- 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
- Wellness, Heart CareGeneral Page Tier 3BlogDo you have high cholesterol? You’re not alone — millions of adults in the United States face this common but serious issue. High cholesterol increases the risk of heart disease, stroke and other chronic health conditions. In Prince George’s County, heart disease is the leading cause of death, underscoring the urgency of managing cholesterol levels. But how can you take control? At Luminis Health, we understand it’s not always easy. That’s why we’re here to explore the difference between “good,” “bad” and even “stealthy” cholesterol, review lifestyle changes that can help, and weigh the pros and cons of statin medications. Good vs. bad cholesterol Believe it or not, cholesterol isn’t all bad. Cholesterol helps build cells, create hormones and vitamin D, and aid in digestion. Problems can develop, however, when you have too much bad cholesterol or not enough good cholesterol in your bloodstream. In your body, cholesterol and triglycerides (fats from food, such as butter) combine with proteins to form lipoproteins, which travel to cells through your bloodstream. It’s likely you’ve heard of these, although perhaps by nickname: High-density lipoprotein (HDL) is often referred to as “good cholesterol” because its job is to move the bad cholesterol out of your arteries and into your liver, where it breaks down. Good cholesterol can be found in foods like nuts, fruits and vegetables, avocados, olive oil, oatmeal, beans and whole grains. Low-density lipoprotein (LDL), also known as “bad cholesterol,” causes fat to build up in your arteries, either restricting or blocking blood flow. Bad cholesterol is common in foods like red meats, processed meats and fried foods. Stealthy cholesterol is the common name for lipoprotein(a) or Lp(a). It’s often called “stealthy cholesterol” because high Lp(a) levels usually don’t cause symptoms and diet, exercise and cholesterol medication don’t affect it. It’s a genetic condition detected by a special blood test. You can have high cholesterol if you have too much LDL, too little HDL or a combination of both. Stealthy cholesterol is also quite common. According to the American Heart Association, one in five people worldwide has high levels of Lp(a). Whether you have high or stealthy cholesterol, you’re at an increased risk of experiencing heart pain (angina), a heart attack or a stroke. How to combat high cholesterol Certain lifestyle changes can help you keep your cholesterol in check, including: Eating a healthy diet that includes heart-healthy foods like vegetables, fruits, whole grains, fat-free or low-fat dairy, and protein-rich foods such as fish and lean meats. Exercising regularly — aim for 150 minutes each week. Limiting your alcohol intake. Maintaining a healthy weight. Quitting smoking. If high cholesterol is an issue for you, your doctor may also prescribe medications to decrease your levels of bad cholesterol, increase your levels of good cholesterol and/or reduce your levels of triglycerides. One type of medication, called statins, can do all three. The pros and cons of statins Unfortunately, you can still have high cholesterol, even if you maintain a healthier lifestyle or have recently made some positive changes. Many of us now take a statin, which is a class of medication that helps lower cholesterol. Statins work by blocking a substance your body uses to produce cholesterol, helping to slow the buildup of plaque in the arteries. Statins are especially beneficial for people who have already had a heart attack or are at high risk due to conditions like diabetes or high blood pressure. In addition to lowering cholesterol, statins may also have anti-inflammatory effects that further protect the heart and blood vessels. However, it’s important to be aware that statins can come with potential side effects, such as: Constipation Diarrhea Fatigue or sleep issues Headache Increased blood sugar Liver damage Muscle or stomach pain Nausea or vomiting Rash You’re more likely to experience side effects from statins if you’re female, take other cholesterol-lowering medications, drink excessive alcohol or have conditions like hypothyroidism, kidney disease or liver disease. Certain medications and even foods (such as grapefruit juice) can also interact with statins. Your doctor can help you weigh the risks and benefits to decide if statins are right for you. The support you need, close to home If you suspect you have high cholesterol or are experiencing concerning symptoms, it’s important to seek expert medical screening and treatment. The faster you get a diagnosis, the sooner we can take steps to help you lower your risk for serious health complications. Find a primary care provider at Luminis.Health/PrimaryCare or call 301-927-0088 to schedule an appointment at our Greenbelt location. The Luminis Health Community Health team also offers free community clinics with essential screenings, including A1C testing, cholesterol and blood pressure screenings. For details about upcoming clinics, visit Luminis.Health/CommunityClinics. Authors Sufia Syed, MD is an internal medicine physician at Luminis Health.0
