flushing hospital Archives - Page 11 of 15

Why is it Important to Have a Psychological Evaluation Prior to Weight-Loss Surgery?

Posted on May 18, 2018 by Michael Hinck

An important component of the pre and post-surgical care for all patients considering having bariatric surgery is speaking with a psychologist.

While some might find this surprising or unnecessary, it is actually a routine part of the surgical process for patients to meet with a psychologist. In fact, psychologists, like dieticians and other specialists are considered a vital part of the bariatric team.

While it is important to identify the reasons why a psychological evaluation is important, it is equally as important is to dispel any false information as to why one is needed. An evaluation is not performed to determine if a patient has a mental illness. People with obesity are considered as psychologically “normal” as those with lower body mass indexes and they do not fit any specific psychological profile. Therefore, the psychologist’s main purpose is not to search for any underlying problems that might have caused a patient to become affected by obesity.

Instead, the purpose of a psychological evaluation is to put potential patients in the best environment needed to succeed. This can be done by identifying their strengths, such as a strong motivation to exercise as their weight is coming off. Other things a psychologist can learn from a patient include getting a complete understanding of the effects of surgery will have on them as well as if they have a supportive team at home. Conversely, a psychologist can also identify areas where a patient might need additional support after surgery. This may include issues such as depression or mood swings, lack of family support or triggers for past emotional eating.

The psychologist’s purpose is never to “fail” people and exclude them from surgery. In fact, studies have shown that a very small number (perhaps four percent) of individuals are found to be poor candidates based on their psychological evaluation results.
A typical evaluation includes psychological testing, such as personality tests and other questionnaires. This paperwork is often completed before meeting with the psychologist. A patient will also have a face-to-face interview with a psychologist. In some cases, he or she may request a family member accompany a patient to determine the level of support they are receiving at home. Subjects such as past and present eating habits, as well as activity levels are usually discussed during this meeting and patients are encouraged to share what is motivating them to have surgery and share their concerns.

Flushing Hospital’s Bariatric Surgical Center has recently been recognized as a Center of Excellence, which means it provides the highest level of care to our patients, before, during and after surgery. For more information, or to schedule an appointment, please call 718-670-8908.

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.

Can Your Teenager Develop Hypertension?

Posted on May 1, 2018 by Michael Hinck

High blood pressure, or hypertension, is a disease that most don’t begin to think about until they are well into their adult life, but more and more teenagers and younger children are now developing high blood pressure.

It was once believed that high blood pressure in teens was largely related to an underlying problem with the heart or kidneys. Research has shown that this is not the case and that teens today are developing hypertension in approximately the same proportions as adults.

One of the biggest reasons is the rise of childhood obesity. Teens in the United States now weigh more and exercise less than in past generations. Smoking cigarettes, as well as alcohol and drug use can also be contributing factors. As a result, rates of high blood pressure among this group have a grown at a rapidly increasing rate.

While these factors certainly can’t be ignored, they are not the only reasons why a teenager can develop high blood pressure. The teenage years are synonymous with puberty. The sudden bodily changes that take place during this time in a young adult’s life can also play a role. Hormone changes and rapid growth spurts can cause transient increases in blood pressure levels. As a result, even if a child isn’t overweight or inactive, they could still post high levels. Being obese or inactive can only add to the problem.

Another issue is understanding the definition of hypertension in teenagers. While determining hypertension in adults is fairly easy as there are set numerical values used as markers, diagnosing the disease in teens is more complicated. To determine hypertension in teens, doctors look at five key factors:

Age
Gender
Height
Systolic reading (the upper value which represents the pressure when heart contracts)
Diastolic reading (the lower value which represents the pressure when the heart relaxes)

These values are then compared to other boys or girls to determine where the teen falls with a certain percentile. The system is a complicated one but takes into account factors that better characterize a teen’s blood pressure. As a result, blood pressure readings that may seem high when looked at on an isolated basis may end up being perfectly normal when adjusted for the child’s height, age, and gender.

