Weight Loss
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Weigh Beyond: Keeping up with Sam and Sara
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Sitting in a dim-lit room – where the only lights are the neon wire lights fading in and out along the black walls and under the desk – Sam, sitting with his back towards Sara’s back, asks, “Are you online?”
Sara replies with an attentive ‘yes’ as she, too, prepares to embark on an online-gaming session that can last hours.
For Sam Mitchell, 37, and Sara Hays, 31, this is not a new scene in their Bowie residence. They’ve been dating for eight years and continue to perfect their gaming skills together. They spend many evenings and weekends doing this because they play on a team. “We have a hard time getting out of the house sometimes,” says Sara, 31. “Sometimes we want to go out to eat, but other online gamers are depending on us to come online so they can also play.”
Although Sara had a very active childhood – playing sports like soccer, basketball and softball all the way through high school – she struggled with her weight, asserting she was always a heavy person. “I grew up with parents who would have meat, a potato and a vegetable for dinner and encouraged me to always clean up my plate,” she says. “That resonated with me for the rest of my life and I think that was part of the problem.”
Sara tried countless diets to no avail, describing the results as a yo-yo effect, where she would lose about 50 pounds and regain 70 pounds soon after.
Sara tried the gym, but didn’t feel comfortable working out in front of others. “I always feel like I’m being looked at or judged,” she says. In an attempt to look for a different alternative, the couple purchased an elliptical to workout at home. The solution lasted for merely a week before the piece of equipment was put away.
The turning point
Weight and self-image is something that has always been on Sara’s and Sam’s mind. But despite their many efforts, nothing seemed to work. They had thought about potentially undergoing surgery, but felt there was a negative stigma attached to this option because others claimed it was ‘cheating’. Their perception changed when one day an opportunity to look at things differently came knocking at their door, literally.
The woman who I met weighing over 300 pounds was now 120 pounds.
“One of our friends came over to talk to us about his wife who had done weight loss surgery,” Sam says, jokingly adding that his friend felt a little jealous because his wife was now getting more attention from others. “We had seen her before and didn’t think it could be that big of a deal. She came to our door two weeks later and when I opened the door, the woman who I met weighing over 300 pounds was now 120 pounds.”
Shocked with the results, Sara and Sam decided to look more into weight loss surgery. “I didn’t even recognize her; she was like a whole new person,” Sara recalls. “I thought to myself, ‘You were my size, how did you do this? What happened?’ She went through the process with us and her feedback was that she wished she had done it 20 years ago. That was the turning point for us.”
The couple started looking up the doctor their neighbor had used after the raving review, but were not fully sold on the idea until they came across Courtney Doyle, MD, general and bariatric surgeon with AAMG Surgical Specialists in Annapolis. After talking to other people who had done the surgery and meeting with Dr. Doyle personally, the couple was ready to move to the next step.
The surgery
The AAMC Weight Loss and Metabolic Surgery Program performs more than 700 bariatric surgeries every year, a steady increase over the last few years. Recent research by the American Society for Metabolic and Bariatric Surgery found that 90 percent of patients were successful in maintaining 50 percent or more of their weight loss after their bariatric surgery.
There are also health benefits that result from this, with data showing remission of Type 2 diabetes in more than 80 percent of patients after undergoing a Roux-en-Y gastric bypass and sleeve gastrectomy. After a gastric sleeve surgery, most patients can expect to lose up to 33 percent of excess weight by three months, 50 percent of excess weight by six months, and up to 70 percent of excess weight after the first year following the procedure.
LEARN MORE: Dr. Courtney Doyle discusses bariatric surgery at AAMC’s Weight Loss and Metabolic Surgery program, and how it can change patients’ lives.
Dr. Doyle first met the couple a few months ago. She recalls Sam was the first one to come in to the office and said he wanted to do this together with Sara. “They felt like they were in a position where they were ready to do well and support each other through the process,” she says.
After attending AAMC’s free bariatric seminar, where Sara and Sam learned about the types of weight loss surgery, program requirements, insurance specifics, and other details to start their weight loss journey, they put a date on their calendar for an official consultation. For Sara, the best option was to opt in for the laparoscopic sleeve gastrectomy.
“This surgery is performed laparoscopically, which is the way most bariatric surgeries are performed these days,” says Dr. Doyle. “This means that we make a few very small incisions as opposed to one very large incision, the way we used to do bariatric surgery.”
