’s structure that are present at birth. These defects can involve:

The interior walls of the heart
The valves inside the heart
The arteries and veins that carry blood to the heart or the body

Congenital heart defects are the most common form of birth defect. They affect eight out of every 1,000 newborns. Each year, more than 35,000 babies in the United States are born with this condition.

There are many different forms of defects that can range from minor with no symptoms to complex with life-threatening symptoms. Minor defects often do not require any treatment or are easily fixed. However, those babies born with complex congenital heart defects require special medical care soon after birth.

Unfortunately, doctors often do not know why congenital heart defects occur. Heredity may play a role in cases. Children who have genetic disorders, such as Down syndrome, are often more likely to have congenital heart defects. In fact, half of all babies who have Down syndrome have congenital heart defects. Smoking during pregnancy also has been linked to several congenital heart defects.

Even though many children born with congenital heart defects do not require treatment, some do. Doctors can treat children with CHD with either catheter procedures or surgery. Thankfully, through advances in medicine, thee diagnosis and treatment of complex heart defects has greatly improved over the past few decades. As a result, almost all children who have complex heart defects survive to adulthood and can live active, productive lives.

Through continued education and support, we hope to conquer CHD.

To Juice or Not to Juice? That is the Question.

Posted on February 8, 2018 by Joann Ariola

Juicing or juice cleanses are growing in popularity as more people are using this practice as a way to lose weight or improve their health. Juice bars are becoming a common fixture in shopping malls as the demand for freshly-made and all-natural juices increase. There are a few advantages that can be achieved by juicing.

Some advantages of juicing include:

Juicing may be an easier way for some to obtain the daily fruits and vegetables that are essential in maintaining a healthy diet. Many people find it more convenient and less time consuming to drink fruits and vegetables instead of eating them.
Juicing can help in promoting weight loss- if it is done correctly and the body is not deprived of vital nutrients and fibers.

There also disadvantages associated with all-juice diets. The disadvantages that are associated with all-juice diets include:

An all-juice diet for a prolonged period of time is not recommended as studies have shown that LDL cholesterol levels may increase. Depriving the body of whole foods that are rich in nutrients could also weaken its ability to fight infections and function properly.
Juicing can prove dangerous for individuals with chronic health conditions such as diabetes and kidney disease. High levels of fructose, which is the sugar found in fruits can elevate blood sugar levels. Excessive juicing can cause high levels of potassium and minerals to build up in the blood- this can become hazardous if one has kidney disease.
Juicing may not be the healthiest or most effective way to lose weight as your body may think it is starving and lower its metabolic rate. If your body is being deprived of the daily recommended caloric intake it could begin to burn muscle tissue instead of fat to provide energy, causing the loss of muscle mass.

If you choose to juice, consult your physician, especially if you have chronic health conditions and juice in moderation. Juicing can be beneficial if it is done properly and is supplemented with nutrient-rich whole foods. It is recommended that a glass of juice can be used to substitute one meal for example breakfast or lunch for the day. Most healthcare practitioners caution that juicing should not surpass the duration of a few days.

Cervical Cancer

Posted on February 7, 2018 by Andrew Rubin

Cervical cancer is a cancer that involves the lower part of the uterus (womb), which is known as the cervix. This can involve a microscopic lesion, that cannot be seen with the naked eye; or it can involve a larger area that is visible while performing a pelvic exam or during colposcopy.Signs and symptoms can include bleeding after sexual intercourse, irregular vaginal bleeding, bleeding after menopause, abnormal vaginal discharge, and/or pain.

Risk factors for cervical cancer include: infection with certain types of human papilloma virus, and having diseases that lead to lower immunity (such as HIV). Smoking is also a risk factor.

A vaccine is available that can prevent infection with some of the high risk and low risk types of HPV. The Centers for Disease Control and Prevention recommends routine vaccination for boys and girls ages 11 or 12. Vaccination is also recommended for women 13 years through 26, and men ages 13 through 21. Routine screening with a pap smear or going for an annual gynecologic exam can help with the detection of early signs and symptoms of the disease, or the detection of pre-cancerous changes of the cervix. Practicing safe sex and smoking cessation are also some methods to reduce your risk.

