Understanding Depression

Posted on November 4, 2020 by Michael Hinck

Depression is a mood disorder that makes you feel constant sadness or lack of interest in life. It can affect how a person feels, thinks and behaves. It can lead to a variety of emotional and physical problems. Those living with depression have trouble doing normal day-to-day activities, and sometimes may feel as if life isn’t worth living.

While everyone experiences feelings of sadness at some point in their life, those with clinical depression have prolonged periods of feeling helpless, hopeless, and worthless. These feelings are not always tied to a specific incident and can last for many days to weeks. Depression can occur in children, adolescents and adults. Although someone can experience depression only once in their life, most who suffer with depression experience recurring episodes.

Some of the symptoms of depression include:

Feelings of sadness, tearfulness, emptiness or hopelessness
Angry outbursts, irritability or frustration, even over small matters
Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports
Sleep disturbances, including insomnia or sleeping too much
Tiredness and lack of energy, so even small tasks take extra effort
Reduced appetite and weight loss or increased cravings for food and weight gain
Anxiety, agitation or restlessness
Slowed thinking, speaking or body movements
Feelings of worthlessness or guilt, fixating on past failures or self-blame
Trouble thinking, concentrating, making decisions and remembering things
Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide
Unexplained physical problems, such as back pain or headaches

For many people with depression, symptoms usually are severe enough to cause noticeable problems in day-to-day activities, such as work, school, social activities or relationships with others. Some people may feel generally miserable or unhappy without really knowing why.

There is no known singular cause for depression. Instead, health professionals point to a combination of contributing factors including a person’s brain structure and chemistry. Hormone and genetics are also believed to play a role.

Help is available for those with depression. A mental health professional can conduct an evaluation and outline a course of treatment based on the patient’s individual needs. Treatment may include:

Medications – These can include a combination of antidepressants, mood stabilizers, antipsychotic, anti-anxiety or stimulant medications
Psychotherapy – Talking to a mental health professional on a regular basis about your depression and other issues can help treat the symptoms.
Electroconvulsive therapy – This brain stimulation therapy passes electric currents through your brain to help your neurotransmitters work better.
Transcranial magnetic stimulation – This treatment uses a coil to send magnetic pulses through your brain to help stimulate nerve cells that regulate mood.

Some with depression may experience thoughts of hurting themselves or others. If someone you know is depressed and you think they may hurt themselves or attempt suicide, call 911immediately.

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.

Anorexia

Posted on November 4, 2020 by Xavia Malcolm

Anorexia nervosa-often used interchangeably with anorexia, is an eating disorder and psychological condition characterized by having a distorted body image (believing one is much heavier than they are), and the intense fear of gaining weight or becoming obese.

The exact cause for anorexia nervosa is unknown; however, there are several environmental, biological and psychological factors believed to contribute to its development.

Individuals with anorexia nervosa aim to maintain a low body weight that is abnormal for their height and age. This is typically achieved by practicing unhealthy weight loss habits such as:

Exercising excessively
Severely restricting the amount of food consumed
Vomiting after eating
Misusing, diuretics, laxatives or diet aides

The symptoms of anorexia nervosa can be physical, emotional or behavioral, and may vary from person to person.

Physical symptoms can include:

Extreme weight loss
Severe loss of muscle mass
Fatigue
Thinning hair or hair that breaks easily
Fainting or dizziness
Infertility
Lanugo- soft, downy hair that covers the body

Emotional and behavioral symptoms may include:

An unhealthy preoccupation with food
Excessive concern about being overweight
Adopting eating rituals such as chewing food and spitting it out
Lying about food intake
Avoiding eating in public
Repeated weighing or measuring of the body
Social withdrawal

Most individuals with anorexia nervosa hesitate to seek help because their desire to stay thin often outweighs their concerns for being healthy. However, anorexia nervosa can be life-threatening, so it is important that they receive the immediate care of physicians and mental health experts to help with overcoming this condition.

The diagnosis of anorexia nervosa generally includes physical exams, lab tests and psychological evaluations. Treatment is often administered by a team of healthcare professionals who are experienced in dealing with eating disorders such as a primary care doctor, dietitian and psychologist. A care plan may include medication, psychotherapy and nutrition education.

