Shingles

Posted on August 13, 2025 by Patrick Hercules

Shingles, or herpes zoster, is a viral infection that causes painful rashes and nerve damage.

Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox. If you have previously had chickenpox, the virus stays dormant in your body and can reactivate in your nerves later in life in the form of shingles.

The most common symptom of shingles is a painful, raised, or blistered rash. It may appear near the waist or on one side of the face, neck, chest, belly, or back. It can also sometimes show up on other parts of the body. Other symptoms that can appear before or along with the rash include:

Deep, burning, or shooting nerve pain

Itching or tingling

Areas of reddish or discolored skin

Fever

Chills

Headache

A general feeling of being unwell

An upset stomach

Some of the early symptoms of shingles, such as nerve pain and discoloration, can appear weeks before the rash. Other symptoms may show up in the days leading up to it. The rash turns into blisters about three to four days after it appears. Within about 10 days, the blisters dry out and turn into scabs. The scabs may take a few weeks to completely go away.

The most common complication of shingles is nerve pain that doesn’t go away when the rash does. This can last for months or years and can be extremely painful. Other complications of shingles include:

Bacterial infection

Vision loss from an eye infection

Facial paralysis or Ramsay Hunt syndrome

Hearing loss, tinnitus, and other hearing issues

Brain inflammation

Vertigo

Pneumonia

A healthcare provider will diagnose shingles by learning about your symptoms and examining the rash. If the rash follows the areas of skin along a nerve and doesn’t cross the midline of your body, that is a clue that you have shingles. A healthcare provider may also send scrapings or a swab of fluid from the blisters to a lab for diagnosis.

There is no cure for shingles. However, a healthcare provider may recommend managing symptoms with:

Antivirals

Over-the-counter pain relievers

Corticosteroids

If you have previously had chickenpox, you can reduce the risk of getting shingles by getting a shingles vaccine.

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.

Gastroparesis Awareness Month

Posted on August 8, 2025 by Patrick Hercules

August is Gastroparesis Awareness Month. The observance was founded by the International Foundation for Gastrointestinal Disorders in 2016, with a goal to educate people about gastroparesis symptoms, causes, and treatment options.

Gastroparesis is a condition that affects the normal spontaneous movement of the muscles or motility in your stomach.

There are many signs and symptoms of gastroparesis, which include:

Vomiting

Nausea

Abdominal bloating

A feeling of fullness after eating a few bites

Vomiting undigested food that was eaten a few hours earlier

Acid reflux

Changes in blood sugar levels

Lack of appetite

Weight loss and malnutrition

Many people with gastroparesis don’t have any noticeable signs or symptoms of the condition.

The cause of gastroparesis is unclear; however, some cases have been caused by damage to the vagus nerve, which controls the stomach muscles. The vagus nerve helps manage the complex processes in the digestive tract, like signaling the muscles in your stomach to contract and push food into the small intestine.

The vagus nerve can also be damaged by diseases such as diabetes, stomach, or small intestine surgeries.

Some risk factors that can increase your risk of gastroparesis include:

Diabetes

Abdominal or esophageal surgery

Infection, usually from a virus

Certain medications that slow the rate of stomach emptying, such as narcotic pain medications

Scleroderma- a connective tissue disease

Nervous system diseases, such as Parkinson’s disease or MS

An underactive thyroid

Women are more likely to develop gastroparesis than men.

Gastroparesis can cause several complications, including:

Severe dehydration

Malnutrition

Undigested food that hardens and remains in your stomach

Unpredictable blood sugar changes

Decreased quality of life

Doctors use several tests to help diagnose gastroparesis so they can rule out conditions that cause similar symptoms. These tests include:

Gastric emptying tests

Scintigraphy

Breath tests

Upper gastrointestinal endoscopy

Ultrasound

The treatment for gastroparesis begins with identifying and treating the underlying condition. For example, if diabetes is the cause of your gastroparesis, your doctor can work with you to help control it.

Other treatments may include:

Changes to your diet

Eat smaller meals more frequently

Chew food thoroughly

Eat well-cooked fruits and vegetables instead of raw

Avoid fibrous fruits and vegetables

Choose mostly low-fat foods

Try soups and pureed foods if liquids are easier to swallow

Drink about 34-51 ounces of water a day

Exercise gently after eating

Avoid carbonated drinks, alcohol, and smoking

Avoid lying down for two hours after a meal

Take a daily multivitamin

Medications

To stimulate the stomach muscles

To control nausea and vomiting

Surgical treatment

If you are experiencing symptoms of gastroparesis, you can visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

West Nile Virus

Posted on August 7, 2025 by Patrick Hercules

Lately, there have been mosquitoes testing positive for West Nile Virus in many U.S. states, including here in New York. West Nile virus is one of the leading mosquito-borne illnesses in the U.S., with 98 cases reported so far this year, according to the Centers for Disease Control and Prevention (CDC).

