Centering Pregnancy at Flushing Hospital

Posted on May 12, 2026 by Patrick Hercules

Flushing Hospital Medical Center is committed to providing the best possible prenatal care to our patients. That is why we are offering Centering Pregnancy to our expectant parents.

Centering Pregnancy is an innovative prenatal model designed to promote the overall health and well-being of the mother and baby. Unlike traditional one-on-one prenatal visits, this approach incorporates small-group sessions for medical care, education, and emotional support, fostering meaningful relationships between participants and clinicians.

After an initial private visit with a provider, participants in the centering pregnancy program, all of whom are in similar stages of their pregnancy, meet in a small group setting for their prenatal appointments. Here, participants share with and learn from each other during the course of their pregnancy. Each of the ten-centering prenatal care group sessions is approximately 90 minutes long. This group dynamic gives each of the participants the advantage of having more time with their provider.

At the beginning of the session, our facilitator will guide each patient to get weighed, have their blood pressure checked, and record their values for the provider to review. The provider will listen to the baby’s heartbeat and review the pertinent patient-specific information. After this information is collected, the 8-12 participants will form a circle and begin the fun and interactive educational session.

Some of the topics covered in these sessions, designed to promote health and well-being during the pregnancy and postpartum period, include:

The progression of their pregnancy

Relaxation techniques

Common discomforts and how to resolve them

Nutrition during pregnancy

What to expect during labor and delivery

Newborn feeding, including breastfeeding

Newborn care

Games are played to help the learning process and to assist in building friendships between the participants. After the educational session, there is a question-and-answer period.

Expectant mothers are actively involved in their care as they share similar experiences with women during the same stage of pregnancy. Moms and providers can relax and get to know each other. Many long-lasting friendships are formed from being involved in Centering Pregnancy.

Studies show that women who participate in Centering Pregnancy programs tend to experience:

Fewer preterm births (33 percent fewer, according to some research)

Lower rates of emergency C-sections

Higher rates of breastfeeding

Better engagement in their own health

Improved spacing between pregnancies

Better well-child visit attendance and immunization rates

Lower rates of postpartum depression

Dramatically reduced racial disparities in preterm birth, especially among African American women

“The Centering Pregnancy has proven to be overwhelmingly positive, with participants expressing satisfaction with the group setting and the support they receive. Expectant women learn together, feel less isolated, and share their questions and experiences. Empowering women and allaying fears throughout pregnancy and after birth has been a benefit of Centering Pregnancy,” said Maria DeMarinis Smilios, MSN, CNS, RNC, IBCLC, Director of Nursing-Maternal & Child Services and Ambulatory Care

These are the many benefits of Centering Pregnancy compared to traditional care. There is no extra charge for this type of prenatal care when compared to traditional prenatal care.

For more information and to schedule for Centering Pregnancy, call 718 670-8992.

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.

Older Americans Month- Mobility Exercises as You Age

Posted on May 7, 2026 by Patrick Hercules

May is observed as Older Americans Month. It is a time when the contributions of older adults are recognized across the country.

As we get older, our joints may feel stiffer, and our balance and reactions might be slower. According to recent studies, over 30% of adults 65 years of age and older experience some form of mobility limitation.

Mobility for older adults usually means the ability to move freely and independently. It’s all about different aspects of activities and movement like walking, bending, reaching, and balancing.

For older adults, balance is extremely important, and those with limited mobility are at a higher risk of experiencing a fall. According to the Centers for Disease Control and Prevention (CDC), falls are the leading cause of death for older adults, with about one in four adults 65 years and older experiencing a fall every year.

One way to reduce the risk of falling is by doing mobility exercises. Mobility exercises are low-impact movements that are designed to improve how joints move through their natural range of motion, while maintaining control and balance.

