Kawasaki Disease

Posted on September 24, 2020 by Andrew Rubin

Kawasaki disease is found most often in children under the age of five. Children of Asian descent are affected more often than other ethnicities and it occurs more frequently in boys than girls. The cause of the disease has not been established.

Kawasaki disease was first described in Japan in 1967 and the first case diagnosed in the United States was in Hawaii in 1976. It is a disease that causes inflammation of the medium sized arterial blood vessels, primarily those that supply the heart with blood.

There are three phases of the disease.

Phase 1

Fever of 102.2 degrees Fahrenheit that lasts more than three days
Very red eyes
Rash on the body, and around the genitals
Swollen tongue that is very red in color
Irritation of the mouth and nose
Swollen hands and feet that become very red
Swollen lymph nodes

Phase 2

Skin peels on the hands and feet
Body rash
Diarrhea
Stomach pain
Irritability
Joint pain

Phase 3

After a few weeks the symptoms usually start to go away

To diagnose the disease a doctor will do a complete physical exam and look for four out of five of the following symptoms: red eyes, red lips and mouth, rash, enlarged lymph nodes and red swollen limbs. Other tests that may be necessary are an EKG, blood test and possibly an angiogram of the heart.

Treatment of Kawasaki usually will include medication such as aspirin to relieve discomfort and to help prevent blood clots. It also may be necessary to administer intravenous immune globulin to help fight the infection. If the disease is left untreated, it can cause damage to the heart. It is also possible for blood clots to form due to weakening of the walls of the blood vessels. Follow up visits with a doctor are recommended to make sure that there is no long lasting heart problems.

If your child has a fever of 101 degrees F to 103 degrees F for more than three days and any of the signs of this disease are noticed, it is important to see a doctor right away. If you would like to schedule an appointment with a physician at Flushing Hospital Medical Center, please call 718-670-5486 or go to your closest Emergency Room.

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.

Employee Spotlight – Nicole Torres

Posted on September 22, 2020 by Joann Ariola

September’s Employee Spotlight shines on Nicole Torres. Nicole is a Care Coordinator at Flushing Hospital Medical Center (FHMC). As a Care Coordinator, Nicole provides appointments for high-risk patients, that are currently admitted, to ensure they receive the care they need in a timely manner.

Nicole joined the FHMC team 3 ½ years ago as an Emergency Department Navigator. Although her time at FHMC has been short, Nicole earned the respect of her colleagues especially when she was called upon to be part of the hospitals team during the peak of the COVID-19 crisis.

When working with patients and family members, Nicole utilizes her degree from John Jay College of Criminal Justice where she earned a BA in Forensic Psychology.

At home, Nicole enjoys baking, yoga and reading. She loves to travel, attend breast cancer and Alzheimer’s walks and volunteering at after-school programs.

Nicole feels the most rewarding part of her job is when a patient attends their post-discharge follow up care and the most challenging part is when patients refuse the recommended aftercare, thereby, putting their health at risk possibly causing them to be readmitted to the hospital.

Congratulations! For these and so many other reasons, Nicole Torres is September’s Employee Spotlight!

Facts About Hand Sanitizer

Posted on September 17, 2020 by Andrew Rubin

People have been using hand sanitizers for many years. However, their use has increased tremendously during the past few months due to the current pandemic.

There are a few different accounts on how hand sanitizers were developed and entered into general use. One of these accounts traces the origins to a married couple, the Lippmans, in Akron, Ohio back in the 1940’s. They created a waterless hand cleaner used by workers in rubber plant factories. In 1988 the Lippmans invented Purell, which is made of 70% ethyl alcohol as the main ingredient and also contains propylene glycol. It wasn’t widely used by consumers until 1997 and the results became the world’s leading hand sanitizer.

In 2002, the Centers for Disease Control and Prevention (CDC) revised its guidelines to allow alcohol based hand sanitizers as a way to clean hands and eliminate germs in the absence of soap and water, In 2009 the World Health Organization also recommended them as an alternative to soap and water.

Hand sanitizers typically contain anywhere from 60 – 95 percent isopropyl or ethyl alcohol mixed with water and gels such as glycerin.

The Food and Drug Administration (FDA) allows a product to be called a hand sanitizer if it contains ethyl alcohol, isopropyl alcohol or bensalkonium as the active ingredient. Alcohol breaks down disease causing bacteria and viruses. The higher the concentration of alcohol, the more effective the hand sanitizer will be.

