Managing Injuries Key Role inPreventing and Athletic Trainers Playa in theGame Keeping Athletes Get theCare They Need Ensuring Moms-to-Be Time Comes When Delivery CancerBenefittingAmong Those PatientsLiver With Advanced Conditions for Complex Novel Treatments

FALL 2017 [CONTENTS] FALL 2017 INTRODUCING OUR NEW PRESIDENT AND CHIEF MEDICAL OFFICER

FEATURES Stuart M. Levine, MD, FACP, was recently named president and Novel Treatments for chief medical officer of MedStar 4 Complex Conditions Harbor and a senior vice Patients With Advanced Liver Cancer president of MedStar Health. He succeeds Dennis W. Pullin, Among Those Benefitting FACHE, the former president, who left MedStar Harbor after When Delivery Time Comes Stuart M. Levine, eight years of strong leadership. 8 Ensuring Moms-to-Be Get the MD, FACP Care They Need “My excitement at being appointed to this new role is beyond words,” says Dr. Levine. “What a privilege Keeping Athletes in the Game and responsibility it is to lead a phenomenal 10 Athletic Trainers Play a Key Role in organization committed to being on the forefront Preventing and Managing Injuries of healthcare delivery. I am overjoyed to continue working with all of the talented and dedicated Seasonal Depression individuals who make MedStar Harbor the vibrant 14 It’s Not Just in Your Head ... place that it is today. Together, we are one big Treatment Can Help family collectively focused on providing the highest quality and safest care possible. I am grateful for this opportunity to help write the next chapter of MedStar Harbor’s history as we move full steam DEPARTMENTS ahead on our journey of continued success.”

3 WHAT’S NEW Most recently, Dr. Levine served as the vice president of Medical Affairs for MedStar Franklin Square 7 HEALTHY HABITS Medical Center and MedStar Harbor. Prior to that, he served as vice chairman of Strategic Growth and 12 EATING WELL Research in the Department of Medicine at both MedStar Good Samaritan Hospital and MedStar 13 CARING FOR YOU Union Memorial Hospital, and as medical director of On the cover: Wael Bitar, MD, medical director of MedStar the Good Health Center at MedStar Good Samaritan. Harbor Women’s Care, and David Ghadisha, MD, OB hospitalist and chairman of the Department of Obstetrics and Gynecology at MedStar Harbor Hospital, are part of the Before joining MedStar, Dr. Levine served as a faculty team that collaborates in caring for moms-to-be. member and assistant professor of Medicine in the Division of at the University School of Medicine, where he also served After more than a century of healing, MedStar Harbor Hospital is a mainstay in the community, serving patients from City as codirector of the Johns Hopkins Vasculitis Center. and Anne Arundel, Baltimore and Howard counties. Our convenient waterside location combines the services of a large, regional medical center with a smaller, more personal environment. From general Dr. Levine received his medical degree from medicine and surgery, obstetrics, orthopaedics and , to behavioral health, , and , our team Columbia University’s College of Physicians of caring physicians and associates professionally serves the unique and Surgeons. He completed his internship and needs of every patient. at and a fellowship Waterfront is published by the Marketing and Communications department of MedStar Harbor Hospital. The information provided in this publication is intended in rheumatology at the to educate readers about subjects pertinent to their health and is not a substitute for consultation with a personal physician. For more information, call 855-546-0862. School of Medicine. Printed in the U.S.A. Copyright 2017.

MedStar Harbor Hospital complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

2 Waterfront • MedStar Harbor Hospital | FALL 2017 [WHAT’S new]

Meet MedStar Harbor Hospital’s Newest Medical Staff

edStar Harbor Hospital is pleased to introduce the newest members M of our medical team.

