- Behavioral Health, Heart CareGeneral Page Tier 3BlogWhile heart attacks are physical health problems, many people don’t realize they can create mental health issues as well. Feeling depressed after a heart attack isn’t uncommon. According to the American Heart Association, up to 33 percent of heart attack patients experience depression. When someone has a heart attack they’re typically doing something, such as running or walking up stairs. After the heart attack they may be afraid their heart is delicate and hesitate to complete common activities. Most heart attack patients experience feelings of shock or sadness after a heart attack, but some people can slip into a deeper depression. If these emotions continue for several weeks, it’s time to seek help. Because depression can affect physical health, addressing symptoms quickly can help avoid other problems down the road. I tell patients, “You’re going to go back to your usual life, as long as you take the right steps.” These steps include faithfully taking prescribed medications, eating a healthy diet and exercising. And cardiac rehabilitation can help. Cardiac rehab provides a safe environment to start increasing physical fitness. AAMC’s Outpatient Cardiopulmonary Rehabilitation Program includes counseling to help patients improve their health and reduce the risk of future heart problems. Oftentimes, patients who choose to participate in cardiac rehab have better outcomes than those who don’t. Family members and loved ones also play an important role in helping heart attack patients recover. If you think you know someone experiencing post-heart-attack depression, look for these warning signs: -Extreme changes in appetite -Extreme changes in sleeping patterns -Avoiding previously enjoyable activities -Insomnia -Restlessness -Fatigue -Feelings of worthlessness -Feelings of excessive or inappropriate guilt -Trouble concentrating Encourage people who show these signs to seek help. For some, support groups are a healthy environment to cope with depression after a heart attack. AAMC’s healthy hearts cardiac support group is available for those who have experienced heart issues. Call 410-507-3766 for more information. Heart attack patients can experience the same quality of life as they did before their heart attack, but sometimes they need to take extra steps to get there. Author Baran Kilical, MD, is a cardiologist and cardiac electrophysiologist with Anne Arundel Medical Center. Originally published Feb. 23, 2016. Last updated March 27, 2019.
- Men's Health, Weight Loss, Women's HealthGeneral Page Tier 3BlogSpring is officially here. As you’re rolling up your sleeves for spring cleaning, why not overhaul your cupboards and remove the foods that are sabotaging your health? Start eating healthy and purge your kitchen of processed foods, products with more than five ingredients, expired items, and sugary and salty snacks. Avoid foods with ingredients like high fructose corn syrup, sugar alcohols, artificial sweeteners, trans or saturated fats, and any other additives you cannot pronounce. Load up on lean proteins, such as tuna, sardines, salmon and low sodium beans. Trade out high-sugared cereals for oatmeal flavored with cinnamon and fruit. Try some new grains such as quinoa, faro or buckwheat. Declutter your freezer It’s easy to throw foods in the freezer and forget about them, or allow them to become buried by recent purchases. Get rid of anything with ice crystals forming on it. Foods with freezer burn not only lose flavor, but also their nutrient density, especially produce. Meats can keep up to nine months in the freezer. Make room for frozen fruits and vegetables to have on hand to supplement meals, shooting for the “My Plate” goal of making half your plate fruits and vegetables. Lighten up your fridge Even with plenty of frozen fruits and vegetables, you want to be sure to have room for fresh varieties. Aim for foods that keep for days such as oranges, cauliflower, apples and cabbage. Don’t cut up anything or pre-wash produce when you bring it home from the store. Although this may seem like a time saver, it will make the produce spoil sooner. Save food prepping for the night before to save time. Swap out creamy condiments like mayo, salad dressings and sour cream for mustard, flavored vinegars, lemon or lime juice, Greek yogurt and olive oil. Always have a carton of eggs for a quick protein that goes well with any snack or meal. Food storage Finally, put everything in its place. To make sure your healthy habits stick, it is important to put energy and time into where you are storing your foods. Keep the nutrient-dense options front and center and the treats in the back, perhaps out of sight out of mind. It is also key to keep the FIFO method of inventory in mind when restocking shelves, which means ‘first in, first out.’ In other words, rotate the items you already have to the front of the freezer, or cupboards and then put the newer items in the back. Authors By Ann Caldwell and Maureen Shackelford, nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them call 443-481-5555. Originally published April 3, 2017. Last updated March 25, 2019.
