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.

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.

Is Cold Weather To Blame for Back Pain?

Posted on January 13, 2017 by Zakiya Hazel-Jemmott

Maybe you’ve heard before that people with achy joints or arthritis can predict cold weather coming long before the local weather man. Or maybe you suffer from back pain that seems to get worse every time winter strikes and the temperature drops below freezing. The technical name for this condition is “cold allodynia”, but what is actually happening with your body when these instances occur?

Some experts believe that barometric pressure on your joints is the cause of cold allodynia. There are many receptors in the bodies’ nerve endings which detect things like texture, temperature, and of course pressure. However, these nerve endings may also pick up on changes in barometric pressure in the air and respond, in some people, with a pain reaction.

So what can you do about back pain during cold weather? Well, the first thing you can do is to keep warm and bundle up. Extra layers are extremely helpful to retain heat and keep the cold out. Understanding how and why winter weather affects your body is the first step to mitigating your pain. With this in mind, here are some important facts about back pain this season:

While there is no known connection between barometric pressure and back pain, cold temperatures are associated with an increased risk of back injuries. One thing we do know is that when you’re cold, the muscles, tendons and ligaments in your back tighten and become less flexible, thereby making them much more prone to injuries that in turn can cause you plenty of back pain.
Dark and gloomy days in winter may contribute to depression, which in turn can cause or aggravate chronic back pain.
Shorter, colder days may discourage you from exercising, which can be a formula for back pain. After all, that early morning run or evening bike ride might be dangerous as well as uncomfortable when it’s dark, wet and/or cold outside.

Many people say they experience back, neck and joint pain either just before a storm or when the temperature falls quickly, implying that their bodies are in some way able to register the barometric pressure changes that occur during such times. However, to date, there is no scientific evidence proving a correlation between declining atmospheric pressure and back pain. The takeaway from this is that winter back problems may be avoidable when you wear the right clothing to keep you warm, stretch your muscles regularly, stay active and employ basic fall prevention techniques when needed.

The Pain Management Center at Flushing Hospital is designed to diagnose and treat a vast array of chronic pain syndromes. For any questions about the services provided, please call 718- 670-8797.

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.

Ways to Reduce Symptoms of Eczema

Posted on January 10, 2017 by Joann Ariola

Eczema is a condition that causes patches of skin to become red, inflamed, rough and itchy. Eczema is not a specific health condition; it is a reaction pattern that the skin produces as a result of a number of different diseases.

The specific causes of eczema currently remain unknown, but it is believed to develop due to a combination of hereditary (genetic) and environmental factors.

Environmental symptoms of eczema include:

Irritants – soaps, detergents, shampoos, disinfectants, juices from fresh fruits, meats, or vegetables
Allergens – dust mites, pets, pollens, mold, dandruff
Microbes – bacteria such as Staphylococcus aureus, viruses, certain fungi
Hot and cold temperatures – hot weather, high and low humidity, perspiration from exercise
Foods – dairy products, eggs, nuts and seeds, soy products, wheat
Stress – it is not a cause of eczema but can make symptoms worse
Hormones – women can experience worsening of eczema symptoms at times when their hormone levels are changing, for example during pregnancy and at certain points in their menstrual cycle

Since there is no cure for eczema, treatment for the condition is aimed toward healing the affected skin in an effort to prevent a flare up of symptoms. For some people, eczema goes away over time, and for others, it remains a lifelong condition.

There are a number of things that people with eczema can do to support skin health and alleviate symptoms, such as:

Taking regular warm baths
Applying moisturizer within 3 minutes of bathing to “lock in” moisture
Moisturizing every day
Wearing cotton and soft fabrics, avoiding rough, scratchy fibers, and tight-fitting clothing
Using mild soap or a non-soap cleanser when washing
Air drying or gently patting skin dry with a towel, rather than rubbing skin dry after bathing
Avoiding rapid changes of temperature and activities that make you sweat (where possible)
Learning individual eczema triggers and avoiding them
Using a humidifier in dry or cold weather
Keeping fingernails short to prevent scratching from breaking skin

Medication can also be helpful in treating or preventing symptoms. These treatments are prescribed by a physician. If you are experiencing symptoms of eczema and would like to speak with a physician, call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

What is Herbal Medicine?

Posted on January 4, 2017 by Joann Ariola

Herbal medicine, also known as herbalism or botanical medicine is a method of treating health-related issues, based on the use of plants or plant extracts that may be eaten or applied to the skin.

Herbal remedies are well rooted in medical practice. Since ancient times, doctors have collected information about herbs to treat a variety of illnesses and to assist with bodily functions.

As a result, more than a quarter of all medicines used today contain active ingredients derived from those same ancient plants. While herbal medicine is not a licensed profession in theUnited States, herbal remedies, in the form of extracts, tinctures, capsules and tablets, as well as teas, may be recommended by healthcare professionals.

Herbal medicine blurs the line between foods and medicines. Using herbs and spices that have a disease-preventive affect in foods is one of the best ways to take advantage of their healing power.Herbal medicine has been used to treat or alleviate virtually every possible medical condition.

Some of the most popular herbal remedies and conditions for which they are used include:

Aloe – used topically for minor burns, sunburns, skin irritation or inflammation
Chamomile Tea – ingested for upset stomach, heartburn, indigestion and colic
Echinacea – ingested for colds, flu and sore throat
Garlic – ingested to possible reduce cholesterol and blood pressure, treat fungal infections and colds
Ginger – ingested for nausea and motion sickness and as an anti-inflammatory
Peppermint Tea – ingested for indigestion, nausea and other digestive problems
Tea Tree Oil – applied topically for fungal infections such as athlete’s foot and fungal infections of the toenails and fingernails
Tumeric – ingested to combat inflammation and protect agains cancer and Alzheimers disease

This information is solely for informational purposes. It is not intended to be medical advice. Before undertaking any course of treatment, you should seek the advice of your phsician or other health care provider.

Resolve to Eat Right

Posted on December 28, 2016 by Joann Ariola

With the holidays drawing to a close, it will soon be the time for resolutions. Why not make eating right a part of your resolution.

Eating right doesn’t have to be complicated. You can begin with a simple shift to lean meats, fruits, vegetables, and complex carbohydrates into your nutritional regimen while lessening your intake of processed foods, white flour and sugar.

For more information on eating right, contact the Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486 to speak with a nutritionist.

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.”