Wellness Wednesday Tip: Improving Your Physical Health

Posted on September 9, 2026 by Patrick Hercules

Physical health and wellness are key to our overall well-being. Physical health is the condition of your body and how well it functions, from the strength of your heart and lungs to your ability to fight infection and move without pain.

Physical wellness is a proactive approach that emphasizes lifestyle choices that sustain energy, resilience, and functional capacity over a lifetime.

The tenets of physical health and wellness are important for keeping your body functioning properly. They include:

Watching what you put into your body
How much physical activity you get
Maintaining a healthy weight

These tenets are positive health habits that can help you decrease your stress, lower your risk of disease, and increase your energy.

Here are some strategies to help you improve your physical health:

Increase your physical activity
- Set specific goals for your physical activity
- Take the stairs instead of the elevator
- Take a walk on your lunch break
- Set an alarm to go off every hour as a reminder to move around for a minute or two
- Keep moving while watching TV
- Take an online exercise class
Eat a healthy and nutritious diet
- Eat a variety of foods, such as fruits, vegetables, whole grains, beans, seeds, lean meat, seafood, eggs, milk, yogurt, and cheese
- Limit foods that are low in vitamins and minerals
- Cut down on sugar by choosing foods with little or no added sugar
- Get more fiber
- Replace saturated fats in your diet with unsaturated fats, such as olive, canola, or other vegetable oils instead of butter, meat fats, or shortening
- Avoid foods high in salt, such as canned, smoked, or processed foods. Choose fresh poultry, fish, and lean meat instead
- Choose more complex carbs such as starches and fiber, which can be found in whole-grain breads, cereals, starchy vegetables, and legumes
Reach your weight loss goals and maintain a healthy weight
- Weigh yourself
- Calculate how many calories you need for your healthy goals
- Record your daily food intake and physical activity
- Set specific goals
- Choose healthy meals and physical activities you enjoy
- Plan activities with friends or family
- Be patient
Build healthy habits
- Plan and identify unhealthy patterns, and set realistic goals
- Change your surroundings and find ways to make healthier choices by removing temptations
- Ask for support by finding family, friends, co-workers, neighbors, or support groups
- Speak with a mental health professional if you are experiencing severe depression, anxiety, or burnout
Build muscle safely
- Start slowly, especially if you haven’t been active for a while
- Pay attention to your body when you experience exhaustion, sore joints, or muscle pains, which is a sign you are overdoing it
- Use small amounts of weight to start and add more weight slowly over time, while focusing on your form
- Use smooth, steady movements to lift weights into position, and don’t jerk or thrust weights
- Avoid locking your arm and leg joints in a straight position
- Don’t hold your breath during strength exercises
- Ask for help by looking for a group class at a local gym, recreation center, or find a trainer
Combat age-related changes
- Commit to a healthy diet
- Drink plenty of fluids
- Move more
- Get plenty of sleep
- Limit alcohol use
- Avoid tobacco products
- Visit the doctor regularly

If you would like to improve your physical health, or experience medical problems while doing so, you can schedule an appointment with a doctor 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.

How Heart Disease is Different in Women Than it is in Men

Posted on September 2, 2026 by Patrick Hercules

Heart disease can be deadly for anyone, as it is the most common cause of death for both women and men in the U.S.

Heart disease refers to several types of heart conditions. There are three types of heart disease:

Coronary artery disease is the most common heart disease, caused by a buildup of plaque in the walls of the arteries that supply blood to the heart and other parts of the body. After menopause, women are at a higher risk of coronary artery disease because of hormonal changes.

Arrhythmia is a condition in which the heart beats too slowly, too fast, or irregularly. A common example is atrial fibrillation.

Heart failure happens when the heart is too weak to pump enough blood to support other organs in the body. This condition is serious, but it doesn’t mean the heart has stopped beating.

While heart disease can occur in everyone, women face unique risks, largely due to differences in anatomy and hormones, such as estrogen. Estrogen protects the heart in the premenopausal years as it relaxes the arteries and promotes good cholesterol. This changes when a woman begins menopause and estrogen levels decline, increasing the chance of cardiovascular risk factors, such as high cholesterol and hypertension.

Other heart disease risk factors include:

Obesity

Smoking

Emotional stress and depression

Diabetes

Lack of physical activity

Pregnancy complications

Family history of early heart disease

Other health conditions, such as autoimmune diseases and inflammatory conditions

Over 60 million women (44%) in the United States are living with some form of heart disease, and it can affect them at any age. However, the prevalence of heart disease in women starts going up around the age of 65, which is about ten years later than men, presumably due to the lasting positive effects of estrogen.

