- Orthopedics, Patient StoriesGeneral Page Tier 3BlogInjuries and a lifetime of high-impact sports have left Doug Herman, 58, with significant knee damage and arthritis. Yet this competitive athlete maintains peak performance by varying his exercise routine and working closely with the orthopedic specialists at Anne Arundel Medical Center to help protect and preserve his knees. “I’ve been exercising my entire life. I’ve got to stay in motion,” he says. Whether you’re an older weekend warrior or a young competitive athlete, the earlier you take steps to protect your joint health, the longer you can continue to participate in the activities you love. Doug was a young surfer and water skier in the 1970s when he faced his first knee surgery to repair a torn ACL, leaving him vulnerable to arthritis. When doctors suggested that he pursue a less risky activity, he chose competitive running. But 15 years of continuous training and many marathons later, he was in trouble. “My orthopedist advised me to stop running to save my knees,” he says. That’s when Doug switched to competitive cycling, a low-impact sport that puts much less pressure on lower body joints than running. That’s also when he learned the benefits of cross-training, a strategy that alternates high- and low-impact activities. Highs and Lows High-impact exercises should be done in moderation, and include activities with sustained periods of running, jumping or lifting heavy weights. Low-impact exercises include walking, swimming, biking, light resistance work with exercise bands, some forms of dance, yoga and Pilates. Mix It Up “Regular exercise protects joints by strengthening the surrounding muscles and keeping bones strong, but sustained, high-impact exercise can place extreme impact on joints over the long term,” says Daniel Redziniak, MD, an AAMC board-certified orthopedist who specializes in sports medicine. “For example, when one leg hits the ground during a run, five times your body weight is translated across the knee joint, leading to wear.” Cross-training can protect joint health in people of all ages and all activity levels by allowing time for the joints to recover from this stress, he says. It should include low-impact activities; exercises that strengthen the “core” area, which includes abdominal and back muscles; and a regular regimen of stretching to help joint-supporting tendons, ligaments and muscles stay limber, says Dr. Redziniak. This whole-body approach can help prevent not only common knee and hip problems, but also lower back pain, rotator cuff injuries of the shoulder, and a multitude of other bone and joint injuries, he adds. “I now alternate my cycling sessions with swimming and core strengthening. And, I’m more careful with my weightlifting routine, using proper posture and limiting my time,” says Doug. “I feel stronger all the way around.” Arthritis Options Doug has also benefitted from orthopedic intervention to manage his arthritis symptoms. According to Dr. Redziniak, people with arthritis can help prolong the life of their joints and remain active by: Maintaining a healthy weight. Using ice and anti-inflammatory medication. Bracing joints for strenuous activities. Those who need additional relief may benefit from therapies, including: Cortisone shots directly into the affected joints for extended pain relief. Viscosupplementation shots, which may help lubricate the affected joint for periods of up to six months. Doug currently uses anti-inflammatory medications and viscosupplementation injections. Due to his careful arthritis management and the switch to cross-training, his doctors say he’ll likely avoid joint replacement surgery for up to a decade longer. Doug doesn’t plan to let the inevitable surgery stop him. In fact, many people with artificial knee and hip joints can continue high-performance, competitive activities as long as they protect the new joints, says Dr. Redziniak. Doug’s got an advantage: He now knows exactly how to do that. Learn more about The Joint Center at AAMC, which performs more joint replacements than any other hospital in Maryland. Read more about how to protect bones and joints at any age. Contributor Daniel Redziniak, MD, is an orthopedic surgeon at Anne Arundel Medical Center.0
- UncategorizedGeneral Page Tier 3BlogAre you thinking of eating a more plant-based diet in the year ahead? You’re not alone. There is a lot of buzz about choosing to go meatless a few times a week, or even considering adopting a wholly plant-based diet. That’s because plant-based diets are, in general, healthier than diets heavy on meat and dairy products. People who eat plant-based diets have lower risks of cancer, heart disease and diabetes. They’re also less likely to be obese. But ‘plant-based’ doesn’t always mean healthy. Vegan foods can sometimes be worse than meat alternatives. Here’s how to reap the rewards and avoid the pitfalls of a plant-based diet. Watch Out For Sodium in Imitation Meats Many plant-based burgers (which come frozen or fresh) aren’t always healthier than beef or chicken burgers. In some cases, they’re just as high in saturated fats and higher in sodium than meat-based burgers. For example, a four-ounce patty of one popular plant-based burger contains 380mg of sodium. By comparison, some frozen four-ounce beef burgers contain 75mg of sodium. Likewise, plant-based deli meat imitations can be just as salty as actual deli meat. Diets high in sodium increase your risk of high blood pressure, heart disease and stroke. “Instead of replacing meat