- Weight Loss, Women's Health, WellnessGeneral Page Tier 3BlogChances are if you’ve set a New Year’s resolution it has something to do with losing weight. Up your chance for success with these three secrets to attaining a healthy weight: Set a realistic goal and plan. When setting your healthy weight goal, it’s essential you don’t bite off more than you can chew. Yes, it’s critical to set a goal, but it’s equally important to make that goal a realistic fit for you and your lifestyle. Remember, your primary care provider is a wonderful resource for helping map out a tailored plan for eating the right foods and getting enough exercise. Also, if you’re struggling to meet your goal, your provider may discover an underlying medical issue holding you back. Your provider is your personal health partner, but only if you start the conversation. Find a workout buddy. Studies consistently show the power of having a workout buddy. One study published by the Society of Behavioral Medicine in 2012 showed that people who rode an exercise bike with a buddy rode a whopping 87 percent longer than when they rode solo. A friend can provide support, accountability and the motivation you need to meet your goal, plus they provide healthy competition. Depending on your schedule and lifestyle, a good workout buddy may be a co-worker, friend, spouse or family member. The important thing to remember is it’s best to have someone who has similar goals and fitness level. Struggling to find someone? Join a fitness class and search out someone of a similar fitness level. Or, enlist your dog as your buddy. Enjoy a walk or run while giving your dog some much-needed exercise. Track your progress. Have you ever had a car that showed your average miles per gallon at the touch of a button or a thermostat that showed how much your heat was on throughout the day? It comes as no surprise that people who use this sort of technology end up getting better gas mileage or lower energy bills. Similarly, technology can help you stay on track with your healthy weight goal, too. Whether you use an app to track the foods you eat or a fitness bracelet that tracks your steps and heart rate, there are lots of options out there to help you track improvement. And when you see your progress, it helps you see what’s possible. Ultimately, these three tips are all about building an effective support and accountability system to help you make healthy lifestyle changes. With this system in place, you’re much more likely to beat the odds and stick to your weight loss resolution. We offer a variety of group exercise classes at AAMC including yoga, Zumba, pilates and strength training classes. Check out the schedule and try something new this year. AAMC also offers free weight loss surgery seminars in both Easton and Annapolis. To learn more about what you can gain with weight loss surgery, visit aamcbariatrics.com. Originally published Dec. 31, 2015. Last updated Dec. 17, 2018.
- Weight LossGeneral Page Tier 3BlogIf you live with type 2 diabetes, especially if you are obese, updated guidelines came out in 2016 calling for weight loss surgery to become a more routine treatment option for your diabetes. This is the first time bariatric surgery is recommended specifically as a diabetes treatment. Before, people considered bariatric surgery as an obesity treatment that only had the extra benefit of helping control diabetes. The recommendations were endorsed by the American Diabetes Association and more than 40 other health groups. And, it makes sense. Type 2 diabetes and obesity can be a deadly combination, and many studies have shown weight loss surgery can drastically improve diabetes. These studies show that most obese diabetics who undergo weight loss surgery see their blood sugar levels dramatically improve. This is something I’ve seen with my patients, too. Some even no longer require medication to maintain normal blood sugar levels. People can control diabetes with diet, exercise, medication or insulin. But those who struggle to control the disease could face heart disease, kidney disease or stroke. Some may risk limb amputation or sight loss. The updated guidelines conclude the surgery should be a regularly considered option for certain patients with diabetes. It’s about better blood sugar control instead of pounds lost. Instead of bariatric surgery, the procedure is called metabolic surgery when performed for diabetes. If you have a body mass index, or BMI, of 40 or greater, weight loss surgery is recommended regardless of your blood sugar level. If you have a BMI of at least 35 and have tried lifestyle changes and medication to control your diabetes with no success, the surgery is also recommended. Weight loss surgery may also offer other benefits for diabetics. The surgery affects hormones, gut bacteria and other substances that may change how the body handles insulin and blood sugar. Medicare often pays for certain types of weight loss surgery for people who are obese with an illness, like diabetes. Although rules vary, some insurance companies cover the surgery, too. Perhaps with these updated guidelines, insurance companies will expand coverage. The surgery is not a cure for diabetes, since some people relapse. However, many people do remain in remission for years. It’s important for those struggling with obesity and diabetes to know weight loss surgery is an important treatment option. To learn more about weight loss surgery, attend a free seminar at Anne Arundel Medical Center. To learn more or register, visit askAAMC.org/WeightLoss. Author By Alex Gandsas, MD, a bariatric surgeon and director of AAMC’s Weight Loss and Metabolic Surgery Program. To reach his practice, call 443-924-2900. Originally published Jan. 30, 2017. Last updated Nov. 28, 2018.
