- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWhat Susan Dennis says is most extraordinary about her life now is that it is so ordinary. In the last few months, she’s taken many long walks, gone to a baseball game, flown to Florida on vacation, and walked down the beach in a swimsuit. Nothing that unusual for a 40-year-old woman, except if you are Susan Dennis. Flash back a year, and Susan says you wouldn’t recognize her. She weighed over 300 pounds and had full-blown diabetes, high blood pressure and a host of other serious health issues. “I didn’t go out, I didn’t like seeing friends, walking was a chore,” Susan says. “I felt weighed down by myself, by everything. It wasn’t a happy existence.” A Lifelong Struggle Susan has struggled with her weight since she was 16. Over the years she tried fad diets, weight loss groups, even medically supervised prescription diets. But nothing worked. Finally, with her health in steep decline, her endocrinologist suggested bariatric surgery. At first, Susan balked at the idea. “I told her no. I thought it might be the easy way out and that I could do it on my own.” But as her health worsened, Susan finally realized she needed help. The Right Decision Susan decided to have gastric bypass surgery with Alex Gandsas, MD, who leads AAMC’s Weight Loss and Metabolic Surgery program. Susan says she liked that the care felt “very personalized.” Dr. Gandsas says it’s essential to have a rigorous bariatric surgery program that addresses the whole person. “We are helping our patients engage in a different life,” Dr. Gandsas says. “The surgery helps them change course and shed weight, but it’s only one component. We want them to have all the tools they need to permanently succeed.” Intensive Help Before, and After At AAMC, weight loss patients begin preparing for surgery six months in advance with medical testing, diet, exercise, and nutrition counseling. And it doesn’t end there. After surgery, patients continue to receive careful monitoring and meal plans. Just 4½ months after her surgery, Susan was doing great. In addition to having lost 83 pounds, her blood pressure was down and her diabetes was fully controlled. What’s more, Susan says she’s happy all the time. “I just feel wonderful, I feel like I can take over the world.” But for now she’s content trying to live her extraordinarily ordinary life. Next on the list: yoga classes. To learn more about bariatric surgery at Anne Arundel Medical Center, please visit www.AskAAMC.org/WeightLoss.0
- Behavioral Health, PediatricsGeneral Page Tier 3BlogMore than 38 million girls and boys under age 19 participate in organized sports each year in the United States. Among these kids, injury—from minor sprains to broken bones—is common. In fact, one in three young athletes will miss practice or games due to an injury. When athletes are injured, they want to get back in the game as soon as possible. The doctors treating them will determine the best way to repair their injuries and may prescribe pain medications. This is where some young people can fall into the trap of opioid addiction. A National Crisis Over the past two decades, addiction to opioids, which includes narcotic painkillers like Vicodin, OxyContin and Percocet—as well as heroin—has soared across the nation. In Anne Arundel County, 1,083 overdoses of heroin and other opioids were reported in 2018, according to the county Health Department. In 2015, then-Anne Arundel County Executive Steve Schuh declared a public health emergency related to heroin abuse and Maryland Governor Larry Hogan called it a statewide crisis, creating the Heroin and Opioid Emergency Task Force. Prescription narcotic abuse is often a first step to heroin addiction. Narcotic painkillers are easy to get hooked on, and when people can’t get enough pain medication from doctors to satisfy their need, they may turn to street sources. A shocking 80 percent of all heroin users made the switch to heroin after abusing narcotic painkillers, according to the U.S. Substance Abuse and Mental Health Services Administration. “Substance abuse disorder can happen unexpectedly. Opioid addiction can start with a simple tooth extraction or sports injury. If the pain medication is not taken as prescribed by a doctor, the tolerance level for the drug increases and you will need more of the drug to get the same effect,” says Keshia Brooks, supervisor of prevention education and family wellness at Pathways, Anne Arundel Medical Center’s (AAMC) substance abuse disorder treatment facility. The Danger for Athletes A study in the Journal of Adolescent Health found that boys who participate in organized sports have a higher chance of being prescribed narcotics and a higher chance of abusing them than boys who do not play sports. However, girls are more likely to be prescribed narcotics and to abuse them than boys, whether or not they play sports. Kwasi Sharif, MD, pain management physician with AAMG Orthopedic and Sports Medicine Specialists, urges patients to consider alternative ways to manage their pain. That could include physical therapy, exercise or other medications that are not opioids. He adds that the Centers for Disease Control and Prevention recommends non-opioid treatment for chronic pain, outside of cancer treatment, palliative care and end-of-life care. “If parents and their student athlete decide on use of opioids, it is crucial that they use the lowest possible effective dosage to reduce risks of opioid use disorder and overdose,” Dr. Sharif says. Programs at Pathways Outpatient Opioid Detox Program This program allows patients to safely withdraw from opioids over a period of three to