Fever Facts

Posted on December 24, 2019 by Jamaica Hospital Medical Center

Winter is the most common time of year for someone to develop a fever. With that in mind, Jamaica Hospital Medical Center wants to provide you with the following fever facts.

A fever is a temporary increase in your body’s normal temperature range, (36–37° Centigrade or 98–100° Fahrenheit).

Symptoms associated with a fever may include:

Sweating
Chills and shivering
Headaches
Muscle aches
Loss of appetite
Dehydration
General weakness and lethargy
Increased sensitivity to pain

While the reason most often associated with developing a fever is an infection
(viral or bacterial), there are other potential causes, including:

Heat exhaustion
Dehydration
Certain inflammatory conditions such as rheumatoid arthritis
Side effect resulting from certain medications
Reaction to certain immunizations
Alcohol or drug withdrawal
A malignant tumor
Sunburn

There are many different types of thermometers that can be used to determine if a fever is present, including an oral (mouth), tympanic (ear) or temporal artery (forehead) type of thermometer. However, when taking an infant’s temperature, it is best to use a rectal thermometer.

It is important to take your temperature when you are at rest as physical activity can raise your temperature.

Taking fever-reducing over-the-counter medications, such as acetaminophen or ibuprofen is one of the simplest and most effective ways to bring down a fever. Other things you can do to reduce fever include drinking more fluids and taking a bath in comfortable-temperature water. Applying cool compresses can also relieve fever symptoms.

Fevers by themselves may not be a cause for alar or a reason to call a doctor. Yet there are some circumstances when you should seek medical advice.

Infants – Contact your doctor if your baby is under three months and has a temperature of 100.4 F (38 C) or higher if your baby is between three-six months old and has a temperature of over 102 F (38.9 C) and seems unusually irritable or lethargic.
Children – Call your doctor if your child is listless, unresponsive or irritable, vomits repeatedly, has a severe headache or stomachache, or has any other symptoms causing significant discomfort or has a fever lasting longer than three days
Adults – contact your doctor if your temperature is 103 F (39.4 C) or higher or if your fever is accompanied by a severe headache, stiff neck, skin rash, sensitivity to light, mental confusion, excessive vomiting, convulsions or seizures, or difficulty breathing.

If you are experiencing symptoms of fever and would like to see a doctor at Jamaica Hospital Medical Center, 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.

Holiday Safe Driving Tips

Posted on December 23, 2019 by Andrew Rubin

The holiday season is upon us and that means many people will be hitting the road to visit family and friends, taking shopping trips to the mall, or just celebrating the joyous season.

During the holidays schools are usually closed for vacation, many people get time off from work and everyone wants to have a good time.

By taking a few precautions you can get to your destination safely and have a wonderful time. Safe driving is a key component of having a happy holiday season. To make sure that everything goes well, here are some safety tips to follow:
• Do not speed
• Do not text while driving
• Do not drink and drive
• Plan your route in advance
• Make sure your car is operating properly – check fluids, brakes and lights
• Make sure that you are well rested before getting behind the wheel
• Make sure that everyone in the vehicle is buckled up

Following these safe driving tips will make sure your holiday will be a lot merrier.

Dr. Anna Kuzel Shares Holiday Health Tips

Posted on December 20, 2019 by Anna Kuzel

December is a time of joy and celebration for many, but can also be stressful. When your routine is disrupted and you are surrounded by indulgent food, it is more difficult to make healthy choices. Here are some ideas to stay well this holiday season.

Depriving yourself of holiday treats can backfire and lead to over-eating. Instead, have a small portion of your favorite dish or dessert without seconds. Try substituting starchy and fattening side-dishes with a vegetable dish such as green beans. In between large meals continue to have regular, small meals with fruits, vegetables and protein.

Making time for exercise will increase your energy, improve your mood and help with digestion. Taking a short walk or practicing yoga for a few minutes has the added benefit of clearing your mind from holiday stress.

If you like to enjoy alcoholic beverages at parties, the US Department of Health recommends limiting alcoholic beverages to 1-2 drinks per day. Choose wine or light beer which are lower in sugar and calories than cocktails. Also, try alternating a glass of water with each alcoholic drink to counteract the dehydrating effects of alcohol.

The holidays are a chance to connect with family and friends for some but can feel lonely for others. If you don’t usually celebrate with family, consider reaching out to friends or neighbors. Volunteering can also make you feel connected to your community while improving your own sense of gratitude and well-being. On the other hand, if you find yourself spread too thin with obligations, it is okay to say no to certain events. It’s important to take time for self-care such as reading, taking a bath or meditating.

