Jamaica Hospital First In Queens To Join HealingNYC’s Relay

Posted on April 15, 2019 by Jamaica Hospital Medical Center

The opioid epidemic continues to plague New York City communities. According to the City’s Department of Health, there were 694 confirmed overdose deaths from January to June 2018, and a fatal drug overdose reported every six hours.

More New Yorkers die as a result of a drug overdose than homicides, suicides and motor vehicle accidents combined.

In Queens, Jamaica Hospital Medical Center which operates one of the City’s busiest emergency departments, has experienced firsthand the detriment the epidemic has caused. Last year, Jamaica Hospital’s emergency department treated over 200 patients for opioid drug overdoses.

“Over the years, we have seen the numbers continue to increase significantly. This epidemic has profoundly affected many individuals and families. Opioid addiction has impacted all genders, ages, ethnicities and those of all socioeconomic backgrounds,” explained Dr. Geoffrey Doughlin, Chairman of Emergency Medicine. “No group is untouched.”

“At Jamaica Hospital our goal is to improve the health of our community in all aspects. We are committed to doing all that we can to combat the opioid crisis,” shared Dr. Shi-Wen Lee, Vice Chairman of Emergency Medicine. In addition to providing life-saving treatments in the emergency department, the hospital is the first in Queens to participate in New York City’s Relay program.

The Relay program, which was launched in 2017 under HealingNYC, targets survivors of opioid overdoses who are at high risk for a future, fatal overdose. According to New York City’s Department of Health, “In the hours after someone survives an opioid overdose, a trained Relay “Wellness Advocate” meets with the survivor in the hospital emergency department to offer overdose risk reduction counseling, overdose rescue training, and an overdose prevention kit containing naloxone. Participating hospitals can contact Relay at any hour of the day or night, on every day of the year, and a Wellness Advocate aims to arrive within the hour. Wellness Advocates stay in contact with overdose survivors for up to 90 days and connect them to appropriate services”

“Jamaica Hospital is proud to work in collaboration with Relay. Since the program’s inception in August 2018 at this facility, our emergency department has made over 50 patient referrals,” said Joshua Sclair, Emergency Medicine Administrator. The hospital’s participation in the initiative offers the community resources that can potentially reduce the number of overdose deaths and provide access to supportive services.

Any person in need of treatment for their addiction can come to the emergency department at Jamaica Hospital and receive help. The hospital has designated detoxification beds and staff that are specially trained to help patients with their treatment.

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.

What is a hernia ?

Posted on April 11, 2019 by Andrew Rubin

A hernia occurs when an organ or body part pushes through a weak spot in muscle or connective tissue into a part of the body that it isn’t supposed to be in. While some hernias can occur at birth, others may form later in life. These types of hernias may occur as a result of heavy lifting, straining, pregnancy and obesity.

There are several types of hernias that include:

Inguinal hernias – Occurs when a part of the intestine pushes into the inguinal canal. Most commonly seen in males.
Femoral hernia -Occurs when the femoral artery and vein pass through the canal between the abdomen and the groin. Most often seen in females.
Epigastric hernia – Occurs when a small piece of fat protrudes through a weak spot in the abdominal muscles located between the belly button and the breastbone
Umbilical hernia – Occurs when a portion of the intestine pushes through the abdominal wall next to the belly button
Hiatal hernia – Occurs when the stomach pushes through the diaphragm into the chest and causes heartburn
Incisional hernia – Occurs when a portion of the intestine pushes through the abdominal wall where surgery had been performed previously

The symptoms of a hernia often depend on where it is located. Some hernias will cause pain while there are others that only have physical signs, such as a bulging out of the skin, but aren’t painful. When a portion of the intestine pushes through a muscle and becomes trapped it can be very painful block the intestinal blood supply. These hernias require urgent surgical attention. A hernia can be prevented by avoiding lifting heavy objects improperly, maintaining proper weigh, care when coughing, having a diet that contains adequate fiber, and avoiding excessive straining during a bowel movement.

Treatment for a hernia depends on its location, size and the amount of discomfort. In some cases surgery isn’t necessary and the hernia can be pushed into place and held there by a device called a truss. Surgical options include closing the weak spot in the muscle with stitches, , using a mesh to reinforce the weak muscle that the hernia is pushing through, and laparoscopic surgery to repair the defect that is causing the hernia.

