AAMC Living Healthier SUMMER 2016

» Managing Heart Failure

» Summer Health Tips

» Advances in Spine Surgery

IN HIGH GEAR

Keeping a lifelong

athlete’s knees in the race

LEADING THE WAY

At Anne Arundel Medical Center (AAMC), research and education play a key role in how we provide

high-quality care each day. They are also part of our commitment to advance medicine for a healthier tomorrow.

In this orthopedics-focused issue of AAMC Living Healthier Together, it’s worth noting that our extensive outcomes research on joint replacement has helped us improve patient care, and AAMC celebrates five consecutive years as the busiest joint program in Maryland. Similarly, our James and Sylvia Earl Simulation to Advance Innovation and Learning (SAIL) Center improves the practice of medicine through research and innovation — like Dr. Adrian Park’s ergonomics research featured in this issue.

AAMC has a long history of hosting medical students, residents, fellows and allied health students because we believe research and education allow us to provide better care to you. In July 2017, we are taking the next step forward by becoming a teaching hospital, when we welcome our first class of surgery residents. These physicians will have an opportunity to gain hands-on experience and training with AAMC’s surgeons, some of whom are featured in the pages of this magazine.

We look forward to training the region’s next generation of physicians and surgeons.

In good health,

2 Leading the Way • Flower power• Stretching research• Watson comes to AAMC

4 Better Together• Keeping joints healthy• Spine surgery

8 Healthier U• Beating the heat• Sun safety• Sandal-ready feet

10 AAMC All Around You• Signs of thyroid

disease• Allergy forecasts• Healthy travel

12 Calendar• Classes, events, support

groups, and other ways to interact with AAMC

15 Chronic Conditions• Managing heart failure

16 Make a Difference• Lung screenings grant• Rebecca Fortney• Heart of Gold Gala

18 Living Well• Avoiding sports injuries• Farmers market tips

20 Motivate• Breast cancer survivor

helps others

IN THIS ISSUE

AAMC Living HealthierSummer 2016

WEB EXTRAS Watch videos, see photos and read more about stories in this issue of AAMC LIVING HEALTHIER TOGETHER at askAAMC.org/Living.

was created by

AAMC to give you and

your family information

to live healthier. This

publication is intended

to provide health

information to our readers

and should not be

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aamcpr@AAHS.org. If you

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It’s Academic

Anne Arundel Medical Center (AAMC), a regional health system

headquartered in Annapolis, Maryland, serves an area of more than

1 million people. In addition to a 57-acre Annapolis campus,

AAMC has outpatient pavilions in Bowie, Kent Island, Odenton,

Pasadena and Waugh Chapel.

Victoria W. Bayless, President and CEOAnne Arundel Medical Center

The Power of FlowersFlorists donate bouquets to patients

Mark and Cindy Cheben have owned and managed The Gateway Florist in Annapolis for the past seven years, pouring time and energy into their thriving flower shop. But each Tuesday afternoon, you’ll find Mark at AAMC. He’s there to donate bouquets of flowers to well-deserving patients.

“We were just looking for a simple way to give back to the community,” says Mark. “We’ve been very blessed and want to care for other people.”

Thanks to the generosity of Mark and Cindy, for the past seven months AAMC Patient Advocacy has delivered bouquets of flowers to patients in need each week. Recipients include a mom

on bed rest waiting to deliver her baby, a man spending his 91st birthday in the Emergency Room, a fiancée whose soon-to-be wife passed away during his hospital stay and many more.

While Mark and Cindy can’t solve patients’ health issues, they can brighten their day and make them feel cared for and loved. We appreciate their support.

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Study finds stretching helps surgeons work more safely

Wouldn’t you want your surgeon to have greater stamina and focus and less pain? Research by Adrian Park, MD, chair of AAMC’s Department of Surgery, may prevent surgeons from suffering work-related pain, potentially making surgery safer for patients.

As the surgeon’s tools and incisions become smaller, surgeries are easier on the patient but oftentimes harder on the doctor. Minimally invasive surgeries require surgeons to remain still for long periods of time. This has led surgeons to experience more frequent pain in the neck, shoulder and back areas during and after performing an operation.

In Dr. Park’s study, surgeons performed a 90-second series of targeted exercises every 20–40 minutes during surgery. Surgeons who took the breaks reported less discomfort and an improvement in physical performance and mental focus. Most of the surgeons who took part in the study said they wanted to incorporate targeted stretching micro breaks into their operating rooms in the future.

“It seems obvious that stretching would help relieve any discomfort while performing surgery. But the act

of pausing during surgery is not a widely accepted practice — we are trained to work until we finish the job,” says Dr. Park.

Dr. Park, an expert in the ergonomics of the surgical suite, says a cultural shift is needed in the way surgeons are trained. Otherwise, he warns, we could face an epidemic of occupational injuries to surgeons.

Stretch Goals

Adrian Park, MD, is an international expert on ergonomics in the surgical suite.

Paging Dr.WatsonAAMC is among a select group of organizations to join with IBM’s supercomputer “Watson” to bring cognitive imaging or “brain mapping” into healthcare. You may remember Watson won against its human opponents in a game of Jeopardy in 2011.

While the vast amount of medical data gathered is often too great for humans to analyze and interpret,

Watson can process 40 million documents in 15 seconds.

AAMC will work with IBM Watson Health experts to train Watson on various health conditions, improving its ability to help physicians deliver care in the future.

“Our early adoption of Watson’s cutting-edge technology has the potential to revolutionize the way we deliver care to our patients by creating greater efficiencies and providing deeper insight to our physicians,” says David Todd, MD, medical staff vice president and medical director of Anne Arundel Diagnostic Imaging.

AAMC partners with IBM to bring Siri-like technology to medicine

For more information on IBM Watson Health, visit IBM.com/WatsonHealth.

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BETTER TOGETHER

In High Gear

A Lifetime of Healthy Bones and JointsKids and teensDon’t go straight from zero to 100. Avoid fractures by stretching and strengthening well before returning to seasonal sports.

TeensStrengthen muscles and increase

muscle mass with weight training to protect bones and joints in contact

and high-impact sports.

Keeping a lifelong athlete’s knees in the race

Injuries and a lifetime of high-impact sports have left Doug Herman, 58, with significant knee damage and arthritis. Yet this competitive athlete maintains peak performance by varying his exercise routine and working closely with the orthopedic specialists at Anne Arundel Medical Center to help protect and preserve his knees. “I’ve been exercising my entire life. I’ve got to stay in motion,” he says.

Whether you’re an older weekend warrior or a young competitive athlete, the earlier you take steps to protect your joint health, the longer you can continue to participate in the activities you love, says Mark Chaput, a physical therapist and executive director of Anne Arundel Medical Group’s Orthopedic and Sports Medicine Specialists.

“Doug and I are baby boomers, the first generation to exercise purely for enjoyment and fitness,” says Mark, a competitive cyclist who trains with Doug.

