What Is Raynaud’s Disease?

Posted on February 14, 2020 by Michael Hinck

You are probably aware of the many different ways the cold weather can affect your health. Conditions such as heart attack, asthma, and arthritis can all worsen when we are exposed to the cold, but did you know that the cold can also affect blood supply to your skin, resulting in a condition known as Raynaud’s disease.

In Raynaud’s disease, smaller arteries that supply blood to your skin become narrow, limiting blood circulation to affected areas, most commonly the fingers and toes.

Signs and symptoms of Raynaud’s disease include:

Cold fingers or toes
Color changes in your skin in response to cold or stress
Numb, prickly feeling or stinging pain upon warming or stress relief

During an attack of Raynaud’s, affected areas of your skin typically first turn white. Then, they often turn blue and feel cold and numb. As you warm-up and circulation improves, the affected areas may turn red, throb, tingle or swell. After warming, it can take approximately 15 minutes for normal blood flow to return to the area.

Although Raynaud’s most commonly affects your fingers and toes, it can also affect other areas of your body, such as your nose, lips, ears and even nipples.

Cold temperatures are most likely to trigger an attack. However, exposure to cold, such as putting your hands in cold water, taking something from a freezer or being in cold air are also common triggers. For some people, emotional stress can also trigger an episode.

There are two main types of the condition.

Primary Raynaud’s -Also called Raynaud’s disease, this most common form isn’t the result of an associated medical condition. It can be so mild that many people with primary Raynaud’s don’t seek treatment.
Secondary Raynaud’s -Also called Raynaud’s phenomenon, this form is caused by an underlying problem. Although secondary Raynaud’s is less common than the primary form, it tends to be more serious. In rare cases, diminished blood circulation to your fingers or toes could cause tissue damage.

Treatment of Raynaud’s disease depends on its severity and whether you have other health conditions. For most people, Raynaud’s disease isn’t disabling, but it can affect their quality of life.

To help prevent a Raynaud’s attack, bundle up when heading outdoors. Wear a hat, scarf, face mask, and a snug fitting coat to prevent the cold air from circulating onto your skin. You should also wear heavy boots and two layers of socks and gloves if necessary. Also take precautions indoors. Air conditioners can trigger a reaction so be sure to set yours to a comfortable temperature. Use insulated drinking glasses when consuming a cold beverage as well.

See your doctor right away if you have a history of severe Raynaud’s and develop a sore or infection in one of your affected fingers or toes.

To schedule an appointment with a doctor at Flushing Hospital’s Ambulatory Care 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.

Fibromyalgia

Posted on February 13, 2020 by Andrew Rubin

Fibromyalgia is a condition thought to be caused by an increase in the way the brain processes pain sensation throughout the body’s musculoskeletal system. The result is a chronic sensation of pain that is often debilitating and life-changing. Women tend to be affected by fibromyalgia more than men but the reason for that is unclear. In some people, fibromyalgia appears after a trauma, a surgical procedure, an infection, or a stressful event. There also may be some correlation to it running in families.

Scientists believe that there may be an overstimulation of the pain receptors that causes the symptoms. Symptoms of fibromyalgia include:
• Pain all over the body
• Fatigue
• Difficulty focusing
• Migraine headaches
• Anxiety
• Depression

Fibromyalgia is diagnosed through a physical exam and blood tests that examine thyroid function, red and white blood cell count, rheumatoid arthritis factor, and the erythrocyte sedimentation rate. If a person has pain for three months and no obvious medical reason for it, it might be reason to rule out fibromyalgia.

There is no one method of treating fibromyalgia that is completely effective.
• Treatment options include:
• Physical therapy
• Pain relievers
• Anti-depressants
• Getting adequate rest
• Acupuncture
• Regular exercise

If you have symptoms of fibromyalgia and would like to schedule an appointment with a doctor at Flushing Hospital, please call 718-670-5486.

What is Person-Centered Care?

Posted on February 12, 2020 by Xavia Malcolm

Person-centered care is an approach to medical care that focuses on the individual patient, rather than just the medical condition. The healthcare providers work as partners with the patient and their relatives to determine the best courses of action. Rather than taking a one-size-fits-all approach to healthcare, the staff caters to the individual’s unique needs.

So, what is person-centered care? In short, it simply means recognizing that each and every patient is different. It means that staff members readjust their methods as needed to provide optimal care to each individual. Just because two patients have the same health condition doesn’t mean they should receive the exact same treatments.

