Is It A Cold Or Is It Allergies?

The transition from winter to spring can be challenging to your health. The change in seasons often results in an overlap of symptoms that could be either the remnants of a winter cold or the first signs of spring allergies.

Woman coughing and blowing her nose in autumn

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

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

An allergic reaction is caused by an overactive immune system that mistakes harmless things, such as pollen, and attacks them. To combat what it thinks are germs, your body releases chemicals called histamines as a defense. The release of these histamines can cause a swelling of the nasal passages and result in coughing and sneezing. Allergies are not contagious.

While many of the symptoms are similar, the easiest way to determine if you have a cold or are suffering from allergies is the duration of your condition. While most colds last from three to 14 days, allergies can last for months as long as the person is in contact with the allergen. Other differences are:

  • An allergic reaction will begin immediately after exposure to an allergen while cold symptoms usually take approximately three days to appear after exposure
  • Colds can sometimes cause fever and body aches while allergies never do
  • An allergic reaction can often result in itchy, watery eyes, which a cold rarely produces this type of reaction

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

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

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

If you are not sure if you have a cold or allergies, please speak with your doctor. If you do not have a doctor, Flushing Hospital’s Ambulatory Care Center can help. To make an appointment, please call 718-670-8939.

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.

What Are the Keys to Successful Aging?

Understanding Physical and Mental Health: Depression
Ira Frankel, PhD, LCSW, Administrator of Psychiatry and Addiction Services

“Just as long as we have our health,” is something that I’ve said and have heard others say very frequently in the past few months. And, by health, we mean both physical and mental health.

Portrait of a senior man in a tuxedo showing the thumbs up

In a very basic way, health can be thought of as the absence of disease. A reason that our doctors ask us how we’re feeling when we go to see him or her is because he or she wants to know about our comfort or our absence of pain or trouble. Each one of us knows best what our physical or mental pain or trouble consists of because we feel it directly.

Another way to think of the issue of health is to describe the path to achieve it over the long course of our lives. Studies1 have shown that a path to health is achieved with a behavioral prescription for successful aging that includes diet, exercise, the pursuit of mental challenges, self-efficacy, and social support. The more we are able to follow this behavioral prescription, the more we will be free from physical or mental pain or trouble.

Let’s look at this a little more closely. Most of us already know that if we maintain a healthy diet and exercise frequently, then we will tend to be healthier. In fact, exercise is now considered a “magic bullet” in modern medicine. But, maintaining a good diet and exercising frequently is a mental challenge of self-mastery. And, most of us know how difficult it is to master ourselves to maintain both activities. There are many other mental challenges. For example, each one of us is a mental challenge to other people. In fact, getting along with others is one of the most difficult mental challenges that we will ever have to face.

The fourth successful aging ingredient is self-efficacy. Those of us who believe that we can achieve a particular goal, for example, health and longevity, will continue to do the things, such as diet, exercise, and the pursuit of mental challenges, which will help us achieve the goal. We can build up self-efficacy by taking small, rather than giant steps, towards diet, exercise, and the pursuit of mental challenges

The final successful aging ingredient is social support. If we help each other take the steps described in the previous paragraphs, then each one of us will be more likely to feel at ease, that is, without disease, successfully age, and live longer.

Self-mastery is necessary for both physical and mental health. The behavioral prescription for successful aging in the previous paragraphs are just a general outline of self-mastery steps. Self-mastery is a mental challenge.

Many things get in the way of self-mastery. One of these things is depression. If we are depressed, then we have a hard time maintaining a good diet, exercising as we should, thinking well about self-mastery, feeling self-efficacy, or being with and getting along with other people. There is a fairly simple way to ask ourselves whether we are depressed. It is called the PHQ-2, which stands for the Patient Health Questionnaire-2 because it has two questions.

Ask yourself: Over the past 2 weeks, how often have you been bothered by any of the following symptoms: 1) Little interest or pleasure in doing things; and, 2) Feeling down, depressed, or hopeless. Answers are either (0) not at all, (1) several days, (2) more than half the days, or (3) nearly every day. Bring your answers to your primary care doctor the next time you see him or her.

Taking the self-mastery steps towards successful aging and longevity is a main task of modern medicine. Taking the self-mastery steps is a very important mental challenge. If you are experiencing any difficulties taking these steps, such as depression or any other difficulty on your path to ease and comfort, then speak with your primary care doctor in the community or one at Flushing Hospital’s Ambulatory Care Center at 718-670-8939

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.

