Patient Stories, Plastic Surgery & Skin Care
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Comfortable in Their Own Skin
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After years of struggling with a large chest, Elliot Gordon (name changed for privacy) decided to look into top surgery, which is the removal of breast tissue to create a more masculine appearance. It’s a form of gender-affirming care.
Gordon developed breasts at a young age and not only found them uncomfortable but as they got older, they did not identify as a woman and did not want breasts. “I never liked having breasts. They caused back and neck pain,” says Gordon. In addition, Gordon has a strong family history of breast cancer. They reached out to Luminis Health to learn about surgical treatment options.
After learning about Gordon’s discomfort, identity and family history, the breast surgery and plastic surgery teams decided to work together to treat Gordon.
A Luminis Health breast surgeon performed a double mastectomy to remove breast tissue. The plastic surgery team worked on the reconstruction and design of incisions to give Gordon an aesthetic flat closure.
“It was a great experience,” says Gordon. “Everyone treated me with respect and kindness. I could not have asked for a better team.”
“It was an honor to treat Gordon,” says Derek Masden, MD. “Not only did surgery reduce Gordon’s risk of cancer, it helped them feel comfortable in their own skin.”
In Gordon’s case, the surgery was considered a mastectomy, which is used to treat breast cancer and can be done preventatively for those with a high risk of developing cancer. In other cases, breast removal for gender-affirming care is considered top surgery. While not related to cancer, it is incredibly important for the lives of transgender people. Here are a few benefits of gender-affirming care:
Improves Mental Health: Gender affirming care can significantly reduce gender dysphoria, anxiety, depression, and other mental health issues that transgender individuals may experience.
Improves Body Satisfaction: Hormone therapy and surgeries can help transgender individuals feel more comfortable and satisfied with their bodies, reducing feelings of distress or discomfort associated with physical characteristics incongruent with their gender identity.
Strengthens Relationships: Gender affirming care can help transgender individuals build healthier relationships with themselves and others by fostering self-acceptance, authenticity, and open communication.
Supports Long-Term Health Outcomes: Gender affirming care can contribute to better long-term health outcomes by addressing both physical and mental health needs, ultimately reducing healthcare disparities among transgender individuals.
If you or someone you know is interested in gender-affirming surgery, please visit our Plastic Surgery group to request a consultation.
News & Press Releases
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National Emergency Medical Services Week: A Time to Celebrate and Advocate
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National Emergency Medical Services (EMS) Week serves as a poignant reminder of the vital role that Emergency Department (ED) personnel play in safeguarding our communities’ health and well-being. This year holds particular significance as we commemorate the 50th anniversary of President Ford’s establishment of EMS Week. Now more than ever, amidst unprecedented challenges, we honor the dedication of medical personnel who provide around-the-clock lifesaving services, such as first responders, emergency medical technicians, physicians, nurses, and countless others. During Emergency Medical Services Week (May 19-25), let’s recognize the invaluable contributions of these individuals who save lives and provide critical care when every second counts.
Luminis Health Anne Arundel Medical Center, with more than 120 years of proud history, has one of the busiest EDs in the entire country and is one of the few hospitals in the state with a pediatric ED. With nearly 95,000 ED visits each year, it takes a dedicated team of doctors, nurses, receptionists, other hospital staff and volunteers who work tirelessly 24 hours a day to give you the care you need as quickly as possible. Knowing emergency rooms can feel frightening for young patients, we have a dedicated space with kids in mind. At our pediatrics ED, children receive tailored attention from a specialized team ready to treat their unique needs. For all patients, we use a process called triage to carefully prioritize who needs care first. Treatment is administered based on the severity of their condition, with those facing life-threatening illness or injury receiving immediate attention. This means that someone who arrives after you may receive care before you.
At Luminis Health, we believe in a culture of mutual caring: We provide the best care possible in a healing environment and we always treat each other with respect and dignity. Caring for and protecting patients, families, employees, and our community, is important to us. Dealing with an emergency is stressful, particularly when waiting for care in an Emergency Department. We try to minimize this stress by initiating care in our waiting room and keeping our patients informed while waiting.
Luminis Health has also made significant investments to offer more expansive care programs for mental health, substance use and domestic violence in our ED. Additionally, Maryland lawmakers recently provided funds to enhance security for staff and patients, and creating de-escalation spaces in the Pediatrics Emergency Department.
During EMS Week, it’s also important to recognize the challenges some of our ED staff face from time to time. According to the American College of Emergency Physicians, 2 out of 3 Emergency Department physicians reported being assaulted in 2022. One quarter of them reported being assaulted multiple times a week. That’s why Luminis Health supports the Safety from Violence for Healthcare Employees (SAVE) Act. If enacted by Congress, the law would provide protections similar to those that exist for flight crews, flight attendants and airport workers.
