Behavioral Health, Patient Stories
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Secret No More: Former AAMC Foundation president writes memoir about son’s drug addiction
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It all started with a phone call.
Lisa Hillman got the call from a beloved teacher, warning her that her teenage son, Jacob, may be dabbling in drugs.
“I will always remember that phone call,” says Lisa, the former longtime president of the AAMC Foundation. “I thought, he’s got to be wrong.”
But he wasn’t wrong. That call would signal the start of a years-long battle with addiction for Jacob.
“In addiction, the phone can be a nightmare,” Lisa says.
With the help of therapists at AAMC’s Pathways, and later drug rehabilitation in Florida, the nightmare is over today. Now 28, Jacob is more than five years clean.
“But who’s counting, right?” Lisa says.
She’s written a book, Secret No More, which chronicles her son’s struggle with drug addiction and her family’s efforts to help him – and ultimately, themselves.
“I wanted to write a story of hope,” she says.
The secrecy of addiction
Before addiction touched her family, Lisa, as a well-known hospital executive, lived an idyllic life. Her husband, Richard, is a former Annapolis mayor. They raised their daughter, Heidi, and Jacob in historic downtown Annapolis.
But things changed during Jacob’s junior year of high school. First Lisa caught her son openly drinking in front of her. Then she got that phone call.
Jacob graduated from high school and was accepted to the University of Maryland with honors, but his life took a sharp turn during a senior week trip to North Carolina. There, he was arrested for marijuana. A year later, he failed out of college due to his drug use, and returned home to work and attend Anne Arundel Community College.
“He still didn’t seem right,” Lisa recalls.
She soon learned he was continuing to use. Desperate to fix his problem, Lisa called a colleague at Pathways, AAMC’s addiction treatment center. She knew she would keep her call confidential.
The Hillmans lived a public life in many ways, Lisa says, but they also valued their privacy. Lisa found herself balancing the demands of overseeing a multi-million dollar capital campaign at AAMC with discreetly trying to get her son the help he needed.
“I think it’s a skill you learn,” she says.
Pathways eventually sent Jacob to rehab in Florida, and that’s when Lisa learned something else.
“I didn’t realize I was sick,” she says.
Healing herself
Through the help of a support group, Lisa learned the phrase that would become her mantra.
“I didn’t cause it, I can’t control it, and I can’t cure it,” she says.
With Jacob in Florida, Lisa focused on healing herself and letting her son go – detaching with love, she says. Back home in Annapolis, she took a call one night from her son, who confessed he’d had a minor relapse.
She told him to take care of himself.
“I was able to say that to Jacob because of the support group and learning to put the focus on him,” she says.
It was a lesson she had to remember on New Year’s Eve in 2011, when she got a call from Jacob’s counselor in Florida. He told her Jacob needed detox immediately. The Hillmans agreed to pay for his treatment, but decided it would be the last time.
And fortunately, something clicked within Jacob.
“He wanted to be clean,” Lisa says.
One day at a time
Today, Jacob lives in Florida and works in recovery, managing a group of homes for recovering addicts.
“For him, it’s almost a calling,” Lisa says.
Writing her book, too, was a calling. She wants other families who are dealing with addiction to know that it’s OK to talk about it.
Years later, Lisa reflects on the strangeness of trying to keep Jacob’s addiction a secret, even as she sat on the board of Pathways.
Once she opened up to her bosses about her secret, they were supportive, a nod to the therapeutic environment in which she worked.
She urges other parents dealing with an addicted child to find someone in whom they can confide.
“It is a family problem,” Lisa says. “If the addict is to get better, it helps if the family gets better.”
And you may not be able to fix the addict, but you can fix yourself.
“One thing that addiction teaches you is to live life one day at a time,” she says. “Sometimes, it’s one hour at a time. Sometimes, it’s one minute at a time.”
Pathways hosts Family Wellness Workshops for family members of adults and teens struggling with addiction, as well as those dealing with a combination of substance abuse and mental health problems. Call 410-573-5449 for upcoming dates, and register for a Family Wellness Workshop today.
Originally published May 30, 2017. Last updated May 4, 2018.
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Men's Health, Orthopedics, Women's Health, Uncategorized
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6 tips for a successful joint replacement
Blog
Your knee or hip has bothered you for years. Perhaps you have a joint replacement surgery scheduled, or maybe you just know it’s in your near future. Before your surgery, you may be able to decrease your odds of a complication by making a few key lifestyle changes.
Get in shape
Strong muscles help support your joints. The better shape you’re in before joint replacement surgery, the more likely you’ll have a speedy recovery. Regular exercise helps maintain joint function while relieving stiffness and fatigue. Also, strengthening your upper body makes it easier to get around with a walker or cane for the time you’ll need it following your surgery.
Make sure you follow the exercise plan your surgeon recommends, and strongly consider taking part in prehabilitation strength training with a physical therapist. Research shows that prehab helps many recover faster following joint replacement surgery.
Watch your weight
Studies also show that obese patients are more likely to experience complications both during and after surgery than patients who are not obese. Every pound you lose takes three pounds of force off of your joints. In some cases, your diet can even help with the inflammation that can cause joint pain. Cutting back on fried and processed foods can help you lose weight and reduce inflammation.
Quit smoking
Smoking, and other tobacco use, can delay your body’s ability to heal itself following surgery. Smoking can slow down incision healing time, as well as increase your risks of prosthetic-related complications. When you smoke, your blood vessels become smaller, reducing the amount of oxygen-rich blood in your bloodstream. Healthier lungs and higher blood oxygen levels lead to faster healing. If you need help quitting, Anne Arundel Medical Center (AAMC) offers classes and resources at askAAMC.org/QuitSmoking.
