Protecting Your Children From Youth Sports Overuse Injuries

Posted on March 10, 2017 by Michael Hinck

The days when kids just went out and played seem like a distant memory. Today, more and more kids participate in organized sports that can be very demanding. While keeping your children active has many advantages, there are also some potential risks.

The Physical Therapy Department at Jamaica Hospital Medical Center wants to warn parents against children sustaining “overuse injuries.” An overuse injury is damage to a bone, muscle, ligament, or tendon due to repetitive stress without allowing time for the body to heal.

Overuse injuries can lead to problems with the lower back, hips, shins, or heels. In children, overuse injuries are especially dangerous when growth plates are involved. When a growth plate is injured it can affect the size and shape of the bones as children mature.

Organized youth sports, especially when played at a high level, often require year-round commitments, with children spending an increased amount of time on the field or court. Unfortunately, their bodies simply aren’t ready for this level of physical intensity.

To avoid overuse injuries, the Physical Therapy Department at Jamaica Hospital suggest the following tips:

Diversification – It is highly recommended that children participate in multiple sports throughout the year instead of just one sport all year around. The variation in activity will give children an opportunity to exercise different muscles.

Make Rest a Priority – Your children are still growing and they need their rest. Children should not exceed 10 hours of sports in a week and they should take one to two days off per week. The increased rest will allow their bodies extra time to heal.

Don’t Forget to Stretch – Make sure your child’s coach sets aside time before practice to warm-up. All athletes such begin each workout with light activity and concentrated stretching exercises for all major muscle groups.

Encourage Children to Speak Up When They are Injured – All youth athletes should tell coaches or parents when they sustain an injury. The quicker injuries are addressed and treated, the quicker they can recover.

Physical therapists can help by determining how or why a current injury occurred as well provide advice to prevent future injuries from taking place. A physical therapist can work with patients by building cardiovascular fitness, muscle strength, endurance, agility and coordination.

Jamaica Hospital offers outpatient physical therapy services. For more information, please call 718-206-7140.

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.

Q and A: Medication Expiration Dates

Posted on March 10, 2017 by Xavia Malcolm

Q: Do over -the-counter and prescription medications have expiration dates? Do they mean anything and is it safe to take them past the expiration date?

A: Over-the-counter and prescription medications are time stamped with expiration dates. Time stamps can be found on the labels or on the actual container. It is important that you pay attention to these dates. The expiration dates indicate a guarantee of full potency and safety within the recommended shelf life.

According to the United States Food and Drug Administration (FDA) – “Don’t be tempted to take expired medications.” The FDA states, using expired medical products is “risky and possibly harmful to your health.” This is because the efficiency of a medication may lessen over time due to changes in its chemical composition or a decrease in its potency.

Do You Know How to Dispose of your Expired Medications?

Read here to learn how:

Rapid Response Notification

Posted on March 9, 2017 by Andrew Rubin

To best serve our patients, Jamaica Hospital has implemented a patient safety initiative known as a Rapid Response Notification. A Rapid Response Notification is initiated whenever a staff member, a patient or a patient’s visitor believes that the patient is experiencing a medical crisis that requires urgent attention.

The criteria for a Rapid Response Notification include:

There is a patient emergency and no staff member is present
There is a change in the patient’s condition that the health care team is not aware of
There are concerns about the patient’s care that they feel are not being addressed.

The Rapid Response Team, comprised of a Third Year Medical Resident and / or Senior Surgical, a Primary Care Nurse, a Critical Care Nurse, a Respiratory Therapist and a Nursing Supervisor will respond to the notification. The Rapid Response Team is committed to providing critical care resources to patients who may be in crisis.

In the event that a health care provider is not present when a medical crisis occurs, Jamaica Hospital has empowered the patient’s bedside visitor to activate a Rapid Response Notification by dialing extension 1234 and providing the patient’s room and bed number.

Colorectal Cancer Risk factors and Prevention

Posted on March 7, 2017 by Xavia Malcolm

Colorectal cancer is a disease that causes abnormal cells or tumors to develop in the colon or rectum. It is the third most commonly diagnosed type of cancer found in men and women in the United States.

Although colorectal cancer causes the deaths of approximately 50,000 people each year; the rate of survival is improving due to education, early detection and treatment.

Learning the risk factors of colorectal cancer is essential as there are risk factors you can control and some you cannot. The risk factors you can control include:

Smoking
Being overweight or obese
Lack of physical activity
Poor diet – a diet rich in red meats and processed meats can increase your risk
Heavy alcohol consumption

These factors can be addressed by quitting smoking, exercising, eating a healthy and balanced diet and moderating your consumption of alcoholic beverages.

The factors that you cannot control that may contribute to colorectal cancer are:

Age- people over the age of 50 have a higher risk in developing the disease
A family history of colorectal cancer or adenomatous polyps
A personal history of colorectal polyps, colorectal cancer or inflammatory bowel disease
Having an inherited gene defect that can cause family cancer syndromes such as familial adenomatous polyposis (FAP), Gardner syndrome, Turcot syndrome or Lynch syndrome
Race or ethnicity
Having type 2 diabetes

Knowing your risk factors and taking appropriate actions can help you to reduce the probability of developing the disease.

