Why Aren’t Children Getting Enough Sleep?

Posted on May 6, 2026 by Patrick Hercules

Sleep plays a crucial role in a child’s development as it is an important building block for their mental and physical health. It has a direct effect on a child’s overall wellness, as research shows that sleep can impact their alertness and attention, cognitive performance, mood, resiliency, vocabulary acquisition, and learning and memory. In toddlers, napping is necessary for memory consolidation, executive attention, and the development of motor skills. What’s more, sleep crucially affects their growth, especially in early infancy.

The American Academy of Pediatrics (AAP) estimates that 25% to 50% of children and 40% of adolescents are affected by sleep problems, such as:

A new sibling

Teething

An illness, such as the cold or an ear infection

Sleeping in a different place

A new caregiver

A change in schedule

Allergies

In addition to these sleep problems, a significant number of children also suffer from sleep disorders at some point. Sleep disorders are connected to mental and physical issues, with one amplifying the other in a pattern that can be difficult to stop. The most common sleep disorders in children include:

Sleep apnea

Snoring

Nightmares and night terrors

Sleepwalking and sleep talking

Restless leg syndrome

Another reason why children aren’t getting enough sleep is that they aren’t sleeping for the number of hours recommended. According to research data released by the National Sleep Foundation (NSF) from their 2026 Sleep in America poll in March of this year, 44% of children in the U.S. do not consistently get the recommended amount of sleep for their age. Younger children especially fall short.

In 2015, the Centers for Disease Control and Prevention (CDC) looked at the sleep behavior in middle and high school students and found that around 60% of middle school and 73% of high school students were getting less than the recommended 9-12 hours a night for children 6 to 12 years old and 8-10 hours a night for children 13 to 18 years old.

Several issues have been discovered as the contributing factors of why children within this age group aren’t getting the recommended amount of sleep, including:

The use of electronic devices

Changes in their internal clocks

Early school start times

Caffeine consumption

A child’s daytime habits also affect sleep. To promote restful sleep for a child, you can follow these sleep hygiene rules:

Keeping a regular bedtime

Arranging a balanced schedule with alternating moments of rest and play

Creating a no-screen zone in the child’s bedroom, even during the day

Providing them with a healthy diet

Setting the thermostat at a slightly cooler temperature

Using dark curtains to block out light, or a nightlight if they’re afraid of the dark

Keeping the bedroom quiet, or using a white noise machine to block out outside sounds

Avoiding caffeine, large meals, and sugary snacks before bedtime, choose a healthy bedtime snack instead

Practicing good sleep hygiene can help your child get into a consistent bedtime routine and help them sleep better.

If your child is having trouble sleeping, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule 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.

Celiac Disease Awareness Month

Posted on May 1, 2026 by Patrick Hercules

May is Celiac Awareness Month. It is observed as a time to raise awareness for the more than three million Americans living with celiac disease, an autoimmune condition that causes the immune system to react to gluten, a protein found in foods containing wheat, barley, and rye.

It is estimated that up to 83% of Americans who have celiac disease are undiagnosed or misdiagnosed with other conditions.

When a person has celiac disease, eating gluten triggers an immune response to the gluten protein in the small intestines. The immune system sends inflammatory cells and antibodies to destroy the gluten molecules. Over time, this reaction can damage the lining of the small intestine, which prevents it from absorbing nutrients. This condition is called malabsorption. It can also lead to malnutrition and several other conditions resulting from a lack of nutrients.

