Are Obesity and Migraines Connected?

146058997-900x603Obesity is a serious issue that can lead to many other diseases, but according to a recent study, obese people may be at higher risk for another problem – episodic migraines.

Migraine headaches involve intense pulsing or throbbing pain in one area of the head. Symptoms can include nausea, vomiting and sensitivity to light and sound. Migraines affect more than ten percent of the population. There are two types of migraines, episodic and chronic. Episodic migraines occur less than 14 times per month and are more common than chronic migraines, which occur over 15 times per month.

A recent study conducted by Johns Hopkins University School of Medicine examined the differences among individuals based on their Body Mass Index (BMI) – a measure of body fat determined by height and weight. The study found that individuals with a high BMI were 81 percent more likely to have episodic migraines than those whose BMI was within a normal range.

While the connection between obesity and episodic migraines is still under debate, there is one theory that supports the link. The theory centers on inflammatory substances from certain fat tissues that are released into our system. The fat tissue adipose secretes different inflammatory proteins that some believe are associated to the development of migraines. Those who are obese have more adipose tissue; this could, at least in part, explain why they get more headaches.

So would losing weight mean migraines will decrease in frequency? Certainly, weight loss is strongly encouraged for people who are obese, but there is no indication that simply losing weight would result in fewer migraines. Instead, doctors of obese individuals who experience episodic migraines are being encouraged to promote healthy lifestyle choices such as diet and exercise for their patients. Those who eliminate processed foods, high-calorie foods and alcohol — all of which can be migraine triggers– could end up losing weight and experience fewer headaches.

If you are obese and experience migraines, speak to your doctor about lifestyle choices that can possible help. To make an appointment at Jamaica Hospital’s Ambulatory Care Center, please call718-206-7100.

Flushing Hospital Launches on Twitter and Facebook

Facebookthumb178742843Flushing Hospital Medical Center is excited to announce that we have entered the digital age with the launch of two official, and highly anticipated, social media accounts. We are now live on both Facebook and Twitter with the goals of providing educational information to improve our population’s health and enhance our ability to engage and communicate with the communities we serve.

We encourage all FHMC medical staff, employees and volunteers to follow our official Facebook and Twitter accounts. Your participation will keep you informed and help promote hospital news, events and community outreach efforts. We will also be posting articles on a variety of general health topics including diabetes, smoking cessation and breastfeeding. In addition, we will offer lifestyle articles including recipes and parenting tips, as well as profiles on hospital programs and activities.

All employees that wish to contribute articles or ideas on specific topics should contact us. We welcome you and look forward to your participation and feedback in the form of comments, ideas, retweets, favorites, likes and shares!

Follow us on Twitter: @FHMC_NYC
Like us on Facebook: https://www.facebook.com/FlushingHospital

E-Prescribing of Controlled Substances (EPCS)

pharmacists78056182New York State is one of the first states in the nation to encourage universal electronic prescriptions, this includes controlled substances. The law which enhances patients’ safety is currently scheduled to go into effect on March 27, 2015 but there may be delays as it is currently awaiting the governor’s signature.  Once it becomes law, all prescribers will have to send their patient’s prescriptions to be filled at pharmacies, electronically. One of the goals of “E-prescribing”   is to prevent theft of prescriptions for illicit use. Another benefit will be that it will eliminate illegible handwritten prescriptions from being filled incorrectly.

E-prescribing will help ensure that prescriptions are being written safely and will help both the prescriber and the pharmacy manage a patient’s medications. E-prescribing will also cut down on the amount of time spent calling between a pharmacy and a prescriber to verify prescriptions. It will make the filling of prescriptions easier for the patient and potentially help with compliance with taking medications. It will also help both the prescriber and the pharmacy to fill the prescription in a cost effective manner. All of these benefits ultimately will help the patient.

All prescribers need to enroll with Epic to capture their fingerprint, and install “Digipass” the numerical code app.  Licensed providers (MD, DO, NP, PA, CNM, podiatrist, dentist) need to also register with NYS on the Health Commerce System (HCS) website. If you need further assistance on registering for E-prescribing please contact, 718 206-7878.

