Meet Our Doctors: Dr. Xun Li

Posted on March 16, 2023 by Jacob Lobosco

This month, Jamaica Hospital Medical Center would like to tell you more about Dr. Xun Li. He is a full-time attending neurosurgeon at both Jamaica and Flushing Hospital Medical Center who treats patients experiencing various brain and spine problems. Dr. Li is a dual-trained spine surgeon, meaning that he is able to perform surgeries within the spinal cord itself in addition to the bones, joints, ligaments, and discs around the spinal cord.

Dr. Li’s interest in neurosurgery stems from the effects of aging on the brain and spine. “As we age, most of us develop problems with our necks and backs due to being creatures that walk upright on two feet,” said Dr. Li. “However, the good news is that spine surgery has advanced so rapidly over the past couple of decades that we now have simple and effective surgical solutions for many problems. The days of simply accepting that neck and back pain is part of getting older are, thankfully, long gone.”

Dr. Li was born in Beijing, China, and grew up traveling around the world as part of his father’s career. He attended many local schools and learned a variety of languages during this time, but at home, he and his family only spoke Mandarin Chinese. “I am very thankful for that now,” said Dr. Li, “as I have not lost my mother tongue like so many other people in my shoes.”

After attending schools such as Allegheny College, Temple University, Brown University, and the University of Pennsylvania, as well as completing his education in neurosurgery and a subspecialty fellowship in orthopedic spine surgery, Dr. Li found that the opportunity to work at Jamaica and Flushing Hospital in Queens allowed him to take advantage of his bilingual fluency in Mandarin Chinese and English in a way he had always wanted.

“When the opportunity to work in Queens presented itself, I embraced it enthusiastically. It has been very fulfilling to be able to speak with my patients in our native language; it creates a stronger bond and deeper sense of trust as we discuss various brain or spine surgeries that are often inherently high risk, but that also come with high reward,” said Dr. Li.

In addition to performing emergency neurosurgery at Jamaica and Flushing Hospital, Dr. Li also treats routine simple and complex neurological problems for patients during regular business hours.

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.

Sleep Awareness Week

Posted on March 14, 2023 by Jamaica Hospital Medical Center

The keys to a healthy lifestyle are eating right, exercising, and getting adequate sleep. While we give a great deal of attention to the first two, the importance of a good night’s sleep is often overlooked. March 12th through the 18th has been designated Sleep Awareness Week, the 25^th Anniversary of this event. Jamaica Hospital Medical Center and the National Sleep Foundation (NSF) want to raise awareness and educate the community about how important sleep is to each and every one of us.

There are many health benefits that sleep can provide. Sleep aids our heart, brain, lungs, and muscles to function properly. Additional benefits include:

Improved immunity
Decreased pain
Increased alertness
Lower risk of injury
Improved memory
Better mood

The NSF recommends that adults receive seven to nine hours of sleep each night. They also provide the following tips to ensure a restful night’s sleep.

Stick to a sleep schedule with the same bedtime and wake-up time, even on the weekends.
Practice a relaxing bedtime ritual. Try to separate your sleep time from activities that can cause excitement, stress, or anxiety; a lot of which can make it more difficult to fall asleep.
If you have trouble sleeping, avoid naps, especially in the afternoon. Napping may help you during the day, but it can interfere with your ability to sleep at night
Avoid drinking any caffeinated beverages at least five to six hours before bed.
Exercise daily. Vigorous exercise is best, but even light exercise is better than no activity.
Evaluate your sleep environment. Remove any noisy distractions, eliminate bright lights, and set a comfortable temperature to optimize your sleep.
Sleep on a comfortable mattress and Make sure your mattress is supportive.

If you still have trouble falling asleep or getting a restful night’s sleep, you should speak with your doctor as there may be an underlining medical issue. Jamaica Hospital operates a state-of-the-art sleep center that can help diagnose and treat a variety of sleep disorders. For more information, or to make an appointment, please call 718-206-5916.

Jamaica Hospital’s Cure Violence Program Receives Over $1 Million to Address Gun Violence in our Community

Posted on March 13, 2023 by Michael Hinck

Congratulations to the Trauma team at Jamaica Hospital Medical Center for being awarded over $1 million by the Mayor’s Office of Criminal Justice for the continuation and expansion of the hospital’s Cure Violence program. The goal of Cure Violence program is to fund anti-violence community groups in their efforts to steer young New Yorkers away from violence and gun use.

