Cancer Care
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Tools to quit smoking
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Quitting smoking is one of the most important health decisions you can make. Although we have seen a significant decrease over the past decade in the percent of U.S. adults who smoke, tobacco use continues to have a devastating impact on peoples’ lives. So what is the best way to successfully quit?
Perhaps the first step is to not relegate smoking to a once a year promise. Make quitting tobacco a weekly event until you quit for good. “Healthy Monday Campaigns” encourage you to plan healthy lifestyle changes at the beginning of each week. “Quit and Stay Quit Monday” is a weekly opportunity to keep at your ‘quit attempt’ until you successfully quit for good!
Take our pledge to love your lungs, and be entered to win a $50 Visa gift card!
There are several ways to prepare for your quit attempt. Here are some steps you can take to get ready:
Get ready mentally. Think about your most important reason(s) for quitting. What will drive you to stick to your resolution, even when the going gets tough?
Prepare your environment. Take a look around and note what triggers you, or reminds you to smoke? Getting rid of ash trays, lighters and any remaining cigarettes is a first step. Where do you routinely smoke? What can you change about those areas and routines that go along with smoking?
Have tools in place to keep you at ease. This might include readily available healthy snacks, sugarless gum or cinnamon sticks. Such items, along with over-the-counter and/or prescription medication, will go a long way to keep you on track.
There are seven FDA-approved medications to help you quit tobacco. They include Chantix (varenicline), Zyban (bupropion), and five nicotine replacements: the “inhaler” and nasal spray (both are prescription), as well as the nicotine patch, gum and lozenge. Medication or a combination of medications can be invaluable in a successful quit attempt.
You may be questioning whether Electronic Nicotine Delivery Devices, or ENDDs, are a safe approach to quitting smoking. ENDDs are battery-operated devices that deliver nicotine. They include ‘e-cigarettes,’ vapes, mods and e-hookahs. Instead of smoke from burning tobacco, ENDDs give off vapor from the liquid (e-juice) in the device. In addition to nicotine, the liquid contains flavorings and other chemicals that are not completely harmless. These devices have been around for several years, but have recently gained popularity as an alternative to smoking and another potential tool for quitting.
The most current research concludes that ENDDs may help people quit smoking, and no serious side effects have been identified in the short term (up to two years). It is important to remember, though, that it was many years before tobacco was identified as deadly. So the long-term effects of the use of ENDDs are unknown.
There are other concerns about the emergence of ENDDs, one being that they could renormalize smoking. They may deter people from quitting smoking and lead to nicotine addiction in young people, where the use of ENDDs is skyrocketing. Also important to keep in mind is that ENDDs are not fully regulated by the FDA yet and many products are under the control of tobacco companies. ENDDs have also been associated with specific lung disorders related to chemicals used in flavoring the e-juice. And there is an explosion hazard associated with the overheating of the lithium ion batteries.
Quitting smoking is an important health decision, but how you quit is also important. Recognize that quitting tobacco will not only increase your years of life but also your quality of life. There are many safe, FDA-approved medications and other strategies that can help you achieve your goal of healthy smoke-free living. Consult your health care provider or a tobacco treatment specialist to discuss the best plan for you.
Ready to quit smoking? call 443-481-5366 to learn how AAMC can help you.
Author
By Joanne Ebner, a cancer prevention program supervisor at Anne Arundel Medical Center.
Originally published Jan. 16, 2017. Last updated Nov. 21, 2019.
Men's Health, Weight Loss, Women's Health, Uncategorized
General Page Tier 3
How to prevent Type 2 diabetes
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More than 29 million Americans have diabetes, and the Centers for Disease Control and Prevention (CDC) estimates that 8 million of those people do not yet know they have it.
While these statistics are staggering, Barbara Mensah Onumah, MD, medical director of Luminis Health Diabetes & Endocrinology Annapolis, is even more concerned about another alarming fact: 86 million American adults—more than one out of three—have prediabetes, a precursor to type 2 diabetes. And, nine out of 10 people with prediabetes don’t know they have it.
People with prediabetes have higher-than-normal blood-sugar levels but do not yet meet the criteria for a diabetes diagnosis.
“Without lifestyle changes to reverse risk factors, 15 to 30 percent of those with prediabetes will develop type 2 diabetes within five years. If you take action, studies tell us that you can prevent or delay type 2 diabetes and, in some cases, return blood glucose levels to within the normal range,” Dr. Onumah stresses.
