Cancer Care
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Know What Not to Say to Someone With Lung Cancer
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A lung cancer diagnosis brings fear. Sadness. Uncertainty. So, how can you support someone with such a heavy load? There’s no single answer. Words can’t fix it, but they can comfort. They can also hurt or make someone feel hopeless, even by accident. Knowing what to say, and what not to say, can make all the difference.
Some general things to keep in mind
We don’t want you to be so cautious that you avoid your loved one or friend. But there are some general tips to keep in mind when you talk to someone sick. Avoid clichés. They’re impersonal, and they fall flat. Don’t give your friend medical advice. Let your friend’s care team be the experts. And unless asked, don’t share stories of others with lung cancer. You’ll steal the moment and possibly force your friend to compare themselves to someone else. Every journey is different, and your friend might feel badly if they don’t live up to the standards established by someone else.
Phrases to avoid
Avoid expressions that come off uncaring, like:
“Did you smoke?” or “You shouldn’t have done this.” Lung cancer is often associated with smoking, sometimes unfairly. Lots of people who develop lung cancer have never smoked. If you have lungs, you are at risk for lung cancer. Asking about smoking habits or drawing conclusions on how your friend could have avoided lung cancer isn’t helpful. These expressions put the blame on the person who is sick.
“I know how you feel.” You don’t. You can empathize, but you really can’t know how this person feels or what they are thinking, even if you’ve had cancer. This seemingly empathetic expression redirects the conversation to you and diminishes the moment for your friend.
A form of “Your cancer is treatable,” “Be positive” or “If you have to get lung cancer, that’s the one to get.” These words belittle your friend’s authentic feelings. Being diagnosed is scary, and expressions that misrepresent the severity of cancer can make your friend feel like their concerns aren’t valid. Don’t let emotions bottle up. Sometimes a good cry is the best way to release fears.
Telling someone they are strong or brave. They might not feel that way. These words can put pressure on your friend to act courageously for others and might keep them from expressing their fear.
Predicting a positive outcome, like “You can beat this” or “Everything will be fine.” You don’t know that. No one does.
Say this instead
Let your friend guide the conversation. If they don’t want to talk about their illness, talk about something else. If they do discuss their cancer, understand that your friend is inviting you to discuss something very personal. They want to feel hopeful. They want to know that you care for them. And you don’t have to be a wordsmith to offer words of comfort. Instead of trying to think of something profound, try an expression like…
“How do you feel today?” Navigating lung cancer is a rollercoaster. Some days are better than others. Ask your friend how they’re feeling in that moment. “How do you feel” is too big a question. Asking about a specific moment is manageable.
“What have your doctors told you about treatment options?” Show that you are there for them, even if you can’t be in the doctor’s office. But don’t pry. Follow their lead.
“I’m going to be there for you.” And then do it. Many people with lung cancer say the hardest part of their journey is feeling abandoned. Regular check-ins make people feel like they have a champion with them. Again, follow their lead. Some people like daily conversations. Others appreciate a phone call every few weeks, nothing more. No matter how often you check in, being remembered makes the experience less lonesome.
“I’m not sure what to say.” People appreciate honesty. Your friend isn’t expecting you to be enlightening. Just present.
You can also offer your help. Instead of a vague offer such as “let me know what I can do,” try to think of specific ways you can make life a little easier for them. Offer to bring them groceries on Sundays, cut their grass this week, or drive their child to school. By reducing your friend’s obligations, you can help them focus on their care.
Support your friend
No matter what you say, or don’t say, being there for your friend is the most important way to show your support. Your friend is the same person they were before their diagnosis. And they need support now more than ever.
Learn more about lung cancer treatment here.
Authors
Stephen Cattaneo, MD, is a thoracic surgeon and medical director of Thoracic Oncology at Luminis Health Anne Arundel Medical Center.
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Infectious Disease
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Planning for Safe Thanksgiving Celebrations
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Turkey and dressing. Football games. Black Friday ads. Time with family. These are just a few of the traditions we look forward to every Thanksgiving. Of course, 2020 was a year like no other: The climbing number of COVID-19 cases, combined with a lack of vaccines, forced us to sit these cherished moments out.
But as we gather around the Thanksgiving table this year, there’s a lot to be thankful for: Experts say it is safer to get together with family and friends – albeit with a few specific precautions.
Let’s be thankful for vaccines
Whether you’re hosting Thanksgiving dinner or attending a gathering somewhere else, it’s important to ask about vaccine status. It may not always be an easy or welcomed conversation. Still, it will help you make an informed decision about how to celebrate.