Women are more likely to have other heart attack symptoms and have a higher chance of developing symptoms from heart failure. Although some women may not show any symptoms, others may experience:

Angina is usually felt as a dull or heavy chest discomfort or ache

Pain in the neck, jaw, or throat

Pain in the upper abdomen or back

These symptoms may happen when you are resting or active. Women may also have other symptoms, including:

Nausea

Vomiting

Tiredness that won’t go away or feels excessive

In some women, the first signs and symptoms of heart disease can be:

A heart attack, which occurs when blood flow to the heart muscle is reduced or blocked

Palpitations

Treatment for heart disease is similar for women and men, and can include medicines, angioplasty and stenting, or coronary artery bypass surgery.

However, there are differences in heart disease treatment for women and men, including:

Women are less likely to be treated with aspirin and statins to prevent future heart attacks than men are

Women are less likely to have coronary artery bypass surgery than men. This may be because women have less obstructive disease or smaller arteries with more small vessel disease

Cardiac rehabilitation can improve health and aid recovery from heart disease. However, women are less likely to be sent to cardiac rehabilitation than men are.

Living a healthy lifestyle can help reduce the risk of heart disease. Here are some ways to live a heart-healthy lifestyle:

Controlling blood pressure, blood sugar, and cholesterol

Eating a healthy diet

Exercising and keeping a healthy weight

Managing stress

Getting quality sleep

Quitting smoking or stopping the use of tobacco products

Limiting alcohol consumption

If you are experiencing symptoms of heart disease, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. If there is an emergency, call 911 immediately.

Labile Hypertension

Posted on May 29, 2026 by Patrick Hercules

Labile hypertension means your blood pressure goes up and down in a way that can be difficult to predict and manage with medications. This is not an official diagnosis. Instead, it is more of an informal, descriptive term.

Blood pressure normally fluctuates throughout the day, even within minutes, based on what you are doing. However, sudden emotional distress, such as feeling very stressed or anxious, causes your sympathetic nervous system to react.

The exact triggers for labile hypertension vary from person to person. Some people have emotional triggers. Other people can have triggers, such as:

Physical activity

Salty foods

Alcohol

Lack of sleep

Your body position

To support normal blood flow, your body must adapt to these changes. However, with labile hypertension, your blood pressure spikes to levels that would not be healthy if you had them all the time.

There is no reason to worry if your blood pressure is in the normal range. Labile hypertension usually isn’t dangerous and doesn’t require treatment. However, it is a good idea to tell your healthcare provider about any high blood pressure readings, so they are aware of them. Your healthcare provider may want to keep a closer eye on your blood pressure in case you need treatment at some point.

You can have labile hypertension without noticing. However, it is common to experience symptoms that come on rapidly, in response to stress, and dissipate once you feel better emotionally. You may feel symptoms such as:

A headache

Heart palpitations

Heavy sweating

Flushing or a warm sensation in the upper body

A healthcare provider may determine that you have labile hypertension if they observe a pattern of blood pressures that fluctuate unpredictably, which can make it difficult to manage.

A healthcare provider may perform tests such as “orthostatic” vital signs, which means checking your blood pressure while you’re in different positions.

A healthcare provider may also consider looking for neurological causes of labile blood pressure or evidence of stiffening in your aorta and blood vessels, as both can lead to sudden changes in blood pressure.

If your blood pressure spikes while at home, you can use a home blood pressure monitor that saves a history of your readings to share with your healthcare provider. They may ask you to do ambulatory blood pressure monitoring, which measures your blood pressure many times over 24 hours. Ambulatory blood pressure monitors show your average readings during the day and night, which can show if you have high blood pressure all the time or only at certain times.

There isn’t a threshold for what is considered to be labile hypertension. However, research shows that it is common to have a systolic blood pressure of 160 mm Hg or higher.

A healthcare provider will prescribe medicine to keep your blood pressure at a healthy level. It may take several tries to prescribe medications to level your blood pressure throughout the day. Prescription medications may include taking certain, longer-acting blood pressure medications. A healthcare provider may also suggest taking medications at certain times of the day, such as at specific times in the morning, at night, or with certain triggers.

It is difficult to treat labile hypertension. However, documenting your blood pressure readings accurately and working with your healthcare provider can help make a difference.

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

Centering Pregnancy at Flushing Hospital

Posted on May 12, 2026 by Patrick Hercules

Flushing Hospital Medical Center is committed to providing the best possible prenatal care to our patients. That is why we are offering Centering Pregnancy to our expectant parents.

