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Stroke

Posted on June 1, 2016 by Andrew Rubin

Stroke is the fifth leading cause of death in the United States. Almost 800,000 people have a stroke in the United States each year and it is responsible for approximately 130,000 deaths. The risk of having a stroke is twice as high in African Americans than in Caucasians, and it occurs more frequently in men than in women.
There are two types of stroke, hemorrhagic and ischemic. A hemorrhagic stroke is either a brain aneurysm or a weakened blood vessel that leaks thus creating swelling and pressure in the brain that damages the cells. This type of stroke occurs about 15 percent of the time but is responsible for about 40 percent of all stroke deaths. The other type of stroke is an ischemic stroke and it occurs when the flow of blood to the brain is blocked by a blood clot. The blockage may occur when a blood clot or fragment of plaque travels from another part of the body through the blood vessels into the brain and blocks the flow of blood. When blood flow is blocked, oxygen can’t reach the brain cells and they die and it causes loss of function in that part of the brain.
Warning signs of a stroke can be remembered by the acronym “FAST”.
Face – Ask the person to smile. Does one side droop?
Arms – Ask the person to raise both arms. Does one arm drift downward?
Speech – Ask the person to repeat a simple phrase. Is their speech slurred or strange?
Time – If you observe any of these signs, call 9-1-1 immediately.
Stroke warning signs are characterized by sudden numbness of the face, arm or leg, usually on one side of the body. Strokes are accompanied by confusion, trouble speaking, or understanding, trouble seeing in one or both eyes, and sudden trouble walking, dizziness, loss of balance or coordination.
Anyone who is exhibiting signs of a stroke should call 9-1-1 immediately and be brought to the nearest hospital. The sooner a person can be evaluated and treatment started, the more hope there is that the effects can be minimized, and potentially reversed.
Flushing Hospital recently was recognized by the American Heart Association and the American Stroke Association for its Gold Plus level of participation in the “Get With The Guidelines Stroke and Target; Stroke” program. They were recognized for applying the most up-to-date evidence based treatment guidelines to improve patient care and outcomes in the community.
If you would like to schedule an appointment with a physician at Flushing Hospital, 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.

When Eating Healthy, Desert Takes the Cake!

Posted on June 1, 2016 by Joann Ariola

Rich Chocolate Pudding Pie

Ingredients

CRUST:

30 chocolate wafers (such as Nabisco’s Famous Chocolate Wafers)
3 ounces bittersweet chocolate, melted
1 tablespoon canola oil

FILLING:

3/4 cup sugar
1/4 cup cornstarch
1/4 cup unsweetened cocoa
1/4 teaspoon salt
1 3/4 cups 1% low-fat milk, divided
2 large egg yolks
4 ounces bittersweet chocolate, finely chopped
1 tablespoon white rum
1/2 cup fresh raspberries
10 tablespoon fat-free frozen whipped topping, thawed

PREPARATION

To prepare crust, place wafers in a food processor; process until finely ground. Add 3 ounces melted chocolate and oil; process until blended. Press into bottom and up sides of a 9-inch pie plate. Freeze 15 minutes or until set.
To prepare the filling, combine sugar, cornstarch, cocoa, and salt in a large saucepan; stir with a whisk. Add half of milk and 2 yolks; stir with a whisk until smooth. Stir in the remaining milk. Cook over medium heat for 5 minutes or until thick and bubbly, stirring constantly. Remove from heat. Add 4 ounces chocolate, and stir until smooth. Stir in rum. Pour filling into prepared crust. Cover with plastic wrap; chill 4 hours or until set. Serve with raspberries and whipped topping.

For this and more healthy deserts, check out –

Seaweed – The Superhero of Superfoods

Posted on June 1, 2016 by Joann Ariola

In the realm of superfoods, seaweed has been underrated. For years, seaweed has been wrapped around spicy tuna rolls or was used as an ingredient for salad, but it’s recently come to the attention of nutritionists and foodies alike that seaweed just might be the superhero of superfoods!

With its low calorie, nutrient-packed makeup, seaweed has many benefits that make eating it trendier than ever before.