Hand sanitizers are effective against many bacteria and viruses, but not all of them. They generally don’t work well against norovirus, Clostridium difficile or Cryptosporium.

Hand sanitizers don’t typically expire but the alcohol can evaporate. They are considered generally safe for use on the skin, however using too much can cause skin irritation. Susan Weiser, the Director of Infection Control at Flushing Hospital Medical Center tells us that hand washing with soap and water is recommended after every four or five uses of the hand sanitizers to reduce the risk of irritating your skin.

Nasal Polyps

Posted on September 15, 2020 by Xavia Malcolm

Nasal polyps are non-cancerous growths that develop on the lining of the nose or sinuses. Polyps are soft, teardrop-shaped and can be pink or yellowish-brown in color. They often form as a result of prolonged inflammation and can cause infections or breathing problems.

Polyps commonly occur in people in their 30s or 40s but can arise at any age. Those who have asthma, certain disorders such as cystic fibrosis, chronic sinusitis or allergies are more likely to develop nasal polyps.

In some cases, nasal polyps do not present any symptoms; however, if they do, one may experience:

Runny nose
Postnasal drip
Persistent stuffiness
No sense of smell or a poor sense of smell
Frequent nose bleeds
Snoring
Sleep apnea
A feeling of pressure over the face or forehead
Headaches
Loss of sense of taste

The risk for nasal polyps can be reduced by practicing hand hygiene to protect against infections that affect the nasal passage, using a nasal rinse to remove irritants or properly managing your asthma or allergies.

If you are experiencing symptoms associated with nasal polyps for more than 10 days, please see a doctor as soon as you can. Your doctor may order tests that include imaging, a nasal endoscopy, and blood or allergy tests. Treatment may involve medications or surgery.

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

Ovarian Cancer Awareness Month

Posted on September 12, 2020 by Joann Ariola

Ovarian cancer is one of the most serious cancers affecting women. In the United States, an estimated 21,000 women will be diagnosed every year with this disease and approximately 14,000 will die because of it. This type of cancer usually affects women who are in their fifties and sixties, and who typically have a family history of the disease. When the disease is detected early, the five-year survival rate is approximately 92%.

Symptoms of ovarian cancer are:

• Bloating
• Nausea, indigestion, gas, and constipation
• Abdominal and pelvic pain
• Fatigue
• Backaches
• Frequent Urination with urgency

When a physician suspects ovarian cancer, they will perform certain tests to confirm the diagnosis. The exam will include a blood test for the CA-125 genetic marker, an examination of the abdomen to see if there is tenderness, a pelvic exam, ultrasound, and a biopsy.

There are four main stages of ovarian cancer:

. Stage I – completely confined to one or both ovaries.
. Stage II – Found in one or both ovaries with spread to other pelvic organs (bladder, colon, rectum, uterus).
. Stage III – Cancer is found in one or both ovaries and has spread to the lining of the abdomen and/or the lymph nodes.
. Stage IV – Most advanced stage of the disease with spread to additional organs such as liver and lung.

Treatment options for ovarian cancer include chemotherapy, surgical removal of the affected organ(s), hormone therapy, and radiation. The type of treatment will be determined by the type of ovarian cancer, the age of the patient, and the stage of the disease.

Remember that early detection is important and just may save your life. All women should see their OB/Gyn once a year for a pelvic exam. If you would like to make an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center, please call 718-670-5486.

World Suicide Prevention Day

Posted on September 10, 2020 by Andrew Rubin

September 10th is designated by the International Association for Suicide Prevention as World Suicide Prevention Day.

The World Health Organization reports that approximately every 40 seconds, someone takes their own life around the world, and in the United States it is one person every 12 minutes. Suicide is the leading cause of death in people between the ages of 15 to 29. Women are more likely to attempt suicide, but men are more likely to be successful. For every successful suicide attempt, there are 25 attempts that are not successful.

Suicide is preventable, and we can all do our part to help those who may be in distress or are having suicidal thoughts.

Here are a few ways you can promote suicide prevention::

Help raise awareness
Learn the warning signs
Know the resources that are available
Show compassion for those who need help

It takes a team approach to help people who are thinking of suicide. This includes family, friends, health professionals, clergy, colleagues at work and the community in general. Help is also needed for the families and loved ones of those who are at risk for committing suicide.

