Vitamin D Deficiency in Winter

Posted on December 20, 2017 by Andrew Rubin

It is very important for our bodies to have a sufficient amount of vitamin D all year long, especially during the winter months.

The body uses vitamin D to help it absorb calcium from the foods that we eat while they are in the gastrointestinal tract. Calcium is essential for maintaining bone strength, fortifying our immune system, keeping the heart healthy, preventing strokes, preventing depression and may help with the aging process.

A great source of natural vitamin D comes from the ultraviolet B rays found in sunshine, and the more daylight we are exposed to, the more vitamin D our skin will be able to synthesize. However, during the winter months getting enough is difficult. We spend more time indoors and even when we are outdoors, we tend to wear heavier clothing which blocks the sun from hitting the skin. The best time of day to be outdoors is midday when the sun is usually the strongest. During the summer months, 10 – 15 minutes every day is usually sufficient, but during the winter months, you may require 30 minutes or more to get the adequate amount of sunlight and your daily dose of vitamin D.

Here are other sources of vitamin D that can be helpful during the year and especially during the winter:

Eating beef liver, pork, egg yolks and cheese
The skin of fatty fish such as tuna, mackerel, and salmon
Drinking milk that is fortified with vitamin D
Taking a vitamin D3 supplement

If you would like to schedule an appointment with a physician at Jamaica Hospital to discuss your health this winter, please call 718-206-7001

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.

Kitchen Safety

Posted on December 20, 2017 by Andrew Rubin

The kitchen is one of the busiest rooms in a home, and even more so during the holiday season. Whether a person is a skilled chef or just someone preparing a basic meal, taking precautions in the kitchen is vital to making everything go safely.

Here are some basic safety tips to remember while working in the kitchen:

Always wear shoes in the kitchen
Avoid wearing loose clothing
Take your time, especially when using sharp objects
Never leave a stove unattended
Make sure everything is cleaned properly
Have a fire extinguisher handy
Keep children away from anything that is sharp, hot or electrical
While cooking on a stove, turn pot and pan handles inward
Wash your hands before and after touching raw meat.
Keep the floor dry
Put food that can spoil in the refrigerator until you are ready to use it
Make sure that everything is off when you are done cooking
Be careful of greasy foods that can splatter, especially near an open flame
Never leave the home while food is cooking

Following these precautions can mean the difference between a memorable meal and a meal that you might want to forget. If an accident does occur and it requires immediate medical attention, please remember to call 911 and ask for help.

HEPATITIS C

Posted on December 19, 2017 by Joann Ariola

Hepatitis C (HCV) is a disease that infects and causes damage to the liver. It is caused by the hepatitis C virus and is spread from person to person through contact with blood. Over time, this disease can lead to cirrhosis, liver cancer and ultimately, liver failure.

Although hepatitis C is the most common reason for liver transplants in the United States, many people do not know they have the disease until they are donating blood or are diagnosed with liver damage. The symptoms of HCV can take years to present and may include:

Joint pain
Sore muscles
Dark urine
Stomach pain
Yellowing of the eyes (jaundice) and skin
Fatigue
Loss of appetite
Fever
Clay-colored bowel movements

Learning the risk factors of hepatitis C and receiving treatment promptly can reduce the severity of symptoms. Talk to your doctor about getting tested if the following pertains to you:

You were born between 1945 and 1965
You are infected with HIV
You received a blood transfusion or organ transplant before July, 1992
You are having or have had unprotected sex with multiple partners
You are a current or former drug injection user and have shared needles
You work in an environment where you are exposed to blood through a needle stick
You have liver disease or have received abnormal liver test results
You were treated for a blood clotting problem before 1987
Your mother had hepatitis C when she gave birth to you

If diagnosed with hepatitis C, consider seeing a specialist who is trained and experienced in treating patients with your condition. There are several therapies and medications that your doctor may recommend. A complete list of approved medications and treatments for HCV can be found on the U.S. Food and Drug Administration’s

In addition to treatment, your doctor will also advise that you live a healthy life by maintaining a balanced diet, exercising regularly, reducing or eliminating alcohol consumption, quitting recreational drug use, practicing safe sex and getting regular checkups.

