Do you have questions about what surgical weight loss looks like?
Now is your chance to follow it live on Monday, August 17 at 9:30 a.m. Dr. Alex Gandsas, Division Head, Bariatric and Minimally Invasive Surgery at Sinai Hospital of Baltimore, will perform a sleeve gastrectomy on a 49-year old male with a history of hypertension and sleep apnea. The patient's body mass index is 57 and he currently weighs 362 lbs. His ideal weight is 159 lbs.
In this procedure, the stomach is reduced to about 15 percent of its original size, and is performed laparoscopically.
To access the live twittered surgery, search for LBHealth on Monday beginning at 9:30 a.m. Then follow us by using #LBOR. You can always find out the latest in health news and what's going on at LifeBridge Health by following us on Twitter - http://twitter.com/lbhealth.
Thursday, August 13, 2009
Wednesday, August 12, 2009
Sinai Nurse Wins Spirited Women Award
Sinai Hospital oncology nurse Bunny Kohn, R.N., was honored as the 2009 Spirited Women of Baltimore this afternoon. The event was held at Morton's Steakhouse and benefited the American Red Cross.
The Spirited Women Awards recognize women making extraordinary contributions to the community. Kohn, who works in the Alvin & Lois Lapidus Cancer Institute Outpatient Infusion Center, has worked at Sinai for 37 years. She began her career in Women’s Surgery and continued on with the program after it was combined with the Department of Oncology in 1995. Since that time she successfully completed a local oncology and chemotherapy curriculum and earned her National Oncology Nursing Certification in 1999.
In her spare time, and using her own funds, Kohn organizes "card parties" to make homemade cards for cancer patients, and also knits scarves and hats for those undergoing chemotherapy.
The award recognizes someone who is a leader and mentor in her profession, as well as exemplifying volunteerism, generosity, compassion, sensitivity and humility. In this picture, Kohn poses with MyCity4Her founder Monyka Berrocosa.
"I was more than overwhelmed to be honored for the things I do in the community," Kohn says. "I was speechless."
Other awards winners were Teresa Hall, named the Spirited Woman on the Rise, and Sharon Perfetti, named the Spirited Woman in Balance.
The Spirited Women Awards recognize women making extraordinary contributions to the community. Kohn, who works in the Alvin & Lois Lapidus Cancer Institute Outpatient Infusion Center, has worked at Sinai for 37 years. She began her career in Women’s Surgery and continued on with the program after it was combined with the Department of Oncology in 1995. Since that time she successfully completed a local oncology and chemotherapy curriculum and earned her National Oncology Nursing Certification in 1999.
In her spare time, and using her own funds, Kohn organizes "card parties" to make homemade cards for cancer patients, and also knits scarves and hats for those undergoing chemotherapy.
The award recognizes someone who is a leader and mentor in her profession, as well as exemplifying volunteerism, generosity, compassion, sensitivity and humility. In this picture, Kohn poses with MyCity4Her founder Monyka Berrocosa."I was more than overwhelmed to be honored for the things I do in the community," Kohn says. "I was speechless."
Other awards winners were Teresa Hall, named the Spirited Woman on the Rise, and Sharon Perfetti, named the Spirited Woman in Balance.
Tuesday, August 11, 2009
Extreme Wounds Heal at Northwest
by Helene King
At Northwest Hospital, patients are benefiting from a highly effective approach to treating chronic wounds. Through the Center for Wound Care at Northwest Hospital, hyperbaric oxygen therapy (HBOT) is now used to treat stubborn, non-healing wounds, including diabetic wounds and other ulcers of the lower extremities.
Hyperbaric oxygen therapy enables patients to breathe 100 percent oxygen inside a pressurized chamber.
“Ulcers that do not heal are often caused by a decrease of blood flowing to a certain area of the body,” says Alan S. Davis, M.D., F.A.C.S., director of the Center for Wound Care and HBOT at Northwest Hospital. “This process assists in healing wounds, fights certain types of infections and helps improve circulation by stimulating new blood vessel growth.”
The hyperbaric oxygen chambers have been in operation for several years at Northwest Hospital, which is one of only a handful of regional hospitals offering this therapy. The results speak for themselves.