The three COVID-19 vaccines approved for use in the United States have all been proven safe and effective — and continue to be our best tool for protecting ourselves. It is certainly great news that the CDC has just approved the Pfizer COVID-19 vaccine for children between the ages of 5 and 11 years old.
Let’s be thankful for “tried and true” safety measures
They say there’s nothing like repetition to create new habits. So, now that we’ve all been practicing these safety techniques for 18+ months, we should all be good at them and feel like part of our everyday routine. The Centers for Disease Control and Prevention (CDC) encourages people gathering for the Thanksgiving holiday to continue to:
Mask up. Regardless of vaccination status, the CDC recommends all individuals wear a mask in a crowded public indoor setting
Stay home if you’re sick. COVID-19, the flu, colds and even allergies have similar symptoms. So, it can be tough to know which one you have without a COVID-19 test. Play it safe if you’re experiencing any COVID-19 symptoms by staying home.
Socially distance yourself from others. Though crowded Thanksgiving tables can be fun, help guests socially distance themselves by setting up your table (or tables) for maximum safety with place settings at least 6 feet apart.
Plan an outdoor celebration. When it comes to COVID-19, outside is always safer than inside. Create a cozy space with a firepit and blankets in your backyard to help further reduce the risk of illness.
Get air flowing. If you have an indoor celebration, a good breeze from an open window or fan can help disperse those germs and keep guests safe.
Let’s be thankful we can travel again
For some, Thanksgiving means visiting far-away friends and family. While travel isn’t as risky as before vaccines were widely available, it’s still essential to follow some basic safety tips to limit the spread of COVID-19. Here’s what the CDC has to say about holiday travel:
Get tested. If you’re not vaccinated, get a COVID-19 viral test once to three days before your trip.
Get vaccinated. The CDC recommends delaying travel until you are fully vaccinated.
Wear a mask. You will be required to wear a face covering on all public transportation, including busses, trains and airplanes. If you’re traveling by car, wear a mask whenever you stop to stretch your legs in a public place.
Bring your COVID vaccine card. More businesses, especially restaurants, are requiring proof of your COVID-19 vaccination. If you’ve lost or misplaced your vaccine record, you can download and print a copy through the state of Maryland
Still have questions?
If you have any questions about what’s best for your family, we encourage you to talk with your primary care physician who plays a crucial role in helping you and your family stay healthy and safe while still experiencing the joy of the season.
Authors
Amirali Amjadi, MD, is an Infectious Disease Specialist at Luminis Health Doctors Community Medical Center.
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Wellness
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6 tips for a healthy Thanksgiving
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Thanksgiving. It’s a day to relax. Watch football. And most of all, eat good food.
But if you’re one of the many people managing your diabetes or watching your weight, this holiday can be a challenge.
According to the Calorie Control Council, the average American eats 3,000 calories at Thanksgiving dinner. And that’s not including appetizers, drinks or snacks throughout the day.
Need help making healthy choices at the Thanksgiving dinner table? Here are six tips.
Don’t skip meals.
You might think you’re doing your health a favor by “saving” calories for the big Thanksgiving dinner. But skipping meals throws off your blood sugar levels. If your Thanksgiving meal is at the usual dinner hour, eat a healthy breakfast and light lunch.
Eat —don’t drink — your calories.
Say no to sugary drinks, like cocktails, holiday punches and fruit juices. They are full of empty calories that spike your blood sugar and can lead to weight gain. Go for calorie-free drinks — including water, unsweetened tea and seltzers.
Slow down.
Did you know it takes time for your brain to register that you’re full? Savor each bite. Make a conscious effort to set your utensils down between bites. Keep dessert portions small. And eat slowly to enjoy the taste longer. If you’re not hungry, don’t eat.
Put the food away.
Clear the table after the meal to reduce the temptation to snack. Often, after-dinner snacking is a social activity, rather than a way to satisfy hunger. Try gathering in the living room, away from the kitchen.
Include healthy options.
Create a balanced meal – one that includes protein, carbohydrates, healthy fats and plenty of fruits and vegetables. If you’re a guest, offer to bring a seasonal salad or fruit tray for a healthy side.
Get moving.
Get members of your household together and go for a walk. This will take the focus away from food. And the extra steps will help you burn calories and reduce your blood sugar levels. Or, if the weather isn’t cooperating, round up some indoor activities that don’t involve food. Like playing board games, telling stories or sharing photos.