with fake meat substitutes, aim to get your protein from beans, lentils and tofu,” says Dr. Arsalan Sheikh, the medical director for diabetes and endocrinology at Luminis Health. If you’re switching to plant-based foods solely for health reasons, you’re better off eating lean, unprocessed meat than a salty imitation. Not all foods labeled plant-based are natural Those who find it hard to cook plant-based or vegetarian meals might turn to the frozen aisle, where they’ll find pizzas, samosas, veggie ‘nuggets’, veggie loaf and more. The problem? Frozen and processed vegan foods can be high in additives and preservatives. In fact, some plant-based meals can have more additives and thickeners to mimic the texture of meat. One 2022 study found men who eat diets heavy in highly processed foods have a 30% higher risk of getting colorectal cancer. Another recent study found that people who ate diets heavy in processed foods were more likely to die of cardiovascular diseases. It’s not clear exactly why processed foods are so bad for your health. One theory is that chemical ingredients added to foods to improve the shelf life, taste or texture of food could be more difficult for the body to break down. Plus, heavily processed foods are higher in sugar, salt and fat than less processed foods. The secret to a healthy plant-based diet is to “avoid foods with long lists of ingredients, especially ingredients you don’t recognize,” says Dr. Sheikh. Rather than buying already-prepared meals, Dr. Sheikh recommends preparing plant-based foods at home with simple ingredients — like fresh or frozen vegetables, canned or dried beans and whole grains. You can miss key nutrients Meat has nutrients that can be hard, but not impossible, to find in plants. For example, iron, zinc and vitamin B12. Likewise, milk and yogurt are full of calcium and fortified with vitamin D. If you’re switching entirely to a plant-based diet, it’s a good idea to consult a dietician or nutritionist. They can help ensure you’re getting these important vitamins and minerals, whether through food or supplements. They can also make sure you’re getting enough protein through soy, beans and other plant-based foods. “Whenever you’re making a big change to your diet, it’s a good idea to get expert advice,” says Dr. Sheikh. After all, changing what you eat is hard work. It helps to have someone in your corner. Bottom line: Plant-based diets are healthier if you stick to the same tried-and-true advice as conventional diets Can you improve your health by incorporating more plant-based meals into your life? Absolutely, but you’ll need to apply the same rules that apply to healthy, conventional diets. That means planning a diet rich in a variety of fruits and vegetables, not just picking up ‘plant-based’ burgers and assuming it’s good for you. It also means choosing whole grains and starches, such as brown rice or pasta, whole grain bread and sweet potatoes. Remember, too, that fried and highly processed foods should be “once in a while” foods, even if they have a ‘plant-based’ label on them. Author Arsalan Sheikh, DO, is the medical director for diabetes and endocrinology at Luminis Health.0
- WellnessGeneral Page Tier 3BlogYour health should be a top priority, and having a primary care provider (PCP) can make a big difference. Think of your PCP as your go-to health partner—someone who helps you stay well, manage ongoing issues and connect you with specialists when needed. Still, many people avoid going to the doctor. Whether it’s due to fear, discomfort or simply a busy schedule, it’s easy to let routine care slip through the cracks. But delaying care can lead to missed opportunities to catch issues early and stay on top of your health. Studies show that having a PCP is essential to staying healthy. According to the American Academy of Family Physicians, people who have a PCP tend to manage chronic conditions better, spend less on healthcare and feel more satisfied with their care overall. Whether your PCP is a doctor, nurse practitioner or physician assistant, they can help with most of your healthcare needs. Why Regular Visits to a PCP Matter Having a PCP isn’t just about convenience—it can lead to better health outcomes, including: Better Prevention: Each year, about 70% of adults with a PCP receive their flu shot, compared to just 42% of those without one. This simple action can be lifesaving, as the flu causes an estimated 12,000 to 51,000 deaths each year in the United States. Early Detection: The more your PCP knows about you and your health, the easier it is to catch issues early, when they’re easiest to treat. For instance, regular blood pressure checks can spot hypertension before it leads to heart disease. Lower Hospitalization Risk: Studies have shown that those with a PCP are less likely to be hospitalized for chronic conditions, like diabetes, asthma or heart disease, thanks to ongoing support and care. The Extra Perks Consistent Care: Seeing the same provider over time helps build trust and makes it easier to talk openly and feel truly understood. Better Communication: Over time, you’ll feel more at ease sharing your concerns and following their advice. Improved Health Outcomes: Regular care from a PCP is linked to lower death rates and better chronic disease management. Cost Savings: Preventive care, like checkups and vaccines, can help you avoid costly ER visits or hospital stays down the road. Ready to Take Charge of Your Health? Seeing a PCP regularly is one of the best things you can do for yourself. But