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Migraines

Posted on 12 July, 2016 at 11:42 Comments comments (14)
A migraine is evaluated based on two main categories, which is based on the presence or absence of aura. If you are not sure if this is a headache you should be concerned about, please keep a log of the headache onset and when it ends. Follow up with your medical provider and a  neurologist.

Legionnaire's disease can be considered as a severe form of pneumonia that can cause symptoms such as cough, chills, and high fever. The disease is spread through inhalation of contaminated steam or moisture. Legionnaires' disease is serious and can be li

Posted on 8 October, 2015 at 12:58 Comments comments (0)
Legionnaires' Disease Outbreak!  Importance: High :
Legionnaires' disease is a severe form of pneumonia — lung inflammation usually caused by infection. Legionnaires' disease is caused by a bacterium known as legionella. Legionella bacteria is usually found (often in harmlessly low numbers) in sources of water, such as ponds, rivers and lakes.

However, the bacteria can rapidly multiply if they find their way into artificial water supply systems, such as air conditioning systems. Most cases of Legionnaires' disease can be traced to whirlpool spas, hot tubs, humidifiers, hot water tanks, cooling towers, and evaporative condensers of large air-conditioning systems.

Symptoms usually appear two to 10 days after significant exposure to Legionella bacteria. Legionnaires' disease cannot be spread from person to person. One becomes infected by inhaling mist/water vapor that is contaminated with the Legionella bacteria. 

If you have respiratory symptoms, such as fever, cough, chills and muscle aches, seek prompt medical attention. Additional symptoms include: headache, fatigue, loss of appetite, confusion and diarrhea. Most cases of Legionnaire's disease can be treated with antibiotics. In some cases, Legionnaires' disease can lead to further, life-threatening problems. Severe infection can cause some organs, such as your lungs or kidneys, to stop working properly.

If you are experiencing any of these symptoms  you should call your doctor and ask about testing for Legionnaire's disease. Legionnaires' disease can have symptoms like many other forms of pneumonia, so it can be hard to diagnose.  

Groups at high risk for Legionnaire's disease include:
  • People who are middle-aged or older; 
  • Cigarette smokers, 
  • People with chronic lung disease or weakened immune systems, 
  • People who take medications that weaken their immune systems (immunosuppressive drugs).
  • Recent travel with an overnight stay outside of the home
  • People who,recently repairs or maintenance work on domestic plumbing
  • People suffering with Diabetes

The best way to prevent an outbreak of Legionnaires’ disease is to ensure that any water system under your control is properly maintained and conforms to relevant health and safety regulations.  


September is Gynecologic Cancer Awareness Month: All women are at risk for gynecologic cancers, and risk increases with age. It is especially important to recognize warning signs, and learn if there are things you can do to reduce your risk.

Posted on 13 September, 2015 at 1:34 Comments comments (27)
Gynecologic cancers are the uncontrolled growth and spread of abnormal cells originating in the female reproductive organs, including:
  •  the cervix, ovaries, uterus, fallopian tubes, vagina and vulva. 

HPV is A very common infection which spread easily by skin-to-skin contact. High-risk types of genital HPV can cause cancer of the cervix, vagina, vulva, anus, penis, and throat. The type of cancer HPV causes most often is cervical cancer.

Prevent Getting or Spreading HPV? reduce your risk of Cervical and other cancers.

  •  Get the HPV vaccine. It can protect women against two of the HPV types that cause 70 percent of all cases of cervical cancer.

  • Abstain from sex play that involves skin-to-skin contact.

  • If you choose to have vaginal or anal intercourse, use condoms every time. They can reduce the risk of HPV.

There are five main types of Gynecologic Cancer: 
  • Cervical, ovarian, uterine, vaginal, and vulvar cancer are the five main types of Gynecologic Cancer. Signs and symptoms are not the same for everyone and each gynecologic cancer has its own signs and symptoms.
 
See symptoms chart for the five main gynecologic cancers below:
How are gynecologic cancers treated?

  • Gynecologic cancers are treated by using one or more of the following: surgery, radiation therapy and/or chemotherapy. The choice of therapy(s) depends on the type and stage of the cancer.

