Health Beat

Patient Testimonial – Agostino Romano says, “If it wasn’t for Dr. McKenzie, I’d be dead”, after Dr. Katherine McKenzie Saved His Life.

Posted on February 7, 2025 by Patrick Hercules

“If it wasn’t for Dr. McKenzie, I’d be dead”, is what Agostino Romano said after his experience at Jamaica Hospital Medical Center. Mr. Romano has been a patient of Dr. Katherine McKenzie for the last four years. He was first seen by her to treat perforated appendicitis in 2021. During this time, Dr. McKenzie observed that Mr. Romano wasn’t responding well to standard treatment. She suspected an underlying malignancy and investigated further. Dr. McKenzie diagnosed Mr. Romano with a rare and aggressive cancer called Burkitt’s lymphoma.

Mr. Romano received treatment for the cancer and has been in remission. He returned to see Dr. McKenzie for surgery, an abdominal wall reconstruction with a component separation in 2023. He recovered and is doing well. He continues to see Dr. McKenzie every four to six months. He is back at work and has been able to resume his passions which include cooking and sharing Italian food. He has even made trips to see his family in Italy.

“I wouldn’t go to any other hospital. I’ve formed a bond with them,” Mr. Romano said of Dr. McKenzie and her team. Born in Italy, Mr. Romano lives with his wife of 30 years in Ozone Park, Queens. Despite the surgeries and cancer diagnosis, Mr. Romano keeps a positive perspective: “I have nothing but great things to say, even in the dark times.”

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.

Age-Related Macular Degeneration

Posted on February 6, 2025 by Patrick Hercules

Age-related macular degeneration (AMD) is an eye disease that can blur your central vision. It occurs when aging damages the macula, the part of the eye that controls sharp, straight-ahead vision. The macula is part of the retina, the light-sensitive tissue at the back of the eye.

Age-related macular degeneration is a common condition and the most common cause of severe loss of eyesight among people 50 and older. It is important to realize that people rarely go blind from it. However, losing your central vision makes it harder to see faces, read, drive, or do close-up work like cooking or fixing things around the house.

There are two types of age-related macular degeneration, dry and wet.

Most people with age-related macular degeneration have dry AMD, also called atrophic AMD. This is when the macular gets thinner with age. Dry AMD happens in three stages:

Early
Intermediate
Late

Wet AMD, also called advanced neovascular AMD is a less common type of late AMD that causes faster vision loss. Dry AMD can turn into wet AMD at any stage, however, wet AMD is always late.

The most common symptoms of age-related macular degeneration can include:

Blurry or fuzzy vision
Difficulty recognizing familiar faces
Seeing straight lines appearing wavy
A dark, empty area or blind spot appears in the center of a person’s vision

The presence of tiny yellow deposits in the retina called drusen is one of the most common early signs of age-related macular degeneration. It can mean the eye is at risk of developing more severe age-related macular degeneration.

Several risk factors that can contribute to developing age-related macular degeneration include:

Eating a diet high in saturated fat
Smoking
High blood pressure or hypertension

To diagnose age-related macular degeneration, an eye doctor will look at your medical history and perform an eye exam. They may also perform other tests to help diagnose AMD, including:

A visual acuity test
Pupil dilation
Fluorescein angiography
Amsler grid

Specific treatment for age-related macular degeneration is determined by your eye doctor based on:

Your age, overall health, and medical history
The extent and nature of the disease
Your tolerance for specific medications, procedures, or low-vision therapies
The expectations for the course of the disease
Your opinion or preference

There is no current treatment for dry AMD, however, vision rehabilitation programs and low-vision devices can be used to build visual skills, develop new ways to perform daily living activities, and adjust to living with age-related macular degeneration.

The main treatment for wet AMD is an injection of medications called anti-VEGF agents. VEGF stands for vascular endothelial growth factor.

There is no cure for age-related macular degeneration. However, research shows that you may be able to lower your risk of AMD, or slow vision loss from AMD by:

Quitting smoking
Getting regular exercise
Maintaining healthy blood pressure and cholesterol levels
Eating healthy foods that include leafy green vegetables and fish

AMD happens very slowly in some people and faster in others. If you have early AMD, you may not notice vision loss for a long time. It is important to get regular eye exams to find out if you have AMD.

If you’re experiencing symptoms of dry or wet AMD, you can schedule an appointment at Jamaica Hospital Medical Center’s Ophthalmology Center by calling (718) 206-5900.

