Cancer Care, Digestive Care
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Colorectal Cancer Is Rising Among Younger Adults
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If you are under 50, getting screened for colorectal cancer should be a top priority. It’s a topic many don’t want to discuss, but you should. Even as overall cancer deaths continue to fall in the United States, the American Cancer Society reports that colon and rectal cancers have become leading causes of cancer death for men and women under 50. African Americans face a heightened risk as they are disproportionately more likely to develop and die from the disease.
With March being Colorectal Cancer Awareness Month, it’s a good time to raise awareness about the disease and promote early detection to save lives. This is such a life and death issue that Luminis Health Doctors Community Medical Center in Lanham and Luminis Health Anne Arundel Medical Center in Annapolis are lit up in blue each night throughout the month.
The rise in colorectal cancer in younger adults is alarming, and while the exact reasons remain unclear, it underscores the importance of understanding and addressing the risk factors. There are identifiable risk factors that you can modify to reduce the likelihood of developing colorectal cancer:
Body weight
Physical activity
Diet (eat more fiber and less fatty and processed foods)
Smoking
Alcohol use
The best way to treat colorectal cancer is to catch it early. There is a 91 percent survival rate after five years if detected in its earliest stages. Guidelines now recommend that adults of average risk start screening at age 45. If you have a family history or additional risk factors, talk with your physician about getting screened sooner.
Routine screening is important because it can help doctors detect and diagnose colorectal cancer before you notice any symptoms, and doctors can find and remove pre-cancerous polyps before they develop into cancer. There are several types of screening in use today:
Fecal occult blood test checks a stool sample for traces of blood that could indicate polyps, cancer or other conditions
Sigmoidoscopy uses a thin, tube-like instrument with a light and a lens to look inside the rectum and lower colon for polyps, abnormal areas or cancer
Colonoscopy uses a small camera to allow doctors to look inside the rectum and colon for polyps, abnormal areas or cancer
Virtual colonoscopy uses a series of X-rays to take a series of images of a patient’s colon
DNA stool test checks for changes in the DNA in stool samples that could indicate disease.
Improving access to screening and treatment in Prince George’s County
Luminis Health Doctors Community Medical Center is proud to partner with Maryland’s Cancer, Prevention, Education, Screening, and Treatment (CPEST) program, which allocates funding to, among other things, make screenings available to Prince George’s County residents who lack insurance coverage.
Over the past 18 months, the $850,000 grant has funded colonoscopies for 540 people ages 45 to 75 — averaging about 8% more people than its yearly target — and, of those, identified and treated five cases of colorectal cancer.
If you are an uninsured or underinsured Prince George’s County resident who is 45 or older, you may qualify for a no cost colonoscopy through the CPEST Program. Please contact your physician for a referral. You can also call 301-552-7915 for further information.
What it all means
The earlier colorectal cancer is detected, the easier it is to treat and the more successful the outcome. Talk to your doctor about your risk factors, when you should be screened and the best screening method for you. The more proactive you are, the better.
Authors
Steven Fleisher, MD, is a board-certified gastroenterologist at Luminis Health with more than 20 years of experience
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Infectious Disease
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5 Truths about the COVID-19 Vaccine
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You can’t turn on the news or scroll through social media today without hearing about the COVID-19 vaccine. And while we know you’re anxious to put the pandemic behind you, we also know you may have lingering questions about the vaccine.
You aren’t alone. Many of your coworkers, family members and neighbors are wrestling with the same questions. We’ve never experienced a pandemic of this magnitude in our lifetimes, and we’ve never seen a vaccine developed this quickly. But investigating the details and unpacking what we know about the vaccine can go a long way in helping you feel more at ease.
It’s important to know that multiple COVID-19 vaccines are under development. At this time, Pfizer and Moderna are the only vaccines available in the United States. They are the only COVID-19 vaccines that have received an Emergency Use Authorization (EUA) from the Food and Drug Administration (FDA).
Fast doesn’t mean careless.
It’s true; this vaccine is one of the fastest developed in modern history. But researchers were not starting from scratch when they learned about SARS-CoV-2, the virus that causes COVID-19.
Both the Pfizer and Moderna vaccines are messenger RNA (mRNA) vaccines. Technology associated with the mRNA vaccine dates back to the 1990s. According to the Centers for Disease Control (CDC), researchers performed early stage clinical trials using mRNA vaccines for HIV, influenza, Zika, rabies, and others.
Unfortunately, it has taken a pandemic to get the needed funding to push this technology forward to develop this type of vaccine.
It’s also important to note the process has been able to move so quickly because:
The clinical trials were centrally coordinated by the government rather than various pharmaceutical agencies.
