- Infectious DiseaseGeneral Page Tier 3BlogOver the past few weeks, President Trump’s recent diagnosis has brought attention to the treatments available for people who have COVID-19. We’ve been hearing a lot about some of these therapies lately. Some of them have a lot of research behind them. Others are more theoretical. Here’s what we know right now. Research shows there are a few medications and treatments that could help people who have COVID-19. They include steroids, such as dexamethasone, and Remdesivir, an anti-viral drug. There is also antibody therapy with convalescent plasma. Convalescent plasma is antibodies from COVID-19 survivors. It can help a patient’s symptoms, shorten their hospital stay and reduce death risk among patients in the hospital. Researchers are also testing other novel drugs now, with the consent of thousands of willing and hopeful patients and families. We are seeing the benefits of these treatments. For example, we don’t need as many ventilators for COVID-19 patients. This is great progress. But it doesn’t mean that COVID-19 is no longer a threat. Cases are rising in many parts of the country and we need to remain on guard. Still, it is gratifying to know that the medical community is fully behind efforts to find better preventions and treatments. In terms of prevention, we are excited to share with county residents some promising research happening at Anne Arundel Medical Center. We are testing convalescent plasma in two important situations. One is for people who have recently been highly exposed to someone with COVID-19, but who test negative. The other is for people who are newly COVID-19 positive, but have mild symptoms. We’ve seen promising results of COVID-19 antibodies in patients who are in the hospital. These studies will test whether the antibodies can prevent people from getting infected or prevent more serious illness in patients with a recent COVID-19 diagnosis. This is good news for the many county residents who test positive each day. And it’s good news for those who have had exposure to a household member or other close contact with the virus. If you have recently been exposed to or tested positive for COVID-19, you may be eligible to participate in either of these studies. Visit CovidPlasmaTrial.org to learn more. Or email us at AAMC at [email protected]. Enrollment is only possible for a short time after exposure or date of positive test. Author Barry Meisenberg, M.D., is the Chair of the Department of Medicine and Chief Academic Officer at Anne Arundel Medical Center and Luminis Health.0
- Cancer CareGeneral Page Tier 3BlogThe use of tobacco can often lead to nicotine dependence and other resulting health problems. However, people who smoke always have the option to quit. In fact, the number of former smokers has been greater than the number of current smokers since 2002, according to the Centers for Disease Control and Prevention (CDC). If you have made the decision to quit smoking, you should be aware of a few common misconceptions. Getting the facts about quitting smoking is important in order to make your journey to a tobacco free life a little easier! Misconception: Today is the day! I quit smoking. Actually… you should have a plan. It is easy to be impulsive, wake up one day and decide to throw away your cigarettes. But making a huge lifestyle change like quitting smoking requires a plan. You want to set yourself up for success. It is important to be prepared for the triggers – those routines and habits that you built around smoking. You will need alternative activities when you stop smoking. Preparing for potential urges or cravings to smoke is critical to staying on track. If you are more comfortable when you quit smoking, you will be more likely to stay on track. You may experience “recovery symptoms”, (also known as nicotine withdrawal). Understanding why those symptoms are occurring and learning tools and strategies to manage them can help you cope and not be thrown off when they happen. Misconception: All I need to do is take a pill or put on a patch! Actually… your plan should include other strategies in addition to medication. There are seven FDA-approved products that can help you to quit smoking. Combining smoking cessation medication with some type of supportive classes or counseling can double your chances of quitting successfully. Try not to fall into the trap of a miracle cure or the latest novel product, like e-cigarettes. These have not been fully tested as an effective tool for quitting smoking. There are many options that have been tested and proven to be effective. Misconception: I won’t tell anyone I’m quitting…just in case I don’t! Actually… it’s good to have support. Don’t keep it a secret. Support is very important to your success. Find people who will celebrate your successes and will support you through the tough times. Let people know how they can help you in your journey to quit smoking. There are several options for getting the support you need – classes, individual counseling, online, smart phone apps, text-to-quit programs and Nicotine Anonymous groups. Misconception: I’ll never be able to quit, I have tried a thousand times! Actually… you’re doing a great job and you