- Behavioral Health, Men's Health, Women's Health, WellnessGeneral Page Tier 3BlogYou’re in holiday overdrive, baking cookies, running to the mall and rushing back home to arrive before your out-of-town guests. Is the gift you want most for yourself a nap? That may be just what you need. The holidays are meant to be a season of peace, not pressure. Carving out some downtime—whether it’s to recharge with a nap, take a walk or even play a game with your family—can make your holidays less stressful. And by slowing down, you may even have more energy to host guests and tackle your holiday to-do list. What else can you do to de-stress this holiday season? Try these tips: Focus on What Really Matters Say the word ‘holiday’ and a lot of us imagine picture-perfect celebrations. That fantasy is almost certain to stress you out if you buy into it. It’s okay if this year’s tree is a little lopsided or the cookies get burnt. Instead of focusing on presents and parties, focus on what truly gives the holidays meaning: time spent with family and friends. Make it a tradition to write letters to loved ones as gifts. This practice is both relaxing and rewarding, and can create deeper bonds with your loved ones. Get Moving As winter weather sets in and schedules get hectic, it’s not as easy to stay active. Exercise can help reduce stress, give you a fresh perspective and produce mood-boosting endorphins. Try fun activities that keep you moving such as sledding, building snowmen, skiing and ice skating. Simply taking the stairs instead of the elevator or walking around the mall before you start your holiday shopping can make a difference. Try going to a group exercise class with a friend to stay motivated. Our Energize fitness classes are great for staying active during the winter. If you’re consistent with exercise, your body will respond with healthy outcomes. Mind Your Mental Health Take a step back and remember to prioritize your health. Anticipate the holiday stressors that affect you and create a plan to manage them. Making time for yourself is important to stay calm during the holiday season. While electronics help connect us to family and friends, being constantly “plugged in” can create anxiety due to information overload. Everyone should unplug and spend some quiet time alone. Journaling or writing down a list of things you’re thankful for can help put you at ease. For some, keeping up the holiday spirit can be hard work. The shorter, cold days of winter can create a downward spiral into a phase of depression. This is known as seasonal affective disorder (SAD) and affects millions of people every year. It’s important to recognize when you may need help and talk to your doctor. Prevent Illness Getting sick only adds to stress and can put a damper on holiday activities. Winter also brings cold and flu season. You can keep the flu away by getting a flu shot, making sure to wash your hands and cover your cough. And remember, you are what you eat. A nutrient-dense diet can help strengthen your immune system to fight off illness. Stay in contact with your doctor if you have any concerns about your health or feel like you’re getting sick. Don’t Drink Your Calories From cider and eggnog to hot chocolate, there’s no shortage of delicious holiday drinks. However, it’s important to keep in mind how these will affect your health in the long run. For example, one cup of eggnog can pack around 350 calories. Drink smart; keep portions small and limit yourself to one glass per occasion. Better yet, trade in the high-calorie drinks for something with a lower calorie content, like sparkling wine with fresh cranberries. Originally published Dec. 17, 2015. Last updated Dec. 2, 2019.
- Men's Health, Weight Loss, Women's Health, UncategorizedGeneral Page Tier 3BlogMore than 29 million Americans have diabetes, and the Centers for Disease Control and Prevention (CDC) estimates that 8 million of those people do not yet know they have it. While these statistics are staggering, Barbara Mensah Onumah, MD, medical director of Luminis Health Diabetes & Endocrinology Annapolis, is even more concerned about another alarming fact: 86 million American adults—more than one out of three—have prediabetes, a precursor to type 2 diabetes. And, nine out of 10 people with prediabetes don’t know they have it. People with prediabetes have higher-than-normal blood-sugar levels but do not yet meet the criteria for a diabetes diagnosis. “Without lifestyle changes to reverse risk factors, 15 to 30 percent of those with prediabetes will develop type 2 diabetes within five years. If you take action, studies tell us that you can prevent or delay type 2 diabetes and, in some cases, return blood glucose levels to within the normal range,” Dr. Onumah stresses. Luminis Health Diabetes & Endocrinology Annapolis offers comprehensive management, treatment and education for patients with diabetes. The program was created to complement care given by patients’ primary care providers and other specialists. Luminis Health’s diabetes care resources include: group education classes and access to support groups highly individualized counseling one-on-one nutrition counseling instruction on insulin pump usage and continuous glucose monitoring The program can be reached at 443-481-4600. Because so many Americans do not know they are at risk for developing type 2 diabetes, Dr. Onumah says that education coupled with physician-recommended screening tests are essential. Education begins with learning the risk factors for type 2 diabetes. The two most significant risk factors, both modifiable, are obesity and inactivity. Non-modifiable risks include a family history of type 2 diabetes; African-American, Latino or Native American heritage; age of 45 or older; and for women, a diagnosis of gestational diabetes when pregnant. Knowing and discussing your risk factors with your physician helps pinpoint the right diabetes screening schedule for you. “A groundbreaking study showed us that education alone is not enough,” Dr. Onumah cautions. “There must also be motivational counseling.” The study she cites placed 3,234 overweight participants—all with increased risk for developing type 2 diabetes—into three distinct groups and followed them for three years. Compared to the placebo (those who did not receive individualized counseling or medication), those who received individualized counseling and were able to lose about 7 percent of their body weight through diet and exercise reduced their risk of developing diabetes by approximately 60 percent. The group that received medication alone reduced their risk of diabetes by about 30 percent. “It’s essential we understand the importance of increased risk of diabetes,” Dr. Onumah says. “Lifestyle interventions, addressed quickly and consistently, can change lives.” Author Barbara Mensah Onumah, MD, is medical director of Luminis Health Diabetes & Endocrinology Annapolis and can be reached at 443-481-4600. Originally published Nov. 17, 2015. Last updated Aug. 28, 2023.