- OrthopedicsGeneral Page Tier 3BlogSpending more time at home comes with its fair share of advantages and disadvantages, and most families are figuring it out as they go. While we’re seeing less injuries from contact sports, injuries from things like starting new, unguided workout regimens and from doing everyday housework are on the rise. Here are four tips to avoid at-home orthopedic injuries while staying active this summer. Ease into new workouts and activities. Your gym may be closed and, if not, you’re trying to decide when to get back to your normal routine. In the meantime, you want to stay active to avoid going stir-crazy. But you don’t have access to the equipment or classes you’re used to. We get it. Take time to adjust to any new workouts and activities you choose to do at home. To help avoid injury, don’t overdo it right away. Get help when learning those new workouts. Maybe you’re ready to start weight-lifting or try your hand at CrossFit. As you begin these new routines, reach out for help. Find a friend or family member who has experience with that workout and can help demonstrate proper form. Or better yet, hire a trainer. Many trainers are now doing virtual sessions and can help guide you while you safely workout at home. Be careful with repetitive workouts. Many people have increased their at-home workouts and have used extra free time to become more physically active. Now is a great time to build good fitness habits, but be careful with repetitive workouts as they can lead to overuse injuries. Running and cycling too often, for instance, can cause stress fractures, shin splints and tendinitis. We recommend switching up your routine to focus on other muscle groups and giving your body proper rest. Don’t forget to warmup and stretch. These things can easily get left out of the routine when you don’t have an instructor guiding you, but you need to do them. Warming up and stretching are two of the most important parts of a workout routine. Warming up not only loosens stiff muscles, but it can also improve performance. And stretching can help boost your flexibility and decrease the muscle tension in your body. Both will reduce your risk of injury. No matter where you’re spending your time this summer, it’s important for your physical and mental health to stay active. But falls, mishaps and orthopedic injuries don’t take a vacation just because we’re at home. Call your doctor if you experience an orthopedic injury. Doctors’ offices are safe, ready and open to care for you. Author Ben Petre, MD, is a sports medicine doctor and surgeon at Anne Arundel Medical Orthopedics. He can be reached at 410-268-8862. For more information visit aamcortho.com.0
- Behavioral Health, Lung CareGeneral Page Tier 3BlogThe back-to-school seasons brings excitement—from new teachers to new backpacks. But amid the preparation, it’s also a key moment to have honest conversations with your teen about the risks of vaping and using marijuana. First, a reality check: In Maryland, 14% of high school students reported using marijuana in the past 30 days, according to the latest health data. While teen experimentation can be common, it doesn’t make it safe. That’s why it’s important to talk to your kids early and often. Sharing facts, not fear, can help them make informed, healthy choices. Marijuana’s impact on teenagers Marijuana is legal in Maryland, so it’s safe, right? Not for teens. Their brains are still developing and regular marijuana use can interfere with that growth in serious ways. Potential effects on children and adolescents include: Difficultly solving problems Impaired memory Poor physical coordination Slower reaction time Trouble focusing Increased irritability Increased risk of psychosis Interference with prescribed medication Still not convinced? Research shows that teens who start using pot before the age of 18 are seven times more likely to develop marijuana use disorder later in life—a condition where a person struggles to stop using marijuana, even when it negatively affects their health, school, or relationships. Vaping is more smoke and mirrors Vaping has become increasingly popular among young people. It’s often cheaper than cigarettes, comes in appealing flavors, and is heavily promoted on social media—which can make it especially attractive to teens. Many people assume that vaping is a safer alternative to smoking tobacco. But the reality is more complicated: Nicotine is still addictive. Most vapes contain nicotine—a highly addictive substance that can harm brain development in teens and increase the risk of future substance use. Harmful chemicals are still present. Vaping aerosols contain toxic substances like formaldehyde, acetaldehyde, and acrolein—chemicals linked to lung damage and cancer risk. Lung injury is real. Vaping has been linked to serious lung illnesses, including EVALI (e-cigarette or vaping-associated lung injury), which has led to hospitalizations and even deaths. Unknown long-term effects. Because vaping is relatively new, the full long-term health impacts are still unknown, but early research shows cause for concern. Tips for talking to teens about vaping and marijuana Having these conversations with your teen can feel uncomfortable at first. Here are some tips to get you started: Start early, talk often. Short, regular check-ins feel less like a lecture and more like a conversation. Lead with curiosity, not accusations. Ask open-ended questions: “What have you heard about vaping?” “How do kids get e-cigarettes?” Use facts, not fear. Share concrete data (e.g., nicotine addiction, lung injury, impaired brain development) instead of scare tactics. Connect to their goals. Explain how vaping or cannabis can hurt sports performance, concentration for classes, or driving safety. Model healthy coping skills. Discuss stressbusters such as exercise, music and journaling so nicotine or THC