- Wellness, Women's Health, Pediatrics, Men's Health, UncategorizedGeneral Page Tier 3BlogParents and caregivers deal with their fair share of “ick”-inducing situations, but there’s something about finding a tick embedded in your child’s skin (or yours!) that creates an extra sense of panic. Warmer weather makes ticks more active. Combine this with more outdoor playtime for kids and families, and you have a perfect storm for an increase in tick bites across the area. Here are the five things you should know as tick season ramps up in Maryland: 1. How to Remove a Tick You found a tick! Now what? Don’t panic, just reach for a set of fine-tipped tweezers and grasp the tick as close to the skin’s surface as possible. Pull upward with steady, even pressure. Don’t worry too much if you aren’t able to remove the mouth of the tick—once the body is removed it can no longer transmit disease. Clean the bite area and your hands with rubbing alcohol or soap and water. Avoid “folklore” remedies, such as using heat to make the tick detach or suffocating it with petroleum jelly. The goal is to remove the tick as quickly as possible. Consider saving the tick in a plastic baggie in case you need to visit the doctor. If that’s not possible, it’s important to note the size of the tick, whether it was actually attached to the skin and if it was engorged (that is, full of blood). It is also helpful to know how long the tick was likely attached to the skin. If it was not attached, was easy to remove, and was not full of blood when it was removed, the tick is not likely to transmit Lyme disease or any other infection. 2. Not All Ticks Carry Lyme Disease Lyme disease is transmitted primarily by deer ticks, but not all deer ticks are infected with the bacteria that causes Lyme disease. Adult deer ticks grow only to about the size of a sesame seed and have reddish hind bodies with black markings and black legs. Lyme disease is debilitating, though rarely fatal, and early symptoms closely resemble the flu, such as fever, headache, fatigue, and muscle and joint aches. A slowly spreading bull’s-eye shaped rash usually occurs at the site of the bite. If you’re bitten by a deer tick, a healthcare expert can advise you on one of two approaches: observe and treat if signs or symptoms of Lyme disease develop or treat with a preventive antibiotic immediately. Your medical history will largely determine which of these options is chosen. There is no benefit to blood testing for Lyme disease at the time of the tick bite—even people who become infected will not have a positive blood test until approximately two to six weeks after the infection develops. 3. When to Call the Doctor If you or your family member develops any of the symptoms of Lyme disease, call your doctor right away. Early diagnosis and treatment of Lyme disease with antibiotics can prevent serious illness and long-term complications. Other reasons to call the doctor would be if you can’t remove the tick or the tick’s head, the bite site begins to look infected, or a fever or rash develops in the days or weeks following a tick bite. Don’t hesitate to seek medical attention if you have questions or concerns, it’s better to be safe than sorry! 4. How to Prevent Tick Bites A little prevention and thinking ahead can go a long way in preventing tick bites. Ticks crawl, they do not fly or jump, so avoiding wooded bushy areas with high grass, and walking in the center of trails can help you avoid direct contact with ticks. Use repellents that contain 20-30% DEET on exposed skin and clothing for several hours of protection. Always follow the product instructions—especially when it comes to the age of your child—and avoid hands, eyes and mouth. Bathe or shower as soon as you can after coming indoors, and perform a body check to more easily find ticks that might be crawling on you. Parents should check their kids for ticks under their arms, in and around the ears, behind the knees, between the legs and especially in their hair. Ticks also love to hitch a ride on pets and pet gear, so inspect those, too. 5. It’s Not Just a Warm Weather Concern As nice as it would be to not have to worry about ticks after the spring and summer months pass us, ticks are indeed active even in the winter. The cold causes many ticks to be less active, but deer ticks will be active any winter day the ground is not snow-covered or frozen. Bottom line: Don’t be caught off guard! Originally published June 9, 2015. Last updated July 20, 2025.0