Luminis Health Diabetes & Endocrinology Annapolis offers comprehensive management, treatment and education for patients with diabetes. The program was created to complement care given by patients’ primary care providers and other specialists. Luminis Health’s diabetes care resources include:
group education classes and access to support groups
highly individualized counseling
one-on-one nutrition counseling
instruction on insulin pump usage and continuous glucose monitoring
The program can be reached at 443-481-4600.
Because so many Americans do not know they are at risk for developing type 2 diabetes, Dr. Onumah says that education coupled with physician-recommended screening tests are essential.
Education begins with learning the risk factors for type 2 diabetes. The two most significant risk factors, both modifiable, are obesity and inactivity.
Non-modifiable risks include a family history of type 2 diabetes; African-American, Latino or Native American heritage; age of 45 or older; and for women, a diagnosis of gestational diabetes when pregnant. Knowing and discussing your risk factors with your physician helps pinpoint the right diabetes screening schedule for you.
“A groundbreaking study showed us that education alone is not enough,” Dr. Onumah cautions. “There must also be motivational counseling.”
The study she cites placed 3,234 overweight participants—all with increased risk for developing type 2 diabetes—into three distinct groups and followed them for three years. Compared to the placebo (those who did not receive individualized counseling or medication), those who received individualized counseling and were able to lose about 7 percent of their body weight through diet and exercise reduced their risk of developing diabetes by approximately 60 percent. The group that received medication alone reduced their risk of diabetes by about 30 percent.
“It’s essential we understand the importance of increased risk of diabetes,” Dr. Onumah says. “Lifestyle interventions, addressed quickly and consistently, can change lives.”
Author
Barbara Mensah Onumah, MD, is medical director of Luminis Health Diabetes & Endocrinology Annapolis and can be reached at 443-481-4600.
Originally published Nov. 17, 2015. Last updated Aug. 28, 2023.
Men's Health, Women's Health
General Page Tier 3
9 lifestyle tips to help control your GERD symptoms
Blog
The holidays are here and so are all the get-togethers, parties and delicious meals. If you suffer from heartburn, then you know indulging in holiday fatty foods and alcohol can be a trigger, even if you take over-the-counter medications for temporary relief. However, if you notice that you are experiencing indigestion-like symptoms more than twice a week, you might have something more serious.
Heartburn is the most common symptom of gastroesophageal reflux disease, or GERD. GERD is a digestive disorder that affects up to one in five U.S. adults. It happens when the muscle in the esophagus called the lower esophageal sphincter (LES) opens or relaxes too often or for too long. This causes stomach contents to back up into the food pipe, causing heartburn and acid indigestion.
Other symptoms of GERD include shortness of breath, difficulty swallowing, chest pain, chronic cough, sore throat, hoarseness and bad breath. Although there isn’t a specific cure for the disease, you can make some lifestyle and diet changes to help you manage your symptoms:
Maintain a healthy weight. The risk and severity of GERD tend to intensify for those who have higher body weights. Losing a few pounds could make you feel better.
Avoid tight-fitting clothing. Tight clothes could exert pressure on the stomach, causing stomach acid to move up towards the esophagus and resulting in acid reflux. Try wearing looser clothes that don’t compress the stomach area.
Avoid trigger foods and drinks. These include fatty or fried foods, tomato sauce, alcohol, chocolate, garlic, onion and caffeine.
Eat smaller meals and slow down. Smaller meals can help you reduce pressure in your stomach while eating slowly can help you identify when you’re full more quickly. By slowing down, you’re also less likely to irritate your esophagus.
Wait at least three hours after eating before lying down or going to bed. Staying up a few hours before going to bed will reduce your risk of reflux.
Elevate the head of your bed. This will reduce the contact of the lining of the food tube with acidic contents and help you get a good night’s sleep.
Quit smoking. Do not smoke or chew tobacco.
Choose water over soda. Carbonation bubbles can expand in the stomach, causing increased pressure that contributes to reflux.
Avoid creamed or cheesy foods and soups. All high-fat foods can cause reflux, so skipping the dairy items can help.
If untreated, GERD can lead to more serious health problems over time, including esophageal cancer. It’s important that you talk to your primary care doctor about your symptoms and find a solution that works best for you. There is not yet a cure for the disease but with lifestyle modifications and/or medications, you can manage your symptoms to improve your quality of life.
If lifestyle changes and medication don’t help manage your GERD symptoms, your doctor may refer you to a surgeon. Surgery may also be a reasonable alternative to a lifetime of drugs and discomfort.
Author
Adrian Park, MD, is chair of Anne Arundel Medical Center’s Department of Surgery and an internationally recognized specialist in minimally invasive surgery. To schedule an appointment with him, call 443-481-6699.
Originally published Nov. 26, 2018. Last updated Nov. 14, 2019.
