Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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Wellness fall 2020 Matters The COVID Effect: A Patient’s Emergency Story Despite the Pandemic Recovering After COVID-19
Volume 26, No. 3 Fall 2020 President’s Message Dear Friends, In this issue of Wellness Matters, we Wellness Matters The Perfect Winter Storm: Flu and COVID-19 What you need to do now to prepare share some vital information to keep our community healthy in these challenging In this issue of times. As we enter fall and prepare for Wellness Matters, flu season during a pandemic, I cannot we look deeper into the Flu season is fast approaching, and we are facing the possibility of what has been dubbed a “twindemic”– encourage you enough to get your flu impact COVID-19 has had the combination of flu season with the COVID-19 pandemic. A twindemic scenario could challenge shot. If you typically don’t, this is the on health and your care, hospitals and health care providers. Although it may sound frightening, unlike COVID-19 which doesn’t year you should. new ways to interact with currently have a vaccine, you do have a vital tool to help prevent the flu – the flu vaccine. If you don’t I have been so proud of the hospital staff your doctor remotely and usually get the flu vaccine, this is the year you should. ‘‘ who have worked tirelessly over the past months and continue to, as we what you need to do as prepare for the possibility of a second surge. We have learned a lot during the we enter flu season. The flu vaccine is even more important this year. The more we can do to prevent Flu Myths ’’ pandemic and have honed our approach to flexing staff for potential volumes. respiratory viruses the better off we’ll be. Debunked Contents: I also want to take this opportunity to thank our community. You can read — Lisa Maragakis, M.D. about the many ways the philanthropic support of our committed donors Senior Director of Infection Prevention and the many donors who are new to us, have made an impact on the care and services we provide beginning on page 10. Without our community, 3 The Perfect Winter Storm: Johns Hopkins Health System MYTH: I shouldn’t bother with this so much would not have been possible. Flu and COVID -19 Being vigilant and continuing to practice COVID-19 year’s flu shot, since last We are always here to safely care for you, and I implore you not to ignore safety measures such as handwashing, masking and year’s shot wasn’t very the symptoms of an emergency. In the following pages, you will read 4 Post-COVID -19 Recovery physical distancing, will also help protect you from effective, and I could get about long-time Columbia resident Bill Dunn, who found himself in the flu from the shot. our Emergency Department in August, and even in a pandemic, didn’t 7 Telemedicine: Connecting the flu and common cold viruses. An annual flu vaccine is the best hesitate to come when he was experiencing chest pain. With new ways with Your Physician The danger of flu protection against the flu. Each year, to communicate with your physician, such as telemedicine, be sure you While you might only be sick a few days, the flu can cause severe illness the vaccine is developed to address are also keeping in touch and not putting off your health care. 8 A Heart Attack in a Pandemic: and be deadly when contracted by young children, seniors and those the most common or likely flu virus strains. The flu shot is not a live virus, who are at high risk or have a compromised immune system. Last year’s As we weather the pandemic together, we will continue to provide A Patient’s Story flu season was relatively mild and yet resulted in as many as 740,000 so you cannot get an infection from health information you can use. Sign up for our new email newsletter, the vaccine; instead it will boost Your Wellness Matters, for regular updates at hcgh.org/news. If you want 10 Thankful for Our Donors and hospitalizations and 62,000 flu deaths in the U.S., according to the Centers for Disease Control and Prevention (CDC). your immune system. to take a deeper dive into the pandemic’s impact on health care in our region, be our guest at this year’s State of Health Care in Howard County, Your Gifts at Work MYTH: The COVID-19 Effect: Your Health and Care. Read more about this When should I get my flu shot? The flu shot doesn’t work. virtual event on November 11 on the back cover. I hope you will join us. 14 Hospital News and Ideally, the CDC recommends everyone ages six months and older Even if the flu virus and vaccine are get an annual flu shot before the season starts, which is typically by Be well, COVID-19 Testing Options the end of October. Get your flu shot now to ensure you are protected not a “good match,” getting the flu shot can lessen the severity if you 15 Wellness Classes before the flu virus begins to circulate. You can and should still get a vaccine after the start of the season, but it takes two weeks after get the flu. If you don’t usually get the flu shot, this is the year to start. Steve Snelgrove, President vaccination for the antibodies to provide protection against the flu. Wellness Matters is published by Howard County General Hospital, a private, Please direct comments regarding Wellness Matters to 410-740-7810. not-for-profit, health care provider, and a member of Johns Hopkins Medicine. Your physician should be consulted in regard to matters concerning the medical Where can I safely go to get a flu shot? Hospital Information: 410-740-7890 condition, treatment and needs of your family. Plan ahead, especially if you usually get your flu shot through Lisa Maragakis, M.D., your employer and are now working from home. Vaccines are is senior director of Infection available at grocery stores, pharmacies and urgent care centers Prevention for the Johns Writing/Editing Board of Trustees Howard County General Hospital Susan Case, senior director Elizabeth Rendón-Sherman, chair Jonathan S. Fish, M.D. Daniel G. Shealer Jr., Esq. Professional Staff as well as your doctor’s office. Many stores are offering curbside Hopkins Health System. Marketing & Communications, HCGH Kathleen M. White, Ph.D., R.N., Robert S. D. Higgins, M.D., MSHA Kimberlee Sherbrooke Jeanette T.M. Nazarian, M.D. shots for patients who are concerned about exposure. If you NEA-BC, F.A.A.N., vice chair Sheri Lewis, MPH Paul G. Skalny, Esq. president Bonnie Heneson Communications David Condron, treasurer W. Brian McGowan** Steven C. Snelgrove* don’t have a primary care physician, now would be a good Kevin W. Sowers, M.S.N., R.N., F.A.A.N.* Design Brian S. Walter, secretary Dennis Miller Pamela K. Wagoner* time to start that relationship. Jody Aud Jeanette T.M. Nazarian, M.D.* Bonnie Heneson Communications Douglas A. Beigel Maura J. Rossman, M.D. Hadley Wesson, M.D., MPH* Karen Butler William Saway, M.D. *Ex-Officio Trustee Renee Demski Alton J. Scavo** **Emeritus Trustee Summer 2017 Wellness Fall 2020 Matters[[33 WellnessMatters