Common Signs of Person-Centered Care

These are some of the most common elements of this approach:

Decisions are influenced and made by the patients and their family members
The patient’s unique preferences and values are considered when making decisions
The patient’s care plan is regularly evaluated and readjusted as needed
In some cases, one nurse is responsible for the majority of care, giving the patient and family members a central point of contact
The central contact manages scheduling and appointments
Family members are kept apprised of any changes
The patient feels comfortable and confident discussing aspects of the care that need to be changed

Benefits Associated with Person-Centered Care

It’s abundantly clear that personalized care yields better results, including lower readmission rates, shorter lengths of stay, and higher patient experience scores. Patients flourish when their program of care is customized to their individual needs and when they are given greater agency in their own treatment. At Flushing Hospital Medical Center, we firmly believe that each patient deserves a personalized treatment plan that keeps their preferences and dignity fully intact.

Our Partnership with Planetree

In order to provide the best possible care for our patients, in 2019, Jamaica Hospital Medical Center and Flushing Hospital Medical Center became 2 out of 12 hospitals selected to participate in a 24-month program to continue improving our person-centered care approach. The program gives us the opportunity to work with Planetree, an international non-profit that’s known as experts in personalized care.

Contact Us to Learn More

What is person-centered care? We believe it’s the best way to ensure that patients receive the highest level of care, specific to their unique needs. If you have any questions, please call 718-670-5000. See the difference with our personalized approach to medical care.

Dangers of OTC Medication

Posted on February 12, 2020 by Joann Ariola

Over the counter (OTC) remedies often seem like the way to alleviate allergy symptoms, headaches or common cold symptoms or pain. However, it is always important to read the labels of any OTC medicines, especially if you are taking medications to treat high blood pressure.

Non-steroidal anti-inflammatory medications (NSAIDs), are often used to relieve pain or reduce inflammation. Aspirin, ibuprofen, and naproxen, are OTC medicines, which are considered NSAIDs, and cause you to retain fluid and decrease kidney function, placing a greater stress on your heart or kidneys.

Believe it or not, many cough and cold medications contain NSAIDs to relieve decongestion and pain. Decongestants can make your blood pressure and heart rate rise and may prevent high blood pressure medications from working properly. Avoid using them and seek alternative ways to ease the symptoms of cold, flu, or sinus problems.

Do you suffer from migraines? Some migraine headache medications work by constricting blood vessels in your head, but the medication also constricts blood vessels throughout your body. This can raise blood pressure, perhaps to dangerous levels. If you have high blood pressure or any other type of heart disease, speak with your doctor before taking medication for migraines or severe headaches.

Trying to lose weight? Appetite suppressants tend to speed-up the body and can make your blood pressure rise, placing more stress on your heart. Before using any weight loss drug, whether prescription or over-the-counter, be sure to check with your doctor. These medications may do you more harm than good.

Read medication labels before buying over-the-counter preparations. Talk to your doctor before using any over-the-counter medication, herbal preparation, vitamins, or other nutritional supplements. Ask for alternatives to potentially harmful medicines. Give a list of all the medications you use, both prescription and over-the-counter, to every doctor you visit, including dosages. If you do not have a physician and would like set up an appointment to meet with one, please contact Flushing Hospital’s Ambulatory Center at 718-670-5486.

How To Stay Heart Healthy in the Winter

Posted on February 7, 2020 by Michael Hinck

When asked which season has the highest incidence of cardiovascular problems, most wouldn’t guess the winter, but it is true, especially in cities like New York City, which are known for harsh weather conditions.

One of the main reasons for this is our blood vessels constrict in the cold weather. This happens because our bodies work hard to protect vital organs such as our brain and lungs from extreme conditions by preserving blood flow. As a result, our heart has to beat harder and faster to supply the rest of the body with the oxygen it needs. As your heart rate and blood pressure increase, you raise your risk of blood clots, stroke, and heart attack.

Another factor for increasing our risk of developing cardiovascular disease in the winter is our diet. Both the quality and quantity of food we consume can have a significant role in our heart health during any time of the year, but it is especially important during cold weather months because to digest a heavy meal requires increased blood flow to the stomach, which, for previously stated reasons, can be difficult due to blood vessel constriction.

In addition to cold weather, the winter also brings with it an increased risk of contracting the influenza (flu) virus. Flu season typically is most prevalent during the winter months and fighting it (as well as other viruses) can place an increased amount of stress on the heart and can drain the body of its energy. For those with an already weakened heart, such as the elderly or those with a weakened immune system, this can be very dangerous.

Loneliness and depression have also been linked to an increased risk of heart attack by as much as 30%. The development and maintaining of social relationships is never more difficult than during the winter months due to a variety of factors. One major factor is the weather. The frigid conditions limit the ability to attend social events. In addition, the days are shorter and darker in the winter, which can also increase the likelihood of depression.

