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<p class="article-body"> GBMC’s Oncology Support Services team consists of two experienced social workers, a patient resource navigator, a community outreach coordinator, and a survivorship coordinator. <br> <br> Through their familiarity and expertise with a world of available services, our team may make it possible to access a range of assistance programs such as: </p> <ul> <li> Financial Assistance Through Independent Non-profit Organizations </li> <li> Pharmaceutical Company Financial Assistance Programs </li> <li> Referrals to Support Groups </li> <li> Home Care </li> <li> Hospice </li> <li> Palliative Care </li> <li> Patient Education Materials </li> <li> Social Security Disability </li> <li> Transportation Programs </li> <li> Complementary Therapies (such as massage or acupuncture) </li> </ul> We offer counseling to patients, their caregivers, and their families to help in dealing with emotional strains. We offer access to support groups to help our patients deal with depression and uncertainty about the future, and we offer a variety of options to help with financial issues associated with cancer treatments. <br> <br> Our Patient Resource Navigator is available to help patients and their loved ones access and utilize resources available to help cope with, and overcome, logistical barriers to treatment. <br> <br> Once an individual completes cancer treatments and transitions into a “new normal” life, there can potentially be new issues to face that can impact quality of life. Survivorship Services are also available to offer programs and resources to address specific issues facing cancer survivors after they complete their treatments. <br> <br> GBMC’s Boutique Salon and Wellness Center provides image recovery services in private rooms to meet emotional and aesthetic needs. It carries wigs, prosthetics, clothing, corrective make-up, and skin care products and offers services that include styling and make-up application techniques. Patients may also attend one of our Look Good, Feel Better sessions (made possible in part by the American Cancer Society). This program helps women who are undergoing cancer treatment to cope with appearance-related side effects of treatment (including hair loss and changes in complexion and fingernails) and to regain a sense of self-confidence. <div class="end-of-story"> </div>
<p class="article-body"> It’s that time of year again: the days are shorter and comfort food is abundant. People may be tempted to take a nap instead of go for a run, or reach for a cookie instead of a carrot, but Gregory Small, MD, primary care physician at GBMC, urges patients to think about how these decisions can affect overall health. “Weight gain contributes to increased blood pressure, so it’s especially important for people to monitor their habits this time of year,” Dr. Small says. <br> <br> </p> <figure class="image-right"> <img src="/sites/default/files/hg_features/hg_post/85681b65bdf729d8542d6bbf199b8d9b.jpg" alt="Gregory Small, MD" title="Gregory Small, MD"> <figcaption> Dr. Gregory Small, MD </figcaption> </figure> High blood pressure, also known as hypertension, refers to a condition in which the heart is required to pump blood against a higher pressure than it is equipped to, placing a strain on the body. Known as the “silent killer” due to its lack of visible symptoms, high blood pressure, when poorly controlled, is a leading contributor to heart failure, chronic kidney disease including the need for dialysis, stroke and heart attack. Most patients experience high blood pressure over their lifetime and the risk of occurrence rises with age. <br> <br> “I work with my patients to help them make changes that will lower their blood pressure and improve overall health,” Dr. Small says, noting that diet, exercise and alcohol consumption are key factors to monitor. <blockquote> Good habits are important year round, but it’s especially important during the winter, when food loaded with sodium and saturated fat is more prominent, alcohol consumption increases and a sedentary lifestyle is more likely. </blockquote> <br> <br> Traditionally, normal blood pressure is considered 120mmHg/80mmHg or lower, and high blood pressure is considered 140mmHg/90mmHg or higher. The range from 120-139mmHg/80-89mmHg is defined as borderline high blood pressure. “These numbers are general guidelines. With blood pressure, clinical judgment comes into play. For example, older patients may not feel well at a low blood pressure. What’s normal for someone else may not be normal for them,” Dr. Small notes. He adds that if a patient has other conditions, such as diabetes or chronic kidney disease, more aggressive management goals will be needed. In addition, other health conditions often influence which pharmacologic option may be most appropriate. Like all of GBMC’s primary care physicians, Dr. Small works with patients to help them manage chronic high blood pressure according to their own unique needs. <br> <br> The longer high blood pressure is left untreated, the more likely a patient will experience the negative consequences of untreated hypertension. A primary care physician can provide blood pressure screenings and help patients set individual goals. With treatments ranging from lifestyle changes to medications, the right course of action should be decided between an individual and his or her primary care physician. <br> <br> <h3> Best Ways to Keep Blood Pressure Down </h3> <br> <b>Exercise:</b> The ideal amount of aerobic exercise is five days per week, for at least 30-minute sessions. <br> <b>Diet:</b> Try to consume a diet rich in as many fresh fruits and vegetables as possible, limiting sodium intake. <br> <b>Alcohol Consumption:</b> Avoid having more than one serving of alcohol per day. Imbibing in several servings can lead to increased blood pressure. <br> <b>Inactivity/weight gain:</b> Maintain a healthy body mass index (BMI). A BMI less than 25 is great for most people, but determine a weight goal with a physician to ensure proper health! <br> <br> <div class="end-of-story"> </div>
<p class="article-body"> More than ten years of studies have suggested that moderate alcohol consumption can help improve cardiovascular health. As if that wasn’t reason enough to enjoy a glass of red once in a while, recent research has shown that red wine seems to provide an even wider variety of health benefits. <br> <br> <strong>Heart-Healthy Antioxidants</strong> <br> <br> Red wine contains polyphenols, antioxidant-rich compounds that the Mayo Clinic says may aid in promoting overall health and well-being. Red wine also contains flavonoids, which have antioxidants, antiviral and anti-inflammatory properties, as well as resveratrol, a health-boosting substance that comes from the skin of the grapes used to make the wine. <br> <br> <strong>Benefits of a 5-Ounce Glass of Red Wine</strong> </p> <ul> <li> Increases “good” cholesterol levels (HDL) </li> <li> Decreases “bad” cholesterol levels (LDL) </li> <li> Reduces injury to blood vessels and arteries </li> <li> Helps to minimize inflammation in the body </li> <li> Reduces risk of coronary heart disease </li> <li> Prevents blood clots </li> </ul> <strong>Better Body Functioning</strong> <br> <br> Antioxidants in red wine affect more than just heart health. Oxidants, also called “free radicals,” travel throughout the body on a daily basis and can interrupt normal cellular function if they build up. According to an article in Dermatology and Therapy published by dermatologists at the University of California, antioxidants in polyphenols fight the oxidants raging through the body, breaking up buildups and helping the body to go back