Podiatry: What Your Feet Can Tell You about Your Health

Posted on February 5, 2025 by Patrick Hercules

Our bodies present many signs and symptoms to show us that we are sick, such as a runny nose, fever, and body aches. However, your feet can tell us a lot about our health, including:

Dry, flaking, itchy, or peeling skin may be signs of a thyroid condition or a fungal infection.
Foot numbness may be a sign of circulation problems such as peripheral artery disease (PAD), peripheral neuropathy associated with type 2 diabetes, other neurological problems, arthritis, or long-standing alcoholism.
A foot sore that won’t heal may be a sign of diabetes or peripheral vascular disease. In addition to causing nerve damage, high blood sugar might also damage the blood vessels that supply nerves, causing circulation problems that prevent healing.
Swollen ankles and feet may be signs of heart failure, kidney disease, liver disease, or a blood clot. Painless swelling in the feet is gravity in action. If your heart, liver, or kidneys aren’t working properly, you will have excess fluid in the body that leaks into your tissues and drains down to the feet.
A suddenly, intensely painful, and swollen big toe may be a sign of gout, inflammation caused by a buildup of uric acid that forms crystals in the joints.
Pain in the foot when walking or exercising that goes away when resting may be a sign of a stress fracture or osteoporosis.
Sore toe joints in both feet may be a sign of rheumatoid arthritis.
Frequent foot cramping may be a sign of dehydration and nutritional deficiencies.
Heel pain may be a sign of plantar fasciitis, the strain of the ligament that supports the arch in your foot.
Yellow toenails may be a sign of a fungal infection, such as athlete’s foot.
Balding or hairless feet and toes may be a sign of circulation problems, such as peripheral artery disease.
Foot or heel pain upon standing or rising in the morning may be a sign of arthritis or plantar fasciitis.
Frequently cold feet may be a sign of hypothyroidism, peripheral artery disease, or Raynaud’s disease, a condition where blood vessels spasm and constrict when experiencing cold temperatures.

Some ways you can care for your feet include:

Wash and examine your feet daily
Keep the skin on your feet moisturized
Treat any callouses and corns
Trim toenails weekly or as needed
Wear protective clothing on your feet
Maintain blood flow to the feet

If you are experiencing any of these foot ailments, contact Jamaica Hospital Medical Center’s Queens Podiatry Center at (718) 206-6713-6712 to make an appointment.

Pulmonary Hypertension

Posted on February 3, 2025 by Xavia Malcolm

Pulmonary hypertension (PH) is a condition that develops when the blood pressure in the pulmonary arteries, which carries blood from the right side of your heart to your lungs, is too high.

Pulmonary hypertension causes blood vessels in the lungs to become narrowed, blocked, or damaged. The heart must work harder than normal to pump blood into the lungs because of these problems. This can cause damage to the heart and lead to symptoms including:

Chest pain or pressure
Shortness of breath
Fatigue
Dizziness or fainting
Heart palpitations
Edema or swelling of the feet, legs, or abdomen

Pulmonary hypertension can lead to serious complications such as:

Bleeding in the lungs
Heart failure
Heart enlargement
Arrhythmias or irregular heartbeats
Pregnancy complications
Liver damage
Anemia

The causes of pulmonary hypertension depend on the type of pulmonary hypertension you might have. Here are the five classifications of PH based on their causes:

Group 1: Pulmonary arterial hypertension (PAH) –The causes of PAH can be idiopathic (an unknown cause or caused by an underlying health condition) or genetic. PAH can also develop due to illegal drug use, congenital heart defects, or certain medical conditions such as lupus.
Group 2: Pulmonary hypertension caused by left-sided heart disease- This is the most common type of PH. The causes include left heart failure or left-sided heart valve disease.
Group 3: Pulmonary hypertension due to lung disease and/or hypoxia- This develops due to pulmonary fibrosis or the scarring of the lungs, obstructive sleep apnea, chronic obstructive pulmonary disease (COPD), or prolonged exposure to high altitudes.
Group 4: Pulmonary hypertension due to pulmonary artery obstructions or blockages in the lungs– Blockages or obstructions may include blood clots in the lungs or tumors that block pulmonary arteries.
Group 5: Pulmonary hypertension caused by other disorders or health conditions- These disorders or health conditions can include kidney disease, blood disorders such as sickle disease, or metabolic conditions such as thyroid disease.

The risk factors for developing pulmonary hypertension include:

A family history of blood clots
A family history of pulmonary hypertension
Living at high altitudes
Use of illegal drugs
Smoking or using tobacco products
Exposure to asbestos
Taking certain medications designed to treat depression or cancer
Age (PH is usually diagnosed in adults between ages 30 and 60. The risk increases as you get older.)

