Fourth of July Recipe: A Tasty Shrimp, Spicy Mango, and Avocado Salad with Citrus Dressing

Posted on July 3, 2025 by Patrick Hercules

Here is a recipe for a tasty shrimp, spiced mango, and avocado salad with a refreshing citrus dressing that will be a hit at your Fourth of July celebration.

Shrimp, Spiced Mango, and Avocado Salad with Citrus Dressing Recipe | Food Network

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.

Juvenile Arthritis Awareness Month

Posted on July 2, 2025 by Patrick Hercules

July is observed as Juvenile Arthritis Month. Arthritis isn’t just an older person’s disease, children can suffer from it as well.

Juvenile Arthritis or pediatric rheumatic disease is an umbrella term that describes inflammatory and rheumatic diseases that develop in children who are 16 years and under.

Juvenile idiopathic arthritis (JIA) is an autoimmune disease where the immune system attacks the joints instead of fighting viruses and germs. It is the most common type of arthritis in children.

Other types of juvenile arthritis include:

Juvenile myositis is an inflammatory disease that causes muscle weakness. There are two types:

Juvenile polymyositis

Juvenile dermatomyositis

Juvenile lupus is an autoimmune disease that affects the joints, skin, internal organs, and other areas. The most common form is systemic lupus erythematosus (SLE)

Juvenile scleroderma describes a group of conditions that cause the skin to tighten and harden

Vasculitis is a disease that causes inflammation of the blood vessels, which can lead to heart disease. According to the Arthritis Foundation, Kawasaki disease and Henoch-Schönlein purpura (HCP) are the most common forms of vasculitis in kids and teens.

Fibromyalgia is a chronic pain syndrome that causes widespread muscle pain and stiffness. It also causes fatigue, disrupted sleep, and other symptoms. It is more common in girls and is rarely diagnosed before puberty.

The symptoms of juvenile arthritis can vary depending on the type. The most common symptoms include:

Joint pain

Joint swelling

Joint stiffness

Fever, swollen lymph nodes, and rash

It can be difficult to diagnose juvenile arthritis in children because joint pain can be caused by many different problems. Some ways it can be diagnosed include:

Physical exams

Blood tests

Imaging scans

There is no cure for arthritis. However, it can be treated. Treatments can include:

Medications

Physical or occupational therapies

Surgery

Self-care

If your child is experiencing arthritis symptoms, it is important to visit a pediatrician as soon as possible. You can schedule an appointment with Flushing Hospital Medical Center’s Pediatric Ambulatory Care Center by calling 718-670-3007.

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.

High Blood Pressure: The Silent Stroke Trigger

Posted on June 18, 2025 by Abigail Hasan

At Flushing Hospital’s Primary Stroke Center, we see it all too often—patients arriving with stroke symptoms who had no idea their blood pressure was dangerously high. High blood pressure, or hypertension, is the single most important modifiable risk factor for stroke. Yet, millions of Americans live with it unknowingly.

What Is High Blood Pressure?

Blood pressure measures the force of blood pushing against the walls of your arteries. Normal readings are typically around 120/80 mmHg. Hypertension is diagnosed when blood pressure is consistently above 130/80 mmHg. Over time, this force can damage artery walls, making them more prone to clots, rupture, or narrowing, leading directly to stroke.

Why It’s Called the ‘Silent Killer’

Most people with high blood pressure feel perfectly fine. There are usually no symptoms until something serious—like a stroke—occurs. That’s why it’s known as the ‘silent killer.’ Regular monitoring is essential, especially if you have risk factors like diabetes, obesity, or a family history of heart disease.

How High Blood Pressure Leads to Stroke

Uncontrolled blood pressure can damage and weaken blood vessels, making them more likely to rupture and cause a hemorrhagic stroke. It can also contribute to the formation of blood clots that block blood flow to the brain, causing an ischemic stroke. Even small, repeated elevations in BP increase stroke risk significantly over time.

What You Can Do

The good news? Stroke caused by hypertension is largely preventable. Here’s how you can take control:
– Monitor your blood pressure at home regularly.
– Reduce salt and processed food intake.
– Exercise at least 150 minutes a week.
– Maintain a healthy weight.
– Limit alcohol and avoid tobacco.
– Take medications as prescribed by your doctor.

A Message from Our Stroke Team

If you or a loved one is living with high blood pressure, now is the time to act. Visit your doctor, get your numbers checked, and commit to a healthier lifestyle. Remember: every point you lower your blood pressure reduces your risk of stroke.

At Flushing Hospital’s Primary Stroke Center, we are dedicated to preventing strokes through education, early detection, and community outreach. Let’s work together to silence the ‘silent killer’ and protect our brain health.