If you are experiencing any discomfort from a hernia, it is important to seek professional help to learn what the options are to repair it. You can schedule an appointment with a surgeon at Jamaica Hospital by calling 718-206-7001.

Perinatal Generalized Anxiety Disorder

Posted on April 10, 2019 by Joann Ariola

Awaiting the arrival of your child or becoming a mother should be a time of great hope and happy anticipation, but for some, it can bring a wave of depression and anxiety. If you are experiencing depression and anxiety that occurred during or within one year after your pregnancy, you may have Perinatal Generalized Anxiety Disorder (GAD).

GAD is usually prevalent in those who have a history of depression, anxiety or substance abuse, a family history of mental illness, lack of a good support system, issues with a previous pregnancy or schedule and hormonal changes.

Some common signs of GAD are:

Feeling sad, depressed, and/or crying a lot
Diminished interest in becoming a mother
Feeling worthless or guilty, especially about not being a good mother
Strong anxiety, tension, and/or fear either about your future child or other things
Sleep problems
Thoughts of wanting to be dead or wanting to kill yourself
Having low energy
Loss of or increase in appetite or weight
Trouble focusing, remembering things, or making decisions
Feeling restless or irritable
Having headaches, chest pains, heart palpitations, numbness, or hyperventilation

Often times the new mom may experience disbelief, embarrassment, shame or guilt with GAD before seeking treatment to manage the disorder. Successful management of GAD can be done through medication and/or therapy.

If you are expecting a baby or have just become a mom and are feeling any of the symptoms listed above, you can make an appointment at Jamaica Hospital Medical Center’s Department of Mental Health for a screening.

To make an appointment, please call 718-206-7001.

Learn The Facts About Cystic Fibrosis

Posted on April 9, 2019 by Xavia Malcolm

Cystic fibrosis (CF) is a hereditary disease that affects the cells in your body that make mucus. CF occurs when there is a mutation of the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The mutation disables cells from moving chloride (a component of salt) to their surfaces. Without the movement of chloride, cells cannot hydrate properly. This leads to the production of mucus that is thicker and stickier than normal.

CF can result in damage to the digestive system, lungs, and other organs that utilize mucus to function. The buildup of mucus can obstruct the ducts, tubes or passageways of these organs.

Those living with cystic fibrosis often have abnormally high levels of salt in their sweat. Other complications or symptoms that may develop as a result of the disease include:

Frequent lung infections, including recurrent pneumonia or bronchitis
Persistent cough with thick mucus
Frequent sinus infections
Wheezing
Shortness of breath
Nasal polyps
Fatigue
Delayed growth or puberty
Poor weight gain
Bowel movements of greasy bulky stools
Severe constipation
Male infertility

All babies born in the United States are screened for cystic fibrosis by testing small blood samples. In other cases, if someone is suspected to have CF, their doctor can order a sweat test to determine if chloride levels are normal.

Currently, there is no cure for CF. However; treatment is focused on alleviating symptoms and reducing complications. Treatment may include medications, physical therapy, pulmonary rehabilitation or surgery.

To learn more about cystic fibrosis or to make an appointment with a pulmonologist at Jamaica Hospital Medical Center, please call 718 206 7126.

Foods that are Suprisingly High in Sugar

Posted on April 3, 2019 by Joann Ariola

As our lifestyles move toward healthier eating habits, it is not enough to just count calories, carbohydrates or proteins; we should also be checking how much sugar is in the “healthy” foods we are eating.

Fruit, for example, although healthy for you, can be high in sugar. A pineapple has 16 grams of sugar per slice, there are 17 grams per of sugar in one large banana and a small apple has a whopping 19 grams of sugar. Although all are healthy, you have to be what you eat; especially, if you are a diabetic.

Some other “healthy” foods that are surprisingly high in sugar are:

Lo-fat yogurt
Fruit juice
Sport drinks
Chocolate milk
Granola
Protein bars
Salad dressing
Smoothies
Non-dairy milk

The American Heart Association recommends that women limited their added sugar intake to six teaspoons per day, while men should limit their intake to nine teaspoons.

