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April is IBS Awareness Month – Learn More About This Condition

Posted on April 13, 2018 by Michael Hinck

Irritable bowel syndrome (IBS) is a condition marked by recurring or alternating bouts of cramps, diarrhea or constipation. It affects an estimated 30 to 45 million people in the United States – or 10 to 15 percent of the population. Despite its prevalence, many people living with this disorder are unaware that they have it and do not receive the necessary treatment and support.

In an attempt to help others gain a better understanding about this condition, April has been designated IBS Awareness Month. During this time, those involved in this effort will look to focus attention on important health messages about IBS diagnosis, treatment, and quality of life issues.

There are many obstacles in raising awareness about IBS. One of the biggest hurdles is getting people to openly discuss their condition. Even though the disorder is very common, many with IBS are reluctant to openly talk about their symptoms or seek medical care. They may feel uncomfortable discussing their symptoms, even with their doctor, because of social taboos surrounding bowel symptoms.

In addition, IBS is often mischaracterized as a trivial condition, but it is actually one of the most prevalent and burdensome chronic issues reported by patients. IBS has been cited as one of the leading causes of work absenteeism (second only to the common cold) and its symptoms also have a profound impact on the personal and professional activities of those living with it.

Another obstacle that many that IBS encounter is that there is still so much that is unknown about the disease. IBS symptoms result in no damage to the gastrointestinal (GI) system, making it difficult to diagnose. In addition, even though there are many theories regarding what causes IBS, there is no known official cause for the condition. There is also no official test to diagnose IBS and there is no cure.

In an effort to help those living with IBS, many health care professionals suggest patients learn all that they can about their condition, including identifying those things that seem to make their symptoms worse. Most importantly, people with IBS are encouraged to talk openly with their doctor about IBS so they can help them better manage their condition through improved lifestyle choices and medication therapy aimed to relieve symptoms.

Flushing Hospital is committed to joining the fight to raise awareness and addressing misconceptions about IBS to help those affected get diagnosed and receive appropriate care.

To schedule an appointment to speak with one of Flushing Hospital’s doctors, 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.

Shin Splints

Posted on April 11, 2018 by Andrew Rubin

A shin splint is a condition characterized by tenderness running along the tibial bone which is the large bone in the lower leg, also referred to as the shin bone. They are the result of an increased amount of repetitive activity, such as running, dancing, walking, or working out that causes the overworking of the tendons, muscles or bone tissue in the lower leg.
Contributing factors of shin splints:
• Poorly fitting shoes
• Weak ankles or hips
• Flat feet
• Failure to warm up prior to exercising
• Lack of support in shoes
Treatment of shin splints requires some time to heal. It is important to give the leg time to rest. In the acute phase, putting ice on the shin for 20-30 minutes every three to four hours for the first few days will help. It may be helpful to take an anti-inflammatory medication to ease the swelling and to help with the discomfort. It is also sometimes helpful to use orthotics, either custom made or over the counter, to give the foot support. Physical therapy is also very helpful to build up muscle strength and also to help ease the discomfort.
Preventing shin splints is as important as treating them. Some of the things you can do to prevent them from occurring are stretching exercises, wearing good shoes, participating in activities that are low impact, add shock absorbing insoles to your footwear.
If you would like to schedule an appointment with an orthopedic physician at Flushing Hospital, please call 718-670-5486.

What is a Hysterectomy?

Posted on April 11, 2018 by Flushing Hospital

A hysterectomy is a surgical procedure that involves removing a woman’s uterus. It is a common operation, in fact, the CDC reports that over 10% percent of women between the ages of 40-44 have had a hysterectomy and approximately 600,000 procedures are performed annually.

Hysterectomies are used to treat several health conditions, some of which include:

Uterine fibroids
Gynecologic cancer
Endometriosis
Uterine prolapse
Chronic pelvic pain
Adenomyosis

Hysterectomies can be performed utilizing several techniques. Based on the course of treatment that is best for you, your surgeon may recommend one of the following options:

Abdominal hysterectomy
Laparoscopic-assisted abdominal hysterectomy
Vaginal hysterectomy
Laparoscopic-assisted vaginal hysterectomy
Robotic- assisted hysterectomy

Procedures may require the complete or partial removal of the uterus. If a complete removal is required, a total hysterectomy may be performed. In the case where the uterus and surrounding structures such as the fallopian tubes and ovaries need to be removed, a radical hysterectomy is often recommended. Treatment involving the partial removal of the uterus may include a supracervical hysterectomy.