The symptoms of celiac disease can vary greatly. They can also be different in children and adults. Digestive symptoms for adults include:

Diarrhea

Fatigue

Weight loss

Bloating and gas

Belly pain

Nausea and vomiting

Constipation

However, more than half the adults with celiac disease have symptoms that are not related to the digestive system, including:

Anemia

Osteoporosis

Dermatitis herpetiformis

Mouth ulcers

Headaches and fatigue

Nervous system injury, including numbness, tingling in the feet and hands, as well as possible problems with balance, and cognitive impairment

Joint pain

Hyposplenism

Elevated liver enzymes

Children with celiac disease are more likely than adults to have digestive problems, including:

Nausea and vomiting

Chronic diarrhea

Swollen belly

Constipation

Pale, foul-smelling stools

For children who aren’t able to absorb nutrients, it may cause:

Failure to thrive in infants

Damage to tooth enamel

Weight loss

Anemia

Irritability

Short stature

Delayed puberty

Neurological symptoms, including attention-deficit/hyperactivity disorder (ADHD), learning disabilities, headaches, lack of muscle coordination, and seizures

Celiac disease is most commonly found in people of Northern European descent. It is estimated to affect 1% of the populations of Europe and North America. A person has a 10% chance of developing the disease if they have a first-degree relative, such as a parent or child, who has it. About 97% of people diagnosed with celiac disease have a recognizable gene variant associated with it.

A person’s genes, combined with eating foods with gluten and other factors, can contribute to celiac disease. However, the precise cause isn’t known. Sometimes celiac disease becomes active after surgery, pregnancy, childbirth, viral infection, or severe emotional distress.

Several risk factors cause celiac disease to be more common in people who have:

A family member with celiac disease or dermatitis herpetiformis

Type 1 diabetes

Down syndrome, Williams syndrome, or Turner syndrome

Autoimmune thyroid disease

Microscopic colitis

Addison’s disease

Many people with celiac disease don’t know they have it. However, two blood tests can help diagnose it:

Serology testing

Genetic testing

It is important to be tested for celiac disease before trying a gluten-free diet. Eliminating gluten from your diet might make the results of the blood tests appear in the standard range.

The first and most important step in treating and the only way to manage celiac disease is to stop eating gluten and adopt a strict, lifelong gluten-free diet. You can’t change the way your body reacts to gluten, but you can prevent gluten from triggering a reaction. Additional treatments may include:

Nutritional supplements

Specific medications

Corticosteroids

Continuous follow-up care

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

Metabolic Syndrome and How it Can Lead to Heart Disease

Posted on April 29, 2026 by Patrick Hercules

Metabolic syndrome is a group of conditions that increase the risk of heart disease, stroke, type 2 diabetes, and other health problems.

The number of people with metabolic syndrome is increasing, as up to one-third of adults in the U.S. have it.

When a person is diagnosed with metabolic syndrome, they have three or more risk factors, such as:

High blood pressure

High blood sugar

Low levels of HDL, or good cholesterol

High triglyceride levels in the blood

A large waist circumference or an apple-shaped body

Although each of these conditions is a risk factor for cardiovascular disease, when a person has three or more of them and is diagnosed with metabolic syndrome, the chances of them developing a serious cardiovascular condition increase.

There are several underlying causes of metabolic syndrome, such as:

Being overweight and being obese

Having an insulin resistance

Being physically inactive

Genetic factors

Increasing age

Metabolic syndrome is a serious health condition; however, there are ways to reduce your risk of developing it, such as:

Being more physically active

Losing weight

Eating a heart-healthy diet that is rich in:

Whole grains

Fruits and vegetables

Fish

Another way to reduce your risk of developing metabolic syndrome is working with your healthcare team to monitor and manage your blood sugar, blood cholesterol, and blood pressure.

If you or a loved one is experiencing symptoms of metabolic syndrome, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

The New American Heart Association Dietary Guidelines

Posted on April 28, 2026 by Xavia Malcolm

The American Heart Association (AHA) recently released new dietary health guidelines that may reduce the risk of cardiovascular disease.

The 2026 guidelines emphasize a dietary pattern that is rich in whole grains, fruits, and vegetables, prioritizes protein from plant-based sources, and is low in sugar, salt, and processed foods.

