Can GERD Contribute to Your Asthma?

Most asthma sufferers are aware of the many potential sources for their condition, but they may not realize one very common disorder that can contribute to the development of asthma – GERD.

Heart attack

Gastroesophageal reflux disease, also known as GERD is a digestive disorder that affects the ring of muscle between the esophagus and stomach. Normally, this ring, which is called the lower esophageal sphincter, prevents acidic stomach juices from flowing back into the esophagus after food enters the stomach.

GERD occurs when the esophageal sphincter is weakened allowing the stomach’s contents to flow up into the esophagus. Heartburn, the most common symptom of GERD, feels like a burning sensation in the esophagus. Many people say it feels like food is coming back into the mouth, leaving a bitter taste.

Research has indicated that GERD can either lead to, or worsen asthma symptoms. In fact, it is estimated that over 75% of patients with hard-to-treat asthma also experience frequent heartburn from GERD.

While the relationship between GERD and asthma does exist, the exact link between the two is unknown. One possibility is that acid reflux irritates the airways and lungs, which affects breathing and makes people more sensitive to outside conditions such as pollution, cigarette smoke, and cold air. Another potential explanation is that a nerve is triggered in the airways when acid enters the esophagus, causing them to narrow in order to prevent acid from entering the lungs.

Doctors most often look at GERD as the cause of asthma when:

  • Asthma begins in adulthood
  • Asthma symptoms get worse after a meal, after exercise, at night or after lying down
  • Asthma doesn’t respond to the standard asthma treatments

For many, treating GERD can help them relieve asthma treatments Thankfully, by simply adjusting lifestyle behaviors, GERD can be controlled. Tips to control GERD include:

  • Raise the head of your bed by six inches to allow gravity to help keep down the stomach’s contents
  • Eat meals at least three to four hours before lying down
  • Eat smaller meals with moderate portions of food
  • Maintain a healthy weight
  • Limit consumption of chocolate, peppermint, coffee, tea, colas, alcohol, tomatoes and citrus fruits or juices, all of which can contribute additional acid that can irritate the esophagus
  • Give up smoking, which relaxes the lower esophageal sphincter
  • Wear loose belts and clothing

In addition, your doctor can recommend over-the-counter treatments or prescribe medications to relieve GERD symptoms.

Flushing Hospital’s Ambulatory Care Clinic offers many specialty services to treat a variety of pulmonary and digestive disorders. To make an appointment, please call 718-670-5486.

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.

How Do You Know When Your Cut Requires Emergency Care?

Doctors in hospital emergency departments see thousands of patients everyday who have suffered various degrees of skin penetrating wounds. While many of these patients do in fact require immediate medical attention, not all do. The issue is, many patients do not know what types of injuries warrant a visit to the Emergency Department and which do not.

GiglioDr. James Giglio Chairman of Emergency Medicine at Flushing Hospital Medical Center states “it’s tricky for patients to tell when cuts require medical attention. Many minor wounds heal without any professional intervention, but some require stiches or other types of treatment for proper healing. So how can you tell when to go to the E.R.?

 

According to Dr. Giglio, wounds almost always require a trip to local ER if they are:

  • Deep enough to expose the muscle, bone, or fatty tissue
  • Wide enough so that you can’t easily apply pressure to press the edges together
  • Located across a joint (fear of damaging nerves, tendons or ligaments)
  • The result of a bite (may require tetanus or tetanus treatment)
  • Caused by a dirty or rusty object
  • On the face or any other body part where scarring is a concern
  • Still bleeding after 15 minutes of direct pressure

Regardless of whether or not a wound requires a visit to the Emergency Department, the risk of infection increases the longer your wound remains open. Therefore immediate wound care is very important. Dr. Giglio states “It is best to gently clean the wound as soon as possible by irrigating it with thoroughly for a few minutes under tap water. You should also apply direct pressure to the wound and keep it elevated. This will slow or stop the bleeding.”

Thorough wound care is also very important to stave off infection. All wounds should be dressed with a topical antibiotic ointment and covered with a bandage. Doctors recommend reapplying ointment and changing your bandage two -three times daily for the first couple of days. If the healing wound gets wet, pat it dry and apply a dry bandage. Moist bandages delay healing and increase the risk of infection for most wounds. If you become concerned due to worsening pain, redness or swelling, contact your doctor immediately.