Fact Friday – How Many Babies Were Born at Flushing Hospital in 2016?

2016 was a big year for the Perinatal Care Department at Flushing Hospital Medical Center.

Mother holding a baby while he opens his mouth

That’s because last year the hospital topped 3,000 deliveries – a major milestone for the department as it is the first time in over 25 years that Flushing Hospital has surpassed that mark. In fact, a total of 3,126 babies were born last year at Flushing Hospital!

Historically, Flushing Hospital has always been a destination for women in Queens to give birth. At its peak in the mid 1980’s Flushing Hospital delivered over 4,200 babies annually. That number had slowly declined to a low of only 1,500 deliveries approximately a decade ago. However, in recent years the hospital has seen a steady increase, culminating with it reaching this major milestone.

There are many reasons for the baby boom at Flushing Hospital according to Maria DeMarinis Smilios, Director of Nursing for Maternal and Child Services, “We have done many things to improve the services we provide to expectant mothers. We have made ourselves more accessible to the community by expanding perinatal evening hours twice per week. We have also added an on-site WIC program and expanded our family planning services. In addition, we have brought in many doctors and support staff that speak multiple languages and are reflective of the community we serve.”

Maria added, “Our staff has also worked very hard to meet the needs of each of our patients and address every request and concern they have during their perinatal experience. Their dedication to improving our patient’s satisfaction is evident as more and more women are once again choosing Flushing.”

Flushing Hospital Perinatal Care Department plans to continue the momentum and looks forward to welcoming even more babies into the community in 2017. Plans for the future include expanding the number of private post-partum rooms on the Mother-Baby Unit from two to 11, which will further enhance the patient experience.

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 Supports “Go Red For Women”

fhmc go red 2017National Go Red Day was created in 2003 to raise awareness about the devastating affects cardiovascular disease has on women in the United States.

Before the “Go Red” initiative was founded, many Americans believed the myth that heart disease affects men more than women. The truth is that cardiovascular disease claims the lives of 500,000 women in the U.S. every year – that’s one woman every 80 seconds.

Through this national initiative, the Go Red For Women movement has generated a great deal of awareness as many more women are aware of the importance of heart health. Some of the many strides made since 2003 include:

  • More than one-third of women have lost weight.
  • More than 50% of women have increased their exercise.
  • 6 out of 10 women have changed their diets.
  • More than 40% of women have checked their cholesterol levels.

The effort has proven to be effective. Today, nearly 300 fewer women die from heart disease and stroke each day and deaths in women have decreased by more than 30 percent over the past 10 years.

One of the keys to maintaining this success is through continued education. All women are encouraged to “Know Your Numbers” because it is knowledge that can save their life.  The five numbers all women should know are their: total cholesterol, HDL (good) cholesterol, blood pressure, blood sugar and body mass index (BMI). Knowing these numbers can help women and their healthcare provider determine their risk for developing cardiovascular diseases.

Flushing Hospital supports Go Red For Women Day by hosting an information event in the hospital’s lobby.  Flushing Hospital urges all women to visit your doctor to learn your numbers. If you do not have a doctor and would like to make an appointment at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Tips from the Doctor: How To Soothe My Crying Newborn?

Dr. Shirley Pinero-Bernardo, MD, Director, Newborn Nursery & Associate Program Director, Pediatric Residency Program offers the following tips on how to soothe a crying newborn:

DrPineroA crying newborn often provokes a lot of anxiety and stress in sleep deprived parents. Though crying is a normal type of behavior in all babies, it is important to understand that there are many different reasons why a baby cries. Determining why your newborn is crying can be difficult to figure out at first and the process of understanding the many possible reasons will take time. Providing comfort is essential so check your baby each time.

According to Dr. Pinero-Bernardo, follow HEARTS acronym:

Hold your baby with skin to skin contact. These “hugs” promote bonding, feeding and have many medical benefits for babies and parents.

Eat: Is your baby hungry? Crying is a late feeding cue. Early feeding cues are quiet signals that call for attention. Be on the lookout for early feeding cues, such as smacking of the lips, opening and closing of the mouth and sucking on lips, tongue, hands, fingers and toes.

Air: Does your baby need to burp or pass gas? Your baby may feel discomfort from a belly full of gas. Check your feeding position to prevent your baby from swallowing a lot of air. Keep your baby’s head upright to burp the baby before and after each feeding.

Recheck the diaper: Your baby’s bowel movements will vary in color, consistency and size in the first few days of life. It is not uncommon for a baby to have a soiled diaper after each feeding.