The clinical trials combined the first two phases to assess safety, dosing, and the immune responses.
The FDA granted the Pfizer and Moderna vaccines an EUA to allow for quick approval and distribution. Under an EUA, approval is pushed ahead of less critical projects. In order to issue an EUA, FDA must determine the known and potential benefits of the vaccine outweigh its known and potential risks. CDC continues assessing the effectiveness of vaccines approved for an EUA.
None of the factors that allowed the accelerated development of a COVID-19 vaccine have compromised safety, scientific or ethical integrity. No short-cuts have been made.
The FDA recommends a vaccine have an effectiveness rate of at least 50 percent. Both the Pfizer and Moderna vaccines far exceed this standard. Both report about 95 percent effectiveness at preventing symptoms of COVID-19, including severe disease. This efficacy rate is extraordinary.
You won’t get COVID from the vaccine, but you may experience mild flu-like symptoms.
It’s not possible to get COVID-19 from the vaccine. Pfizer and Moderna vaccines only produce the spike protein from the virus, not the whole virus.
However, when you get the vaccine you may experience some side effects, including chills, fatigue, headache, joint and muscle pain and injection site pain. But these side effects are typically mild and will go away on their own within one or two days. They represent immune activation and are seen with other vaccinations.
It takes a few weeks for the body to build immunity after vaccination. That means it’s possible you could be infected with the virus that causes COVID-19 just before or just after vaccination and get sick. It takes about two weeks after your second dose for full immunity.
Two doses of the vaccine are necessary.
Both the Pfizer and Moderna vaccines require two doses to be effective. Pfizer’s second shot occurs three weeks after the first dose, and Moderna’s is four weeks. Health experts recommend you resist the urge to skip the second dose and make time for the second shot.
Vaccines for all will take several months.
Vaccine distribution will take a while to make it into your neighborhood. That’s because the Maryland Department of Health created a phased approach to vaccine distribution based on initial limited supplies. First available doses will go to those at highest risk of exposure to or developing complications from COVID-19, including hospital health care workers and nursing home residents and staff. Next up will be first responders and those at significant risk of severe COVID-19 symptoms. Phase 2 targets essential non-health care and transportation workers, and people at moderately higher risk of severe COVID-19 illness. Phase 3 focuses on vaccinations for the general public.
According to the CDC, vaccines should be available to the general public by the spring of 2021 and distributed throughout the year.
Now is not the time to let your guard down.
Just because a vaccine is making its way into your area, it still isn’t time to let your guard down. It will take a while for everyone to get both doses of the vaccine. For a highly contagious disease like COVID-19, much of the population must be vaccinated to achieve herd immunity. Herd immunity occurs when enough people become immune to COVID-19 to make its spread unlikely.
And, while Pfizer and Moderna vaccines show they’re about 95 percent effective at protecting you from the disease, they aren’t 100 percent effective. That means there’s a small chance you can still get COVID-19 after being vaccinated if you’re exposed.
Experts recommend continuing all of the safety measures we know are working to keep the virus at bay, including the 3Ws: Wash your hands. Wear a mask. Watch your distance.
For your health and safety, stay up to date.
Information about the pandemic and the vaccine changes daily. For the latest recommendations for you and your family, listen to your local public health officials and bookmark the CDC’s vaccination page for the most up to date information.
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Orthopedics
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Common lacrosse injuries: Prevention and treatment
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Lacrosse is an exciting and fast-paced game that is one of the most rapidly growing team sports in the country. But, the combination of quick changes of direction, contact and a hard ball traveling at high speeds provides the perfect environment for injuries.
There are many differences between girls’ and boys’ lacrosse. High school female lacrosse players are only required to wear protective eyewear and mouth guards, with headgear and gloves optional. The rules prohibit body contact and limit stick checking. Boys’ lacrosse is a full contact sport with mandatory use of helmets, mouth guards and other protective gear. Body and stick checking is allowed. These differences can explain the number and kinds of injuries sustained in male versus female high school lacrosse players.
While boys have a higher overall injury rate than girls, here are a few common injuries in both male and female players:
Lower extremity sprains and strains are the most common injury sustained by both male and female lacrosse players. These are usually the result of a noncontact injury while running and cutting. Anterior cruciate ligament, or ACL, tears are the most common reason for loss of playing time, with girls having higher rates of knee injuries than boys.
Concussions are the second most common injury. They occur equally among male and female lacrosse players. Male concussions are usually due to direct body contact, while female concussions are usually due to accidental stick or ball-to-head contact. Because girls are not required to wear helmets, they have a much higher rate of head and facial trauma.
Hand and wrist fractures are common for both boys and girls from direct contact and stick checks. Females have slightly higher fracture rates due to their lack of padding. Gloves are optional and, if worn, are only lightly padded.