Lastly, the winter weather can also limit an individual’s ability to properly maintain their health. This can include interfering with a person’s ability to exercise regularly as well as allowing them access to critical healthcare resources, such as seeing their provider when they aren’t feeling well or refilling their medications. Failure to do so can have harmful effects on someone’s heart health.

Recognizing the increased heart health risk factors in the winter and taking steps to address them are vital to staying healthy in the winter. This includes making sure to avoid very cold temperatures and dressing warm, eating a heart healthy diet, getting your flu shot, maintaining social relationships, and closely monitoring your health, including seeing your doctor regularly and adhering to your medications.

To make an appointment with a physician at Flushing Hospital Medical Center, please call our Ambulatory Care Center at 718-670-5486.

Use Caution When Using a Space Heater This Winter

Posted on February 4, 2020 by Flushing Hospital

During the cold, winter months, when your home isn’t always as warm as you would like it to be, electric space heaters might seem like a convenient way of raising the temperature inside for you and your family.

When used appropriately, space heaters can be a reliable source of supplemental heat for your home or workplace. Unfortunately for many, space heaters are used improperly or as a primary source of heat. When used under these conditions, space heaters can become dangerous. In fact, they are responsible for approximately one-third of all winter house fires and 80 percent of all winter heating fire deaths.

To ensure you are using a space heater the right way, follow these simple safety tips:

• Read the manufacturer’s instructions and warning labels carefully before operating your space heater.
• Make sure your space heater is assembled correctly. Look for cracks in the unit or loose or frayed wire or plugs.
• Only use your space heater as a heating device. Do not attempt to use it to warm bedding, cook food or dry clothing.
• Space heaters must be kept a safe distance away from anything that can burn, including newspapers, magazines, clothing, curtains or rugs.
• Never leave a space heater unattended. Turn it off when you’re leaving a room or going to sleep.
• Be sure to install smoke alarms on every floor of your home and outside all sleeping areas and test them once a month.
• Plug space heaters directly into a wall outlet. Do not use extension cords or power strips, which can overheat and result in a fire. Do not plug other electrical devices into the same outlet as the heater.
• Space heaters should always be positioned on a level surface. Never place heaters on furniture or uneven flooring.

Failure to comply with these recommendations can result in serious injury or even death.

Winter Cold or Allergy?

Posted on February 4, 2020 by Flushing Hospital

The winter months can be challenging to your health. The drop in temperatures often results in symptoms that could be either a winter cold or allergies.

While many of the symptoms of colds and allergies are similar, the causes of each are very different.

Colds are contagious and they are contracted when a person is exposed to an individual infected with a cold virus. Our body’s immune system will launch a counter attack against the virus. This response usually brings on the classic symptoms, such as a runny nose or cough.

An allergic reaction is caused by an overactive immune system that mistakes harmless things, such as mold or dust mites and attacks them. To combat what it thinks are germs, your body releases chemicals called histamines as a defense. The release of these histamines can cause a swelling of the nasal passages and result in coughing and sneezing. While many of the symptoms are similar, the easiest way to determine if you have a cold or are suffering from allergies is the duration of your condition. While most colds last from three to 14 days, allergies can last for months as long as the person is in contact with the allergen. Other differences are:

An allergic reaction will begin immediately after exposure to an allergen while cold symptoms usually take approximately three days to appear after exposure
A cold virus can sometimes cause fever and body aches while allergies never do
An allergic reaction can often result in itchy, watery eyes, which a cold rarely produces this type of reaction
Allergies are not contagious.

Once a determination between cold or allergy is made, the appropriate treatment can be applied.

There is no cure for a cold, but there are medications that can help alleviate the symptoms. Cough syrups, pain relievers, decongestant sprays, or multi-symptom cold relief medicines can all be used to help, but should only be taken after consulting your doctor, especially if you are taking other medications or if you have other underlying health conditions. Drinking plenty of liquids also speeds up the recovery process.

To treat allergies, your doctor may recommend an over-the-counter antihistamine to block the reaction to the allergens. There are many forms of antihistamines and some may cause drowsiness so be sure to look for the non-drowsy formula or only take them at night. Decongestants may also be suggested to relieve nasal congestion and avoid an infection.

Understanding How Diabetes Can Affect Your Digestion

Posted on January 31, 2020 by Michael Hinck

Nausea and vomiting are two unpleasant feelings that most everyone has encountered at some point in their life, but for many diabetics, these are symptoms that they live with every day as a result of a condition known as diabetic gastroparesis.