Since the first cases in the country were discovered by the late Dr. Deborah Asnis here at Flushing Hospital Medical Center in 1999, there have been over 51,000 symptomatic cases in the U.S.

The symptoms of West Nile virus include:

Fever

Headache

Muscle aches

Nausea and vomiting

Diarrhea

A rash that is concentrated around the chest and back

Swollen lymph nodes

Sore throat

Pain behind the eyes

West Nile virus can cause serious infections such as encephalitis and meningitis. Their symptoms include:

An intense, painful headache

A high fever above 103 degrees

A stiff neck

Confusion

Muscle weakness

Uncontrollable muscle movements such as tremors and convulsions

Seizures

Paralysis

Coma

West Nile virus can be diagnosed by testing your blood or cerebrospinal fluid to look for antibodies or other signs of infection. These tests are only performed if you’re seriously ill.

If you have signs of brain inflammation, you will need your brain scanned using a CT scan or MRI.

There are no specific medicines available to treat West Nile virus. Please note that antibiotics do not treat viruses.

Rest, fluids, and over-the-counter medications may relieve some symptoms. In severe cases, patients often need to be hospitalized to receive supportive treatment, such as intravenous fluids, pain medication, and nursing care.

If you become sick with severe symptoms, particularly after potential exposure to the West Nile virus, you must receive treatment from a doctor as soon as possible. You can schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

Plaque Psoriasis

Posted on August 6, 2025 by Patrick Hercules

Plaque psoriasis is a chronic autoimmune condition that causes thick patches, or plaques, on the skin, including the elbows, back, knees, and scalp. In severe cases, plaque psoriasis can affect the entire body, including:

The face

The feet

The genitals

The hands

The legs

Plaque psoriasis can affect anyone. However, a person may be more likely to have it if they:

Are white

Drink alcohol

Experience stress or depression

Have a relative with psoriasis

Have obesity

Smoke or use tobacco products

Symptoms of plaque psoriasis include:

Raised, discolored (red, brown, gray, or purple) plaques with a white or silvery surface

Cracks (fissures)

Bleeding

Itchiness

Irritation or pain

Plaque psoriasis is a problem with the immune system. The immune system overreacts, causing inflammation, which leads to new skin cells growing too fast.

New skin cells typically grow every 28 to 30 days. However, if a person has plaque psoriasis, new cells grow and move to the skin’s surface every three to four days.

Plaque psoriasis flare-ups can differ from person to person. No one knows what exactly causes them, but common plaque psoriasis triggers can include:

Certain foods or drinks

Certain prescription medications

Dry skin

Emotional stress

Skin injuries, such as cuts, scrapes, or surgery

Sun damage

A healthcare provider will diagnose plaque psoriasis by examining the affected areas and looking for common signs. They will also ask about symptoms, family history, and if you have recently started or stopped using a product or medication just before a flare-up.

They may also perform several tests to rule out other conditions that could cause your plaques, such as eczema or dermatitis. This series of tests is a differential diagnosis. Tests may include:

Allergy test

Biopsy

Blood tests to check for causes of a rash unrelated to plaque psoriasis

Unfortunately, there is no cure for plaque psoriasis. Treatment is used to provide relief for symptoms. An anti-inflammatory diet may help to limit plaque psoriasis flare-ups. Foods that have anti-inflammatory properties include:

Oily fish, such as mackerel, salmon, or sardines

Leafy greens, such as spinach and kale

Olive oil

If you are experiencing symptoms of plaque psoriasis, you can visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

World Lung Cancer Day

Posted on August 1, 2025 by Patrick Hercules

August 1st is observed as World Lung Cancer Day. It is a day dedicated to the global initiative of raising awareness about lung cancer, its impact, and the importance of prevention, early detection, and advanced treatments.

According to the World Health Organization, lung cancer is the leading cause of cancer-related deaths among both men and women, and it is so prevalent that more people die from it than from colon, breast, and liver cancers combined every year.

World Lung Cancer Day was established in 2012 by the Forum of International Respiratory Societies (FIRS) in collaboration with other health organizations. The day focuses on educating the public about risk factors such as smoking, air pollution, and occupational exposures, while advocating for research and improved access to care.