The smaller stomach pouch limits how much food a person can eat at one time and in turn, will help Sara to feel full more quickly and for a longer period.
They’re looking for a way to do that and this surgery is a really nice way to help them get to a healthy lifestyle without having to feel every day like they’re constantly on a diet.
“They want to be active and healthy for the rest of their lives together,” says Dr. Doyle. “They’re looking for a way to do that and this surgery is a really nice way to help them get to a healthy lifestyle without having to feel every day like they’re constantly on a diet.”
Sara underwent surgery in January. While she continues on her successful recovery, Sam has yet to schedule his surgery due to a fractured arm. However, his excitement of being by her side while she recovers is adding to the anticipation. Stay tuned in to the Weigh Beyond series for part 2 as we continue to follow their journey in real-time.
Take the first step on your journey to weight loss. Register today for one of our free seminars to learn more about weight loss surgery (also called bariatric surgery).
Courtney Doyle, MD
Dr. Doyle is a board-certified, fellowship-trained laparoscopic general and bariatric surgeon at Anne Arundel Medical Center. She is an expert in both primary bariatric surgeries and bariatric revision surgery. To schedule a visit with her and explore your personal bariatric journey, call 443-481-6699.
Originally published March 18, 2019. Last updated March 9, 2020.
Men's Health, Physical Therapy, Senior Care, Women's Health, Wellness
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How to garden with hand arthritis
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If you love to garden, you’re not alone. Almost 75 percent of all U.S. households work on their lawn and garden, according to a 2016 National Gardening Survey.
While it may seem like a chore to some, working in your garden can actually be good for both your mind and body. Benefits include exposure to Vitamin D and stress relief, to name just a few.
But what if you’re one of the 50 million Americans who have arthritis? According to the Arthritis Foundation, there are more than 100 different types of arthritis and related conditions that cause joint pain. Two of the most common are degenerative and inflammatory arthritis.
Degenerative arthritis (osteoarthritis) involves degeneration of joint cartilage, causing joint pain, stiffness and loss of mobility in hands and wrists. Inflammatory arthritis is an autoimmune disease that occurs when uncontrolled inflammation leads to joint erosion.
The type of arthritis you have determines how you manage it. But arthritis doesn’t have to keep you from enjoying a day in your garden. Getting your hands dirty without extra pain can be as simple as working smarter, not harder.
Here are some tips for a more enjoyable gardening season:
Listen to your doctor or therapist’s advice to manage pain.
Make your garden easier to access. For example, raise your garden beds so they’re easier to reach. Choose low-maintenance plants, such as perennials instead of annuals.
Choose tools and equipment that encourage good body mechanics and minimize strain. Examples include lightweight tools, tools with ergonomic handles and gloves to protect and cushion joints.
Modify your activity in the garden as necessary. Switch tasks every half hour, take breaks and ask for help if you need it.
When possible, use larger, stronger joints and muscles. For instance, use your forearms and shoulders to carry objects instead of your fingers or hands.
Listen to your body, and stop if you feel pain. Minimize repetitive pinching and gripping, as well as sustained gripping.
Weed when the soil is moist.
If you have arthritis that is causing wrist or hand pain, talk to a medical professional. A doctor, physical therapist or occupational therapist can give you a personalized treatment and pain management plan.
Having arthritis doesn’t mean you have to give up growing flowers, fruits and vegetables. Protect your joints, and avoid overuse and fatigue to help keep you in the gardening game.
Originally published Sept. 17, 2017. Last updated March 9, 2020.
Author
Raina Lyght, MPT, is a physical and certified hand therapist with AAMG Physical Therapy. To contact her office, call 443-481-1140.
News & Press Releases, Infectious Disease
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Coronavirus: What You Need to Know
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Last updated at 12:45 pm Friday, May 15, 2020.
In order to provide our patients and community members with helpful information about the 2019 Novel Coronavirus (COVID-19), we’ve created this post to share general information as well as details specific to those seeking care at a Luminis Health facility.
For the safety of our patients, visitors and staff, the following visitor restrictions are in effect:
To best protect our patients and team members, no visitors, with few exceptions, will be allowed until further notice. This is a proactive measure to reduce the spread of COVID-19. In the few cases where visitation is allowed, it is limited to one visitor per day.