Centering Pregnancy is an innovative prenatal model designed to promote the overall health and well-being of the mother and baby. Unlike traditional one-on-one prenatal visits, this approach incorporates small-group sessions for medical care, education, and emotional support, fostering meaningful relationships between participants and clinicians.

After an initial private visit with a provider, participants in the centering pregnancy program, all of whom are in similar stages of their pregnancy, meet in a small group setting for their prenatal appointments. Here, participants share with and learn from each other during the course of their pregnancy. Each of the ten-centering prenatal care group sessions is approximately 90 minutes long. This group dynamic gives each of the participants the advantage of having more time with their provider.

At the beginning of the session, our facilitator will guide each patient to get weighed, have their blood pressure checked, and record their values for the provider to review. The provider will listen to the baby’s heartbeat and review the pertinent patient-specific information. After this information is collected, the 8-12 participants will form a circle and begin the fun and interactive educational session.

Some of the topics covered in these sessions, designed to promote health and well-being during the pregnancy and postpartum period, include:

The progression of their pregnancy

Relaxation techniques

Common discomforts and how to resolve them

Nutrition during pregnancy

What to expect during labor and delivery

Newborn feeding, including breastfeeding

Newborn care

Games are played to help the learning process and to assist in building friendships between the participants. After the educational session, there is a question-and-answer period.

Expectant mothers are actively involved in their care as they share similar experiences with women during the same stage of pregnancy. Moms and providers can relax and get to know each other. Many long-lasting friendships are formed from being involved in Centering Pregnancy.

Studies show that women who participate in Centering Pregnancy programs tend to experience:

Fewer preterm births (33 percent fewer, according to some research)

Lower rates of emergency C-sections

Higher rates of breastfeeding

Better engagement in their own health

Improved spacing between pregnancies

Better well-child visit attendance and immunization rates

Lower rates of postpartum depression

Dramatically reduced racial disparities in preterm birth, especially among African American women

“The Centering Pregnancy has proven to be overwhelmingly positive, with participants expressing satisfaction with the group setting and the support they receive. Expectant women learn together, feel less isolated, and share their questions and experiences. Empowering women and allaying fears throughout pregnancy and after birth has been a benefit of Centering Pregnancy,” said Maria DeMarinis Smilios, MSN, CNS, RNC, IBCLC, Director of Nursing-Maternal & Child Services and Ambulatory Care

These are the many benefits of Centering Pregnancy compared to traditional care. There is no extra charge for this type of prenatal care when compared to traditional prenatal care.

For more information and to schedule for Centering Pregnancy, call 718 670-8992.

Preeclampsia Awareness Week

Posted on May 8, 2026 by Patrick Hercules

May is Preeclampsia Awareness Month, a time to raise awareness of this potentially fatal pregnancy condition.

Preeclampsia is a complication of pregnancy that occurs around the 20th week during pregnancy and lasts about six weeks after birth. It is characterized by symptoms, such as high blood pressure and protein in the urine, and can cause major difficulties for the mother and baby if the condition isn’t monitored and managed.

Other symptoms of preeclampsia include:

Severe headache

Swelling in the hands and face

Vision problems

Nausea and vomiting

Pain in the stomach or abdomen

Sudden weight gain

Shortness of breath

Symptoms of postpartum preeclampsia include:

Severe headache

Vision changes

Swelling of the hands and face

Difficulty breathing

It is important to note that the shorter the time between diagnosis and treatment, the better the outcomes for the mother and baby.

Preeclampsia and related hypertension diseases of pregnancy (HDPs) affect approximately 76,000 mothers and 500,000 newborns every year and are the leading cause of maternal and infant illness and death in the U.S. and worldwide.

According to a report done by the Preeclampsia Foundation based on survey data, which analyzed knowledge from almost 3,000 new and expectant mothers that closely represent the demographics of the U.S. population, found that 80% of new and expectant mothers are aware of preeclampsia as a dangerous high blood pressure condition related to pregnancy. However, only 8% of them can correctly name all its major symptoms, and only 29% expressed fear that it may impact their own pregnancy.