What began as slight discomfort for 69-year old Michael Sanner almost cost him the use of his leg. A stone lodged in his shoe had rubbed his ankle raw. Sanner noticed the bruised ankle turning a dark color the following day. His physician’s diagnosis: gangrene in the ankle with the possibility that his food would need to be amputated.
“It took me by surprise, it happened so quickly,” says Sanner, who was referred to the Center.
When conventional treatment didn’t work, it was determined that Sanner, a diabetic, was a candidate for HBOT. Almost immediately after the first treatment, the wound began to heal.
“It was the easiest healing process I’ve ever experienced, no fuss, no pain, no bother,” says Sanner.
In an initial patient consultation, measurements are taken to determine the likelihood of healing with HBOT. After several treatments, measurements are taken again to determine the therapy’s effectiveness.
The hyperbaric oxygen chambers are staffed by surgeons, technicians and nurses- all specially trained in hyperbaric medicine.
For a preliminary consultation, contact the Center for Wound Care at Northwest Hospital at 410-496-7191.
At Northwest Hospital, patients are benefiting from a highly effective approach to treating chronic wounds. Through the Center for Wound Care at Northwest Hospital, hyperbaric oxygen therapy (HBOT) is now used to treat stubborn, non-healing wounds, including diabetic wounds and other ulcers of the lower extremities.
Hyperbaric oxygen therapy enables patients to breathe 100 percent oxygen inside a pressurized chamber.
“Ulcers that do not heal are often caused by a decrease of blood flowing to a certain area of the body,” says Alan S. Davis, M.D., F.A.C.S., director of the Center for Wound Care and HBOT at Northwest Hospital. “This process assists in healing wounds, fights certain types of infections and helps improve circulation by stimulating new blood vessel growth.”
The hyperbaric oxygen chambers have been in operation for several years at Northwest Hospital, which is one of only a handful of regional hospitals offering this therapy. The results speak for themselves.
What began as slight discomfort for 69-year old Michael Sanner almost cost him the use of his leg. A stone lodged in his shoe had rubbed his ankle raw. Sanner noticed the bruised ankle turning a dark color the following day. His physician’s diagnosis: gangrene in the ankle with the possibility that his food would need to be amputated.
“It took me by surprise, it happened so quickly,” says Sanner, who was referred to the Center.
When conventional treatment didn’t work, it was determined that Sanner, a diabetic, was a candidate for HBOT. Almost immediately after the first treatment, the wound began to heal.
“It was the easiest healing process I’ve ever experienced, no fuss, no pain, no bother,” says Sanner.
In an initial patient consultation, measurements are taken to determine the likelihood of healing with HBOT. After several treatments, measurements are taken again to determine the therapy’s effectiveness.
The hyperbaric oxygen chambers are staffed by surgeons, technicians and nurses- all specially trained in hyperbaric medicine.
For a preliminary consultation, contact the Center for Wound Care at Northwest Hospital at 410-496-7191.
Monday, August 10, 2009
Brain & Spine Institute hosts International Hydrocephalus Conference
In mid-September, many of the top hydrocephalus experts from around the world will converge at the Hyatt Regency Hotel at the Baltimore Inner Harbor for three back-to-back scientific conferences concerned with hydrocephalus, also known as water on the brain. Combined, they will provide an unprecedented view of the leading edge of research and treatment of hydrocephalus and related disorders. It’s a “can’t miss” event for those interested in this important topic.
The primary conference ― Hydrocephalus 2009, the official scientific and educational meeting of the International Society for Hydrocephalus and Cerebrospinal Fluid Disorders (ISHCSF) ― will be held September 16–19. More than 130 scientific abstracts will be presented by neurosurgeons, neurologists, neuroscientists, neuropsychologists, medical physicists, engineers, and advocacy group leaders. Faculty and staff of the Adult Hydrocephalus Center at the Sandra and Malcolm Berman Brain & Spine Institute are playing a pivotal role as hosts for this conference.
