Stone Mountain, GA
Permit No. 1130
3001 Hospital Drive
Cheverly, MD 20785
A P U B L I C A T I O N O F D I M E N S I O N S H E A L T H C A R E S Y S T E M F A L L 2 0 0 4
H E A LT H Monitor cholesterol
IT DOESN’T MATTER whether
you are a woman or a man,
old or young, or whether you
already have heart problems
or not. Normalizing your
cholesterol numbers reduces
FOR CLEANER TEETH.
Brushing for two min- your risk of heart disease.
utes with an electric And if you do have the dis-
toothbrush set at me-
ease, a healthy cholesterol
dium speed gets teeth
level cuts your chance of
cleaner than scrubbing ATING RIGHT TODAY CAN GIVE YOU A
teeth forcefully. having a heart attack.
HEAD START ON A HEALTHY HEART.
—Journal of Clinical Periodontology IN FACT, EVERYONE IN YOUR FAMILY, A blood test is the only
even children as young as 2, can benefit from way to know whether your
BEST FOR BABY. Most measures that help control a major risk factor for cholesterol level is OK.
foods are safe to use
for homemade baby heart trouble: cholesterol. “In this day and age of
foods. But avoid beets, Cholesterol is a waxy substance found in the bloodstream preventive medicine, obtain-
turnips, carrots, collard and elsewhere in the body. Small amounts of cholesterol are ing a lipid profile is a major
greens and spinach. necessary for good health. But too much can contribute to step in what you can do to
These vegetables can the buildup of fatty deposits in the arteries, and that can
contain large amounts gauge your risk of cardiovas-
of nitrates, a chemical
lead to heart disease and heart attack. Each year, more than cular disease,” says Gregory
that could cause low a million Americans have heart attacks and about half a Fisher, M.D., a cardiologist
blood count in babies. million die from heart disease, according to the National
at Laurel Regional Hospital.
—American Academy of Pediatrics Heart, Lung, and Blood Institute.
“If a profile is abnormal, you
Although heart disease is typically thought of as an
can take early steps to pre-
“adult” disease, research shows that problems associated
with too much cholesterol can actually begin in childhood vent a problem later on.
and then slowly get worse with age. Many pediatricians are
now testing children’s choles-
A FAMILY MEAL PLAN To control cholesterol, your terol levels in order to effect
entire family—adults and kids alike—should maintain a dietary treatments before
healthy weight and try to get at least 30 minutes of exercise problems can start,” he says.
on most days. weekly servings of fatty fish, such as salmon or mackerel, The test measures total
DRINK UP WHEN And encourage healthy eating habits early. The American served baked or grilled. cholesterol, LDL cholesterol
TAKING MEDICINE. Heart Association (AHA) says children 2 and older should You should also limit some foods, including butter, (the “bad” kind), HDL choles-
When taking drugs with eat at least five servings of fruits and vegetables daily as egg yolks and cheese, and foods made with them; and
water, be sure to drink terol (the “good” kind) and
well as a variety of other foods low in cholesterol and saturated oils, such as coconut and palm oils, often found
a full 8-ounce glassful, triglycerides, another type of
not just a swig to get it saturated fat. (Saturated fat raises blood cholesterol levels.) in commercially baked goods.
down. Too little liquid Adults should follow the same advice. When you prepare foods, try these heart-friendly
If your numbers are abnor-
with some medicines, Likewise, the AHA encourages the whole family to eat: cooking tips:
such as Fosamax, can Six or more daily servings of bread, cereal, rice and Use unsaturated vegetable oils, such as canola, corn, mal, talk to your doctor about
prevent the medicine pasta, including whole grains. Two to four daily servings olive and soybean oils. how to correct them and
from working properly. when you should have your
It can also cause throat
of fat-free or low-fat dairy products. Up to 6 ounces per Remove all visible fat from meat and skin from poultry
irritation if the drug day of lean meats and poultry without skin. At least two before cooking. next cholesterol test.
does not get completely
to the stomach.
—Advice for the Patient: Drug Informa- 3 HAVE ASTHMA? GET YOUR FLU SHOT 4 MEN A GUY’S GUIDE TO GOOD HEALTH
tion in Lay Language (MICROMEDEX
6 STRESS YOU CAN HELP MANAGE IT 7 AGING KNEES HOW TO TAKE CARE
Thomson Healthcare, 2002)
S T A Y IA CC O MIMVU EI T Y
Our focus at Dimensions
Healthcare System is
on your family’s health.
Check out the many
opportunities below to
improve and preserve
your health and the
health of those you love.