Here are some additional statistics about preeclampsia:

Hypertensive disorders of pregnancy complicate 5%-10% of all pregnancies worldwide. They include:

Preeclampsia, with or without features

Eclampsia

Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome

Gestational hypertension

Black women experience severe maternal morbidity events at 2.1 times the rate of white women

Most maternal and infant deaths caused by HDPs occur in low- and middle-income countries

The U.S. ranks 47th worldwide for maternal mortality, and is the only industrialized nation with a rising maternal mortality rate

Sixty percent of hypertension-related maternal deaths are potentially preventable, which highlights missed opportunities for appropriate, recommended care of maternal hypertension

There are several ways to improve outcomes for women affected by preeclampsia, including:

Screening for risk factors and early hypertension control, nutrition, and exercise, which may help decrease rates of preeclampsia

Providing easy-to-understand preeclampsia signs and symptoms education tools to improve patient understanding of these, and to discuss with their healthcare providers

Supporting prenatal quality collaboratives that help hospitals to implement care practices that reduce early delivery and reduce severe pregnancy complications

Providing access to midwives, doulas, and other trained childbirth attendants throughout the prenatal, labor, and delivery, and postpartum periods. This can improve pregnancy outcomes for all moms, especially those in the BIPOC community

Encouraging and instructing prenatal and postpartum patients on self-measured blood pressure protocols. Pregnancy is the perfect time for women to check, know, and share their blood pressure readings

Standardizing and providing care guidelines on the leading causes of maternal mortality, including hypertensive disorders of pregnancy. This has been shown to decrease maternal illness and death

Preeclampsia rates in the U.S. are on the rise. It is important that all women know the signs, symptoms, and risk factors for developing high blood pressure during pregnancy, but also know they don’t need to have risk factors to develop it.

Flushing Hospital’s Women’s Center for Obstetrics and Gynecology offers comprehensive, multi-disciplinary, and culturally sensitive care. Our services are provided by a highly skilled team of OBGYNs. For more information about gynecological services at FHMC’s Center for Obstetrics and Gynecology, call us at (718) 670 8994.

Older Americans Month- Mobility Exercises as You Age

Posted on May 7, 2026 by Patrick Hercules

May is observed as Older Americans Month. It is a time when the contributions of older adults are recognized across the country.

As we get older, our joints may feel stiffer, and our balance and reactions might be slower. According to recent studies, over 30% of adults 65 years of age and older experience some form of mobility limitation.

Mobility for older adults usually means the ability to move freely and independently. It’s all about different aspects of activities and movement like walking, bending, reaching, and balancing.

For older adults, balance is extremely important, and those with limited mobility are at a higher risk of experiencing a fall. According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year.

One way to reduce the risk of falling is by doing mobility exercises. Mobility exercises are low-impact movements that are designed to improve how joints move through their natural range of motion, while maintaining control and balance.

Mobility exercises promote active movement and coordination, and usually focus on:

Balance and coordination to prevent falls

The ankles and feet for walking stability

The hips and knees for standing, stepping, and going up and down stairs

The spine for posture and reaching

The shoulders for overhead and daily arm use

Doing mobility exercises regularly may help support:

Better balance and control of posture

Reduced stiffness from long periods of sitting

Easier walking and smoother transitions, such as going from sitting to standing and turning

Improved confidence when engaging in daily tasks

Long-term joint comfort and movement quality

Here are some mobility exercises to help improve joint movement, balance, and coordination:

Head rolls

Shoulder rolls

Arm circles

Ankle circles

Standing or seated hip circles

Standing or seated marches

Wrist flexibility exercises

Standing side leg swings

Heel-to-toe rocking

Sit-to-stands

Chair or floor cat-cows

Seated leg raises

Seated torse twists

Supported single-leg stands

Wall shoulder slides

It is important to note that you should stretch before engaging in any physical activity, so you don’t injure yourself. It is also important that you keep mobility training safe and effective by:

Moving slowly and with control

Using a chair, wall, or rail for support

Staying within a comfortable, pain-free range

Wearing supportive footwear

Stopping if dizziness, sharp pain, or discomfort occurs

Mobility exercises don’t just help maintain and improve strength, flexibility, and balance to prevent falls. They also help improve your mental well-being, heart health, and overall quality of life.

If you experience medical problems while exercising, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, 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.

Exercising Outdoors

Posted on April 3, 2026 by Patrick Hercules

Spring has arrived, and the weather is starting to warm up. This means we can spend more time exercising outdoors rather than at the gym or at home.

Outdoor exercise is a great way to work out. It offers many benefits to our physical and mental health, such as:

Reducing stress and anxiety

Improving sleep

Boosting vitamin D levels

Boosting self-esteem

Improving memory

Lowering chronic disease risk

Here are tips that can keep you safe while exercising outdoors:

Drink plenty of water and avoid caffeine and alcohol

Wear clothes that let the air circulate and moisture evaporate

Stay sun safe by wearing sunscreen, sunglasses, and a hat

Know the signs of heat-related illnesses

Wear proper footwear for the activity you are engaging in

Snow STEMI

Posted on February 23, 2026 by Patrick Hercules

A powerful winter storm called a Nor’easter has brought blizzard-like conditions and a large amount of snowfall to our area.