Visiting the Mall Can Improve Your Health!

Posted on December 19, 2017 by Joann Ariola

We all know that regular physical activity is important to our overall health, especially for seniors.

Did you know walking is a great way for older adults to remain active?

Seniors who commit to taking a brisk walk each day may be at a lower risk of:

Heart Disease
Stroke
Type 2 diabetes
Breast and colon cancers
Depression
Anxiety
Insomnia

With the onset of colder months upon us, how can older adults continue their walking routine and remain active?

The Centers for Disease Control and Prevention (CDC) suggests that in the colder months, you can utilize indoor malls for your brisk walk. Malls can be pedestrian friendly, they are climate-controlled, are well lit, have benches for resting, fountains for hydrating, restrooms, as well as security guards and cameras for safety.

For more information on mall walking programs and for other walking resources visit the CDC’s Mall Walking: A program Resource Guide at –

So get yourself a comfortable pair of walking shoes, hit the mall and improve your health!

Moderating Kids’ Sugar Consumption During the Holidays

Posted on December 18, 2017 by Xavia Malcolm

Eating holiday treats such as sugar cookies, cakes or pies is one of the reasons children look forward to this time of year. In the spirit of generosity and good cheer, we may allow them to indulge more than usual. However, it is important to remember these types of foods are laden with large amounts of sugar and we should continue to moderate the amounts that children consume.

The American Heart Association recommends, “Preschoolers with a daily caloric intake of 1,200 to 1,400 calories shouldn’t consume any more than 170 calories, or about 4 teaspoons, of added sugar a day. Children ages 4-8 with a daily caloric intake of 1,600 calories should consume no more than 130 calories, or about 3 teaspoons a day. As your child grows into his pre-teen and teen years, and his caloric range increases to 1,800 to 2,000 a day, the maximum amount of added sugar included in his daily diet should be 5 to 8 teaspoons.”

Many holiday desserts contain more than the daily recommended amounts of sugar in each serving. For instance, there can be as much as three teaspoons of sugar in a medium slice of carrot cake (1/12 of 16 oz. cake).

Too much sugar can negatively affect children’s health. Excessive amounts have been shown to weaken their immune systems, promote tooth decay and increase the risk of obesity which further leads to more complicated health conditions such as diabetes.

There are several steps you can take to moderate your child’s sugar consumption, here are a few:

Allow treats only on special occasions
Read labels
Swap sugary snacks for healthier options
When baking, opt for recipes that include sugar substitutes or reduced amounts of sugar
Inform friends and family members that you are limiting your child’s sugar consumption to ensure they respect your wishes
Educate your children on how having too much sugar can be harmful to their health

Although moderating sugar consumption may come with challenges; however, parents are strongly urged to be persistent in their efforts. Speak with your pediatrician about ways you can curb sugar cravings and establish a healthy diet for your child.

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

Tips to Maintain Dental Health During the Holidays

Posted on December 15, 2017 by Jamaica Hospital Medical Center

The holiday season is a wonderful time of year. While it is easy to get caught up in the merriment, we need be to be mindful of the effects all of the holiday festivities can have on our dental health. With sweet treats all around us, one particular cause of concern is how our teeth can be impacted.

Here are a few tips to help make sure we maintain good oral health into the new year:

