COVID Reinfection: Everything You Need To Know

A person holding a test kit to check for COVID reinfection.COVID-19 is better controlled now than when it first emerged. However, it still remains a widespread health risk.

Even though vaccines have given healthcare centers like Flushing Hospital a much greater capacity to prevent and treat COVID-19 now than at the height of the pandemic more than two years ago, you may still be at risk for reinfection even if you’ve already contracted and recovered from the virus.

While it’s true that a previous case of COVID gives you a level of protection against reinfection, it does not make you immune to the virus. According to the Centers for Disease Control, research is ongoing when it comes to what factors make someone more likely to be reinfected or how reinfections impact their risk of transmitting the virus to other people.

Reinfection of COVID is less likely to be severe than a person’s initial infection, though more severe exceptions do exist. It’s unclear at this time what causes some cases of reinfection to present worse symptoms than others.

It also isn’t clear how frequently reinfection may occur. However, research from the National Institutes of Health suggests that people who receive a positive result on an antibody test may be at a lower risk level of re-contracting the virus over an extended period of time. It also suggests that reinfection may most likely occur within a 90-day timeframe of your initial infection.

Though many elements of reinfection require further study, these cases are treated and prevented in the same way as initial infections.

Boosted vaccination remains the most effective measure of protection against contracting the virus, including cases of reinfection. Maintaining six feet of distance from other people, wearing a mask in indoor public places, regularly disinfecting your hands and surfaces you frequently touch, and getting tested when you’ve been exposed to the virus all also remain effective ways of preventing the spread of all COVID cases.

If you haven’t received your full vaccination or boosters, schedule an appointment as soon as possible.

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.

Preventing and Treating Pancolitis

Pancolitis patient holding his stomach.Do you, or does someone you know, suffer from pancolitis? It’s one of four forms of ulcerative colitis, an inflammatory disease that causes ulcers in your digestive tract. While the other four types of ulcerative colitis usually only impact parts of the colon and digestive tract, pancolitis typically affects the entire colon.

All forms of ulcerative colitis can lead to serious symptoms and life-threatening complications, but the problems associated with pancolitis are particularly severe.

Bloody diarrhea, abdominal cramps, fatigue, and substantial weight loss are some of the symptoms you can expect in connection with the disease. As with any form of ulcerative colitis, pancolitis also increases your risk of developing bowel cancer.

According to the National Institute of Diabetes and Digestive and Kidney Diseases, an estimated 600,000 to 900,000 people in the United States may suffer from ulcerative colitis. Of those people, roughly 20% may have pancolitis.

People of any age may potentially be diagnosed with pancolitis, though as with other forms of ulcerative colitis, it typically presents in people under the age of 30. You’re also more likely to develop pancolitis if a close relative, like a parent or sibling, has it.

There’s no known cure for pancolitis or ulcerative colitis in general, and since the causes of the disease remain equally unclear, there’s no obvious means of preventing it aside from seeing a doctor and developing a treatment plan as soon as you start displaying symptoms that may be associated with it.

Your gastroenterologist may prescribe aminosalicylates, corticosteroids, immunomodulators, or biologics to help you manage your symptoms. A complete surgical removal of your colon will also eliminate pancolitis entirely. All of these treatment options come with their own side effects and consequences, though, so work closely with your doctor to determine the right plan for you.

To make an appointment with Flushing Hospital’s Department of Internal Medicine, please call (718) 670-5000.

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 Sebaceous Cysts?

A sebaceous cyst is a white or yellow bump under the skin. Sebaceous cysts can be found anywhere on the body, most commonly on the face, the neck, or the torso.

Sebaceous cysts occur when a sebaceous gland or its’ duct becomes blocked due to minor trauma. They contain a liquid or semi-liquid substance called sebum.

Cysts are typically harmless; however,  if they become infected, they may become larger, tender, and turn red.

Treatment of a sebaceous cyst may not be necessary because many heal on their own. If the cyst becomes large and tender, it may be necessary to have it drained by a medical professional. Never try to burst the cyst on your own as this may spread the infection and make it worse. A physician may have to prescribe an antibiotic and remove the cyst.

Methods of excising the cyst include:

  • Laser excision – performed with a laser
  • Minimal excision – minimal scarring
  • Punch excision – a small hole is created and the cyst removed
  • Wide excision – the whole cyst is removed and can leave a large scar.

If you think you have a cyst and it is not improving, do not diagnose it yourself. Seek professional care from a medical provider. If you would like to be seen by 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.

National Immunization Awareness Month

August is National Immunization Awareness Month, and we’re here to help you learn more about what makes getting vaccinated so important, which immunizations you should receive, and what they protect you against.

Vaccinations against prevalent, dangerous diseases are an important part of protecting both your own health and the health of those around you. Issues like pneumococcal disease, hepatitis A and B, chickenpox, and more can introduce potentially lifelong complications that may reduce your quality of life or even shorten it.

