Some features of the website including online scheduling are temporarily unavailable. We appreciate your patience while our team works to resolve the issue as quickly as possible.
- Cancer CareGeneral Page Tier 3BlogWhere care extends beyond treatment Navigating cancer treatment is about so much more than showing up for appointments. Your cancer journey can affect every aspect of your life — keeping you from work, from your favorite activities and sometimes even from your loved ones. And while it’s sometimes hard to admit you need help, help is always close by. In fact, the Geaton and JoAnn DeCesaris Cancer Institute has built programs around all of your needs — physical, mental, financial, spiritual or emotional. Because we profoundly believe these programs will light the way to better outcomes. Learn more about our cancer support services and how they can help you. Genetic testing to help you find answers Your genes hold many secrets to your health. And we’re now better able to understand those secrets, thanks to genetic testing. Genetic testing and counseling services can help you and your family better understand cancer risks, allowing you to make informed and empowered healthcare decisions. You can count on us to help you decide if genetic testing is right for you and your loved ones. And our support won’t end after you get your test results. Together, we’ll review your options and give you the time, space and confidence you need to make the best decision for you. Financial counseling to help ease your worries Your most important job during cancer treatment is to get better. That can be hard when you’re worried about the financial impact of your care. Our financial counselors are here to lighten that burden. We’ll connect you and your family to financial assistance (if you qualify), explain confusing insurance requirements and benefits, and make a plan so you can stay focused on what really matters – getting back to all the people and activities you enjoy. Specialized care to help keep your body strong We’ll be at your side for every twist and turn — before, during and after treatment. Our physical, occupational and speech therapists will recommend safe and easy exercise and stretching routines to keep your muscles strong during treatment. And we’ll be here with proven rehabilitation programs to help you overcome any side effects after treatment, like lymphedema, swallowing trouble, pain and much more. What you eat and drink can also have a big impact on how you feel, but you may experience changes in your appetite and tastes that make it difficult to get the nutrition you need. Our registered dietitians and nutritionists are specially trained to help you overcome the unique obstacles that come with cancer treatment. Working closely with you, we’ll create a personalized eating plan that ensures you get all the nutrients your body needs. Social services to help support your unique needs Everyone copes with cancer a little differently. That means every patient needs different support. Our social services — which include financial assistance; connections to community resources or professional guidance for any of the physical, mental and emotional challenges that come with a cancer diagnosis — are far reaching and wide ranging, so you can find the help you need. Nurse navigators to help you keep it all straight Constantly navigating appointments, treatment plans and recommendations from your care team can become overwhelming. That’s why we’ll make sure you’re assigned a nurse navigator that can help you keep it all straight. Our team of nurse navigators will streamline your care and – just as importantly – offer up a comforting, consistent presence during a stressful time. We’ll take care of the details, while you focus on healing. Spiritual care to help your heart heal Spiritual health is so much more than religion. It’s about finding an inner peace that can help you and your loved ones achieve life balance. For you, that may include sitting in a chapel and praying. Or, it could mean meditation, volunteering, forgiveness or optimism. No matter your beliefs, our spiritual care team is here to help you and your family find that sense of calm. And we’ll start by listening to you and your needs. Palliative care to help you manage painful symptoms Sometimes, the hardest part of dealing with cancer is managing painful symptoms. And palliative care may be the answer. This important medical service helps relieve suffering and improve your quality of life during treatment. At the DeCesaris Cancer Institute, our palliative care team includes physicians, nurse practitioners, social workers and chaplains who share the same goal: Helping you and your loved ones. That support can look very different depending on where you on your path to healing. We’ll work hard to help you: Find ways to ease your pain and discomfort from treatment Create realistic goals for your care Communicate openly and honestly with your entire care team and family Bring family members together for productive conversations Coordinate care among treatment teams Bring peace and comfort during end-of-life situations Survivorship and caregiver support to help lift your spirit Your care doesn’t end when your treatments do. Because, believe it or not, sometimes ending treatment can be a little jarring. After all, you and your loved one have grown accustomed to regular appointments, meeting with doctors and having a nurse just a phone call away. Take heart in knowing you’ll continue to work closely with your primary oncology provider and primary care provider to ensure you stay healthy, well and strong. Cancer is a journey, and everyone’s path is different. Sharing your story, whether it’s as a cancer survivor or caregiver, can also go a long way in helping you (and others in your group) heal. Here, as a part of our survivorship or caregiver support program, you can connect with people in similar situations; who understand the challenges you face and can give you the safe space you need to process your emotions. We offer many different types of support groups, including groups for patients, survivors, family members. We also have support groups for specific cancers, including head and neck, lung, prostate and breast. We’re here to meet you where you are Sometimes, asking for help is the hardest part. And during a challenging time like a cancer diagnosis, it can be hard to even know what you need. We’ve built our support services for patients just like you. If you’re not even sure where to begin, let your nurse navigator, doctor or any member of your care team know what’s on your mind. We’ll take it from there, help you find the solutions and support you need. Call us anytime at 443-481-5800.