If you have vaginal bleeding that is unusual for you, see a doctor right away. If you notice any other unexplained signs or symptoms that last for two weeks or longer, talk to your doctor remember when gynecologic cancers are found and treated early, treatment works best.



September is Childhood Cancer Awareness Month. Join forces to ensure that children receive the best possible care, at the time of diagnosis and beyond.

Posted on 3 September, 2015 at 1:00 Comments comments (10)
Cancer is a disease that develops when normal body cells change and begin to grow in an abnormal and uncontrolled wayMost cancers in children, like those in adults, are thought to develop as a result of mutations in genes that lead to uncontrolled cell growth and eventually cancer. Most cancers are initially recognized either because of the appearance of signs or symptoms or through screening. Neither of these lead to a definitive diagnosis, which requires the examination of a tissue sample by a pathologist

The types of cancer that largely affect children include: leukaemias, neuroblastomas, Wilms’ tumours, brain cancers, rhabdomyosarcomas, lymphomas, retinoblastomas, osteosarcomas and Ewing’s sarcomasPeople with suspected cancer are investigated with medical tests. These commonly include:

  •  blood tests,
  • X-rays, CT scans 
  • and endoscopy.

The most common type of childhood cancer is leukemia- a cancer of the blood which begins in the bone marrow, (the spongy substance inside our bones where blood cells are made)The symptoms of these leukemias include:
  • bone and joint pain, 
  • fatigue, weakness, 
  • pale skin, 
  • bleeding or bruising, 
  • fever, 
  • weight loss, 

Brain and central nervous system tumors are the second most common cancers in children. A brain tumor is a mass or growth of abnormal cells in your brain or close to your brain There are many types of brain tumors. The symptoms depend on the location of the tumour, and the treatment and outlook for each is different.

As the tumor grows, it creates pressure on and changes the function of surrounding brain tissue,
which causes signs and symptoms, such as:
  • headaches, 
  • nausea 
  • and balance problems.

It is upsetting for parents, family, and friends when a child is diagnosed with cancer. People around you feel better when they can do something or provide something you or your family needs. It helps them and you.

  • Allowing people to help you is very important. But it is also important to show your appreciation when others help you, and to be aware they may be juggling busy schedules, too. Let your community know that it is OK to tell you if they can’t do something you ask them to do. It can also help to have someone coordinate such efforts for you. Some research shows that it is not how many things people do for you, but the knowledge that there are people willing to help out that provides the most comfort.

  • Ask your pediatrition or family doctor about a refferal to children cancer center. Children who have cancer are often treated at a children’s cancer center, which is a hospital or a unit within a hospital that specializes in diagnosing and treating children and adolescents who have cancer.  The health professionals at these centers have specific training and expertise to provide comprehensive care for children, adolescents, and their families.

While coping with a cancer diagnosis and managing the treatments is painful and challenging, it is important to remember that the majority of children’s cancer patients survive this frightening disease.

While coping with a cancer diagnosis and managing the treatments is painful and challenging, it is important to remember that the majority of children’s cancer patients survive this frightening disease.


August is National Immunization Awareness Month. Immunization helps prevent dangerous and sometimes deadly diseases. Protect your Child with Measles and other diseases preventable Vaccines.

Posted on 10 August, 2015 at 5:19 Comments comments (18)
Immunization protects all of us so don’t wait-vaccinate! 

Vaccines are used to boost your immune system and prevent serious, life-threatening diseases.  Vaccination is important because it not only protects the person receiving the vaccine, but also helps prevent the spread of diseases to others-especially those who are most vulnerable to serious complications, such as infants and young children, the elderly, and those with chronic conditions and weakened immune systems.

It’s important to know which shots you need and when to get them.  Talk to your doctor or nurse, get a list of recommended immunizations and inquire whether you and your loved ones are up-to-date, make sure that everyone in your family gets the shots they need, it is the safest and most effective way to protect yourselves against some diseases.

Vaccines are needed throughout our life time.Vaccines are an important step in protecting against serious and sometimes, deadly diseases.  Get immunized and stay protected against serious illnesses like the flu, measles, and pneumonia. 

Two of the most common Vaccine preventable diseases are Measles & Flu.