six days, followed by ongoing professional support in recovery. For more details, visit PathwaysProgram.org or call 443-481-5400. Family Wellness Workshop A therapeutic and educational program for family members of adults or teens with substance use disorders brings together family members for on-site group therapy, educational sessions and personal growth. The program equips family members with communication skills, relapse prevention strategies and coping mechanisms for ongoing recovery. Full-day and weekend sessions are available. Call 410-573-5449 or visit PathwaysProgram.org for a complete schedule. Alcohol and Drug Education Program This program teaches adolescents about the current drug trends. It also provides training for parents on how to use Narcan, an opioid overdose reversing drug. This is a free program for Anne Arundel County teens ages 13-18 and their parents. For more details, please call 410-573-5422. Be Cautious About Narcotics “If a child is dealing with a sports injury and needs medication for pain, parents should first educate themselves on the various types of pain medications available and their side effects,” Keshia says. If a physician prescribes an opioid for your child, have a conversation with the physician about the medication, she says. If possible, be the one to monitor and dispense it to your child. “If given an opioid, ask about how long the pain medication should be taken before it can become a problem for the child,” Keshia says. “Parents should also ask what else is available besides opioids that will help with the pain. Can the child take a Tylenol or Ibuprofen?” If you do have leftover pills from an opioid prescription, ask your pharmacy if they accept unused pills, or take them to a medication disposal box. AAMC has two medication disposal drop boxes to dispose of unused or expired medications. The drop boxes are at MedPark Professional Pharmacy, located in the AAMC Sajak Pavilion, suite 170, 2002 Medical Parkway, Annapolis, Md., and at Arnold Professional Pharmacy, 1460 Ritchie Highway, Arnold, Md. READ MORE: Anne Arundel Medical Center installs drop boxes for unused or expired medications Medication Disposal The Anne Arundel County Police Department has drop boxes at four locations for the safe disposal of unused, expired or unwanted medications. Residents can drop off medications at any time daily at the following four district stations: Northern District located at 939 Hammonds Lane in Baltimore, Maryland. Southern District located at 35 Stepneys Lane in Edgewater, Maryland. Eastern District located at 204 Pasadena Road in Pasadena, Maryland. Western District located at 8273 Telegraph Road in Odenton, Maryland. Communication Is Key “It is very important that parents talk to their children about opioids,” Keshia says. “Many news reports, social media, advertisements and commercials can contribute to the start of a conversation about drugs. Parents can explain to the child how some medications, especially opioids, can affect you in a negative way if not taken as prescribed and abused.” She advises parents to discuss the signs and symptoms of substance abuse. “Talk about what drug abuse really is: Taking medication without permission from the parents or the doctor, taking someone else’s medication, taking too much medication, or sharing medication with friends. Discuss the number of overdoses and deaths that opioids have caused right in their own community,” Keshia says. “This conversation should happen when you are teaching a child right from wrong, and should gradually increase in knowledge and understanding as the child grows up.” Keshia also urges parents to educate themselves on what opioids are and what an overdose looks like, as well as take advantage of Narcan training opportunities. “Sports injuries are just one of many paths young people can follow to addiction, but we have to fight this crisis on all fronts, and we don’t want parents left saying, ‘I wish I knew,’” says AAMC Chief Medical Officer Mitchell Schwartz, MD. “Beyond educating parents, we’re encouraging area primary care providers, who are often on the front lines of treating sports-related and other injuries, to know the best practices for prescribing narcotics.” “And one of the most important roles the hospital can play in the community is to talk openly about this, removing the stigma associated with addiction so people aren’t ashamed to get help for themselves or their loved ones,” adds Dr. Schwartz. Removing the stigma is a big step toward ending the crisis. AAMC’s Pathways Treatment Center offers individualized substance abuse and mental health treatment. Call 443-481-5400 for more information. Authors Keshia Brooks, BSPH, MBA, is a prevention education coordinator at Pathways, AAMC’s substance abuse and mental health treatment facility. You can reach her office at 410-573-5400. Dr. Kwasi Sharif, MD, is a pain management physician with AAMG Orthopedic and Sports Medicine Specialists. You can reach him at 410-268-8862. Mitchell Schwartz, MD, is AAMC’s chief medical officer. Originally published Nov. 17, 2015. Last updated Aug. 26, 2019.0
