Rotator Cuff Injuries

Posted on November 1, 2018 by Andrew Rubin

The rotator cuff is located in the shoulder and is made up of a group of muscles and tendons that serve to keep the upper arm bone firmly attached into the shoulder socket.

Injuries to the rotator cuff are typically associated with repetitive movement that requires overhead motion of the shoulder. People who are susceptible to rotator cuff injuries are baseball pitchers, painters, tennis players, construction workers and seniors. There also may be a family history factor that can make a person susceptible to this type of injury.

Rotator cuff injuries can be divided into three categories. Tendonitis is an inflammation of the tendons in the shoulder caused by overuse. Bursitis is an inflammation of the fluid filled sacs that are located between the bone and the tendons. Strains and tears of the rotator cuff are caused by an overstretching of the tendons that attach the muscles to the bone.

Signs and symptoms of a rotator cuff injury include:

A dull ache in the shoulder
Difficulty sleeping on the affected side
Arm weakness
Difficulty reaching behind the back
A popping sound when moving the shoulder
Limited range of shoulder motion

One way to prevent a rotator cuff injury is to do stretching exercises every day to keep the muscles and tendons in good condition.

Diagnosing a rotator cuff injury involves a thorough history and physical exam ,an x-ray to see if there is a bone problem or either an ultrasound or MRI.

Failure to treat a rotator cuff injury could eventually lead to loss of mobility in the shoulder and degeneration of the shoulder joint. Treatment of a rotator cuff injury depends on the severity and nature of the problem. Short term use of an over the counter anti-inflammatory may help the symptoms. If the problem is caused by repetitive movement over a period of time, physical therapy which includes either applying heat or ice to the area and strengthening exercises may be one way to help the symptoms. A cortisone injection to the area will help to reduce the inflammation and usually that will help reduce the discomfort too. However, if there is a tear of a tendon, surgery may be required.

If you would like to schedule an appointment with an orthopedist at Flushing Hospital Medical Center, 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.

Is Bariatric Surgery Right For You?

Posted on November 1, 2018 by Flushing Hospital

Obesity is a growing public health issue in our region. According to NYC.gov, more than half of New Yorkers are overweight, and nearly a quarter qualify as obese. The New York City Department of Health and Mental Hygiene, reports that an estimated 23% of the population living in Queens is obese.

These rates are concerning because people who are obese are at an increased risk for developing chronic diseases such as diabetes, stroke, hypertension, heart disease and some cancers. However, the good news is the risks associated with many of these conditions can be significantly reduced by losing weight.

Diet and exercise are highly recommended methods of weight loss but they may not be enough to yield significant results for those who are obese. Bariatric surgery offers an extremely effective weight loss solution for people who have tried and failed to lose weight by way of diet and exercise. Additionally, it has been shown to help improve several obesity-related health conditions.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy operation, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created. During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. These surgeries are usually done through small incisions either laparoscopically or using the da Vinci surgical robot, ensuring a minimally invasive approach. Both surgeries offer excellent long-term results and positive outcomes in most patients.

With this is in mind, it is important to understand that bariatric surgery is a major operation, no matter which procedure is chosen. Bariatric surgery is not an easy way out. It is an important decision to be made under strict physician supervision and with the support of loved ones. The process is immersive and takes approximately 4-5 months of supervised dieting and being seen by multiple specialties for approval.

Although bariatric surgery is considered safe, it is very important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

For those who would like to explore non-surgical weight loss procedures, there are options such as the FDA-approved Obalon Balloon System. This involves three air filled balloons inserted via a swallowed capsule. The patient is given no anesthesia and most people return to work the same day. The balloons stay in for six months after which they are removed via endoscopy. The procedure is generally very well tolerated with some side effects such as nausea and cramping. Studies have shown weight loss to continue beyond removal and many patients lose a significant amount of weight.

When deciding which procedure is best for you, it is recommended that you receive an expert consultation with a surgeon. Your physician can assess your health which can lead to the decision on which surgery is suitable for your needs.

To ensure the highest quality care and maximize your chances of a successful weight loss procedure, it is recommended that you receive treatment at a “Bariatric Center of Excellence”, such as Flushing Hospital Medical Center.

