Health Beat

Pelvic Organ Prolapse

Posted on February 14, 2023 by Xavia Malcolm

Pelvic organ prolapse (POP) is a type of pelvic floor disorder. It occurs when the muscles and tissues that support a woman’s pelvic organs become weak and no longer capable of holding those organs in place.

A woman’s pelvic organs include the rectum, uterus, bladder, cervix, and urethra, all of which are held in place by pelvic floor muscles. However, these muscles can become stretched or torn as a result of childbirth or other factors including:

Pelvic floor injuries
Chronic constipation and straining during bowel movements
Aging
Obesity
Hormonal changes
Hysterectomy
Genetic disorders that weaken connective tissues
Having a condition that causes frequent coughing

When pelvic floor muscles are no longer able to hold pelvic organs in position, they drop lower in the pelvis. This creates a bulge or prolapse into the vagina, and in severe cases may cause pelvic organs to bulge onto other organs or outside the body.

According to the American College of Obstetricians and Gynecologists, “POP affects 1 in 4 women in their 40s and 1 in 3 in their 60s. By the time women reach their 80s, POP affects half of all women.” Some may experience symptoms that include:

Lower back pain
Pressure of pain during sexual intercourse
Problems inserting tampons
A feeling of pressure, fullness or aching in the pelvis
Incontinence
Spotting or bleeding of the vagina
Feeling or seeing a bulge coming out of the vagina

POP is diagnosed by conducting a series of tests that include a pelvic examination. There are various treatments available such as inserting devices called pessaries to support the pelvic organs, pelvic floor therapy, or surgery to support or close the vagina.

Flushing Hospital Medical Center offers a wide variety of treatments for POP, this includes sacrocolpopexy, a surgical procedure that can be performed with the assistance of a surgical robot by our highly trained surgeons.

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

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.

3 Mental Health Tips for Online Dating

Posted on February 13, 2023 by Jacob Lobosco

If you’re looking for love this Valentine’s Day, you may be using online dating apps as part of your search. The odds of success may be in your favor, as most couples today first meet online, but if you aren’t careful, your approach to online dating could be harmful to your mental health.

People with pre-existing mental health conditions such as depression or anxiety may experience symptoms as a result of the way many major dating apps work. Most apps display photos of users along with information about their personalities. Users may develop negative thoughts about their body image or about themselves in general if they aren’t getting many responses to their profile.

On the other hand, while a high number of responses may provide an initial sense of validation, it can quickly turn negative if potential connections or conversations come to a quick or unexpected end. Negative feelings can also occur after first dates if the person you met decides to “ghost” you, never responding or asking to go out with you again.

To stay mentally healthy despite these potential bumps in the road of your online dating journey, you should:

Set limits on the time you spend on each app: The unhealthy effects of online dating apps can increase as you spend more time on them at the expense of other activities. Set a time limit of about 30 minutes each day or limit your number of swipes for each app. Take a break to do something else after finishing your time with one app if you plan to use another.

Make genuine connections your goal: It can be easy to swipe thoughtlessly on a high volume of profiles, resulting in either a low number of matches or conversations that lead nowhere. Don’t swipe just to see how many matches you can get; use online dating apps as a tool to meet people you can genuinely connect with based on your true personality.

Avoid online dating on bad days: If you are in a negative frame of mind due to the events of your day or are experiencing sudden symptoms of a mental health condition, avoid online dating apps for that day entirely, as they can do more harm than good to your self-esteem and self-image in these moments.

If you’re experiencing mental health problems that are interfering with your ability to make connections with other people, romantic or otherwise, you can find help from a therapist at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic. To schedule an appointment or learn more, please call (718) 670-5562.

Congenital Heart Defect Awareness Week – Know The Facts About CHD

Posted on February 10, 2023 by Flushing Hospital

Every year, February 7th to the 14th is designated as Congenital Heart Defects (CHD) Awareness week. This annual week of recognition was created to raise awareness about CHD and to empower all patients and families affected by this condition.