World Lung Cancer Day serves as a platform to support those affected by the disease and to emphasize the critical need for collective action in the fight against lung cancer.

Lung cancer screening helps to identify cancer at an early stage when treatment can be most effective. Early detection through a low-dose computed tomography (LDCT) scan can improve survival rates in individuals with the disease.

The MediSys Health Network is committed to improving the morbidity and mortality associated with lung cancer. For more information about our program, please contact the Lung Cancer Screening Program at 718-206-LUNG (5864).

Robotic Surgery: Hernia Repair

Posted on July 17, 2025 by Patrick Hercules

An inguinal hernia happens when part of the membrane lining the abdominal cavity or intestine protrudes through a weak spot in the abdomen, often along the inguinal canal.

Some signs and symptoms of an inguinal hernia include:

A bulge in the area on the pubic bone, which becomes more obvious when upright, especially during a cough or strain

A burning or aching sensation at the site of the bulge

Pain or discomfort in the groin, especially when bending over, coughing, or lifting

A heavy or dragging sensation in the groin

Weakness or pressure in the groin

Occasional pain and swelling around the testicles occur when the protruding intestine descends into the scrotum

Some inguinal hernias have no apparent cause. Other causes of hernias can include:

Increased pressure within the abdomen

A preexisting weak spot in the abdominal wall

Straining during bowel movements or urination

Strenuous activity

Pregnancy

Chronic coughing or sneezing

Some risk factors that can contribute to developing an inguinal hernia include:

Being male

Being older

Family history

Premature birth or low birth weight

Previous inguinal hernia or hernia repair

Typically, a physical examination is sufficient to diagnose an inguinal hernia. A healthcare provider will check for a bulge in the groin area. They can also ask you to stand and cough or strain because standing and coughing can make a hernia more prominent.

Healthcare providers recommend surgery for most inguinal hernias. The types of surgeries used to repair inguinal hernias include:

Open surgery

Laparoscopic surgery

Robot-assisted surgery

Robot-assisted surgery can repair smaller hernias or rebuild the entire abdominal wall. There are many potential advantages of robot-assisted surgery over other types of surgery, including:

Robot-assisted surgery provides the surgeon with 3D images of the inside of the abdomen that create a clearer picture for them to reference as they operate, compared to the 2D images used during laparoscopic surgery

Under the surgeon’s direction, the robot can move more freely and with more versatility than a human hand

You will have a few tiny scars rather than one large incision (as with open surgery)

You are more likely to experience less pain and less bleeding after surgery, compared to open surgery

You are more likely to have a quicker recovery time than with open surgery

For more information about robotic surgery or procedures performed by our surgeons, please call Flushing Hospital Medical Center’s Department of Surgery at 718-670-3135 to schedule an appointment.

Tips for Exercising During Warmer Months

Posted on July 16, 2025 by Patrick Hercules

Most of our time during the summer is spent outdoors enjoying the fresh air and participating in warm-weather activities such as exercise. Exercising outdoors offers many benefits. However, when temperatures increase, it can become challenging or potentially dangerous to our health.

Heat illnesses or emergencies can occur with exposure to high temperatures and humidity. Dehydration can occur when the body’s fluids are lost by sweating and aren’t replaced. Even being slightly dehydrated can make you feel sick and put you at a greater risk for heat-related illnesses, including heat exhaustion and heat stroke.

Therefore, it is important to know how to protect yourself while exercising in the summer heat. Here are some tips to keep in mind when it’s warm outside:

Try to avoid exercising outside in the early afternoon as it is usually hottest between noon and 3 p.m.

Drink water before, during, and after physical activity, even if you don’t feel thirsty. Bring a bottle of water with you, or plan water stops along your route.

Wear lightweight, light-colored, loose-fitting clothes. Moisture-wicking fabric can also help keep you cool during a workout. Protect yourself from the sun with sunglasses, a hat or visor, and plenty of sweat-resistant sunscreen.

Take frequent breaks in the shade and drink water before you get thirsty. Allow yourself time to adapt to the heat. Keep in mind that you may not be able to work out as long or as hard as usual when it’s very hot.

Work out with a partner if you can. Not only for safety purposes, but also because it is socially interactive and fun.

Try a variety of light, healthy pre- and post-workout snacks that can help you stay cool, such as:

- Chilled or frozen fruit

- Homemade ice pops made from 100% fruit juice or fat-free/low-fat milk

- Fruit smoothies

- Cold salads loaded with vegetables, beans, legumes, and heart-healthy fish such as albacore tuna or salmon

- Crisp, chilled raw veggies, including cucumbers, carrots, or celery, with a light, cool dip

- Cold sparkling water with a splash of 100% fruit juice or slices of citrus or cucumber

If you are having difficulty tolerating the heat, don’t skip your workout or physical activity. You can find indoor locations where you can be active, discover activities you can do at home or work, or adjust your workout schedule to early morning or late evening when it’s cooler outside instead.