REENA ARDESHNA, MD Children’s Healthcare of Atlanta; as The newest physician to join the well as a fellowship in neuroradiology Behavioral Health team, Dr. Ardeshna has at SUNY Upstate Medical University a wide range of experience in treating Hospital in Syracuse, New York. Dr. various anxiety disorders, bipolar disorder, Jawed has been an active member of depression, schizophrenia, and other the Society of Interventional psychotic and substance use disorders. for a decade. He has authored more than Dr. Ardeshna received her training in 25 scientific presentations and peer- at Johns Hopkins University reviewed publications and holds academic Reena Ardeshna, MD School of Medicine in Baltimore and appointments as associate professor of earned her medical degree at Drexel Radiology, Department of Vascular and University College of Medicine in Interventional Radiology, at SUNY Upstate Philadelphia, Pennsylvania. She holds a Medical University Hospital and Golisano bachelor’s degree in psychology from Children’s Hospital in New York as well as New York University, New York, and a senior instructor, Department of Radiology master’s degree in biomedical science and Imaging at Liaquat National Hospital in from the University of Medicine and Karachi, Pakistan. Dentistry of New Jersey, Newark.

JAIME ROWE, LCPC Mohammed Jawed, MD MOHAMMED JAWED, MD Rowe, a member of our Behavioral Health Dr. Jawed, a vascular and interventional team, comes to MedStar Harbor with radiologist, is certified by the American experience working with all age groups, Board of Radiology with a specialty although her primary focus is adults. certification in vascular and interventional She has worked in both inpatient and radiology. Dr. Jawed completed his outpatient settings as well as in schools in residency in radiology and imaging at and Pennsylvania. Rowe received Liaquat National Hospital in Karachi, her bachelor’s degree in psychology and Pakistan. He continued his training with a a master’s degree in community mental fellowship in vascular and interventional health counseling, both from McDaniel College in Westminster, Maryland. She is radiology at Emory University Hospital Jaime Rowe, LCPC in Atlanta, Georgia; a fellowship in a licensed professional counselor and is pediatric vascular and interventional certified by the State of Maryland Board of radiology at Emory University Hospital/ Professional Counselors and Therapists.

To be connected to the physician offices mentioned in this issue ofWaterfront , please call 855-546-0862 or visit MedStarHarbor.org/Waterfront to learn more.

MedStarHarbor.org/Waterfront • 855-546-0862 3 Novel Treatments for Complex Conditions Patients With Advanced Liver Cancer Among Those Benefitting

ADVANCES IN MEDICINE “Interventional radiology (IR) is a inside the body and treat complex have created a wide range of specialty that gives us the ability conditions less invasively and with new treatment options for a to treat nearly every organ in the unprecedented precision. As a variety of conditions in recent body with minimally invasive, result, IR can reduce the length of years. Leading the way in targeted approaches,” explains hospital stays, minimize potential the development of many of Adnaan Moin, MD, a vascular complications and save lives.” these groundbreaking tools, and interventional radiologist technologies, and techniques at MedStar Harbor Hospital. At MedStar Harbor, Dr. Moin is have been interventional “By harnessing the power of now collaborating with medical radiologists. advanced imaging, we can see and surgical oncologists FAST throughout MedStar Health in the FACT: use of image-guided technology Interventional As a vascular and interventional to treat cancer. “Interventional radiologist, Dr. Moin uses many advanced imaging techniques. oncology is a growing field is a rapidly offering new minimally invasive evolving treatment options for a variety specialty of primary and metastatic solid driven by tumors,” Dr. Moin says. technological innovations Today, the Interventional that is now Oncology program at MedStar making a Harbor is one of the few in the difference region to offer patients with in the lives liver cancer a treatment option of cancer called Y-90 radioembolization, an patients on a alternative to surgery. daily basis.

“The surgical removal of liver tumors offers the best chance for a

4 Waterfront • MedStar Harbor Hospital | FALL 2017 Dr. Moin is one of the few specialists in the region performing Y-90 radioembolization.