If you or someone you know needs help, do not wait to take action. Encourage them to seek the immediate care of a professional. The trained professionals in the Mental Health Department at Flushing Hospital Medical Center can also help. You can make an appointment by calling 718-670-5562. If there is imminent danger, bring the person to the nearest hospital as quickly as possible.

Fall Activities

Posted on September 8, 2020 by Joann Ariola

With temperatures dropping and crisp air abounding; the fall season is a great time to begin a fitness regime.

Some tips for how to start you fall fitness routine are:

Change it up – The fall season is a great season to spend time with family and friends while taking part in physical activities such as walking through apple and pumpkin patches, corn mazes or trails.

Participate in fun runs – The fall season is when organizations plan their fun runs. You can participate in a 5K, or a turkey trot. If you get a group together, it can further motivate you.

Appreciate fall foliage – The fall season brings with it lots of colored leaves. Local parks usually have trails to walk, run or ride a bike on.

Go to a farmer’s market – Fall brings lots of root vegetables into season. Take a bike ride and stop at local farmer’s markets to pick up some healthy, tasty fruits and veggies.

Rake the lawn – In the fall season, even chores can be a really good workout. Activities such as raking the leaves can provide great cardio exercise.

As you can see, fall offers several opportunities to stay active and create good habits that will last with you throughout the upcoming holiday season and winter months.

Backpack Awareness Dayy

Posted on September 8, 2020 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.

Coping With Substance Abuse and a Crisis

Posted on September 3, 2020 by Andrew Rubin

The worldwide crisis of the coronavirus pandemic has affected everyone. The way we work, socialize, and care for our health have all been impacted. For many these factors are cause for tremendous amounts of stress; for others, they are triggers for alcohol and substance abuse.

The stress of living with the pandemic has led to more people leaning on drugs and alcohol abuse to cope with uncertainty and adversity. This is reflected in an increase in sales of alcoholic beverages over the last few months, as well as an increase in the number of patients treated in ERs for drug overdoses.

The rise in alcohol and substance abuse can be partly attributed to an increase in people who were once occasional users of alcohol or illicit drugs, now making it a daily habit, and addicts who relapsed due to challenges they faced during the pandemic.

Challenges encountered by those needing help for addiction include fear of seeking health in treatment centers due to fear of exposure of the coronavirus, limitations affecting in-person support groups or the decline of treatment centers due to a lack of funding.

Although the coronavirus pandemic may pose a few challenges for those seeking help with addiction, there are still many resources available to provide assistance with recovery. The Centers for Disease Control and Prevention (CDC) www.cdc.gov and Substance Abuse and Mental Health Services Administration (SAMHSA) www.samhsa.gov offer helpful information to individuals and families facing mental health and substance abuse disorders on their websites (include links)

Those who are suffering from addiction are also encouraged to seek help from their doctor or any trained alcohol and substance abuse professional.

If you are having substance abuse issues and would like to speak to a trained professional at Flushing Hospital Medical Center, You can schedule an appointment by calling 718-670-4416.

Flushing Hospital Offers Tips on Successful Aging

Posted on September 3, 2020 by Michael Hinck

In many cases, how we age has as much to do with our mental attitude as it does our physical well-being. September has been designated Healthy Aging Month, an observance designed to focus our attention on the positive aspects of growing older.

Flushing Hospital understands the importance of successful aging and wants to provide you with the following practical tips to help you improve your physical, mental, and social well-being.

Try to remain positive in your daily interactions and distance yourself from the negative influences in your life. When you catch yourself complaining, look to change the conversation to something more positive.
If you find yourself bored or lonely, do something about it! Pick up the telephone and make plans to meet someone for lunch. You can also try a new hobby, volunteer your time with a local organization or take a class and learn something new.
Don’t comply with social norms and act how society expects you to act. Instead, think back to the age when you were at your happiest and be it. This is not denial; it’s a way of staying positive, which can help you feel better about yourself.
A simple act like standing up straight can make you look and feel younger. Look at yourself in the mirror. Are you holding your stomach in, have your shoulders back, chin up? Fix your stance and practice it every day, all day until it is natural. You will look great and feel better.
Make an appointment to schedule your annual physical or other health screenings. By doing so, you can address any potential health concerns and end unnecessary worrying about some of your nagging ailments.

Flushing Hospital encourages the older members of our community to use September as the motivation to use these tools and others in their quest for successful aging.