- Behavioral Health, Infectious DiseaseGeneral Page Tier 3BlogOur mental health is just as important to care for as our physical health. This is especially true when we’re naturally feeling more stress, fear and anxiety due to the impacts of the coronavirus (COVID-19) pandemic. These feelings can be overwhelming and cause strong emotions for anyone, both adults and children. The Centers for Disease Control and Prevention reminds us that learning to cope with stress makes you, the people you care about and your community stronger. Mental health refers to our feelings, emotions, thought patterns and behaviors. We all experience positive and negative feelings—that’s completely normal. The only difference from one person to another is how much it affects our daily functioning and how we cope. Mental disorders can affect anyone, anywhere Mental illness affects millions of people each year. A recent Kaiser Family Foundation poll found nearly half of Americans report the COVID-19 outbreak is impacting their mental health. For the past year, we’ve led a training program on how to recognize the signs and symptoms of a mental health condition. Just as cardiopulmonary resuscitation (CPR) helps you assist someone having a heart attack, you can help someone experiencing a mental illness by understanding how to respond to certain signs. You can help, too Having the right tools and knowledge to help can be lifesaving. It’s important if you live with or know of someone who may have a mental illness to know how to have the conversation that encourages them to get the help they need. Tips from evidence-based training include: Pay attention and approach the individual. If you live with someone experiencing a mental illness, no one notices changes more than you. Identify the stressors in their environment. Did anything change environmentally to cause their behavior change? Did they change jobs? Are they having problems with their relationships? Don’t be afraid to approach the person and ask about anything you’re noticing. Validate and honor their experience. Let the person know they’re not alone or that they should not be ashamed of their feelings. “You’ll be fine” doesn’t validate how someone feels. Be respectful of the person and how they feel about their experience. Get informed. There are endless resources available to help someone who’s experiencing a mental illness. The National Institute of Mental Health, Mental Health First Aid and NAMI are just a few of the many organizations that provide free tools for those looking to learn more about mental health or seek to train themselves. Encourage them to seek help. Any time there’s a concern, you should talk with them. Someone may tell you they’re fine or that they don’t need help, but that doesn’t mean they’re okay. If the person’s behavior changes and is causing distress, encourage them to seek help. Early intervention can prevent symptoms from going from mild to severe. If it’s causing distress to the person, it’s time to seek help. If behavior or thinking starts to get dangerous—toward you or someone else—it’s a must to get help. Get them to their nearest emergency room. Call 911, if needed. Emergency rooms are safe and have protocols in place to prevent the spread of COVID-19. Know that we’ve expanded services to better support people who are in a psychiatric crisis. The J. Kent McNew Family Medical Center provides both inpatient and outpatient options for care. The medical center provides a brand new state-of-the-art inpatient psychiatric hospital, as well as our relocated psychiatric day hospital. Both have procedures in place to protect our patients from COVID-19. Living with someone who has a mental illness can be challenging, especially now. You can help us share the message that no one should be ashamed to admit they have a mental illness. If you’re well informed and equipped to intervene earlier on, not only are you helping to reduce stigma around mental illness, you’re addressing one of the most important public health issues of our time. Authors Donna Phillips, M.A., is the clinical director at the J. Kent Mcnew Medical Center’s Psychiatric Day Hospital. You can reach her at 667-204-7311. Maria Winters, LCPC, is a mental health clinician at AAMC. You can reach her at 667-204-7311.