  • Measles is caused by a virus. Measles is extremely contagious, and is spread through the air by coughing, sneezing, and even breathing. It can lead to ear infection, pneumonia, seizures (jerking and staring), brain damage, and death. Everyone  who is not protected against measles is at risk of getting infected. 

  • Influenza (Flu) Flu is a seasonal illness, occurring mainly during the winter. It causes fever, sore throat, cough, headache, chills and muscle aches, and can lead to sinus infections, pneumonia, inflammation of the heart, and death. Flu causes more deaths each year than any other vaccine preventable disease. Most of these deaths are among the elderly, but flu also kills children. Hospitalization rates are high among children, especially those under 1 year old. 

DTap/Tdap and MMRV boosters, protects against several serious diseases, 

  • DTap or Tdap:tetanus, diphtheria and pertussis (whooping cough)

  • MMR or MMRV:measle, mumps, rubella, and chicken pox

Talk with your doctor about whether you need special immunizations because you:
  • Are in close contact with people who have an infectious disease.
  • Have planned international travel, especially to developing countries.
  • Live with or visit a pregnant woman or baby.
  • Live with someone who has an impaired immune system

Current recommendations are available at the CDC website: http://www.cdc.gov/vaccines/schedules.

 

Legionnaires' Disease Outbreak In South Bronx:Legionnaires' disease is a severe form of pneumonia — lung inflammation usually caused by infection.

Posted on 3 August, 2015 at 13:51 Comments comments (11)
Importance: High

For staff working in the Bronx, who may be concerned about the Legionnaires' disease outbreak, you may want to share the following information:

Legionnaires' disease is caused by the Legionella bacteria. The Legionellabacteria are found naturally in the environment, usually in water. The bacteria grow best in warm water, like the kind found in
  • Hot tubs
  • Cooling Towers
  • Hot water tanks
  • Large plumbing systems
  • Decorative fountains

There have been more 45 cases of Legionnaires' disease reported over the past 2 weeks in the South Bronx, resulting in 2 deaths. Both deaths were individuals in their 50s with other underlying medical problems.

Health officials are urging New Yorkers, particularly in the South Bronx, presenting with respiratory symptoms, such as fever, cough, chills and muscle aches,to seek prompt medical attention.

Additional symptoms include: headache, fatigue, loss of appetite, confusion and diarrhea. Symptoms usually appear two to 10 days after significant exposure to Legionella bacteria.

Legionnaires' disease cannot be spread from person to person. One becomes infected by inhaling mist/water vapor that is contaminated with the Legionella bacteria.

Most cases of Legionnaires' disease can be traced to whirlpool spas, hot tubs, humidifiers, hot water tanks, cooling towers, and evaporative condensers of large air-conditioning systems.

The New York City water supply does not pose a risk and Commissioner of Health, Mary Bassett, urged people to feel confident in drinking tap water to stay cool during this period of hot weather

.Who is at Risk?:

  • Groups at high risk for Legionnaire's diseaseinclude people who are middle-aged or older; especially cigarette smokers, people with chronic lung disease or weakened immune systems, and people who take medications that weaken their immune systems (immunosuppressive drugs).

  • Those with symptoms should call their doctor and ask about testing for Legionnaire's disease.

The investigation has now identified (2) cooling towers in the Bronx that have tested positive for Legionella, one at Lincoln Medical Center and one at the Concourse Plaza Mall.

  • Those towers are being disinfected and flushed.Testing will be done to determine if the strains of Legionella in these cooling towers are the same strains that have caused illness in 45 people.

If these cooling towers are the source of the outbreak, the numbers of new cases should begin to decline.

The key to preventing legionellosis is maintenance of the water systems in which Legionella grow. There are no vaccines that can prevent legionellosis. Persons at increased risk of infection may choose to avoid high-risk exposures, such as being in or near a hot tub.

Protect your baby from group B strep. If you have GBS, your baby can get very sick and even die if you are not tested and treatedGetting screened for GBS late in pregnancy – and receiving antibiotic treatment during.

Posted on 3 July, 2015 at 3:05 Comments comments (5)
Do You Know What is group B streptococcus?


  • Group B strep (GBS) is a kind of bacteria that many people harbor in their intestinal tracts. The bacteria may also inhabit (or "colonize") your vagina as well, and be passed on to your baby during labor and birth.