According to Dr. Giglio there are always exceptions to these rules. “The best advice I can give is if you are unsure about the severity of your injury, it is better to err on the side of caution and seek medical attention.”

Flushing Hospital Medical Center’s Emergency Department is open 24 hours a day, seven days a week and provides care for tens of thousands of patients every year. The doctors and staff in our Emergency Department can help you decide what level of treatment your wound requires.

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.

Can Fidget Toys Help Your Child’s Ability To Focus?

We all fidget – some of us more than others, but when the subject of fidgeting and children is raised, you might be surprised at what many experts are saying.

Stress Cube

Fidgeting is our body’s way of releasing restless energy. Common types of fidgeting include foot tapping, hair twirling or nail biting. While many consider these activities counterproductive to learning, many experts state that if these fidgeting behaviors can be re-directed, they can actually enhance learning.

Enter “Fidget Toys.” Fidget toys are self-regulation tools to help with focus, attention, calming, and active listening. There are many different types of fidget toys, ranging from squeezable stress balls to bendable sticks to malleable putty. In recent months however, fidget spinners and fidget cubes have become very popular items among not only children but adults as well.

Regardless of the type of toy used, the goal is the same – to help focus attention and improve learning ability. In fact, research indicates that most children learn better when their hands are active and funneling expandable energy in this manner allows them to better focus on what they are trying to learn. In addition, experts have concluded that movement is essential for learning because the learner is required to use both the left and right sides of their brain.

In a recent case study, the positive effects of fidget toys were observed. The result was a 10% increase in certain academic scores among students who used fidget toys. Even more impressive was that students diagnosed with ADHD saw an increase of 27% in the academic scores. The study concludes that the use of fidget toys can benefit the learning process in all students but especially in those with learning disabilities.

In addition to the improved learning benefits, fidget toys can also reduce anxiety and stress, enhance dexterity, improve coordination and fine motor skills and assist in the development of muscles of small hands.

Fidget toys are appropriate for all ages and genders and most developmental abilities. Many parents will learn that the effectiveness of these objects can diminish over time, so it is suggested to alternate toys. It is also recommended that parents speak to their child’s teacher or principal before they consider bringing fidget toys to school.

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.

Is It A Cold Or Is It Allergies?

The transition from winter to spring can be challenging to your health. The change in seasons often results in an overlap of symptoms that could be either the remnants of a winter cold or the first signs of spring allergies.

Woman coughing and blowing her nose in autumn

While many of the symptoms of colds and allergies are similar, the causes of each are very different.

Colds are contagious and they are contracted when a person is exposed to an individual infected with a cold virus.  Our body’s immune system will launch a counter attack against the virus. This response usually brings on the classic symptoms, such as a runny nose or cough.

An allergic reaction is caused by an overactive immune system that mistakes harmless things, such as pollen, and attacks them. To combat what it thinks are germs, your body releases chemicals called histamines as a defense. The release of these histamines can cause a swelling of the nasal passages and result in coughing and sneezing. Allergies are not contagious.

While many of the symptoms are similar, the easiest way to determine if you have a cold or are suffering from allergies is the duration of your condition. While most colds last from three to 14 days, allergies can last for months as long as the person is in contact with the allergen. Other differences are:

  • An allergic reaction will begin immediately after exposure to an allergen while cold symptoms usually take approximately three days to appear after exposure
  • Colds can sometimes cause fever and body aches while allergies never do
  • An allergic reaction can often result in itchy, watery eyes, which a cold rarely produces this type of reaction

Once a determination between cold or allergy is made, the appropriate treatment can be applied.

There is no cure for a cold, but there are medications that can help alleviate the symptoms. Cough syrups, pain relievers, decongestant sprays, or multi-symptom cold relief medicines can all be used to help, but should only be taken after consulting your doctor, especially if you are taking other medications or if you have other underlying health conditions. Drinking plenty of liquids also speeds up the recovery process.

To treat allergies, your doctor may recommend an over-the-counter antihistamine to block the reaction to the allergens. There are many forms of antihistamines and some may cause drowsiness so be sure to look for the non-drowsy formula or only take them at night. Decongestants may also be suggested to relieve nasal congestion and avoid an infection.

If you are not sure if you have a cold or allergies, please speak with your doctor. If you do not have a doctor, Flushing Hospital’s Ambulatory Care Center can help. To make an appointment, please call 718-670-8939.

