- Behavioral Health, PediatricsGeneral Page Tier 3BlogAs access to electronics continues to grow among teens and preteens, there’s a disturbing trend that some have dubbed the “hate virus”: cyberbullying. “Cyber bullying is very dangerous because it often occurs in silence. Many times kids are cyber bullied starting at a young age and it can go on for years without parents being aware of the torment that their child is going through,” says Jennifer Williams (Walton), MA, LPC, LCPC, a mental health professional at Anne Arundel Medical Group (AAMG) Mental Health Specialists. “It is extremely important for parents to be aware of their child’s online activities, including who they are speaking to, where they met these people, and do they know them in real life. “Parents should consistently check in with children regarding online activities to make sure they are safe, and to allow children an opportunity to share with them information about what is happening in their cyber world and if anything or anyone is causing them to feel depressed or anxious,” she says. “This is an epidemic,” concurs Doyle Batten, supervisor of school security for Anne Arundel County Schools. Doyle says that around-the-clock online access means victims can’t escape their tormentors after school, and that nearly all of the physical confrontations he sees at school can be traced to online interactions. “From a mental health standpoint and from a violence-prevention standpoint this is the most urgent thing I’ve seen.” Parents and guardians are the most important safeguards against cyberbullying fallout. That means being equipped to step in well before teasing, taunts or intimidation create a life-threatening problem. Here are some ways to keep on top of potential problems: How to help your child avoid cyberbullying • Awareness and access: As adolescents have near-universal online access, it may be more realistic to monitor their online use rather than to deny access. Be aware of the social media sites your child uses, and make sure you have passwords to accounts and devices. • Communicate: Have regular, open-ended conversations about online activities with your child, and discuss responsible online behavior, such as never sharing personal information and that what you post may stick around forever. • Encourage reporting: Young people should feel safe talking about cyberbullying, whether they are being victimized or someone they know is. Explain to younger children that reporting cyberbullying isn’t tattling. • Know the signs: A sudden drop in grades, frequent illness, withdrawing from friends or school activities, sleep and appetite changes, and extreme irritability are all warning signs that something is wrong. It could be cyberbullying. What to do if your child is a victim of cyberbullying • Listen: Some mean or hurtful attacks may not seem serious to an adult, but they can be very serious to a young person. Victims need to feel heard. • Question: Without judging, ask open-ended questions to understand the underlying cause. • Report: Contact a teacher, school counselor and/or administrator. If the bullying involves physical threats or is sexual in nature, it should be reported to the police. • Understand the law: Cyberbullying doesn’t always rise to the level of a crime. If you think it may, talk to the police or a school safety officer for guidance. In cases of sexually suggestive or explicit materials, kids and parents need to understand that both the bully and the victim may be implicated in a crime if the victim is a minor and willingly took or distributed explicit photos of himself or herself. • Seek help: Bullying can pose a serious threat to physical and mental health. Your child may need professional help developing coping mechanisms, social skills, assertiveness, or friendship skills to prevent and guard against cyberbullying. What to do if your child is the cyberbully • Teach empathy: Some bullies think it’s funny to tease or hurt someone online. In some cases they simply don’t realize the impact of their activity and need to be taught to empathy. • Seek help: Sometimes children bully because of low self-esteem or because they are being bullied. If your child is bullying as a way to cope with his or her own emotions, seek the help of a mental health professional. • Teach consequences: Parents need to stress that bullies may lose their phones or online accounts. They may face legal charges. If their bullying behavior is sexual in nature it can lead to the bully being registered as a sex offender. RESOURCES AAMG Mental Health Specialists AAMC’s outpatient mental health clinic on Riva Road offers mental health services, including a counseling group for kids from 12 to 17 to discuss issues such as bullying self-esteem, body image, family dynamics, school stress and more. 410-573-9000 Anne Arundel County Mental Health Agency Warmline 24/7 information, assistance and referrals 410-768-5522 Anne Arundel County Public Schools Student Safety Hotline 877-676-9854 AACo PD Speak Out App Allows anyone to discretely contact Anne Arundel County school police officers http://aacopdspeakout.myapp.name Maryland Youth Crisis Hotline 800-422-0009 Author Jennifer Williams (Walton), MA, LPC, LCPC, is a mental health professional at Anne Arundel Medical Group (AAMG) Mental Health Specialists, located in Annapolis. To reach her, call 410-573-9000. Originally published Nov. 13, 2015. Last updated Sept. 30, 2019.0