Because teenagers with hypertension tend to suffer more cardiovascular events later in life, early intervention is vital to lowering the blood pressure and sustaining long-term control.

Treating hypertension in teenagers will typically focus on lifestyle interventions before medications are considered. Suggested changes include:

Eating a healthy diet
Maintaining an ideal body mass index (BMI)
Exercising regularly
Quitting cigarettes
Limiting drug and alcohol use

It’s important that your teenager have an annual physical examination performed so a doctor can check their blood pressure. If your teen does not have a doctor, Flushing Hospital’s Ambulatory Care Center has many qualified physicians. To make an appointment, please call 718-670-5486.

Did You Know – One out of Every 200 People are Born with an Extra Rib?

Posted on April 20, 2018 by Michael Hinck

Each adult has 206 bones, 24 of which are ribs (12 on each side), but approximately one out of every 200 people have an extra rib. This rib is referred to as the cervical rib.

A cervical rib is present at birth and it forms above the first rib, growing at the base of the neck, just above the collarbone. You can have a cervical rib on the right, left, or both sides. It may be a fully-formed bony rib or a thin strand of tissue fibers that in some cases doesn’t even show up on an x-ray.

Thankfully, in most cases cervical ribs do not cause any problems for those born with them, but if it presses on nearby nerves and blood vessels it can cause neck pain, numbness in the arm and other symptoms, which collectively is known as thoracic outlet syndrome.

If you are the proud owner of a cervical rib and are experiencing any of these symptoms, speak to your doctor about surgical options to treat the condition. If you do not have a doctor, Flushing Hospital’s Department of Surgery can help. To make an appointment, please call 718-670-3135.

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.

Today is World TB Day – Learn the Facts About Tuberculosis

Posted on March 23, 2018 by Michael Hinck

March 24th has been designated globally as “World TB Day”. The event began in 1982 is sponsored by the World Health Organization and the International Union Against Tuberculosis and Lung Disease and is intended to raise awareness that anyone can contract TB to make health professionals aware of the importance of testing people for the disease.

This date was chosen to celebrate the discovery by Dr. Robert Koch of the Mycobacterium tuberculoisis (the bacteria that causes tuberculosis) in 1882. This important discovery was the beginning of the steps being taken to control and hopefully one day eradicate the disease. Unfortunately, TB is still one of the leading causes of death around the world.

Tuberculosis (TB) is a contagious bacterial disease that affects mainly the lungs but can also affect the kidneys, brain and the spine. Signs and symptoms may include:
• Coughing up blood
• Fatigue
• Fever
• Chills
• Night sweats
• Loss of appetite
• Pain with breathing

TB is spread by coming into contact with the airborne droplets of the bacteria from an infected person. People most susceptible are those who have compromised immune systems and include people undergoing chemotherapy, have diabetes, are very young or very old, and have HIV/AIDS. There are antibiotics that given to fight the disease but depending on the strain and their resistance to treatment, may require months or years of treatment.

A routine physical usually includes a TB skin test. If you would like to schedule a physical exam and a TB test with one of our physicians, please call 718-670-5486.

Are There Dangers Associated With Excessive Gum Chewing?

Posted on March 16, 2018 by Michael Hinck

Everyone chews gum! Last year alone, 1.74 trillion sticks of chewing gum were made and it is estimated that the average American chews nearly 300 pieces of gum every year.

There are many benefits for those who chew gum. It freshens up our breath and helps remove food particles that get stuck between our teeth. It helps reduce stress for some and helps fight off hunger cravings for others. Chewing gum also stimulates saliva production, which helps fight off nasty plaque and certain gums containing the sweetener xylitol have actually been reported to fight cavities. With all these benefits associated with chewing gum, is there any reason not to do it?

