Health Beat

What is White Coat Hypertension?

Posted on January 28, 2015 by Flushing Hospital

Does the thought of having a physician take your blood pressure make you nervous? Anxiety over going to the doctor’s office can lead to an elevation in your blood pressure; a condition known as “white coat hypertension.”

White coat hypertension is a real condition that occurs when blood pressure readings at your doctor’s office are higher than they are in other settings, such as your home. The term white coat refers to the traditional white lab coat health care professionals wear in clinical settings.

The underlying cause of white coat hypertension is believed to be tension and stress associated with being examined by a physician. Not much attention was given to this condition since the blood pressure of patients returned to normal levels when taken in the home environment, where they feel more relaxed. Recent studies however have proven that people with white coat hypertension are twice as likely to develop true hypertension within a decade, compared to people with normal blood pressure levels.

How do you know if you have white coat hypertension and what should you do if you have it? The first step is for your doctor to have you monitor your blood pressure at home to see if it returns to normal levels. If it does, together, you and your doctor can decide whether to treat it or not. On one hand, if your blood pressure is normal during the rest of the day, taking blood pressure medications can lead to hypotension (low blood pressure). On the other hand, people with white coat hypertension might have elevated blood pressure during other stressful parts of the day. Many factors, such as age, family history, and the existence of other conditions will help the doctor make the right decision for you.

There are things that you can do to reduce your anxiety and stress before having your blood pressure checked by a health care professional. First, avoid drinking excessive amounts of water before checking your blood pressure because water can increase your reading. Also, do not participate in any physical activity before having your blood pressure taken. Excessive physical exertion will raise blood pressure. Lastly, avoid stressful situations and remain calm leading up to and during your visit to the doctor’s office.

If you think you have hypertension, make an appointment with your doctor immediately. If you do not have a primary care physician, call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

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.

Can Your Diet Affect Your Sleep?

Posted on January 13, 2015 by Flushing Hospital

Do you suffer from a sleep disorder? Your diet may be the key to giving you a better night’s sleep. According to Center for Disease Control and Prevention, an estimated 50 to 70 million people in the United States suffer from a wide variety of sleep disorders.

Studies show that certain foods tend to produce a more restful night’s sleep. Foods that you can pick up at any local grocery store that are likely to give you a deeper sleep are:
• Milk
• Turkey
• Honey
• Nuts (such as almonds, walnuts, etc.)
• Kale
• Rice (or other forms of carbohydrates)

The secret to these foods are the vitamins they contain, as well as the hormones they help the brain produce. The old wives’ tale of drinking a warm glass of milk before bedtime is not all that inaccurate. Calcium is a natural sleep inducer, especially when consumed with magnesium, which can be found in bananas. Melatonin is a hormone the brain produces naturally that also greatly contributes to a good night’s sleep. Calcium and magnesium both naturally produce melatonin, a hormone produced by the brain that promotes sleepiness, so eating dairy products, wheat, and beans can all lead to a more restful sleep. Additionally, some proteins, such as lean meats, produce tryptophan, an amino acid that causes sleepiness. Carbohydrates, such as starches and fibers, can also cause fatigue because the body breaks them down into sugars that become glucose, which ultimately becomes blood sugar. Some healthy carbohydrates can be found in whole grain, cereal, and vegetables.

While some foods can help you get a better night’s sleep, other foods and eating habits can reduce your amount of sleep. Some of these include:
• Eating too much or too little
• Caffeine (after lunchtime)
• Fatty foods (fast food, junk food, etc.)
• Eating late at night
• Alcohol (in large doses)

Try to avoid these bad eating habits and replace them with healthy foods that are high in calcium, magnesium, healthy carbohydrates, and protein. If you think you are suffering from a sleep disorder that cannot be helped by your diet, consult a physician for an assessment or to discuss treatments for possible sleep disorders. To make an appointment at Flushing Hospital’s Ambulatory Care Center at 718-670-5486.

Tap V. Bottled Water: Which is Better?

Posted on January 5, 2015 by Xavia Malcolm

Remember sipping water from a fountain in the park or turning on the kitchen sink for a glass of H2O? Many people today do not have those same experiences because fewer and fewer are drinking tap water. In a recent study, it was revealed that one out of every five U.S. households uses bottled water as their primary or only source of water. Many Americans believe it is a healthier option, but is it really better for you?

Tap water and bottled water are regulated by two different agencies. The Environmental Protection Agency oversees tap water and the Food and Drug Administration regulates bottled water. Despite the different governing agencies, the standards of ensuring safety are very similar. Both have strict quality control measures in place to protect the water we drink from harmful bacteria and other contaminates.