Congenital heart defects are problems with the heart’s structure that are present at birth. These defects can involve:

The interior walls of the heart
The valves inside the heart
The arteries and veins that carry blood to the heart or the body

Congenital heart defects are the most common form of birth defect. They affect eight out of every 1,000 newborns. Each year, more than 35,000 babies in the United States are born with this condition.

There are many different forms of defects that can range from minor with no symptoms to complex with life-threatening symptoms. Minor defects often do not require any treatment or are easily fixed. However, those babies born with complex congenital heart defects require special medical care soon after birth.

Unfortunately, doctors often do not know why congenital heart defects occur. Heredity may play a role in cases. Children who have genetic disorders, such as Down syndrome, are often more likely to have congenital heart defects. In fact, half of all babies who have Down syndrome have congenital heart defects. Smoking during pregnancy also has been linked to several congenital heart defects.

Even though many children born with congenital heart defects do not require treatment, some do. Doctors can treat children with CHD with either catheter procedures or surgery. Thankfully, through advances in medicine, the diagnosis and treatment of complex heart defects have greatly improved over the past few decades. As a result, almost all children who have complex heart defects survive to adulthood and can live active, productive lives.

Through continued education and support, we hope to conquer CHD.

A Winter Recipe For Minestrone

Posted on February 9, 2023 by Andrew Rubin

A chilly winter night calls for a nice bowl of minestrone to warm you up. Here is a recipe from the Food Network for a delightfully delicious., easy to prepare, winter minestrone. https://www.foodnetwork.com/recipes/giada-de-laurentiis/winter-minestrone-recipe2-1922445

Everything You Need To Know About Fentanyl

Posted on February 7, 2023 by Jacob Lobosco

Fentanyl is a type of synthetic opioid used in pharmaceutical products to manage pain. It is also one of the main contributors to the ongoing epidemic of opioid overdose deaths, which have accounted for nearly 75% of all drug overdose deaths in recent years.

Drug dealers often sell fentanyl mixed with other drugs such as heroin, methamphetamine, and MDMA, as it is a cheaper ingredient for producing a stronger high compared to other substances. This can make an overdose more likely, as many buyers may not be aware that fentanyl is present as an additive in their drugs and may not be able to physically handle its strong effects.

Fentanyl is also approved as a legitimate prescription treatment for severe pain, particularly due to late-stage cancer. Its effects can be as much as 100 times stronger than morphine, another drug frequently used for pain management, and may include extreme happiness, sedation, breathing problems, and unconsciousness.

As a result of its potency, fentanyl can be very addictive, potentially resulting in dependency even for people who have been prescribed this drug. If a person becomes dependent on fentanyl and stops taking it, they may experience withdrawal symptoms such as sleep problems, severe cravings, diarrhea and vomiting, muscle and bone pain, and cold flashes.

If addiction occurs, it can be treated through a combination of medication and behavioral therapy. Some of the most frequently-used medications for treating fentanyl addiction include methadone (which eases withdrawal symptoms and cravings), buprenorphine (a partial agonist which creates similar effects as methadone), and naltrexone (which blocks the effects of fentanyl by preventing it from attaching to opioid receptors).

In the event of a fentanyl overdose, naloxone can block the drug’s effects when administered rapidly, but may require multiple doses. It is typically available as an injectable solution or nasal spray. In New York City, you do not require a prescription to get naloxone. If you have any naloxone, administer it, then immediately dial 911 for emergency medical services.

If you or anyone you know is struggling with fentanyl-related substance abuse problems, Flushing Hospital Medical Center’s Division of Addiction Services can offer a safe place to experience drug withdrawal in our Chemical Dependence Unit and take the first steps toward recovery from addiction in our Reflections treatment program.

To learn more about our Chemical Dependence Unit, please call (718) 670-5693 or (718) 670-5540. For more information about our Reflections program, please call (718) 670-5078.

What is Winter Itch?

Posted on February 1, 2023 by Jacob Lobosco

During the winter, cold temperatures, low humidity, and high winds wear away at the natural oils and dead skin cells in the outer layer of your skin that preserves moisture content. This, combined with other potential factors such as a sensitivity to soaps and detergents, pre-existing skin conditions, infections, allergies to materials such as latex, sunburns, and stress or fatigue, may cause you to develop a rash sometimes referred to as “winter itch.”