As we continue to improve ED wait times, we also ask for your help to ensure you receive timely care, by taking these steps:
Make sure you bring everything you need for emergency care
Your time in the Emergency Department will be more efficient if you bring essential items for your care team, such as the following:
Driver’s license or identification card
For individuals covered by a health insurance plan, your insurance card
List of medical history, medications and allergies, primary physician, specialists
Urgent care is another option
There are many situations in which the ED is the best place to go for care, such as life-threatening injuries or conditions. In other cases, urgent care centers are a convenient option for minor issues such as cough and cold symptoms, minor cuts, sprains and strains, etc.
Telehealth visits are refreshingly easy
If your situation is not a true emergency, Luminis Health offers CareConnectNow, a virtual urgent care service for ages 13 and up. We provide expert care for many conditions that need immediate, but not emergency, attention. With the availability of after-hours and weekend virtual visits, we aim to accommodate your schedule. You can also access this convenient service by calling (443) 951-4270.
At Luminis Health we continue to evaluate and explore ways to ensure a positive patient experience. That is our commitment to our community. We thank you for your patience, support, and your own efforts as we strive to improve emergency care for every patient. Let us carry forward the appreciation and recognition for the unwavering dedication of our Emergency Department personnel during EMS Week and throughout the year.
Authors
Dr. Michael Kent, is the emergency department medical director at Luminis Health Anne Arundel Medical Center
Dr. Lauren Fitzpatrick, medical director of pediatrics at Luminis Health Anne Arundel Medical Center
Behavioral Health
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Your Mental Health Matters: 5 Ways to Safeguard Mental Health in Older Adults
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At any age, mental health challenges can arise. While significant focus has been rightly given to mental well-being in younger people, it’s crucial not to overlook our seniors. The National Council on Aging (NCOA) underscores this, revealing that up to 25% of older adults live with mental health issues, like anxiety or depression.
If left untreated, mental health conditions can negatively affect your physical well-being and quality of life. Fortunately, many factors contributing to mental health decline are avoidable. As May marks Mental Health Awareness Month and Older Americans Month, now is an ideal time to implement these five strategies aimed at preserving your mental well-being as you grow older.
1. Nurture/invest social connections
Loneliness and social isolation can significantly increase mental health issues later in life. They can also increase your risk of high blood pressure, heart disease and early death.
These tips can help nurture/invest social connections:
Stay in touch with friends and family via social media or video chat. Virtual meet-ups can help you feel less alone.
Volunteer. Giving back to others can help you meet people in your community. It can also provide a sense of purpose that older adults may lose after retirement.
Get tested and treated for hearing loss. It affects one in three adults aged 65 to 74, according to NCOA. Hearing loss can make it difficult to follow what’s happening around you. It’s a common reason older adults withdraw from social interaction.
2. Get regular physical activity
Sitting for long periods of time and lack of physical activity can increase your risk of depression. Physical activity can boost your mood.
For overall health and well-being, older adults should get at least 150 minutes of moderate-intensity exercise, like brisk walking, each week, or 75 minutes of high-intensity exercise, like running. Talk to your primary care provider and decide what’s best for you. They also need at least two days of strength-building and balance activities, which can be done from the comfort of your home.
The Centers for Disease Control and Prevention recommends multicomponent physical activities to meet these triple goals. Try these:
Sign up for a dancing class at a local community center for older adults.
Take up yoga or Tai-chi. There are many online offerings at no cost.
Explore outdoor activities like gardening or hiking. But remember to stay hydrated.
3. Try music therapy
Listening to or making music seems to activate brain areas that can improve mental and physical health. Research finds that music-based interventions may be helpful for anxiety, depression and chronic pain. Go ahead and play that oldie but goodie!
4. Reduce caregiver stress
Some older adults face the added emotional challenges of caregiving. According to a 2023 AARP Survey, 50% of caregivers said caregiving increased their emotional stress, while 37% said it caused physical stress.
If you’re a caregiver, the Luminis Health Caring for Caregivers page provides self-care tips and local caregiver resources. These can help you care for your loved one while taking care of yourself.
5. Recognize mental health issues
Depression is common in older adults, but it’s not a normal part of aging. Less than half of older adults who struggle with mental health and substance use issues get the treatment they need.
Getting help starts with scheduling regular checkups with your primary care doctor. They can help you manage physical limitations or medical conditions, such as post-stroke or cancer recovery, which may increase your risk of depression. Should you or your loved one experience any of the following symptoms persistently for more than two weeks, it’s crucial to inform your doctor, as they could point to mental health issues:
Anger or irritability.
Anxious or sad mood.
Changes in appetite, mood and energy level.
Difficulty concentrating, remembering or making decisions.
Difficulty sleeping or sleeping too much.