Another similarity between tap and bottled water is often the source. There are over 500 bottled water plants in the United States and while some of the bottled water originates from sparkling springs, many others come from a municipal water supply. The water is treated, purified and sold to the public at an inflated cost. In fact, bottled water is estimated to cost up to 1,000 times more than tap water.

Distinguishing which is healthier is hard to do. The levels of certain important minerals in your water, such as calcium and magnesium, depend on what type of bottled water you purchase or the source of your tap water. Areas that use water sources that contain lower levels of these minerals have a higher rate of heart disease than areas with higher levels.
What about taste? Some people prefer the taste of bottled water, citing a funny taste in tap water. The taste that they are referring to is the trace amounts of chlorine used as a disinfectant to guard against the regrowth of microorganisms. Bottled water often utilizes ozone disinfection, which is tasteless and odorless.

The last factor to consider when choosing between tap and bottled water is the effect bottled water consumption has on the environment. It is estimated that Americans consume nearly ten billion gallons of bottled water every year. It is also estimated that less than 20% of water bottles are recycled.

What do you prefer to drink and why? Flushing Hospital wants to know.

Do You Have a Carbon Monoxide Alarm in Your Home?

Posted on December 15, 2014 by Flushing Hospital

Carbon monoxide (CO) poisoning can happen at any time of the year, but the danger is greatest during the winter months when furnaces and other heating units are used more frequently.

It is the number one cause of poisoning deaths in the United Sates and is called the invisible killer, because you cannot see or smell it. This poisonous gas can come from a variety of sources and quickly incapacitate and kill its victims.

Since CO is colorless, tasteless and odorless (unlike smoke from a fire), detection and prevention of carbon monoxide poisoning in a home environment is impossible without a warning device, such as a carbon monoxide detector. While about 95 percent of U.S. homes report having at least one working smoke alarm, only 42 percent report having a working CO alarm. CO alarms can alert you and your family to dangerous levels of carbon monoxide inside your home before it is too late.

Proper placement of a CO detector is important. If you are installing only one in your home, it is recommended that you place it near the bedrooms, where it can wake you if you are asleep. Like smoke detectors, the batteries in CO detectors should be checked annually and they should be tested every month.

If your detector goes off, immediately leave your home and get fresh air. Call 911 before re-entering your home.

Is Your Child Being Bullied?

Posted on November 24, 2014 by Joann Ariola

Bullying occurs when an individual or group possesses an imbalance of power, either from a physical or social status perspective, over another person or group. While bullying is prevalent among all age groups, it has become a serious cause for concern among children.

The National Bullying Prevention Center defines bullying as behavior that hurts or harms another person physically or emotionally. Those being bullied often have difficulty stopping the behavior directed at them and struggle to defend themselves.

Statistics have shown that at least 28 percent of students, ages 12-18, reported being bullied at school during the year. Additionally, 7.2 % of students admit to not going to school due to personal safety concerns. Many fear the physical and verbal aggression of their peers, and many more attend school in a state of anxiety and depression.

Many children will not tell parents they are being bullied until the situation escalates, but there a few changes in their behavior that can alert you. Signs that your child may be a victim of bullying include refusing to speak about their day at school,not wanting to go to school, unexplained marks and bruises, asking for more lunch money, complaining of frequent headaches and stomach aches,sudden loss of friends and frequent nightmares.

“Bullying has profound effects on children. For some, it affects them for life. Psychological responses can range from depression, anxiety, post-traumatic stress disorder to severe reactive rage leading to the victim being the perpetrator of cruelty to others. In some instances, children have responded to bullying and cyber-bullying by committing suicide,” states Dr. Seeth Vivek, Chairman of Psychiatry at Jamaica Hospital.

If you find that your child is being bullied, you will need to document the dates, times and places of the action. If the bullying is taking place on school grounds, call the school and schedule a face to face meeting with a teacher or principal. If not on school grounds, notify the police.

Most schools have adopted an anti-bullying policy. Obtain a copy to determine if the bully violated school law. Bullying is best handled when you work together, with the proper authorities.

After notification, be sure to follow up with your child, and the school, to make sure that the bullying has stopped.

Bridging the Gap Between Physical Health and Mental Health

Posted on October 31, 2014 by Xavia Malcolm

The way health care is being delivered is evolving as a result of the Affordable Care and Patient Protection Act. One very important change is the transition to providing more integrated care. An excellent example of an integrated care model is Flushing Hospital’s efforts to provide patient-centered care that focuses on integrating mental and physical health in the Ambulatory and Behavioral Health Centers.