October Employee Spotlight – Geraldine Brennan

Posted on October 30, 2020 by Joann Ariola

Flushing Hospital Medical Center’s (FHMC) October Employee Spotlight shines on Geraldine Brennan. Geraldine is a Health Information Clerk in our Medical Records Department.

Geraldine has been a valued employee for the past 11 years. She has one son, Patrick, who also works in healthcare and a daughter, Anna, who is an educator.

In her off time, Geraldine likes to take walks and reads. She is active in her church and community civic projects.

The most rewarding part of her job is seeing how happy the patients are when you take the time to help them and provide what they need. Although Geraldine always gives each request priority attention, there are some requests that are unique and are more difficult to provide information in a most efficient manner.

Even when those unique situations arise, Geraldine is always courteous, professional and works tirelessly to be sure all patient requests are met.

For these and so many other reasons, Geraldine Brennan is FHMC’s October Employee Spotlight

World Psoriasis Day is October 29th

Posted on October 29, 2020 by Andrew Rubin

October 29^th has been designated as World Psoriasis Day by the International Federation of Psoriasis Association to raise awareness about this disease. It is estimated that worldwide there are 125 million people worldwide who have psoriasis.

Psoriasis is a chronic, reoccurring, immune related inflammatory disorder of the skin. It is believed to have a genetic component which means it can run in families. The disease usually starts to appear in the younger years and continues into adulthood, and it affects men and women equally. There is no known cause other than it is triggered by a malfunctioning of the immune system. Psoriasis is unsightly but is not contagious.

Psoriasis presents as reddish plaques on the skin with silvery scales. These lesions can be very painful and itchy. It can also affect the joints (psoriatic arthritis) which can cause physical and functional deformity. There is no cure for the disease, but treatments do exist that make the skin lesions less painful and less visible.

To make an appointment with a dermatologist at Flushing Hospital Medical Center’s Ambulatory Care Center, please call 718-670-5486

OCD and COVID-19

Posted on October 20, 2020 by Xavia Malcolm

Obsessive Compulsive Disorder (OCD) is a chronic mental health condition that is characterized by unreasonable thoughts or obsessions that lead to repetitive behaviors(compulsions) such as excessive handwashing.

For many living with OCD, the stress of the COVID-19 pandemic has greatly impacted their mental health.

The threat of being infected with the virus and potentially becoming ill have presented certain challenges and in some cases exacerbated symptoms.

Stress and anxiety caused by the pandemic may result in the worsening of the following OCD symptoms:

Fear of contamination (Being afraid to touch objects other people have touched, or being afraid to touch others)
Excessive hand washing or showering
Excessively cleaning household items or other objects
Compulsive hoarding
Persistent unwanted or intrusive thoughts
Constantly checking that nothing terrible has happened
Difficulty dealing with uncertainty

According to the International OCD Foundation, there are measures that those living with OCD can apply to help them navigate this challenging time; these include:

Give yourself permission to set a basic safety plan based on the recommendations of trusted health organizations, and do not add to it.
Wash your hands with soap and water for 20 seconds after being outside or in public, before eating, after going to the bathroom, and after you’ve coughed/sneezed/blown your nose. If soap and water are not available to you, use hand sanitizer that contains at least 60% alcohol.
If you want to do more than this, pick a person to help you figure out what might be a reasonable and rational safety measure to take.
Remind yourself that no one can protect themselves “perfectly” from COVID-19, and no one expects you to. Times like these call for using your common sense instead of going to perfectionistic extremes.
Be mindful that your OCD may take advantage of COVID-19 fears by telling you that you might have infected someone or that you are going to infect someone in the future, whether accidentally or on purpose.
If you’re noticing these intrusive thoughts, or that you’re doing compulsions related to these thoughts, check in with your therapist and let them know how your symptoms might have changed. They can work with you to come up with new exposures and/or homework activities to help contain them.

If you are struggling with the symptoms of OCD or other mental health conditions please reach out to a mental health professional for assistance.

To schedule an appointment with a mental health professional at Flushing Hospital Medical Center, please call 718-670-5316.

Flushing Hospital’s Wound Care Center Offers Tips To Avoid Food Ulcers

Posted on October 16, 2020 by Michael Hinck

A foot ulcer is a break in the skin or a deep sore, which can become infected.