National Migraine & Headache Awareness Month

Posted on June 13, 2025 by Patrick Hercules

June is National Migraine and Headache Awareness Month. According to the World Health Organization (WHO), headache disorders are some of the most common disorders of the nervous system. The WHO also states that 1 in 7 adults worldwide has migraine and that it can be three times more common in women than men.

A headache is a general term that describes scalp, head, and neck pain. There are many different types of headaches. They may be primary conditions, such as tension headaches, migraine, and cluster headaches, or they may occur due to underlying health conditions.

Tension headaches are the most common type of headache and are more common in women. Causes of Tension Headaches:

Stress

Anxiety

Depression

Alcohol

Caffeine or caffeine withdrawal

Dental problems, such as frequently grinding your teeth or clenching your jaw.

Eyestrain

Keeping your head in one position for a long time.

Not getting enough sleep.

Symptoms of tension headaches typically include dull pressure around the head. You may also feel muscle tightness in your head or neck. The pain is usually mild to moderate and is not accompanied by other symptoms. Tension headaches can last from half an hour to a week.

Ways to treat and prevent tension headaches:

Exercising regularly

Getting enough sleep

Maintaining good posture while seated and taking breaks from sitting.

Managing daily stress

People often experience occasional tension headaches and don’t seek medical attention. If you are experiencing tension headaches for 15 days or more a month, consult your primary care provider.

Migraine is a severe, recurring type of headache that is often debilitating. There are four phases of a migraine attack: prodrome, aura, migraine headache, and post-drome.

Although the exact cause of migraine attacks is unknown, researchers believe genetics is a factor.

There are a few conditions and lifestyle factors that can trigger a migraine attack:

Anxiety

Bipolar disorder

Depression

Epilepsy

Sleep disorders

Caffeine or withdrawal from caffeine

Certain medications or taking medications too often

Migraine attacks are more likely to occur in the morning, making it common to wake up with symptoms. Some people have a predictable pattern of symptoms, such as just before a menstrual period. Other people may have trouble recognizing what triggers their migraines.

There is no cure for migraine, but it can be managed and prevented with over-the-counter triptans and pain relievers.

Cluster headaches are sudden, severe headaches on one side of the head that peak within the first 10 minutes. You may also have a stuffy nose, drooping eyelids, a watery eye, and swelling or redness on the same side as the pain.

The cause of cluster headaches is unknown, but they often run in families and affect more men than women.

Here are some triggers of cluster headaches:

Alcohol

Being exposed to heat

Bright lights

Overexertion

Processed foods

Smoking

Cluster headaches, especially acute ones, are often treated with anti-inflammatories, triptan medications, and DHE injections.

If you commonly experience migraines or headaches, you can visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Spinal Meningitis

Posted on June 12, 2025 by Patrick Hercules

Spinal meningitis, or meningitis, is an inflammation of the meninges, the protective layers surrounding the brain and spinal cord. The meninges protect the brain and spinal cord from injury and provide support and structure. They contain nerves, blood vessels, and cerebrospinal fluid.

Viral infections are the most common cause of meningitis in the United States. Bacteria, parasites, fungi, and non-infectious conditions, such as cancer or head injuries, can also cause meningitis.

The types of meningitis are typically named for the cause of inflammation or how long you’ve had symptoms. They include:

Bacterial meningitis
Viral meningitis
Fungal meningitis
Parasitic meningitis
Primary amebic meningitis (PAM)
Drug-induced aseptic meningitis (DIAM)
Chronic meningitis
Acute meningitis

Certain health conditions can increase your risk of meningitis, including:

Age- Viral meningitis most often happens in children younger than five years old
Not getting vaccinations
Living in a group setting, such as a college dorm
Pregnancy
A weakened immune system
Not having a spleen

The symptoms of meningitis can be different in babies than in children and adults.

Symptoms of meningitis in children and adults include:

Neck stiffness
Nausea or vomiting
Sensitivity to light
Confusion or an altered mental state
Lack of energy, extreme sleepiness, or trouble waking up
Lack of appetite
Small round spots that look like a rash

You might experience additional symptoms of amebic meningitis a few days after your initial symptoms, including:

Hallucinations
Loss of balance
Lack of attention or focus

A baby might not experience the same meningitis symptoms as adults, such as headache, neck stiffness, and nausea. Some signs of meningitis you can look for in babies include:

Bulging “soft spot” on the baby’s head
Poor eating
Sleepiness or trouble waking up from sleep
Low energy or slower responses

A healthcare provider will diagnose meningitis by performing a physical exam, asking about your symptoms, and testing your cerebrospinal fluid (CSF). They may also ask if you’ve been around anyone with certain illnesses or traveled recently, get a blood or poop sample, swab your nose or throat, or order brain imaging.