Winter itch may cause similar symptoms to other types of rashes, such as redness, swelling, flaking, blisters, and itchiness. It most often occurs on the arms, legs, or hands, as these are most often exposed to cold air, but it can also develop anywhere on your body.

Certain soaps and moisturizing products may be helpful for treating winter itch. These include:

Skin cream or lotion
Petroleum jelly
Natural oils
Oatmeal soap or baths
Topical cortisone cream

Developing winter itch may indicate the need to make certain lifestyle changes during periods of cold weather to protect your skin. A few steps you can take to prevent the occurrence of a rash during the winter include:

Choosing clothes with less irritating materials: Clothes made from natural breathable fibers such as cotton and hemp may reduce skin irritation and overheating, both of which may contribute to an increased risk of developing a rash.

Wear appropriate protective clothing: Gloves, scarves, hats, and long socks can all go a long way to protecting skin that may be vulnerable to cold air and preventing rashes from developing in these areas.

Bathing less often: During the winter, overly frequent bathing can wear away at your skin’s natural outer layer of oils and dead skin cells, which build up more slowly during the winter due to decreased sweating. You may find it helpful to shower or bathe every other day, lathering up as little as possible and reducing the amount of hot water you use.

If you’re looking for the right treatment for a rash, you can schedule an appointment with a dermatologist at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486.

Thyroid Eye Disease

Posted on February 1, 2023 by Andrew Rubin

Thyroid eye disease (or TED) is a condition that causes the immune system to attack the muscles and other tissues around the eyes. The condition is most commonly associated with Graves’ disease, which is an autoimmune disorder that attacks the thyroid gland, causing it to produce more thyroid hormone than the body needs.

In most cases people who develop TED are already diagnosed with Graves’ disease, but for some, it is the first indicator of thyroid problem. Approximately one half of all people diagnosed with Graves disease develop eye symptoms. In most cases the symptoms are mild, but for some, it can have more serious consequences.

The most common symptoms of TED include:

Pain and pressure
Dry, itchy, or watery eyes
Difficulty wearing contact lenses
Inflammation and swelling of the eye and its surrounding tissues
Bulging or wide-eyed stare caused by swelling in the orbital tissues
Red or bloodshot eyes
Double vision
Light sensitivity
Impaired vision
Difficulty moving the eyes

Thyroid eye disease can affect people differently. Symptoms can last from 6 months to 2 years. For some, symptoms may go away on their own, but others may experience lasting effects. To best treat the condition, it is best to work with a team of doctors, including a primary care physician, an ophthalmologist, and an endocrinologist.

For milder cases, applying lubricating eye drops and artificial tears a few times during the day can help be helpful. It is also recommended to avoid conditions that can worsen the condition, such as wind and bright light (or try to wear sunglasses in these elements to protect your eyes). Other tips include applying cool compresses to provide relief and elevating your head while you sleep to relieve pressure on the eyes.

If you have severe symptoms, a doctor may prescribe corticosteroids, such as prednisone to reduce the swelling in and around your eyes. In a very small percentage of patients, orbital decompression surgery may be recommended if your vision becomes impaired.

To schedule an appointment at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

What is Myocarditis?

Posted on January 30, 2023 by Jacob Lobosco

Approximately 10 to 20 out of every 100,000 people around the world are affected by myocarditis each year. Myocarditis is a condition that causes inflammation in the heart muscle, enlarging it and weakening its ability to pump blood. It is most often caused by an infection from a virus, bacteria, fungi, or parasites, as well as some medical treatments and inflammatory conditions.

Myocarditis can cause a range of different symptoms, and not everyone may experience the same ones. They may include:

Chest pain
Heart palpitations
Shortness of breath
Lightheadedness
Abdominal pain
Leg or foot swelling
Fainting

Certain serious complications are associated with myocarditis, including arrhythmia, heart failure, lung problems, and even death. However, in most cases, this condition is mild and will go away on its own.