“We’ve learned the hard way that starting cross-training early will help preserve your joints. And if you already have an injury or arthritis, there are ways to lessen the impact and the symptoms. However, some younger athletes still make the same mistakes we made.”

Doug was a young surfer and water skier in the 1970s when he faced his first knee surgery to repair a torn ACL, leaving him vulnerable to arthritis. When doctors suggested that he pursue a less risky activity, he chose competitive running. But 15 years of continuous training and many marathons later, he was in trouble. “My orthopedist advised me to stop running to save my knees,” he says.

That’s when Doug switched to competitive cycling, a low-impact sport that puts much less pressure on lower body joints than running. That’s also when he learned the benefits of cross-training, a strategy that alternates high- and low-impact activities.

MIX IT UP“Regular exercise protects joints by strengthening the surrounding muscles and keeping bones strong, but sustained, high-impact exercise can place extreme impact on joints over the long term,” says Daniel Redziniak, MD,

an AAMC board-certified orthopedist who specializes in sports medicine. “For example, when one leg hits the ground during a run, five times your body weight is translated across the knee joint, leading to wear.”

Cross-training can protect joint health in people of all ages and all activity levels by allowing time for the joints to recover from this stress, he says. It should include low-impact activities; exercises that strengthen the “core” area, which includes abdominal and back

Highs and Lows

High-impact exercises should

be done in moderation, and include activities

with sustained periods of

running, jumping or lifting heavy

weights.

Low-impact exercises

include walking, swimming, biking, light

resistance work with exercise bands, some

forms of dance, yoga and Pilates.

Go Bayhawks! » AAMC is the official hospital for the Chesapeake Bayhawks and Anne Arundel Medical Group (AAMG) Orthopedic and Sports Medicine Specialists provides the official orthopedic surgeons for the team. Learn more at askAAMC.org/OSMS.

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muscles; and a regular regimen of stretching to help joint-supporting tendons, ligaments and muscles stay limber, says Dr. Redziniak. This whole-body approach can help prevent not only common knee and hip problems, but also lower back pain, rotator cuff injuries of the shoulder, and a multitude of other bone and joint injuries, he adds.

“I now alternate my cycling sessions with swimming and core strengthening. And, I’m more careful with

Doug Herman and Mark Chaput were running buddies who, after running many races together, made the switch to competitive cycling to preserve their knees. They recently competed in a two-hour cycling climb up Whiteface Mountain in New York.

my weightlifting routine, using proper posture and limiting my time,” says Doug. “I feel stronger all the way around.”

ARTHRITIS OPTIONSDoug has also benefitted from orthopedic intervention to manage his arthritis symptoms. According to Dr. Redziniak, people with arthritis can help prolong the life of their joints and remain active by:

» Maintaining a healthy weight.» Using ice and anti-inflammatory medication.» Bracing joints for strenuous activities.Those who need additional relief may benefit from

therapies, including:» Cortisone shots directly into the affected joints for

extended pain relief.» Viscosupplementation shots, which may help

lubricate the affected joint for periods of up to six months.

Doug currently uses anti-inflammatory medications and viscosupplementation injections. Due to his careful arthritis management and the switch to cross-training, his doctors say he’ll likely avoid joint replacement surgery for up to a decade longer.

Doug doesn’t plan to let the inevitable surgery stop him. In fact, many people with artificial knee and hip joints can continue high-performance, competitive activities as long as they protect the new joints, says Dr. Redziniak. Doug’s got an advantage: He now knows exactly how to do that.

Daniel Redziniak, MD

“Every pound you gain or

lose translates to roughly five

pounds of pressure on or off

your knees.”–Orthopedist

Daniel Redziniak, MD

Teen girlsReplace the calories burned during high-intensity cardiovascular sports to avoid excessive fat loss that can lead to reduced bone density.

AdultsUse stretching and light resistance strength training to keep stiff joints limber and reduce arthritis symptoms. Maintain a healthy weight to take pressure off the joints.

WomenGet enough vitamin D and calcium, and participate in load-bearing activities such as walking, running, dancing or resistance training to keep bones strong. Ask your doctor about a bone density scan after menopause.

High volume » Did you know The Joint Center at AAMC performs more joint replacements than any other hospital in Maryland? Learn more at askAAMC.org/Joint.

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BETTER TOGETHER

Back at ItAfter numerous setbacks, Hope Lomvardias thought she was out of options.

In the spring of 2015, Hope was a 17-year-old Archbishop Spalding junior who was excitedly touring colleges around the Northeast in preparation for applying in the fall. However, during the long car trips, she started experiencing intense low back pain, as well as leg pain and numbness. Her mother, Karyn, an infusion nurse at Anne Arundel Medical Center, became increasingly concerned.

“When we would stop the car, Hope could hardly stand up because she was in terrible pain,” explains Karyn. “And, it just worsened. I knew something was wrong, because I’ve had my own cervical spine issues, and I recognized nerve pain.”

Because of Hope’s young age, her healthcare providers were reluctant to diagnose a spinal disc problem. Eventually, Hope had an MRI that confirmed a large herniation in the disc in the lowest

part of her spine, between L5 and S1 — an unusual diagnosis at her age. She began conservative treatment options that included medication and physical therapy.

“During all of this, Hope started her senior year of high school,” recalls Karyn. “It really created problems because she was in excruciating pain.”

Hope was able to make arrangements with the school to use the elevator and a rolling backpack, although she hated having to do things differently than her classmates. When Hope was younger, she wore a brace to treat her scoliosis, and she didn’t like feeling different again. However, she had little choice.

NEXT STEPSThe medication and physical therapy did not offer Hope the relief she needed, and school was getting more difficult.

Her parents gave her the option of taking placement tests and going straight into college. But Hope did not Roy Bands, MD

Hope (center) was the third generation to be treated by Dr. Roy Bands. He treated both her mother Karyn and Karyn’s father Dave for spine issues.

Spine surgery brightens future for student Hope Lomvardias

Need relief? » See what factors may play a role in back and neck pain and receive recommendations for follow-up steps with our free back and neck pain profiler at askAAMC.org/SpineHealth.

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Better Images, Better OutcomesThe Spine Center at AAMC recently added the O-arm 3-D imaging system, which can improve patient safety and outcomes during complex spinal procedures.

“The O-arm captures full 360-degree 3-D images of a patient’s spine, giving us precise anatomical views,” explains Chad Patton, MD, orthopedic surgeon and medical director of The Spine Center at AAMC. “In real time, navigational software can show us where our instruments and implants are in relation to the patient’s anatomy without having to take additional x-rays during the surgery. Not only does this dramatically decrease the radiation exposure to the surgical team, but it also improves patient safety and ultimately allows us to tackle more complex surgery here at AAMC.”

According to Dr. Patton, AAMC’s investment in O-arm technology is one additional way the hospital provides the highest quality care possible.

want to give up her high school experience, including graduating with her class and going to prom. She continued on with physical therapy, while searching for other treatment options.