FAST FACT: Interventional oncology DID YOU is a rapidly KNOW? cure but they are often inoperable catheter is inserted through a tiny evolving Most minimally specialty because they are too large or have incision in the femoral or radial invasive driven by grown into major blood vessels artery until it reaches the hepatic technological or other vital structures,” Dr. Moin artery, one of two blood vessels procedures, innovations explains. “Sometimes, many small feeding the liver. such as that is now tumors are spread throughout the those used in making a liver, making surgery too risky When the catheter is in place, interventional or impractical.” millions of microscopic beads difference radiology, containing the radioactive in the lives result in of cancer Y-90 radioembolization, an isotope Yttrium-90 are released. shorter patients on a outpatient procedure, combines The microspheres lodge in the daily basis. the use of radiation therapy with smaller vessels that directly feed hospital stays a process called embolization in the tumor, stopping blood flow and fewer which blood vessels are blocked and emitting radiation to kill complications. off to prevent blood flow. A the tumor cells. The painless

MedStarHarbor.org/Waterfront • 855-546-0862 5 procedure is usually completed within an hour and the side effects are mostly limited UTERINE FIBROID EMBOLIZATION: to fatigue and loss of appetite. A Welcome Alternative to Surgery

“The liver is an ideal organ for this type for Many Women of treatment since the hepatic artery is the one that most commonly supplies At MedStar Harbor Hospital, women with uterine blood to the cancerous tumors,” says fibroids have a treatment option that is not available Dr. Moin. “While the procedure doesn’t everywhere and is often underutilized: uterine fibroid cure the cancer, it can help extend the embolization (UFE). lives of patients with inoperable tumors “UFE is a minimally invasive, image-guided treatment and improve their quality of life.” He also performed by interventional radiologists that provides points out that in some cases it may reduce relief to women suffering from the symptoms of the size of the tumor enough for it to be fibroids without surgery,” explains Dr. Moin. “UFE is an resected or for the patient to be evaluated alternative to hysterectomy—the surgical removal of for a liver transplant. the uterus—which is the most common treatment for fibroids.” “A big benefit of this procedure and other Yet according to a recent study, there are still interventional oncology treatments, such significantly more hysterectomies performed annually as chemoembolization and radiofrequency than UFEs. ablation, is that we can target the cancer tumor from inside the body,” Dr. Moin adds. According to the National Institutes of Health, the “Interventional oncology gives clinicians majority of women—almost three out of four—will another focused area of cancer care in which develop uterine fibroids by the age of 50. Fibroids, to collaborate.” noncancerous tumors, can cause heavy menstrual bleeding, pelvic pain and pressure, and urinary incontinence. Is UFE Right for You? UFE involves inserting a catheter into ASK YOURSELF an artery at the groin or wrist, which 3 is then guided by an interventional radiologist into the uterus. It requires PREGNANCY Do I want to have children in the future? a tiny incision and uses small particles to damage and shrink fibroid tumors. MENOPAUSE Do I want to avoid taking hormones or Approximately nine out of 10 patients going through early menopause? who undergo UFE will experience COMPLICATIONS Am I worried about complications, such as pain significant improvement or their or infection? symptoms will go away completely.

SURGERY Would I prefer to undergo a minimally invasive “It is important that we educate treatment over major surgery even if it meant I patients as well as other healthcare might have to go through the treatment again? providers about UFE and find ways to increase access to it,” says Dr. Moin. RECOVERY Would a shorter recovery time be preferable for “Patients deserve to know all of their my lifestyle? options in order to make an informed decision about their treatment.” If you checked three or more of the boxes, then UFE may be the right treatment option for you. Source: Society of Interventional Radiology

6 Waterfront • MedStar Harbor Hospital | FALL 2017 [HEALTHY habits]

Five Good Reasons to Get the Flu Shot

illions of people get a flu vaccine in the fall as recommended by the Centers for Disease Control and Prevention (CDC), the American Medical Association and M other professional medical groups. But many people don’t, believing it doesn’t work or will make them sick.

