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How Safe is Hookah Smoking?

Posted on February 27, 2015 by Flushing Hospital

Hookah smoking is a growing trend among teens and young adults. Though the practice of smoking specially-made tobacco from water pipes is believed by many to be a safe alternative to cigarette smoking, medical research has shown otherwise.

When one smokes hookah, tobacco is heated by charcoal in a smoke chamber. The smoke then passes through water and is drawn through a rubber hose to a mouthpiece. Hookah smoking typically takes place in a group setting and generally last about an hour.

According to the Centers for Disease Control and Prevention (CDC), “hookah smoking delivers the addictive drug nicotine, is as toxic as cigarette smoking, and poses several health risks.” In a typical hookah session, smokers take approximately 200 puffs, compared to cigarette smokers who average 20 puffs a session. Additionally, the volume of smoke inhaled during a hookah session is much higher than the smoke inhaled while smoking a cigarette, 90,000 milliliters compared to 600 milliliters.

It is also believed that the charcoal used to heat the tobacco increases toxicity levels of various compounds, including carbon monoxide and heavy metals. Therefore, hookah smoking is linked to lung and oral cancer, as well as reduced lung function. These are the same harmful health effects as cigarettes. Since hookah smoking involves using, and often sharing a mouthpiece, there is also the risk of developing and spreading infectious diseases, such as herpes, influenza, and hepatitis.

Although research on hookah smoking is still developing, there is enough evidence that suggest it is just as dangerous as cigarette smoking, if not worse. Hookah smoking and its use of flavored tobacco is marketed to young adults but it’s important to understand there is no such thing as smoking hookah safely.

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.

Microwave Coffee Mug Egg Scramble Recipe

Posted on February 26, 2015 by Sage Robinson

Microwave Coffee Mug Egg Scramble

Recipe courtesy of Incredible Egg

For a quick and easy breakfast in less than three minutes, try a microwave egg scramble. Eggs are high in protein and packed with nutrients, including healthy omega-3s and Vitamin D.

Ingredients:

2 EGGS

2 Tbsp. milk

2 Tbsp. shredded Cheddar cheese

Salt and pepper

Directions:

Step 1 COAT 12-oz. microwave-safe coffee mug with cooking spray. ADD eggs and milk; beat until blended.

Step 2 MICROWAVE on HIGH 45 seconds; stir. MICROWAVE until eggs are almost set, 30 to 45 seconds longer.

Step 3 TOP with cheese; season with salt and pepper.

Variations:

You can also add fresh or frozen, defrosted spinach to the scramble. Just squeeze out the excess water with a paper towel. For breakfast on the go, try using one egg and placing the scramble on a toasted English muffin.

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A Healthy Pregnancy over 35

Posted on February 11, 2015 by Flushing Hospital

More and more women are waiting to have families well into their late 30’s and beyond. According to the Centers for Disease Control, one in five women now wait until they’re 35 or older to have their first child. There may be some risks involved with a pregnancy conceived later in life, but a healthy lifestyle, along with regular visits to your Ob-Gyn can create a healthy pregnancy.

Oftentimes, women worry more about the risks of pregnancy at a later age than conception itself. While a woman’s fertility does decrease after the age of 30, certain risk factors associated with pregnancy do increase including:
• Higher risk of gestational diabetes and high blood pressure
• Greater risk of chromosomal abnormalities such as Down Syndrome
• Miscarriages and still birth
• Low birth weight

A pregnancy should be happy and welcomed news and planning should be no different. Increased risk factors and statistics should not be discouraging news. Often, statistics do not account for life style choices or pre-existing conditions. Here are a few tips to help you take the necessary steps toward a healthy pregnancy later in life:
• Schedule an appointment with your Ob-Gyn for a visit. Be very honest with your practitioner about any existing health conditions.
• Your Doctor may recommend additional testing such as genetic testing and counseling or sonograms.
• Begin taking pre-natal vitamin. Since folic-acid is important for prevention of birth defects, taking folic acid can add an important level of protection for older women.
• Exercise regularly; eat a well-balanced diet to maintain your weight. Gaining the appropriate amount of weight lessens the chance of your baby growing slowly and reduces the risk of preterm birth.
• Avoid smoking and drinking.

If you are interested in pre-pregnancy and fertility counseling, contact Flushing Hospital Women’s Health Center at 718-670-8994 to make an appointment.

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.

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.