Men's Health, Women's Health, Wellness
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Playing through the pain: Things to know
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If you play a sport or follow an exercise routine, injuries are possible. You may be tempted to keep playing through the pain. But that can lead to further problems down the road, especially if you don’t follow your doctor’s advice.
A broken bone can take anywhere from two months to an entire year to fully heal, depending on the bone and the patient. It’s crucial to allow time for that healing process.
Would you rather give yourself six weeks off to perform at 100 percent, or suffer for many months or the rest of your life because your injury didn’t heal properly? Your level of activity post-injury depends on its severity. Here’s a general guide to help.
Sprains and strains
Mild sprains and strains can be treated quickly, and exercise can continue. If your pain or symptoms associated with a sprain persist for more than a few weeks, seek medical attention. Warning signs of a more severe injury include significant bruising, swelling or significant dysfunction of a joint or body part.
Broken toes
Broken toes, too, can vary in terms of treatment. An injured big toe often needs treatment, while just taping the fourth or fifth toe provides support, protection and helps realign joints. If you have a deformity, such as a toe pointing the wrong way, seek medical attention. Any potential broken bone, even a small one, needs medical attention.
Back injuries
If you have back pain and/or a back injury, start by focusing on core stability exercises and flexibility. You should work with a physical therapist for a while before returning to unsupervised exercise. Once you start exercising again, start with low-impact activities, such as the elliptical or cycling. A return to higher-impact or contact sports should happen slowly over time. Get your doctor’s clearance first.
Modifications when you have pain
An injury doesn’t necessarily mean an end to all activity. You may be able to make modifications to your routine.
For example, if you break your leg and you can’t walk, you might still be able to swim laps with a pull buoy without pushing off the wall during turns to get a cardiovascular and upper body workout. Or, if you have a severe injury to the upper body, you might still be able to do moderate exercise using a stationary bike.
Author
By Benjamin Petre, MD, an orthopedic surgeon with AAMC Orthopedics. To reach his practice, call 410-268-8862.
Originally published June 26, 2017. Last updated July 22, 2019.
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Employee Spotlight
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Employee Spotlight: Carolyn Mull
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On a summer Friday afternoon in 2002, Carolyn Mull had finished work early and went home to run some errands. She was doing laundry upstairs when she heard her son come through their front door. As Carolyn headed down to greet him, an overpowering pain in her head forced her to sit on the stairs. She laid down and managed to whisper her son’s name.
Carolyn suffered a brain aneurysm and woke up in the hospital 10 days later, just before she was scheduled for surgery. “It was the worst pain in my head I had ever felt in my life,” she recalls. “When I woke up, I knew there was more work for me to do. And since that time, I dedicate myself to genuinely caring for others.”
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Today, Carolyn works as a donor client service representative at Anne Arundel Medical Center’s Blood Donor Center. Once a very shy person, she says her job taught her how to open up and let her own light shine. Often referring to her donors as family, she finds joy in what she does when she sees them happy. “I’m passionate about what I do,” she says. “I love my job so much because it gives me an opportunity to give back.”
More than once, she has gone beyond her call of duty to help drive blood donations. “A lady wanted to come in and donate but her kids were out of school and she had no one who could help watch them,” she recalls. “I told her to bring the children in and I would watch over them. When they came in, they hadn’t eaten lunch yet so I took them to the cafeteria and got them food. This is what I would do for all my donors.”
Often reflecting on her doctor’s words 17 years ago that she had a 50/50 chance of surviving a brain aneurysm, she says she is grateful to be here today. “I was one of the ones that made it,” she says. “The experience I went through taught me how to care and love others more each day.”
Pro tip: “Always be giving.”
If you know a great individual or a fantastic team going above and beyond to make a difference, make sure to let us know!
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News & Press Releases
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Anne Arundel Medical Center, Doctors Community Health System Sign Definitive Agreement
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Anne Arundel Medical Center (AAMC) and Doctors Community Health System (DCHS) announce that they have solidified their partnership. After sharing their intent to partner in May, the two organizations signed a definitive agreement at the end of June and closed July 1, 2019. This transaction will allow them to move forward with plans to form a new health system to serve the region.