Volume 26, No. 3 Fall 2020 President’s Message Dear Friends, In this issue of Wellness Matters, we Wellness Matters The Perfect Winter Storm: Flu and COVID-19 What you need to do now to prepare share some vital information to keep our community healthy in these challenging In this issue of times. As we enter fall and prepare for Wellness Matters, flu season during a pandemic, I cannot we look deeper into the Flu season is fast approaching, and we are facing the possibility of what has been dubbed a “twindemic”– encourage you enough to get your flu impact COVID-19 has had the combination of flu season with the COVID-19 pandemic. A twindemic scenario could challenge shot. If you typically don’t, this is the on health and your care, hospitals and health care providers. Although it may sound frightening, unlike COVID-19 which doesn’t year you should. new ways to interact with currently have a vaccine, you do have a vital tool to help prevent the flu – the flu vaccine. If you don’t I have been so proud of the hospital staff your doctor remotely and usually get the flu vaccine, this is the year you should. ‘‘ who have worked tirelessly over the past months and continue to, as we what you need to do as prepare for the possibility of a second surge. We have learned a lot during the we enter flu season. The flu vaccine is even more important this year. The more we can do to prevent Flu Myths ’’ pandemic and have honed our approach to flexing staff for potential volumes. respiratory viruses the better off we’ll be. Debunked Contents: I also want to take this opportunity to thank our community. You can read — Lisa Maragakis, M.D. about the many ways the philanthropic support of our committed donors Senior Director of Infection Prevention and the many donors who are new to us, have made an impact on the care and services we provide beginning on page 10. Without our community, 3 The Perfect Winter Storm: Johns Hopkins Health System MYTH: I shouldn’t bother with this so much would not have been possible. Flu and COVID -19 Being vigilant and continuing to practice COVID-19 year’s flu shot, since last We are always here to safely care for you, and I implore you not to ignore safety measures such as handwashing, masking and year’s shot wasn’t very the symptoms of an emergency. In the following pages, you will read 4 Post-COVID -19 Recovery physical distancing, will also help protect you from effective, and I could get about long-time Columbia resident Bill Dunn, who found himself in the flu from the shot. our Emergency Department in August, and even in a pandemic, didn’t 7 Telemedicine: Connecting the flu and common cold viruses. An annual flu vaccine is the best hesitate to come when he was experiencing chest pain. With new ways with Your Physician The danger of flu protection against the flu. Each year, to communicate with your physician, such as telemedicine, be sure you While you might only be sick a few days, the flu can cause severe illness the vaccine is developed to address are also keeping in touch and not putting off your health care. 8 A Heart Attack in a Pandemic: and be deadly when contracted by young children, seniors and those the most common or likely flu virus strains. The flu shot is not a live virus, who are at high risk or have a compromised immune system. Last year’s As we weather the pandemic together, we will continue to provide A Patient’s Story flu season was relatively mild and yet resulted in as many as 740,000 so you cannot get an infection from health information you can use. Sign up for our new email newsletter, the vaccine; instead it will boost Your Wellness Matters, for regular updates at hcgh.org/news. If you want 10 Thankful for Our Donors and hospitalizations and 62,000 flu deaths in the U.S., according to the Centers for Disease Control and Prevention (CDC). your immune system. to take a deeper dive into the pandemic’s impact on health care in our region, be our guest at this year’s State of Health Care in Howard County, Your Gifts at Work MYTH: The COVID-19 Effect: Your Health and Care. Read more about this When should I get my flu shot? The flu shot doesn’t work. virtual event on November 11 on the back cover. I hope you will join us. 14 Hospital News and Ideally, the CDC recommends everyone ages six months and older Even if the flu virus and vaccine are get an annual flu shot before the season starts, which is typically by Be well, COVID-19 Testing Options the end of October. Get your flu shot now to ensure you are protected not a “good match,” getting the flu shot can lessen the severity if you 15 Wellness Classes before the flu virus begins to circulate. You can and should still get a vaccine after the start of the season, but it takes two weeks after get the flu. If you don’t usually get the flu shot, this is the year to start. Steve Snelgrove, President vaccination for the antibodies to provide protection against the flu. Wellness Matters is published by Howard County General Hospital, a private, Please direct comments regarding Wellness Matters to 410-740-7810. not-for-profit, health care provider, and a member of Johns Hopkins Medicine. Your physician should be consulted in regard to matters concerning the medical Where can I safely go to get a flu shot? Hospital Information: 410-740-7890 condition, treatment and needs of your family. Plan ahead, especially if you usually get your flu shot through Lisa Maragakis, M.D., your employer and are now working from home. Vaccines are is senior director of Infection available at grocery stores, pharmacies and urgent care centers Prevention for the Johns Writing/Editing Board of Trustees Howard County General Hospital Susan Case, senior director Elizabeth Rendón-Sherman, chair Jonathan S. Fish, M.D. Daniel G. Shealer Jr., Esq. Professional Staff as well as your doctor’s office. Many stores are offering curbside Hopkins Health System. Marketing & Communications, HCGH Kathleen M. White, Ph.D., R.N., Robert S. D. Higgins, M.D., MSHA Kimberlee Sherbrooke Jeanette T.M. Nazarian, M.D. shots for patients who are concerned about exposure. If you NEA-BC, F.A.A.N., vice chair Sheri Lewis, MPH Paul G. Skalny, Esq. president Bonnie Heneson Communications David Condron, treasurer W. Brian McGowan** Steven C. Snelgrove* don’t have a primary care physician, now would be a good Kevin W. Sowers, M.S.N., R.N., F.A.A.N.* Design Brian S. Walter, secretary Dennis Miller Pamela K. Wagoner* time to start that relationship. Jody Aud Jeanette T.M. Nazarian, M.D.* Bonnie Heneson Communications Douglas A. Beigel Maura J. Rossman, M.D. Hadley Wesson, M.D., MPH* Karen Butler William Saway, M.D. *Ex-Officio Trustee Renee Demski Alton J. Scavo** **Emeritus Trustee Summer 2017 Wellness Fall 2020 Matters[[33 WellnessMatters