When we get such large amounts of snow, the easy part is watching the beauty of the snow falling. Unfortunately, the most difficult part is having to shovel several inches of snow from the sidewalk and driveway.

A major worry when shoveling large amounts of snow is how it can affect our health.

According to the National Library of Medicine, heavy snowfall, cold temperatures, and low atmospheric pressure during the winter months have been associated with increased adverse cardiovascular events, such as “snow-shoveler’s ST-elevated myocardial infarction (STEMI).”

Snow-shoveler’s STEMI is a type of heart attack that occurs when there is a partial or complete blockage in one of the coronary arteries, which stops blood flow to part of the heart muscle. This can especially occur due to the over-exertion caused by shoveling snow.

Per the American Heart Association, shoveling snow can put some people at risk of a heart attack, but most people won’t have a problem. Sudden exertion, such as shoveling hundreds of pounds of snow or pushing a heavy snow blower after being sedentary for several months, can put a huge strain on the heart.

There is also a factor of cold weather, as it can increase heart rate and blood pressure, and make blood clots form more easily and constrict arteries, which can decrease blood supply. This can even affect healthy people. People who are over the age of 40 years old, or are relatively inactive, are especially at risk. Other people who are at risk of STEMI include:

Those with preexisting heart conditions:

Those with high blood pressure (hypertension)
Those who smoke tobacco products

According to Medical News Today, research indicates that heavy snowfall is linked to a 6% higher likelihood of hospital admission for men with a heart attack and a 34% increase in dying.

The National Safety Council recommends the following safety tips to shovel safely:

Know the signs of a heart attack, stop immediately, and call 911 if you’re experiencing any of them; every minute counts

The warning signs of a heart attack include:

- Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
- Pain or discomfort in the arms, back, neck, jaw, and stomach
- Shortness of breath

Other signs of a heart attack can include:

- Breaking out in a cold sweat
- Nausea
- A rapid or irregular heartbeat
- Unusual tiredness
- Heartburn or indigestion
- Lightheadedness

Take it slow and stretch before you start shoveling
Shovel only fresh, powdery snow because it is lighter
Push the snow instead of lifting it. If you do lift the snow, use a small shovel or only partially fill the shovel
Lift with your legs and not your back
Dress in warm layers
Do not shovel after eating or while smoking
Do not work to the point of exhaustion

If you have a history of heart disease, do not pick up a shovel without the permission of your healthcare provider.

If you or a loved one is experiencing symptoms of STEMI, while, during, or after shoveling snow, you can receive treatment from a cardiologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. If you are experiencing an emergency, please call 911 immediately.

Chair Exercises for Older Adults

Posted on October 17, 2025 by Patrick Hercules

Physical activity can reduce not only the risk of heart disease but also cognitive decline. It can also help you to sustain your ability to perform everyday activities. Maintaining physical fitness as we age becomes increasingly important for our overall well-being. However, for many older adults, high-impact workouts may not be suitable or comfortable, especially if they have challenges with balance or mobility.

Fortunately, engaging in seated or standing chair-based exercises has many health benefits that can help older adults stay active safely.

Doing chair-based exercises offers many health benefits to older adults, including:

Improved flexibility
Improved balance
Improved stamina and endurance
Helps build strength
Helps burn calories
Helps maintain muscle mass
Contributes to weight management

Some seated chair-based exercises include:

Seated leg extensions
Pelvic tilts
Seated calf raises
Toe raises
Shoulder blade squeezes
Thigh squeezes
Arm raises
Bicep curls
Seated marches
Side bend stretches
Seated shoulder stretches
Seated hamstring stretches
Seated neck rotations
Sit-to-stands
Knee extensions
Seated torso twists

Some standing chair-based exercises include:

Standing leg curls
Chair planks
Standing side leg raises
Calf raises
Standing marches
Standing torso twists

Older adults should aim to do chair-based exercises regularly. It is recommended to engage in these exercises at least two to three times a week to maintain and improve strength, flexibility, and balance. Consistency is key to experiencing the full benefits.

Whether you are looking to maintain your current level of fitness or start a new journey towards better health, these chair-based exercises offer a safe and effective way to achieve your goals.

It is recommended that you consult your doctor before starting a new exercise routine. You can schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486.