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Relief from Sinusitis

Posted on: December 18, 2014

Oh, the Pressure! Relief from Sinusitis

by Dr. John Scott

A runny nose may seem par for the course in winter. The dry air, colds and flu all add up to sinus troubles. But occasionally nose problems veer into more serious territory. The term “sinusitis” refers generally to inflammation in the nasal passages that persists. The glands in the nose become irritated and produce excess mucus. The cause can be a cold virus, infection from bacteria that reside in the nasal passages, irritants in the air or a combination of these factors. Whatever the source, about 37 million Americans suffer from at least one episode of sinusitis yearly, according to the Mayo Clinic.

There are varying degrees of sinusitis: Acute sinusitis comes on suddenly and lasts 10 to 14 days. Subacute sinusitis refers to inflammation that lasts for four to eight weeks. Sinusitis becomes chronic when it lasts longer than two months. Along with a runny nose, patients often suffer from headaches, fatigue, and facial pain.

Often, sinusitis can be treated with mucus-thinning drugs, antibiotics, and sometimes steroids. The goal is to get the nose draining, to decrease the inflammation, and to treat any underlying infection. When the sinusitis persists and moves into the chronic category, an otolaryngologist may schedule a CT scan to check for nasal polyps. Polyps trap mucus and make a person more susceptible to infections.

If the patient has polyps, excess tissue, or trapped mucus, an otolaryngologist can use special surgical tools to access the sinus and clear up the problem. We do the procedures trans-nasally — there’s no need for incisions in the face.

Only a small percentage of patients with sinusitis wind up needing surgery. In fact, many people manage their congestion with over-the-counter remedies. I suggest using saline rinses, decongestants, and acetaminophen/ibuprofen combination painkillers. However, I recommend people avoid so-called neti pots, which irrigate the sinuses. The amount of saline is too high and the pressure is too forceful. The pots can actually worsen the infection by pushing bacterial-laden mucus deeper into the sinuses. Stick to room-temperature rinses. If those fail you, your internist can prescribe stronger measures such as the antibiotics and steroids. If you’re still suffering or have recurrent infections, it may be time to consider making an appointment with an otolaryngologist.

Advanced Sinus Care
Northern Westchester is on the leading-edge of nasal surgery. The use of advanced technology such as the Brainlab system allows surgeons access to narrow, incredibly sensitive areas of the nasal cavity. The instruments are CT-scan guided; during the operation surgeons can see exactly where the instrument is in the nose. This allows them to comprehensively remove damaged tissue and work more safely. We’re working incredibly close to the eyes and brain tissue, and you really want to be sure you’re not encroaching on those areas. The CT-scan guidance provides new levels of precision.

Another exciting development at Northern Westchester Hospital is Balloon Sinuplasty which is used to treat blocked sinuses. In this procedure, the doctor guides a balloon similar to those used for cardiac angioplasty into a blocked passage, gently inflating it and dilating the sinus opening. The balloon widens the passage, allowing mucus to drain more readily. Because there’s no cutting, the procedure leaves an undisturbed lining behind. This means there’s no scar tissue, and that will help keep the sinuses open.

Editor’s Note: Dr. John Scott is the Chief of the Division of Otolaryngology at Northern Westchester Hospital. He is a physician with the Mount Kisco Medical Group, and a 2013 New York Magazine Best Doctor and a Best Doctors in America recipient. In 2013 and 2014 he was recognized as a Castle Connolly and Westchester Magazine Top Doctor. Dr. Scott is board certified in Facial Plastic and Reconstructive Surgery and Otolaryngology Head and Neck Surgery.

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End of Year Giving

Posted on: November 24, 2014

The Season of Giving

by Keeva Young-Wright, President of the Northern Westchester Hospital Foundation

She was small in stature but massive in influence. With only an elementary-level education, she had an endless pool of wisdom from which to draw. She was my first and most powerful example of generosity, and yet to a less discerning eye, it may seem she didn’t have much to give.

She, was my grandmother, Mabel Edwards, and she had strongly-held beliefs about giving. “It is better to give than to receive,” she would say. I also fondly remember her empowering words, “Everyone has something to give.”

But many of us are intensely conflicted about giving. To whom do I give? How much do I give? Will my contribution be enough to have an impact? The needs are endless and our capacity to give surely has boundaries. The opportunities to give are numerous, sometimes paralyzing us with choices. Therein lies the conflict.

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American Diabetes Association Publishes New Nutrition Guidelines

Posted on: November 19, 2014

Healthful Eating

By Jill Ashbey-Pejoves

Earlier this year, the American Diabetes Association published new nutrition guidelines for people with diabetes. The ADA reviewed the available research on nutrition in diabetes and found that, when it comes to diet and diabetes, one size does not fit all.