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 Are the Keys to Successful Aging?

Understanding Physical and Mental Health: Depression
Ira Frankel, PhD, LCSW, Administrator of Psychiatry and Addiction Services

“Just as long as we have our health,” is something that I’ve said and have heard others say very frequently in the past few months. And, by health, we mean both physical and mental health.

Portrait of a senior man in a tuxedo showing the thumbs up

In a very basic way, health can be thought of as the absence of disease. A reason that our doctors ask us how we’re feeling when we go to see him or her is because he or she wants to know about our comfort or our absence of pain or trouble. Each one of us knows best what our physical or mental pain or trouble consists of because we feel it directly.

Another way to think of the issue of health is to describe the path to achieve it over the long course of our lives. Studies1 have shown that a path to health is achieved with a behavioral prescription for successful aging that includes diet, exercise, the pursuit of mental challenges, self-efficacy, and social support. The more we are able to follow this behavioral prescription, the more we will be free from physical or mental pain or trouble.

Let’s look at this a little more closely. Most of us already know that if we maintain a healthy diet and exercise frequently, then we will tend to be healthier. In fact, exercise is now considered a “magic bullet” in modern medicine. But, maintaining a good diet and exercising frequently is a mental challenge of self-mastery. And, most of us know how difficult it is to master ourselves to maintain both activities. There are many other mental challenges. For example, each one of us is a mental challenge to other people. In fact, getting along with others is one of the most difficult mental challenges that we will ever have to face.

The fourth successful aging ingredient is self-efficacy. Those of us who believe that we can achieve a particular goal, for example, health and longevity, will continue to do the things, such as diet, exercise, and the pursuit of mental challenges, which will help us achieve the goal. We can build up self-efficacy by taking small, rather than giant steps, towards diet, exercise, and the pursuit of mental challenges

The final successful aging ingredient is social support. If we help each other take the steps described in the previous paragraphs, then each one of us will be more likely to feel at ease, that is, without disease, successfully age, and live longer.

Self-mastery is necessary for both physical and mental health. The behavioral prescription for successful aging in the previous paragraphs are just a general outline of self-mastery steps. Self-mastery is a mental challenge.

Many things get in the way of self-mastery. One of these things is depression. If we are depressed, then we have a hard time maintaining a good diet, exercising as we should, thinking well about self-mastery, feeling self-efficacy, or being with and getting along with other people. There is a fairly simple way to ask ourselves whether we are depressed. It is called the PHQ-2, which stands for the Patient Health Questionnaire-2 because it has two questions.

Ask yourself: Over the past 2 weeks, how often have you been bothered by any of the following symptoms: 1) Little interest or pleasure in doing things; and, 2) Feeling down, depressed, or hopeless. Answers are either (0) not at all, (1) several days, (2) more than half the days, or (3) nearly every day. Bring your answers to your primary care doctor the next time you see him or her.

Taking the self-mastery steps towards successful aging and longevity is a main task of modern medicine. Taking the self-mastery steps is a very important mental challenge. If you are experiencing any difficulties taking these steps, such as depression or any other difficulty on your path to ease and comfort, then speak with your primary care doctor in the community or one at Flushing Hospital’s Ambulatory Care Center at 718-670-8939

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.

Fact Friday – How Many Babies Were Born at Flushing Hospital in 2016?

2016 was a big year for the Perinatal Care Department at Flushing Hospital Medical Center.

Mother holding a baby while he opens his mouth

That’s because last year the hospital topped 3,000 deliveries – a major milestone for the department as it is the first time in over 25 years that Flushing Hospital has surpassed that mark. In fact, a total of 3,126 babies were born last year at Flushing Hospital!

Historically, Flushing Hospital has always been a destination for women in Queens to give birth. At its peak in the mid 1980’s Flushing Hospital delivered over 4,200 babies annually. That number had slowly declined to a low of only 1,500 deliveries approximately a decade ago. However, in recent years the hospital has seen a steady increase, culminating with it reaching this major milestone.

There are many reasons for the baby boom at Flushing Hospital according to Maria DeMarinis Smilios, Director of Nursing for Maternal and Child Services, “We have done many things to improve the services we provide to expectant mothers. We have made ourselves more accessible to the community by expanding perinatal evening hours twice per week. We have also added an on-site WIC program and expanded our family planning services. In addition, we have brought in many doctors and support staff that speak multiple languages and are reflective of the community we serve.”