It is important to check with your healthcare provider before starting an exercise routine or working out outdoors if you have cardiovascular disease, diabetes, or other chronic diseases, or any medical concerns. Certain medications, including beta blockers, ACE receptor blockers, ACE inhibitors, calcium channel blockers, and diuretics, can exaggerate the body’s response to heat.

If you or a loved one is experiencing an emergency, call 911 immediately.

Senior Summer Health Tips

Posted on July 9, 2025 by Patrick Hercules

Extreme heat can be unbearable for everyone. It can be even worse for senior citizens, as they are particularly vulnerable to heat-related illnesses. Some heat-related illnesses include:

Heat exhaustion

Dehydration

Heatstroke

Heat syncope

Heat cramps

Heat edema

Heat rash

Sunburn

Older adults are at higher risk for heat-related illnesses and death. Factors that put older adults at greater risk include:

Health problems, such as heart, lung, or kidney disease

Skin changes that are caused by normal aging

Any illness that causes weakness or results in a fever

Drugs, such as diuretics, sedatives, tranquilizers, and some heart and high blood pressure medications, can make it harder for the body to cool itself off

Being on several prescription drugs at the same time

Being obese, overweight, or underweight

Drinking alcoholic beverages

Living in places without air conditioning or fans

Dehydration

Hot summer days can make it difficult for the body to regulate its temperature. Especially for older adults. Here are some tips to keep older adults safe and prevent them from heat-related illnesses:

Stay away from direct sun exposure as much as possible

Spend as much time in air-conditioned spaces as possible

Stay hydrated

Wear loose and light-colored clothing and a wide-brimmed hat

Take cool showers and baths

Avoid exercising outdoors and other physical activity when it is hot

Wear broad-spectrum sunscreen that is SPF 15 or higher, and reapply throughout the day

Find out if certain medications can contribute to heat-related illnesses

If you or a loved one is experiencing any symptoms of a heat-related illness, you can schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486. If you or a loved one is experiencing an emergency, please call 911 right away.

UV Safety Month

Posted on July 8, 2025 by Patrick Hercules

July is UV Safety Month. It is observed to highlight the importance of protecting our skin and eyes from the harmful effects of ultraviolet (UV) radiation.

Ultraviolet radiation is released by the sun and provides vitamin D to the body to help it survive. However, too much sun exposure can damage the skin and cause skin cancer. Skin cancer is the most common type of cancer in the United States.

There are three types of ultraviolet radiation based on the size of the wavelength. They include:

UVA causes the skin to wrinkle, tan, and/or burn. Too much exposure leads to skin cancer

UVB can damage the outermost layers of the skin. It can cause sunspots, tanning, sunburn, and blistering, which can lead to skin cancer

UVC is absorbed by the Earth’s atmosphere

Anyone can get skin cancer from ultraviolet radiation. People who are the greatest risk of skin cancer are people who have:

Fair skin

Freckled skin

Skin that burns easily, light eyes

Blonde or red hair

People who have a darker skin tone can get skin cancer, but their risk is lower than people who have a lighter skin tone.

There are other risk factors other than a person’s complexion that can cause skin cancer, including:

Having a biological family history or personal history of skin cancer

Having an outdoor job or spending a lot of time in the sun

Living in a sunny climate

Having a history of severe sunburns

Having large and irregularly shaped moles

The most common warning sign of skin cancer is a change to the skin. Changes are typically a new mole, a new skin lesion or sore, or a change to an existing mole.

Basal cell carcinoma may appear as a small pearly, or waxy bump on your face or neck, or as a flat, pink/red- or brown-colored lesion

Squamous cell carcinoma can appear as a firm, red nodule, or as a rough, scaly, flat lesion that may itch, bleed, and become crusty

Melanoma usually appears as a pigmented patch or bump. It may resemble a normal mole but usually has a more irregular appearance

While it isn’t possible to completely prevent skin cancer or undo previous effects of ultraviolet radiation and sun damage, there are steps to take to reduce risk:

Applying sunscreen with a SPF of 30 or greater thirty minutes before sun exposure and then every two to three hours after. Reapply sooner if you get wet or sweat significantly

Wearing sunglasses with total UV protection

Using cosmetic products that offer UV protection

Avoiding direct sun exposure as much as possible during peak UV radiation hours, which are between 10 a.m. and 4 p.m.