The benefits of vaccinations hold true at any age, though some immunizations are more important at certain ages than others.

Children whose immune systems are still developing, for instance, need them not only as a protective measure for themselves, but often as a requirement for enrolling in school and participating in other activities. As another example, adults over 60 years of age may still need pneumococcal vaccines, seasonal flu vaccines, and more.

Though the list of necessary immunizations evolves as new diseases are discovered and researched, the most common vaccinations recommended by the CDC include:

  • HepA, HepB (Hepatitis A and B)
  • DTaP (Diphtheria, tetanus, and whooping cough)
  • Hib (Haemophilus influenza type B)
  • IPV (Polio)
  • PCV (Pneumococcal)
  • RV (Rotavirus)
  • Varicella (Chickenpox)
  • MMR (Measles, mumps, and rubella)
  • Influenza (flu)
  • Meningococcal conjugate
  • HPV
  • Zoster

If you or your child aren’t up to date with your immunizations, schedule an appointment with a physician at Flushing Hospital’s Department of Internal Medicine or your primary care physician as soon as possible.

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.

Best And Worst Foods For High Cholesterol

Cholesterol is a waxy, fat-like substance that is produced by the liver and used by the body to help make cells, hormones, and vitamin D.

High cholesterol occurs when there is too much of this fatty substance in the blood. Although high cholesterol can be inherited, it is often caused by unhealthy lifestyle choices.

A buildup of fatty deposits in our blood vessels can lead to serious health problems such as heart disease or stroke.  Therefore, it is important to make changes to our lifestyle to reduce the risk of complications.

Improving our diets is a good place to start, and that involves avoiding or limiting the following foods:

  • Fried foods
  • Processed meats
  • Baked goods made with butter or shortening
  • Dairy products made from whole milk
  • Red meat
  • Organ meat
  • Saturated vegetable oils such as coconut oil or palm oil
  • Food made with hydrogenated oil

Adding these foods to your diet can help reduce high cholesterol levels:

  • Fruits that are rich in pectin such as apples, grapes, and strawberries
  • Oats
  • Whole grains
  • Nuts
  • Legumes
  • Fish rich in omega-3 fatty acids such as salmon

Other lifestyle changes you can make to improve cholesterol levels are exercising at least 2 ½ hours each week and reducing stress.

If you are at risk of developing high cholesterol, speak with your physician about taking steps to reduce your levels.  Your doctor’s treatment plan may include adhering to a healthy diet, working out regularly, or taking medications.

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.

The History of Sunscreen

The use of sunscreen is highly promoted and protecting our skin from the harmful effects of the sun’s rays has become a major concern as we learn more about the damages it causes.

Today we are able to choose from many brands that offer the level of protection we need- but did you know the concept of sunscreen is nothing new? In fact, sunscreen was used by ancient Egyptians.

The Egyptians were known to use rice bran extracts, jasmine and lupine extracts as a sunscreen because they realized these ingredients had the ability to absorb the sun’s very strong rays. These chemicals are still used today in some of the modern sunscreen products.

Modern sunscreen products really started to become popular in the 1930’s. A South Australian chemist, HA Milton Blake created a sunburn cream that had some limited success. This was followed by the introduction in 1936 by the L’Oreal Company of a sunscreen product that was very effective at providing protection from the sun’s rays. In 1938 a chemist by the name of Franz Greiter developed a cream called Glacier Cream that provided added protection. He is also credited for identifying the sun protection factor (SPF) that became a standard measurement of sunscreen effectiveness.
In 1944 an American pharmacist patented a sunscreen product that eventually would become Coppertone.

Later developments in this field produced products that would protect the skin from the UVA and UVB rays from the sun. Manufacturing sunscreen is a multi-billion dollar industry that continues to evolve. With more and more literature being published about the sun’s harmful effects on the skin, people will always be looking for better ways to stay protected as too much exposure can lead to skin cancer and other dermatologic conditions.

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 Mosquitoes Attracted To ?

Have you noticed that some people get mosquito bites more often than others? There are several factors that may explain why they are more attractive to mosquitoes. They include:

  • Blood type – people who are Type O and Type B
  • Sweat – contains lactic acid, uric acid and ammonia
  • Color of clothing – dark colors as well as red are more attractive
  • Pregnancy – because of higher output of exhaled carbon dioxide and higher body temperature
  • Heavy breathing – mosquitoes are attracted to carbon dioxide emitted in exhaled air
  • Skin bacteria – certain areas of the body have more dense bacteria such as the feet and ankles

There are some aspects that we cannot change. The ones that we can change are

wearing long sleeve garments and long pants when going outdoors, wearing Environmental Protection Agency approved insect repellants, and wearing light colored clothing.

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.