Flushing Hospital is the only Center of Excellence in Queens. The process to reach this designation is arduous and ensures that the center and the surgeons are of the highest quality and preparedness. Surgical outcomes are measured very strictly and the capability of both the surgeons and the center must be of the highest caliber when compared nationally.

To make an appointment, please call 718-408-6977.

CONSTIPATION

Posted on October 31, 2018 by Joann Ariola

According to the Mayo Clinic, chronic constipation is defined as, “Infrequent bowel movements or difficult passage of stools that persists for several weeks or longer.”

To most, occasional constipation is quite common. However, chronic constipation is a condition that may interfere with a person’s capacity to go about their day to day routine. Many chronic constipation sufferers have less than three bowel movements per week, hard, lumpy stools and difficulty passing their stool.

There are many health conditions that can lead to chronic constipation such as:

Irritable Bowel Syndrome
Pregnancy
Colon cancer
Parkinson’s Disease
Underactive thyroid
Eating disorders

Additional causes for chronic constipation are:

Changes to your diet
Lack of water or fiber in your diet
Consuming an overload of dairy products
Not exercising enough
Ignoring an urge to move your bowels
Stress
Overuse of laxatives
Medication (i.e. iron supplements)

There are several measures you can take to help with constipation such as, increasing the fiber and fluids in your diet. If you have prolonged constipation or experience unexplained and persistent changes in your bowel movements please make an appointment with a doctor. If you’d like to schedule an appointment at Flushing Hospital Medical Center’s Ambulatory Care Center call 718-670-5486.

Compulsive Disorders

Posted on October 25, 2018 by Andrew Rubin

Compulsive disorders are characterized by behaviors that are performed repeatedly and of which there is a lack in the ability to control them.

A person who exhibits signs of compulsive behaviors has often undergone some kind of stressful event, abuse or trauma. Some experts believe there may be a genetic component associated with why people are compulsive.

Some of the more common compulsions that people exhibit are eating, hoarding, symmetry, shopping, gambling, exercising and talking. Compulsions very often have themes that include: • Counting • Orderliness • Demanding reassurances • Following a strict routine • Checking and rechecking • Washing and cleaning

The repetitive behaviors are thought to be performed as a way of relieving stress or anxiety. When these behaviors become extreme, they can rule a person’s life. Trying to ignore the obsessions can increase distress and anxiety.

The treatment for compulsive disorders is based on severity and can include cognitive behavioral therapy, the administration of selective serotonin reuptake therapy, or a combination of both. There are rating scales that will help determine the severity of the disorder, one being the “Brief Obsessive-Compulsive Scale” and the other being “Evidence-Based Brief Obsessive Scale”.

If you would like to discuss your condition with a mental health professional at Flushing Hospital, please call 718-670-5486.

Employee Spotlight – Nancy DeLano-Tomczyk

Posted on October 24, 2018 by Joann Ariola

This month the Flushing Hospital Medical Center’s (FHMC) Employee Spotlight shines on Nancy DeLano-Tomczyk.

Nancy has been a Flushing Hospital Medical Center employee since 1988, and has held many titles including Out Patient Billing Clerk, Payroll Clerk, Payroll Supervisor and currently, Payroll Manager.

Nancy is tasked with keeping updated payroll records by reviewing and approving changes in exemptions, insurance coverage, savings deductions, as well as job titles and department transfers. She is directly responsible for overseeing the hospitals payroll, in other words, she’s the person who makes sure FHMC employees are paid!

Outside of her regular job duties, Nancy, is active in a number of hospital events. She is a Fit Bit Challenge team member and Co-Chair of the FHMC Celebration committee. On any given day, you will see Nancy collecting donations for Making Strides Pacesetter and fundraising for Breast Cancer Awareness, as well as volunteering at the MediSys Annual Golf Outing and participating in the FHMC Halloween Costume Contest; a contest that she has won several times.

Nancy’s greatest loves are her two sons Joseph, 27 and Kevin 24, as well as her beautiful granddaughter, Julianna who she refers to as her “Partner in Crime.” She spends her free time listening to music, journaling and traveling. She loves to try new restaurants, go to the movies, Broadway plays, and sifting through garage sales.