Mobility exercises promote active movement and coordination, and usually focus on:

Balance and coordination to prevent falls

The ankles and feet for walking stability

The hips and knees for standing, stepping, and going up and down stairs

The spine for posture and reaching

The shoulders for overhead and daily arm use

Doing mobility exercises regularly may help support:

Better balance and control of posture

Reduced stiffness from long periods of sitting

Easier walking and smoother transitions, such as going from sitting to standing and turning

Improved confidence when engaging in daily tasks

Long-term joint comfort and movement quality

Here are some mobility exercises to help improve joint movement, balance, and coordination:

Head rolls

Shoulder rolls

Arm circles

Ankle circles

Standing or seated hip circles

Standing or seated marches

Wrist flexibility exercises

Standing side leg swings

Heel-to-toe rocking

Sit-to-stands

Chair or floor cat-cows

Seated leg raises

Seated torse twists

Supported single-leg stands

Wall shoulder slides

It is important to note that you should stretch before engaging in any physical activity, so you don’t injure yourself. It is also important that you keep mobility training safe and effective by:

Moving slowly and with control

Using a chair, wall, or rail for support

Staying within a comfortable, pain-free range

Wearing supportive footwear

Stopping if dizziness, sharp pain, or discomfort occurs

Mobility exercises don’t just help maintain and improve strength, flexibility, and balance to prevent falls. They also help improve your mental well-being, heart health, and overall quality of life.

If you experience medical problems while exercising, you can schedule an appointment with a doctor at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Why Aren’t Children Getting Enough Sleep?

Posted on May 6, 2026 by Patrick Hercules

Sleep plays a crucial role in a child’s development as it is an important building block for their mental and physical health. It has a direct effect on a child’s overall wellness, as research shows that sleep can impact their alertness and attention, cognitive performance, mood, resiliency, vocabulary acquisition, and learning and memory. In toddlers, napping is necessary for memory consolidation, executive attention, and the development of motor skills. What’s more, sleep crucially affects their growth, especially in early infancy.

The American Academy of Pediatrics (AAP) estimates that 25% to 50% of children and 40% of adolescents are affected by sleep problems, such as:

A new sibling

Teething

An illness, such as the cold or an ear infection

Sleeping in a different place

A new caregiver

A change in schedule

Allergies

In addition to these sleep problems, a significant number of children also suffer from sleep disorders at some point. Sleep disorders are connected to mental and physical issues, with one amplifying the other in a pattern that can be difficult to stop. The most common sleep disorders in children include:

Sleep apnea

Snoring

Nightmares and night terrors

Sleepwalking and sleep talking

Restless leg syndrome

Another reason why children aren’t getting enough sleep is that they aren’t sleeping for the number of hours recommended. According to research data released by the National Sleep Foundation (NSF) from their 2026 Sleep in America poll in March of this year, 44% of children in the U.S. do not consistently get the recommended amount of sleep for their age. Younger children especially fall short.

In 2015, the Centers for Disease Control and Prevention (CDC) looked at the sleep behavior in middle and high school students and found that around 60% of middle school and 73% of high school students were getting less than the recommended 9-12 hours a night for children 6 to 12 years old and 8-10 hours a night for children 13 to 18 years old.

Several issues have been discovered as the contributing factors of why children within this age group aren’t getting the recommended amount of sleep, including:

The use of electronic devices

Changes in their internal clocks

Early school start times

Caffeine consumption

A child’s daytime habits also affect sleep. To promote restful sleep for a child, you can follow these sleep hygiene rules:

Keeping a regular bedtime

Arranging a balanced schedule with alternating moments of rest and play

Creating a no-screen zone in the child’s bedroom, even during the day

Providing them with a healthy diet

Setting the thermostat at a slightly cooler temperature

Using dark curtains to block out light, or a nightlight if they’re afraid of the dark

Keeping the bedroom quiet, or using a white noise machine to block out outside sounds

Avoiding caffeine, large meals, and sugary snacks before bedtime, choose a healthy bedtime snack instead

Practicing good sleep hygiene can help your child get into a consistent bedtime routine and help them sleep better.

If your child is having trouble sleeping, you can receive treatment at Flushing Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 670-5486.

Things You Should and Shouldn’t Do After Bariatric Surgery

Posted on April 23, 2026 by Patrick Hercules

Bariatric surgery is a life-changing procedure. Following your doctor’s post-operation instructions and making healthy lifestyle changes are essential to avoiding complications and achieving long-term weight loss success.

