Do People Really Sleepwalk?

Posted on February 19, 2020 by Andrew Rubin

We have seen people who sleep walk in movies but how many of us have actually seen it in person? Probably not many of us have. Sleepwalking, or as it is known in medical terms, somnambulism, actually does exist. It is more common in children, but adults can experience it as well.

Most people won’t remember when they were sleepwalking. This is because sleep walking typically occurs during a deep stage of sleep.

A few of the causes of sleep walking are:

Stress
Fever
Change in sleep schedule
Lack of sleep
Substance abuse
Taking certain medications
Gastroesophageal reflux disease

Medical conditions that can lead to sleepwalking are:

Nighttime seizures
Migraines
Heartburn
Heart rhythm problems
Restless leg syndrome

Diagnosing sleepwalking starts with doing a physical exam which may be accompanied by a sleep study in a specialized lab. Sensors will monitor breathing patterns oxygen levels, brain waves, eye and leg movement.

Treating sleepwalking is based upon the cause and may include antidepressants, as well as adjusting prescribed medications that the patient is taking already. People who sleep walk should avoid drinking alcohol, be in a stress free environment and get a good night’s sleep.

If someone you know tends to walk in their sleep it is a common misconception that they shouldn’t be awakened. It is important to make their environment safe so that they don’t hurt themselves and doors and windows should be locked.

If someone you know tends to walk in their sleep it is important to make the environment safe so that they don’t hurt themselves. They should also be as stress free as possible, have a relaxing routine prior to going to sleep, and they should not drink alcohol.

To schedule an appointment with a sleep disorder specialist 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.

Signs and Symptoms of Colic

Posted on February 19, 2020 by Joann Ariola

Colic is diagnosed when a healthy baby cries or fusses frequently for a prolonged period of time and cries for more than 3 hours a day. This behavior usually starts a few weeks after birth and is generally worst between 4 and 6 weeks of age

According to the Mayo Clinic symptoms of colic may include the following:

Intense crying that may seem more like screaming or an expression of pain
Crying for no apparent reason, unlike crying to express hunger or the need for a diaper change
Extreme fussiness even after crying has diminished
Predictable timing, with episodes often occurring in the evening
Facial discoloring, such as reddening of the face or paler skin around the mouth
Bodily tension, such as pulled up or stiffened legs, stiffened arms, clenched fists, arched back, or tense abdomen

Since the cause of colic is unknown, it is difficult to treat. However, there are some foods you can avoid, especially when breastfeeding, to help your baby digest better such as cow’s milk, nuts, wheat, soy, eggs and fish. When formula feeding, your baby may experience colic if they have an allergy to milk or lactose intolerance.

Some home remedies you can use to sooth your baby if they are experiencing symptoms of colic are:

Lay your baby on his/her back in a dimly lit quiet room.
Swaddle your baby snugly in a blanket.
Lay your baby across your lap and gently rub his/her back.
Put a warm water bottle on your baby’s stomach.
Offer your baby a pacifier to suck on.
Soak him/her in a warm bath.

If your baby’s colic persists with out relief, you may want to seek the advice of a doctor. If you’d like to make an appointment with a Pediatrician at Jamaica Hospial’s Ambulatory Care Center, please call 718-206-7001.

Indigestion VS Heartburn

Posted on February 18, 2020 by Xavia Malcolm

Although the words indigestion and heartburn are often used interchangeably, they are two completely different conditions.

Indigestion or upset stomach is a general term used to describe a feeling of discomfort in the upper abdomen. Symptoms of indigestion can occur differently in each person. They may include:

Nausea
Burning in the upper abdomen
Bloating in the upper abdomen
Uncontrollable burping
Feeling full longer than you should
Feeling full right after you begin eating

These symptoms can be caused as a result of eating fatty or greasy foods, eating too quickly, drinking too much alcohol, eating during stressful situations or smoking.

Making certain lifestyle changes can reduce your risk of indigestion. Here are a few tips to minimize symptoms and reduce your risk: quit smoking, avoid fatty or greasy foods, eat slowly, decrease stress or limit the consumption of alcoholic beverages.

Indigestion can serve as a warning sign for more serious digestive diseases. If you are experiencing symptoms for more than two weeks, it is advised that you see a doctor.

Heartburn is a condition that occurs when stomach acids flow up into the esophagus. This process is called acid reflux. It causes a burning pain in the upper chest or the middle of the chest. Additional symptoms of heartburn can include:

A foul or acidic taste in the mouth
Pain that worsens when lying down or bending over
Burning sensation in the throat
Difficulty swallowing

Eating certain foods can trigger or worsen the symptoms of heartburn. Limiting the following can reduce your risk: spicy foods, alcoholic beverages, onions, citrus fruits and products, caffeinated drinks such as coffee, fatty meals, chocolate and tomato-based products such as ketchup.

