- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWhat Susan Dennis says is most extraordinary about her life now is that it is so ordinary. In the last few months, she’s taken many long walks, gone to a baseball game, flown to Florida on vacation, and walked down the beach in a swimsuit. Nothing that unusual for a 40-year-old woman, except if you are Susan Dennis. Flash back a year, and Susan says you wouldn’t recognize her. She weighed over 300 pounds and had full-blown diabetes, high blood pressure and a host of other serious health issues. “I didn’t go out, I didn’t like seeing friends, walking was a chore,” Susan says. “I felt weighed down by myself, by everything. It wasn’t a happy existence.” A Lifelong Struggle Susan has struggled with her weight since she was 16. Over the years she tried fad diets, weight loss groups, even medically supervised prescription diets. But nothing worked. Finally, with her health in steep decline, her endocrinologist suggested bariatric surgery. At first, Susan balked at the idea. “I told her no. I thought it might be the easy way out and that I could do it on my own.” But as her health worsened, Susan finally realized she needed help. The Right Decision Susan decided to have gastric bypass surgery with Alex Gandsas, MD, who leads AAMC’s Weight Loss and Metabolic Surgery program. Susan says she liked that the care felt “very personalized.” Dr. Gandsas says it’s essential to have a rigorous bariatric surgery program that addresses the whole person. “We are helping our patients engage in a different life,” Dr. Gandsas says. “The surgery helps them change course and shed weight, but it’s only one component. We want them to have all the tools they need to permanently succeed.” Intensive Help Before, and After At AAMC, weight loss patients begin preparing for surgery six months in advance with medical testing, diet, exercise, and nutrition counseling. And it doesn’t end there. After surgery, patients continue to receive careful monitoring and meal plans. Just 4½ months after her surgery, Susan was doing great. In addition to having lost 83 pounds, her blood pressure was down and her diabetes was fully controlled. What’s more, Susan says she’s happy all the time. “I just feel wonderful, I feel like I can take over the world.” But for now she’s content trying to live her extraordinarily ordinary life. Next on the list: yoga classes. To learn more about bariatric surgery at Anne Arundel Medical Center, please visit www.AskAAMC.org/WeightLoss.
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogIn 2012, Tammy Smith weighed 340 pounds. She attended a weight loss surgery seminar and decided to have gastric sleeve bypass. Her journey to new health habits began several months prior to her surgery, leading to a nearly 200-pound weight loss. Here’s Tammy’s story in her own words: Two years ago, I was very scared and nervous about the idea of bariatric surgery. I went to a seminar and met Bariatric Surgeon Dr. Alex Gandsas and he was amazing. After speaking with him, I decided to go through with the surgery to have the gastric sleeve bypass. The easiest part of the journey has been the surgery itself. There was very little pain. The hardest has been adjusting to a new way of thinking about food and establishing an exercise routine. But the program is set up for success by helping you adjust to new habits before surgery. Three months leading up to surgery, I met with the nutritionist in Dr. Gandsas office who guided me in the right direction. It was a lifestyle change that needed to take place in order to be successful. Each month, I picked two or three of the changes that needed to happen. I worked on making these changes every month until they became habits. As weeks went by the challenge was to make good choices and exercise regularly. I have lost 191 pounds. I started at 340 pounds and size 24. Now I am in a size 4. My journey has changed me. I love the new me. I never knew this life I now know could have existed. This surgery is not a quick fix or a magic procedure. It is about changing your way of life, not just a diet. Bariatric surgery is a tool in your tool box. Learning good eating habits and educating yourself about nutrition is key. For those who choose not to work out, the results will not be as great. The true test for maintaining and continuing my weight loss came after I lost my husband. Getting through the last six months has been a huge test to old eating habits. But I have stayed the course, and I know I will continue with my new lifestyle. I am so thankful for this program at AAMC. If you make the changes and do the hard work you will be successful! Learn more about bariatric surgery at www.AskAAMC.org/WeightLoss.
