Scleroderma

Posted on July 22, 2026 by Patrick Hercules

Scleroderma is a rare chronic condition that causes the body to produce tissue that is thicker than it should be. It usually affects the skin, but it can also cause symptoms in other parts of the body.

If a person has scleroderma, their immune system triggers the body’s cells to produce too much collagen. Collagen helps the body have strong, healthy connective tissue to support the organs and hold parts of the body in place. However, when the body produces too much collagen, the skin and other tissue can become thicker and more fibrous than they should be.

Some people who have early scleroderma don’t have any symptoms. Some of the most common symptoms include:

Joint pain
Stiffness, especially first thing in the morning
Fatigue
Patches or streaks of thickened, waxy skin
Raynaud’s syndrome
Unexplained weight loss
Heartburn or acid reflux

There are two main types of scleroderma: localized and systemic sclerosis.

Localized scleroderma only affects one part of the body, usually the skin, and causes thick patches or streaks on the skin that feel waxy. This type of scleroderma is most common on the chest, arms, legs, stomach, hands, and feet. Localized scleroderma may get better on its own, and it doesn’t usually spread to other parts of the body.

Systemic sclerosis can affect other organs as well as the skin, including the lungs, heart, stomach, and small bowels. It can affect a person’s ability to breathe or process nutrition. Systemic sclerosis has three subtypes:

Diffuse sclerosis
Limited sclerosis, also known as CREST syndrome
Sine sclerosis

Systemic sclerosis can cause symptoms that may seem unrelated to each other, such as:

Coughing or shortness of breath
Trouble swallowing
Muscle numbness or tingling
Heartburn, bloating, constipation, diarrhea, or trouble controlling your bowels
Abnormal heartbeats, including heart blocks
Dry eyes and mouth
Itching
Erectile dysfunction or vaginal dryness

Experts aren’t sure of what causes scleroderma, but they know it is an autoimmune disease. Scleroderma can be hereditary, as biological parents can pass it on to their children. However, it is rare enough that there isn’t any definitive proof that it is a genetic disorder.

Anyone can develop scleroderma, but you may be at a higher risk if you are:

Female
Black
Between the ages of 30 and 50 years old

Black people are more likely to have scleroderma, and it is more common to develop it earlier in life and experience more severe skin and lung symptoms.

A person with scleroderma is more likely to have Raynaud’s syndrome and Sjögren’s syndrome. Some types of scleroderma can cause severe complications, including:

A weakened immune system
Cardiovascular disease
Congestive heart failure
Kidney failure
Pulmonary fibrosis
Pulmonary hypertension
Needing a finger or toe amputated
Cancer
Gastrointestinal diseases

Diagnosing scleroderma is usually part of a differential diagnosis, which means a healthcare provider will have to use a few tests to rule out other conditions that can cause similar symptoms before giving you a scleroderma diagnosis. A healthcare provider will perform a physical exam and tests, including:

Blood tests to see how well your immune system is functioning
A biopsy to remove a sample of your affected skin or other tissue for lab testing
Pulmonary function tests to show if your lungs or respiratory system are affected
Endoscopy if you are experiencing any gastrointestinal symptoms

A healthcare provider may also recommend imaging tests, such as:

CT scan
Chest X-ray
Echocardiogram
Electrocardiogram (EKG/ECG)

Unfortunately, there isn’t a cure for scleroderma. A healthcare provider will help you find treatments that manage the symptoms and lessen how much they impact your daily life. The treatments you receive depend on where you’re experiencing symptoms and their severity. Some treatment options include:

Immunosuppressants
Medicines to manage specific symptoms
Skin treatments
Physical therapy
Phototherapy or light therapy
Stem cell transplants

If you or a loved one is experiencing symptoms of scleroderma, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, 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.

Robot-Assisted Prostatectomy

Posted on July 15, 2026 by Patrick Hercules

A prostatectomy is a surgical procedure that is performed to remove all or part of the prostate gland. It is used to treat prostate cancer and other prostate conditions.

A robotic prostatectomy is a type of prostatectomy performed by a surgeon using surgical tools attached to robotic arms that assist in removing the prostate gland during the procedure.