- Behavioral Health, Infectious DiseaseGeneral Page Tier 3BlogAll around the country—and right here in Anne Arundel County—doctors, nurses, technicians, social workers, and a myriad of others are caring for the sickest of the sick in trying and often heart-breaking conditions. Every day they—YOU—sacrifice time with loved ones in the service of others. Every day, you as frontline warrior don your armor and steel yourselves to do battle against not only COVID-19, but all the other ailments that haven’t taken a break simply because COVID is in town. But I wonder, what protection do you place on yourself for your mental and emotional health? As health care providers, we have to be strong—strong for our patients, and strong for each other. Sometimes it’s hard to ask for help because we have to be so strong all the time. But we are also human and subject to fatigue, fear, loneliness, frustration, and sadness. Just like everyone else. We can’t stop being strong, we can’t stop caring for people, and we can’t just walk away. So what can we do? How can we take care of our own mental and emotional needs, especially when our days are so long and time is at a premium? I’d like to offer some simple guidelines: Take time to breathe. It sounds really simple, almost too simple. But we get so busy and feel so rushed, that at times we have to remember the simple things. Take breaks. They don’t have to be long. Just a few minutes to listen to a favorite song, to read a chapter out of a favorite book, to play a game on your phone. Something different from the demands of the day. Get sleep. Yes, this one is tough. Days (and nights) are long, and there are often not enough hours in the day. But we know that a tired mind and body are not nearly as effective as a well-rested mind and body. Be sure to make sleep a priority. Exercise. This one is also tough, especially given the demands of the day. Even 15 minutes a day can go a long way to helping you feel refreshed and restored. You don’t have to go to the gym—take the stairs instead of the elevator. Go for a brisk walk. Do yoga. Keep a small set of weights in your workspace to use. Reach out to others and stay connected. Maybe this one needs to be first. We are so used to taking care of the needs of others that we need to remember to let trusted others know our needs, too. Call your family and friends—not just to check in on them, but to let them know how you are, too. Give people permission to check in on you. Seek help. There may come a time when all of these things don’t seem to help. You may feel in over your head, or burnt out, or unable to continue. Don’t be afraid to reach out or seek assistance. Help is just a walk down the hallway or phone call away. We are all in this together. We need you! As you take care of others, please be sure to take care of yourself, too. Your mental and emotional health are worth the investment. Author Eric Anderson, MD, is medical director of the J. Kent McNew Family Medical Center.
- Behavioral Health, Community, PediatricsGeneral Page Tier 3BlogThe heroin epidemic is a national problem that hits close to home in Anne Arundel County. According to the Anne Arundel County Department of Health, heroin-related deaths in the county have increased by 128 percent between 2010 and 2013. The rate of heroin use here is 5.5 percent for youths ages 16 and 17 and 10.7 percent for adults age 18 and older. Both of these numbers are above the averages for the state of Maryland. The Danger of Opioids Fueling the epidemic are opioids. Opioids come in two main forms: prescription painkillers like OxyContin and Percocet and illegal drugs like heroin. The Centers for Disease Control and Prevention (CDC) is writing new guidelines for physicians to explore other options before prescribing opioids. Still, many people already have a prescription for opioids. In 2012, doctors wrote 259 million opioid prescriptions. That’s enough for every adult in the United States to have a bottle of pills, according to the CDC. Not everyone who takes opioids gets addicted. However, everyone develops tolerance and some may start to crave these drugs. Opioid use can lead to risk of falls, respiratory problems, sleep apnea, interaction with other medications and potentially fatal overdoses. Suboxone: A Safe Solution Quitting opioids “cold turkey” is painful and dangerous. Withdrawal symptoms start around 12 hours after someone stops using opioids. Symptoms can include stomach pain, anxiety, body pain, chills, diarrhea, nausea, sweating, insomnia, weakness and more. For people dependent on opioids, Suboxone can help. Suboxone is a medication that helps people safely stop opioid use by reducing withdrawal symptoms and opioid cravings. The medication also blocks the effects of other opioids. Suboxone treatment not only allows people to safely withdraw from opioids with little discomfort, it helps manage other health issues related to opioid use. Suboxone treatment also links people with professional counselors. Counselors can help people develop coping skills and behaviors to prevent setbacks. Only qualified, licensed doctors can prescribe Suboxone. Pathways, Anne Arundel Medical Center’s substance use and mental health treatment center, offers both inpatient and outpatient Suboxone treatment. Both programs begin with a phone call to understand the patient’s needs. Based on the phone call, we recommend either inpatient or outpatient care. The opioid epidemic is complex, and the solution is not simple. At Pathways, we believe we can begin to turn this public health crisis around by working together with other healthcare professionals, our community partners and our patients. For more information on Suboxone treatment and other options available through Pathways, visit PathwaysProgram.org.
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