Hope then met with Roy Bands, MD, an orthopedic surgeon at The Spine Center at AAMC. Dr. Bands had treated both Karyn and Karyn’s father for spine issues, and now Hope would be the third generation to see him.

“Hope had a degenerative herniated lumbar disc, which in someone her age, we believe is primarily genetic,” says Dr. Bands. “She has a strong family history of this, including her mother and grandfather.”

At first, Dr. Bands recommended Hope continue physical therapy so he could monitor for any improvement. “Unfortunately physical therapy did not improve her condition, so we then discussed her surgical options.”

According to Chad Patton, MD, medical director of The Spine Center at AAMC, “Our philosophy of care is patient-centric from beginning to end. It’s important to exhaust conservative treatment options before surgery is considered.”

A SURGICAL SOLUTIONAlthough Hope was hesitant to have back surgery, she also recalls how badly she was hurting. “One time it got so bad right before surgery that I even thought ‘if only I can have my leg amputated’ because I couldn’t stand the pain,” she remembers. “The pain was that bad.” By that point, Hope was ready for surgery.

“The surgery to repair a herniated disc involves opening the spinal canal and shaving off the herniated portions of the disc. It’s called a laminectomy and discectomy,” explains Dr. Bands.

Hope had surgery over the Christmas break to minimize her time away from school, and she emerged in a much better place both physically and mentally.

“Immediately after the surgery, I felt so much better,” says Hope. “It was amazing. I felt like I had my old leg back. I was basically pain free. I’m so glad I decided to have surgery.”

Now, Hope has returned to her life as an active teenager. Dr. Bands cleared her to play sports again if she’d like. Plus, Hope was accepted to Johns Hopkins, where she plans to study history in the fall.

“Hope is a perfect example of how back surgery can make significant improvement in your life,” says Dr. Bands.

Chad Patton, MD, medical director of The Spine Center at AAMC, is shown in front of the new O-arm 3-D imaging system.

“Immediately after the surgery, I felt so much better. It was amazing. I was basically pain free. I’m so glad that I decided to have surgery.”

— Hope Lomvardias

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Lower Back Pain 101 » This free class features a spine doctor along with a physical therapist in a small group setting. Learn easy back injury prevention exercises and common back treatments. Register at AAMCEvents.org.

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2HOW TO REDUCE YOUR RISK OF SKIN DAMAGEGo ahead — get outdoors and enjoy some fun in the sun. But don’t forget to protect your skin. Whenever your skin is exposed to UV rays, you’re at risk of short-term and long-term skin damage, including skin cancer, wrinkles and sun spots.

Glen R. Gibson, MD, surgical oncologist at Anne Arundel Medical Center’s DeCesaris Cancer Institute, offers four recommendations to help you keep your skin youthful-looking and healthy:

Wear SPF & cover-ups. Whenever you’re outside, apply UV-blocking sunscreen with an SPF of 30 or greater to all exposed skin. Reapply every two hours or sooner, especially after swimming or excessive sweating. Wear clothing that covers skin, particularly if you plan to be outside for prolonged periods of time. A hat is a great choice for protecting your face and neck. Also, remember to seek shade whenever possible.

Don’t believe in the “base tan.” While it’s true that gradually getting a tan may reduce the risk of severe sunburn, the risk of skin cancer rises with total sun exposure. Therefore, going to a tanning booth before the beach is a never a good idea because it only increases your risk of long-term skin damage and skin cancer.

Start good habits NOW. Skin cancer takes years to develop, and we can’t reverse the damage that’s already done to our skin. However, good sun protection habits, such as wearing sunscreen and limiting exposure to UV rays, will reduce the risk of cancers in your future. Get your children started with sun safety

from an early age to develop good lifelong habits.

Don’t ignore the signs. Everyone needs to take any new or changing non-healing scabs, moles or sores seriously. Don’t ignore these, as they could be signs of skin cancer. Check your skin on a regular basis for irregularities and go see a dermatologist as soon as possible if you find something. All forms of skin cancer, including melanoma, are curable if caught early.

HEALTHIER U

Sunny Days Are Here

3 ways to enjoy a happy, healthy summerSummer is here! With many long, warm, sunny days ahead, Anne Arundel

Medical Center experts offer tips for a happy, healthy summer.

Glen R. Gibson, MD

1

Blog » Learn how to make your own sports drinks with our recipe at askAAMC.org/Living/SportsDrink.

HOW TO EXERCISE IN THE SUMMER HEATExercise is crucial to maintaining heart health, but with summer in full swing, it’s important to factor in outdoor temperatures when you’re planning your activities for the day. Interventional cardiologist Jerome Segal, MD, medical director of the Heart Institute at Anne Arundel Medical Center, shares some tips.

Adapt. Dr. Segal suggests scheduling outdoor workouts for early morning or late evening hours when the sun is less intense and the temperatures tend to be cooler. Another option is to exercise indoors or consider adding swimming to your workout regimen. “Also, take regular breaks,” says Dr. Segal. “Find a cool place to stop for a few minutes, hydrate yourself, and then continue with your workout.”

Hydrate. If you’re exercising or having a very active day, add one or two glasses of water to the recommended eight per day. If you’ve been diagnosed with heart disease, Dr. Segal stresses the importance of talking to your doctor about the appropriate guidelines for your specific needs. If vigorous physical activity lasts over an hour, consider sports drinks to replace electrolytes. You’ll also want to avoid caffeinated or alcoholic beverages, as they can dehydrate you quickly.

Partner up. If you can, exercise with a friend. Not only will a workout partner keep you motivated and accountable, but it’s also safer. If anything goes wrong, a friend can call for help. “A workout partner may also help you recognize boundaries for safe exercise and make sure you aren’t experiencing any signs of heat exhaustion, or worse, heat stroke,” says Dr. Segal.

Dress for success. If you’re staying outside, dress for the heat by choosing lightweight, light-colored clothing and breathable fabrics, or fabrics that wick away moisture from the skin. A hat or sunglasses and sunscreen with SPF 30+ are also a must. Jerome Segal, MD

Blog » Know the ABCD and E’s of moles to track skin cancer by reading askAAMC.org/Living/MoleID.

IT’S PRIMARYNeed a primary care provider? Anne Arundel Medical Group (AAMG) has primary care offices throughout the region. Below are some of the offices near you.

AAMG Annapolis Primary CareSajak Pavilion, 2002 Medical Parkway, Suite 670, Annapolis443-481-1150

AAMG Arnold Family Medicine1460 Ritchie Highway, Suite 202, Arnold410-757-6327

AAMG Integrative Medicine2009 Tidewater Colony Drive, Annapolis410-224-0010

AAMG South River Family Medicine3169 Braverton Street, Suite 201, Edgewater410-956-4911

AAMG Ulmer Family MedicineBelcher Pavilion, 2000 Medical Parkway, Suite 605, Annapolis410-266-5667

Find more AAMG providers at askAAMC.org/FindaDoc or call 443-481-5555.