If you’re thinking about skipping a flu shot 4. The flu shot is safe and it can’t give you this season, MedStar Harbor Primary Care the flu. The flu vaccine is formulated from Nurse Practitioner Anta Kah, MSN, CRNP, dead or inactive viruses, so it can’t make you encourages you to reconsider. Below are five sick. If you do get sick, chances are you were reasons to get the flu shot: exposed to the virus before getting the shot or you picked up a virus not included in 1. Not only can the flu vaccine keep you the vaccine. from getting the flu, it may make your illness milder if you do get sick. 5. Last year’s vaccination won’t protect you Anta Kah, MSN, CRNP this year. “The flu is a virus that changes 2. Getting vaccinated benefits everyone from year to year,” Kah explains. “The around you. “The flu virus spreads easily— vaccine is reformulated annually to protect you can contract it when an infected against strains of the virus predicted by the person coughs, talks, or sneezes. You can CDC to be most widespread.” also get the flu by touching something that has the virus germs on it, then touching Children 6 months or older and most your eyes, nose, or mouth,” notes Kah. adults should get vaccinated against the flu annually. Flu season usually starts in 3. Some people are at greater risk of October and can last until May, so it is getting seriously ill from the flu, like important to get vaccinated early. pregnant women, older adults, and people “Getting the shot is the single best with chronic health conditions. If you fall way for nearly everyone to prevent into one of these categories, the vaccine the flu,” says Kah. can help protect you. “Flu symptoms can lead to dehydration, the worsening of chronic illnesses, bacterial pneumonia, ear or sinus infections, and in severe cases, death,” says Kah. “Every year, about 200,000 people are hospitalized because of the flu.”

MedStar Harbor Hospital is hosting a FREE drive through flu vaccination clinic on Saturday, Nov. 4, 2017 from 8 to 11 a.m. (or until supplies run out). Our clinicians will be administering free seasonal flu vaccines on the South Parking Lot of our hospital campus, located at 3001 South Hanover St. Don’t forget to wear short sleeves.

MedStarHarbor.org/Waterfront • 855-546-0862 7 When Delivery Time Comes Ensuring Moms-to-Be Get the Care They Need

NEARLY EVERY PREGNANT woman hopes that the obstetrician she saw during her pregnancy will be the one to deliver her baby when the big day comes. And in some cases, that’s exactly what happens. Mom-to-be goes to the hospital when the time is right, and her Dr. Bitar, medical director of MedStar physician is there to bring Harbor Women’s Care, and Dr. Ghadisha, her new bundle of joy into OB hospitalist and chairman of the Department of Obstetrics and Gynecology the world. at MedStar Harbor, discuss a recent delivery. Sometimes, however, the obstetrician that mom-to-be selected, and saw for care throughout her pregnancy, delivery time comes, even when Obstetrics and Gynecology at simply cannot be there. one of these unpredictable MedStar Harbor, it’s a model Maybe the physician is out situations occurs. that promises each woman of town. Perhaps he or she continuum of care, regardless is seeing patients in an Five full-time OB hospitalists— of when her baby is born. office, or is at the hospital board-certified Ob/Gyns who but has three other patients are dedicated to the hospital “When a woman is in labor delivering babies at the and the patients who arrive to and preparing for the birth exact same time. Or it might deliver their babies—are on staff. of her baby, every minute be that the mom goes into Scheduled on rotations around- counts. Delivery is not a risk- labor in the middle of the the-clock, these hospitalists free event,” says Dr. Ghadisha. night, and progresses so work with the woman’s personal “It’s important that a hospital quickly that the baby is born obstetrician, stepping in to have physicians and nurses before the physician can provide the skills, care and on board with the right skills even get to the hospital. support a new mom needs ready to respond immediately when her regular physician is for deliveries that are routine The good news is that unavailable. in nature as well as the more MedStar Harbor Hospital has complicated ones. MedStar taken steps to ensure that According to David Ghadisha, Harbor has that. It creates a every new mom receives the MD, OB hospitalist and safer process and a better expert care she needs when chairman of the Department of patient experience.”