According to the AHA, this update is crucial, as about half of adults in the United States are affected by some form of cardiovascular disease, often resulting from chronic conditions like hypertension. These diseases are frequently associated with lifestyle choices, particularly insufficient physical activity and a poor diet. Additionally, over 60% of children and adults in the U.S. maintain unhealthy eating habits, which contribute to chronic health issues and negative health outcomes.

The new AHA dietary guidelines are built on decades of evidence that show following a lifelong healthy eating pattern may significantly reduce the risk of cardiovascular disease and other chronic conditions. The updated guidelines outline nine key features of a heart-healthy diet:

Adjust energy intake and expenditure to achieve and maintain a healthy body weight: Try to balance how much you eat with how active you are, to reach and maintain a healthy body weight.
Eat plenty of vegetables and fruits and choose a wide variety: Include different colors, textures and types of produce, and remember, even canned and frozen can be nutritious and affordable.
Choose foods made mostly with whole grains rather than refined grains: Foods such as whole‑wheat bread, brown rice and oatmeal are better choices than refined grains including white bread or white rice.
Choose healthy sources of protein: Shift from meat to plant-based sources such as legumes, including beans, peas and lentils, along with nuts and seeds; regularly consume fish and seafood; select low-fat or fat-free dairy products; and if red meat is desired, choose lean cuts, avoid processed forms and limit portion size.
Choose sources of unsaturated fats in place of sources of saturated fat: Replace saturated fats with healthy unsaturated fats, including those from nuts, seeds, avocados and nontropical plant oils.
Choose minimally processed foods instead of ultraprocessed foods: Go with foods close to their natural state, with minimal added commercial ingredients, rather than those that are highly processed with additives.
Minimize intake of added sugars in beverages and foods: Limit the sugar-sweetened beverages you drink and the foods with added sugar you eat.
Choose foods low in sodium and prepare foods with minimal or no salt: Be aware of hidden sources of sodium in commercially prepared and packaged foods and season your food with healthier options such as herbs, spices or lemon instead of salt.
If alcohol is not consumed, do not start; if alcohol is consumed, limit intake: Alcohol can increase your risk for high blood pressure and other health conditions, so if you don’t drink, don’t start.

The AHA states that these healthy eating patterns should be sustained for a lifetime, and can be adapted to cultural and religious practices, different personal needs and budgets, and varying life stages.

If you have questions about your heart health or about managing a heart-healthy diet, please call 718-670-5486 to schedule an appointment with a doctor at Flushing Hospital Medical Center.

Things You Should and Shouldn’t Do After Bariatric Surgery

Posted on April 23, 2026 by Patrick Hercules

Bariatric surgery is a life-changing procedure. Following your doctor’s post-operation instructions and making healthy lifestyle changes are essential to avoiding complications and achieving long-term weight loss success.

Patients should expect to have a new lifestyle that combines healthy eating, exercise, and attending regular visits with their healthcare providers. They should also consider these dos and don’ts after bariatric surgery:

What you should do after bariatric surgery:

- Eat slowly and chew food well

- Aim to drink 64oz of fluids daily, taking small sips

- Eat 60g or more of protein daily, starting every meal with it

- Make fruits and vegetables the priority of your diet

- Start walking for five minutes every hour after surgery

- Aim for a goal of 30 minutes of exercise daily after it is allowed to do so

- Take all medications and supplements as prescribed, they will need to be taken for the rest of your lifetime

What you shouldn’t do after bariatric surgery:

- Skip any meals

- Eat red meat early in recovery

- Engage in any strenuous activities

- Lift any objects over 10 lbs. for the first four to six weeks after surgery

- Eat fast food

- Eat or drink anything with natural sugar

- Drink liquids within 30 minutes after eating

- Eat bread, rice, pasta, bagels, or dumplings

- Allow yourself to get too hungry

- Take a bath or go swimming for two weeks after surgery

- Smoke cigarettes or drink alcohol

- Eat snacks loaded with empty calories

- Get pregnant for 12 to 18 months after surgery

- Stop taking medications as directed by your healthcare provider

Bariatric surgery can be a life-changing and life-altering event for those who are trying to lose weight and live a healthier lifestyle. Making diet changes, modifying exercise routine, and following the guidelines set by your healthcare provider and surgical team can lead you to long-term success.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