- Infectious DiseaseGeneral Page Tier 3BlogJohnson & Johnson’s COVID-19 vaccine is the third vaccine to receive emergency use authorization (EUA) from the U.S. Food and Drug Administration (FDA). And, many consider it to be the gamechanger the country needs to streamline its mass vaccination efforts. Here are important things to know about the Johnson & Johnson vaccine: It protects against severe disease and death Research shows the Johnson & Johnson vaccine prevents 85% of severe disease. The vaccine prevented severe illness even in areas of the world where concerning variants circulate. Plus, the vaccine was 100% effective in clinical trials at preventing deaths. It’s natural to want to compare the effectiveness of Johnson & Johnson to the other COVID-19 vaccines. But it’s not that easy. Testing happened during a more complicated phase of the pandemic, after more variants emerged. And, it was tested in different areas of the world for effectiveness. Preventing severe disease, hospitalizations and death are what we most need in a vaccine. The Johnson & Johnson vaccine provides this protection. Side effects and exclusions are similar to other vaccines Common side effects include pain at the injection site, headache, fatigue, muscle aches and nausea that last a day or two after vaccination. The vaccine is recommended for those 18 and over. It’s not recommended if you’ve had a severe or immediate allergic reaction to any ingredient in the vaccine. Essentially, the guidance is similar to other COVID-19 vaccines. It shows promise for protecting against asymptomatic spread According to the FDA, there’s evidence the vaccine may protect against asymptomatic infections. This means it can reduce the risk of a vaccinated person unknowingly passing along the virus to others. This has been a key question about vaccines throughout the pandemic. It was developed by Jannsen Jannsen is the pharmaceutical arm of Johnson and Johnson. Even though the media refers to the Johnson & Johnson vaccine, you may see references in other places to the Jannsen vaccine. For instance, your vaccination card may say Jannsen instead of Johnson & Johnson. It’s easier to use and store The Johnson & Johnson vaccine requires a single dose instead of two. And, it’s stored in a regular refrigerator instead of extreme temperatures. It’s a much-needed tool in our immunization toolbox because of its ease of use. The Johnson & Johnson vaccine should help our country, and the world, more easily vaccinate the most vulnerable in our population. These are the places where specialized refrigeration and the ability to follow up for a second dose are not practical. And, it should help streamline our mass vaccination efforts. Remember, it will take time to vaccinate everyone against COVID-19. We must keep adhering to tried and tested measures that keep each and all of us safe. This means we must continue to follow the 3Ws – Wear your mask, Wash your hands and Watch your distance.0
- Heart CareGeneral Page Tier 3BlogYour heart is more than just a muscle—it’s the engine that keeps your body running. With every beat, it pumps oxygen-rich blood to your organs. But what happens when this vital system starts to break down? Heart disease can develop quietly, showing only subtle signs before becoming a serious threat. A new report by the American Heart Association reveals cardiovascular disease remains the leading cause of death in the United States. The tricky part? The early warning signs aren’t always obvious and can vary based on factors like age and gender. Recognizing them early could make all the difference Types of Heart Disease Heart disease is an umbrella term for several conditions that affect the heart’s ability to function properly. The most common is coronary artery disease (CAD), which occurs when the blood vessels in your heart narrow, making it harder for blood to flow properly. However, heart disease isn’t just about clogged arteries. Faulty heart valves can force the heart to work harder, while electrical malfunctions can cause arrhythmias—irregular heartbeats that may lead to blood clots, strokes, or heart failure. Some people are also born with congenital heart disease, which affects the heart’s structure from birth. Understanding these conditions is the first step, but recognizing the symptoms and catching them early is crucial to protecting your heart health. Early Warning Signs of Coronary Artery Disease (CAD) CAD makes it harder for blood to reach your heart and other parts of your body. If the artery blockage is severe, it puts you at risk of a heart attack. CAD/heart attack warning signs include: Chest pain or tightness (often described as sharp, squeezing, or a feeling of pressure, like an elephant sitting on your chest). Pain in your jaw, neck, throat, upper belly, back, or one or both arms. Unusual fatigue or shortness of breath (especially in women). Cold sweats, often with nausea or lightheadedness (more common in women). Women are more likely to have “silent” heart disease, meaning they may not experience obvious symptoms. When symptoms do appear, they are often mistaken for the flu, stress, or simply the effects of aging. Unlike men, who typically experience chest pain during physical activity, women are more likely to feel discomfort while resting. The risk of CAD increases for women around