8 Waterfront • MedStar Harbor Hospital | FALL 2017 Shelley Stevens, RN, and Kaitlin Heller, RN, share a bonding moment with a newborn.

Having a team of OB hospitalists Additionally, the OB hospitalists on board carries great benefits are a resource for pregnant DID YOU KNOW? for patients and physicians alike. women who are seen in the When a woman’s Obstetricians who are part of MedStar Harbor Emergency regular physician is MedStar Harbor’s medical staff department (ED), or admitted to collaborate with the hospitalists the hospital for treatment of other unavailable, an OB and highly skilled nurses to medical issues not related to their hospitalist can easily remain “in the loop” during and pregnancy. Dr. Ghadisha explains step in to provide after their patients are in delivery that it is ideal for a trained the skills and support without disrupting their daily obstetrician to be involved a new mom needs office schedules. They can remain whenever a pregnant patient Priya Talwar, MD, pictured center, an during delivery. focused on patient appointments presents in the hospital in need of OB hospitalist, works that are scheduled, knowing that treatment. as part of a team patients who have been admitted with skilled nurses like Shelley Stevens, to the hospital are in good hands. “Our goal is always to provide RN, and Annissa a safe and comfortable Andrzejewski, RN. “I always tell my patients that I environment of care for our will make every effort to be at patients,” says Dr. Ghadisha. “If the hospital for the delivery, but a pregnant woman comes into if I can’t be there, physicians and the ED with a broken bone or nurses that I know and have a has cut her hand and can’t get strong relationship with will be the bleeding under control, for ready to take care of them,” says example, the OB hospitalist is Wael Bitar, MD, medical director there to help make decisions of MedStar Harbor Women’s about the treatment plan. Again, Care. “I trust the team that works it all goes back to safety and day in and day out on the unit doing everything we can to give and because of that, I can stay each patient a great experience focused each day on my tasks and outcome.” at hand, and give every single patient the time and attention she deserves throughout her pregnancy.”

MedStarHarbor.org/Waterfront • 855-546-0862 9 Keeping Athletes FAST FACT: Athletic trainers work in collaboration with sports in the Game medicine physicians to provide preventive, emergency, and rehabilitative medical care Athletic Trainers Play a Key Role in to amateur and professional Preventing and Managing Injuries athletes alike.

CARISSA COLANGELO, MS, LAT, Colangelo serves as the prevention and management goes to work every day with coordinator of Athletic Training for students at six public schools hopes of making a real difference Services at MedStar National located in Anne Arundel County. in the lives of others. Whether Rehabilitation Network at MedStar she is working with a high school Harbor Hospital. She leads a team “We’re in the training room to football star who is recovering of athletic trainers who work in help with stretching, taping, and from a shoulder injury or a man collaboration with sports medicine anything else the athletes need to in his 60s who just had knee physicians to provide preventive, prepare for practices and games, replacement surgery and wants emergency and rehabilitative and then we’re out there on the to get his running shoes back on, medical care. In addition to sidelines to respond immediately her goal is the same. working side-by-side with the in the event an injury occurs,” sports medicine physicians at Colangelo explains. “We can “I’m here to help people get back the hospital, the team works with assess the injury on the spot and to doing what they love,” she says. local high school athletes, serving determine what the best course as the “go-to” resource for injury of action is.”

Concussion therapists like Colangelo have special treatments and specific exercises to help an athlete return to normal after a head injury.

