- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWhat Susan Dennis says is most extraordinary about her life now is that it is so ordinary. In the last few months, she’s taken many long walks, gone to a baseball game, flown to Florida on vacation, and walked down the beach in a swimsuit. Nothing that unusual for a 40-year-old woman, except if you are Susan Dennis. Flash back a year, and Susan says you wouldn’t recognize her. She weighed over 300 pounds and had full-blown diabetes, high blood pressure and a host of other serious health issues. “I didn’t go out, I didn’t like seeing friends, walking was a chore,” Susan says. “I felt weighed down by myself, by everything. It wasn’t a happy existence.” A Lifelong Struggle Susan has struggled with her weight since she was 16. Over the years she tried fad diets, weight loss groups, even medically supervised prescription diets. But nothing worked. Finally, with her health in steep decline, her endocrinologist suggested bariatric surgery. At first, Susan balked at the idea. “I told her no. I thought it might be the easy way out and that I could do it on my own.” But as her health worsened, Susan finally realized she needed help. The Right Decision Susan decided to have gastric bypass surgery with Alex Gandsas, MD, who leads AAMC’s Weight Loss and Metabolic Surgery program. Susan says she liked that the care felt “very personalized.” Dr. Gandsas says it’s essential to have a rigorous bariatric surgery program that addresses the whole person. “We are helping our patients engage in a different life,” Dr. Gandsas says. “The surgery helps them change course and shed weight, but it’s only one component. We want them to have all the tools they need to permanently succeed.” Intensive Help Before, and After At AAMC, weight loss patients begin preparing for surgery six months in advance with medical testing, diet, exercise, and nutrition counseling. And it doesn’t end there. After surgery, patients continue to receive careful monitoring and meal plans. Just 4½ months after her surgery, Susan was doing great. In addition to having lost 83 pounds, her blood pressure was down and her diabetes was fully controlled. What’s more, Susan says she’s happy all the time. “I just feel wonderful, I feel like I can take over the world.” But for now she’s content trying to live her extraordinarily ordinary life. Next on the list: yoga classes. To learn more about bariatric surgery at Anne Arundel Medical Center, please visit www.AskAAMC.org/WeightLoss.0
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogIn 2012, Tammy Smith weighed 340 pounds. She attended a weight loss surgery seminar and decided to have gastric sleeve bypass. Her journey to new health habits began several months prior to her surgery, leading to a nearly 200-pound weight loss. Here’s Tammy’s story in her own words: Two years ago, I was very scared and nervous about the idea of bariatric surgery. I went to a seminar and met Bariatric Surgeon Dr. Alex Gandsas and he was amazing. After speaking with him, I decided to go through with the surgery to have the gastric sleeve bypass. The easiest part of the journey has been the surgery itself. There was very little pain. The hardest has been adjusting to a new way of thinking about food and establishing an exercise routine. But the program is set up for success by helping you adjust to new habits before surgery. Three months leading up to surgery, I met with the nutritionist in Dr. Gandsas office who guided me in the right direction. It was a lifestyle change that needed to take place in order to be successful. Each month, I picked two or three of the changes that needed to happen. I worked on making these changes every month until they became habits. As weeks went by the challenge was to make good choices and exercise regularly. I have lost 191 pounds. I started at 340 pounds and size 24. Now I am in a size 4. My journey has changed me. I love the new me. I never knew this life I now know could have existed. This surgery is not a quick fix or a magic procedure. It is about changing your way of life, not just a diet. Bariatric surgery is a tool in your tool box. Learning good eating habits and educating yourself about nutrition is key. For those who choose not to work out, the results will not be as great. The true test for maintaining and continuing my weight loss came after I lost my husband. Getting through the last six months has been a huge test to old eating habits. But I have stayed the course, and I know I will continue with my new lifestyle. I am so thankful for this program at AAMC. If you make the changes and do the hard work you will be successful! Learn more about bariatric surgery at www.AskAAMC.org/WeightLoss.0
- Cancer Care, Men's Health, News & Press Releases, Women's HealthGeneral Page Tier 3BlogAAMC’s symptom management clinic provides cancer patients quick access to care when they are experiencing symptoms related to their treatment. The care provided through the clinic is coordinated with their oncologists and infusion team. As a result, patients with cancer are experiencing fewer hospital readmissions, fewer emergency room visits and they are happier with their care. Future enhancements include use of AAMC’s electronic medical records to not only track outcomes, but to provide patients with a portal to document their symptoms, and ask questions of the oncology team. This will further support an enhanced communications tool that patients and providers can use throughout the complex, multidisciplinary, continuum of care. The DeCesaris Cancer Institute received an Innovator Award from the Association of Community Cancer Centers for the implementation of this symptom management clinic. “It recognizes creativity and innovation in cancer care, which we’re all being asked to do more of,” says Catherine Copertino, RN, executive director of the DeCesaris Cancer Institute.0