Patients should expect to have a new lifestyle that combines healthy eating, exercise, and attending regular visits with their healthcare providers. They should also consider these dos and don’ts after bariatric surgery:

What you should do after bariatric surgery:

- Eat slowly and chew food well

- Aim to drink 64oz of fluids daily, taking small sips

- Eat 60g or more of protein daily, starting every meal with it

- Make fruits and vegetables the priority of your diet

- Start walking for five minutes every hour after surgery

- Aim for a goal of 30 minutes of exercise daily after it is allowed to do so

- Take all medications and supplements as prescribed, they will need to be taken for the rest of your lifetime

What you shouldn’t do after bariatric surgery:

- Skip any meals

- Eat red meat early in recovery

- Engage in any strenuous activities

- Lift any objects over 10 lbs. for the first four to six weeks after surgery

- Eat fast food

- Eat or drink anything with natural sugar

- Drink liquids within 30 minutes after eating

- Eat bread, rice, pasta, bagels, or dumplings

- Allow yourself to get too hungry

- Take a bath or go swimming for two weeks after surgery

- Smoke cigarettes or drink alcohol

- Eat snacks loaded with empty calories

- Get pregnant for 12 to 18 months after surgery

- Stop taking medications as directed by your healthcare provider

Bariatric surgery can be a life-changing and life-altering event for those who are trying to lose weight and live a healthier lifestyle. Making diet changes, modifying exercise routine, and following the guidelines set by your healthcare provider and surgical team can lead you to long-term success.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-408-6977 or 718-670-8908.

Perimenopause

Posted on April 18, 2026 by Patrick Hercules

Perimenopause is the transitional period before menopause. During this time, a woman’s body is preparing to stop having periods.

During this transition, the number of hormones a woman’s ovaries produce varies. Perimenopause can last two to eight years. The average is about four years. The hormone changes can cause symptoms that include:

Irregular periods

Vaginal dryness

Hot flashes

Night sweats

Sleep problems

Mood changes

Trouble finding words and remembering, also known as brain fog

Dry skin, dry eyes, dry mouth

Worsening premenstrual syndrome (PMS)

Breast tenderness

Decreasing fertility

Changes in sexual function

Loss of bone

Changing cholesterol levels

Perimenopause is caused by changes in two key female hormones: estrogen and progesterone. As a woman goes through perimenopause, these hormones fluctuate, and many of the changes they have during perimenopause are caused by lower estrogen.

Menopause can happen earlier in some women than in others, like before the age of 40, or between the ages of 40 and 45. Certain factors may make it more likely for perimenopause to start at an earlier age, such as:

Smoking

Family history

Cancer treatment

Hysterectomy

Some health conditions may make early menopause more likely, such as:

Thyroid disease

Rheumatoid arthritis

Other autoimmune diseases

Perimenopause is a gradual change, and there is no single test or symptom that tells it has started. A healthcare provider looks at many things to diagnose perimenopause, including:

Menstrual history

Noticeable symptoms or body changes

Some healthcare providers may order tests to check hormone levels. However, other than checking the thyroid, which affects hormone levels, hormone testing isn’t usually helpful to know if a woman is in perimenopause. That is because hormone levels in perimenopause change unpredictably.

The treatment for perimenopause usually consists of medicines that treat perimenopausal symptoms, such as:

Hormone therapy

Vaginal estrogen

Antidepressants

Gabapentin

Fezolinetant

Oxybutynin

Birth control pills

If you are experiencing symptoms of perimenopause, call (718) 670 8994 for more information about gynecological services at FHMC’s Center for Obstetrics and Gynecology.

High-Functioning Depression

Posted on April 15, 2026 by Patrick Hercules

Depression is a common mental health condition that causes a persistent feeling of sadness and loss of interest, and changes how you think, sleep, eat, and act.

There are several types of depression, including:

Clinical depression (major depressive disorder)
Persistent depressive disorder (PDD)
Disruptive mood dysregulation disorder (DMDD)
Premenstrual dysphoric disorder (PMDD)

There are also specific forms of major depressive disorder, including:

Seasonal affective disorder (seasonal depression)
Prenatal depression and postpartum depression
Atypical depression

People with depression often can’t always keep up with the demands of day-to-day life, whether it is keeping a steady job, having significant relationships and friendships, or keeping the house tidy. Their depression can make every task feel daunting.

However, that isn’t always the case. Some people can experience depression in a way that doesn’t appear disruptive from the outside, but it still causes a major disruption inside. This is called high-functioning depression.

Although it isn’t a formal medical diagnosis, high-functioning depression is a helpful way to describe how some people who are living with the symptoms of depression manage to keep up a moderately stable life.

