- Pediatrics, WellnessGeneral Page Tier 3BlogIt’s made headlines lately—and grabbed the attention of more than a few understandably anxious parents. A respiratory illness called enterovirus D68 (EV-D68) has sickened children around the nation. EV-D68 is one of many enteroviruses, which cause infections every year. But this specific strain hasn’t been linked to outbreaks before now, even though it’s been around since at least 1962. Children are more likely than adults to get sick from EV-D68, simply because they lack natural immunity from previous exposure to any of the enteroviruses. EV-D68 spreads like the flu—through close contact with an infected person or contaminated objects. It often causes only a mild illness, with symptoms similar to a cold or the flu: coughing, sneezing, runny nose, body and muscle aches, and fever. But EV-D68 can also trigger serious breathing problems in some children—especially those with asthma or a history of wheezing. How is it treated? EV-D68 is diagnosed with a lab test. While there’s no specific treatment for the virus, doctors may suggest pain and fever medicines to ease mild symptoms. People with severe respiratory complications may need to be hospitalized. It’s important to remember that not every illness this time of year is caused by EV-D68. But see a doctor right away if your child does get sick and has trouble breathing. You can also take steps to help reduce the risk of your family getting sick from EV-D68: If your child has asthma, be sure that his or her asthma is treated and well-controlled. Have everyone wash their hands often with soap and water. Disinfect frequently touched surfaces, such as toys and doorknobs. Don’t kiss, hug, or share cups or eating utensils with anyone who is sick. Sources: American Academy of Pediatrics; Centers for Disease Control and Prevention0
- OrthopedicsGeneral Page Tier 3BlogIf you’re suffering from a back condition and considering surgery, then chances are you’ve heard about laser spine surgery. TV and Internet ads suggest a quick, easy treatment for patients with chronic pain. The idea of a less invasive procedure to cure pain is very enticing. The marketing of laser surgery is so successful that my patients routinely ask about the use of lasers, despite limited medical evidence and their relative infrequent use in spine surgery. The truth is, laser spine surgery seen in ads usually refers to minimally invasive surgery or a spinal injection using a needle. Neither necessarily means a surgeon will use a laser. Newer techniques in spine surgery are less invasive. When possible, we attempt to preserve as much of the muscle, soft tissue and spinal anatomy as possible. Compared to traditional techniques, which require larger incisions, modern techniques – or minimally invasive surgery – allow for an easier initial recovery and can often be performed as a same-day surgery. No laser is involved. The use of lasers in surgery has been around for decades. In spine surgery, the use of lasers is only a small portion of procedures. Some surgeons will use a laser in spine surgery to remove tumors or tissue around a nerve. But most painful conditions of the spine involve degenerative conditions like arthritis — where a laser is rarely needed or effective. Medical research on the use of lasers for specific conditions, such as disc herniation, may be effective in some patients. However, this limited approach may not address the underlying cause of pain, such as spinal instability or deformity. Because of this, symptoms may return for some patients, requiring additional surgery to solve the problem. Evaluating your options for spine surgery If you’re evaluating surgical options for your condition, perhaps what’s more important than the technique is surgeon experience. You should seek a fellowship-trained surgeon and hospital that regularly perform both traditional and minimally invasive techniques in order to achieve the best result. Spine treatment is very individualized to specific symptoms and at times can be complicated. A thoughtful, experienced surgeon recommends the most appropriate treatment for each individual patient. Unfortunately, there isn’t a single, easy cure for back pain. If the treatment sounds too good to be true, it’s worth your time to get a second opinion before having spine surgery. Author Chad Patton, MD, is medical director of The Spine Center at AAMC and a spine surgeon with AAMC Orthopedics. To reach his practice, call 410-268-8862. Originally published May 30, 2017. Last updated June 18, 2018.0
- News & Press ReleasesGeneral Page Tier 3BlogAfter the mosquito-borne Zika virus outbreak spread from Brazil to more than 20 countries in Latin America, the World Health Organization labeled it a global health emergency. Zika virus is strongly suspected to have caused microcephaly and other neurological problems in thousands of babies. As this public health issue unfolds, the Centers for Disease Control and Prevention (CDC) continues to update guidelines for healthcare providers and citizens. At Anne Arundel Medical Center, we’re taking every precaution necessary to potentially evaluate and care for infected patients. The situation is constantly evolving, but we are staying on top of the latest information from the CDC and WHO,” said Mary Clance, MD, epidemiologist. “We are ready for the Zika virus because of our preparations for other infectious diseases including Ebola, MERS, West Nile and SARS. We