BBQ Food Safety Tips

Posted on July 17, 2026 by Patrick Hercules

Summer is a time when we have and/or attend several barbecues or cookouts. However, whether you are hosting or attending, eating outdoors in warm weather can present food safety challenges.

Bacteria in food multiply faster at temperatures between 40°F and 140°F, so the summer heat can create problems. Here are some tips to follow to help keep you and others safe from foodborne illnesses:

Washing your hands is very important. Wash your hands if you are preparing food, serving food, or after using the bathroom. Wash your hands and forearms with soap and warm water for at least 20 seconds. If you are in an outdoor setting without access to a bathroom, use a bottle of water, some soap, and paper towels, or use hand sanitizer.

Keep raw food separate from cooked food to avoid cross-contamination.

Don’t use any plates or utensils that have potentially touched or have been contaminated by raw meat, poultry, or seafood. It is recommended to wash utensils that have touched raw meats if they must also be used to handle cooked meats

Marinate food in the refrigerator, instead of out on the counter. If you want to use some of the marinade as a sauce on your food after it is cooked, keep a separate portion of it to use later. Do not reuse the marinade that contained raw meat

Cook food thoroughly to kill any harmful germs and bacteria that may be present. E. coli and Salmonella can still be present in undercooked meats such as hamburger and chicken, and can cause severe illness, even death. Each food should be at a certain temperature for it to be fully cooked:

- Chicken 165o F

- Hamburgers 160o F

- Pork 150o F

- Hot dogs 140o F

- Leftovers 165o F

- Eggs 145o F

Use a food thermometer to check the temperature of the food. Insert the thermometer into the center of the meat, which is the least cooked part. To check the temperature of hot dogs, go from the end of the hot dog to the center. Be careful not to pass through the meat and touch the cooking surface because you will get a false high temperature reading.

Refrigerate or freeze food immediately, as you shouldn’t leave food out of the refrigerator, cooler, or off the grill for more than two hours. Never leave food out for more than one hour when the outside temperature is above 90°F

Keep hot food hot and cold food cold. Hot food should be kept at or above 140°F, wrapped well, and placed in an insulated container. Cold food should be held at or below 40°F. Foods such as chicken salads and desserts that are in individual serving dishes should be placed directly on ice or in a shallow container set in a deep pan filled with ice. Drain off any water that pools as the ice melts, and replace the ice frequently

Wipe surfaces often, especially after using them for food preparation, as germs from undercooked meat can grow on vegetables cut or washed on the same surface as meat. Mix and use a sanitizing solution of one capful of chlorine bleach per gallon of water for cleaning work area surfaces. If possible, use separate cutting boards or surfaces for foods that will not be cooked, such as salad

Keep flies away by covering trash containers, and not storing meat wrappers and other trash in open cardboard boxes or uncovered containers, even for a short period of time

Don’t use fly spray or “No-Pest” chemical strips, as they can contaminate your food

Don’t keep food containers out in the open. Instead, place them in a shaded area

Keep plates, cups, utensils, and food covered until they are ready to be used

Handle plates, cups, and utensils where they won’t come in contact with any food

Don’t prepare and serve food if you have been sick with vomiting or diarrhea within the past 24 hours

Don’t wear loose finger or wrist jewelry or fake nails while working with food

Keep plenty of paper towels handy for cleaning your hands and surfaces

If you or a loved one is experiencing symptoms of a foodborne illness, you can receive treatment 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.

Fourth of July Recipe

Posted on July 3, 2026 by Patrick Hercules

The Fourth of July is this weekend, and many of us expect to spend time with our family, friends, and loved ones, while eating some delicious food, and watching the fireworks. If you are bringing food to your get-together and need some ideas, here is a recipe for tasty, mouthwatering teriyaki wings to enjoy while celebrating Independence Day.

Teriyaki Chicken Wings Recipe | Tyler Florence | Food Network

Summer Health Concerns and How to Prevent them

Posted on July 2, 2026 by Patrick Hercules

Summer is in full swing, so most of our time will be spent outside doing various activities. However, there are many health concerns to consider.

Here are some summer health concerns and how to prevent them:

The human body is made of up to 78% of water, and when it doesn’t get enough, it can’t function properly. In high heat, dehydration can become severe and fatal. To prevent dehydration, it is important to stay hydrated. You can do this by drinking water and eating water-rich foods. Staying properly hydrated can also prevent kidney stones.

Sunburns occur when ultraviolet (UV) rays from the sun cause a radiation burn on the skin. Sunburns can contribute to premature aging of the skin and skin cancer, and can also lead to dehydration, sun poisoning, and infection from severe burns. To prevent sunburn, wear sunscreen containing titanium oxide or zinc oxide every day, even on overcast days. Make sure to cover your entire body, including your ears, eyelids, lips, scalp, and, if exposed, the top of your feet.