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Ask an expert » Living with painful bunions? Talk with the foot experts at AAMG Orthopedic and Sports Medicine Specialists about your options. Visit MyAAMG.org/NextStep.

HOW TO PUT YOUR BEST FOOT FORWARD Summer means freedom from your socks and shoes, but what happens when your feet don’t look “sandal ready?”

It may be that you have athlete’s foot or toenail fungus. These infections commonly follow the cooler seasons due to the lack of air circulation in socks and boots. Signs of an infection may include cracking of the skin, redness, itching, burning and discoloring of the toenails.

If you think you have a fungal or bacterial infection, make an appointment to see your primary care provider or dermatologist because often these infections don’t go away on their own. It’s important to identify what the cause is, because there are a variety of diseases, including melanoma, that can cause changes in the toenails.

Your doctor can recommend strategies such as over-the-counter antifungal creams, prescription drugs or other remedies. Not seeking treatment may allow the infection to spread to other parts of your body, like the hands and groin.

Practicing good foot hygiene is crucial for the treatment and prevention of any foot or toe infection. This includes keeping your feet clean and dry on a

daily basis. Always wear flip-flops or shower shoes in a moist environment, and especially avoid being barefoot in public areas, such as locker rooms, public pools and showers.

Try an At-home Pedicure

STEP 1: Soak feet in lukewarm water. This softens up your nails, as well as calluses and dead skin.

STEP 2: Scrub feet to exfoliate and remove dead skin cells.

STEP 3: Use a pumice stone or foot file to smooth out calluses.

STEP 4: Cut your toenails with sanitized nail scissors or clippers, making sure to cut them straight across. Avoid cutting them too short. Gently using a nail file on any sharp edges is fine.

STEP 5: Apply cuticle oil. The cuticles help keep germs away from your skin and nails.

STEP 6: Massage feet with a rich moisturizing lotion.

STEP 7: Add polish if desired, but apply a base coat to prevent the yellowing of nails and to extend the polish’s wear.

If you opt for a professional pedicure, choose a reputable nail salon that sterilizes all instruments.

Larynx

Left thyroid gland

Isthmus

Right thyroid gland

Trachea

STAY CLOSE TO THE HOSPITALThe Hackerman-Patz House is a home away from home that provides affordable accommodations for patients and families to rest, relax and regain strength while staying close to the hospital.

Guest accommodations include:

» 20 guest rooms equipped with a queen bed or two twin beds and sitting area. » A private bathroom, mini refrigerator, telephone, Wi-Fi and cable TV. » Handicapped-accessible rooms.

Make reservations by: » Booking online at askAAMC.org/Hackerman-Patz. » Calling 410-571-3100, Mon.–Fri., 9 am–5 pm. » Visiting the Hackerman-Patz House at 141 Jennifer Road.

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AAMC ALL AROUND YOU Q&A Ask

A Your thyroid is a butterfly-shaped gland that sits in the front of your neck and controls several

bodily functions. As part of the endocrine system, the thyroid makes hormones that affect nearly every organ in your body. Perhaps most importantly, it regulates your metabolism, which is how your body converts food into energy.

It’s not uncommon for something to go wrong with the thyroid. An estimated 20 million Americans have some form of thyroid disease — and up to 60 percent of people with thyroid disease don’t know they have it.

The thyroid can be overactive and make too much of the thyroid hormone. This is called hyperthyroidism. Symptoms include weight loss, diarrhea, heart palpitations, feeling anxious or jittery, increased sweating, feeling hot and trouble sleeping.

The thyroid can also be underactive, which happens when the gland does not make enough of the hormone. This is called hypothyroidism and can result in intolerance to cold, constipation, dry skin, dry

hair, loss of hair, difficulty losing weight or even weight gain. Women may have irregular or heavy menstrual periods and may feel fatigue.

Although thyroid problems are common, they are difficult to identify because their symptoms aren’t specific to thyroid disease. They could all be due to something else.

If you suspect you have a thyroid problem, don’t hesitate to talk to your doctor. A simple blood test can help pinpoint the issue. If you are diagnosed with a thyroid condition, be sure to take medications as prescribed and get follow-up blood tests. Many thyroid problems are easily regulated, but if yours doesn’t respond completely to initial treatment, see an endocrinologist.

20 million

Americans have

thyroid disease.

60% don’t know

they have it.

WHAT ARE THE SIGNS OF THYROID DISEASE?Q

askAAMC » After doctor’s hours and not sure what to do? Our askAAMC nurse advice line can help you figure out the best course of action based on your symptoms. Call 443-481-4000 seven days a week, including evenings.

Barbara Onumah, MD, is medical director of Anne Arundel Medical Group Diabetes and Endocrine Specialists. To reach her office, call 443-481-4600.

Christine Smith, CRNP, is a certified registered nurse practitioner with AAMG Annapolis Primary Care. To reach her practice, call 443-481-1150.

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the Expert

A No one wants to think about getting sick or injured while on

vacation, but being prepared can make the experience much better—and safer.

If you’re older or have chronic health issues, it’s a good idea to visit your doctor four to six weeks before your trip to make sure it is safe for you to travel. Tell your doctor where you’re traveling, for how long and what activities you might do. You’ll need to check to make sure routine vaccinations are current, including a seasonal flu vaccine.

When preparing for your trip, you should make a list of your current medications, as well as names and phone numbers of your doctors and your pharmacy. If you have a history of heart disease, ask your cardiologist to provide you with a wallet-sized version of your latest EKG. This gives emergency room doctors something to compare should you have heart troubles while away.

It’s also a good idea to bring over-the-counter medicine. Ibuprofen, acetaminophen, Benadryl and a thermometer should be part of your travel health kit. Remember to bring a note on your doctor’s letterhead if you are taking controlled substances or injectable medications.

For older travelers with health conditions, it’s important to pace yourself. Attending weddings or other events on top of sightseeing can be stressful and could worsen any health issues. Make sure to build in rest time so you stay safe and healthy.

While you may not be able to prevent an illness or injury while traveling, planning ahead can make it easier to handle.

Q HOW CAN I PROTECT MY HEALTH

WHEN I TRAVEL?

A If you have seasonal allergies, it’s likely you’re allergic to pollen, the fine powder that comes

from flowering plants. Pollen can travel great distances through the air and is easily inhaled through your nose and mouth.

One way to plan your outdoor activities to avoid high pollen days is to monitor local weather reports. Many weather reports include allergy forecasts as a way to alert you to the amount of pollen, mold or other particles in the air on a given day.

Pollen count is expressed in grains of pollen per square meter of air collected over 24 hours. It is usually highest early in the morning and on warm, windy days. It’s lowest during chilly, wet periods. Summer thunderstorms can also affect pollen count, because wind scatters the pollen and heavy rain breaks it up into smaller pieces that are easier to inhale.