FREE CLASSES! a community-based, nonclinical pro- SUPPORT GROUPS Senior Center, Brentwood, Md.
gram that involves group participa- Mondays, Oct. 18 through
tion. It includes activities to improve AL-ANON Nov. 22, noon to 2 p.m.
endurance, joint mobility and body Fridays, 7 p.m. (six two-hour sessions)
DIMENSIONS HEALTHCARE PROGRAMS mechanics. This program also encour- Call (301) 497-7914 or (410) 792-7636. Classes to be held at Glenarden
DIMENSIONS SMOKING ages peer interaction and socializa- ALCOHOLICS ANONYMOUS Senior Center as part of Prince
CESSATION PROGRAM tion. The exercises are designed to Sundays, 7 p.m. George’s Community College’s
Tuesdays, 6 to 7:30 p.m. be within the capability of most peo- Call (301) 497-7914 or (410) 792-7636. SAGE Program, Glenarden, Md.
ple with arthritis. Participants must
Laurel Regional Hospital AMPUTEE SUPPORT GROUP WHAT YOU SHOULD KNOW
be able to walk independently or with
Wednesdays, 6 to 7:30 p.m. Third Thursday of each month, 6 p.m. ABOUT BREAST CANCER
Prince George’s Hospital Center a device, or be able to transfer into a
Call (301) 497-7901. Wednesday, Oct. 20, 7 p.m.
Thursdays, 10 to 11:30 a.m. straight chair from their wheelchair. PGHC auditorium
To register, call (301) 497-8769 or BIPOLAR SUPPORT GROUP
Bowie Health Campus Speaker: Gurdeep Chhabra, M.D.
(410) 792-2413. Thursdays, 6 p.m.
A unique four-week program for Breast cancer is the most common
Call (301) 497-7980.
smokers who would benefit from a BABYSITTERS CLASS cancer occurring in women (excluding
supportive, educational environment. Saturday, Nov. 6, 9 a.m. to 2 p.m. NAR-ANON cancers of the skin) and the second
To register or to learn more, call Conference Rooms A and B Mondays, 7 p.m. most common cause of death from
(301) 618-6363. $28 per person Call (301) 497-7914 or (410) 792-7636. cancer in women, after lung cancer.
Laurel Regional Hospital and Health- NARCOTICS ANONYMOUS Men also can develop breast cancer.
LAUREL REGIONAL HOSPITAL Quest® sponsor this class for moth- Mondays and Thursdays, 7 p.m. If diagnosed at an early stage, breast
JOINT REPLACEMENT SEMINAR ers helpers 11 to 12 and babysitters Call (301) 497-7914 or (410) 792-7636. cancer has an encouraging cure rate:
Tuesday, Oct. 5, 6 to 7 p.m. 13 and older. Topics include: when Up to 97 percent of women diagnosed
and how to call for emergency help;
PARKINSON’S SUPPORT GROUP with localized breast cancer will sur-
J. R. Jones Room
Tuesdays, 10:30 a.m.
Speaker: Scott Berkenblit, M.D. how to recognize safety hazards; how vive at least five years after their diag-
Call (301) 497-7914 or (410) 792-7636.
A free seminar on joint replacement to properly handle an infant; how to nosis. Join Gurdeep Chhabra, M.D.,
will be held at Laurel Regional Hos- select safe and age-appropriate toys/ REHABILITATION an oncologist at Prince George’s
pital. Scott Berkenblit, M.D., will activities; how to verbalize, prevent SHARING GROUP Hospital Center, as he discusses risk
present a one-hour program that will and provide basic aid for common Second Thursday of each month, 6 p.m. factors, prevention, symptoms and
include a tour of the operating room injuries; and how to market newly Call (301) 497-7901. treatment for breast cancer. To regis-
and the physical rehabilitation gym, learned skills. Participants must bring ter, call (301) 618-3795.
an explanation of joint replacement a lunch. To register, send class fee PRINCE GEORGE’S HOSPITAL CENTER
surgery and a showing of various artifi- and registrant’s name and age to: HEALTH AND WELLNESS EVENTS AWARENESS SYMPOSIUM
cial joints. A question-and-answer ses- Laurel Regional Hospital, Public Rela-
ARTHRITIS SELF-HELP COURSES Saturday, Nov. 6, 8 a.m. to 3 p.m.
sion will be included. To register, call tions and Development, 7300 Van
These courses are offered by the Ar- PGHC auditorium
(301) 497-8736 or (410) 792-2413. Dusen Road, Laurel, MD 20707, or
thritis and Joint Institute at PGHC and Experts in the field of diabetes will
call the registration hotline at (301)
NATIONAL DEPRESSION 497-8736 or (410) 792-2413. taught by an expert from the Arthritis discuss the latest research, treat-
SCREENING DAY Foundation. Benefits of this program ment options and medications as-
Thursday, Oct. 7, 6:30 to 8 p.m. BLOOD DRIVE include: sociated with this condition. Last
Conference Room B Tuesday, Dec. 7, 2 to 8 p.m. Learning and practicing the year more than 150 people attended
If you haven’t been feeling like your- J. R. Jones Room skills needed to build your own self- this informational event. To register,
self lately, this event can help you Laurel Regional Hospital, in conjunc- management program. call the Diabetes Center at PGHC at
figure out what is wrong. On Oct. 7 tion with the American Red Cross, Gaining the confidence to make (301) 618-6555.
