- Community, Pediatrics, UncategorizedGeneral Page Tier 3BlogWe are committed to improving the health of our community, illustrated by this sampling of our community outreach efforts: Helping Kids Say “No” Amanda Larkins is a prevention educator who visits high school students in their classrooms as part of a partnership among Anne Arundel County Public Schools, county coalitions and AAMC’s Pathways Prevention Program. The goal is to help students make good choices by arming them with information aboutthe dangers of alcohol and drug use and strategies for resisting peer pressure. In our photo above, Larkins has freshmen at Northeast High School in Pasadena spin the “Wheel of Misfortune,” taking turns testing their knowledge of drinks and drugs, and practice saying no. Reducing the Rate of Lung Cancer Deaths AAMC is committed to diagnosing lung cancer in people as early on in the disease process as possible. That’s because the earlier you catch it, the better your chances are for survival. We do this by providing low-dose CT Scans for low-income residents and, when necessary, enrollment in the rapid access chest and lung assessment program (RACLAP) for early intervention and diagnosis. Good news: The lung screening is covered by most insurances and Medicare, if you meet the screening criteria. If something suspicious is found, the RACLAP ensures patients get the information needed to decide on a course of action. Becoming Tobacco Free Since tobacco use is the leading cause of lung cancer and other related diseases, AAMC is committed to decreasing the use of tobacco products. We offer smoking cessation help through classes, individual counseling and support groups—all free to people who work or live in Anne Arundel County. AAMC is a tobacco free campus, which discourages the use of these products by employees, patients, visitors, and volunteers. Starting July 2015, AAMC takes a leadership position as a major employer in Maryland and stops hiring nicotine users. Our Community Benefit Report offers more details on our work in the community.0
- Infectious DiseaseGeneral Page Tier 3BlogEvery day, we are learning new things about coronavirus (COVID-19) and the way it spreads. The virus mainly spreads through people who are in close contact with each other. When someone who is infected (with or without symptoms) coughs, sneezes or speaks, they produce respiratory droplets that others can inhale. Or, they can get into their eyes, nose or mouth. This is why we recommend that you wear a mask in public spaces, and when you are around other people. And it’s especially important when you can’t stay at least six feet apart from others. If you are infected with COVID-19, wearing a mask may keep you from passing the virus to others. Likewise, other people’s masks may protect you. What Type of Mask Should You Wear? The Centers for Disease Control and Prevention (CDC) recommends that people cover their faces with cloth masks to prevent the spread of COVID-19. Cloth masks should have at least two layers of fabric. You should avoid wearing masks with exhalation valves or vents. These vents appear as a plastic clip on the outside of the mask. These types of masks allow the breath you exhale to come out through the holes unfiltered. This can allow your respiratory droplets to reach others and spread the virus. Personal protective equipment, such as surgical masks and N-95 respirators, should be saved for health care workers and others who are on the front lines of patient care. How to Wear a Mask It’s important to make sure you are wearing your mask properly. Here are some of the dos and don’ts of mask wearing: Do cover your mouth, nose and chin. Don’t leave gaps between your face and the mask. If the mask slips down over your nose, the mask is either loose or too big. A proper fitting mask should contour your face and minimize gapping along the nose, cheeks and chin. Don’t over-tighten your mask, as it may cause skin irritation, injury or difficulty breathing. Do handle the mask by its straps or ties when putting on and removing the mask. Don’t touch the front surface of the mask while wearing it. Adjust mask from the side edges to reposition it. If you do have to touch it, wash your hands or use hand sanitizer before and after. Do wash your cloth mask daily or more frequently, if it becomes soiled. You can wash your masks with other laundry using regular detergent. Don’t wear a mask that is damp. Do put your used masks in a clean paper bag or container that allows moisture to escape. Wash your hands or use hand sanitizer after you touch them. Don’t remove the mask to speak to someone. The CDC doesn’t recommend that children under the age of two wear masks. People who have trouble breathing should consult with their doctor. You should wear masks while observing other safety precautions. Those include washing your hands often using soap and water for at least 20 seconds, or using hand sanitizer, staying at least six feet apart from others, and cleaning and disinfecting high-touch surfaces. We all must do our part to prevent the spread of COVID-19. We are in this together. Author Jean Murray is the director of Infection Control for Anne Arundel Medical Center.0
