- Behavioral Health, Senior CareGeneral Page Tier 3BlogStudies show four out of five adults take over-the-counter (OTC) medications to treat pain, fever, allergies, heartburn and other problems. Most of the thousands of OTC medications on the market are safe when taken as directed, as long as they do not interfere with other medications or health conditions. Many people who take OTC supplements may not realize the Food and Drug Administration does not directly monitor or approve these non-prescription drugs. It is important to do your own research to know what you are taking and why. Taking more than the recommended dose of an OTC medication can be dangerous. For example, taking too much acetaminophen, which can be found in pain relievers, can cause severe liver damage or acute liver failure. Read the labels on your OTC medications carefully to prevent accidental overdose. This is especially important if you take more than one medication at a time to relieve multiple symptoms. Know the ingredients, dosages, timing and other instructions. Along with carefully reading labels, you may want to consult with your doctor or pharmacist before starting a new OTC medication. Sometimes OTC drugs interact with medications you’ve been prescribed. Those with chronic health conditions are at greater risk of serious adverse reactions while taking OTC medications. Adults age 65 and older are likely to have additional health issues, and take roughly 40 percent of OTC medications consumed. Because of this, seniors should take extra precaution. In general, do not take OTC medications longer than 10 days for pain or longer than three days for fever without consulting your physician. If you have concerns about medications, it’s important to talk to your doctor. To find a primary care doctor near you, visit findadoc.aahs.org or call 443-481-5555. Originally published Jan. 28, 2016. Last updated April 25, 2018.
- Behavioral Health, News & Press ReleasesGeneral Page Tier 3BlogAAMC President and CEO Victoria W. Bayless Today, the Maryland Health Care Commission voted to approve Anne Arundel Medical Center’s Certificate of Need (CON) application for a 16-bed, freestanding mental health hospital on our Riva Road campus. This is an incredible step forward for expanding access to critically needed mental health care in our community. Building on the legacy of care we have established with our Pathways treatment center, a mental health hospital on this campus will allow AAMC to provide comprehensive and integrated mental health care at a single location. The mental health hospital will include inpatient psychiatric care for adults, partial hospitalization, intensive outpatient programs, family support services, prevention programs, and care coordination with community-based support services. Today’s positive vote means we can move forward with our plans. At this time, we anticipate construction could begin this fall and doors opening to our community in the summer of 2020. I am incredibly thankful for the community support this project has received. Many of you have been with us from the beginning, and provided impactful letters of support as part of our application. On behalf of AAMC, we are grateful. I look forward to keeping you updated on our progress. Thank you, Victoria W. Bayless President, CEO, Anne Arundel Medical Center
- Weight LossGeneral Page Tier 3BlogRecently, I celebrated the four-year anniversary of my weight loss surgery at AAMC. It’s hard to believe that it’s already been four years since that important day! The recovery of the surgery feels like yesterday, but in other ways it feels like a long time since I was obese. Someone recently suggested that I compare and contrast how life was before weight loss surgery, and how it improved after. I think this was a great suggestion, so I have dedicated this post to highlighting the improvements to my quality of life. It’s also fun to remember how much more difficult life was four years ago, and see how much better it is now. It’s easier to get in and out of my car. Before the surgery, I would struggle to get in and out of my car, particularly getting out. I would have to have both hands free and grip the frame of the door and car in order to provide the leverage needed to lift myself. Now, because I am much lighter and have stronger legs due to squats, getting in and out of vehicles is easy. It’s easier to tie my shoes. This is something most people do not think about until they’re morbidly obese. When there is a large belly in the way, bending over and tying shoes, putting socks on your feet, and anything involving interacting with your feet becomes nearly impossible. Four years later, I don’t even think about how easy it is to do these tasks. I am seldom out of breath, and sweat far less.I distinctly recall walking at a normal pace outside of my work with a friend. He commented that he was concerned that I was breathing extremely hard. Anything and everything physical would cause me to sweat profusely and breathe quickly and deeply. The most trivial tasks would turn into a terrible workout. I would have to change my clothes constantly. Now, I must perform some serious cardio to break into a sweat. It’s refreshing to easily do tasks and have the stamina to perform them. Bathing is now the easy task it should be. I discovered that when my body was covered in fat, it was very hard to bend over and twist my body in the necessary way to adequately shower myself. To a normal person, this sounds almost silly. To someone surrounded in extreme body mass, this becomes a serious issue and I would strain to contort my body in such a way where I adequately bathed. Even though I was in the shower, I would be drenched in sweat. Everything is back to normal in this department, courtesy of the substantially less body weight. I am far stronger than I used to be. This has less to do regarding body fat and more to do with increased muscle mass