Laurel Regional Hospital will offer encourages all eligible donors to give and carry out your action plans. ARTHRITIS AND TAI CHI
free, anonymous mental health blood—the gift of life. To schedule an Learning relaxation techniques and Thursday, Nov. 18, 6 to 7:30 p.m.
screenings. Attendees will complete a appointment, call (301) 497-7950, how to manage pain, stress and fatigue. PGHC
written self-assessment and have the Monday through Friday between To register, call (301) 618-3795. Instructor: Penny Martin
opportunity to talk privately with a 8:30 a.m. and 5 p.m. Walk-ins are Tuesdays, Oct. 5 through Nov. 9, Let the Arthritis and Joint Institute at
mental health professional. For more welcome, but scheduled appoint- 4 to 6 p.m. (six two-hour sessions) PGHC get your joints moving! Tai chi
information, see page 6 or call (301) ments will be given priority. Classes to be held at PGHC has been practiced as an effective aid
497-7980. MATERNAL/CHILD Thursdays, Oct. 7 through Nov. 18, for the relief of arthritis and has be-
PEOPLE WITH ARTHRITIS HEALTH CLASSES 6 to 8 p.m. (six two-hour sessions) come accepted as a successful means
CAN EXERCISE (PACE) Laurel Regional Hospital offers a No meeting on Nov. 11 in obser- of dealing with stiffness and pain. Join
Mondays and Thursdays, 10 to 11 a.m. six-week prepared childbirth class, vance of Veterans’ Day tai chi expert Penny Martin as she
Seven-week program begins Oct. 25 a breastfeeding course, tours of the Classes to be held at Bowie Senior shows how you can integrate body
$25 per person labor and delivery unit, and an infant Center, Bowie, Md. and mind to add flexibility, strength,
Laurel Regional Hospital and the CPR course. For more information, Wednesdays, Oct. 13 through balance and relaxation to your aching
Metropolitan Washington Chapter of please call (301) 497-7979 or (410) Nov. 17, 9:30 to 11:30 a.m. joints. Space is limited to 25 attend-
the Arthritis Foundation offer PACE, 792-2270, ext. 77979. (six two-hour sessions) ees. To register, call (301) 618-3795.
Classes to be held at Cora B. Woods
W W W. D I M E N S I O N S H E A LT H . O RG 2 H E A LT H S C E N E
Is a product safe?
Those unpronounceable ingredients in your bathroom and Have asthma?
Get your flu shot
kitchen cleaners sure eat away the grime. But they also come
with a host of warnings: Avoid contact with skin. Do not
breathe fumes. Keep out of reach of children.
It makes you wonder what those same ingredients might If you have asthma, you’re always looking for ways to
be doing to your body. Now you can find out. breathe easier. One simple way to help protect your health is
The National Institutes of Health has launched an online to get a flu shot once a year, advises the Centers for Disease
consumer guide that gives information about the ingredi- Control and Prevention.
ents in common household products—and how they might People with asthma are at high risk for flu complications,
affect your health. such as pneumonia. Yet only a third of adults with asthma
The guide, called the National Library of Medicine’s get the vaccine, according to the results of a national health
Household Products Database, currently includes informa- survey.
tion on more than 2,000 ingredients and will be expanding Researchers found that vaccination rates were lowest for
to include even more. 18- to 49-year-old adults who have asthma, with only one in
The database can help answer questions such as: five getting the flu shot. Older adults and those with more
What chemicals are in certain brands? What percentage education had the best vaccination rates. About 45 percent
do they contain? of adults 50 to 64 with asthma received the shot.
Who makes a certain brand of product and how can I Many people with asthma may not be vaccinated
contact them? because they are unaware of the need. Or they may have
What are the possible health effects of the ingredients concerns about getting sick from the shot itself, a popular
in certain brands? but false belief.
Go online to http://householdproducts.nlm.nih.gov Take extra steps to protect yourself from the flu—
to use the database. You can search for products in particularly if you have asthma. In addition to getting your
various categories, such as auto products, home shot, wash your hands often and try to avoid people who
maintenance, hobbies and crafts, and personal care. are sick.
The database lists information such as ingredients, Laurel Regional Hospital will offer free flu shots
manufacturer’s information, health effects, and handling to the community later this fall. For more informa-
and disposal of the product. tion, call (301) 497-7914 or (410) 792-7636.
reservations are necessary for this free behavioral health services. Call (301)
STRESS AND DEPRESSION
Thursday, Dec. 9, 7 p.m.
event. Please call (301) 618-3275. 618-2436.
SENIOR DINING AND LECTURE SERIES
PGHC auditorium BREASTFEEDING CLASSES BRAIN INJURY Please join us for dinner and dis-
Speaker: Noori Mirmirani, M.D. For women breastfeeding newborns SUPPORT GROUP cussion on the following health top-
Nearly 20 million Americans experience and infants. Call (301) 618-3544. Second and fourth Wednesdays, 7 p.m. ics that relate to seniors. Space is
depression, yet only one in 10 seeks Support for the survivors of minor or limited, so reservations are required
CHILDBIRTH EDUCATION CLASSES
treatment. Depression often seems traumatic brain injuries. Call (301) 48 hours in advance. To register or
Weekend and weekday classes
to be caused by stress. Join Noori 618-2790. for more information, please call
available, PGHC auditorium
Mirmirani, M.D., medical director of Information to prepare you for the BREAST CANCER (301) 618-2546. Fee: $1, payable
psychiatry at PGHC, in this discussion. birthing experience. To make a reserva- SUPPORT GROUP at the door.