- Women's HealthGeneral Page Tier 3BlogIf you’ve ever dreaded laughing at a good joke or sneezing for fear of an “oops” moment, then you know what it’s like to live with urinary incontinence. You may be hanging back from doing things you love, worried you can’t get to a bathroom and embarrassed about leakage you can’t control. Here’s a start to learning more about the condition — its causes and treatments — so you can see that it’s possible to get back to living your best life. Incontinence is more common than you think. An estimated 15 to 25 million Americans deal with incontinence. But it’s hard to put a firm number on it because so many people are too embarrassed to talk about it. We do know women are two times more likely than men to develop urinary incontinence — and that physiology plays a part. The structure of a woman’s internal organs, pregnancy, childbirth and menopause all have an effect. Aging does too because pelvic floor muscles that support the urinary tract muscles weaken as you age, making it harder to hold in urine — though it’s not necessarily a normal part of getting older. There are different types of incontinence. The most common types of incontinence in women are stress incontinence, urge incontinence, and a mix of the two. Stress Incontinence Stress incontinence makes having fun unpredictable. Things like laughing, dancing and exercise put pressure on your bladder, causing uncontrollable leakage. You don’t feel an urge to urinate; it just happens. Weak pelvic floor muscles or the bladder out of its normal position are usually the culprits. Urge Incontinence A “gotta go” feeling you can’t ignore is urge incontinence, or overactive bladder (OAB). OAB can happen when certain nerves and bladder muscles don’t work together. Your brain tells your body you need to go to the bathroom, even if your bladder isn’t full. That signals the bladder muscle to contract, and the sphincter — the muscle that controls urine flow — relaxes. The urge comes on suddenly, even if you’ve recently emptied your bladder, and you may not make it to the bathroom. Some people have a frequent urge to go — up to eight times a day — and then barely go when they get to the bathroom. Mixed Incontinence Having more than one type of incontinence isn’t uncommon. If you do, stress and urge incontinence are usually the two that combine and lead to leakage. You don’t have to live with it Too many people stay silent about incontinence, assuming events like pregnancy, childbirth and aging make it an inevitable part of life you have to get used to. Not true. It’s very treatable, and often with self-help methods you can do it yourself. Lifestyle Changes For some people, reducing the risk of leakage is as simple as making lifestyle changes, such as: Avoiding lifting heavy objects Avoiding liquids in the evening Limiting caffeine and alcohol, which make you produce more urine Losing weight to relieve pressure on the bladder Kegel Exercises Weak pelvic floor muscles — those that support the bladder — are often at the root of leakage problems. Kegel exercises involve strengthening the muscles that control urine flow by tightening and relaxing them. Doctors often recommend women do Kegels during pregnancy to prevent incontinency problems. You can work with a physical therapist to learn how to do Kegels effectively. Bladder Retraining Timing is everything when it comes to staying dry. Finding the sweet spot takes practice. It may involve making sure your bladder is empty to prevent the urge to go. Make a pit stop every two hours if you know the urge to go hits every 2 ½. But you may have to retrain your bladder if the urge to go too often is a problem. That involves gradually extending the time between bathroom visits. For instance, if you go to the bathroom every hour, stretch it to an hour and 15 minutes, increasing the time over a few weeks. Medications, Devices or Medical Procedures If self-help approaches don’t help, your provider may suggest other options, such as: Medications that can help relax bladder muscles or block nerve signals that cause an urge to go Vaginal inserts available over the counter can be used to reduce stress incontinence A pessary, a ring-like device your doctor fits you for to support pelvic floor muscles and reduce stress incontinence Injections of a bulking agent in tissues around the bladder to help keep the opening closed and prevent leaks Pelvic floor stimulation to nerves and muscles to strengthen them and to reduce the urge to go A sling is a small piece of synthetic material surgically placed to support the urethra to improve leaking from stress incontinence Incontinence doesn’t have to control your life. Yes, it can feel awkward to talk with your doctor about bathroom habits. But incontinence is a very treatable condition. A full evaluation with a pelvic medicine and reconstructive surgeon can help you determine the best treatment for you. Asking for help can get you back to a life free of worries about leakage. Authors Aparna Ramaseshan, MD, is a Female Pelvic Medicine and Reconstructive Surgeon (FPMRS), at the Women’s Center for Pelvic Health. To make an appointment, call 443-481-1199.