A person with high-functioning depression may have the same symptoms as a person with clinical or major depressive disorder. These symptoms include:

Feeling sad, helpless, or hopeless
Becoming disinterested in things that used to bring them joy
Changes in eating habits, like eating too much or too little
Trouble sleeping or sleeping too much
Difficulty concentrating
Negative thoughts about themselves and others

Unfortunately, some people may feel that they need to hide these depressive symptoms from others because:

They might have come from a family or culture that teaches people not to talk about mental illness
They think they will feel better by powering through on their own
They’re trying to avoid any impact on their job and relationships, hoping the depression lifts
They are someone who isn’t comfortable showing vulnerability or perceived weakness
They think having depression is something to be ashamed of
They feel that their life will fall apart and people will abandon them if they find out about their depression

More women than men are diagnosed with depression, but this may be because women are more likely to seek treatment.

A healthcare provider may determine a diagnosis of depression based on:

A physical exam
Lab tests
A psychiatric evaluation
DSM-5

Unfortunately, high-functioning depression can be difficult to recognize. Even though a person may appear to be high functioning, they still should get treatment for their depression. Treatments for depression may include:

Therapies such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques
Medications
Support groups

To learn more about the mental health services at Flushing Hospital Medical Center, or to schedule a virtual appointment, call (718) 670-5316 to speak with our intake coordinator or call (718) 670-5562 to reach the clinic.

Exercising Outdoors

Posted on April 3, 2026 by Patrick Hercules

Spring has arrived, and the weather is starting to warm up. This means we can spend more time exercising outdoors rather than at the gym or at home.

Outdoor exercise is a great way to work out. It offers many benefits to our physical and mental health, such as:

Reducing stress and anxiety

Improving sleep

Boosting vitamin D levels

Boosting self-esteem

Improving memory

Lowering chronic disease risk

Here are tips that can keep you safe while exercising outdoors:

Drink plenty of water and avoid caffeine and alcohol

Wear clothes that let the air circulate and moisture evaporate

Stay sun safe by wearing sunscreen, sunglasses, and a hat

Know the signs of heat-related illnesses

Wear proper footwear for the activity you are engaging in

Alcohol Awareness Month

Posted on April 2, 2026 by Patrick Hercules

April is Alcohol Awareness Month. It is an opportunity to raise awareness and understanding of alcohol use and misuse, and its impact on health.

Alcohol-related problems continue to take a heavy toll on individuals, families, and communities. Researchers estimate that each year there are more than 178,000 alcohol-related deaths, making alcohol a leading preventable cause of death in the United States. In addition, more than 200 diseases and injury-related conditions are associated with alcohol misuse.

The National Council on Alcoholism and Drug Dependence (NCADD) started the Alcohol Awareness Month program in 1987. The program targets teenagers and college-aged youth, aiming to educate them on the dangers of heavy drinking and other harmful behaviors that can be common during these years.

Binge drinking and heavy drinking are two patterns of excessive alcohol use. The Centers for Disease Control and Prevention (CDC) defines binge drinking as consuming four or more drinks for women and five or more for men on a single occasion. Heavy drinking is defined as consuming eight or more drinks per week for women and 15 or more drinks per week for men.

There are several ways to support Alcohol Awareness Month, including:

Wear a red ribbon

Participate in an alcohol-free 72 hours

Host dry parties

Talk with kids and teens about alcohol

Talk with friends and family about alcohol

Reflect on your relationship with alcohol

Alcohol Awareness Month’s primary goal is to increase public awareness and education about alcohol and alcohol use disorder (AUD), formerly known as “alcoholism”.

If you or a loved one needs expert detox services, you can take the first step toward recovery by calling Flushing Hospital Medical Center’s Addiction Services at 718-670-5693.

A.I. Therapy

Posted on February 15, 2026 by Patrick Hercules

During the COVID-19 pandemic, access to healthcare services through telehealth and telemedicine was implemented to help limit the spread of the virus. It was also used for those who were using mental health services, as that time was very lonely and isolated for many people.

A 2020 review published in BMC Public Health concluded that telehealth improved the delivery of healthcare during the pandemic, minimizing COVID-19 transmission and potentially reducing morbidity and deaths.