What We’ve Learned About Treating COVID-19 Recovering after …Heart Johns Hopkins Recovering from COVID-19 Although COVID-19 is primarily a respiratory or lung ‘‘ disease, the heart can also suffer. Coronavirus You tested positive for COVID-19. You recovered and yet… Once the infection resolves, Research Early reports coming out of China and Italy, two areas you are still weak and tired. Weeks go by. You still just where COVID-19 took hold earlier in the pandemic, the stressor has ended, ’’ don’t feel like your pre-COVID-19 self. Johns Hopkins Medicine researchers are working tirelessly to find ways to According to a study conducted by the Centers for Disease Control show that up to 1 in 5 patients with the illness end up and the heart can recover. with heart damage. Heart failure has been the cause of better understand, treat and eventually and Prevention (CDC), 35% of symptomatic adults had not returned death in COVID-19 patients, even those without severe — Erin Michos, M.D. eliminate COVID-19 and the illness that to their usual state of health 2–3 weeks after testing positive. Among breathing problems such as acute respiratory distress results from infection. New discoveries persons aged 18 –34 years with no chronic medical conditions, one in syndrome (ARDS). and observations from Johns Hopkins five had not returned to their usual state of health. In addition, Dr. Michos warns that people living with that are shared, especially those Not all heart problems related to this coronavirus are alike, heart disease should stay in close touch with their related to clinical therapies, are almost While the full implications of being infected with COVID-19 are not however. Johns Hopkins cardiologist Erin Michos, M.D., doctors during the pandemic and take care to comply all early in concept. They will require fully known or understood, and most people have mild illness, physicians explains the different ways the virus — and the body’s with medication to manage their heart condition. rigorous research, testing and peer at Johns Hopkins Medicine have learned there can be significant effects response to it — can cause heart damage. If they catch COVID-19, they should request a follow-up review before solid conclusions for on your heart, brain and lungs. Physical weakness and fatigue are other examination after they recover to detect any further challenges patients are facing. “There are multiple mechanisms for heart damage heart damage from the virus. clinical care and disease prevention in COVID-19, and not everyone is the same,” can be made. Read more here: Dr. Michos says. Patients without known heart disease who get COVID-19 bit.ly/COVIDresearchJH. Post-COVID-19…Brain should follow up with their primary care doctor. Tests may Patients with COVID-19 are experiencing an array of effects on the brain, Temporary or lasting damage to heart tissue be recommended if symptoms such as weakness, shortness Lisa Maragakis, M.D., senior director of breath or chest pain persist after recovery, since these ranging in severity from confusion to loss of smell and taste to life-threatening can be due to several factors: of Infection Prevention for Johns Hopkins strokes. Younger patients in their 30s and 40s are suffering possibly problems could be due to COVID-19-related damage to Health System, says, “Treatment for Lack of oxygen. As the virus causes inflammation life-changing neurological issues due to strokes. Although researchers don’t the lungs or heart. patients with COVID-19 has improved and fluid to fill up the air sacs in the lungs, less oxygen dramatically. We now have treatments have answers yet as to why the brain may be harmed, they have several theories. can reach the bloodstream. The heart has to work that can help to fight the virus and Critical care physician and neurointensivist Robert Stevens, M.D., who is harder to pump blood through the body, which can …Lungs control the body’s sometimes damaging the associate director of the Johns Hopkins Precision Medicine Center of be dangerous in people with pre-existing heart disease. Like other respiratory illnesses, COVID-19 can cause immune reaction to the infection. Many Excellence for Neurocritical Care, has been tracking cases at Johns Hopkins The heart can fail from overwork, or insufficient oxygen lung damage. As we continue to learn about COVID-19, candidate vaccines are in development, in which patients with COVID-19 also have neurological problems and can cause cell death and tissue damage in the heart we’re understanding more about how it affects the lungs and several of these are in the final using imaging and tests of blood and spinal fluid to understand how the and other organs. while people are sick and after recovery. stages of clinical studies.” coronavirus operates. Myocarditis: inflammation of the heart. Panagis Galiatsatos, M.D., a Johns Hopkins expert on In addition, Johns Hopkins According to Dr. Stevens, “Cases around the world show that patients with The coronavirus may infect and damage the heart’s lung disease, explains some of the short- and long-term researchers are conducting a variety of COVID-19 can have a variety of conditions related to the brain, including: muscle tissue directly, as is possible with other viral lung problems brought on by the new coronavirus. clinical trials to find new ways to detect, • Confusion • Seizures • Trouble focusing infections, including some strains of the flu. The heart COVID-19 can cause lung complications such as prevent and treat COVID-19. These trials • Loss of consciousness • Stroke • Changes in behavior may also become damaged and inflamed indirectly pneumonia and ARDS. include studies involving Johns Hopkins • Loss of smell and taste • Headaches by the body’s own immune system response. employees, people who have COVID-19 In pneumonia, the lungs become filled with fluid and Stress cardiomyopathy. Viral infections can and analysis of collected data about the Patients are also having peripheral nerve issues, such as Guillain-Barré inflamed, leading to breathing difficulties. cause cardiomyopathy, a heart muscle disorder that illness. Results of these clinical trials syndrome, which can lead to paralysis and respiratory failure. I estimate affects the heart’s ability to pump blood effectively. The pneumonia that COVID-19 causes tends to take will be available when data is analyzed, that at least half of the patients I’m seeing in the COVID-19 units have When attacked by a virus, the body undergoes stress hold in both lungs. Air sacs in the lungs fill with fluid, peer-reviewed and published. neurological symptoms. Based on the current research, we think there and releases a surge of chemicals called catecholamines limiting their ability to take in oxygen and causing are four ways COVID-19 may harm the brain, but each needs to be that can stun the heart. shortness of breath, cough and other symptoms. studied rigorously before any conclusions can be made.” s (continued) 4 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 5
What We’ve Learned About Treating COVID-19 Recovering after …Heart Johns Hopkins Recovering from COVID-19 Although COVID-19 is primarily a respiratory or lung ‘‘ disease, the heart can also suffer. Coronavirus You tested positive for COVID-19. You recovered and yet… Once the infection resolves, Research Early reports coming out of China and Italy, two areas you are still weak and tired. Weeks go by. You still just where COVID-19 took hold earlier in the pandemic, the stressor has ended, ’’ don’t feel like your pre-COVID-19 self. Johns Hopkins Medicine researchers are working tirelessly to find ways to According to a study conducted by the Centers for Disease Control show that up to 1 in 5 patients with the illness end up and the heart can recover. with heart damage. Heart failure has been the cause of better understand, treat and eventually and Prevention (CDC), 35% of symptomatic adults had not returned death in COVID-19 patients, even those without severe — Erin Michos, M.D. eliminate COVID-19 and the illness that to their usual state of health 2–3 weeks after testing positive. Among breathing problems such as acute respiratory distress results from infection. New