It is a known fact that ingesting too much sugar is not good for your overall health. If your sugar intake is more than the recommended daily dosage, you may be at risk for obesity, heart disease, type 2 diabetes and cancer.

If you are concerned about your sugar intake and would like to speak with a Registered Dietitian at Jamaica Hospital Medical Center, please call 718-206-7001 to schedule an appointment.

Rotator Cuff Injury

Posted on April 2, 2019 by Xavia Malcolm

The rotator cuff is a group of four muscles and tendons that keep your arm in the shoulder socket. Damage or injury caused to the rotator cuff can result in limited mobility or permanent loss of motion of the shoulder joint.

Rotator cuff injuries are very common; in fact, it is estimated that close to 2 million people living in the United States seek treatment for rotator cuff problems every year.

Injuries occur most often in people who repeatedly perform overhead motions in their daily activities. However, an injury can also be sustained due to an accident or the degeneration of tendons. These factors put some at risk of injury more than others. Those who have an increased risk of injury include:

Individuals who play certain sports that involve the use of repetitive arm motions such as baseball or tennis
Individuals employed in occupations that require the use of constant overhead motion such as a house painting
Individuals over the age of 40

Injury to the rotator cuff can range from microscopic tears to large irreparable tears. According to the American Academy of Orthopedic Surgeons, symptoms can vary depending on the severity of these tears and may include:

Pain at rest and at night, particularly if lying on the affected shoulder
Pain when lifting and lowering your arm or with specific movements
Weakness when lifting or rotating your arm
Crepitus or crackling sensation when moving your shoulder in certain positions

If you are experiencing these symptoms, it is recommended that you schedule an appointment to see a doctor as soon as possible. Prolonging a doctor’s visit can result in more damage.

Your doctor may conduct a physical examination and (or) imaging tests such as x-rays or an MRI to determine if you have received an injury. Treatment for a rotator cuff injury may include rest, physical therapy or surgery.

To schedule an appointment with a doctor at Jamaica Hospital Medical, please call 718-206-6923

What is fibromyalgia and why is it painful ?

Posted on April 2, 2019 by Andrew Rubin

Fibromyalgia is a condition thought to be caused by an increase in the way the brain processes pain sensation throughout the musculoskeletal system of the body. The result is a chronic sensation of pain that is often debilitating and life changing. Women tend to be affected by fibromyalgia more than men but the reason for that is unclear. In some people, fibromyalgia appears after a trauma, a surgical procedure, an infection, or after a stressful event. There also may be some correlation to it running in families.
Scientists believe that there may be an overstimulation of the pain receptors that causes the symptoms. Symptoms of fibromyalgia include:
• Pain all over the body
• Fatigue
• Difficulty focusing
• Migraine headaches
• Anxiety
• Depression
Fibromyalgia is diagnosed through a physical exam and blood tests that examines thyroid function, red and white blood cell count, rheumatoid arthritis factor and the erythrocyte sedimentation rate. If a person has pain for three months and no obvious medical reason for it, it might be reason to rule out fibromyalgia.
There is no one method of treating fibromyalgia that is completely effective.
• Treatment options include:
• Physical therapy
• Pain relievers
• Anti-depressants
• Getting adequate rest
• Acupuncture
• Regular exercise
If you have symptoms of fibromyalgia and would like to schedule an appointment with a doctor at Jamaica Hospital Medical Center please call 718-206-7001.

Is My Wellness Routine Causing Me Stress?

Posted on March 27, 2019 by Joann Ariola

Did you ever notice when you turn on the TV, radio, read a magazine or listen to a podcast, the topic being discussed is how boosting your wellness routine will reduce your stress? But, what if your wellness routine is what is causing your stress?

Experts will tell you that there is a fine line between positive self-care and over reaching your wellness goals, causing the activation of the very anxiety based triggers you are seeking to quell. Some of the routines you may have adopted to make you feel better can often be another stressful thing in your already jam packed lifestyle. If this is the case, it is time for a change.