Some individuals are more at risk than others for developing heartburn. People at risk include those who are pregnant or obese; those diagnosed with conditions such as gastroesophageal reflux disease (GERD) or hiatal hernias as well as those who are taking certain medications such as anti-inflammatory drugs.

It is advised that you see a doctor if: your heartburn symptoms are severe and occur frequently; you are experiencing nausea or vomiting; you have diarrhea, black or bloody stools or you have a chronic cough. Seek immediate medical attention if you are experiencing difficulty breathing or severe chest pain or pressure.

Pneumonia Vaccination

Posted on February 14, 2020 by Susan Ching D.O.

Illnesses such as the flu and pneumonia are more prevalent during the winter season. It is commonly known that getting the flu vaccine is one of the best defenses against the flu virus but did you know that there is a vaccine that can help to prevent pneumonia?

Pneumonia is an infection of the lungs caused by a variety of bacteria and viruses. It is most often caused by bacteria called Streptococcus pneumoniae. The pneumonia vaccine helps to prevent pneumonia infections and complications caused by these bacteria.

Symptoms of pneumonia can range from mild to severe, and may include:

Fever
Cough
Shortness of breath

It is important to receive prompt treatment for pneumonia because bacteria can spread from the lungs to the bloodstream and then to other parts of the body. This may require hospitalization and if left untreated can lead to death.

Who can get the pneumonia vaccine?

Children- Most children will receive the pneumonia vaccine in multiple doses as part of their childhood vaccinations before 2 years of age.
Adults- Adults aged 19 to 64 years old who smoke cigarettes, use alcohol excessively or have chronic heart, lung or liver disease are recommended to receive one dose of the pneumonia vaccine.
Elderly- All patients aged 65 and older should receive at least one dose of the pneumonia vaccine.

Unlike the flu vaccine, which is given every year during the fall/winter season, the pneumonia vaccine can be received at any time. However, you do not have to get the pneumonia vaccine every year. Speak with your doctor about recommendations based on your age and immunization status.

The vaccine is a good way to prevent yourself from getting pneumonia, but remember, if you do have pneumonia, the flu or even the common cold, always wash your hands and cover your face when sneezing or coughing to prevent spreading it to others.

To speak with or see a Family Medicine doctor about the pneumonia vaccine, please call 718-206-6942.

How to Spot and Prevent Frostbite

Posted on February 6, 2020 by Michael Hinck

Frostbite is an injury caused to the skin and underlying tissues as a result of exposure to windy and cold- weather conditions.

Staying outside in extreme weather conditions for extended periods of time is the most common factor and risks increase when temperatures fall below 5°farenheit, or in conditions with above freezing temperatures and extreme wind chills. Additional factors may include:

Direct contact with ice, very cold liquids and freezing metals.
Wearing clothing that is not suitable to protect against cold weather.

Although frostbite mostly occurs on parts of the skin that are not properly covered, it is important to note that in extreme temperatures it can also develop on areas that are covered by clothing.

Our nose, fingers, cheeks, ears and toes are the parts of our bodies that are highly susceptible to frostbite. They are furthest away from our core and are first to decrease in blood flow in cold temperatures.

The symptoms of frostbite vary with severity and are categorized in three stages:

Frostnip: This is a mild form of frostbite. Skin may turn pale or very red and feels cold. The affected areas may also itch, burn, sting or feel tingly. Continued exposure may lead to a “pins and needles” feeling or numbness.

Superficial Frostbite: Skin appears reddened or pale. Skin can become hard and look waxy or shiny. At this stage, after the skin is thawed, blisters may form on the affected area. Skin may also appear blue or purple once rewarmed.

Severe (Deep) Frostbite: Severe cases of frostbite affect all layers of the skin as well as the tissues that lie below. Skin becomes very hard and cold to the touch. It may look blue and some instances black, as the tissue dies. The affected area may lose all sensation and joints or muscles may no longer work.

Some people are more at risk of developing frostbite than others, they include:

The elderly
Young children
Patients taking medication such as beta blockers that reduce blood flow to skin
Diabetics
People who use nicotine
People under the influence of alcohol
People with prior cold-related injuries

Frostbite is preventable. If you expect to spend time outdoors in cold weather, take care in protecting yourself. Dress appropriately and in layers. When temperatures become extreme, stay inside as much as possible. It is also advised that you stay hydrated; dehydration increases your risk of frostbite. Avoid drinking alcohol or smoking if you know you will be outside in the extreme cold.