to normal functioning. <br> <br> <strong>More Radiant Skin</strong> <br> <br> Believe it or not, red wine is now being praised for its possible role in clearing up acne, according to studies performed by dermatologists at UCLA. Antioxidants in resveratrol, which was added into anti-acne solutions, seemed to keep acne-causing bacteria from growing back. <br> <br> <strong>Improved Neurological Function</strong> <br> <br> According to an article by the Yale-New Haven Hospital, studies performed at the University of California observed a possible link between resveratrol and a decrease in tumor cell formation in some cancers. The same study showed that the substance might help form nerve cells, which could possibly help to treat neurological conditions like Parkinson’s disease. <br> <br> <strong>Red Wine Helps Exercise</strong> <br> <br> In a recent study published in the Journal of Physiology, the resveratrol found in red wine might “enhance exercise training and performance” by improving the benefits of moderate exercise. While this doesn’t mean that it is time to give up gym memberships, it does mean that a glass of wine post-workout might help with recovery and improve the effects of moderate exercise performed by those who are physically incapable of working out. <div class="end-of-story"> </div>
<p class="article-body"> In the age of Google, it can be tempting to try to solve your own medical conundrums, especially if you find them a bit embarrassing. However, if you have a new symptom, it's important to talk to your primary care physician, who can evaluate you and provide a much more reliable diagnosis than the internet. It's natural to feel a bit of shyness when sharing certain details about your body, but keep in mind that your primary care physician is a trained professional. It's his or her job to listen to your symptoms, make you feel comfortable, and offer their best possible advice. “Remember, your doctor is used to hearing all sorts of intimate information about patients' bodies, so while it might feel awkward for you, it's actually quite routine for him or her,” says Dr. Robin Motter-Mast, GBMC’s Chair of Family Medicine and a physician with Hunt Manor at GBMC. <br> <br> If you're worried about how to begin the conversation, try making a list of the things you want to discuss at your next visit. Preparation might make you feel more comfortable. Bring the list with you so you won't forget anything, and if you get tongue-tied, you can always hand the paper to your doctor. <br> <br> So, how do you know if your query is worth bringing up and could be indicative of a serious problem or if it's a nonissue you should ignore? It's always better to be safe than sorry, as there will never be any penalty for asking a seemingly silly question. Here are five common issues people worry about discussing with a doctor, and why they are worth raising. <br> <br> <strong>1. Sometimes I urinate a little when I laugh and/or sneeze.</strong> <br> This type of urinary incontinence, called stress incontinence, is most common in women. It happens when the pelvic floor muscles can no longer properly support the bladder. When you're experiencing a sudden leak during a cough, sneeze, laugh, or exercise, the bladder is dropping down and pushing against the vagina, but the muscles that close off the urethra aren’t tightening quickly enough. Though this is common if you've recently given birth or gained weight, it is definitely a topic to bring up with your physician. He or she will want to make sure you don't have a urinary tract infection and may be able to recommend treatment or strategies to help with the leaking. This could include pelvic floor muscle exercises, called Kegels, which can strengthen your urinary sphincter, or examining your lifestyle to identify a medication or vitamin that may be exacerbating the condition. It is unlikely that you'll require surgery, but there are surgical options. Be prepared for your doctor to ask questions about your typical fluid and caffeine intake, frequency of urination, and your bowels. <br> <br> <strong>2. I frequently have very bad breath. </strong> <br> If you practice good dental hygiene, including brushing, flossing, and using an antibacterial mouth wash, and still have persistent bad breath, this is definitely a topic to raise with your physician. Bad breath, called halitosis, doesn't just carry a social stigma; it can indicate a variety of other medical conditions including gum disease, yeast infection of the mouth, diabetes, liver or kidney problems, and more. You could also be experiencing halitosis because of dry mouth, which can be a side effect of various medications. When you're going to an appointment to have your breath evaluated by your doctor, avoid wearing perfume, scented lotions, or lipstick, as the type of smell you're emitting can actually help the physician identify what could be causing it. Expect to answer questions about your dental routine, diet, allergies, and your sleeping/snoring habits. <br> <br> <strong>3. My medication/treatment/test is too expensive for me. </strong> <br> No one likes to admit when they can't afford something, but with the rising costs of healthcare, this is an increasingly common problem. If you question whether a test is necessary, you may also be worried that your physician may perceive you as not valuing his or her opinion. Be honest with your doctor about your financial limitations. It's possible there may be an alternative to an expensive medical test, as research is always providing new evidence and less invasive alternatives. You may even be able to enroll in a clinical trial. If a medication has gone up in price, ask your doctor if there is an available generic – or even an over-the-counter – product available that might work for you. Together, you can decide over time if this is an effective enough alternative. Lastly, depending on the drug you’re taking, your physician may have a patient assistance program application from a pharmaceutical company that could help you. It never hurts to ask. <br> <br> <strong>4. I think I noticed blood in my stool. </strong> <br> Though you most likely aren't excited to talk to your doctor about your bowel movements, avoiding discussing this issue could be dangerous. If you think you see blood in the bowl or on the toilet paper, head straight your primary care physician, as this is never considered normal. One of the worst case scenarios could be colorectal cancer, though there are a variety of other less serious causes including hemorrhoids, anal fissures, peptic ulcers, and more. Your doctor will very likely ask you about the color of the blood you saw, as different shades of red can indicate varying conditions. He or she may also want you to have a test such as an endoscopy, colonoscopy, or fecal occult test, which checks for blood (even hidden blood) in stool. Be sure to share any other symptoms you may be having, even if you don’t think they seem relevant. Rest assured that there are many available treatments, ranging from small things you can do at home to medications and surgeries that can address the problems associated with blood in stool. <br> <br> <strong>5. I sweat excessively. </strong> <br> Excessive sweating, called hyperhidrosis, does not refer to the exhilarating and satisfying dampness you feel after an intense workout, but rather to bodily wetness when you aren't physically exerting yourself at all. If you're sweating profusely and you're just sitting around, or if you feel the need to wipe your hands before every handshake, this is not normal. Hyperhidrosis is potentially a warning sign of thyroid problems, diabetes, infection, or drug interaction, though not necessarily. While