- Men's Health, Orthopedics, Weight Loss, Women's Health, Wellness, Heart CareGeneral Page Tier 3Blog‘Tis the season to be jolly… and healthy! When you think of the holidays and health, what’s the first thing that comes to mind? Perhaps it’s all the food you intend on eating with your family. Or finally getting that gym membership you’ve been putting off. Or, maybe you don’t think these two terms go hand-in-hand at all. Well, they can. And they should! The holiday season is a great time to enjoy time with family and friends, celebrate life, be grateful and take a moment to reflect on what’s important to you. It’s also a time to appreciate the gift of health. As this year ends and the next one begins, we encourage you to think about health and how you can help others make this essential part of life a priority. Health is described as a “state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” If you could take that sentence, put it in a box and wrap it as a gift to give to someone you love or care about, would you? Brighten this holiday season by giving the gift of health to loved ones. How? We asked our experts for their ideas on how you can accomplish this and here’s what they had to say: Together time. Especially for our older population, giving the gift of time and ensuring you schedule dates to see them can bring them a great deal of joy (more than you know). Go pay a visit to your grandparents, uncles or check out nearby nursing homes. Bring along young children or pets (if appropriate) when you visit. Health-tech gadgets. In an age where everything revolves around technology, this might just be one of the best gifts to give this holiday season. There’s an endless supply of devices on the market that you can give to a person you know who has been concerned about their health. Whether they’ve been experiencing heart palpitations, poor sleep or fatigue, capturing these episodes can help their doctor make a diagnosis. For example, think of a Fitbit, Apple Watch or an AliveCor Kardia heart monitor. Gym membership or sessions with a trainer. No more excuses! It’s time to make that one stop you’ve been postponing for months. The gym has all the necessary equipment for getting in shape. As we get older, weight training becomes important. But, if you’d rather do cardio, there are plenty of other options. The elliptical, stationary bike and rowing machine mitigate the amount of repetitive forces on the knees that come with long distance running, even on a treadmill. Training sessions, on the other hand, are helpful in that they are an appointment – you have someone expecting you to be there and have allotted a certain amount of time to a given task. Sign up for a heart-healthy cooking class. This is certainly a more creative option. You can prevent, or even essentially cure, many of the chronic diseases present in society today, including heart disease and Type 2 diabetes, through appropriate diet. A heart-healthy cooking class can show people how to make delicious and healthy foods on a budget. Get your own equipment. Don’t like the gym? Think about purchasing TRX straps, an ab mat or even a bike. These relatively low cost options still can give you a great workout while using just your body weight. Adopt (not buy) a dog! The benefits of having a pet, especially a dog, are myriad. There are benefits to blood pressure and stress levels. From an activity standpoint, a responsible dog owner will make sure his or her pooch gets enough exercise and in turn will get some exercise himself or herself. In this case, you are improving and saving two lives – yours and your new pal’s! When thinking of what to get family, friends and loved ones this year, prioritize their wellbeing. You’re providing them with the gift that keeps on giving – good health. Authors Baran Kilical, MD, cardiologist and electrophysiologist with Luminis Health Cardiology. Lil Banchero, senior director of the Institute for Healthy Aging at Luminis Health Anne Arundel Medical Center.
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