To register, call (301) 618-3795. tion, or to inquire about cost or about First and third Tuesdays, 6 p.m. SHATTERING THE
BLOOD DRIVE the classes, call (301) 618-3275. 1701 McCormick Drive, Landover, Md. MYTHS OF OLD AGE
Friday, Dec. 10, 10 a.m. to 4 p.m. NICU REUNION A supportive environment for survivors Wednesday, Oct. 13, 3 to 5 p.m.
PGHC, in conjunction with the Ameri- of breast cancer. Call (301) 883-3525. Gladys Spellman Specialty Hospital
Saturday, Oct. 16, noon to 2 p.m.
can Red Cross, encourages all eligible PGHC Pavilion DIABETES SUPPORT GROUP and Nursing Center
donors to give blood—the gift of life. Celebrating the many children who have Meets monthly. Call (301) 618-6555 Paul Devore, M.D.
To schedule an appointment, call graduated from our neonatal intensive for details. TAKING CARE OF YOUR KNEES
(301) 618-3053. care unit (NICU). Parents and families of Wednesday, Nov. 10, 3 to 5 p.m.
PREEMIE SUPPORT GROUP
MATERNAL CHILD EVENTS our graduates are invited to attend this Second Wednesdays, 7 p.m. Laurel Regional Hospital
fun event. Entertainment, face painting
BEAUTIFUL BEGINNINGS TOUR Support for parents of premature ADVANCED TREATMENT
and a visit from a very special guest!
FOR EXPECTANT MOTHERS infants. Call (301) 618-3280. OF KIDNEY DISEASE
For more information or to RSVP for this
Sundays, Oct. 10, Nov. 14, Dec. 12, SEXUAL ASSAULT CENTER Wednesday, Dec. 8, 3 to 5 p.m.
free event, call (301) 618-2636.
1:30 p.m., PGHC auditorium SUPPORT GROUPS Gladys Spellman Specialty Hospital
Expectant mothers and their families SUPPORT GROUPS The Sexual Assault Center offers indi- and Nursing Center
are welcome to join us for pregnancy- Wei Lu, M.D.
BEHAVIORAL HEALTH SERVICES vidual and group counseling for survi-
friendly refreshments and a tour of Family support and individual meet- vors of sexual abuse and/or assault.
our labor and delivery and mother/ ings for families of patients receiving Call (301) 618-3154.
baby units. Space is limited, so
W W W. D I M E N S I O N S H E A LT H . O RG 3 H E A LT H S C E N E
DIRECTIONS? BAH! YOU’RE A
GUY, RIGHT? ASKING FOR DIREC-
TIONS IS FOR CHUMPS. LOST
CHUMPS. WHICH IS WHY, WHEN
YOU’RE LOST, YOU REACH FOR
THE HANDY ROAD ATLAS UNDER
YOUR SEAT. SMART THINKING.
But if you’re a guy who never sees a doc-
tor, who never contemplates risks to your
health, you’re lost without a map.
Seeing a doctor regularly, and learning
how to protect yourself from key health
risks, will keep you on the road to good
Unfortunately, many men don’t even
think about getting medical care until
they’re too sick to get off the couch. The
statistics prove it.
MACHO, MACHO MEN According
to the Centers for Disease Control and Pre-
vention, women are 100 percent more likely
than men to visit their doctors each year.
Men pay a price for skipping those
appointments. Regular doctor visits and
screenings could help catch and even pre-
vent many of the leading causes of death in
men, such as heart disease, cancer, stroke,
diabetes and pneumonia.
Yet, men still won’t go.
STAYING ON COURSE “Part of why men don’t see a doctor on
a regular basis is how we are brought up,”
says Hema Yadla, M.D., an internal medicine
physician and president-elect of the Prince
George’s Hospital Center medical staff.
“From a young age we are taught to
TO GOOD HEALTH
ignore pain or not give it the proper atten-
tion,” says Dr. Yadla. “Little boys are told not
to cry when injured; by the time he starts
playing sports he’s encouraged to just walk
it off. When a male reaches adulthood, he is
conditioned to ignore the pain or not deal
with it right away.”
THE BIG (HEALTH) PICTURE
Changing such attitudes is a key challenge
for health agencies working to educate men
W W W. D I M E N S I O N S H E A LT H . O RG 4 H E A LT H S C E N E
Don’t miss out! Come to PGHC for FREE health events Give him a
WHEN YOUR MAN WON’T BUDGE
Thursday, Sept. 30, 7 p.m. Saturday, Nov. 6, 8 a.m. to 3 p.m. YOU LOVE HIM. But he drives
Prince George’s Hospital Center Auditorium Prince George’s Hospital Center Auditorium you nuts.
All men are at risk for developing prostate cancer. A man Experts in the field of diabetes will discuss the latest He eats too much junk food
has about a one in 10 chance of being diagnosed with pros- research, treatment options and medications associated with and never gets any exercise. He’s
tate cancer during his lifetime. this condition. stressed out, and he works too
Besides being male, there are other factors, such as age, Last year more than 150 people attended this informa- hard.
race and family history, which may contribute to a person’s tional event. To register for this free symposium, call the And today he’s sick. He walks
risk. Learn more about the signs and symptoms of prostate Diabetes Center at PGHC at (301) 618-6555. around moaning and groaning,
disease and the latest treatment advances by attending this feeling awful. He insists on work-
free seminar. To register, call (301) 618-3795. ing when he should see a doctor.