it isn't medically risky, it can certainly interfere with the quality of your life and is a legitimate medical condition you should raise with you doctor. Be prepared to be asked about which body parts are sweating, medications you're taking, and whether or not members of your family experience the same issue. There are drugs that can stop your sweat glands from activating and treatments that stop your nerves from triggering too much sweat, so don't be afraid to raise this issue. <br> <br> A good way to overcome your nerves or anxiety about a doctor's visit is to remind yourself that you can't afford to take chances with your health. It's unlikely you will shock your doctor with your symptom(s), and you will feel much better once your problem is in professional hands, even if it is nothing. “Your doctor will not laugh at you or mock your symptoms. Instead, he or she will address your concerns and help determine the best plan of action,” says Dr. Motter-Mast. <br> <br> By being proactive about attending routine physicals and mentioning all new symptoms (even if you find them embarrassing!) you may even help your doctor catch a health condition before it becomes serious. <a target="_blank" href="http://mygbmcdoctor.com/">Click here</a> to find a primary care physician who is right for you. </p> <div class="end-of-story"> </div>
<p class="article-body"> You would know if you were experiencing high blood pressure, right? Wrong. High blood pressure, also called HBP or hypertension, is actually a largely symptomless condition. If the force of your blood flow is too high, and the heart is being forced to pump harder than it should, the tissue that makes up the walls of the arteries is stretched beyond its healthy limit, causing damage. The strain on the body can lead to a stroke, heart attack or chronic kidney disease. <br> <br> High cholesterol can be another burden on your heart. When excess cholesterol, which is a waxy substance, starts to form between layers of artery walls, it is more difficult for your heart to circulate blood. The plaque-like build up can break open and cause clots, which may block an artery to the brain, causing a stroke, or one to the heart, causing a heart attack. <br> <br> Luckily, controlling and preventing high blood pressure and high cholesterol involves easy-to-make lifestyle modifications that are beneficial for your heart and overall health: </p> <ul> <li> <strong>Eat nutrient-rich foods</strong>. Load up on fruits and veggies! Look for breads and cereals that are 100% whole-grain and high in fiber (at least four grams per serving). Select skinless poultry, lean meats, and fish that contains omega 3 fatty acids, such as salmon, trout and herring. </li> <li> <strong>Limit sodium, saturated and trans fats, and added sugars</strong>. Avoid sprinkling your meals with extra salt. Seek out good fats from avocado, eggs, seeds and nuts. Read nutrition labels to identify added hidden sugars with names like dextrose, sucrose and fructose. </li> <li> <strong>Be active</strong>. Not only does physical activity help control your blood pressure, it helps manage your weight, which will strengthen your heart. Try to aim for moderate physical activity, such as brisk walking, for 30 minutes a day at least five times a week. </li> <li> <strong>Do not smoke</strong>. Each cigarette you smoke temporarily increases your blood pressure for many minutes, even after you finish. Smoking has numerous negative effects on your cardiovascular and overall health. Research smoking cessation support groups, classes and hotlines for help. </li> </ul> Your primary care physician can help you learn how to better manage your blood pressure and cholesterol, ensuring a healthy heart. If you do not have a primary care physician, visit <a href="https://www.mygbmcdoctor.com">www.mygbmcdoctor.com</a> to find one who is right for you. <div class="end-of-story"> </div>
<p class="article-body"> If you have never run before, the idea of a 5K run – which is equivalent to 3.1 miles – might seem daunting. When you break down your training and understand how to begin running in a safe and effective manner, it can be a fun and exciting challenge. Remember, you should always consult with your primary care physician before beginning any exercise program. <br> <br> </p> <div id="accordion" class="panel-group"> <div class="panel panel-default"> <div class="panel-heading"> <h4 class="panel-title"> <a data-toggle="collapse" data-parent="#accordion" href="#four" class="collapsed">Tips for Starting Out</a> </h4> </div> <div id="four" class="panel-collapse collapse"> <div class="panel-body"> Interested in taking up running? GBMC is pleased to offer tips and tricks to get you from being a non-runner to a 5K finisher just in time for our <a href="http://www.gbmc.org/5k">Father’s Day 5K</a>, which benefits our Neonatal Intensive Care Unit (NICU) for premature babies. This progression program is meant to be used as a guide for beginner runners but it can be easily adjusted to fit your ability level if you are intermediate or advanced. <br> <br> Keep these tips in mind when preparing to begin a running regimen: <br> <br> <strong>Proper shoes should be fitted to your feet.</strong> Different running shoes provide a variety of features, so it is important to select a pair that fit your activity level. Visit a local running or fitness supply store to have your feet analyzed by an expert. <br> <br> <strong>Always warm up before a run.</strong> Beginning any endurance exercise with cold muscles can lead to injuries, so be sure to engage in a basic warm up of jumping jacks, jogging in place or squats. You should also stretch all major muscle groups to help reduce the risk of injury and aid in the recovery process. <br> <br> <strong>Always stretch after your run.</strong> Stretching after a workout helps to prevent injury, create long and lean muscles and keep you from being too sore in the days that follow your exercise session. <br> <br> <strong>Hydrate before and after a run</strong> to replace liquids lost through sweat and evaporation. <br> <br> If this is your first time running, <strong>start slow and go at your own pace</strong>. Small increases in exertion and distance are key to building a strong running foundation. <br> <br> <strong>Month 1 Training - Weeks 1 & 2</strong> <br> <ul> <li> After warming up, start out at a brisk walk for an interval of three minutes. </li> <li> Jog for thirty seconds. </li> <li> Slow to a walk for thirty seconds to let your heart rate come down. </li> <li> Resume your brisk walk for another three minutes. </li> <li> Repeat eight cycles of brisk walking and running, with a slow walk in between, for a total of 32 minutes of exercise. Do this three times a week for your first two weeks. </li> <li> Stretch after your walk-run session to help improve circulation and recovery times. </li> </ul> <br> <b>Month 1 Training - Weeks 3 & 4</b> <br> <ul> <li> After warming up, walk briskly for two minutes. </li> <li> Jog for one minute. </li> <li> Reduce your tempo to a slower walk for one minute. </li> <li> Repeat this cycle eight times for a total of 32 minutes of exercise. Do this at least three times a week. </li> <li> Stretch after your walk-run session to help improve circulation and recovery times. </li> </ul> <br> If you are in need of a primary care physician, visit <a href="http://www.mygbmcdoctor.com/">www.mygbmcdoctor.com</a> to find one who is right for you. To learn more about the GBMC Father’s Day 5K and to register, visit <a href="http://www.gbmc.org/5k">www.gbmc.org/5k</a>. <br> <br> </div> </div> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4 class="panel-title"> <a