Is There Really A Way Even If You Have The Will?

Posted on October 5, 2015 by Joann Ariola

Obesity is one of the biggest health problems in the world. It can be a contributing factor in other diseases, such as diabetes, cardiovascular disease, cancer, stroke, and dementia. Overeating is often cited as the only reason people are obese. In discussions about weight gain and obesity, many people seem to think that it is purely a function of willpower.

Since what we weigh is, normally, attributed to what we eat we must ask the question:

Is over-eating the only reason a person becomes overweight?

Human behavior is driven by various biological factors like genetics, hormones, and neural circuits. Eating behavior, just like sleeping behavior, is driven by biological processes. Therefore, saying that behavior is a function of willpower is way too simplistic.

Here are some factors thought to be the leading causes of weight gain, obesity and metabolic disease that have nothing to do with willpower:

Genetics – Obesity has a strong genetic component. Offspring’s of obese parents are much more likely to become obese than offspring’s of lean parents.
Insulin – Insulin is a very important hormone that regulates energy storage, among other things. One of the functions of insulin is to tell fat cells to store fat and to hold on to the fat they already carry. When insulin levels elevate, energy is selectively stored in fat cells instead of being available for use.
Medications – Certain medications can cause weight gain as a side effect. Some examples include diabetes medication, antidepressants and antipsychotics. These medications don’t cause a “willpower deficiency,” they alter the function of the body and brain, making it selectively store fat instead of burning it.
Leptin –This hormone is produced by the fat cells and is supposed to send signals to the hypothalamus (the part of our brain that controls food intake) that we are full and need to stop eating. The problem for some is their leptin isn’t working as it should because the brain becomes resistant to it. This is called leptin resistance and is believed to be a leading factor in the pathogenesis of obesity.

Thyroid Disease – Thyroid hormone regulates our metabolism. Too little hormone slows the metabolism and often causes weight gain.
Cushing’s syndrome – This condition results when the adrenal glands (located at the top of each kidney) produces an excess amount of a steroid hormone called cortisol. This leads to a buildup of fat in characteristic sites such as the face, upper back and abdomen.

A doctor can determine if any of these conditions or treatments is responsible for your obesity. If you would like to see a physician, please contact the Jamaica Hospital Medical Center’s Ambulatory Care Center to schedule an appointment. 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.

Can Some Bacteria be Good for You?

Posted on October 2, 2015 by Michael Hinck

Bacteria. The word alone makes us think of infection, disease and illness. We hate all bacteria, right?

Actually, there is such a thing as GOOD bacteria. They are called probiotics and they help you maintain a healthy digestive system. They do this by lowering “bad” bacteria that can cause infections and other problems. Sometimes we don’t have enough good bacteria in our systems (for instance, like when we are on antibiotics). A lack of good bacteria can cause a variety of digestive issues. By taking probiotics, we are replacing those good bacteria which are sometimes lost.

Probiotics are most commonly taken to help prevent or improve common digestive problems such as irritable bowel syndrome and diarrhea. Others have suggested that they are also beneficial in treating skin conditions, such as eczema, improving urinary and vaginal health, and preventing colds and allergies.

Your body naturally generates probiotics, but if you want to increase your good bacteria levels, you can take probiotics in supplement form or get them by eating certain foods, most notably yogurt and other fermented products.

Probiotics are natural so they are generally considered safe to take, even in supplement form. It is recommended that you speak to your doctor about the best way of incorporating probiotics into your diet.

Shingles

Posted on October 1, 2015 by Andrew Rubin

Shingles is the term used for a skin rash that is caused by the herpes-zoster (varicella) virus, the same virus that causes chickenpox. After a person has had chickenpox, and the symptoms have resolved the virus can lie dormant dormant in their nerve roots for years. In some cases it can reactivate and cause shingles. Some of the factors that can cause the virus to become activated are stress, advanced age, exhaustion or a weakened immune system.

This rash is very painful and can last for many weeks. It is most frequently located on one side of the body, usually it shows up on the abdomen, the back or the buttocks as a band or stripe of fluid filled lesions that later are covered with scabs. They can also be found on the face and when they do, extra precautions must be taken so as to not affect the eye. Shingles isn’t contagious to people who have already had the chickenpox. There is the possibility of people contracting chickenpox if they come in contact with the open sores and if they have never had it before, however that risk is very low.

Signs and symptoms of shingles:

• Itching
• Red rash on one side of the body
• Pain
• Sensitive to the touch
• Headache
• Weakness
• Fluid filled blisters
• Tingling sensation
• Exhaustion
• Fever

Symptoms will last for several weeks, sometimes months. There isn’t a cure for shingles but a physician will usually prescribe medications to make the symptoms less intense. Antiviral medication will shorten the length of time that the symptoms will be present. Medication for pain will also help. People with shingles also get some relief by using certain skin creams, oatmeal baths, and cool compresses while the skin rash is active.
There is a vaccine for chickenpox which is given to children and to adults who have never had the disease. There is also a shingles vaccine that people who have had chickenpox can be given. It doesn’t guarantee that a person won’t develop shingles but can reduce the chances of developing complications. To learn more about vaccines for chickenpox or shingles please make an appointment with a physician at Jamaica Hospital by calling 718-206-7001.