A one-day neuropsychology pre-conference on September 16 will start the process of developing standards for neuropsychologic testing for clinical care and research in hydrocephalus for children and adults. Co-chairs are Cynthia Smith, PhD, Director of the Division of Neuropsychology at the Berman Brain & Spine Institute, and Per Hellstrom, MSc, from Sahlgrenska University Hospital in Göteborg, Sweden.
James P. “Pat” McAllister II, PhD, from the University of Utah will chair “Improving Outcomes in Hydrocephalus: Bridging the Gap Between Basic Science and Clinical Management” on September 14 and 15. This event is supported by the National Institute of Neurological Disorders and Stroke, the Hydrocephalus Association, and STARS-kids.
To learn more or to register for the conference, click here.
The primary conference ― Hydrocephalus 2009, the official scientific and educational meeting of the International Society for Hydrocephalus and Cerebrospinal Fluid Disorders (ISHCSF) ― will be held September 16–19. More than 130 scientific abstracts will be presented by neurosurgeons, neurologists, neuroscientists, neuropsychologists, medical physicists, engineers, and advocacy group leaders. Faculty and staff of the Adult Hydrocephalus Center at the Sandra and Malcolm Berman Brain & Spine Institute are playing a pivotal role as hosts for this conference.
A one-day neuropsychology pre-conference on September 16 will start the process of developing standards for neuropsychologic testing for clinical care and research in hydrocephalus for children and adults. Co-chairs are Cynthia Smith, PhD, Director of the Division of Neuropsychology at the Berman Brain & Spine Institute, and Per Hellstrom, MSc, from Sahlgrenska University Hospital in Göteborg, Sweden.
James P. “Pat” McAllister II, PhD, from the University of Utah will chair “Improving Outcomes in Hydrocephalus: Bridging the Gap Between Basic Science and Clinical Management” on September 14 and 15. This event is supported by the National Institute of Neurological Disorders and Stroke, the Hydrocephalus Association, and STARS-kids.
To learn more or to register for the conference, click here.
Friday, August 7, 2009
Cases of breast cancer among younger women rising
By Deb Kirkland, RN, BSN, MPH
Nurse Navigator, Herman & Walter Samuelson Breast Center at Northwest Hospital
This year over 200,000 women in the United States will be diagnosed with breast cancer, and of those 11,000 will be under the age of 40. This accounts for 5 percent of the breast cancer population. More cases are being seen in younger women; we don’t know if women are actually developing the disease younger, or if due to awareness, we are detecting it earlier. Breast cancer is the leading cause of cancer deaths in women aged 15 to 54…and yes…I said 15!
The key message to any woman, regardless of age, if you are not doing formal breast self exams, at least feel your breasts, know your breasts, be your own advocate and follow up with any changes. Since it is not as common in this population, younger women may be dismissed due to their age, therefore diagnosed at a later stage. Screening is also problematic, as there are no effective diagnostic screening tools for younger women. Their breasts tend to be dense, making it difficult to detect cancer on a mammogram. Eighty percent of younger women palpate their own lumps, or it is found by their significant other. By the time a lump can be felt in a younger woman, it is often large enough and advanced enough to lower chances of survival.
For young women with a higher risk, such as a family history or carrying breast cancer gene, breast MRIs are suggested for higher surveillance. If you have a first degree relative who was diagnosed with breast cancer at a young age, screening is recommended 10 years prior to the age of their diagnosis. Always remember, as with any cancer, early detection is key! If you would like more information on younger women and breast cancer, visit www.youngsurvival.org The Young Survival Coalition is a resourceful national advocacy group for women under 40 with breast cancer.
LifeBridge Health’s Breast Friends program provides support and education to young women diagnosed with breast cancer locally, as well as, provides education and outreach to young women and African American women in the community. If you are a young survivor and would like to learn more about Breast Friends, please contact Deb Kirkland at dkirklan (at)lifebridgehealth.org or call 410-521-8831.
Nurse Navigator, Herman & Walter Samuelson Breast Center at Northwest Hospital
This year over 200,000 women in the United States will be diagnosed with breast cancer, and of those 11,000 will be under the age of 40. This accounts for 5 percent of the breast cancer population. More cases are being seen in younger women; we don’t know if women are actually developing the disease younger, or if due to awareness, we are detecting it earlier. Breast cancer is the leading cause of cancer deaths in women aged 15 to 54…and yes…I said 15!