Actually, there can be. When we chew gum, we exercise our jaw muscles – and similar to any other muscle group in the body that gets overworked, constant and aggressive gum chewing can tire these muscles and cause painful spasms in our jaw, neck and head, which can lead to the development of a condition called temporomandibular dysfunction (or TMD).

TMD occurs when the temporomandibular joints, which are located on either side of our head, become misaligned due to physical stress or degeneration of cartilage in the jaw, which act as shock absorbers for us when we chew. Chewing gum is one of the most common ways to cause this type of damage.

TMD affects over ten million Americans. Those who develop TMD experience many painful symptoms such as discomfort while chewing, difficulty opening and closing their jaw, and popping or clicking sounds when they open their mouths. Earaches and headaches are also typically associated with the disorder.

In addition to contributing to the development of TMD, chronic gum chewing can tighten facial muscles, leading to long lasting headaches. In fact, a recent study concluded that gum chewing was linked to chronic migraines in young children and teens.

So, what do you do? Most dentists agree that moderate gum chewing isn’t a problem, but they do recommend taking a break from the habit if you are experiencing head, neck or jaw pain and allow your muscles to relax. Other ways to relieve pain include taking anti-inflammatory medications, applying a warm compress to the area in pain, and switching to a diet of softer foods. If pain persists, contact your dentist immediately.

If you are experiencing jaw pain that may be caused by TMD, see your dentist. If you do not have one, you can call Flushing Hospital’s Dental Center at 718-670-5521.

Know the Facts About an Anxiety Attack

Posted on March 9, 2018 by Michael Hinck

We all feel anxious from time to time. It is a natural reaction where we feel apprehension, uncertainty, or fear in anticipation of an event, situation or circumstance that we consider to be threatening. However, some people can develop feelings of anxiety that are so intense and overwhelming that they result in a feeling of “losing control.” These episodes are commonly referred to as an anxiety (or panic) attack.

An anxiety attack usually occurs without warning and has no obvious cause. It may even wake a person from their sleep. In addition to an incredible feeling of fear, anxiety attacks are potentially accompanied by many other symptoms such as:

Palpitations, pounding heart or accelerated heart rate
Sweating
Trembling or shaking
Sensations of shortness of breath
Feelings of choking
Chest Pain
Nausea
Dizziness, light-headed, or feeling aint
Feeling detached from reality

Since each person is different and chemically unique, an anxiety attack can affect each person differently. One person may experience only a few minor symptoms while another may have many symptoms with much greater severity.

An attack can last anywhere from a few moments to over an hour. The length of the attack is usually determined by how frightened the individual is. While the symptoms of an anxiety attack can seem very powerful, they are typically not harmful.

Although the exact causes of these attacks are unclear, the tendency to have them runs in families. There also appears to be a connection with major life transitions such as graduating from college, getting married, or having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. In some cases, panic attacks can be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out an underlying medical issue.

The good news is that these attacks are treatable. They can usually be managed successfully with self-help strategies or a series of therapy sessions. To make an appointment with a mental health professional at Flushing Hospital’s Mental Health Clinic, please call 718-670-5562.

Flushing Hospital Offers Virtual Experience for Pediatric Patients

Posted on March 2, 2018 by Michael Hinck

Being admitted to a hospital or having to undergo a procedure can be a very stressful and even scary experience for many patients and their families, and that is especially true when that patient is a child.

In an effort to reduce the stress of our pediatric patients and offer a calming distraction for them, Flushing Hospital Medical Center is now offering children an escape from the hospital environment with the help of the Samsung Applied Virtual Reality headset. This state-of-the-art, interactive tool was purchased by Flushing Hospital thanks to a grant from the Child’s Play Foundation.

This fully mobile, virtual reality technology allows Flushing Hospital’s smallest patients to leave the confinement of their treatment area by taking them on a variety of exciting journeys. Pediatric patients can now relax on a sandy beach or tranquil ocean or they can visit any number of scenic destinations across the country and around the globe, including Los Angeles, Yellowstone National Park, London, Tibet, Iceland or Machu Picchu. The VR software is constantly being updated, offering patients an ever-expanding assortment of places to go to.