Some reasons to try this healthy option are:

Seaweed…

contains vitamins A and C, calcium, iodine and potassium
is rich in protein
can help regulate estrogen and estradiol levels
is packed full of antioxidants
contains a healthy amount of dietary fiber
is full of heart healthy fats

If there is a downside to eating seaweed, it would be its sticky, slimy texture, but the healthy benefits far outweigh any downside.

Mosquito Bites – More Than Just an Itch

Posted on June 1, 2016 by Joann Ariola

Summertime means most of us will spend more time outdoors, but this means we must share our space with mosquitoes. Of the 3,000 species of mosquitoes in the world, roughly 200 can be found in the USA.

According to the Centers for Disease Control and Prevention (CDC), mosquitos have been labeled the most dangerous animal in the world since estimates hold mosquitos responsible for hundreds of millions of malaria cases each year, as well as transmitting West Nile virus, yellow fever and the more notable Zika virus.

We are told by health professionals and monitoring agencies that the Zika virus is primarily spread to people through the bite of an insect, the Aedes aegypti mosquito to be more specific. Additionally, there have been some cases where Zika has been spread through having sexual relations with an infected male. Men and women who have traveled to Zika hot spots should consider condom use during pregnancy if the man has been exposed.

The most common symptoms of the Zika virus disease are:

Fever
Rash
Joint pain
Conjunctivitis (pink eye)

The CDC goes on to state that the Zika virus is usually mild with symptoms that last from several days to one week, but with Zika being linked to birth defects in women infected during pregnancy, the CDC recommends the following measures to protect you against being bitten:

Repellents – When used as directed, insect repellents are the best way to protect yourself and family from getting mosquito bites. The higher percentages of active ingredients provide longer lasting protection.
Cover up – When weather permits, wear long-sleeved shirts and pants.
Keep mosquitoes outside – Use air conditioning or make sure that you repair and use window/door screens
Protect yourself when traveling – learn about the country-specific travel advice, health risks and how to stay safe.

Since specific areas where Zika is spreading, and most prevalent, are often difficult to determine and are likely to change over time, please visit the CDC Travelers’ Health Site for the most updated information at http://wwwnc.cdc.gov/travel/page/zika-travel-information

To Hookah or Not to Hookah?

Posted on May 31, 2016 by Flushing Hospital

Article by Jennifer Ceide, AE-C, CHES, CTTS Flushing Hospital Medical Center

For my birthday, I am definitely going to a hookah lounge!” was excitedly determined by my cousin several years ago. As a developing tobacco treatment specialist, I wanted to proclaim my objection by saying, “Do you know that one hookah session is equivalent to smoking 100 cigarettes?!” Luckily, we couldn’t find a lounge that was open. Besides hookah lounges, hookah is also offered at night clubs and restaurants; it’s almost impossible not to find an opportunity to smoke hookah. So why the sudden burst in popularity, especially among never-smoked-a-cigarette millennials who without hesitation detest cigarette smoking?

So, what’s a Hookah?

Hookah is a water pipe used to smoke tobacco. Tobacco is burned at the top of the pipe, the smoke is then passed through water and the vapor is inhaled.

It’s safer…right?

Wrong! Besides the delivery of the highly addictive drug nicotine, the smoke from hookah contains toxins that contribute to cancer and other diseases. The water through which the smoke passes gives the false impression of purification; this process has not been shown to decrease any toxins associated with smoking. The vapor contains carbon monoxide, metals, and cancer-causing chemicals.

According to the World Health Organization, a hookah session can last between 20 to 80 minutes, one session can be equal to smoking 100 cigarettes.

When we consider the added risk associated with sharing a mouthpiece with others, the possibility of contracting communicable diseases such as tuberculosis, herpes, influenza, or hepatitis becomes a noteworthy threat.

To hookah or not to hookah?

From what we know so far the risks linked to smoking hookah should deter and not encourage. Because the popularity of smoking hookah is a recent trend, long term effects of the activity continue to be determined; however, we have enough evidence to conclude that hookah is not the safe alternative to smoking cigarettes. Hookah smokers are at risk for developing the same cancers and diseases that are linked to cigarette smoking in addition to the added risk of developing communicable diseases.

What is a Brain Freeze?

Posted on May 27, 2016 by Michael Hinck

“SPHENOPALATINE GANGLIONEURALGIA!!!” We’re guessing you have never heard anyone yell that out after licking an ice cream cone or slurping down a frozen beverage. Perhaps you have heard someone scream “Brain Freeze” though, the more common term for this scientific condition.