Some of the most common causes of foot ulcers include:

Circulatory problems – Your circulatory system carries oxygen-rich blood and nutrients to your entire body. These nutrients maintain healthy tissue. When someone experiences circulatory issues, the feet are typically one of the first places where problems can occur.
Nerve damage – When nerves are intact, they send signals to the brain when an object is causing pain. If someone has damaged nerves, they do not receive these signals and they are unable to identify when something is causing harm to the tissue. Failure to address the issue can result in irritation and potentially an ulcer.
Prolonged pressure on the feet – Ulcers can occur even in people without nerve damage when they wear shoes that fit poorly This is usually due to severe atherosclerosis, or a deformity such as a fracture. In addition, Elderly patients may have difficulty examining their feet, ignoring pain from pressure on the feet, which may lead to an ulcer.
Various health conditions – Ulcers are an indication that a severe stage of a condition such as peripheral artery disease, kidney failure, diabetes, hypertension, or high cholesterol is present. A physician can offer strategies such as medication management, healthy diet, exercise, and proper weight management to help manage these conditions.
Lifestyle issues – Smoking is a leading contributor to ulcers as it increases the risk of developing a variety of conditions that can lead to the development of them. In addition, leading a sedentary lifestyle can increase your chances of developing foot ulcers. Avoiding prolonged periods of bed rest or non-mobility can decrease the likelihood of developing ulcers.

If left untreated for too long, a foot ulcer can cause serious consequences including potential amputation.

The three most important ways to avoid this is from happening is educating yourself about foot ulcers, wearing the appropriate shoes, and maintaining your regularly-scheduled appointments with your doctor

Flushing Hospital’s Wound Care Center wants to help our community put a stop to foot ulcers through proper care and early detection, which can greatly reduce the risk of amputation and improve overall quality of life.

If you have a foot ulcer and need help treating it, please call Flushing Hospital’s Wound Care at 718-670-4542 to schedule an appointment.

Is Your Pain From Osteoarthritis Or Another Similar Condition ?

Posted on October 15, 2020 by Andrew Rubin

Osteoarthritis is a common joint disease that typically affects parts of the body where joints are weight bearing such as the knees, hips, spine, hands or feet. It is caused by the wearing down of cartilage which is the tissue that cushions the bones where they meet each other to form a joint. Over time, the loss of cartilage will lead to bone rubbing against bone which causes them to erode and become painful with motion.

Osteoarthritis is sometimes mistaken for similar diseases that also cause joint pain. Some of these diseases include:

Psoriatic arthritis
Rheumatoid arthritis
Lupus
Reactive arthritis
Lyme disease

A characteristic that distinguishes osteoarthritis from these diseases is the way that joint pain presents itself. For those suffering from osteoarthritis, pain usually occurs as a result of exertion of the joints, and typically occur during or after movement. The diseases that present with some of the same characteristics, movement within a joint is not usually reason for the pain to occur.

Diagnosing osteoarthritis is done by performing lab tests to check for indicators in the blood and also by performing x-rays to check for distinctive patterns of bone and joint involvement.

If you are experiencing symptoms of osteoarthritis such as joint pain or limited mobility, you can make an appointment with a specialist known as a rheumatologist who can make a diagnosis. Treatment of the disease may include medications, therapy or surgery.

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

October Is Breast Cancer Awareness Month. Are You At Risk?

Posted on October 14, 2020 by Joann Ariola

Breast Cancer awareness campaigns have empowered women to take a pro-active approach to early detection of the disease. While regular check ups greatly help in prevention for any illness, individuals with specific risk factors should pay extra close attention.

Common Risk Factors
There are risk factors that you cannot change or control such as:
• Gender: Just by being a woman you are placed at risk. Male breast cancer is not common but it isn’t unheard of. Men are less likely to be affected by breast cancer because they have less of the female hormones, estrogen and progesterone, which can promote breast cancer cell growth.

Age: A woman’s chances of developing cancer increase as she gets older. Statistics reflect a woman’s median age of breast cancer diagnosis to be 61. This means that half of women who develop breast cancer are 61 or younger at the time of their diagnoses.

Family History: Women who have had a ‘close blood’ relative diagnosed with breast cancer are at higher risk of developing breast cancer. ‘Close blood’ relative is defined as a first degree relative such as mother, sister, and/or daughter.