Although her job is rewarding, there are challenges. One challenge is coordinating all the departments to make the deadline when submitting their payroll.

In closing, Nancy shared, “I can honestly say that I never wake up thinking I don’t want to go to work. I truly enjoy my job and the amazing people I work with. I consider everyone at Flushing Hospital Medical Center my family.”

Stuttering

Posted on October 22, 2018 by Flushing Hospital

Stuttering, sometimes called stammering or dysfluency is a disruption in the normal patterns of speech. It can take many forms, such as:

• Repeating a sound or a syllable, especially at the beginning of the word, such as “li- li- like.”
• Prolongation of a sound such as “ssssss”
• Complete stoppage of speech or the omission of a sound.
• Repeated interruption of speech with sounds such as “uh” or “um.”

Stuttering can begin at any age, but it’s most common among children who are learning to form words into sentences. Boys are more likely than girls to stutter.

Approximately one out of every 20 children will develop stuttering that lasts for more than six months, but this does not necessarily mean that stuttering is going to be a lifelong problem. Knowing what to look for and responding appropriately to your child’s stuttering will go a long way toward preventing it from becoming a more long-term or even permanent condition.

Why does stuttering begin? At one time many people thought that stuttering was the result of either physical or emotional trauma. While there are rare instances of stuttering following traumatic events, this is not the typical factor when determining why stuttering begins. Instead, experts point to other factors that contribute to stuttering:

• Family History – According to research, 60% of all stutterers have someone in the family who also stutters.
• Child Development. – Children who have other language and speech problems are more likely to stutter than children who don’t.
• Neurophysiology – Which part of the brain processes language can contribute in identifying why some children stutter
• Family Dynamics – Some children’s stuttering has been attributed to high family expectations and a fast-paced lifestyle.

Talk to your doctor if you are concerned about your child’s stuttering. Your doctor may refer you to a specialist known as a speech-language pathologist (SLP) who can evaluate your child and determine whether or not there is a risk of a long-term problem. In most cases, treatment primarily focuses on training and working with the parents to develop techniques to help the child cope with and get beyond his or her stuttering.

Parents of children who stutter can also help by creating a relaxing atmosphere at home that encourages speech, even if a stutter is present. Some tips include:

• Create opportunities for talking that are relaxed, fun, and enjoyable.
• When conversing with your child, try to create an environment with limiting distractions, such as the presence of television.
• Don’t be critical of your child’s speech or insist on precise or correct speech. Don’t correct his speech, or complete his sentences.
• Don’t put pressure on your child to verbally interact with others when stuttering becomes a problem.
• Listen attentively to what your child is saying, maintaining normal eye contact without displaying signs of impatience or frustration.
• Model a slow, relaxed way of speaking to help your child slow down his own speech.
• Don’t be afraid to talk with your child about stuttering and answer questions. Explain that disruptions in speech are common.

Learn the Facts About Addison’s Disease

Posted on October 19, 2018 by Michael Hinck

Just above each of our kidneys lie our adrenal glands. These glands are part of our endocrine system and are responsible for producing the hormones Cortisol and Aldosterone which help us to convert food into energy, maintain our immune system, and regulate our potassium and blood pressure levels.

When the adrenal glands become damaged they can affect our ability to generate a sufficient amount of these hormones, which could lead to a rare auto-immune disorder called Addison’s disease. This condition affects one in 100,000 people and can occur in all age groups and both sexes.

While damage to your adrenal glands is the cause of over 70% of the diagnosed cases of Addison’s disease, long lasting infections, such as tuberculosis, HIV, or fungal infections can also lead to its onset. Addison’s disease may also develop after cancer cells spread from other parts of the body to the adrenal glands.

Addison’s disease symptoms usually develop slowly, often over several months, and may include:

Extreme fatigue
Weight loss and decreased appetite
Darkening of your skin (hyperpigmentation)
Low blood pressure, even fainting
Salt craving
Low blood sugar (hypoglycemia)
Nausea, diarrhea or vomiting
Abdominal pain
Muscle or joint pains
Irritability
Depression
Body hair loss or sexual dysfunction in women

Because symptoms of Addison’s disease progress slowly, they may go unrecognized until a physically stressful event, such as another illness, surgery, or an accident, worsens symptoms quickly. When this happens, it’s called an Addisonian crisis. For one in four people with Addison’s disease, this is the first time they realize they are ill. An Addisonian crisis is considered a medical emergency because it can be fatal.

