Five Best Tips for Putting Your Best Fork Forward to Shed the Winter Pounds

Posted on March 15, 2017 by Joann Ariola

Did you know that March is National Nutrition Month? Every year, the Academy of Nutrition and Dietetics generates a nutrition, education and information campaign. This year’s message is “Put Your Best Fork Forward.”

Each person has the tools to make healthy dietary choices. Now that winter is coming to an end, and spring is approaching, it is a wonderful time to reflect on our current habits and lifestyle and decide which tools we will use to shed some excess weight gained over the winter months.

Tool #1 – Balance

Visit Choose My Plate at – Use the “my plate” method of ½ plate non starchy veggies, ¼ plate protein, ¼ plate fiber rich carbohydrate to balance your nutrients throughout the day.
Drink water or mild instead of sweetened beverages (soda or juice).
Eat healthy snacks, such as fruits/nuts with yogurt or crackers with peanut butter.
Substitute processed or artificially flavored food items with natural unprocessed foods. By skipping the cookies and having a piece of fruit, you will get more vitamins and fiber allowing your body to feel more energized throughout the day.

Tool #2 – Let’s get Physical

Physical activity, in any form, is imperative for managing weight. Some ways to get more active are:

Consider non weight bearing exercises such as using resistance bands for building muscle and increasing flexibility, stationary bike or water aerobics.
Walking 10,000 steps per day is equivalent to walking five miles! Aim to achieve as many steps as possible throughout the day such as parking your car a little further from your destination, taking the stairs instead of the elevator and partaking in walking breaks, especially if you are sitting for most of the day.
March gives us extra daylight, so the best way to utilize this extra time is by being active. Activities such as walking, jogging, gardening, swimming and yoga are perfect ways to spend 30 minutes doing an outside activity.

Tool #3 – Reduce Stress

Everyone has stress which can obstruct weight loss. Stress increased the hormone called cortisol, which can contribute to weight gain. Stress also contributes to emotional eating and other damaging behaviors.
It is important to ask for help and have support to get through the daily stressors of life. Consider support groups, meditation, coloring, knitting or spending time with a loved one to relieve the stressors in your daily life and help you stay focused and on track of your goals and progress.

Tool #4 – Be SMART About Your Goals

By setting SMART goals, results are greater! SMART goals encompass five parameters to make the goal more productive:

S is the SPECIFICS of the goal. Is the goal definable?

M is the MEASURABILITY of the goal. Is it possible to track/measure progress?

A is ATTAINABILITY of the goal. Is the goal a reasonable one ?

R is RELEVENCY of the goal. Is the goal worthwhile and will it meet your needs?

T is TIMELINESS of the goal. How much time can you give to accomplishing goals?

Tool #5 – Track Your Progress

Keep a diary or journal and record your progress and shortcomings.
Keep a food log and track your dietary intake.
“There’s an App for that” – There are so many wonderful Apps for goal setting and tracking caloric intake, physical activity, etc., utilize the technology on your smart phone or tablet to monitor your progress.

This article was submitted by Sadia Tahir Khan MS, RD and Michelle Hill, RD, CDN, CDE, Food and Nutrition Department of Flushing Hospital Medical Center

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.

National Registered Dietitian Day!

Posted on March 8, 2017 by Joann Ariola

March 8, 2017, is Registered Dietitian Day. Every year, on the second Wednesday of the month is set aside to honor and highlight the efforts of Registered Dietitians nationwide. Dietitian-Nutritionists work in many sectors of the health field. Here at Flushing Hospital Medical Center (FHMC) Dietitian-Nutritionists work to improve the health of patients, as well as staff. “Registered Dietitian-Nutrition Day is a way for us to continue to spread the word about Dietitian-Nutritionists and the work we do throughout the communities.” stated Michelle Hill, Chief Clinical Dietitian at Flushing Hospital.

In honor of the big day, New York City Council Member Peter Koo awarded a Certificate of Recognition to the hospital’s nutrition team for the commitment they have to the health of others.

Other events at Flushing Hospital included a Healthy Recipe Makeover contest. The first place winner of the contest was Fran Goulston, Coordinator, Performance Improvement, who submitted a recipe using vegetables as an alternative to using red meat in meat balls.

There are approximately 6,600 Registered-Nutritionists in New York State. Each has undergone rigorous academic coursework and training. Dietitian- Nutritionists at FHMC collectively hold bachelors, masters, and PhDs not only in the field of dietetics, but at times in other fields such as business, finance, journalism, and psychology earning them the title of “The Nutrition Experts.”

