Flushing Hospital Medical Center’s Department of Psychiatry and Addiction Services Chemical Dependence Unit Offers Treatment for Opioid Addiction

Posted on May 12, 2025 by Patrick Hercules

Opioid overdose deaths are a major public health problem in America. More than 107,000 people lost their lives to a drug overdose in 2023, with 70% of those deaths attributed to opioids such as fentanyl.

Fentanyl is a synthetic opioid that is 50 times more deadly than heroin. One gram of fentanyl, which is equivalent to the size of a sugar packet, has the potential to kill up to five hundred people.

There was a 14.5% decrease in opioid overdose deaths in 2024 due to public health measures.

Flushing Hospital Medical Center’s Department of Psychiatry and Addiction Services provides care and support to help people recover from opioid addiction. The department has the only medically managed detoxification unit in Queens County.

The unit, called the Chemical Dependence Unit, is a 30-bed medically managed detoxification unit that helps people safely withdraw from opioids, alcohol, and benzodiazepines. Under the direction of the Medical Director for Addiction Services and Unit Chief, staff includes physicians board-certified in addiction medicine, physician assistants, nurses, addiction counselors, psychotherapists, and creative arts therapists.

In addition to medical treatment such as Medication Assisted Treatment (MAT) for opioid addiction, the unit provides nursing care, individual and group counseling, creative arts therapy, self-help groups, and, very importantly, discharge and aftercare planning to help people continue their Recovery Journey, with follow-up calls after discharge.

For additional admission information, please call the Addiction Treatment Unit at 718-670-4524.

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.

Mental Health Awareness Month-10 Common Signs of Mental Health Issues

Posted on May 8, 2025 by Patrick Hercules

May is Mental Health Awareness Month. It is a month observed to increase awareness of the importance of mental health and wellness in Americans’ lives and to celebrate recovery from mental illness.

The signs and symptoms of mental illness can vary, depending on the disorder, circumstances, and other factors. Mental illness symptoms can affect a person’s emotions, thoughts, and behavior.

10 common signs of mental health issues include:

Feeling very sad, withdrawn, or unmotivated for more than two weeks
Out-of-control, risk-taking behaviors
Not eating, throwing up, or using laxatives to lose weight; significant weight loss or weight gain
Making plans or trying to harm or kill oneself
Sudden overwhelming fear for no reason, sometimes with a racing heart or fast breathing
Severe mood swings that cause problems in relationships
Excess use of drugs or alcohol
Drastic changes in behavior, personality, or sleeping habits
Intense worries or fears that get in the way of daily activities
Extreme difficulty in concentrating or staying still

Founded by Mental Health America in 1949, Mental Health Awareness Month highlights the importance of mental wellbeing, educating the public, reducing the stigma, and promoting support for those affected by mental health conditions.

You can help do your part by helping raise awareness and advocating for better mental health care and resources.

Hepatitis Awareness Month

Posted on May 7, 2025 by Patrick Hercules

May is Hepatitis Awareness Month. It is a month that raises awareness of viral hepatitis in the United States.

Hepatitis is inflammation of the liver that damages it, affecting how well it functions.

Viral hepatitis is a major public health threat, and unfortunately, hundreds of thousands of people in the United States don’t know they are infected.

Hepatitis A and hepatitis B are vaccine-preventable, and hepatitis C can be cured.

A hepatitis A infection usually causes a mild, short-term illness. Vaccination is the best way to prevent infection.

Many people with the hepatitis B virus won’t experience symptoms, and similarly, many people with hepatitis C don’t look or feel sick. Left untreated, both infections can cause serious health problems, including liver damage, cirrhosis, liver cancer, and even death.

Although there is no cure for hepatitis B, treatments are available that can delay or reduce the risk of developing liver cancer. There currently isn’t a vaccine to prevent hepatitis C, but curative treatments are available. Most people who are infected with hepatitis C can be cured with just eight to 12 weeks of well-tolerated oral-only treatment. Testing is the first step.

Getting tested is the only way to know you have either virus. May 19th is observed as Hepatitis Testing Day, so it is imperative to get tested to know whether or not you are infected.

Hepatitis Awareness Month educates healthcare practitioners and the public about the importance of vaccination against hepatitis A and hepatitis B, as well as the importance of testing and treatment for hepatitis B and hepatitis C.

Outdoor Exercise Tips

Posted on April 30, 2025 by Patrick Hercules

The weather is warming up, and we can spend more time outdoors at the park or dining at a restaurant.

Many people exercise outdoors rather than at the gym or in their homes. 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 when exercising outdoors:

Drink plenty of water. 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

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.