Gastroparesis, also known as delayed gastric emptying, is a known complication of both the type 1 and type 2 forms of diabetes. It occurs because high blood glucose levels associated with diabetes often leads to nerve damage throughout the body. One such nerve is the vagus nerve. It controls the movement of food from the stomach into the small intestine. When it is damaged, food cannot move as quickly through the digestive system because the stomach muscles aren’t working well or stop working completely. When undigested food remains in the stomach for too long it can lead to a variety of problems such as bacterial overgrowth and the build-up of hardened, solid masses.

It is estimated at as many as 50% of all people living with diabetes develop some level of gastroparesis during their lifetime, but symptoms can vary greatly from person to person.

The most common symptoms associated with diabetic gastroparesis include:

Nausea after eating
Vomiting after eating
Fullness after eating small amount of food
Bloating
Pain in the upper section of your stomach
Lack of appetite
Heartburn
Unexplained weight loss

Diabetic gastroparesis can affect lead to many complications including dehydration and malnutrition. It can also make it hard for someone with diabetes to manage their blood sugar levels as well as maintain a healthy weight.

Unfortunately, there is no cure for gastroparesis, but there are some medications that have shown temporary relief. There are also some alternative food delivery methods available, such as feeding tubes and IV nutritional therapy for those with severe symptoms.

The best way to reduce the symptoms of diabetic gastroparesis involves adjusting your lifestyle through:

Maintaining a low fat / low fiber diet
Drinking plenty of water
Reducing stress levels
Quitting smoking
Avoiding alcohol and carbonated beverages
Eating small meals and chewing your food slowly
Taking walks after meals

It is also recommended that you talk to your doctor about any medications you are taking as they can also worsen gastroparesis symptoms.

If you would like to make an appointment with a diabetes specialist at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

Employee Spotlight – Esmeralda Wills, RN

Posted on January 29, 2020 by Joann Ariola

January’s Flushing Hospital Employee spotlight shines on Esmeralda Wills, RN. Ms. Wills is a nurse on the hospitals 4 North 1 unit. She is known for always smiling, being a team player, compassionate and always willing to go the extra mile for her patients and her co-workers.

Claude Thomas, Clinical Nurse Manager of 4 North 1 and 2 stated, “Ms. Wills is a person who is always willing to learn new things and take on new challenges. She is highly regarded by her peers and her patients.”

For these and so many other reasons, Esmeralda Wills, RN is our January Employee Spotlight. Congratulations!

National Drug and Alcohol Facts Week – Prescription Opioid Facts

Posted on January 24, 2020 by Xavia Malcolm

Prescription opioid abuse among teens living in the United States has become a major public health concern. In fact, many national health organizations have declared that the U.S. is in the midst of an opioid epidemic.

The Centers for Disease Control and Prevention (CDC) has reported that the use of these drugs among young adults has more than doubled and the number of opioid- related deaths has quadrupled in recent years. The CDC, along with other health organizations such as the National Institute on Drug Abuse (NIDA), hope to reduce these statistics by increasing education among teens and their families.

It is crucial for parents and young adults to know the facts about opioids so that they can understand how these drugs can negatively affect a person’s health and quality of life. Here are six important facts families should know:

Opioids are narcotic medications that are prescribed to treat mild to severe pain.
Some of the most common types of opioids are fentanyl, hydrocodone, oxycodone, morphine tramadol and codeine.
Opioids work by reducing the intensity of pain signals being transmitted to the brain. They interact with opioid receptors in the brain to produce pain relief and feelings of euphoria.
Misusing opioids can result in the development of a chemical dependency to these drugs. Misuse may occur when a person is taking opioids long term, is taking more than what was prescribed or is taking them for non-medical reasons.
It is common for teens to mix prescription opioids with other substances such as alcohol. A recent study revealed that seven out of ten teens combined opioids with additional substances and 52% within this group co-ingested prescription pills with alcohol. This behavior puts teens at a higher risk for overdose.
Some of the warning signs of opioid abuse include; anxiety attacks, a sudden improvement in self-esteem, depression, improved alertness, increased energy, a decrease in appetite, fatigue, nausea, constipation and breathlessness.

There are several steps one can take to prevent or reduce the chances of prescription opioids misuse, they include; keeping medication locked up or keeping track of medication to ensure pills are not missing, correctly disposing unused medication, monitoring your loved one’s behavior while they are taking medication and communicating with your doctor about not exceeding the recommended time period for pain treatment.

If your loved one is addicted to prescription opioids it is highly recommended that you have an honest conversation with them about harmful effects that could potentially lead to death. Reassure them that you are here to help and not to judge them. Seek help from a trained medical professional immediately. There are several treatment options available which include medication and counseling. Your physician or mental health counselor will determine which treatments are best for a healthy recovery.

For further information and resources about opioid addiction and treatment, please visit the NIDA’s website www.drugabuse.gov.