The hustle and bustle of the holiday season can interrupt your medication routine. It is important, especially for those with chronic conditions to remember to take their medication as this can lead to serious complications. You may find it helpful to set a daily alarm as a reminder or set medication bottles next to something used daily, such as your toothbrush, water glass or your nightstand.

This time of year is also the peak of the cold and flu season; therefore, it’s important to take steps to prevent the spread of infection. Remember to wash your hands frequently, and remind every family member over the age of 6 months to have their flu shot.

Consider these ideas to keep your holiday celebrations a little bit healthier and enjoy the season!

How Holiday Stress Affects Sleep

Posted on December 17, 2019 by Xavia Malcolm

There are countless things we need to get done during the holidays. In our minds, we are constantly checking off items on our lists and thinking about future tasks to tackle. Often our stress levels increase as a result of trying to juggle it all.

Elevated stress levels can have a negative effect on our health, specifically our quality of sleep. Stress causes many people to lose hours of much-needed rest, as they lie in bed worrying. Lack of sleep, in the short term, can affect concentration, mood, and increases the risk of serious accidents and injury. Long-term sleep deprivation increases the risk of serious health conditions such as heart disease, stroke and diabetes.

Getting a good night’s sleep can reduce the effects of stress. Here are a few tips to help you manage holiday stress and get some rest:

Eat a healthy diet- During the holidays we tend to indulge in foods that are unhealthy. Foods that are rich in fat and sugar can make us feel lethargic and make our bodies less capable of combatting stress. Additionally, what you eat during the day can affect how you sleep at night. High- fat and high-sugar meals can lead to indigestion and a night of tossing and turning.
Delegate responsibilities- Sometimes our holiday to-do lists are overwhelming. Ask friends and family to help you by taking some of your responsibilities off your plate.
Practice stress reduction techniques- Practicing techniques such as deep breathing and meditation can help you to relax and improve sleep.
Exercise- All forms of exercise help the brain to release feel-good hormones such as endorphins which can help combat stress. Studies have shown that exercise also improves sleep.

The holidays are a busy time of year; however, it is highly advised that you carve out time to get adequate sleep. Getting your daily recommended amount of sleep not only helps you to reduce stress but also benefits your overall health. If a lack of sleep is affecting your health, you should speak with your doctor. To schedule an appointment with a sleep specialist at Jamaica Hospital, please call, 718-206-5916.

How Are You Handling Your Holiday Stress?

Posted on December 11, 2019 by Joann Ariola

During the holiday season, many of us struggle to complete an extensive list of tasks in what often feels like very little time. We run rampant decorating our homes, attending social gatherings, shopping for loved ones, volunteering, traveling or cooking. These activities are often added to our already busy schedules, which can make us feel overwhelmed.

Contrary to what we may think, these activities which should make us feel happy can actually increase our stress levels.

Although there are various factors such as unrealistic expectations or financial strain that contribute to holiday stress, finding ways to avoid stressors or minimize their effects is very important. If stress is not managed well, it can have a significantly negative impact on our health.

Here are five tips to help you cope with holiday stress and maintain good mental health:

Set realistic goals– Unrealistic goals often equal added pressure and expectations that cannot be met. If these goals are not met, they can lead to negative feelings such as inadequacy or hopelessness.
Know when to take a moment for yourself (Take a break) – We are often pulled in multiple directions during this time of the year. Know when to take a breather to decompress and clear your mind.
Communicate- The added pressures of the holidays are clearly overwhelming and one of the ways that people sometimes deal with this is to isolate themselves. This is not recommended; instead, reach out to loved ones or a trained mental health professional to communicate how you feel.
Do not neglect healthy habits– Taking good care of your health can help combat holiday stress. Moderating your food intake, fitting in a few minutes of exercise and getting adequate amounts of sleep can be profoundly beneficial for your health. Additionally, maintaining a healthy daily routine can help take your mind off holiday demands.
Ask for help- We live in a time where multitasking has become the norm but if you begin to feel overwhelmed, ask for help. Soliciting the help of friends or family can alleviate some of the holiday pressure. The holidays can also trigger depression; if you are experiencing symptoms of depression ask for help from loved ones or seek the assistance of a mental health professional.

The holiday season can be overwhelming; however, by applying these helpful tips you can take the steps needed to minimize stress and make this time of year more enjoyable. If you find that you continue to experience elevated levels of stress or symptoms of depression, it is recommended that you seek the help of mental health professional immediately.