Spending time in the sun doesn’t only bring the risks of sunburn and dehydration. It also brings the risk of heat illnesses, including:

Heat rash- a red stinging rash that develops when sweat gets trapped in your glands.
Heat cramps are painful muscle cramps that occur when you sweat so much that your body loses salts and fluids.
Heat exhaustion occurs when the body can’t cool itself through sweating. If it’s not treated, it can quickly turn into heatstroke.
Heatstroke, or sunstroke, occurs when a person’s body temperature climbs to dangerous levels. It’s the most severe heat-related illness and can be fatal.

To prevent heat illnesses, limit the time you spend outdoors. Also, take any symptoms you observe in yourself and others seriously.

Insects are more active during the summer, which means there’s a higher risk of encountering them. Especially for:

Bee stings
Mosquito bites
Tick bites
Ant bites

To prevent bugs from stinging or biting you, wear an insect repellent with the active ingredients DEET or picaridin. Other ways to prevent stings and bites include:

Avoid using scented products.
Drain any standing water.
Put on protective clothing.
Don’t leave any food uncovered outside.

We want to spend more time near water to cool off as temperatures rise. However, it is important to follow proper safety precautions to avoid drowning risks. Here are some ways to prevent drowning risks:

Learn CPR
Use drain covers on pool drains.
Wear life jackets
Sign up for swimming lessons.

Everybody loves a good summer barbecue or cookout, but sometimes the food we eat doesn’t always love us back. The smoking process that gives smoked meats their flavor also creates harmful substances called polycyclic aromatic hydrocarbons or PAHs and heterocyclic amines or HCAs. The National Cancer Institute warns that PAHs and HCAs are mutagenic, meaning they can cause changes to your DNA that put you at risk for certain types of cancer. You can prevent ingesting these harmful substances by using liquid smoke as an alternative marinade for your meats. Foodborne illness can be a concern for cookout food as well. This is the case for food left out or leftover sitting in the “temperature danger zone” of 40 to 140 degrees Fahrenheit. These temperatures allow bacteria to grow that can make you sick. You can prevent foodborne illness by cooking meats to a safe temperature and throwing any food that has sat out too long in the trash.

Seasonal allergies caused by pollen is a huge problem in the summer as the weather gets warmer and trees, grass, and flowers pollinate. To prevent seasonal allergies, try taking allergy medications before the season starts so your body can build its defense.

These preventative measures can help you enjoy your summer and keep you safe.

If you or a loved one is experiencing symptoms of heat-related illness, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486. If you or someone you are with is experiencing an emergency, call 911 immediately.

Why Are Autoimmune Diseases More Common in Women?

Posted on June 24, 2026 by Patrick Hercules

The immune system helps defend our body against illnesses and infections. However, when a person has an autoimmune disease, the immune system mistakenly attacks the body, destroying healthy cells and tissues.

There are several autoimmune disorders and diseases. Here are a few of the main areas of the body that they affect:

Type 1 diabetes affects the pancreas, which leads to reduced insulin production

Multiple sclerosis (MS) affects the nervous system

Rheumatoid arthritis affects the joints

Juvenile idiopathic arthritis affects the joints

Lupus affects many organs and systems

Hashimoto’s thyroiditis affects the thyroid

Autoimmune hepatitis affects the liver

Celiac disease affects the small intestine as a reaction to eating gluten

Myositis affects the muscles

Sjogren’s syndrome affects the glands that produce tears and saliva

Vasculitis affects the blood vessels

Myasthenia gravis affects the nerves and muscles

An autoimmune disease can target any part of the body, and if a vital organ is attacked, the disease can be life-threatening.

Autoimmune disorders are significantly more common in women than in men. According to a recent study published in The Journal of Clinical Investigation, 67 percent of autoimmune diagnoses are in women, and 18 out of the 20 most common autoimmune diseases, such as rheumatoid arthritis, psoriasis, multiple sclerosis, and lupus, are more prevalent in women than men. What’s more, as many as 70 to 80 percent of people with autoimmune diseases are female, with the percentages for some specific conditions being higher, for example, 95 percent of those with Sjogren’s syndrome are women.

