How Can Stress Affect Rheumatoid Arthritis?

Stress is a common trigger for rheumatoid arthritis flare-ups, during which symptoms such as pain, swelling, and joint stiffness worsen for a temporary period of time. The factor most closely linked to the onset of flare-ups is the inflammatory response of your immune system to stress. Inflammation is the primary means by which rheumatoid arthritis damages your joints over time.

Once a flare-up has been triggered, your arthritis symptoms may contribute to the amount of stress you experience, creating a cycle that causes both issues to worsen over time and disrupts daily activities and movement.

There are certain steps you can take to manage your stress levels and reduce the frequency of your rheumatoid arthritis flare-ups. These include:

Following a regular exercise routine: Regular physical exercise can be significantly helpful for both stress reduction and increased joint mobility. Your routine should include strength exercises, cardio, and stretching to improve flexibility and reduce your chances of injury.

Targeting work-related stress: Twenty-five percent of Americans report that their workplace is the number one cause of stress in their lives. Make sure to pace yourself with periodic breaks throughout your work day, take time to move around and stretch, and make a point of tackling any specific problems that are stressing you out (such as a delayed project or a dispute with a coworker) directly in a calm, reasoned way.

Talking to a doctor: If you experience symptoms of rheumatoid arthritis, you should work with a rheumatologist to manage your physical symptoms and find the most effective treatment approach for you. Additionally, if you experience chronic stress, you should work with a psychiatrist to determine the root causes and the best way to approach them.

You can schedule an appointment with a rheumatologist at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (718) 670-5486. You can also find a psychiatrist at our Outpatient Psychiatric Clinic by calling (718) 670-5562.

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.

Jet Lag and Sleep

jet lag Jet lag can profoundly affect sleep and alertness.  This sleep disorder occurs when your body’s internal clock (circadian rhythms), which tells you when to sleep, becomes imbalanced after traveling to different time zones.

According to the National Sleep Foundation, when a person travels to a new time zone their “circadian rhythms are slow to adjust and remain on their original biological schedule for several days. This results in our bodies telling us it is time to sleep, when it’s actually the middle of the afternoon, or it makes us want to stay awake when it is late at night.”

Jet lag can lead to daytime fatigue, gastrointestinal problems, mood changes, a general unwell feeling, headaches, mild depression, insomnia, and difficulty staying alert and concentrating.   These symptoms generally appear within a day or two of travel and can worsen the longer you travel and the more time zones you cross.

There are several ways to combat or minimize the effects of jet lag.  Here are a few you can try:

  • Avoid alcohol the day before your flight and during your flight.
  • Get plenty of rest before you fly.
  • Avoid caffeine or other caffeinated beverages before or while traveling.
  • Drink lots of water.
  • Wear sunglasses during your flight.
  • Move around the plane on long flights.
  • Adapt immediately to the schedule of your destination. While it may be tempting to sleep during the day after your arrival, it is advised that you stay up and active and expose your body to sunlight.
  • Avoid heavy meals upon arrival at your destination.

Symptoms of jet lag are mostly temporary and typically last a few days; however, if you are a frequent flyer they may become more severe. You can speak with your doctor or a sleep specialist who may recommend treatments such as light therapy, melatonin supplements, or prescription medication.

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.

March is National Kidney Month

March is National Kidney Month and the National Kidney Foundation is urging all Americans to give their kidneys a well-deserved checkup.

