Does One Part Alcohol + One Part Breast Milk = Bad For Baby?

Posted on October 25, 2017 by Joann Ariola

Women have been warned not to consume alcohol during pregnancy. There is sufficient research that confirms drinking alcohol, while pregnant, poses several, avoidable risk to an unborn baby. However, the risks of consuming alcohol while breastfeeding are not as well defined.

Breastfeeding mothers often receive conflicting advice about whether their alcohol consumption can have an adverse effect on their baby. This leaves mothers with more questions than answers. A good resource to start looking for answers is the La Leche League. Their article, The Womanly Art Of Breastfeeding says: The effects of alcohol on the breastfeeding baby are directly related to the amount the mother ingests. When the breastfeeding mother drinks occasionally, or limits her consumption to one drink or less per day, the amount of alcohol her baby receives has not been proven to be harmful.

The League further published:

Alcohol passes freely into mother’s milk and has been found to peak about 30 to 60 minutes after consumption, 60 to 90 minutes when taken with food. Alcohol also freely passes out of a mother’s milk and here system. It takes a 120 pound woman about two to three hours to eliminate from her body the alcohol in one serving of beer or wine. The more alcohol that is consumed, the longer it takes for it to be eliminated. It takes up to 13 hours for a 120 pound woman to eliminate alcohol from one high-alcoholic drink.

Opposing research from the Mayo Clinic suggests that breast-fed babies, whose mothers drank, as few as, one drink a day may present with impaired motor or development and that alcohol can cause changes in sleep patterns.

Also, to dispel any notion that encourages drinking alcohol to improve milk production. Facts show that the presence of alcohol in breast milk can cause the babies to drink about 20 % less

If you have consumed more than the legal amount of alcohol to drive a vehicle, you have consumed more than the recommended amount of alcohol to safely breastfeed. Moms should be mindful that the level of alcohol in her blood, matches the level of alcohol in her breast milk.”

Research has shown that breast-feeding is an optimal way to feed your newborn and is recommended until a baby is at least age one. If you have questions on what method to use to when deciding how you will feed your baby.

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.

Does My Breath Stink?

Posted on October 11, 2017 by Joann Ariola

Bad breath, medically known as halitosis can be caused by a number of factors including health problems, smoking, certain foods and poor dental health habits. If the cause of bad breath is not the result of chronic conditions such as diabetes, sinus infections or kidney disease, then chances are there is a build-up of bacteria in the mouth that gives off gases or odors.

The best recommendation is to practice good oral hygiene. There are also a few natural remedies that can help combat bad breath, such as:

Drinking plenty of water.
Chewing a piece of lemon or orange rind.
Taking probiotics or eating foods that are rich in probiotics, such as yogurt.
Eating raw fruits and vegetables such as apples or celery.
Gargling with salt water.
Consulting a physician about colon cleansing.
Chewing a tablespoon of fennel seeds or making fennel tea.
Drinking cinnamon tea.
Chewing on fresh parsley.
Mixing apple cider vinegar with water and gargling.

Trying these natural remedies can help in keeping breath fresh; however, the best remedy is to practice good oral health by brushing and flossing teeth daily.

Organ Donor Registry Day

Posted on October 11, 2017 by Joann Ariola

New York State currently holds the second lowest number of organ donors with 26% registered compared to 50% nationwide. That’s why the state has adopted October 4, as its additional Organ Donor Registry Day.

In an effort to bolster the number of organ donors in NYS, Flushing and Jamaica Hospital Medical Center’s hosted a registration in their main lobby.

On hand to give their personal account of the importance of organ donation was Mary Fischer, CNA at FHMC and her daughter, Lauren Fischer, a double lung transplant recipient.

According to the United States Department of Health and Human Services nearly 124,000 men, women and children are awaiting organ transplants in the US. One organ donor can save up to eight lives, however 21 people still die each day waiting for an organ.

Here are a few popular myths and facts about organ donation:

Myth: Age, illness or physical defects can prevent me from becoming a donor.

Fact: A person’s medical condition is evaluated at the time of death to determine what organs and tissues are viable for donation. People living with chronic diseases or those who have a history of cancer or other serious diseases are still encouraged to join the donor registry.

Myth: If doctors know that I am registered to be an organ or tissue donor, they won’t work as hard to save my life.

Fact: The first priority of a medical professional is to save lives. Organ and tissue donation isn’t even considered or discussed until after death is declared.

Myth: My religion doesn’t support organ and tissue donation.

Fact: Most religions support organ and tissue donation. Discuss organ and tissue donation with your spiritual advisor if you have concerns on this issue.

Myth: My family will be charged for donating my organs.

Fact: Costs associated with recovering and processing organs and tissues for transplant are never passed on to the donor family.

To find out how you can register as organ, eye and/or tissue donor please visit

October is National Bullying Prevention Month

Posted on October 4, 2017 by Joann Ariola

October is National Bullying Prevention Month is a nationwide campaign founded in 2006 and its mission is to reach out to communities in an effort to educate and raise awareness of bullying and the tools for prevention.