Temperature: Is your baby too hot or too cold? Dress your baby in layers of clothing to keep your baby comfortable in any climate. Avoid excessive blankets.

Surroundings: Could a change in the environment soothe your baby? A change in the scenery or sounds could bring both you and the baby much needed relief.

The reason for your baby’s cries may not be the same each time. Whatever you do with love, and with your baby’s safety in mind, is exactly what your baby needs. Seek the advice of your pediatrician when there is inconsolable crying accompanied by pain, fever or illness.

Dr. Shirley Pinero-Bernardo is one of many qualified Pediatricians at Flushing Hospital. To schedule an appointment for your child with her, or any of our other 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.

Thyroid Awareness Month – Flushing Hospital Raising Awareness

The thyroid gland serves many functions. It regulates our rate of metabolism, growth and development, and our body temperature. So when it isn’t working properly it can have a major impact on our health.

Human Thyroid Gland

According to the American Association of Clinical Endocrinologists (AACE), thyroid disease is a more common disorder than diabetes or heart disease. It affects as many as 30 million Americans, more than half of whom remain undiagnosed. To raise awareness about the thyroid gland and symptoms of thyroid disease, January has been designated Thyroid Awareness Month.

The thyroid is a small, butterfly-shaped gland located in the base of the neck.. Although small in size, the gland plays a large role by producing thyroid hormone which influences the function of many of the body’s most important organs, including the heart, brain, liver, kidneys and skin. When the thyroid gland is not producing the right amount of hormone (either too much or too little), problems can start to arise.

Hypothyroidism occurs when the thyroid does not produce enough hormones. This can result in a range of symptoms that include unexplained fatigue, weight gain, depression, forgetfulness, feeling cold, hair loss, or low sex drive. Hyperthyroidism, on the other hand, is a condition when the body produces an abundance of thyroid hormones. Symptoms of hyperthyroidism include rapid heart rate, heat intolerance and unexplained weight loss and anxiety. For both hypothyroidism and hyperthyroidism, medication can be prescribed to regulate hormone levels.

A more serious concern involving the thyroid gland is thyroid cancer, which can develop independent of the above thyroid disease. According to the AACE, about 60,000 cases of thyroid cancer are diagnosed annually in the U.S. In most cases, thyroid cancer has a good prognosis and high survival rates—especially when diagnosed in its early stages.

Through attention raised by Thyroid Awareness Month, more and more primary care physicians are screening for thyroid disease, which has greatly helped those who would have otherwise had their condition go undiagnosed.

Flushing Hospital is proud to help raise awareness for thyroid disease and encourages everyone experiencing symptoms to ask their doctor to do an evaluation. If you do not have a doctor, call Flushing Hospital’s Ambulatory Care Center to make an appointment at 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.

Allergic to the Cold Temperatures? It’s Real For Some

Everyone is aware of seasonal allergies. They are very common beginning in the spring and lasting through fall – and many are affected by them. While these types of seasonal allergies are not prevalent in the winter months, there is another, much less common form of allergic reaction that affects some when the thermometer dips.

Urticaria

Cold urtcaria is an allergic reaction to cold temperatures. The skin of those with this condition will break-out into welts or hives when exposed to cold temperatures. No one knows exactly what causes cold urticaria. Certain people appear to have very sensitive skin cells, due to an inherited trait, a virus or an illness. In the most common forms of this condition, exposure to cold triggers the release of histamine and other chemicals into the bloodstream. Cold urtcaria is most common in young adults and it usually clears up within a couple of years.

Cold urticaria signs and symptoms include:

• Temporary reddish, itchy welts (hives) on the area of skin that was exposed to cold
• A worsening of the reaction as the skin warms
• Swelling of hands when holding cold objects
• Swelling of the lips and throat when consuming cold food or drink

In rare cases, a reaction could be more severe and may result fainting, a racing heart, swelling of the limbs or torso, and even shock.

There is no cure for cold urticaria, but treatment can help. Your doctor may recommend over-the-counter antihistamines to treat the condition. If they do not help, talk with your doctor about finding a prescription drug or combination of drugs that works best for you.
It is recommended that you see a doctor if you have skin reactions after cold exposure, even if the reactions are mild. Your doctor will want to rule out underlying conditions that may be causing the problem.

Seek emergency care if after sudden exposure to cold you:

• Feel dizzy
• Have trouble breathing
• Feel your tongue or throat swelling

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.

What Is It Called When You Are Jolted Out Of A Light Sleep?

