General Page - Tier 2
MyChart provides a fast and easy path to your personal health records. Use it to view:, Managing your own care has never been easier. MyChart offers a variety of ways for you to communicate with your doctors and care team through your computer, smartphone or tablet. MyChart also helps you stay on top of important health information with reminders of upcoming appointments, prescription refills and more., Family Access If you’re a parent or caregiver, adding your loved one to your MyChart account will allow you to view their information and manage their health care online. There are three versions of “proxy access” available: one for children under age 13, one for teens aged 13-17, and another for legal guardianships. To request access, complete a Proxy Consent form at your provider’s office or download the appropriate form below. Be sure to include any supporting documentation and mail everything to the address listed. As your child or guardian ages from one tier to the next, we require a new proxy request to maintain access.
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Women's Health
General Page Tier 3
Urinary Incontinence: 3 Things You Should Know
Blog
If you’ve ever dreaded laughing at a good joke or sneezing for fear of an “oops” moment, then you know what it’s like to live with urinary incontinence. You may be hanging back from doing things you love, worried you can’t get to a bathroom and embarrassed about leakage you can’t control.
Here’s a start to learning more about the condition — its causes and treatments — so you can see that it’s possible to get back to living your best life.
Incontinence is more common than you think.
An estimated 15 to 25 million Americans deal with incontinence. But it’s hard to put a firm number on it because so many people are too embarrassed to talk about it.
We do know women are two times more likely than men to develop urinary incontinence — and that physiology plays a part. The structure of a woman’s internal organs, pregnancy, childbirth and menopause all have an effect. Aging does too because pelvic floor muscles that support the urinary tract muscles weaken as you age, making it harder to hold in urine — though it’s not necessarily a normal part of getting older.
There are different types of incontinence.
The most common types of incontinence in women are stress incontinence, urge incontinence, and a mix of the two.
Stress Incontinence
Stress incontinence makes having fun unpredictable. Things like laughing, dancing and exercise put pressure on your bladder, causing uncontrollable leakage. You don’t feel an urge to urinate; it just happens. Weak pelvic floor muscles or the bladder out of its normal position are usually the culprits.
Urge Incontinence
A “gotta go” feeling you can’t ignore is urge incontinence, or overactive bladder (OAB). OAB can happen when certain nerves and bladder muscles don’t work together. Your brain tells your body you need to go to the bathroom, even if your bladder isn’t full. That signals the bladder muscle to contract, and the sphincter — the muscle that controls urine flow — relaxes.
The urge comes on suddenly, even if you’ve recently emptied your bladder, and you may not make it to the bathroom. Some people have a frequent urge to go — up to eight times a day — and then barely go when they get to the bathroom.
Mixed Incontinence
Having more than one type of incontinence isn’t uncommon. If you do, stress and urge incontinence are usually the two that combine and lead to leakage.
You don’t have to live with it
Too many people stay silent about incontinence, assuming events like pregnancy, childbirth and aging make it an inevitable part of life you have to get used to. Not true. It’s very treatable, and often with self-help methods you can do it yourself.
Lifestyle Changes
For some people, reducing the risk of leakage is as simple as making lifestyle changes, such as:
Avoiding lifting heavy objects
Avoiding liquids in the evening
Limiting caffeine and alcohol, which make you produce more urine
Losing weight to relieve pressure on the bladder
Kegel Exercises
Weak pelvic floor muscles — those that support the bladder — are often at the root of leakage problems. Kegel exercises involve strengthening the muscles that control urine flow by tightening and relaxing them. Doctors often recommend women do Kegels during pregnancy to prevent incontinency problems. You can work with a physical therapist to learn how to do Kegels effectively.
Bladder Retraining
Timing is everything when it comes to staying dry. Finding the sweet spot takes practice. It may involve making sure your bladder is empty to prevent the urge to go. Make a pit stop every two hours if you know the urge to go hits every 2 ½.
But you may have to retrain your bladder if the urge to go too often is a problem. That involves gradually extending the time between bathroom visits. For instance, if you go to the bathroom every hour, stretch it to an hour and 15 minutes, increasing the time over a few weeks.
Medications, Devices or Medical Procedures
If self-help approaches don’t help, your provider may suggest other options, such as:
Medications that can help relax bladder muscles or block nerve signals that cause an urge to go
Vaginal inserts available over the counter can be used to reduce stress incontinence
A pessary, a ring-like device your doctor fits you for to support pelvic floor muscles and reduce stress incontinence
Injections of a bulking agent in tissues around the bladder to help keep the opening closed and prevent leaks
Pelvic floor stimulation to nerves and muscles to strengthen them and to reduce the urge to go
A sling is a small piece of synthetic material surgically placed to support the urethra to improve leaking from stress incontinence
Incontinence doesn’t have to control your life. Yes, it can feel awkward to talk with your doctor about bathroom habits. But incontinence is a very treatable condition. A full evaluation with a pelvic medicine and reconstructive surgeon can help you determine the best treatment for you. Asking for help can get you back to a life free of worries about leakage.