data-toggle="collapse" data-parent="#accordion" href="#banding" class="collapsed">Your Second Month of Training</a> </h4> </div> <div id="banding" class="panel-collapse collapse"> <div class="panel-body"> In the first month of our Couch to 5K training plan, you got up and moving in intervals of brisk walking and light jogging to help build your cardiovascular base. As always, check with your primary care physician before beginning any exercise plan. <br> <br> In month two, you will progress to longer bouts of running to help you further build your endurance. A few things to note: <br> <br> You will <strong>increase</strong> your running times and <strong>decrease</strong> your brisk walking times. <strong>Interval training</strong> like this has been shown to help beginner exercisers gradually increase the amount of time per increment they can safely exercise and safety is the most important element of building an exercise system. <br> <br> You will be running long spans this month, but you will also be <strong>stretching more frequently</strong> – not just before and after your exercise sessions. <br> <br> You will also <strong>begin cross-training</strong>, which will help you to build your endurance and make running more enjoyable. <br> <br> <strong>At least once per week, perform some sort of exercise that is not running.</strong> This can be anything that gets you up and moving, including swimming, elliptical training, cardio kickboxing, Pilates, yoga or other exercises. This is cross-training, something that continues to work your muscles and build your fitness base without focusing on the same exact movements as running. <br> <br> <strong>At least two days per week, stretch only.</strong> On two days when you do not plan to run-walk or cross-train, spend a little time stretching out your whole body with your normal pre-running routine or a yoga class. Stretching helps lean out your muscles, release tension, reduce the amount of soreness related to training and improve recovery times. <br> <br> <strong>Focus on a nutrition plan based upon whole foods</strong> – such as vegetables, fruits, lean proteins, nuts and other natural items – to help build strong, lean muscles. <br> <br> <strong>Month 2 Training - Weeks 1 & 2</strong> <br> <ul> <li> After warming up, briskly walk for two minutes. </li> <li> Jog for two minutes. </li> <li> Slowly walk for one minute to lower your heart rate. </li> <li> Repeat six cycles for a total of 30 minutes of exercise, 2-3 times per week. </li> <li> Stretch after your walk-run session to help improve circulation and recovery times. </li> </ul> <br> <b>Month 2 Training - Weeks 3 & 4</b> <br> <ul> <li> After warming up, briskly walk for two minutes. </li> <li> Jog for three minutes. </li> <li> Repeat six cycles for a total of 30 minutes of exercise, 2-3 times per week. </li> <li> Stretch after your run-walk session to help improve circulation and recovery times. </li> </ul> <br> Remember to keep track of how far you’re able to go now that you are running for longer intervals! You should be able to notice whether you’re going farther, moving faster or generally feeling better. Keeping track of this will help you see where you are improving. <br> <br> To learn more about the GBMC Father’s Day 5K and to register, visit <a href="http://www.gbmc.org/5k">www.gbmc.org/5k</a>. </div> </div> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4 class="panel-title"> <a data-toggle="collapse" data-parent="#accordion" href="#sleeve" class="collapsed">Month Three—Tips and Tricks</a> </h4> </div> <div id="sleeve" class="panel-collapse collapse"> <div class="panel-body"> You have made it to month three of your Couch to 5K training, and that is truly something to celebrate! <br> <br> In <b>month three of your Couch to 5K preparations</b>, you will focus on more running, more cross-training and how to run in non-flat race situations. You will test your skills to see how far you’ve come, hone in on healthier decisions, hydrate frequently and start to get excited! <br> Tips to help you power through Month 3: <br> <br> <b>Spend time at least twice per week just stretching</b>, helping your muscles release tension, creating lean muscle mass and improving your recovery now that you have increased the amount of running you’re completing. <br> <br> <b>At least once per week for all of month three, run on a non-flat surface.</b> If you have been running on a treadmill or track up to this point, terrain changes might come as a little bit of a shock. Most 5K courses are not perfectly flat and knowing how to handle the ups and downs of the route will help you enjoy the experience from start to finish. <br> <br> <ul> <li> <b>If you need to slow your pace, do so.</b> There is no point in using up all of your energy on a hill in the first mile when you know you still have two miles to go. </li> <li> <b>Focus on lifting your knees in front of you, high-knee style.</b> While this sounds silly, lifting your knees shifts your body’s center of balance making hill-tackling less energy sapping. <span class="Apple-tab-span" style="white-space: pre;"></span> </li> <li> <b>Breathe more frequently.</b> Running on hilly paths taxes your cardiovascular system. Take one breath every two to three steps to keep your body oxygenated and moving forward. </li> <li> <b>Take smaller steps.</b> In addition to keeping your knees up and in front of you, decrease the length of your stride if you’re finding the hill to be challenging. This will help you cover the same amount of ground with less physical work. </li> <li> <b>On the way down the hill, “stride it out.”</b> In runner’s speak, that means taking longer steps as you descend. Keep your chest back to balance your body and let your legs stretch out as you run down the decline. This gives those muscles that worked so hard on the incline the ability to loosen up for the rest of your run. </li> </ul> <br> <b>Month 3 Training - Weeks 1 & 2</b> <br> <ul> <li> After warming up, start out at a light jog for five minutes. </li> <li> Walk briskly for one minute. </li> <li> Repeat four times for a total of 24 minutes. </li> <li> Run for the last six minutes. </li> <li> Walk for one to two minutes to lower your heart rate. </li> <li> This should be repeated 2-3 times each week. </li> <li> Stretch out after your exercise session. </li> </ul> <br> <b>Month 3 Training - Weeks 3 & 4</b> <br> <ul> <li> After warming up, start out at a light jog and run for at least ten minutes. </li> <li> If you feel strong, proceed with running. If necessary, slow to a brisk walk for one minute, then resume running for several minutes. </li> <li> Alternate one minute of walking with several minutes of running until you’ve completed about 30 minutes of exercise. </li> <li> These sessions should be repeated 2-3 times per week. </li> <li> Stretch out after each exercise session. </li> </ul> If you have yet to sign up for the Father’s Day 5K benefiting GBMC’s NICU, visit <a href="http://www.gbmc.org/5k">www.gbmc.org/5k</a> for information and to register. </div> </div> </div> <div class="panel panel-default"> <div class="panel-heading"> <h4 class="panel-title"> <a data-toggle="collapse" data-parent="#accordion" href="#bypass" class="collapsed">Tips for Your First 5K </a> </h4> </div> <div id="bypass" class="panel-collapse collapse"> <div class="panel-body"> If you’ve been following GBMC's training program, congratulations on a job well done! We’re sure you’re excited to take part in your first 5K race, so we’ve put together this list of tips to get you through your first organized running event. <br> <br> <strong>Before the Race:</strong> <br> <br> <ul> <li> <b>Check the weather report for the day and dress accordingly and comfortably.