But, of course, he never goes to the
If this sounds familiar, you could
about the importance of health care. doctor can give you details. wearing sunscreen with a sun protection be living with a male.
So, you want to reform? First step: See Diabetes. Having diabetes can double factor (SPF) of 15 or higher. Wear clothes
A stereotypical male, anyway.
a doctor regularly. Next step: Learn how to your risk for heart disease or stroke. It may that cover your body, plus a hat, whenever
But, despite some exaggeration,
protect yourself from some of the key health also bring along serious complications you go outside.
these traits are all too common in
risks for men, such as: such as blindness, kidney disease and Also, see your doctor about moles that fit
High blood pressure. High blood pres- amputations. any of these alphabetical categories: many real men.
sure puts a strain on your heart and blood An additional risk for men is impotence, Asymmetrical (one half isn’t identical Men are notoriously reluctant to
vessels. Over time, this can lead to heart the inability to have or keep an erection. to the other). seek health care, which is among
disease, kidney disease and stroke. You’re more likely to develop diabetes Borders that are uneven or ragged. the reasons why they’re hit so hard
You don’t want to wait for those prob- if you’re overweight. However, a modest Color varies from one area to another. by serious disease.
lems to develop. To spot high blood pressure 5 percent to 7 percent weight loss can Diameter is larger than a pencil eraser. The numbers show it. According
early, have your levels checked every year or protect those at high risk for developing (3) Testicular cancer. Check yourself to the Men’s Health Network,
two by a medical professional. the disease. monthly. During a shower or bath: Check 50 percent more men than women
Levels are measured with two numbers. If you think you’re at risk, talk to your each testicle one at a time. Place your in- die of cancer. And men are nearly
A reading of less than 120/80 mm Hg is doctor about lifestyle changes you could dex and middle fingers under the testicle twice as likely to die from heart
considered normal, while one of 140/90 is make. and your thumb on top. Gently roll the
considered high. “According to the Department of Health testicle between your thumb and fingers.
Obviously, if you’re concerned
To help prevent or lower high blood and Human Services, it is recommended It should feel smooth. Feel for any
about a man’s health, you want to
pressure: Stop smoking. Lose weight that routine testing for diabetes occur hard lumps. Repeat the process with
if you’re too heavy. Exercise regularly. Try every three years starting at age 45,” says the other testicle. Report any lumps to be sure he gets the care he needs.
for 30 minutes of activity on most days of Faranak Sotoudeh, M.D., an endocrinolo- your doctor. But how do you convince him of
the week. Cut down on salt (sodium) and gist and medical director of the Diabetes (4) Prostate cancer. Talk to your doctor that?
fat in your diet. Center at Prince George’s Hospital Center. about the pros and cons of screening tests, All it might take is a little prod-
If needed, a doctor may prescribe medi- “However, your doctor may recommend which generally begin at age 50. ding to get even one doctor’s
cations to lower blood pressure. earlier testing based on your family history (5) Colorectal cancer. Your doctor can appointment, says Michael Flem-
Heart disease and stroke. Organs or if you have high cholesterol, high blood tell you about screenings and screening ing, M.D., 2003–2004 president
don’t get any more vital than the heart and pressure or are overweight.” methods. Screening usually begins at of the American Academy of Family
brain. And both depend on a steady supply Cancer. Types men should think about age 50. Physicians.
of blood to keep working well. Fat deposits and act to prevent include: A checkup puts men in touch
in the arteries, however, can disrupt blood (1) Lung cancer. Of all cancers, it kills IN CONTROL Remember, when you with the whole system of health
flow to the heart or brain, putting us at risk the most people. Smoking is thought to be keep good health in mind and get the help
care, he says.
for heart attack or stroke. responsible for eight out of 10 cases. If you you need, you’re not giving up control. You’re
A physician will give your guy the
These deposits, called plaque, can de- smoke, talk to your doctor about quitting. staying on the right track.
velop with age. And you’re at greater risk Smoking cessation classes and medications Protecting your health will help health screenings he needs and talk
for them if you smoke, are overweight, can help. you live longer, stay strong and remain about good fitness and eating hab-
have diabetes or high blood pressure, or (2) Skin cancer. Protect yourself by independent. its. Plus, a doctor can emphasize
eat a high-fat diet. why it’s important to keep coming
To reduce risks, don’t smoke, exercise
“THE IMPORTANCE OF PROSTATE
regularly, control blood pressure and man- “That’s key to everything,”
age your weight. Dr. Fleming says.
Also, lower your “bad” cholesterol. Large
amounts of low-density lipoprotein (LDL) CANCER SCREENING IS DUE TO THE Keeping up with doctor visits will
get easier after that first appoint-
cholesterol in your blood increases your
risk for plaque deposits. Eating a low-fat LACK OF SYMPTOMS IN PROSTATE ment. So, if you need to give your
man a nudge to get there, give him
CANCER. BY THE TIME A PATIENT
diet and exercising regularly helps reduce
a friendly nudge.