Bullying occurs when an individual or group possesses an imbalance of power, either from a physical or social status perspective, over another person or group. While bullying is prevalent among all age groups, it has become a serious cause for concern among children.

The National Bullying Prevention Center defines bullying as behavior that hurts or harms another person physically or emotionally. Those being bullied often have difficulty stopping the behavior directed at them and struggle to defend themselves.

Statistics have shown that at least 28 percent of students, ages 12-18, reported being bullied at school during the year. Additionally, 7.2 % of students admit to not going to school due to personal safety concerns. Many fear the physical and verbal aggression of their peers, and many more attend school in a state of anxiety and depression.

Many children will not tell parents they are being bullied until the situation escalates, but there a few changes in their behavior that can alert you. Signs that your child may be a victim of bullying include refusing to speak about their day at school,not wanting to go to school, unexplained marks and bruises, asking for more lunch money, complaining of frequent headaches and stomach aches,sudden loss of friends and frequent nightmares.

If you find that your child is being bullied, you will need to document the dates, times and places of the action. If the bullying is taking place on school grounds, call the school and schedule a face to face meeting with a teacher or principal. If not on school grounds, notify the police.

Most schools have adopted an anti-bullying policy. Obtain a copy to determine if the bully violated school law. Bullying is best handled when you work together, with the proper authorities.

After notification, be sure to follow up with your child, and the school, to make sure that the bullying has stopped.

Meet Dr. Hita Sharma, Director of Palliative Care

Posted on September 27, 2017 by Joann Ariola

Meet Hita Sharma, MD, ABPHM, and Director of Palliative Care at Flushing Hospital Medical Center (FHMC) as well as faculty supervisor and Director of the Internal Medicine Program.

Dr. Sharma joined the FHMC team in 2000 and became the Director of the Palliative Care Program in 2003. Palliative care is a specialized type of medical care that can be provided in conjunction medicinal treatment for people with terminal illness. It focuses on providing relief from the symptoms and stress to the patient and family members caused by a terminal illness.

When asked what the best part of her job is Dr. Sharma replies with a look of satisfaction, “It is a wonderful feeling to help a person who is nearing the end of their life. When you are a part of making that person and their family feel comfortable it gives you a personal sense of gratification. In palliative care, you are treating more than their disease or sense of loss with medication; you are treating their emotional strength during the hardest time in their lives.”

A typical day for Dr. Sharma begins with making rounds in the Emergency Department and then on the floors with residents. She refers to her students as her “children.” “I teach them as I taught my own children to treat people with compassion.” Dr. Sharma has two sons, one is a Resident in Urology and the other is an Economic Honors student at Northwestern University.

Some end of life (EOL) illnesses that may cause you to seek palliative care are:

Metastatic Cancer
(EOL) Congestive Heart Failure (CHF)
(EOL) Chronic Obstructive Pulmonary Disease (COPD)
Renal Disease
Advanced Alzheimer’s
Debilitating Parkinson’s
Amyotrophic Lateral Sclerosis (ALS)

People who are receiving this type of care are treated for:

Depression
Shortness of breath
Fatigue
Constipation
Nausea
Loss of appetite
Difficulty sleeping
Anxiety

All of which may cause distress to the patient.

“Being able to be there to empathize with my patients and help them come to terms with some of the difficult decisions they have to make is really why I chose this specialty. I get the chance to Enright their lives and they certainly enrich mine.”

National School Backpack Awareness Day

Posted on September 13, 2017 by Joann Ariola

Backpacks are essential back-to- school items for kids. They come in different colors, sizes and shapes and most importantly they help children to carry their belongings. Backpacks are preferred by many in comparison to shoulder bags because when worn correctly, they evenly distribute weight across the body. However, if worn incorrectly they can cause back pain or injuries and eventually lead to poor posture.

To prevent problems associated with improper backpack use, parents should first purchase a backpack that has the following features:

Lightweight
Wide and padded straps
Multiple compartments
Padded back
Waist belt
Correct size (A backpack should never be wider or longer than your child’s torso).

Practicing these safety tips will further reduce the chance of back pain or injuries caused by backpacks:

When packing, heavier items should be placed to the back and center of the backpack. Lighter items should be in front. Sharp objects such as scissors or pencils should be kept away from your child’s back. Utilizing different compartments can help in distributing weight.
Do not over pack. Doctors recommend that children should not carry backpacks that weigh more than 10-15% of their body weight.
Ensure that children use both straps. Using a single strap can cause muscle strain.
Adjust the straps so that the backpack fits closely to your child’s back and sits two inches above the waist. This ensures comfort and proper weight distribution.
Encourage children to use their lockers or desks throughout the day to drop off heavy books.