 

Jamaica Hospital’s G.E.M Recipients Sparkle

PrintOn Tuesday, February 3, Jamaica Hospital sparkled as all former recipients of the hospital’s Going the Extra Mile program , (or G.E.M for short) gathered for a breakfast in their honor.

Approximately 50 former G.E.M honorees were in attendance for the festivities. Also in attendance were G.E.M committee co-chairs, Anthony Maffia and Sheila Garvey, as well as President & CEO Bruce J. Flanz. Each thanked the honorees for their efforts and stated how important having employees who go above and beyond are to our institution.  “The G.E.M employees are models for others. We hope more employees follow the examples they have set,” stated Mr. Maffia.

One of the past G.E.M recipients, Security Officer Robert Smith offered his perspective on the event. “As a recipient of the award, I was honored to be at the breakfast with my fellow colleagues. While we all received our awards for different circumstances, we all share the same belief that we were just doing our jobs.” Officer Smith added, “I am very proud to be part of the Jamaica Hospital family, where everyone is considered important.”

The G.E.M Program was created in July of 2013 to acknowledge and thank employees for simple acts of courtesy, team spirit, kindness and professionalism. Nominations are made by supervisory staff members who observe employees taking actions that positively impact the experience of our patients, visitors, and co-workers.  Each month at the Jamaica Hospital Department Head meeting, G.E.M recipients are awarded a certificate, pin and a gift certificate.

Since its inception, over 80 G.E.M employees have been identified. Jamaica Hospital thanks them all for their dedication.

Flushing Hospital Plans To Be Queens’ Premiere Hospital for Bariatric Surgery

overweight-91460588Flushing Hospital Medical Center is further expanding its list of clinical services to include bariatric surgery. The new program will be headed by Dr. Sanjeev Rajpal, a pioneer and expert in weight loss surgery, as well as Dr. Paul Thodiyil, who has many years of experience.

The availability of this service is timely- as the demand for bariatric surgery has increased due to the rise in obesity rates. It is estimated that more than one third (35%) of adults in the United States are obese.  Overcoming obesity by way of exercise and diet alone can be difficult for some people. Bariatric surgery is often the only option for individuals who have tried several weight loss treatments or methods to lose weight, but were unsuccessful.

Flushing Hospital will offer patients a unique approach and experience in weight loss surgery.  Clients’ success will not only be measured by pounds shed but include a complete lifestyle change that embodies mental and physical wellness.

The bariatric surgery program will offer patients a range of minimally invasive surgical procedures that will include:

  • Gastric bypass surgery
  • Lap band surgery
  • Sleeve gastrectomy
  • Bariatric revisions

Doctors will work with each patient to decide which procedure is best suited for their lifestyle or health condition.

In order to foster this multi-level model of treatment, support services will be available to patients in addition to the surgical procedures.

Support services will include:

  • Close physician monitoring- Flushing Hospital’s team of bariatric experts, will closely monitor each patient throughout their weight loss journey.
  • Pre and post-surgery psychological evaluations- Assessments will aid patients in understanding their eating behaviors.
  • Personalized diet and nutrition counseling- Registered dietitians will be available to assess clients’ eating habits and create a nutrition plan to support a new and healthy lifestyle.
  • Ongoing education and support groups- Support groups and education seminars will be facilitated by trained professionals. These meetings are helpful in aiding patients to transition into a new way of life.

Flushing Hospital’s Chairman of Surgery, Dr. Neil Mandava is looking forward to the launch of the bariatric services. Dr. Mandava stated, “The goal for the new bariatric surgery program is to solidify Flushing Hospital as the go-to and premiere facility for weight loss surgery in the area.”  “Residents will no longer have to venture outside of the communities served by the hospital to obtain assistance in achieving their weight loss objectives,” added Dr. Mandava.

For more Information about bariatric services at Flushing Hospital please call the department of Surgery at 718-670-3135.

 

 

 

 

Give Kids A Smile Day At Flushing Hospital

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On February 6, area children ages 2 through 16 were invited to participate in Flushing Hospital Medical Center’s annual “Give Kids A Smile” day. The event celebrating National Children’s Dental Health Month took place in the dental department of the hospital.