Shin Splints

Posted on April 23, 2025 by Patrick Hercules

Shin splints are a common overuse injury that occurs when the muscles and bones in your lower leg become strained and irritated. Athletes (especially runners), dancers, members of the military, and individuals with osteoporosis, flat feet, and high or very rigid arches are at a higher risk of developing shin splints.

If you have shin splints, you may notice tenderness, soreness, or pain along the inner side of your shinbone and mild swelling in your lower leg. Initially, the pain may subside when you stop exercising. However, the pain can be continuous and might progress to a stress reaction or stress fracture, so it is best to take it easy while they heal.

Shin splints are caused by repetitive stress on the shinbone and the connective tissue that attaches the muscles to the bone.

Healthcare providers diagnose shin splints based on your medical history and by performing a physical exam. They will observe how you walk and examine your lower leg, ankle, and foot.

In some cases, they may also perform an X-ray or other imaging tests that can help identify other possible causes for your pain, such as a stress fracture.

Shin splints can be treated with simple self-care steps that include:

Rest
Ice
Taking an over-the-counter pain reliever
Supplements
Shin splint stretches
Slow increases in activity levels
Wearing supportive shoes and shoe inserts
Resting in between activities to allow your bones and muscles time to heal
Physical therapy

There are several ways to help avoid shin splints, including:

Analyzing your movement
Avoiding overdoing high-impact activities
Choosing the right shoes
Considering arch support
Considering shock-absorbing insoles
Lessening the impact on your shins
Adding strength training to your workout

If you experience shin splints often, 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.

Exocrine Pancreatic Insufficiency

Posted on April 18, 2025 by Patrick Hercules

Exocrine pancreatic insufficiency (EPI) occurs when the pancreas doesn’t make enough digestive enzymes. Enzymes are proteins that cause chemical reactions in the body. Digestive enzymes break down food, allowing the body to get nutrients.

When you have EPI, food passes through the intestines in an undigested state, resulting in the body not receiving the needed nutrients. There are different types of pancreatic enzymes, including:

Amylase
Lipase
Protease and elastase

The main cause of EPI in adults is chronic pancreatitis. As many as 8 in 10 adults with this disorder develop EPI. Pancreatitis causes inflammation and swelling of the pancreas. Over time, chronic inflammation can damage the digestive enzyme-making pancreatic cells. Other causes of EPI in adults include:

Celiac disease
Diabetes
Inflammatory bowel disease (IBD)
Pancreatic cancer
Surgery on the digestive tract, including weight loss surgery

Cystic fibrosis is the top cause of EPI in infants and children. Children inherit cystic fibrosis from a parent. Cystic fibrosis causes thick mucus to build up in the lungs, making breathing hard. Mucus can also collect in the pancreas, keeping digestive enzymes from reaching the small intestines.

Nearly 9 in 10 infants with cystic fibrosis develop EPI within the first year. The rest are at risk of developing EPI during childhood or adulthood.

Shwachman-Diamond syndrome (SDS) is another inherited condition that causes EPI in children. SDS causes the part of the pancreas that makes enzymes not to work properly.

People with EPI have a particularly difficult time absorbing fats from foods, which leads to uncomfortable digestive problems, such as:

Abdominal pain, gas, and bloating
Constipation
Diarrhea
Fatty stools
Unexplained weight loss or failure to thrive in infants and children

Many digestive problems can cause symptoms similar to EPI. A healthcare provider may suspect EPI if you have a condition that affects your pancreas.

You may get one or more pancreas function tests that include:

Fecal elastase test (FE-1)
Fecal fat test
Secretin pancreatic function test

You may also get a CT scan, abdominal ultrasound, or other imaging tests that can spot problems with the pancreas that lead to EPI.

People with EPI can’t absorb enough fats, proteins, and carbohydrates from the foods they eat. This problem is called malabsorption. Your body needs these nutrients for energy and to maintain organ function. Malabsorption of nutrients can lead to malnutrition. Signs of malnutrition include:

Dry skin
Depression
Edema
Fatigue or dizziness
Feeling cold all the time
Irritability
Memory and concentration issues
Muscle loss

EPI is a lifelong condition. Treatments for the condition focus on the body receiving the necessary nutrients to maintain good health. Treatments include:

Pancreatic enzyme replacement therapy (PERT)
High-calorie, high-fat diet
Vitamins

To prevent EPI, it is helpful to avoid smoking and alcohol use as they make the pancreas work harder and can contribute to pancreatitis, which leads to EPI.

Unfortunately, cystic fibrosis and SDS are inherited, so they can’t be prevented, and the risk of EPI with these conditions can’t be lowered. Keeping a close eye on symptoms can help identify possible EPI and treat it immediately.