- GivingGeneral Page Tier 3BlogMaria C. Scott, MD, the founder and medical director for Chesapeake Eye Care and Laser Center, believes that the core of Anne Arundel Medical Center is to serve the entire community. Through a partnership with AAMC’s Community Health Clinics, Dr. Scott donates her time and talent to give free cataract surgery to low-income patients through the Operation Sight program. Vision loss from a cataract has tremendous impact on those living in poverty. The economic and cultural stigmas associated with poor vision greatly limits employment and educational opportunities. And when family members of the visually impaired become caretakers, their economic future is also jeopardized. “Knowing the life changing impact of cataract surgery, it is important for us to offer this opportunity to those who could not otherwise afford it,” says Dr. Scott, one of the leading cataract surgeons in the country to implant multifocal lenses. “This was a true team effort where many AAMC physicians and caregivers donated their time and services.” Dr. Scott was the first surgeon to perform no-needle, no-stitch cataract surgery in the area, and was the first surgeon to treat patients with the laser vision correction procedure in Annapolis. “When I came to this area 23 years ago, many residents traveled to Baltimore for cataract surgery. This was true of other services as well. Thankfully, AAMC’s president at the time, Chip Doordan, and his team had a vision to provide these much needed services locally, and they saw it through to fruition,” says Dr. Scott. “Now we have an amazing facility that attracts the best and the brightest. I am very proud to be a part of Anne Arundel Medical Center.” In addition to the time she commits through her partnership with the Community Health Clinics, Dr. Scott and her husband, Dr. Matthew Scott, an anesthesiologist at Anesthesia Company, L.L.C., contribute yearly as AAMC Foundation Baldwin Society members and have supported various areas of care, including AAMC’s Heart and Vascular Institute and the Geaton and JoAnn DeCesaris Cancer Institute. Dr. Scott has also provided a clinical leadership perspective as a member of the AAMC Foundation’s board since 2010. “As the first elected physician to serve on the board, I was honored that AAMC wanted to include a physician’s voice. I think it helps represent the patients and the community since we are involved with those we serve first-hand. We are fortunate to have such a talented board who is truly dedicated to the community,” says Dr. Scott. Dr. Scott encourages her fellow surgeons and colleagues to get involved with the AAMC Foundation. “Going forward, my hope is that more doctors get involved. I think it is important for the growth of the hospital and the community,” she says. To learn more about supporting AAMC’s Community Health Clinics, contact 443-481-4747 or [email protected].0
- Cancer Care, WellnessGeneral Page Tier 3BlogEvery day, you take steps to protect your health. You may buckle up when you get in the car or put sunscreen on when you plan to be outdoors. Or maybe you take the stairs instead of the elevator at work and make it a point to eat plenty of fruits and veggies. These are simple things, but they can reap big rewards when it comes to keeping you well. And if you’re a current or former smoker, there’s another easy way to stay healthy and safe: Talk with your doctor about lung cancer screening. Lung cancer screening may be one of our most powerful weapons yet in the fight against lung cancer. And with updated recommendations from the U.S. Preventive Services Task Force (USPSTF), more people than ever now qualify for this potentially lifesaving care. You might be one of them. Discover how early detection can make a difference Lung cancer is the most common cause of cancer deaths. It’s also the second most common type of cancer diagnosed in men and women in the U.S. One big reason: Most people don’t notice symptoms of the disease until it’s in an advanced stage, when it’s often difficult to treat. Screening may help doctors find cancer early, before symptoms