Pulmonary hypertension is diagnosed by a healthcare professional through various tests, such as an echocardiogram, which measures the pressure in the pulmonary arteries. Additional tests may include blood tests, chest X-rays, and electrocardiograms (ECG or EKG). Your healthcare provider will also assess your medical history and symptoms to determine if you have pulmonary hypertension. Treatment options for pulmonary hypertension may include medication, lifestyle changes, or surgery.

If you are experiencing symptoms of pulmonary hypertension or are at risk, please call the Division of Pulmonary Medicine at 718-206-5916 to schedule an appointment.

Dental Fillings – Different Types and What to Expect During Your Procedure

Posted on January 31, 2025 by Patrick Hercules

Dental fillings are a type of restorative dentistry treatment used by dentists to repair cavities or fix minor chips and cracks in your teeth. Other names for dental fillings include:

Tooth fillings
Cavity fillings
Dental restorations – this term refers to treatments that restore teeth, such as fillings, inlays, onlays, bridges, and crowns

Your dentist will discuss treatment options to determine which type of dental filling is better for your situation.

There are many different types of dental fillings and they fall into one of two categories: direct or indirect.

Direct fillings are created by dentists and placed in your mouth without the need for a dental laboratory or temporary restoration. They only require one office visit.

Common materials for direct fillings include:

Amalgam
Resin composite
Glass ionomer

Indirect fillings are made by a dental technician in a lab before your dentist places them in your mouth. Most indirect fillings require two office visits, one to take dental impressions and another to put your restoration. If your dentist uses computer-aided design/computer-aided manufacturing or CAD/CAM technology, they may be able to create and place your indirect filling in a single appointment.

Inlays and onlays are two common indirect fillings that dentists use when a tooth has too much damage to support a filling but not enough damage for a dental crown. An inlay or onlay fits into your tooth structure like a tiny puzzle piece.

Common materials for indirect fillings include:

Gold
Porcelain

During the dental filling procedure, your dentist will:

Numb your tooth with local anesthesia
Remove damaged or decayed tissue from your tooth using specialized instruments
Fill the hole with dental filling material
Use a dental curing light to harden the material (only for resin composite)
Polish and smooth any rough edges
Check your bite to make sure it feels normal

The exact steps may vary depending on the material your dentist uses and what type of filling they place.

If you have anxiety about visiting the dentist, ask about sedation options. Sedation dentistry helps keep you calm and comfortable during your procedure.

If your teeth need a check-up, you can make an appointment with one of our board-certified dentists at Jamaica Hospital Medical Center’s Dental Center by calling 718-206-6980.

What is Induration?

Posted on January 29, 2025 by Patrick Hercules

Induration is a deep, thickening of the skin from edema, inflammation, or infiltration, including cancer.

Signs of indurated skin include:

Skin that feels firmer to the touch than the surrounding skin
Skin that appears thick
Skin that looks smooth and shiny

The indurated areas commonly appear on the hands and face, but can also be found on the chest, back, abdomen, breast, or buttocks.

The primary underlying causes of skin induration include:

Specific types of skin infection
Cutaneous metastatic cancers
Panniculitis
Hives

The precise physiological process that results in many conditions that cause skin induration includes inflammation and infiltration of the skin by certain types of cancer cells.

Several types of skin infections with symptoms of skin induration include:

An abscess
An inflamed cyst
Insect bites that become infected

The diagnosis of skin induration is made by palpation or the feeling of the area, assessing whether the raised area feels hard and resistant.

Treatment of skin induration varies depending on the underlying cause. Treatment options include:

For an abscess, the treatment option may be antibiotics, incision, or drainage
For inflammatory disorders, such as scleroderma or lichen sclerosus, immunosuppressants or steroid creams can be used.

Supportive care for skin induration conditions can vary greatly, depending on the underlying cause. Examples of supportive care for skin conditions can include:

Warm compresses
Analgesia
Elevation of the affected extremity to help reduce swelling

If you are experiencing any signs of skin induration, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001.

Signs and Symptoms of Stroke in Women

Posted on January 27, 2025 by Patrick Hercules

Men are more likely to have a stroke. However, women have a higher lifetime risk and are also more likely to die from a stroke.

