Cancer Care
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Reduce Your Risk: Smoking, Vaping and COVID-19
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Quitting smoking can be challenging under the best of circumstances. Add in the stress and isolation brought on by the COVID-19 pandemic and you compound that challenge. Research shows that smoking and vaping are harmful to lung health. They can also increase the risk of not only developing COVID-19, but impact the severity of the infection.
How does smoking or vaping increase my risk of getting COVID-19?
We know that smoking causes several respiratory diseases, including emphysema. Smoking also suppresses the immune system and reduces your body’s ability to fight infections. This makes you more susceptible to COVID-19.
Does smoking raise my risk of getting a severe case of COVID-19?
Smoking affects the ability of the lungs to function normally and do their job of providing fresh oxygen to your body. When you add a COVID-19 infection on top of that, this can lead to worse health outcomes.
Does vaping increase my risk of a COVID-19 infection?
According to the National Institutes of Health, people who smoke are two times more likely to get the flu than non-smokers. This may be true for COVID-19 infection as well.
Research is limited for COVID-19 infections caused by electronic cigarettes/vaping. A study by the Journal for Adolescent Health looked at more than 4,000 young people ages 13-24 who vaped. The study found that they were five times more likely to get COVID-19 than young people who didn’t vape. Youth who smoked cigarettes and vaped were seven times more likely to get a COVID-19 diagnoses, compared with those who didn’t use any form of tobacco.
How can I quit smoking or vaping?
Trying to quit during this time is possible. But it requires a plan. Your plan can include finding alternative ways to deal with triggers associated with smoking. Medications approved by the Food and Drug Administration for quitting nicotine are helpful in curbing smoking cravings.
How long does it take to see changes in my health after quitting tobacco use?
When you stop smoking, the healing starts almost immediately. Within the first 20 minutes, your blood pressure and pulse begin normalizing. Your lung function improves in one to three months. Make a list of all of the health benefits of quitting. Include all the important personal reasons you want to quit. This can keep you motivated. And don’t forget to reward yourself for each day you don’t smoke/vape!
Resources
Feel your best now by quitting tobacco. There are many resources to help you quit. They come in many forms – in-person, online or by telephone. To talk to a tobacco treatment specialist at Anne Arundel Medical Center’s Nicotine Dependence Program, call 443-481-5366.
Author
Joanne Ebner is manager of the Cancer Prevention Department and Nicotine Dependence Program at Anne Arundel Medical Center. You can reach her office at 443-481-5366/67.
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News & Press Releases, Pediatrics
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AAMC earns award for dedication to improving care for opioid-exposed infants and families
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Anne Arundel Medical Center (AAMC) has achieved the “Center of Excellence in Education and Training” designation from the Maryland Patient Safety Center and Vermont Oxford Network (VON) for completing universal training for care of neonatal abstinence syndrome (NAS).
NAS is drug withdrawal syndrome experienced by infants exposed to opioids while in utero. Infants born with NAS are more likely to have respiratory complications, feeding difficulty, low birthweights and extended hospital stays.
The collaborative approach to universal training included rapid-cycle distribution of current evidence-based practices to the entire interdisciplinary workforce engaged in caring for substance-exposed infants and families. This approach has been proven to reduce length of hospital stay and length of pharmacologic treatment while increasing family satisfaction.
AAMC’s Newborn Cuddle Program is one approach its Neonatal Intensive Care Unit (NICU) team uses to treat substance-exposed infants. Hospital trained volunteers use comforting techniques, such as holding, rocking, singing or reading, which help decrease length of stay and the need for medication.
“This designation recognizes our dedication to elevating care for infants and families affected by neonatal abstinence syndrome,” said Suzi Rindfleisch, medical director, Neonatal Services at AAMC. “We are committed to interdisciplinary education and service for this important, vulnerable population.”
“The collective dedication of entire teams – including physicians, bedside nurses, social workers, and other health care professionals – make improvement possible,” said Bonnie DiPietro, director of operations for the Maryland Patient Safety Center. “We are already seeing fewer transports of infants, which means families get to stay closer to their local support system, and we expect to see outcomes improve even more over time.”