10 Waterfront • MedStar Harbor Hospital | FALL 2017 Depending on the severity of general health and function, with a concussion occurs, it’s important FAST FACT: the injury, an athletic trainer may emphasis on the steps that can to listen to your physician and determine a trip to the Emergency be taken to prevent injuries. They take time to rest and recover,” says Athletic trainers work in department or an urgent care center also talk with athletes, coaches, Jeffrey Mayer, MD, a sports medicine collaboration with sports is what’s needed. Or the trainer may and parents about issues such as physician at MedStar Harbor. “Our medicine physicians to provide recommend a visit to a primary care hydration and how to identify the goal is to get people healthy and preventive, emergency, and physician or orthopaedic specialist, signs and symptoms associated back to their prior level of function in rehabilitative medical care or perhaps even a few sessions with concussions. a safe and efficient manner.” to amateur and professional of physical therapy. Either way, athletes alike. it’s the job of the athletic trainer “If a concussion does occur, it Colangelo, who is also a concussion- to coordinate care and serve as may not be necessary to go to the trained therapist, adds, “There are the central point of contact for all hospital for emergency care, but a variety of tools we can utilize in providers who will be involved in our athletic trainers can arrange physical therapy to help alleviate managing the player’s injury. for the athlete to see a physician symptoms that can occur as a result who specializes in treating of a concussion and get athletes back “We call athletic trainers our concussions,” explains Colangelo. on the field as soon as possible.” ‘boots on the ground’ because often, they are there when the Because concussions are one of injury first happens, they work the most common injuries that with the athlete and his or her young athletes face, MedStar coach and parents to make Harbor offers a comprehensive DID YOU KNOW? medical decisions, they stay concussion program that applies While no two concussions involved throughout the entire a “whole body” approach to care. care process, and eventually Here, athletic trainers and sports are the same, some of the oversee that athlete’s return to medicine physicians collaborate most common symptoms are the field or the game once they to develop customized treatment persistent headaches, blurred have recovered,” adds Colangelo. and recovery plans for each vision, muscle spasms, fatigue, patient. and balance issues. Another key focus for athletic trainers is education. They spend “We realize players are eager to time assessing their athletes’ get back in the game, but when

Here, Colangelo works with an athlete using therapies designed to improve balance, coordination and strength and reduce headaches and dizziness.

MedStarHarbor.org/Waterfront • 855-546-0862 11 [EATING well]

SIMPLE TIPS for Healthy Holiday Eating

he holiday season will soon be upon us along with get-togethers with family and T friends. Unfortunately, for many it’s also a time for overeating and weight gain.

“On average, Americans gain approximately are fiber-rich foods that fill you up and one to two pounds during the holidays. are lower in calories. But remember, while While this weight gain isn’t dramatic, it’s important to include healthy foods in research shows it tends to stick and your diet, all food should be eaten accumulate over the years,” says Rani in moderation. Kulkarni, MD, an endocrinologist in the • Use a smaller plate. This keeps you from and Endocrine Center at MedStar putting too much food on your plate and Harbor Hospital. encourages proper portion sizes. Also, Rani Kulkarni, MD start by filling your plate with vegetables “Mindless eating is a big part of the and salad before going to the entrees problem,” Dr. Kulkarni notes. “Luckily, you and desserts. can avoid putting on extra pounds by • Consider using phone apps. There are planning ahead.” Here are a few simple apps that can help you keep a tally of strategies: the different holiday treats you have consumed during the day so you know • Do not skip meals before a big holiday when to stop. party as this may result in overeating. • Be aware of the beverages you consume. Instead, eat a smaller meal or a light snack Alcohol, in particular, is high in calories. like raw vegetables or a piece of fruit For example, a standard 12-ounce beer to curb your appetite. You will be less has 150 calories while a shot of vodka tempted to overindulge. alone has about 100 calories. Mix that • Try to maintain a balanced diet. Be sure with fruit juice or soda, both of which are to pick a food from each food group— full of sugar, and the calories really add protein, carbohydrates and vegetables— up. Alcohol can also lessen inhibitions and include more of the latter. Vegetables and induce overeating. Stick to one drink if you can. If you decide to have more than one, drink a glass of water in between.

“Focus on the social aspect of the occasion. Think about what you are celebrating, not just how good the food is. And after eating, get in some physical activity,” Dr. Kulkarni suggests. “It’s a great time to go for a walk or play a game of catch with the kids.”

