- Cancer Care, Men's Health, Women's Health, UncategorizedGeneral Page Tier 3BlogExcerpts from the Living Well with Cancer podcast interview with Rebecca Gondak, speech language pathologist at Anne Arundel Medical Center. Rebecca discusses therapy to treat cognitive impairment, chemo brain, that results from cancer treatment and AAMC’s Cancer Rehab Program. Listen to the entire interview here. What kind of symptoms would you notice in someone with chemo brain? People who come in with chemo brain often report problems with attention and multitasking, their processing speed, their word retrieval, their planning and organizational skills and their memory. How do you treat chemo brain or chemo fog? We start by educating the patients on what impairments they’re having difficulty with, then we teach them to apply compensatory strategies to manage those difficulties. That can include pacing of cognitive activities, preventing or minimizing distractions, using short-term memory strategies and word-finding strategies. Secondly, we teach them exercises to improve weaknesses, and we gradually increase the complexity of those exercises to encourage functional reorganization of the brain. Read the transcript of the interview or listen to the recording. For more information on AAMC’s cancer care services, visit www.askAAMC.org/cancer.0
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWhen she saw her July 2012 vacation picture, Melissa Staud of Harwood knew she had to make a change for the better. She weighed 275 pounds and knew she needed to lose weight to improve her life and her health. “I honestly tried on my own to lose weight, but I wasn’t successful no matter what I tried, even Weight Watchers and working out at the gym,” says the 34-year-old. “For me, the problem was portion control, and I also made bad food choices. After vacation, I looked into weight loss surgery and decided it was a good option for me.” In January 2013, Melissa had gastric sleeve surgery, in which a portion of her stomach was removed. The surgery opened a whole new world for Melissa, who acknowledges that people used to treat her differently. “I don’t get stares anymore, and I like the way I look. Now I can bend over, tie my shoes, actually get boots on, and buy clothes from a store.” She’s thrilled to take longer horseback rides and ride smaller horses. “Horses are my passion,” she says. She expected to lose about 50 to 60 percent of her excess weight after the surgery and was pleasantly surprised. “Thanks to the surgery, my complete lifestyle change and formation of new habits, I have surpassed those average numbers and have lost nearly 90 percent of the excess weight,” she says. Not only that, she also eliminated her high blood pressure and sleep apnea. The change required a lifetime commitment to new eating habits. “I cleaned out my kitchen cabinets and restocked with healthy items. I only drink water and decaf unsweetened tea. I’ve learned to snack on fruits and vegetables, use spices to flavor foods [instead of salt], and eat correct portions.”0
- Pregnancy & Birth, Women's HealthGeneral Page Tier 3BlogAs you start your pregnancy journey, you may have different options for prenatal care. While many women still seek traditional one-on-one appointments with their OB-GYN or midwife, more women are taking advantage of group health care like CenteringPregnancy®. The cornerstone of CenteringPregnancy® is the group discussion that takes place for the majority of each visit. During this time the group of moms — who are all due around the same time — have a chance to talk with their providers and fellow moms about important topics including labor and delivery, breastfeeding and infant care. Each CenteringPregnancy® visit also includes self-led health assessments and one-on-one belly checks with your OB-GYN or midwife. Benefits for mom and baby As group prenatal care has grown in popularity over the years, research has shown this type of healthcare can have a positive effect on both mothers and babies. A Yale School of Public Health study showed women who participated in group prenatal care were more likely to have healthy babies and go the full term of their pregnancy. According to the research, women in group prenatal care are: 33 percent less likely to have undersized infants Less likely to have a preterm delivery or an infant with low birth weight More likely to have babies that spend less time in the neonatal intensive care unit (NICU) Less likely to get pregnant again soon after giving birth, which can increase risk of preterm delivery According to research done by the National Institutes of Health (NIH), women attending group prenatal care are also more likely to: Feel ready for labor and delivery Have better prenatal knowledge Feel more satisfied with their care Start breastfeeding Balancing private time with group sessions While much of the CenteringPregnancy® visit will consist of group discussion time, it’s important to note that CenteringPregnancy® does not eliminate the one-on-one interaction you get with your provider. Every visit will include private belly time where your doctor or midwife will take measurements and check your baby’s health. You can use this time to ask questions that you may not be comfortable sharing with the group. Your care team will also take part in the group sessions and help lead many of the discussions. As most CenteringPregnancy® visits last between 90 minutes and two hours, this means you actually get 10 times the amount of time with your provider compared to a typical office visit. Finding friendship and support One of the main goals of the CenteringPregnancy® visits is for women to connect with fellow moms who are facing the same questions about giving birth and infant care. You may feel more relaxed and confident after talking through some of your concerns with the women in your group. You may also find unique solutions and points of view that can help you approach a problem in a different way. The group sessions are also a great time for partners, spouses and care people to connect with others who will be helping with delivery and infant care. These individuals can participate in all aspects of the CenteringPregnancy® visit. Remember you don’t have to share during the group session if you’re not comfortable doing so. But you may find you feel more comfortable sharing information as time goes on. Keep in mind that all women and their care persons in the CenteringPregnancy® group are told to maintain discretion with any information shared during the visits, and in some cases, participants are asked to sign a confidentiality form during the first visit. Empowering women to lead healthy lives Another goal of the CenteringPregnancy® visits is to help women better understand their health and empower them to take charge of their lifestyle and risk factors. Sessions include education about healthy choices and preventive steps you can take to avoid health problems during or after pregnancy, such as diabetes or heart conditions. Each visit starts with a self-led health assessment, which means you learn how to take your own health data, including weight and blood pressure. You track this data throughout the CenteringPregnancy® visits and record it in your own medical records. You will also have the opportunity to set health and lifestyle goals. The goals may focus on weight, diet, hydration, stress management, relationships or any other challenges you may be facing during pregnancy. Ultimately, the CenteringPregnancy® program aims to help women stay healthy and confident throughout their pregnancy and into motherhood. For more information about the program, visit CenteringPregnancy®0
