3 Common Risk Factors for Addiction Relapse

People who experience an alcohol or drug addiction often relapse at some point during their path to recovery. Relapsing does not necessarily mean that addiction treatment has failed; however, it is a harmful and potentially life-threatening obstacle to recovery and should be prevented before it can occur.

Relapse typically occurs in three stages: emotional, mental, and physical. The emotional relapse stage occurs when you are unable to cope with your emotions in a healthy way. The mental stage occurs when you begin to experience cravings and consider the possibility of relapsing, which may involve glorifying past substance use and minimizing its negative effects. The physical stage begins when you give in to these cravings and return to substance use.

As the stages of relapse progress, you may find yourself increasingly vulnerable to certain risk factors that speed up the process. Some of the most common of these risk factors include:

Social pressure: A wide variety of social factors, such as peer pressure from people who use drugs or alcohol, interpersonal conflicts, and a lack of social support can all contribute to a relapse.

Environmental triggers: Physical sensations, such as scents, as well as certain objects or places that you associate with drug or alcohol use may induce or intensify cravings.

Insufficient coping mechanisms: Relapse often occurs when internal coping mechanisms fail to help you process the negative thoughts, emotions, and sensations you experience in a healthy way, making drug or alcohol use potentially seem like an easier way of relieving these pressures.

The best way to prevent an addiction relapse is to work with medical professionals that can give you the guidance and resources you need to stay sober and manage risk factors in a healthy, effective way. Flushing Hospital Medical Center’s Division of Addiction Services can help through our Reflections treatment program. To learn more, please call (718) 670-5078.

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.

Collagen Supplements

The use of collagen supplements has grown significantly in recent years due to the promotion of their purported benefits. Packaging for these supplements, which is commonly purchased in pill or powder form, often boasts astounding benefits for hair, skin, nails, and joints.

If you are considering taking collagen supplements it is important to learn the facts before making a purchase.

Collagen is a protein that is naturally produced by the body. It can be found in the blood, joints, connective tissues, and muscles and plays the following roles in helping the body to function well:

  • Helps blood to clot
  • Provides protective lining for organs
  • Gives structure and support to skin, and tissue
  • Aids in cellular responses such as cellular renewal
  • Help keep bones strong
  • Provides elasticity to the skin

There are five main types of collagen found in the body, they include:

  • Type l: Makes up 90% of the collagen in the body, and is used to build bones, skin, tendons, and ligaments
  • Type ll: Helps to make cartilage and provides joint support
  • Type lll: Is found in muscles, organs, and arteries
  • Type lV: Is found in the skin
  • Type V: Is found in skin, hair, placenta tissue, and the cornea of the eyes

As we age, our bodies produce less collagen, and over time, the collagen we already have begins to break down. We may experience the following changes as this occurs:

  • Loss of skin elasticity, resulting in wrinkled or crepey skin
  • Weaker muscles
  • Gastrointestinal problems
  • Loss of flexibility or stiffness of the joints
  • Joint pain
  • Osteoarthritis
  • Hallowing around the eyes

There are a few lifestyle changes we can implement that may boost collagen production. This includes eating foods that are rich in vitamin C, zinc, and copper, eating protein-rich foods, and bone broths.

Taking supplements is another option that some people may consider. Taking collagen peptides by mouth is possibly safe. However, it is important to keep in mind that these supplements are not regulated by the U.S. Food and Drug Administration; therefore, quality and safety are not guaranteed.  Additionally, evidence or studies that support the use of collagen supplements have been small. For these reasons, it is highly recommended that you speak with a physician before taking collagen supplements.

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.

Employee Spotlight Shines on Frances DaSilva

This month, we are proud to shine our Employee Spotlight on Frances DaSilva, Admitting Department Manager. Frances has been working at Flushing Hospital Medical Center for 13 years.

Frances is originally from the beautiful county of Buckinghamshire, town of High Wycombe in England. She attended elementary school through college in England and moved to the United States in ­­­­­1983 and settled in Brooklyn where she still resides.

Frances has two daughters who she is very proud of. In her free time, she enjoys spending time with family, attending church, and giving back to the community. Those things bring her great joy.

Frances delights in eating different types of food from around the world. She is always open to trying new types of delicious food. She enjoys any form of music that gets her feet moving. Her favorite genres of music are jazz, classical, gospel and modern dance. Frances enjoys travelling and feels fortunate to have visited many beautiful places. She particularly likes the Delaware area and Massachusetts. Her hobbies include cooking, reading, and crafts.  Frances likes a variety of sports especially track and field, basketball, football and tennis.

Frances enjoys working at Flushing Hospital because of the amazing people on her team who help to ensure that their department runs well. She also likes the daily interactions with administrators, the clinical team, and people from every department at the hospital. She feels that her job has given her the opportunity to continually learn. We are happy to have Frances as a member of our team and we look forward to having her continue with us for many more years in the future.

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.