have a lot of experience treating diseases coming from returning travelers. Dr. Clance adds that AAMC is regularly collaborating with the state and local health departments to keep doctors and nurses informed about the virus. “We continue to do all we can to ensure we stay ahead of any possible Zika virus spread and protect our community’s health.” Here are some things to know about Zika virus: How is Zika virus transmitted? Zika virus is transmitted to people primarily through the bite of an infected Aedes species mosquito. These are the same mosquitoes that spread dengue and chikungunya viruses. These mosquitoes typically lay eggs in and near standing water in things like buckets, bowls, animal dishes, flower pots and vases. They live indoors and outdoors near people. Mosquitoes that spread chikungunya, dengue and Zika often bite people during the day, but they can also bite at night. Mosquitoes become infected when they bite a person already infected with the virus. These infected mosquitoes can then spread the virus to other people through bites. Zika can spread from mother to newborn during birth, although this is rare. This can happen if a mother is already infected with Zika virus near the time of delivery. It’s possible that Zika virus can pass from a mother to her baby during pregnancy. The CDC is studying how some mothers can pass the virus to their babies. To date, there are no reports of infants getting Zika virus through breastfeeding. Because of the benefits of breastfeeding, mothers are encouraged to breastfeed even in areas where Zika virus is found. Zika can also be spread through infected blood or sexual contact. The CDC recommends taking precautions. What are the symptoms? About 1 in 5 people infected with Zika virus become ill (i.e., develop Zika). The most common symptoms of Zika are fever, rash, joint pain or conjunctivitis (red eyes). Other common symptoms include muscle pain and headache. The incubation period (the time from exposure to symptoms) for Zika virus disease is not known, but is likely a few days to a week. The illness is usually mild with symptoms lasting for several days to a week. People usually don’t get sick enough to go to the hospital, and they very rarely die of Zika. Zika virus usually remains in the blood of an infected person for about a week but it can be found longer in some people. For more information on the Zika virus, visit the CDC website0
- WellnessGeneral Page Tier 3BlogOne in five children today are clinically obese, according to U.S. data. That’s a staggering statistic. Practicing an active lifestyle at an early age with your children is important. Whether you’re making it a family priority for the first time, or if COVID-19 has temporarily derailed you and you need to get back on track, here are ideas to get outside and active this summer. Understand Obesity in Kids As kids grow and develop, their body weight naturally fluctuates a bit as they go through various stages. At your child’s yearly checkup, the doctor will measure their weight and compare it to growth charts, your child’s personal history and your family history to make sure they’re staying in a healthy range. Children become overweight for a variety of reasons. Some reasons include family eating habits, community factors, what they eat and drink and how much exercise they get. Unfortunately, being overweight can set a child up to experience serious issues, such as: Breathing problems Heart disease Joint problems Social problems Type 2 diabetes Make Time to Play: 60 Minutes a Day With busy family schedules and children spending more time in front of screens, there can be fewer hours in the day to let them run, jump, climb and swing. But it’s worth making an intentional plan if you’re worried your child isn’t getting enough physical activity. Remember: Kids aged 6 to 17 should get at least 60 minutes of physical activity a day Kids aged 3 to 5 should stay active throughout the day to help their growth and development Anything that gets your kiddos up and moving — and gets their heart rate up — is a great place to start. Aim to allow both structured and unstructured activities. Work to help your child find physical activities they enjoy so they’re more likely to keep it up. Move Forward Together A great way to help your kids lead a healthy lifestyle is to lead one yourself. They’ll learn from your example. It helps when everyone feels like they’re on the same team. Try to eat plenty of fruits and vegetables. Cut back on sugary drinks and make regular physical activity a priority. Take a look at your summer calendar to make sure you’ve included enough regular, active play. If you want to kick-start a new routine, here are a few ideas to get moving as a family: Plan Backyard Hangouts: Blow bubbles and see who can catch the most Build a backyard obstacle course Chalk out a hopscotch or scooter-trick course Follow each other’s lead with Simon Says Plant a garden or work together in the yard Relive Your Youth: Get competitive with frisbee, kickball or tug of war Have a jump rope or hula hoop contest Make a slip ‘n slide using a plastic tarp Play hide and seek or tag outside Teach each other your coolest dance moves Take Your Fun on the Go: Check out an interesting local attraction Get together safely with friends at the playground or pool Head out on a family bike ride Make a picnic to take to the park Walk the dog (or a neighbor’s dog!) Enjoy a Healthy Summer Get out and enjoy yourself. It will feel great to take in some fresh air — and to get back to your favorite physical activities. As long as you plan ahead and follow local health and safety guidelines, there’s no reason you can’t enjoy a very active and healthy summer with your kids. Author Scott Eden, MD, is a practicing family medicine physician at Anne Arundel Medical Group Chesapeake Family Medicine in Annapolis.0
