Behavioral Health, Orthopedics, Weight Loss, Wellness
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Working out with a buddy
Blog
We know the benefits of exercise: It can control our weight, reduce our risk of certain diseases, improve our mood and mental health, and lengthen our life. But it can be hard to get motivated.
If you could use a little push, look no further than a workout buddy. “Exercising with a partner holds us accountable and keeps us motivated,” says orthopedic surgeon James York, MD. “It can also help us overcome our fear of trying a new class or exercise equipment, bring variety to our workouts and increase our commitment to achieving fitness goals.”
Your exercise buddy could be a co-worker, spouse, friend, family member or new gym acquaintance. Look for:
Someone who is slightly fitter than you, so he or she can motivate you
Someone with similar fitness goals
Compatible schedules
Once you’ve found your perfect workout partner, try a few of these exercises:
Take a class at the gym, like a spin class or boot camp
Create a no-equipment, high-intensity routine at your home (think squats, push-ups, crunches, planks and high-knees)
Rock climbing
Try one of the martial arts, especially tai chi
Learn about more than 20 fitness classes and workshops available through AAMC.
Author
James York, MD, is an orthopedic surgeon at AAMC and practices with AAMC Orthopedics.
Originally posted February 15, 2017. Last updated Aug. 5, 2019.
Behavioral Health, Community
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Approaching gun safety as a public health issue
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About four in ten adults (or 42 percent of Americans) report that there is a gun in their household. Recent data shows that more people died from firearm injuries in the United States last year than in any other year since 1968, according to the Centers for Disease Control and Prevention (CDC). Gun-related injury and death remains one of the most seriously, and largely unaddressed, challenges facing the country. As the number of firearm homicides and suicides rise, the medical community is taking notice and action to treat the issue as a public health concern. Well over 100 professional organizations, including the American Medical Association, the American College of Physicians, and the American Public Health Association, have identified gun violence as a threat to the health of the nation and have issued calls to action around gun safety.
At Anne Arundel Medical Center (AAMC), leaders in ethics and medicine are working together to lay the groundwork for a policy on how clinicians can counsel patients on gun safety. “The perfect storm is brewing for us to no longer turn our back,” says David Moller, Ph.D., chief of clinical and organizational ethics at AAMC, in reference to gun safety. “It’s always about the people and, as medical professionals, we have a moral obligation to keep our communities healthy and safe.”
READ MORE: Tips for talking to kids after traumatic events
What does gun safety look like from a physician perspective?
“My responsibility as a physician is to ensure the safety and wellbeing of patients,” says Vincent DeCicco, DO, family physician at Anne Arundel Medical Group (AAMG) Annapolis Primary Care. “To me, it’s like talking to patients about their risk for heart disease. My moral obligation is to ask patients about their behaviors and help them get on a healthier track. ”
Dr. DeCicco says conversations about gun safety with patients start by encouraging healthy behaviors, which means owning a firearm in a responsible and safe manner. “Public health comes down to encouraging healthy behaviors,” adds Dr. DeCicco. “I won’t take your weapon away as a physician, but I do have a moral obligation to talk to you about the responsibility that comes with it.”
Andrew McGlone, MD, physician at AAMG Annapolis Primary Care, concurs that gun safety is a public health issue. “The medical community is positioned to play a significant role in the reduction of injury and death from firearms,” he says. “We can start by promoting gun safety to decrease unauthorized access for children, adolescents, and patients at risk for suicide. Approximately 40 percent of gun deaths in Maryland are from suicide. Research estimates that 45 percent of suicide victims in the United States were in contact with a primary care provider within one month of suicide. Empowering health providers, patients and their families to have honest and stigma-free conversations about mental health, suicide risk and gun safety is imperative.”
How can a public health approach help with gun safety?
Like other major health threats, Moller says the medical community can help reduce avoidable gun-related injuries and deaths using a public health approach. Using domestic violence as an example, he says medical professionals needed to think bigger and broader about how to solve the problem to achieve substantive change.
“As cases of domestic violence increased, medical professionals began to develop the idea that we needed a different approach, says Moller. “We began to reframe the problem of domestic violence away from the individual encounter and began looking at it as a community and public health problem.”
As a result, health providers today often screen their patients for signs of abuse and many hospitals are providing coordinated services to domestic violence victims. Similarly, Moller says starting a conversation together about reasonable, sensible solutions and recommendations on gun safety, storage, accessibility, and health is pivotal.
“This conversation is not aimed at taking away the legitimate right of people to own and use guns, but at minimizing the violence and the mortality that is associated with the role of guns in American society,” he adds. “It has to start with a conversation, and that conversation has to be reasonable, sensible and civil. For us in the medical profession, this transcends politics. Harm reduction is not the same as gun control. This is not political advocacy, it’s patient advocacy.”