Supplements And Drug Interactions

It is common for people to take dietary supplements while using prescribed medications.  However, many do not disclose this information to their doctors.

Informing your doctor of prescription and supplement usage is important because some supplements when combined with certain medications can cause interactions that endanger your health.

The U.S. Food and Drug Administration (FDA), warns against combining the following medications and supplements as doing so can result in adverse reactions:

  • Drugs for HIV/AIDS, heart disease, depression, treatments for organ transplants, and birth control pills are less effective when taken with St. John’s wort, an herbal supplement.
  • Warfarin (a prescription blood thinner), ginkgo biloba (an herbal supplement), aspirin, and vitamin E (a supplement) can each thin the blood. Taking any of these products together may increase the potential for internal bleeding or stroke.

Other examples of dietary supplement and prescription medication interactions are:

  • Goldenseal – it is highly advised that goldenseal not be combined with most over-the-counter and prescription medicines. It may interact with blood thinners, chemotherapy and HIV drugs.
  • Calcium- may interact with certain antibiotics, thyroid or osteoporosis drugs.
  • Co-Q10- may interact with blood thinners and cancer drugs.
  • Valerian- may interact with anti-anxiety drugs.

It is important to keep in mind that while many supplements are labeled as natural, they may not always be safe, especially when taken with certain medicines. The FDA advises patients to always consult with their physicians before taking any dietary supplement and medication combinations.

 

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.

The Effects of Summer on People With Asthma

It is a fact that breathing difficulties associated with asthma can be made worse due to hot weather. One possible cause of this is due to the hot, humid air irritating the airways and causing inflammation which will lead to symptoms of an asthma attack. Another reason is that hot and humid air is heavier and therefore a person may have to struggle to breathe.

Some people with asthma experience more frequent problems with their breathing during the summer due to seasonal allergens and other fine particles that are in the air that can cause existing respiratory conditions to worsen, especially in the very young and elderly.

Additional environmental factors that affect the respiratory system are:

• Higher levels of carbon dioxide and higher temperature can lead to more spores and mold in the air.
• Higher temperatures can lead to more greenhouse gases being produced.
• Environmental production of pollutants from vehicles and factories become trapped in the atmosphere.

These environmental conditions can cause chest pain, wheezing, and coughing, and reduced lung function for those who suffer with asthma.

To help avoid asthma attacks in hot weather it is recommended to:

• Stay indoors as much as possible in an air conditioned environment
• Avoid strenuous activity
• Keep hydrated
• Try to limit being outdoors during the hottest time of day

To schedule an appointment with a physician at Flushing Hospital Medical Center who can help treat breathing difficulties, 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.

Flushing Hospital Receives NYS Obstetric Hemorrhage Project Award

Flushing Hospital Medical Center is the proud recipient of the New York State Obstetric Hemorrhage Project 2021 Quality Improvement Award.

The award recognizes Flushing Hospital’s participation and dedicated work in the New York State Obstetric Hemorrhage Project which was created by the New York State Perinatal Quality Collaborative (NYSPQC) to reduce maternal morbidity and mortality associated with obstetric hemorrhage.

Maternal morbidity is defined by the U.S. Department of Health and Human Services as, “any short- or long-term health problems that result from being pregnant and giving birth.”  While maternal mortality, “refers to the death of a woman from complications of pregnancy or childbirth that occur during the pregnancy or within 6 weeks after the pregnancy ends.”

Both issues have been causes for concern nationally as data shows that maternal morbidity and mortality rates in the U.S. have been inclining steadily.

In November of 2017, the NYSPQC initiated the NYS Obstetric Hemorrhage Project in collaboration with the American College of Obstetricians and Gynecologists, the Healthcare Association of New York State, and the Greater New York Hospital Association with the support of the National Institute for Children’s Health Quality to address this problem.

Flushing Hospital joined the project as part of its ongoing efforts to provide patients and their families with the best, safest, and most equitable care.

As a participant, Flushing Hospital has met or exceeded the project’s goal of assessing at least 85% of patients for risk of obstetric hemorrhage upon admission and during the postpartum period. The hospital also implemented measures to improve readiness to respond to obstetric hemorrhage.

“This project involved a multidisciplinary approach with monthly webinars and in-person meetings in Albany. Together, we worked on updating our policies, acquired a hemorrhage cart, and updated our hemorrhage kit.  We also performed simulation drills and devised a hemorrhage assessment for patients antepartum, upon admission to Labor and Delivery, and postpartum. Our team has been educated and trained on all changes to ensure the delivery of quality care,” explained Maria Smilios, Director of Nursing Maternal and Child Services at Flushing Hospital.

Flushing Hospital was commended for its dedication and “exemplary work” by the New York State Perinatal Quality Collaborative. The hospital will continue to focus on improving maternal morbidity and maternal rates in its community to ensure a healthier future for all.

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.