</b> Moisture-wicking material is helpful for staying dry and cool. It is also important to wear items you have previously worn running, rather than something brand new. </li> <li> <b>Wear socks and shoes that are broken in.</b> The shoes you purchased at the beginning of your training should be perfect for this event. New shoes and socks will be stiffer, might rub differently and could result in blisters. </li> <li> <b>Hydrate and eat a protein-filled meal or snack a few hours before race time.</b> Your body needs time to process the fuel you give it. </li> </ul> <br> <b>At the Race:</b> <br> <br> <ul> <li> <b>Arrive at the race with plenty of time to spare.</b> Getting to the event an hour or more before the race will give you a chance to visit the registration table, get your race bib, use the bathroom, store your gear and get in a good stretch and warm up prior to race time. </li> <li> <b>Store your gear.</b> Each race is different when it comes to how to store your personal effects, so arriving early is your best bet for secure storage of items like your cell phone, car keys, extra clothing layers, wallet and more. There is no gear check at GBMC’s 5K race, so it is best to leave as much as you can safely locked in your car or with a family member/friend. </li> <li> <b>Use the bathroom.</b> As silly as it sounds, you would rather be safe than sorry. Use the bathroom before you head to the starting line to avoid discomfort during the race. </li> <li> <b>Line up toward the back of the pack.</b> For your first race, your goal should be to enjoy the feeling of running as you complete a 5K. Competitive runners will line up toward the front, intermediate runners will line up behind them and beginners or those who naturally have slower paces will line up toward the back of the group. If you start out and find the back of the pack is too slow for you, you can always safely pass others. </li> </ul> <br> <b>During the Race:</b> <br> <ul> <li> <b>Pace yourself.</b> It is easy to get caught up in the moment, especially in a competitive environment. Remember how you’ve trained and take on the course according to your own ability level. </li> <li> <b>Visit the hydration stations.</b> Every race offers at least one hydration station, usually around the halfway point, and visiting it for a quick drink of water will help keep you hydrated for the second half of the race. </li> <li> <b>Be proud of yourself.</b> Focus on how far you’ve come and all that you’re accomplishing as you run. A few months ago, you might not have been able to do this! </li> </ul> <br> <b>After the Race:</b> <br> <ul> <li> <b>Cool your muscles down and lower your heart rate by walking.</b> Many people immediately sit after a race, but your body needs a cool down in order to safely return to normal. Walking around at a slow pace for a few minutes will help. </li> <li> <b>Stretch everything.</b> The same stretching you’ve been doing before and after your training runs applies here. While you may be on an adrenaline rush, stretching is important so that you aren’t sore in the days to come. </li> <li> <b>Get a drink of water.</b> Rehydrating after a running event is important, as your sweat and normal evaporation will pull essential water from your body. Water, or an electrolyte-filled sports drink, is best. </li> <li> <b>Partake in the festivities!</b> If your event offers a cookout, coffee, breakfast, photos or any other social element, take part in them! You’ve earned a celebration! </li> </ul> <br> Thank you for participating in our training program! <br> </div> </div> </div> </div> <div class="end-of-story"> </div>
<p class="article-body"> Eat right. Stay fit. Don't smoke or drink. For many of today's most common diseases, there are simple prevention tips we've heard again and again. However, when it comes to glaucoma, which is the second leading cause of blindness worldwide and the leading cause of irreversible blindness in African Americans, there are no precautionary habits to practice. "It's important for patients to know that this is not on them," says Tanvi Shah, MD, a board-certified GBMC ophthalmologist. "Unlike diabetes or high blood pressure, there is no diet, exercise, or anything you can do to change whether or not you'll develop glaucoma." <br> <br> Glaucoma has no signs or symptoms; you cannot see or feel it. In fact, it's possible to have very advanced glaucoma, including partial peripheral blindness, and not even notice it. It's often referred to as the "sneak thief" of sight because vision loss occurs slowly and painlessly — it could go unnoticed for years, even decades. There is only one way to find out if you have it: routine eye exams with an ophthalmologist. <br> <br> Glaucoma is a condition of increased pressure within the eyeball (that you can't feel), which causes gradual loss of sight. More than 3 million Americans have been diagnosed with vision loss due to glaucoma, though its causes are still unknown. It is more common in African Americans and Hispanics, and it can run in families. <br> <br> Though there are treatments available for glaucoma, including eye drops, laser, and surgery, these can only prevent further loss of vision; it is not possible to restore lost vision. This is why it's imperative to have yearly eye exams when you're over 40 years old (or sooner if you have a family history of glaucoma). A glaucoma test is non-invasive, involving checking the eye pressure, dilating eye drops (called mydriatrics) and the ophthalmologist examining your eyes with a light. <br> <br> If you are diagnosed with glaucoma, you can still live a very normal life. "It is very treatable with monitoring and compliance and only leads to complete blindness in rare cases," says Dr. Shah. "Committing to regular eye exams is the key." <br> <br> For more information, visit<a href="/node/2492"> www.gbmc.org/https://www.gbmc.org/ophthalmology</a> </p> <div class="end-of-story"> </div>
<p class="article-body"> Imagine feeling like you just ran up ten flights of stairs after simply walking to the kitchen for a glass of water. Think of the last time you had a serious cold and woke up throughout the night, coughing and unable to stop. People who suffer from respiratory illnesses, such as asthma and chronic obstructive pulmonary disease (COPD), regularly experience these unsettling symptoms. <br> <br> Caused by airway obstruction and irritation, inflammation of air passages or other damage to lung tissues, chronic respiratory diseases make breathing an ever-present concern. As a result, people who have such illnesses often need treatment in an Emergency Room. They might avoid exercise to prevent feeling out of breath, which can then lead to weight gain, weakness and high blood pressure. Additionally, those who suffer from respiratory problems may become depressed or anxious, worried about when their symptoms will strike next. <br> <br> Fortunately, there are some actions people can take to manage or improve their respiratory health. </p> <ul> <li> <strong>Quit smoking</strong> and avoid being around secondhand smoke. Quitting has immediate health benefits, even if you or a loved one has smoked for many years. </li> <li> <strong>Visit your primary care physician</strong> regularly. The care team can assess your needs and help you to identify things that trigger your symptoms. They can also refer you to a specialist if needed. </li> <li> <strong>Get a flu shot</strong> every year, unless otherwise instructed by your physician. Respiratory illnesses may make people more susceptible to viral infections like the flu. The infection can then become more serious or cause the respiratory illness to worsen. </li> <li> <strong>Get a pneumococcal vaccine</strong> at least once in your lifetime. People with respiratory problems are more likely to develop pneumonia from an infection, which can result in other health complications. </li> <li> <strong>Practice good hand hygiene.</strong> Washing your hands frequently with soap and warm water helps to prevent you from catching viral infections. </li> </ul> If you or a loved one is struggling with symptoms like shortness of breath, persistent cough, wheezing or a tight feeling in the chest, consider seeing a primary care physician. To find a primary care practice near you, visit <a href="http://www.mygbmcdoctor.com/" target="_blank">www.mygbmcdoctor.com</a>. <div class="end-of-story"> </div>
