Cancer Care, Men's Health, Women's Health
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Lung cancer remains the deadliest cancer
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Lung cancer remains the most common cancer in the world. According to the American Cancer Society, lung cancer is the leading cause of cancer death among men and women — about one out of four cancer deaths are from lung cancer. While a small number of people who have lung cancer have never smoked, the biggest risk factor is smoking. Other risk factors are having an immediate family member with lung cancer, and exposure to radon, asbestos, and other chemicals that are harmful to your lungs.
If lung cancer is found early, before a person has any symptoms such as coughing up blood, chest pain, difficulty breathing or unexplained weight loss, there is a better chance of curing the disease. In the past, only 16 percent of lung cancers were found early and often by accident. That is changing quickly, thanks to the results of the National Lung Screening Trial (NLST).
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The NLST showed that having a low dose chest CT scan every year was more helpful than a chest x-ray in finding early lung cancers. Because of this, men and women between the ages of 55 and 80 who have a heavy smoking history, and currently smoke or have quit within the last 15 years, are recommended to have a low dose chest CT scan. It is important to have the CT scan every year because lung cancer can develop at any time.
We began our lung cancer screening program here at Anne Arundel Medical Center (AAMC) in 2012. For the past several years, we have worked hard to educate the public and medical providers on the importance of lung cancer screening. The biggest difficulty has been spreading the word about how important screening is for high risk people. As with any new test or treatment, it can take a while for both healthcare providers and community members to get used to the idea.
To decrease your risk of lung cancer, the most important decision is to try to quit smoking. Those who have already quit have overcome a major hurdle.
November is Lung Cancer Awareness Month, a time to come together and stand up to the leading cancer killer. Join us in preventing a death by spreading the word to those who may be at risk. Lung cancer doesn’t have to claim so many lives.
If you think you are at risk or know someone who is, talk to your doctor. You can also contact the AAMC Lung Screening Program at 443-481-5838. If you are making the decision to quit smoking, help is readily available. Contact AAMC’s smoking cessation program at 443-481-5366.
Author
Stephen Cattaneo, MD is a thoracic surgeon and medical director of thoracic oncology at Anne Arundel Medical Center.
Originally published Nov. 6, 2017. Last updated Nov. 18, 2019.
Weight Loss
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7 tips for successful weight loss
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Did you know that eating more often could help you in your weight loss journey? Now, please notice, we said eating more often, not more in quantity.
Losing weight and keeping it off is by no means an easy task. By some estimates, 20 percent of overweight individuals are successful in keeping off at least 10 percent of their initial body weight for a year or longer. What is their secret? We looked at initiatives like the National Weight Control Registry (NWCR) and have some tips to share with you to help you along your weight loss efforts.
The NWCR identifies and investigates the characteristics of individuals who have succeeded at long-term weight loss. Here are a few key behaviors reported that led to their ongoing success:
Follow a low calorie diet. Participants consume a low calorie (1,300 to 1,700 per day), low fat diet. They also successfully lose weight and maintain the loss by being consistent. This means they don’t start and stop a diet, like many dieters do.
Eat more often. Participants eat four to five small meals daily. Their food intake is also consistent day to day. By making consistent food choices, this encourages self-control, minimizes unplanned food temptations, fosters self-discipline and increases your ability to keep with your diet routine.
Do not skip breakfast. Participants consistently eat breakfast. Including this meal in the daily routine suppresses midmorning hunger, promotes better glucose control and reduces excessive eating later in the day. Even if it’s a piece of fruit or a small bowl of oatmeal, don’t skip your first meal of the day!
Being active is a must. Participants who are successful with long-term weight loss make physical activity mandatory. The average person in the NWCR database exercises anywhere between 60 and 90 minutes per day at a moderate intensity. Daily physical activity is important for both weight management and health improvement. Finding a sustainable activity that fits your lifestyle, and making it a priority, is essential for long-term success.
Track your progress. Participants weigh themselves frequently. This provides a form of accountability and self-monitoring.
Limit sedentary activities. Research has connected successful weight loss over an extended period with minimal amounts of time spent watching TV. The national average time for watching TV is 28 hours per week or four hours per day. This is too much sedentary time. Ideally, try to limit TV viewing to less than 10 hours per week.
Take corrective action when weight is regained. Participants did not allow even a small amount of weight gain to occur without corrective action. Obesity research shows that preventing people from regaining weight is one of the most difficult dilemmas that dieters face.
Health improvement that results from weight loss and maintenance is a commendable goal that is worth the effort required to accomplish it.
Don’t know where to begin? If you’re ready to start your diet plan but don’t know where to begin, we have a few suggestions that might help you kick off your weight loss journey with a few quick, easy and healthy meals.
Breakfast
Oatmeal toppings without the added sugar.
Fruited buckwheat pancakes.
Baked apples with oat toppings.
Lunch
Veggie stir-fry.
Avocado feta salad.