Flushing Hospital Medical Center urges everyone to make a healthy choice a day to reach your health goals.

Power of Positive Thinking

Posted on February 22, 2017 by Joann Ariola

According to the Mayo Clinic, positive thinking helps with stress management and can even improve your health.

Try these morning affirmations and get your day started right:

Today, I will think pure and positive thoughts
Today, I release the past and move into the present
Today, I choose to have joy
Today, I choose peace
Today, I realize that I am worthy of good things
Today, I begin to make healthy choices for my body, mind and soul
Today, I claim that the healthier I live my life, the better my life will be
Today, I like who I am

Cavity Prevention Tips

Posted on February 15, 2017 by Joann Ariola

According to the American Dental Association (ADA) parents should instill in their children the importance of good oral hygiene at an early age, ensuring that this ritual will continue when they become adults.

It is suggested that good oral hygiene be factored together when children are taught how to keep themselves healthy.

The ADA provides these age-by-age tips:

Babies, Toddlers and Pre-School –

After each feeding, clean the baby’s gums with a clean wet gauze pad or washcloth
When teeth start to appear, brush them with a child’s size toothbrush and plain water
Begin flossing when at least two teeth begin to touch
Start dental visits by the child’s first birthday and make visits regularly
Brush teeth of children over age two with a pea-sized amount of fluoride toothpaste and be sure to floss daily
Supervise your children while they are brushing their teeth to prevent them from swallowing the toothpaste

School-Age Children and Adolescents –

Until they are six or seven years old, continue to brush your children’s teeth twice a day with a child size toothbrush and a pea-sized amount of fluoride toothpaste
Continue to assist with flossing as needed
By age six or seven, children should be able to brush their own teeth twice a day but may require supervision until about age 10 or 11
Ask the dentist about dental sealants, protective plastic coating that can be applied to chewing surfaces of the back teeth where decay often starts
Remind your adolescent about practicing good oral hygiene

If your child has dental problems, you should visit a dentist as soon as possible. If you would like to schedule an appointment for your child at Flushing Hospital Medical Center’s Dental Center call 718-670-5522.

Benefits of Sunscreen in the Winter

Posted on February 8, 2017 by Joann Ariola

Despite the cold temperatures, you can still get sunburned during the winter months. The cold temperatures can make your skin even drier than in the warmer months.

The reason being, the Earth is closest to the sun in the winter and the Earth’s Ozone Layer, or sunscreen, is thinnest during the winter months. Even if you remain inside, you are still at risk for long wave ultraviolet A (UVA) skin damage because 50 to 60 percent of UVA rays can be received through windows.

Sometimes, the lure of winter’s outdoor activities is hard to resist. Did you know that if you are skiing, the snow can reflect back 80 percent of the UVA rays, nearly doubling your exposure?

The strength of the winter sun’s rays (UVA) can cause redness and cracked skin, which is common when the cold, dry winter air takes moisture away from your skin. The top layer of skin is made up of dead cells embedded in a mix of natural oils. The oils in this layer help keep water inside the body and prevent irritants and germs from entering.

The dead cells and skin oils lock some water into the top layer, which keeps the skin soft and smooth. Cold, dry air can damage the top skin layer, allowing water to escape and cause small cracks that expose underlying cells to irritants and germs. This irritation may cause nerves in the skin to send “itch” signals to the brain.

Weather-related itching may be accompanied by other dry skin symptoms, such as dullness, flakiness, roughness and more visible fine lines. Fortunately, weather-related dry skin isn’t usually serious and is easily treated.

When you plan to be outside, it is a good habit to apply sunscreen with a minimum SPF of 15 about 30 minutes before going out. If you are out for longer periods of time reapply the sunscreen every couple of hours.

If your skin has become red and cracked, you may want to make an appointment with the Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, call 718-670-5486.

History of Eyeglasses

Posted on February 7, 2017 by Andrew Rubin

Over 60 percent of the adult population in the United States today wears eyeglasses. Modern day eyeglasses have their roots that date back more than 1000 years. In the middle ages Monks were known to use reading stones that were glass spheres, sometimes filled with water, that were placed on top of objects in order to magnify them. The first documented use of eyeglasses was attributed to being developed in Italy. In the 13th century Venetian glass blowers made the first solid glass lenses that were held by frames and that were a primitive version of modern day wearable eyeglasses.
In the 17th century eyeglasses started to be made that could correct vision. Glasses could be made with either concave lenses, for nearsightedness, or convex lenses for farsightedness. Benjamin Franklin invented bifocal lenses in 1784. Glass was the material used in the production of eyeglasses for centuries until the latter part of the 20th century when plastic became widely used in eyeglasses as it was lighter and safer than glass. Now many eyeglasses are being made from polycarbonate which is lighter still and more resilient to scratches.