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Cancer Care, Women's Health
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Ways to fight breast cancer: Understand your risks
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Knowledge is power. When it comes to breast cancer, this statement rings true. Understanding your personal risk factors for breast cancer can empower you to make healthier choices. It can also make you more aware of any changes in your breasts early on, before cancer develops or while it is still highly curable.
Every day we take action to protect ourselves from harm. We wear bike helmets, change passwords and slather on sunscreen. Understanding your risk for breast cancer is no different. This starts with a conversation with your healthcare provider to help you make informed decisions about your health.
You can control some risk factors. Maintaining an active lifestyle, avoiding tobacco and limiting alcohol are all ways you can lower your risk for breast cancer. Other risks are outside of your control, such as inheriting a BRCA gene mutation or having a family history of breast or ovarian cancer. Each of these risk factors are red flags, and women should talk to a healthcare provider about risk assessment testing and genetic counseling.
Risk assessment and prevention programs help women understand and do something about these red flags. With innovative resources including genetic counseling, breast specialists work closely with each woman. They can talk with you about making lifestyle changes to reduce your risk of breast and other cancers, customize a screening schedule to help detect changes in your breasts at an early stage and, in some cases, recommend medications or surgery to reduce your risk.
While risk assessments can give you valuable information, they can’t give definite conclusions. No single model can predict whether a woman will or will not develop breast cancer. Even women who have no detectable risk factors may still have a high risk of developing breast cancer. All women have about a 12 percent lifetime risk of developing breast cancer. And risk increases with age. One in eight women who live into their eighties will develop some form of breast cancer. Most will be cured but even so, it can be a devastating diagnosis with lasting impact.
Here are five questions you should ask yourself to help assess your breast cancer risk:
Do you have a mother, daughter or sister who has been diagnosed with breast or ovarian cancer? Has any man in your family been diagnosed with breast cancer?
Have any of your aunts or cousins or grandmothers been diagnosed with ovarian cancer?
Have you been told that you have very dense or lumpy breasts?
Have you had multiple breast biopsies?
Have you been treated with radiation for Hodgkin’s disease?
If you answer “yes” to any of these questions, you may be at risk for breast cancer and should consider taking proactive measures for your breast health. Talk with your healthcare providers about your risk and about steps you can take to prevent cancer. For some women, this might include consulting with a breast cancer specialist.
Unfortunately, all women are at risk of developing breast cancer, even without having any clear risk factors. It’s important to maintain a healthy lifestyle, have regular check-ups including breast imaging as recommended by your providers and be aware of any changes in your breasts. If you notice anything that concerns you, talk to your healthcare provider right away. An ounce of prevention is indeed better than a pound of cure. But, the best chance of cure is early detection.
Talk with your doctor to determine the right breast cancer screening schedule and methods for you. Call 888-909-XRAY (9729) or schedule your mammogram at Anne Arundel Diagnostics Imaging.
Read about two more ways to fight breast cancer: Ways to Fight Breast Cancer: Get Support and Ways to Fight Breast Cancer: Get Physical.
Author
Robert Buras, MD, is an AAMC breast surgeon and part of the Fortney Breast Center’s Risk Assessment and Prevention (RAPP) program.
Originally published Sept. 30, 2016. Last updated Oct. 5, 2018.
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Community, Infectious Disease
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7 truths about COVID-19 you should know
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Every day we learn something new about the coronavirus (COVID-19). But as we continue to gather new information, myths about the virus have also been spreading fast. It is critical that we are able to tell apart facts and misinformation, especially as it impacts vulnerable communities.
Current data shows an unequal burden of illness and death among racial and ethnic minority groups, according to the Centers for Disease Control and Prevention (CDC). Health disparities among racial and ethnic groups are traced to economic and social conditions, such as living conditions, work circumstances, underlying health conditions and access to care.
Here are the facts:
Truth 1: COVID-19 has the potential to affect everyone.
COVID-19 impacts all races and ethnicities. However, older people and people with other underlying health conditions – such as asthma, heart disease and diabetes – are at a higher risk of getting seriously ill.
