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Posted on August 8, 2018 by Andrew Rubin

Urticaria (hives) is a skin condition caused usually by an allergic reaction or in some cases, unknown reasons. Hives can appear on any part of the body and appear when a substance within the body called histamine is released from cells called mast cells. This causes fluid to leak from blood vessels, causing a reaction on the surface of the skin.

Hives can be as small as a pencil point or appear as big welts and are usually red, itchy and have varying shapes. They usually last a few hours but can last a day or so, and if there is constant exposure to what is causing the condition, they will last much longer. The condition can be acute, lasting just a few weeks, to chronic which can go on for months.

The allergic reaction may be a result of exposure to certain allergens, chemicals in some food, insect bites, heat, cold and being out in sunlight. Certain medications can also be responsible for causing hives, most notably nonsteroidal anti-inflammatory drugs (NSAIDS), aspirin, codeine, and morphine.

Hives usually resolve on their own in a few hours or days. One way to try to control the symptoms of hives is to avoid what is causing it, if it can be determined. Often times a physician will recommend taking an antihistamine. It is always suggested to see a physician if the condition becomes very uncomfortable or doesn’t resolve in a few days. If you would like to schedule an appointment with a physician at Flushing Hospital, 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 Prestigious Baby-Friendly Designation

Posted on August 8, 2018 by Flushing Hospital

Flushing Hospital is pleased to announce it has received the official designation of a Baby-Friendly USA® Hospital.

As a Baby- Friendly® institution, the hospital upholds the strict breastfeeding requirements and guidelines set in place by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).

To receive Baby-Friendly® status, institutions must successfully implement the “Ten Steps to Successful Breastfeeding” which include providing appropriate education to enable families to make informed decisions about infant feeding, encouraging mothers to hold their babies skin-to-skin immediately following birth, and offering expert lactation support throughout and beyond the hospital stay. Baby-Friendly® practices are designed to optimize mother-baby bonding and to protect, promote and support breastfeeding in the first few days of a new baby’s life.

Flushing Hospital has successfully fulfilled the requirements for Baby-Friendly® designation by implementing several breastfeeding initiatives within the hospital and in the communities it serves.

“We serve a diverse population of patients at Flushing Hospital with representation of many different ethnicities and cultures. We are proud to provide breastfeeding education in several languages at public libraries and offer classes and support groups at our facility, free of charge,” states Maria D. Smilios, Director of Nursing.

“Our goal is to educate expectant mothers on how breastfeeding is a key nutritional value for their newborns, and how it fortifies bonding between the new mom and baby,” shares Jimena Grimaldi, Lactation Consultant.

Flushing Hospital’s goals are in line with Healthy People 2020 breastfeeding objectives put in place by the U.S. Department of Health and Human Services- to increase the number of infants that have ever breastfed to 81% and increase the number of infants breastfeeding at six months of age to 60.6%.

Scientific evidence demonstrates the importance of breastfeeding for the health and well-being of infants. It has been found that babies who are fed breastmilk exclusively during the first six months of life are less likely to develop respiratory diseases such as asthma and have reduced risks of ear infections, obesity, diabetes, as well as sudden infant death syndrome (SIDS).

“Each year, Flushing Hospital delivers approximately 3,000 babies, and we strongly support the philosophy that every child has the right to the highest attainable standard of health, beginning with providing mothers with the resources needed on how to supply their babies with the best nutrition possible,” explains Smilios.

Understanding Bipolar Disorder

Posted on August 3, 2018 by Michael Hinck

Bipolar disorder is a form of mental illness that is marked by extreme shifts in a person’s mood. Those with bipolar disorder experience periods of being overly happy to feelings of extreme sadness and hopelessness.

Bipolar disorder is also known as manic depression. The word “manic” describes the times when someone feels overly excited and confident, while the word “depressive” describes the times when the person feels very sad or depressed. Most people with bipolar disorder spend more time with depressive symptoms than manic ones.

During their “highs” people with bipolar disorder are often restless, act impulsive, speak in a rapid fashion, have an increased sex drive, and are more likely to abuse drugs or alcohol. Conversely, during “the lows” those with bipolar disorder have trouble concentrating, experience changes in their appetite, require an abundance of sleep or experience insomnia, have difficulty making decisions, and experience thoughts of death or suicide.

In bipolar disorder the dramatic episodes of high and low moods do not follow a set pattern. Someone may feel the same mood state (depressed or manic) several times before switching to the opposite mood. These episodes can happen over a period of weeks, months, and sometimes even years. In between these periods, those with bipolar disorder can feel completely normal.

Signs of bipolar disorder typically first become evident during adolescence or young adulthood, but in rare cases the onset can take place during childhood. It is equally prevalent in men and women and can run in families. There is no single known cause for bipolar disease, but changes in genes, brain development and stress are all considered factors.

