- News & Press ReleasesGeneral Page Tier 3BlogLanham, MD—Luminis Health Doctors Community Medical Center (LHDCMC) proudly marks its 50th anniversary, celebrating five decades of exceptional care and service to Prince George’s County. As part of this milestone, LHDCMC is hosting special events aimed at addressing maternal health disparities and supporting expectant and new mothers in the community. On Saturday, April 5, LHDCMC will host its 50th Anniversary Golden Gala, an evening of celebration and tribute to the hospital’s legacy of providing high-quality care since 1975. The event will bring together healthcare leaders, community advocates, and supporters to honor the hospital’s legacy while raising funds to expand services, advance health equity, and eliminate disparities. Following the gala, Luminis Health’s Community Improvement Department will hold a Community Baby Shower on Saturday, April 12, from 12 pm to 4 pm, on the LHDCMC campus. This free event will provide essential resources, education, and support for expectant and new mothers in Prince George’s County, featuring: Expert-led panel discussions on gestational diabetes, preeclampsia, postpartum depression, nutrition during and after pregnancy, and lactation Local vendors offering baby essentials and services Diaper and baby essential giveaways “We want mothers and loved ones to feel empowered about their health during pregnancy,” said Temi Oshiyoye, Luminis Health’s director of Community Health Improvement. “With 8 out of 10 moms having to leave Prince George’s County to give birth, we want them to know that support and resources are available close to home, before, during, and after pregnancy.” As part of its on-going commitment to maternal health, Luminis Health has opened an Ob-Gyn clinic in Greenbelt and launched CenteringPregnancy®, a nationally recognized program that offers group sessions for expectant mothers and personalized consultations with trusted Ob-Gyns and midwives. LHDCMC is finalizing design plans to add inpatient obstetric services, labor, delivery, and postpartum care with rooms designed for a family-centered birth experience. These initiatives will transform healthcare in Prince George’s County and play a crucial role in eliminating maternal and infant mortality, an ambitious goal of Vision 2030, the health system’s 10-year strategic plan. “Prince George’s County has a maternal mortality rate that is twice the national average, and this is simply unacceptable,” said Deneen Richmond, president of Luminis Health Doctors Community Medical Center. “Luminis Health is taking bold steps to address these disparities by expanding access to quality prenatal and postnatal care, educating families, and advocating for systemic change. These events are not just celebrations of our past but reaffirmations of our commitment to a healthier future for mothers and babies in the communities we serve.” Anticipated to open in 2028, the new state-of-the-art women’s health center on the hospital’s Lanham campus is expected to welcome approximately 2,000 babies each year once fully operational.
- Orthopedics, Senior CareGeneral Page Tier 3BlogJoint replacement surgeries are some of the most successful and popular operations in the medical field. These procedures have helped countless people achieve more mobility and less pain with brand new hips or knees. Sounds like the perfect solution to joint pain, right? But how do you know if you’re ready for joint replacement surgery? It’s not a simple answer, and the timing of your surgery can greatly affect your result. An orthopedic surgeon who specializes in these operations can help you decide if and when to have surgery. A surgeon will talk to you about your pain level and mobility, examine how you walk and evaluate your x-rays before recommending a plan. If you’re experiencing joint pain and thinking about surgery, it will help to be familiar with the following points before you start a conversation with your surgeon: Arthritis and cartilage The most common form of arthritis is called osteoarthritis, a degenerative process which causes your cartilage cushion to wear down. Since cartilage covers the bones in your joints, this can affect how your joints move and feel. If your x-rays show that your cartilage cushion around your joints is gone, it may be time for surgery. Patients call this state “bone on bone.” If your x-rays show you still have your own cartilage, it’s probably too soon for replacement surgery. Hip vs. knee replacement Deciding on hip replacement can be easier than choosing to have a knee replacement. Here’s why: Hip pain is constant, and non-surgical methods of relieving pain aren’t as effective as with knees. Knees are more difficult. Knee pain will come and go, so it’s harder to recognize your pain level. Also, there are other effective ways to relieve pain for knees besides surgery. Injections and physical therapy tend to work better for knees compared to hips. Knee replacement patients often don’t expect the pain that comes with rehab after surgery. Your symptoms: A personal choice Ice and heating packs, joint injections, weight loss, over-the-counter medications and physical therapy can all help reduce pain. However, if you’ve tried these methods and you still have severe pain in your groin or around your knee, it’s time to see a surgeon. While we can make medically based recommendations, remember that having joint surgery is a personal decision. My patients often make the choice to have surgery when their pain is so bad they can’t even sleep or it prevents them from traveling or doing something they love. Patients ready for surgery often stop asking what they can’t do with a total joint, and start looking forward to what they can do after surgery. Still not sure? If you have daily pain that limits your activities, you may benefit from surgery. Surgeons can certainly guide your decision, but the final choice is yours. We want you to feel a big enough improvement after your surgery to be glad you went through the procedure. And remember, joint replacement surgeries have been helping people for decades and most patients are very happy with their results. To learn more about joint replacement surgery, visit https://www.luminishealth.org/en/services/joint-replacement-surgery. Author By James MacDonald, MD, orthopedic surgeon at Luminis Health. To reach his practice, call 410-268-8862.