In 2021 Jamaica Hospital created the VETO (Violence, Elimination and Trauma Outreach) program to provide a comprehensive and patient centered approach to victims of gun violence. The VETO team engages patients who are victims of gun violence, develop specific care plans to address social determinates of health, and follow them until all of their care plan goals are met.

The VETO program was awarded the Marla Becker Scholarship from The HAVI foundation for new and emerging HVIP’s, connecting us with HVIP’s in Philadelphia and our community for consultation in structuring our hospital-based violence intervention program.

In addition, Jamaica Hospital has also formed partnerships with numerous community organizations including violence interrupter groups to address the issue of gun violence in our community.

National Colorectal Cancer Awareness Month

Posted on March 8, 2023 by Jacob Lobosco

Colorectal cancer is the second most common cause of cancer-related death among men and women in the United States. The American Cancer Society estimates that 153,020 cases of colorectal cancer will appear in 2023.

Someone with this form of cancer may only begin to experience symptoms from stage two onward, with many cases only presenting symptoms in the third and fourth stages of the disease. When symptoms appear, they typically include changes in bowel habits and stool consistency, bloody stool, chronic abdominal pain, and unexplained weight loss.

The primary risk factor for colorectal cancer is age. The Centers for Disease Control and Prevention recommend regular screening for this form of cancer starting at age 45. However, if you’re at higher-than-average risk for colorectal cancer, screening may need to begin at an earlier age.

Other risk factors include:

Inflammatory bowel disease
A family history of colorectal cancer or polyps
Certain genetic syndromes such as Lynch syndrome
Obesity
Alcohol consumption
Tobacco usage

Aside from improving lifestyle factors such as physical activity levels and nutrition, the best way to reduce your risk of colorectal cancer is to keep up with regular diagnostic screening. Procedures for screening include:

Stool tests: These tests check for blood or changes to your DNA in your stool. The guaiac-based fecal occult blood test (gFOBT) and fecal immunochemical test (FIT) which check for blood, are performed annually. The FIT-DNA test, which checks the DNA in your stool, is performed every three years.

Flexible Sigmoidoscopy: This test checks for polyps and cancer inside the lower third of your rectum and is performed every five years or every 10 years if you receive a FIT annually.

Colonoscopy: A standard colonoscopy checks for polyps and cancer throughout the rectum and the entire colon, allowing your doctor to spot and even remove most of them. This is performed every 10 years for people with an average risk of colorectal cancer. Alternatively, a virtual colonoscopy, which produces images of the entire colon using X-rays, can be performed every 5 years.

You can receive a colorectal cancer screening from a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001.

Low FODMAP Diet

Posted on March 7, 2023 by Xavia Malcolm

The low FODMAP diet is a short-term, elimination diet designed to help people living with irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO).

Research shows that following a low FODMAP diet as recommended by a doctor or nutritionist can reduce symptoms in up to 86% of people diagnosed with IBS or SIBO.

The acronym FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which are carbohydrates that are difficult to digest. They can trigger symptoms such as bloating, gas, constipation, or diarrhea in some people.

High FODMAP foods that are notorious for causing digestive symptoms include:

Onions
Garlic
Products containing lactose such as milk, cheese, or ice cream
Dairy alternatives such as coconut milk (in the carton) or soy milk
Foods containing fructose such as apples, pears, watermelon, agave nectar, or honey
Cauliflower
Mushrooms
Snow peas
Ingredients found in calorie sweeteners such as isomalt and xylitol

Excluding these foods temporarily from a diet for about two to six weeks, or as recommended by a physician; then slowly reintroducing them, can help identify which foods are causing symptoms to occur. Once it is determined which foods are causing symptoms, they will be limited or avoided.

The FODMAP diet is very restrictive; therefore, it is beneficial to plan your meals. Your nutritionist or physician may recommend that you base your meals around low FODMAP foods such as:

Almond milk
Vegetables such as eggplant, spinach tomatoes, zucchini, and potatoes
Fruits such as grapes, pineapples, or strawberries
Proteins such as chicken, lamb, or fish

A low FODMAP diet is not for everyone. It can do more harm than good to those who have not been diagnosed with IBS or SIBO. Low FODMAP diets can also be challenging; however, working with a physician or dietitian can help you to stick to the guidelines and maintain proper nutrition.

To schedule an appointment with a doctor or dietitian at Jamaica Hospital Medical Center, please call 718-206-7001.

When To See A Doctor If You Have A Sinus Infection?

Posted on March 3, 2023 by Jamaica Hospital Medical Center

A sinus infection, also known as sinusitis, is a very common type of infection that occurs when the sinuses or cavities in the front of the face, around the eyes, and behind the nose become filled with mucous.