You should have your cholesterol checked
once every five years starting at age 20.
Ask your doctor about aspirin. Taking a IS SYMPTOMATIC, THE CANCER IS
low dose of aspirin daily can help prevent
heart disease. But there are risks too. Your USUALLY ADVANCED.” —JOHN KISHEL , M.D., A UROLOGIST AT
L AUREL REGIONAL HOSPITAL
W W W. D I M E N S I O N S H E A LT H . O RG 5 H E A LT H S C E N E
STRESS AND DEPRESSION: FREE SCREENING AND SEMINAR
SCREENING D AY
Thursday, Oct. 7, 6:30 to 8 p.m.
Conference Room B
Have you been feeling consis-
tently moody or sad? Can’t relax
or concentrate? Been alternating
between highs and lows? Have you
been troubled by unexplained aches
and pains? Are you unable to eat or
sleep? If so, you may have a mental
On Oct. 7, as part of National
Mental Health Awareness Month,
Laurel Regional Hospital will offer
free, anonymous mental health
screenings for a range of common
emotional situations that are often
undiagnosed and misunderstood.
So if you haven’t been feeling like
yourself lately, this event can help
you figure out what is wrong.
Screenings for depression, post-
traumatic stress disorder, general-
ized anxiety disorder and bipolar
disorder will be held at Laurel
Regional Hospital in Conference
Room B from 6:30 to 8 p.m. As part
of the program, attendees will com-
plete a written self-assessment and
YOU CAN’T Paul J. Rosch, M.D., president of the
American Institute of Stress, recommends
have the opportunity to talk privately
AVOID IT, BUT making a list of the people, events and with a mental health professional.
The program is free and completely
situations that you find stressful and then
YOU CAN HELP dividing it into two categories: confidential.
MANAGE IT Things you can’t avoid or control. This screening is jointly spon-
Things you can influence or change. sored by the Mental Health Associa-
IF YOU STACK HEAVY BOOKS ON A CARTON OF EGGS, YOU’LL QUICKLY Try not to worry about things out of your tion of Prince George’s County and
LEARN AN IMPORTANT LESSON: THERE’S ONLY SO MUCH STRESS control. Instead, devote your time and talent NAMI–Prince George’s County.
THINGS CAN TAKE BEFORE THERE ARE CONSEQUENCES. IT’S A to those where you can make a difference. The hospital is located at
bit obvious—and a lot less messy—but difficult job or a hectic lifestyle, or from If, for example, you’re too busy, set realistic 7300 Van Dusen Road, Laurel, Md.
the same principle applies to stress and events such as a divorce or a fender bender. goals for yourself and learn to say no. For more information, please call
your body. When you’re under too much, Even things normally considered positive To change stressful situations, consider (301) 497-7980.
consequences can result. events, such as getting a promotion, can these tips from Dr. Rosch and other experts:
ASK THE DOCTOR
You can’t avoid stress altogether. But cause us to feel stressed. Deal with one thing at a time.
Stress and Depression
there are strategies for dealing with it. Ultimately, if you don’t deal with the Prepare, as well as you can, for things
Thursday, Dec. 9, 7 to 9 p.m.
Learning how to cope and knowing when stress, it can affect your health. that may be stressful.
to get help are key to keeping stress at bay. “Stress can play a key role in almost any Turn negatives into positives. For in- PGHC Auditorium
illness,” says Dr. Mirmirani. “Stress can be stance, if you’re stuck in traffic, use the time Noori Mirmirani, M.D.
A UNIQUE PERSPECTIVE Pre- a contributing factor to the onset of the ill- to listen to a favorite book on tape. Nearly 20 million Americans
cisely defining stress isn’t easy. ness or can prolong or aggravate the illness Make positive life changes. Hone your experience depression, yet only one
“Every person defines stress differently,” as well.” time management skills, for example. in 10 seeks treatment. Depression
says Noori Mirmirani, M.D., director of psy- For some, the illnesses are serious—such Other tips: often seems to be caused by stress,
chiatry at Prince George’s Hospital Center. as heart disease. For others, the impact may Exercise, eat well and get plenty of rest.Avoid especially when due to the death of a
“Events or circumstances that are stressful be less severe, but troubling nevertheless. alcohol. It only masks the causes of stress. family member or friend, or because
for some people may have no impact on oth- According to the American Academy Take time to do things you enjoy. of a situation in the workplace. Join
ers. Situations that are very enjoyable for of Family Physicians (AAFP), some stress- Share your feelings. Social support is vi- Noori Mirmirani, M.D., medical
some people may cause stress in others.” related health problems include: Anxiety. tal. If family, friends and co-workers don’t
director of psychiatry at PGHC, in
To a certain extent, some stress is help- Back pain. Depression. Insomnia. satisfy that need, involve yourself in group
discussing prevention, symptoms
ful. It may spur you to accomplish things or Upset stomach. Weight loss or gain. activities, volunteer work or hobbies with
and treatment. To register
push you to get out of the way of a speeding people who share similar interests.
car, for instance. TAKE ACTION If you and your doctor It may take time to discover which strat- for this free seminar, call
Generally, however, stress is considered think stress could be behind your health egies work best for you. But if your stress (301) 618-3795.
bad when it causes ongoing tension or problems—or if you’d like to prevent level doesn’t improve or you’re finding it
leaves you feeling out of control. That can problems before they occur—there are hard to function physically, emotionally or
result from everyday demands such as a steps you can take. mentally, speak with your doctor.