Some ways to determine if your wellness routine is a cause of stress are:

Feeling overwhelmed – If your morning routine is cutting into your responsibilities, try to accommodate a different start time when your home is quieter and time can be spent focusing on yourself.
Not feeling the benefit – If your wellness routine isn’t helping you achieve your goals, you may want to tweak it a bit and change the activity. If your spin class isn’t helping you, switch to yoga or a brisk walk.
Routine rut – Like anything else, sometimes our wellness routine can get a bit boring. Add some fun to your existing routine by partnering up with friends. Adding a bit of laughter to your daily routine
Your wellness routine has to be realistic. It has to become every facet of your day slowly working to transform you into the best version of yourself.
Your wellness routine has to be realistic. It has to become every facet of your day slowly working to transform you into the best version of yourself.

Your wellness routine has to be realistic. It has to become part of every facet of your day, slowly working to transform you into the best version of yourself. Be honest with yourself and simplify your routine so that you can reset your priorities and avoid burnout.

Employee Spotlight Shines on David Hutt

Posted on March 26, 2019 by Andrew Rubin

This month we are proud to shine our Employee Spotlight on David Hutt, Supportive Care Associate in the Operating Room. David is a native of Westchester County, having grown up in Peekskill where he attended Peekskill High School. David joined Jamaica Hospital 23 years ago, first rotating between units before moving to 3 North and currently in the operating room where he has worked for 21 years.

David is very proud of the work he does at Jamaica Hospital. He says that his co-workers are like family to him. Everyone works well together. He also enjoys interacting every day with his patients. He has received many compliments from the people he has helped. He credits his compassion and sense of humor for helping to make the patients’ experience a pleasant one. He looks forward to many more years of working at the hospital with his team.

David is known as an avid sports fan. His favorite team is the Pittsburgh Steelers, and he also roots for the Pittsburgh Penguins, The L.A. Lakers, and the New York Mets. He enjoys listening to all types of music, going to the movies, concerts, and sometimes just staying home and watching TV. Two of his favorite vacations were spent on a cruise and also when he went to Cancun. The best way he can think of to spend his free time is with family and close friends.

David has been living in Queens for 33 years, and the last 7 with his wife in Ozone Park and says that he really enjoys the cultural diversity and fast pace of the neighborhood and the city.

Fall Prevention Tips

Posted on March 22, 2019 by Ambika Nath DO

Falls are a common occurrence among the elderly population, with more than one in four older adults experiencing a fall each year.

It is estimated that almost half of all adults who fall do not tell their primary care provider, often due to embarrassment or the assumption that falls are expected with aging. Understanding who is most at risk for falls and how to avoid them can help prevent bruising, broken bones, head injuries or internal bleeding – all of which can be life-threatening.

The American Geriatrics Society and the American Academy of Family Physicians identify adults older than 65 years old, anyone with a history of falls, weak leg muscles, or concerns with vision, walking or balance to be at risk for falls.

To prevent falls, it is important to give careful consideration to the possible causes.

Medications may have side effects like dizziness or drowsiness, which may increase your risk of falls. It is recommended that patients review all their medications with their doctor during their routine visits.
To avoid feeling lightheaded or weak, doctors recommend getting up slowly after lying down or sitting after prolonged periods.
If you use a cane or walker, learn how to use it correctly and be sure to keep it within reach.
Falls commonly occur when trying to reach items on high shelves. It is recommended to move hard-to-reach items to lower shelves, use a step stool or ask for assistance.
Bathrooms are common places for falls. Installing handrails and bath seats are recommended to minimize risk.

Falls may also be caused by tripping over items. To improve the safety of your environment, it is recommended to:

Remove obstacles that may be in the way of walking, which include small objects
Consider rearranging furniture to maximize visible floor space
Rugs should be removed or secured to the floor using double-sided tape or nonslip backing.
De-clutter cords or wires
Turn on lights in hallways or stairways, or use a night light

If you live alone, you may benefit from a personal emergency response system to immediately alert emergency responders of falls or injuries. Examples include medical alert bracelets and necklaces.

If a fall does occur, notify your doctor and seek an evaluation to review the cause of the fall and identify any injuries. Even if you were not hurt, it is important to report falls to prevent a recurrence. To speak with a Family Medicine doctor about fall risks and prevention, please call (718) 206-6942.

Ambika Nath DO, Family Medicine