Lentil soup.
Dinner
Alaska salmon cakes with yogurt dill sauce.
Stuffed acorn squash.
Ginger carrots with golden raisins and lemon.
Authors
Ann Caldwell and Maureen Shackelford are nutritionists and registered dietitians at Anne Arundel Medical Center. To reach them, call 443-481-5555.
Originally published Dec. 7, 2018. Last updated Nov. 4, 2019.
Men's Health, Senior Care, Women's Health, Pediatrics
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Winter is coming – and so are illnesses
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It’s almost that time of year again. And with it comes cold and flu season. Colds, sinus infections, strep throat and the flu account for an increase in sick days and hospital visits during the winter months.
In fact, the Maryland Department of Health already announced that there have been 11 laboratory-confirmed cases of the flu identified since Sept. 1. According to health officials, last year there were 3,274 influenza-associated hospitalizations and 82 influenza-associated deaths reported to the MDH, including four deaths of individuals under 18.
It’s important that you take the necessary steps to protect yourself and those around you. Here’s your quick guide to the season’s most common illnesses and different ways on how to treat them.
Colds
The common cold usually starts with a sore throat, along with some mild achiness and maybe a low fever. Gradually, you may begin to have a dry or mild cough with congestion. You may also have a runny nose and some sneezing. If you have a cold, you generally feel more tired, but are able to get through your day. Your symptoms may last anywhere from seven to 14 days, depending on the virus and your overall health. The best treatment is adequate rest, saline nasal spray, warm salt-water gargles, medicine for decongestion (if you don’t have high blood pressure) and a cough suppressant at bedtime so you can rest.
Sinus infection
Sometimes colds can progress to sinusitis or a sinus infection. Doctors usually diagnose a sinus infection after 10 to 14 days of symptoms, including worsening sinus pain or pressure in the forehead, cheeks and/or between the eyes, and a thick yellow/green nasal discharge throughout the day. You may also develop a fever. Saline nasal rinse can help improve symptoms, and in certain cases, antibiotics may be prescribed.
Strep throat
Strep throat is most common in children and young adults. It starts with a severe sore throat, fever, achiness, swollen neck lymph nodes and white patches on the back of the tonsils. You look and feel more ill than when you have the common cold. There is no associated congestion, sneezing, runny nose or cough. Contagious bacteria cause strep throat, and you need antibiotics for treatment.
Flu
The flu occurs very suddenly. One minute you’re feeling fine, and the next you feel as if a truck hit you. It is more severe than the common cold. Symptoms may include achiness, fever, dry cough and headache. Because the flu is viral, antibiotics are not helpful. In some cases, if started early, antiviral medications may lessen the duration and severity of symptoms. Fluids, rest, and over-the-counter pain medications for fever and achiness can also alleviate symptoms. Stay home if you have the flu to avoid passing it to others.
Getting a yearly flu vaccine is the best way to reduce your risk of getting and spreading the flu. The flu vaccine cannot give you the flu. Some people, however, may experience mild muscle aches, headache and a low fever for a few days. It’s not too late to get your flu shot. While the best time to get it is mid-October through November, getting it later is better than not getting it at all.
Regardless of what type of illness you have, washing your hands frequently and covering your mouth when you cough and sneeze will go a long way in helping to prevent the spread of germs.
Author
Michael Remoll, MD, is the medical director of the Emergency Department at Anne Arundel Medical Center.
News & Press Releases
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Summer clinical research interns bring fresh ideas to AAMC
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Each year, more than 200 undergraduate and graduate students apply for a summer clinical research internship at Anne Arundel Medical Center (AAMC).
Just 20 students are selected for the eight-week program, which pairs students with a physician mentor and project team.
The ideal intern is a student who’s highly engaged and involved in projects beyond the classroom, such as volunteering at a hospital or participating in medical mission trips, says John Moxley, Executive Director of the Department of Medicine and coordinator of the internship program.
“We’re looking for students who are going above and beyond their typical coursework,” he says.
The program was founded by Dr. Barry Meisenberg, Chair of the Department of Medicine, back in 2014. It has brought more than 125 students from dozens of colleges and universities around the country to AAMC.
Together, they work to complete a clinical research or improvement project, then present their findings to a group of AAMC leaders, physicians and other guests at the conclusion of the program. Some of the students’ research has also appeared in scientific journals and been shared at national professional society meetings.
Dr. Lori Franks, Senior Medical Director of Hospitalist Medicine, mentored intern Michelle Zhu as she studied delays in patient discharge times. Poor communication and delays in hospital discharge can leave a patient dissatisfied with their care, Dr. Franks says.
Each day, Michelle obtained a list of patients on specific medicine units and visited the units at 9 am to learn which patients had a 75 percent chance or greater of being discharged that day.
At 3 pm, she returned to the unit to find out which of those patients were still in the hospital, and why.
