Dark Circles Under the Eyes

Posted on May 24, 2017 by Joann Ariola

Having dark circles under your eyes is not uncommon but they can be frustrating for those who have them. There are many ways adults and children can develop dark circles under their eyes.

Some of the more common factors that contribute to dark circles are lack of sleep or too much sleep, an iron deficiency, stress, allergies or nasal congestion.

Dark circles under the eyes caused by the more common factors can often be resolved by using over the counter remedies.

If you are getting adequate sleep, have a healthy diet, take vitamin supplements and dark circles still persist, you may have a condition called hyperpigmentation.

Hyperpigmentation is caused by an excessive amount of melanin in your system causing dark patches to develop on the skin. These patches often form under the eyes.

Some additional causes of hyperpigmentation are:

Excessive sun exposure
Scarring
Genetics
Aging
Acne
Burns
Skin pigmentation abnormalities (Thin skin under the eye showing veins)

Since hyperpigmentation does not fade on its own and in some cases can be permanent, you may want to seek the advice of a dermatologist.

To schedule an appointment with a dermatologist at Jamaica Hospital Medical Center, call 718-206-6742.

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 AFib?

Posted on May 19, 2017 by Michael Hinck

Atrial fibrillation (AFib for short) is a condition where the heart beats in an irregular or quivering manner. Some people who have AFib describe the condition as feeling as if their heart skips a beat or is banging up against their chest wall, while others claim to experience no symptoms at all. According to the American Heart Association, it is estimated that over 2.7 million Americans live with AFib.

Under normal conditions, your heart pumps blood from the top chambers, (atria) to the bottom chambers, (ventricles) in a coordinated rhythm. But for those with AFib, the electrical signals that control this system are off-kilter. Instead of working together, the atria are out of sync. The result is a fast, fluttering heartbeat.

If left untreated, AFib can lead to blood clots, stroke, or other heart-related complications, including heart failure.

In addition to feeling as if your heart is fluttering, other signs of AFib include:

General fatigue
Dizziness
Shortness of breath and anxiety
Weakness
Faintness or confusion
Fatigue when exercising
Sweating
Chest pain or pressure

Anyone can have AFib, but it’s more common in people who are 60 or older or those with other heart problems or past heart surgeries. Family history as well as other underlying health conditions, such as hypertension, thyroid disease, diabetes, chronic lung disease, obesity or sleep apnea may also contribute to the onset of AFib. Taking certain medication, smoking, and alcohol consumption can also raise the risk of AFib.

Treating AFib begins with proper diagnosis through a thorough examination which includes providing a comprehensive medical history and participating in a variety of tests, including an EKG, ECG or possibly an electrophysiology study.

If AFib is diagnosed, the goal for you and your doctor is to restore your heart to a normal rhythm and manage your risk factors of developing a stroke or other cardiac issues. This can be achieved through a variety of treatment options, including medications, as well as both surgical and nonsurgical interventions. Together you and your doctor can determine the best course of treatment.

If you are experiencing a fluttering heart, speak to your doctor immediately. If you do not have a doctor, yo make make an appointment at Jamaica Hospital’s Cardiology at 718-206-7100.

The ABC’s of Safe Sleep for Infants

Posted on May 17, 2017 by Joann Ariola

Jamaica Hospital Medical Center and the New York State Department of Health, Office of Children and Family Services urge new parents to follow the ABC’s of how to keep your baby safe while sleeping.

“A” is for ALONE – make sure that your baby sleeps ALONE

“B” is for BACK – Be sure to place your baby on their BACK

“C” is for CRIB – Always place your baby in a safe CRIB

Although the rate of Sudden Infant Death Syndrome (SIDS) related deaths in infants between 28 days and 4 months old has decreased significantly; the incidence of sleep related deaths due to injury and the infant’s sleep position and environment are on the rise. Studies have shown that at least 80% of these infant deaths could have been prevented.

Some guidelines that new parents should follow are:

Purchase a safety-approved crib for your infant and keep it near your bed.
Sleeping in the same room as your baby is recommended.
Sleeping on the same surface as your baby (sometime referred to as bed-sharing) is NOT RECOMMENDED.
Breastfeeding mothers ought to place their baby back into their crib before going to sleep.
Do not place pillows, blankets, bumpers or other soft objects into the crib with your baby.
Purchase a firm mattress and fitted sheets for your baby’s crib.
Do not rely on your baby monitor.
Never use a car seat, baby swing, carriage or carrier without fully fastening the straps. Partially fastened straps can become a hazard for the baby.
Smoking with your baby present puts them at a higher risk for SIDS.
Do not have your baby sleep on a couch or chair. This will pose a risk of blocking airways and may trap the baby in a position that may cause them to suffocate.

For these and additional tips on how to keep your baby safe, visit –

How to Help Your Child Cope with Stress from School Exams and Standardized Tests

Posted on May 16, 2017 by Xavia Malcolm

Preparing for school exams or standardized tests is part of every child’s educational experience. Stress levels in children can elevate during this time as they become anxious about earning satisfactory scores.