Diagnosing bipolar disorder is done by a trained mental health professional during an evaluation that will consist of a question and answer period. After ruling out that bipolar symptoms are not due to another cause, a doctor can outline a treatment plan that takes into account the severity, frequency, and length of symptoms.

The good news is there is treatment for bipolar disorder, but it is a long-term and on-going process that requires regular therapy and usually medication management. Medications prescribed are intended to stabilize the patient’s mood and avoid them from experiencing extreme highs and lows.

If you, or someone you love is experiencing symptoms associated with bipolar disorder, seek professional help. To schedule an appointment with a mental health professional at Flushing Hospital, please call 718-670-5562.

Can Exposure to the Sun Affect Your Blood Pressure?

Posted on August 3, 2018 by Michael Hinck

High blood pressure (or hypertension) is a common, yet potentially very serious health condition that can lead to heart disease or stroke. To combat hypertension, doctors usually recommend that their patients follow a healthy, low salt diet and exercise regularly, but is there another simple thing that we all can do to lower our blood pressure?

Recent studies have indicated that spending more time outdoors in the sun can lower your lower pressure. What was found is that nitric oxide stored in the top layers of the skin reacts to sunlight and cause blood vessels to widen as the oxide moves into the bloodstream. That, in turn, lowers blood pressure. The research, which was conducted by British researchers at the University of Southampton, exposed individuals with blood pressure within normal range to ultra violet light. After exposure, those in the study saw a modest decrease in blood pressure levels. Researchers believe that the drop will be even more significant in individuals with elevated blood pressure.

Additional studies have concluded that people with higher levels of Vitamin D ( a vitamin that is commonly linked to sun exposure), experienced lower blood pressure levels and were at lower risk of developing hypertension. In fact, according to one recent study, for every 10 percent increase in vitamin D levels, there was an 8 percent decrease in the risk of developing hypertension.

Lastly, blood pressure levels tend to fluctuate seasonally, with levels typically being at their highest during the winter months. There are many potential factors for this, including changing weather patterns and increased weight gain during the winter, but could more sun exposure be a factor in lower blood pressure during summer months?

This information does not mean that those looking to lower their blood pressure should rely on sun exposure as their only form of treatment against hypertension, nor should individuals ignore the potential dangers of prolonged, unprotected exposure to the. This research merely suggests that, if done responsibly, exposure to the sun can have a positive effect on your blood pressure levels.

If you have hypertension, speak with your physician about how increased sun exposure may benefit your condition. If you do not have a doctor, please call 718-670-5486.

Scoliosis

Posted on August 1, 2018 by Andrew Rubin

Scoliosis is a sideways curvature of the backbone (spine ). In the majority of cases, the cause of this curvature is unknown. However, there are cases where the curvature is due to a person having muscular dystrophy or cerebral palsy. Other causes of scoliosis include birth defects, heredity, and spinal injuries. Not all abnormal spinal curvatures are considered scoliosis. A non-structural deformity can be due to one leg being longer than the other. In general, girls have a higher risk of developing scoliosis than boys do.

Many cases of scoliosis are considered to be mild and other than the spine having an abnormal sideways curvature, there is little impact on the body’s ability to function properly. In bad cases, the curvature of the spine may be so severe that it affects the chest cavity and causes problems with lung function and being able to breathe normally. It may also affect the heart’s ability to function properly.

Symptoms of scoliosis:
• Hips that are uneven
• Uneven shoulders
• Uneven waist
• Back pain
• One shoulder blade that protrudes more than the other

In severe cases the ribs on one side of the body may protrude more than the other side
In order to diagnose scoliosis a physician will perform a physical exam that includes visualizing the patient’s posture, taking a family history, performing a neurological exam checking for muscle weakness, numbness, and abnormal reflexes. A series of x-rays will also be taken to confirm the diagnosis.

Treatment of scoliosis is determined by the severity of the abnormal spinal curvature, the age of the patient, the location of the curvature, and whether or not the curvature is “C” shaped or a “double S “. In many cases no treatment will be required, only careful monitoring to see if the condition worsens over time. In cases that are moderate, a brace may be prescribed to prevent the worsening of the condition. Severe cases of scoliosis may require surgical intervention. This procedure involves fusion of two or more vertebrae and the use of either rods, plates and screws to hold the spine in place.

If you think that your child may have an abnormal curvature of the spine, speak with your pediatrician about an evaluation. To schedule an appointment with a pediatrician at Flushing Hospital, please call 718-670-5486.

Easy and Delicious Frittata Receipe!

Posted on August 1, 2018 by Joann Ariola

Tired of the same meals night after night? Try this easy and delicious Frittata receipe. We bet most of the ingredients are already in your fridge!

