Women's Health, Wellness
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The uncomfortable conversations you should have with your doctor at midlife
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As women move beyond the child-bearing years, their responsibilities and sources of stress can shift and even increase. But the transition from mommy to midlife shouldn’t be a crisis.
Women in their forties and fifties are often called the sandwich generation for a reason. We’re still parenting, yet may find ourselves caring for aging parents. In that squeeze women must remember to put their oxygen mask on first because women who take the time to care for their own physical and emotional well being are better equipped to handle everything else on their plate.
Midlife is the time to tackle those issues our younger selves may have been too busy to address or too embarrassed to talk about.
What are some of the top uncomfortable conversations to have with your doctor?
Intimacy Issues
A lot of intimacy issues I see with midlife women stem from loss of libido, or sexual desire. There’s no little blue pill to prescribe, but your doctor can help you can help you get to the heart of the problem, uncovering possible medical reasons for the issue.
Bladder Control Problems
Urinary incontinence, or loss of bladder control, is common for women as they age—whether it’s the strong sudden urge to go out of nowhere or the type that come on when you sneeze, laugh or cough. But it is not something you have to live with. There are exercises and diet changes that can help, as well as procedures that can be done.
Perimenopause/Menopause
As an OB-GYN I help many women manage the symptoms of menopause. Things that help include exercise, controlling your weight and, in some cases, hormone replacement therapy. New therapies have emerged, too.
Healthy Habits
Your doctor can help you make those necessary lifestyle changes you’ve been meaning to do, like quitting smoking, eating healthier, getting enough sleep, and exercising. In some cases, these changes may go hand in hand with helping a medical issue you’ve been having.
Abuse
Your conversations with your doctor are confidential, yet crucial if you don’t know what to do about your situation.
Stress/Depression
Talk to your doctor to better understand the chaos hormones may be inserting into your life, plus to help you navigate your stresses. Stress and/or depression could be tied to some of the other issues above, so taking care of one may help the other.
Your doctor can help you navigate these midlife matters, allowing you to put down the supermom cape and realize you’re not alone on your health journey.
Author
By Karen Hardart, MD, an OB-GYN at Anne Arundel Medical Center. She can be reached at 410-573-9530.
Originally published May 4, 2015. Last updated Aug. 6, 2018.
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Recipe: Alaska salmon cakes with yogurt dill sauce
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These light and healthy salmon cakes are scrumptious served on a bed of crisp greens or stacked on toasted buns as a burger alternative. Anne Arundel Medical Center dietitians recommend this recipe for bone-healthy calcium and vitamin D.
Preparation time: 15 minutes
Cook time: 6 minutes
Servings: 4
Ingredients
1 can (14.75 ounces) traditional pack Alaska salmon or 2 cans or pouches (6–7.1 ounces each) skinless, boneless salmon, drained and chunked
1 egg
¼ cup small-curd nonfat cottage cheese
1 tablespoon chopped fresh dill or 1 teaspoon dried dill weed
1 teaspoon lemon pepper seasoning
¼ cup sliced green onions
3 tablespoons garlic-and-herb bread crumbs
Vegetable oil
Yogurt dill sauce (recipe follows)
Description
In a medium bowl, whisk egg lightly. Add cottage cheese, dill, lemon pepper, and green onions, and mix well. Mix in drained salmon, then sprinkle in bread crumbs and mix well. Shape mixture into four patties, ½- to ¾-inch thick and 3 inches in diameter.
Heat a nonstick skillet over medium-high heat and brush skillet with oil. Fry the salmon cakes for about 2½ to 3 minutes per side. Cakes should be crisp and golden on the outside and still moist on the inside. Serve with yogurt dill sauce.
Dietitian's Tips
For a crunchy coating, lightly dust salmon cakes with fine cornmeal before frying. For an appetizer, form cakes into 12 small portions and dollop with a little sauce. For a baked version, place patties on spray-coated baking sheet. Bake at 425°F for 15 minutes, turning after 8 minutes.
Yogurt Dill Sauce
Makes about ¾ cup
½ cup nonfat yogurt
1½ teaspoons finely minced fresh garlic
Salt and pepper
1 tablespoon chopped fresh dill or
1 teaspoon dried dill weed
¼ cup grated, and squeezed dry, cucumber
Mix yogurt and garlic, and add salt and pepper to taste. Stir in dill and cucumber. Refrigerate, covered, until ready to serve.
Nutrients per serving: 217 calories; 8 g total fat, 2 g saturated fat, 34% calories from fat; 112 mg cholesterol; 27 g protein; 8 g carbohydrate; 0.5 g fiber; 897 mg sodium; 320 mg calcium; 1,800 mg omega-3 fatty acids.
Recipe courtesy of Wild Alaska Seafood.
Originally published Sept. 24, 2015. Last updated Aug. 3, 2018.
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News & Press Releases
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Anne Arundel Medical Center president and CEO honored with American Hospital Association Grassroots Champion award
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The American Hospital Association (AHA) has recognized Anne Arundel Medical Center President and CEO Victoria (Tori) Bayless as a 2018 Grassroots Champion. Bayless was honored at the Maryland Hospital Association’s annual meeting in June.
Each year, the AHA, in conjunction with the state hospital associations, recognizes the achievements of grassroots leaders with the prestigious Grassroots Champion Award.