The Centers for Disease Control and Prevention (CDC) estimates that one in five women will have a stroke. Women have a higher lifetime risk of stroke because they tend to live longer than men. They also have unique risk factors, including:

Pregnancy
Preeclampsia
The use of hormonal birth control
Hormone replacement therapy
Obesity
Migraine with aura, which is more common in women
Atrial fibrillation (AFib), which is more common in women over 75 years of age

Many symptoms of stroke are common in both men and women, including:

Sudden difficulty seeing in one or both eyes
Sudden numbness or weakness of the face and limbs, most likely on one side of the body
Sudden difficulty speaking or understanding
Sudden and severe headaches with no known cause
Sudden dizziness, difficulty walking, or loss of balance or coordination

Women may report symptoms that are often not associated with strokes in men. These symptoms can include:

Nausea or vomiting
Seizures
Hiccups
Shortness of breath
Pain
Fainting or loss of consciousness
General weakness

Because these symptoms can signify a different condition, it can be difficult to connect them immediately to a stroke. This can delay treatment and slow recovery.

The American Stroke Association recommends an easy strategy for identifying the symptoms of a stroke. If you think you or someone around you may be having a stroke, you should act FAST:

Face – ask the person to smile. Does one side of their face droop?
Arms – ask the person to raise both arms. Does one arm drift downward?
Speech – ask the person to repeat a simple phrase. Is their speech slurred or strange?
Time – if you observe any of these symptoms, it is time to call 911 or your local emergency services.

When it comes to a stroke, every minute counts. The longer you wait to call emergency services, the more likely it is that the stroke will result in brain damage or disability.

Jamaica Hospital Medical Center has been accredited as a Comprehensive Stroke Center (the highest designation of stroke care) by the Joint Commission. Whether you’ve survived a stroke or may be at risk of experiencing one, you can schedule an appointment for neuroendovascular screening, stroke rehabilitation, or any other form of stroke treatment that we provide. To schedule an appointment, please call 718-206-7001.

Winter Dehydration

Posted on January 24, 2025 by Patrick Hercules

Dehydration in the winter may seem less likely than in the summertime, but it is still a risk. According to the U.S. National Academies of Sciences, Engineering, and Medicine, the recommended amount of daily fluid intake is around 15.5 cups for men and 11.5 for women. For many of us, it might be harder to reach these quantities during the winter months.

Some causes of winter dehydration include:

Indoor heat
Bundling up in too many layers
Lack of thirst
Fluid loss from respiration
More frequent urination

There are many signs of dehydration, including:

The color of your urine
Constipation
Fatigue
Dry mouth and chapped lips
Dry skin
Headaches
Difficulty concentrating
Irritability
Feeling faint or dizzy
A rapid heart rate

Here are some tips for staying hydrated in the winter:

Drink warm fluids if it is too difficult to drink cold water when it’s cold outside.
Infuse plain water with flavor, by adding flavorings such as a wedge of lemon or lime, other pieces of fruit, or unsweetened water enhancers.
Carry a reusable water bottle with you to encourage daily hydration.
Eat homemade soups and water-rich fruits and vegetables to help increase fluid intake
Avoid drinking caffeine as it can contribute to dehydration.
Swap drinking an alcoholic beverage for a mocktail.
Make hydration a routine by drinking a certain amount of water daily.

If you have symptoms of dehydration, consult a physician immediately. Severe cases can lead to complications and potentially death. For less severe cases, you can schedule an appointment with a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center, by calling (718) 206-7001. If you are experiencing an emergency, call 911.

Integrative Health Month

Posted on January 23, 2025 by Patrick Hercules

January is Integrative Health Month. It raises awareness of the need for collaborative care among various disciplines to treat the whole person instead of a symptom-only approach.

Integrative health uses an evidence-based approach to treating a patient’s mind, body, and soul. Because physical, emotional, mental, and spiritual needs are all involved, integrative health combines these therapies.

The relationships between you and your healthcare providers are important in integrative health. You are equal partners in your healing process, as integrative health aims for well-coordinated care among different providers and specialists.

A variety of healthcare providers delivers care through integrative health, including:

Physicians
Chiropractic doctors
Holistic mind-body psychotherapists
Acupuncturists
Chinese herbal therapists
Tai chi practitioners
Yoga practitioners
Massage therapists
Nutritionists
Chefs (culinary medicine)

Integrative health physicians don’t replace your primary care provider or specialist. They work with all members of your healthcare team to heal your mind, body, and spirit. Their expertise lies in preventing and managing chronic diseases not in treating acute medical problems. You should see your primary care or emergency medicine physician for acute and medical emergencies.