- Women's Health, UncategorizedGeneral Page Tier 3BlogAmy Turpin, a Harwood resident, is unusual in some ways. At 50 years old, this grandmother of four is exceptionally fit, working as a strength and conditioning coach, and competing in marathons and triathlons. “I’m physical all day long, and then running or cycling is what I choose to do for fun,” she says. But there is one way in which Amy is not unusual. Just like almost a quarter of American women, she experienced a pelvic floor disorder. Pelvic floor disorders occur when the muscles or connective tissues that support a woman’s pelvic organs weaken or are injured. This is commonly a result of pregnancy and childbirth. But obesity, smoking and genetic predisposition are also risk factors. The most common problems are incontinence and pelvic organ prolapse. In prolapse, organs such as the uterus, bladder or bowel collapse into the vagina. For many women with prolapse, there are no symptoms, other than some pressure or a vague feeling that something is different, until an organ begins to protrude out of the vagina. Physical and Mental Changes “For me, the changes were fairly subtle over a period of time,” says Amy. She began to feel pelvic pressure while jumping rope. On long runs she would feel the same pressure, plus numbness in her legs. Then, one day, the change became dramatic. “I was out for a run, and I just felt like, literally, the bottom fell out.” At this point, Amy had to change her training routine and avoid some activities she enjoyed. “It affected every aspect of my life physically,” she says. “Then there’s the mental pain when you can’t do the things that you’re used to doing.” Tips for a Stronger Pelvic Floor AAMC Urologist Mara Holton, MD, says it’s important for women to remember that pelvic health corresponds to overall health and wellness. This includes good nutrition, physical fitness and maintaining a proper body weight. Pelvic floor muscles support the bladder, uterus, vagina and rectum, and help these organs function. The best way to maintain pelvic floor fitness is to do Kegel exercises. “Everyone has heard of them, but most women do them incorrectly,” she says. “Kegels are a dedicated exercise that need to be done properly to get the benefit. There are online resources, as well as physical therapists who specialize in pelvic floor strengthening.” Dr. Holton advises women to do Kegels twice a day and says women who follow this regimen can see improvement in urinary continence and sexual comfort in six to 12 weeks. She says exercises that strengthen the core muscles, such as jumping jacks, crunches, wall squats and the bridge pose in yoga, can help strengthen the pelvic floor, too. Seeking Treatment Studies suggest that a woman has an 11 to 19 percent chance of needing surgery for pelvic organ prolapse in her lifetime. While lifestyle changes or pelvic floor exercises (called Kegels) can help some women with early prolapse, often the degree of muscle damage or tissue relaxation requires other treatments. One option includes trying a pessary—an insertable device that supports the pelvic organs. But Amy’s active lifestyle demanded a more permanent solution. “For me, surgery was a very clear answer, because I just couldn’t perform at the level that I was used to performing,” she says. She ended up undergoing a minimally-invasive robotic procedure. This involved having small incisions put in her abdomen no wider than her pinky. The operation involved controlled robotic arms that worked through the incisions to move Amy’s pelvic organs back into place and secure them. Amy also had a mesh sling inserted under the urethra, the tube through which urine comes out, to prevent urine leakage. Back to Full Speed “With the great technology that we have, you don’t end up with huge scars, but that doesn’t mean the surgery should be minimized,” says Amy. After her surgery in May 2015, she was careful to follow instructions to avoid stairs and not drive or bend over for at least two weeks, then begin returning to regular activities slowly. Recovery time is typically about six weeks. “I think being compliant and not moving around as much as I’m used to was the most challenging part,” she says. “I feel amazing. I got my life back,” says Amy. “In fact, I recently did a triathlon.” Through her work, Amy meets a lot of women. “I know I’m not unusual,” she says. So she made a conscious decision to be open about the personal nature of her surgery, and she often hears, “Oh my goodness, I have the same thing.” Her advice to the millions of women experiencing a pelvic floor disorder is, “We can’t be quite so proud. If you have symptoms, you need to find out what your options are, because you don’t have to live that way.” Have a sensitive health question you’d like an answer to? Call The Smart Woman Connection, your new go-to health resource focused on one thing—your needs as a woman. Call 443-481-5995. Author Mara Holton, MD, is a urologist at Anne Arundel Medical Center.0
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