12 Waterfront • MedStar Harbor Hospital | FALL 2017 [CARING for you]

SIMPLE for ANTIBIOTICS AREN’T TIPS Why ALWAYS THE ANSWER Healthy Holiday Eating hen you get a cold or the flu, you want to get better as soon as possible. Many people, at the first sign of illness, call their primary care physician looking for W an antibiotic. But antibiotics don’t work for every illness and may do more harm than good.

“A lot of people think that no matter providers are prescribing antibiotics less what their symptoms are, antibiotics will frequently.” speed up the recovery process,” explains Primary Care Physician Robert Dart Jr., If you feel miserable, it’s still wise to see your MD. “Antibiotics truly are wonder drugs, primary care physician. Just because your but they are only helpful if you have an healthcare professional doesn’t give you an infection caused by bacteria. Common antibiotic doesn’t mean you aren’t sick. “We health problems, such as colds and the have other ways to help you feel better,” flu, are caused by viruses. Antibiotics says Dr. Dart. “My job is to help patients Robert Dart Jr., MD don’t work against viruses. While taking understand when to allow the body to heal an antibiotic may make you feel like you’re itself and when an antibiotic is truly needed. doing something to get better, it’s not I always tell my patients, ‘it takes seven helping at all.” days to cure a cold without antibiotics. With antibiotics, it takes a week.’” In fact, taking antibiotics may make you feel worse. Like every other drug, antibiotics can have bad side effects, including severe diarrhea and serious allergic reactions. Usual Cause Illness Antibiotic Up to one-half of antibiotic use in humans Viruses Bacteria Needed is inappropriate, according to the Centers Cold/Runny Nose NO for Disease Control and Prevention (CDC). 3 Each year in the , 47 million Bronchitis/Chest Cold 3 NO unnecessary antibiotic prescriptions are (in otherwise healthy children and adults) written, which has led to another serious Whooping Cough 3 YES problem: drug-resistant bacteria. Flu 3 NO “About 23,000 children and adults in the Strep Throat 3 YES U.S. die each year from drug-resistant infections,” Dr. Dart notes. “Because of Sore Throat 3 NO excessive exposure to antibiotics, some (except strep) bacteria have changed enough that Fluid in the Middle Ear NO antibiotics no longer work against them. 3 So, as part of a nationwide effort to reduce Urinary Tract Infection YES the number of serious infections due to 3 drug-resistant bacteria, many healthcare Source: CDC

MedStarHarbor.org/Waterfront • 855-546-0862 13 Seasonal Depression It’s Not Just in Your Head ... Treatment Can Help

Dr. Kankam chats with a IT’S NORMAL—EVEN patient during a consultation. expected—to experience days where you feel down, unmotivated, and just not exactly like yourself. When this happens, sometimes a quick walk around the park, giving yourself a 15-minute “time out” to regroup and reset, or connecting with a friend for coffee or tea, is all it takes to get back on track.

But what do you do when the “quick fixes” that typically help don’t seem to be working? What happens when a few “down days” here and there become more of the norm and you struggle to get through periods of daylight that come depression, is a type of clinical the day, feeling unmotivated, with the season. These changes depression—a medical illness insecure, and indifferent? You can alter your mood, slow your that causes persistent changes start to wonder if what you are thoughts down, and impact your in the way we feel and think, experiencing is how people with ability to concentrate or focus. and can negatively impact our depression feel. And then it hits Throw in the fact that the holiday ability to function,” says Jemima you. It’s possible that you are season is quickly approaching, Kankam, MD, FAPA, a board- one of those people. Maybe you and it’s easy to see why so many certified psychiatrist at MedStar FAST FACT: might actually be depressed. people need treatment for Harbor Hospital. “A person who seasonal depression this time is depressed feels like they have Nearly 10 million people in the Fall is a time of year that impacts of year. been painted over by a dark U.S. suffer from some level of many people emotionally. Some cloud. Often, this person lacks seasonal depression. struggle with the end of “Seasonal affective disorder, hope, energy, and focus, and summertime and the shorter more commonly called seasonal feels like they are to blame for