The award recognizes a hospital leader from each state who most effectively educates elected officials on how major issues affect the hospital’s vital role in the community, who have done an exemplary job in broadening the base of community support for the hospital, and who are tireless advocates for hospitals and their patients.
“Victoria Bayless is being recognized as a 2018 Grassroots Champion for her commitment to working to improve the issues affecting her hospital’s community,” said AHA Executive Vice President Tom Nickels. “Her leadership in advocacy has created an open dialogue with elected officials, which in turn has broadened community outreach and education for both Anne Arundel Medical Center and its patients.”
“Tori is a steadfast advocate and champion of Anne Arundel Medical Center’s mission to enhance the health of the people we serve,” said Gary Jobson, AAMC board chair. “In doing so, she demonstrates unyielding passion, commitment and innovative thinking toward advancing causes that positively impact the health needs of the community. This honor is well deserved.”
Bayless has been at the frontline of advancing important initiatives to strengthen the provision of health care in Anne Arundel County and the surrounding region. Most recent efforts include increasing access to mental health care and working to expand cardiac surgery services.
Bayless joined AAMC as vice president of Clinical and Support Services in 2005. She was promoted to chief operating officer in 2006. In September 2009, Bayless was named president and chief operating officer and was promoted to CEO in 2011.
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News & Press Releases
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Anne Arundel Medical Center adopts new technology to increase patient engagement during recovery
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Anne Arundel Medical Center has entered into a partnership with CipherHealth, a health care technology company committed to improving patient outcomes and experiences through enhanced communication and care team coordination. The partnership centers on supporting patients in their transition home.
AAMC chose to adopt CipherHealth’s Voice Patient Communication Platform with the objective to effectively engage patients and their families. Following up with patients after discharge is a proven method to increase compliance, outcomes and satisfaction.
AAMC’s project team worked closely with the CipherHealth team to ensure that the program addresses the following:
Communication with patients in their preferred language
Utilization of the right mode of engagement – call or text
Personalization based on the patient’s condition and care needs
If a patient indicates they need assistance when they receive a Voice call or text, an alert is automatically routed to the appropriate hospital staff, who is then able to call the patient back and address their concern.
“AAMC has always invested considerable effort in effectively engaging patients. We believe that most often, it comes down to communicating with patients the right way and at the right time,” said Sarah Haas, manager of health care payment redesign programs at AAMC.
“We are thrilled to work with AAMC on this exciting initiative to engage patients in the critical time following a procedure,” said Katie Mills, client success manager for CipherHealth. “AAMC’s dedication to their community by ensuring patient needs are addressed quickly, is exactly what our products aim to achieve.”
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Cancer Care
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Breast cancer survivor describes her journey through treatment, reconstructive surgery
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Kimberly Collins lives in southern Maryland, about two hours away from Anne Arundel Medical Center.
Yet she still traveled to AAMC to get a second opinion on her breast cancer diagnosis — and then, ultimately, treatment and breast reconstruction.
“That’s a drop in the bucket for getting good care,” Kimberly says.
She opted to undergo a double mastectomy with Wen Liang, MD, a breast surgeon at The Rebecca Fortney Breast Center at AAMC, followed by reconstructive surgery with Devinder Singh, MD, chief of Plastic Surgery at AAMC and medical director of AAMG Plastic Surgery.
AAMG Plastic Surgery’s plastic surgeons work closely with the breast surgeons, oncologists and radiologists at The Rebecca Fortney Breast Center — a level of collaboration that is unusual in highly specialized care.
“When I walked into the breast center, I knew I was in the right place,” Kimberly says.
Dr. Liang, she says, treated her not just as a cancer patient, but as an individual person.
A breast cancer diagnosis is terrifying, Kimberly says. She was drawn to Dr. Liang’s compassion as well as her expertise and knowledge.
“Dr. Liang wanted to see for herself what she was looking at,” she says, adding Dr. Liang didn’t give the scans to the radiologist until she reviewed them.
“And she actually had some questions,” Kimberly says. “She went that same afternoon during my consult to the Radiology department and had them read my films with her questions included. When you have a doctor with that much buy-in and partnership in your diagnosis and treatment — you don’t question it.”
Kimberly says she’d spent a lot of time researching Dr. Liang, but no time researching a plastic surgeon. That’s when the partnership between The Rebecca Fortney Breast Center and AAMG Plastic Surgery was especially important.
“If I had had to research a plastic surgeon — it would have changed my whole emotional journey,” she says.
“When I meet with a breast cancer patient after hermastectomy, there are always a lot of questions. And rightfully so,” says Dr. Singh. “Chief among them, what kind of reconstruction are we talking about?”
Kimberly opted for silicone implants to eliminate the need for extra incisions. Other methods of reconstruction, including deep inferior epigastric perforator artery (DIEP) or superficial inferior epigastric artery (SIEA) flap reconstruction involve using the patient’s tissue from another part of her body, such as the abdomen or thigh.
Dr. Singh was “the jewel in my crown” of treatment, Kimberly says.
Dr. Singh says it’s a team effort. Ken Collins, Kimberly’s husband, adds that the team approach was evident as Drs. Liang and Singh worked to include all members of their family, including their two children, in discussions about Kimberly’s care.
“Everybody was a part of it,” he says. “It was an incredible experience that I wish I had never had.”
Like AAMG Plastic Surgery on Facebook for the latest updates from the practice’s medical team.
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