discoveries persons aged 18 –34 years with no chronic medical conditions, one in syndrome (ARDS). and observations from Johns Hopkins five had not returned to their usual state of health. In addition, Dr. Michos warns that people living with that are shared, especially those Not all heart problems related to this coronavirus are alike, heart disease should stay in close touch with their related to clinical therapies, are almost While the full implications of being infected with COVID-19 are not however. Johns Hopkins cardiologist Erin Michos, M.D., doctors during the pandemic and take care to comply all early in concept. They will require fully known or understood, and most people have mild illness, physicians explains the different ways the virus — and the body’s with medication to manage their heart condition. rigorous research, testing and peer at Johns Hopkins Medicine have learned there can be significant effects response to it — can cause heart damage. If they catch COVID-19, they should request a follow-up review before solid conclusions for on your heart, brain and lungs. Physical weakness and fatigue are other examination after they recover to detect any further challenges patients are facing. “There are multiple mechanisms for heart damage heart damage from the virus. clinical care and disease prevention in COVID-19, and not everyone is the same,” can be made. Read more here: Dr. Michos says. Patients without known heart disease who get COVID-19 bit.ly/COVIDresearchJH. Post-COVID-19…Brain should follow up with their primary care doctor. Tests may Patients with COVID-19 are experiencing an array of effects on the brain, Temporary or lasting damage to heart tissue be recommended if symptoms such as weakness, shortness Lisa Maragakis, M.D., senior director of breath or chest pain persist after recovery, since these ranging in severity from confusion to loss of smell and taste to life-threatening can be due to several factors: of Infection Prevention for Johns Hopkins strokes. Younger patients in their 30s and 40s are suffering possibly problems could be due to COVID-19-related damage to Health System, says, “Treatment for Lack of oxygen. As the virus causes inflammation life-changing neurological issues due to strokes. Although researchers don’t the lungs or heart. patients with COVID-19 has improved and fluid to fill up the air sacs in the lungs, less oxygen dramatically. We now have treatments have answers yet as to why the brain may be harmed, they have several theories. can reach the bloodstream. The heart has to work that can help to fight the virus and Critical care physician and neurointensivist Robert Stevens, M.D., who is harder to pump blood through the body, which can …Lungs control the body’s sometimes damaging the associate director of the Johns Hopkins Precision Medicine Center of be dangerous in people with pre-existing heart disease. Like other respiratory illnesses, COVID-19 can cause immune reaction to the infection. Many Excellence for Neurocritical Care, has been tracking cases at Johns Hopkins The heart can fail from overwork, or insufficient oxygen lung damage. As we continue to learn about COVID-19, candidate vaccines are in development, in which patients with COVID-19 also have neurological problems and can cause cell death and tissue damage in the heart we’re understanding more about how it affects the lungs and several of these are in the final using imaging and tests of blood and spinal fluid to understand how the and other organs. while people are sick and after recovery. stages of clinical studies.” coronavirus operates. Myocarditis: inflammation of the heart. Panagis Galiatsatos, M.D., a Johns Hopkins expert on In addition, Johns Hopkins According to Dr. Stevens, “Cases around the world show that patients with The coronavirus may infect and damage the heart’s lung disease, explains some of the short- and long-term researchers are conducting a variety of COVID-19 can have a variety of conditions related to the brain, including: muscle tissue directly, as is possible with other viral lung problems brought on by the new coronavirus. clinical trials to find new ways to detect, • Confusion • Seizures • Trouble focusing infections, including some strains of the flu. The heart COVID-19 can cause lung complications such as prevent and treat COVID-19. These trials • Loss of consciousness • Stroke • Changes in behavior may also become damaged and inflamed indirectly pneumonia and ARDS. include studies involving Johns Hopkins • Loss of smell and taste • Headaches by the body’s own immune system response. employees, people who have COVID-19 In pneumonia, the lungs become filled with fluid and Stress cardiomyopathy. Viral infections can and analysis of collected data about the Patients are also having peripheral nerve issues, such as Guillain-Barré inflamed, leading to breathing difficulties. cause cardiomyopathy, a heart muscle disorder that illness. Results of these clinical trials syndrome, which can lead to paralysis and respiratory failure. I estimate affects the heart’s ability to pump blood effectively. The pneumonia that COVID-19 causes tends to take will be available when data is analyzed, that at least half of the patients I’m seeing in the COVID-19 units have When attacked by a virus, the body undergoes stress hold in both lungs. Air sacs in the lungs fill with fluid, peer-reviewed and published. neurological symptoms. Based on the current research, we think there and releases a surge of chemicals called catecholamines limiting their ability to take in oxygen and causing are four ways COVID-19 may harm the brain, but each needs to be that can stun the heart. shortness of breath, cough and other symptoms. studied rigorously before any conclusions can be made.” s (continued) 4 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 5
While most people recover from pneumonia without any lasting lung damage, the pneumonia associated ‘‘ Proper nutrition and hydration can also help patients avoid Telemedicine: ’’ with COVID-19 may be severe. Even after the complications of COVID-19. A new way to connect with your physician disease has passed, lung injury may result in breathing difficulties that might take months to improve. — Panagis Galiatsatos, M.D. As COVID-19 pneumonia progresses, more of the “Eating a healthy diet is important for overall health. As the delivery of health care during the pandemic air sacs become filled with fluid leaking from the tiny Proper hydration maintains proper blood volume and changes, many patients have a new way to interact blood vessels in the lungs. Eventually, shortness of healthy mucous membranes in the respiratory system, which with their physician via telemedicine technology. Your doctor breath sets in, and can lead to ARDS, a form of lung can help them better resist infection and tissue damage.” Telemedicine uses digital devices, such as a failure. Patients with ARDS are often unable to breathe computer, smartphone or electronic tablet, to bring on their own and may require ventilator support to Is COVID-19 lung damage reversible? will see you and your physician together in real time without help circulate oxygen in the body. After a serious case of COVID-19, a patient’s lungs can you leaving your home. This allows you to receive recover, but not