should be more forgiving of yourself. It’s easy to think that it’s one-and-done. Unfortunately, when you quit smoking, like any other addictive substance, slips and relapses are part of the process. Learning how to manage slips and avoiding relapses is important. Learn from your experience and apply it to your next quit attempt. It’s not an event, it’s a process. Be kind to yourself and keep trying! Misconception: Quitting smoking is all about willpower! Actually… not really. You may think it’s all about willpower and if you can’t do it on your own that it’s a personal failure or weakness, but quitting tobacco is a tall order. Nicotine is a highly addictive chemical. Don’t forget about all the resources, support and medications available to you. You can do this! Misconception: This plan worked for my friend, surely, it’ll work for me too! Actually… plans are very individualized. What works for someone else may not necessarily work for you. Talk to your health care provider or a tobacco treatment specialist to discuss options and determine the best plan for you. Here are a few things you can do to keep moving ahead on the path to quitting smoking: Visualize yourself as a nonsmoker. If you’ve been smoking for many years, you may not remember a time when you did not smoke. Try picturing yourself as a non-smoker, going through your daily routines without a cigarette or using tobacco. Visualizing yourself as a non-smoker can prepare you for when you actually quit. When you first quit smoking, you may feel uncomfortable and awkward. You may feel like you don’t know what to do with your hands, during a work break, on the phone or when driving. Think about how you can handle these situations differently. Perhaps using a cinnamon stick or a straw if you need something to hold; replace your breaks with walks; doodling while you’re on the phone; and sipping on a water bottle in the car. These little tricks can help you get through those challenging times. Celebrate small successes. If you quit for two days or two weeks – those are wins! That means you can go without smoking and you can actually quit. Those small wins are huge. Reward yourself, you’re doing something really great! Identify your why. Examine the personal reasons you have for quitting smoking. Those reasons will drive you and keep you motivated to get you through the difficult times. Write your reasons down and carry them with you so you can pull them out when you need an extra boost of confidence and motivation. Constantly remind yourself why it is important to you to quit. Recognize that smoking has been a part of your life for a long time. Smoking has served some purpose in your life and that is one of the reasons you continue to smoke or use tobacco. Try to identify that purpose or need and fill that void with something else you enjoy and that will contribute to your overall health. Try to focus not on what you are giving up but what you are gaining by giving up tobacco. Celebrate quitting but don’t become too overconfident. Once you have quit smoking, try not to become too overconfident and think that you can enjoy the “occasional” cigarette. Once you have been dependent on nicotine, you will always be dependent on it. Remember — you’re a puff away from a pack a day! Think about how hard you worked to become tobacco free! It might take a few attempts to quit smoking, but there are many resources available to help you along the way. It’s a marathon, not a sprint. Pace yourself, be kind to yourself and above all, don’t give up! Author Joanne Ebner is a Cancer Prevention Program manager at Anne Arundel Medical Center (AAMC). You can reach her office at 443-481-5366/67. Originally published Aug. 20, 2018. Last updated Sept. 30, 2019.0
- Complete Care for Bone Health and OsteoporosisOur Osteoporosis Program evaluates and treats people at high risk of suffering a fragility fracture. Plus we help those interested in assessing their bone health.Choose Luminis Health because we offer:Superior screening rates. Nationwide, many people who need bone health assessments don't know it. What's more, many who do receive a recommendation for screening don't get tested. Luminis Health tests 83% of cases that show need, compared to just 12% at other hospitals.A full range of preventive care. We have a team of experts who help you take steps to protect your bones. We work with you to create eating and exercise plans that fit into your life. Smoke or drink alcohol? We give you tools to cope with cravings to help you stop.Long-term tracking. Our team stays in touch with you long after your first visit. This means we'll likely catch any worsening of your bone health.Constantly improving expertise. Our experts keep up with advances in prevention and treatment of osteoporosis.ConditionConditions/Services/Treatments PageWe're experts at diagnosing and treating osteoporosis. We also help people build habits that improve bone health and prevent fractures.What is Osteoporosis?Our bones constantly break down and rebuild. But as we get older, our bones become thinner and weaker. But this happens silently, without you knowing it's going on.Several things affect bone strength. For instance, some people are just born with sturdier