Traditionally, primary care and behavioral services have been treated separately, with minimal collaboration. With improved coordination and integration, behavioral health issues can be diagnosed and treated in medical clinics and physical health issues can be diagnosed and treated in behavioral health clinics to improve integrated treatment planning and clinical outcomes.

Flushing Hospital has been making strides in bridging the gap between behavioral and medical services for many years. In 2007 and 2011 the hospital’s Department of Psychiatry and Addiction Services was awarded more than $1.4 million dollars to integrate mental and physical health. The basic principles of the integration project are to help people age successfully through diet, exercise, the pursuit of mental challenges, self-efficacy, which is the “I can do it spirit,” and social support, which is “we can help each other age successfully” approach.

Additionally, Flushing Hospital is applying for NYS funds to further integrate behavioral and physical health across our network of services and throughout Queens. If awarded the funds, Flushing Hospital, and the MediSys Health Network, would look to integrate mental health and primary care by offering both services in convenient locations.

Another way Flushing Hospital continues to address building a link between improved physical and mental health is through its annual behavioral health conference. Every year, the hospital hosts a symposium to educate members of the medical and mental health community. This year’s conference is titled “Is Integrated Care a Solution to the Challenges Facing Health Care.” For more information about the conference, please see the attached brochure.Behavioral Health 2014

For more information about Flushing Hospital’s efforts to create a healthier community, both physically and mentally, please call 718-670-4416

Meet the Newest Member of Flushing Hospital’s Surgical Team

Posted on September 17, 2014 by Michael Hinck

The newest member of Flushing Hospital’s surgical team has been described as world renowned and a revolutionary in the field of minimally invasive surgery. This prestigious new member of the team also needs to be plugged into an electrical outlet.

The da Vinci Robotic Surgical platform is now at Flushing Hospital, offering our patients the most technologically advanced surgical system in the entire region.

Robotic surgery has been available for a number of years and offers patients many benefits, including minimal pain, faster recovery time, less blood loss, and shorter hospital stays. What makes Flushing Hospital’s robotic platform so exciting, however, is the new single-site robotic capabilities it offers.

The single-site robotic platform provides Flushing Hospital’s surgeons the same increased dexterity, control and high definition 3-D vision found in traditional robotic surgery, as well as the added benefit of performing the operation through a single, nearly invisible scar hidden in the patient’s navel. Previous surgeries might require multiple incisions or one larger incision. “This technology offers a tremendous cosmetic benefit to our patients and underscores Flushing Hospital’s commitment to providing the highest level of surgical care, using the most advanced minimally invasive surgical options,” stated Dr . Neil Mandava, Chairman of Surgery at Flushing Hospital.

During a robotic procedure, the surgeon sits comfortably at a console, viewing a 3-D, high definition image of the patient’s anatomy. The surgeon uses controls below the viewer to move the instruments arms and camera. In real-time, the system translates the surgeon’s hands, wrist, and finger movements into more precise of the miniaturized instruments inside the patient.

The da Vinci system offers a wide variety of surgical options available to the community, including procedures in urology, gynecology, bariatric surgery, as well as general surgery. Flushing Hospital surgeons have already performed multiple robotic procedures with outstanding results.

For more information about the da Vinci robotic surgical system, please call 718-670-3135.

Your Spinning World Could be Due to Vertigo

Posted on August 7, 2014 by Andrew Rubin

Have you ever experienced dizziness or a spinning sensation when in fact everything is standing still? You may have experienced vertigo.

Vertigo can cause a person to feel light headed, off balance, spinning, seeing double, or as though they are falling. In severe cases it can be accompanied by nausea, difficulty walking, or loss of balance.

Vertigo is often related to a problem within the inner ear. It may be due to a buildup of fluid and changing pressure (Meniere’s disease), or due to an accumulation of tiny calcium particles called canaliths in the canals of the inner ear ( BPPV or benign paroxysmal positional vertigo). It may also be caused by an infection, usually viral, in the inner ear. All of these conditions can lead to loss of balance.

Symptoms of vertigo:

 A sensation of movement accompanied by nausea, vomiting, and sweating..

 Head positioning leading to dizziness

 Ringing in the ears and changes in hearing

 Abnormal eye movement

 Symptoms that are fairly constant in regularity

A [physician can diagnose vertigo through physical examination that may include a CT scan of the head to see if there are any brain injuries blood tests to see if the blood glucose is normal and an EKG to see if the heart rhythm is normal.

