November 2021 - Health Beat

Psoriasis or Dandruff?

Posted on November 23, 2021 by Xavia Malcolm

Psoriasis and dandruff are both skin conditions that can affect the scalp and result in similar symptoms such as itchiness, redness, or flakes.

While there are similarities in dandruff and psoriasis, there are also significant differences between the two.

Dandruff (a mild form of seborrheic dermatitis) is only restricted to the scalp. It can be caused by dry, irritated, or oily skin, sensitivity to hair products, skin conditions such as eczema, or Malassezia which is a type of yeast.

Dandruff is not long-lasting, and symptoms tend to go away with treatment. This condition is often treated by using over-the-counter medicated shampoos, antifungal solutions, or a topical corticosteroid.

Psoriasis is a chronic (long-lasting), auto-immune disease. It can affect multiple parts of our bodies including the scalp. Unlike dandruff, scalp psoriasis can spread from the scalp to the face, neck, inside, and behind the ears.

Psoriasis develops when the immune system instructs skin cells to regenerate much quicker than normal. This results in the formation of scales and red patches. In addition to redness, itchiness, or flakes, symptoms of scalp psoriasis can include silvery-white scales, burning sensation, or soreness, all of which can lead to temporary hair loss. These symptoms come and go.

Mild cases of scalp psoriasis can be treated with over-the-counter ointments, medicated shampoos, gels, or oils that contain salicylic acid or coal tar. However, more severe cases often require prescription treatments such as topical steroids, antimicrobials, or biologics. There is no cure for psoriasis, but it can be managed with the help of a dermatologist.

If you are experiencing symptoms of dandruff or psoriasis and over-the-counter treatments are not working, it is recommended that you see a doctor. You should also see a physician if you have noticed any changes in your skin.

To schedule an appointment with a doctor at Flushing Hospital Medical 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.

GERD Awareness Week

Posted on November 22, 2021 by Flushing Hospital

Perhaps there is no other day of the year associated with eating more than Thanksgiving. With so much attention being paid to food consumption, it is fitting that this week we also raise awareness about a health condition that affects the digestive system.

GERD is a very common disorder that occurs when stomach acid or bile flows into the food pipe and irritates the lining.

After it is swallowed, food travels down the esophagus, stimulating cells in the stomach to produce acid and pepsin (an enzyme), which aid digestion. A band of muscle at the lower part of the esophagus called the lower esophageal sphincter (LES), acts as a barrier to prevent backflow. Gastroesophageal reflux occurs when the LES is weak or relaxes inappropriately, allowing the stomach’s contents to flow up into the esophagus.

Chronic heartburn is the most frequently reported symptom of GERD. Acid regurgitation (refluxed acid into the mouth) is another common symptom. Other symptoms can include belching, difficulty or pain when swallowing, or waterbrash (sudden excess of saliva). GERD may also lead to chronic sore throat, laryngitis, throat clearing, chronic cough, and other oral complaints such as inflammation of the gums and erosion of the enamel of the teeth.

Dietary and lifestyle choices can contribute to GERD. Certain foods and beverages, including chocolate, peppermint, fried or fatty foods, coffee, or alcohol may trigger reflux. Studies show that smoking can relax the LES and contribute to this condition. People who are obese are more prone to developing GERD symptoms.

Doctors recommend lifestyle and dietary changes for most people needing treatment for GERD. Along with lifestyle and diet changes, your doctor may also recommend over-the-counter remedies, or, in serious cases, prescribe medications designed to reduce acid in the stomach.

To schedule an appointment with a doctor at Flushing Hospital Medical Center, please call 718-670-5486.

Should You Still Work Out When Your Muscles Are Sore?

Posted on November 16, 2021 by Xavia Malcolm

Muscle soreness after working out or delayed onset muscle soreness (DOMS) often occurs as a result of doing new, repetitive, or intense exercises our bodies may not be accustomed to.

During strenuous or new exercises, our muscles are often forced to work harder, this may cause tiny tears in muscle fibers and inflammation. According to the American College of Sports Medicine, delayed onset muscle soreness appears to be a side effect of the repair process that develops in response to this muscle damage. In other words, normal muscle soreness is a part of muscle growth.