A robotic prostatectomy differs from a traditional open prostatectomy, which requires a large eight-to-ten-inch incision. Instead, a minimally invasive approach called laparoscopy allows the surgeon to operate with precise movements and allows the surgeon to operate by way of a one-to-two-inch incision and five much smaller incisions in the lower stomach.

Although it is less invasive than open surgery, robotic prostatectomy is considered a major surgery.

A robotic prostatectomy can be performed by using different approaches, depending on the condition that needs treatment, including:

Robot-assisted radical laparoscopic prostatectomy (RALP) is used to treat prostate cancer by removing the entire prostate gland, surrounding tissues, and sometimes nearby lymph nodes

Nerve-sparing prostatectomy is a surgical approach that takes the prostate gland while not trying to injure the nerves that play a role in erections. However, this may not be possible if there is cancer very close to the nerves. A non-nerve-sparing prostatectomy may be needed

Simple robotic prostatectomy or partial prostatectomy only removes the inner part of the prostate, leaving the outer part intact. This procedure is performed to ease symptoms of benign prostatic hyperplasia (BPH), which is an enlarged prostate

A partial prostatectomy eases urinary symptoms and complications resulting from blocked urine flow, such as:

Urinary tract infections

Trouble starting urination

Stopping and starting while urinating

An urgent need to urinate often

Prolonged urination

Urinating more than usual at night

The feeling of not being able to fully empty the bladder

Not being able to urinate

It is possible to survive or live without a prostate. And like any surgery, robotic prostatectomy comes with some risks and side effects, and your healthcare team will work to lower these risks.

A robotic prostatectomy has several benefits, as it can cause less pain and bleeding than traditional open surgery and allow for a shorter recovery time.

To learn more about our robotic surgical procedures or schedule an appointment, contact Flushing Hospital Medical Center at (718) 670-5000.

Skin Products that Increase Sensitivity to UV Rays

Posted on June 26, 2026 by Patrick Hercules

Summer is upon us, and with it comes days with increased ultraviolet (UV) radiation, which can put you at risk of skin damage and skin cancer, even with limited exposure.

Using certain skin products can increase our skin’s exposure and sensitivity to harmful UV rays. When a person has heightened skin sensitivity or an unusual reaction to UV radiation from sunlight, it is called photosensitivity.

There are two types of photosensitivity reactions: phototoxic and photoallergic.

A phototoxic photosensitivity reaction is the most common reaction, usually occurring when a medication taken orally or topically is activated by UV light, causing skin damage that can look and feel like a sunburn or rash. It can also be triggered by certain ingredients in skin care products. The reaction can happen within minutes or after hours of exposure and is usually limited to the skin that has been exposed.

Photoallergic photosensitivity is much less common and occurs when UV rays interact with ingredients in medicines or other products that are applied directly to the skin. The body’s immune system recognizes changes caused by sun exposure as an external threat, triggering a reaction, causing the body to generate antibodies and attacks. This reaction can leave a rash, blisters, red bumps, or even oozing lesions one to three days after application and sun exposure.

A person can develop photosensitivity as a result of prescription or over-the-counter medications or when using certain types of skin care products.

Certain ingredients in skin care products we use to take care of our skin, such as retinols, alpha hydroxy acids like glycolic acid, or benzoyl peroxide, remove the outermost layer of skin to fight lines or acne. Skin brighteners like vitamin C may decrease the melanin, the substance in the skin that serves as a natural defense against the sun’s rays, causing photosensitivity and increasing the risk of skin damage due to sun exposure.

You can avoid the risk of photosensitivity when using retinol by:

Only using retinol at night

Avoid daily use, unless your skin has built up a tolerance to it

Condition your skin to retinol by gradually increasing the strength and frequency at which you are using it

Stop using it during the hot summer months when spending time outside, and seven or more days before and after a vacation at the beach

Not using retinol at all if you are pregnant or breastfeeding

As an alternative, use bio-retinol, which contains botanical ingredients and has the same benefits as retinol.

Instead of using products that contain alpha hydroxy acids, use products containing beta hydroxy acids as they are sun-friendly alternatives.