Jamaica Hospital and LiveOnNY Rallying New Yorkers To Use The Power Of Their Signature To Help Save Lives On Organ Donor Enrollment Day

Posted on September 30, 2015 by Xavia Malcolm

Did you know New York is ranked last in the entire country for the percentage of residents registered as organ donors? This is troubling because every 18 hours a New Yorker dies while waiting for an organ. It takes 1 donor to save 8 lives.

Jamaica Hospital is taking action and teaming up with LiveOnNY to help launch the first ever Organ Donor Enrollment Day on Oct. 6th. The event is being executed with one goal in mind: enroll as many willing New Yorkers as possible as organ donors in a single day.

Join us in the hospital’s main lobby from 9:00 am to 5:00 pm and the cafeteria from 11:00 am to 2:00 pm to register or show your support for this very important cause.

Tips For Choosing A Pediatrician

Posted on September 29, 2015 by Xavia Malcolm

The health of your child is very important. Equally as important is the pediatrician you choose to take care of their healthcare needs.

Pediatricians manage the physical, mental and behavioral health of children. They treat patients from birth until the age of 21. Therefore, your relationship with your child’s physician may be long term. Because your relationship with your child’s physician could be long lasting, it is important for you to compile a list of characteristics or requirements to help you assess compatibility.

While there are many qualified pediatricians for you to choose from, selecting one that is compatible with your requirements can sometimes be challenging.

Here are a few helpful tips you can use to make your search for a pediatrician less complicated:

Ask around– Friends or loved ones can be a trusted resource when looking for a pediatrician. They can refer you to a pediatrician that has provided a positive experience or to someone who has an excellent reputation.
Find the name of qualified pediatricians- A list of qualified and board certified physicians in your area can be found on the website of The American Academy of Pediatrics. abp.org
Consider proximity- It is highly suggested that you seek a pediatrician that is located within close proximity to your home.
Make sure the physician is covered by your insurance- Call your insurance company to ensure that the physicians you are interested in are providers in your plan.
Set up interviews– Call the pediatrician’s office and explain that you are interested in their services and would like to schedule a time to ask a few questions. Your talk with the doctor may be in person or over the phone. A few key questions to ask include:
Where did the pediatrician attend medical school?
What are their credentials?
Which hospitals are they affiliated with?
On average, how long does it take to get an appointment?
On average how much time does the doctor take to see each patient?
How are emergency situations handled?
How can the doctor be reached after hours?
Are sick and well patients separated?
Go with your instincts- After your interview with the pediatrician use the information you have gathered and your parental instincts to help you to decide if they are best for you.

Once you have selected your pediatrician, remember a good doctor-parent relationship can improve the quality of healthcare your child receives. Building a good relationship with your doctor will require clear communication, mutual respect and trust.

Can Cracking Your Knuckles Lead to Arthritis?

Posted on September 25, 2015 by Michael Hinck

You were probably cautioned as a child not to crack your knuckles because it would cause arthritis… and if you are a parent, you probably tell your children the same thing, but is there any truth to this warning?

Our hands contain many joints where our bones meet. Surrounding those joints are capsules filled with synovial fluid, a natural lubricant produced by our bodies. When we push, pull, or crack our fingers or knuckles we are actually stretching those capsules, causing the gasses that were dissolved in the fluid to release and equalize the pressure in the joints – kind of like popping a cork on a bottle of champagne. This release results in the common “popping” sound associated with cracking your knuckles.
The act of knuckle or finger cracking provides a momentary sense of relief as the joints are stretched. It takes our bodies about 30 minutes to re-build the synovial fluid in our joints.

The good news is that while the sound of knuckles cracking is annoying to hear, it actually does not contribute to the development of arthritis. The bad news is there are other consequences. In recent studies, habitual knuckle crackers were found to have reduced hand functionality and weaker grip strength than those who did not crack their knuckles.

With this newfound information, mothers and fathers everywhere can now change their parental warning to, “Stop cracking your knuckles or you will have a weak handshake!”

History of Toothpaste

Posted on September 24, 2015 by Andrew Rubin

Even in ancient times people were concerned with the health of their teeth and gums. The first toothpaste was used by the Egyptians around 5000 BC. It was made from the powder of ox hooves, burnt eggshells, pumice and water. There is also evidence that the ancient Greeks and Romans used crushed bones and oyster shells followed by the Chinese who favored ginseng, herbal mints and salt.
More modern versions of tooth cleaning products were made in the mid 1800’s that combined soap, borax and chalk. In those days toothpastes were mainly in powder form and were very abrasive which often damaged teeth. The first toothpaste which came in a jar was developed in 1850 In the 1890’s toothpaste was introduced in tube form. Soap was still an important ingredient of toothpaste until the 1940’s when it was replaced by sodium lauryl sulphate . One of the major developments was the addition of fluoride in the 1950’s which inhibited tooth decay and is still a key component today.
To make an appointment with a dentist at Jamaica Hospital, please call 718-206-6980.