Home Devices to Help with Rheumatoid Arthritis

Posted on April 22, 2026 by Patrick Hercules

Rheumatoid arthritis is a chronic inflammatory disorder that affects more than just the joints. This condition can damage several of the body’s systems, including the skin, eyes, lungs, heart, and blood vessels, causing symptoms, including:

Pain

Swelling

Tenderness in more than one joint

Joint stiffness

Fatigue

Weakness

Fever

Treatment for rheumatoid arthritis helps maintain or improve joint function, as its most important goal is to reduce joint pain and swelling. Treatment options include:

Medications, such as disease-modifying antirheumatic drugs (DMARDs), non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroids

Physical or occupational therapy

In cases of severely damaged joints, surgery, such as knee replacement, hip replacement, and other surgeries that correct a deformed joint.

A healthcare provider may also suggest rheumatoid arthritis-friendly gadgets or assistive devices, which can be found at a pharmacy or medical supply store, online, or at home, which can help ease the strain on your joints, help make daily tasks easier, and help you regain your independence, such as:

Assistive devices that help you when getting dressed:

- Long-handled shoehorns

- Slide-in shoes

- Sock aids, which help you put on and remove your socks

- Clothes fasteners

- Long-handled combs with a coated grip

- Pull-on or front-closure bras

- Bracelet buddies

- Elastic-waisted pants

- Elastic shoelaces

Assistive devices for personal care:

- Electric toothbrushes and flossers

- Easy-open medication bottles

- Soap and shampoo pump bottles

- Wash mitts

- Shower safety aids, such as a handlebar or a stool

- Blow dryer holder

- Cosmetic tools with longer, fatter handles and silicone or foam grips

Assistive devices to help you in the kitchen:

- Lightweight two-handled pots and pans

- Adaptive utensils

- Wash mitts

- Jar and bottle openers

- Rocking T knives

- Milk carton holders

- Automatic vegetable peelers

- Grabbers

Assistive devices for shopping:

- Motorized shopping carts

- Grabbers

- Reusable shopping bags

Assistive devices for driving:

- Steering wheel grips

- Key holders

- Beaded seat covers

- Panoramic or wide-angle rear and side-view mirrors

- Seatbelt extenders

- Handybars

Assistive devices for hobbies and leisure activities:

- Padded fingerless gloves

- Easy action scissors

- Playing card holders

- Bookrest pillows

- A grippy cellphone case and PopSockets

Assistive devices for walking:

- Wheelchairs and electric scooters

- Canes and walkers

- Knee braces and splints

Assistive devices for work:

- Ergonomic desk and chair

- Adaptive computer equipment

- Pens and pencils with a wider grip

- Headset or earbuds

- Speech-to-text

Rheumatoid arthritis symptoms can affect even the simplest daily tasks. Utilizing assistive devices can help improve the quality of life for those suffering from this disorder.

If you or a loved one is experiencing symptoms of rheumatoid arthritis, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Perimenopause

Posted on April 18, 2026 by Patrick Hercules

Perimenopause is the transitional period before menopause. During this time, a woman’s body is preparing to stop having periods.

During this transition, the number of hormones a woman’s ovaries produce varies. Perimenopause can last two to eight years. The average is about four years. The hormone changes can cause symptoms that include:

Irregular periods

Vaginal dryness

Hot flashes

Night sweats

Sleep problems

Mood changes

Trouble finding words and remembering, also known as brain fog

Dry skin, dry eyes, dry mouth

Worsening premenstrual syndrome (PMS)

Breast tenderness

Decreasing fertility

Changes in sexual function

Loss of bone

Changing cholesterol levels

Perimenopause is caused by changes in two key female hormones: estrogen and progesterone. As a woman goes through perimenopause, these hormones fluctuate, and many of the changes they have during perimenopause are caused by lower estrogen.