Pediatrics
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Know the symptoms of sinus infection in children
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Your child’s sinuses are not fully developed until late in the teen years, but the child can still develop a sinus infection.
Although small, the maxillary (behind the cheek) and ethmoid (between the eyes) sinuses are present at birth.
Childhood sinus problems may be difficult to diagnose, because symptoms may be caused by other problems, such as a viral illness or allergy.
According to the American Academy of Otolaryngology – Head and Neck Surgery, these symptoms may indicate a sinus infection:
Cold-like symptoms lasting more than 14 days, sometimes with a low-grade fever.
Thick nasal drainage, which may be yellow or green.
Post-nasal drip, sometimes leading to a sore throat, cough, bad breath, nausea or upset stomach.
Headache, usually in children 6 years or older.
Irritability or exhaustion.
Inflammation near the eyes.
Which children are at risk for sinus infection?
A sinus infection sometimes happens after an upper respiratory infection or common cold. The cold causes swelling that can block the opening of the sinuses. This can cause a sinus infection. Allergies can also lead to sinusitis because of swelling and increased mucus. Other possible conditions that can lead to sinusitis include:
Abnormal shape of the nose.
Infection from a tooth.
Nose injury.
Foreign object in the nose.
Birth defect with abnormality of the roof of the mouth (cleft palate).
Problem with stomach acids (gastroesophageal reflux disease, or GERD).
What can I do to prevent sinusitis in my child?
There are things that can help your child avoid sinusitis. They include:
Have your child use saline sprays, washes, or both. Use these often to keep the nose as moist as possible.
Use a humidifier in dry indoor environments.
Keep your child away from cigarette and cigar smoke.
Keep your child away from things that cause allergy symptoms.
Don’t force water into the sinuses. For example, your child should not jump into water.
Limit time in chlorinated pools. The chlorine can irritate the nose and sinuses.
Practice good hand hygiene.
Keep you and your child up to date with immunizations.
Avoid close contact with people who have colds or others upper respiratory infections.
Are you looking for a primary care doctor? Search our Find A Doc directory.
Originally published Jan. 29, 2018. Last updated Nov. 14, 2019.
Plastic Surgery & Skin Care
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Myth versus truth: Understanding your winter skincare routine
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Winter is right around the corner. That means it’s time to pack away your shorts and t-shirts for sweaters and scarfs. And just like you would protect your body from the cold temperatures, it’s important that you remember to protect your skin too.
The truth of the matter is our skin is our largest organ system and our first layer of defense from the outside world. It’s easy to forget that the skin is constantly resurfacing itself and it’s important to take care of it because it’s interacting with the environment at all times.
Let’s debunk some of the misconceptions when it comes to taking care of your skin during the colder months of the year:
Myth: I need to apply moisturizer, lots of it. Yes, you should moisturize. However, you should be cautious with some moisturizers that have a high percentage of alcohol as this could further dry your skin. Try using moisturizers with hyaluronic acids or natural oils, like avocado oil, as these can really help hydrate your skin.
Myth: I don’t need sunscreen. Even when it’s cloudy, up to 80 percent of the sun’s UV radiation reaches the earth. Clouds will not protect you and snow reflects light and, over time, this can contribute to sunburn, wrinkles and even skin cancer. You should be using at least SPF30 sunscreen every day, even if you work inside an office. Don’t forget to protect your ears and lips because skin cancers can develop on these areas too.
Myth: I should exfoliate my dry, flaky skin. A lot of people like to exfoliate in the winter to address dry, flaky skin, but that can irritate and dry out your skin even more. Before exfoliating, try using a good moisturizer first.
Winter skincare doesn’t need to be intimidating. It is best to just continue your regular skincare routine and make small adjustments as needed along the way. For people with sensitive, dry skin, small changes – like keeping your showers short, showering in warm (not hot) water or using gentle soaps – can help prevent over drying your skin during the cold winter months.
If you’re exploring new skincare products, consider consulting with a professional. There are medical offices, like Anne Arundel Medical Group (AAMG) Plastic Surgery, who offer a variety of services and products, including skincare, to help you look and feel your best.
Skincare is really an investment into your future and the time to prevent wrinkles and skin cancer is when you’re young. However, it’s never too late and never too early to start taking care of your skin.
READ MORE: What’s the best way to have younger-looking skin?
Luminis Health Plastic Surgery offers nonsurgical and surgical cosmetic procedures to women and men. Choosing cosmetic plastic surgery is a deeply personal choice. To learn more about what’s the best fit for you, check out www.luminishealth.org/en/services/plastic-surgery.