Genetics plays a large role in the risk of developing autoimmune diseases in both men and women. Environmental factors, such as exposure to ultraviolet rays, pesticides, and organic mercury, can also contribute to men and women developing an autoimmune disease. However, other major factors increase women’s proneness for these diseases, including:

High Estrogen Levels- Estrogen boosts the function of T and B immune system cells, which can be an advantage in fighting infections. However, it can be problematic for people with other factors that make them more likely to have autoimmune diseases. Estrogen levels are highest during pregnancy, and some autoimmune diseases are more common in women during their childbearing years in general, particularly during pregnancy

DNA- Chromosomes contain our DNA and genetic information. Males have one X chromosome and a much smaller Y chromosome, while females have two copies of the X chromosome. One of the two X chromosomes in females is usually dormant, which leads to males and females expressing one X chromosome gene. However, the intricate system that causes this to occur has many protein components that tend to become targets of the immune system, which can lead to autoimmune disease. In some rare instances, some males and females can have more copies of the X chromosome than normal, which makes them more likely to have certain autoimmune diseases, such as lupus and/or Sjogren’s syndrome

Immune Response- Women can generate a stronger immune response to infection than men. This gives them a better chance to fight infection, but produces an autoimmune disease in a person who is genetically predisposed to developing one

Hormones- When females are going through puberty or are pregnant, they experience hormone surges, which may cause the immune system to overreact and increase the risk of developing autoimmune diseases, such as lupus. Their risk of developing an autoimmune disease or experiencing a worsening of symptoms decreases after menopause

Birth Control- Some women with severe autoimmune disease, such as lupus, may need to avoid hormonal birth control that contains estrogen due to the increased risk of estrogen exposure. However, most women can use some form of birth control safely if they consult with their rheumatologist and Ob/Gyn

It is important to see your healthcare provider if you have any lasting symptoms, such as fatigue, weakness, joint pain, weight loss, or rashes that could be related to morning stiffness, as these symptoms should be taken seriously.

Treatment for autoimmune diseases is specialized for the individual and the amount of organ involvement. If a person has mild symptoms without major organ participation, the use of medications that regulate immune response without immunosuppression, along with treating symptoms, may be adequate. However, if major organs are affected, immunosuppressive and biologic medications that target certain parts of the immune system are used.

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

Summer Recipe: Rigatoni with Summer Bolognese

Posted on June 3, 2026 by Patrick Hercules

Summer is approaching, and many fruits and vegetables are coming into season. Here is a recipe for rigatoni with summer bolognese made with seasonal vegetables, a flavorful way to enjoy a relaxing summer evening.

GLP-1 Microdosing

Posted on May 27, 2026 by Patrick Hercules

Glucagon-like peptide-1 or GLP-1 antagonists are, however, a class of medications that mainly manage blood sugar levels in people with Type 2 diabetes. Medications, such as semaglutide and tirzepatide, have become popular over the past few years to help people lose weight.

Recently, however, some people have been microdosing GLP-1 medications as their preferred way to take these medications. Microdosing means taking much smaller doses than those approved by the Food and Drug Administration (FDA).

People may microdose GLP-1 medications for many reasons, including:

They have hit their target weight goal

They have concerns about the cost of the medications

They are sensitive to the side effects of the medications

They want to just suppress their appetite

They are worried about the supply of the medications

Microdosing GLP-1 medications can come with real risks, including:

Inaccurate doses

Reduced effectiveness

Unpredictable outcomes

Possibility of regaining weight

No data on the long-term effects of microdosing

Minimal oversight

Large clinical trials have confirmed that the standard GLP-1 doses work well when helping people lose weight and manage Type 2 diabetes. What’s more, precise doses have proven benefits for heart, liver, and kidney health. Taking very low doses may not provide the same results.

Additionally, smaller GLP-1 doses may help reduce symptoms such as nausea or an upset stomach. However, microdosing may prevent you from reaching the effective dose needed to make significant changes in your body weight or blood sugar levels. In many cases, the side effects of GLP-1 treatment are temporary. GLP-1 dosage schedules are intended to increase doses gradually to help balance their benefits and potential side effects.

GLP-1 medications affect people differently. Some people may see substantial benefits even at lower doses. However, other people may not see their benefits at full doses.

Before you consider microdosing GLP-1 medications, it is important to speak with a healthcare provider who is knowledgeable about these treatments. Here are some things to consider:

If the GLP-1 medication is off-label, it is an unproven treatment

The health benefits for those who don’t have Type 2 diabetes or a high body mass index (BMI) are unproven

Taking smaller doses doesn’t make them risk-free

As an alternative to taking GLP-1 medications, here are some proven ways to support metabolic and overall health naturally:

Exercising regularly

Eating a healthy, balanced diet

Managing stress

Getting enough restful sleep

Eating certain foods and taking supplements

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

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.

Celiac Disease Awareness Month

Posted on May 1, 2026 by Patrick Hercules

May is Celiac Awareness Month. It is observed as a time to raise awareness for the more than three million Americans living with celiac disease, an autoimmune condition that causes the immune system to react to gluten, a protein found in foods containing wheat, barley, and rye.

It is estimated that up to 83% of Americans who have celiac disease are undiagnosed or misdiagnosed with other conditions.