The treatment for meningitis depends on the cause. Antibiotics are used to treat bacterial meningitis, and antifungals are used to treat fungal meningitis. Antivirals can be used to treat some viral causes of meningitis. Non-infectious causes of meningitis are treated by addressing the underlying illness or injury.

There are no specific treatments for other infectious causes of meningitis. Medications might be used to reduce inflammation or relieve symptoms.

Meningitis is highly contagious. If you think you have meningitis, visit Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment to see if you have meningitis, please call (718) 670-5486.

Men’s Health Month: Low Testosterone

Posted on June 11, 2025 by Patrick Hercules

Low testosterone, or male hypogonadism, is a condition in which the testicles don’t produce enough testosterone.

Testosterone is a hormone that stimulates the development of male characteristics and is essential for sperm production. Levels of testosterone are naturally much higher in men than in women. In men, testosterone helps maintain and develop:

Sex organs and genitalia

Muscle mass

Adequate levels of red blood cells

Bone density

Sense of well-being

Sexual and reproductive function

Low testosterone can begin during fetal development, puberty, or adulthood. Signs and symptoms of low testosterone depend on when the condition develops.

If the body doesn’t produce enough testosterone during fetal development, the result may be impaired growth of the external sex organs. Depending on when it develops and how much testosterone is present, a child who is genetically male may be born with:

Female genitals

Genitals that are neither male nor female (ambiguous genitals)

Underdeveloped male genitals

Male hypogonadism can delay puberty or cause incomplete or abnormal development. It can impede:

Development of muscle mass

Voice deepening

Growth of body hair and facial hair

Growth of the penis and testicles

It can also cause:

Excessive growth of the arms and legs in relation to the trunk of the body

Development of breast tissue

Hypogonadism can alter certain masculine physical characteristics and impair normal reproductive function in adult males. Early signs and symptoms might include:

Decreased sex drive

Decreased energy

Depression

Over time, men with hypogonadism can develop:

Erectile dysfunction

Infertility

A decrease in hair growth on the face and body

A decrease in muscle mass

The development of breast tissue

Loss of bone mass

There are two possible causes of low testosterone levels:

Primary hypogonadism
Secondary hypogonadism

The causes of primary and secondary hypogonadism are also divided into either congenital (at birth) or acquired (developed later in childhood or adulthood).

Primary hypogonadism happens when something is wrong with the testicles that doesn’t allow them to make normal levels of testosterone.

Secondary hypogonadism is caused by conditions that affect how the hypothalamus and/or pituitary gland function.

If you have any signs or symptoms of low testosterone, a healthcare provider will perform a physical exam and ask questions about your medical history, medications you take or have taken, smoking history, and any symptoms you currently have. They may also order blood tests. To make a diagnosis, they will consider your specific signs, symptoms, and any blood test results.

Healthcare providers treat low testosterone with testosterone replacement therapy. There are several forms of testosterone replacement therapy, including:

Testosterone skin gels

Intramuscular testosterone injections

Testosterone patches

Testosterone pellets

Buccal testosterone tablets

Testosterone nasal gel

Oral testosterone

Healthcare providers and medical researchers don’t know how to prevent low testosterone resulting from genetic conditions or damage to the testicles, hypothalamus, or pituitary gland. However, lifestyle habits may help keep testosterone levels normal. They include:

Eating a healthy diet

Exercising

Managing your weight

Avoiding excessive use of alcohol and drugs

If you’re experiencing symptoms of low testosterone, you can receive treatment from an endocrinologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Early Signs of Diabetes

Posted on June 6, 2025 by Xavia Malcolm

Diabetes is a chronic (long-lasting) disease that occurs when your glucose or blood sugar levels are too high. Having diabetes affects the body’s ability to make enough insulin (a hormone produced by the pancreas) or use it properly.

Insulin is needed to move glucose from our bloodstream into our cells, where it is converted into energy. If glucose is not moved into our cells, too much of it remains in the bloodstream.

Consistently high blood sugar left untreated can lead to complications or other serious health problems, including:

Damage to the eyes (potentially leading to blindness)
Heart disease
Neuropathy or nerve damage
Kidney damage or kidney disease
Vascular disease
Limb loss
Stroke
Foot ulcers

Recognizing the early signs of diabetes and getting treatment promptly can help minimize the risk of health complications. Here are some of the early signs of the disease to be aware of:

Increased thirst
Extreme hunger
Frequent urination
Blurred vision
Slow-healing wounds or infections
Unexplained weight loss
Numbness or tingling in the hands, legs, or feet
Fatigue
Dry mouth
Acanthosis nigricans (a condition characterized by darkening of the skin in certain places, such as the neck and armpits)
Stroke

If you are experiencing these symptoms, please schedule an appointment with your doctor. Doctors diagnose diabetes through tests that may include glucose tolerance tests, A1C tests, or fasting blood sugar tests. If it is determined that you have diabetes, your physician may prescribe medications and make recommendations for lifestyle changes.