Exceptions include:
Critical or end-of-life care situations
Laboring mother support person
Caregiver of a patient 21 years of age or under
Surgical patient support person
Outpatient test/procedure companion
Person serving as surrogate decision maker
Person performing official governmental function
Person serving as support person for patients with disabilities
To support this safety measure, all visitors will be screened upon arrival, and must pass a health screening to enter the facility.
No visitors under the age of 18 unless they are parents of hospitalized children. This policy includes infants and siblings. AAMC NICU visitors are restricted to parents only, one at a time.
People experiencing cold or flu-like symptoms should not visit.
Patients coming to any Luminis Health facility with respiratory symptoms must request a mask upon arrival.
Visitors returning from international travel may not visit until they have been in the United States, symptom free, for 14 days.
We are suspending non-essential large (10 or more people) gatherings scheduled to take place on our campuses. If you have questions about an event you are scheduled to attend, please check with your event coordinator.
Because the situation is rapidly evolving, we often reference Centers for Disease Control and Prevention (CDC) or Maryland State Department of Health websites below for the latest information. We encourage you to visit those sites for breaking information.
If I am feeling sick, should I still keep my appointment?
As you know, the world is experiencing notable person-to-person transmission of the novel coronavirus (COVID-19). Experts estimate that the majority of people who get this virus may have mild symptoms. But it can be quite severe for members of our community with underlying health conditions.
For this reason, we ask that if you have any respiratory symptoms – such as a cough, runny nose, nasal congestion, sneezing, or fever – that you please cancel or postpone your specialist appointment unless it is absolutely essential. We know that you may have waited or planned for this visit, so we will make it a priority to reschedule your appointment when you are feeling better.
Staying home while sick is one of the most important things you can do to help during this time. All of us have to work together to reduce the chance of transmission of this (or other) respiratory viruses.
If you have respiratory symptoms, please call your primary care provider’s office to be evaluated. If you have traveled recently to China, Italy, Japan, Iran or South Korea, or think you may have been exposed to someone who tested positive for the novel coronavirus, please call your county health department.
We appreciate your patience and consideration. Thank you for helping us keep your family, friends and neighbors healthy.
What is 2019 Novel Coronavirus/COVID-19 and what are the symptoms?
COVID-19 is a respiratory illness that can spread from person-to-person. The virus that causes COVID-19 is a novel coronavirus that was first identified during an investigation into an outbreak in Wuhan, China, in late 2019 and has now been detected in more than 170 countries.
COVID-19 has similar symptoms to the flu, which include coughing, fever, sore throat and difficulty breathing.
This is an emerging and evolving situation. For the most updated guidance, symptoms and information, visit the CDC website.
How is COVID-19 spread?
COVID-19 spreads between people who are in close contact with each other (within six feet) through respiratory droplets from coughs or sneezes. According to the CDC, there have not been documented cases of transmission of COVID-19 from surfaces contaminated with the virus. However, the CDC recommends cleaning visibly dirty surfaces followed by disinfection to help prevent COVID-19 and other viruses in homes and community settings.
Are symptoms of COVID-19 different in children than in adults?
The symptoms of COVID-19 are similar in children and adults, though children who have tested positive have generally exhibited milder symptoms. The CDC says it’s unknown whether children with underlying medical conditions and special health care needs might be at higher risk, however.
What are the policies for visiting family and friends in the hospital who are being treated for COVID-19?
To further minimize community spread of COVID-19, we are not permitting visitors for patients who have tested positive for COVID-19. For those patients, we can set up other means of communication for loved ones – FaceTime, phone calls, etc.
I am scheduled for a surgery or procedure at a Luminis Health hospital – should I reschedule my appointment?
As of March 18, 2020, we started limiting surgeries and procedures to emergencies or urgent cases only. This measure is now in effect until further notice. We are contacting patients directly.
I have an appointment scheduled with my primary care provider or specialist – should I reschedule my appointment?
In line with other measures taken to protect our staff and patients, and limit the transmission of COVID-19, starting March 24, 2020 until further notice, we will limit all outpatient in-office appointments to urgent patients requiring a physical exam only. We’ll shift all other routine visits to telemedicine visits or we’ll reschedule. Offices will remain open to staff, but not the public. This way we can continue to receive calls, triage the needs of patients and providers, and answer all requests and messages from patient portals. Our staff is already hard at work putting these measures in place.