- Pregnancy & Birth, Women's HealthGeneral Page Tier 3BlogYou’re pregnant – congratulations! Whether it’s your first baby or you’re adding a brother or sister to the family, having a safe, healthy and positive labor experience is what every family wants. One option for many women and their partners is to include a doula as part of their care team. A doula is a trained, non-medical, professional who nurtures, supports and offers guidance for families throughout labor and delivery, and after the birth. Doulas offer a wide range of services, including help with breastfeeding as well as postpartum care. Studies show a doula’s continuous labor support benefits mom and baby in many ways. It can often mean: • A more satisfying birth experience• Less need for pain medications• Less likelihood of needing a cesarean delivery• Shorter labor Finding the right person to be part of one of the most important events of your life may feel overwhelming. So, where do you start and how should you choose? Here are six tips to guide you in your search. Start looking early in your pregnancy It’s good to begin the process of finding a doula at your fourth to fifth month of pregnancy. Finding someone who’s the right fit may take more time than you think. Doulas work on-call, so they have a limit on how many clients they can serve at one time. Choosing a doula early in your pregnancy will give you time to get to know each other and get comfortable with your birth plan. Talk to other families As with most things, word-of-mouth referrals are gold. Talking with friends who have used a doula about their experience can help you start and even narrow your search. Technology – Facebook groups, a Google search for other online groups and forums – can connect you with other moms in your area. Keep in mind that everyone’s experience can be different. A good match for someone else may not be a good match for you, and vice-versa. Talk with the provider who’s caring for you during your pregnancy You’ll need to let your doctor or midwife know you’re planning on having a doula as part of your labor and delivery team. And if your provider has worked with a doula in the past, they may be able to offer a recommendation. The hospital’s lactation consultants and childbirth educators are also good resources. Check with doula certification programs Most doulas will have completed a certification program and are continually participating in education to increase their knowledge. These programs offer national, and even global, online directories of certified doulas that you can search by location. Some well-known programs include: • Birthing From Within• Childbirth and Postpartum Professional Association (CAPPA)• DONA International• DoulaMatch.net• International Childbirth Education Association (ICEA) Interview potential doulas Spending face-to-face time with the person who will be part of your baby’s birth is a must. You not only want to gather important information about them and their background, but you also need to get a feel for whether your personalities are a good fit.Prepare for the interview by thinking about why you want a doula and what you them to do for you. Spend time on the doulas’ websites. DONA International recommends asking potential doulas about: • Availability• Certification status• Experience• Fees• Services offered• Training Trust your gut When you choose someone to provide any service, there’s no doubt experience and technical skills are must-haves. But soft skills, such as communication, empathy and teamwork, come into play too. Pay attention to how you connect with and feel when you’re with them. No one knows you and what you need better than you do. Listen to and follow your instincts. Learn more Sara Shaffer is a Certified Nurse Midwife (CNM) at Luminis Health Anne Arundel Medical Center.
