Pulmonary Rehab For COPD

Posted on January 31, 2017 by Xavia Malcolm

Chronic obstructive pulmonary disease (COPD) is a general term that describes progressive respiratory diseases including emphysema and chronic bronchitis. COPD is characterized by decreased airflow over time and increased inflammation of the lungs.

A decrease in airflow often results in shortness of breath, which at times makes performing minimal physical activities difficult. One of the most recommended forms of treatments used to improve this issue is pulmonary rehabilitation for COPD. A respiratory therapist can assess the severity of a patient’s condition before enrollment into a program by administering tests such as a pulmonary function test.

This form of treatment involves a series of exercises that teaches people breathing techniques that help them build physical fitness and lung strength.

Most pulmonary rehab programs include:

Exercise-This is one of the key components in pulmonary rehab. Patients are required to do a series of physical activities such as:

Exercises to strengthen and improve breathing muscles
Upper body exercises
Lower body exercises
Strength training

Smoking cessation- In order to improve quality of life and lung function, smoking cessation is often a goal or prerequisite in pulmonary rehab. Quitting is the most important thing a smoker can do to slow the progression of COPD.
Education-Programs offer education in either a group setting or on an individual basis. Education sessions are designed to teach people ways to manage their COPD or include lessons on understanding medication as well as using oxygen therapy.

Patients who participate in pulmonary rehab programs gain several benefits. Most see significant improvement in their breathing. It is suggested that participants continue the exercises even after completing a program by incorporating them into their daily life. Those who do not may experience a decline in its benefits

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.

Who Should Get Tested for Hepatitis C?

Posted on January 10, 2017 by Xavia Malcolm

Hepatitis C (HCV) is a disease that infects and causes damage to the liver. It is caused by the hepatitis C virus and is spread from person to person through contact with blood. Over time, this disease can lead to cirrhosis, liver cancer and ultimately, liver failure.

Although hepatitis C is the most common reason for liver transplants in the United States, many people do not know they have the disease until they are donating blood or are diagnosed with liver damage. The symptoms of HCV can take years to present and may include:

Joint pain
Sore muscles
Dark urine
Stomach pain
Yellowing of the eyes (jaundice) and skin
Fatigue
Loss of appetite
Fever
Clay-colored bowel movements

Learning the risk factors of hepatitis C and receiving treatment promptly can reduce the severity of symptoms. Talk to your doctor about getting tested if the following pertains to you:

You were born between 1945 and 1965
You are infected with HIV
You received a blood transfusion or organ transplant before July, 1992
You are having or have had unprotected sex with multiple partners
You are a current or former drug injection user and have shared needles
You work in an environment where you are exposed to blood through a needle stick
You have liver disease or have received abnormal liver test results
You were treated for a blood clotting problem before 1987
Your mother had hepatitis C when she gave birth to you

If diagnosed with hepatitis C, consider seeing a specialist who is trained and experienced in treating patients with your condition. There are several therapies and medications that your doctor may recommend. A complete list of approved medications and treatments for HCV can be found on the U.S. Food and Drug Administration’s website.

In addition to treatment, your doctor will also advise that you live a healthy life by maintaining

a balanced diet, exercising regularly, reducing or eliminating alcohol consumption, quitting recreational drug use, practicing safe sex and getting regular checkups.

FDNY Fire Safety Education Unit’s Holiday Safety Tips

Posted on December 16, 2016 by Xavia Malcolm

During a recent interview with Lieutenant Anthony Mancuso, head of the FDNY’s Fire Safety Education Unit, we learned that the three major causes of residential fires during the holiday season are candles, cooking and electrical failure or malfunction.

Cooking

According to the Lieutenant, cooking stands at the top of the list because it is the leading cause of fire-related residential property damage. Mancuso explained that unattended cooking is a major contributor to incidents- especially during this time of year. His advice for holiday chefs is to:

Never leave cooking food unattended
Avoid distractions while cooking
Properly prepare and follow guidelines when deep frying turkeys or other foods

In the event of a kitchen fire it is important to:

Never use water to extinguish a grease fire
Use generous amounts of baking soda to extinguish small fires. Otherwise use a fire extinguisher (if available) and call 9-1-1 immediately.

Candles

While candles are aromatic and delightful, if not handled safely they can be dangerous. Lieutenant Mancuso recommends flame-less candles, “If aromatic candles are what you prefer, there are many flame-less candle brands that offer that option.” He added, “If you choose to use real candles, do not leave them unattended.”