isn’t the default escape. Practice exit lines. Roleplay ways to say “no thanks” when offered a vape or joint (e.g., “I’ve got practice tomorrow,” “I’m good—don’t want the hassle”). Keep communication twoway. Listen without interrupting; validate feelings even if you disagree. Teens are more receptive when they feel heard. Set clear expectations and consequences. Explain family rules (e.g., no vaping, alcohol, or marijuana before 21) and what happens if they’re broken. Stay alert to peer influence and online marketing. Ask about social media trends or friends who vape; discuss how ads target teens. Revisit the topic. Trends, products, and pressures change quickly; schedule regular “checkins” rather than oneanddone talks. How Luminis Health can help Parenting can be tough, but you’re not alone. Luminis Health mental health providers, with expertise in adolescent care, have already laid the ground work. Through funding from the Maryland Community Health Resources Commission, behavioral health education and support services have been successfully delivered in six high schools in Prince George’s County. The program—developed in close partnership with local schools—has demonstrated meaningful impact in supporting student well-being. Due to its success, the state has renewed funding for the upcoming school year following a highly competitive grant process. This continued investment underscores the importance of school-based behavioral health initiatives and the strength of collaborative community partnerships. If you or your children need additional support, the Behavioral Health Urgent Care walk-in clinic at Luminis Health Doctors Community Medical Center in Lanham offers treatment for non-life- threatening mental health needs for ages four and up. No appointment is necessary. Thanks to the state grant, we will expand our hours later this fall to include weeknights and Saturdays. Authors Dr. Jesselina Curry is the system medical director for ambulatory behavioral health services at Luminis Health. Supported by the Maryland Community Health Resources Commission and Maryland Consortium on Coordinated Community Supports, the views presented here are those of the grantee organization and not necessarily those of the Commission or Consortium.0
- OrthopedicsGeneral Page Tier 3BlogBeing able to hit the slopes to go skiing or snowboarding is one of the greatest advantages of the winter months. In fact, more and more people are trying these sports, especially snowboarding. Despite their popularity, these sports are also one of the most dangerous activities, with a higher risk of injury than many other common sports. Skiers are more likely to have lower extremity injuries, such as a sprained knee, broken tibia or torn knee ligaments. Anterior cruciate ligament (ACL) tears are the most prevalent. Snowboarders, on the other hand, suffer more upper body injuries, such as broken wrists or collarbones, a separated acromioclavicular (AC) joint or concussions. Benjamin Petre, MD, orthopedic surgeon with AAMC Orthopedics and a team physician for the U.S. Ski and Snowboard team, shares tips to prevent injuries and stay safe on the slopes. Here are three of his recommendations: Know your limits. One of the most important ways to be prepared to ski or snowboard is to know your limits. This is especially important if you are a beginner on the slopes. Don’t try things outside of your skill level because it increases the risk of injury for yourself and others. Learning to be in control is key, so take the time for a lesson with a certified instructor. While your friends may be experienced skiers or snowboarders, a professional instructor will likely be able to teach you more. Also, a lesson not only better prepares you for the slopes and reduces your risk of injury, it’s fun. Even the most advanced skiers and snowboarders should know when to call it quits for the day or take time for a break. Most injuries occur after noon because you want to do one last run and ignore the signs that your body is too tired. Participating in a strength-training program focused on the lower body prior to skiing or snowboarding helps reduce leg fatigue, but you still must allow your body to rest. Warming up for a few minutes also better prepares you for a long day on the slopes. Wear a helmet. Whether you’re an Olympic athlete or only on the bunny hill, you should always wear a helmet on the slopes. It helps prevent minor to moderate head trauma, including concussions. Concussions are common, especially for snowboarders. Unfortunately, helmets may not be as effective in situations of severe head trauma or in cases of multiple concussions. Regardless, if you fall and hit your head, seek medical attention right away. Take any trauma to your head seriously. Have the right equipment and attire. Having improper equipment or clothing could ruin your day on the slopes, so be prepared. It’s important to have equipment that’s matched to your size and ability. Good bindings are an integral piece of your skiing or snowboarding experience, and reduce your risk of serious injury. Have them checked regularly. It’s also critical to dress appropriately for the changing weather on the mountains. Wearing layers can help you adjust to the changing temperatures throughout the day. Author By Benjamin Petre, MD, orthopedic surgeon at AAMC Orthopedics, a practice of Anne Arundel Medical Center. To reach him, call 410-268-8862. Originally published Jan. 15, 2016. Last updated Jan. 21, 2020.0
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