Alzheimer’s or Aging Naturally?

Posted on March 19, 2018 by Joann Ariola

As you age, you may experience what is jokingly referred to as a “senior moment” when trying to remember why you entered a room or where you left your keys. These moments are fairly common, but how do you know if your forgetfulness is the result of natural aging or Alzheimer’s?

Almost 40 percent of people over the age of 65 experience some form of memory loss without having any medical condition associated with it. This process is known as Age-Associated Memory Impairment. This condition is considered to be part of the natural aging process.

According to Alz.org, (Alzheimer’s Association) many things change as we age. Our bodies and brain’s slow down and we are less physically and mentally flexible. We may take more time to process information and experience some memory loss causing us to be forgetful of people places and things as we age.

Some signs of a naturally aging mind are:

Experiencing some memory loss, but being able to provide considerable detail when explaining the episode
Maintaining memory for important events, appointments and conversations
Occasional difficulty in finding words
Normal performance on mental status exams

Independent living and being able to conduct day to day activities and maintain interpersonal skills is also a reminder that you are aging naturally. As you age, it is beneficial to keep your mind sharp by remaining active, exercising, playing games that challenge your mind to think such as crossword puzzles or chess.

Conversely, Alzheimer’s disease is also associated with memory loss. This disease can affect people who are advanced in age or who are younger than the age of 65. When early on-set occurs, the disease is referred to as either younger-onset or early onset Alzheimer’s. Forgetfulness due to Alzheimer’s is not a part of the natural aging process.

Some symptoms and signs of Alzheimer’s are:

Personality or mood changes
Difficulty making decisions
Misplacing items on a regular basis
Withdrawing from social situations
Difficulty finding the right words for specific items
Difficulty finishing a sentence
Losing tract of locations, dates or times
Asking for the same information again and again
Difficulty learning new things

If you are experiencing symptoms or displaying signs of the disease on an ongoing basis, it is recommended that you consult a physician who specializes in treating Alzheimer’s. In order to diagnose the disease, the physician may complete a comprehensive medical evaluation which can include cognitive tests, brain imaging, neurological and medical exams.

Early detection of Alzheimer’s disease can maximize the benefits received from treatment and may help you to maintain your independence longer. Therefore, it is highly advised that you seek the assistance of a specialist immediately.

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.

What is a Peptic Ulcer and How do they Develop?

Posted on March 16, 2018 by Michael Hinck

Peptic ulcers are open sores that develop in certain parts of your digestive tract. They occur when the protective layer of mucus that lines those areas erodes due to the buildup of acids. If left untreated, these ulcers can lead to internal bleeding and other complications.

There are two types of peptic ulcer disease that are classified based on where they develop. When an ulcer forms on the stomach lining, it is referred to as a gastric ulcer. A duodenal ulcer is the name for an ulcer that appears at the top end of the small intestine. You can have ulcers at any age, but your chances of having one increases with age.

Peptic ulcers generally develop for two reasons:

Bacteria – One common type of bacteria, known as Helicobacter pylori (or H. pylori) is a main cause for peptic ulcers. While as many as 50% of us carry this type of bacteria, most people infected with H. pylori do not get ulcers. For some however, it can raise the amount of acid produced, break down the protective mucus layer, and irritate the digestive tract.
Pain Relievers – Another cause for ulcers is prolonged use of pain relievers, such aspirin or medications that contain ibuprofen or naproxen or other nonsteroidal anti-inflammatory drugs (NSAIDs). These medications block your body from making a chemical that help protect the inner walls of your stomach and small intestine from stomach acid.

Smoking cigarettes and drinking alcohol are also contributing factors in the development of ulcers. It is a common misnomer is that stress and spicy foods can a lead to this condition. The fact is that while they are not factors in the formation of ulcers, they can make an existing condition worse.

Some people can have a peptic ulcer and not experience any symptoms. However, if symptoms are present, the most common is a burning pain or discomfort between the naval and breastbone. The pain can last for a few minutes or a few hours, and may come and go for many days or weeks.