On days with particularly high pollen counts, there are several steps you can take to reduce the severity of allergy symptoms, such as:

» Remaining indoors in the morning, when pollen counts are highest.

» Using air conditioning and filters in your car and home, instead of opening windows.

» Wearing a face mask designed to filter pollen when working outside.

» Wearing sunglasses to reduce the amount of pollen that gets in your eyes.

» Showering before bed, to avoid bringing pollen into your bed.

» Asking your doctor about over-the-counter or prescription medications to treat seasonal allergies.

Michael Remoll, MD, is medical director of AAMC’s Emergency Room.

WHAT CAN I DO TO MANAGE SEASONAL

ALLERGIES?Q

Blog »To read more health tips, visit our blog at askAAMC.org/Living.

AAMC ALL AROUND YOU

Register » Get a complete listing of classes, support groups and events, and register at AAMCEvents.org or call 443-481-5555.

Classes & Events Take control of your health. Join the health experts at AAMC for wellness classes and events that will put you and your family on the road to lifelong health.

H Anne Arundel Medical Center

2000–2003 Medical Parkway, Annapolis

Pathways2620 Riva Road, Annapolis443-481-5400

1 FastCare Walk-In Clinic2731 Solomons Island Road, Annapolis(Inside Shoppers Food)443-481-5777

AAMC Community Clinics2 Forest Drive — 1419 Forest

Drive, Suite 100, Annapolis3 Morris Blum — 701 Glenwood

Street, Annapolis410-990-0050

AAMC Lab ServicesSajak Pavilion, 2002 Medical Parkway, Suite 240, Annapolis 443-481-4280

Anne Arundel Diagnostics ImagingSajak Pavilion, 2002 Medical Parkway, Suite 100, Annapolis443-481-5330

Anne Arundel Medical Group (AAMG) Annapolis Primary CareSajak Pavilion, 2002 Medical Parkway, Suite 670, Annapolis443-481-11504

AAMG Integrative Medicine2009 Tidewater Colony Drive, Annapolis410-224-00105

AAMG Arnold Family Medicine1460 Ritchie Highway, Suite 202, Arnold410-757-63276

AAMG South River Family Medicine3169 Braverton Street, Suite 201, Edgewater410-956-4911

AAMG Ulmer Family MedicineBelcher Pavilion, 2000 Medical Parkway, Suite 605, Annapolis410-266-5667

7 AAMG Mental Health Specialists2635 Riva Road, Suite 108410-573-9000

8 AAMG Cardiology Specialists888 Bestgate Road, Suite 208410-897-0822

REGIONAL AAMC Pavilion—Bowie

4175 North Hanson Court, Bowie

AAMC Pavilion—Kent Island1630 Main Street, Chester

AAMC Pavilion—Odenton1106 Annapolis Road, Odenton

AAMC Pavilion—Pasadena8109 Ritchie Highway, Pasadena

AAMC Pavilion—Waugh Chapel2401 Brandermill Boulevard, Gambrills

Ashton

Bozman

Queenstown

Fulton

New Carrollton

McDaniel

University Park

Gibson Island

Clarksville

Crownsville

Greenbelt

Edmonston

Highland

Riverdale Park

Lothian

Curtis Bay

Olney

Glenn Dale

Annapolis Junction

Tracys Landing

Sandy Spring

Easton

Shady Side

Severn

Severna Park

ChurchHill

Rock Hall

Brookeville

Upper Marlboro

Friendship

Ellicott City

Laurel

Gambrills

Millersville

Chestertown

StevensvilleAnnapolis

Colmar Manor

Centreville

Lanham

Worton

Brinklow

Churchton

St Michaels

Burtonsville

Forest Heights

Sparrows Point

DundalkGlenelg

GlenBurnie

Sherwood

Suitland

Odenton

Temple Hills

Hanover

Cordova

Mt Rainier

Spencerville

Wittman

Takoma Park

Crofton

West River

Pasadena

Harwood

Jessup

Savage

Glenwood

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Clinton

Beltsville

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Highland Beach

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Pathways

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Find a Doc » Get a complete listing of primary care physicians and other providers near you at askAAMC.org/FindaDoc or by calling 443-481-5555.

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Summer 2016

Fitness & NutritionFitness ClassesAAMC offers fitness classes and workshops to get you moving. To download a complete schedule with class descriptions, visit askAAMC.org/Fitness. FEE.

Nutrition ConsultationMake an appointment with a dietitian for individual nutrition coaching. Call 443-481-5555 to learn more. FEE.

Smoking CessationSmoke-free CounselingGet a treatment plan, advice, encouragement and resources for breaking the habit. Call 443-481-5367. FREE for people who work or live in Anne Arundel County; FEE for all others.

LIVING HEALTHY101 ClassesCOPD 101 Managing COPD is not easy. Learn what you can do to cope best and feel better. In this class you will learn how to improve daily function, decrease flare-ups, use a spacer and inhaler correctly, and use exercise to improve your ability to carry out everyday activities. FREE. Tues., Sept. 20, 6–7 pm

Heart Health 101Your best defense against heart disease is prevention. Learn how to stay heart healthy for life by knowing the causes of heart disease, how to manage your risk factors, early heart attack warning signs and more. FREE. Mon., Aug. 15, 6–7 pm

Hip and Knee Pain 101Join this free class to learn more about hip and knee pain straight from the doctors and care team at The Joint Center at Anne Arundel Medical Center. FREE. Wed., Sept. 21 and Oct. 19, 6–7 pm

Kidney 101Good kidney function is important to your overall health. In this class, learn how the kidneys work, what can cause kidney disease, how kidney disease is detected and what you can do to keep your kidneys healthy. FREE. Wed., Oct. 5, 10–11 am

Lower Back Pain 101This class features a spine doctor along with a physical therapist in a small group setting. Learn easy back injury prevention exercises and common back treatments. FREE. Wed., Sept. 21 or Tues., Oct. 18, 5–6 pm

Weight Loss SurgeryWeight Loss Surgery SeminarThis free seminar is for people who are obese by 100 pounds or more and who want to learn about surgical weight-loss options. Meet our bariatric surgeons, who describe three options for surgical weight loss, the process involved and what is required before, during and after surgery. This small group session offers plenty of time to ask questions. For more information, call 443-924-2900 or visit AAMCEvents.org. FREE.

Living Well with DiabetesThis six-week workshop is for people with type 1, type 2 and prediabetes. Learn how to manage your blood sugar and understand the relationship between food and blood-sugar levels. Learn how to read nutrition labels, deal with stress and talk with doctors about your diabetes. FREE. Mon., Sept. 19–Oct. 24, 9:30 am–noon or Thurs., Sept. 22–Oct. 27, 6–8:30 pm

Register » Get a complete listing of classes, support groups and events, and register at AAMCEvents.org or call 443-481-5555.