Although it is not completely clear what causes colorectal cancer; it can be prevented by receiving regular screenings. With regular screenings, polyps or colon cancer can be found and treated early before advancing.

There are several testing methods your doctor may use to screen for colorectal cancer. Screening tests may include a colonoscopy or other testing methods such as fecal occult blood test, flexible sigmoidoscopy, CT colonography or double-contrast barium enema. The American Cancer Society recommends that men and women should receive screenings beginning at the age of 50.

For a complete guide to the American Cancer Society’s recommendations for colorectal cancer early detection, please visit https://www.cancer.org/cancer/colon-rectal-cancer/early-detection/acs-recommendations.html

Dr’s Tips- Snoring and Solutions

Posted on February 28, 2017 by Xavia Malcolm

Here is a wake-up call for snorers; did you know that snoring affects approximately 90 million adults living in the United States? “Although snoring is common and many of us have learned to live with it, the truth is snoring is not normal and should not be ignored,” states Dr. Mayank Shukla; sleep specialist at Jamaica Hospital Medical Center.

Snoring occurs when air flow through the nose or mouth is physically obstructed while sleeping. This can be the result of several factors including nasal congestion, excessive throat and nasal tissue, sleep deprivation or a tongue muscle that has become too relaxed during sleep.

Snoring on occasion does not raise cause for great concern. People who snore occasionally could try the following solutions recommended by Dr. Shukla to help them or their loved ones to get a restful night’s sleep:

Avoid sleeping on your back
Use a humidifier if the air in your room is dry
Adjust your pillows to keep your head elevated
Open nasal passages by using steam , nasal strips or salt water rinse
Reduce consumption of alcohol or other sedatives
Stay hydrated
Get your recommended amount of sleep

However, if you are a frequent snorer, these solutions may not benefit you as there may be serious health conditions such as stroke, heart disease or hypertension connected to your chronic snoring. Dr. Shukla suggests that you consult your physician as soon as possible if you are experiencing the following symptoms:

Frequent waking from sleep
Chronic headaches
Daytime sleepiness
Irritability
Difficulty concentrating
Gasping for air or choking while snoring

These symptoms are commonly associated with Obstructive Sleep Apnea (OSA), a disorder which causes a person to stop breathing for short periods of time during sleep. OSA can lead to complications such as heart disease, stroke and in severe cases, death. A sleep study may be required to diagnose OSA.

There are several treatments your doctor may recommend; the most common is a CPAP (continuous positive airway pressure) machine. Additional methods of treatment may include medication, oral appliances, surgery, or lifestyle adjustments such as losing weight or quitting smoking.

Jamaica Hospital’s state- of-the-art Sleep Center provides several testing options to diagnose and treat sleep disorders such as obstructive sleep apnea. Our staff consists of highly skilled, board-certified sleep specialists and respiratory therapists. We also boast an impressive 2:1 technician patient ratio, which provides our patients with the optimal attention they need during their sleep study. To schedule an appointment with Dr. Mayank Shuklah or other sleep specialists at Jamaica Hospital, please call, 718-206-5916.

History of Eyeglasses

Posted on February 23, 2017 by Andrew Rubin

Over 60 percent of the adult population in the United States today wears eyeglasses. Modern day eyeglasses have their roots that date back more than 1000 years. In the middle ages Monks were known to use reading stones that were glass spheres, sometimes filled with water, that were placed on top of objects in order to magnify them. The first documented use of eyeglasses was attributed to being developed in Italy. In the 13th century Venetian glass blowers made the first solid glass lenses that were held by frames and that were a primitive version of modern day wearable eyeglasses.
In the 17th century eyeglasses started to be made that could correct vision. Glasses could be made with either concave lenses, for nearsightedness, or convex lenses for farsightedness. Benjamin Franklin invented bifocal lenses in 1784. Glass was the material used in the production of eyeglasses for centuries until the latter part of the 20th century when plastic became widely used in eyeglasses as it was lighter and safer than glass. Now many eyeglasses are being made from polycarbonate which is lighter still and more resilient to scratches.

Spinach Burrata Omelet with Avocado Salad

Posted on February 22, 2017 by Joann Ariola

Are you tired of the same old breakfast morning after morning? Do you need to kick start your day with something tasty, satisfying and healthy?

Try this 15 minute delicious dish. It will satisfy your desire for good food without breaking your commitment to heating healthy!

Spinach Burrata Omelet with Avocado Salad

2 servings -Cooking time – 20 Minutes

Ingredients:

5 large eggs
2 tablespoons water
pinch salt and pepper
1 tablespoon coconut oil
1 cup baby spinach
4 ounces burrata cheese
3 cups torn butter lettuce
1 tablespoon olive oil
2 teaspoons white balsamic vinegar
1/2 avocado, thinly sliced

Directions:

Place the eggs and water in a bowl and whisk until combined. Whisk in the salt and pepper. You want to really whisk to get some air into those eggs!