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

What are Forever Chemicals?

Posted on June 6, 2025 by Patrick Hercules

PFAS (per- and polyfluoroalkyl substances) or forever chemicals are a large, complex group of synthetic chemicals used worldwide in industry and consumer products since the 1940s. They are used to make grease-proof, waterproof, stick-proof, and stain-resistant materials. They are added to products such as:

Food packaging such as: pizza boxes, food wrappers, take-out containers, microwave popcorn bags, disposable trays, and bakery bags
Non-stick (Teflon) pans
Firefighting foam
Firefighters’ protective equipment
Carpets, rugs, furniture textiles, window treatments, and car seats
Stain-proof and waterproof clothing
Outdoor gear
Umbrellas
Personal care products, such as dental floss, mascara, foundation, and menstrual underwear
Artificial turf
Medical equipment and masks
Building materials

PFAS are called “forever chemicals” because they are extremely persistent, lasting thousands of years. Every American tested has PFAS in their blood. PFAS can get into our bodies when we:

Drink contaminated water
Eat foods from areas with contaminated soil or water
Accidentally swallow contaminated soil or dust
Eat food wrapped in materials containing PFAS
Accidentally swallow residue or dust from PFAS-containing consumer products, such as stain-resistant carpeting and water repellent clothing

This is a problem because even small doses of PFAS can increase the risk of a wide variety of health problems, including kidney and testicular cancer, liver problems, high cholesterol, and immunosuppression.

In 2005, two of the most harmful PFAS chemicals, PFOA (perfluorooctanoic acid) and PFOS (perfluorooctane sulfonate), were stopped from being manufactured after a class action lawsuit. Unfortunately, these two chemicals have contaminated water systems across the country and the world.

Since then, PFOA and PFOS have been replaced with similar but slightly modified chemicals. While scientists have not studied every PFAS chemical, there are 9,000 variants, and those chemicals have been studied, showing similar properties to PFOA and PFOS. They are persistent, mobile, and toxic even at very low doses, and often act in similar ways on similar organs as the chemicals they were developed to replace.

If you are concerned about PFAS exposures, talk with your healthcare provider about your risks, whether an additional health screening is appropriate, and the risks and benefits of testing.

Alzheimer’s & Brain Awareness Month

Posted on June 5, 2025 by Patrick Hercules

June is Alzheimer’s and Brain Awareness Month. It is important to understand what Alzheimer’s is and what steps you can take to care for your brain.

Alzheimer’s disease is a degenerative disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills. Age is the biggest risk factor for the disease, followed by sex and family history.

Dementia is not a specific disease, but an overall term that describes a group of symptoms like memory loss and the loss of other mental abilities severe enough to interfere with daily life, caused by physical changes in the brain.

There are many signs and symptoms of Alzheimer’s and dementia. Ten early signs and symptoms include:

Memory loss that disrupts daily life
Challenges in planning or solving problems
Difficulty completing familiar tasks
Confusion with time and place
Trouble understanding visual images and spatial relationships
New problems with words in speaking or writing
Misplacing things and losing the ability to retrace steps
Decreased or poor judgment
Withdrawal from work or social activities
Changes in mood and personality

Even though there isn’t a cure for Alzheimer’s and many other types of dementia, there are many preventative measures you can take to care for your brain.

Here are five ways to care for your brain:

Regular cardiovascular exercise elevates your heart rate and increases blood flow to the brain and body. Several studies have found an association between physical activity and reduced risk of cognitive decline.
Eating a healthy and balanced diet lower in fat and higher in vegetables and fruit helps reduce the risk of cognitive decline. Although research on diet and cognitive decline is limited, certain diets, such as Mediterranean and Mediterranean-DASH (Dietary Approaches to Stop Hypertension), may help reduce the risk.
It is Important to get enough sleep. Not getting enough sleep due to conditions like insomnia or sleep apnea may result in problems with memory and thinking.
It is important to take care of your mental health. Some studies have linked a history of depression with an increased risk of cognitive decline. Seek medical treatment if you have experienced symptoms of depression, anxiety, or any other mental health concerns. Also, try to manage stress.
It is important to challenge and activate your mind. Try building furniture, completing a jigsaw puzzle, doing something artistic, or playing a strategy game. Challenging your mind may have short and long-term benefits for your brain.

If you or a loved one is experiencing symptoms associated with Alzheimer’s, you can receive treatment from a neurologist at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718)-670-5486.