How Cold Weather Affects Asthma

Posted on February 5, 2020 by Jamaica Hospital Medical Center

When very cold and dry air enters the body, and subsequently the lungs it can cause a tightening of the airways. Cold air can cause wheezing, tightness of the chest muscles, shortness of breath, coughing, a sense of dizziness and sometimes difficulty speaking.

Taking some precautions before going outside in very cold weather can help ease the symptoms. It is important to keep asthma under control at all times. It can be helpful to take a dose of an asthma inhalant ten minutes before going outdoors. This will aid in keeping the airways open. People with asthma should carry their medication with them if they know they are going to be outdoors for any period of time. Another good idea is to keep your mouth and nose covered with a scarf when you are outside in cold weather. This will help to warm the air you are breathing. Anyone who has asthma should avoid strenuous outdoor activities. Sometimes the act of just walking on a windy day can bring on symptoms of an asthma attack. Try breathing through your nose more and through your mouth less. This will help to warm the air that enters your lungs.

People with asthma know the effects it can have during the cold days of winter. Taking a few precautions can help minimize the effects of the cold air on the body.

If you are experiencing symptoms of asthma and would like to seek the advice of a physician at Jamaica Hospital Medical Center’s Ambulatory Care Center, call 718-206-7001 to schedule an appointment.

Tips on How to Prevent Getting Sick on a Plane

Posted on February 4, 2020 by Xavia Malcolm

The chances of getting sick on a plane are high (especially during cold and flu season) because you are in close contact with fellow travelers and exposed to surfaces that may not be properly sanitized. Additionally, air cabins tend to have low humidity levels which dry mucus from our noses and throats – creating an environment for germs and viruses to thrive.

Although these flying conditions are often beyond our control, there are measures that can be taken to lessen our exposure to germs and decrease our chances of getting sick. Here are a few:

Get enough sleep before your flight- This will provide your immune system with a much-needed boost.
Stay hydrated- Keeping your body hydrated before and during your flight will prevent mucus from drying out.
Keep your hands clean by frequently washing them with soap and water or using a sanitizer- Doing so will limit exposure to germs (The Centers for Disease Control and Prevention reports that handwashing can prevent up to 21% of respiratory infections).
Use sanitizing wipes on surfaces you will touch- It is highly recommended that you wipe down tray tables, bathroom flush buttons, overhead air vents, seatbelt buckles and seat pockets. These areas are touched by millions of people and are perfect environments for germs to live.
Keep air vents on- HEPA filters used on planes are effective at removing bacteria and airborne viruses.
Wear a mask, especially if you are sitting next to someone who is constantly coughing or displaying other symptoms of a respiratory infection.
Don’t touch your eyes, nose or mouth – If you need to do so, make sure your hands are clean. Your eyes, nose and mouth serve as points of entry for germs.

It is important to remember germs and viruses can live for hours on certain surfaces. In fact, the flu virus can live up to 24 hours on any hard surface. Therefore, it is important that you follow the given precautions to protect your health and prevent the spread of germs and viruses.

How To Tell The Difference Between a Bad Cold, Bronchitis and Pneumonia

Posted on January 29, 2020 by Jamaica Hospital Medical Center

That dreaded time of year is here, it is cold season. In the United States, this season starts around September and typically lasts until March or April.

Chances are like many, you may catch a cold. If you do, you may display symptoms that include sneezing, scratchy or sore throat, runny or stuffy nose, coughing, congestion or a low-grade fever. These symptoms are normal but can worsen when left untreated and may cause serious illnesses such as bronchitis or pneumonia to develop.

It is important to know when your condition is worsening. There are several signs that can help you to recognize when your common cold has become something more.

Here are some symptoms of bronchitis to look out for:

A cold that persists for two weeks or more
Shortness of breath or wheezing
Coughs that produce thick clear, white, green or yellow mucous or blood
Rapid breathing
Soreness of the chest

Pneumonia can develop after having a serious cold or flu. Symptoms can be mild or severe depending on factors such as age and your state of health. The symptoms of pneumonia can include:

Violent coughing spasms that produce very little mucous
Coughs with bloody or yellow or greenish mucous
Fever
Sharp or stabbing chest pain when you breathe deeply or cough
Loss of appetite
Fatigue
Clammy skin or excessive sweating
Chills
Muscle aches

If your cold persists longer than two weeks and you are experiencing these symptoms, it is important that you contact your doctor as soon as possible. In severe cases, pneumonia can be life threatening.