- Community, Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWake-up calls come in all forms. For Tyraia Colbert, a tele-health assistant who works nights in the Communications Department at Anne Arundel Medical Center (AAMC), her wake-up call to get healthy came in the form of shoes. “I couldn’t wear my high heels,” Tyraia laughed. “I was too big, and they weren’t comfortable anymore. I had to wear flats to work every day, and I didn’t like it.” Her fashion limitations, coupled with a health scare the year before when she was hospitalized with cluster headaches, lead her to commit once and for all to achieving better health. In five months, the single mother of two boys, ages 7 and 10, has lost nearly 50 pounds and drastically changed her lifestyle and eating habits. “I was scared that if I didn’t change my life, I would die,” said Tyraia. “My children need their mother, and I needed to make sure I was there for them.” AAMC’s Energize Program Provides the Tools Tyraia began her journey by turning to AAMC’s Energize, the hospital’s wellness program. She began walking twice a week for 30 minutes on the Energize walking path in the basement of AAMC. Then, she took advantage of the various Energize fitness classes and workshops. In July, she started seeing a nutritionist weekly through AAMC’s nutrition coaching program – free to employees, yet available to the community for a fee – to improve her diet. “Before I started with Energize, I was lazy,” Tyraia said. “Now, I see Maureen [nutritionist] once a week for accountability, and she pushes me to work harder and helps me find new recipes and healthy foods to add to my diet.” Tyraia’s Journey to Better Health Becomes a Family Affair Now Tyraia’s mother, Kay, joins her daughter for Energize group fitness classes 4-5 days a week. “My mother is my support system,” said Tyraia. “She makes me get up and go to class when I don’t feel like it. We hold each other accountable.” “When Ty got serious about her health I wanted to support her,” Kay said. “During this year Ty has lost weight, completed her high school diploma and started college,” she added with pride. Both Colberts noticed that their whole family’s health has improved with their efforts, but when people ask Tyraia about her “secrets” to weight loss she is honest. “I tell people there is no magic trick to weight loss, no gimmicks. It’s about making lifestyle changes and I tell them they can do it, too. It’s easy to dismiss, but it’s true – it will make you feel better.” Tyraia’s journey isn’t over yet. Her long-term goal is to lose 100 pounds. “I’m halfway there,” she said, “and I can keep up with my boys now.” And, her high heels have come back out of the closet. For more inspiration and tips to help you meet your healthy weight goals, visit our Living Healthier Together website.0
- Men's Health, Women's Health, Wellness, UncategorizedGeneral Page Tier 3BlogAlmost everyone suffers from the occasional bout of heartburn around Thanksgiving. But for millions of Americans, this discomfort isn’t just a holiday occurrence. Gastroesophageal reflux disease (GERD) occurs most commonly when the valve between the stomach and the esophagus, known as the lower esophageal sphincter, does not function properly. This allows stomach contents to flow back up into the esophagus, causing frequent heartburn and acid indigestion. Less commonly, symptoms may include difficulty swallowing, dry cough, asthma, wheezing, sore throat, hoarseness, nausea, vomiting, dental erosion and bad breath. It’s highly advised that you consult with a physician if you experience any of these symptoms continuously for more than two weeks while taking over-the-counter antacids. In rare cases, GERD has been known to cause more serious health conditions such as esophageal cancer, when left untreated. Getting a Grip on GERD Lifestyle changes are often the first recommended course of treatment for managing GERD symptoms. These simple approaches include: Maintaining a healthy weight Avoiding tight-fitting clothing Avoiding certain trigger foods and drinks such as fatty or fried foods, tomato sauce, alcohol, chocolate, garlic, onion, and caffeine Eating smaller meals slowly Waiting at least three hours after eating before lying down or going to bed Elevating the head of your bed Quitting smoking When these approaches fail, your physician may suggest medication. Increased focus on GERD over the past decade has led to the development of many reliable over-the-counter and prescription options. These range from antacids to neutralize acid in the stomach to medications that actually block acid production or cause the stomach to empty faster. Your physician will work with you to determine which approach is best for your particular case. If lifestyle changes or medication don’t offer relief from your symptoms, then surgery may be the next course of action. For years, Nissen fundoplication has been the “go-to” surgery for GERD. During this laparoscopic procedure, the upper part of the stomach is used to create a new anti-reflux barrier around the lower esophageal sphincter (LES). This strengthens the sphincter and prevents acid reflux. A hiatal hernia, if present, is also repaired. Current long-term success rates for this procedure when performed by expert surgeons in dedicated centers are between 90 and 95 percent. The LINX ® Reflux Management System The LINX ® Reflux Management System – the latest surgical advance for treating GERD – achieves results approaching those of Nissen fundoplication, but with a tiny magnetic device. During this laparoscopic procedure, the bracelet-shaped magnet is inserted at the base of the esophagus where it works to close the LES immediately after swallowing, thereby restoring the body’s natural barrier to reflux. While GERD can be persistent and it may take time to find the right treatment, it’s important not to lose hope. Your doctor should be able to direct you to an option that will ultimately provide you with relief. Author Adrian Park, MD, is the Chair of Surgery and an internationally recognized specialist in minimally invasive surgery. He can be reached at Anne Arundel Medical Group Surgical Specialists at 443-481-6699. This article was published in The Capital on Sunday, Nov. 23, 2014. See link.0
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