Luminis Health Diabetes and Endocrinology is here to offer comprehensive management, treatment and education for patients with diabetes. Resources include:
Group education classes and access to support groups
Highly individualized counseling
One-on-one nutrition counseling
Instruction on insulin pump usage and continuous glucose monitoring
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News & Press Releases
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Luminis Health Anne Arundel Medical Center Nationally Recognized with an ‘A’ Leapfrog Hospital Safety Grade
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Luminis Health Anne Arundel Medical Center (LHAAMC) has received an “A” in the Leapfrog Hospital Safety Grade for fall 2021. This national distinction recognizes Luminis Health Anne Arundel Medical Center’s achievements in protecting patients from harm and error in the hospital.
“Our mission is to enhance the health of the people and communities we serve and this recognition is testament to the high-quality care we provide every single day,” said Sherry Perkins, president of LHAAMC. “This care only comes through our outstanding team of caregivers and volunteers and their never-ending commitment to keep staff, patients, and visitors safe – for all our services.”
The Leapfrog Group, an independent national watchdog organization, assigns an “A,” “B,” “C,” “D,” or “F” grade to general hospitals across the country based on over thirty national performance measures reflecting errors, injuries, accidents and infections, as well as systems hospitals have in place to prevent harm.
“An ‘A’ Safety Grade is a tremendous achievement, of which this community should be extremely proud,” said Leah Binder, president and CEO of The Leapfrog Group. “I thank the leadership and workforce of Luminis Health Anne Arundel Medical Center for its commitment to prioritizing patients and their safety, especially during these trying times.”
The Leapfrog Hospital Safety Grade is the only hospital ratings program based exclusively on hospital prevention of medical errors and harms to patients. The grading system is peer-reviewed, fully transparent and free to the public. Grades are updated twice annually, in the fall and spring.
“To receive a high ranking year after year demonstrates our excellence and commitment to the health and safety of our patients,” said Dr. Stephen Cattaeno, president of the medical staff at LHAAMC. “It’s an honor to be recognized on a national level for keeping patients safe from preventable harm and medical errors.”
To see Luminis Health Anne Arundel Medical Center’s full grade details and to access patient tips for staying safe in the hospital, visit HospitalSafetyGrade.org.
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Heart Care
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What’s the difference between a cardiac surgeon and cardiologist?
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A cardiologist can diagnose and treat many heart conditions, but if you require surgery, your cardiologist will refer you to a cardiac surgeon. Below, Cardiothoracic Surgeon Murtaza Dawood, MD, explains some of the differences between a cardiac surgeon and a cardiologist.
Is a cardiac surgeon also a cardiologist?
No, a cardiologist receives medical training while a cardiac surgeon receives surgical training. If you need surgery, a cardiac surgeon will be involved before, during, and immediately after your surgery. In many cases, once you have recovered, you will not need to continue to follow up with your surgeon. Your cardiologist will follow your path before and after surgery to help manage your condition, and will continue to follow up with you in the long term. For example, a cardiologist can diagnose heart disease and work on managing the disease through medication and lifestyle changes. The surgeon, on the other hand, surgically corrects the issue.
Why would I need a cardiac surgeon if I already have a cardiologist?
Cardiac surgeons work with your cardiologist to improve an abnormality or a disease process that needs surgery. Some examples of why you need a cardiac surgeon could be heart disease requiring a coronary artery bypass surgery (CABG), severe heart valves disease, or pathologies of the aorta. To get the full benefit of the surgery, you may have to take medications or make a lifestyle or diet change. In this case, your cardiac surgeon and cardiologist will work together to help you reach your goals.
What procedures do cardiac surgeons do?
Cardiac surgeons can fix many issues such as blocked heart vessels, congenital or degenerative valve diseases, diseases of the aorta, and tumor or mass removal involving the heart. Cardiac surgeons can also perform surgeries in emergencies, such as heart injury from trauma.
If I have a blockage, can I get a stent instead of surgery?
An interventional cardiologist can use stents, which are delivered by catheters in your artery of the arm or leg, to reach the vessels of your heart causing the blockages. However, some blockages will require surgery as it could provide a better or more durable treatment, especially if you have multiple blockages. For example, some blockages could be in areas that are difficult to open with a stent. In other situations, a combination of stents and surgery can treat a blockage. Keep in mind that fixing a blockage does not solve the underlying problem that lead to the blockage, so it is possible to require stents after surgery or vice versa. Talk to your provider about decreasing your risk for future blockages.
Authors
Murtaza Dawood, MD is an experienced cardiothoracic surgeon who is recognized for performing operations for complex valve disease and atrial fibrillation. He is known for treating mitral valve regurgitation as well as aortic valve disease.
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