If you are experiencing symptoms of exocrine pancreatic insufficiency, you can schedule an appointment with a gastroenterologist at Flushing Hospital’s Ambulatory Care Center by ca

Fatty Liver Disease

Posted on April 16, 2025 by Patrick Hercules

Steatotic liver disease (SLD), formerly known as fatty liver disease, describes the buildup of excess fat in the liver. A healthy, high-functioning liver contains a small amount of fat. However, fat buildup can become a problem when it reaches over 5% of your liver’s weight.

Healthcare providers classify SLD based on its causes and the conditions associated with it. The types of steatotic liver disease include:

Alcohol-related liver disease
Metabolic dysfunction-associated steatotic liver disease (MASLD). Risk factors associated with MASLD include:
- Obesity
- Type 2 diabetes
- High blood pressure
- Lipid normalities
Metabolically associated steatohepatitis (MASH)
MASLD and increased alcohol intake (MetALD)

In most cases, the fat buildup in the liver doesn’t cause serious problems or prevent it from functioning normally. In some cases, the condition progresses to liver disease. It usually progresses in stages:

Hepatitis– in this first stage, called steatohepatitis, your liver goes from fatty to inflamed, damaging the tissue.

Fibrosis– in this second stage, causes bands of scar tissue to form where the inflammation damages the liver, causing it to stiffen.

Cirrhosis– in this third stage, extensive scar tissue caused by inflammation replaces healthy tissue. This is called cirrhosis of the liver. Without treatment, cirrhosis can lead to potentially fatal conditions like liver failure and liver cancer. About 90% of people who develop hepatocellular carcinoma (a type of liver cancer) have cirrhosis.

Steatotic liver disease doesn’t always cause symptoms. When they are present, symptoms can include:

Abdominal pain or a feeling of fullness in the upper right side of your abdomen
Extreme exhaustion or fatigue

People will more commonly notice symptoms once SLD has progressed to cirrhosis of the liver. When cirrhosis develops, you may experience:

Nausea
Loss of appetite
Unexplained weight loss
Jaundice
Swelling in the abdomen
Swelling in the legs, feet, or hands
Bleeding in the esophagus, stomach, or rectum

Steatotic liver disease has multiple causes. You are more likely to develop SLD if you have a cardiometabolic risk factor, if you consume unhealthy amounts of alcohol, or both. You have a greater chance of developing SLD if you have the following:

Alcohol use disorder
Metabolic syndrome
Type 2 diabetes
Are overweight (a BMI of 25 to 29.9 kg/m2)
Obesity (a BMI of 30 kg/m2 and above)
Polycystic ovary syndrome (PCOS)
Obstructive sleep apnea
Hypothyroidism
Hypopituitarism
Hypogonadism
Take certain prescription medications

Without treatment, a steatotic liver can progress to cirrhosis of the liver, which can lead to liver failure, liver cancer, and cancers outside the liver. People with MASLD are also at increased risk of heart disease, which is the leading cause of death in people with MASLD.

Because SLD doesn’t usually cause symptoms, a healthcare provider may be the first person to notice an issue. High levels of liver enzymes that turn up on a blood test for other conditions can raise a red flag. Elevated liver enzymes are a sign of liver damage.

To diagnose SLD, a healthcare provider may ask about your medical history and perform a physical exam, imaging tests, and a liver biopsy.

There are no specific treatments or medications for SLD. Instead, healthcare providers focus on helping you manage risk factors that contribute to the condition. This can include making lifestyle changes that can improve your health. Your healthcare provider may recommend that you:

Avoid alcohol
Lose weight
Take medications to manage metabolic conditions
Get vaccinated for hepatitis A and hepatitis B

A healthcare provider may change your prescriptions if your medicine is causing fat to accumulate in your liver.

The best way to avoid SLD is to maintain your overall health. You can prevent SLD by:

Exercising regularly
Limiting your alcohol consumption
Maintaining a weight that is healthy for you
Taking medications as prescribed if you have Type 2 diabetes or metabolic syndrome.

Working with a specialist at Flushing Hospital Medical Center’s Ambulatory Care Center can help you determine your biggest risk factors for liver damage, identify medications that may lead to further damage, and find the right treatment for any scarring or disease you are experiencing. To schedule an appointment, please call (718) 670-5486.

Risk Factors for Gallstones

Posted on April 9, 2025 by Patrick Hercules

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. They can range in size from as small as a grain of sand to as large as a golf ball. Some people develop just one gallstone, while others develop many gallstones at the same time.

People who experience symptoms from their gallstones usually require gallbladder removal surgery. Gallstones that don’t cause any signs or symptoms typically don’t need treatment.

Gallstones may cause no signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include:

Sudden and rapidly intensifying pain in the upper right portion of the abdomen
Sudden and rapidly intensifying pain in the center of the abdomen, just below the breastbone
Back pain between your shoulder blades
Pain in your right shoulder
Nausea or vomiting

Gallstone pain may last several minutes to a few hours.