<p class="article-body"> Hearing loss is often associated with seniors, but because of the omnipresent little white earbuds in schools, offices, busses and on children in the car or at home, it's becoming a serious issue for young people as well. "It's bad, and we aren't even going to see how bad the damage is for decades, which is part of the problem," says Brian Kaplan, MD, a GBMC Otolaryngologist. "Once you lose it, you can't get it back." <br> <br> When listening through earbuds, the sound is directed straight into the ear canal, which makes the noise more damaging than with regular headphones. Using cheaply-made earbuds, like the ones that may come free with your device is especially harmful. Because of the poor earbud quality, you might find yourself cranking up the volume in order to try to block out external sounds. <br> <br> So, how can you safely listen to your favorite music, podcasts and games without bothering those around you? Here are some practical tips from Dr. Kaplan, who calls hearing loss "the next public health crisis." <br> <br> </p> <ul> <li> Use the 60/60 rule. Listen at no more than 60 percent of the volume capacity for no more than 60 minutes per day. This is a good, easy-to-enforce rule for kids. </li> <li> If the person next to you can hear your music, it is too loud and likely leading to permanent hearing loss. Turn it down. </li> <li> Use over-the-ear headphones, which are safer than in-ear earbuds because the sound is not funneled as directly into the ear canal. </li> <li> If you prefer earbuds, as many people who exercise to music do, buy better-quality earbuds that are designed to put high-fidelity sound closer to your eardrum. The sound isolation will prevent you from having to increase the volume. Higher quality earbuds will be more expensive, have rubber or foam tips and contour better to the ears. </li> </ul> <br> If you or your children are experiencing a ringing in the ears or are noticing progressive hearing loss, <a href="https://gbmc.formstack.com/forms/primary_care_appointment_request_2" target="_blank">talk to your primary care physician about your symptoms immediately</a>. If necessary, he or she will refer you to a specialist. Visit <a href="/node/2331" target="_blank">www.gbmc.org/audiology</a> for more information. <div class="end-of-story"> </div>
<p class="article-body"> When you eat, whether the food is sweet or not, your body breaks some of the nutrients down into a sugar known as glucose. Cells need glucose for energy, but if you already have enough, the remaining glucose is left floating in the blood. The level of sugar that builds up in the bloodstream can be measured with an A1C test, also known as a glycated hemoglobin test. Levels between 5.7% and 6.4% signify pre-diabetes and an increased risk of diabetes. Levels above 6.5% indicate diabetes. <br> <br> If you have diabetes, managing your A1C level is vital to ensuring you don't develop complications such as eye, nerve, foot or kidney damage. Home blood sugar testing is an important and useful tool, but it only provides a snapshot of your blood sugar levels in the moment. An A1C test provides an average from the past three months, which can provide a more accurate sense of how well you're managing your type 2 diabetes. Patients with diabetes should get an A1C test every three to six months. <br> <br> There are ways to improve your blood sugar management and contribute to lowering your A1C score: </p> <ul> <li> <a href="/sites/default/files/hg_features/hg_post/3802067dbd0f20bcd3705b0d96d81740.pdf" target="_blank"><strong>Register to meet with a dietitian from the Geckle Center for diabetes self-management education in the convenience of your doctor's office.</strong></a> Begin with an individual visit for personalized diabetes training and support and then follow up in a group for meal planning, carb counting, glucose monitoring, taking medications, insulin training (if needed), and weight management. To sign up, <a href="/sites/default/files/hg_features/hg_post/3802067dbd0f20bcd3705b0d96d81740.pdf" target="_blank"><strong> click here </strong></a>or call 443-849-2036. </li> <li> <strong>Get moving.</strong> Find a workout you enjoy that will encourage you to get at least 30 minutes of exercise five times a week. </li> <li> <strong>Stick to a schedule.</strong> When you overeat or skip meals, your blood sugar levels are rising and falling too much. Have regular well-balanced meals. </li> <li> <strong>Balance your diet.</strong> You may be surprised what one serving size of fruit looks like. A diabetes educator can help you plan a proper diet that works for you. </li> </ul> For qualifying patients, GBMC also offers one-on-one sessions with a registered dietitian who is also a certified diabetes educator. If you are interested in diabetes education, call the Nurse Care Manager at your primary care practice. Feel free to share this page with a friend or family member who might need help managing their A1C level, too. In need of a primary care provider? <a href="http://www.mygbmcdoctor.com/" target="_blank">Find one near you</a>. <div class="end-of-story"> </div>
<p class="article-body"> When prenatal genetic counselor Amy Kimball meets with an expectant mom, she spends up to 45 minutes learning about the family, while discussing options for detecting whether the baby is at risk for a genetic condition like Down syndrome or a birth defect. <br> <br> Often, Kimball says, the patient has been referred to her office at the Harvey Institute for Human Genetics at Greater Baltimore Medical Center by her obstetrician. And she may have questions. <br> <br> “There’s not usually a lot of time to discuss the pros and cons of genetic testing at the obstetrician’s office,” Kimball says. “There’s so much else to do at every appointment. I really try to approach families individually because everyone comes into this from a different place with a different history, different values and different levels of worry.” <br> <br> </p> <h3> Who should be tested? </h3> Although any woman can get prenatal genetic counseling at the Harvey Institute, women 35 and older are most commonly seen, Kimball says. And women of all ages are coming in with questions about newer noninvasive genetic screening tests. <br> <br> Counselors help families decide which tests make sense for them. “Now laboratories offer screening for hundreds of genetic conditions,” says Natalie Blagowidow, M.D., director of the Prenatal Diagnostic Center at the Harvey Institute. The Institute helps expectant parents sort through how much they really want to know and how many of these conditions they are truly interested in being screened for. Some couples might just want to do an ultrasound looking for birth defects without homing in on genetic abnormalities. Other couples want to know everything possible. <br> <br> <h3> A new option in noninvasive screening </h3> During the first trimester, two noninvasive screenings are available at GBMC. The first is an ultrasound at 11 to 13 weeks. It can identify markers that