Learn More About Parkinson’s Disease

Posted on August 17, 2018 by Flushing Hospital

Parkinson’s disease is a progressive condition that affects the nervous system and movement.

The disease occurs when nerve cells (or neurons) in the brain gradually break down or die. These neurons produce a chemical messenger in the brain called dopamine. When dopamine levels decrease, it leads to abnormal activity in the brain.

The symptoms of Parkinson’s disease vary from person to person with early signs often going unnoticed before they begin to progress. Symptoms often start on one side of the body and usually remain worse on that side, even after symptoms begin to affect both sides.

Symptoms of Parkinson’s disease can include:

Tremors. Shaking that begins in a limb, often your hand or fingers. Your hand may tremor when it’s at rest.
Slowed movement. Over time, Parkinson’s disease may make simple tasks difficult and time-consuming. Your steps may become shorter or you may drag your feet.
Rigid muscles. Muscle stiffness may occur in any part of your body. The stiff muscles can be painful and limit your range of motion.
Impaired posture and balance. Your posture may become stooped, or you may have difficulty balancing.
Loss of automatic movements. You may have a decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk.
Speech changes. You may speak softly, quickly, slur or hesitate before talking. Speech may also become monotone.
Writing changes. It may become hard to write, and your writing may appear small.

Parkinson’s disease can also lead to other complications, including difficulty remembering or concentrating, emotional changes and depression, difficulty chewing and swallowing, sleep disorders and fatigue, constipation, and bladder control issues.

The most common risk factors for Parkinson’s disease are:

Age. People usually develop the disease around age 60 or older.
Heredity. Having a close relative with Parkinson’s increases the chances that you’ll develop the disease.
Gender. Men are more likely to develop Parkinson’s disease than are women.
Exposure to toxins. Ongoing exposure to herbicides and pesticides may slightly increase your risk of Parkinson’s disease.

Because the cause of Parkinson’s is unknown, proven ways to prevent the disease also remain a mystery. Some research has shown that regular aerobic exercise might reduce the risk of Parkinson’s disease.

While there is still no cure for Parkinson’s disease, there are treatments that can slow down the progression and alleviate the symptoms of the condition. Most treatments involve the use of medications that increase the production of dopamine in the brain. Unfortunately, the effects of these drugs usually wear off over time. There are also surgical options designed to stimulate brain function. This type of procedure has led to dramatic improvements in many patients with Parkinson’s disease.

If you or someone you love is experiencing symptoms or Parkinson’s disease, see your doctor. If you do not have a doctor, you can make an appointment at Flushing Hospital’s Ambulatory Care Center by calling 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.

August is Psoriasis Awareness Month

Posted on August 15, 2018 by Andrew Rubin

August is Psoriasis Awareness Month. It is a condition that is characterized by raised, red scaly patches. It is often found on the scalp, knees and elbows, but can show up on other parts of the body as well of people who have the disease. The exact cause is not known but there is a correlation between genetics and also the body’s immune system. Psoriasis is a condition where the skin cells multiply at a faster rate than normal cells. This causes a buildup up skin lesions and the area of the body also feels warmer because it contains more blood vessels.

Psoriasis is not contagious so it does not get passed by coming in to contact with a person who has it. It is a condition that affects men and women equally and it can develop at any age, most commonly between the ages of 15 and 35.

Common signs of psoriasis include:
• red patches of skin with thick silvery scales
• cracked and dry skin that may bleed
• stiff joints that may be swollen
• itching, burning and soreness
• nails that are pitted, thick and ridged

There are certain risk factors for developing psoriasis. This includes stress, smoking, obesity, alcoholism, skin infections, a vitamin D deficiency, and a family history. Psoriasis is diagnosed by examining the skin and making a diagnosis. A dermatologist will be able to determine if it is psoriasis by the amount of thickness and redness it has. There are different types of psoriasis and they are classified by how they show up on the skin.

There are three ways that treatment for psoriasis can be approached. They can be used by themselves or together, depending on the severity. Topical creams and ointments that contain corticosteroids are usually the most commonly prescribed medications for mild to moderate conditions. Light therapy that is either natural or artificial ultraviolet light can be used and it is directed at the area of the body that is affected. In severe cases, medications that are either injected or taken orally may be required. There are also alternative treatments that are being used and this includes Aloe vera which comes from a plant and omega-3 fatty acids that comes from fish oils.

Depending on the severity of the disease, it may have an impact on a person’s quality of life. If you would like to schedule an appointment with a dermatologist at Flushing Hospital Hospital for any type of skin condition, please call 718-670-5486.