Maria added, “Our staff has also worked very hard to meet the needs of each of our patients and address every request and concern they have during their perinatal experience. Their dedication to improving our patient’s satisfaction is evident as more and more women are once again choosing Flushing.”

Flushing Hospital Perinatal Care Department plans to continue the momentum and looks forward to welcoming even more babies into the community in 2017. Plans for the future include expanding the number of private post-partum rooms on the Mother-Baby Unit from two to 11, which will further enhance the patient experience.

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.

Flushing Hospital Supports “Go Red For Women”

fhmc go red 2017National Go Red Day was created in 2003 to raise awareness about the devastating affects cardiovascular disease has on women in the United States.

Before the “Go Red” initiative was founded, many Americans believed the myth that heart disease affects men more than women. The truth is that cardiovascular disease claims the lives of 500,000 women in the U.S. every year – that’s one woman every 80 seconds.

Through this national initiative, the Go Red For Women movement has generated a great deal of awareness as many more women are aware of the importance of heart health. Some of the many strides made since 2003 include:

  • More than one-third of women have lost weight.
  • More than 50% of women have increased their exercise.
  • 6 out of 10 women have changed their diets.
  • More than 40% of women have checked their cholesterol levels.

The effort has proven to be effective. Today, nearly 300 fewer women die from heart disease and stroke each day and deaths in women have decreased by more than 30 percent over the past 10 years.

One of the keys to maintaining this success is through continued education. All women are encouraged to “Know Your Numbers” because it is knowledge that can save their life.  The five numbers all women should know are their: total cholesterol, HDL (good) cholesterol, blood pressure, blood sugar and body mass index (BMI). Knowing these numbers can help women and their healthcare provider determine their risk for developing cardiovascular diseases.

Flushing Hospital supports Go Red For Women Day by hosting an information event in the hospital’s lobby.  Flushing Hospital urges all women to visit your doctor to learn your numbers. If you do not have a doctor and would like to make an appointment at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

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.

Tips from the Doctor: How To Soothe My Crying Newborn?

Dr. Shirley Pinero-Bernardo, MD, Director, Newborn Nursery & Associate Program Director, Pediatric Residency Program offers the following tips on how to soothe a crying newborn:

DrPineroA crying newborn often provokes a lot of anxiety and stress in sleep deprived parents. Though crying is a normal type of behavior in all babies, it is important to understand that there are many different reasons why a baby cries. Determining why your newborn is crying can be difficult to figure out at first and the process of understanding the many possible reasons will take time. Providing comfort is essential so check your baby each time.

According to Dr. Pinero-Bernardo, follow HEARTS acronym:

Hold your baby with skin to skin contact. These “hugs” promote bonding, feeding and have many medical benefits for babies and parents.

Eat: Is your baby hungry? Crying is a late feeding cue. Early feeding cues are quiet signals that call for attention. Be on the lookout for early feeding cues, such as smacking of the lips, opening and closing of the mouth and sucking on lips, tongue, hands, fingers and toes.

Air: Does your baby need to burp or pass gas? Your baby may feel discomfort from a belly full of gas. Check your feeding position to prevent your baby from swallowing a lot of air. Keep your baby’s head upright to burp the baby before and after each feeding.

Recheck the diaper: Your baby’s bowel movements will vary in color, consistency and size in the first few days of life. It is not uncommon for a baby to have a soiled diaper after each feeding.

Temperature: Is your baby too hot or too cold? Dress your baby in layers of clothing to keep your baby comfortable in any climate. Avoid excessive blankets.

Surroundings: Could a change in the environment soothe your baby? A change in the scenery or sounds could bring both you and the baby much needed relief.

The reason for your baby’s cries may not be the same each time. Whatever you do with love, and with your baby’s safety in mind, is exactly what your baby needs. Seek the advice of your pediatrician when there is inconsolable crying accompanied by pain, fever or illness.

Dr. Shirley Pinero-Bernardo is one of many qualified Pediatricians at Flushing Hospital. To schedule an appointment for your child with her, or any of our other doctors, please call 718-670-5486.

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.

Thyroid Awareness Month – Flushing Hospital Raising Awareness

The thyroid gland serves many functions. It regulates our rate of metabolism, growth and development, and our body temperature. So when it isn’t working properly it can have a major impact on our health.

