History of the Hip Replacement

Posted on January 11, 2017 by Andrew Rubin

One of the most common orthopedic procedures performed today is a total hip replacement (THA) . This procedure is often suggested for patients who have extensive deterioration of the hip joint and whose quality of life is suffering. It was first developed in 1891 by a German physician, Themistocles Gluck, who described using ivory to replace the femoral heads. Early in the 20th century surgeons experimented with different types of tissues as a way of smoothing out deteriorating articular hip surfaces. Some of these tissues that were used were skin, and pig bladder submucosa.
In 1925 an American surgeon, Marius Smith-Petersen, first used hollowed out glass placed over the femoral head. Later on this same surgeon started to experiment with stainless steel. In the early 1960’s, Sir John Charmley, an orthopedic surgeon in England, developed a hip replacement that uses three components: a stainless steel femoral head, a polyethylene acetabular socket and acrylic bone cement. This is considered to be a low friction arthroplasty and is the one most commonly used today.
Today hip replacement surgery is done routinely on tens of thousands of patients a year. It is one of the most commonly performed orthopedic procedures and has greatly improved the quality of life for the patients.
If you would like to schedule an appointment with an orthopedic surgeon at Jamaica Hospital to discuss whether a hip replacement would benefit you, 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.

January is Glaucoma Awareness Month

Posted on January 11, 2017 by Andrew Rubin

Glaucoma is a group of eye diseases that mainly affects people who are middle aged or older, but it can affect anyone at any age. There are more than three million people in the United States and 60 million people worldwide who suffer from glaucoma.
Glaucoma is the second leading cause of blindness. Typically the disease starts to develop suddenly, often without symptoms, and once vision is lost, it is permanent. As much as 40 percent of vision can be lost before some people even notice a problem. It usually starts with loss of peripheral vision. Glaucoma is caused by damage to the optic nerve so that the brain isn’t able to receive images from the eyes. There are two types of Glaucoma, Primary Open-Angle Glaucoma where pressure inside the eye increases on its own and damages the optic nerve and Secondary Glaucoma where another disease causes the pressure in the eye to increase and that results in optic nerve damage. Both types will eventually lead to blindness.
Early detection of Glaucoma can help to slow down the progression of the disease. Regular eye exams are very important. To schedule an appointment with an eye doctor at Jamaica Hospital, please call 718- 206-5900.

ECZEMA

Posted on January 10, 2017 by Joann Ariola

Eczema is a condition that causes patches of skin to become red, inflamed, rough and itchy. Eczema is not a specific health condition; it is a reaction pattern that the skin produces as a result of a number of different diseases.

The specific causes of eczema currently remain unknown, but it is believed to develop due to a combination of hereditary (genetic) and environmental factors.

Environmental symptoms of eczema include:

Irritants – soaps, detergents, shampoos, disinfectants, juices from fresh fruits, meats, or vegetables
Allergens – dust mites, pets, pollens, mold, dandruff
Microbes – bacteria such as Staphylococcus aureus, viruses, certain fungi
Hot and cold temperatures – hot weather, high and low humidity, perspiration from exercise
Foods – dairy products, eggs, nuts and seeds, soy products, wheat
Stress – it is not a cause of eczema but can make symptoms worse
Hormones – women can experience worsening of eczema symptoms at times when their hormone levels are changing, for example during pregnancy and at certain points in their menstrual cycle

Since there is no cure for eczema, treatment for the condition is aimed toward healing the affected skin in an effort to prevent a flare up of symptoms. For some people, eczema goes away over time, and for others, it remains a lifelong condition.

