Is Obesity Culturally Influenced ?

Posted on March 10, 2016 by Andrew Rubin

Obesity is a problem that is well known but not well controlled in the United States today. It has become a very big problem for both men and women and affects all racial, socioeconomic and ethnic groups, but how much does culture contribute to someone’s obesity risk factor? People who are defined as being obese are severely overweight and are also at greater risk of developing circulatory problems, diabetes, hypertension and cardiovascular problems.
Cultural factors play a role in why some groups of people are more likely to become obese during their lifetime. To understand how cultural factors play a role in obesity one has to understand that a culture is a set of rules, learned by sharing experiences, of a certain group of people. A group of people who share the same culture also share the same values and have shared experiences. How that group defines what is an acceptable way of eating, and how they appear to others is what makes them unique. There are some cultures for example that see being overweight as a sign of affluence because food may be scarce in that region.
People who share a cultural background tend to reside in the same neighborhood. An example of this would be when immigrants from other countries or from different parts of the same country, migrate to an area, these people tend to eat foods that are familiar to them. Those food choices may not be healthy but are comforting and may be eaten in quantities that are excessive.
Where people live and what resources they have available to them also can play a role in what choices they make are available for healthy eating. People who eat a lot of fast food because of its low cost are consuming food that is high in calories, fats, and refined sugars, all of which contribute to becoming obese in the long term. Fresh fruit and vegetables which are more beneficial to overall weight control tend to be more expensive and therefore not eaten as often. People living in societies that are more economically developed tend to be more obese than in parts of the country that are rural because they are more likely to eat prepared , packaged, and processed foods.
There has been a slow increase in the number of people who care considered to be obese in the United States and this is due to poor choices in foods and less physical activity, influenced by culture changes and lifestyles. People make choices in how they live their lives, and a society that allows for poor choices on how they eat, get physical activity and spend their leisure time will be doomed to an even greater population of obese people.
It is important for people with poor eating habits to adopt healthier diets. To schedule an appointment with a physician at Flushing Hospital who can help you to improve your diet, 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.

Computer Vision Syndrome

Posted on March 3, 2016 by Andrew Rubin

Many people spend long hours staring at a computer monitor at work during the day and then during their leisure time they may be using a tablet or another type of device to stay in contact with their family and friends. Can too many hours using these devices be harmful to the eyes?
Computer Vision Syndrome or CVS describes a few eye disorders that may have been caused by excessive time in front of a screen. Prior to the computer generation, we used to spend more time reading material printed on paper and we had more variety of formats. We would move our eyes more frequently to and from the material that we were reading because we would take breaks to read then write or type manually. In this new digital era, we gaze at a computer or tablet screen for longer periods of time without a break. This causes our eyes to be constantly changing focus and the brain is interpreting images at a much quicker pace. All this causes the muscles of the eyes to be moving much more than they had to when we were reading mainly printed materials.
As we have become more technologically advanced, we are more prone to the symptoms of CVS. These include:
• Blurred vision
• Double vision
• Headaches
• Eye irritation
• Dry eye
There are a few things that you can do to help ease the problems caused by long periods of time at a computer screen. The most important may be reducing the glare from the screen. This will help prevent squinting. It is recommended that the screen should be about 20 – 28 inches from the face and slightly below neck level. Also, try to take a break every twenty minutes to give your eyes a rest, set the font size and the brightness of the screen to make it suitable to you.
It is recommended that you get your eyes checked regularly by an ophthalmologist, especially if you are experiencing any of the symptoms listed above. To schedule an appointment with an eye doctor please call 718-206-5900.

Department Spotlight – Urology

Posted on February 18, 2016 by Andrew Rubin

The Department of Urology at Flushing Hospital is staffed by fully trained, board certified urologists, specially trained physician assistants, registered nurses and medical assistants. The department utilizes state-of-the art diagnostic equipment and minimally invasive techniques to provide comprehensive care to our patients. The department treats both men and women with an understanding of the sensitive nature of urologic illnesses, and with special emphasis for women on bladder control and urinary tract infections, and for men enlarged prostate, urinary vasectomies, male sexual health and prostate cancer.
One of the commonly treated urologic conditions in both women and men is kidney stones. The department of urology has a kidney stone treatment center that can diagnose and treat this condition quickly. A Spiral CT scanner is used to locate the stone(s )which eliminates the need to use contrast dyes. Non-surgical modalities in the form of shock wave lithotripsy break up smaller stones into fine particles. For larger stones, a Holium laser and miniscope are used.
For patients with prostate cancer radioactive seed implantation can be performed by ultrasound guidance with pinpoint accuracy.
The Department of Urology also offers the da Vinci Robotic Surgical platform for prostate surgery. This new technology allows our surgeons to perform minimally invasive surgical procedures that benefit our patients through faster recovery time, less blood loss, less pain, and shorter hospitalizations.
To schedule an appointment at Flushing Hospital’s Urology suite, please call 718-670-5699.