“The new health system will reimagine community care, improving access and population health while expanding services throughout Maryland,” said Victoria Bayless, president and CEO of AAMC. “We will continue our community focus and provide the personalized and localized care that our patients need. We want to ensure that the care our patients receive is from those who know the region and have a longstanding commitment to meeting the needs of our communities.”
Bayless will also serve as chief executive officer of the new system. Paul Grenaldo, who served as chief operating officer at DCHS since 2010, will succeed Philip Down as president of DCHS. Down will serve as strategic advisor to the new health system.
“This is an amazing time for healthcare at each entity and in our communities,” said Grenaldo. “With Doctors Community Health System and Anne Arundel Medical Center engaged as partners in this integration process, we have an amazing opportunity to design a system that is keenly focused on addressing the evolving medical needs of area residents and contributing to the ongoing development of a highly talented workforce. Working together, we will reach even higher levels of excellence throughout Maryland.”
AAMC and DCHS will initially maintain their own governing boards with both organizations having representation on the board of the new health system. A name for the new health system will be announced later this summer. The full integration is expected to take up to two years.
“Our vision is to create an exceptional system of care that honors the legacies of both DCHS and AAMC, while being aspirational about our future together,” said Bayless. “Ultimately, we are here to serve our communities and to do so in a way that reimagines the possibilities of community health for the region.”
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Men's Health, Women's Health, Pediatrics
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Follow these safety tips for a healthy, happy summer
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Summer is in full swing! With school out for the year and summer vacations on the calendar, there’s a lot to look forward to this time of year.
But summertime also means an increased risk of sun damage, heat-related illnesses and other seasonal ailments.
Here are some of the most common summer safety concerns and what you can do to address them.
Stay safe in the sun
As we expose more of our skin during the summer, we are also exposing ourselves to ultraviolet (UV) radiation from the sun, which damages skin cells.
Sunburns significantly increase the risk of developing skin cancer. In fact, more than five sunburns as a child can double your risk of developing skin cancer later in life. A suntan also increases your risk of skin cancer, the most serious of which is melanoma.
It’s important to protect your skin and eyes all year long, but especially in the summer, when UV rays tend to be stronger.
Wear UV-blocking sunglasses to protect your eyes and the sensitive skin around them. Use a broad-spectrum sunscreen with a sun protector factor (SPF) of at least 30, which will screen out 97 percent of the sun’s ultraviolet B (UVB) rays as well as protect against ultraviolet A (UVA) rays. Apply approximately two tablespoons of sunscreen 30 minutes before going outside. Reapply every two hours, especially if swimming or sweating.
Consider limiting your time in direct sunlight, especially between 10 am and 4 pm, when UV light is strongest.
For more summer safety tips, visit www.askAAMC.org/sunsafety.
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Beware of heat exhaustion and heat stroke
Outdoor activity can lead to heat exhaustion, one of the most common conditions kids experience in the summer. The signs include severe thirst, nausea, fast and shallow breathing, headaches, muscle pain and cool, clammy skin. If your child is showing signs of these symptoms, immediately bring them somewhere cooler, remove excess clothing, encourage them to drink cool fluids and call your doctor.
If left untreated, heat exhaustion can turn into heat stroke, which is extremely serious. Symptoms include a pounding headache, dizziness and light-headedness, red, hot, dry skin, cramps or muscle weakness, rapid, shallow breathing, nausea, vomiting, confusion and unconsciousness. If you think someone has heat stroke, call 911 immediately. While you wait for medics to arrive, work to cool the person down by moving them to a shaded area, fanning them and cooling their skin with water.
You can prevent heat exhaustion by making sure your child is drinking water early and often, especially if they are playing outside in the heat.
Be prepared when traveling
Nothing can spoil your vacation like getting sick or injured. But if this does happen, it helps to be prepared.
If you’re older or have chronic health issues, see your doctor four to six weeks before your trip to make sure it’s safe for you to travel. Check to make sure your vaccinations are up to date, and make a list of your current medications and allergies. Include the names and phone numbers of your doctors and your pharmacy. Remember to bring a note on your doctor’s letterhead if you are taking controlled substances or injectable medications. You should also program health information, including medical conditions and emergency contacts, into your phone (both Apple and Android products have built-in apps for this).