The Pediatric Orthopedic Society of North America recommends that parents should always look for warning signs that indicate backpacks may be too heavy. If your child struggles to put on and take off the backpack, they are complaining of numbness or tingling or if there are red strap marks on their shoulders -It may be time for you to lighten their load.

September is National Yoga Month

Posted on September 5, 2017 by Joann Ariola

September is National Yoga Month. It is a national observance designed to help educate people about the benefits of yoga and to inspire them to live a healthy lifestyle.

Developed in India thousands of years ago, Yoga is a form of exercise that has gained popularity tremendously over the past 50 years.

Yoga teaches increased flexibility by learning how to stretch your muscles. This can help a person improve mobility, feel less tired and improve their posture.

• Some of the other benefits of yoga are:

• Improved immunity

• Ease migraines

• Improve sexual performance

• Better sleep

• Improve eating habits

Yoga can help you to feel calmer and more relaxed. This is because some forms of yoga teach techniques that focus on breathing.

It has also been shown to lower blood pressure and to lower the heart rate. This can greatly help people who have been diagnosed with heart disease and who either have had a stroke or at risk of having a stroke.

It usually takes a few weeks to start seeing the benefits of yoga. When looking for yoga classes, find an instructor who has proper training and who is certified to teach the class. It can be practiced by just about anyone, and it isn’t just for people who are in good physical condition.

Employee Spotlight – Tracy M. Norris, LCSW

Posted on August 25, 2017 by Joann Ariola

Meet Tracy M. Norris, LCSW. Tracy is a dedicated social worker, doctoral student and Clinical Manager at the Flushing Hospital Medical Center’s (FHMC) Mental Health Clinic.

As Clinical Manager, Tracy’s daily responsibilities are many. Whether overseeing patient care, staffing, medication trouble shooting, communicating with administrators or providing direct consults for patients Tracy’s days are eventful.

Tracy considers every day to be her best day. No matter the challenge or accomplishment she is focused on the patient by always striving to improve patient care and overall satisfaction.

“When you know that your patients are healthy, happy and safe, you have a sense of pride and personal fulfillment” is how Tracy describes what pleases her most about the work she does.

Tracy does not keep her dedication to mental health tethered to inside the hospital. She maintains a rigorous community outreach schedule bringing her knowledge to the surrounding community and schools in Flushing.

She hosts community workshops on various topics including, but not limited to:

Internet Safety
Satellite Babies
Mental Health 101
Anger and Rage Management in Adolescents
Parenting a pre-teen
Cyber-Bullying

“Outreach is a way of putting a human face on a mental health issue that may be culturally stigmatized causing people to not want to reach out for help.” “I feel that if I can influence a child or help a parent to connect with their child, I have made a difference,“ stated Tracy.

To Tracy M. Norris, life is about meaning. Her work and her patients as well as being part of the social work team at Flushing Hospital Medical Center are her greatest motivation. She states, “They are a good reason to jump out of bed every day!”

Can Healthy Eating Promote Successful Wound Healing?

Posted on August 21, 2017 by Joann Ariola

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.

A 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

Dr. Tip – Foot Ulcer, Prevention and Treatment

Posted on August 9, 2017 by Joann Ariola

Dr. Steve Norman, specializing in Podiatry at Flushing Hospital Medical Center’s Wound Care Center offers the following information on the prevention and treatment of diabetic foot ulcers.

If you have diabetes, you may have reduced nerve function due to a condition called peripheral diabetic neuropathy. This condition causes the nerves that carry the sensation of pain from your feet to your brain to not function properly. This lack of sensation may cause a small cut or scrape on your foot develop into an ulcer without you feeling the symptoms.

Here are some ways you can prevent a foot ulcer are:

Inspection – Check your feet every day. Check for cuts, blisters, calluses, red spots, swelling and other abnormalities.
Protection – Keep your feet clean by washing them every day. This will help defend wounds from becoming infected. After washing, be sure to dry your feet thoroughly and apply lotion to prevent cracking.
Prevention – Try to keep your blood glucose levels within normal range. Elevated diabetes blood glucose levels can cause uncared foot ulcers to develop gangrene which can eventually lead to loss of limbs.

If you already have a foot ulcer you can try:

Keeping the ulcer dry and covered with a dressing
Maintaining proper blood glucose levels, this will facilitate healing
Applying topical ointments
Do not walk on the ulcerated foot excessively
Wear socks with extra padding and a loose-fitting soft shoe with laces or Velcro fasteners

“Advanced foot ulcers may require wound debridement, which is a process that carefully removes dead tissue,” stated Dr. Norman. “You want to make sure consult a physician before your wound/ulcer becomes so advanced that you may be faced with amputation.”

If you are suffering from a chronic or non-healing wound, you may be a candidate for Flushing Hospital Medical Center’s Wound Care Center. The center is open for outpatient appointments Monday through Friday, 8:00am-4:00pm. For more information, or to make an appointment, call 718-670-4542.