the truth is, checkups are easy to put off. According to Prince George’s County Health Department data, only 83% of county residents have a regular PCP, below the statewide average of 87%. That means thousands are missing out on consistent, preventive care. Life gets busy, and healthcare often takes a backseat until something feels urgent. That’s why having trusted care nearby is so important—it helps make your health a priority before problems arise. Right now, 42% of Prince George’s County residents travel outside the county for care. Luminis Health is working to change that by recently opening primary care practices in District Heights and Greenbelt—making it easier to get the care you need, closer to home. This matters more than ever. Prince George’s County has higher-than-average rates of Type 2 diabetes, with many cases going undiagnosed. Early detection by a primary care provider is key to effectively managing this condition, leading to better long-term health. Let us be your health’s best ally. At Luminis Health, we’re here to be your partner in wellbeing, helping you reach your goals and build a healthier future for you and your family. Your health journey starts here—and having a primary care provider by your side makes all the difference. Find a PCP at Luminis.Health/PrimaryCare or call 301-927-0088 to schedule an appointment. Authors Layne Lesnau, is a Luminis Health nurse practitioner and practices in Prince George’s County.0
- Behavioral HealthGeneral Page Tier 3BlogShould you stress about stress? Stress is part of life, but its impact on your health can be more serious than you might think. While eliminating stress entirely may not be realistic, managing it effectively could be life-saving. It’s important to understand how stress affects your body—and what you can do to take control. Stress and your body’s systems Your body is equipped to handle stress in small doses. But heavy stress—especially over long periods of time—can take a toll on every aspect of your health, from your mental and emotional wellbeing to your physical condition. And physiologically speaking, stress can affect every one of your body’s systems in one way or another. Stress and your heart health When you become stressed, your heart rate increases and your heart muscle contracts—which means your blood vessels pump more blood to different parts of your body, temporarily raising your blood pressure. When your heart rate is consistently higher, and stress hormones increase your blood pressure on a regular basis, it can significantly multiply your risk for a heart attack or stroke. Stress and your gastrointestinal (GI) tract The neurons in your gut constantly communicate with your brain. Stress can affect this communication and trigger bloating, pain and other discomfort. And high levels of stress over time can often lead to chronic GI conditions, like irritable bowel syndrome (IBS). Stress and your musculoskeletal system When your body becomes stressed, your muscles tense up. Chronic (constant) stress causes your muscles to be in a continuous state of guardedness, which can cause stress-related disorders. For example, chronic muscle tension in your shoulders can lead to migraines and tension headaches. For many people who have chronic pain conditions related to musculoskeletal disorders though, stress-relieving activities can bring significant relief. Stress and your respiratory system Stress can manifest itself as shortness of breath and rapid breathing. While this isn’t typically a problem for people without respiratory disease, it can harm those who have conditions such as asthma and chronic obstructive pulmonary disease (COPD). In fact, some studies suggest that high amounts of stress can trigger asthma attacks. Stress and your nervous system Stress triggers your body’s “fight or flight” response, which signals your adrenal glands to release hormones. When the crisis is over, your body usually returns to its normal state. But chronic stress can cause a long-term drain on your body. Stress and your reproductive system For men, chronic stress can affect testosterone production, leading to a decreased sex drive and sometimes causing erectile dysfunction. It can also reduce sperm production. For women, stress can cause missing or delayed periods, which in turn affects their ability to conceive. In addition, it can make premenstrual syndrome (PMS) much worse. Managing your stress Stress management can be challenging, but it’s a necessity. The good news is that making small, incremental changes can pack a big punch. Consider trying these strategies: Aim for seven to nine hours of sleep each night. Sleep has remarkable restorative power, and you’re more likely to be able to manage stress when you’re well-rested. Connect with others. Spending time with family and friends can be a pleasant distraction from life’s struggles. Loved ones can lend a listening ear and laughter is always good medicine. Eat a well-balanced diet. A healthy diet that’s heavy on fruits, vegetables and whole grains will go a long way toward helping you feel your best. Food is fuel for the mind and body. Exercise regularly. Physical activity releases endorphins, which are your body’s natural feel-good chemicals. Aim for 30-minutes of exercise a day at a minimum. Try proven relaxation techniques. Whether it’s yoga, meditation, music, art or journaling, relaxation techniques can help your mind—and body—find much-needed balance. Meet with a therapist. A therapist, counselor or other professional can help you understand the root of your stress and come up with long-term plans for stress relief. Support when you need it A Luminis Health Behavioral Health provider can help you figure out the cause of your stress and offer additional ways to manage it. If stress is disrupting your life or putting your health at risk, make an appointment with someone from our team today. Authors Crystal Osuchukwu, LCPC, is a licensed clinical professional counselor. To make an appointment with Crystal, please call 301-623-4352.0