Originally published in What’s Up Magazine.
Authors
David Moller, Ph.D., is chief of clinical and organizational ethics at AAMC.
Vincent DeCicco, DO, is a family physician at Anne Arundel Medical Group (AAMG) Annapolis Primary Care. To reach him, call 443-270-8600.
Andrew McGlone, MD, is a physician at AAMG Annapolis Primary Care. To reach him, call 443-481-1150.
Behavioral Health, Men's Health, Uncategorized
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Why men shouldn’t ignore depression
Blog
Even a tough guy goes to the hospital if a tree falls on his head. So why won’t men seek medical help when their world comes crashing down on them, as it can with depression? Nearly 6 million American men experience depression each year, yet few seek treatment.
Perhaps men don’t realize that depression is a disease—not a weakness. Or maybe they’re not aware that successful treatments exist. No matter the reason, depression is a disease that shouldn’t be ignored by anyone—including men.
Recognizing depression
“The vast majority of people who seek treatment for depression end up feeling better,” says Raymond Hoffman, MD, a psychiatrist and the medical director of mental health and substance abuse at AAMC. It’s a good idea to visit your doctor if you’re experiencing these signs and symptoms of depression:
loss of energy or increased fatigue
restlessness, anger or irritability
a lack of interest in favorite activities
sleep problems
changes in appetite
excessive feelings of sadness, worthlessness or guilt
trouble concentrating, remembering or making decisions
thoughts of, or attempts at, suicide
Your doctor can check to see if physical problems are affecting your emotional health. Plus, he or she can refer you to a therapist or counselor who will work with you to relieve your symptoms.
It’s OK to ask for help
“It may not be easy to talk about how you’re feeling,” Dr. Hoffman says. “But depression can seriously interfere with your work and personal life. Acknowledging it and getting treatment can help you get your life back to normal.”
Originally published Oct. 23, 2014. Last updated May 31, 2019.
Behavioral Health, Men's Health, Women's Health
General Page Tier 3
The benefits of play for adults
Blog
Most parents know about the importance of play for their children to develop essential life skills. But did you know about the importance of play for grown-ups, too?
When you think of the word play, you probably imagine a group of children running around, chasing a colorful ball as they laugh and cheer. But play is so much more than that, and it’s not restricted to a certain age group. Play can be defined simply as engaging in activity for pure enjoyment and recreation.
Play is for everyone, regardless of age (or profession)
Former UK Prime Minister David Cameron admitted to playing Angry Birds on his phone as a way to decompress after a long day. Soccer star David Beckham credited Lego toys for saving his life, saying that they served as therapy for a brain injury he sustained after a jet crash. Barack Obama said he enjoyed playing basketball or golf as a way to relax.
The best thing about play, besides the fact that it’s something you enjoy, is that while you’re doing it, it’s benefiting your overall wellbeing and impacting your health. It can fuel your creativity, emotional wellbeing and ability to problem solve.
It’s part of evolution, but it’s also healthy
During one of his TED talks, Peter Gray, research professor of psychology at Boston College, said, “from a biological evolutionary perspective, play is nature’s means of ensuring that young mammals, including young human beings, acquire the skills that they need to acquire to develop successfully into adulthood.” And more research is revealing that the benefits of play for adults are myriad:
It’s good for your stress levels. Play can trigger the release of endorphins, the body’s natural feel-good chemicals. These promote an overall sense of wellbeing and can temporarily relieve pain.
It improves your brain function. Playing games that challenge the brain – such as chess and puzzles – can help prevent memory problems and improve brain function. This can also help ward off depression.
It stimulates your mind and boosts activity. And, it makes you more productive. More companies – like Google – have set up play stations and encourage employees to play and collaborate. This, in turn, helps foster team building and cooperation within the company. It’s a win-win situation.
It improves your relationships. Laughing and having fun with others can foster empathy, compassion, trust and intimacy. Developing a playful nature can help you loosen up in stressful situations, break the ice with strangers and make new friends.
As Dr. Gray puts it, play is by definition creative and innovative. It is an outlet where we, as human beings, can experience joy, learn to get along with peers, practice empathy and get over narcissism while improving our health.
Learn more about the J. Kent McNew Family Medical Center, a 16-bed mental health hospital for adults opening in March.
“It’s the getaway to vitality”
Play is the gateway to vitality according to the National Institute for Play (NIFP). Play is uniquely “rewarding, it generates optimism, seeks out novelty, makes perseverance fun, leads to mastery, gives the immune system a bounce and fosters empathy.” Play is also powerful in creating a sense of community.
For example, some treatment centers for drug or alcohol abuse turn to outdoor recreation and play as a vital part of their recovery programs. It’s a way to spark an individual’s interest in sober activities. Adventure therapy, for instance, requires individuals to engage in outdoor activities while working with others to problem solve and overcome challenges as a team.