and strength training. In the past, I never went to the gym and I struggled to lift items, or perform basic physical tasks. Now I can easily carry heavy items, chop wood, lift my children, pick up objects, and support my body weight. Before surgery, I never in my life did a push up, crunch, chin up, or pull up. Now, I can do all of these with relative ease. I work every muscle group on my body at least weekly and while I’m far from being Arnold Schwarzenegger, I’m far stronger than I ever have been in my life, including my teenage years. I eat way healthier than before. Before surgery, I ate whatever I craved with no care in the world. I would drink multiple 2-liter bottles of Mountain Dew every day, directly from the bottle. I would snack on sweets, chips, processed food, fast food; whatever I could get my hands on, all the time. Now, I make a serious decision about everything I eat. I try to avoid processed foods entirely. I also try to eat organic food whenever possible. I try to eat food with the most basic ingredients, such as meats, nuts, beans, vegetables and greens, fruits and berries. All of these things would have been at the bottom of my list of food cravings prior to surgery. Surgery by itself did not improve my eating habits. I was able to lose my addiction to processed foods and carbohydrates as my diet evolved after surgery recovery. I no longer take any medication. Before surgery, I had high blood pressure and high cholesterol; both caused me to take five forms of medication each day. Now, both of those symptoms are gone (as well as my sleep apnea) and I instead take a wide array of vitamins and supplements to improve my overall health. I shall list all of these in a future post, but for now I will reveal that they keep me feeling great. Medication had negative side effects I do not miss. They gave me brain fog, fatigue, and swollen feet and ankles. Furthermore, I’m not convinced I was less at risk of a heart attack or stroke than had I not taken them. My brain is functioning much better. In the past, I had brain fog (from the medication, I believe), fatigue, low self-esteem, and trouble concentrating and thinking. I was poisoning my brain with medication and poor food choices, so it’s not surprising in retrospect that these symptoms existed. Now, there are no longer any cognitive issues. If I ever feel tired now, I know to eat kale chips or some form of vegetable. I eat healthy throughout the day, and I feel great and as mentally sharp as I always have been. I used to routinely fall asleep any time I was sitting down, which was often. I would fall asleep in meetings, in my computer chair, and even begin to nod off while driving, which was terrifying. I attributed that to the sleep apnea, because I would wake up exhausted and would feel tired all day long. I fit in regularly sized clothes. I can now easily walk into a store and buy a pair of pants and a shirt. I currently wear a medium or large shirt and 36″ pants, all of which are easy to find and do not require a special store or department to locate. I used to wear 3XL shirts and 52″ pants prior to surgery. Those sizes were tricky to find, were more expensive than normal sizes, and were a real drain on my self-esteem. I can hold my breath longer. This became especially apparent because of snorkeling. In the past, I could not dive beneath the surface, because I couldn’t hold my breath. When there is a lot of internal fat surrounding your organs and especially your lungs, your lungs cannot expand to their full size. As such, you take fast, short breaths and cannot hold your breath for long. Furthermore, because I was out of shape, simply diving down would case my heart rate to elevate, which would cause me to require more oxygen. Now, I can easily dive down 15 feet or more with no issue, and remain underwater for a respectable amount of time. I easily fit into airplane seats now. I was on the verge of requiring a second seat, and the seatbelt extension, on airplanes prior to my surgery. I would have to suck in my belly to buckle the seatbelt on the loosest setting, and I would quickly unbuckle it when the flight attendant was not looking. Now, I have plenty of slack on my airplane seat-belts, and plenty of room within my seat. No longer do I have indentations from the arm rests in my legs and belly. I no longer have to worry about things breaking because of my weight. Tree stands, ladders, hammocks, chairs, and countless other things are rated less than 300 pounds of support. I would break things and otherwise worry about my safety when I would put my weight on objects that were not rated for my weight. One time I was installing a light above my kitchen island, and broke the granite counter top with my weight. I don’t have to worry about that any longer! My doctor visits are significantly more pleasant. Gone are the days when I would go to my doctor and he would lecture me about my weight, and caution me that I was on the highway to a premature death. I used to dread my doctor appointments so much that I would delay them entirely. Now, I look forward to seeing how good my blood levels are, how my weight is, and to be in a healthy range of all medical parameters that he checks. I’ll continue to add to this list as I think of more, but the first 13 improvements immediately came to mind without giving it any amount of thought. To say that my quality of life has greatly improved because of the weight loss and muscle gains would be an immense understatement. Register today for a free weight loss surgery seminar. Author Mark Goss is president and principal software engineer for the Annapolis-based Wyetech. Mark had a sleeve gastrectomy with AAMC's Weight Loss and Metabolic Surgery Program in February 2014. We’ve reprinted this post, with permission, from his Bariatric Betterment blog.
- 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.
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