may indicate the possibility of trisomy 13, also known as Patau syndrome, trisomy 18, also known as Edwards syndrome, and trisomy 21, Down syndrome — all of which can lead to major health complications for the mother and fetus. This ultrasound can be combined with bloodwork to determine a risk estimate for chromosomal abnormalities. <br> <br> The second option is a cell-free fetal DNA screening, which Blagowidow says is now considered the best noninvasive screening tool for detecting Down syndrome prenatally. “Many women are now electing to do this newer blood test that looks at the DNA from the baby that’s in the mother’s blood,” says Blagowidow. Benefits of the test include a less than 1 percent false positive rate for Down syndrome and no increased risk of miscarriage. The test also provides a high detection rate for abnormalities such as trisomy 18 and certain sex chromosome abnormalities. “Currently it’s being offered to anyone with an interest in having it, and many insurance companies cover the test now,” Blagowidow says. <br> <br> <h3> Predicting the baby’s sex </h3> The test also predicts fetal sex. Patients of all ages come in requesting “the test that tells the sex of the baby,” Kimball says. She explains that the main purpose of the test is to detect genetic issues so that patients can make well-informed decisions and can have the opportunity to prepare for life after delivery. <br> <br> “We really need to think about this from the clinical standpoint. It’s great to learn the sex, but you could also hear bad news. So is it worth it? Thankfully, the vast majority of the time we get to give reassuring results. But not always.” <br> <h3> Diagnostic testing risks and benefits </h3> Diagnostic tests include chorionic villus sampling, or CVS, and amniocentesis. They are more invasive, but can detect certain disorders with the most certainty, according to the <a href="http://jadserve.postrelease.com/trk?ntv_at=4&ntv_ui=bee55fc9-e468-401a-9cd4-4f688024411f&ntv_a=S1gDAx8wZAqugPA&ord=-1400728711&ntv_ht=7ORUWgA&prx_r=https://www.acog.org/Patients/FAQs/Prenatal-Genetic-Diagnostic-Tests" target="_blank">American Congress of Obstetricians and Gynecologists</a>. CVS can be performed between 10 and 12 weeks of pregnancy. A small sample of tissue is obtained from the placenta and used to analyze the chromosomes. This is done by inserting a small catheter through the cervix or by inserting a needle through the abdomen. Amniocentesis can be performed between 16 and 18 weeks, and is used to detect chromosome conditions such as Down syndrome. During amniocentesis, a thin needle is inserted into the amniotic sac to withdraw a small amount of fluid. Both amniocentesis and CVS carry a small risk for miscarriage. <br> <br> <h3> Studying anatomy at 18 weeks </h3> An ultrasound performed between 18 and 20 weeks is recommended for all pregnancies to check the baby’s anatomy. This ultrasound can detect many, but not all, birth defects. It may also identify markers that might indicate a specific chromosome abnormality, such as Down syndrome, in the pregnancy. During the ultrasound, the doctor looks head to toe at fetal anatomy, making sure that everything they can see has formed correctly. As technology continues to advance, the field of prenatal testing gets more complicated, but also more rewarding, Kimball says. “With every new screening, we’ve gotten better at what we’re doing. It keeps us on our toes. It certainly hasn’t gotten boring. It’s really challenging in a good way.” <div class="end-of-story"> </div>
<p class="article-body"> Boredom is one of the sneakiest sabotages to people’s goals of getting fitter or healthier in the New Year. It creeps in slowly, undermining their hard work and keeping them from progressing to their optimal health, leading to negative self-talk and decreased motivation. Don’t let this happen to you! <br> <br> Instead of throwing in the towel when you decide you just can’t spend another day doing the same exact routine as usual, or giving up when you aren’t seeing the results you want, try mixing up your schedule with these fun and fitness-boosting activities and classes. <br> <br> <strong>Walking</strong> — This low-impact, heart-rate increasing activity is good for just about any fitness level because of its ability to provide something for everyone. For the novice exerciser, walking is a good way to get muscles moving, burn extra calories, strengthen and tone the lower body and build stamina for other exercises. As a bonus, walkers can tone their upper bodies and increase their exercise gains by carrying hand weights or donning lightly weighted backpacks. <br> <br> <strong>Running</strong> — The ultimate full-body workout, running moves muscles that many people don’t even know they have. With plenty of plans available online to take beginners off the couch or advanced runners into ultra-marathons, running can be customized to every ability level and every goal. Not sure you could run for more than a few minutes? That’s okay, too! Many running plans start with Walk-Running or Run-Walking, allowing beginners to alternate running and walking in order to build up to distance running. <br> <br> <strong>Kickboxing</strong> — Incorporating many forms of martial arts, this empowering type of exercise trains your muscles to move in new ways, building new muscle, toning old muscle, increasing flexibility and giving you a great cardio workout. <br> <br> <strong>Dance/Zumba</strong> — A craze that has swept the world, cardio dance classes like Zumba are creating fun ways for people of all ages and ability levels to come together in the name of cardio workouts and fitness. Dance to fun and upbeat songs, memorize dance routines filled with fitness-blasting moves and get to know some new friends in the process. <br> <br> <strong>Pilates</strong> — A centuries-old tradition, Pilates incorporates low-impact muscle building and flexibility improving moves that tone the body and still the mind. Think of it as a slightly more intense yoga workout, in which slow movements are repeated in order to help build muscle and raise the heart rate. <br> <br> <strong>Yoga</strong> — While not nearly as cardiovascular-focused as other workouts, yoga has been proven to be the ideal “workout sidekick.” Most fitness classes build muscle through repetitive movements, causing those working muscles to shorten and tighten. Yoga works to lengthen those muscles, working out the kinks and helping to release unnecessary tension wherever possible. While it may seem like that would counteract the work from other fitness classes and activities, yoga actually aids in overall fitness as it helps the muscles to build in long, toned ways instead of short, stocky, bulky ways. <br> <br> <strong>Swimming</strong> — The perfect activity for those with mobility issues such as joint pain, lower body injuries or recent surgeries, swimming provides a stress-free alternative to exercises like running, weight lifting and walking. With many variations from which to choose, including lap swimming, treading exercises, kicking with a kickboard, water aerobics, water polo and many more, swimming provides a workout for all ability and skill levels. <br> <br> <strong>Tai Chi/Chi Gong</strong> — Like yoga, tai chi and chi gong provide a very low impact complement to exercise. Through deep breathing and long, slow muscle movements, exercisers the world over see their muscles elongate, their stress levels go down and their overall health and well being rise. <br> <br> <strong>Weight Lifting</strong> — You can’t lose fat without building muscle and weight lifting is a great way to do just that. Through repetitions of movements with a variety of shapes and sizes of