“If those patients were still in the hospital, she would ask three different people why – the physician, the case manager and the charge nurse. Each of those three people are very important in assisting the patient through their hospitalization and the transition to home or other post-hospital facility,” Dr. Franks says.
She and her staff are evaluating the data to determine their next steps.
Other interns’ projects have led to system wide research and quality improvement initiatives including reduction in opioid prescribing, development of clinical pathways, reductions in unnecessary testing and cost savings in medical procedures.
Over the last few years, the program has expanded to include a lecture series on relevant health care topics. Clinical and administrative leaders give the lectures on topics including health care finance and total cost of care, medical volunteerism and medical school and residency experience, among other subjects.
Students have noted on their evaluation forms that they appreciate the access to health system mentors, John says.
“I was amazed by the openness and attitude of the general AAMC community,” one student wrote this year. “Interns were readily welcomed to a wide variety of events and settings and the physicians and staff were very open to questions and discussions. Having the opportunity to shadow was definitely a highlight of the program!”
“The availability of resources (human, technology, otherwise) was great- I was able to quickly access all of the people and information I needed and everyone I worked with was incredibly supportive and engaging,” another student wrote.
John says at least three to five students return every year, sometimes to continue their previous work and other times to research a new subject.
“Funding dependent, we’d love to have more students,” says John, adding that students now receive stipends for their work thanks to a donation coordinated by the AAMC Foundation.
The internship program has grown in popularity among staff members, too. John says he had to turn away potential mentors this year due to budget limitations.
Dr. Franks says it was a wonderful experience to have interns like Michelle, who bring a different perspective to AAMC.
“She was very inquisitive and it was nice to have students bring a fresh perspective to the work we are doing,” she says. “It’s great to work at AAMC because we have endless opportunities for interested students to learn about patient care and potentially choose a career in the health care arena.”
READ MORE: Anne Arundel Medical Center’s Simulation Center receives accreditation as a Comprehensive Education Institute by the American College of Surgeons
Learn more about clinical research internship opportunities at AAMC. The application for summer 2020 interns will be available on Jan. 1.
Patient Stories
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Celebrating 75 years of the AAMC Auxiliary
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In 1944, the Anne Arundel Medical Center (AAMC) Auxiliary was founded as a way for community members to integrate with the hospital and give back. Originally referred to as the “Pink Ladies,” over time, the group of volunteers became known as the “Blue Crew” and evolved into an integral part of the organization’s mission of providing patient-centered, high-quality health care services to the community it serves every day.
“Volunteers dedicate an incredible amount of hours in any given month, equating about 58 full-time staff members that the hospital would need to hire,” said Ann Brundige, Auxiliary president. “The best part about being an auxilian is the ‘family’ spirit.”
Last year marked 75 years of service for the AAMC Auxiliary. There are now 500 volunteers who serve over 30 service lines on AAMC’s main campus and off-campus locations around the community.
Among those volunteers, you’ll come across auxilians like June Caudill and Rita Kapurch.
READ MORE: Donating to AAMC: A how-to guide
Lasting impact
In August 1996, June joined a volunteer program that formed through a partnership between the American Cancer Society and AAMC. Being surrounded by other volunteers and having the opportunity to work directly with patients made her feel like she had discovered her calling in life. “I quickly became attached to the environment,” she says. “Working with the other volunteers felt like having a second family. I was warmly welcomed by AAMC staff, and it was that warm approach that was an integral part of immediately feeling part of the hospital.”
A year later, June started supporting Oncology and working with cancer patients. She often came across patients who were undergoing difficult situations, and although at times it was hard for her, she learned how to appreciate how gracious many of them were considering what they were going through.
“When I first started as a volunteer, I thought it was about seeing the patients in the bed and taking care of them,” June says. But, she learned that working in health care can be both rewarding and challenging. “It was such a different feeling and I have asked myself, ‘are you sure you’re doing the right thing?’ And then I stopped and thought, ‘if not me, then who?’ So I kept pushing right through it because I loved being with patients.”
Making lifelong friends
Rita, who began as a volunteer in the gift shop, had a similar experience when she started her journey as an auxilian 31 years ago.
“I read somewhere that volunteers live longer,” she laughs, adding that she started volunteering in her home state of Massachusetts. “When we moved to Maryland, I told my husband I wanted to be a volunteer at AAMC, which was also good for me personally because I didn’t know anyone.”
Rita says she had the opportunity to meet the most amazing volunteers and patients while working at AAMC. Her favorite part? Meeting new grandparents. “I love seeing grandparents come in and buy the big teddy bears,” she says. “Especially when they’re first-time grandparents, I get to share the joy and special moment with them.”
Rita’s favorite day of the week is Tuesday, when she volunteers at AAMC’s gift shop. “I always look forward to seeing the other volunteers, whom I proudly call my friends,” she says. “I love people and I couldn’t be more grateful for volunteering.”
Learn more about the AAMC Auxiliary and ways you can get involved.