What Parents Should Know About Tonsillitis and Tonsil Removal

Posted on August 9, 2016 by Xavia Malcolm

Tonsillitis is one of the most common medical conditions that occur in children. It is caused by bacterial or viral infections of the tonsils and can result in severe inflammation and swelling.

Tonsillitis is often caused by Streptococcus (strep) bacteria. Other contributors are the influenza virus, enteroviruses, Epstein-Barr virus or adenoviruses.

In addition to the major symptoms of swelling and inflammation, complications due to tonsillitis include:

Painful blisters on the throat
Ear pain
Hoarseness or the loss of one’s voice
Bad breath
Fever
Difficulty swallowing
Throat pain
Loss of appetite
A yellow or white coating of the tonsils
Tender lymph nodes on the sides of the neck
Drooling

Tonsillitis is typically diagnosed by performing a rapid strep test or throat swab culture. Depending on severity, a doctor may treat the condition with medication or recommend surgery.

Surgery is often considered the best option when tonsillitis is recurrent, unresponsive to medication or when inflamed tonsils are obstructing airways and other severe complications. The name of the procedure is called a tonsillectomy and is performed to remove the tonsils.

Tonsillectomies can be performed as same-day surgery in an ambulatory surgical setting. It is done under general anesthesia and may last anywhere from 30-45 minutes. The recovery period is approximately 10 days.

The procedure is one of many performed by highly-trained physicians at the Ambulatory Surgery Unit at Jamaica Hospital Medical Center. The unit’s newly designed pediatric area offers children amenities such as televisions that feature child-friendly movies, toy chests and coloring books. In this area, children now have the option to ride a tricycle into the operating area. Jamaica Hospital’s on-site Ambulatory Surgery Unit is located on the first floor of the hospital. The Center is open Monday through Friday, from 6:00 a.m. to 7:00 p.m. For more information, please call 718-206-6102.

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.

The Benefits of Joining a Support Group- Quit Smoking Today

Posted on August 5, 2016 by Zakiya Hazel-Jemmott

It is no secret that smoking can have a number of adverse effects on the health of a smoker and those they smoke near. The journey to quitting smoking has evolved from quitting cold turkey, to smoking patches, nicotine gum and today, electronic cigarettes. A more interactive way to stop smoking is by joining a support group.

There are several benefits associated with support groups that will keep you motivated and focused on your goal. Smoking cessation support groups help you to identify the mental, physical, and social aspects of smoking. Participants are six times more likely to be smoke-free one year later than those who quit on their own. Also, statistics have shown that up to 60% of smokers have quit by the end of the program.

The journey to quit smoking can be difficult, but you do not have to do it alone. Jamaica Hospital’s smoking cessation team wants to help you develop a plan leading to your “quit day”.

Jamaica Hospital’s Medical Home Department has partnered with the American Lung Association to bring you Freedom from Smoking, a comprehensive and successful group-based smoking cessation program. Here you will participate in a series of sessions that prepare you for your quit day, provide lifestyle change tips, manage your stress, and help you stay tobacco-free for good.

Recently Jamaica hospital was recognized for its commitment to patient health and initiating comprehensive systems for identifying tobacco-using patients and linking them with smoking cessation resources. Additionally, the hospital earned the Gold Star Recognition from the New York City Department of Health’s- NYC Tobacco-Free Hospitals Campaign for its excellence in developing inpatient and outpatient tobacco cessation systems.

Jamaica Hospital Medical Center has partnered with the American Lung Association to offer Freedom from Smoking, a comprehensive and successful group-based smoking cessation program.

Support group classes at Jamaica Hospital Medical Center are forming. For more information or to register, please call 718-206-8494.

How Does Hot Weather Affect Asthma ?

Posted on August 4, 2016 by Andrew Rubin

Exhausted female runner suffering angina pectoris

It is a fact that breathing difficulties associated with asthma are affected by hot weather. Anyone who has walked a few blocks when it is hot and humid outside will know that breathing seems to be more difficult. This is especially true for anyone who suffers from asthma. One possible cause of this is due to the hot, humid air irritating the airways causing inflammation which will lead to symptoms of an asthma attack. Another reason is that hot and humid air is heavier and therefore a person may have to struggle to breathe..
In hot weather months there is an increase in the amount of ozone in the air and also a higher concentration of dust and fine particles which can cause existing respiratory conditions to worsen especially in the very young and the elderly.
Some of the environmental factors that affect the respiratory system are:
• Higher levels of carbon dioxide and higher temperature can lead to more spores and mold in the air.

• Higher temperatures can lead to more greenhouse gases being produced.

• Environmental production of pollutants from vehicles and factories become trapped in the atmosphere.