- News & Press Releases, Infectious DiseaseGeneral Page Tier 3BlogLast updated at 10:30 am Wednesday, May 27, 2020. Luminis Health is participating in a national study sponsored by the FDA and Mayo Clinic to collect “convalescent” plasma from recovered coronavirus (COVID-19) patients, to give to patients currently hospitalized with COVID-19-related illness. The approach involves transferring antibodies from recovered patients to those still acutely ill as means of therapy. This is not currently a preventative treatment at the current time. What is plasma and convalescent plasma? Plasma is the liquid portion of your blood. It contains factors that help with blood clotting and contains antibodies that fight infections. Those who have recovered from COVID-19 will have antibodies to the virus in their blood plasma that might help protect them against future infections. Whether or not this works is the purpose of the study. What is a convalescent plasma donation? Donors who have fully recovered from COVID-19 have antibodies in their blood plasma to help protect against future infections. These antibodies can be collected from the recovered donor and infused safely to patients with acute COVID-related illness. What is involved in donating? Donors must have had a positive swab test from the nasal pharynx. Donors must be symptom free (no fever, cough, fatigue or shortness of breath) for at least 14 days before they can donate plasma. Potential eligible donors should complete a donor eligibility screening form. Someone will then contact you to gather more details, such as medical history and COVID-19 history to determine eligibility. What is involved in donating plasma? During a plasma donation, blood is drawn from your arm and sent through a high-tech machine that collects your plasma and then safely and comfortably returns your red cells and platelets back to you, along with some salt water through another intravenous line. It only takes a few minutes longer than donating blood. Is convalescent plasma a proven treatment for COVID-19? According to the Food and Drug Administration (FDA), it is not currently known if convalescent plasma will be an effective treatment against COVID-19. Since there are no known effective treatments, multiple options are under investigation by the scientific community. Some information from prior infections suggests that convalescent plasma could help some COVID-19 patients — especially those who are hospitalized. Since plasma transfusions are generally safe for most patients, the FDA announced an initiative to investigate this as a treatment option. We are committed to assisting with plasma collections from carefully-screened recovered COVID-19 patients to enable rapid access to treatment for the most seriously ill patients. I don’t have a positive COVID-19 test, but am certain I had it, can I still participate? Thank you for your willingness to donate convalescent plasma to help patients. You may still qualify if your blood contains COVID-19 antibodies, however, at this time we do not have a process by which antibody testing can be done. We encourage you to fill out our donor eligibility screening form and we will contact you to provide a sample for antibody testing once it’s available.0
- Cancer Care, Plastic Surgery & Skin Care, Women's HealthGeneral Page Tier 3BlogIn January 2019, Alison Jordan, 58, was diagnosed with breast cancer. Soon after her diagnosis, Alison received breast surgery by Rubie Sue Jackson, MD, at Anne Arundel Medical Center (AAMC). “After my first lumpectomy with Dr. Jackson, we went through another biopsy and found more cancer,” Alison said. “Instead of doing another lumpectomy, the treatment team recommended a mastectomy because there were cancer cells found even in areas that were not calcified.” Alison did not want to take any chances of cancer resurfacing. Although a difficult decision, she agreed to the mastectomy but knew she would want breast reconstruction. She met with Devinder Singh, MD, chief of Plastic Surgery at AAMC and medical director of Anne Arundel Medical Group (AAMG) Plastic Surgery, who walked her through her options. “One option was to get a silicone implant, but the thought of a foreign object in my body didn’t resonate with me,” Alison said. “Another option was a procedure using my own tissue. That’s what I chose.” The procedure is known as Deep Inferior Epigastric Perforator (DIEP) flap. DIEP flap DIEP flap is a breast reconstruction procedure that uses tissue from the lower abdomen to make a new breast mound. The delicate blood vessels are re-connected under microscope. Essentially, this makes a living breast implant from skin and fat from the lower abdomen – the same tissue a plastic surgeon would discard during a tummy tuck. AAMC is the only hospital in Anne Arundel County that offers this procedure. DIEP Flap combines breast reconstruction with a tummy tuck, making it a popular choice for breast cancer patients who get a mastectomy. “Most patients choose an implant because it’s quick and easy,” says Dr. Singh. “But these can come with some potential problems, including possible infection and scarring around the implant. Although it is a more intense operating room experience and recovery takes longer, when patients choose their own tissue there is almost no downstream maintenance for them.” It takes a village The DIEP flap procedure is highly intricate, requiring the surgeons to reconnect vessels in order to make the tissue live and using tools so small they can’t be seen with the naked eye. But the effort is worth it and the results are pleasing. Dr. Singh and his partner Tripp Holton, MD, who is also a plastic surgeon at AAMG Plastic Surgery, worked with the operating room nursing team to build a dedicated operating room and team specifically focused on microsurgical breast reconstruction. Dr. Singh and Dr. Holton know that even the most skilled microvascular surgeon can’t do this alone. “We always have the same nurses and technicians for these cases,” said Dr. Singh about the team. “When we are in the operating room, we