Frequently the symptoms of vertigo will resolve by themselves. Depending on the cause, some form of medical treatment may be necessary. When the cause is due to an infection, medications may be prescribed to cure it, and sometimes steroids will be given to reduce the inflammation. If the problem is being caused by a buildup of fluid in the ear, medication may be prescribed to help reduce it. If vertigo is being caused by an accumulation of tiny calcium crystals, a series of head and neck positioning exercises may be given to help move them out of the inner ear into a location where they can be more easily absorbed by the body. In extreme cases of vertigo, surgery may be needed to resolve the problem.

If you are experiencing symptoms of vertigo and would like to schedule an appointment with an ear, nose, and throat specialist, please call 718-670-8939.

The Facts About Hand, Foot and Mouth Disease

Posted on July 22, 2014 by Michael Hinck

Summer gives us a break from the flu and many other viruses prevalent during the winter months, but there is one contagious virus that your child is at risk of contracting during the summer.

Hand, foot and mouth disease (HFMD) is a common illness in the summer months, predominantly found in infants and children under the age of 10, but one that can also affect teens and adults. It is caused by a family of viruses known as the Coxsackie virus. There are multiple types of Coxsackie virus, but the A16 strain causes HFMD.

HFMD can produce a wide variety of symptoms, including mild flu-like symptoms such as fever, head and muscle aches, sore throat, fatigue, and poor appetite. The fever usually lasts anywhere from 24 hours to 2-3 days. One or two days after the fever begins, small red spots begin to appear in the mouth, throat, palms of the hands, and soles of the feet. These spots develop into blisters and eventually into painful ulcers, which resolve within a few days without any scarring.

These blisters give the illness its name, but it should not be confused with the similarly named foot (or hoof) and mouth disease, which is found in cattle.

HFMD is spread between children either hand to hand or through tiny air droplets that are released when they sneeze, cough, or blow their nose. The illness can also be spread when a person is exposed to an infected child’s stool or the fluid from their blisters.

HFMD is contagious and tends to spread most easily in settings where many young children are together, such as day care centers. In tropical parts of the world, HFMD is present throughout the year, but in cooler climates, such as New York, outbreaks take place only in the summer or fall. Some people incorrectly believe that the illness is spread in swimming pools, but a properly chlorinated pool should kill the virus.

Proper hand washing is considered the best protection against the virus, especially after using the bathroom, changing diapers, and before eating or preparing food. The virus can live on contaminated surfaces for several days. Therefore, parents should clean shared toys and all surfaces potentially contaminated with disinfectant cleaners to protect against the spread of HFMD.

There are lab tests to confirm HFMD, but doctors usually can diagnose the virus based on a physical examination. There is no specific treatment for HFMD. Doctors often recommend over-the-counter pain and fever reducing medications to make your child feel more comfortable. Salt water rinses might also provide relief.

If you think your child has hand, foot and mouth disease, you should see a pediatrician or call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to make an appointment.

Summer Tips To Keep Your Kids Fit

Posted on July 11, 2014 by Michael Hinck

Is your child at risk for gaining weight this summer?

We consider summer to be a time when kids run around, go swimming and generally remain active. With all this physical activity, it is a common belief that children keep weight off or maybe even lose a few pounds in the summer, but that is not the case. There are many reasons why parents are now noticing that their children are actually gaining weight during the summer.

The rate of childhood obesity has tripled in America in recent decades. Now, one out of three children in this country is considered overweight or obese. When are children gaining the most weight? Recent studies have revealed that during the summer, the rate of weight gain in children is double that of the rest of the year. Why?

One of the biggest contributing factors is that children today live a more sedentary lifestyle. During the school year, children participate in fitness programs, both during recess and in physical education classes. Without a regimented exercise program, children opt to spend their free time playing video games or watching television.

Another factor in summer weight gain is the foods children have access to in their home. In an effort to fight obesity and promote healthy eating habits, many schools provide healthy alternatives for lunches and snacks during the year. During the summer, however, kids have access to whatever snacks are in the home. Kids will often choose unhealthy snacks, such as cookies, chips, and soda, if they are available to them.

In an effort to reverse this trend, Jamaica Hospital offers the following summer healthy living tips for your kids:

• Stock your home with healthy food options like yogurt, carrots, or summer fruits like peaches, berries, or melons.

• Make water the beverage of choice. Juices and sodas are high in calories and low in nutrients. To make water more flavorful, consider adding fruit slices or berries.

• Limit TV and video game usage. It will force kids to become more physically active and prevent them from enticing junk food commercials..

• Walk more. Everyone can do it. Incorporate regular family walks to the park or around the neighborhood.

• Be inventive. Not every child is interested in formal team sports, but every kid loves to run around. Encourage activities like hopscotch, jump rope or a simple game of “tag.”

• Be a role mode. Children often take cues from their parent’s eating habits so if you want your kids to eat healthier, you should eat healthier