Authors
Aparna Ramaseshan, MD, is a Female Pelvic Medicine and Reconstructive Surgeon (FPMRS), at the Women’s Center for Pelvic Health. To make an appointment, call 443-481-1199.
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Types of Services ProvidedPre-Operative Medical ClearanceHistory & Physical (H&P) within 30 days of surgeryPre-op testing, including lab work, EKG’s, and airway checks.Anesthesia Consultations: Additional Anesthesia clearance may be required if you have a prior history of complications with Anesthesia.Coordination of additional medical clearances as needed (Cardiology, Pulmonary, Hematology)
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Conditions/Services/Treatments Page
Pre-Anesthesia Testing
Why Luminis HealthMany people will undergo surgery in their lifetime, and pre-operative tests and medical clearances are often required before surgery. The Luminis Health Pre-Anesthesia Testing centers are a one-stop-shop for completing these pre-operative tests and medical clearances. Our pre-operative team works in collaboration with anesthesiology to provide medical clearances based on the latest guidelines, in addition to completing in office EKG’s, lab work, and scheduling assistance for specialty medical clearances as needed. Luminis Health offers trusted, collaborative care:Direct communication with surgeons and anesthesiologists Same day results - clearances and lab results available in MyChartThorough pre-operative instruction and medication reviews
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Provider
Courtney Doyle, MD
88671
Dr. Doyle is a board-certified, fellowship-trained bariatric surgeon. After completing her general surgery residency at Indiana University, she completed her Advanced Laparoscopic and Bariatric Surgery Fellowship here at Luminis Health. Dr. Doyle contributes over four hundred procedures a year to Luminis Health's nationally accredited Weight Loss and Metabolic Surgery Program. The program is accredited by the American College of Surgeons and is distinguished as a Level 1 facility for the standard of care. Dr. Doyle has extensive knowledge and expertise in all types of bariatric surgery, including the sleeve gastrectomy, the gastric bypass, and revision surgery for weight regain or complications from previous bariatric surgeries. In addition to providing excellent care to her patients, Dr. Doyle has an interest in furthering research in the bariatric surgery field along with staying up to date on emerging trends. Dr. Doyle provides knowledge and compassion, allowing her patients to become their best self.
American Board of Surgery | Surgery (General Surgery)
Fellowship - Anne Arundel Medical Center, Residency - Indiana University School of Medicine, Medical School - Indiana University School of Medicine-Indianapolis
English
Bariatric Surgery
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General Page - Tier 2
Contact Us Medical Staff Services Luminis Health – Anne Arundel Medical Center, Doctors Community Hospital, J. Kent McNew and Pathways 2000 Medical Parkway Suite 203, Annapolis MD 21403 Phone: 443-481-4150 or 301-552-8130 Fax: 443-481-4151 Email: [email protected] Medical Staff Office Medical Staff Services [email protected] Credentials and Medical Executive Questions Expirables Compliance Electronic Death Certificate Access Dues Privilege Modification Resignations/ Retirement /Emeritus Request Affiliation Verifications and Good Standing Letters If you are an insurance company or credentialing professional that needs an affiliation verification letter, https://hub.veritystream.cloud/app/38589/Verification Central Verification Office [email protected] Application Request – Pre-App, Initial and Reappointment Updating practice information Provider Enrollment [email protected] Delegated Credentialing Shape Medical Staff Office Quality [email protected] FPPE OPPE Risk Management – Claims History [email protected] Employed Providers Claims History Request Case Log Request Call Health Information Management (HIM): 443-481-1000 , Resources , Medical Staff Leadership Michael Webb, MD Michael Webb, MD Medical Staff President, LHAAMC Not Pictured: William Hicks, MD William Hicks, MD Medical Staff President, LHDCMC Cristina Feather, MD Cristina Feather, MD Medical Staff Vice President, LHAAMC Daniel Hayward, MD Daniel Hayward, MD Medical Staff Vice President, LHDCMC The Medical Staff Services Department is here to support our providers. Medical Staff Professionals are the gatekeepers of patient safety, by ensuring high quality patient care through the credentialing, privileging, and ongoing evaluations of healthcare providers. Services we provide: Initial credentialing and re-credentialing of members of the Medical Staff and Advanced Practice Providers as outlined in the Medical Staff BylawsMaintenance of credentialing files to include maintenance of expiring itemsCoordination of provider orientation and IT trainingProvide meeting support for the Medical Executive Committee, the Credentials Committee, and the Department ChairsLiaison between Medical Staff, hospital administration and various departments within the organization
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