National Osteoporosis Awareness Month

Osteoporosis is a condition that causes bones to become brittle, making it easier for them to fracture in response to trauma or pressure. This occurs as a result of the loss of bone density over time.

After the age of 30, bone mass continually decreases; as a result, your likelihood of developing osteoporosis depends in large part on how much bone mass you developed in your youth.

Aside from age, a variety of factors affect your risk of developing osteoporosis, some of which you may not have any control over. These include:

  • Assigned sex at birth (women are much more likely to develop osteoporosis than men)
  • Race (osteoporosis is most common in people of white and Asian descent)
  • A family history of osteoporosis and fractures
  • Body frame (a smaller frame tends to correlate with osteoporosis due to smaller amounts of bone mass)

Despite these unchangeable factors, there are steps you can take to decrease your risk of osteoporosis. These mainly include building healthy lifestyle habits and actively managing medical problems that can contribute to osteoporosis. Some examples include:

Staying physically active: A routine that includes a mixture of weight-bearing activities (exercises such as running, dancing, hiking, or aerobics) and resistance exercises (incorporating movements such as pushing or pulling against opposing forces such as weights or elastic bands) three to four days per week is ideal for stimulating bone health.

Following a diet that promotes bone health: A diet that protects and stimulates bone health should include the recommended daily amounts of calcium (approximately 1,000 mg for people aged 19-50), vitamin D (about 15 micrograms (mcg) for people younger than 71), and protein (approximately 0.36 grams of protein for each pound of bodyweight). You should also avoid smoking and limit alcohol consumption.

Working with a doctor to identify medical risk factors: A variety of conditions and medications, particularly any which contribute to hormonal imbalances, can increase your risk of osteoporosis. Specialists such as endocrinologists can help you identify medical risk factors early and develop an effective prevention strategy.

You can receive a diagnosis, treatment, or preventative care for osteoporosis at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.week is ideal for stimulating bone health.

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.

Cancers Linked to HPV

The human papillomavirus (HPV) is a group of more than 200 types of viruses, some of which are sexually transmitted. It can affect anyone, regardless of sexual orientation. In the United States, it is the most common sexually transmitted infection.

HPV can be categorized as non-cancer causing and cancer causing. Two variants of human papillomavirus, HPV16, and HPV18 are the ones most commonly associated with cancer. HPV is responsible for 3% of all cancers in women and 2% of all cancers in men according to the Centers for Disease Control and Prevention.

It can take many years after becoming infected with cancer causing HPV, for cancer to potentially develop. People with compromised immune systems are at higher risk. According to the National Cancer Institute, the cancers that are most commonly associated with HPV and their incidence, include:

  • Cervical cancer – almost all are caused by HPV
  • Oropharyngeal cancer – approximately 70 % caused by HPV
  • Anal cancer – approximately 90 % are caused by HPV
  • Penile cancer – approximately 60% are caused by HPV
  • Vaginal cancer – approximately 75% are caused by HPV
  • Vulvar cancer – approximately 70% are caused by HPV

The HPV vaccine offers protection from most cancers related to HPV. It is recommended for children of both genders between the ages of 11 and 12. Speak to your physician if you would like to get tested for HPV, or to discuss getting the HPV vaccine. If you would like to schedule an appointment with a physician 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.

What Are the Signs of Pediatric Thyroid Disease?

For most people, thyroid disease is a problem that only begins during adulthood. However, it can affect children and young adults as well, leading to a variety of symptoms such as fatigue, cognitive difficulties, and constipation. While these symptoms can indicate many potential conditions, a pediatrician will typically perform diagnostic testing to check whether thyroid disease may be the cause.

“Any time a child experiences these symptoms, they are screened for thyroid problems,” said Dr. Hariram Ganesh, a pediatric endocrinologist at Forest Hills Pediatric Specialists. “That screening is performed through the same type of blood testing that’s usually involved in a patient’s routine checkups.”

A family history of auto-immune disorders, as well as conditions such as diabetes and celiac disease, increase a child’s risk of experiencing thyroid problems. According to Dr. Ganesh, certain signs may also point to thyroid disease as the potential cause of your child’s symptoms, such as:

Hair loss: Thyroid problems may cause a higher volume of hair to fall out than normal in affected children.

Difficulty paying attention at school: “A lot of children who experience thyroid problems may have trouble paying attention or staying awake during class,” said Dr. Ganesh.

Irregular periods: “Irregular periods are a particular indicator of thyroid problems in children, as girls experience them more often than boys,” said Dr. Ganesh. “A mother with thyroid disease can pass it down to her daughter.”

Delayed development and speech problems: While not as common as in older children, thyroid problems can affect newborn babies, leading to delayed physical development and speech impairments if they are left untreated or not caught early. “A baby as young as two or three years old may have to be given thyroid medicine if problems are detected during newborn screening tests,” said Dr. Ganesh.

If you notice these potential signs of thyroid disease in your child, you can schedule an appointment for diagnostic testing at Forest Hills Pediatric Specialists by calling (718) 704-5020.

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.