While GBS is generally harmless in healthy adults, it may cause stillbirth and serious infections in babies. Getting screened for GBS late in pregnancy – and receiving antibiotic treatment during labor if you're a carrier –  greatly reduces your baby's risk of becoming infected. .

What Does Being a GBS Carrier Mean?


  • Being a carrier for GBS bacteria does not mean you have an infection. It only means you have these bacteria in your body. You would not feel sick or have any symptoms. These bacteria are usually not harmful to you—only to your baby during childbirth or soon after being born.


Carrying GBS bacteria also does not mean that you are not clean, and it does not mean that you have a sexually transmitted disease. The bacteria are not spread from food, sex, water, or anything that you might have come into contact with. These bacteria can come and go naturally in the body. 

The group B strep test is done during pregnancy to identify women who carry this common bacterium.
What are the consequences of early-onset GBS disease?

  • Early-onset GBS disease can causesepsis (an infection in the blood),pneumonia, and, less frequently, meningitis. Some of these babies, particularly thosewith meningitis, will have long-term health problems such as:
  •  hearing or vision loss
  •  cerebral palsy, or developmental disabilities
  •  and about 5 percent won't survive. 

If you're pregnant, your health care provider will likely recommend a group B strep test during the third trimester. Because you can test positive at certain times and negative at other times, you'll need to repeat the group B strep test each time you're pregnant.


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June is Men's Health Awareness Month: Talk to your doctor about your risk of prostate cancer and whether you need screening testsProstate Cancer is the second leading cause of death from cancer in men..

Posted on 29 June, 2015 at 3:24 Comments comments (11)

Once males get over the age of 40, their prostates grow --it's known as "benign prostate enlargement.The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum.  An enlarged prostate has been linked to a number of metabolic diseases such as diabetes and cardiovascular disease but the exact cause is not yet discovered.

There are often  no noticeable symptoms of prostate cancer while it is still in the early stages, making the PSA test a critical screening tool. Screening can help find many prostate cancers early.Screening refers to testing to find a disease such as cancer in people who don’t have symptoms of that disease. Prostate cancer screening consists of two examinations: 

  1.  (PSA),Testing the amount of prostate-specific antigen in a man’s blood. Annual PSA test screening should start at age 50 for the general population, but the right age to start the PSA test depends on the individual's level of risk.

  1. A digital rectal exam (DRE) is a screening test that helps find cancer and other health problems in the lower rectum, pelvis, and lower belly. 
  • During a DRE, the doctor gently inserts a lubricated, gloved finger into the rectum to feel for lumps, soft or hard spots, and other abnormalities; additional tests may be needed if an area of concern is found.
  • No special preparation is needed before a DRE, and you can go back to your usual activities right after.

    The common symptoms include:
    • slow urinary stream or a sudden urge to go to the bathroom.

    In more advanced stages, symptoms may include:
    •  difficult or frequent urination, 
    • blood in the urine or bone pain. 

    The effects of body weight, physical activity, and diet on prostate cancer risk are not clear, but there are things you can do that might lower your risk, such as:

    • Eating at least 2½ cups of a wide variety of vegetables and fruits each day.

    • Being physically active.

    • Staying at a healthy weight.

    Prostate cancer  can often be treated successfully. Prostate cancer treatment includes surgery, chemotherapy, cryotherapy, hormonal therapy, and/or radiation. In some instances, doctors recommend "watchful waiting."

    GET YOUR ANNUAL Prostate Cancer Screening TODAY!
    • A primary care physician can do both the PSA test and physical examination.
    • If you cannot afford a doctor visit; call a local hospital or clinic to learn about free screening.


     

    June is Cataract Awareness Month: One way to protect our vision is to make a commitment to take care of our eyes today, including getting a dilated eye exam, so we can help protect our sight for the future not just from cataract, but other eye diseases as

    Posted on 1 June, 2015 at 3:33 Comments comments (0)
    Cataract is a clouding of the eye’s lens which blocks or changes the passage of light into the eye.   It is the leading cause of blindness worldwide. Unlike many eye diseases, however, vision loss due to cataract can be restored.

    Cataract is probably caused by multiple factors acting together; even genetics, but there are many risk factors that can be controlled or eliminated through prevention and lifestyle changes. 