overnight. “Recovery from lung damage a one-on-one visit with your provider, get your you now. Whether it occurs at home or at the hospital, ARDS can be fatal. People who survive ARDS and recover takes time,” Dr. Galiatsatos says. “There’s the initial injury questions answered and maintain your health. from COVID-19 may have lasting pulmonary scarring. to the lungs, followed by scarring. Over time, the tissue heals, but it can take three months to a year or more for a person’s What telemedicine services are available? Dr. Galiatsatos notes three factors that lung function to return to pre-COVID-19 levels. Patients You can access many types of care visits including should be prepared for continuing treatment and therapy.” routine, follow-up, primary care consultations, affect the lung damage risk in COVID-19 management of chronic health conditions, infections and how likely the person is to recover and regain lung function: ...Restoring Movement medication management and some types of “Common impairments of COVID-19 include therapy. Check with your primary care provider Successful Telemedicine Visit Tips Disease severity. “The first is the severity of the or specialist to see if they are offering telemedicine. weakness, fatigue and shortness of breath with activity, and n Check-in or confirm your appointment at least 24 hours coronavirus infection itself — whether the person has a For appointment information with Johns Hopkins difficulty with walking and performing daily tasks,” notes beforehand, if required. If you are seeing a Johns Hopkins mild or a severe case,” Dr. Galiatsatos says. Milder cases Medicine providers, visit bit.ly/JHtelemed. Mayra Sanchez Gonzalez, M.D., a Johns Hopkins clinical physician, log in to MyChart within 7 days of the appointment, are less likely to cause lasting scars in the lung tissue. select your appointment and complete the eCheck-in process. psychologist in physical medicine and rehabilitation. “When What do I need? Health conditions. “The second is whether there you experience these physical impairments, it can lead to Many physician offices are offering this option n Prepare a list of items you want to discuss. are existing health problems, such as chronic obstructive stress, which negatively affects the mind. Fear and depression with various technologies. For most, you will need n Test your video and audio in advance. pulmonary disease (COPD) or heart disease that can can both impact the health of the body. Early intervention a smartphone, tablet or computer with a camera, and n If you will be using your cell phone, ensure it is charged and raise the risk for severe disease.” Older people are through exercise and activity aimed at treating the whole speakers, headset or earphones with a microphone. you are connected to Wi-Fi or have a strong cell signal. also more vulnerable for a severe case of COVID-19. person will play an important role in the recovery process If you have an appointment with a Johns Hopkins and can be started at home during self-isolation. physician, you will also need a MyChart account. n Make sure the area you will be using for your telemedicine Their lung tissues may be less elastic, and they may appointment has good lighting. ‘‘ have weakened immunity because of advanced age. By engaging in movements What if I have an emergency? n Turn off any background radio or television. Treatment. “Treatment is the third factor,” he says. Emergencies are still emergencies. Call 911 if you are that the human body is experiencing sudden chest pain, difficulty breathing n Place your camera or position your device so the provider “A patient’s recovery and long-term lung health is can see your face and has a view of you from the waist up, going to depend on what kind of care they get, and already used to, we can begin or weakness to one side of the face or body. if possible. how quickly.” Timely support in the hospital for the process of recovery n Make sure that both your video and audio settings are on. severely ill patients can minimize lung damage. and healing with ’’ S ign U p for MyChart n Let your provider know if there are any people with you Lessening the chance of lung damage exercises and movements. and if you want them included in the conversation. There are things patients can do to increase their — Mayra Sanchez Gonzalez, M.D. It’s easier now than ever to create a MyChart n Have the visit in a private space where you feel comfortable chances for less severe lung damage. account! Current patients can sign up by discussing personal medical information. To read Dr. Gonzalez’s complete guide to restoring movement, filling out a form online to communicate with n For Johns Hopkins patients, 30 minutes before your visit, log According to Dr. Galiatsatos, “If you have a health issue Bouncing Back from COVID, visit: bit.ly/RestoreMovement. your provider, access test results, request in to MyChart, select your appointment, complete eCheck-in that puts you at higher risk, make sure you’re doing prescription renewals and manage appointments. everything you can to minimize that. For example, people if you have not done so, and select “Start Video Visit.” You On the MyChart login page, click “Sign Up and living with diabetes, COPD or heart disease should be The Johns Hopkins Musculoskeletal Center in Columbia will be placed in a virtual waiting room until your provider Verify,” enter your contact information and especially careful to manage those conditions with provides physical therapy services that can help with recovery. joins. MyChart does not work on Internet Explorer. Use an verify your identity to create a MyChart account. monitoring and taking their medications as directed. Appointments: 443-997-6754. alternative browser such as Chrome or Firefox. Sign up: mychart.hopkinsmedicine.org 6 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 7
While most people recover from pneumonia without any lasting lung damage, the pneumonia associated ‘‘ Proper nutrition and hydration can also help patients avoid Telemedicine: ’’ with COVID-19 may be severe. Even after the complications of COVID-19. A new way to connect with your physician disease has passed, lung injury may result in breathing difficulties that might take months to improve. — Panagis Galiatsatos, M.D. As COVID-19 pneumonia progresses, more of the “Eating a healthy diet is important for overall health. As the delivery of health care during the pandemic air sacs become filled with fluid leaking from the tiny Proper hydration maintains proper blood volume and changes, many patients have a new way to interact blood vessels in the lungs. Eventually, shortness of healthy mucous membranes in the respiratory system, which with their physician via telemedicine technology. Your doctor breath sets in, and can lead to ARDS, a form of lung can help them better resist infection and tissue damage.” Telemedicine uses digital devices, such as a failure. Patients with ARDS are often unable to breathe computer, smartphone or electronic tablet, to bring on their own and may require ventilator support to Is COVID-19 lung damage reversible? will see you and your physician together in real time without help circulate oxygen in the body. After a serious case of COVID-19, a patient’s lungs can you leaving your home. This allows you