Springtime Recipe of Spaghetti with Shrimp and Lemon

A beautiful, spring evening calls for a light, easy to prepare, lemon spaghetti and shrimp dish to enjoy. Here is a recipe from the Food Network that we recommend. https://www.foodnetwork.com/recipes/giada-de-laurentiis/lemon-spaghetti-with-shrimp-3612569

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.

Arthritis Awareness Month

Arthritis is a condition that causes swelling in one or more of your joints. According to the Centers for Disease Control and Prevention (CDC), there are over 100 arthritic conditions. Some of these include:

  • Fibromyalgia
  • Gout
  • Childhood arthritis
  • Psoriatic arthritis
  • Septic arthritis
  • Ankylosing spondylitis

However, two of the most common types of arthritis are osteoarthritis, which causes cartilage to break down, and rheumatoid arthritis, an autoimmune disease that affects the lining of the joints.

Certain genetic factors make some people more likely to develop arthritis. Women, for example, are at a higher risk of arthritis than men. Additionally, arthritis can run in families, making you more likely to develop it if your parents or siblings experience it. Other risk factors include obesity, which can put excess stress on your joints and lead to inflammation, as well as previous joint injuries.

If you have arthritis, there are certain steps you can take to manage your symptoms and reduce the impact of this condition on your daily life. These include:

Staying active with low-impact exercise: Regular low-impact physical activity, such as walking, bicycling, or swimming, place little stress on your joints and are helpful for controlling your weight, improving your mood, and relieving arthritis pain. Additionally, gradual progressive strength training and stretches can help to maintain your flexibility and strengthen the muscles around your joints.

Maintaining a healthy, balanced diet: Your diet, combined with regular exercise, can help you reach or maintain a healthy weight that reduces stress on your joints. This can be helpful for reducing the severity of your symptoms.

Working with a doctor: A rheumatologist can help you determine the right course of treatment for your symptoms. This treatment can include physical therapy, medication to relieve pain or slow the progression of the disease, or surgery in cases where other approaches are not providing adequate results.

You can find a rheumatologist at Flushing Hospital Medical Center’s Ambulatory Care Center to get started on your arthritis treatment. To schedule an appointment, 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.

Hair Loss

The loss of hair (known scientifically as alopecia) can occur on any part of the body. It can be permanent or temporary. It may be a normal part of the aging process or due to a medical condition.

A person typically loses 50 – 100 hairs a day. Under normal circumstances this isn’t noticeable because these hairs are replaced at the same rate as they are lost.

The most common form of hair loss involves thinning of hair on the scalp. This is due to heredity. Men experience male-pattern baldness which is characterized by a receding hairline. While women who experience female-pattern baldness notice the loss of hair on top of the head.

Medical conditions that can cause hair loss include diabetes, thyroid disease, iron deficiency anemia, ringworm, immune system disorders (lupus), significant weight loss, pregnancy, menopause, trauma, stress and poor nutrition. Some medications that treat cancer, arthritis, depression, gout, and high blood pressure can also cause hair loss.

Hair loss duration depends on what is causing it. Other than hair loss due to heredity, hair loss usually resolves once the medical condition is resolved or chemical factor is removed.  Hair loss due to excessive brushing, pulling hair tightly as in certain hairstyles, and using some hair dressing chemicals should resolve once those factors are reduced or eliminated as well.

Speak to your physician if you are experiencing any unexpected hair loss. If you would like to speak to a dermatologist at Flushing Hospital Medical Center to discuss your hair loss call 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.

National Infant Immunization Week

Infants under the age of two are susceptible to a variety of serious illnesses that can significantly harm or even kill them, as their immune system is still in an early stage of development. This is why the Centers for Disease Control and Prevention (CDC) recommends a series of immunizations that can protect infants against some of the most dangerous diseases to their health.

Many parents may have concerns about vaccinating their children due to potential side effects. While mild adverse reactions are possible with many vaccines, they typically disappear on their own within a few days. Generally, the side effects most children may expect include reactions such as fever, fatigue, body aches, and swelling or tenderness around the site of the injection. More serious, long-lasting side effects are extremely rare.

Vaccines such as those given to infants only use the ingredients necessary to be safe and effective. These ingredients may often include adjuvants (commonly found in antacids and antiperspirants), stabilizers (such as sugar or gelatin), and formaldehyde (which is already present in the body). Additionally, all vaccines go through extensive lab testing, often for years, before they are available to the general public.

The CDC recommends vaccinating children under the age of two against:

  • Hepatitis B
  • Rotavirus
  • Diphtheria, tetanus, & acellular pertussis
  • Haemophilus influenzae type b
  • Pneumococcal conjugate
  • Inactivated poliovirus
  • COVID-19
  • Influenza
  • Measles, mumps, rubella
  • Varicella
  • Hepatitis A

You can find the complete schedule of recommended vaccines for your child by age on the CDC’s website. To schedule an appointment for your child to receive the vaccines they need, you can call Flushing Hospital Medical Center’s Ambulatory Care Center at (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.