There are a number of things that people with eczema can do to support skin health and alleviate symptoms, such as:

Taking regular warm baths
Applying moisturizer within 3 minutes of bathing to “lock in” moisture
Moisturizing every day
Wearing cotton and soft fabrics, avoiding rough, scratchy fibers, and tight-fitting clothing
Using mild soap or a non-soap cleanser when washing
Air drying or gently patting skin dry with a towel, rather than rubbing skin dry after bathing
Avoiding rapid changes of temperature and activities that make you sweat (where possible)
Learning individual eczema triggers and avoiding them
Using a humidifier in dry or cold weather
Keeping fingernails short to prevent scratching from breaking skin

Medication can also be helpful in treating or preventing symptoms. These treatments are prescribed by a physician. If you are experiencing symptoms of eczema and would like to speak with a physician, call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001, to schedule an appointment.

National Birth Defect Prevention Month

Posted on January 6, 2017 by Zakiya Hazel-Jemmott

January is Birth Defects Prevention Month. Among the most common birth defects is cleft lip. Cleft lip is a birth defect that occurs when a baby’s lip or mouth does not form properly in the womb. Collectively, these birth defects commonly are called “orofacial clefts”.

The lip forms between the fourth and seventh weeks of pregnancy. A cleft lip develops if the lip tissue does not join completely before birth, resulting in an opening of the upper lip. The opening in the lip varies in size from a small slit or a large opening that goes through the lip into the nose.

The causes of orofacial clefts among most infants are unknown. However, they are thought to be caused by a combination of genetics or other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy. Recently the Center for Disease Control reported findings from research studies about risk factors that increase the chance of infant orofacial cleft:

Smoking―Women who smoke during pregnancy are more likely to have a baby with an orofacial cleft than women who do not smoke
Diabetes―Women with diabetes diagnosed before pregnancy have an increased risk of having a child with a cleft lip with or without cleft palate, compared to women who did not have diabetes
Use of certain medicines―Women who used certain medicines to treat epilepsy during the first trimester (the first 3 months) of pregnancy are at greater risk

Orofacial clefts, especially cleft lip with or without cleft palate, can be diagnosed during pregnancy during a routine ultrasound. Services and treatment for children with orofacial clefts can vary depending on:

The severity of the cleft
The child’s age and needs
The presence of associated syndromes
Other birth defects

Surgery to repair a cleft lip usually occurs in the first few months of life and is recommended within the first 12 months of life. Children born with orofacial clefts might need other types of treatments and services, such as special dental or orthodontic care or speech therapy.

If you are an expecting mother in need of a doctor, Jamaica Hospital Medical Center’s Obstetrical Division practices family-centered care. The obstetrical unit is furnished with state-of-the-art equipment, including high tech monitors and sonographic equipment. For more information or to schedule an appointment, please call 718-206-6808.

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Are We Over-Using Antibiotics?

Posted on January 6, 2017 by Michael Hinck

You have all the symptoms: fever, cough, headache, and fatigue and body pain. You’re sick! You visit your doctor looking for antibiotics to get you better quickly, but is this always the best course of treatment?

Doctors at Jamaica Hospital Medical Center are taking a long, hard look at how patients are being treated and what they are finding is that prescribing antibiotics is sometimes not the best course of action. “For a number of reasons, physicians throughout the healthcare industry prescribe antibiotics when they are not necessary” states Dr. Luigi Tullo, Family Medicine Physician at Jamaica Hospital. Dr. Tullo added “Some of the factors are physician driven and some are patient driven, but regardless of the reason, inappropriately prescribing antibiotics can have long-term health effects on our community”.

Over-prescribing antibiotics can eventually lead to the drugs becoming less effective when they are really needed. Another cause for concern is the evolution of bacteria. When exposed to the same antibiotic repeatedly, the bacteria will change its composition and become resistant to the very medications that are intended to kill. MRSA and C. difficle are two examples of drug-resistant bugs, but they are not the only ones. This growing problem in the medical community has prompted Dr. Tullo and his colleagues to develop an Antibiotic Stewardship Program to educate both the practitioner and the patient about when antibiotics are necessary and when they are not.