History of Instrument Sterilization

Posted on February 11, 2016 by Andrew Rubin

Instruments that come in contact with the body during all surgical procedures and many non-surgical procedures must be free of all microbial elements. This is to ensure that the risk of infection is kept to a minimum.
Throughout history different methods were adopted using materials that were available at that time. In 3000 BC the Egyptians used pitch and tar as antiseptics. In later years the fumes from burning sulfur were found to cleanse objects of infectious material.
In 1680 a French physicist, Denis Papin invented a pressure cooker that would trap boiling water, convert it into steam, and was found to cleanse objects by cooking them. This device was further improved upon during the next two hundred years and it became possible to additionally sterilize linens, dressings, gowns using steam. Two major contributions to the art of sterilization came in the 1860’s when the French chemist and microbiologist Louis Pasteur wrote extensively on how germs cause disease and the English physician, Joseph Lister, developed a technique that used carbolic acid as a spray to disinfect instruments. During the late 1800’s steam sterilization became much more widespread. Surgical instruments were also being made out of materials that were better able to withstand high levels of heat. This allowed them to be processed at higher temperatures and were being made with smooth surfaces which allowed for more thorough cleaning.
During the 1900’s various improvements were introduced. This included sterilization with steam, irradiation, with glutaraldehyde. More recently, sterilization of instruments can be achieved using high temperature / high pressure, ultraviolet light, and the most commonly used chemical for sterilization is ethylene oxide. It can be used on almost all instruments, both metal and non-metal.
The importance of cleanliness when it involves objects that come in contact with the body cannot be stressed enough. It was recognized in ancient times and improvements are still evolving today for the safety of patients.

February is American Heart Month

Posted on February 4, 2016 by Andrew Rubin

Over 50 years ago President Lyndon B. Johnson proclaimed the month of February to be American Heart Month in order to bring attention to one of the leading causes of death in the United States. This tradition has been carried on by every President since.
Each year over 800,000 lives are taken as a result of heart disease, stroke and other cardiovascular diseases. Every 84 seconds someone in the United States dies from the disease and each year approximately 750,000 people experience a heart attack and of those, about 115,000 will not survive.
The American Heart Association recommends the following behavioral modifications to prevent heart disease:
• Avoid smoking
• Engage in some form of daily physical activity
• Follow a healthy diet
• Maintain a healthy body weight
• Control cholesterol, blood pressure and blood sugar levels
The death rate from heart disease has been improving slowly over the last decade due to advances in medications, better diagnostic capabilities, and better access to health care, but the statistics are still pretty alarming. If you would like to schedule an appointment with a cardiologist at Flushing Hospital, please call 718-670-5486.

Treating a Cough Naturally

Posted on January 28, 2016 by Andrew Rubin

Coughing is a common health problem. When there is a blockage or irritant in your throat, your brain thinks a foreign element is present and tells your body to cough to remove that element.
Some reasons you may cough are itchy throat and congestion. Instead of using over-the-counter cough suppressants, you may want to try a natural cough treatment using readily available ingredients in your kitchen.
Ginger tea is one of the most popular cures for a cough and is a proven home remedy.
Follow the recipe below for a simple and effective way to quiet a cough.
GINGER TEA
• Cut fresh ginger into small slices and crush them slightly. Place them in a cup of water and bring to a boil. You can also use some lemon juice and honey to taste.
It is suggested to drink this herbal solution three to four times a day for relief from a sore throat, coughing and even chest congestion.

Wound Care and Nutrition

Posted on January 7, 2016 by Andrew Rubin

The nutritional status of a patient plays a large role in their body’s ability undergo wound healing. It requires a higher than normal level of energy and nutrients if it is going to be successful. The body requires an additional 35 calories per kilogram of body weight to help a chronic wound to heal. This will include eating a well-balanced diet that includes protein, grains, fruits, vegetables, and dairy.
For proper wound healing, a well-balanced diet should include 1.5 grams of protein for every kilogram of body weight. A kilogram is equal to 2.2 pounds. Keeping hydrated is also very important, eight glasses of water per day should be the minimum and more if the person sweats profusely, has a wound that is draining, or if vomiting and or diarrhea are present. Meals should include meats, eggs, milk, cheese, nuts, seeds, yogurt and dried beans. In some people who have difficulty obtaining proper caloric intake from their daily meals, high protein and high calorie shakes can be used as supplements. Two amino acids, found in foods having protein and that have been identified as having potential to help wound healing are arginine and glutamine.
People with diabetes often have difficulty with wound healing, and this is due to poor circulation, nerve damage which leads to the constant breakdown of healthy tissue components needed to heal, and a higher than normal level of sugar in the blood which can lead to higher rates of infection and causes fluids to be drained from the body. It is therefore very important for a person with diabetes to keep tight control of their disease.
Wound healing also requires additional levels of vitamins and minerals, however care must be taken too not take in more that the daily recommended amounts because this can have a negative effect on the body..
It is important to consult with a physician about how to eat successfully when trying to heal a wound and also a nutritionist who specializes in wound care.
If you have a chronic or non-healing wound, you may be a candidate for Flushing Hospital Medical Center’s outpatient Wound Care Center. To schedule an appointment or speak with a clinician, please call 718-670-4542