- Men's Health, Women's Health, Wellness, UncategorizedGeneral Page Tier 3BlogWhile many patients have success with safe, long-term weight loss after bariatric surgery, there are instances when revision of the surgery may be required. For those who are experiencing recurring complications, such as nausea, vomiting, abdominal pain, severe gastric reflux, or malnutrition, a qualified bariatric surgeon with expertise in revisional procedures can determine if corrective surgery is the right course of action. Candidates for revisional bariatric surgery may no longer be comfortable socializing or exercising, and they may be in pain or malnourished. In the case of severe gastric reflux, they may also be at high risk of esophageal cancer. The goal of revisional bariatric surgery is to correct the underlying problem by adjusting or removing an original bariatric device, such as a lap-band, and in some cases performing a new bariatric procedure that is more appropriate for the patient’s body and current condition. These include sleeve gastrectomy or gastric bypass. Patients should expect revisional surgery to be more complex than their original bariatric surgery, which may include a longer recovery time; however, the revision should enhance their overall quality of life. Read the inspiring story of a patient who underwent revisional bariatric surgery. Author By Alex Gandsas, MD, a bariatric surgeon and director of AAMC’s Weight Loss and Metabolic Surgery Program. To reach him, call 443-924-2900.0
- WellnessGeneral Page Tier 3BlogWhether it’s coffee to start the day, a cold soda to revive the afternoon, or a beloved pumpkin spice latte to embrace the season, caffeine is a popular pick-me-up for many. However, while these caffeinated drinks can provide a much-needed boost, excessive consumption can have negative effects on your health. In rare instances, it can even be fatal. That’s why it’s important to know the facts. What is caffeine? Caffeine is a naturally occurring stimulant that affects your central nervous system, helping you feel more awake and alert. It’s found in coffee beans, tea leaves, kola nuts, yerba mate, guarana berry, and cacao beans. Safe limit for caffeine: How much is too much? According to the U.S. Food and Drug Administration, most healthy adults can consume 400 milligrams of caffeine a day without any dangerous or negative health effects. If you are pregnant, the American College of Obstetricians and Gynecologists suggests keeping your caffeine intake below 200 milligrams a day. The amount of caffeine in beverages can vary greatly, making it easy to consume too much caffeine. Here are some typical caffeine ranges for beverages: An 8-ounce cup of coffee has between 80 to 100 milligrams of caffeine. An 8-ounce cup of green or black tea has between 30 to 50 milligrams. A 12-ounce/regular-size can of caffeinated soda has between 30 to 46 milligrams. An 8-ounce energy drink has between 40 to 300 milligrams. Many energy drinks only come in 12-ounce or 16-ounce cans that can contain up to 400 milligrams of caffeine—the safe daily limit. When adding up your caffeine intake for the day, make sure you include all caffeine sources. Caffeine can also be found in chocolate and baked goods, like cookies. It’s even in some medications, such as those for headaches. And decaffeinated coffees and teas may still contain between two to 15 milligrams of caffeine. Whenever possible, read all package labels to see how much caffeine a product contains. Side effects of too much caffeine Side effects that you have had too much caffeine include: Agitation or irritability. Fast heart rate. Feeling anxious or restless. Increased urination, which can lead to dehydration. Insomnia or trouble falling asleep or staying asleep. Muscle twitches, such as eye twitches. Nausea or upset stomach. Can you overdose on caffeine? Consuming around 1,200 mg of caffeine at one time can cause toxic effects on your health, according to the FDA. While rare, it is possible to overdose on caffeine, which can lead to death. Severe side effects of too much caffeine include: Cardiac arrest. Disorientation. Hallucination or psychosis. Irregular heartbeat. Muscle breakdown, called rhabdomyolysis. Seizures. The overdose risk increases if you use dietary liquid or powdered caffeine supplements, which often contain high concentrations of caffeine. For example, just one teaspoon of powdered caffeine has the same amount of caffeine as 28 cups of coffee. Why you should space out your caffeine intake When you consume caffeine, it takes 45 to 60 minutes before you start to feel it. The stimulant effects can last between three to five hours. Consuming too much caffeine all at once or having caffeinated products too close together in your day can lead to bothersome and dangerous side effects. Remember, limit your caffeine intake to 400 mg a day. And when possible, space out your caffeine intake by three to five hours, to reduce the risk of side effects. To keep caffeine from interrupting your sleep, the American Academy of Sleep Medicine recommends avoiding caffeine at least six hours before bedtime. So, if you go to bed at 10 p.m., stop consuming caffeine by 4 p.m. Who should avoid caffeine? Some medical conditions may make it more likely to have side effects from caffeine. Talk to your doctor about what amount of caffeine is safe for you if you have: Cardiovascular disease, especially irregular heartbeat. High blood pressure. Severe anxiety. Peptic ulcer disease or gastroesophageal reflux disease (GERD). Liver or kidney disease. Seizures. The bottom line on caffeine Different people can experience the effects of caffeine differently. If you experience side effects from caffeine, see the specialist team at Luminis Health. They can help figure out why you may be more sensitive to caffeine. Authors Waseem Hussain, MD,is Associate Regional Director of Primary Care at Luminis Health who has expertise in all areas of family medicine including intense management of neurologic, pulmonary and cardiac diseases as well as diabetes and gynecologic care.0
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