Get Moving » Register for Pilates, Zumba®, yoga and more at askAAMC.org/Fitness.

SMART WOMAN: 5 STEPS TO YOUR HEALTHIEST YEARLocal author Lisa Consiglio Ryan, of Go Clean Sexy You, will discuss a holistic approach to nutrition and healthy living. Discover how all parts of your life affect your overall health and wellbeing. Lisa will offer her five-step guide to eating seasonally and having the healthiest year of your life. Are you ready to feel amazing every day? Join us for this FREE event. Thurs., Sept. 8, 6:30–8 pm. Register today at AAMCEvents.org under “Smart Woman.”

THE MAYO CLINIC DIETDiscover better health through better weight management. This 12-week program puts you in charge of reshaping your body and your lifestyle by adopting healthy habits and breaking unhealthy ones. The motivational program is led by a registered dietitian and cardiac rehab specialist. FEE. Tues., Sept. 13–Dec. 6, 4–5:30 pm

PATHWAYS FAMILY WELLNESS WORKSHOPThis workshop is a therapeutic and educational program for family members of adults or teens with substance use disorders. The program equips family members with communication skills, relapse prevention strategies and coping mechanisms for ongoing recovery. Call 410-573-5449 or visit PathwaysProgram.org. FEE. Sat., Aug. 20 or Sept. 17, 24

ask A AMC.org 13

LIVING HEALTHYSupport GroupsAAMC offers a variety of support groups for people with heart disease, Alzheimer’s disease, diabetes, food addiction, postpartum depression and many other conditions. Most support groups are FREE and held at AAMC. Call 443-481-5555 or visit AAMCEvents.org for a complete list of groups available to you.

Cancer Support GroupsA variety of support groups for cancer patients, survivors and their families are available, including:

• Head and Neck Cancer: Meets the first Tuesday of each month.

• Lung Cancer: Meets the fourth Tuesday of each month.

• Prostate Cancer: Meets the first Monday of each month.

• Forward After Breast Cancer: A six-week program.

Better Breathers ClubThis support group meets every other month to provide support, education and socialization for people with COPD or another chronic lung disease, their loved ones and their caregivers. For more information, call 443-481-4088. FREE. Thurs., Aug. 25, Oct. 27, 9–10 am

Birth and Baby Support GroupsThese birth and baby support groups are available:

• Back to Work/Breast-feeding • Breast-feeding• Perinatal Loss• Postpartum Depression

Breast-feedingBreast-feeding BasicsLearn how to have a successful and rewarding breast-feeding experience, including how to prepare, how to hold your baby, how often and how long to feed, how to avoid common problems and more. FEE.

Breast-feeding and the Working MotherLearn the secrets to maintaining a good milk supply, choosing just the right pump and how to juggle it all. FEE.

More info » For more information about the safe, smart place to have your baby, visit askAAMC.org/Birth.

AAMC ALL AROUND YOU

Register » Get a complete listing of classes, support groups and events, and register at AAMCEvents.org.

FAMILY BIRTHBirth ClassesEarly PregnancyFor moms-to-be during the first trimester. Learn about your body changes, the importance of nutrition and prenatal fitness. FREE.

Birth Classes• Four-Week Series Birth Class• One Wonderful Day Birth Class• Cesarean Birth Class• Marvelous Multiples• Refresher Birth Class

All birth classes have a fee. Learn more at AAMCEvents.org.

Online Birth EducationFor moms who need a refresher or have time constraints. To learn more, call 443-481-6122. FEE.

Spa MamaThis two-hour class focuses on breathing and relaxation for labor and birth. FEE.

Prenatal YogaLearn yoga postures and breathing exercises to enhance your comfort during pregnancy and birth. FEE.

GIVE LIFE, GIVE BLOODEach year more than 3,000 patients at AAMC — your loved ones, your friends, your neighbors and, maybe even you — receive lifesaving blood transfusions. Because there is no substitute for human blood, these patients are counting on caring people like you to donate this precious resource. Learn more about donating blood, including dates for mobile blood drives in your community, at askAAMC.org/BloodDonorCenter.

Family EducationCar Seat 101Expectant families learn how to select a car seat, properly install it and secure the child. FEE.

Newborn CareExpectant parents learn to bathe, diaper and comfort an infant, how to feed, how to tell when the baby is sick, and when to call the doctor. FEE.

Grandparents UpdateStyles change, trends come and go, and caring for a baby really is different these days. FEE.

Sibling PreparationFor children 3 to 7 years old to help them prepare for the arrival of a new baby. FEE.

Super SitterFor kids ages 11 to 15 to learn how to be a great babysitter. FEE.

ToursAAMC offers several tours for you to prepare for birth or your child’s surgery:

• Prospective Parent Tour• Clatanoff Tour• Pediatric Surgical Tour

Learn more at AAMCEvents.org.

BABY? MAYBE.Is a baby in your future? Learn how to have a safe, smart pregnancy from the experts at AAMC. We’ll cover smart nutrition prior to and during pregnancy, tips for exercise, budgeting for baby, and why AAMC is the safe, smart place to deliver your baby. FREE. Sat., Sept. 17, 10 am

14 S U M M E R 2 016 | LIVING HE ALTHIER TOGETHER

Join the movement » Help bring cardiac surgery to AAMC. Find out how you can get involved by visiting askAAMC.org/HeartMatters.

CHRONIC CONDITIONS

Jennifer Brown, MD

Heart Health 101 Your best defense against heart failure is prevention. Anne Arundel Medical Center offers Heart Health 101, a free class that delivers all the information you need to achieve a healthy heart for life. The class helps you understand:

» How the heart works. » Causes of heart disease. » How to manage heart disease risks. » Symptoms that something is wrong. » Diagnosis and treatment for heart disease. » Early heart attack warning signs for men and women.

The next Heart Health 101 class will be offered August 15 at 6 pm. To enroll, visit AAMCEvents.org.

SEE YOUR CARDIOLOGIST.

“If diagnosed with heart failure while in the hospital, the most important thing you can do to keep from being

readmitted is see your cardiologist within seven to 10 days post-discharge and as

advised after that,” Dr. Brown says. Follow-up visits with a cardiologist are critical,

since medications started in the hospital are often adjusted after discharge to optimize symptoms.

TAKE YOUR MEDICATIONS.Not taking your medications as directed will likely lead

to ER visits. Medications for heart failure — as well as other chronic conditions

such as high blood pressure, high cholesterol and diabetes — should be carefully managed. “The heart is negatively impacted when other disease states are not well controlled. For example, poorly controlled diabetes, uncontrolled hypertension and untreated sleep apnea can all worsen heart failure,” says Dr. Brown. “Many patients misunderstand how connected the body is.”

ADOPT A HEALTHY LIFESTYLE.Lifestyle changes and self-management

can go a long way toward improving your symptoms and overall quality of

life. Dr. Brown recommends: » If you smoke, quit.

