National Drug and Alcohol Facts Awareness Week – Prescription Opioid Facts

Posted on January 24, 2017 by Xavia Malcolm

Prescription opioid abuse among teens living in the United States has become a major public health concern. In fact, many national health organizations have declared that the U.S. is in the midst of an opioid epidemic.

The Centers for Disease Control and Prevention (CDC) has reported that the use of these drugs among young adults has more than doubled and the number of opioid- related deaths has quadrupled in recent years. The CDC, along with other health organizations such as the National Institute on Drug Abuse (NIDA), hope to reduce these statistics by increasing education among teens and their families.

It is crucial for parents and young adults to know the facts about opioids, so that they can understand how these drugs can negatively affect a person’s health and quality of life. Here are six important facts families should know:

Opioids are narcotic medications that are prescribed to treat mild to severe pain.
Some of the most common types of opioids are fentanyl, hydrocodone, oxycodone, morphine tramadol and codeine.
Opioids work by reducing the intensity of pain signals being transmitted to the brain. They interact with opioid receptors in the brain to produce pain relief and feelings of euphoria.
Misusing opioids can result in the development of a chemical dependency to these drugs. Misuse may occur when a person is taking opioids long term, is taking more than what was prescribed or is taking them for non-medical reasons.
It is common for teens to mix prescription opioids with other substances such as alcohol. A recent study revealed that seven out of ten teens combined opioids with additional substances and 52% within this group co-ingested prescription pills with alcohol. This behavior puts teens at a higher risk for overdose.
Some of the warning signs of opioid abuse include; anxiety attacks, sudden improvement in self-esteem, depression, improved alertness, increased energy, a decrease in appetite, fatigue, nausea, constipation and breathlessness.

There are several steps one can take to prevent or reduce the chances of prescription opioids misuse, they include; keeping medication locked up or keeping track of medication to ensure pills are not missing, correctly disposing unused medication, monitoring your loved one’s behavior while they are taking medication and communicating with your doctor about not exceeding the recommended time period for pain treatment.

If your loved one is addicted to prescription opioids it is highly recommended that you have an honest conversation with them about harmful effects that could potentially lead to death. Reassure them that you are here to help and not to judge them. Seek help from a trained medical professional immediately. There are several treatment options available which include medication and counseling. Your physician or mental health counselor will determine which treatments are best for a healthy recovery.

The National Institute for Drug Abuse has designated the week of Monday, January 23^rd, 2017 as National Drug and Alcohol Facts Awareness Week in an effort to provide teens with the facts about drugs and alcohol.

For further information and resources about opioid addiction and treatment, please visit the NIDA’s website www.drugabuse.gov.

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.

Does Winter Weather Make Arthritis Worse?

Posted on January 23, 2017 by Zakiya Hazel-Jemmott

Bundle up, work out indoors, and keep plenty of vitamin D in your diet. These are some of the ways you can get arthritis pain relief despite the bone-chilling cold of winter weather. Many people who experience more severe arthritis pain in the winter than compared to other months believe that barometric pressure is to blame for their heightened discomfort. However, that old wives tale hasn’t been proven scientifically.

Whether the joint pain/weather connection is scientifically true or not, you can still use these arthritis pain-relief tips when your aching joints act up in winter.

Stay active. Keep your body stimulated by doing light exercises or consistent movements to keep your joints moving. Do it indoors to keep away from the cold.
Eat a Healthy diet. Eating a balanced diet that comprised of low saturated fat, lean proteins, more fiber, and refined carbs helps to improve body functions during the winter.
Add Vitamin D. It is necessary to take a supplement vitamin D or ensure to make your diet vitamin-D rich. Fish oil is a potent source of omega 3 fatty acids as well as getting natural sunlight.
Stay Hydrated. Hydration is most often associated with sweat and the summer months, but it’s just as important to drink plenty of water in winter, too.

If your arthritis doesn’t improve after trying the above tips it is very important that you consult with a doctor immediately. The Division of Rheumatology at Jamaica Hospital provides consultations for patients who develop rheumatological disorders, such as osteoarthritis and osteoporosis. For more information or to schedule an appointment, please call 718-206-7001

Beet, Kale, and Kohlrabi Salad with Grapefruit Vinaigrette

Posted on January 23, 2017 by Joann Ariola

There are special fruits and veggie’s that are specific to a season. For the winter season, you should be able to find some wonderful grapefruits, lemons, oranges, clementines and tangerines, as well as beets at your grocery store right now.