These environmental conditions can cause chest pain, wheezing, and coughing, and reduced lung function for those who suffer with asthma.
Irritants that affect breathing function have definitely worsened over the years due to climate changes. People are being treated more frequently in the emergency rooms across the country due to lack of clean air to breathe.
To help avoid asthma attacks in hot weather it is recommended to:
• Stay indoors as much as possible in an air conditioned environment
• Avoid strenuous activity
• Keep hydrated
• Try to limit being outdoors during the hottest time of day
To schedule an appointment with a physician at Jamaica Hospital who can help treat breathing difficulties, please call 718-206-7001.

Importance of a Back to School Dental Check Up

Posted on August 3, 2016 by Jamaica Hospital Medical Center

When planning your child’s return to school in the fall, as parents you have a list of supplies and purchases that need to me be made to make sure they have everything they need to have a great school year. While planning your child’s entrance back to school, make sure you schedule an appointment for your child’s dental check-up.

Healthy teeth are important to your child’s overall health. Did you know that a correlation between oral infections and diabetes, asthma, heart disease and obesity has been identified? According to the National Institutes of Health, 20% to 30% of children and adolescents in the United States have chronic health conditions due to a lack of good oral hygiene.

Chronic illness may interfere with a child’s ability to succeed in school. There has been statistical evidence that shows a direct link between chronic illness and missed school time that can lead to a decline in your child’s school performance.

Some ways to promote healthy teeth in your child are:

Brush teeth regularly – At the age of 3, you can begin to teach your child proper brushing techniques by using a drop of fluoride toothpaste on a soft-bristled toothbrush.
Avoid Sugar – Ingesting sweets brings about an acidity that causes decay-producing bacteria. A sugary snack can lead to a mouth full of cavities.
Regular dental treatments – Your child should see a dentist around the time of his/her first birthday and then regularly thereafter. It is important to establish relationship of trust between your child and their dentist.

If you feel anxious about a visit to the dentist, try not to convey those feelings to your child. Encourage your child to discuss any fears about visiting a dentist and be reassuring that the dental professional is there to help them.

If you are interested in making an appointment for your child to see a dentist, the Department of Dentistry at Jamaica Hospital Medical Center provides valuable services to the community. For an appointment call, 718-206-6980.

When planning your child’s return to school after the summer break, make certain that scheduling an appointment for a dental checkup is on your list of priorities.

Healthy teeth are important to your child’s overall health. Did you know that there is a correlation between oral infections and diabetes, asthma, heart disease and obesity? According to the National Institutes of Health, 20% to 30% of children and adolescents in the United States have chronic health conditions due to a lack of good oral hygiene.

Some ways to promote healthy teeth in your child are:

Brushing teeth regularly – At the age of 3, you can begin to teach your child proper brushing techniques by using a drop of fluoride toothpaste on a soft-bristled toothbrush.
Avoiding sugar – Ingesting sweets can produce acids that cause decay-producing bacteria to develop.
Scheduling regular dental treatments – Your child should see a dentist around the time of his/her first birthday and then regularly thereafter. It is important to establish relationship of trust between your child and their dentist.

If you feel anxious about a visit to the dentist, try not to convey those feelings to your child. Encourage them to discuss any fears about visiting a dentist and be reassuring that the dental professional is there to help.

Napping -Not Just for Kids

Posted on August 2, 2016 by Joann Ariola

An office protocol, that normally would have been grounds for termination, is now being considered for its many benefits. Several companies are now acknowledging the health benefits of a short nap during the workday, which include increased alertness, enhanced brainpower, and fewer sick days.
It is recommended that adults sleep for at least eight hours every night, however, research has shown that most individuals suffer from broken sleep and fail to get a good night’s rest. For these individuals, a short nap can help. A quick 15 to 20 minute power nap can provide the boost needed to effectively complete your workday.

There are several progressive companies, such as British Airways, Nike, Pizza Hut and Google, who are now seeking to reap these benefits. These companies have created designated nap rooms or “renewal rooms” for their employees, allowed their employees to bring a nap mat for the office, or simply encouraged their employees to sleep at their desk.

Some employers are now encouraging napping for the wellness of their employees. People who take daily 30-minute naps are 37 percent less likely to die from heart disease than those who don’t nap, according to a study published in the Archives of Internal Medicine in 2007. Naps can also boost the immune system—theoretically leading to fewer sick days—and propel employees into their most alert, energetic, and creative states, say nap advocates. Believers in this protocol feel that a well-rested employee is a pleasant employee, noting that if you’re sleep deprived, you’re going to be moody.

Napping Further Explained
Naps can be broken down into four categories:

Planned napping, also known as preemptive napping, involves taking a nap before you get sleepy. It is a good thing to do if you know you’re going to have a late night.
Emergency napping is exactly as it sounds— taking a nap when you’re so sleepy that you can’t properly engage in your current activity.
Habitual napping is the practice of taking a nap at the same time every day.
Appetitive napping is the act of napping strictly for enjoyment.