Other symptoms may include:

Bloated feeling
Burping
Difficulty breathing
Lack of appetite or weight loss
Feeling faint
Nausea
Bloody or dark stool
Vomiting

See a doctor if you experience any of these severe symptoms or if your pain does not go away with over the counter antacids. Your physician can diagnose a peptic ulcer by conducting an endoscopy. During this test, a thin, flexible tube is inserted down your throat and into your stomach and small intestine. The tube has a camera at the end to check the lining for ulcers.

Once confirmed, your doctor can prescribe certain medications designed to help protect the lining of the stomach or small intestine so the ulcer can heal.

To schedule an appointment with a Gastroenterologist at Jamaica Hospital, please call 718-206-7001.

March is National Nutrition Month

Posted on March 13, 2018 by Andrew Rubin

National Nutrition Month, founded by the Academy of Nutrition and Dietetics, actually started in 1973 as just a week-long event but because of the public’s growing interest in the topic, it was expanded in 1980 to a month long event. The objective of this observance is to promote healthy eating habits, and encourage physical activity. The theme for 2018 is “Go Further With Food”. It’s message includes:
• Encouraging a healthy eating style with a variety of foods
• Home cooking with healthy ingredients
• Eating meals in healthy amounts
• Including physical activity into a daily routine
• Maintaining a health weight
If you feel that you need to acquire better eating habits and would like some professional assistance, please speak to your physician who will be able to refer you to a nutritionist. To schedule an appointment with a physician at Jamaica Hospital please call 718-206-7001.

Baby Boomers Encouraged To Get Hep C Testing

Posted on March 9, 2018 by Radeeb Akhtar, MD MPH

Hepatitis C is a virus that affects the liver. It can be a short-lived infection, however more often; it is a chronic silent disease that leads to liver failure and sometimes liver cancer after many years.

Your risk of being infected with hepatitis C is increased if you:

Were born from a mother with the virus
Received body piercings or tattoos from non-sterile instruments
Had unprotected sexual contact with multiple partners
Received blood transfusions, blood products or organ donations before 1992
Are on long-term hemodialysis treatment
Work in health care or public safety and were exposed to blood through a needle stick
Were treated for a blood clotting problem before 1987
Shared needles, syringes, or other equipment to inject drugs

Baby boomers or people born between the years 1945-1965 are recommended to get tested once, regardless of exposure history or risk. If you were born between these years, please ask your doctor to order this blood test for you.

If you have hepatitis C, a cure can be possible with the appropriate treatments. Recent research has produced new medications that can essentially cure hepatitis C from the blood and liver. These newer medications have few side effects and are usually taken once daily for 8 or 12 weeks for most uncomplicated hepatitis C infections.

Contact your primary care doctor about how to start the process. Once cured, you are likely to regain improved liver function and reduce the risk of liver failure and liver cancer in the future.

If you have concerns about your risk for hepatitis C or have questions about testing and treatment, please call 718-206-6942 to schedule an appointment with a Family Medicine doctor at Jamaica Hospital Medical Center.

Radeeb Akhtar, MD MPH, Family Medicine

Save Your Vision Month

Posted on March 7, 2018 by Andrew Rubin

March is Save Your Vision Month
How often should you have your vison checked?
A) Every year
B) Every two years
C) Every three years
D) Only when something is wrong
According to the American Optometric Association a healthy person should have a regular eye exam once a year. People who have any conditions that may affect their eyesight, for example diabetes, glaucoma, macula-degeneration, should be examined more frequently.
If you would like to schedule an appointment with an eye doctor at Jamaica Hospital, please call 718-206-5900

Borderline Personality Disorder

Posted on March 6, 2018 by Joann Ariola

According to the National Institute of Mental Health (NIMH), borderline personality disorder is a mental illness marked by an ongoing pattern of varying moods, perceptions of self-image, and behavior. These symptoms often result in impulsive actions and problems in relationships. People with borderline personality disorder may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days.