Human Thyroid Gland

According to the American Association of Clinical Endocrinologists (AACE), thyroid disease is a more common disorder than diabetes or heart disease. It affects as many as 30 million Americans, more than half of whom remain undiagnosed. To raise awareness about the thyroid gland and symptoms of thyroid disease, January has been designated Thyroid Awareness Month.

The thyroid is a small, butterfly-shaped gland located in the base of the neck.. Although small in size, the gland plays a large role by producing thyroid hormone which influences the function of many of the body’s most important organs, including the heart, brain, liver, kidneys and skin. When the thyroid gland is not producing the right amount of hormone (either too much or too little), problems can start to arise.

Hypothyroidism occurs when the thyroid does not produce enough hormones. This can result in a range of symptoms that include unexplained fatigue, weight gain, depression, forgetfulness, feeling cold, hair loss, or low sex drive. Hyperthyroidism, on the other hand, is a condition when the body produces an abundance of thyroid hormones. Symptoms of hyperthyroidism include rapid heart rate, heat intolerance and unexplained weight loss and anxiety. For both hypothyroidism and hyperthyroidism, medication can be prescribed to regulate hormone levels.

A more serious concern involving the thyroid gland is thyroid cancer, which can develop independent of the above thyroid disease. According to the AACE, about 60,000 cases of thyroid cancer are diagnosed annually in the U.S. In most cases, thyroid cancer has a good prognosis and high survival rates—especially when diagnosed in its early stages.

Through attention raised by Thyroid Awareness Month, more and more primary care physicians are screening for thyroid disease, which has greatly helped those who would have otherwise had their condition go undiagnosed.

Flushing Hospital is proud to help raise awareness for thyroid disease and encourages everyone experiencing symptoms to ask their doctor to do an evaluation. If you do not have a doctor, call Flushing Hospital’s Ambulatory Care Center to make an appointment at 718-670-5486.

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.

Tips To Guard Against the Stomach Flu

The flu isn’t the only virus that we need to protect ourselves against this time of year. Gastroenteritis, or the stomach flu is a very contagious bug that is common in our region beginning in the fall and winter months.Unlike influenza, which affects your respiratory system, the stomach flu attacks your intestines causing the following symptoms:

• Watery, non-bloody diarrhea
• Abdominal cramps and pain
• Nausea, vomiting or both
• Occasional muscle aches, headache, and low-grade fever

Businessman with stomach ache

Gastroenteritis is typically spread through the sharing of food or drink with someone who is infected or sharing other items with them such as utensils or towels. Children can also spread the illness by placing their hands in their mouths after touching contaminated items or surfaces.

Symptoms usually appear within one to three days after exposure and can range from mild to severe. Typically symptoms last only a day or two, but in some cases, they may persist for up to ten days.

The main complication from viral gastroenteritis is dehydration — a severe loss of water and essential salts and minerals. If you’re healthy and drink enough to replace fluids you lose from vomiting and diarrhea, dehydration shouldn’t be a problem. However, infants, older adults and people with suppressed immune systems may become severely dehydrated when they lose more fluids than they can replace. Hospitalization might be needed so that lost fluids can be replaced intravenously. Dehydration can be fatal, but rarely.

To avoid catching the stomach flu, it is recommended that individuals wash their hands thoroughly, use separate items around the home, disinfect all potentially infected items and surfaces, and keep your distance from those who are infected.

If you do contract gastroenteritis, follow these tips:

• Let your stomach settle. Stop eating solid foods for a few hours.
• Try sucking on ice chips or taking small sips of water. You might also try drinking clear liquids or broths or non-caffeinated sports drinks. Drink plenty of liquid every day, taking small, frequent sips.
• Ease back into eating. Gradually begin to eat bland, easy-to-digest foods, such as ginger ale crackers, toast, gelatin, bananas, rice and chicken. Stop eating if your nausea returns.
• Avoid certain foods and substances until you feel better. These include dairy products, caffeine, alcohol, nicotine, and fatty or highly seasoned foods.
• Get plenty of rest. The illness and dehydration may have made you weak and tired.

See a doctor if you become dehydrated (characterized by excessive thirst, dry mouth, dark yellow or no urine, severe weakness or dizziness), if symptoms persist for over 24 hours, if you are vomiting blood or have blood in your stool, or if you have a temperature of 104 degrees or above.

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.