To schedule an appointment with the Mental Health Clinic at Jamaica Hospital Medical Center, please call 718-206-5575.

Dust Mites & How They Affect Our Health

Posted on December 10, 2019 by Xavia Malcolm

Dust mites are tiny, microscopic relatives of spiders and ticks that lurk around our homes. They feed on the dead skin cells that we shed. Due to their diet, dust mites are commonly found in the areas where dust and dead skin cells accumulate the most. This includes carpets, mattresses, bedding, curtains, stuffed animals and furniture.

Dust mites are allergenic- meaning materials from their skin and fecal matter can cause allergic reactions and symptoms, especially in people with allergies and asthma.

Common dust mite allergy symptoms include:

Runny nose
Sneezing
Stuffy nose
Itchy nose, mouth or throat
Postnasal drip
Coughing
Red, Itchy skin
Itchy, red or watery eyes

In people with asthma, symptoms can include:

Chest tightness or pain
Difficulty breathing
Shortness of breath
Wheezing

It is impossible to completely eliminate dust mites, even in the cleanest homes. However, there are ways to limit exposure and reduce the risk of symptoms. Here are a few:

Wash bedding weekly in hot water
Cover mattresses and pillows in zippered dust-proof covers
Dust regularly
Avoid carpeting if possible or vacuum frequently
Use certified allergen capturing filters in vacuums and air conditioners
Keep the humidity levels in your home under 50% (Dust mites thrive in environments with humidity levels of 70 to 80%)

If symptoms persist, relief can be achieved by taking over-the-counter or prescription decongestants, antihistamines or nasal corticosteroids. Immunotherapy in the form of allergy shots or sublingual (under-the-tongue) tablets can also be effective.

The Division of Allergy and Immunology at Jamaica Hospital focuses on the diagnosis and long-term treatment of allergic and immunologic conditions. To schedule an appointment with an allergist, please call 718-206-6742.

Meet Dr. Bijal Patel

Posted on December 9, 2019 by Jamaica Hospital Medical Center

Jamaica Hospital would like to introduce you to our new Endocrinologist, Dr. Bijal Patel

Dr. Patel completed her residency within the MediSys Health Network, at Flushing Hospital Medical Center. She enjoyed the network’s dedication and working with the staff so much that she decided to join Jamaica Hospital as a full-time attending physician earlier this year.

As an endocrinologist, Dr. Patel provides a wide variety of services for patients in need of help with:

Osteoporosis and other bone disorders
Thyroid cancer and related conditions
Transgender hormone therapy
Adrenal and pituitary disease
Diabetes

While she is well qualified to help her patients with any of the above, Dr. Patel is most passionate about is treating individuals living with diabetes. Dr. Patel states “There is a very strong need in the community for treatment of the disease. The disease is extremely prevalent in the areas Jamaica Hospital serves. In addition, many others are living with undiagnosed and untreated diabetes.”

One of the ways Dr. Patel has helped her patients is utilizing the latest technology to help them better manage their diabetes. She is aware of many new advances and has incorporated them into her patient’s treatment plan.

She is extremely happy to join the Division of Endocrinology at Jamaica Hospital and work with such a strong team of doctors. She feels that together they are building a much-needed service that can greatly benefit the community.

Dr. Patel treats patients at the following locations:

TJH Medical Services
134-20 Jamaica Avenue
Jamaica, NY 11418
718-206-6742

Jamaica Hospital Ambulatory Care Center
8900 Van Wyck Expressway
Jamaica, NY 11418
718-206-7001

Alternative Ways to Treat Chronic Pain

Posted on December 5, 2019 by Michael Hinck

We all experience physical pain at some point in our lives. In many instances pain will subside after a few hours or days. However, when pain lasts for weeks or longer, it is considered chronic and may require some form of pain management therapy.

Chronic pain could be caused by many things, such as a medical condition like arthritis or fibromyalgia. It could also be the result of ongoing medical treatments, such as cancer therapy or it could be caused by nerve damage sustained by an injury. Whatever the cause of your pain, it is important to know that there are many options available to treat it.

For many years opioids were prescribed to treat pain, but they can be very addictive and therefore not always the best option. It is important to understand the potential benefits and risks before you begin taking these types of medications and explore alternative forms of pain management.