People with borderline personality disorder may also experience:

Mood swings
Uncertainty about how they see themselves and their role in the world
Quickly changing their interests and values
Viewing things in extremes
Having intense and unstable relationships
Impulsive or dangerous behaviors
Self-harming behavior, such as cutting
Recurring thoughts or threats of suicide
Feelings of emptiness
Issues controlling anger
Difficulty trusting others
Feeling cutoff from themselves and others

While the cause of borderline personality disorder isn’t clear, researchers believe that genetics, brain function, the environment, as well as cultural and social factors may increase the likelihood of developing the disorder.

That being said, being in an “at risk” group does not mean that you will develop the disorder. Likewise, you may not fall into any of the groups but that doesn’t preclude you from developing the disorder.

There are numerous recommended treatments for borderline personality disorder including, but not limited to psychotherapy, medications, as well as group, peer and family support groups.

If you or someone you know is exhibiting the traits of having a borderline personality disorder and would like to speak to a licensed mental health professional, please call Jamaica Hospital Medical Center’s Department of Mental Health at 718-206-7160 to schedule an appointment

For more information on borderline personality disorder visit,

Chronic Kidney Disease

Posted on March 6, 2018 by Xavia Malcolm

Approximately 30 million adults in the United States are living with chronic kidney disease (CKD). This condition causes damages to kidneys and leads to a loss of function over time. If your kidneys are unable to function properly, complications such as hypertension, nerve damage, weakened bones and anemia can develop. CKD also increases the risk of developing cardiovascular disease.

While high blood pressure can result from chronic kidney disease, it can also be the cause of it. Other conditions and diseases that can cause CKD include diabetes, recurrent kidney infections, prolonged obstruction of the urinary tract and vesicoureteral reflux.

Anyone at any age can develop chronic kidney disease; however, some people are more at risk than others. You may have an increased risk for CKD if you:

Have a family history of kidney failure
Have diabetes
Have hypertension
Are obese
Have cardiovascular disease
Are a smoker
Are of African American, Native American, Pacific Islander or Asian American descent
Are an older adult

Signs and symptoms of chronic kidney disease can vary by individual and may appear over time as the disease progresses. They can include:

Muscle cramps and twitches
Swelling of feet and ankles
Trouble concentrating
Fatigue
Frequent urination, especially at night
Itchy skin
Shortness of breath
Difficulty sleeping
High blood pressure
Vomiting

There are several things you can do to prevent CKD and keep your kidneys healthy. Maintaining a healthy diet and cutting back on food rich in sugar and salt is beneficial for your kidneys, as well as monitoring cholesterol levels, keeping hydrated, quitting smoking and drinking in moderation.

If you are living with chronic kidney disease, it is strongly advised that you keep blood pressure and blood sugar levels under control, moderate protein consumption, reduce salt intake, avoid NSAIDs (nonsteroidal anti-inflammatory drugs) and get the flu shot each year.

Know the Facts About the Measles

Posted on March 2, 2018 by Michael Hinck

The measles virus has received a great deal of attention recently in New York City due to an infected tourist potentially exposing many residents in the five boroughs.

As the closest hospital to John F. Kennedy International Airport, where millions of foreign travelers fly in and out of each year and because we serve one the most ethnically diverse populations in the nation, Jamaica Hospital wants to provide our community with some very important information about the measles virus.

While vaccination programs have largely eliminated the measles in the United States, it is still common in other parts of the world with over 90,000 reported deaths attributed to the disease worldwide each year according to the Centers for Disease Control and Prevention (CDC). In fact, most U.S. cases of the measles result from an unvaccinated international traveler exposing U.S. residents to the virus.

The measles virus is highly contagious and is spread through the air when an infected person sneezes or coughs. Fever is typically the first symptom, followed by cough, runny nose and red eyes. Soon after, those infected will develop a rash of tiny red spots. The rash starts on the face and spreads to the rest of the body. Symptoms usually present ten to 14 days after exposure. Those with the disease can develop even more serious complications, and it is especially dangerous for young children.