There are several ways to protect your skin from photosensitive sun damage due to UV radiation exposure, including:

Taking care of your skin by shielding it from the sun on sunny days
Wearing a broad-brimmed hat and sun-protective clothing
Using a broad-spectrum sunscreen with an SPF of at least 30 on all exposed skin, and not forgetting the back of the hands. Reapply sunscreen every two hours
Minimizing your exposure to UV radiation, especially during the peak hours of 10 am to 4 pm
Checking your skin monthly and visiting a dermatologist at least once a year for a professional skin exam

Understanding what photosensitivity is and what causes it can help you protect your skin and limit exposure to UV radiation.

If you or a loved one is experiencing symptoms of skin damage from photosensitivity, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Cancer Prevention and Early Detection Month

Posted on April 16, 2026 by Patrick Hercules

April is Cancer Prevention and Early Detection Month, a month dedicated to reminding us about the importance of getting routine cancer screenings.

According to the American Cancer Society, for 2026, 44% of the estimated 626,000 cancer deaths in the United States can potentially be prevented because they are attributable to modifiable risk factors, such as:

Cigarette smoking

Secondhand smoke exposure

Excess body weight

Heavy alcohol use

Unhealthy diet

Lack of physical activity

Excess ultraviolet radiation exposure

Cancer-associated infections

Cancer Prevention and Early Detection Month aims to educate people about healthy habits and making simple changes that can make a huge difference, such as quitting smoking, eating nutritious foods, and staying physically active. Routine cancer screenings and vaccinations are also essential.

Detecting cancer early means better outcomes for your health, such as more treatment options, which can help prevent cancer from spreading. These practices can also significantly lower cancer rates and improve survival chances for many individuals.

Here are some ways to get involved in Cancer Prevention and Early Detection Month:

Raising awareness

Inspiring action

Mobilizing resources

Highlighting progress

Cancer Prevention and Early Detection Month’s goal is to inspire everyone to be proactive and take steps towards a healthier lifestyle and get regular cancer screenings, which can reduce the chances of developing cancer considerably.

Whether you need diagnostic testing or treatment, the MediSys Health Network Cancer Center offers unmatched Queens cancer care for any form of cancer. To schedule an appointment or learn more about our oncology department, please call 718-206-8263.

How Microplastics and Nanoplastics Affect Our Long-Term Health

Posted on April 9, 2026 by Patrick Hercules

Microplastics and nanoplastics (MNPs) are plastic particles that fail to break down and have become a major concern for environmental and human health.

These plastic particles are extremely small, as microplastics range from 1 micrometer to 5 millimeters. Nanoplastics are even smaller, as they are less than one micrometer.

There are two types of microplastics, primary microplastics and secondary microplastics. These microplastics typically come from two main sources. Primary microplastics are manufactured at a small size intentionally. Secondary microplastics are formed from the breakdown of larger plastic items.

There are public concerns about the health effects of microplastics and nanoplastics, as they have been found in our bodies because of what we eat, drink, or breathe.

Nanoplastics can behave differently from microplastics or materials that are larger. Their small size means that they may move more easily through biological membranes or interact differently with cells in the body.

Larger microplastics are filtered by the body’s natural defenses, such as the mucus and cilia in the airways, but can still get inhaled into the lungs and even infiltrate the bloodstream or the barriers to the digestive system.

Scientific research has pointed to the likelihood of nanoplastics being far more toxicologically active than microplastics, due to their being small enough to pass through some biological barriers and easily absorbed into the body, which can potentially disrupt and damage internal organs and processes.

Evidence suggests that microplastics may be correlated with health conditions, including:

Chronic degenerative diseases
Cardiovascular disease
Inflammatory diseases, such as inflammatory bowel disease (IBS)

Additionally, existing research has found that microplastics can accumulate in the human brain. They can also be found in plaque formed in our arteries.

Currently, the U.S. doesn’t have regulations around microplastics. However, there are ways to reduce your exposure to microplastics, including:

Cutting back on bottled water
Getting an NSF-certified water filter
Avoiding storing food in plastic containers
Avoiding the reuse of single-use plastics for food and drinks
Avoiding heating plastic
Washing plastic by hand
Keeping your air clean

According to health experts, there are ways you can lower your risk of the health effects linked to microplastics, including:

Eating a balanced diet
Getting enough sleep and exercise
Lowering stress
Seeing preventative care

Unfortunately, plastic is everywhere, and it is hard to avoid. However, it is important to remember that all the plastic we use will end up in a landfill and eventually in our environment and in our bodies. Limiting plastic usage and production will hopefully have a positive impact on future generations.