The headset is easy to operate and is being used to further assist Flushing Hospital’s Child Life Specialist while they care for patients. This technology offers an entertaining distraction to children when they are receiving important, yet typically anxiety-inducing treatments, such as blood draws, IV insertions, spinal taps, dressing changes and blood transfusions.

The virtual reality headset is utilized by most patients as it requires very little movement by the patient and it has proven to be very effective in helping children cope with stress associated with a clinical environment.

Patients as young as three years old have used the Samsung headsets and thus far, it has received an overwhelmingly positive response from both our patients and their parents. Both providers and family members have expressed that this technology has resulted in increased cooperation and enhanced comfort for our pediatric patients.

Flushing Hospital’s Pediatric Department is very grateful for this generous gift made possible by the Child’s Play Foundation and the staff is equally thrilled to have another tool to help them provide a positive atmosphere for our pediatric patients.

Flushing Hospital and NYSS Offer Patients a New, Groundbreaking Weight Loss Treatment

Posted on February 23, 2018 by Michael Hinck

Flushing Hospital Medical Center and the New York Surgical Specialists (NYSS) physician group is proud to announce that we offer a safe and effective, non-surgical alternative for individuals who struggle with obesity and have unsuccessfully tried to lose weight through conventional diet and exercise.

Weight loss specialists, Sanjeev Rajpal MD, Darshak Shah MD and Noman Khan MD are all excited that Flushing is one of the only hospitals in the area to offer our 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 the 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 filled with medical gases via the tube before it is removed. This process is repeated two more times over a six month period. Each procedure only takes 10 minutes, requires no sedation and can be performed in our New York Surgical Specialists office.

Once expanded, each to the size of a small orange, the three balloons work to facilitate weight loss by taking up space within the stomach, enabling patients to become fuller while eating less.

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 our 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 clinically 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 Flushing Hospital at 718-670-8908 or our New York Surgical Specialists offices at 718-408-6977.

Safety Tips For Shoveling Snow This Winter

Posted on February 9, 2018 by Michael Hinck

Winter and snow go hand in hand and this weekend’s forecast calls for snow. In preparation of this, Flushing Hospital would like to provide you with some heart health tips before you go out to shovel snow.

By now, we have all heard about the risk of shoveling snow and suffering a heart attack, but is this true? The fact is shoveling snow (or to a less extent, even pushing a heavy snow blower) is considered a more strenuous activity than running full speed on a treadmill. But why should pushing around some white flakes be more dangerous than any other form of exercise?

The biggest reason why heart attacks are so common while snow shoveling has as much to do with the weather as it does with the activity. The cold temperature is a key contributor to the onset of a heart attack. Frozen temperatures can boost blood pressure, interrupt blood flow to the heart, and make blood more likely to clot.

Another factor to consider is who is doing the shoveling. If you are a healthy and physically fit individual there is much less of a risk to suffer a heart attack, but unfortunately not everyone who attempts to shovel snow fits into that category. For those who do not exercise as frequently, (especially during the winter when we tend to be less active) or have a history of hypertension or heart disease need to follow the following tips before going out to shovel:

Avoid shoveling as soon as you wake up as this is when most heart attacks occur
Do not drink coffee, eat a heavy meal or smoke cigarettes immediately before or while shoveling
Warm up your muscles before you begin
Shovel many light loads instead of fewer heavy ones
Take frequent breaks
Drink plenty of water to avoid dehydration

Know the early signs and symptoms of a heart attack. If you experience a squeezing pain in your chest, shortness of breath, racing heartbeat, pain radiating from your left shoulder and down your left arm, cold sweats, accompanied by fatigue and nausea, stop shoveling, go inside and call 911 immediately.
If you are at a high risk of suffering a heart attack, avoid shoveling snow completely. Try asking a family member, friend or neighborhood teen to help you out.