Many people can benefit from integrative health including those who are healthy. People with chronic or complex conditions may especially find the approach helpful. Integrative health can help you find relief for many medical conditions, including:

Autoimmune diseases
Acute and chronic pain
Breathing disorders
Headaches and migraines
Cancer and cancer-related side effects
Chronic fatigue
Cold/flu symptoms
Digestive disorders
Infertility
Menopausal symptoms
Menstrual issues
Mental and emotional health issues
Obesity
High blood pressure
Sleep issues

Integrative health techniques support the body’s natural ability to heal. They help reduce stress and promote a state of relaxation that leads to better health. Integrative health can help you achieve optimal health when you engage in your own healing and feel empowered to make lifestyle changes. Adding integrative health to your healthcare routine can help you regain control of your well-being.

To learn more about Jamaica Hospital Medical Center’s integrative health services, events, or classes, or to schedule an appointment, please call us at (718) 206-5675.

POTS (Postural Orthostatic Tachycardia Syndrome)

Posted on January 22, 2025 by Patrick Hercules

Postural orthostatic tachycardia syndrome (POTS) is a condition that causes your heart to beat faster than normal when you transition from sitting or lying down to standing up.

Each word of “postural orthostatic tachycardia syndrome” has a meaning:

Postural – related to the position of your body
Orthostatic – related to standing upright
Tachycardia – a heart rate over 100 beats per minute
Syndrome – A group of symptoms that happen together

Your autonomic nervous system normally balances your heart rate and blood pressure to keep your blood flowing at a healthy pace, despite your body’s positioning. However, if you have POTS, your body can’t coordinate the balancing act of blood vessel constriction and heart rate response, meaning your body can’t keep your blood pressure steady and stable. This causes a variety of symptoms, including:

Dizziness or lightheadedness, especially when standing up, during prolonged standing in one position, or on long walks
Fainting or near fainting
Forgetfulness and trouble focusing (brain fog)
Heart palpitations or a racing heart rate
Exhaustion/fatigue
Feeling nervous or anxious
Shakiness and excessive sweating
Shortness of breath
Chest pain
Headaches
Nausea
Bloating
A pale face and purple discoloration of your hands and feet if they’re lower than the level of your heart
Disrupted sleep from chest pain, a racing heart rate, or excessive sweating during sleep

POTS symptoms often get worse in the following situations:

Being in warm environments, such as in a hot bath or shower, or on a hot day
Standing frequently, such as when you’re waiting in line or shopping
Participating in strenuous exercise
When you are sick from a cold or an infection
Having your period

You can develop POTS suddenly or it can develop gradually. Symptoms vary from person to person. They may happen immediately or a few minutes after sitting up or standing. Lying down may relieve some of the symptoms.

Researchers aren’t sure what causes POTS. They currently believe there are multiple causes, which have been put into different subtypes of POTS, including:

Neuropathic POTS – this happens when peripheral denervation (loss of nerve supply) leads to poor blood vessel muscles, especially in your legs and abdomen
Hyperadrenergic POTS – this happens when your sympathetic nervous system is overactive
Hypovolemic POTS – reduced blood volume can lead to POTS. Low blood volume can cause similar symptoms that may overlap with neuropathic and hyperadrenergic POTS

There is also growing evidence that suggests POTS might be an autoimmune disease, meaning the immune system attacks healthy tissue for unknown reasons.

POTS can be difficult for healthcare providers to diagnose due to the many symptoms that can occur over time. People with POTS may have symptoms for months or years before they are finally diagnosed with the condition.

To confirm a POTS diagnosis or rule out other possible causes for your symptoms, your healthcare provider will ask questions about symptoms, medications, and medical history, and they will also perform a series of tests.

A tilt table test is the main way providers diagnose POTS, as it measures your heart rate and blood pressure as you change your posture and position. A healthcare provider may order other tests to help determine a diagnosis, including:

Blood and urine tests for causes of POTS and conditions that mimic POTS
QSART (a test that measures the autonomic nerves that control sweating)
Autonomic breathing test (a test that measures your blood rate and pressure response during exercise
Skin nerve biopsy

Unfortunately, there is no cure for POTS. However, healthcare providers use strategies to manage the symptoms. Treatment is highly individualized based on your symptoms and what works best for you. The main forms of treatment include:

Exercise and physical activity
Diet and nutrition

There is nothing you can do to prevent developing POTS. But there are steps you can take to try to prevent flare-ups by knowing what your triggers are, including:

Maintaining a consistent temperature
Avoiding prolonged standing
Avoiding alcohol

If you are experiencing any POTS-related symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 right away.