Menopause can happen earlier in some women than in others, like before the age of 40, or between the ages of 40 and 45. Certain factors may make it more likely for perimenopause to start at an earlier age, such as:

Smoking

Family history

Cancer treatment

Hysterectomy

Some health conditions may make early menopause more likely, such as:

Thyroid disease

Rheumatoid arthritis

Other autoimmune diseases

Perimenopause is a gradual change, and there is no single test or symptom that tells it has started. A healthcare provider looks at many things to diagnose perimenopause, including:

Menstrual history

Noticeable symptoms or body changes

Some healthcare providers may order tests to check hormone levels. However, other than checking the thyroid, which affects hormone levels, hormone testing isn’t usually helpful to know if a woman is in perimenopause. That is because hormone levels in perimenopause change unpredictably.

The treatment for perimenopause usually consists of medicines that treat perimenopausal symptoms, such as:

Hormone therapy

Vaginal estrogen

Antidepressants

Gabapentin

Fezolinetant

Oxybutynin

Birth control pills

If you are experiencing symptoms of perimenopause, call (718) 670 8994 for more information about gynecological services at FHMC’s Center for Obstetrics and Gynecology.

Flushing Hospital’s Department of Physical Medicine and Rehabilitation

Posted on April 17, 2026 by Patrick Hercules

Rehabilitation therapy is a form of patient-centered healthcare that is designed to restore, maintain, or improve a patient’s physical, cognitive, and emotional abilities after illness, injury, surgery, or chronic conditions. The Department of Physical Medicine and Rehabilitation at Flushing Hospital Medical Center offers a comprehensive range of outpatient services. The team’s experienced staff includes physical therapists, occupational therapists, speech language pathologists, and audiologists.

The department has physiatrists who are highly experienced rehabilitation physicians. They are board-certified in physical medicine and rehabilitation, brain injury medicine, and electrodiagnostic medicine.

Physical therapists provide outpatient services at the hospital. They assess each patient’s unique needs and determine a care plan to address the functional deficits identified. Goals for therapy are based on the patient’s specific needs.

Common diagnoses treated on an outpatient basis include neck/back pain, joint pain/arthritis, musculoskeletal diseases, and neurological conditions such as stroke and nerve injuries.

Flushing Hospital’s Department of Physical Medicine and Rehabilitation utilizes therapeutic exercise and movement-based interventions to improve patient outcomes. Electrotherapeutic equipment and thermal modalities, such as hot/cold packs, work as adjuncts to manual therapy techniques. Therapists are trained in manual techniques such as myofascial release and joint mobilization. Exercise techniques using equipment and resistance modalities are taught to the patient as a home exercise program to improve their overall function.

Dedicated occupational therapists evaluate patients’ self-care skills for activities of daily living (ADLs). They develop care plans to improve the patient’s ability to perform these tasks to lead a more independent lifestyle.

The speech-language pathologists provide communication, cognitive, and swallowing evaluations and treatment to patients of all ages. Care plans are individualized and patient-centered. Patients with dysphagia (difficulty swallowing) may also be referred for instrumental swallow evaluation, specifically Modified Barium Swallow (MBS) tests, to objectively assess swallowing, make appropriate food and liquid recommendations, and develop a targeted swallowing therapy plan.

The audiology department provides comprehensive audiological evaluations to patients of all ages, from newborn through geriatric age ranges. Recommendations are made based on the individual’s needs and may include referral/recommendation for possible hearing aids. These patients are given appropriate referrals and guided in the follow-up process.

Flushing Hospital’s Department of Physical Medicine and Rehabilitation is committed to providing the highest quality care and helping individuals improve their quality of life by regaining mobility, strength, and independence. For more information, please call us at (718) 670-5515.