» Manage fluids, drinking no more than 2 liters daily. » Weigh yourself daily. Sudden weight gain can signal fluid retention. Contact your cardiologist if you gain 3 pounds in one day or 5 pounds in one week. » Choose a heart-healthy diet. Limiting sodium is especially important for people with heart failure.

In addition, staying active, getting enough sleep and avoiding heavy alcohol consumption and other drug use can reduce symptoms and prevent hospitalization.

MANAGE DEPRESSION. “It’s common for cardiac patients to

experience depression, and when left untreated, patients may lose motivation

to exercise, eat a heart-healthy diet, take their medications … and the list goes

on,” Dr. Brown says. “If there’s any question of depression, making sure

it’s treated appropriately is critical.”

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Heart failure occurs when the heart muscle can’t pump enough blood to meet the body’s needs. Signs and symptoms of heart failure include:

» Shortness of breath.» Swelling in the legs, ankles and/or belly.» Sudden weight gain. » Fatigue.Jennifer Brown, MD, cardiologist and heart failure

expert with Anne Arundel Medical Center, focuses on helping patients learn how to manage this disease. “Heart failure is one of the top reasons patients are admitted to

Nearly

5 millionAmericans have

heart failure.

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hospitals across the country, and the number-one reason patients are readmitted to the hospital within 30 days after discharge,” Dr. Brown stresses.

While most of the time heart failure cannot be cured, it can be managed. Dr. Brown recommends a four-pronged approach.

Medical school taught Dr. Brown how to treat heart failure. But her mother-in-law’s experience with it taught Dr. Brown how to care for people with heart failure. Read Dr. Brown’s inspiring personal story at askAAMC.org/DrBrown.

Heart of the MatterManaging heart failure can lessen your chance for hospital readmission

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MAKE A DIFFERENCE

Breaking BarriersAAMC awarded prestigious grant for lung health The Bristol-Myers Squibb Foundation has awarded one of eight lung cancer screening grants to Anne Arundel Medical Center. The grants aim to:

» Make lung cancer programs more accessible to high-risk populations.

» Identify barriers to lung cancer care for underserved people.

» Develop strategies to overcome those barriers through changes to the healthcare system.

AAMC received a three-year, $1.25 million grant. AAMC will use the grant to improve access to care for low-income and racial minority patients who are at risk for, or diagnosed with, lung cancer. It will focus on residents of Anne Arundel, Calvert and Prince George’s counties. The grant will fund greater outreach for smoking cessation programs and lung cancer screening. Additionally, the grant will expand the Rapid Access Chest and Lung Assessment Program (RACLAP).

“AAMC’s Geaton and JoAnn DeCesaris Cancer Institute’s lung screening and thoracic oncology programs have continued to expand over the past five years. But, our successes have been more limited among vulnerable, lower-income and minority populations,” says Stephen Cattaneo, MD, medical director of thoracic surgery at AAMC. “The grant from the Bristol-Myers Squibb Foundation allows us to better reach these at-risk patients in our region. We can inform them about the need for lung cancer screening. Plus, we can provide the tools they need to quit smoking.”

Remembering Rebecca FortneyRebecca “Becky” Fortney (formerly Becky Greco) was a true champion of our community. She lent her time and philanthropic support to several wonderful non-profit organizations in Anne Arundel County. Becky had a busy schedule running a successful real estate business and caring for several members of her family. Still, she found time to be a supporter for healthcare in our region by serving on the AAMC Foundation Board of Directors from 2003 to 2011.

Becky was sensitive to those who did not have the resources to access care. Over nearly two decades of support for AAMC, Becky provided more than $500,000 to fund:

» A safe room for victims of domestic violence in the Emergency Room.

» Programs and facilities for breast healthcare.» Facilities within the Geaton and JoAnn

DeCesaris Cancer Institute.Sadly, Becky passed away unexpectedly in the

summer of 2014, but her legacy lives on. Becky made a significant planned gift to AAMC through her estate to support breast health and geriatric care at AAMC. To honor her commitment, The Breast Center on the main AAMC campus was renamed The Rebecca Fortney Breast Center at a ceremony held on March 29, 2016.

It is the Fortney family’s hope, and ours, that Becky’s compassion, spirit, courage and legacy will serve as a source of inspiration and strength to all of the patients and families who receive care in The Rebecca Fortney Breast Center for many years to come.

Learn more » Learn more about AAMC’s thoracic oncology program by contacting our program coordinator at 443-481-5838. You can assess your lung health by visiting askAAMC.org/Breathe for our free lung health profiler.

16 S U M M E R 2 016 | LIVING HE ALTHIER TOGETHER

Heart of GoldGala

What started in 1966 as the Pink Lady Ball culminated in a celebration unlike any other gala event in this region. The 2016 Heart of Gold Gala was held on April 9 at the Hilton Baltimore at the Inner Harbor. Nearly 1,000 guests came together to raise more than $1 million for Anne Arundel Medical Center and our growing cardiovascular program.

Ringing in a new era, guests celebrated AAMC’s 50th anniversary gala with a new venue, new format, and a handful of surprises and gifts for gala guests.

The Heart of Gold Gala was chaired by AAMC Foundation Board Vice-Chair Mark Powell, his wife Lynne, and Jerry Segal, MD, medical director of AAMC’s Heart Institute. A huge thank you to our Gold sponsors for their support: BB&T, Comcast, Creston G. & Betty Jane Tate Foundation, and Mark & Lynne Powell, The Powell Foundation.

Give » Call the AAMC Foundation at 443-481-4747 or visit AAMCFoundation.org to learn how you can help.

1. (l–r) AAMC President and Chief Executive Officer Victoria W. Bayless, Heart of Gold Chairs Mark and Lynn Powell, and AAMC Cardiovascular Medical Director Dr. Jerry Segal

2. Heart of Gold Presenting Sponsors Angelina and Anthony Izzo and Mary Ann and Robert Richardson, The Izzo Family Foundation

3. Ejner and Nancy Johnson with Jay and Colleen Baldwin

4. AAMC Auction Co-Chair Pat Tate, AAMC Committee Member Amy Tate and AAMC Gala Gold Sponsor Barry Tate

5. AAMC Auction Co-Chair Claudia Boldyga and RxNT President and AAMC Gala Silver Sponsor Randy Boldyga

Photos courtesy of David Hartcorn Photography

PLEASE SAVE THE DATE! AAMC Foundation’s Denim & Diamonds Spring Bash is back next year—April 29, 2017, at AAMC’s South Campus. For more information about the AAMC Foundation’s 2017 Denim & Diamonds Spring Bash, please contact Kendra Smith Houghton at 443-481-4739 or email khoughton@AAHS.org.

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» Get a sports physical exam from your physician.

» Train for strength and flexibility, both in and off season.

» Know the rules and play safe.

» Wear protective equipment properly and without modifications.

» Warm up and cool down … every time.