The majority of sinus infections are caused by viruses. Sinus infections can also be caused to a much lesser extent by bacteria or fungus, however, and are less likely to be transmitted from one person to another. They can also be caused by allergies, blocked nasal passages, asthma, and nasal blockages due to polyps.

Acute viral sinusitis typically lasts seven to ten days and may follow a cold. Chronic sinusitis can last for 12 weeks or longer.

Symptoms of a sinus infection include:

Facial pain or pressure on the forehead or between the eyes
Runny or stuffy nose
Thick yellow, green, or cloudy nasal discharge
Inability to smell
Cough
Sore throat
Fever

Sinus infections typically begin to improve by themselves in about 10 days. You should contact your physician if the infection is not improving or if it is getting worse. Anyone who experiences any of the following should see a physician as soon as possible:

Fever over 102 degrees Fahrenheit
Confusion
Stiff neck
Vision changes
Swelling and redness around the eyes
Intense headache

A sinus infection can spread to the brain or the eye if it is left untreated. People who have frequent or chronic sinus infections should see an otolaryngologist, also known as an ear, nose, and throat specialist (ENT) to see if there is an underlying reason these are occurring.

If you think you may have a sinus infection, you can try several remedies at home such as a warm compress on the face, over-the-counter decongestants, saline nasal sprays, and over-the-counter pain relievers. These shouldn’t be used for more than three days.

Speak to your physician if the symptoms of a sinus infection don’t improve or worsen after ten days. If you would like to schedule an appointment with a physician at 718-206-7001.

March is National Kidney Month

Posted on March 2, 2023 by Andrew Rubin

March is National Kidney Month and the National Kidney Foundation is urging all Americans to give their kidneys a well-deserved checkup.

The kidneys are two fist-sized organs, located just below the rib cage, in your lower back. The left kidney is on the left side of the spine and the right kidney is on the right side of the spine. Blood flows through the kidneys many times a day. They maintain overall health by serving the following functions:

Filtering waste out of 200 liters of blood each day
Regulating of the body’s salt, potassium and acid content
Removing toxins from the body.
Balancing the body’s fluids
Releasing hormones that regulate blood pressure
Producing an active form of vitamin D that promotes strong, healthy bones
Controlling the production of red blood cells

According to the U.S. Centers for Disease and Control, some quick facts on Kidney Disease are:

Kidney disease is the 9^thleading cause of death in the country.
More than 26 million Americans have kidney disease, and most don’t know it.
There are over 95,000 people waiting for kidney transplants.
Currently, more than 590,000 people have kidney failure in the U.S. today.
Risk factors for kidney disease are hypertension, diabetes, family history, and age over 60.

Symptoms of kidney disease include:

Swelling of the face, hands, abdomen, ankles, and feet
Blood in the urine
Puffy eyes
Painful urination
Increased thirst
Fatigue

Often times, kidney failure can be prevented or delayed through early detection and proper treatment of underlying disease such as diabetes and high blood pressure which can slow additional damage to the kidneys.

If you are 18 years or older with diabetes, high blood pressure, cardiovascular disease or a family history of kidney disease, you should schedule an appointment with your doctor and ask that you be screened for kidney disease.

If you would like to make an appointment to have your kidney’s checked, you can call Jamaica Hospital Medical Center’s Ambulatory Care Center at 718-206-7001 for an appointment.

What is an Elimination Diet?

Posted on March 1, 2023 by Jacob Lobosco

Foods that you’re allergic to can cause you to experience a variety of symptoms, including gas, bloating, nausea, or diarrhea. While these types of problems are rarely life-threatening allergic reactions, they can cause significant discomfort and disruption in your daily life. However, you may not know for certain which exact foods are causing these reactions. An elimination diet can help you identify them.

Elimination diets involve removing, then later re-adding, certain foods from your diet which are suspected to be the cause of allergic reactions. This diet is typically only maintained for a brief period of up to six weeks.

An elimination diet is typically divided into an “elimination” phase and a “reintroduction” phase. During the elimination phase, potential allergens are removed from your diet. These typically include foods such as:

Nuts
Seeds
Legumes
Dairy products
Starchy foods
Caffeinated drinks
Spices
Meat
Fish
Sugary products
Certain fruits and vegetables

During the reintroduction phase, you once again start to eat each food group you’ve cut out of your diet. Each of these groups is individually re-introduced over the course of up to three days, providing adequate time to watch for potential symptoms.