The kidneys are two fist-sized organs, located just below the rib cage,  in your lower back. The left kidney is on the left side of the spine and the right kidney is on the right side of the spine.  Blood flows through the kidneys many times a day. They maintain overall health by serving the following functions:

  • Filtering waste out of 200 liters of blood each day
  • Regulating the body’s salt, potassium, and acid content
  • Removing toxins from the body.
  • Balancing the body’s fluids
  • Releasing hormones that regulate blood pressure
  • Producing an active form of vitamin D that promotes strong, healthy bones
  • Controlling the production of red blood cells

According to the U.S. Centers for Disease and Control, some quick facts on Kidney Disease are:

  • Kidney disease is the 9th leading cause of death in the country.
  • More than 26 million Americans have kidney disease, and most don’t know it.
  • There are over 95,000 people waiting for kidney transplants.
  • Currently, more than 590,000 people have kidney failure in the U.S. today.
  • Risk factors for kidney disease are hypertension, diabetes, family history, and age over 60.

Symptoms of kidney disease include:

  • Swelling of the face, hands, abdomen, ankles, and feet
  • Blood in the urine
  • Puffy eyes
  • Painful urination
  • Increased thirst
  • Fatigue

Oftentimes, kidney failure can be prevented or delayed through early detection and proper treatment of underlying diseases such as diabetes and high blood pressure which can slow additional damage to the kidneys.

If you are 18 years or older with diabetes, high blood pressure, cardiovascular disease or a family history of kidney disease, you should schedule an appointment with your doctor and ask that you be screened for kidney disease.

To make an appointment with a doctor at Flushing Hospital Medical 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.

What To Expect: Colonoscopy

A colonoscopy is a procedure that physicians use to examine the inside of the large intestine (colon).  During an examination, doctors can investigate changes in the large intestine and possible causes for a variety of symptoms.  Most importantly, physicians can use this procedure to look for precancerous or cancerous polyps on the inside of the colon’s lining.

Before the procedure, your doctor will require that you consume a clear liquid diet for at least 24 hours ahead of the time for your exam. You will also have to take a laxative to help clear the intestines.  In some instances, your provider may perform an enema before the test. Please be sure to inform your doctor of any medications you are taking so that adjustments can be made if needed before your procedure.

When you arrive for your colonoscopy, you may be given medications to sedate you or make you feel sleepy.  It is highly recommended that you have someone available to drive you home for this reason.

Your physician will begin the procedure once you are sedated. A colonoscope is the tool your healthcare provider utilizes to conduct the examination.  The device is a long, flexible tube with a camera and light on the end.  During the procedure, your physician will insert the colonoscope into your rectum and move it into your colon to look for polyps or other signs of a potential health problem.

Once the examination is completed,  your healthcare team will transport you to a recovery room for a few hours. It is common for patients to experience mild cramps or bleeding in the first stool after the procedure.  Please contact your doctor if bleeding and cramping persist.

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 Does It Mean to “Die of Natural Causes?”

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.

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 Winter Itch?

During the winter, cold temperatures, low humidity, and high winds wear away at the natural oils and dead skin cells in the outer layer of your skin that preserves moisture content. This, combined with other potential factors such as a sensitivity to soaps and detergents, pre-existing skin conditions, infections, allergies to materials such as latex, sunburns, and stress or fatigue, may cause you to develop a rash sometimes referred to as “winter itch.”

Winter itch may cause similar symptoms to other types of rashes, such as redness, swelling, flaking, blisters, and itchiness. It most often occurs on the arms, legs, or hands, as these are most often exposed to cold air, but it can also develop anywhere on your body.

Certain soaps and moisturizing products may be helpful for treating winter itch. These include:

  • Skin cream or lotion
  • Petroleum jelly
  • Natural oils
  • Oatmeal soap or baths
  • Topical cortisone cream

Developing winter itch may indicate the need to make certain lifestyle changes during periods of cold weather to protect your skin. A few steps you can take to prevent the occurrence of a rash during the winter include:

Choosing clothes with less irritating materials: Clothes made from natural breathable fibers such as cotton and hemp may reduce skin irritation and overheating, both of which may contribute to an increased risk of developing a rash.

Wear appropriate protective clothing: Gloves, scarves, hats, and long socks can all go a long way to protecting skin that may be vulnerable to cold air and preventing rashes from developing in these areas.