- PediatricsGeneral Page Tier 3BlogRespiratory syncytial virus (RSV) is a common respiratory virus that, for most people, isn’t too different than having a mild cold. But for babies and toddlers, RSV can lead to longer-lasting complications and hospital stays. After a historic dip in cases last year, there’s now a surge in RSV bringing young children to the hospital. Here’s what to watch for if you have a little one. What is RSV and Why is it Surging Now? RSV usually peaks in the winter. It’s contagious and spreads like a cold between people and on surfaces. It’s possible that last year — when lots of us stayed home, wore masks, kept our distance from each other and sanitized all hard surfaces — the virus didn’t have much of a chance to get passed around. However, it became widespread extra early this year as we eased up safety measures over the summer. If you get the cold- and flu-like symptoms of RSV, you’ll usually feel better on your own in a week or two. But it can be worse in very young children and older adults, whose symptoms can become severe and make it hard to breathe. Every year, nearly 60,000 children younger than five are hospitalized for RSV. Signs to Look for (and How to Tell It’s Not COVID) Adults can get RSV and not show any symptoms, but infants and young kids almost always do. Common RSV symptoms can include: Cough Congestion Fever (100.4 or higher) Fussiness Irritability Poor feeding Runny nose Sneezing Most kids feel symptoms for five to seven days, and almost all will clear up on their own at home. However, it’s important to be aware that a diagnosis of RSV can develop into bronchiolitis or pneumonia — and these two conditions can seriously affect the lungs. Watch carefully for signs and call your doctor right away if you see: Belly breathing or tugging between ribs or at lower neck Fast breathing or trouble breathing Flaring of nostrils Head bobbing with breathing Wheezing If you think your child has RSV, it’s a good idea to check in with your pediatrician. You should also call right away if they get dehydrated (with fewer than one wet diaper every eight hours), have a greyish or bluish color to their tongue, lips or skin, or become much less alert or less active. Since RSV shares many of the same possible symptoms of COVID-19, the only way to know for sure what your child is dealing with is to get them tested. How to Treat RSV Symptoms Antibiotics don’t work against RSV. To help ease their symptoms, give your child some extra comfort and care for them like you would if they had a cold, while keeping an eye out to make sure they don’t get worse. You can: Help them stay hydrated. It’s essential your child gets enough fluid, even if they don’t feel like drinking or feeding. Nasal saline or gentle suctioning can make it easier for them to breathe and stay hydrated. Turn on a humidifier. A cool-mist humidifier can also help clear up congestion to help with breathing. Reduce their fever. If your child is older than six months and has a low-grade fever, acetaminophen or ibuprofen can help keep it down. Ask your doctor if you need help with the correct dose. At the hospital, children with RSV sometimes need extra oxygen, medicine to open their airways or other treatments to help their breathing. Most get better and can go home in a few days. When to Take Extra Care If your child was born prematurely, has chronic lung or heart disease or a weakened immune system, you can take extra steps to protect them from RSV. It’s likely what you’re probably already doing during COVID: Avoid contact with people who are sick Cover coughs and sneezes, and throw away used tissues Regularly clean commonly touched surfaces and toys Wash your hands regularly If your child is at high risk of RSV or you live in an area with lots of cases, your doctor might also recommend palivizumab, a monoclonal antibody used to prevent RSV infection. The American Academy of Pediatricians (AAP) recommended giving out doses early this year in some areas. Remember that RSV is common — most children will get it by the time they’re two. Kids and adults can also get it more than once, even in the same year. This year, we can all do our part to stay (and keep one another) healthy by taking a few simple steps: Stay home when you’re sick and avoid sharing germs with babies, small kiddos and older adults. And if you need help along the way, we’ll be here to support you. Author Lauren Fitzpatrick, MD, is the medical director of the Pediatric Emergency Department and Inpatient Unit at Luminis Health Anne Arundel Medical Center0
How can we help?
Common Searches
Common Searches
Log in with MyChart
Access personalized site features & view your health records.
Learn more about MyChartDon’t have a MyChart account?
Your Account
View your Dashboard
Messages
Billing Summary
Find Care
Schedule Appointment
My Care Team
My Record
Appointments
Medications
Insurance Summary
Log in with MyChart
Access personalized site features & view your health records.
Learn more about MyChartDon’t have a MyChart account?