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.

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.

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.

Teaching Your Children to Embrace Diversity

Posted on January 26, 2018 by Michael Hinck

Our children are being introduced to so many more people than any other generation before them. Whether through school, outside activities, or on some form of electronic media, they have the opportunity to learn a great deal about people who come from diverse backgrounds, including those from different ethnicities, religions, sexual orientations, and family dynamics. So, how can we, as parents make sure they are accepting of the differences in others?

Here are some tips parents can follow when trying to teach their children about diversity:

Set a good example – It might sound obvious but our children learn just as much from watching what we do as listening to what we say. As parents, we must recognize and address our own short-comings when it comes to accepting diversity if we want to teach our children correctly. Our actions cannot contradict the lessons we are trying to teach and we must lead by example if we do not want our children judge others based on stereotypes.
Get out of your comfort zone – While we all agree technology can make the world a much smaller place, the fact is most of us still spend our daily lives living in communities where the majority of our neighbors look like us and share the same values and traditions. Unfortunately, raising our children in a homogeneous environment is not conducive to truly teaching them about accepting diversity because they don’t get the opportunity to experience those who are “different.” Parents must make a deliberate effort to leave our familiar surroundings and experience and appreciate diversity.
Listen to what your child is saying – As much we would like to think we are the only influences in our children’s lives, we are not. They see and hear things from other adults, other children and other sources. Other influences can lead to the formation of inaccurate perceptions and beliefs. Take notice if your child is using hurtful or stereotypical language and take time to explain why something is inappropriate. Also encourage your children to ask questions. You can help provide explanations to things that might otherwise be confusing to them.
Don’t ignore differences – Many parents mistakenly want their children to be “difference blind.” This can only make the situation worse. There are many differences among us that should be embraced including how someone speaks, what they wear or eat, how their name is pronounced, or if they have two moms. These differences are bound to ignite curiosity and could lead to questions. Instead of ignoring diversity, teach your child to accept what makes us all unique and that our differences are only part of who we are, but they do not define us.

By following these tips, you can raise your children to be more accepting of others, which will go a long way in their development into adulthood.

Employee Spotlight – Dillon Peters

Posted on January 24, 2018 by Andrew Rubin

This month we would like to introduce you to Dillon Peters – Lieutenant in the Security Department at Jamaica Hospital. He has been with the hospital since February of 2014 having started as a security officer and was twice promoted during these four years to his now current rank of Lieutenant.
Dillon is a native of the twin islands of Trinidad and Tobago. He is the divorced father of four children who he loves dearly. In his free time he enjoys music of all genres, and spending time with friends and relatives. His hobbies include anything athletic such as basketball, table tennis and soccer. He also enjoys dancing. He attended Nyack College and graduated with a B.S. degree in Organizational Management.
Dillon can best be described as a “people-person”. He enjoys helping others whenever he can and in his own words “loves bringing a smile to other people’s faces”. He enjoys it when he can make people feel comfortable and getting them to share some laughter with him.
Dillon is very energetic and enjoys interacting with patients, visitors and the people who work at the hospital. He can often be seen walking through the building helping wherever he can to ensure that others are having a good experience while they are at Jamaica Hospital. He accomplishes this by being a good listener, friendly, caring, thoughtful and as everyone who knows him will attest to, a very kind person

Surprising Health Benefits of Eating Apples

Posted on January 22, 2018 by Xavia Malcolm

“An apple a day keeps the doctor away,” is an old Welsh proverb that many of us have heard at some point in our lives. While the saying is not accurate, and leading a healthy lifestyle requires much more than eating this fruit each day; studies have found that apples provide us with several health benefits.

Apples are one of the best foods to include in your diet. They are rich in important components such as quercetin, vitamin C, pectin and more. Studies have associated these substances with several benefits which include:

Improving neurological health– Quercetin contains two compounds that are known to help reduce cellular death caused by the oxidation and inflammation of neurons.
Reducing the risk of certain cancers- The American Association for Cancer Research has found that consuming apples rich in flavonoids such as quercetin and rutin can help to reduce the risk of pancreatic cancer. Apple peels contain compounds that promote anti-growth activity in cancer cells that develop in the breast, liver and colon.
Lowering cholesterol- Fibers found in apples such as pectin are linked to lowering levels of LDL cholesterol.
Boosting immunity- Apples are a good source of immune-boosting nutrients such as vitamin C.
Reducing the risk of type 2 diabetes- A study published in the American Journal of Clinical Nutrition found that flavonoids such as anthocyanins are associated with lowering the risk of developing type 2 diabetes.

While eating apples each day may not keep your doctor away, they can be a key factor in helping you to maintain your health. Eating a diet rich in fruits and vegetables can help to reduce the risk of several diseases and improve overall wellness.

Flu Vaccines are Important and Safe for Pregnant Women

Posted on January 19, 2018 by Radeeb Akhtar, MD MPH

Influenza or Flu is a viral illness that appears most frequently during the winter and early spring. The effects of the flu can range from a mild cold-like illness to becoming severely sick, requiring hospitalization.

Women who are expecting are at an increased risk of developing severe flu-related illnesses due to the many changes in the immune system, heart and lungs that occur during pregnancy.

Influenza can be harmful to both mother and developing baby. Complications from the flu can increase chances for premature delivery and is also linked to neural tube defects in growing fetuses.

The CDC highly recommends that pregnant women receive the flu shot. For 2015-2016, it is estimated that the vaccine prevented about 5 million influenza illnesses and 3,000 related deaths.

A flu shot given to a pregnant woman protects mother and baby. Research shows that mothers, who are vaccinated, will pass on some immunity to their child after birth. This reduces the risk of illness for the newborn. The CDC finds that “The flu shot given during pregnancy has been shown to protect both the mother and her baby for several months after birth from flu.”

The vaccine is safe to get during any trimester. There is an excellent safety record for the millions of pregnant women who received the flu shot. We highly recommend vaccination for all pregnant women, and it is considered part of routine prenatal care.

It is important for others living in the household to get the flu shot to further protect the newborn. Babies usually get their first flu shot at the age of 6 months, so until then, they are at an increased risk of getting influenza from their environment. If an unvaccinated infant gets the flu, it can be severe and require medical management.

If you are pregnant and experiencing flu symptoms such as fever, body aches or a sore throat, call your family doctor immediately or seek medical attention.

To schedule an appointment with the Family Medicine Department at Jamaica Hospital Medical Center, please call, 718-206-6942

Radeeb Akhtar MD. MPH. JHMC Family Medicine