High levels of stress can affect academic performance but it becomes a real concern for young students when it takes a toll on their health. Kids may develop symptoms of stress such as sleeplessness, mental blocks or irregular eating habits.

There are several things parents can do to help alleviate test stress and anxiety:

Teach Calming Techniques such as taking deep breaths and muscle relaxation.
Help with test preparation; educate yourself about the subject so that you can provide assistance if this is not possible explore hiring a tutor or suggest a study group.
Practice Time Management by giving mock exams with time limits. This will bolster confidence and reduce panic on the day of the test.
Provide a Positive Environment by ensuring that their daily activities remain as routine as possible. This means normal bedtimes, meal times or hobbies.

While a certain amount of stress or anxiety may motivate some students to perform better for others it creates the opposite effect. It is important for parents to observe how their child reacts to stressful situations and help them to cope. If your child displays symptoms of stress for an extended period of time, communicate with them and if the assistance of a mental health professional is needed, the school counselor or family doctor can be a good place to start.

Jamaica Hospital Medical Center’s Department of Psychiatry offers group therapy, individual therapy, medicine management, and other specialty groups to children, adolescents, and adults. For additional information, please call 718-206-5575.

Tourette’s Syndrome and Other Tic Disorders

Posted on May 12, 2017 by Jamaica Hospital Medical Center

At some point in our lives, we have all experienced some form of an uncontrollable muscle spasm or twitch. These “tics” as they are commonly referred to are normally harmless and don’t last long. In some cases however, they are the result of a child onset, neurodevelopmental condition known as a tic disorder.

Tics are involuntary, repetitive movements or vocalizations and are distinguished as either motor or vocal/phonic in nature

Motor tics are short-lasting, sudden movements that most often take place in the head and neck region. Simple motor tics include, but are not limited to, eye blinking, head bobbing, jaw movements, shoulder shrugging, and neck stretching.

Vocal or phonic tics produce a sound. Examples include, but are not limited to sniffing, throat clearing, grunting, hooting, and shouting. Complex vocal tics involve the usage of words or phrases and in rare cases, inappropriate language is used.

Those with tic disorders explain experiencing a tingling sensation that can only be relieved by performing the tic. They might be able to momentarily suppress a tic, but doing so only creates a level of discomfort that can only be relieved by performing the tic.

Approximately 25% of all children experience some type of tic disorder, with boys being far more likely to develop a disorder than girls. Tic disorders usually emerge develop in children between the ages of five and seven. They tend to increase in frequency between the ages of eight to twelve. Most children with tic disorders see their symptoms dissipate or totally resolve themselves during late adolescence.

Tic disorders are distinguished by the types of tics present and by the length of time that the tics have been present.

Transient tic disorder – This disorder most commonly appears in youth. It affects between 5% and 25% of school-age children. Transient tic disorder is characterized by the presence of one or more tics for at least one month but less than one year. The majority of tics seen in this disorder are motor tics, though vocal tics may also be present.
Chronic motor or vocal tic disorder – While transient tics disappear within a year, chronic tics can last for a year or more. Chronic tic disorder is characterized by the presence of one or more long-lasting tics. They may be either motor or vocal, but not both. Chronic tics occur in less than one in 100 children.
Tourette’s syndrome – This syndrome is the most severe tic disorder. It is characterized by the presence of both motor tics and vocal tics. The severity of Tourette’s syndrome often changes over time. There may be periods of reduced tic frequency followed by heightened tic activity. Fortunately, many people with Tourette’s syndrome find that their condition improves as they get older.

Doctors do not know what causes tics to occur, but stress and lack of sleep seem to play a role in the occurrence and severity of tics. Some medications are also thought to contribute to tics, but there is no evidence to confirm this theory.

Treatment for tic disorders depends on the severity of the condition. In many instances, no treatment is needed and the tics will resolve over time. In some instances, a doctor may suggest behavioral therapy, medication, or a combination of the two. Behavioral therapy can help those with tic disorders learn how to manage their tic symptoms and reduce tic frequency. Medications are typically prescribed to reduce tic frequency and enhance a person’s daily life.

If you think your child has a tic disorder, discuss the condition with their pediatrician. If you do not have a pediatrician, Jamaica Hospital’s Ambulatory Care Center has many excellent doctors who can provide care. To make an appointment, please call 718-206-7001.

National Nurses Week

Posted on May 11, 2017 by Andrew Rubin

National Nurses Week is celebrated every year from May 6th to May 12th in commemoration of Florence Nightingale’s birthday. This celebration allows us to recognize the invaluable work our outstanding nurses perform daily to improve the wellbeing of our patients and their families.
This year the theme for National Nurses Week is “the balance of mind, body and spirit.” Jamaica Hospital has a number of activities and events scheduled to mark this occasion. They include an art expo in the main lobby, luncheons for the staff, a day to nurture mind, body and spirit and culminates with an award ceremony at the end of the week.