- Behavioral Health, Senior CareGeneral Page Tier 3BlogNearly one third of older people in the U.S. take sleeping pills. These drugs are called “sedative hypnotics” or “tranquilizers.” They affect the brain and spinal cord. “Doctors prescribe the drugs for sleep problems,” says Ira Weinstein, MD, a pulmonologist who specializes in sleep disorders. “The drugs are also used to treat other conditions, such as anxiety or alcohol withdrawal.” Usually older adults should try non-drug treatments first. According to the American Geriatrics Society, there are safer and better ways to improve sleep or reduce anxiety. Here’s why: Sleeping pills may not help much. Many ads say that sleeping pills help people get a full, restful night’s sleep. But studies show that this is not exactly true in real life. On average, people who take one of these drugs sleep only a little longer and better than those who don’t take a drug. Sleeping pills can have serious or even deadly side effects. All sedative-hypnotic drugs have special risks for older adults. Seniors are likely to be more sensitive to the drugs’ effects than younger adults. And these drugs may stay in their bodies longer. “The drugs can cause confusion and memory problems that more than double the risk of falls and hip fractures,” says Dr. Weinstein. These are common causes of hospitalization and death in older people. They also can increase the risk of car accidents. The new “Z” drugs also have risks. Most ads are for these new drugs. At first, they were thought to be safer. But recent studies suggest they have as much or more risk than the older sleep drugs. Try nondrug treatments first. Get a thorough medical exam. Sleep problems can be caused by depression or anxiety, pain, restless leg syndrome, and many other conditions. Even if an exam does not turn up an underlying cause, you should try other solutions before you try drugs. Over-the-counter drugs may not be a good choice. Side effects of some drugs can be especially bothersome for seniors: next-day drowsiness, confusion, constipation, dry mouth, and difficulty urinating. Avoid these over-the-counter sleep drugs: Diphenhydramine (Benadryl Allergy, Nytol, Sominex, and generic) Doxylamine (Unisom and generic) Advil PM Tylenol PM When to try sedative hypnotic drugs “Consider these drugs if the sleep problems are affecting your quality of life and nothing else has helped,” says Dr. Weinstein. “But your healthcare provider should watch you carefully to make sure that the drug is helping and not causing bad side effects.” Kinds of sleeping pills (sedative-hypnotics) All of these pills have risks, especially for older adults: Barbiturates Secobarbital (Seconal and generic) Phenobarbital (Luminal and generic) Benzodiazepines for anxiety Alprazolam (Xanax and generic) Diazepam (Valium and generic) Lorazepam (Ativan and generic) Benzodiazepines for insomnia Estazolam (generic only) Flurazepam (Dalmane and generic) Quazepam (Doral) Temazepam (Restoril and generic) Triazolam (Halcion and generic) “Z” drugs Zolpidem (Ambien and generic) Eszopiclone (Lunesta) Zaleplon (Sonata and generic) Tips for better sleep Exercise. Physical activity helps people sleep better. But avoid vigorous activity for several hours before bedtime. Keep a routine. Try to go to bed and wake up at about the same time every day, even on weekends. Try not to eat right before bedtime. Eat three hours or more before going to bed. Avoid caffeine after 3 p.m. Some people need to avoid caffeine even earlier. Limit alcohol. Alcohol causes sleepiness at first, followed by wakefulness. Create the right environment. Keep the bedroom peaceful. And avoid mental excitement before bedtime. Avoid bright lights. Watching a bright screen can make you stay awake. Control pets. Pets disrupt sleep if they are on and off the bed, taking up space, or wanting to be let out. If you don’t fall asleep soon, get out of bed and do something that will make you sleepy, such as reading. Return to bed after you start to feel drowsy. Source: ChoosingWisely.org.