to receive recover, but not overnight. “Recovery from lung damage a one-on-one visit with your provider, get your you now. Whether it occurs at home or at the hospital, ARDS can be fatal. People who survive ARDS and recover takes time,” Dr. Galiatsatos says. “There’s the initial injury questions answered and maintain your health. from COVID-19 may have lasting pulmonary scarring. to the lungs, followed by scarring. Over time, the tissue heals, but it can take three months to a year or more for a person’s What telemedicine services are available? Dr. Galiatsatos notes three factors that lung function to return to pre-COVID-19 levels. Patients You can access many types of care visits including should be prepared for continuing treatment and therapy.” routine, follow-up, primary care consultations, affect the lung damage risk in COVID-19 management of chronic health conditions, infections and how likely the person is to recover and regain lung function: ...Restoring Movement medication management and some types of “Common impairments of COVID-19 include therapy. Check with your primary care provider Successful Telemedicine Visit Tips Disease severity. “The first is the severity of the or specialist to see if they are offering telemedicine. weakness, fatigue and shortness of breath with activity, and n Check-in or confirm your appointment at least 24 hours coronavirus infection itself — whether the person has a For appointment information with Johns Hopkins difficulty with walking and performing daily tasks,” notes beforehand, if required. If you are seeing a Johns Hopkins mild or a severe case,” Dr. Galiatsatos says. Milder cases Medicine providers, visit bit.ly/JHtelemed. Mayra Sanchez Gonzalez, M.D., a Johns Hopkins clinical physician, log in to MyChart within 7 days of the appointment, are less likely to cause lasting scars in the lung tissue. select your appointment and complete the eCheck-in process. psychologist in physical medicine and rehabilitation. “When What do I need? Health conditions. “The second is whether there you experience these physical impairments, it can lead to Many physician offices are offering this option n Prepare a list of items you want to discuss. are existing health problems, such as chronic obstructive stress, which negatively affects the mind. Fear and depression with various technologies. For most, you will need n Test your video and audio in advance. pulmonary disease (COPD) or heart disease that can can both impact the health of the body. Early intervention a smartphone, tablet or computer with a camera, and n If you will be using your cell phone, ensure it is charged and raise the risk for severe disease.” Older people are through exercise and activity aimed at treating the whole speakers, headset or earphones with a microphone. you are connected to Wi-Fi or have a strong cell signal. also more vulnerable for a severe case of COVID-19. person will play an important role in the recovery process If you have an appointment with a Johns Hopkins and can be started at home during self-isolation. physician, you will also need a MyChart account. n Make sure the area you will be using for your telemedicine Their lung tissues may be less elastic, and they may appointment has good lighting. ‘‘ have weakened immunity because of advanced age. By engaging in movements What if I have an emergency? n Turn off any background radio or television. Treatment. “Treatment is the third factor,” he says. Emergencies are still emergencies. Call 911 if you are that the human body is experiencing sudden chest pain, difficulty breathing n Place your camera or position your device so the provider “A patient’s recovery and long-term lung health is can see your face and has a view of you from the waist up, going to depend on what kind of care they get, and already used to, we can begin or weakness to one side of the face or body. if possible. how quickly.” Timely support in the hospital for the process of recovery n Make sure that both your video and audio settings are on. severely ill patients can minimize lung damage. and healing with ’’ S ign U p for MyChart n Let your provider know if there are any people with you Lessening the chance of lung damage exercises and movements. and if you want them included in the conversation. There are things patients can do to increase their — Mayra Sanchez Gonzalez, M.D. It’s easier now than ever to create a MyChart n Have the visit in a private space where you feel comfortable chances for less severe lung damage. account! Current patients can sign up by discussing personal medical information. To read Dr. Gonzalez’s complete guide to restoring movement, filling out a form online to communicate with n For Johns Hopkins patients, 30 minutes before your visit, log According to Dr. Galiatsatos, “If you have a health issue Bouncing Back from COVID, visit: bit.ly/RestoreMovement. your provider, access test results, request in to MyChart, select your appointment, complete eCheck-in that puts you at higher risk, make sure you’re doing prescription renewals and manage appointments. everything you can to minimize that. For example, people if you have not done so, and select “Start Video Visit.” You On the MyChart login page, click “Sign Up and living with diabetes, COPD or heart disease should be The Johns Hopkins Musculoskeletal Center in Columbia will be placed in a virtual waiting room until your provider Verify,” enter your contact information and especially careful to manage those conditions with provides physical therapy services that can help with recovery. joins. MyChart does not work on Internet Explorer. Use an verify your identity to create a MyChart account. monitoring and taking their medications as directed. Appointments: 443-997-6754. alternative browser such as Chrome or Firefox. Sign up: mychart.hopkinsmedicine.org 6 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 7
A P a ti e n t ’ s Stor y : Following Your Gut to the ER Despite a Pandemic Bill was lucky. Not all patients have received this lifesaving It was a beautiful Saturday morning in Columbia in late August. Bill Dunn had just finished breakfast when treatment needed during the pandemic. According the burn in his belly started. It was that pesky indigestion he thought and grabbed some soda to soothe his to a report published in the Journal of the American stomach. It seemed to work. The morning continued with a trip to the library to pick up some new books to College of Cardiology, during the first three months of read during the pandemic. By the time he returned home, the discomfort from the indigestion returned and this year, there was a 38% reduction in U.S. cardiac was now in the center of his chest. When it didn’t subside, Bill and his wife started to become concerned patients being treated for a life-threatening event known and realized it was time to head to the hospital’s emergency department, despite the pandemic. as a STEMI. A STEMI is a serious form of heart attack in F which a coronary artery that supplies oxygen-rich blood ollowing some tests, Bill received an explanation Bill had several blockages that were addressed with to the heart is completely blocked, and a large part of the for his nagging pain. He had suffered a heart PCI that day, which fortunately did not require a transfer heart