To schedule an appointment with an eye doctor at Flushing Hospital, please call 718-670-5486

Don’t Sweat The Small Stuff, You Might Have A Stroke

Posted on February 6, 2017 by Zakiya Hazel-Jemmott

Stress is a well-recognized risk factor for heart attack, but a new discovery is linking stress to strokes as well. A recent study published in the Journal of Neurology, Neurosurgery and Psychiatry suggests that people who are impatient, aggressive, or naturally hostile may be more likely to have a stroke, compared to their more laid-back counterparts.

Can stress cause a stroke? The short answer is yes, chronic, long-term stress can eventually lead to a stroke. Do you live with chronic, long-term stress? If so, your risk of stroke increases four-fold, according to WebMD. Now there is more incentive to heed the advice, “don’t sweat the small stuff.”

Researchers who conducted a study on the effects of stress and stroke measured chronic stress in 5 major areas:

Personal health problems
Health problems in others close to the patient
Job or ability to work
Relationships
Finances

Use this list to assess where your chronic stress is coming from.

Knowing the signs of a stroke is important and could prevent long-term effects if caught in time. Warning signs of a stroke can be remembered by the acronym “FAST”.

Face – Ask the person to smile. Does one side droop?

Arms – Ask the person to raise both arms. Does one arm drift downward?

Speech – Ask the person to repeat a simple phrase. Is their speech slurred or strange?

Time – If you observe any of these signs, call 9-1-1 immediately.

Stroke is the fifth leading cause of death in the United States. Almost 800,000 people have a stroke in the United States each year and it is responsible for approximately 130,000 deaths.

Flushing Hospital was recognized by the American Heart Association and the American Stroke Association for its Gold Plus level of participation in the “Get With The Guidelines Stroke and Target Stroke Program.”

If you would like to schedule an appointment with a physician at Flushing Hospital, please call 718-670-5486.

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

Tips from the Doctor: How To Soothe My Crying Newborn?

Posted on January 27, 2017 by Michael Hinck

Dr. Shirley Pinero-Bernardo, MD, Director, Newborn Nursery & Associate Program Director, Pediatric Residency Program offers the following tips on how to soothe a crying newborn:

A crying newborn often provokes a lot of anxiety and stress in sleep deprived parents. Though crying is a normal type of behavior in all babies, it is important to understand that there are many different reasons why a baby cries. Determining why your newborn is crying can be difficult to figure out at first and the process of understanding the many possible reasons will take time. Providing comfort is essential so check your baby each time.

According to Dr. Pinero-Bernardo, follow HEARTS acronym:

Hold your baby with skin to skin contact. These “hugs” promote bonding, feeding and have many medical benefits for babies and parents.

Eat: Is your baby hungry? Crying is a late feeding cue. Early feeding cues are quiet signals that call for attention. Be on the lookout for early feeding cues, such as smacking of the lips, opening and closing of the mouth and sucking on lips, tongue, hands, fingers and toes.

Air: Does your baby need to burp or pass gas? Your baby may feel discomfort from a belly full of gas. Check your feeding position to prevent your baby from swallowing a lot of air. Keep your baby’s head upright to burp the baby before and after each feeding.

Recheck the diaper: Your baby’s bowel movements will vary in color, consistency and size in the first few days of life. It is not uncommon for a baby to have a soiled diaper after each feeding.

Temperature: Is your baby too hot or too cold? Dress your baby in layers of clothing to keep your baby comfortable in any climate. Avoid excessive blankets.

Surroundings: Could a change in the environment soothe your baby? A change in the scenery or sounds could bring both you and the baby much needed relief.

The reason for your baby’s cries may not be the same each time. Whatever you do with love, and with your baby’s safety in mind, is exactly what your baby needs. Seek the advice of your pediatrician when there is inconsolable crying accompanied by pain, fever or illness.

Dr. Shirley Pinero-Bernardo is one of many qualified Pediatricians at Flushing Hospital. To schedule an appointment for your child with her, or any of our other doctors, please call 718-670-5486.

Do You Have “White Coat Hypertension?

Posted on January 25, 2017 by Joann Ariola

Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670- 5486 to schedule an appointment.