Bathing less often: During the winter, overly frequent bathing can wear away at your skin’s natural outer layer of oils and dead skin cells, which build up more slowly during the winter due to decreased sweating. You may find it helpful to shower or bathe every other day, lathering up as little as possible and reducing the amount of hot water you use.

If you’re looking for the right treatment for a rash, you can schedule an appointment with a dermatologist at Flushing Hospital Medical Center’s Ambulatory Care Center by calling (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.

Weight Loss Solutions for the New Year

One of the most common resolutions people make at the beginning of each year is to lose weight. However, many people may have a hard time sticking to this goal if they cannot find a weight loss method that offers long-term results and maintains a balanced, healthy quality of life.

The right approach to weight loss may be different for everyone, but a natural approach that emphasizes consistency and moderation when it comes to your diet and exercise may offer the results you’re looking for. When you attempt to lose weight through this method, you should:

  • Incorporate single-ingredient and high-protein foods into your diet
  • Cut back on fried food, fast food, and other processed foods
  • Drink more water (about 15.5 cups per day for men and 11.5 cups per day for women)
  • Reduce your intake of liquid calories through soda, sugary drinks, alcohol, and other beverages
  • Perform at least 150 minutes of moderate aerobic exercise (about 22 minutes each day if you exercise throughout the entire week) and at least one set of resistance exercises that target all major muscle groups

While most people may achieve their weight loss goals by following these guidelines throughout the year, they may not be sufficient for people with extreme obesity or those who suffer from chronic conditions related to obesity. Certain prescription medications recommended by a doctor can often help, but for some people, bariatric surgery may be the right path forward.

Bariatric surgery is performed on the stomach and intestines to reduce food absorption. It includes several different types of procedures, such as:

  • Sleeve gastrectomy
  • Gastric bypass
  • Gastric revision
  • Lap band
  • Duodenal switch
  • Obalon balloon

Bariatric surgery is best suited for people who are:

  • Over a body mass index (BMI) of 40
  • Over 100 lbs. above their ideal weight
  • Experiencing severe pain in weight-bearing joints
  • Suffer from obesity-related chronic conditions such as high blood pressure, diabetes, sleep apnea, or degenerative joint disease

At Flushing Hospital Medical Center’s Bariatric Surgery Center, procedures are performed using the da Vinci robotic surgical platform. This technology allows for a minimally invasive approach and reduces scarring, pain, and recovery time. To schedule an appointment and learn more about our approach to bariatric surgery, please call us at 718-408-6977 or 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.

Thyroid Awareness Month

Your thyroid plays an important role in regulating your bodily functions, including those of the circulatory, nervous, digestive, and reproductive systems through the release of hormones into the bloodstream. When the thyroid experiences problems, it can disrupt these functions and negatively affect your entire body.

Thyroid disease in general is fairly common, with approximately 20 million people throughout the United States experiencing it in some form. It is more common in women than men across the board, but regardless of your gender, you may be more likely to develop thyroid disease if you already suffer from a chronic condition, take medication that is high in iodine, have previously been treated for a thyroid condition, are over the age of 60, or if it runs in your family.

Thyroid disease comes in a variety of forms; some of the most common types include hyperthyroidism, hypothyroidism, and thyroid cancer.

Hyperthyroidism: This condition, also known as overactive thyroid, occurs when your thyroid gland produces an excessive supply of hormones, leading to symptoms such as fatigue, a rapid or irregular heartbeat, mood swings, weight loss, and goiter, which causes your thyroid gland to become swollen.

Hypothyroidism: This form of thyroid disease occurs when your thyroid gland produces an insufficient amount of hormones to meet the demands of your bodily functions. It can cause fatigue, depression, dry skin and hair, a slowed heart rate, and fertility problems in women. Like hyperthyroidism, this condition can also cause goiter.