As with all surgical procedures there are risks to consider. However some techniques can offer patients a reduced risk of complications such as pain and bleeding. Laparoscopic and robotic assisted hysterectomies may result in less pain, minimal bleeding, a lower risk in infection and shorter hospital stays.

Flushing Hospital Medical Center’s Department of Obstetrics and Gynecology has a full program to provide total health care to women. Our highly trained specialists utilize the latest techniques and equipment, such as ultrasonography, color Doppler, laser, laparoscopic and robotic surgery, in the diagnoses and treatment of female disorders. Robotic surgeons at Flushing Hospital are board certified or board approved and has performed countless procedures resulting in high rates of success.

Gynecological procedures performed robotically by Flushing Hospital’s team of surgeons include hysterectomy, ovarian cystectomy, salpingo-oophorectomy, sacrocolpopexy, tubal reanastomosis, dermoid cystectomy and more.

For more information or to make an appointment please call, 718-670-8994

Alcohol Awareness Month

Posted on April 10, 2018 by Xavia Malcolm

April is Alcohol Awareness Month. This observance was founded in 1987 by the National Council on Alcoholism and Drug Dependence Inc. (NCADD) to raise awareness and help reduce the stigma associated with alcoholism.

Alcoholism is a disease that affects a person’s ability to manage their drinking habits (consumption of alcoholic beverages). It is estimated that over 15 million people living in the United States have an alcohol use disorder- which means their drinking causes distress or harm.

Alcohol abuse can lead to several medical complications including an increased risk of certain cancers, liver disease, digestive problems, diabetes, bone damage, heart disease and neurological disorders. It can also lead to dangerous and destructive behaviors which can negatively impact relationships, one’s personal safety as well as the safety of others.

There are warning signs and symptoms that are indicative of alcohol abuse; they include:

Drinking more or longer than intended
Having a high tolerance for alcohol
Drinking that leads to memory loss
Drinking daily
Consuming alcohol in places where drinking is inappropriate
Losing interest in appearance
Engaging in risky or unsafe behaviors
Losing interest in activities that were once of importance
Becoming defensive about drinking habits
Feeling depressed when not drinking
Experiencing mood swings
Denying alcohol abuse

Paying attention to these signs is important, as some are subtle and may go unnoticed. The sooner professional help is received, the better the chance of recovery. A trained addiction specialist or mental health professional can provide the support or assistance needed to treat alcohol dependence. Treatment may include a combination of medication and counseling.

Is There an Underlying Cause for Your Hypertension?

Posted on April 6, 2018 by Michael Hinck

Over 75 million or one out of every three adults in the United States has high blood pressure, or hypertension. For most, hypertension is the result of either genetic or lifestyle factors such as obesity or smoking, but for approximately 10% of Americans, hypertension is caused by the existence of another disease.

When hypertension is the result of another medical condition it is referred to as secondary hypertension. Secondary hypertension can be caused by a variety of conditions that affect any number of different systems and organs. Some of the most common causes for secondary hypertension include:

Kidney disease -Secondary hypertension can be related to damaged kidneys or to an abnormal narrowing of one or both renal arteries.
Coarctation of the aorta.With this congenital defect, the body’s main artery (aorta) is narrowed (coarctation). This forces the heart to pump harder to get blood through the aorta and to the rest of your body. This in turn, raises blood pressure — particularly in your arms.
Adrenal disease – The adrenal glands sit on top of the kidneys and produce several hormones that help regulate blood pressure. Sometimes, one or both adrenal glands make and secrete an excess of these hormones.
Hyperparathyroidism – The parathyroid glands regulate levels of calcium and phosphorus in your body. If the glands secrete too much parathyroid hormone, the amount of calcium in your blood rises — which triggers a rise in blood pressure.
Pregnancy – Pregnancy can make existing high blood pressure worse, or may cause high blood pressure to develop (pregnancy-induced hypertension or preeclampsia).

Like primary hypertension, secondary hypertension usually has no specific signs or symptoms, even when your blood pressure has reached dangerously high levels. Secondary hypertension can also worsen an underlying medical condition and lead to other serious complications, such as heart attack or stroke, if left untreated.

In most cases, once an underlying medical condition causing hypertension is identified and appropriate treatment is provided, your blood pressure will return to normal.

If you have a condition that can cause secondary hypertension, it is important to see your doctor and have your blood pressure checked regularly.