appear. When lung cancer is small and hasn’t spread, treatment may keep you from dying of the disease. That’s a good reason to go looking for trouble, even if you feel fine. Know if you should get screened We know smoking poses, by far, the most significant risk factor for lung cancer. With this in mind, the USPSTF now recommends annual lung cancer screening if you: Are between 50 and 80 years old. Previous guidelines suggested starting screening at age 55. Have a 20 pack-year smoking history. To calculate your pack-years, multiply the number of packs you smoked each year by the number of years you smoked. For example, a 20 pack-year means you smoked half a pack a day for 40 years or two packs a day for 10 years. Smoke now or stopped smoking in the past 15 years. Kicking your tobacco habit is the best thing you can do to prevent lung cancer — and a host of other health problems as well. And even if you quit several years ago, you’re still at increased risk. The USPSTF says you can stop screening if you: Have a health problem likely to limit your life expectancy or make it hard for you to have lung surgery that could cure your cancer Haven’t smoked in more than 15 years Know what to expect during your screening test Lung cancer screening involves a low-dose computed tomography (LDCT) scan. During the test, you will lie in a machine that takes X-ray images of your lungs. These detailed images allow your doctors to identify spots that might be cancer. LDCT tests take just a few minutes and are not painful. Medicare and most insurance plans help pay for these screening tests. Speak with your health care provider The best way to find out if and when you should get screened for lung cancer is to speak with your health care provider. Your doctor will talk with you about your risk factors and explain the benefits and possible drawbacks. If the test is right for you, your health care team will help you get it scheduled. However, screening isn’t a good substitute for giving up tobacco. Quitting smoking is the single best step you can take to prevent lung cancer and improve your overall health. It isn’t easy, but it is doable. Millions of Americans have successfully stopped smoking, and you can be one of them. Learn more about our quit smoking resources. Author Imad Tabbara, MD, FACP, has more than three decades of clinical experience with cancer patients, and holds board certifications in internal medicine, hematology and medical oncology. He leads the LHAAMC Hematology and Medical Oncology program. Learn more at LuminisHealth.org/cancercare.0
- Heart Care, WellnessGeneral Page Tier 3BlogWhen former Baltimore Ravens wide receiver Jacoby Jones tragically passed away from hypertensive cardiovascular disease in July at the age of 40, it brought attention to a disease that millions of Americans are at risk for – and that many don’t even know they have. That’s why it is important to take steps to reduce your risk of hypertensive cardiac disease and other dangerous heart conditions. What is hypertensive heart disease? Hypertensive cardiovascular disease, or hypertensive heart disease, is a condition caused by having high blood pressure over a long period of time. High blood pressure puts extra strain on your heart, forcing it to work harder to pump blood throughout your body, which can lead to damage over time. This damage can lead to heart attacks, heart failure, strokes and other health problems. High blood pressure is defined as pressure that is consistently above 130/80 mmHg. According to the Centers for Disease Control and Prevention, nearly half of American adults have high blood pressure, but just a quarter have it under control. That’s because many may not know they have high blood pressure in the first place. In addition to heart attacks, heart failure and strokes, high blood pressure can put you at greater risk for conditions like: Atherosclerosis, including coronary artery disease Atrial fibrillation (AFib) Aortic Dissection or Rupture Congestive heart failure Kidney disease Retinal problems The risk of heart disease generally goes up with age, and those who have a family history of heart disease may be at higher risk. Athletes or other active people may be prone to hypertensive cardiovascular disease after they wrap up their careers and their activity level decreases. Even people who have lived very active lives can be diagnosed with heart disease. For example, arteriosclerotic cardiovascular disease (or the buildup of plaque or cholesterol on the walls of the arteries) played a role in the death of fitness guru Richard Simmons. Warning signs of cardiovascular disease High blood pressure usually doesn’t present symptoms, making it challenging to diagnose and treat. However, over time, high blood pressure can