The afternoon was filled with educational discussions and engaging demonstrations on good dental health practices. Parents learned ways to prevent early childhood cavities, when to expect the change from primary teeth to permanent teeth and when children should have their first dental visit.

The rest of the day proved exciting as dental residents gave fun and interactive lessons on proper brushing and flossing techniques. Older children were taught about the dangers of smoking tobacco and the negative effect it can have on dental health. Clinical evaluations were also performed by the residents with the consent of parents. Hospital staff scheduled follow-up appointments or referred families to their own dentists.

“Children’s permanent teeth are meant to last a lifetime, and a healthy smile is important to a child’s self-esteem. With proper care, a balanced diet and regular dental visits, their teeth can remain healthy and strong,” stated Dr. Stephen Quarcoo, Chairman of Dentistry at FHMC.

“The event was successful and beneficial to both parents and the hospital. Parents and children learned about the importance of regular dental check-ups and saying NO to tobacco use.  Flushing Hospital’s dental department was thrilled to coordinate and share this day with the community,” added Dr. Quarcoo.

For more information on this even, or to make a dental appointment, please call 718-670-5521.

2014 Highlights and Successes of Jamaica Hospital’s Breastfeeding Initiatives

Tongue tie SeminarIn 2013 Jamaica Hospital Medical Center conducted research with the goal of identifying key health issues within communities served.  After a careful and thorough analysis, it was discovered that breastfeeding rates in service communities were at a concerning low. The numbers indicated that several neighborhoods, particularly those in Southwest Queens, ranked among the lowest in New York City. This prompted the hospital to include breastfeeding in its Community Service Plan and focus on increasing the number of mothers who breastfed exclusively after giving birth.

Jamaica Hospital has since executed several community education and outreach initiatives such as Centering Pregnancy and support groups to inform families of the importance of breastfeeding. The hospital has partnered with the New York City Department of Health and Mental Hygiene (NYC DOHMH) “Latch on NYC” initiative and the Queens Breastfeeding Alliance to expand its reach. In the initial stages of inception only 2% of infants born at the hospital were exclusively fed breast milk but this number has now grown to over 24%. Through this advancement, other objectives that are consequential to breastfeeding such as childhood obesity and the development of some cancers in women will be addressed.

Lactation consultant Paula Utilla, administrator Mitchell Cornett as well as other members of the Ob/Gyn department coordinated a successful seminar featuring world- renowned author and lactation consultant Catherine Watson-Genna. The seminar educated staff and patients about breastfeeding problems related to tongue tie.

Tongue tie is a congenital condition which occurs in an estimated 5% of newborns and restricts the tongue’s range of motion.  This restriction is caused by an abnormally thick and short lingual frenulum.  Ms. Watson-Genna presented her research project- using ultrasound to examine tongue movements of babies with tongue-tie before and after frenotomy (procedure which releases the frenulum). Other speakers included Jamaica Hospital’s own Frances Perez-Hernandez, doctors Silvestro Iommazo, Ajey Jain and Steven R. Inglis.

Jamaica Hospital heavily promoted breastfeeding by producing literature, program posters, webpage ads and social media marketing, but the ribbon that tied this all together was a well-received news segment on NY1. The segment featured baby Germosen, who received a frenotomy from Dr. Iommazo and is now happily breastfeeding.

To end the year in a bang, the hospital was recognized by the New York City Department of Health and Mental Hygiene Breast Feeding Collaborative for achieving the highest score improvements in the baby-friendly core measures over a six month period.

The year 2014 in review has been successful for the hospital’s breastfeeding initiative. The numbers are continuing to increase and more families are aware of its importance. Jamaica hospital’s objectives for 2015 include, continuing to increase the exclusive breastfeeding rate, enrolling 500 women in the Centering Pregnancy program and enrolling more mothers into the off-campus breastfeeding peer support group.