If you have hypertension and believe there is an underlying cause, schedule an appointment with your doctor. If you do not have one, please call Flushing Hospital’s Ambulatory Care Center at 718-670-5486 to schedule an appointment.

Flushing Hospital’s New Tool Helps Calm Hospitalized Children

Posted on April 6, 2018 by Xavia Malcolm

Medical procedures such as blood draws, IV placements, drain removals, and dressing changes can be frightening and unsettling, especially for children. They often need distractions to help them to cope with the fear and anxiety of undergoing these processes.

In an effort to provide children with tools that promote positive coping, Flushing Hospital Medical Center has purchased a Vecta Deluxe Mobile Sensory Station with the help of a generous grant from the enCourage Kids Foundation’s Pediatric Hospital Program.

The new multisensory device is designed to keep children distracted by keeping them engaged with its many interactive and calming features such as a projector that displays images such as tropical fish, an aromatic dispenser, a bubble column and fiber optics cables that change colors. Through play and interaction, the Vecta will help patients to alleviate some of the discomforts they may encounter in a medical environment. The machine is mobile and enables the staff to transform any room into a fun or relaxing space.

The sensory station is utilized by Flushing Hospital’s Child Life program where Child Life Specialists such as Rashmi Momaya provide emotional support to children by engaging them in fun and educational activities.

“Hospitalization can be frightening. The Vecta Sensory Station has proven to be effective in helping children to remain engaged and relaxed during procedures. The feedback we have received from patients and parents has been tremendously positive,” shared Rashmi.

Rashmi continued, Flushing Hospital’s Child Life Program is thrilled to have acquired another tool that will help us to provide the best service and care for our patients.”

Flushing Hospital’s Child Life Program aims to meet the special needs of children in our care. Our Child Life Specialists are trained to help patients to overcome fear and anxiety through play, support and education in a safe environment. We strive to offer patients and families a positive hospital experience.

The History of the EKG Machine

Posted on April 5, 2018 by Andrew Rubin

An EKG machine measures the electrical activity of the heart. It displays this activity by drawing waves on a piece of paper that is either displayed on a screen or drawn on a piece of paper that runs through a machine.
• Late 1700’s – The first step in the development of the modern electrocardiograph machine was the creation of a machine that could sense, but not measure, electric current. This machine was called a galvanometer.
• 1786 an Italian physician, Dr. Luigi Galvan, discovered that skeletal muscles worked by producing electric current. In
• 1842 Dr. Carlo Matteucci working at the University of Pisa discovered that there is an electrical current that comes with each heart beat in a frog.
• Mid 1800’s a machine called the “Rheotome” was invented that could now measure this electrical current.
• 1872 – further refinements to this Rheotome led to a machine devised by Gabrrile Lippman of the “capillary electrometer”.
During this time, a British physiologist, Augustus Waller, was able to record the first human electrocardiogram that using this technology with electrodes placed on the chest and back of a patient. This demonstrated electric activity taking place before ventricular contraction. In
• 1893 – Dr. Wilhelm Einthoven, a Dutch physiologist, refined the capillary electrometer to show five deflections in the electrical current passing through the heart. The five waves were initially called ABCDE, but were changed to PQRST after a mathematical correction was made to compensate for the inertia in the capillary tube. He used the phrase “electrocardiogram” for the first time at a meeting of Dutch physicians. In
• 1901 – Dr. Eintoven he developed a string galvanometer, a more sensitive machine. He was awarded the Nobel Prize in Medicine and Physiology for his invention of the electrocardiograph.
As time passed, the electrocardiograph machine became much smaller and much more accurate. In 1903 it weighed 600 pounds and by 1930 it weighed about 30 pounds. The importance of an electrocardiograph was recognized as being essential in diagnosing cardiac from non-cardiac pain and able to help diagnose a myocardial infarction or a heart attack. Today we use a 12 lead electrocardiogram as a major tool in diagnosing heart disease. The machine today weighs just a few pounds and is an essential tool in diagnosing diseases of the heart.

Low-Sodium Baked Salmon Recipe

Posted on April 4, 2018 by Joann Ariola

A low-sodium diet can reduce the risks of hypertension, cardiovascular disease and kidney damage.