Delayed onset muscle soreness typically begins within 12-24 hours after exercise, and everyone is susceptible to developing it, even those who exercise routinely. While DOMS is normal, it is important to pay attention to the severity and duration of symptoms following your workout and respond accordingly.

In moderate to mild cases of DOMS, in which soreness usually lasts three to five days, it is recommended that you participate in light exercises such as walking or stretching. This will help to keep blood flowing and loosen muscles. It is also advised that you exercise other parts of the body to give sore muscles a chance to recover.

In severe cases where pain lasts longer than a few days, is unbearable, or prevents you from moving the affected part of the body, it is recommended that you see a doctor right away. These symptoms can be indicative of serious muscle injury that can potentially lead to kidney damage. Additional warning signs you should look out for include bruising and swelling of the affected limbs or dark-colored urine.

Delayed onset muscle soreness can be prevented by progressing slowly into a new exercise routine, not repeating the same exercise every day, warming up before exercising, and stretching after.

Exercise and strength training can improve your overall health and wellness. By working out safely and paying attention to the signs of your body you can avoid muscle injury and reap the benefits.

November is National Hospice and Palliative Care Month

Posted on November 15, 2021 by Flushing Hospital

November is National Hospice and Palliative Care Month. Jamaica Hospital Medical Center (JHMC) is joining with the National Hospice and Palliative Care Organization (NHPCO), to promote raising awareness about hospice and Palliative Care.

National Hospice and Palliative Care Month bring focus on how hospice and palliative care can offer a person-centered approach to treatment that includes expert medical care, comprehensive pain management, and emotional and spiritual support.

When you are faced with the decision of choosing whether palliative care or hospice care better suits the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS), and other neurological diseases. Palliative care can be used at any stage of illness –not just in advanced stages.

Hospice care is palliative by nature but is only offered when the patient has progressed to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to the end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited to palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social workers, spiritual care, bereavement care and volunteers. In some cases, physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity, and quality of life and not about giving up. If you or a loved one should need information on palliative or hospice care, the Maureen Russo Hospice Unit at Flushing Hospital Medical Center can help. To schedule an appointment for an evaluation, or to just talk, call 718-670-8900.

Flushing Hospital Provides Information About The COVID Pill

Posted on November 12, 2021 by Michael Hinck

In the continued fight against COVID-19, there has been some promising news about the development of a COVID pill. However, there are many questions surrounding this form of treatment.

Recently, pharmaceutical companies Pfizer and Merck announced that their anti-viral pills could minimize the effects of the virus for those who contract it. These medications are similar to other anti-viral medications currently used to combat the flu and other viruses. Pfizer claims its pill can decrease the likelihood of death or hospitalization by 89% if taken within three days of symptoms starting. Merck states its capsule can reduce similar risks by 50%.

Neither of the anti-viral medications are currently available as Merck and Pfizer have either already applied to the Food and Drug Administration for emergency use or are in the process of doing so and both are waiting for approval as there is still a lot we need to learn.

While this news is encouraging, it is important to understand that if or when these pills become available, they should not be considered a cure. Unlike antibiotics, which work to kill bacterial infections, anti-viral medications usually work to lessen the symptoms of the virus. These pills would also need to be taken during the early stages of the viral infection to be effective. They should only be considered as important additions to other hospital-based treatments.

One concern of many health professionals is that those individuals who are averse to the vaccine will use the existence of the anti-viral medications as an excuse not to get vaccinated, believing that they can get treated by the medications should they contract COVID-19. This philosophy can be misguided as vaccines remain the best protection against the virus.

Another fear among doctors is that people taking the anti-viral pills will not follow appropriate medication adherence. For instance, Merck’s anti-viral pill is required to be taken as a batch of four pills, twice a day, for five days. This medication will be ineffective if it is not taken as directed.

These anti-viral medications have the potential to decrease complications and hospitalizations and make COVID-19 a much more manageable disease, but more time is needed to test their safety and efficacy. Until then, it is recommended that anyone who is eligible receive the COVID vaccine.