You are starting to fall asleep when you are startled back to consciousness by a sudden jolt to your body or the sensation that you are falling. This common and harmless feeling experienced by many is known as a hypnic jerk.

Surprised Man Waking Up

A hypnic jerk is an involuntary twitching of the muscles. They usually occur just as you are falling asleep, during what is considered the hypnagogic (hypnic for short) state of consciousness. While scientists don’t know for certain why hypnic jerks occur, some of the potential factors are believed to be:

 

• Anxiety
• Stress
• Alcohol
• Caffeine
• Heavy exercise late in the evening
• Being overly tired or fatigued

While addressing the underlying cause may reduce the likelihood of experiencing hypnic jerks, it may not be possible to totally prevent them from occurring. Luckily there’s nothing to be worried about – hypnic jerks aren’t dangerous. They may be unsettling or annoying, but you don’t need to fear going to sleep just because they may happen to you.

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.

What Are Compression Socks And Do They Work?

If you plan on watching the NYC Marathon this Sunday, you will probably notice many of the runners wearing special, tight-fitting socks. These garments, known as compression socks are intended to improve circulation and help with pain and stiffness. Compression technology is becoming increasingly popular with both athletes and non-athletes, but are they effective?

Running shoes closeupCompression socks are special garments designed to provide extra support and increase blood circulation. The key to understanding how these socks work lies in knowing about their graduated pressure application. Throughout an average day, the body pumps blood to all of the extremities as equally as it can. Gravity, however, often causes blood to pool in the lower legs and feet, causing circulatory problems such as edema, phlebitis and thrombosis. This blood pooling can cause fatigue and leg cramps. Elevating the legs and feet may alleviate the pain temporarily, but it often returns after a few hours of constant standing or walking.

Compression socks use stronger elastics such as rubber or spandex to create significant pressure on the legs, ankles and feet. By compressing the surface veins, arteries and muscles, the circulating blood is forced through narrower channels. The arterial pressure is increased, causing more blood to return to the heart and less blood to pool in the feet. Compression socks are tightest at the ankles, gradually become less constrictive towards the knees.

While these socks are most closely associated with athletes, they were originally designed to help those with a compromised circulatory system and many people now find their everyday use beneficial. It has been recommended that passengers on long flights wear compression socks to prevent circulatory problems like deep vein thrombosis, leg cramps and edema. Those with jobs that require long periods of standing on their feet may also benefit from the use of these socks.

Speak to your doctor to see if you can benefit from compression socks. If you do not have a doctor and would like to make an appointment at Flushing Hospital’s Ambulatory Care Center, please call 718-670-5486.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

When is the Right Time for Knee Replacement Surgery?

If you are experiencing prolonged periods of knee pain or stiffness that makes it hard to perform simple everyday tasks, you may be a candidate for knee replacement surgery.

Knee joint orthopedic replacement implant

Knee replacement surgeries are often performed to treat patients who have suffered a serious trauma, but the most common reason for someone to need this procedure is to treat progressive osteoarthritis or other diseases that affect the knee joint. This procedure is usually a last resort and your doctor might recommend it only after all other forms of treatment or medications have proven unsuccessful.

Performed by an orthopedic surgeon, knee replacement surgery involves replacing some or all of the components of the knee joint with a synthetic implant, to repair the damaged weight-bearing surfaces that are causing pain. A total knee replacement surgery replaces all three compartments of the diseased knee joint. A partial knee replacement involves an implant in just one or two compartments of the knee, retaining any undamaged parts.

Minimally invasive surgery has revolutionized knee replacement surgery. Minimally invasive knee joint replacement requires a much smaller incision, which leads to less pain, decreased recovery time and better motion due to less scar tissue formation. The average hospital stay after knee joint replacement is usually three to five days.

Rehabilitation is almost always necessary after knee replacement surgery. The physical therapy you receive after surgery, whether in a sub-acute facility, an out-patient center, or in your home is an essential part of your healing process as proper exercise will prevent scarring, maintain muscle strength and joint stability. The frequency and duration of therapy varies from patient to patient.

Flushing Hospital’s team of highly qualified orthopedic surgeons performs over 1,500 procedures every year, including hundreds of minimally invasive knee replacement procedures. They also perform surgeries to repair hip fractures, fix broken wrists and ankles, as well as shoulder replacement surgery. For more information about the Department of Orthopedic Surgery at Flushing Hospital, or to schedule an appointment to speak with a surgeon, please call 718-670-3135.

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.