The key message to any woman, regardless of age, if you are not doing formal breast self exams, at least feel your breasts, know your breasts, be your own advocate and follow up with any changes. Since it is not as common in this population, younger women may be dismissed due to their age, therefore diagnosed at a later stage. Screening is also problematic, as there are no effective diagnostic screening tools for younger women. Their breasts tend to be dense, making it difficult to detect cancer on a mammogram. Eighty percent of younger women palpate their own lumps, or it is found by their significant other. By the time a lump can be felt in a younger woman, it is often large enough and advanced enough to lower chances of survival.
For young women with a higher risk, such as a family history or carrying breast cancer gene, breast MRIs are suggested for higher surveillance. If you have a first degree relative who was diagnosed with breast cancer at a young age, screening is recommended 10 years prior to the age of their diagnosis. Always remember, as with any cancer, early detection is key! If you would like more information on younger women and breast cancer, visit www.youngsurvival.org The Young Survival Coalition is a resourceful national advocacy group for women under 40 with breast cancer.
LifeBridge Health’s Breast Friends program provides support and education to young women diagnosed with breast cancer locally, as well as, provides education and outreach to young women and African American women in the community. If you are a young survivor and would like to learn more about Breast Friends, please contact Deb Kirkland at dkirklan (at)lifebridgehealth.org or call 410-521-8831.
Thursday, August 6, 2009
Weight Gain Can Lead to Arthritis Problems
Maintaining a healthy weight is one way to ward off the effects of arthritis.
Wayne Leadbetter, M.D., of the Center for Joint Preservation and Replacement and the Rubin Institute for Advanced Orthopedics at Sinai Hospital, said on last week's Ask the Expert Radio that the rising obesity among Americans is one factor in the increasing rates of arthritis.
"If you look at arthritis in the lower extremities, such as the knees, hips and ankles, it escalates at an astounding rate when you are at less than a proper weight," he said. "When you have tremendous loads and stresses on the cartilage, the cells can't keep up with the rebuilding of the cartilage, and that's where the trouble starts."
According to the Centers for Disease Control and Prevention, maintaining a healthy weight may decrease disease progression. A loss of just 11 pounds can decrease the occurrence of new knee osteoarthritis.
Every Sunday morning on WJZ (105.7 FM), you can call in to ask questions of experts from Sinai Hospital, Northwest Hospital, Levindale Hebrew Geriatric Center and Hospital, Courtland Gardens and LifeBridge Health & Fitness as they join host Rudy Miller. If you want to ask the expert, call 410-481-1057 between 8 and 9 a.m. or you can e-mail your questions to asktheexpert@whfs.com. This week's guest is Kevin Crutchfield, M.D., of the Sandra and Malcom Berman Brain & Spine Institute.
Wayne Leadbetter, M.D., of the Center for Joint Preservation and Replacement and the Rubin Institute for Advanced Orthopedics at Sinai Hospital, said on last week's Ask the Expert Radio that the rising obesity among Americans is one factor in the increasing rates of arthritis.
"If you look at arthritis in the lower extremities, such as the knees, hips and ankles, it escalates at an astounding rate when you are at less than a proper weight," he said. "When you have tremendous loads and stresses on the cartilage, the cells can't keep up with the rebuilding of the cartilage, and that's where the trouble starts."
According to the Centers for Disease Control and Prevention, maintaining a healthy weight may decrease disease progression. A loss of just 11 pounds can decrease the occurrence of new knee osteoarthritis.
Every Sunday morning on WJZ (105.7 FM), you can call in to ask questions of experts from Sinai Hospital, Northwest Hospital, Levindale Hebrew Geriatric Center and Hospital, Courtland Gardens and LifeBridge Health & Fitness as they join host Rudy Miller. If you want to ask the expert, call 410-481-1057 between 8 and 9 a.m. or you can e-mail your questions to asktheexpert@whfs.com. This week's guest is Kevin Crutchfield, M.D., of the Sandra and Malcom Berman Brain & Spine Institute.