- Behavioral Health, Men's Health, Women's HealthGeneral Page Tier 3BlogIt’s not a disease. It’s not a sign of a weak personality. And it’s not something to be ashamed of. Sure. Depression drains your energy. Depression makes you sad. Depression makes you feel powerless, tired, less hungry, more anxious. But depression is not always a “bad thing.” And it’s not “incurable.” Everyone goes through some sort of depression. In fact, depression is just part of being human. Of course, everyone experiences it differently, depending on the person, situation and circumstance. For some people, it’s clinical. But there shouldn’t be stigma associated with it. “Do I think it’s derogatory? Absolutely not,” says Donna Phillips, clinical director at Anne Arundel Medical Center’s (AAMC) Psychiatric Day Hospital. “I think you can build strength from it. You can enjoy life and grow from it. Everyone experiences it and we all go through some form of it. You can learn from it. The key in getting better is to know what it is and how you can overcome it.” Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March. What is depression? Depression is a common but serious mood disorder, according to the National Institute of Mental Health. It can cause severe symptoms that affect how you feel, think and handle daily activities, such as sleeping, eating or working. Some forms of depression are slightly different or can develop under certain circumstances, like it happened to Kathy. After battling three cancers for seven years, including one that required a hip replacement after she developed a tumor in her pelvis, and going through a divorce amidst all of it, Kathy closed this chapter in 2015 after completing her leukemia treatment. But in August 2016, she got shingles – an event she says that pushed her over the edge. “I was really sad,” says Kathy, a 65-year-old retiree. “When I was five months into my shingles, the pain was relentless and it was really difficult to deal with.” Kathy wasn’t taking care of herself, only ate two meals a day and slept until noon. One day, she started to feel sick while driving on her way to meet with her sons for lunch. “I only had a tea for breakfast and felt really bad, so I pulled over,” she recalls. After calling one of her sons, she decided to go back home to meet them there. Noticing their mother wasn’t well, they encouraged her to go to the emergency room. “I admitted I wasn’t well and that I was very depressed,” she says. “I couldn’t turn it around myself, I needed help.” Seeking help is not a sign of weakness After an eight-day visit to Sheppard Pratt, followed by a hospital visit where she discovered she suffered from pneumonia, Kathy continued her mental health care at AAMC’s Psychiatric Day Hospital, an intensive day treatment program. “Seeking help is a good thing,” she says. “Sometimes you have circumstances, like I did, that push you into a depression where you need help to get out of it. I was ignoring the signs, not really accepting what has happening.” Kathy spent two weeks in AAMC’s program, which offers several mental health services. The program seeks to provide individuals with the necessary skills so they can continue to manage once they’re done, says Phillips. “A person who suffers from depression feels isolated, but they’re not alone,” she says. “There are a lot of support groups that can help individuals talk about their situation. Our program helps people develop what we call a wellness toolbox. We talk to our patients about the importance of staying active, socially and physically, having a schedule to adhere to, having good sleep hygiene, eating healthy, and being aware of one’s automatic negative thought patterns (cognitive distortions) that provoke depression.” Although it might seem like a simple approach, Phillips says she’s seen many patients overcome their depression and move on in life. “There are a lot of steps people can take to overcome depression,” she says. “But it’s important to note that seeking help when you can no longer cope by yourself is one of the first steps.” Lessons learned during depression apply to life in general Kathy says she since left treatment, things have changed for the better. “They taught me coping strategies that are helpful and now I set up an alarm to get up at 8 am or earlier,” she says. “I make breakfast for myself, I have lunch dates with my friends and now I’m looking to volunteer.” Kathy says the biggest change is that she feels better about herself and her future. “I feel good about my life,” she says. “I have a grandson that just turned one and I realize that I have so much to look forward to.” Although it was a challenging time for her, Kathy credits her faith and treatment for helping her look at things differently. Today, she hopes her experience can help others. She says no one should be embarrassed or afraid to seek help because there are a lot of places and organizations that are willing to help. “Depression is not an end, you can turn things around,” she says. “There is hope and life after depression.” MENTAL HEALTH RESOURCES: National Alliance on Mental Illness (NAMI): A nationwide grassroots advocacy group, NAMI represents people affected by mental illness and offers several support services, including education programs and a HelpLine. On Our Own: A statewide behavioral health consumer education and advocacy group, On Our Own of Maryland promotes equality in all aspects of society for people who receive behavioral health services and develops alternative, recovery-based behavioral health initiatives. National Suicide Prevention Lifeline: Help is always available. Don’t hesitate to reach out if you need help. Call 1-800-273-8255. AAMC: If you think AAMC’s Psychiatric Day Hospital can help you or a loved one, talk to your doctor. Your doctor must refer you before you can enroll. If you are looking for a doctor who specializes in mental health, call AAMG Mental Health Specialists at 410-573-9000. Originally published Dec. 31, 2018. Last updated Feb. 10, 2020.0