age 50, when estrogen's protective effects decline, while men typically see their risk rise in their 40s. Early Warning Signs of Heart Rhythm Problems (Arrhythmia) Arrhythmias cause your heart to beat too fast, too slow, or irregularly. Symptoms can include: A fluttering feeling in your chest. A racing heartbeat. Dizziness, lightheadedness, or fainting. Shortness of breath. Chest pain (though it’s not always the main symptom). Early Warning Signs of Heart Valve Problems Your heart has four valves that open and close to keep blood moving. Issues with these valves—whether they’re narrowing, leaking, or not closing properly—can cause: Fatigue or a lack of energy. Shortness of breath. Swollen ankles and feet (from fluid buildup). Dizziness or fainting. Chest pain (though it’s not a common early symptom). Don’t Wait to See a Doctor If you notice any heart disease symptoms, it’s important to see your primary care doctor right away. They might refer you to a cardiologist, who might prescribe heart medications, create treatment plans, and, if needed, refer you to a specialist or surgeon for advanced care. To learn more about our cardiology services or to schedule an appointment, visit Luminis.Health/Cardiology or call (443) 481-6700. Taking care of your heart starts with understanding it—don’t ignore the warning signs! Authors Dr. Salvatore Lauria, MD, is a board-certified invasive cardiologist with a special interest in congestive heart failure and preventive medicine.0
- UncategorizedGeneral Page Tier 3BlogIf you’re reading this at 3 am, scrolling for help on your phone while cradling a hungry babe in the other arm — you aren’t alone. First-time moms and seasoned pros alike can run into unfamiliar issues while breastfeeding and pumping. Here are some terms you might run into along the way. Talking about breastfeeding Clogged ducts A clogged milk duct — which develops as a small, tender lump on your breast — can result from a change in feeding schedule, a breast not draining fully or wearing tight clothing. Continuing to breastfeed will help it drain. Changing feeding positions, applying a warm washcloth and massaging can also help. Cluster feeding When your baby’s feeding sessions start to happen almost back-to-back, it’s called cluster feeding. Some babies seem to cluster feed before a growth spurt or in the evenings before a longer stretch of sleep at night. Colostrum When your baby is born, your breasts produce colostrum. This thick fluid is a kind of newborn “superfood” that contains the nutrients your baby needs and helps prevent infection. Over time, your breastmilk continues to adapt to your baby’s nutritional needs. Engorged Breasts As your milk comes in, you can quickly find yourself with too much of a good thing. If your milk production changes suddenly or you miss feedings, your breasts can become engorged or overfilled — sometimes painfully so. Warm showers and warm washcloths can reduce pressure before feedings. Foremilk and hindmilk Foremilk flows from your breast as your baby begins feeding, and it’s usually thinner than the higher-fat-content hindmilk that follows. Certain factors can affect the amount of foremilk vs. hindmilk your baby gets. But if your baby seems comfortable and has normal stools, they’re likely getting the right combination. Latch At the beginning of each feeding, it’s important to carefully line your baby’s jaw up to your breast to make a good connection. A proper latch helps your little one draw milk out safely and effectively, but it’s not always intuitive. Ask a lactation consultant for pointers if needed. Mastitis If your breast isn’t draining well enough, you can develop an infection called mastitis. If you notice swelling, burning or redness, or you have a fever or achy, flu-like symptoms, let your doctor, nurse or midwife know. You’ll need to take antibiotics, rest and keep breastfeeding to clear it up. Milk bleb Tiny, whitish spots on your nipple might be milk blebs or blisters caused by a latch that’s not quite right. These blisters usually go away on their own but can be painful. Keep the area clean and try to keep breastfeeding with good technique. A warm washcloth or gentle pressure can also help. If the area does not heal on its own, follow up with your provider. Thrush Thrush is a yeast fungus that often flares up in babies. A possible sign is white patches in your baby’s mouth and fussiness that makes feeding difficult. You and your baby will likely both need to be treated with antifungal medication for thrush since you can pass it back and forth. Pumping and bottle-feeding terms Duckbill Breast pump valves vary by shape. A duckbill valve — you guessed it — resembles a flat, wide duck bill. Some moms notice better suction or output from certain types of valves, so it’s worth experimenting if you’re looking for better results. Flange Flanges are a key part of your breast pump. Similar in shape to a