Different versions of the elimination diet, such as the low-FODMAPs diet (which targets short-chain carbohydrates), only remove specific food groups. Alternatively, varieties such as the fasting elimination diet, which involves only drinking water for up to five days, may be more extreme than the standard version.

No matter which version of the elimination diet you plan to try, you should only do so under the supervision of a medical professional. The re-introduction of food allergens can potentially cause anaphylaxis, a severe reaction that causes airways to swell and restricts your breathing. Extreme varieties such as the fasting elimination diet can be especially dangerous to your health without the guidance of a doctor.

If you suspect you have a food allergy and plan to follow an elimination diet, schedule an appointment with a registered dietician at Jamaica Hospital Medical Center’s Outpatient Nutritional Services Department by calling (718) 206-7056.

Multiple Allergies and the Symptom Threshold

Posted on February 28, 2023 by Jamaica Hospital Medical Center

Everyone has their own unique combination of allergic triggers and not all of them are obvious. You may be sensitized to several allergen sources, but your sensitization may not be enough to trigger symptoms when you are exposed to only one of them. But when you encounter multiple substances you’re allergic to at the same time, they can add up, and you may start experiencing symptoms, such as itchy eyes or a runny nose.

Determining if you’re allergic and identifying your allergic triggers can help you stay below your symptom threshold—the point where you start experiencing allergy symptoms.

Most people with allergies—up to 80 percent—are allergic to multiple allergens. And for some of these people; symptoms may appear only when they encounter two or more things they’re allergic to at the same time.

Minimizing your exposure to your allergic triggers may help lessen or eliminate your symptoms. For example:

• You could have a low-level allergy to dust mites, mold, and grass pollen. During large parts of the year, you’re exposed to dust mites and mold but may have little to no symptoms.

• But in the spring, when pollen is in the air, you may experience symptoms. You then might think that you have only a pollen allergy. But without a test you won’t know for sure.

Your best defense against your allergic symptoms is to know what’s causing them and to avoid those triggers. This doesn’t necessarily mean you’ll have to cut everything you’re allergic to out of your life. You’ll just have to reduce your exposure enough to get below your symptom threshold—the level where you start to experience symptoms.

One of the best ways to find out what’s causing your allergic symptoms is to get tested. There are several different options for allergy testing, including blood tests, skin-prick tests, food challenge tests, and allergy provocation tests. Together with your healthcare provider, you can decide which test is best for you. After your elected allergy test is performed, the results are reviewed by your healthcare provider alongside your medical history to help establish an accurate diagnosis. 

To schedule an allergy test at Jamaica Hospital Medical Center, please call 718-206-7001.

Employee Spotlight Shines on Melissa Nolan, EMT, and Emergency Management Planner

Posted on February 23, 2023 by Andrew Rubin

This month, we are proud to shine our Employee Spotlight on Melissa Nolan, EMT, and Emergency Management Planner.

Melissa has been with Jamaica Hospital Medical Center for five years. She grew up in the Riverdale section of the Bronx and still resides there. Melissa attended elementary school at St. Margaret of Cortona, high school at Saint Vincent Ferrer, and received her Bachelors of Liberal Arts and Sciences in Communication and Media Management from SUNY New Paltz. Melissa received her EMT certification from Montefiore Hospital – Wakefield campus.

In her free time, Melissa enjoys spending time with her family and friends. She likes to go with them to sporting events, concerts, and Broadway shows. She also enjoys travelling with her family. One of her most memorable vacations was a Mediterranean cruise around Italy, France, and Greece. She is now planning to take a trip to Nashville.

Melissa likes different types of food, especially Italian, Greek, Spanish and Portuguese. She enjoys all types of music, and listens to everything from Elvis and the Rat Pack to the Beatles, Motown, Michael Jackson, Elton John, Miley Cyrus and Lizzo. Her favorite sports teams are the Dallas Cowboys and the New York Yankees. Being of Italian, Portuguese, Brazilian and Irish descent, she roots for their national teams during the Soccer World Cup but her favorite is the Brazilian team.

She enjoys working at Jamaica Hospital because she feels that her mind is challenged at least once a day and with that comes the opportunity to learn and expand her knowledge. Melissa likes being part of the Emergency Management Department because it plays such an important role in helping to keep the hospital functioning well, especially during times of crisis.

Melissa’s priorities in life include making sure that her family is well cared for. She also believes it is important to lend a helping hand to others so that they can achieve their goals.

We are fortunate to have Melissa as a part of our team and look forward to her continuing to work with us for many more years in the future.