Frequently Asked Questions About Breastfeeding

breastfeed78368692Whether you are a first time mom or deciding to breastfeed for the first time, several questions are bound to arise. Here are a few answers to commonly asked questions:

  • Why breastfeed? – Your body has created milk especially for your baby. It helps build the immune system and aids in proper development. Breastfed babies are also less likely to develop ear infections, diarrhea and bacterial infections.
  • Is breastfeeding painful?- Breastfeeding should not be painful. If you are experiencing pain, the baby may not be latching on properly. This could be for several reasons, including the positioning of the baby while feeding or possibly, a condition called tongue tie.
  • Can I breastfeed if I don’t have large breasts? – Absolutely. The size of your breast should not affect your ability to produce milk.
  • How will I know if the baby is receiving enough milk?- There a few signs that will indicate your baby is getting enough milk, such as your breast feeling softer after nursing, your baby seems satisfied after being fed and continues to gain weight . The baby should have up to six wet diapers each day.
  • How long should I breastfeed? – Experts recommend that you breastfeed until the baby is 6-12 months old. However, it is a mother’s decision to determine when to wean the baby.
  • How can I return to work and still breastfeed? -You can pump and store the milk in bottles for future use.
  • Can I heat milk in a microwave? – This is not recommended. The best way to heat the milk is by running the bottle under warm water, because microwaving can cause hot spots that can burn the baby. Another option Is to place the bottle of breast milk in a pot of warm water, after it has been heated on the stove.
  • Should I stop once the baby gets teeth? There is no need to stop breastfeeding when the baby’s teeth come in. Good positioning can prevent painful bites.

Some women who are new to breastfeeding adjust easily while some may face common challenges. It may take a few tries before you develop a normal routine. Until then, do not become discouraged. If you have more concerns about breastfeeding you can speak with your doctor. To make an appointment with a lactation consultant at Jamaica Hospital, please call 718-291-3276. Jamaica Hospital also offers several support groups for pregnant women including the breastfeeding support group and centering pregnancy; visit www.JamaicaHospital.org  for more details.

Jamaica Hospital Earns Recognition On Top Performers List

welldone461215725-210x150Jamaica Hospital Medical Center has been rated as one of New York City’s top performing hospitals by The Joint Commission-which is the nation’s oldest and leading authority in patient care standards. The hospital has also been recognized to be the only hospital in Queens to appear on the list of Top Performers on Key Quality Measures program. Jamaica Hospital earned recognition for its quality of care in treating patients with heart attacks, pneumonia, surgical care and heart failure.

According to The Joint Commission each of the top performers must, “1) achieve cumulative performance of 95 percent or above across all reported accountability measures; 2) achieve performance of 95 percent or above on each and every reported accountability measure where there are at least 30 denominator cases; and 3) have at least one core measure set that has a composite rate of 95 percent or above, and(within that measure set) all applicable individual accountability measures have a performance rate of 95 percent or above. “

The designation is an honor for staff and physicians who worked tirelessly to achieve this goal. “We are committed in following the best and most recognized standard of care,” said Dr. Romuald Slota, director of Jamaica Hospital’s Clinical Resource Management. Dr. Slota continued, “We follow each patient to make sure that they receive the best care from the time they are admitted to the time they are released.”

Jamaica Hospital has also implemented several community and support programs, such as the Transitional Care Unit to bridge the continuity in care beyond a patient’s release. “Maintaining excellent patient relationships has always been a priority for this facility,” and “We want the community to know that we will continue to work hard and make strides in providing the best quality of care,” said Dr. Slota.

First Babies of 2015 in the MediSys Health Network!

Jamaica 2015 First baby

First Baby Jamaica Hospital 2015

The first baby of the New Year is always a special event for each of our two hospitals. This year neither Jamaica nor Flushing Hospital Medical Center had the honor of having the first baby born in New York City; however, our first babies are still extra special to us. The first MediSys babies posed beautifully for our photographer. Special thanks to the staff that assisted with these deliveries.

Congratulations to the moms! We wish them and their families a lifetime of happiness.

These are our first babies of the New Year:

Jamaica Hospital Medical Center

Baby Boy:  Lucas Chance

Weight: 6 lbs. 4 oz

Length: 18”

Time: 12:20 A.M. on 1/1/15

Mother: Sabrina Chance

Flushing 2015 First baby

First Baby Flushing Hospital 2015

Flushing Hospital Medical Center

Baby Girl: Anisa Khan

Weight: 7 lbs 8 oz.

Length: 20”

Time: 1:53 AM on 1/1/2015

Mother: Bibi Hussain