Performing skin self-exams regularly to become familiar with existing skin growths and to notice any changes or new growths

When choosing the right sunscreen, it is important to know the difference between mineral and chemical sunscreen.

Mineral sunscreen, or organic or physical sunscreen, is known for having a heavier, thicker texture than chemical sunscreen. It has active ingredients, such as zinc oxide and titanium oxide. These ingredients work as a shield against the sun’s rays because the sunscreen sits on the skin’s surface reflecting the UV rays away from it.

There are benefits to using mineral sunscreen, such as it being good for sensitive and acne-prone skin, and it offers immediate protection. There are also some drawbacks to using mineral sunscreen, such as it takes longer to apply and leaves a white cast on the skin.

Chemical sunscreen contains chemical ingredients that protect the skin by absorbing the sun’s rays, preventing them from reaching the skin. The chemical compounds in chemical sunscreen are avobenzone, oxybenzone, and octinoxate.

Using chemical sunscreen has many advantages as it is easy to apply, transparent on the skin, and it comes with water-resistant formulations. Some disadvantages are that it can cause allergic reactions or irritation, it isn’t immediately effective, and it has to be absorbed into the skin.

Whichever type of sunscreen you use depends on your personal preference. Using either mineral or chemical sunscreen is better than not using sunscreen at all.

If you want to know which ingredients may affect you, talk to a healthcare provider or a dermatologist to determine which sunscreen is best.

If you or a loved one has warning signs of skin cancer, you can speak to a doctor by scheduling an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

National HIV Testing Day

Posted on June 27, 2025 by Patrick Hercules

June 27th is National HIV Testing Day, a day to encourage people to get tested for HIV, know their status, and receive the care and treatment they may need.

The human immunodeficiency virus, or HIV, damages the immune system so that the body is less able to fight infection or disease. If HIV isn’t treated, it can take years before it weakens the immune system enough to become AIDS.

HIV is a sexually transmitted infection (STI) and can be spread through unprotected sex. It can also be spread through contact with HIV-infected blood, and spread to a child during pregnancy, childbirth, or breastfeeding.

The symptoms of HIV and AIDS can vary depending on the person and the phase of infection. There are three types of HIV infection. They include:

Primary infection or acute HIV: Some people infected with HIV get a flu-like illness within two to four weeks after the virus enters the body. This stage can last a few days to several weeks. Some people have no symptoms during this stage. Others may experience:

Fever

Headache

Muscle aches and joint pain

Rash

Sore throat and painful mouth sores

Swollen lymph glands, mainly on the neck

Diarrhea

Weight loss

Cough

Night sweats

These symptoms can be so mild that you may not notice them. However, the amount of the virus in your bloodstream, or viral load, is high at this time. As a result, the infection can spread to others more easily during the primary infection stage than during the next stage.

Clinical latent infection or chronic HIV: In this stage, HIV is still in the body and cells of the immune system. However, during this time, many people don’t have symptoms or the infections that HIV can cause. This stage can last for many years. As the virus continues to multiply and destroy immune cells, you may get mild infections with long-term symptoms, such as:

Fever

Fatigue

Swollen lymph glands, which are often one of the first symptoms of HIV infection

Diarrhea

Weight loss

Oral yeast infection

Shingles

Pneumonia

Better antiviral treatments have greatly decreased deaths from AIDS worldwide. Thanks to these lifesaving treatments, most people with HIV in the U.S. today don’t get AIDS. If untreated, HIV most often turns into AIDS in about eight to ten years.

Unfortunately, there is no cure for HIV/AIDS. However, medicines can control the infection and keep the disease from getting worse. Antiviral treatments for HIV have reduced AIDS deaths around the world, and there is an ongoing effort to make ways to prevent and treat HIV/AIDS more available in resource-poor countries.

National HIV Testing Day was created by the National Association of People with AIDS to increase the number of people being tested for HIV and was first observed on June 27th, 1995. This year’s theme is “Level up your self-love: check your status”. Knowing your HIV status helps you choose options to stay healthy.

HIV testing, including self-testing, is the pathway to engaging people in care to keep them healthy, regardless of their test results. Ending the HIV Epidemic in the U.S. Initiative continues to guide efforts to help us reach all people who can benefit from HIV prevention and care.

To participate in National HIV Testing Day, you can use the hashtag #HIVTestingDay on your social media channels and communicate to your friends and family that there are many options for getting tested for HIV. HIV testing is a critical tool to help end the HIV epidemic in the United States.