Cervical cancer is diagnosed with a biopsy of the cervix. Prior to having a biopsy, there are abnormal results that can be encountered on a pap smear, that would require further testing or exams (such as colposcopy). There are also two types of procedures that can be performed if there is an abnormality detected with colposcopy and with biopsies, called a Loop Electrosurgical Excision Procedure (LEEP) or a Cone biopsy of the cervix. These procedures can be diagnostic as well as therapeutic.
Treatment options for cervical cancer include surgery, radiation, chemotherapy or a combination of these methods. If you would like to schedule an appointment with a physician in the Women’s Health Center, please call 718-291-3276.

JHMC Partners with Shape Up NYC to Offer Free Stretch and Release Classes

Posted on February 6, 2018 by Xavia Malcolm

In an effort to improve the overall wellness of our community, Jamaica Hospital Medical Center has partnered with the New York City Department of Parks and Recreation’s; Shape Up NYC, to offer free Stretch and Release classes to everyone.

The class will be taught by the hospital’s own Janis Sharkey, Clinical Nurse Manager, who specializes in holistic care. It will focus on applying principles of the Alexander Technique and Cantienica to stretch and strengthen muscles, as well as improve balance. Postures and movements are similar to Yoga.

Stretch and Release will begin on February 1st and will take place every Thursday at 5:15 pm at the MediFit Gym at Jamaica Hospital; 134-20 Jamaica Ave; 3rd Floor. For more details please visit https://www.nycgovparks.org/programs/recreation/shape-up-nyc

February is American Heart Month

Posted on February 1, 2018 by Andrew Rubin

Over 50 years ago President Lyndon B. Johnson proclaimed the month of February to be American Heart Month in order to bring attention to one of the leading causes of death in the United States. This tradition has been carried on by every President since.

Each year over 800,000 lives are taken as a result of heart disease, stroke and other cardiovascular diseases. Every 84 seconds someone in the United States dies from the disease and each year approximately 750,000 people experience a heart attack and of those, about 115,000 will not survive.

The American Heart Association recommends the following behavioral modifications to prevent heart disease:

Avoid smoking
Engage in some form of daily physical activity
Follow a healthy diet
Maintain a healthy body weight
Control cholesterol, blood pressure and blood sugar levels

The death rate from heart disease has been improving slowly over the last decade due to advances in medications, better diagnostic capabilities, and better access to health care, but the statistics are still pretty alarming. If you would like to schedule an appointment with a cardiologist at Jamaica Hospital, please call 718-206-6742.

Follow These Tips to Avoid Getting the Flu at Your Super Bowl Party

Posted on January 31, 2018 by Michael Hinck

The Super Bowl is this weekend and so many Americans look forward to celebrating this national event by watching the game with their friends and family. With flu season at its peak throughout the U.S, attending a gathering to watch the big game can be risky if you are not careful. Whether you are the host or a guest at a party this weekend, be sure to follow these tips to minimize catching the flu or any other virus this Sunday.

Avoid others if you are sick – The best way to avoid contracting or spreading the flu is to avoid others if you are feeling symptoms. If you are invited to a party but you or someone in your house is not feeling well, stay home. If you are hosting and experiencing flu-like symptoms, cancel the party.
Practice appropriate hygiene – If you are at a party and suddenly develop symptoms, make sure you cover your mouth and nose when you cough and sneeze. Avoid using your hands when covering up. Instead use your upper sleeve. Also discard all tissues immediately after using them.
Exercise proper hand hygiene – Super Bowl parties offer many opportunities for you to shake hands or exchange high-fives with other party- goers. Expressing excitement is great, but when doing so, be sure to wash your hands frequently to avoid spreading germs. If you are hosting, it might be a good idea to have plenty of hand sanitizers available.
Be smart about how food and drinks are served – Most big game celebrations are sure to offer two things; plenty of food and drink. Be smart about how they are served by ensuring that there are appropriate utensils at the party, such as tongs to grab wings and scoopers to avoid hands in the chip bowls. Additionally, avoid sharing beverages. One idea to avoid mistakenly grabbing the wrong drink is to mark all plastic cups with the names of your guests with a magic marker.

By following these tips, you can enjoy all the fun that Super Bowl Sunday brings and reduce your chances of suffering with a cold or flu immediately after.