To help the doctor, Jamaica Hospital has implemented multiple tools into its electronic medical records system. These tools require the doctor to extensive documentation before prescribing antibiotics to their patients. Sometimes however, even against the doctor’s best judgment, a patient may insist on receiving a prescription of antibiotics. Dr. Tullo explains, “A culture has been created that implies if a doctor doesn’t provide a prescription after examining you, then he or she isn’t taking care of you. Patients think that antibiotics are some sort of magic wand, when in fact they are not.”

To change this perception, Jamaica Hospital, working together with the Centers for Disease Control and Prevention (CDC) is embarking on an educational campaign to help explain that antibiotics are appropriate for bacterial infections, but not for a virus. These colorful, multi-lingual posters created by the CDC will hang in all Jamaica Hospital out-patient clinics and offer guidance and education to patients.

In addition to the posters and other educational handouts, Dr. Tullo believes an emphasis must be placed on how doctors explain the patient’s condition to them. According to Dr. Tullo, “if it is explained that not needing antibiotics may be a good thing, when they have a virus, the message will be better received.”

Jamaica Hospital continues to strive to do the best for their patients and hopes that through this effort, they can improve the long-term health of the community.

Electric Hand Dryers vs. Paper Towels

Posted on January 4, 2017 by Joann Ariola

TRUTH OR MYTH – ARE ELECTRIC HAND DRYERS MORE SANITARY THAN PAPER TOWELS?

MYTH!!! After washing your hands in a public restroom, you are likely to find 2 options for drying: a paper towel dispenser or an automatic air or jet hand dryer.Jet dryers are also advertised as a more sanitary alternative to paper towels. In truth is, jet hand dryers can spew germs 6 feet for more!! An old-fashioned paper towel (used sparingly!) may be the better health option despite environmental concerns.

Preparing for Childbirth

Posted on December 29, 2016 by Andrew Rubin

Giving birth is one of the most beautiful experiences in a woman’s life. While every hospital will provide you with items to make your stay more comfortable, many people prefer to bring items from home to enhance their experience.
Some suggestions for the mom to be are :
• Insurance card
• Important phone numbers
• Cell phone and charger
• Comfortable clothing (underwear, bathrobe, slippers, nightgown and pajamas)
• Items for personal hygiene (toothbrush, toothpaste, hairbrush, body lotion)
• A favorite pillow
For the baby:
• Receiving blanket
• Hat
• Clothing
• Socks
• It is also important to have a car seat for the day of discharge
Typically new moms tend to bring more supplies than they will need. Remember, the items above are all suggestions and should be used only as a guide. Most hospitals will provide new moms and their infants with basic items for comfort and for personal hygiene.

Resolve to Eat Right

Posted on December 28, 2016 by Jamaica Hospital Medical Center

With the holidays drawing to a close, it will soon be the time for resolutions. Why not make eating right a part of your resolution?

Eating right doesn’t have to be complicated. You can begin with a simple shift to lean meats, fruits, vegetables, and complex carbohydrates into your nutritional regimen while lessening your intake of processed foods, white flour and sugar.

For more information on eating healthy, contact the Jamaica Hospital Medical Center’s Nutritional Services Department at 718-206-7056 to speak with a nutritionist.

Smoking Cessation

Posted on December 22, 2016 by Andrew Rubin

Tobacco is the single greatest cause of multiple diseases and premature deaths in the USA today. It kills more Americans each year than alcohol, crack, heroin, homicide, suicide, car accidents, fire and AIDS combined. There are an estimated 480,000 deaths in the United States annually that are due to tobacco use. It is the only legal consumer product that is lethal when used exactly as recommended by the manufacturer.

Smoking cigarettes affects many aspects of health. Tobacco smoke contains about 7000 chemicals, including low concentrations of such strong poisons as ammonia, cyanide, arsenic and formaldehyde. It also contains 69 carcinogens – substances that are known to cause cancers in humans. Direct association has been established between smoking and cancers of the lung, mouth, nose, throat, larynx, esophagus, colon and rectum, stomach, pancreas, cervix, bladder, kidney and blood.
In the United States, Illnesses caused by smoking cost more than 300 billion dollars per year in direct medical care and lost productivity. Smokers pay twice as much for life insurance and will die on average of 13-14 years earlier than non-smokers. It costs tobacco companies approximately 5 cents to produce a pack of cigarettes.