weights, you can build up your muscles, toning them, creating greater strength and making yourself healthier in the process. Weight lifting can be geared toward any ability level, beginning with 1 or 2 pound hand weights and going up to extremely advanced movements with barbells. <br> <br> <strong>Boot Camp</strong> — A cardio extravaganza, boot camp-style classes do exactly what they seem like they should do: put you through an intense workout filled with body weight, weighted and cardio movements designed to work every single muscle in your body. While most classes generally offer beginner level modifications for boot camp moves, it is important to make sure that the class you are attending caters to all skill levels. <br> <br> <strong>Spinning</strong> — If you enjoy biking or riding a stationary bike, then spinning is for you! Perched atop a spinning bike, instructors lead the class through a series of intensity intervals, treating the class as if the whole group were going up and down hills, racing as fast as they can and then treating their muscles to much deserved lower intensity “rests.” <br> <br> <strong>Barre</strong> — A very low intensity workout, barre, or barre Pilates, utilizes props and small muscle movements to train specific muscle groups. Props like exercise rings, exercise balls, weights and more are utilized as aids to resistance training, most while holding onto a dance barre, working different muscles to create changes throughout the body. <br> <br> <strong>Interval Training</strong> — Interval training combines cardio with weight lifting, creating a mash up of exercises that raises the heart rate, builds muscle, burns fat and helps to transform the body. Intervals of activity (with or without weights) are mixed with intervals of rest to help people gradually build themselves and achieve their fitness goals. <br> <br> Tell us about your favorite exercise routine in the comments below! </p> <div class="end-of-story"> </div>
This year, consider giving gifts that will help your friends and family achieve, not defeat, their New Year’s Resolutions! Water bottle — Encourage hydration with a quality, durable water bottle. Check online to find specialty water bottles, such as those with built-in water purifiers or fruit infusers. Be sure to choose a BPA-free model! Sunglasses — Most people don’t think about sunglasses in the middle of winter, but proper UV protection is needed year-round. (Especially when bright white snow is reflecting off the ground on a sunny day!) Moisturizer — A good moisturizer can help skin stay smooth and hydrated while fighting cracking, peeling and dryness. Consider a scented body butter or a light facial moisturizer. Bonus: Find one with SPF of at least 15. Cookbook/Tablet holder — If your loved one is working hard to prepare healthy recipes, why not make it a little easier? Cookbook holders can hold cookbooks on your kitchen counter for easy recipe reading while you cook, and there are also stands designed to hold a tablet (such as an iPad) upright so you can read recipes straight from the web. Red wine — Wine is a traditional gift that many people already enjoy; red wine provides the bonus benefit of vitamins and antioxidants. Tip: Make sure the recipient doesn’t have any health issue precluding him or her from imbibing responsibly. Journal — Mental health experts state that journaling can help with managing stress and relieving negative emotions. Health benefits of journaling include reduction of anxiety and physical symptoms brought on by stress. Cutting board — Some people don’t think to buy these for themselves, but you can never have too many cutting boards to slice, dice and prepare fresh fruits and vegetables. Bonus: Include seasonal fruits or vegetables with the gift! Gift card to a natural grocery store — Sometimes visiting a new store can be intimidating. A gift card can encourage someone to try new, healthy things they might not normally buy. Countertop grill — Indoor grills provide a way to enjoy meats without all the fat, and they provide a great amount of protein, too! They are also great in the winter months when venturing outside to the grill is not a favorable option. Yoga mat — Giving a friend or family member a yoga mat may be just what they need to try a new class. If they are shy, consider pairing it with a yoga DVD or CD.
<p class="article-body"> The holidays can be difficult, especially if you're experiencing anxiety. Time that is meant to bring joy and happiness may feel stressful and lonely. Anxiety can be either chronic (ongoing and long-term) or seasonal. Seasonal anxiety often starts in the fall and continues throughout the winter. Reduced sunlight can cause a drop in your brain's serotonin and melatonin levels, which disrupts your mood and sleep patterns. Even though seasonal anxiety is temporary, it is no less serious than chronic anxiety and if you see symptoms in yourself, you should schedule an appointment to talk with your primary care physician (PCP). <br> <br> It may be challenging to recognize whether your feelings are due to the increased stress of the season or if they indicate more serious anxiety. Here are some common symptoms that could mean you are experiencing more than normal levels of stress: </p> <ul> <li> Feelings of nervousness or restlessness </li> <li> Excessive worrying </li> <li> Trouble concentrating on everyday activities </li> <li> Insomnia and/or fatigue </li> <li> Muscle tension </li> <li> Gastrointestinal problems </li> </ul> Depression can also be seasonal and often accompanies anxiety. Common symptoms of depression include: <ul> <li> Loss of interest in activities you usually enjoy </li> <li> Social withdrawal </li> <li> Prolonged sadness </li> <li> Feelings of hopelessness </li> <li> Disrupted sleep patterns </li> </ul> If you aren't sure whether you're experiencing anxiety or depression, your PCP can help. The good news is that both of these conditions are treatable with a variety of options like practicing relaxation techniques, counseling or therapy sessions, increasing physical exercise, taking prescription medications, or a combination of all the above. <br> <br> To serve our patients better, GBMC and Sheppard Pratt Health System formed a collaborative partnership in November 2016. The joint initiative embeds full-time licensed clinical social workers (also called behavioral health specialists) in nine of GBMC’s 10 primary care practices. They work alongside visiting Sheppard Pratt psychiatrists and substance use counselors (for prescribed and illegal substances) from Kolmac Outpatient Recovery Centers, who are available in all 10 practices. Having such specialists available in primary care practices serves to give patients much faster and more convenient service, along with the comfort of being treated in a familiar setting. It can also help to prevent unnecessary Emergency Room visits, where people may go when they mistake symptoms of stress and anxiety for something like a heart attack. <br> <br> If you suspect that someone you know is going through anxiety or depression, is using prescribed or illegal substances to cope, or is having the symptoms listed above, support them by being receptive and listening. Remind them that anxiety and depression are more common than they may think and there is no shame in seeking treatment. Encourage them to make an appointment with their doctor, and if they are hesitant or uncomfortable, offering to go with them can make all the difference in the world. <br> <br> For more information about GBMC's primary care providers, visit <a target="_blank" alt="Visit MyGBMCDoctor.com" href="http://www.mygbmcdoctor.com/">www.mygbmcdoctor.com</a>. <div class="end-of-story"> </div>