14 Waterfront • MedStar Harbor Hospital | FALL 2017 DID YOU KNOW? Making simple lifestyle adjustments such as eating better, living an

Dr. Kankam encourages active lifestyle, getting a patient after a positive proper sleep, and keeping treatment session. stress minimized can often make a big difference in reducing depression.

everything negative that happens these types of challenges,” says adds Dr. Kankam. “When the negative around them.” Dr. Kankam. “Sometimes we feelings and thoughts don’t seem to prescribe medication and usually go away, it could be a sign that Research indicates that across counseling. Other times we there is a bigger problem present. the U.S., nearly 10 million people consider lifestyle adjustments Don’t ignore the signs. You don’t suffer from some level of seasonal that can be made. Good nutrition, have to suffer with this illness. There depression. Those with a family living an active lifestyle, getting are proven treatments available history of the illness are at a proper sleep, and keeping stress that can offer the relief you need higher risk. Professionals like minimized can make a big and deserve.” Dr. Kankam are trained to provide difference.” care and treatment for patients MedStar Harbor has earned a of all ages who seek help and are Especially during times of reputation as a premier provider of ultimately diagnosed with seasonal change, Dr. Kankam behavioral health services, with a clinical depression. encourages people to educate team of psychiatrists, psychologists, themselves on the signs and nurse practitioners, psychiatric “There is so much we can do symptoms associated with nurses, case managers, social to help people who are facing depression, and contact a workers, and clinical counselors on physician for help if mood staff to help patients who face clinical changes become persistent or depression, emotional challenges, begin impacting relationships or and other behavioral health FAST FACT: activities of normal, daily living. conditions. The hospital also has several new, state-of-the-art clinical Nearly 10 million people in the “A lot of people delay seeking spaces for patients seeking care U.S. suffer from some level of treatment because they on an outpatient basis, as well as a seasonal depression. misinterpret what they are feeling dedicated inpatient Behavioral and assume it’s stress-related and Health Unit. that it will eventually subside,”

MedStarHarbor.org/Waterfront • 855-546-0862 15 Nonprofit Org. U.S. Postage NonprofitPAID Org. Baltimore,U.S. Postage MD PermitPAID No. Baltimore,9306 MD Permit No. 3001 South Hanover St. • Baltimore, MD 21225 9306 MedStarHarbor.org/Waterfront 855-546-08623001 South Hanover St. • Baltimore, MD 21225 MedStarHarbor.org/Waterfront 855-546-0862

Looking for a Looking for a dependable neighbor? MedStar Harbor dependableHospital is closer than you neighbor? think. MedStar Harbor Hospital is closer than you think. When it comes to your health, we know you want top-notch physicians, nurses and staff, as well as Whenpersonalized, it comes comprehensive to your health, and we convenientknow you want care. top-notch That’s why physicians, we promise nurses to get and to know staff, asyou well through as personalized,meaningful conversations comprehensive about and your convenient healthcare care. needs, That’s values why we and promise goals. to get to know you through meaningful conversations about your healthcare needs, values and goals. We offer one-stop, personalized, Weexpert offer care. one-stop, personalized, expert care. It’s all right here, close to home:

•It’s Full all range right here,of specialties: close to home: • Full– Behavioral range of Healthspecialties: – BehavioralCardiac care Health – CardiacCancer care care – CancerDiabetes care care – DiabetesDiagnostic care services – DiagnosticPediatrics services – PediatricsPrimary care – Primary Sports medicine,care joint replacement – and Sports spine medicine, joint replacement – and Specialized spine women’s care and – Specializedobstetrics women’s care and – Andobstetrics more • – Emergency And more experts ready 24/7 for • any Emergency accident, experts illness or ready emergency 24/7 for • Easyany accident, access off illness I-95 andor emergency I-895 with • Easyplenty access of free off parking I-95 and I-895 with 17-MHH-3118 plenty of free parking 17-MHH-3118

We’re here when you need us. We’re here when you need us.