Friday, December 22, 2017

I’m Perfectly Healthy, So Why Do I Need to See a Doctor?

You feel fine.  You seem healthy, so why should you visit the doctor?

This point is often forgotten, as we go about our busy lives, taking care of others, our homes, our cars, neglecting our health.  On flights, they tell you in an emergency to first put on your oxygen mask, then help others.  The correlation follows: If we don’t care for ourselves, we won’t be able to care for our loved ones.

An annual exam can uncover a number of hidden problems, such as the beginning of adult onset diabetes, elevated blood pressure or cholesterol or weight issues.  During an exam, discuss any new aches or pains, which could be early signs of arthritis.  Extra weight can cause undue pressure on your joints.  Addressed early, some issues can be treated or avoided.

Benefits of Excercise

We all know that good health depends on a certain level of physical activity. The American College of Sports Medicine points out that exercise offers many benefits, including the following:

Exercise improves your mood: It makes you feel happy and relaxed by stimulating chemicals in your brain, reducing feelings of depression and anxiety.
Exercise helps manage weight: Exercising makes it easier to keep your weight under control. To burn 100 calories, most people need to walk or run about one mile.
Exercise promotes better sleep: Who wouldn’t want to fall asleep faster and sleep deeper?
Exercise can be fun: Activities such as dancing or even pushing your child on the swing make exercise enjoyable.

“One of the most important things you can do for your health is to incorporate physical activity and exercise into your daily routine,” commented Laura Beck, MSP, director of Outpatient Rehabilitation at St. Charles Hospital. “The physical, social and psychological benefits are so widespread.  There is no need to make up for years of inactivity overnight. Start slowly and build up gradually. Be creative and try to find activities that you enjoy as you will be more likely to stick with it.”

According to the Centers for Disease Control and Prevention (CDC), children should be doing age-appropriate exercise for an hour or more every day, including aerobics, muscle strengthening and bone strengthening. Aerobics—for example brisk walking or running—should account for most of your child’s daily exercise. Gymnastics, push-ups and other muscle-strengthening activities, as well as bone-strengthening exercises such as jumping rope, should be included at least three days a week. For adults, the CDC recommends at least 150 minutes per week of both aerobic and muscle-strengthening activities for good health. It can be broken up into as little as 10 minutes of moderate or vigorous exercise at a time.

To find information on a walking club near you, click here

Healthy Holiday Tips and Tricks

Eat a small, balanced meal or snack before you leave home (e.g. ¼ cup almonds). If you arrive to the party hungry, you’ll be more likely to overindulge.
  • Ask if you can bring a healthy side-dish or a “lightened up” dessert
  • Study ALL of the food options, and think about what you are going to have before you put anything on your plate. Decide which foods are worth eating and which can be ignored, and then stick to that decision.
  • If you taste something that you don’t enjoy, leave it on your plate—don’t finish it!
  • Choose vegetables first. Broccoli, baby carrots, cauliflower and tomatoes are good choices that are usually on the appetizer table. Fill half your dinner plate with salad.
  • Eat chips and crackers in moderation, and definitely avoid eating them straight from the bowl. Put some on a small plate so you can see your portion. 
  • Try not to hang out near the food to avoid grazing. Find a comfortable spot across the room and focus on socializing instead of eating.
  • Sip a large glass of water or fruit-flavored seltzer. This will keep you hydrated and provide you with a better option than alcohol or sugary drinks.
  • Make physical activity a priority during the holiday season. Plan to attend your usual exercise session the day of a party and if you over-indulge take a walk after a big meal.  
  • Suffering from Seasonal Allergies

    Due to spring’s late start, many Long Islanders may have forgotten to take seasonal preventative steps to avoid irritating allergy symptoms.  Now that spring is here, blossoming flowers and trees, and of course, seasonal allergies are here as well. A runny nose and watery eyes are no fun, but there are ways to deal with your allergies and control symptoms.

    “Sneezing, coughing, difficulty breathing, itchy-watery eyes, are the initial signs of an allergic reaction. Due to a longer than usual winter in the Northeast, allergy season was delayed a few weeks,” explained Louis Guida, MD, FCCP, allergist on staff at St. Charles Hospital. “The pollens are now in full bloom. One must remember an allergen is an irritant that causes

    How can you reduce the discomfort?Due to spring’s late start, many Long Islanders may have forgotten to take seasonal preventative steps to avoid irritating allergy symptoms.  Now that spring is here, blossoming flowers and trees, and of course, seasonal allergies are here as well. A runny nose and watery eyes are no fun, but there are ways to deal with your allergies and control symptoms.

    “Sneezing, coughing, difficulty breathing, itchy-watery eyes, are the initial signs of an allergic reaction. Due to a longer than usual winter in the Northeast, allergy season was delayed a few weeks,” explained Louis Guida, MD, FCCP, allergist on staff at St. Charles Hospital. “The pollens are now in full bloom. One must remember an allergen is an irritant that causes an inflammatory process leading to some of the previously mentioned symptoms.”