don’t have to ask for anything because they know our every move. Our team is like a NASCAR pit crew.” In addition to their team-based approach, the doctors attribute their success to their use of the most innovative technologies to ensure the success of their surgeries. They use a 3D computerized tomography of the abdomen and pelvis – or CT scan of the belly – as a ‘roadmap’ that informs them of what to expect as they dissect the flap (or belly skin that will create a new breast). The team also uses Xact, an alternative energy source technology that’s less damaging to the muscle when making cuts to access tissue, as well as SPY fluorescence imaging to better visualize microvascular blood flow. They credit such tools as the secret to their extremely high success rates. “A really good breast reconstruction is also an aesthetic reconstruction,” says Dr. Singh. “That’s the new standard of breast reconstruction and that’s our standard. It has to look good to be good.” Keeping patient experience at the forefront Performing approximately 50 DIEP flaps each year, the plastic surgery team has seen a nearly 100 percent success rate due not only to medical expertise but to the program they planned from beginning to end. Even after the patient has left the operating room, the team continues to prioritize patient care and experience. “We have an intelligent recipe that allows the patient to recover very rapidly with a high level of dignity and comfort,” said Dr. Holton. He says that instead of sending patients to the intensive care unit, patients go to a designated floor in the hospital with a dedicated team of oncology nurses. The dream team Alison says Dr. Jackson, and the entire care team, provided her a very unique experience. “I felt like I was at home when I was with Dr. Jackson and her team,” she said. “The icing on the cake was to have two personable and brilliant plastic surgeons that further confirmed that I was at the right place. All the staff was on it at all times. They were lovely, working with me through every step of the way. When I came to AAMC, I knew I was at the right place, in the right hands. I’m ever so grateful to have successfully gone through this at AAMC and to have this support network.” Authors Devinder Singh, MD, is chief of Plastic Surgery at AAMC and medical director of Anne Arundel Medical Group (AAMG) Plastic Surgery. Tripp Holton, MD, is a plastic surgeon at AAMG Plastic Surgery.0
- Infectious DiseaseGeneral Page Tier 3BlogIt’s been more than a year since the first cases of coronavirus (COVID-19) were reported in Wuhan, China, sparking the beginning of a global pandemic. Information changed daily, especially in those early days. We all had a lot to learn about this new virus. Its symptoms. How it spreads. Who’s most at risk. As we begin 2021, here’s what we have learned about COVID-19. COVID-19 spreads from person to person through respiratory droplets, produced when you cough, sneeze, talk and breathe. This happens when people are within about six feet of each other. We believe this is the main way the virus spreads. That’s why it’s so important to remember the 3Ws. Wash your hands. Wear a mask. Watch your distance. Certain people are at higher risk of becoming more ill from COVID-19 than others. This includes older adults, particularly those who are 65 and older, and people with underlying health conditions. If you fall into these categories, it’s especially important to take precautions against getting the virus. But the virus can be unpredictable. Younger people, including those without pre-existing conditions, aren’t immune to getting sick. The long-term effects of COVID-19 are still unknown. Most people who contract the virus recover within about two weeks. Yet others, known as “long haulers,” have symptoms that can last for months – even those who were never treated in the hospital. According to the Centers for Disease Control and Prevention (CDC), the most commonly reported long-term COVID symptoms include fatigue, shortness of breath, cough, joint pain and chest pain. Other COVID long haulers have reported brain fog, depression, muscle pain, headache, fever that comes and goes and heart palpitations. Still others have experienced more serious complications, including heart, respiratory and neurological problems. It will be several years before we fully understand the virus’ long-term effects on people. Vaccines are a ray of hope. But we’ll still have to be vigilant. The arrival of the Pfizer and Moderna vaccines in Maryland last month was a big step forward. And we’re excited and optimistic that this means the beginning of the end of the pandemic. But it will be months before the majority of Maryland residents receive the vaccination. Gov. Larry Hogan has rolled out a plan that involves a multi-tiered distribution process, allowing frontline health care workers and residents and employees of long-term care facilities to get the vaccine first. It will eventually be available to everyone who wants it. We believe this is our best shot at ending the pandemic. But it will take time. So, again, let’s continue to practice the 3Ws. We’re all in this together. It’s going to take a collective effort to defeat this pandemic once and for all. Follow safety guidelines to protect yourself and others from COVID-19. Get the vaccine once it’s available to you. Encourage your loved ones to do the same. If we can work together to do these things, there’s reason to believe in a light at the end of a long, dark tunnel. Author Kanak Patel, MD, is Luminis Health’s system director of Critical Care Medicine.0
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