World Lung Cancer Day

Posted on August 1, 2025 by Patrick Hercules

August 1st is observed as World Lung Cancer Day. It is a day dedicated to the global initiative of raising awareness about lung cancer, its impact, and the importance of prevention, early detection, and advanced treatments.

According to the World Health Organization, lung cancer is the leading cause of cancer-related deaths among both men and women, and it is so prevalent that more people die from it than from colon, breast, and liver cancers combined every year.

World Lung Cancer Day was established in 2012 by the Forum of International Respiratory Societies (FIRS) in collaboration with other health organizations. The day focuses on educating the public about risk factors such as smoking, air pollution, and occupational exposures, while advocating for research and improved access to care.

World Lung Cancer Day serves as a platform to support those affected by the disease and to emphasize the critical need for collective action in the fight against lung cancer.

Lung cancer screening helps to identify cancer at an early stage when treatment can be most effective. Early detection through a low-dose computed tomography (LDCT) scan can improve survival rates in individuals with the disease.

The MediSys Health Network is committed to improving the morbidity and mortality associated with lung cancer. For more information about our program, please contact the Lung Cancer Screening Program at 718-206-LUNG (5864).

The Link between Alcohol and Cancer

Posted on February 13, 2025 by Patrick Hercules

The Office of the Surgeon General recently issued an advisory calling for updated warnings on alcoholic beverages, cautioning that the consumption of alcohol heightens the risk of several types of cancer.

The current labels on alcoholic beverages warn about drinking while pregnant, drinking while driving, and operating machinery, as well as other general “health risks”. The Office of the Surgeon General noted that alcohol consumption contributes to approximately 100,000 cancer cases and 20,000 cancer-related deaths each year. Therefore, the public needs to be warned about the link between alcohol consumption and an increased risk of cancer.

Alcohol has been classified as a carcinogen “primarily due to its metabolite, acetaldehyde, which has the ability to bind to DNA and potentially cause mutations”, says Dr. Vasilis Vasiliou PhD, chair of the Department of Environmental Health Sciences and the Susan Dwight Bliss Professor of Epidemiology at the Yale School of Public Health. Acetaldehyde may also increase the risk of aerodigestive cancers, which are cancers that affect the upper respiratory and digestive tracts. Aerodigestive cancers include cancer of the lip, tongue, salivary glands, and other oral and nasal regions. “Furthermore, acetaldehyde may have a more pronounced effect on individuals with mutations in DNA-repair enzymes, such as BRCA1 and BRCA2. Mutations in these BRCA1 and BRCA2 enzymes can increase the risk of developing breast or ovarian cancer”, Dr. Vasiliou says.

Dr. Vasiliou acknowledges that the adverse effects of alcohol are significantly influenced by the dose-response relationship, which considers both the quantity of alcohol consumed daily and the duration of consumption over time. These factors, along with co-exposures to environmental contaminants, play a pivotal role in determining the severity of alcohol-related risks. Such interactions suggest that alcohol’s harmful effects cannot be fully understood in isolation but should instead be evaluated within the broader context of combined exposures to other environmental and lifestyle-related carcinogens.

Dr. Vasiliou offers this advice when it pertains to alcohol and its link to cancer:

Do not start drinking for health reasons
Limit consumption
Consider personal and family health risks
Seek non-alcoholic sources of antioxidants

Synergistic interactions with other environmental carcinogens and lifestyle factors influence the risk of cancer from alcohol consumption. Reducing alcohol intake, alongside minimizing exposure to other known carcinogens such as tobacco smoke, environmental pollutants, and chemical toxins, is a critical strategy for lowering overall cancer risk. Comprehensive prevention efforts should address not only alcohol consumption but also broader environmental and lifestyle factors.

What Does It Mean to “Die of Natural Causes?”

Posted on February 22, 2023 by Jacob Lobosco

In the United States, the majority of deaths each year are recorded as having occurred due to “natural causes.” However, it may not always be clear what exactly this term means, particularly due to the fact that it does not point to a specific factor that led to a person’s death.