bones than others. Habits like drinking and smoking can speed up bone loss. And women rapidly lose bone when their estrogen levels drop dramatically during menopause.When your bone strength falls below a certain range, bones break more easily. And if it's very low — a condition called osteoporosis — your bones can break even during a minor fall.Unfortunately, osteoporosis-related fractures (also known as fragility fractures) are common in older adults. Half of all postmenopausal women experience at least one fragility fracture over a lifetime.Some of these fractures have serious consequences, like taking away your independence or even shortening your life. And even when the outcome isn't dire, osteoporosis decreases your quality of life.The good news is there are ways to slow down bone loss and reduce the risk of a fracture. That's why experts recommend a test — called a dual-energy X-ray absorptiometry (DEXA) scan — to check bone strength sometime between age 50 and 65.When you should get your first DEXA scan after age 50 depends on risk factors., including if:You have a family history of osteoporosis.You're a smoker.You've had a fracture.Your doctor may also suggest an earlier test if, for example, you slip and break your wrist. Why? If your bones are healthy, a fall from a standing height or less shouldn't cause a broken bone.Also, the Fracture Risk Assessment Tool (FRAX) can help gauge what your fracture risk is if your DEXA scan shows you have osteopenia (low bone density).0
- NutritionGeneral Page Tier 3BlogThe temptation of sugary delights becomes almost irresistible during the holidays. While sugar is an integral part of traditions, it can exact a significant toll on our health when consumed excessively. We see the resulting effect in our medical practices with a 1-2 percent drop in diabetic control each year in January. If you have a chronic health condition or are working to improve your health, having a strategy to approach the holiday season is key to your success. Americans are eating and drinking more added sugar than recommended according to the Centers for Disease Control and Prevention. Excess added sugar in our diet increases the risk for weight gain, diabetes, hypertension and certain cancers. As we enter a sugar-conscious holiday season, moderation can pave the way for a celebration of joy and tradition, with enhanced well-being. Here are some recommendations: Mindful Drink Choices: Sugar-sweetened beverages are the top source of added sugar for the U.S. population – this is a great place to cut back. While water is always the best choice, there are many sugar-free and low-sugar beverages available. Plus, it’s easy for our bodies to confuse thirst with hunger, which can lead to overeating. Amidst the array of cocktails, sodas and sweetened drinks this season, try a glass of sparkling water with a splash of cranberry juice or a squeeze of lemon. Creative Substitutes: Reduce the amount of sugar in your desserts by replacing it with natural sweeteners such as honey, maple syrup or dates. These alternatives introduce sweetness and distinct flavors to your sweet dishes. Experiment by sautéing apples with cinnamon and honey for a healthy take on a seasonal treat.When baking, Colleen Kiley, lead diabetes educator at Luminis Health notes “You can lower the sugar amount in any recipe by 25 percent without a noticeable taste change. For example, you can reduce one cup of sugar to three-fourths cup.” Cinnamon in Coffee: To infuse your morning coffee with a festive essence, consider adding a pinch of cinnamon instead of traditional sweeteners. Allison Maurer, registered dietitian at Luminis Health, shares more tips to reduce sugar in caffeinated drinks here. Adding Fruit: Include fruit in baked goods and drinks when appropriate to add natural sweetener and increase nutritional value. For example, when crafting cocktails and mocktails, try using muddled fruit or seltzers rather than sugary mixers and syrups. Thoughtful Gift-Giving: Be a conscientious gift giver, especially if you are known for your holiday treats. Consider reducing the portions you generously give out to friends, family and co-workers. Smaller portions can help others savor the flavors while being mindful of their health.Another option is to get creative with gifts. For example, consider sharing festive cheer with candles, potted plants, or seasonal fruits like figs, pomegranates and clementines. It’s a thoughtful gesture that embodies the joy of giving with the consideration of wellbeing. Don’t forget to prioritize exercise and movement. Planning activities with family and friends is a great way to maintain your health and spend time together. Create new holiday traditions, such as a family walk, or sign up for seasonal events like a turkey trot or other organized activities to stay active this season. Holidays are a time of indulgence, but they don’t have to mean sacrificing your health. By making these mindful swaps and taking a balanced approach, you can embrace the season without compromising your well-being. Author Dr. Andrew McGlone is the executive medical director of Luminis Health Primary Care and Population Health.0
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