Is my Energize fitness class still scheduled?
For the health and safety of all of our fitness fanatics, we are cancelling our Energize fitness classes for now. We encourage safe, outdoor exercise as the weather gets warmer. For our moms-to-be, check out our guide to safe exercise during pregnancy.
I am currently in the cardiac rehabilitation program – should I still go in?
For the health and safety of our patients, staff, and community, AAMC’s Outpatient Cardiac and Pulmonary Rehabilitation program will be cancelled for the time being. For updates, please call 443-481-1929.
What if I think I have symptoms of COVID-19 and want testing?
If you have symptoms of COVID-19 – with or without recent travel to China, South Korea, Japan, Italy or Iran – please call your health care provider to see if further screening is necessary before you arrive at one of our locations. By calling in advance, your provider can take your health history over the phone and, if needed, work with the appropriate state officials to determine if you require testing. In most cases, outpatient management with self-isolation at home is the best way to manage COVID-19 symptoms.
When should I go to the Emergency Department?
Only patients with fever, cough or shortness of breath and symptoms such as rapid heart rate, low blood pressure, high or very low temperatures, confusion, trouble breathing or severe dehydration should seek medical care in the ED. Call ahead to tell the ED that you are coming so we can be prepared for your arrival.
If I am a high-risk individual, how should I protect myself?
In order to reduce your risk of exposure to COVID-19, we recommend taking several precautions. You can learn more here.
How does COVID-19 impact your pregnancy and baby?
As with many other things, your immune system changes during pregnancy. This is normal, but it can increase your risk for contracting viruses and developing complications. Unfortunately, little is known about COVID-19’s effect on pregnant women and infants. Based on experiences from other coronaviruses, pregnant women may be at higher risk of severe respiratory illness, morbidity, or death as compared with the general population.
It is important to understand that, so far, COVID-19 has not been detected in either amniotic fluid or breast milk. However, it is too early to determine long-term effects on infants born to women who had COVID-19 during their pregnancy.
Is it safe for me to deliver my baby at Anne Arundel Medical Center?
Yes, our visitor restrictions are in place for the safety of patients, visitors and staff, including parents-to-be. We continue to follow the recommendations of the CDC and the Department of Health. Check out these frequently asked questions about giving birth during this pandemic, and our answers.
Can COVID-19 be passed from a pregnant woman to the fetus or newborn?
It is unknown if a pregnant woman with COVID-19 can pass the virus to her baby through pregnancy and delivery. According to the CDC, no infants born to mothers with COVID-19 have tested positive for the virus.
How is Luminis Health prepared for COVID-19 in our community?
We are prepared and ready to care for patients with suspected or confirmed cases of COVID-19. Our clinical teams have been trained on how to identify, isolate and care for patients with this and other contagious illnesses. We have protocols and systems in place to keep patients, visitors and health care workers safe, and we work closely with the CDC and local and state departments of health to implement their guidance into our established protocols.
Are there any people with COVID-19 in our community?
Yes, there are confirmed COVID-19 cases in Maryland. Please check with the Maryland State Department of Health and your local department of health for the latest information and alerts.
How do I keep myself and my family safe?
The CDC released a step-by-step guide about how households should handle a potential outbreak of coronavirus in their community.
The CDC also recommends the below everyday preventive actions to help prevent the spread of respiratory diseases, including:
Wash your hands often with soap and water or use an alcohol-based hand sanitizer with at least 60% alcohol.
Avoid close contact with people who are sick.
Avoid touching your eyes, nose and mouth.
Stay home when you are sick.
Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
Note: These tips were adapted from CDC prevention tips.
Learn more about how and when to use medical masks from the Journal of the American Medical Association:
Behavioral Health, News & Press Releases
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Anne Arundel Medical Center Cuts Ribbon for New Mental Health Hospital
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Anne Arundel Medical Center (AAMC) marked a milestone today with a ribbon-cutting ceremony to celebrate the completion of its new mental health hospital, which will officially open its doors to patients late March. Attendees included AAMC leadership, community members, patients, donors and public officials.
“The J. Kent McNew Family Medical Center will be an important part of our work to care for the whole person while they are receiving inpatient and outpatient mental health services,” said Victoria Bayless, CEO of Luminis Health. “We are thankful to our long-time supporters of this project, our generous donors, the state of Maryland and Anne Arundel County, and our dedicated behavioral health team for support in bringing this project to fruition.”