While Addison’s disease can be life threatening if not treated, those with it can live normal lives if they comply with a treatment plan that includes strict medication management.

When Is The Best Time To Get The Flu Vaccine ?

Posted on October 18, 2018 by Andrew Rubin

Flu season can start in September and run until May. Even before the summer is over, pharmacies start advertising that the flu vaccine is available. While many people believe that the best time to get a flu vaccine is as soon as possible, getting it in October probably is the best option. Some research has shown that the effects of the vaccine start to wear off after six months so we want to make sure we are well protected when the height of the flu season is upon us.

Every year the flu vaccine is different, manufactured with the hope that it will be effective against the prevalent strain expected for that year. It is estimated that it takes approximately two weeks for the vaccine to become fully effective, so being covered early is important. Everyone who is going to be vaccinated wants to be prepared before the peak of the flu season which runs from December to late March. If you would to schedule an appointment for a flu vaccine in the Flushing Hospital Medical Center’s Ambulatory Care Center please call 718-670-5486.

Benefits of Grandparents Who Help Raise Grandchildren

Posted on October 17, 2018 by Joann Ariola

Studies have shown that raising grandchildren can be mutually beneficial. Grandparents provide a stable, safe, loving and fun environment for their grandchildren and the closeness between grandchildren and grandparents may keep older adults sharp, ward off depression, boost social connections, and solidify an important family relationship.

Some positive results of grandparents caring for their grandchildren are:

Peace of mind – Parents know that their children are with those who love them and are giving them the time an attention their parents can’t while at work.
Financial – Childcare is expensive. Parents may be able to save in lieu of paying the high cost of childcare.
Flexibility – If the parents are called in to work on an off day, grandparents are generally ready, willing and able to take on whatever was planned for that day.
Health – Many grandparents feel that their grandchildren keep them fit and to a grandchild no one can fix a cut or scrape better than a grandparent.
Wisdom – Grandparents can impart great wisdom to your child in a way that is much more absorbable than if a parent tries to impart that same wisdom.

Having grandparents help raise your children is a mostly “pro” scenario, but no situation is a perfect one. Always have a childcare plan “B” in place in case Grandma and Grandpa need a day off.

Household Products and Asthma

Posted on October 16, 2018 by Xavia Malcolm

Keeping your home clean can minimize your exposure to various asthma triggers such as dust and mold. However, some household cleaning products contain harmful chemicals that can induce asthma symptoms.

Certain cleaning products are known to release volatile organic compounds (VOCs) in the air while they are being used. VOCs are dangerous gases that can cause adverse reactions, and contribute to chronic respiratory problems. According to the American Lung Association (ALA), “Cleaning supplies and household products containing VOCs and other toxic substances can include, but are not limited to: aerosol spray products, chlorine bleach, detergent and dishwashing liquid, rug and upholstery cleaners and oven cleaners.”

The ALA also warns people with asthma and other chronic respiratory health problems against the use of products that contain a mixture of bleach and ammonia. This harmful combination is a known asthma trigger. In some cases, symptoms that result from the use of both products can lead to death.

One of the most effective ways to avoid using harmful household products is to carefully read their labels. Purchase products that contain zero or reduced amounts of VOCs, irritants or fragrances. The ALA recommends using milder products such as baking soda, vinegar, borax, or lemon juice to make alternative and safer cleaning solutions. If you must use a chemical product choose those that are certified green by reputable organizations such as the Environmental Protection Agency (EPA). Follow the manufacturer’s instructions and wear protective masks and gloves.

It is also important to keep in mind that while you are cleaning to keep your area well ventilated. Do not use products in an enclosed area; open your windows and doors. Proper ventilation reduces the effects that poor air quality can have on your health.

For additional information on safe ways to clean your home, visit the American Lung Association’s website at www.Lung.org

To schedule an appointment with a doctor at Flushing Hospital, please call 718-670-5486.