Prostate Cancer – Screening and Treatment

Posted on January 30, 2018 by Joann Ariola

The prostate gland is a part of the male reproductive system that produces a fluid that mixes with sperm and other fluids during ejaculation. It sits just below the bladder and is normally about the side of a walnut.

Prostate cancer is an abnormal growth of cells within the prostate gland. Prostate cancer is one of the most common types of cancer in men and the second leading cause of cancer deaths among American men. The majority of men who reach the age of 80 are found to have prostate cancer however most of types of prostate cancer grow slowly and may not contribute to any serious harm. Some types of prostate cancers are more aggressive and can spread to other parts of the body.

Prostate cancer, especially in its early stages, may not have any symptoms. When symptoms are present they may include difficulty starting urination, less force to the stream of urine, dribbling at the end of urination, needing to urinate frequently, urinating frequently at night, pain while urinating, blood in the urine or semen, difficulty starting or maintaining an erection, pain with ejaculation, pain or stiffness in the lower back, hips, pelvis and upper thighs, or unintended weight loss.

Although it is not known exactly what causes prostate cancer some risk factors for developing prostate cancer are older age (more than 65% of prostate cancers are diagnosed in men older than 65), race (African-American men are 60% more likely to develop prostate cancer than Caucasian men), family history (having a father or brother with prostate cancer) and obesity.

There is an ongoing debate among physicians and medical groups about screening for prostate cancer. Currently many organizations including the U.S. Preventive Services Task Force (USPSTF) and the American Academy of Family Physicians (AAFP) recommend against routine screening for prostate cancer. Having a discussion with your doctor about prostate cancer screening can help you decide if you should consider undergoing prostate cancer screening based on your unique health history and preferences.

When screening is done there are two tests that are available. The available tests are a digital rectal exam (DRE) and prostate-specific antigen (PSA) test. To perform a digital rectal exam your doctor uses a gloved finger, inserted a few inches into your rectum, to check your prostate gland. A prostate-specific antigen test is a blood test that measures the level of PSA in your blood. Many men who have prostate cancer have elevated levels of PSA however PSA can also be elevated for less serious causes such as prostate enlargement or infection. Further testing is needed to diagnose cancer. Additional tests that your doctor may recommend to diagnose cancer include an ultrasound of the prostate and a biopsy of the prostate. A biopsy is when a small piece of the prostate is removed to look for abnormal cells.

Treatment of prostate cancer depends on many factors including your age, your overall health and the growth and spread of the cancer when it is diagnosed. Some men who have slow growing tumors may not need treatment right away and some may never need treatment. Other types of prostate cancer are aggressive and can quickly spread to other parts of the body making treatment difficult. Common treatment options include watchful waiting or expectant management (regular testing and checkups to assess for new signs or symptoms), radiation therapy (high-energy x-rays used to kill cancer cells), chemotherapy, surgery (having the prostate gland removed) and hormone therapy. Flushing Hospital also offers robotic surgery and physicians specially trained in its use, as an option for the treatment of prostate cancer.

Jamaica Hospital Doctors Nominated As Region’s Top Doctors

Posted on January 26, 2018 by Jamaica Hospital Medical Center

For more than two decades, Castle Connolly Medical Ltd. has been a recognizable resource for identifying the area’s Top Doctors.

The organization’s selection process is based on peer nominations, of which more than 50,000 physicians, hospital and healthcare executives are contacted directly for their input. The Castle Connolly physician-led research team then carefully reviews the credentials of every physician that is considered for inclusion in Castle Connolly Guides®, magazine articles and websites. After a thorough review of credentials, nominated physicians are chosen to appear on the list of Castle Connolly Top Doctors.

This year we are pleased to announce that five doctors from Jamaica Hospital have been selected as Top Doctors in the New York Metro Area for 2018.

Doctors affiliated with Jamaica Hospital Medical Center are:

Cono M. Grasso, Ophthalmology
Steven R. Inglis, Maternal and Fetal Medicine
Riccardo Ricciardi, Jr., Urology
Alan R. Roth, Family Medicine
Craig A. Thurm, Pulmonary Disease

The Medisys Health Network prides itself on providing the highest quality of care to all of our patients. We congratulate all of our doctors chosen for the 2018 Castle Connolly Top Doctors Guide.