Race and Ethnicity: Caucasian women are slightly more likely to develop breast cancer than African-American women. However, African-American women under the age of 45 are more commonly diagnosed with breast cancer. The American Cancer Society has statistically noted Asian, Hispanic and Native American women are at less risk from developing breast cancer.

“Generally speaking, an early first period or delayed menopause can also be associated with an increase risk for breast cancer,” states Dr. St. John, Director of the Breast Clinic at Flushing Hospital Medical Center. “These are things that we cannot control, but knowing your risk factors and raising your awareness can increase your chances of early detection.”

Lifestyle Related Factors
In addition to certain genetic predispositions, certain lifestyle choices can be contributing factors in developing breast cancer. “Lifestyle related” factors can increase a woman’s chances for breast cancer. Some of these factors can include:

Having Children/ Breastfeeding: Having several pregnancies and becoming pregnant at a young age reduces the risk of breast cancer. Studies have shown that women who have no children or had their first child after age 30 have a slightly higher risk of developing breast cancer. Some studies have suggested that breastfeeding may slightly lower breast cancer risk, especially if it is continued for 1 ½ to 2 years of age.

Hormone Therapy after Menopause: Women who receive Hormone Therapy (HT) to relieve the symptoms of menopause can possibly be at an increased risk of breast cancer if used for a prolonged amount of time. This can be due to the dual dosing of progesterone and estrogen administered. However, a woman’s risk of breast cancer seems to return to normal within five years of stopping the combined treatment.

Drinking Alcohol/ Smoking: Women who consumed more than 2 to 5 drinks daily increase their risk of breast cancer as opposed to non-drinkers. Although there have been limited studies, smoking has been linked to increasing a woman’s chances of developing with breast cancer.

Being Overweight or Obese: women who are overweight tend to have higher insulin levels, which has been linked to some cancers, including breast cancer.

Some lifestyle changes that can help lower your risk are, limiting alcohol consumption, quitting smoking, as well as managing your weight. Maintaining a healthy lifestyle, exercising and conducting regular self examinations can be helpful to preventing breast cancer.”

Flushing Hospital’s Ambulatory Care Center has a variety of services including a dedicated breast clinic. Our clinic can help you take your first steps to prevention and provide peace of mind.

For more information or to schedule and appointment, please call 718-670-5487.

ADHD

Posted on October 13, 2020 by Flushing Hospital

Attention Deficit Hyperactivity Disorder (ADHD) is the most common mental disorder diagnosed in children, as well as found in teens and continues into adulthood. Children who are diagnosed with ADHD tend to be hyperactive, have difficulty staying focused, and can’t control their impulses. Boys tend to be affected more frequently than girls.

There isn’t a definite cause for the illness but there is a hereditary component, or result of a chemical imbalance in people who are diagnosed with ADHD. Mothers who smoke, drank alcohol, had poor nutrition or were substance abusers during their pregnancy tend to have children with a higher incidence of the disease.

Children with ADHD:
• Are easily distracted
• Have trouble sitting still
• Have trouble waiting their turn
• Have difficulty organizing themselves
• Talk excessively

ADHD cannot be cured but can be managed through therapy and medication. Early intervention is an important component of successfully managing ADHD.

To schedule an appointment with a child psychiatrist at Flushing Hospital Medical Center, please call (718) 670-5562

BURSITIS

Posted on October 7, 2020 by Joann Ariola

According to the Mayo Clinic, Bursitis is a painful condition that affects the small, fluid-filled sacs called bursae that cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed. The most common locations for bursitis are in the shoulder, elbow and hip.

Although Bursitis typically affects the shoulder, elbow and hip, it can also affect your knee, heel and the base of your big toe. Bursitis often occurs near joints that perform frequent repetitive motion.

Some symptoms of Bursitis are:

Achy or stiff joints
Pain when the joint is moved or touched
Redness and swelling in the affected area

The treatment of Bursitis usually includes resting the inflamed joint and guarding it from further trauma. Bursitis pain can last for a few weeks and is prone to recurrent flare-ups.

If the pain in your joints persists and traditional home remedies aren’t providing relief, may want to seek the opinion of a medical professional. If you’d like to schedule an appointment at the Flushing Hospital Medical Center’s Ambulatory Care Center, please call 718-670-5486.

For more information about Bursitis visit: mayoclinic.org