If you are in the mood for a Citris delight, try this receipe for a quick, nourishing and delicious salad.

WHAT YOU NEED

1 bunch kale
1 bunch lettuce
1 kohlrabi
1 beet
2 carrots
1 grapefruit
4 tablespoons olive oil
1 tablespoon honey
1 teaspoon Dijon mustard
½ teaspoon kosher salt
¼ teaspoon freshly ground pepper
¼ cup sunflower seeds or pepitas

WHAT TO DO

Remove the stems from the kale and chop it into bite-sized pieces. Chop the lettuce into bite-sized pieces. Peel the kohlrabi, beet, and 2 carrots and chop them into matchsticks (julienne) with a knife or using a food processor. Remove the sections from half of the grapefruit and peel them.
In a small canning jar, combine juice from the remaining half grapefruit (around ¼ cup), 4 tablespoons olive oil, 1 tablespoon honey, 1 teaspoon Dijon mustard, ½ teaspoon kosher salt, and ¼ teaspoon freshly ground pepper. Cover the jar and shake vigorously to combine (or whisk all ingredients together in a bowl).
To serve, place vegetables on serving plates or in bowls. Top with grapefruit vinaigrette and sunflower seeds or pepitas.

For this and other delicious seasonal receipes visit –

The Facts About the Stomach Flu

Posted on January 20, 2017 by Michael Hinck

The flu isn’t the only virus that we need to protect ourselves against this time of year. Gastroenteritis, or the stomach flu is a very contagious bug that is common in our region beginning in the fall and winter months.

Unlike influenza, which affects your respiratory system, the stomach flu attacks your intestines causing the following symptoms:

• Watery, non-bloody diarrhea
• Abdominal cramps and pain
• Nausea, vomiting or both
• Occasional muscle aches, headache, and low-grade fever

Gastroenteritis is typically spread through the sharing of food or drink with someone who is infected or sharing other items with them such as utensils or towels. Children can also spread the illness by placing their hands in their mouths after touching contaminated items or surfaces.

Symptoms usually appear within one to three days after exposure and can range from mild to severe. Typically symptoms last only a day or two, but in some cases, they may persist for up to ten days.

The main complication from viral gastroenteritis is dehydration — a severe loss of water and essential salts and minerals. If you’re healthy and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn’t be a problem. However, infants, older adults and people with suppressed immune systems may become severely dehydrated when they lose more fluids than they can replace. Hospitalization might be needed so that lost fluids can be replaced intravenously. Dehydration can be fatal, but rarely.

To avoid catching the stomach flu, it is recommended that individuals wash their hands thoroughly, use separate items around the home, disinfect all potentially infected items and surfaces, and keep your distance from those who are infected.

If you do contract gastroenteritis, follow these tips:

• Let your stomach settle. Stop eating solid foods for a few hours.
• Try sucking on ice chips or taking small sips of water. You might also try drinking clear liquids or broths or non-caffeinated sports drinks. Drink plenty of liquid every day, taking small, frequent sips.
• Ease back into eating. Gradually begin to eat bland, easy-to-digest foods, such as ginger ale crackers, toast, gelatin, bananas, rice and chicken. Stop eating if your nausea returns.
• Avoid certain foods and substances until you feel better. These include dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.
• Get plenty of rest. The illness and dehydration may have made you weak and tired.

See a doctor if you become dehydrated (characterized by excessive thirst, dry mouth, dark yellow or no urine, severe weakness or dizziness), if symptoms persist for over 24 hours, if you are vomiting blood or have blood in your stool, or if you have a temperature of 104 degrees or above.

Breakfast is Important

Posted on January 18, 2017 by Joann Ariola

Let’s start with a question on this #WellnessWednesday. What did your child have for breakfast this morning?

If the answer is “nothing” you may want to read on.

Nutritional experts have concluded that children who leave the house without eating a balanced breakfast are more apt to be tired, irritable and fidgety. Conversely, nutritional experts have found that when your child eats breakfast, regularly, there is a marked improvement in their energy, attitude, general health and test score performance.