» Drink plenty of fluids to stay hydrated before, during and after exercise.» Use proper techniques involved in the sport.

» Eat properly to allow for maximum performance and optimal recovery.» Take off at least one day per week to allow the body to recover.

» Understand your body and limits. Don’t push through pain.

Benjamin Petre, MD

Tips to stay in the game all season long

“ We are always taught to play hard,” says Dr. Petre. “But the most important thing is to play smart.”

LIVING WELL

Tips for avoiding lacrosse injuries Lacrosse is gaining popularity, making it one of the fastest-

growing team sports in the United States. U.S. Lacrosse estimates the game is played by nearly 685,000 athletes nationwide. The more people who play, the more injuries

will occur.“A small, hard rubber ball, long sticks, and the speed of

soccer with the contact of hockey. Can you think of a more injury-inviting sport than lacrosse?” says Benjamin Petre, MD,

orthopedic surgeon at Anne Arundel Medical Center. Ankle sprain, knee ligament or cartilage injury, and concussion

are the three most common lacrosse injuries. Female players are especially vulnerable to ACL injuries to the knee. All of these injuries have the potential to be season-ending.

According to the National Collegiate Athletic Association (NCAA), athletes are three to five times more likely to be injured in a game than in a practice; however, athletes are twice as likely to sustain injury in preseason practice versus regular season play. Strategies such

as preseason “no-pad” practices that condition lacrosse players before contact occurs can decrease the high preseason injury rate.

Stay in the GameAthletes are 3 to 5 times more likely to be injured in a game than in a practice.

OrthoTODAY >> If your athlete suffers an orthopedic injury that requires immediate attention, OrthoTODAY offers fast-access appointments with orthopedic specialists, available in both Annapolis and Pasadena. Call 410-280-4707 for an appointment.

18 S U M M E R 2 016 | LIVING HE ALTHIER TOGETHER

Pitch PerfectPreventing overuse injuries in youth baseballElbow injuries in young baseball players are an increasingly common problem, says Cyrus Lashgari, MD, orthopedic surgeon at AAMC.

“The act of throwing creates substantial stress on the elbow,” explains Dr. Lashgari.

“The elbow is protected by a combination of ligaments and muscle that help to dissipate this stress. Repetitive throwing, however, can cause significant injuries and lead to young pitchers being sidelined.”

Coaches and parents can reduce the frequency of injuries by limiting the amount of throwing and allowing for proper rest. The Academy of Orthopaedic Surgeons recommends that youth baseball players:

» Not throw for three consecutive months during the year.

» Not compete on more than one team during the same season.

» Follow pitch count recommendations for each player’s age. (See the chart at askAAMC.org/Living/PitchCount.)

» Not play both pitcher and catcher during the same season.

“Despite appropriate limits and rest, injuries can still occur,” warns Dr. Lashgari. “Pain, stiffness, and decreased velocity and accuracy are all potential indicators of a developing elbow injury.”

Players should not throw through pain. Instead, treat the elbow with rest, ice and anti-inflammatory medication.

If symptoms do not resolve within seven days, consult with an orthopedic specialist. Cyrus Lashgari, MD

ANATOMY OF THE ELBOW

Hum

erus

Triceps muscle

Ligaments

Biceps muscle

Biceps tendon

RadiusUlna

Make the most of your local marketOne of the great delights of the summer is fresh, local produce from the farmers market. A basket full of produce from your neighborhood market can encourage you and your family to eat healthy, while supporting local farmers and being environmentally friendly. There are also many simple pleasures in buying food grown close to home.

“One of the benefits of buying local is taste,” says Charlotte Wallace, RN, community health nurse and sustainability coordinator at Anne Arundel Medical Center. “Produce is more delicious the closer to harvest it is, because it is more nutritionally dense.”

Charlotte says she loves shopping at farmers markets because she enjoys building relationships with the farmers she buys from. “You get to know the farmers growing it and can directly ask them questions, such as about the chemicals they use, if any,” she explains.

To get the most out of farmers market shopping, Charlotte recommends going early in the day, when the selection is widest. For budget-conscious shoppers, Charlotte adds that going late in the day can be beneficial as well, because farmers may be more willing to negotiate price. “They would rather lower the price of their produce than have to bring it back home, so they might negotiate with you,” she says. Some farmers will also sell less-than-pretty produce in bulk for a cheaper price.

The products available at farmers markets vary as the seasons progress, but there are often a variety of fresh, colorful choices whether you go in the spring, summer or fall. And with some planning, you can enjoy the bounty year-round, Charlotte says. “You can preserve your produce by freezing, canning or jarring it to save for the winter months.”

Farm Fresh

Shop local >> AAMC hosts a farmers market on the lower level of Hospital Pavilion South on Fridays, 10:30 am–1:30 pm, June 1 through Oct. 28 (excluding Labor Day weekend). Park in Garage A. All produce is grown within 140 miles of campus.

Charlotte Wallace, RNGo online for farmers market recipes at askAAMC.org/Living/Recipes.

Stay in the Game

ask A AMC.org 19

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2001 Medical Parkway Annapolis, MD 21401

Patricia Holle helps cancer patients and survivorsPatricia Holle describes herself as a “mammogram success story.” When her breast screening showed an abnormality, Pat underwent 18 months of treatment for stage 2B breast cancer at Anne Arundel Medical Center. Once she was pronounced cancer-free, Pat was determined to help others who were facing cancer diagnoses.

Luckily, she didn’t have to look far: She joined the volunteers who serve as AAMC’s patient and family advisors. Pat says she was hooked by the program’s theme, Nothing About Me Without Me.

Pat had benefited from their services when she was a patient, so she felt it was a natural fit for her to return the favor. “There is something so special about AAMC,” says Pat. “They have such great care, even after treatment is done.”

In her advisor role, Pat collaborated on the guide that breast cancer patients are given when they begin their cancer journey. “Empathy is wonderful,” says Pat, “but a unique perspective is given by someone who has been through breast cancer.”

One annual event that holds particular meaning for Pat is AAMC’s National Cancer Survivor’s Day celebration. That’s where she learned about the Annapolis Dragon Boat Club, the local club of an international movement of cancer survivors who paddle and race stylized boats. “We like to say that it is a support group that’s not only about the disease,” says Pat. “Plus, being an athlete again is a great thing.”

The dragon boat is featured in a painting that now hangs in The Rebecca Fortney Breast Center at the Geaton and JoAnn DeCesaris Cancer Institute, and is reproduced on note cards that are in a gift bag given to breast cancer patients on the day of their surgery. Pat remarks, “In the face of having a life-threatening diagnosis, it is reassuring to have a visit from a survivor with these special gifts.”

Many Paddles in the Water

AAMC Patient and Family Advisor Patricia Holle

paddles with fellow cancer survivors in the Annapolis

Dragon Boat Club.

Patient to patient » To find out more about taking advantage of the service of patient and family advisors — or becoming one — visit AskAAMC.org/Advisors.

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