January is National Glaucoma Awareness Month

Posted on January 6, 2016 by Andrew Rubin

Glaucoma is a group of eye diseases that mainly affects people who are middle aged or older, but it can affect anyone at any age. There are more than three million people in the United States and 60 million people worldwide who suffer from glaucoma.
Glaucoma is the second leading cause of blindness. Typically the disease starts to develop suddenly, often without symptoms, and once vision is lost, it is permanent. As much as 40 percent of vision can be lost before some people even notice a problem. It usually starts with loss of peripheral vision. Glaucoma is caused by damage to the optic nerve so that the brain isn’t able to receive images from the eyes. There are two types of Glaucoma, Primary Open-Angle Glaucoma where pressure inside the eye increases on its own and damages the optic nerve and Secondary Glaucoma where another disease causes the pressure in the eye to increase and that results in optic nerve damage. Both types will eventually lead to blindness.
Early detection of Glaucoma can help to slow down the progression of the disease. Regular eye exams are very important. To schedule an appointment with an eye doctor at Flushing Hospital, please call 718- 670-5488.

Your Spinning World Could be Due to Vertigo

Posted on August 7, 2014 by Andrew Rubin

Have you ever experienced dizziness or a spinning sensation when in fact everything is standing still? You may have experienced vertigo.

Vertigo can cause a person to feel light headed, off balance, spinning, seeing double, or as though they are falling. In severe cases it can be accompanied by nausea, difficulty walking, or loss of balance.

Vertigo is often related to a problem within the inner ear. It may be due to a buildup of fluid and changing pressure (Meniere’s disease), or due to an accumulation of tiny calcium particles called canaliths in the canals of the inner ear ( BPPV or benign paroxysmal positional vertigo). It may also be caused by an infection, usually viral, in the inner ear. All of these conditions can lead to loss of balance.

Symptoms of vertigo:

 A sensation of movement accompanied by nausea, vomiting, and sweating..

 Head positioning leading to dizziness

 Ringing in the ears and changes in hearing

 Abnormal eye movement

 Symptoms that are fairly constant in regularity

A [physician can diagnose vertigo through physical examination that may include a CT scan of the head to see if there are any brain injuries blood tests to see if the blood glucose is normal and an EKG to see if the heart rhythm is normal.

Frequently the symptoms of vertigo will resolve by themselves. Depending on the cause, some form of medical treatment may be necessary. When the cause is due to an infection, medications may be prescribed to cure it, and sometimes steroids will be given to reduce the inflammation. If the problem is being caused by a buildup of fluid in the ear, medication may be prescribed to help reduce it. If vertigo is being caused by an accumulation of tiny calcium crystals, a series of head and neck positioning exercises may be given to help move them out of the inner ear into a location where they can be more easily absorbed by the body. In extreme cases of vertigo, surgery may be needed to resolve the problem.

If you are experiencing symptoms of vertigo and would like to schedule an appointment with an ear, nose, and throat specialist, please call 718-670-8939.

Quit Smoking and Avoid Weight Gain

Posted on March 18, 2014 by Andrew Rubin

Many people gain a few pounds when they quit smoking, some more than others. Research has shown that, on average, individuals can gain between two to 10 pounds once they stop smoking. This, however, shouldn’t affect your decision or effort to quit smoking, since weight gain is dependent upon your eating habits and your level of physical activity.

Smoking and Weight Gain
There are a several reasons why people gain a few pounds after they stop smoking. Smoking is known to increase the body’s rate of metabolism, which helps burn calories. Once someone stops smoking, their rate of metabolism may slow down, lessening the amount of calories they burn throughout the day. Over time this could lead to a weight gain.

Also, people who smoke tend to have an oral fixation. When they stop smoking, the act of chewing usually replaces the oral fixation for smoking and most people find themselves eating more. In addition, smoking also acts as an appetite suppressant, which also causes a person to eat more frequently once they stop the habit.

How to Avoid Weight Gain
Learning to eat healthy snacks and exercising will help keep weight under control. More specifically:

Eat foods that are low in calories but filling, such as carrots, apples, air popped popcorn or low fat yogurt
Drink plenty of water throughout the day
Exercise on a regular basis; join a gym, take the stairs, or walk whenever possible

Weight gain is a real concern for people desiring to kick the habit but fortunately, it can be minimized or completely avoided. The damage smoking causes the body is far greater than adding a few extra pounds. The decision to stop smoking can be the first step to leading a healthier life.

Please call 718-670-5486 if you would like to schedule an appointment with a physician who can help with smoking cessation.