- UncategorizedGeneral Page Tier 3BlogMay is Lupus Awareness Month. Lupus (also called Systemic Lupus Erythematosus) is a disease that effects 1.5 million people in the U.S., according to the Lupus Foundation of America. A 2019 survey found that 63% of Americans have never heard of lupus or have little information about the chronic illness. Here is what you need to know: Lupus is an autoimmune disease Lupus causes your immune system to attack healthy tissues and organs in the body. The body creates antibodies which attack your own cells. The chronic disease most commonly attacks your kidneys, skin, joints, blood cells, brain, heart and lungs. Lupus may not affect all of these in each patient. Lupus symptoms Lupus is often tough to identify because its symptoms are similar to other illnesses. Here are the most common signs and symptoms from the Mayo Clinic: Fatigue Fever Joint pain, stiffness and swelling Butterfly-shaped rash on the face that covers the cheeks and bridge of the nose or rashes elsewhere on the body Skin lesions that appear or worsen with sun exposure Fingers and toes that turn white or blue when exposed to cold or during stressful periods Dry eyes Headaches, confusion and memory loss It is important to remember that these symptoms may also occur with other illnesses. A doctor can perform an examination and tests to see whether a patient has lupus or a different condition. Risks for developing lupus Lupus is more common in women. A lupus diagnosis usually occurs between the ages of 15-45 years old. African Americans, Hispanics and Asian Americans account for the majority of lupus diagnoses. If fact, lupus diagnoses are two to three times more likely in African Americans compared to whites. You may also be at a greater risk if you have a family member with lupus. The disease may become more active during pregnancy, and require close monitoring. Causes of lupus In most cases, the cause of lupus is unknown. Experts believe it is possible to trigger lupus if you have a genetic predisposition for the disease, by hormonal changes, or by environmental factors. Treatment options There is currently no cure for lupus. You can manage lupus symptoms through a proper treatment plan created by your doctor. Treatment includes monitoring regularly. It may also include medications to help with symptoms, prevent worsening, and block the disease process. Health providers choose medicines very carefully. Medication selection depends on what other conditions a patient has, how severe the lupus is, and which features of lupus are the most active. Medications might include plaquenil, prednisone, imuran or benlysta. Author Susan Berger, MD, is a rheumatologist with Luminis Health Anne Arundel Medical Center.
- News & Press ReleasesGeneral Page Tier 3BlogLuminis Health Doctors Community Medical Center (LHDCMC) has some of the lowest rates of catheter-associated urinary tract infections in the United States, according to data from The Centers for Medicare & Medicaid Services. In total, 335 hospitals across the country, including LHDCMC, had an infection ratio of zero. “To be among the top hospitals in the country to receive this recognition speaks volumes to the high-quality care we provide to the communities we serve,” said Deneen Richmond, president of Luminis Health Doctors Community Medical Center. “I applaud every member of our team for their hard-work and commitment, as well as the precautions taken to ensure our patients are safe during their stay.” The measures are developed by Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). They provide information on infections that occur while the patient is in the hospital. The figures represent data collected from January 1, 2019 through December 31, 2019. “Patient safety is our top priority,” said Jean Murray, director of Infection Prevention and Epidemiology at Luminis Health. “Nationally, 75% of urinary tract infections of hospitalized patients are associated with urinary catheters. The greatest risk is the length of time the catheter is in place. That is why it is important to remove catheters as soon as they are no longer medically necessary. We keep the utilization of these devices low to help enhance the safety of our patients,” said Murray.
- WellnessGeneral Page Tier 3BlogGetting ready to hit the pavement? Whether you are a first-time runner or completing an in-person or virtual 5k race, here are some tips you need to know to make sure you have the best experience. Wear a Good Pair of Shoes Your feet should feel comfortable during your run. Ideally, you should purchase new shoes for running every 350 miles or every six months. After this time, shoe foam tends to wear down. This makes your feet less stable during your run. Running a 5K in worn shoes may also cause painful blisters. Pay Attention to Aches and Pains When you are training, pay attention to any discomfort. You should be able to run consecutively for 20 minutes without aches or pains. If you are running and something doesn’t feel right, it’s OK to start walking. If the pain persists and affects your everyday activities, see a doctor. Know Your Hydration Needs Hydration during your run is very important. Water intake needs depend on the runner. You may be fine running for 30 minutes without water based on your level of training. Others may need to take a water bottle along during their run. Do what works best for you. Be Aware of Your Surroundings If you wear headphones while running, only wear them in one ear. You want to be aware of your surroundings. In addition to being an important safety measure, this keeps you mindful of other runners or bikers around you. Be OK with Shifting Your Running Goal On race day, make sure you take the time to do it well. You are not competing against anyone, especially during a virtual 5K. Even if you have the best training plan and the best shoes, your run may not go as you planned. When you are running on race day, be OK with doing the best you can. For more advice from physical therapists or to learn more about Luminis Health Physical Therapy visit: Luminis.Health/PhysicalTherapy.