Tips for Traveling With Medication

Posted on February 26, 2018 by Xavia Malcolm

Preparing for a flight often requires careful planning and packing. When traveling with medication, knowing airport rules ahead of time can help you pack correctly and minimize setbacks on your trip.

It is important that you follow these tips provided by the Transportation Security Administration (TSA) to avoid delays in your travel time or confiscation of your medication:

Confirm that your prescription is legal at your destination; some medications that are allowed in the United States are prohibited in other countries.
Learn state requirements for the labeling of prescription medication. States have individual laws to which travelers must comply.
You can bring unlimited amounts of your medication in pill or solid form, as long as it is screened. Medications are typically screened by X-ray; however, if you do want them X-rayed you may ask to have them inspected instead. This request must be made before your medication enters the X-ray tunnel.
You are allowed to bring liquid medication in carry-on bags over 3.4 ounces in reasonable quantities.
If traveling with liquid medication, you must inform the inspecting officer at the start of the screening checkpoint process. Additional screening will be required and you may be asked to open the container.
Supplies associated with medication such as syringes, pumps, IV bags or needles must undergo screening.

Packing appropriately for your trip can make traveling with medication less complicated. It is highly recommended that you check the TSA’s website, www.tsa.gov, for updates as the current rules can change.

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.

Regulating Your Child’s Screen Time

Posted on February 23, 2018 by Michael Hinck

More and more parents are reporting not seeing their child’s face enough as they are constantly hidden behind various electronic devices. This is a concern that previous generations of parents did not have to deal with, leaving today’s mothers and fathers wondering how to regulate their child’s screen time activity.

First off, it’s important to note that not all forms of electronic media are created equal. There are many educational games, apps and videos that children can play and watch that support and benefit their development. Many experts actually suggest that it is not the quantity, but the quality of a child’s screen time that should be taken into consideration.

That being said, the American Academy of Pediatrics has offered guidelines for childhood screen usage. They discourage children younger than 18-24 months of age from participating in electronic media use, except for video chatting. If parents wish to introduce digital media games or apps at these ages, they should make sure that it is done in a supervised setting and that the content is educational and interactive. Parents of children from two to five years of age should limit their child’s screen time to one hour a day of high-quality programming. As children grow, the content and amount of media they are exposed to is harder to determine and is not a “one size fits all” model. Parents should customize parameters based on the maturity level and social skills of their children.

It is also recommended that parents understand that they need to remain involved in their child’s online habits and enforce certain rules to ensure that screen time doesn’t affect other aspects of their lives. Parents are encouraged to carve out time for unplugged and unstructured play and create tech-free zone and times. In addition digital media should be off limits at dinner time and while children are doing their homework. Another tip is for parents to limit their own screen time to set a good example for their children.

When making decisions about screen time, parents should be aware of the following issues that can result from too much screen time, including:

Obesity
Irregular sleep patterns
Behavioral problems
Lack of social skills
Violent behavior

It is also recommended that parents understand that they need remain involved in their child’s online habits and enforce certain rules to ensure that screen time doesn’t affect other aspects of their lives. Parents are encouraged to carve out time for unplugged and unstructured play and create tech-free zone and times. In addition digital media should be off limits at dinner time and while children are doing their homework. Another tip is for parents to limit their own screen time to set a good example for their children.

Managing a child’s use of electronic devices will be an ongoing challenge for today’s parents. By staying active and engaged in their screen habits, you can avoid them falling into the traps associated with digital media and ensure they develop a well-rounded childhood experience.

Employee Spotlight – Renee Card

Posted on February 22, 2018 by Andrew Rubin

This month we shine our employee spotlight on Renee Card, Occupational Therapist. Renee has been working at Jamaica Hospital for 25 years. She grew up in Laurelton, Queens and still resides there today.

Renee became interested in occupational therapy while doing an internship during high school at the Rusk Institute in Manhattan. After graduating from Springfield High School she went on to get her degrees from both Queens College and York College. She pursued her career path because she discovered that she had a passion for helping people and restoring their quality of life after a major illness or trauma.

Renee enjoys working at Jamaica Hospital because of the diversity of the patients that she sees. She also loves working at Jamaica Hospital because her colleagues have become like a second family to her as they too have worked together for many years.

In her free time Renee is very active in the community. She performs missionary work with her church helping those who are less fortunate. Renee has also gone on medical missions to help people in Haiti, Belize and Liberia.

Renee enjoys traveling and has been to many places across the country and around the world. She has visited six of the seven continents and is always looking for new places to visit and learn about.

When Renee is not working, traveling or doing missionary work, she enjoys helping out in her brother’s dog grooming salon. She also has two beautiful dogs of her own that she is very proud of.

Learn The ABCDE’s of Moles

Posted on February 16, 2018 by Ambika Nath DO

Skin cancer is one of the most commonly diagnosed forms of cancer in the United States. It can present in all ethnicities and skin tones. Almost all skin cancers are found on skin exposed to sun, ultraviolet light, tanning lights, or sun lamps.

Most forms of skin cancer can be treated successfully when detected early. Unusual growths on the skin such as moles can serve as warning signs; therefore, paying attention to changes and abnormalities is crucial in early detection.

When observing changes in the skin, knowing what is considered ‘normal’ is vital. For example, a normal mole is solid and uniform in color, and can range from tan, brown, dark brown, or flesh colored. They are usually round or oval in shape with well-defined edges, and may be flat or raised. However, moles that have developed into skin cancer are sometimes irregularly shaped, scaly or have a variation in color.

The ABCDE rule can help you remember what to look for when checking your moles.

A for Asymmetry

If you fold the mole in half, does it look the same on both sides? If it looks the same on both sides, then it is symmetrical. If both sides look different, the mole is asymmetrical and should be monitored.