It isn’t clear what causes gallstones to form. Doctors think gallstones may occur when:

Your bile contains too much cholesterol
Your bile contains too much bilirubin
Your gallbladder doesn’t empty correctly

The types of gallstones that can form in the gallbladder include:

Cholesterol gallstones
Pigment gallstones

Factors that may increase your risk of gallstones include:

Being female
Being 40 years old or older
Being Native American
Being Hispanic of Mexican origin
Being overweight or obese
Being sedentary
Being pregnant
Eating a high-fat diet
Eating a high-cholesterol diet
Eating a low-fiber diet
Having a family history of gallstones
Having diabetes
Having certain blood disorders such as sickle cell anemia or leukemia
Losing weight very quickly
Taking medications that contain estrogen such as oral contraceptives or hormone therapy drugs
Having liver disease

There are several complications of gallstones, including:

Inflammation of the gallbladder
Blockage of the common bile duct
Blockage of the pancreatic duct
Gallbladder cancer

You can reduce your risk of gallstones by:

Not skipping meals
Losing weight slowly
Eating more high-fiber foods
Maintaining a healthy weight

There are several tests and procedures used to diagnose gallstones and complications of gallstones, including:

Abdominal ultrasound
Endoscopic ultrasound (EUS)
Other imaging tests
Blood tests

A healthcare provider will determine if treatment for gallstones is indicated based on your symptoms and the results of diagnostic testing. Treatment options for gallstones include:

Gallbladder surgery (cholecystectomy)
Medications to dissolve gallstones

Flushing Hospital Medical Center offers multiple options for gallbladder removal surgery, this includes robotic surgery. To schedule an appointment with a specialist, please call (718) 670-5000.

Alcohol Awareness Month

Posted on April 8, 2025 by Patrick Hercules

April is Alcohol Awareness Month. It is an opportunity to raise awareness and understanding of alcohol use and misuse, and its impact on health.

The National Council on Alcoholism and Drug Dependence (NCADD) started the Alcohol Awareness Month program in 1987. The program targets teenagers and college-aged youth, aiming to educate them on the dangers of heavy drinking and other harmful behaviors that can be common during these years.

Binge drinking and heavy drinking are two patterns of excessive alcohol use. The Centers for Disease Control and Prevention (CDC) defines binge drinking as consuming four or more drinks for women and five or more for men on a single occasion. Heavy drinking is defined as consuming eight or more drinks per week for women and 15 or more drinks per week for men.

There are several ways to support Alcohol Awareness Month, including:

Wear a red ribbon
Participate in an alcohol-free 72 hours
Host dry parties
Talk with kids and teens about alcohol
Talk with friends and family about alcohol
Reflect on your relationship with alcohol

Alcohol Awareness Month’s primary goal is to increase public awareness and education about alcohol and alcohol use disorder (AUD), formerly known as “alcoholism”.

Preparing for Allergy Season

Posted on April 4, 2025 by Patrick Hercules

Spring has arrived, and with it comes longer days, warmer weather, and the blooming of trees and flowers. However, as trees and flowers bloom they release pollen, causing those who suffer from seasonal allergies to experience allergy symptoms. Spring allergy symptoms can include:

Runny nose
Watery eyes
Sneezing
Itchy eyes and nose
Dark circles under your eyes.

Some ways you can reduce your exposure to allergy triggers include:

Staying indoors on dry, windy days. The best time to go outside is after a good rain, which helps clear pollen from the air.
Avoiding garden chores like mowing the lawn and pulling weeds that stir up allergens.
Removing clothes worn outside and showering to rinse pollen from your skin and hair.
Avoid hanging laundry outside because pollen can stick to sheets and towels.
Wearing a face mask when doing chores outside.
Checking your local TV or the internet for pollen forecasts and the current pollen levels.
Taking allergy medication before symptoms start or if high pollen counts are forecasted.
Closing doors and windows at night when there are high pollen counts.
Avoiding outdoor activity when pollen counts are highest.

There isn’t a miracle product that can get rid of all allergens from the air in your home, but ways to keep indoor air clean include:

Using air conditioning in your house.
Using high-efficiency filters if you have a forced air conditioning or heating system, and following regular maintenance schedules.
Keeping indoor air dry with a dehumidifier.
Using a portable HEPA filter in your bedroom.
Cleaning floors with a vacuum cleaner that has a HEPA filter regularly.

Here are some over-the-counter medications that can help ease allergy symptoms:

Oral antihistamines
Corticosteroid nasal sprays
Cromolyn sodium nasal spray
Oral decongestants

If you are experiencing seasonal allergy symptoms, you can get an allergy test and treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.