cause damage to your heart and lead to symptoms like: Chest pain Dizziness or fainting Heart attack or stroke Irregular, rapid or pounding heartbeat Shortness of breath It’s important to see your primary care provider and check your blood pressure regularly. Your care team will monitor your risk factors, including a family history of hypertension. Depending on your risk factors, your provider may recommend additional testing. These tests may include blood and urine tests or an electrocardiogram (EKG). How to prevent cardiovascular disease Managing your blood pressure can greatly lower your risk of dangerous cardiac events like heart attacks and strokes. That includes living a heart-healthy lifestyle by: Getting enough sleep Lowering your stress Maintaining a healthy weight Quitting smoking Reducing salt intake Reducing alcohol consumption Staying physically active Treating chronic conditions like sleep apnea, high cholesterol, diabetes and kidney disease How to treat cardiovascular disease Your provider will likely recommend adjusting lifestyle factors as a first line of treatment for hypertensive cardiovascular disease. If these adjustments don’t bring your blood pressure down, or if your heart has already sustained damage from high blood pressure over time, your care team may recommend medications as a next step. There are many kinds of blood pressure medications (or antihypertensives) including: ACE inhibitors Beta-Blockers Calcium channel blockers Diuretics (thiazide) All medicines can have side effects and it’s important to understand these impacts. Take medications as directed and follow up with your provider if you have any questions. Protecting your heart in the long run High blood pressure might not cause symptoms by itself, but it can be dangerous if left untreated. If you experience concerning symptoms, we have a number of Luminis Health primary care doctors ready to help, as well as cardiovascular specialists and heart surgeons with all the experience and expertise you need. Follow your doctor’s recommendations for taking medications or change your lifestyle. Your heart will thank you. About the Author: Luminis Health Chief of Heart Surgery David J. Caparrelli, MD. Dr. Caparrelli has more than 20 years of experience in both cardiac and vascular surgery.0
- Women's HealthGeneral Page Tier 3BlogAccording to the Centers for Disease Control and Prevention, routine screening can reduce the number of people who die from colorectal cancer by at least sixty percent—and that’s just one type of screening. Whether it’s blood sugar for diabetes, mammograms for breast cancer or even monitoring blood pressure and cholesterol for heart disease, screenings are tests that look for diseases before you have symptoms. We refresh and renew our homes like clockwork when spring arrives, but what if we spring clean our health in the same way? A checkup with your primary care provider can help you learn what screenings and tests you might need and when you need them. Screenings help spot problems early, when treatment may be easier and more effective. So, which screenings are for you? Depending on your age, family history, health and risk factors, women may benefit from routine screening for: Cholesterol. Healthy adults should have their cholesterol tested at least every four to six years since high cholesterol is a major risk factor for heart disease. Blood pressure. This should be checked at least once every two years since high blood pressure increases risks of heart and kidney disease and stroke. Breast and cervical cancers. Your age and health history determine how often women need tests, like mammograms and PAP tests, that screen for breast and cervical cancers. Sexually transmitted infections. If you’re sexually active and have risk factors, it is important to be screened for sexually transmitted infections. Diabetes. If you have high blood pressure or are on blood pressure medication, you should get screened for diabetes. Colorectal cancer. Most adults should have their first exam at age 50. Your provider can guide you as to which of several available tests is right for you. Osteoporosis. Women should have a bone density scan at least once beginning at age 65. There’s a lot of varying information out there that really does depend on your family history and risk factors. It’s usually best—and you’ll likely feel more comfortable—if you develop an honest, open relationship with your primary care provider as your health partner, so you know what tests are needed and which are not. Remember, it’s a great time for spring cleaning AND spring screenings. Author Schedule your appointment with a primary care provider today and take the first step toward better health.0
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