The Hazzards of Cleaning Fluids

Posted on August 14, 2018 by Joann Ariola

Cleaning your home offers an opportunity to get rid of old things and bring a sense of refreshment to your environment, but the process may not always be so pleasant to the senses. Often times, household cleaning products can irritate the eyes, nose and throat and trigger allergic reactions or even an asthma attack.

Sneezing, coughing and itchy skin can be symptoms traced back to chemical allergies found in everyday cleaning products. We are exposed to hundreds of different chemicals in the products used every day to clean our homes, cars, or offices. If you read the list of ingredients in these cleaning products, you may be surprised to find that many of these ingredients are potentially toxic chemicals which can trigger asthma attacks.

According to the American Lung Association, some products release dangerous chemicals, including volatile organic compounds (VOCs). Other harmful ingredients include ammonia and bleach. VOCs and other chemicals released when using cleaning supplies contribute to chronic respiratory problems, allergic reactions and headaches.

Cleaning products containing VOCs and other toxic substances can include:

Air fresheners
Chlorine bleach
Detergent and dish washing liquid
Dry cleaning chemicals
Rug and upholstery cleaners
Furniture and floor polish
Oven cleaners

The American Lung Association suggests reading all labels on cleaning supplies and household products before you buy them. Choose products that do not contain or have reduced amounts of VOCs, fragrances, irritants and flammable ingredients. Products that are labeled “green” do not necessarily mean they are safer.

As a safer cleaning alternative, warm water and soap often will do the trick, especially at home. Baking soda is good for scrubbing. A mix of vinegar and water can clean glass.

Another helpful tip: when using cleaning or household products, keep the area well ventilated. Never use cleaning products in a small, enclosed space and open windows and doors.

Flushing Hospital Receives Prestigious Baby-Friendly Designation

Posted on August 8, 2018 by Flushing Hospital

Flushing Hospital is pleased to announce it has received the official designation of a Baby-Friendly USA® Hospital.

As a Baby- Friendly® institution, the hospital upholds the strict breastfeeding requirements and guidelines set in place by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).

To receive Baby-Friendly® status, institutions must successfully implement the “Ten Steps to Successful Breastfeeding” which include providing appropriate education to enable families to make informed decisions about infant feeding, encouraging mothers to hold their babies skin-to-skin immediately following birth, and offering expert lactation support throughout and beyond the hospital stay. Baby-Friendly® practices are designed to optimize mother-baby bonding and to protect, promote and support breastfeeding in the first few days of a new baby’s life.

Flushing Hospital has successfully fulfilled the requirements for Baby-Friendly® designation by implementing several breastfeeding initiatives within the hospital and in the communities it serves.

“We serve a diverse population of patients at Flushing Hospital with representation of many different ethnicities and cultures. We are proud to provide breastfeeding education in several languages at public libraries and offer classes and support groups at our facility, free of charge,” states Maria D. Smilios, Director of Nursing.

“Our goal is to educate expectant mothers on how breastfeeding is a key nutritional value for their newborns, and how it fortifies bonding between the new mom and baby,” shares Jimena Grimaldi, Lactation Consultant.

Flushing Hospital’s goals are in line with Healthy People 2020 breastfeeding objectives put in place by the U.S. Department of Health and Human Services- to increase the number of infants that have ever breastfed to 81% and increase the number of infants breastfeeding at six months of age to 60.6%.

Scientific evidence demonstrates the importance of breastfeeding for the health and well-being of infants. It has been found that babies who are fed breastmilk exclusively during the first six months of life are less likely to develop respiratory diseases such as asthma and have reduced risks of ear infections, obesity, diabetes, as well as sudden infant death syndrome (SIDS).

“Each year, Flushing Hospital delivers approximately 3,000 babies, and we strongly support the philosophy that every child has the right to the highest attainable standard of health, beginning with providing mothers with the resources needed on how to supply their babies with the best nutrition possible,” explains Smilios.

Easy and Delicious Frittata Receipe!

Posted on August 1, 2018 by Joann Ariola

Tired of the same meals night after night? Try this easy and delicious Frittata receipe. We bet most of the ingredients are already in your fridge!

Ingredients:

Olive oil for drizzling
8 mushrooms, quartered
6 asparagus spears, chopped
Salt and ground pepper to taste
12 large eggs
½ cup grated Monterey Jack
¼ cup grated Parmesan
2 dashes of hot sauce
2 tablespoons butter
1 medium onion, halved and sliced thin
1 cold baked potato, diced
¼ cup chopped green olives with pimentos
2 jarred roasted peppers, sliced thin
8 fresh basil leaves, chopped

Directions:

Preheat the oven to 450 degrees F.

Drizzle olive oil over the mushrooms and asparagus on a baking sheet, sprinkle with salt and pepper and roast until a nice color is achieved, about 12 minutes. Set aside.