muscle is unable to receive blood. PCI is considered attack. Bill was admitted to HCGH for further to a heart center, since HCGH can now perform these to be the standard of care for STEMI patients. ‘‘ tests that included a cardiac diagnostic procedure. procedures locally. His left anterior descending artery, Formerly known as angioplasty and stenting, percutaneous that supplies the heart muscle with blood and is almost We have seen patients delaying coronary intervention (PCI) is a non-surgical procedure always the largest, was 90% blocked and required two care and not addressing symptoms that uses a thin flexible tube to place a small structure stents. Another artery was found to be 80% blocked which signal a health emergency in fear called a stent to open blood vessels in the heart that have and required one stent. of contracting COVID-19 in the hospital, At 83 years of age, and a Navy veteran, Bill (pictured above) been narrowed by plaque buildup or atherosclerosis said the thought of not going to the hospital because of the and that is detrimental. I commend (hardening of the arteries). The day after Bill’s PCI, he was home. “The doctors pandemic never crossed his mind. “If you’ve got a pain in told me to exercise, which I have done all my life, and Bill for listening to his body, following the chest, and it doesn’t go away, you go to the ER, and get “I was awake during the procedure which they were able keep a healthy diet, cut back on my salt intake and his gut and knowing he needed to get it checked out. Maybe it is something minor or it could be to do through my wrist,” recalls Bill. “The only thing watch my cholesterol,” says Bill. “Today, I am doing to the hospital to get the lifesaving ’’ ‘‘ something serious,” Bill says matter-of-factly. I felt was the prick when they numbed my arm.” great and free to carry on living a normal life.” care that we are safely providing. — Eric Schwartz, M.D. All the staff were PPE’d up and HCGH Board-certified Cardiologist covered, and the hospital was clean and neat. I felt safe and very much at ease. ’’ Routine and Emergency PCI at HCGH ‘‘ ‘‘ While our community has had an emergency angioplasty When the procedure was over, The blockages in Bill’s arteries and stenting program at HCGH since 2003—that was they brought the screen over for me were life-threatening if left untreated. developed with guidance from Johns Hopkins experts— to see the video of what they found. He did exactly the right thing in Eric Schwartz, M.D., we have not historically performed the more routine They showed me the first blockage, coming to HCGH. The equipment in the is a board-certified cardiologist interventional procedure unless it qualified as an and I watched when they opened up catheterization laboratory at HCGH is with Cardiovascular Specialists of emergency. Now, if a patient has coronary artery disease Central Maryland in Columbia. and could benefit from PCI and stenting, and they meet the blockage and put the stent in. It state-of-the-art, and our interventional Appointments: 410-997-7979 certain criteria, we can perform this procedure at HCGH. looked like a dam broke! The blood cardiologists could not be more proud of shot into the artery and was free to move again. It was incredible to see. — Bill Dunn ’’ the cardiac catheterization program here. — Stephen B. Williams, M.D. Johns Hopkins Interventional Cardiologist who performed Bill’s PCI procedure ’’ Hear HCGH Chief of Emergency Medicine Bob Linton, M.D., share the ER’s efforts to care for you safely in an emergency visit: bit.ly/SafeERcare. 8 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 9
A P a ti e n t ’ s Stor y : Following Your Gut to the ER Despite a Pandemic Bill was lucky. Not all patients have received this lifesaving It was a beautiful Saturday morning in Columbia in late August. Bill Dunn had just finished breakfast when treatment needed during the pandemic. According the burn in his belly started. It was that pesky indigestion he thought and grabbed some soda to soothe his to a report published in the Journal of the American stomach. It seemed to work. The morning continued with a trip to the library to pick up some new books to College of Cardiology, during the first three months of read during the pandemic. By the time he returned home, the discomfort from the indigestion returned and this year, there was a 38% reduction in U.S. cardiac was now in the center of his chest. When it didn’t subside, Bill and his wife started to become concerned patients being treated for a life-threatening event known and realized it was time to head to the hospital’s emergency department, despite the pandemic. as a STEMI. A STEMI is a serious form of heart attack in F which a coronary artery that supplies oxygen-rich blood ollowing some tests, Bill received an explanation Bill had several blockages that were addressed with to the heart is completely blocked, and a large part of the for his nagging pain. He had suffered a heart PCI that day, which fortunately did not require a transfer heart muscle is unable to receive blood. PCI is considered attack. Bill was admitted to HCGH for further to a heart center, since HCGH can now perform these to be the standard of care for STEMI patients. ‘‘ tests that included a cardiac diagnostic procedure. procedures locally. His left anterior descending artery, Formerly known as angioplasty and stenting, percutaneous that supplies the heart muscle with blood and is almost We have seen patients delaying coronary intervention (PCI) is a non-surgical procedure always the largest, was 90% blocked and required two care and not addressing symptoms that uses a thin flexible tube to place a small structure stents. Another artery was found to be 80% blocked which signal a health emergency in fear called a stent to open blood vessels in the heart that have and required one stent. of contracting COVID-19 in the hospital, At 83 years of age, and a Navy veteran, Bill (pictured above) been narrowed by plaque buildup or atherosclerosis said the thought of not going to the hospital because of the and that is detrimental. I commend (hardening of the arteries). The day after Bill’s PCI, he was home. “The doctors pandemic never crossed his mind. “If you’ve got a pain in told me to exercise, which I have done all my life, and Bill for listening to his body, following the chest, and it doesn’t go away, you go to the ER, and get “I was awake during the procedure which they were able keep a healthy diet, cut back on my salt intake and his gut and knowing he needed to get it checked out. Maybe it is something minor or it could be to do through my wrist,” recalls Bill. “The only thing watch my cholesterol,” says Bill. “Today, I am doing to the hospital to get the lifesaving ’’ ‘‘ something serious,” Bill says matter-of-factly. I felt was the prick when they numbed my arm.” great and free to carry on living a normal life.” care that we are safely providing. — Eric Schwartz, M.D. All the staff were PPE’d up and HCGH Board-certified Cardiologist covered, and the hospital was clean and neat. I felt safe and very much at ease. ’’ Routine and Emergency PCI at HCGH ‘‘ ‘‘ While our community has had an emergency angioplasty When the procedure was over, The blockages in Bill’s arteries and stenting program at HCGH since 