Ingredients:

Olive oil for drizzling
8 mushrooms, quartered
6 asparagus spears, chopped
Salt and ground pepper to taste
12 large eggs
½ cup grated Monterey Jack
¼ cup grated Parmesan
2 dashes of hot sauce
2 tablespoons butter
1 medium onion, halved and sliced thin
1 cold baked potato, diced
¼ cup chopped green olives with pimentos
2 jarred roasted peppers, sliced thin
8 fresh basil leaves, chopped

Directions:

Preheat the oven to 450 degrees F.

Drizzle olive oil over the mushrooms and asparagus on a baking sheet, sprinkle with salt and pepper and roast until a nice color is achieved, about 12 minutes. Set aside.

Beat together the eggs with some salt and pepper in a bowl. (Do not over-beat; just mix until the eggs mostly come together.) Stir in the Monterey Jack, Parmesan and hot sauce and set aside.

In a large ovenproof nonstick skillet, melt the butter over medium-high heat. Add the onions and cook, stirring frequently, until soft and golden brown, several minutes. Add the diced potatoes, sprinkle with salt and pepper and stir to cook for a couple of minutes. Finally, add the asparagus, mushrooms, olives and roasted red peppers and cook, stirring, until everything is hot.

Make sure all the ingredients are evenly distributed across the bottom of the skillet, then pour in the egg mixture so that it evenly coats everything. Let it sit on the burner for 30 to 45 seconds to set the edges, then put the skillet in the oven. Cook, watching it carefully, until the eggs are set but not very brown on top, 10 to 12 minutes.

Slide the frittata out of the skillet and onto a cutting board. Sprinkle on the basil and slice into wedges with a long serrated knife.

For this and more delicious recipes visit –

Suicide Prevention- Pay Attention to The Signs

Posted on July 27, 2018 by Michael Hinck

An estimated 1 million Americans attempt suicide each year. It is the 10^th leading cause of death in the United States. Ninety percent of people who committed suicide had treatable mental health disorders that went unnoticed. Suicides can be prevented if signs associated with the mental health disorder are recognized and addressed immediately.

Suicide prevention-467918329 There are several signs that may indicate that a person is suffering from a mental health issue and is contemplating suicide. If someone you know exhibits the following behaviors, do not dismiss them as a passing phase:

Feelings of hopelessness
Self-loathing
Changes in sleep patterns; which can either be excessive sleep or a deprivation of sleep
Irritability or anger
Talking about harming themselves
Loss of interest in daily activities or things they were once passionate about
Reckless behavior
Increasing use of alcohol or drugs
A preoccupation with death
Getting their affairs in order in preparation for death
Verbalizing thoughts such as “ Everyone will be better without me” or “I have nothing to live for”
Visiting or calling people to say goodbye

These actions are a cry for help. It is important to let your loved one know that you have recognized changes in their behavior, they are not alone and you are there to support them through this difficult time. Speak openly about what they are feeling and ensure them they will not be judged because they feel suicidal. Seek the help of a mental health professional immediately. Insist on accompanying this person to their consultation or treatment. Continue to demonstrate your support during treatment by reminding them to take prescribed medications, keeping up with physician appointments and encouraging a positive lifestyle.

If you or someone you know is having suicidal thoughts or demonstrating suicidal behaviors, get help immediately. Call 911, 1-800-SUICIDE, or 1-800-273-TALK

What is a Dental Abscess ?

Posted on July 26, 2018 by Andrew Rubin

A dental abscess is an infection caused when harmful bacteria gain entry to the central pulp area of a tooth. This can happen when the tooth has a cavity or when trauma to a tooth has occurred and leaves an opening. An abscess usually leads to inflammation and the development of pus. Many people describe the pain caused by a tooth abscess as one of the worst things they have ever encountered. While the pain from a tooth abscess may come on suddenly, the infection may have been developing over a long period of time.
The symptoms of a tooth abscess are:
• Sensitivity to hot and cold
• Swelling of the jaw
• Fever
• Bad breath
• Painful chewing
• Swollen lymph nodes at the jaw or neck
• Bitter taste in the mouth
Tooth decay is caused by poor dental hygiene and probably a diet filled with sugary junk food. These will cause the tooth or teeth to disintegrate over time. Trauma can be caused by either being struck in the mouth by a hard object, or biting over time on hard substances like nuts and candy. Either method can allow harmful bacteria to get into the pulp deep within the tooth. This will lead to swelling and pus to develop.
A dentist will assess the tooth with an x-ray. Depending on the extent of the abscess, they will prescribe an antibiotic to fight the infection and possibly a pain medication to help soothe the discomfort. In some cases a tooth can be saved. This may involve a root canal procedure to clean out the pulp and the root, but when the abscess has destroyed a large portion of the tooth, it may have to be extracted.
There are a few ways to prevent tooth abscesses. A healthy diet that is low on refined foods and sugar helps. Brushing and flossing are very important for maintaining proper oral hygiene. It is also very important to not bite down on hard objects like rock candy, nuts, and stale bread and cookies.
If you are experiencing any kind of tooth pain, it is important to see a dentist as soon as possible. This will prevent the problem from getting worse, will get you relief quickly, and can prevent the abscess from becoming a life threatening infection.
If you would like to schedule an appointment with a dentist at Flushing Hospital, please call 718-670-5522.