A brain freeze usually occurs after a cold food or beverage touches the roof of the mouth (your palate). This sudden temperature change of the tissue stimulates nerves, causing rapid dilation and swelling of the blood vessels. This response is an attempt to direct blood to the area and warm it back up. The “headache” that follows is triggered when the pain receptors in your mouth signal your brain using the nerves in your face. The end result is a sudden, sharp pain and the usual exclamation that is synonymous with this phenomenon.

A brain freeze, also referred to as an ice cream headache, can last anywhere from a few seconds to a few minutes in duration. Brain freezes can occur as frequently in the summer as they do in the winter because the brain’s response is to the food being consumed, not to the temperature outside.

To avoid getting a brain freeze it is recommended that you eat slowly because this reaction is triggered by an immediate temperature change in the mouth. If you do suffer a brain freeze, try pressing your tongue against the roof of your mouth to warm the blood vessels. Other suggested tricks include holding your head back or breathing in through mouth and out through the nose to pass warmer air through the nasal passages.

With the weather getting warmer and more people indulging in ice cream and other frozen treats, expect to hear someone yelling out “Brain Freeze” soon. When they do, be sure to share your new found knowledge about this common sensation.

Diabetes Friendly Recipes

Posted on May 26, 2016 by Zakiya Hazel-Jemmott

Living with diabetes is already difficult enough without having to worry about your diet restrictions. You can enjoy healthy meals, even if time is tight in your schedule. Here are some quick, diabetes conscious recipes to keep you going through the day.

Start your morning off with this delicious fruit and almond smoothie. You will need one cup of almond milk, one cup of frozen strawberries and peaches, and 2 ounces of flavored Greek yogurt of your choice. Combine all of the ingredients in a blender, blend until smooth and thick, pour and enjoy! See the full recipe here: http://www.diabetes.org/mfa-recipes/recipes/2012-04-fruit-and-almond-smoothie.html
This healthy chicken and vegetable casserole is cooked in one pan and makes an easy mid-day meal. You will need chicken breasts, broccoli, spinach, wild brown rice, and cheese of your choice. See the full recipe here: http://www.diabeticlivingonline.com/recipe/chicken/chicken-and-wild-rice-casserole
End your day with this orange soy salmon recipe. This heart-healthy meal can be prepared, popped in the microwave, and served in less than 15 minutes. Salmon fillets are cooked over spinach and served alongside a veggie mix, all drizzled with a tangy topping of orange juice, soy sauce, fresh ginger, hoisin sauce, and sesame oil. See the full recipe here: http://www.culinaryarts.com/Recipes/recipefiles/orange_soy_glazed_salmon.htm

Cooking a diabetes-friendly meal doesn’t have to be a time-consuming endeavor that traps you in the kitchen. Whether you have type 1 or type 2 diabetes, are prediabetic, or cook for someone who has diabetes, you can still enjoy a healthy and delicious dish!

To schedule an appointment with a physician or nutrition expert, please call Flushing Hospital Medical Center’s Ambulatory Care Center at 718-670-5486.

Invitro Fertilization

Posted on May 26, 2016 by Andrew Rubin

On July 25, 1978 the first baby was born that had been conceived invitro. These babies were referred to as “Test Tube Babies” because they were essentially created in a laboratory in a glass tube. Invitro Fertilization is the process where the egg harvested from a female is combined with the sperm obtained from a male in a lab and in a glass tube. This was the culmination of many years of research performed by Dr. Patrick Steptoe and Dr. Robert Edwards during the 1960’s and 1970’s in England.
The invention of the microscope in the 17th century really helped scientists understand how fertilization takes place. For hundreds of years following this development, research was done on how to implant fertilize eggs artificially, but while still within the body. It wasn’t until the beginning of the 20th century that fertilization outside of the body was begun. In 1959 the first rabbit to be conceived invitro was born, followed in 1963 by a hamster and in 1972 by the birth of a mouse. The technique that really helped advance IVF was the use of laparascopic surgery. This allows the gynecologist to remove the follicles from the ovary very precisely.
It is estimated that now over 200,000 babies have been conceived using IVF. The procedure has been improved upon tremendously in the last few years. Many times this process leads to multiple eggs being fertilized and more than one baby being conceived.
To speak to a physician at Flushing Hospital about IVF and pregnancy in general please schedule an appointment by calling 718-670-5486..