Electrical

When using electrical lights for decoration it is important to ensure that these products have been tested for safety. Look for UL or ETL listings or certifications on these devices. Without a UL or ETL label, you will not know how safe a product truly is. Other things to keep in mind are to never leave lights on while you are sleeping or not home and to use extension cords and power strips appropriately.

Lastly, Lieutenant Mancuso encourages residents to ensure that their smoke alarms are operational and to make certian batteries are changed as recommended. He also wants members of our community to keep in mind that following these very important tips can be the difference between life and death in some cases. The Fire Safety Education Unit of the FDNY recommends that everyone should visit http://www.fdnysmart.org/safetytips/ to learn more about fire safety.

Lieutenant Mancuso and the Fire Safety Education Unit of the FDNY wishes everyone, “A happy and safe holiday.”

Choosing Safe Toys for Toddlers

Posted on December 13, 2016 by Xavia Malcolm

toys toddlers -156930341 The holiday season is the best time of the year to buy toys for children. However, parents are often overwhelmed by a larger selection and choosing the best toy can become challenging. The most important thing to remember when choosing toys for toddlers is picking toys that are safe and appropriate for their age.

Each year hospital E.R.’s are visited by over 200,000 young children, typically under the age of three, who have incurred toy-related injuries. These injuries can be avoided if parents keep these guidelines in mind when buying toys:

Carefully read warning labels
Do not buy toys with small and removable parts
Check to see if toys are on a recall list by visiting sites such as recalls.gov or cpsc.gov.
Avoid buying toys with parts that launches or projects
Do not purchase toys with sharp edges or points
Make certain that cords or strings are shorter that seven inches
Avoid buying toys that make extremely loud noises
Check to see if toys have been tested for lead-based paint by visiting websites such as www.ecocenter.org

Most toys come with warning labels that advise parents of potential choking hazards and compatibility by age group. Parents should pay close attention to these labels and also do due diligence by researching toys and inspecting them for further dangers.

Hydrotherapy Rehabilitation

Posted on November 29, 2016 by Xavia Malcolm

When we receive significant physical injury or have medical conditions that cause pain, physical therapy is often recommended to help with recovery. A very soothing and relaxing form of treatment is water or hydrotherapy.

Hydrotherapy has been used for hundreds of years. It utilizes the healing properties of water and the body’s reaction to it at different temperatures. For instance, cold water may be used to reduce inflammation while warm water may be used to increase circulation.

Water therapy has proven effective in treating certain conditions such as arthritis, multiple sclerosis, muscular dystrophy, muscle strains or tears, back pain or head injuries

There are many benefits a patient can achieve from hydrotherapy, they include:

Pain relief
Increased circulation
Re-education of paralyzed muscles
Increased range of motion in joints
Strengthening weak muscles
Rehabilitating injured limbs

Hydrotherapy may not be recommended for patients with heart disease, hypertension or vascular conditions. Each case is unique to the individual and speaking with a doctor is highly recommended.

The Department of Physical Medicine and Rehabilitation at Flushing Hospital Medical Center offers a multi-disciplinary team approach to the treatment of conditions and injuries. Following an assessment by a physician and therapist, a program is developed to achieve maximum results. A patient’s program may involve the use of therapeutic exercise, heat, ultrasound, electrical stimulation, hydrotherapy, and patient education. To schedule an appointment, please call (718) 670-5515.

Is Gastric Bypass Surgery Right For You?

Posted on November 8, 2016 by Xavia Malcolm

Is being overweight affecting your health and overall quality of life? For several people,the answer is yes. Obesity is a disease that affects more than one-third of people in the United States. It is the second leading cause of preventable death.

The contributing factors that can lead to obesity include metabolic, pre-existing health conditions, eating disorders, environment and genetics.

Overcoming obesity can be difficult. You may have tried several weight loss treatments or methods that include diet and exercise to lose weight, but were unsuccessful. Bariatric (weight loss) surgery is an option that has proven to be effective in producing significant weight loss.

One of the most commonly performed types of bariatric surgery is gastric bypass surgery. The procedure requires a surgeon to divide the stomach into two parts (one small and one large). The surgeon may use staples or vertical banding to create a small pouch from the upper part of the stomach.

The small pouch is then directly attached to the small intestine bypassing the rest of the stomach and the upper part of the small intestine. This limits the amount of food that can be eaten and reduces the fat and calories that can be absorbed. The larger part of the stomach will remain intact to produce digestive juices. This surgery is usually performed laparoscopically.