Heat a large skillet over low heat. Add the coconut oil. Make sure it melts all over the entire pan. Add the eggs and swirl the pan until the eggs cover the bottom. Let the eggs cook, untouched, for a few minutes until set – you may want to tilt the pan so the egg in the center runs around the outside edges and cooks, and or lift up the edges so the egg runs underneath. This allows the whole omelet to cook without flipping!

Once the eggs are almost set. Place a handful of spinach on top and then the burrata. Pull the burrata apart so it’s melty and delicious over the center. You are going to cut this omelet in half when serving. After a minute, fold the omelet in half gently. You can briefly cover it, or just continue to cook until the cheese is melty and the spinach is wilting inside.

Remove the omelet from the heat and let it sit for a minute before slicing it in half.

In a bowl, toss the butter lettuce with a pinch of salt and pepper, long with the olive oil and vinegar. Serve with the avocado sliced on top and alongside the omelet.

For this and more healthy, hearty recipes visit

Natural Ways to Maintain a Healthy Metabolism

Posted on February 21, 2017 by Xavia Malcolm

Metabolism is the process in which our bodies convert fuel from the food we eat into energy. The body will either use this fuel immediately or store it in the tissues of the liver or muscles as glycogen or other parts of the body as fat.

The metabolic process involves combining the calories in food with oxygen to produce the energy needed to help the body function optimally. The number of calories your body utilizes to carry out basic functions such as moving, growing and cell repair is known as your basal metabolic rate (BMR).

It is essential that you maintain a healthy BMR. Fluctuations or abnormalities of the basal metabolic rate can result in weight gain, fatigue, endocrine and immune dysfunction.

The first step in maintaining a healthy BMR is to find out what your numbers are. Basic metabolic rate is usually determined by using one of two formulas:

Men: BMR = 88.362 + (6.251 x weight in lbs) + (12.189 x height in inches) – (5.677 x age in years)

Women: BMR = 447.593 + (4.203 x weight in lbs) + (7.869 x height in inches) – (4.330 x age in years)

It is highly recommended that you obtain accurate numbers from a certified fitness professional, a registered dietitian or your physician.

According to Jamaica Hospital Medical Center, Registered Dietitian, Lindsay Chetelat, “Your next steps to maintaining a healthy BMR include applying long-term lifestyle changes.” Some of these changes are:

Eating a healthy breakfast every morning
Exercising – Cardio with strength training
Including sources of lean protein at all meals
Eating regularly- Chetelat advises eating small and nutritious meals every three to four hour
Eating enough- Eating less than 1200 calories per day can actually cause your metabolism to slow down.

Jamaica Hospital Medical Center’s Nutritional Services Department assists patients to grow their knowledge about nutrition, wellness and healthy eating. An appointment with a Registered Dietitian consists of a comprehensive nutrition assessment, nutrition education, behavior modification counseling and goal setting. To make an appointment, please call 718-206-7056.

Are THere Any Known Dangers to Virtual Reality Headsets?

Posted on February 17, 2017 by Michael Hinck

Virtual Reality (VR) headsets have become a very popular item for teens and pre-teens. Users can simply download virtual reality apps onto their smartphone and place the phones into specially designed headsets that transform the viewer into a three-dimensional, virtual world. While technology is an amazing experience, some are raising concerns about whether or not it is safe for children.

Most VR headsets products have recommendations for use in place. These usually include a minimum age of either ages 12 or 13 and older. Other manufacturers suggest children only use them while under adult supervision and most suggest taking breaks every 30 minutes when using these products. When trying to determine why these warnings are in place, the answers aren’t so clear. The most logical answer is that these advisories are precautionary since the technology is so new that there is not enough information on whether or not there are any health concerns.

One of the most common concerns being asked is what the consequences of wearing VR headsets can have on a child’s eyesight. The reason some believe it can lead to problems with vision is that the process of creating a 3-D illusion in a VR headsets requires that the eyes focuses on objects differently than they would in the real world. Others believe that using VR headsets can actually help diagnose ocular disorders when the user is unable to view objects in the headset correctly.

Like all new technology, it is best to carefully read the manufacturers suggestions and follow them accordingly.

Can Excessive Teeth Whitening Be Harmful ?

Posted on February 15, 2017 by Andrew Rubin

Woman holding up tooth whitening chart, smiling, portrait, close-up

Many people wish to have that “Movie Star” smile with bright white teeth. To get that perfect smile many people will purchase teeth whitening kits to use at home. Teeth whitening products use a chemical that in effect bleaches the outer layer of the teeth. Teeth that are yellow in color tend to respond best to this type of treatment. Teeth that are brownish in color or those that have been stained by long term use of tobacco, caffeine, wine or by the use of certain medications may not respond as well.
If used correctly, teeth whitening can be effective for many people. There are however risk s involved if the products are not used properly. Risks can include teeth sensitivity and damage to the roots of the teeth. Excessive teeth whitening can lead to the edges of your teeth becoming permanently bluish and translucent.
It is strongly advised that anyone considering whitening their teeth consult with a dentist first. It is also advisable to have your teeth professionally cleaned prior to home whitening which may remove some of the material that is staining the teeth.
If you would like to schedule an appointment with a dentist at Jamaica Hospital’s Dental Center, please call 718-206-6982.