According to the guidelines, the goals of nutrition therapy for adults with diabetes are “to promote and support healthful eating patterns, emphasizing a variety of nutrient dense foods in ap-propriate portion sizes in order to improve overall health.” Here are some highlights of changes to the ADA guidelines:

1. For good health, carbohydrate intake should come from vegetables, fruits, whole grains, legumes and low-fat dairy products, rather than carbohydrate sources containing added fats, sugars or sodium.
2. There is no minimum amount of carbohydrate necessary, the amount of carbohydrate, protein and fat in the diet should be based on the nutritional, metabolic and weight con-siderations of the individual.
3. Sugar (sucrose) consumption should be kept to a minimum in order to allow for more nu-tritious foods.
4. Sugar-sweetened beverages should be avoided all together, and may be replaced with diet beverages if desired.
5. People with diabetes should follow the same recommendations for intake of saturated fat, cholesterol, trans fat, and sodium as the general public:

Saturated fat <10% of total calories
Cholesterol <300mg per day
Avoid trans fat
Sodium <2300mg per day

6. Individuals who are overweight or obese should aim for modest weight loss (greater than or equal to 7% of their starting weight).
7. Nutrition counseling, preferably provided by a Registered Dietitian familiar with the com-ponents of diabetes nutrition therapy, is an important tool to help people with diabetes achieve their treatment goals.

The needs of the individual and the importance of honoring personal tastes and cultural prefer-ences are influential in encouraging people with diabetes to follow a healthful diet and lifestyle.

Try these healthy, delicious recipes:

Mini Crab Cakes with Dill Mayonnaise
Courtesy of Weight Watchers Simply Delicious

1 pound cooked jumbo lump crabmeat
1/4 c. plain dry bread crumbs
1/2 c. reduced-calorie mayonnaise
1/4 c. grated onion
4 tsp Dijon mustard
1 egg white
4 drops hot pepper sauce
1/2 c. cornflake crumbs
1/4 c. sweet pickle relish
2 Tbsp chopped dill
1 Tbsp canola oil

1. Combine the crabmeat, bread crumbs, 1/4 cup of the mayonnaise, onion, 3 teaspoons of mustard, egg white, and hot pepper sauce in a bowl. Form into 14 patties.
2. Place the cornflake crumbs on wax paper. Dredge the patties in the crumbs, transfer to a plate, and refrigerate, covered, for 30 minutes
3. Combine remaining 1/4 cup mayonnaise, relish, dill and mustard in small bowl.
4. Heat oil in a large nonstick skillet. Add the patties a few at a time; cook until crisp and golden, about 3 minutes. Flip and cook 2-3 minutes more. Serve with the mayonnaise mixture.

Calories: 94; Fat: 5g; Sat Fat: 1g; Sodium: 252mg; Carbohydrate: 6g; Protein: 7g

Ginger-Spiced Pumpkin Pie
Courtesy of Diabetes Self-Management Magazine

1 c. finely crushed gingersnap cookies
1/4 c. margarine or butter, melted
2 large egg whites
3/4 c. packed light brown sugar
1 can (15 ounces) solid-pack pumpkin
1 c. canned evaporated skimmed milk
1 tsp vanilla
1 tsp ground ginger
1 tsp ground cinnamon
1/2 tsp salt

1. Combine crushed cookies and margarine/butter in medium bowl; mix well. Press onto bot-tom and up sides of a 9-inch, deep-dish pie plate. Refrigerate 30 minutes.
2. Preheat oven to 350 degrees F. Beat egg whites and brown sugar in large bowl. Add pump-kin, milk, vanilla, cinnamon, ginger and salt; mix well. Pour into crust.
3. Bake 60-70 minutes or until center is set. Transfer pie to wire rack; cool 30 minutes. Serve warm or at room temperature.

Serves 8
Calories: 230, Fat: 7g, Sat Fat: 1g, Sodium: 355mg; Carbohydrate: 38g; Protein: 5g.

Editor’s Note: Jill Ashbey-Pejoves RD, CDE, CDN is a Registered Dietitian at Northern Westchester Hospital.

The Center for Diabetes at Northern Westchester Hospital is dedicated to providing a wide range of services and programs for people with diabetes. In addition to supporting the needs of inpatients, the Center offers a comprehensive outpatient education program that focuses on meeting the individual needs of persons living with diabetes and their families. The Center also sponsors a monthly diabetes support group for adult patients. For more information on any of our Diabetes programs, call 914.666.1861.

The National Diabetes Education Program (NDEP) and its partners want you to know that if you have diabetes, you are at greater risk for heart disease. Lower that risk by managing the diabetes ABCs: the A1C test, Blood Pressure, Cholesterol and Stop Smoking. Learn how to control the ABCs of Diabetes.


New York Labor and Delivery Nurse on the Helpful Aspects of Electronic Fetal Monitoring

Posted on: November 18, 2014

Why Electronic Fetal Monitoring is a Woman’s Friend

by Enid Nwosisi

What is Electronic Fetal Monitoring?
As a labor and delivery nurse, I find that the majority of expectant moms need electronic fetal monitoring (EFM) at least once during their pregnancy. In addition, during labor, all women need EFM, either intermittently or continuously.

By providing critical information about the medical status of fetus and mother during pregnancy and labor, EFM plays an essential role in helping to ensure a successful pregnancy and delivery. The test results either reassure the care provider and family that the pregnancy and delivery can continue safely, or indicate the need for intervention.

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Use by date, Sell by date, Food safety

Posted on: November 14, 2014

The Sniff Test

by Amy Rosenfeld

How often do you take something from the refrigerator, smell it, and then promptly turn to the nearest unsuspecting family member and say, “How does this smell to you?” Foods can develop an off odor, flavor or appearance related to bacteria, and while the “sniff test” has become a way of life for most of us, there are certainly safer ways of determining if something in your fridge is still edible?

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