As noted, napping increases alertness, learning capacity, memory and performance— and we have known this now for several decades. Naps can also reduce stress, as well as lower blood pressure, which is important for our overall health. So, with the research and results on “power napping,” it is safe to say that a well-rested employee is a more productive employee.

Congenital Heart Disease

Posted on July 26, 2016 by Xavia Malcolm

Congenital heart diseases (congenital heart defects) are abnormalities in the structure of the heart that are present at birth. They are the most common type of birth defect and affect eight out of every 1,000 newborns in the United States.

Congenital defects can involve abnormalities of the muscle, valves or interior walls of the heart as well as defects in the arteries or veins that transport blood to the heart. Defects can be simple, where the child exhibits no symptoms (some may experience symptoms later on in adulthood) or complex resulting in serious complications or death. Serious defects are often diagnosed while the baby is still in the womb or soon after birth.

There are many types of congenital heart diseases and they sometimes occur simultaneously. Some of the more common defects are:

Coarctation of the aorta
Pulmonary valve stenosis
Transposition of the great arteries
Septal defects

Symptoms of congenital heart defects may include:

Rapid breathing
Fatigue
Bluish tint to skin, fingernails and lips(cyanosis)
Poor weight gain
Recurring lung infections

The causes of congenital heart defects are unknown; however, the disorder tends to run in families. Other factors that are believed to be contributors are a pregnant woman’s use of certain medications, alcohol or illegal drugs as well as viral infections such as rubella or poorly controlled diabetes during gestation.

Once diagnosed, treatment will vary depending on the severity of the defect. Some may not require treatment, as their condition can improve on its own while others may require medication, surgery or other interventional procedures. Most people born with serious heart defects will continue to need monitoring by a heart specialist and treatment throughout their lifetime.

The Pediatric Cardiology Division at Jamaica Hospital is a comprehensive service that diagnoses, manages, and provides long-term care to infants, children, and adolescents with congenital or acquired heart disease. Appointments for the Pediatric Cardiologist can be scheduled by calling 718-206-7591.

Jamaica Hospital and Councilman Eric Ulrich Collaborate To Educate the Community About Zika

Posted on July 22, 2016 by Xavia Malcolm

The threat of the Zika virus outbreak in the United States is becoming more of a public health concern, especially now that it is summer and we are in the peak mosquito and travel season.

Councilman Eric Ulrich and Jamaica Hospital Medical Center wants everyone to know the basics and learn how to protect themselves and their loved ones from the growing threat of the Zika virus.

The councilman consulted with Dr. Farshad Bagheri; Director of Infectious Disease at Jamaica Hospital Medical Center to get important information you need to know. “I thank Dr. Farshad Bagheri and the entire team at Jamaica Hospital for putting together this timely and important information on the Zika virus,” said Councilman Eric Ulrich. “I look forward to continuing our partnership so together we can help Queens residents stay healthy and safe.”

Here are the facts:

What is Zika and how is it transmitted?

Zika is a mosquito-borne virus. It is transmitted most commonly by the bite of the infected Aedes species mosquito. Transmission also occurs through sexual intercourse from an infected man to either female or male partners. The virus can be passed from a pregnant woman to her fetus. The Centers for Disease Control and Prevention (CDC) is investigating the possibility of transmission through blood transfusions as well as female to male transmission through intercourse. To date, there are no reports of infants getting Zika virus through breastfeeding.

What are the symptoms?

Many people infected with the Zika virus will have no symptoms or mild symptoms that can last anywhere from a few days to a week. Most common symptoms include; conjunctivitis (pink eye), fever, rash and joint pain. Although symptoms are mild for most, a pregnant woman faces the greatest risk because Zika virus is known to cause microcephaly (a birth defect that causes a baby’s head to develop smaller than normal) as well as other brain defects in developing babies. It is also believed that the virus contributes to miscarriages. Zika virus has also been linked to a disorder of the nervous system known as Guillain-Barre syndrome. This disorder is more common in adult men than others. It causes the body‘s immune system to attack parts of the peripheral nervous system.

How long does the virus remain in the body if one is infected?

On average the virus remains in the body for about a week but there have been instances where it has lasted longer. The virus is present in semen longer than in blood.

Who is at risk?

Those who recently traveled to countries that have reported outbreaks, those who have had sexual intercourse with an infected man, pregnant women and unborn babies exposed to the virus.

How can you protect yourself and loved ones?