Some people are at greater risk of developing myocarditis than others. People of all ages and any gender can get it, but it is most common in young adults assigned male at birth. A genetic tendency to react poorly to inflammation can also increase your risk, as well as excessive alcohol consumption.

Certain medical conditions may also make you more vulnerable to myocarditis, including diabetes, HIV/AIDS, kidney disease, chest injuries, skin injuries or infections, and eating disorders. Additionally, medical treatments such as dialysis, radiation, a central venous line, and certain heart condition or cancer treatments may also increase your risk.

If you experience severe myocarditis, treatment may involve medication, surgery, or both. Corticosteroids, heart medications, or treatments for underlying conditions that may be causing your myocarditis could help. If these do not provide adequate relief, you may require procedures such as:

IV medications
Ventricular assist device (VAD)
Intra-aortic balloon pump
Extracorporeal membrane oxygenation (ECMO)
Heart transplant

If you experience chronic or severe myocarditis, schedule an appointment with a cardiologist at Flushing Hospital’s Ambulatory Care Center by calling (718) 670-5486. If cardiac arrest or acute heart failure occurs, dial 911 immediately.

Employee Spotlight Shines on Antoinette Ormaza, RN

Posted on January 26, 2023 by Andrew Rubin

This month, we are proud to shine our employee spotlight on Antoinette Ormaza, RN in our Maternal Fetal Medicine Department. Antoinette began her career at Flushing Hospital Medical Center in September of 2001. She spent her first five years working in the Labor and Delivery Department and later transferred over to the Maternal Fetal Medicine Department.

Antoinette is a native of Queens, having grown up in Astoria and still residing in the borough. She attended elementary school at Immaculate Conception in Astoria, high school at St. John’s Prep and then the College of Mount St. Vincent where she graduated with a BSN degree in nursing.

Antoinette has one daughter, Valentina who she enjoys spending her free time with. Antoinette also enjoys playing softball and shopping whenever she has an opportunity. Her favorite types of food to eat when she dines out are Italian and Greek. She likes going to the movies, especially to see comedies and dramas.

When Antoinette goes on vacation, she likes to visit places that have warm climates and nice beaches. She has vacationed in Puerto Rico, Turks and Caicos, the Bahamas, and Aruba.

Antoinette feels that Flushing Hospital is a very special place to work. As a nurse in the Maternal Fetal Department, she gets a lot of satisfaction seeing a new life come into the world and sharing that experience with her patients. She also finds working with a great team of people in a pleasant environment to be enjoyable.

We are very fortunate to have Antoinette as a member of our team and we look forward to her continuing to working with us for many years.

Flushing Hospital Medical Center Receives Bronze Geriatric Emergency Department Accreditation

Posted on January 23, 2023 by Jacob Lobosco

The American College of Emergency Physicians (ACEP) has awarded Flushing Hospital Medical Center’s Emergency Department with Bronze-level accreditation as a Geriatric Emergency Department. This achievement recognizes the Emergency Department’s commitment and ability to provide the highest quality care to geriatric patients.

An emergency department with Bronze ACEP accreditation features a geriatric emergency care policy initiative, at least one physician with four or more hours of geriatric emergency medicine education, and at least one registered nurse with geriatric emergency medicine education, as well as access patient access to mobility aids, food, and beverages 24/7.

Flushing Hospital’s Emergency Department cares for the needs of older patients in a variety of ways, including:

Early recognition and care for patients with confusion from causes such as infections, medication reactions, or dementia
Falls risk assessment and prevention
Social work and case management support across the spectrum of care from home care to assisted living, short-term rehabilitation, and skilled nursing facility placement
Palliative care services to assist patients and families with decisions about end-of-life care that align with their own values and priorities

“We recognize that our older patients often have special needs, and our team is dedicated to supporting those needs,” said Dr. James F. Giglio, Chair of Flushing Hospital’s Department of Emergency Medicine. “We utilize best practices promoted by the American College of Emergency Physicians to optimize care within the Emergency Department throughout hospitalization and when transitioning care at the time of hospital discharge.”

Congratulations to everyone at the FHMC Emergency Department for this achievement!