Wednesday, August 5, 2009
Attention Northwest Hospital Visitors
A public service announcement for drivers headed to Northwest Hospital: beginning tomorrow, the framing of the Carlson Lane bridge enclosure will begin. For the safety of traffic and pedestrians, the ability to drive or walk under this portion of the bridge will stop. Vehicles will be required to exit at the north end of the "F" Lot onto Old Court Road and pedestrians will be able to walk out onto the sidewalk along Carlson Lane and up the driveway to the front entrance.
This portion of the project is expected to last for about two weeks. Thank you for your patience.
Toenail Fungus Meets Its Match
It's beach season. Are you wearing socks in the sand because you are embarrassed by your toes?
If so, you are not alone. An estimated 35 to 40 million people have toenail fungus, which occurs from exposure to a moist and warm environment, such as sweaty gym sneakers. The result can be discolored, thickened or brittle nails that can make your loved one shriek in horror.
But now a new treatment is available - the pinpoint laser, which zaps the tissue in the nail bed and kills the fungus. Mark Spier, D.P.M., of Northwest Hospital told WJZ that improvement can occur within months. To see the story, click here.
To learn more about Dr. Spier, click here or call 410-601-WELL (9355).
If so, you are not alone. An estimated 35 to 40 million people have toenail fungus, which occurs from exposure to a moist and warm environment, such as sweaty gym sneakers. The result can be discolored, thickened or brittle nails that can make your loved one shriek in horror.
But now a new treatment is available - the pinpoint laser, which zaps the tissue in the nail bed and kills the fungus. Mark Spier, D.P.M., of Northwest Hospital told WJZ that improvement can occur within months. To see the story, click here.
To learn more about Dr. Spier, click here or call 410-601-WELL (9355).
Tuesday, August 4, 2009
Nurses Honored by Dunkin' Donuts
The Greater Baltimore area Dunkin' Donuts' “Thanks to You” heroes program salutes a different group of local heroes each month by offering them a free medium coffee every Tuesday.
This month, it's nurses who are being honored. Any Tuesday in August, nurses can receive the free coffee by showing their hospital badge.
Sinai Hospital nurses joined WJZ's Ron Matz this morning to kick off the celebration. Lia Walker, RN, BSN, a Sinai Labor and Delivery nurse and Maryland Hospital Association nursing representative for the Who Will Care? initiative, spoke with Matz about her career and the need for nurses. To see the clip, click here.
Walker is now in her eighth year of working at Sinai. A native of Pennsylvania, she received her nursing degree from the University of Maryland, and has worked in Labor and Delivery for the past three years.
Dunkin' Donuts will honor teachers in September, firefighters in October, veterans and active military personnel in November, and police officers in December. Stores participating include Baltimore city, Baltimore County, and Anne Arundel, Carroll, Cecil, Harford, Howard, Talbot, Queen Anne and Kent counties.
This month, it's nurses who are being honored. Any Tuesday in August, nurses can receive the free coffee by showing their hospital badge.
Sinai Hospital nurses joined WJZ's Ron Matz this morning to kick off the celebration. Lia Walker, RN, BSN, a Sinai Labor and Delivery nurse and Maryland Hospital Association nursing representative for the Who Will Care? initiative, spoke with Matz about her career and the need for nurses. To see the clip, click here.
Walker is now in her eighth year of working at Sinai. A native of Pennsylvania, she received her nursing degree from the University of Maryland, and has worked in Labor and Delivery for the past three years.
Dunkin' Donuts will honor teachers in September, firefighters in October, veterans and active military personnel in November, and police officers in December. Stores participating include Baltimore city, Baltimore County, and Anne Arundel, Carroll, Cecil, Harford, Howard, Talbot, Queen Anne and Kent counties.
Monday, August 3, 2009
White Coats: Medical Professionalism or Infectious Risk?
Anyone who's seen me striding about the hospital knows that one of my distinctive Cmar-isms is that I always roll up the sleeves of my white coat, as well as my shirt. Far from being a mere affectation, to me it serves two important purposes, both related to infection control. One is that with sleeves extending to the wrist, there's a chance that they will become dirty or contaminated while examining a patient, and the bacteria involved could be passed on by said sleeves to the next patient I deal with. Secondly, it is easier to wash my hands between seeing patients more thoroughly without having soap and grime absorbent fabric right next to them.