Other, non-addictive types of medication available to treat symptoms of pain include:

Non-steroidal anti-inflammatory drugs (NSAIDS) – such as ibuprofen, naproxen, and aspirin

Acetaminophen – Tylenol
Antidepressants – can improve sleep and alleviate pain

Anti-seizure medications – effective in treating pain related to nerve damage or injury
Steroids – used to alleviate inflammation and pain

Medications however are not the only form of therapy to manage pain. Physical therapy and exercise, if done correctly and under the supervision of a professional can build tolerance and reduce pain. Transcutaneous electrical nerve stimulation therapy (TENS) is another type of therapy that uses electrical stimulation to diminish pain. Other types of pain therapy can include acupuncture, massage, heat and cold therapy, meditation, as well as dietary modifications and nutritional supplements.

A doctor who specializes in pain management can help. They can identify the source of your pain and determine the best approach to manage it, both physically and emotionally.

If you are experiencing chronic pain and would like to see a pain management specialist, please call Jamaica Anesthesia Associates at 718-06-7246 or 718-206-PAIN.

Jamaica Hospital’s ER Earns Clinical Ultrasound Accreditation

Posted on December 4, 2019 by Jamaica Hospital Medical Center

Jamaica Hospital Medical Center is proud to announce that its Emergency Department recently received Clinical Ultrasound Accreditation by the American College of Emergency Physicians (ACEP).

Clinical ultrasound is the real-time performance and interpretation of ultrasound by a physician at the bedside to diagnose, monitor, and treat medical conditions.

Jamaica Hospital’s emergency department physicians are now trained to utilize ultrasound to guide them during complex procedures and help them expedite the correct diagnosis for many life-threatening conditions such as abdominal aneurysms, ectopic pregnancies, and internal bleeding. This diagnosis can be made within minutes, ultimately resulting in faster treatment and better patient outcomes.

Accreditation by the American College of Physicians indicates that Jamaica Hospital’s Emergency Ultrasound Program meets the high standards set forth by ACEP in the Ultrasound Guidelines: Emergency, Point-of-Care and Clinical Ultrasound Guidelines in Medicine. The hospital’s program has met ACEP standards in all areas including administration, performing and interpreting ultrasound examinations, and patient confidentiality and privacy.

In addition, accreditation required the hospital’s emergency physicians to be credentialed in emergency ultrasound – a process that requires extensive training and continuing education.

Jamaica Hospital was one of only a handful of hospitals in New York State, and the only one in Queens to obtain ACEP’s Clinical Ultrasound Accreditation. This designation is a testament to the continued high quality of care provided by Jamaica Hospital’s Emergency Department. According to Celine Thum, MD, FAAEM, Director of Emergency Ultrasound, “Point-of-care ultrasound is an integral part of how emergency care is delivered at Jamaica Hospital and has already had a positive impact on our patients. Our doctors have used this technology to identify emergent pathologies in patients, which has resulted in positive outcomes and lives saved.”

Geoffrey Doughlin, MD, Chairman of Emergency Medicine added, “We are proud to have achieved this accreditation by the American College of Emergency Physicians as it demonstrates that Jamaica Hospital is among the best in the world at delivering point-of-care emergency ultrasound.”

What Type Of Flu Vaccine Is Best For Seniors

Posted on December 2, 2019 by Jamaica Hospital Medical Center

With flu season upon us, it is recommended that everyone six months and older receive their annual influenza (flu) vaccine. This is especially true for senior citizens as they are at a greater risk of developing serious complications from the flu. While there is no debate over whether or not seniors should get their flu shot, there is one about what type of vaccine they should receive.

Many providers are now recommending that patients over the age of 65 receive the vaccine Fluzone, a higher dose injectable vaccine formulated specially for seniors. Like other flu vaccines, Fluzone is comprised of three different strains of the influenza virus that are most likely to cause the flu during the upcoming season. However, Fluzone contains four times the amount of antigen (the inactivated virus that promotes a protective immune response) as a regular flu vaccine and produces a stronger immune response.

This high-dose vaccine was created specifically for seniors because their immune defenses are weakened due to their age. It is estimated that approximately 75% of seasonal flu-related deaths have occurred in people 65 years and older and between 50% and 70% of seasonal flu-related hospitalizations have occurred among people in this age group.

The results of seniors who have taken high-dose vaccines are promising. Initial studies have indicated that 25% fewer cases of influenza occurred in adults 65 years or older who took the high-dose vaccine compared with those who took the standard-dose vaccine, but other studies also revealed that seniors who received the high-dose vaccine were more likely to develop side effects, such as a fever and soreness at the injection site, during the week after vaccination.

If you are over 65 years old and still haven’t received your flu vaccine this year, speak to your doctor about whether or not a high-dose vaccine is right for you.

If you would like to make an appointment with a doctor t Flushing Hospital, please call 718-206-7001.