The benefits of having this procedure may include:
•Accelerated weight loss
•Improvement in quality of life
•Improvement in obesity- related medical conditions such as diabetes, hypertension or high cholesterol

There are several accepted medical criteria that will determine if you are a candidate for surgery. You may be eligible if:
•You have a body mass index (BMI) over 40
•Are 100 lbs. or more over your ideal body weight
•Are experiencing disabling pain in weight-bearing joints
•You have a BMI of 35 along with obesity-related disorders such as high blood pressure, diabetes, sleep apnea or degenerative joint disease.
•Your efforts to lose weight through diet and exercise have been unsuccessful

If you meet these requirements and are considering moving forward with bypass surgery, there a few things you can expect after the procedure:
•You may experience pain at the incision site; however, your medical team will be available to help you in keeping your pain under control.
•There is a possibility that you may experience discomfort from the gas used during laparoscopic surgery.
•You will be asked to walk on the day of your surgery as frequently as possible. This will promote circulation and prevent blood from clotting.
•To prevent possible complications such as pneumonia, you may be asked to take deep breaths and breathe into an instrument called an incentive spirometer and cough frequently.
•You will be given ice chips and water to sip, if these are not rejected by the body, you will be placed on a clear liquid diet. Gradually you will be able to ingest solid foods.
•Prior to discharge, the surgeon, nurse or discharge coordinator will instruct you to follow a specific diet.

When combined with eating a healthy diet and exercise, gastric bypass surgery can offer long-term weight loss success. It is important to keep in mind that each case is unique to the individual and it is suggested that you consult a bariatric surgeon for an assessment.

Flushing Hospital Medical Center offers a unique and multidisciplinary program that involves a complete mind, body and wellness approach to weight loss surgery. For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

Your Child and the Battle Against Junk Food

Posted on October 18, 2016 by Xavia Malcolm

Childhood obesity has become a common health concern for parents. It is estimated that one in every five children is overweight. A child is defined as obese when they are well above the normal weight for their age.

One of the contributing factors in obesity is unhealthy eating habits. It is recommended that parents introduce healthy eating to children as early as possible. For some, this may be easier said than done, because children are so easily attracted to the appeal of junk food.

What makes junk food enticing to children is sugar, high sodium, the taste of fat; commonly hydrogenated oils, in addition to bright, colorful packaging, fun shapes and unnatural food coloring. Parents can win the fight against junk food by making healthy food more appealing to children’s senses.

Here are a few tips on converting kid favorites into healthier choices:

Hot dogs- Instead of regular beef and pork hot dogs, purchase turkey franks with low sodium and without added nitrates. Decorate the hot dog with colorful vegetables such as cucumbers, carrots, red and yellow peppers.
Salty cheese snacks- Make plain cheese fun by cutting it into quirky shapes or adding bright and sweet fruit. You can make cheese and fruit shish kebabs.
French fries- Opt for baked sweet potato fries and sprinkle lightly with sea salt. Sweet potatoes are high in vitamin C, B6, and D. They are a source of Iron, magnesium and potassium.
Ice cream- Frozen yogurt is just as tasty and contains less sugar and fat. Adding toppings such as fruit and granola is a plus.
Popsicles- Freeze real fruit juices with bits of fruit into bars.
Potato chips- Kale chips are rich in vitamin A and easy to make at home. Make them delicious by adding herbs and spices.
Candy- Healthy alternatives to candy include raisins or strawberries and bananas lightly drizzled with chocolate.
Milkshakes- Smoothies made with fresh fruit and low-fat yogurt are a healthier option.
Meat lasagna- Load lasagna with vegetables instead of meat, choose low-fat cheese and whole-grain pasta.
Macaroni and cheese-Use low-fat cheese, add Greek yogurt to make it creamy and spinach to make it nutritious.

The battle against junk food is not lost. Keep food exciting and nutritious for your family by sourcing healthy recipe websites or visiting FlushingHospital’s Facebook and Twitter pages for suggestions. In addition to healthy eating, keep your family physically active and also make an appointment with your family doctor to ensure that everyone is at their recommended weight. Feel free to share these tips with friend and family.

What to Expect After Your Celiac Disease Diagnosis

Posted on September 13, 2016 by Xavia Malcolm

If you have received a diagnosis from your doctor that confirms you have celiac disease; it is natural to wonder what comes next. Many doctors will offer guidelines which may include tips to live gluten-free. While these guidelines are essential, it is also very important that you truly understand your medical condition.

According to the Celiac Disease Foundation, celiac disease is defined as, “a genetic autoimmune disorder where the ingestion of gluten leads to damage in the small intestine.” It is estimated that the disease affects one in every one hundred people worldwide. If left untreated, celiac disease can cause long-term health conditions such as gall bladder malfunction, infertility or miscarriage, pancreatic insufficiency, early onset osteoporosis or osteopenia as well as vitamin and mineral deficiencies.