Many lung conditions are either caused or aggravated by cigarette smoke. It irritates bronchial airways and stimulates mucous production leading eventually to decreased elasticity and functional failure. Patients suffering from COPD, Asthma, Chronic Bronchitis or Emphysema have a much higher risk of dying when repeatedly exposed to smoke.
Smokers are also at greater risk for cardiovascular disease. Smoking damages blood vessels making them stiff and narrow, obstructing blood flow which results with elevated blood pressure, heart attacks, strokes, kidney failure or chronic skin changes.

Pregnant women exposed to tobacco smoke have increased risk of complications like miscarriage, premature birth, and brain and lung damage in developing baby. Sudden infant death syndrome is three times more likely if mother smoked during pregnancy.
Secondhand smoke is the smoke exhaled by smokers or given off by a burning cigarette or pipe. Inhaling secondhand smoke is as hazardous as smoking a cigarette. There is no safe level for secondhand smoke exposure established. People can inhale it at work, homes, cars or public spaces and have all the complications mentioned above.

Smoking tobacco is an addiction similar to heroin and cocaine. It can be successfully treated but the majority of cases require three or more attempts. Quitting smoking offers a chance of feeling better and living longer. Studies have shown that five, common sense steps, provide the best chance for quitting smoking for good:

1. Get ready: set a quit date and throw out all cigarettes and ashtrays from your home.

2. Get support: tell your family, friends and doctor about quitting plans; search the internet for advice.

3. Learn new behaviors: distract yourself from the urge to smoke; exercise or go for a walk.

4. Get medication: combining medication like nicotine patches or Zyban with behavioral adaptation and family support quadruples your chances of success.

5. Be prepared for relapse and difficult situations- most people try to quit a few times before succeeding.

If you would like to learn more about quitting smoking, please call 718-206-8494.

FDNY Fire Safety Education Unit’s Holiday Safety Tips

Posted on December 20, 2016 by Xavia Malcolm

During a recent interview with Lieutenant Anthony Mancuso, head of the FDNY’s Fire Safety Education Unit, we learned that the three major causes of residential fires during the holiday season are candles, cooking and electrical failure or malfunction.

Cooking

According to the Lieutenant, cooking stands at the top of the list because it is the leading cause of fire-related residential property damage. Mancuso explained that unattended cooking is a major contributor to incidents- especially during this time of year. His advice for holiday chefs is to:

Never leave cooking food unattended
Avoid distractions while cooking
Properly prepare and follow guidelines when deep frying turkeys or other foods

In the event of a kitchen fire it is important to:

Never use water to extinguish a grease fire
Use generous amounts of baking soda to extinguish small fires. Otherwise use a fire extinguisher (if available) and call 9-1-1 immediately.

Candles

While candles are aromatic and delightful, if not handled safely they can be dangerous. Lieutenant Mancuso recommends flame-less candles, “If aromatic candles are what you prefer, there are many flame-less candle brands that offer that option.” He added, “If you choose to use real candles, do not leave them unattended.”

Electrical

When using electrical lights for decoration it is important to ensure that these products have been tested for safety. Look for UL or ETL listings or certifications on these devices. Without a UL or ETL label, you will not know how safe a product truly is. Other things to keep in mind are to never leave lights on while you are sleeping or not home and to use extension cords and power strips appropriately.

Lastly, Lieutenant Mancuso encourages residents to ensure that their smoke alarms are operational and to make certian batteries are changed as recommended. He also wants members of our community to keep in mind that following these very important tips can be the difference between life and death in some cases. The Fire Safety Education Unit of the FDNY recommends that everyone should visit http://www.fdnysmart.org/safetytips/ to learn more about fire safety.

Lieutenant Mancuso and the Fire Safety Education Unit of the FDNY wishes everyone, “A happy and safe holiday.”