Don’t forget your dental routine – No matter how busy you get this holiday season, don’t forget to practice good oral hygiene.
Eat healthy – Cookies and sweets are nice holiday treats, but instead of reaching for another candy cane, take a cue from the reindeer and fill your plate with vegetables, such as carrots.
Drink healthy – Avoid drinking sodas, sports drinks and juices with lots of sugar. Instead, drink water with fluoride in it to keep your teeth strong and healthy. If you want something bubbly, try carbonated water. If you must drink soda, use a straw to keep most of the acid off your teeth.
Be responsible while drinking alcohol – Aside from all the obvious reasons to be responsible when consuming alcohol, also know that it can affect your teeth. Red wine can stain your teeth and the acid in most alcoholic beverages can also be damaging.
Don’t skip your dental visit – We all know how hectic the holidays are, but whether it is a regular check-up or a visit to deal with an existing issue, it is important to make the time to honor your regular dental visit and not out it off until after the holidays.
Don’t use your teeth as a tool – Avoid using your teeth to tear open packages, tear tape or ribbons, or cracking nuts. These types of cations can lead to chips or breaks.
Stuff your stocking wisely – Sugary treats such as candy canes are a holiday staple, but try to limit the number of sweets in Christmas stockings that can lead to cavities. Use the holidays as an opportunity to replace everyone in the family’s toothbrush by dropping one in each stocking.

By following these simple dental tips, you can avoid being placed on Santa’s naughty list this year.

Heart Health and the Holidays

Posted on December 14, 2017 by Andrew Rubin

The holiday season is upon us which means more opportunities to get together with family, friends and co-workers to share a festive meal. These year-end festivities will usually become excuses to overeat and consume excessive amounts of alcohol. For some who partake in these poor health habits, these actions can result in heart problems and even sudden heart attacks.

Every year, during the months of December and January there is an increase in hospital visits due to heart-related complaints. The most common issues that result in a visit to the ER during this time of year include:

Drinking too many alcoholic beverages which causes an elevation in blood pressure and can lead to an irregular heartbeat.
Eating a big meal, especially one that is high in fat. Digesting a heavy meal will divert some blood away from the heart and this can lead to chest pain and the potential for a heart attack.
Performing strenuous activities outdoors in the cold weather. This is because the dip in temperature causes blood vessels to constrict and therefore blood flow is diminished, especially to the heart. In people who already have blocked arteries, this can be very dangerous.

There are a few easy things that people can do to prevent heart problems during the holiday season. It is important to eat in moderation. Just because there is a lot of food being served doesn’t mean you have to be the one who eats it all. Know your alcohol consumption limitations. It is one thing to drink in moderation and quite another to drink in excess. It is very important to dress warmly if planning on spending a lot of time outdoors. This will keep the body heat in and the blood flowing properly.

Starting the holiday season with a check-up by your physician is always a good idea, especially if you have a history of heart-related problems. If you would like to schedule an appointment with a doctor at Jamaica Hospital, please call 718-206-7001.

Home Remedy for and Upset Tummy

Posted on December 11, 2017 by Joann Ariola

The Chinese have used ginger to treat nausea and digestive issues for over 2,000 years. While research has debated the extent of its effectiveness as a natural remedy, it’s thought that active components, such as gingerol, directly affect the digestive and central nervous systems.

Most doctors and herbal medicine practitioners agree that using fresh ginger in teas and water or natural ginger candies will help relieve nausea, especially during pregnancy. Some studies suggest it is an effective treatment for post-operative and chemotherapy-related nausea, as well.

Ginger also has anti-inflammatory properties that may help boost immunity. Bottom line, there are no disadvantages to ingesting a little ginger to help ease nausea and digestive issues.

Asthma Medications-Dr. Andrew Flowers Helps You To Understand Treatment Options

Posted on December 8, 2017 by Andrew Flowers MD

Do you or someone you know have asthma? If so, you may want to know what treatment options are available and how they can help to manage the condition.

First, you need to understand what asthma is as well as its symptoms. Asthma is a chronic disease that when it is not controlled can make it difficult to breathe. When an asthma attack happens, you may experience coughing, wheezing, chest tightness, or breathlessness. A person may find it difficult to breathe as a result of the narrowing of the airways caused by swelling, mucus production, and the tightening of the muscles around the airways.

Although many people have asthma, it can mean very different things from person to person. You may experience mild or moderate symptoms daily or weekly. Your doctor will consider these factors when deciding which treatment options are most suitable for your care.