Spring Gardening Tips for the Beginner

Posted on May 10, 2017 by Joann Ariola

Spring has sprung and so has our desire to commune with the “great outdoors!” Flowers are blooming everywhere and you may want to put your green thumb to the test by starting your own garden.

Below are some simple gardening tips from Realsimple.com –

Know your geographic area
Test your soil
Start with “easy” plants
Put together a plan
Keep a journal
Set a Calendar
Remember when to water and when not to

Since gardening should be a stress relieving process, don’t be too hard on yourself if you don’t see results right away. With proper care and maintenance, your garden will grow.

For these and other great, simple gardening tips visit – https://www.realsimple.com/home-organizing/gardening/outdoor/gardening-101

Back Pain

Posted on May 9, 2017 by Xavia Malcolm

Back pain is a common health condition that affects approximately 80% of people living in the United States at some point in their lives.

Although back pain can occur at any age, incidents are more common in people 35 years old and older. This may be due to the degeneration of the bones and discs in our spine over time.

Contributors to back pain can vary by circumstance or by preexisting health conditions such as:

Obesity
Injury
Pregnancy
Arthritis
Improper lifting
Osteoporosis
Occupation

Back pain may be caused when there is muscle or ligament strain, bulging or ruptured discs or skeletal irregularities.

Back pain can be mild or severe. Symptoms may include a stabbing pain, muscle ache, pain that radiates down your leg or limited flexibility.

If these symptoms are continuous or become unbearable, it is advised that you see a doctor as soon as possible. Your doctor will assess your level of pain, your range in mobility and investigate possible causes for your pain. He or she may perform X rays, nerve studies, MRI or CT scans, bone scans or blood tests to help diagnose and treat the problem. Treatment may include medication, applying heat or ice compresses, physical therapy or surgery.

Jamaica Hospital Medical Center Center offers an Interventional Pain Management Practice, to schedule an appointment, please call 718-206-7246.

Break Free from Osteoporosis by Learning How to Prevent and Manage the Disease.

Posted on May 5, 2017 by Michael Hinck

Osteoporosis is a disease that weakens the bones, making them more susceptible to breaking. Approximately 10 million Americans have osteoporosis and another 44 million have an increased risk, due to poor bone density. In fact, one in two women and one in four men will break a bone due to osteoporosis in their lifetime.

To raise awareness about this disease, May has been designated as National Osteoporosis Month. The National Osteoporosis Foundation (NOF) and Jamaica Hospital Medical Center want everyone to “Break Free from Osteoporosis” by learning how to prevent and manage the disease.

According to the NOF, the keys to combatting osteoporosis are diet, exercise, and lifestyle. Recommendations include:

Get plenty of calcium and vitamin D in your diet
Quit smoking and limit alcohol consumption
Participate in weight bearing and muscle strengthening exercises on a regular basis

To emphasize the importance of physical activity for optimal bone health, the NOF is issuing the Jumping Jack Challenge. Beginning May 1, a challenge is being issued to all children and their parents and extended families to videotape themselves doing 10 jumping jacks in less than 10 seconds and posting it on social media with the hashtag #JumpingJackChallenge.

Through this effort, the NOF wants to stress the importance of building strong bones and maintaining bone strength throughout your life.

Jamaica Hospital supports the NOF’s campaign against osteoporosis. We offer bone densitometry testing in our Women’s Health Center. For more information, or to schedule an appointment, please call 7180-206-3276.

The History of Allergies

Posted on May 4, 2017 by Andrew Rubin

Though allergic reactions have been documented in ancient Greek and Roman history, the modern era of the study of allergies really began in the 1800’s when hay fever was described by Dr. John Bostock in 1819. This continues to be one of the most common allergic reactions, affecting approximately 15 million people in the United States.

In 1869 the first skin test for allergies was described when a scientist placed pollen into a small cut in the skin and watched for a reaction.

The concept of immunotherapy, which is building up the immune system through the administration of injections to help people cope with their allergies, was introduced in 1914.

Antihistamines, medications that would help the body respond better to allergic reactions became more widely used in the late 1930’s. They helped by lessening the body’s reaction to allergens.

In 1948 corticosteroids were first used to treat asthma and allergic reactions. They worked on reducing the inflammation that would be caused by the allergens.

The discovery of mast cells in 1953 helped to identify what caused allergies to set off the immune response of the body. In 1963 IgE antibodies were discovered and this further helped to identify what set into motion the chain reaction within the body leading to the release of histamine and allergic reactions.

Professor Samuelson won the Nobel Prize in Medicine and Physiology in the early 1980’s for his work with leukotrines which cause asthma allergy and inflammatory responses to foreign substances.

In present day, there are several methods used to test for allergies and various treatment options are available to minimize a person’s reactions to allergens. These developments have been made possible due to research and discoveries over the years.

If you would like to be tested for allergies or discuss the best course of treatment, please call Jamaica Hospital at 718-206-6742