- Behavioral Health, Men's Health, UncategorizedGeneral Page Tier 3BlogEven a tough guy goes to the hospital if a tree falls on his head. So why won’t men seek medical help when their world comes crashing down on them, as it can with depression? Nearly 6 million American men experience depression each year, yet few seek treatment. Perhaps men don’t realize that depression is a disease—not a weakness. Or maybe they’re not aware that successful treatments exist. No matter the reason, depression is a disease that shouldn’t be ignored by anyone—including men. Recognizing depression “The vast majority of people who seek treatment for depression end up feeling better,” says Raymond Hoffman, MD, a psychiatrist and the medical director of mental health and substance abuse at AAMC. It’s a good idea to visit your doctor if you’re experiencing these signs and symptoms of depression: loss of energy or increased fatigue restlessness, anger or irritability a lack of interest in favorite activities sleep problems changes in appetite excessive feelings of sadness, worthlessness or guilt trouble concentrating, remembering or making decisions thoughts of, or attempts at, suicide Your doctor can check to see if physical problems are affecting your emotional health. Plus, he or she can refer you to a therapist or counselor who will work with you to relieve your symptoms. It’s OK to ask for help “It may not be easy to talk about how you’re feeling,” Dr. Hoffman says. “But depression can seriously interfere with your work and personal life. Acknowledging it and getting treatment can help you get your life back to normal.” Originally published Oct. 23, 2014. Last updated May 31, 2019.0
- Behavioral Health, PediatricsGeneral Page Tier 3BlogAs a mom, I am always thinking of the many things I have learned from my experiences. As a psychiatric nurse, I am thinking of how to promote the mental health of our children and help them grow into compassionate, social and competent adults. One thing I have come to understand as an adult is how powerful and essential it is to give our children words to use to identify feelings. You may have seen the charts that have 20 or so feelings and faces that go with them. That’s great for older kids but overwhelming to little ones. For me, it boils down to these five emotions: mad, glad, sad, lonely and scared. I found that my daughter and I communicated more easily when something difficult was going on if she could identify the feelings. Mad (angry): When a child is mad, if they can use their words, that is great! We as parents can help them know what is appropriate depending on their age. For a younger child, learning to use words instead of biting, scratching or hitting another person is crucial. One of my favorite things was to ask my daughter to draw about it. We know that coloring is almost meditative. Another tactic is to encourage physically letting out that energy through sports, running, hitting a pillow, etc. One of my personal favorites is to have a screaming minute in the car with windows rolled up to get out that anger in a safe way. Glad (happy): If a happy moment comes, no matter how small, help your child celebrate that feeling. You can then help them call upon that memory when it is needed. For example, “Nick, do you remember when you had that great soccer game last month and how good you felt? I know you can do this science project and feel as good about yourself!” Sad: This is a hard one. Children all feel sad once in a while, it comes with being human. If your child is sad for long periods of time, talks about hurting or killing him/herself, or does a self-harming action, it is time to seek professional help. Contact your pediatrician, call a mental health professional and get the needed support. If it’s urgent, call 911 or take your child to the nearest emergency room. Depression is bigger than just being sad. The National Suicide Prevention Lifeline number is 1-800-273-TALK (8255). Lonely: This is another hard experience that children have. Peers, siblings and family are so important to them. If there is a fight with a best friend, they can feel terrible. You know your child best. If there is a time when your child has no friends, does not like going to school, etc., it would be good to investigate further. A real possibility that we know occurs is bullying. If that is happening, help your child by making it easy to be around other kids who have similar interests. Pets can also help with loneliness. Scared: As an example, I’ll share a personal story. My daughter was 7 years old and in a new school when 9/11 happened. The school immediately cancelled classes and went into day care mode. She knew something was wrong as the parade of the other children were picked up. Finally, she and another boy were the only ones left with their teacher. When I could finally leave the hospital and pick her up, she hugged me and cried, telling me how scared she was because she did not know what was happening. We talked a lot about it that evening and for many months. When a child is scared, they need information and reassurance. With all of the upsetting news, it is good to help your child process the things they are hearing about at school, from other people and from the news. Understanding your child’s feelings is so important. You are their first and best teacher. You can give them the foundation they need as they grow and learn about life. There are so many good resources on the internet for parents. The mental health of our children is one of our best resources for a positive world. Author Jo Deaton is the senior director of nursing for Mental Health at Anne Arundel Medical Center. She can be reached at 410-573-5454. Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.0
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