funnel, flanges make a vacuum-style seal with your breasts so the pump can draw out milk. Choosing the right size flange for your nipple can help you avoid injury and get good results. Hand express Did you know you can express your breastmilk by hand, no pump needed? Hand expressing can help relieve engorged breasts, stimulate production or produce milk to feed your baby. It’s not a complicated process but it can feel tricky to get the hang of on your first go. How-to videos can help you perfect your technique. Paced bottle feeding Babies taking breastmilk or formula from a bottle sometimes eat too quickly or too much. Paced bottle feeding mimics the way your baby would feed from your breast. You can help your baby control the milk flow by using a small bottle with a slow-flow nipple and by holding it horizontally. Taking breaks every few swallows will also help your baby learn to eat at a slower, steadier pace. Supplementing The American Academy of Pediatrics (AAP) and the World Health Organization (WHO) recommend breastfeeding exclusively for your baby’s first four to six months. During this time, your provider will stay in close contact with you to offer support and help with any challenges you face. If your baby isn’t gaining enough weight, your provider might refer you to a lactation consultant. These highly trained professionals can help you resolve any milk supply or latch issues. In some cases, they might also recommend supplementing your breast milk with formula. Breastfeeding and pumping are a wonderful — and sometimes messy — affair. It’s normal to have questions, and when you do, we’re here to help with all the support and resources you need. Author Mary “Ginny” Bowers, CNM, IBCLC, is a certified nurse-midwife and lactation consultant with Luminis Health Ob-Gyn. To make an appointment, call 410-820-0038.0
- Men's Health, Physical Therapy, Women's HealthGeneral Page Tier 3BlogDry needling is a technique that has been around for decades, yet many people remain unfamiliar with it. Specially trained physical therapists use dry needling to relieve pain and improve range of motion for patients. Dry needling evolved from trigger point therapy. Muscles often form trigger points, or contracted knots, if they’re stressed or strained. “Dry” refers to the fact that no fluids, such as anesthetics or saline, are injected into the trigger point. What is occurring at the cellular level with dry needling is a complex process. However, a shortened version is the needle inserts into a trigger point in the muscle, which elicits a twitch response. This causes the body to activate an immune response to help healing and decrease pain. In addition, increased blood flow to the area occurs. The needles are single-use, thin filiform needles, similar to those used for acupuncture. The gauge and length of the needles may vary. Dry needling is not the same as acupuncture, even though similar needles are used. Acupuncture is based upon traditional Chinese medicine, while dry needling is based upon Western medicine. Traditional Chinese acupuncture uses needles to direct energy, while physical therapists use dry needling to release tight muscles. With acupuncture the needles go into meridian pathways, while with dry needling the needles go in to trigger points to reduce pressure and pain. Dry needling often evokes a localized twitch response that helps decrease muscle contraction, improve flexibility and decrease pain. Dry needling can help many chronic and acute conditions. This includes conditions where manual physical therapy techniques haven’t reduced pain sufficiently. Dry needling can help treat many diagnoses including, but not limited to, chronic neck and back pain, headaches, and overuse injuries. Overuse injuries include tendinitis of the rotator cuff, tennis elbow, runner’s knee, etc. Not everyone is an ideal candidate for dry needling. While dry needling can benefit many, there are some who are not good candidates. This includes those with needle phobia or who have a history of an abnormal reaction to an injection. Those with lymphedema or who are in their first trimester of pregnancy may not be ideal candidates either. Dry needling is not for those with unmanaged blood-clotting or immune-system disorders. Plus, the American Physical Therapy Association does not recommend dry needling for children younger than 12. Always check with your medical provider or physical therapist if you have concerns. Trigger points are often the result of lack of mobility of a joint, muscular weakness, repetitive stress and/or improper movement patterns. They are the “effect.” In order to restore normal function, we must treat the “cause.” Dry needling is just one tool a physical therapist may use in your treatment plan to achieve this goal. Authors Melissa Lambiasi, DPT, is a physical therapist certified to perform dry needling.0
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