    Some of these risk factors are: 
    • Intense heat or long-term exposure to UV rays from the sun
    • Smoking
    • Diabetes
    • Long-time steroid use
    • Eye injuries

    Even though cataracts are so prevalent, they are very simple to treat. 

    • Cataracts can be detected during a thorough eye examination. The affected lens in your eye can be seen by the doctor while performing a variety of tests using specialized viewing instruments.

    •  The doctor will also perform a thorough examination of the eye to ensure any vision loss is not due to other eye problems, such as diabetes or glaucoma. 

    The most common symptoms of a cataract includes:
    • Cloudy or blurry vision.
    • Lights seem too dim for reading or close-up work, or you are "dazzled" by strong light.
    • Colors seem faded.
    • Glare. Headlights, lamps, or sunlight may appear too bright. A halo may appear around lights.
    • Poor night vision: Difficulties reading or driving at night
    • Double vision or multiple images in one eye. (This symptom may clear as the cataract gets larger.)
    • Frequent prescription changes in your eyeglasses or contact lenses.
    • These symptoms also can be a sign of other eye problems. 
    If you have any of these symptoms, check with your eye care professional.

    If you or a loved one has been diagnosed with cataracts, please request an appointment for your cataract surgery consultation.
    • Cataract Surgery is now one of the most commonly performed procedures in the United States and has a 95 percent success rate.

    One way to protect our vision is to make a commitment to take care of our eyes today, including getting a dilated eye exam, so we can help protect our sight for the future not just from cataract, but other eye diseases as well.


     



    May is National High Blood Pressure Education Month. High blood pressure makes your heart work too hard and increases your risk of heart disease and stroke.The goal of hypertension treatment is to lower harmful high pressures and protect important organs,

    Posted on 11 May, 2015 at 3:13 Comments comments (0)
    IT IS VERY IMPORTANT TO GET YOUR BLOOD PRESSURE CHECKED EVEN IF YOU ARE FEELING FINEHigh Blood Pressure is a silent Killer you can have it for years without knowing it, during this time,  HBP can damage your heart, blood vessels, kidneys, and other parts of your body. Making healthy changes to your lifestyle and knowing your blood pressure numbers will help you maintain, control and prevent High Blood Pressure (HPB).

    Blood pressure readings have two numbers, for example 140/90mmHg.

    • If your top number is 140 or more - then you may have high blood pressure, regardless of your bottom number.
    • if your bottom number is 90 or more - then you may have high blood pressure, regardless your top number.
    • If your top number is 90 or less - then you may have low blood pressure, regardless of your bottom number.
    • If your bottom number is 60 or less - then you may have low blood pressure, regardless of your top number

    While BP can change from minute to minute with changes in posture, exercise, stress or sleep, it should normally be less than 120/80 mm Hg (less than 120 systolic AND less than 80 diastolic) for an adult age 20 or over.

    Systolic
    • The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts).
     Diastolic:
    • The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood).

    Category
      Systolic
    (top number)
                  And
    Diastolic
     (bottom Number)
    Normal

    less than 120
    and/or

    Less Than 80
    Pre-hypertension

    100-139
    or

    80-139
    High Blood Pressure:

    Stage 1

    Stage 2
    140-159

    160 or Higher
    or
      150-159

    100 or Higher

    • If your blood pressure reading is higher than normal, your doctor may take several readings over time and/or have you monitor your blood pressure at home before diagnosing you with high blood pressure.

    • High blood pressure (HBP) is best treated with lifestyle changes and medicines. Everyone should be encouraged to make lifestyle modifications, such as eating a healthier diet, quitting smoking, Losing weight if you are overweight or obese, limiting alcohol to two drinks a day for men, one drink a day for women,  and getting more exercise.

    Please seek your doctor's advice on your specific condition.  Treating high blood pressure usually is a lifelong effort. Your doctor will give you a blood pressure goal that is based on your health.

    If your answer is yes to any or both of the following questions  below you shouldcall your doctor right away or seek immediate medical attention.

    Is your blood pressure is much higher than normal?  (such as 180/110 or higher).

    Do you think your high blood pressure is causing symptoms, such as:
    • Severe headache.

    • Blurry vision.
    • Nausea or vomiting.








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