Truth 2: It is not proven that certain hot drinks or foods will prevent infection.
There is no evidence that drinking hot fluids, lemon juice or alcohol, or eating hot peppers or garlic, will prevent you from getting COVID-19. There are two different paths just past our tongue. One is our esophagus for food and liquids. The other is our trachea for breathing. Inhaling small droplets of the virus is the most common way the virus enters our bodies.
Truth 3: Children, teens and young adults can get the virus.
The virus infects people all ages. However, older people and people with pre-existing medical conditions are more vulnerable to becoming severely ill with the virus.
Truth 4: Bathing in hot water does not prevent the virus.
Taking a hot bath after exposure to COVID-19 will not kill the virus inside your body. Your best defense is preventing exposure. For example, washing your hands often, wearing a face covering and physical distancing from people who aren’t in your household. Since distancing from people is not always an option for everyone, wearing a mask or facial covering is especially important. Frequent and thorough hand washing is best. Alcohol-based hand sanitizer is also an option when access to soap and water is limited.
Truth 5: It’s possible that if you don’t feel sick or show any symptoms you can still spread the virus.
Many people who feel well can actually have COVID-19 and spread it. It’s important to follow the CDC’s recommendation to wear a mask and maintain six feet of distance from others.
Truth 6: Hospitals are safe.
Hospitals are safe, ready and open to provide you safe expert care, including preventive appointments, select surgeries, procedures and diagnostic testing. Safety protocols are in place to offer the highest standards of care. Our doors are open and we are ready to treat patients with non-COVID related medical needs in a safe environment.
Truth 7: Everyone can seek medical care.
Seeking medical attention will not make any legal processes, like getting a green card, more difficult in the future. Everyone should seek medical care if needed.
As we continue to learn more about this pandemic, it’s important that you take care of yourself. Do not delay or be afraid to seek medical care when you need it.
Authors
Tamiko Stanley is the director of Diversity and Inclusion at Luminis Health.
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Behavioral Health, Community, Giving, Pediatrics, Uncategorized
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Therapy dogs bring smiles and comfort to patients and families
Blog
Dogs really are man’s best friend. That’s why you shouldn’t be surprised if you see some walking the halls of our hospital and visiting patients in their rooms. At AAMC, we harness the healing power of pets with more than 25 volunteer pet therapy teams. Each team is made up of a volunteer from the community who owns a pre-trained and certified dog.
Therapy dogs can help put people at ease both emotionally and physically. Their visits often create a happier, calmer atmosphere not only for patients, but for family and friends as well.
Katherine Tighe and her dog, Suzie, along with fellow volunteer George Benoit and his dog, Kallie, have provided pet therapy at AAMC since 2015. They make frequent stops to the emergency room, as well as the pediatric, cancer, joint replacement and elderly care units.
“My dad was in and out of hospitals and rehab centers for years before he died,” says Katherine, an animal-assisted therapist and social worker. “He was growing more and more depressed and unhappy.”
Then she remembers one day she came to visit him in the rehab facility, and something was different. “There was this black lab there who had stolen my father’s slipper. He was going up and down the halls trying to get back his slipper,” she says. “My dad enjoyed it so much, and it made me happy to see him have a spark again.”
Adds George, “One time we walked up to a woman who was waiting for a loved one in surgery.” She started petting Kallie and immediately began crying. “Somehow the dogs give people an emotional release.”
“We’ll go in a room where a child is afraid and screaming in pain, and he will see the dog and calm down immediately,” Katherine says. “The whole demeanor changes, and it’s beautiful.”
Dogs must go through basic obedience training and pass a canine good citizen test. The team receives an extra level of training that focuses on managing difficult situations and evaluating the dog’s temperament. We partner with five organizations to certify pet therapy teams: Caring Canines, Pets on Wheels, PAWS-AAC, Fidos for Freedom and Pet Therapy International.
For information about our pet therapy team, or to learn how your dog can become certified to visit patients, call 443-481-5050.
Originally published Feb. 15, 2017. Last updated Jan. 7, 2020.
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