2003—that was they brought the screen over for me were life-threatening if left untreated. developed with guidance from Johns Hopkins experts— to see the video of what they found. He did exactly the right thing in Eric Schwartz, M.D., we have not historically performed the more routine They showed me the first blockage, coming to HCGH. The equipment in the is a board-certified cardiologist interventional procedure unless it qualified as an and I watched when they opened up catheterization laboratory at HCGH is with Cardiovascular Specialists of emergency. Now, if a patient has coronary artery disease Central Maryland in Columbia. and could benefit from PCI and stenting, and they meet the blockage and put the stent in. It state-of-the-art, and our interventional Appointments: 410-997-7979 certain criteria, we can perform this procedure at HCGH. looked like a dam broke! The blood cardiologists could not be more proud of shot into the artery and was free to move again. It was incredible to see. — Bill Dunn ’’ the cardiac catheterization program here. — Stephen B. Williams, M.D. Johns Hopkins Interventional Cardiologist who performed Bill’s PCI procedure ’’ Hear HCGH Chief of Emergency Medicine Bob Linton, M.D., share the ER’s efforts to care for you safely in an emergency visit: bit.ly/SafeERcare. 8 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 9
Foundation News Thank You! These generous contributions to the Howard Hospital Foundation Below we gratefully acknowledge members of Howard County General Hospital’s three giving societies for their inspirational philanthropic enable Howard County General Hospital to meet the needs of the community, continue to provide quality patient care investment in our community hospital. and deliver the promise of health to all of Howard County. Jim Rouse Visionary The Rouse Company Foundation Shirley Bossom† Harkins Builders Leach Wallace Associates Grace and John Payne Legacy Society members Clare Openshaw Society recognizes donors W.R. Grace Foundation Tina and Victor Broccolino The Herman & Walter Samuelson Mary Agnes† and Fred T. Lewis Christina and Don Pistorio who have named Howard Grace and John Payne Patricia and Thomas Buescher Foundation LG-TEK and The Sherman Family PNC Bank County General Hospital in Eileen and David Powell who have demonstrated a commitment to the health Leadership Society Cardiovascular Specialists Margaret and Wilson Hoerichs M&T Bank Eileen and David Powell their will, trust, life insurance Joan Reisfeld recognizes donors who have of Central Maryland Norma E. and Roger Hoff Sr. Macy’s Quest Diagnostics or retirement account and Emmy Lou† and William Volenick† and wellness of Howard demonstrated a commitment COLA H. Elizabeth and Peter Horowitz Majmudar Family Foundation Missy and Tom Radcliffe have notified the Howard Katy Voss and Robert Manfuso† County by giving $1 million to the health and wellness of Hospital Foundation of or more to support the The Columbia Bank Howard County Anesthesia Moira Mattingly and Jeff Leco The Ryland Group F. Jean Warthen† Howard County by giving their intent include: hospital’s efforts. Constellation, Associates Dorothy and W. Brian McGowan Hillery and Alton Scavo Karen and John Whiteside $100,000 or more to support the hospital’s efforts. An Exelon Company Howard County General Hospital Charles Miller Jr. Security Development Vivian C. “Millie” Bailey Eugene “Pebble” Willis† Kay Y. Ota-Berman† Dancel Family Foundation Professional Staff Donald Miller† Shade Construction Company The Beigel Family and Sanford A. Berman† Anonymous Davis, Agnor, Rapaport & Skalny The Howard Hughes Corporation Dessie and James† Moxley Jr. Sodexo The Bolduc Family Foundation Kay Y. Ota-Berman† Apple Ford Lincoln Mim and Steve Dubin George Huber Judy and William Munn U.S. Foodservice The Horizon Foundation and Sanford A. Berman† Vivian C. “Millie” Bailey Susan and Robert Fischell Cynthia and E. Wayne Jackson Carla and Creig Northrop F. Jean Warthen† Howard County General Hospital Shirley Bossom† Bank of America Merrill Lynch Fred Frederick Family Foundation/ JJAM Enterprises and The Northrop Team Wells Fargo Bank Volunteer Auxiliary Jean Hartman The Beigel Family Betty Anne and Fred Frederick Johns Hopkins Emergency Janet Oken and Harry Oken, Karen and John Whiteside Howard County Government George Huber Blossoms of Hope/ Mary and Kingdon† Gould Jr. Medical Services Painted Veil and Rounders Whiting-Turner Contracting Company The Kahlert Foundation Mary† and Thomas Knott† † Deceased The Howard County Fern and Ed Hamel JPB Partners Movie Premiere Julie and Jim Young Lundy Family Foundation Donald Miller† Cherry Tree Project Hamel Builders Charles T. and Mary S. Langmead David Paul Katy Voss and Robert Manfuso† Giving Matters Cardiac Rehabilitation Patients recovering from a heart attack and HCGH Addition The foundation has raised $10 million to date to support Howard County General Hospital’s new 50,000-square-foot, two-story addition. We are grateful for the community’s philanthropic support of Howard County General Hospital. A selection of projects funded by Howard Hospital Foundation donors are listed here. other cardiac conditions The new building opened in January, featuring a new benefit from the hospital’s emergency room entrance, psychiatry unit and observation cardiac rehabilitation unit, enhancing the patient experience and hospital efficiency. The Beigel Family Endowed Fund for Howard County and maintenance Health Outcomes program which provides Population A commitment to improve the health and individualized, monitored Stereotactic Table wellness of Howard County residents and Health Programs Howard Hospital Foundation board of trustees exercise and education. inspire multigenerational philanthropy led Donations and grant funding chair Pamela Wagoner and trustee Dan Kelly Donations fund a program a local family to create a legacy at HCGH. helped support the hospital’s hosted an event to raise funds for a new stereotactic for patients unable to This fund will support the hospital’s health and wellness programs, table to provide enhanced comfort for HCGH Breast pay for services, new population health programs in perpetuity. including Journey to Better Center patients undergoing certain medical and exercise Health, which receives grant breast procedures. equipment and support from SunTrust and programmatic support. works with local organizations and faith communities COVID-19 Response to keep Howard County When the COVID-19 pandemic struck, the community’s Claudia Mayer/Tina Broccolino residents healthy by response to the call for help was immediate and providing chronic disease Cancer Resource Center overwhelming, as hundreds of donors recognized the The center is funded through philanthropy, and screenings, self-management need to support HCGH heroes serving on the front lines. serves patients, families and caretakers by education and support Donations helped to care for our caregivers, providing providing resources to include support groups, networks at no cost. employee meals, care packages, a food pantry and counseling, and aesthetic and complementary respite areas in the hospital and more. medicine services. 10 ] Wellness Matters Fall 2020 Fall 2020 Wellness Matters [ 11
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