Viral Hepatitis “The Silent Epidemic”- How Dangerous is This Disease?

Posted on May 24, 2016 by Xavia Malcolm

The medical community has labeled viral hepatitis, “The Silent Epidemic,” because there are millions of people living in the United States with some form of the disease. What is most alarming is 65% of these people are unaware that they are infected and are unknowingly contributing to the rapid spread of the virus.

Viral hepatitis is characterized by the inflammation of the liver and is most commonly caused by the hepatitis A, B or C virus. Each type of hepatitis has its severities and can develop into chronic or life-threatening conditions, such as liver cancer, liver failure or cirrhosis (scarring and dysfunction of the liver). While the degree of severity may differ with each strain, the advanced symptoms that present themselves are similar.

Symptoms may include:

Dark urine
Diarrhea
Jaundice (yellowing of the skin, eyes and tongue)
Weight loss
Itchy skin
Light colored feces
Muscle or joint pain

Transmission of viral hepatitis differs with each form of the virus.

Hepatitis A Virus (HAV) – Is caused by consuming infected food and water or anal to oral contact during sex. Prevention includes washing your hands with soap and water after using the toilet, drinking bottled or treated water and eating food that has been thoroughly cleaned.

Hepatitis B Virus (HBV) – Is a sexually transmitted disease. HBV is 50-100 times more infectious than HIV. It is spread by contact with bodily fluids such as blood or semen. Prevention includes practicing safe sex, using clean syringes, tattoo or acupuncture needles and not sharing personal items such as razor or toothbrushes.

Hepatitis C Virus (HCV) – Is transmitted by direct contact with the blood of a person who has the disease. Prevention includes covering wounds, not sharing personal effects such as razors, manicure equipment or toothbrushes and using sterilized needles.

It is important for people to know their status and help combat the rapid acceleration of viral hepatitis. Public health organizations such as the CDC (Centers for Disease Control and Prevention) encourage people to get screened for the disease whether or not they are displaying symptoms. Individuals who are infected should seek treatment and exercise methods to prevent transmission.Health organizations are also increasing their efforts in educating the public about Hepatitis by promoting campaigns during Hepatitis Awareness Month, which is designated as May in the United States.

Flushing Hospital Uses Robotic Surgery to Remove Gallstones

Posted on May 20, 2016 by Zakiya Hazel-Jemmott

Many people have gallstones without knowing it. Gallstones are hard deposits in your gallbladder, a small organ that stores a digestive fluid made in the liver. Bile usually dissolves or breaks down cholesterol. However, if your liver makes more cholesterol than your bile can dissolve, hard stones may develop.

Not all people experience symptoms from gallstones. According to the American College of Gastroenterology, 80 percent of people who have gallstones don’t have any pain at all. These are called “silent” gallstones. The most common symptom of gallstones is pain in the right upper quadrant of your abdomen.

Other symptoms include:

Fever
A yellowish tint in your skin or eyes, which can indicate jaundice
Nausea or vomiting
abdominal pain

Many risk factors for gallstones are related to diet.

These include:

Being overweight or obese
Eating a diet that’s high in fat or cholesterol

To diagnose gallstones your doctor will perform a physical examination that includes checking your eyes and skin for visible changes in color. The examination may involve using diagnostic testing to see inside your body. These tests include Ultrasound, Abdominal CT Scan, Gallbladder Radionuclide Scan, and blood tests.

If gallstones are detected in your gallbladder surgery is often the first option if you have significant symptoms. Technology in surgery is constantly evolving with the intent of increasing positive clinical outcomes and improving patient safety and recovery. One of the greatest medical advances to occur in the pursuit of these goals was the development of surgical robots. Flushing Hospital Medical Center in its dedication to supplying patients with superior and technologically advanced tools in health care, acquired the da Vinci Surgical Robot. This tool allows for a minimally invasive surgery with a faster recovery time.

For more information about robotic surgery or procedures performed by our surgeons, please contact Flushing Hospital’s Department of Surgery at 718-670-3135.