- Behavioral Health, PediatricsGeneral Page Tier 3BlogAs parents, we put our children’s medical needs first. When our kids have a tummy ache or fever, we don’t hesitate to call the pediatrician. These health needs are easy to identify. But when it comes to our children’s mental and emotional health, symptoms and signs of distress may not be as easy to spot. A mental health crisis occurs when a child has thoughts and feelings that can lead them to hurting themselves or others. That interfere with their ability to do everyday things or present a deterioration in their functioning. Here are tips to help you recognize the signs before and if a mental health crisis in your child occurs. Signs of distress Pay attention to behaviors that are contrary to your child’s baseline behavior, such as: Persistent physical aches that continue after a visit to your pediatrician Sudden changes in sleeping or eating patterns Bed wetting that is inconsistent with expected age development Unusual clinginess, whining or crying While signs vary from young children to teenagers, signs of a mental health crisis where you should seek immediate professional help include: Significant distress and/or out of control behavior that is difficult to calm down Verbalizing suicidal thoughts or plans Self-injury Harming others and/or animals Signs you might see in teenagers in need of mental health support include: Isolation and avoiding social activities Drastic mood swings Excessive irritability, anger, worry or fear Distress Deviant or odd behavior or ideas Signs of a mental health crisis requiring immediate professional help include: For example, your child is not able to complete school work or study, maintain relationship with others or take care of themselves. Dangerous thoughts or behaviors. This often means thoughts of death and suicide, and/or self-injury Violence Panic attacks Feelings of hopelessness, helplessness, worthlessness or pessimism Prevention Become informed on mental health and mental illness through books, credible websites, workshops, speaking to professionals, and by speaking to other parents who are in similar situations. You can also build protective factors around your child. Building protective factors are as simple as having family meals together, giving specific praise to your child, monitoring their use of technology and engaging in mindfulness activities. Equally important is being present in your child’s life. This means spending quality time together, fostering open communication, listening without judgment and providing support. Don’t be afraid to seek help If you think your child is experiencing a mental health crisis, don’t be afraid to seek professional help. For immediate help, call 911, the Crisis Response Team for your county, or crisis a hotline like the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Author Maria Winters, LCPC, is a mental health clinician at AAMC. You can reach her at 667-204-7311.
- Orthopedics, Senior Care, Women's Health, UncategorizedGeneral Page Tier 3BlogFor some people, having a heart attack can be life changing, spurring them on to healthier life choices, like regularly exercising, starting a heart-healthy diet and taking medication. A bone fracture is not unlike a heart attack — they are both a sign that something is wrong. In the case of a fracture, it could mean you have osteoporosis or a weaker form of bone loss called osteopenia. Bones shouldn’t break with low-energy falls such as from standing height or less. When they do, your doctor may want to run blood and bone density tests to determine if you have osteoporosis. If diagnosed, you should learn about weight-bearing exercise, fall prevention and nutrition for healthy bones. In addition, you may be a candidate for an osteoporosis medication. There are several medications available to treat osteoporosis: Bisphosphonates make up the largest class of drugs. This includes Fosamax (Alendronate), Actonel (Risendronate), Boniva (Ibandronic acid), and Atelvia, which are pill form, and Zometa and Reclast (Zoledronic acid), which are once-yearly injections. These drugs have been studied in large clinical trials for up to 10 years, and complications are rare. We typically recommend patients cycle on and off bisphosphonates in three- to five-year cycles. You can take a “drug holiday” with careful follow up and strict attention to weight-bearing exercise and good calcium and vitamin D intake. Prolia (Denosumab) is a newer treatment option administered through a shot every six months. It is very effective in protecting bone mass and is well tolerated by patients. There is a slight risk for patients who are prone to infection or who are on immunosuppressive therapy, since it is an antibody therapy. It acts on the same cells as bisphosphonates, so it could have similar risks. Hormone replacement therapy for women after menopause may help protect bones. Evista (Raloxifene), a pill taken daily, affects the estrogen receptors on breast and bone tissue and helps protect against both breast cancer and osteoporosis. Forteo (Teriparatide) is the only medicine currently available that builds bone. It is an injection self-administered daily. It is limited to two years of use. Once the two years of therapy are complete, you switch to one of the other medicines to maintain the gains you made with Forteo. Most of the medications reduce the risk of having a new fracture by about 50 percent. If you’ve had a fracture from a low-energy injury and you have osteopenia, you’re also a candidate for one of these medications. Osteoporosis is one of the most undertreated diseases of modern times, despite the abundance of good treatments. Fractures from osteoporosis lessen your quality of life with each new fracture. We must treat fractures as a life-altering event triggering treatment of osteoporosis, just like a heart attack triggers treatment of cardiac disease. Author Christina Morganti, MD, is an orthopedic surgeon at Anne Arundel Medical Center. She has opened a dedicated osteoporosis program at her practice, AAMC Orthopedics. To reach her office, call 410-268-8862. Originally published Sept. 25, 2015. Last updated Oct. 12, 2018.
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