Thyroid cancer: This form of cancer typically occurs in people between the ages of 25 and 65 and is most common in people of Asian descent. Symptoms include a lump and swelling in the neck, pain in the front of the neck, difficulty swallowing and breathing, and a constant cough. While lumps in the thyroid are usually benign, you should see a doctor immediately if you notice one.

If you’re suffering from symptoms of a thyroid problem, you can schedule an appointment with an endocrinologist at Flushing Hospital Medical Center’s Ambulatory Care Center now by calling (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.

Safe Alcohol Consumption Tips

As New Year’s Eve approaches, you may be getting ready to pop open a bottle of champagne with your friends and loved ones to celebrate. However, it’s important to keep moderation in mind and practice safe drinking habits to make sure the night remains enjoyable for everyone. Keep the cork in the bottle for now and review these tips to stay safe and healthy as you enter 2023:

Make sure everyone can drink safely: Certain conditions and medications may make it unsafe for you or your loved ones to drink any amount of alcohol. Additionally, if anyone is (or may be) pregnant or lactating, alcohol in general can negatively affect the health of their baby. If you are hosting a celebration, find out if any of your guests cannot or should not drink; this way, you can provide alternative options for their enjoyment.

Find out if anyone attending your gathering is driving: If you plan to host a gathering, find out if anyone in attendance is driving to make sure that you can limit their alcohol consumption or  help them if they drink too much. If you’re attending a gathering and become aware that a driver has had too much to drink, inform your host and offer any help you can to ensure the person’s safety.

Opt for beverages with low alcohol content: For most of the night, choose drinks such as beer or hard seltzer instead of wine, mixed drinks, or straight liquor; these drinks typically contain around 5% alcohol per serving. Be careful not to drink these beverages too quickly; take small sips over time.

Eat before, during, and after drinking: Make sure you’ve had a meal within a few hours of your first drink and have snacks available as you continue to drink. Once you’re finished drinking for the evening, have something extra to eat to reduce the effects of the consumed alcohol.

If you or anyone you know develops alcohol poisoning, dial 911 immediately. For anyone suffering from alcohol dependency, Flushing Hospital Medical Center’s Division of Addiction Services may be able to help. To learn more about our inpatient Chemical Dependence unit, contact us at (718) 670-5693 or (718) 670-5540. For more information about our Reflections treatment program, call (718) 670-5078.

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’s the Difference Between Sanitizers and Disinfectants?

Sanitizers and disinfectants are two types of products available for removing bacteria from surfaces, but it isn’t always clear which type of product is acceptable for certain situations.

According to the Environmental Protection Agency (EPA), the main difference between sanitizers and disinfectants is that sanitizers kill bacteria on surfaces, but are not intended to kill viruses. Disinfectants, on the other hand, are capable of killing viruses and, due to their greater expected effectiveness in this regard, are held to a higher standard of testing by the EPA than sanitizers.

Disinfectants often come in the form of wipes that are used to wipe down surfaces or items that are frequently touched. It is best to use disinfectants on doorknobs, handles, phones, keyboards, and other items and surfaces you may often touch throughout each day. The main exception to this recommendation is kitchen countertops and other surfaces where food is prepared or placed, since accidentally ingesting the chemical residue from disinfectants could harm you.

While the increased strength of disinfectants compared to sanitizers may make them seem like a better option for cleaning your hands, their stronger chemical content could lead to an adverse skin reaction if used on your hands or other parts of your body.

Generally, if you need to remove germs from your hands, your best option is to wash them with soap and water, as sanitizers are less effective and may not be able to remove certain harmful chemicals such as pesticides and heavy metals; however, hand sanitizer can offer an acceptable alternative when hand washing is not possible. Sanitizers that contain at least 60% alcohol are most effective.

When using hand sanitizer, make sure to apply it correctly by rubbing it all over your hands until your skin dries. This allows you to kill as many germs as possible on the surfaces of your hands rather than just those that are on your palms, reducing your risk of infection.

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.