The American Heart Association recommends no more than 1,500 milligrams of sodium should be consumed per day

Here are the approximate amounts of sodium in a given amount of table salt:

1/4 teaspoon salt = 575 mg sodium
1/2 teaspoon salt = 1,150 mg sodium
3/4 teaspoon salt = 1,725 mg sodium
1 teaspoon salt = 2,300 mg sodium

If you are interested in lowering your sodium, this recipe for baked salmon is a good place to start. For this and other low sodium recipes you can go to –

Warning Signs of a Prescription Painkiller Addiction

Posted on April 3, 2018 by Xavia Malcolm

Prescription painkiller addiction has become a growing and serious problem in the United States. A 2017 study conducted by the National Survey on Drug Use and Health found that an estimated 2 million Americans misused prescription pain relievers for the first time within that year.

While narcotic painkillers are designed to significantly reduce a person’s sensitivity to pain, they can also create a short-lived sense of euphoria. Some people may crave this sensation and become addicted, as they want to experience this feeling more frequently and for longer periods of time. Long-term or misappropriate use of prescription painkillers can lead to physical dependence.

A person can become addicted to painkillers over time; however, there are often tell-tale signs that indicate a growing addiction. They include:

Feeling the need to use the drug regularly
Experiencing intense urges that interrupt other thoughts
Taking more medications than prescribed by a doctor
Going doctor shopping to find physicians to provide a prescription
Taking medications longer than prescribed by a doctor
Seeking other sources such as relatives’ medicine cabinets or the internet to get prescription painkillers
Afflicting injuries to oneself to attain painkillers
Continuing to take the medications although they affect job performance, relationships or the ability to carry out routine activities
Experiencing withdrawal symptoms when attempting to stop drug use

Paying attention to these signs is crucial in getting the necessary help needed. Help can be received in a timely manner; the sooner a problem is recognized. If you or someone you know are displaying these signs, speak to your doctor or a professional who specializes in addiction medicine immediately.

To schedule an appointment with Flushing Hospital Medical Center’s Addiction Service Division please call 718-670-5078.

This Spring, NYSS and Flushing Hospital Offer the Safe and Effective Obalon Non-Surgical Weight Loss Procedure for Those Looking to Shed Their Winter Weight

Posted on March 30, 2018 by Michael Hinck

Spring is here and with it comes the promise of warmer weather. For many, this time of year also brings with it renewed attempts to shed the extra pounds they put on over the winter. If you have tried repeatedly to lose weight through conventional diet and exercise , but have been unsuccessful and bariatric surgery is not for you, doctors at Flushing Hospital may have a safe and effective weight-loss option for you.

Doctors Sanjeev Rajpal, Darshak Shah and Noman Khan of New York Surgical Specialists (NYSS) are all excited that they are some of the only physicians in the area to offer their patients the revolutionary, Obalon weight loss system. Obalon is the first and only non-surgical, and completely non-invasive weight loss treatment option approved by the Food and Drug Administration (FDA).

Patients who participate in Obalon treatment swallow a small, coated capsule connected to a thin tube. Once the capsule is digested, it naturally dissolves and a small, lightweight gastric balloon unfolds. This balloon is then remotely filled with medical gases via the tube before it is removed. The balloon, once fully inflated, is only the size of a small orange.

This procedure is repeated two more times over a six month period. Once expanded, the three balloons work to facilitate weight loss by taking up space within the stomach, enabling patients to become fuller while eating less.

Each procedure only takes 10 minutes, requires no sedation and can be performed in the NYSS office. After six months the balloons are removed endoscopically while the patient is under light, conscious sedation.

Throughout the entire three-stage, six month process, patients will receive nutritional and exercise support from Flushing Hospital’s weight loss team.

The Obalon Weight Loss System offers many benefits to those patients, who do not qualify for, or are seeking an alternative to bariatric surgery, including:

Obalon is clinical proven to be twice as effective as diet and exercise alone
There are minimal risks or side effects
No sedation is required and the entire procedure only takes 10 minutes
Obalon is affordable as compared to other surgical weight loss options, but it is not currently covered by most insurance providers
Patients can resume their normal daily lifestyle immediately
The procedure is completely reversible

Not everyone is a candidate for the Obalon weight loss system. To qualify, patients must be:

At least 22 years old
Have a Body Mass Index (BMI) of 30-40
Have not had any form of weight loss surgery
Are actively attempting to lose weight through diet and exercise
Are committed to maintaining a healthy lifestyle during and after treatment

To learn more information about the Obalon weight loss system, or to make an appointment with one of our highly qualified physicians, please call 718-408-6977.