Prepare your home
Being able to successfully move around in your own home is the first step to getting back to everyday life following joint replacement surgery. Don’t wait until after surgery to prepare your home.
Here are a few basic tips:
Consider creating a “base camp” on the main level of your home. This will be where you spend most of your time. Set up a recliner or a chair and ottoman, with your phone, computer, remotes and everything else you’ll need in easy reach.
Make sure you’ve cleared a path in your home that allows you to easily move around with a walker. Remove loose rugs since they can be hazardous when you are walking around. Plus, make sure you tape down all electrical cords.
Make sure your food and grooming supplies are accessible, between waist and shoulder level.
AAMC’s Center for Joint Replacement recently began offering PT360, which offers in-home visits from a physical therapist before your surgery. The therapist helps with prehab and helps you prepare for life after joint replacement surgery in your own home. You learn how to get in and out of your own bed, how to navigate your stairs, how to get in and out of your car, and much more.
Keep a positive attitude
Know that you’ll experience challenges along the way, and maintaining a positive attitude helps tremendously. Having a positive surgical outcome is partly dependent on your willingness to work hard in physical therapy and rehab. Keeping a positive attitude helps.
Prepare for your joint replacement
Another challenge patients often face is anxiety, or fear of the unknown. A great way to ease anxiety is to be prepared. Talk with your surgeon and ask questions. Read through the guidebook you’re given by your surgeon. Go to the preoperative joint class and learn as much as you can before your surgery, as this will aid in your recovery.
The success of your joint replacement surgery truly takes a team approach — from the office staff, to the operating room team, to the nurses and physical therapists. Having a solid team helps you achieve the best possible result.
Our goal is always to get you out of pain and back to your everyday activities as soon as possible, and these six steps will help you reach that goal.
To sign up for an upcoming Hip and Knee Pain 101 class, visit askAAMC.org/JointSeminars.
Author
By Justin Hoover, MD, orthopedic surgeon at AAMC Orthopedics. To reach his practice, call 410-268-8862.
Originally posted March 15, 2017. Last updated May 4, 2018.
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News & Press Releases
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AAMC names Barry Meisenberg, MD, new chair of Department of Medicine
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Anne Arundel Medical Center announces Barry Meisenberg, MD, as its new chair of the Department of Medicine.
Dr. Meisenberg has lead the Geaton and JoAnn DeCesaris Cancer Institute since 2008, and served as chair for Quality and Health Systems Research since 2012. He has been at the forefront of many health system initiatives and innovations in cancer care.
Dr. Meisenberg has also been instrumental in AAMC’s work to reduce opioid prescribing across the health system. Most recently, the Maryland Patient Safety Center recently awarded AAMC the Distinguished Achievement in Patient Safety Innovation Award.
“After a national search, our committee unanimously agreed that Dr. Meisenberg was the strongest candidate to lead our medical services into the future,” says Mitchell Schwartz, MD, chief medical officer and president of Physician Enterprise at AAMC. “He is a true leader in his field. We are honored to have him as an integral part of our health system team.”
In his new role as chair, Dr. Meisenberg will work to enhance quality outcomes and ensure that the Department of Medicine functions within an integrated system of care, continuously improving performance.
Prior to joining AAMC, Dr. Meisenberg was professor of Medicine at the University of Maryland School of Medicine. He also headed the Division of Hematology/Oncology and was deputy director for Clinical Affairs at the Marlene and Stewart Greenebaum Cancer Center.
Dr. Meisenberg is widely published in oncology and research journals, and speaks nationally and internationally on diverse topics in cancer medicine.
He is also a visiting professor of oncology at the Johns Hopkins Sidney Kimmel Cancer Center and supports their clinical efforts internationally.
Dr. Meisenberg received his medical degree from Albany Medical College in New York and completed his residency in internal medicine and a fellowship in Hematology/Oncology at the Naval Hospital in San Diego.
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Men's Health, Physical Therapy, Senior Care, Women's Health
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Latest tech gadgets help people with disabilities live independently
Blog
Certain disabilities can make daily tasks such as turning light switches on and off, talking on the phone or adjusting a thermostat difficult or impossible. For many years, occupational therapists have used environmental control units (ECUs) and assistive technology (AT) to help people manage their disabilities and become more independent. Until recently, this technology has been extremely expensive.
But thanks to advances in technology over the last decade, items that once helped people with disabilities are becoming more affordable as “cool” or “high tech” gear for your home. Examples include Amazon’s Alexa, Verizon’s Gizmo watch, and the Ring Video Doorbell.
Amazon’s Echo is a portable device that uses voice recognition. You can ask Alexa, the Echo’s witty, charming female voice, to turn lights off and on, play music, answer questions, make phone calls, and order groceries.
Verizon’s Gizmo watch is an invention that, a few years ago, looked like it could be in an episode of Star Trek. It’s a simple tool that can store 10 contacts, call 911, serve as a tracking device and measure physical activity. If you’re caring for a parent with mild cognitive impairments, you can use the corresponding phone app to track the person’s movements. Less walking may mean a fall, an illness or the progression of a disease.
The TV show Shark Tank turned down the Ring Video Doorbell but it can help people who have a hard time walking. You can see who is at the door without having to rush and risk falling. It also has a function to allow you to lock and unlock your door remotely.
All of these items are simple, yet sophisticated, pieces of equipment that were once too expensive for many people. You can now buy a device that used to cost more than $3,000 for less than $150.
Because ECUs and AT are now more readily available, occupational therapists can help people live more independently, all with a click of a button.
Author
Erica Jones, OTR/L, CLT, is an occupational therapist with Anne Arundel Medical Group (AAMG) Physical Therapy. You can reach her office at 443-481-1140 or you can request an appointment online.
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Heart failure is usually a result of other health conditions that affect your heart, like:
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