- Behavioral Health, Men's Health, Patient StoriesGeneral Page Tier 3BlogAs director of engineering, Tony Kuzawinski is responsible for plant operations, maintenance and facilities. On a typical day you’ll find him running all over Anne Arundel Medical Center’s medical park campus to meetings and inspections that help ensure a safe environment of care for patients, families and employees. One day, he noticed he was having trouble keeping up with his boss, who always takes the stairs. “We’d go up a couple flights of stairs and it felt like my heart was coming out of my chest,” says the 36-year-old who had been a pack-a-day smoker since age 14. “It would take me several minutes to catch my breath and be able to talk. When alone, I’d take the elevator.” Tony had tried to quit several times, including three years ago when his daughter was born. Then, in early 2014, AAMC announced that starting July 2015 it would not hire people who use tobacco. Although the new policy would not affect him, it hit a nerve. “I found myself defending the policy with family and friends about how it’s about helping people live healthier,” says Tony, who lives in Catonsville. Finally, a friend challenged him to practice what he preached: quit smoking once and for all. So he did. Tony chose June 20—his birthday—as the day he would stop smoking. And he hasn’t looked back. “I wanted do it—for my wife, for my kids and for my health,” he says. Since quitting, his blood pressure has returned to normal. He can run up five flights of stairs and no longer gets winded carrying his kids up to bed at night. And, he’s inspired some of his colleagues to quit. “Little things make a difference,” he says. “Make up your mind and do it. It’s not easy at first, but it gets easier. You can do it, but you have to want to do it.” Ready to quit? Learn more about smoking cessation programs at Anne Arundel Medical Center. Courses and individual counseling are free if you live, work or attend school in Anne Arundel County. If you live elsewhere in the region, our staff may be able to navigate you to free resources in your area so please call 443-481-5366. If you’re an employee, we have specific resources for you, too.
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogMargie Chase usually had success with weight loss when she put her mind to it. But then, something stressful would happen in her life, and the pounds would add up again. It wasn’t until the 53-year-old Davidsonville resident learned to understand nutrition and the underlying reasons for weight gain that she was able to make the lasting changes required for permanent weight loss. I struggle with emotional eating. When I have a lot of stress in my life; I don’t smoke, I don’t drink, I eat. The death of my mom in 2005 put me into a downward spiral and I just never seemed to get out of it. Then a friend suggested I go to the Mayo Clinic Workshop. I followed the workbook and I read the chapters in the book and I realized I can do this. I can do all of this. The difference is that I learned a lot about nutrition that I didn’t know the other times. Things like reading the labels and how products are labeled to make you think they’re healthier than they are. Now I really understand the nutritional value of the food I eat. However a few weeks into the program my sister passed away. It was a tragic event and I didn’t know if I could keep going with the program. I was afraid I would start eating junk again. The biggest thing that kept me in it was talking it over with Ann and Carole, (the nutritionists who run the program.) They were so supportive, and even though I was eating, I was making healthy choices. And I still make healthier choices. For instance, today, I’m going out to Garrett County and I made sure I had plenty of water, fruits, and nutritional bars in the car to help me on this long drive. It’s all healthy. I never would have done that before. I would have just gone for the fast food junk. When I started in February I was at 223, and I’m now down to 180. I’ve hit a plateau, but that’s OK. I’ve learned with the program that you’ll hit these places where you get stuck. I’ve hit a couple before and I just keep going. Then all of a sudden it breaks loose and the scale starts to move again. Your body needs to adjust. Staying steady is better than focusing on the scale. I’ve never been much of an exerciser, but I always knew I felt better when I had the weight off. So now, I make sure I do the exercise. I even joined a boot camp after the Mayo Clinic workshop was over. With the things I’ve learned I’m still able to treat myself. Someone recently made me a blackberry pie, and that’s my favorite. So I didn’t deprive myself. I made a different choice. I took a small slice instead of what before would have been a quarter of a pie, and I told myself that I would exercise for an additional 20 minutes or so to make up for it. I don’t feel like I’m missing out on anything. I eat everything I want but in small portions and keep doing my exercises. None of this has been easy. It’s been a long, challenging journey, but it’s gotten me 43 pounds closer to my goal weight. It’s not over for me because I still have my goal in sight, but I’m hoping the changes I’m making will allow me to live longer and have more energy to enjoy my two small nephews.This is a life style change and it feels so good.
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