In addition to having a better understanding of celiac disease, educating yourself about the changes to expect in your lifestyle, will prove helpful. Some of the changes include:

Discarding of any food that contains gluten. This means sticking to a strict diet that excludes wheat, barley, farina, oats, rye and other items that are known to have gluten.
Excluding certain items from your diet may deprive you of some nutrients; it is recommended that you speak to your doctor about which vitamins and dietary supplements you should take.
Evaluating the ingredients in medications; some may have small amounts of gluten.
Taking care of your body by exercising and implementing more fruits and fresh vegetables into your diet.
Following up with your physician or dietitian as recommended. This is important as it will help them to monitor your nutritional intake and check for deficiencies.

Finding resources that can help you transition or stick to new your lifestyle, such as your doctor, support groups, organizations such as the Celiac Disease Foundation or a local hospital can help make life after your celiac diagnosis a little easier.

Flushing Hospital Medical Center supports National Celiac Awareness Day. This observance falls on September 13 of each year and was created to help people learn more about celiac disease and how it impacts lives.

Kidney Stones Causes and Treatment

Posted on August 30, 2016 by Xavia Malcolm

Kidney stones (nephrolithiasis) are lumps of crystal made from substances found in urine. They typically build up along the inner surfaces of the kidney. The size of a kidney stone can range from as small as a grain of sand to as large as a golf ball. It is estimated, one in every twenty people will develop them at some point in their life.

Stones form when there is a decrease in the amount of urine produced, causing it to become highly concentrated and therefore allowing minerals to crystallize and stick together. There are four major types of stones, they include:

Calcium stones
Uric acid stones
Struvite stones
Cystine stones

While dehydration is a major contributor to the formation of kidney stones, some people are more prone to developing them than others. People with certain medical conditions such as gout or digestive diseases, those with a family history of kidney stones, as well as people who are obese or consume a diet rich in protein, sodium and sugar are more susceptible.

Kidney stones often go undetected until they become loose and travel along the urinary tract. When they move around the kidney or pass through the ureter, the following symptoms may occur:

Pain during urination
Pain along your side or back, below the ribs
Urine that is pink, red or brown in color
Pain in the lower abdomen or groin
Difficulty urinating
Frequent urination or urge to urinate
Nausea or vomiting
Cloudy or abnormal smelling urine
Fever and chills

If these symptoms present themselves and persist it is advised that you see a doctor immediately. Your doctor may perform a series of tests that may include blood or urine tests, analysis of passed stones or abdominal x-rays to assess your condition. Depending on severity, treatment may include increasing your intake of water, pain medication or surgery.

Flushing Hospital Medical Center is equipped with the latest technology to fully evaluate and treat patients suffering from kidney stones. Our Emergency Department physicians have extensive experience diagnosing kidney stones and can provide rapid relief of the symptoms often associated with this disease. To schedule an appointment, please call 718 670 5486.

What to Expect During Your First Trimester Screening

Posted on August 23, 2016 by Xavia Malcolm

In addition to your routine prenatal tests, it is recommended that you schedule an appointment for a first-trimester screening. These tests are highly important as they can help your doctor to gather information about the baby’s risk of developing certain chromosomal conditions such as Down syndrome, trisomy 13 or trisomy 18.

First trimester screenings are typically conducted between the eleventh and fourteenth week of pregnancy. The process is non-invasive and safe; there are no known physical risks associated with having these tests.

During your appointment, your doctor will draw blood to measure levels of plasma protein-A and human chorionic gonadotropin, or hCG. An ultrasound will also be performed to measure the nuchal translucency, which is the fluid beneath the skin of the baby’s neck. Increased thickness can be an early indicator of Down syndrome.

It is important to keep in mind that these tests are not diagnostic. The results, along with factors such as your age, family history and ethnicity are used to help determine the risks of your baby developing chromosomal abnormalities. The results may also indicate a need for further testing that may include CVS (chorionic villus sampling) or amniocentesis.

The Division of Maternal-Fetal Medicine at Flushing Hospital Medical Center has the most up-to-date equipment for the evaluation of mother and fetus. The division is staffed by full-time Board Certified Perinatologists and highly trained nurses. Genetic counseling, amniocentesis, diabetic counseling, as well as maternal-fetal evaluation are offered during the course of pregnancy.

For more information about the many services offered by the Department of Obstetrics and Gynecology at Flushing Hospital, please call 718-670-8994.