READ MORE: Anne Arundel Medical Center partners with Sheppard Pratt Health System to provide mental health and addiction services
“This is an important day for our community,” said Sherry Perkins, president of AAMC. “Together, we have worked diligently and passionately to bring our region the mental health care and services it needs and truly deserves. We are proud of this milestone in our journey to deliver the care our community members need, when and where they need it.”
“Cutting the ribbon on the J. Kent McNew Family Medical Center signifies the start of our vision of an integrated behavioral campus coming to life,” said Eric Anderson, MD, medical director of the McNew Medical Center. “When we started on this path more than four years ago, we set out to address the gaps in mental health care. What emerged was a commitment to delivering state-of-the-art, patient- and family-centered care in a safe, calming and comforting environment.”
The J. Kent McNew Family Medical Center is located in Annapolis off Riva Road next to Pathways, AAMC’s substance use and co-occurring disorder treatment facility. The 16-bed facility will care for up to 900 patients a year who would otherwise be transferred out of the area.
The campus offers:
Inpatient mental health care
A psychiatric partial hospitalization program
Intensive outpatient programs
Residential and outpatient substance use services
Referral and care coordination to community-based treatment and support services
The McNew Medical Center is not an emergency facility and cannot receive walk-in patients. Patients are admitted to the inpatient unit upon referral from a hospital’s emergency department when a patient has presented voluntarily or on an emergency petition, has received an emergency psychiatric assessment, and has met criteria for admission.
The 56,000 square foot, four-story building was designed with both safety and aesthetics in mind for the care of patients and families. The new facility includes a courtyard, patient and family lounge space, a secure ambulance bay to allow for the safe transfer of new patients into the building, a meditation room and a community conference room.
Employee Spotlight
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Special Edition Employee Spotlight: Marilyn ‘Nia’ Wright
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Marilyn ‘Nia’ Wright has been running around hospital floors attending to patients since she started her career as a nurse in the ‘70s. Wherever there was a need — whether it was her patient or not — she was on the scene ready to help. Over the years, Marilyn earned the nickname Nia, an abbreviation for ‘nurse in action.’
“I always wanted to be a nurse,” Nia says, adding that when she was younger, she liked play-acting as a nurse and putting bandages on her dolls. “I never saw myself doing anything else than nursing, except for maybe becoming an actor, singer or dancer. But I still get to do all of those things as a nurse because you never know what your patients need. Sometimes you need to tell a joke to help them relax and, sometimes, depending on the patient, we sing together.”
Nia’s passion is helping others. Her ethos, which she coined early on in her career, is that she gets to impact the world one person at a time because of her profession. “We [nurses] don’t only impact patients, we also reach their families and beyond. That’s why I’m a nurse.”
As senior nursing director at Anne Arundel Medical Center (AAMC), Nia does a lot of work behind the scenes taking care of the people who take care of the patients. Another important aspect of her role is the many diversity and inclusion initiatives she spearheads at AAMC, including helping to launch the organization’s first Coming to the Table series, focused on creating a more diverse and inclusive culture by having open, candid conversations about cultural differences and discussing ways to mitigate unconscious bias.
Thanks to such efforts, AAMC was recently nominated as the recipient of the 2020 Prism Diversity Award by the American Organization for Nursing Leadership (AONL). This award recognizes AAMC as a leader for advancing diversity efforts within the nursing profession, community or organization.
“Diversity is acknowledging, embracing and valuing each person’s uniqueness, while inclusion is recognizing that each person is unique,” says Nia. “Every individual brings something different to the table and diversity is important in order to be strong, both as a hospital and as a community.”
Nia helps to instill in her colleagues that they can do something to make sure they are inclusive just in the way they interact with another person. “The business that we’re in is health care and care promotes health. One of the ways we can all promote care, whether working with patients or not, is by being that person who includes everyone regardless of their preferences or the way they look and/or speak.”
Pro tip: “Be respectful of people for being human beings who have value. And be introspective so you are aware of your own biases — we all have them. If you’re not aware of them, you won’t overcome them.”
If you know a great individual or a fantastic team going above and beyond to make a difference, make sure to let us know!
Looking for a career in health care? We invite you to join a diverse and collaborative team of professionals working together to innovate the future of health care for our entire region. Check out our career opportunities.