Telehealth is a way to receive healthcare services remotely through electronic devices such as a computer, tablet, or smartphone. These telehealth services can come in various forms, including:

Live video or audio appointments

Secured text messaging with a healthcare provider

Remote devices that allow a healthcare provider to track blood sugar

Today, many people use telehealth to get support for any mental health challenges they may be experiencing. Unfortunately, obtaining professional mental health support can be challenging as there is a shortage of mental healthcare providers. There is also the daunting task of searching for and finding the right one. This has caused many people to turn to A.I. therapy.

A.I. therapy uses artificial intelligence to support mental health through chatbots, digital therapy apps, and A.I.-driven counseling tools.

Many American adults, 22% in fact, have found some relief by using mental health chatbots as a therapeutic tool.

There are many possible reasons why people are turning to A.I. therapy as a viable option to address their mental health, including:

Accessibility

Affordability

Anonymity

There are many A.I. therapy platforms. They include:

CBT-focused chatbots that use meditation and cognitive behavioral therapy (CBT) techniques that offer personalized recommendations and crisis support

Skill-building apps that teach CBT skills, provide personalized recommendations, and collect user data to improve the experience

Self-guided wellness platforms that combine A.I. chatbots with emotion tracking, journaling, and self-directed therapeutic exercises

Mood tracking apps that allow users to track their moods and symptoms, while sometimes receiving self-care recommendations

Conversational A.I. companions that provide daily support through advanced A.I. and adapt to the user’s needs. It is typically aimed at mild anxiety or overthinking, with CBT-focused conversations

A.I. can be a promising tool for enhancing mental healthcare, but it can’t replace personalized mental healthcare.

Although A.I. therapy can’t replace human therapists, it could be a helpful supplement for those who may need additional support, along with therapy.

There are several reasons why A.I. therapy might be helpful, including:

24/7 availability due to A.I. chatbots being able to provide additional support outside of therapy sessions and holidays

Affordability of A.I. therapy provides a low-cost way to get support outside of sessions

Discretion of A.I. therapy helping people explore mental health support in a low- pressure, judgment-free way

While A.I. therapy may have some benefits for those seeking support with their mental health, it also poses several potential risks, including:

It can cause A.I.-induced psychosis

It can give unsafe advice and misinformation

It engages in sycophantic behavior by validating a user’s emotions, which can be dangerous if they have suicidal ideation, delusions, mania, or hallucinations

There is a lack of human connection and empathy: A user might take a self-assessment without human input that can lead to false reassurance or dangerous delays in getting help. A.I. can miss nonverbal cues, and a user may take its output as definitive

A.I. therapy can offer those who are seeking support with their mental health a convenient way to do so. However, effective mental healthcare should be safe and provided by trained, human mental health professionals.

If you or a loved one needs the assistance and support of a mental health professional at Jamaica Hospital Medical Center, please call 718-206-5575 to schedule an appointment.

Blood Test for Alzheimer’s Disease

Posted on January 22, 2026 by Patrick Hercules

Alzheimer’s disease is a degenerative brain disease and the most common type of dementia. It causes a slow decline in memory, thinking, and reasoning skills.

In May of 2025, the U.S. Food and Drug Administration (FDA) approved the Lumipulse test, the first blood test to help diagnose Alzheimer’s disease.

The Lumipulse test utilizes a blood sample to measure specific proteins, including a particular form of the tau protein. The tau protein is a protein found in neurons that stabilizes hollow rods called microtubules, which guide the transport of nutrients, signals, and other essential molecules throughout the cell. The tau protein can indicate the presence of amyloid plaques in the brain. An amyloid plaque is a buildup of protein that is considered a hallmark sign of Alzheimer’s disease.

The Lumipulse test, along with other diagnostic tools such as a PET scan, can aid in the diagnosis of Alzheimer’s disease.

Although this blood test can detect changes before any memory issues occur, it is recommended that it be used clinically in those who are showing symptoms of Alzheimer’s disease.

The test is approved for adults 50 years of age and older who are having early memory or thinking problems, such as repeating questions, forgetting names, or misplacing things.

The test is not recommended for those with no symptoms of Alzheimer’s disease.

It is important to note that if you can take the Lumipulse test and receive a positive result, it means that there are changes in your brain that may suggest you have Alzheimer’s. However, these results by themselves do not mean that you have Alzheimer’s disease.

You should consult with your healthcare provider to help further determine if you have Alzheimer’s disease. They may:

Recommend more tests, such as imaging tests or cognitive tests

Suggest lifestyle changes that help support your brain health

Help you plan next steps, such as treatment options or clinical trials

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