Beat together the eggs with some salt and pepper in a bowl. (Do not over-beat; just mix until the eggs mostly come together.) Stir in the Monterey Jack, Parmesan and hot sauce and set aside.

In a large ovenproof nonstick skillet, melt the butter over medium-high heat. Add the onions and cook, stirring frequently, until soft and golden brown, several minutes. Add the diced potatoes, sprinkle with salt and pepper and stir to cook for a couple of minutes. Finally, add the asparagus, mushrooms, olives and roasted red peppers and cook, stirring, until everything is hot.

Make sure all the ingredients are evenly distributed across the bottom of the skillet, then pour in the egg mixture so that it evenly coats everything. Let it sit on the burner for 30 to 45 seconds to set the edges, then put the skillet in the oven. Cook, watching it carefully, until the eggs are set but not very brown on top, 10 to 12 minutes.

Slide the frittata out of the skillet and onto a cutting board. Sprinkle on the basil and slice into wedges with a long serrated knife.

For this and more delicious recipes visit –

All About Hand, Foot and Mouth Disease

Posted on July 23, 2018 by Joann Ariola

Summer gives us a break from the flu and many other viruses prevalent during the winter months, but there is one contagious virus that your child is at risk of contracting during the summer.

Hand, foot and mouth disease (HFMD) is a common illness in the summer months, predominantly found in infants and children under the age of 10, but one that can also affect teens and adults. It is caused by a family of viruses known as the Coxsackie virus. There are multiple types of Coxsackie virus, but the A16 strain causes HFMD.

HFMD can produce a wide variety of symptoms, including mild flu-like symptoms such as fever, head and muscle aches, sore throat, fatigue, and poor appetite. The fever usually lasts anywhere from 24 hours to 2-3 days. One or two days after the fever begins, small red spots begin to appear in the mouth, throat, palms of the hands, and soles of the feet. These spots develop into blisters and eventually into painful ulcers, which resolve within a few days without any scarring.

These blisters give the illness its name, but it should not be confused with the similarly named foot (or hoof) and mouth disease, which is found in cattle.

HFMD is spread between children either hand to hand or through tiny air droplets that are released when they sneeze, cough, or blow their nose. The illness can also be spread when a person is exposed to an infected child’s stool or the fluid from their blisters.

HFMD is contagious and tends to spread most easily in settings where many young children are together, such as day care centers. In tropical parts of the world, HFMD is present throughout the year, but in cooler climates, such as New York, outbreaks take place only in the summer or fall. Some people incorrectly believe that the illness is spread in swimming pools, but a properly chlorinated pool should kill the virus.

Proper hand washing is considered the best protection against the virus, especially after using the bathroom, changing diapers, and before eating or preparing food. The virus can live on contaminated surfaces for several days. Therefore, parents should clean shared toys and all surfaces potentially contaminated with disinfectant cleaners to protect against the spread of HFMD.

There are lab tests to confirm HFMD, but doctors usually can diagnose the virus based on a physical examination. There is no specific treatment for HFMD. Doctors often recommend over-the-counter pain and fever reducing medications to make your child feel more comfortable. Salt water rinses might also provide relief.

If you think your child has hand, foot and mouth disease, you should see a pediatrician or call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to make an appointment.

Flushing Hospital Medical Center Designated Baby-Friendly

Posted on July 19, 2018 by Joann Ariola

Flushing Hospital Medical Center (FHMC) has received the prestigious international recognition as a Designated Baby-Friendly birth facility. Baby-Friendly USA, Inc is the U.S. authority for the implementation of the Baby-Friendly Hospital Initiative, a global program sponsored by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).

The initiative encourages and recognizes hospitals and birthing centers that offer an optimal level of care for breastfeeding mothers and their babies. Based on the Ten Steps to Successful Breastfeeding, this prestigious international award recognizes birth facilities that offer breastfeeding mothers the information, confidence, and skills needed to successfully initiate and continue breastfeeding their babies.

FHMC offers the following classes free of charge at FHMC:

Childbirth education classes on Saturday monthly. Call
Infant feeding classes weekly on Tuesday at 10am Ob/Gyn Ambulatory Care Center on the 5th floor
Breastfeeding Support Group weekly, Wednesdays, 1pm 5 West conference room, by appointment
Free tours of the Perinatal area by calling
Women Infants and Children (WIC) office on the 5th floor

Robert Levine, Executive Vice President and Chief Operating Officer at FHMC, congratulated the entire OB/GYN team for their hard work.

New Changes for MediSys MyChart

Posted on July 19, 2018 by Flushing Hospital

For many years, Flushing Hospital Medical Center has offered our patients the opportunity to better manage their healthcare and interact with their providers, through the MyChart patient portal.