B for Border

Look at the border of the mole. Normal moles have a smooth edge. Moles of concern may have a blurry or jagged border.

C for Color

Note the original color of the mole. Has it changed by becoming darker, lost some color, or have multiple colors? (Note that some moles tend to darken during pregnancy or while taking birth controls pills.)

D for Diameter

How large is the mole? Moles that are bigger than 1/4 inch in diameter should be shown to your health care provider.

E for Evolving

Has the mole changed in shape, size, or color? If so, alert your primary care provider.

Doctors advise that you seek medical care if:

Your mole changes size, especially if it grows very quickly or becomes larger than a pencil eraser (6mm).
Your mole changes in color or develops more than one color.
Your mole, or the skin near the mole, becomes painful, sore, red, or swollen.
Your mole becomes scaly, sheds skin, oozes fluid, or bleeds.
Your mole develops irregular borders.
Your mole becomes hard or soft, or develops raised areas.

There are several steps you can take to protect your skin against cancer: Avoid the sun during peak hours, wear sunscreen (with an SPF of at least 30, reapplying every 2-3 hours) and wear sunglasses and protective clothing when spending long periods of time outdoors. Additionally, it is important to remember that ultraviolet radiation from artificial tanning beds is a known carcinogen. Using them can increase your risk of skin cancers such as melanoma by 59%, and even more with each use.

If you notice changes in your skin that are abnormal, it is important to speak with your doctor right away. Early detection is key when treating skin cancer.

If you have questions or concerns about unusual growths on your skin, you can schedule an appointment with a Family Medicine doctor at Jamaica Hospital Medical Center by calling, 718-206-6942.

Ambika Nath DO, Family Medicine

Winter Cold or Allergy?

Posted on February 14, 2018 by Joann Ariola

The winter months can be challenging to your health. The drop in temperatures often results in symptoms that could be either a winter cold or allergies.

While many of the symptoms of colds and allergies are similar, the causes of each are very different.

Colds are contagious and they are contracted when a person is exposed to an individual infected with a cold virus. Our body’s immune system will launch a counter attack against the virus. This response usually brings on the classic symptoms, such as a runny nose or cough.

An allergic reaction is caused by an overactive immune system that mistakes harmless things, such as mold or dust mites and attacks them. To combat what it thinks are germs, your body releases chemicals called histamines as a defense. The release of these histamines can cause a swelling of the nasal passages and result in coughing and sneezing. While many of the symptoms are similar, the easiest way to determine if you have a cold or are suffering from allergies is the duration of your condition. While most colds last from three to 14 days, allergies can last for months as long as the person is in contact with the allergen. Other differences are:

An allergic reaction will begin immediately after exposure to an allergen while cold symptoms usually take approximately three days to appear after exposure
A cold virus can sometimes cause fever and body aches while allergies never do
An allergic reaction can often result in itchy, watery eyes, which a cold rarely produces this type of reaction
Allergies are not contagious.

Once a determination between cold or allergy is made, the appropriate treatment can be applied.

There is no cure for a cold, but there are medications that can help alleviate the symptoms. Cough syrups, pain relievers, decongestant sprays, or multi-symptom cold relief medicines can all be used to help, but should only be taken after consulting your doctor, especially if you are taking other medications or if you have other underlying health conditions. Drinking plenty of liquids also speeds up the recovery process.

To treat allergies, your doctor may recommend an over-the-counter antihistamine to block the reaction to the allergens. There are many forms of antihistamines and some may cause drowsiness so be sure to look for the non-drowsy formula or only take them at night. Decongestants may also be suggested to relieve nasal congestion and avoid an infection.

If you are not sure if you have a cold or allergies, please speak with your doctor. If you do not have a doctor, Jamaica Hospital’s Ambulatory Care Center can help. To make an appointment, please call 718-206-7001.

How Do You Know When It’s Safe to Go Back to Work After the Flu?

Posted on February 13, 2018 by Xavia Malcolm

You can’t stop coughing, your nose is running, and your throat ache is at a level 10. On top of this, you feel exceptionally fatigued. Chances are that you are battling the flu.

Fighting the flu can understandably be a miserable experience. For this reason, you may be worried about spreading the flu to other people in your workplace. So, for how long is the flu contagious? Here’s a rundown on what you need to know about the influenza b contagious period.

How Easily Can the Flu Spread Once You Have It?

Physicians usually recommend that you stay home if you’re battling the flu. That’s because if you go to work while sick, your coworkers can easily contract the virus.

In fact, experts say that if you have the flu, you can spread this illness to other people as far as six feet away. The flu virus is typically spread through the droplets created when you talk, sneeze, or cough.

How Long Is the Flu Contagious?

Timing your return to work properly will help to decrease other people’s chances of getting sick from the flu. As a general rule of thumb, it’s best that you stay home while you are still suffering from symptoms like vomiting, coughing with phlegm, diarrhea, and fever. Some physicians say that a safe period to stay away from the workplace once you begin to notice flu symptoms is five days. In addition, you shouldn’t return to work until you’ve been fever free for 24 hours.

How Can You Prevent the Spread of the Flu Virus This Year?

As you ponder the answer to the question “How long is the flu contagious,” you should know that even when you begin to feel better days after contracting the flu, you might still be contagious. For this reason, it’s critical that you take a few steps to prevent the flu virus from spreading:

Wash your hands.
Disinfect areas you think might be contaminated.
Avoid sharing utensils with others or sanitize them before sharing them.
Avoid coming into contact with other people.
Cover your mouth and nose when you cough or sneeze.

Call us at (718) 206-6000 for more information about the flu or to schedule a physician appointment to get checked out if you believe that you have the flu.

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.

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.