Cancer Prevention and Early Detection Month

Posted on April 16, 2026 by Patrick Hercules

April is Cancer Prevention and Early Detection Month, a month dedicated to reminding us about the importance of getting routine cancer screenings.

According to the American Cancer Society, for 2026, 44% of the estimated 626,000 cancer deaths in the United States can potentially be prevented because they are attributable to modifiable risk factors, such as:

Cigarette smoking

Secondhand smoke exposure

Excess body weight

Heavy alcohol use

Unhealthy diet

Lack of physical activity

Excess ultraviolet radiation exposure

Cancer-associated infections

Cancer Prevention and Early Detection Month aims to educate people about healthy habits and making simple changes that can make a huge difference, such as quitting smoking, eating nutritious foods, and staying physically active. Routine cancer screenings and vaccinations are also essential.

Detecting cancer early means better outcomes for your health, such as more treatment options, which can help prevent cancer from spreading. These practices can also significantly lower cancer rates and improve survival chances for many individuals.

Here are some ways to get involved in Cancer Prevention and Early Detection Month:

Raising awareness

Inspiring action

Mobilizing resources

Highlighting progress

Cancer Prevention and Early Detection Month’s goal is to inspire everyone to be proactive and take steps towards a healthier lifestyle and get regular cancer screenings, which can reduce the chances of developing cancer considerably.

Whether you need diagnostic testing or treatment, the MediSys Health Network Cancer Center offers unmatched Queens cancer care for any form of cancer. To schedule an appointment or learn more about our oncology department, please call 718-206-8263.

High-Functioning Depression

Posted on April 15, 2026 by Patrick Hercules

Depression is a common mental health condition that causes a persistent feeling of sadness and loss of interest, and changes how you think, sleep, eat, and act.

There are several types of depression, including:

Clinical depression (major depressive disorder)
Persistent depressive disorder (PDD)
Disruptive mood dysregulation disorder (DMDD)
Premenstrual dysphoric disorder (PMDD)

There are also specific forms of major depressive disorder, including:

Seasonal affective disorder (seasonal depression)
Prenatal depression and postpartum depression
Atypical depression

People with depression often can’t always keep up with the demands of day-to-day life, whether it is keeping a steady job, having significant relationships and friendships, or keeping the house tidy. Their depression can make every task feel daunting.

However, that isn’t always the case. Some people can experience depression in a way that doesn’t appear disruptive from the outside, but it still causes a major disruption inside. This is called high-functioning depression.

Although it isn’t a formal medical diagnosis, high-functioning depression is a helpful way to describe how some people who are living with the symptoms of depression manage to keep up a moderately stable life.

A person with high-functioning depression may have the same symptoms as a person with clinical or major depressive disorder. These symptoms include:

Feeling sad, helpless, or hopeless
Becoming disinterested in things that used to bring them joy
Changes in eating habits, like eating too much or too little
Trouble sleeping or sleeping too much
Difficulty concentrating
Negative thoughts about themselves and others

Unfortunately, some people may feel that they need to hide these depressive symptoms from others because:

They might have come from a family or culture that teaches people not to talk about mental illness
They think they will feel better by powering through on their own
They’re trying to avoid any impact on their job and relationships, hoping the depression lifts
They are someone who isn’t comfortable showing vulnerability or perceived weakness
They think having depression is something to be ashamed of
They feel that their life will fall apart and people will abandon them if they find out about their depression

More women than men are diagnosed with depression, but this may be because women are more likely to seek treatment.

A healthcare provider may determine a diagnosis of depression based on:

A physical exam
Lab tests
A psychiatric evaluation
DSM-5

Unfortunately, high-functioning depression can be difficult to recognize. Even though a person may appear to be high functioning, they still should get treatment for their depression. Treatments for depression may include:

Therapies such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques
Medications
Support groups

To learn more about the mental health services at Flushing Hospital Medical Center, or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.