While this represents my personal choice, and not an institutional policy, there is a growing level of concern nationally about the role that physician dress might play in the spread of infections in the hospital setting. Many studies have documented that items which come into contact with patients, from stethoscopes and pens to neckties and shirt sleeves, can easily become contaminated with organisms that can cause serious infections in otherwise ill hospitalized patients. Bugs that can cause life-threatening infections and are difficult to treat, such as Methicillin-Resistant Staphylococcus Aureus (MRSA) and Clostridium difficile (often abbreviated "C. diff."), are of prime concern.
Looking at things from that perspective, it seems obvious that a few simple changes in professional dress - getting rid of long sleeves and neckties, for example - would be an easy way to reduce the transmission of virulent organisms among patients, as well as encouraging physicians to wash their hands. In fact, the National Health Service in the United Kingdom did just that in 2007, instituting a "bare below the elbows" policy in all hospitals that bans long sleeved white coats and shirts, as well as long neckties. However, these changes on the NHS's part have met with some controversy.
For one thing, there isn't a robust body of evidence that looks specifically at how much such a change would actually decrease the rates of hospital-acquired infections in patients. More importantly to some, the white coat has been a symbol of physicianhood for over 100 years. Many doctors and patients alike believe they should not be done away with, because they represent the professionalism of physicians, and their knowledge of both the science and the art of medicine.
As recently reported by the Washington Post, the American Medical Association is currently debating a proposal made at its recent annual meeting to recommend against physicians wearing white coats. In addition to the infection control and professional respect issues noted above, some have opined that the white coat has changed from a symbol of trust to one of possible anxiety for patients. In fact, some doctors have taken to going without their white coats to affect a more casual rapport with their patients, especially in a time when health care is sometimes seen as an industrial, uncaring machine.
There are many nuances to this issue, and it's one that will not be resolved soon, especially in our current health care climate. Until the time when more science and firmer policies are available, I'm going to keep rolling up my sleeves, and of course, washing my hands.
What do you think?
Art and Music Help Patients Heal
by Helene King
Paint, guitars and geraniums are just a few of the office supplies that LifeBridge Health therapists use to improve the quality of life for residents and patients.
“Therapeutic recreation is very hands-on,” says Jamilah Bashir, M.S., C.T.R.S., manager of Therapeutic Recreation at Courtland Gardens. “We give our participants a purpose in life, a way to express themselves that impacts them every day. It is the most rewarding career that I can think of.”
For example, during some art sessions, Courtland Gardens residents make jewelry. This gives them the opportunity to strengthen their hand-eye coordination as they string beads, focus on completing tasks, and wear the bracelets and necklaces that they’ve made.
Visual arts are only one aspect of recreational therapy. At Levindale, David Parker, a board-certified music therapist, both plays instruments for groups and goes to the bedsides of people who are not mobile.
“Music is a great way to reconnect people with special memories,” says David. “Songs spark remembrances about everything from their childhoods to romances to jobs. Residents often sing or hum a tune as I play my guitar. A remarkable time for me was when a non-talking dementia patient sang a song.”
Music therapy can lessen agitation, as well as stimulate people in comas and those with traumatic brain injuries.
Adults aren’t the only ones who benefit from expressive therapy at LifeBridge Health. “It’s involved in everything we do to enhance the social and psychological well-being of our patients,” explains Kristen Mylotte, C.C.L.S., a certified child life specialist in Sinai’s Pediatrics department.
“If a child is going through chemotherapy, he can design a hat to cover his head. If a little girl has diabetes, she can decorate a doll used to show her how to be at ease with her condition,” continues Kristen. The most heartwarming part of her job is to watch “her” children grow into healthy adults.
Seeing plants thrive is key for people who take part in horticulture therapy. “Nurturing another living thing is often the medicine that participants in one of Levindale’s programs need to regain their confidence,” says Dee McGuire, H.T.R. “Cultivating plants lets them know that they’re in control of some areas of their lives.”
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