The goal of asthma treatment is to control the disease and to prevent symptoms from interfering with your day-to-day activities. Your doctor determines control of your asthma by the following:

How often you experience daytime and nighttime symptoms.
How often you use your rescue inhaler.
How often you have to go to the doctor for treatment of your symptoms.
How much your symptoms interfere with your daily life.

Individuals with poor control of their asthma are usually put on controller medications to manage their condition. Controller medications are to be taken every day to prevent symptoms from occurring and to decrease the severity of symptoms when they do occur.

Controller medications should be used long-term, whether you feel bad or good on a daily basis, as prescribed. Consistency is very important when taking these medications. Another form of treatment your doctor may prescribe is prescribing a rescue medication. These are to be used on a short-term basis to help you feel better quickly when experiencing coughing, shortness of breath, or wheezing. Here are a few examples of each type of medication.

Check out American Lung Association’s guide on how to use your inhaler:

With a spacer:

Without a spacer:

https://youtu.be/Lrt1nJ3tVFI?list=PLxdDQiAI50j8Kl2NF2KVVnp27gFS3NjX4

When taken as directed, these medications can significantly decrease the burden of asthma on your daily life. Do not hesitate to go to a doctor if home medications are not providing relief.

In addition to taking your medication, it is important to know your asthma triggers and be able to identify symptoms early.

Talk to your doctor about your Asthma Action Plan and ways to better take control of your asthma. To schedule an appointment with the Family Medicine Department at Jamaica Hospital Medical Center, please call, 718-206-6942

Andrew Flowers MD, Family Medicine

Dr’s Tips For Dealing with Holiday Stress

Posted on December 6, 2017 by Jamaica Hospital Medical Center

During the holiday season, many of us struggle to complete an extensive list of tasks in what often feels like very little time. We run rampant decorating our homes, attending social gatherings, shopping for loved ones, volunteering, traveling or cooking. These activities are often added to our already busy schedules, which can make us feel overwhelmed.

Contrary to what we may think, these activities which should make us feel happy can actually increase our stress levels.

Although there are various factors such as unrealistic expectations or financial strain that contribute to holiday stress, finding ways to avoid stressors or minimize their effects is very important. If stress is not managed well, it can have a significantly negative impact on our health.

Dr. Madhu Rajanna; Director of the Mental Health Clinic and Assistant Director of the Psychiatry Residency program at Jamaica Hospital Medical Center offers five tips to help you cope with holiday stress and maintain good mental health:

Set realistic goals– Unrealistic goals often equal added pressure and expectations that cannot be met. If these goals are not met, they can lead to negative feelings such as inadequacy or hopelessness.
Know when to take a moment for yourself (Take a break) – We are often pulled in multiple directions during this time of the year. Know when to take a breather to decompress and clear your mind.
Communicate- The added pressures of the holidays are clearly overwhelming and one of the ways that people sometimes deal with this is to isolate themselves. This is not recommended; instead, reach out to loved ones or a trained mental health professional to communicate how you feel.
Do not neglect healthy habits– Taking good care of your health can help combat holiday stress. Moderating your food intake, fitting in a few minutes of exercise and getting adequate amounts of sleep can be profoundly beneficial for your health. Additionally, maintaining a healthy daily routine can help take your mind off holiday demands.
Ask for help- We live in a time where multitasking has become the norm but if you begin to feel overwhelmed, ask for help. Soliciting the help of friends or family can alleviate some of the holiday pressure. The holidays can also trigger depression; if you are experiencing symptoms of depression ask for help from loved ones or seek the assistance of a mental health professional.

Dr. Madhu Rajanna- Director of the Mental Health Clinic and Assistant Director of the Psychiatry Residency program

The holiday season can be overwhelming; however, by applying Dr. Rajanna’s helpful tips you can take the steps needed to minimize stress and make this time of year more enjoyable. If you find that you continue to experience elevated levels of stress or symptoms of depression, it is recommended that you seek the help of mental health professional immediately.

To schedule an appointment with the Mental Health Clinic at Jamaica Hospital Medical Center, please call 718-206-5575.