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

This Month We Shine Our Employee Spotlight On Nicole Tuccillo, PA-C, MHA

Posted on January 28, 2020 by Andrew Rubin

This month, we are proud to shine our employee spotlight on Nicole Tuccillo, PA-C, MHA a Physician Assistant in the Emergency Department at Jamaica Hospital Medical Center where she has been working since 1999.

Nicole is a native of Queens. She grew up in Howard Beach and attended elementary school at P.S. 207, Junior High School at J.H.S. 202, and high school at Christ the King. She received her associate’s degree from Delhi University and received her B.S. and Physician Assistant degrees from Wagner College. Nicole then went on to obtain a Master’s in Health Administration from Bellevue University in 2012.

Nicole spent her first four years working at Jamaica Hospital in the PICU, she later began working in the Emergency Department. One of the positions she held was Trauma Program manager for five years. However, Nicole’s true calling is working in the different areas of the Emergency Department as this is where she feels she is most needed. She has the opportunity in the ER to teach PA and medical students which is very rewarding.

Nicole currently lives with her family on Long Island. Nicole’s husband is a Lieutenant with the New York City Fire Department. They have a son who is 14 years old and a daughter who is 13 years old. Completing the household is a dog named Cocoa who is always at the door waiting to greet them with lots of love. Her family is her whole world. Nicole also enjoys spending time with her friends as well and likes the fact that they round out her life so nicely. In her free time she practices Pilates and yoga which help her to relax and stay grounded.

Nicole likes trying new types of food, especially things that are exotic. She also loves to travel to new places. A few of the places she has been to include Iceland, Hawaii, Montreal, Sicily and other parts of Europe. Travelling the world has given her the opportunity to see new places, see the beauty that they hold, and learn about other cultures.

Nicole enjoys working at Jamaica Hospital because it is a comfortable atmosphere in which she is able to multi-task. According to Nicole, “The hospital is a place where everyone knows everyone else and work well together as a team. Our collective goal is to provide our patients with the utmost of care.” She also enjoys the diversity that is part of the fabric of the hospital and the patients that we treat.

We are very happy to have Nicole as part of the Jamaica Hospital Medical Center family and look forward to having her with us for many more years.

Seasonal Affective Disorder

Posted on January 24, 2020 by Marwa Eldik MD

Seasonal Affective Disorder (SAD) is a type of depression experienced by people during the beginning of the fall months through winter.

The exact cause of Seasonal Affective Disorder is unknown; however, according to the American Psychiatric Association, “SAD has been linked to a biochemical imbalance in the brain prompted by shorter daylight hours and less sunlight in winter.” Decreased levels of sunlight have been found to disrupt melatonin (a hormone that regulates our sleep-wake cycle) and serotonin (a chemical that regulates mood) levels in the body.

Those affected by the disorder may find that they have sleep issues, difficulty concentrating, and increased cravings for unhealthy foods that can contribute to weight gain and low energy, as well as other symptoms associated with depression such as feelings of hopelessness or thoughts about suicide.

Treatment for SAD may include phototherapy, medications and psychotherapy. Your doctor may also recommend lifestyle changes such as increasing your exposure to natural light. This can be achieved by doing more outdoor activities such as walking, jogging and hiking. Increasing physical activity is also strongly encouraged as this has been found time and time again, to reduce levels of stress and anxiety which improve symptoms of SAD. In addition to improving your mood, physical activity can help to control or lose weight.

Paying attention to your eating habits is very important. Those with SAD are at an increased risk for emotional eating and making poor dietary choices. Eating a healthy, well-balanced diet can help you to manage your weight and sustain energy. Avoiding alcohol is highly recommended. Alcohol acts as a depressant, which in excess can worsen depressive symptoms

Practicing meditation or yoga as well as receiving acupuncture or massage therapy have been found to decrease anxiety and stress levels, improving mental and physical health overall. It is also important to surround yourself with friends and family, this allows for less alone time and strong social support.

If the symptoms of SAD persist, consider cognitive psychotherapy and or SSRI (selective serotonin reuptake inhibitors) treatment to relieve depressive symptoms and address underlying difficulties.

If you are struggling with SAD, you do not need to feel alone. It is estimated that 10-20% of Americans suffer from SAD. It is important to seek help if you are experiencing issues at work or school, substance abuse or other signs of mental health disorders, especially suicidal thoughts.

To speak with or see a Family Medicine doctor about Seasonal Affective Disorder, please call 718- 206-6942