Drug or alcohol misuse.
Feeling guilty or hopeless.
Hearing, feeling or seeing things other people don’t.
Loss of interest in things they once enjoyed, including sex.
Next steps
After ruling out medical causes, your doctor may start treatment for a mental health condition, or refer you to a mental health professional for evaluation and treatment. Mental health problems are often treated with a combination of medication and talk therapy.
You can receive high-quality mental and behavioral health services at The Luminis Health Doctors Community Medical Center Behavioral Health Pavilion on our Lanham campus. You can also call 301-623-4350.
Cancer Care
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Do You Know The Signs Of Head and Neck Cancer?
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When cancer begins inside the mouth, throat or nose, it is considered a head and neck cancer. According to the National Cancer Institute (NCI), head and neck cancers account for nearly 4 percent of all cancers in the United States. That may sound low, but more than 70,000 new cases are diagnosed in the U.S. annually. Our experts review the symptoms associated with this disease.
The signs of head and neck cancer include:
Lumps and sores that do not heal
Persistent sore throat
Difficulty swallowing
Harshness/change in voice
Red or white patches in the mouth
Trouble breathing or speaking
If you experience these changes, talk to your primary care doctor. These could be symptoms of cancer in the oral cavity, throat, voice box, sinuses or salivary glands. Depending on your symptoms, age and medical history, your provider can recommend a diagnostic test for you. Options including imaging, biopsies and speech and swallowing tests.
If you are diagnosed with a head and neck cancer, treatment may include:
Surgery
Radiation
Chemotherapy
There is potential to use these treatments alone or combined, depending on the subtype and extent of cancer. Treatment requires expert team work among multiple doctors, such as ear-nose-throat (ENT) doctors, surgeons, radiation oncologists and dentists. These providers work together to create a treatment plan.
Risk factors for head and neck cancer include heavy tobacco use, heavy alcohol intake and human papilloma virus (HPV). In fact, according to the Head and Neck Cancer Alliance, at least 75 percent of head and neck cancers are caused by alcohol and tobacco use. To reduce your risk of this disease, our experts recommend:
Avoiding alcohol – it is best to not drink alcohol. If you choose to drink, drink moderately, limiting intake to no more than two drinks per day for men and one drink per day for women (definition per the Centers for Disease Control).
Avoiding tobacco – it is never too late to quit smoking. Call Luminis Health at 443-481-5388 for free resources to help you quit.
Vaccination for HPV – most providers routinely recommend it for preteens ages 11-12. For adults up to 45 years, have a thorough discussion with your provider.
If you or a loved one has been diagnosed with a head and neck cancer, our cancer team is here to help. Read about our cancer care services to learn more.
Authors
Antony Koroulakis, MD is a radiation oncologist with experience treating a wide range of cancers.
News & Press Releases
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Luminis Health Anne Arundel Medical Center Is Consistently Recognized Nationally with an ‘A’ Leapfrog Hospital Safety Grade
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Luminis Health Anne Arundel Medical Center (LHAAMC), the premier healthcare institution in Annapolis, has received its eleventh consecutive ‘A’ Grade from the Leapfrog Hospital Safety Grade.
According to Leapfrog, LHAAMC has earned ‘Straight A’s’ for every grading period since 2018, and is the only hospital in Maryland to earn this prestigious honor. Grades are updated twice annually in the fall and spring. This latest accomplishment follows the hospital’s third Magnet designation for nursing excellence and its recognition as one of Newsweek’s Best Hospitals in the United States.
“Earning consistent ‘Straight A’s’ from Leapfrog demonstrates our on-going dedication to delivering safe, high-quality care, and exceptional patient experiences,” said Sherry Perkins, president of LHAAMC. “This is emphasized as we prepare to celebrate Nurses Week and Hospital Week, a timely reminder that throughout our hospital’s nearly 125-year history, our staff, physicians, and volunteers always prioritize the care of our patients, ensuring we meet the health care needs of our community.”
Luminis Health remains committed to implementing and upholding best practices that prioritize quality, safety and accountability across all operational fronts. Our dedication to patient safety is embedded within our organizational ethos, demonstrated through a range of initiatives including regular safety meetings, patient rounds, ongoing education programs for clinical staff, and feedback from our patients. We work closely with the Patient Family Advisors, a dynamic group comprising both staff and community members, who actively engage in voicing concerns and finding solutions.
The Leapfrog Group is a nationally renowned organization dedicated to assessing and improving healthcare quality and patient safety. Leapfrog assigns an “A,” “B,” “C,” “D” or “F” grade to general hospitals across the country based on over 20 national performance measures reflecting errors, accidents, injuries and infections, as well as the systems hospitals have in place to prevent harm. The grading system is peer-reviewed, fully transparent and free to the public.