The Resurgence of an Old Disease -Syphilis on the rise in NYC

Posted on September 24, 2015 by Xavia Malcolm

syphilis-178883789 (1) The New York State Department of Health is raising awareness on the alarming and steady rise of syphilis cases in our region. The number of New Yorkers newly infected with syphilis has increased by more than 160% between 2010 and 2014. Numbers are particularly higher in Manhattan and men account for approximately 70% of these cases.

Syphilis is considered an old, easy to diagnose and highly treatable disease. It once plagued populations from the 1400’s up until the 1940’s; when it was discovered that antibiotics such as penicillin can be used as a cure. Since then the spread of this sexually transmitted disease has been controlled with the use of modern medications and contraceptives such as condoms.

Given the history of syphilis and the resources that are readily available, one may question why we are seeing such resurgence? Studies have shown that people are having more casual and unprotected sex and many are unaware that they are carriers of the disease.

If left untreated the disease can cause serious damage to the body and can eventually lead to premature death.

The New York State Department of Health is encouraging people to remember the importance of practicing safe sex. The escalation of syphilis and other sexually transmitted diseases can be reduced if unsafe sex practices are eliminated and if those who are sexually active receive frequent STD screenings.

For more information or to schedule an appointment for STD screenings, please call the Family Medicine Center at Jamaica Hospital at 718-206-6942 or visit https://www.nyc.gov/site/doh/services/sexual-health-clinics.page

High Blood Pressure and Pregnancy

Posted on September 22, 2015 by Xavia Malcolm

hypertension pregnancy -78484693 (1) Hypertension (high blood pressure) is one of the most common medical problems encountered by pregnant women. It is estimated that the disease affects six to eight percent of expecting mothers.

Women with a pre-existing history of chronic hypertension are likely to experience complications caused by the disease; however, women with no prior history are also at risk of developing high blood pressure or gestational hypertension. A high blood pressure rate during pregnancy is defined as a reading over 140/90, anything above that number is concerning.

Some women are more at risk for developing gestational hypertension than others. Your risk may be higher if you are:

African American
Carrying more than one baby
Pregnant with your first child
Over 40 years old
From a family with a history of gestational hypertension or preeclampsia
Obese

High blood pressure during pregnancy poses various medical problems not only for the mother but for the developing baby as well. Some of these problems include:

Harm to the mother’s kidneys
Placental abruption
Low birth weight
Premature labor

If left untreated, high blood pressure can develop into a serious condition known as preeclampsia. This condition is most likely to occur in women with pre-existing and chronic hypertension. The disease usually develops after the 27^th week of pregnancy and is characterized by high levels of protein in urine and elevated blood pressure levels. Women may experience symptoms such as headaches, nausea or vomiting, reduced urine or no urine output, swelling or shortness of breath.

If you have been informed by your doctor that your blood pressure levels are high it is important to get it under control immediately. You can do so by taking prescribed medications and managing your sodium intake. It is equally important that you maintain prenatal appointments to monitor the development of your baby.

For questions about prenatal care or to make an appointment with the Women’s Health Center of Jamaica Hospital, please call 718-291-3276.

The Modern Day Zombie

Posted on September 21, 2015 by Joann Ariola

Walking Corpse Syndrome (also known as Cotard’s Syndrome) is a rare neuropsychiatric disorder in which the afflicted person holds the delusion that he or she is dead, missing their soul, organs, blood or other body parts, as well as being in a state of existence denial. Conversely, some patients may have delusions of immortality.

For people with this condition, entertainment like cable TV’s “The Walking Dead” may be too close for comfort.

Studies indicate that the disease is more prevalent in older patients and women with depression. It is also more likely to occur in patients with disorders such as:

Schizophrenia
Bipolar disorders
Brain injury
Brain atrophy
Seizure disorders
Depression
Brain tumors
Stroke
Migraine

Though it is thought that lesions in the frontal and temporal regions (front and sides) of the right hemisphere of the brain have been associated with the disease, Cotard’s disease is so rare that it is difficult to pinpoint the mechanisms that cause it.

Tests are used to diagnose associated diseases and rule out other conditions. Current treatment for Cotard’s Syndrome involves medication with antidepressants, antipsychotics and mood stabilizers. Electroconvulsive therapy, in combination with medication, has been reported to be more effective than medications alone.

Fortunately, patients with Cotard’s Syndrome can experience a complete recovery, even in severe cases.