And although it’s part of therapy, it’s also a form of play that is helping individuals work on their addiction while having fun. The benefits of outdoor recreation include increased attention span, improved relaxation, decreased anxiety, reduced blood pressure and decreased risk of depression.
Adventure therapy is just a term used to describe what’s known as experiential education. Play is no different. You can learn life skills and improve your health while playing. And just as children turn to play when they want to distress – or just enjoy their time – play can help you be the best versions of yourself when facing “adult problems,” like career stress, parenting, marriage and the many other responsibilities that come with age. Don’t think of play as a waste of time or as an activity that’s only for children. Instead, consider it an investment in your overall mental and physical wellbeing.
Let's play
Need a few ideas for fun play?
Pick a hobby and make time for it. Make some time to do the things that you enjoy the most. Make sure you find joy in the process of that hobby and don’t just focus on the end product.
Do something fun with others. Doing fun things with others is key when it comes to playfulness. Whether it’s playing with others, participating in a specific activity or just going out for coffee to catch up, consider spending some time with someone else.
Play games. You can always create your own game with those around you, with or without the use of a device. Try racing someone up a hill, walking faster than them until you reach the end of the street or go outside and play ball.
Visit a park or a playground. Go out in nature and have some fun. This not only boosts your mood, but it can also be a fun way to socialize. When was the last time you got on a swing? Try it! It’s so much fun.
Be present. Playful people are those who take the time to appreciate beauty in the world. Practice mindfulness and pick a flower, step on the leaves and laugh as they crunch, feel the cool breeze against your face on a breezy day or go jump in that puddle of water that accumulated after the last rainstorm. Enjoy the process, just as much as you would if you were a child again.
Author
Mark Sakraida is the adventure therapy coordinator at Pathways, AAMC’s substance use and co-occurring disorder treatment facility.
Men's Health, Weight Loss, Women's Health
General Page Tier 3
Vitamins, minerals and supplements: Do we really need them?
Blog
Most of us know that good nutrition is important for good health. However, when we hear catch phrases like “calcium deficiency” or learn a new multivitamin just hit the shelves, it can make us wonder if we are getting enough vitamins and minerals. Do we really need to take additional doses?
First, let’s talk about these nutrients. There are 13 vitamins – vitamin C, A, D, E, K and the B vitamins. Vitamins help your body grow and work the way it should. Minerals have different jobs in which they help you resist infections, keep your nerves healthy and help your body get energy from food. By following the MyPlate guidelines, a nutrition guide published by the USDA Center for Nutrition Policy and Promotion, you will get enough of most of what you need from food.
In addition to a balanced diet, some people may need
nutrient supplements depending on their situation. For example, older adults,
pregnant women and people who are food insecure are at increased risk of
nutrient deficiencies. Some individuals
are limited in their food choices because of allergies, special diets, medical
conditions, intolerances or because they are following a vegetarian or vegan
diet. For example, animal foods are the
main source of vitamin B12. So people who follow a vegan diet need to eat
fortified foods and or take a supplement.
Vitamin D might be a concern among infants, children and young adults, especially for those that do not drink milk. Therefore, they will likely need a supplement. Adolescent girls, meanwhile, may need more iron. As people age, it can be difficult to get enough vitamin B12. Getting B12 from fortified foods or taking it as part of a multivitamin can help raise B12 in our blood. As we get older, our bodies are not as skillful at absorbing certain nutrients. B12 is one of those.
READ MORE: What you eat can affect your mental health
On the other hand, real food contains healthy components a
pill can’t give us. Plant foods have thousands of beneficial plant substances
called phytochemicals that interact with one another in many ways, some of
which scientists may not even understand yet. The greater the food variety, the
more the potential beneficial interactions. When we get nutrients from a pill, we
lose the fiber in these foods and, according to studies, these vitamins also
fail at preventing cancer, dementia, heart disease or Type 2 diabetes. People
who eat foods rich in those vitamins instead of going for pills only are at
less risk of these diseases.
Nutrients work synergistically, meaning you need the right
balance of nutrients. A deficiency in one might appear as, or worsen, a
deficiency in another. For example, vitamin
E enhances vitamin A absorption. Vitamin A and E together lead to increased
antioxidant capabilities, protect against some forms of cancer and support a
healthier gut. Zinc is required for vitamin A transport, while vitamin C aids
in iron absorption. This is only a snapshot of the many nutrient interactions
happening in our bodies and their co-dependencies.
Your doctor can order tests to help determine if taking a
supplement would be good for you. A registered dietitian can evaluate your diet
and make recommendations to meet your personal needs given your food
preferences.
As always, check with a health care professional to see which vitamins and minerals you may need and how to best take them. Remember, eating a balanced diet mainly consisting of fruits and vegetables is the first step towards the right direction.
Authors
Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.