When a person has celiac disease, eating gluten triggers an immune response to the gluten protein in the small intestines. The immune system sends inflammatory cells and antibodies to destroy the gluten molecules. Over time, this reaction can damage the lining of the small intestine, which prevents it from absorbing nutrients. This condition is called malabsorption. It can also lead to malnutrition and several other conditions resulting from a lack of nutrients.

The symptoms of celiac disease can vary greatly. They can also be different in children and adults. Digestive symptoms for adults include:

Diarrhea

Fatigue

Weight loss

Bloating and gas

Belly pain

Nausea and vomiting

Constipation

However, more than half the adults with celiac disease have symptoms that are not related to the digestive system, including:

Anemia

Osteoporosis

Dermatitis herpetiformis

Mouth ulcers

Headaches and fatigue

Nervous system injury, including numbness, tingling in the feet and hands, as well as possible problems with balance, and cognitive impairment

Joint pain

Hyposplenism

Elevated liver enzymes

Children with celiac disease are more likely than adults to have digestive problems, including:

Nausea and vomiting

Chronic diarrhea

Swollen belly

Constipation

Pale, foul-smelling stools

For children who aren’t able to absorb nutrients, it may cause:

Failure to thrive in infants

Damage to tooth enamel

Weight loss

Anemia

Irritability

Short stature

Delayed puberty

Neurological symptoms, including attention-deficit/hyperactivity disorder (ADHD), learning disabilities, headaches, lack of muscle coordination, and seizures

Celiac disease is most commonly found in people of Northern European descent. It is estimated to affect 1% of the populations of Europe and North America. A person has a 10% chance of developing the disease if they have a first-degree relative, such as a parent or child, who has it. About 97% of people diagnosed with celiac disease have a recognizable gene variant associated with it.

A person’s genes, combined with eating foods with gluten and other factors, can contribute to celiac disease. However, the precise cause isn’t known. Sometimes celiac disease becomes active after surgery, pregnancy, childbirth, viral infection, or severe emotional distress.

Several risk factors cause celiac disease to be more common in people who have:

A family member with celiac disease or dermatitis herpetiformis

Type 1 diabetes

Down syndrome, Williams syndrome, or Turner syndrome

Autoimmune thyroid disease

Microscopic colitis

Addison’s disease

Many people with celiac disease don’t know they have it. However, two blood tests can help diagnose it:

Serology testing

Genetic testing

It is important to be tested for celiac disease before trying a gluten-free diet. Eliminating gluten from your diet might make the results of the blood tests appear in the standard range.

The first and most important step in treating and the only way to manage celiac disease is to stop eating gluten and adopt a strict, lifelong gluten-free diet. You can’t change the way your body reacts to gluten, but you can prevent gluten from triggering a reaction. Additional treatments may include:

Nutritional supplements

Specific medications

Corticosteroids

Continuous follow-up care

To schedule an appointment with a gastroenterologist or dietitian at Flushing Hospital Medical Center, 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.

Things You Should and Shouldn’t Do After Bariatric Surgery

Posted on April 23, 2026 by Patrick Hercules

Bariatric surgery is a life-changing procedure. Following your doctor’s post-operation instructions and making healthy lifestyle changes are essential to avoiding complications and achieving long-term weight loss success.

Patients should expect to have a new lifestyle that combines healthy eating, exercise, and attending regular visits with their healthcare providers. They should also consider these dos and don’ts after bariatric surgery:

What you should do after bariatric surgery:

- Eat slowly and chew food well

- Aim to drink 64oz of fluids daily, taking small sips

- Eat 60g or more of protein daily, starting every meal with it

- Make fruits and vegetables the priority of your diet

- Start walking for five minutes every hour after surgery

- Aim for a goal of 30 minutes of exercise daily after it is allowed to do so

- Take all medications and supplements as prescribed, they will need to be taken for the rest of your lifetime

What you shouldn’t do after bariatric surgery:

- Skip any meals

- Eat red meat early in recovery

- Engage in any strenuous activities

- Lift any objects over 10 lbs. for the first four to six weeks after surgery

- Eat fast food

- Eat or drink anything with natural sugar

- Drink liquids within 30 minutes after eating

- Eat bread, rice, pasta, bagels, or dumplings

- Allow yourself to get too hungry

- Take a bath or go swimming for two weeks after surgery

- Smoke cigarettes or drink alcohol

- Eat snacks loaded with empty calories

- Get pregnant for 12 to 18 months after surgery

- Stop taking medications as directed by your healthcare provider

Bariatric surgery can be a life-changing and life-altering event for those who are trying to lose weight and live a healthier lifestyle. Making diet changes, modifying exercise routine, and following the guidelines set by your healthcare provider and surgical team can lead you to long-term success.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.