Access to MyChart accounts has always required a patient’s physician to provide them with a special access code. Now, thanks to our partnership with Experian, our patients can create their very own MyChart account without needing an access code. For patients to create an account, they simply click the link to the MediSys MyChart website: https://mychart.medisys.org and click on the “sign up now” tab.

The new Experian verification process is much easier and will give patients quicker access to their chart, allowing them to take any number of actions, including:

Reviewing their medications, immunizations, allergies, and medical history
Reviewing test results online
Reviewing health education topics and discharge instructions
Requesting prescription refills online
Interacting with your provider via email
Requesting an appointment
Linking to family medical records

We hope that this new method of creating an account will encourage more patients to sign-up. By offering our patients easier access to their records, we feel they will become better educated and empowered to take a more active role in their health and the health of their family, which we feel will lead to a healthier patient population.

Dr. Sherman Klein – Lyme Disease

Posted on July 18, 2018 by Joann Ariola

With summer in full swing, we will be spending more time participating in activities outdoors in areas such as parks, forests and hiking trails. While getting out and keeping physically fit is strongly encouraged it is important to keep in mind that being in these areas can put you at risk for Lyme disease.

Sherman Klein, MD, specializing in Internal Medicine at Flushing Hospital Medical Center’s Ambulatory Care Center offers the following information on Lyme disease, how it is spread, its symptoms, and treatment.

According to Dr. Klein, Lyme disease is the most common tick-born infection in New York City and in the United States. On the east coast, Lyme disease is spread by the bite of a black-legged tick infected with the bacterium Borrelia burgdorferi. Not all black-legged ticks carry this bacterium and, even if they are infected, they must be attached for at least 36 – 48 hours after a person is bitten to transmit the disease.

Black-legged ticks are rarely found in NYC, but if you have been traveling in more rural areas of New York such as Westchester and Long Island you are at greater risk of coming into contact with an infected tick.

The annual number of cases of Lyme disease reported continues to rise each year in non-rural communities.

Some of the early warning signs of Lyme disease are:

Muscle aches
Headache
Fatigue
Fever
Rash

These signs and symptoms may occur anywhere from three to 30 days after being bitten. After an infected tick bite, a widening red area may appear at the infected site that is clear in the center, forming a bullseye appearance.

Dr. Klein suggests that the best way to avoid contracting Lyme disease is to avoid direct contact with ticks. You can do this by avoiding wooded and brushy areas, and high grass. If you are hiking, try to walk in the center of the trails and wear long pants and a long-sleeved shirt. If in a wooded area you should use a strong repellent (with Deet). Dr. Klein cautions that when using any repellent, you should avoid applying the solution to your hands, eyes and mouth.

Some of the tips to find and remove ticks from your body and clothing are:

perform a check of your entire body viewing under your arms, behind and in your ears, inside your navel, behind your knees, along your legs, waist and hair. Also, check your pet.
Take a shower soon after returning indoors. If you wash within two hours of returning indoors, the ticks are more easily found and washed off your body.
Once you are indoors, take your clothing and place them in the wash using hot water and then put them in the dryer on “high” for at least 10 minutes; if the clothes were washed in cold water, place them in the dryer on “high” for at least 90 minutes

If Lyme disease is left untreated, it can spread to other parts of the body causing arthritis cardiac and nervous system problems. Dr. Klein is one of the many qualified doctors specializing in Internal Medicine at Flushing Hospital Medical Center. To schedule an appointment with him, or any of our other doctors, please call 718-670-5486.

Sunglasses – Strength and Protection

Posted on July 17, 2018 by Andrew Rubin

At this time of year we spend more time outdoor and for that reason it is important to protect our eyes from the potentially harmful rays of the sun.

One of the ways we can do this is by wearing the right sunglasses. Don’t be fooled by the price tag when purchasing sunglasses. Just because sunglasses are expensive doesn’t always mean that they are the best at blocking the UV rays. Always check the label first.

For sunglasses to be completely effective they should:
• Block out as close to 100% of the UVA and UVB rays as possible
• Block out 75 to 90 percent of the visible light
• Have gray lenses for proper color recognition

If we are exposed to too much UV rays, over time, it can cause cataracts and can also harm the cornea and the retina. Short term exposure to UV radiation can cause photokeratitis, an inflammation of the cornea. It is temporary in the short term but can have serious consequences long term.

It is also important that sunglasses fit properly. They shouldn’t be worn so close that they touch the eyelids yet not too far off that they let sun get in around them.

A good rule to follow is if you are wearing sunscreen you should also be wearing sunglasses.