Lacrosse Injury Prevention
Injury prevention starts with strict rule enforcement, but here are a few things players can do to protect themselves:
Limit head-to-head contact to decrease the risk of concussion. Players, coaches and parents need to learn the symptoms of a concussion. If a player shows signs of a concussion, it’s critical they are removed from the game and evaluated by a certified athletic trainer or medical provider.
Wear well-fitting protective equipment. Girls should consider wearing helmets to reduce the risk of head and facial trauma. Girls should also consider wearing gloves to reduce the risk of hand and wrist trauma.
Be proactive in preseason conditioning. This is important for all athletes. You need to warm up and stretch properly and drink appropriate amounts of water, especially during summer months. Athletes should also get plenty of rest after practice and games.
If you experience a lacrosse-related injury, a sports medicine specialist helps speed your recovery and get you back on the lacrosse field as quickly and safely as possible.
Author
Daniel Redziniak, MD is a board-certified sports medicine orthopedic surgeon with AAMC Orthopedics. He specializes in arthroscopic surgery of the knees and shoulders. He is the team physician for several high school, college and professional teams, including the Chesapeake Bayhawks lacrosse team.
Originally published Feb. 11, 2018. Last updated April 5, 2019.
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Employee Spotlight
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Employee Spotlight: Monica Creek
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When you hear the words “information systems,” the first thing you probably envision is the basement of Wayson Pavilion. A space filled with computers, boxes piled on top of each other and the sound of incessant typing and clicking as our team of techs work on solving the next work ticket in queue. You probably also hear a steady hum of chatter as they talk into their headpieces assisting callers with questions or problems.
All of these mental pictures are correct. Throw in there some numbers, a couple of emails and mix it with dedication, passion and commitment. “What folks don’t see behind the scenes is that we’re all champions,” says Monica Creek, systems analyst and September Champion Award winner. “Our world in IS goes beyond just sitting at a desk and looking at a computer. We have to figure out the best ways to make life easier, make things more meaningful and make the patient experience much easier when they come in the door.”
Before joining Anne Arundel Medical Center (AAMC), Monica was training as a medical assistant in Arlington, Va. She also trained as a nursing assistant, but that venture didn’t last too long. “I went for my first clinical procedure where I had to demonstrate certain competencies,” she recalls. “While I was doing an incision and drainage with a patient, he started to scream and I started to get butterflies in my stomach. That’s when the physician there with me confirmed I was not going to be a nurse.”
Today she laughs about it and is grateful for the experience. Her medical field experience, paired with her love for administrative tasks and analytical thinking, are skills that have led Monica to find her dream job. After getting tired of hours spent commuting, Monica decided it was time to move closer to home and look for new opportunities. Shortly after applying to AAMC, she received a call and, ultimately, the position. “I understand the concept of day-to-day patient care, though I’m not a nurse,” she says. “Sometimes that clinical aspect helps me make the picture more real for the other analysts I work.”
The analytics world is not only about data. Monica and her team use analytics to solve all sorts of problems, whether it’s improving discharge turnaround times so patients can leave the hospital and go home in a timely fashion or making workflows more meaningful for staff.
“Being a system analyst can be very challenging because you need to understand operationally the application you support as well as the lives of our caregivers,” Monica says. “Coming back every day to keep trying to solve issues is what brings me the greatest joy in what I do. Health care is very complex and there’s never one solution for every single thing. I enjoy coming to work knowing that we still have to work on this and that it’s not about applying a Band-Aid to a situation.”
Pro tip: “Jump at every moment that comes your way. Try it and, if you don’t like it, take ‘door number two.’ I’m a single mom and I teach that to my children every single day. Don’t get caught up in what went wrong, think about how you can make things better. That’s my philosophy. Who cares if we made a mistake? If we were all perfect, we wouldn’t be here.”
If you know a great individual or a fantastic team going above and beyond to make a difference, make sure to let us know!
Looking for a career in health care? We invite you to join a diverse and collaborative team of professionals working together to innovate the future of health care for our entire region. Check out our career opportunities.
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Women’s Health Giving Circle Join the Women’s Health Giving Circle and be part of a passionate community dedicated to advancing maternal health in Prince George’s County. Your support helps bring transformative care closer to home and empowers women and families to thrive., At Luminis Health, we are working to break down barriers to health and deliver more high-quality care across the region. Your support helps to strengthen the impact on the health and well-being of our families, friends, and neighbors. Our goal is a future where every Prince Georgian is able to access the healthcare they need and want, in their own community, where they feel most comfortable and with outcomes that aim to eliminate maternal and infant mortality.
Golf Invitational – 2026
Date and details coming soon
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