The best way to prevent becoming infected is to get the MMR vaccine, which prevents against measles, mumps and rubella. The CDC recommends children receive two doses, the first between 12 to 15 months of age, and the second at four to six years old. Teens and adults should also be up-to-date with their MMR vaccination.

The MMR vaccine is safe and highly effective. The recommended two doses have proven to be 97% effective in preventing the measles virus. While the MMR vaccine is recommended for everyone, it is especially important for those individuals who travel internationally or are exposed to travelers from foreign countries .

If you are experiencing symptoms consistent with the measles, seek medical attention immediately, but call your doctor or local hospital before arrival to prevent infecting others.

To learn more about the MMR vaccine, or to schedule an appointment to become vaccinated at Jamaica Hospital’s Ambulatory Care Center, please call 718-206-7001.

Seatbelts Save Lives

Posted on February 28, 2018 by Andrew Rubin

One of the best ways to prevent an injury while riding in an automobile is to use a seatbelt. According to the National Highway Traffic Safety Administration (NHTSA), using a seat belt properly can reduce the risk of crash injuries by 50 percent. Seatbelts are estimated to save almost 13,000 lives in the United States each year. According to the Centers for Disease Control and Prevention more than half of the people killed in car crashes were not restrained at the time of the crash.

When a motor vehicle comes to a sudden stop, the occupants of that vehicle come to a stop as well, but not always simultaneously. When the occupants are not wearing their seatbelts and the vehicle comes to a sudden stop, they can be thrown forward. This often results in either people hitting the windshield of the vehicle or being thrown from the car if the impact is forceful enough.

How does a seatbelt work? A seatbelt when worn properly will disperse the motor vehicle’s stopping force across a person’s chest and pelvis. Seatbelts are usually made from material that has a little elasticity, so the stopping action isn’t as severe. The main objective of the seat belt is to prevent a person from making sharp impact with the windshield, the dashboard, or other rigid areas in the vehicle. By dispersing the force across the body, this will help to reduce the amount of trauma that is inflicted.

Seatbelts are only helpful when they are worn. Even though it is mandatory to wear a seatbelt in most states, there are still people who don’t always wear one. Anyone who has ever been involved in a motor vehicle accident and who was wearing a seat belt at the time will tell you that it probably saved their life. Seat belts that went across the lap started appearing in cars in the early 1960’s and were supplemented by shoulder harnesses in the late 1960’s. At first people found them to be very uncomfortable to wear but as time passed, car manufacturers were able to design the modern three point belt that is easier to use and more comfortable to wear.

Everyone should buckle up, seatbelts save lives.

Chicken Pesto Kebabs

Posted on February 28, 2018 by Joann Ariola

The only thing harder than figuring out what to make for dinner is, figuring out what your children will eat for dinner.

So many times we prepare a wonderful meal only to see the frown on their faces when they say, “I don’t want to eat that.”

Well, worry no more. Try this easy, child yummy, meal and watch that frown turn upside down!

CHICKEN PESTO KEBABS

Ingredients –

3 cups – Tortellini Pasta
½ cup – Pesto
2 medium – Bell Pepper (red)
2 teaspoons – Olice Oil
1 ½ cups sliced – White Mushrooms
6 pieces – Chicken Breast Tenders (cooked)
15 Wooden Skewers

Directions –

Cook tortellini according to the package instructions. Drain water and return to the pan. Add pesto sauce and stir well.
Chop bell pepper into bite sized pieces and add to a large skillet with the olive oil and the mushrooms. Sauté over medium heat until veggies are tender, about 5 minutes. Add pasta with pesto to pan and stir to combine. Remove from heat.
Cube cooked chicken into bite sized pieces
Once cooled enough to handle, skewer pasta, veggies and chicken

Keep in fridge until ready to serve

This is an easy meal and you can ask your child for their help with the preparation!

For these and other kid yummy meals visit –