Some tips to help you to incorporate breakfast into your child’s morning routine are:

Prepare clothing, books, and school supplies the night before to leave more time in the morning for breakfast

Set the alarm for 15 minutes earlier

Choose foods that require little preparation such as fresh fruits, milk, yogurt, cheese, eggs, whole grain cereals or hot oatmeal

For children with slight appetites, offer a fruit smoothie or breakfast bar

Probably the best way to get your children to eat breakfast is to be a good role model. As adults, we can be very busy and may sacrifice our own breakfast in the morning. Sit down and join your child for a good first meal of the day. By doing so, you will show them the value of eating breakfast.

Who Should Get Tested for Hepatitis C?

Posted on January 17, 2017 by Xavia Malcolm

Hepatitis C (HCV) is a disease that infects and causes damage to the liver. It is caused by the hepatitis C virus and is spread from person to person through contact with blood. Over time, this disease can lead to cirrhosis, liver cancer and ultimately, liver failure.

Although hepatitis C is the most common reason for liver transplants in the United States, many people do not know they have the disease until they are donating blood or are diagnosed with liver damage. The symptoms of HCV can take years to present and may include:

Joint pain
Sore muscles
Dark urine
Stomach pain
Yellowing of the eyes (jaundice) and skin
Fatigue
Loss of appetite
Fever
Clay-colored bowel movements

Learning the risk factors of hepatitis C and receiving treatment promptly can reduce the severity of symptoms. Talk to your doctor about getting tested if the following pertains to you:

You were born between 1945 and 1965
You are infected with HIV
You received a blood transfusion or organ transplant before July, 1992
You are having or have had unprotected sex with multiple partners
You are a current or former drug injection user and have shared needles
You work in an environment where you are exposed to blood through a needle stick
You have liver disease or have received abnormal liver test results
You were treated for a blood clotting problem before 1987
Your mother had hepatitis C when she gave birth to you

If diagnosed with hepatitis C, consider seeing a specialist who is trained and experienced in treating patients with your condition. There are several therapies and medications that your doctor may recommend. A complete list of approved medications and treatments for HCV can be found on the U.S. Food and Drug Administration’s website.

In addition to treatment, your doctor will also advise that you live a healthy life by maintaining a balanced diet, exercising regularly, reducing or eliminating alcohol consumption, quitting recreational drug use, practicing safe sex and getting regular checkups.

Birth Defect Prevention

Posted on January 13, 2017 by Zakiya Hazel-Jemmott

Every four minutes, a baby is born with a major birth defect in the United States. Babies born with birth defects have a greater chance of illness and long term disability than babies without birth defects. They are a leading cause of death among infants, accounting for about 20% of mortality in the first year of life. To raise awareness about the impact of birth defects and the steps taken to prevent them, January is National Birth Defect Prevention Month. Although every birth defect cannot be prevented, there are things a woman can do to prepare for a healthy pregnancy, such as:

Maintain a healthy diet by eating well balanced and nutritional meals. Consult with your doctor about taking a multivitamin to gain more nutrients for mother and baby.
Avoid consuming harmful toxins that lead to birth defects, including alcohol, tobacco, illicit drugs, and caffeine.
Obtain genetic counseling and birth defect screening, particularly if you have any family history of birth defects.
Stay active and get fit. The babies of overweight women have an increased risk of birth defects.
Treating long-term conditions such as diabetes are the keys to a healthy lifestyle before and during pregnancy.

Men are also encouraged to make lifestyle changes when planning ahead for pregnancy with their partner. As some birth defects are genetic, it is important that men participate fully in any family medical history research that takes place.

Steady communication with your doctor is very important to assist with planning ahead. All medications should be discussed with a doctor prior to being taken, including prescription medication, over-the-counter medication and dietary and herbal supplements.

Pregnancy is an exciting time, but it also can be stressful. Knowing that you are doing all that you can to get ready for pregnancy, staying healthy during pregnancy, and giving your baby a healthy start in life will help you to have peace of mind.

If you are an expecting mother in need of a physician, the Women’s Health Center at Jamaica Hospital Medical Center is open six days a week. Appointments are necessary to see a physician and can be made by calling 718-291-3276.

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.

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.