Currently, there is no vaccine for the Zika virus; however, there are measures you can take to ensure safety and lessen the chances of infection. Here are a few:

You can help prevent Zika infection by using EPA- registered insect repellents. The CDC suggests using repellents that have DEET, oil of lemon eucalyptus, picaridin, or IR 3535.
Wear long-sleeved shirts and pants, in mosquito-infested areas.
Pregnant women should abstain from sex or use condoms throughout their pregnancy when having intercourse with male-partners who may have been exposed.
Safeguard your home by throwing away, or, once a week turning over items outside or inside that collect water. Examples are tires, flower pots and trash containers.
Use indoor mosquito sprays in areas where the insects are commonly found, such as dark and humid places.
Install screens in doors and windows.
The best safety measure for pregnant women or women trying to become pregnant is to “postpone travel to countries declared high risk. If travel is unavoidable, she must consult with her doctor before embarking on that trip,” advises Dr. Bagheri. “Following the travel advice of agencies such as WHO (World Health Organization) and the CDC is also helpful.”

If you believe you are at risk for contracting the Zika virus and are experiencing symptoms, make an appointment to see your doctor immediately. To learn more information about Zika virus, please visit https://www.cdc.gov/zika/

History of Sunscreen

Posted on July 21, 2016 by Andrew Rubin

The use of sunscreen is highly promoted and protecting our skin from the harmful effects of the sun’s rays has become a major concern as we learn more about the damages it causes. Today we are able to choose from many brands that offer the level of protection we need- but did you know the concept of sunscreen is nothing new? In fact, sunscreen was used by ancient Egyptians.

The Egyptians were known to use rice bran extracts, jasmine and lupine extracts as a sunscreen because they realized these ingredients had the ability to absorb the sun’s very strong rays. These chemicals are still used today in some of the modern sunscreen products.

Modern sunscreen products really started to become popular in the 1930’s. A South Australian chemist, HA Milton Blake created a sunburn cream that had some limited success. This was followed by the introduction in 1936 by the L’Oreal Company of a sunscreen product that was very effective at providing protection from the sun’s rays. In 1938 a chemist by the name of Franz Greiter developed a cream called Glacier Cream that provided added protection. He is also credited for identifying the sun protection factor (SPF) that became a standard measurement of sunscreen effectiveness.
In 1944 an American pharmacist patented a sunscreen product that eventually would become Coppertone.

Later developments in this field produced products that would protect the skin from the UVA and UVB rays from the sun. Manufacturing sunscreen is a multi-billion dollar industry that continues to evolve. With more and more literature being published about the sun’s harmful effects on the skin, people will always be looking for better ways to stay protected as too much exposure can lead to skin cancer and other dermatologic conditions.

CIPA (Congenital Insensitivity to Pain with Anhidrosis)

Posted on July 19, 2016 by Xavia Malcolm

For some, the idea of having the inability to feel pain may seem ideal. Although pain may not be one of our preferred sensations; it is very important. Without the feeling of pain, you are more at risk of sustaining serious injuries. It signals that something is wrong with your body that requires immediate attention.

There are individuals who are insensitive to pain. This can be the result of inherited disorder known as CIPA (congenital insensitivity to pain with anhidrosis). This is an extremely rare disorder which may also cause a person to produce very little sweat or none at all and makes them incapable of feeling temperature. These symptoms appear early in childhood, typically at birth or during infancy.

Unintentional injuries are very common in children with CIPA. They may bite their tongues, fingers or lips, causing severe damages and in some cases amputation. Other complications associated with the disorder is high fever as the body is unable to sweat and lower temperatures, chronic bone infections as a result of chronic trauma or delay in healing of skin and bone injuries. In some cases, individuals may have intellectual disabilities.

The cause of CIPA is attributed to mutations in the NTRK1 gene. Mutations in this gene lead to a loss of the sensory neurons, as well as the ability to feel pain.

Diagnosis of CIPA is usually confirmed after a complete evaluation of infants with recurrent fevers, who frequently bite their tongue, fingers or lips. In older individuals, an evaluation is required if they continue to have traumatic injuries. Assessments of the sensory and autonomic functions are used to form a complete, clinical diagnosis.

There is no cure for CIPA but the condition is manageable with the help of a team of medical professionals that typically include specialists in orthopedics, pediatrics, dermatology, ophthalmology and dentistry. Parents of children with the disorder are strongly advised to keep a watchful eye at all times for signs of injury and to remove items that may result in accidents.

For more information about CIPA and other rare medical conditions, please visit the National Organization for Rare Disorders website www.rarediseases.org.

Pan-Seared Salmon with Kale and Apple Salad

Posted on July 19, 2016 by Joann Ariola

It’s summer and we are all a bit more conscious about our waistline, but we don’t want to skimp on taste and the feeling full.

If you goal is to eat a hearty meal that will keep you on a healthy course, you will love this nutritional, light and filling recipe !