Home Remedies for a Cold and the Flu

Posted on November 11, 2021 by Andrew Rubin

There is no known cure for the common cold or the flu, both of which are caused by viruses. Anyone who has ever experienced having a cold or the flu has at some time or another tried a home remedy to help alleviate the symptoms. While some home remedies are natural, they may cause adverse reactions if you are taking certain medications or have allergies. Therefore, you should consult with a physician before taking anything.

Age-old home remedies have been passed on for generations. Even in a modern, technologically advanced and scientific world, these timeless, home-made remedies have remained and become common practice to this day.

Some commonly used home remedies that people have found helpful are:

Eating chicken soup
Drinking herbal tea
Sipping boiled ginger root
Drinking tea with honey
Adding garlic to food
Eating fruits and vegetables that contain vitamin C
Using a humidifier
Applying a warm compress on the nose and forehead
Gargling with salt water
Using a neti pot
Practicing nasal irrigation with warm saline

Under most circumstances, the symptoms of a cold or the flu will subside on their own after a few days. If you have concerns, see your physician right away. You may schedule an appointment with a physician at Flushing Hospital Medical Center by calling 718-670-5486.

Prescription Opioid Addiction Among Young Adults

Posted on November 9, 2021 by Xavia Malcolm

It is crucial for parents and young adults to know the facts about opioids so that they can better understand how these drugs can negatively affect a person’s health and quality of life.

Here are six important facts families should know:

Opioids are narcotic medications that are prescribed to treat mild to severe pain.
Some of the most common types of opioids are fentanyl, hydrocodone, oxycodone, morphine tramadol and codeine.
Opioids work by reducing the intensity of pain signals being transmitted to the brain. They interact with opioid receptors in the brain to produce pain relief and feelings of euphoria.
Misusing opioids can result in the development of a chemical dependency on these drugs. Misuse may occur when a person is taking opioids long-term, is taking more than what was prescribed, or is taking them for non-medical reasons.
It is common for teens to mix prescription opioids with other substances such as alcohol. A study revealed that seven out of ten teens combined opioids with additional substances and 52% within this group co-ingested prescription pills with alcohol. This behavior puts teens at a higher risk for overdose.
Some of the warning signs of opioid abuse include; anxiety attacks, depression, improved alertness, increased energy, a decrease in appetite, fatigue, nausea, constipation and breathlessness.

There are several steps one can take to prevent or reduce the chances of prescription opioid misuse, they include; keeping medication locked up or keeping track of medication to ensure pills are not missing, correctly disposing of unused medication, monitoring your loved one’s behavior while they are taking medication and communicating with your doctor about not exceeding the recommended time period for pain treatment.

If your loved one is addicted to prescription opioids it is highly recommended that you have an honest conversation with them about harmful effects that could potentially lead to death. Reassure them that you are here to help and not to judge them. Seek help from a trained medical professional immediately.

There are several treatment options available which include medication and counseling. Your physician or mental health counselor will determine which treatments are best for a healthy recovery.

To schedule an appointment with Flushing Hospital Medical Center’s Addiction Service Division please call 718-670-5078.

Your Frequent Urination Could Be The Result Of Polyuria

Posted on November 5, 2021 by Michael Hinck

Frequent urination is an issue that many Americans live with but figuring out the cause can be a difficult task. Some of the possible reasons for this problem can include an overactive bladder, enlarged prostate or a urinary tract infection. One other possibility could be due to a medical condition called polyuria.

People with polyuria create more urine than normal. Most adults make approximately 3 liters of urine per day. However, those with polyuria generate up to 15 liters, or five times the normal amount of urine every day. While the other above-mentioned conditions make you feel as if you have to go, even if there isn’t much urine in your bladder, those with polyuria must go because they have excess urine.

Symptoms of polyuria often include frequently feeling thirsty. This is because people with the condition lose a great deal of fluid, which can lead to dehydration. Unfortunately, the urge to urinate when you sleep doesn’t go away, so those with polyuria also usually wake up multiple times at night to go.

Polyuria is usually an indicator of diabetes. This is because the condition makes sugar build up in your bloodstream. If your kidneys are not able to filter it out, it exits your body in your urine. As the extra sugar and fluids travel through your kidneys, you have to pee more.

Pregnant women with gestational diabetes can also develop polyuria as can those with kidney or liver disease. Other factors that can contribute to this condition include taking certain medications or consuming too much caffeine or alcohol.