W W W. D I M E N S I O N S H E A LT H . O RG 6 H E A LT H S C E N E
and therapy. Your doctor may request x-rays and other
tests which will determine the extent of the problem. In
some cases, people with extensive arthritis may need total
Most minor problems, such as torn cartilage, can be
easily treated with arthroscopic surgery. However, knee
replacement surgery is fairly common for people with
An effective treatment will
include a program to help you gain leg
strength and lose weight.
extensive joint disease, and these surgical patients usually
start walking again on the same day.
If you’d like to stay active, it may be better to change your
lifestyle than to have surgery, says the American Academy of
Orthopaedic Surgeons. An
effective treatment for any
knee problem will include
a program to help you gain
leg strength and lose weight
if you need to. self-help courses
Other options for treat- THESE COURSES are
ing aging knees include offered by the Arthritis and
medications to help reduce Joint Institute at Prince
TAKING CARE OF AGING KNEES
inflammation; corticoste- George’s Hospital Center and
roid injections in the knee taught by an expert from the
joint that can temporar- Arthritis Foundation. Benefits
ily help relieve pain and of the program include:
hether gardening, running or skiing, adults Torn ligament. A sudden twist can injure your swelling; physical therapy Learning and practicing
like to play too. Unfortunately, all that bend- ligaments—bands of tissue that connect your leg bones. to improve joint flexibility, the skills needed to build your
ing, running and twisting can strain aging Torn meniscus. The menisci absorb shock from the increase range of motion,
own self-management program.
knees, causing persistent pain, buckling, weight of the rest of the body and add stability to the knee. strengthen muscles, bones
Gaining the confidence to
loss of movement, swelling, or popping or They can rip when the upper body turns while the foot stays and cartilage, and reduce
clicking sounds. planted (in basketball, for instance). pain; and supportive devices, make and carry out your action
If any of those symptoms seem familiar, then you may such as an elastic bandage, plans.
have one of the following knee problems common among DIAGNOSIS AND TREATMENT According to splint, brace or cane. Learning relaxation
baby boomers: Sankara Kothakota, M.D., orthopedic surgeon at Prince techniques and how to manage
Osteoarthritis. This occurs when the cushiony carti- George’s Hospital Center, an accurate diagnosis is the most PREVENTION “Keep- pain, stress and fatigue.
lage wears down, allowing the bones to rub together. It important step in receiving the right treatment. ing our knees healthy and To register, call (301)
is caused by stress to the joints from repeated injury or Minimally invasive surgery, such as arthroscopy, is in good condition is of pri- 618-3795.
excess weight. required for people who do not respond to medication mary importance to enable T U E S D AY S
FOREARM FRACTURES and kids
us to walk without pain. Oct. 5 through Nov. 9
Risky play: Proper footwear, avoiding 4 to 6 p.m.
Most kids like to run, skip, jump or play sports—all of which are good for them. But these activities sometimes
jarring movements and (six two-hour sessions)
aquatic exercise is also
come with a price: a fall that can break one or both bones in the lower arm. This type of break is known as a Classes to be held at
essential for good knees,
forearm fracture, and it is very common—up to half of all childhood fractures involve the forearm. Prince George’s Hospital
along with maintaining a
According to Frederick Corder, M.D., medical director of Nightlight Pediatric Care at the Bowie Health Center
healthy weight,” says Bruce
Center, most forearm fractures in children are a result of a fall onto an outstretched hand. In addition to the Neckritz, D.O., Physical T H U R S D AY S
forearm, the injury usually affects the area around the wrist. Medicine and Rehabilita- Oct. 7 through Nov. 18
Signs of a forearm fracture include: Any type of deformity about the elbow, forearm or wrist. Sharp pain. tion, Laurel Regional Hos- 6 to 8 p.m.
Tenderness at a specific point. Swelling. Limited use of the forearm or elbow. pital. “Straightening of the (six two-hour sessions)
Because children’s bones knit more quickly than adults’ bones do, it is always important that a child see a fine muscles to reduce knee No meeting on Nov. 11
doctor within days of a fracture so that the bones can be set for proper healing. joint stress will help keep in observance of
TREATING FRACTURES knees happy and healthy,” Veterans’ Day
Doctors consider the following factors when treating a forearm fracture: The severity of the break. Dr. Neckritz says. Classes to be held at
Whether the bones have moved (become displaced). Whether the bone has punctured the skin (called an It’s also a good idea to Bowie Senior Center,
“open” fracture). Which bone is involved.
switch from high-impact Bowie, Md.
activities that twist and
An undisplaced fracture is usually treated with a long arm cast. A displaced or more severe fracture may W E D N E S D AY S
turn the joints—such as
require an anesthetic, a reduction and a cast. During a reduction, a surgeon moves the bones into place with his Oct. 13 through Nov. 17
running, tennis, racquet-
or her hands. 9:30 to 11:30 a.m.
ball, basketball and base-
PREVENTION ball—to low-impact ones (six two-hour sessions)
“There are many preventive measures parents can take to prevent forearm fractures,” stresses Dr. Corder. that are easier on the joints, Classes to be held at
“Watching your kids while they are playing and making sure that they are wearing safety gear—such as wrist including swimming, water Cora B. Woods Senior Center,
guards, as well as a helmet, when in-line skating or skateboarding—are excellent strategies to prevent injuries.” aerobics, walking and play- Brentwood, Md.