If you have a history of heart disease, ask your cardiologist to give you a wallet-sized version of your latest electrocardiogram (EKG). Over-the-counter medicines, including ibuprofen and a thermometer, should also be a part of your travel kit.
Don’t let illness put a damper on your summer activities. Following these safety tips will help you have a relaxing, fun and, most importantly, healthy summer.
Authors
Joanne Ebner is a cancer prevention program manager at Anne Arundel Medical Center. You can reach her office at 443-481-5366.
David Afzal, DO, is a family medicine physician with Anne Arundel Medical Group (AAMG) Waugh Chapel Family Medicine. To find an AAMG doctor in your area, visit MyAAMG.org.
Mike Remoll, MD, is the medical director of the Emergency Department at Anne Arundel Medical Center.
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Men's Health, Senior Care, Women's Health, Pediatrics
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Know the Warning Signs of Dehydration
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Our bodies are made up of approximately 70 percent water. Water is the most abundant natural resource on earth. Yet, most of us do not drink enough of it, and our bodies suffer in many preventable ways.
We become dehydrated when the amount of fluid we lose is greater than the fluid we take in. We routinely lose fluids in our sweat, exhaled air, urine and bowel movements. In a normal day, we have to drink a significant amount of water to replace this routine loss. If we are sick, we may also lose fluids through vomiting or diarrhea.
Warning signs of dehydration include:
Thirst. It’s the first signal that you’re already dehydrated. Dehydration can also mask itself as hunger, particularly sugar cravings.
Brain fog. You may have fatigue, lightheadedness, muscle cramping, headaches, dry mouth, darker urine and a feeling of confusion that some people call “brain fog.”
Bad breath. When you’re dehydrated, you may not have as much saliva in your mouth. This allows bacteria to thrive, resulting in bad breath. Saliva has antibacterial properties.
Stiff joints. Joints can be stiffer without the lubrication that water provides.
Poor digestion. Water is vital for healthy digestion. It helps move food through the digestive tract and waste pass more smoothly. Along with fiber, water is important to eliminate waste from the colon and urine from the bladder. If you are not properly hydrated, you are also more likely to get a urinary infection.
Dehydration may affect your ability to drive safely. Some research shows that driving errors doubled during a two-hour drive when drivers were dehydrated, similar to driving while intoxicated.
With severe dehydration, heart palpitations, confusion and weakness can occur as the brain and other organs receive less blood. This can result in coma, and even death, if left untreated. Infants and elderly people are more likely to become dehydrated. It’s unusual for a baby to have a dry diaper for more than three hours.
Over time, dehydration can make your skin lose elasticity and wrinkles appear deeper. You are more likely to get kidney stones. And you may not be able to regulate your body temperature, making you more prone to heat stroke.
To avoid dehydration:
A good rule is to drink water in between meals.
Drink fewer caffeinated drinks. Caffeine may act as a diuretic causing you to lose fluids. If you’re feeling excessively tired in the middle of the day, try drinking water first.
Avoid alcohol, including beer, especially when it is hot. Alcohol increases water loss and impairs your ability to notice early signs of dehydration.
Replace calorie-filled beverages with water (provided you are eating three healthy meals a day).
Bring extra water to all outdoor events where you might sweat more.
Use warm water instead of hot water in the shower. Hot water can dry out your skin.
The water you drink does not have to be bottled. The tap water in your home, whether from a well or public water system, may be perfectly fine to drink. To find out about your home drinking water quality, you can contact the Environmental Protection Agency’s Safe Drinking Water Hotline at 800-426-4791 or the Maryland State Water Quality Laboratory at 800-300-TEST.
The exact amount of water you need depends on your size, level of activity, general health and the weather. If you have a condition like congestive heart failure or late kidney disease, you may be on a fluid-restricted diet and need to consult your healthcare provider for those limitations.
Author
Marla Spring, FNP-BC, MSN CDE, is a medical provider at Anne Arundel Medical Group (AAMG) Diabetes and Endocrine Specialists. To reach her office, call 443-481-4600
Originally published July 31, 2017. Last updated Sept 2, 2025.
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