How you control polyuria depends on what’s causing it. For example, if you have diabetes that isn’t under control, you may need to make changes to your treatments. If a medicine you take is the cause, talk to your doctor about switching to another drug or changing your dose. At home, cut back on how much fluid you drink, especially those that have alcohol and caffeine.

If you are experiencing symptoms of polyuria, schedule an appointment with your doctor. Through a detailed physical examination and battery of testing options, which may include urine, blood, glucose, and water deprivation tests, they can accurately diagnose polyuria and determine a course of treatment.

To make an appointment with a urologist at Flushing Hospital Medical Center’s Ambulatory Care Center, please call 718-670-5486.

November is Lung Cancer Awareness Month

Posted on November 4, 2021 by Andrew Rubin

November is recognized as Lung Cancer Awareness Month. The importance of this designation is to bring awareness to the fact that lung cancer is responsible for approximately 25 percent of all cancer deaths. Lung cancer takes more lives each year than colon, breast, and prostate cancers combined.

Lung cancer is a form of cancer that starts in the lungs. There are several types of lung cancer based on their appearance under the microscope. These include small cell cancer and non-small cell cancer, which is a group of cancers that includes squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.

In the early stages of lung cancer there may not be any signs or symptoms. However, as the disease progresses the following signs and symptoms my present:

• Coughing up blood
• Shortness of breath
• Chest pain
• Wheezing
• Hoarseness
• Weight loss that isn’t intentional

A history of smoking definitely contributes to a higher risk of being diagnosed with the disease, though non-smokers also can develop lung cancer. It is now recommended that certain patients who are over 55 years of age and have smoked for many years consider screening for lung cancer by doing a low dose CT scan of the lungs. This may detect cancers at an early stage where they may be more curable. It is important to have a conversation with your physician prior to performing a screening CT scan so that the patient understands the pros and cons of screening.

Testing that can help diagnose cancer includes chest x-rays, CT scans, PET scans, examination of the sputum, bronchoscopy ( a test in which a fiber optic scope is passed into the lungs), and lung biopsies (which can be done by a needle although sometimes a surgical procedure is required). Not all tests will be required for every patient.

Once the diagnosis is established it is important to determine what stage the cancer is. Factors that go into staging cancer include the size of the tumor, location and whether it has spread to the lymph nodes in the chest or to other parts of the body such as the brain, liver, bone or adrenal glands.

To schedule an appointment with a pulmonologist at Flushing Hospital Medical Center, please call 718-670-5486.

Phobias

Posted on November 2, 2021 by Xavia Malcolm

A phobia is a type of anxiety disorder that is characterized by the uncontrollable and irrational fear of a specific situation, object, or activity.

The American Psychiatric Association (APA) categorizes phobias into the following three groups:

Social phobia -a long-term and overwhelming fear of participating in everyday social situations.
Agoraphobia- the APA defines this as, “The fear of being in situations where escape may be difficult or embarrassing, or help might not be available in the event of panic symptoms.”
Specific phobia- is unreasonable fear caused by the thought or presence of a specific object or situation that typically poses no real threat or danger.

There is still uncertainty of what actually causes phobias; however, they can be linked to genetics, life experiences or environmental reasons.

Examples of phobias include:

Bibliophobia- A fear of books.
Aerophobia- A fear of flying.
Hemophobia- A fear of blood.
Claustrophobia- A fear of confined or crowded spaces.
Coulrophobia-A fear of clowns.
Aulophobia- A fear of flutes.
Porphyrophobia- A fear of the color purple.
Nyctohylophobia- A fear of the woods in the night.
Octophobia- A fear of the figure 8.
Selenophobia- A fear of the moon.
Lutraphobia- A fear of otters.
Heliophobia- A fear of sunlight.
Chionophobia- A fear of snow.

Although some phobias may be unusual, they should not be taken lightly. They can be harmful to people who have them and can potentially lead to depression, social isolation, or substance abuse.

It is advised that you seek help immediately if you or someone you know is suffering from the complications of a phobia.

To schedule an appointment with a mental health expert at Flushing Hospital Medical Center, please call (718) 670-5316.