For hours and more information about Nightlight Pediatric Care, call (301) 464-2800. ing golf. See page 2 for more.
W W W. D I M E N S I O N S H E A LT H . O RG 7 H E A LT H S C E N E
t’s not uncommon for your heart to beat a little faster
after a good scare or a strenuous workout. But if it beats
too fast on a regular basis, you may have a heart condi-
tion called atrial fibrillation (AF). And that can lead to
other, potentially dangerous health problems.
“Atrial fibrillation is a condition that should be taken
very seriously because of its association with stroke,” says
Hector Collison, M.D., cardiologist and medical director of
the Cardiac Catheterization Lab at Prince George’s Hospital
In AF, the left atrium—or upper left chamber of the
heart—beats up to four times faster than the rest of the
heart. This causes an irregular blood flow, which can lead
to the formation of blood clots. If a clot breaks off and goes
steps you can take to control it.
In treating AF, the key goals are to slow down your heart
AF by the NUMBERS
to your brain, you can have a stroke. AF can also lead to rate and keep your blood thin to avoid clotting. Possible If your doctor tells you that you have atrial fibrillation,
chronic fatigue and heart failure. treatments include: you’re certainly not alone. According to the American
Anticoagulants—medications, such as aspirin and Heart Association (AHA):
WHO’S AT RISK? As the population grows older, AF warfarin, that thin the blood and help prevent clots. Atrial fibrillation is the most common serious type of
is becoming more common. “As you age, irregular heartbeat.
the more likely you are to get atrial fibril-
lation,” says Dr. Collison. “You are con-
can � �� ���� �
While AF� ���� � ���be� dangerous,
� � � �� ��
you can live with it About 2.3 million people in the United States have
sidered high-risk if you are 60 or older.” if you work with your doctor to control the problem. The number of Americans hospitalized with atrial
You are also more likely to get AF if fibrillation nearly tripled—from 787,750 to roughly
you have pulmonary disease, high blood pressure, thyroid Beta-blockers and calcium blockers—medications that 2.3 million—over a 15-year period between 1985 and
problems or other types of heart disease. can slow the heart rate.
The symptoms of AF are not always obvious. But if you Pacemakers—devices implanted under the skin that
The number of atrial fibrillation hospitalizations is pre-
have it, you may experience an irregular heartbeat that help regulate heart rhythm.
dicted to rise to more than 3.3 million a year by 2025.
feels like your heart is “flopping.” Other symptoms include: Heart surgery—used in severe cases when other treat-
Dizziness. Shortness of breath. Tightness in your ments are not effective. More than half of all hospitalizations due to atrial
chest. Sweating. Fatigue. “Atrial fibrillation is a condition that can be fibrillation occur in people 75 or older.
managed effectively and complications can be avoided,” For more information on atrial fibrilla-
WHAT CAN BE DONE If you think you have says Dr. Collison, “if people follow the advice of their tion, contact the AHA at 1-800-242-8721 or
symptoms of AF, see your doctor right away. There are doctor.” www.americanheart.org.
Gladys Spellman Specialty Hospital and Nursing Center • Larkin Chase Rehabilitation and Nursing Center • Woodward Estate • Senior Health Center • Glenridge Medical Center
Prince George's Hospital Center • Laurel Regional Hospital • Bowie Health Center • Dimensions Surgery Center • Laurel Medical Arts Pavilion • Mullikin Medical Office Building •
HEALTH SCENE is published
as a community service for
the friends and patrons of
Bowie Health Center SYSTEM, 3001 Hospital
(301) 262-5511 Drive, Suite 4000,
Cheverly, MD 20785,
Dimensions Surgery Center telephone (301) 583-4000,
(301) 809-2000 www.dimensionshealth.org.
Gladys Spellman Specialty Hospital
and Nursing Center
(301) 618-2010 Patrick F. Mutch
President and CEO
Glenridge Medical Center Dimensions Healthcare System
HOW TO FIND US
(301) 322-2326 Calvin Brown
Chairman, Board of Directors
Larkin Chase Rehabilitation Dimensions Healthcare System
and Nursing Center
(301) 805-6070 Amy Karfonta
Laurel Regional Hospital Coordinator
Laurel Regional Hospital
(301) 725-4300 �
Nightlight Pediatric Care
(301) 464-2800 Information in HEALTH
Prince George’s Hospital Center � SCENE comes from a wide
range of medical experts.
(301) 618-2000 If you have any concerns or
School-Based Health Center �
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content that may affect
(301) 809-2068 your health, please contact
Senior Health Center � your health care provider.
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Woodward Estate Copyright © 2004 FALL
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