What is A Pulmonary Embolism?

Posted on July 24, 2018 by Xavia Malcolm

A pulmonary embolism is a blockage of an artery in the lung. In most cases, an embolism results from a blood clot that has traveled to the lung. When this occurs blood flow is obstructed which increases the risk of serious damage to organs or death. However, if symptoms are recognized and treatment is received promptly these risks can be reduced.

Symptoms of a pulmonary embolism may vary depending on the size of the clot, how much of your lung is affected or if you have preexisting health conditions such as heart or lung disease. Symptoms tend to come suddenly and may include:

Shortness of breath
Blue nails or lips
Chest pain, which may worsen with exertion or each time you breathe deeply
Coughing that may produce bloody or blood-streaked sputum
Lightheadedness
Excessive sweating

If you are experiencing these symptoms it is highly advised that you seek immediate medical attention.

Knowing your risks and exercising preventative measures can also reduce your chances of developing a pulmonary embolism. You are at an increased risk if you:

Are pregnant
Are taking estrogen supplements or birth control pills that contain estrogen
Are a smoker
Recently had major surgery
Have a disease that increases the risk of blood clotting
Are obese
Are on bed rest or confined to a space for an extensive amount of time

You can prevent the occurrence of a pulmonary embolism by:

Taking medication(blood thinners) as prescribed
Elevating legs
Wearing compression stockings as recommended
Being physically active or moving around as much as possible
Drinking plenty of fluids

Pulmonary medicine is the branch of medicine that deals with the causes, diagnosis, prevention and treatment of diseases affecting the lungs. The Division of Pulmonary Medicine at Flushing Hospital Medical Center is dedicated to providing outstanding inpatient and outpatient care through the use of certified physicians and modern research.

To learn more about the Division of Pulmonary Medicine at Flushing Hospital or to schedule an appointment with a specially-trained physician, please call 718-670-5639.

All About Hand, Foot and Mouth Disease

Posted on July 23, 2018 by Joann Ariola

Summer gives us a break from the flu and many other viruses prevalent during the winter months, but there is one contagious virus that your child is at risk of contracting during the summer.

Hand, foot and mouth disease (HFMD) is a common illness in the summer months, predominantly found in infants and children under the age of 10, but one that can also affect teens and adults. It is caused by a family of viruses known as the Coxsackie virus. There are multiple types of Coxsackie virus, but the A16 strain causes HFMD.

HFMD can produce a wide variety of symptoms, including mild flu-like symptoms such as fever, head and muscle aches, sore throat, fatigue, and poor appetite. The fever usually lasts anywhere from 24 hours to 2-3 days. One or two days after the fever begins, small red spots begin to appear in the mouth, throat, palms of the hands, and soles of the feet. These spots develop into blisters and eventually into painful ulcers, which resolve within a few days without any scarring.

These blisters give the illness its name, but it should not be confused with the similarly named foot (or hoof) and mouth disease, which is found in cattle.

HFMD is spread between children either hand to hand or through tiny air droplets that are released when they sneeze, cough, or blow their nose. The illness can also be spread when a person is exposed to an infected child’s stool or the fluid from their blisters.

HFMD is contagious and tends to spread most easily in settings where many young children are together, such as day care centers. In tropical parts of the world, HFMD is present throughout the year, but in cooler climates, such as New York, outbreaks take place only in the summer or fall. Some people incorrectly believe that the illness is spread in swimming pools, but a properly chlorinated pool should kill the virus.

Proper hand washing is considered the best protection against the virus, especially after using the bathroom, changing diapers, and before eating or preparing food. The virus can live on contaminated surfaces for several days. Therefore, parents should clean shared toys and all surfaces potentially contaminated with disinfectant cleaners to protect against the spread of HFMD.

There are lab tests to confirm HFMD, but doctors usually can diagnose the virus based on a physical examination. There is no specific treatment for HFMD. Doctors often recommend over-the-counter pain and fever reducing medications to make your child feel more comfortable. Salt water rinses might also provide relief.

If you think your child has hand, foot and mouth disease, you should see a pediatrician or call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to make an appointment.