    How can you reduce the discomfort?
    • Take antihistamines immediately to help manage and prevent allergy symptoms, such as inflammations and sinus infections.
    • Use a saline solution or neti pot to cleanse nasal passages and rinse away allergens that stick to membranes in the nose, to prevent inflammation in the sinus passages and respiratory tissues. 
    • More over-the-counter (OTC) sprays and other remedies are available, including some that previously required a prescription. Do not over use them, as that can cause irritation and bleeding. Also, they can have significant side effects, including, but not limited to, hypertension and prostate enlargement. Please check with your health care provider prior to taking OTCs.
    • If you are experiencing any signs of sinusitis, asthma or upper respiratory tract infections, or if sneezing symptoms persist, consult your doctor. If you are prescribed allergy medications, please use only as directed.
    • Plan for good health: It’s recommended that sufferers know their allergens. Ask your doctor to test to find out what you’re allergic to, so you can take medication before symptoms begin. This usually helps allergy sufferers feel better throughout the changing seasons.
    • Take antihistamines immediately to help manage and prevent allergy symptoms, such as inflammations and sinus infections.
    • Use a saline solution or neti pot to cleanse nasal passages and rinse away allergens that stick to membranes in the nose, to prevent inflammation in the sinus passages and respiratory tissues. 
    • More over-the-counter (OTC) sprays and other remedies are available, including some that previously required a prescription. Do not over use them, as that can cause irritation and bleeding. Also, they can have significant side effects, including, but not limited to, hypertension and prostate enlargement. Please check with your health care provider prior to taking OTCs.
    • If you are experiencing any signs of sinusitis, asthma or upper respiratory tract infections, or if sneezing symptoms persist, consult your doctor. If you are prescribed allergy medications, please use only as directed.
    • Plan for good health: It’s recommended that sufferers know their allergens. Ask your doctor to test to find out what you’re allergic to, so you can take medication before symptoms begin. This usually helps allergy sufferers feel better throughout the changing seasons.

    Managing Stress

    We all experience stress; being able to recognize and manage symptoms can dramatically improve your overall health.  Elevated stress levels affect your body, mood and your behavioral health. 

    Some common symptoms:
    Physical: Stress can cause headaches, muscle tension or pain, chest pain, fatigue, upset stomach or sleep problems.

    Psychological: There may be increased anxiety, restlessness, lack of motivation or focus, a feeling of being overwhelmed, irritable, angry, sad or depressed.

    How to manage symptoms:
    • Eat a healthy diet
    • Exercise regularly
    • Get plenty of sleep
    • Seek professional counseling if needed
    • Practice relaxation techniques such as yoga, deep breathing, getting a massage, or learning to meditate
    • Take time for hobbies you enjoy, such as reading a book, listening to music, or volunteering
    Don't allow stress to damage your health or quality of life. Be proactive. Start practicing stress management today. 

    View Executive Vice President & System Chief Medical Officer Patrick O'Shaughnessy, DO, discuss the importance of managing stress:



    Living Better with Diabetes

    Type 2 diabetes, the most common form of diabetes, is also known as adult-onset or noninsulin-dependent diabetes and is a chronic condition that affects the way your body metabolizes the sugar needed to fuel your body. With Type 2 diabetes, your body does not use insulin properly; this is called insulin resistance.

    When glucose builds up in the blood, it can cause issues. Your cells may be starved for energy, and over time, high blood glucose levels may hurt your eyes, kidneys, nerves or heart.

    Some people with Type 2 diabetes can control their blood glucose with healthy eating and exercise. But, eventually, your doctor may need to prescribe oral medications or insulin to help you meet your target blood glucose levels. In some cases the disease can progress over time—even if you don’t need medications at first, you may need them later.

    Obesity can be a risk factor for developing the disease, but weight loss can help to improve Type 2 diabetes in those who are overweight or obese.

    Common symptoms of Type 2 diabetes can include fatigue, extreme thirst, frequent or increased urination, blurred vision excessive hunger and sores or cuts that won’t heal. If you are experiencing these symptoms regularly, your doctor may want to test for the disease.

    Early recognition of diabetes by your health care provider is crucial in avoiding complications.  Routine diabetes screenings usually begin at the age of 45. Measuring your A1C involves a simple blood test that provides information regarding levels of blood glucose or blood sugar over three months. The higher the A1C, the greater your risk of diabetes. If you have a fasting blood glucose level of 126 milligrams per deciliter (mg/dl) or greater on two occasions, then you have diabetes. Also, if your doctor gives you an oral glucose tolerance test and at two-hours, your blood glucose is 200 mg/dl or greater, you have diabetes.

    Watch #CHS's Executive Vice President & System Chief Medical Officer Patrick O'Shaughnessy, DO discuss discuss Type 2 Diabetes:

    Tips to Avoid the Flu

    Influenza is a contagious respiratory illness caused by influenza viruses, people of any age can contract it. Some individuals, including the elderly, young children and those with certain health conditions, are at greater risk for serious flu complications. On an average year, as many as 49,000 deaths and almost 300,000 hospitalizations in the U.S. are attributed to the flu.

    The Centers for Disease Control and Prevention recommends getting vaccinated each year, as soon as the vaccine is available. Flu activity begins in November and can occur as late as May. For information regarding the 2017-2018 flu season visit: https://www.cdc.gov/flu/about/season/flu-season-2017-2018.htm
    Here are some additional tips to stop the spread of influenza and other illnesses:
    • Cover your mouth and nose with a tissue when coughing or sneezing
    • If a tissue is not available, cough or sneeze into your arm
    • Wash your hands often with soap and water (or an alcohol-based sanitizer) for 20 seconds
    • Stay home from work or school and otherwise avoid contact with others when sick