A death by natural causes is one that occurs solely due to internal factors (such as a disease) rather than external factors (such as a traumatic physical injury). Three of the most common ways it can occur include:

Heart disease: Although factors affected by lifestyle choices (such as a person’s weight, diet, and physical activity level) can contribute to the risk of developing heart disease, anyone can experience it at any age. This is because your risk is also tied to your genetics and family history of heart disease.

Cancer: While multiple people within the same family may experience cancer without it being the result of genetics, it can occur as a result of what is referred to as a “family cancer syndrome” (also known as “inherited cancer syndrome” or “genetic cancer syndrome”). This refers to an abnormal gene that can greatly increase the risk of certain forms of cancer. Family cancer syndrome accounts for approximately five to 10% of all types of cancer.

Stroke: You may experience a stroke due to various natural factors. Every 10 years after the age of 55, your risk of experiencing a stroke doubles. Additionally, death due to a stroke is more common among women of all ages than men. Strokes are also more common among people who are Black, Hispanic, Native American, or Native Alaskan, as well as people with certain genetic disorders such as sickle cell disease.

If you experience or have a family history of a chronic medical condition, get the treatment you need to prevent your symptoms from worsening. You can schedule an appointment with a medical specialist at Flushing Hospital Medical Center’s Ambulatory Care Center now by calling (718) 670-5486.

Sunscreen and Skin Cancer Prevention

Posted on July 10, 2018 by Xavia Malcolm

Many of us enjoy soaking up the sun in the summer, however, it is important that we do so safely and with discretion to prevent skin cancer.

One of the best ways to protect our skin from the sun’s harmful rays is to wear sunscreen. Studies show that using sunscreen regularly reduces the incidence of melanoma (a form of skin cancer) by 50-73%.

Sunscreen works by preventing the sun’s ultraviolet (UV) radiation from reaching the skin. Your sunscreen’s ability to prevent radiation from damaging your skin is measured by its SPF (Sun Protecting Factor). It is highly advised that you use sunscreens with an SPF of 15 or higher, as this offers better protection.

The Skin Cancer Foundation also recommends using a broad-spectrum sunscreen which offers protection against UVA and UVB radiation. Too much exposure from either type of radiation has been linked to skin cancer.

Additional recommendations for proper sunscreen use include:

Applying sunscreen approximately 30 minutes before sun exposure to ensure the product has enough time to properly bind to skin
Applying sunscreen generously and regularly
Checking product instructions for how often sunscreen should be applied
Reapplying sunscreen after swimming or excessive sweating

It is important to keep in mind that protecting your skin from the sun does not only include wearing sunscreen. Remember to wear protective clothing or accessories such as broad-brimmed hats and long-sleeved shirts and limit the amount of time spent in the sun.

HPV Fast Facts

Posted on October 24, 2016 by Zakiya Hazel-Jemmott

Human papillomavirus is the most common sexually transmitted infection in the United States. Every year there are 14 million new HPV infections. HPV also known as human papillomavirus is a virus that can cause certain cancers and diseases in both men and women. Unfortunately, because HPV often has no signs or symptoms, many people who have the virus are unaware.

HPV is transmitted through vaginal, anal or oral sex with someone who has the virus. It is most commonly spread during vaginal or anal sex. Anyone who is sexually active can get HPV, even if you have had sex with only one person.

In most cases, HPV goes away on its own and does not cause any health problems. However HPV does not go away, it can cause health problems such as genital warts and cancer.

Genital warts- usually appear as a small bump or groups of bumps in the genital area. They can be small or large, raised or flat, or shaped like a cauliflower. A healthcare provider can usually diagnose warts by looking at the genital area.
Cervical cancer- usually does not have symptoms until it is quite advanced, very serious and hard to treat.

Some health effects caused by HPV can be prevented with vaccines. The HPV vaccine is recommended for preteen boys and girls at age 11 or 12 so they are protected before ever being exposed to the virus. Catch-up vaccines are recommended for males through age 21 and for females through age 26, if they did not get vaccinated when they were younger.

If your teen hasn’t gotten the vaccine yet, talk to their doctor or nurse about getting it for them as soon as possible. For more information about preventing and treating HPV please visit: http://www.hpv.com/what-is-hpv/