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MERITUS STORIES
Managing chronic lower back pain gets Chambersburg woman back on court
Vickie Group just wanted to play pickleball. That’s what the 66-year-old Chambersburg, Pa., resident told Chiemeka Onyima, M.D., D.ABA, with Meritus Pain Specialists. But her chronic lower back pain sidelined her from the game — and many other activities, including going to work. She started with physical therapy, but “it didn’t do much,” she said. “And then I finally got ahold of someone with Meritus,” Group said. “Once I got ahold of Dr. Onyima, he went through the process and helped me considerably.” The first step was trying to figure out the cause of her pain, Dr. Onyima said. “I conducted ‘diagnostic blocks’ to confirm the cause of her pain,” he said. Group said that involved getting a few shots in her back to help locate the source of the pain. “Once the diagnosis was obtained, she underwent radiofrequency ablations to provide her with long term relief for her chronic back pain,” Dr. Onyima said. “She did great with the procedure and reported a significant improvement of her quality of life and overall daily functionality.” Group complimented Dr. Onyima’s bedside manner and the thoroughness of the procedures. “He told me everything that was going to happen,” she said. “For every step, whenever he was doing anything, he told me what was about to happen.” Once the procedures were done, she was able to do most things without experiencing pain. “It made life a lot easier, that’s for sure,” she said. Dr. Onyima said making it easier is his main objective. “The main goal of pain management is to not only treat pain, but to allow individuals to re-engage with society from a social, mental, physical, and often times economic standpoint, despite their current ailment,” he said. As for Group, she’s just thankful she could get back to doing what she enjoys, playing pickleball. “I play almost every day,” Group said, “for like three hours a day.” If you would like to learn more about how to better manage your pain, visit Meritus Pain Specialists online at www.meritushealth.com/painspecialists.
NEWS & UPDATES
Early breast cancer detection saves lives
With October being Breast Cancer Awareness Month, a Meritus physician is offering some advice on how to reduce the risk of getting the disease and how to check for it. Ann-Marie Hugh, M.D., FACS, with the Meritus Center for Breast Health said there are some standard practices women can do to stave off developing breast cancer and preventing death from it. “While evidence-based guidelines suggest that breast self-examinations do not reduce breast cancer deaths, it is still important for women to have awareness of how their breasts look and feel and to report any changes from their normal to their providers,” she said. COVID’s impact on mammograms It is also important for women to get regular mammograms. Many women stopped having their mammograms during the COVID pandemic because of the lockdown, and there are still some women who have not yet resumed having their mammograms, she said. “Screening mammography is often able to catch breast cancer at a stage where it will not threaten one's life,” she said. “It is important to get back to doing screening mammograms. There are even some women in our community who have never had a mammogram. Most breast cancers are curable but only if it is detected early.” Dr. Hugh said she wanted to stress that many women don’t realize they could be at a higher risk for breast cancer. The published mammography screening guidelines are for women at average risk to develop breast cancer. That includes women who don’t have a personal history of breast cancer, a strong family history of breast cancer, or a genetic mutation known to increase the risk of breast cancer, and who has not had chest radiation therapy before the age of 20. Dr. Hugh suggests talking to your doctor to best understand what category you fall into. What can you do to reduce your risk of breast cancer? Meanwhile, she has some suggestions regarding breast health and breast cancer prevention: Regular physical activity reduces breast cancer risk. Decrease or avoid alcohol intake as alcohol increases the risk of developing breast cancer. Strive to attain and maintain a healthy body weight. If you are aware of a genetic mutation in the family, get tested. There are strategies to screen women with high risk to develop breast cancer as well as to reduce their risk of developing breast cancer. It is important to know your family history and talk to your doctor about it. In particular, talk to your doctor about your family history of breast and ovarian cancer. These cancers in the family may be an indication to get genetic testing. If you feel a lump in the breast have your doctor evaluate the mass. Do not assume it is a cyst and forget about it. Men can get breast cancer. In particular, if a man feels a lump in his breast, it is important to have it evaluated by a doctor. To learn more about the Meritus Center for Breast Health, go to www.meritushealth.com/breasthealth. Colors of Cancer For those diagnosed with breast cancer, the journey can be a struggle. Along the way, many unexpected needs can arise. Being able to cover these expenses allows patients and their families to focus on their health. By supporting the Colors of Cancer, it will ensure Meritus patients have reliable transportation to and from appointments and financial assistance for medication, and it will ease the additional financial stress that comes with a cancer diagnosis. Learn more at www.meritushealth.com/colors.
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Meritus Health experts urge prevention ahead of viral illness season
As Meritus lives its mission of improving the health of the community, dedicated caregivers are sharing information about preventative measures to take during viral illness season. In alignment with guidance from the Centers for Disease Control and Prevention (CDC), Meritus experts strongly recommend that individuals age 6 months and older receive an updated flu vaccine in addition to staying informed about COVID-19 precautions, and they encourage all eligible individuals to consider vaccination or booster shots as needed. Dr. Anand Budi, Meritus chief medical officer, emphasizes the health system’s commitment to safeguarding the community against viral illnesses such as COVID-19 and the flu. “Vaccination remains our most effective defense against the spread of these viral illnesses,” he said. There are multiple options available for scheduling your vaccinations and boosters: • MyChart: You can conveniently schedule your flu and COVID-19 vaccines or boosters through your MyChart account. • Primary Care Provider: Reach out to your primary care provider's office for vaccine appointments and guidance tailored to your health needs. • Your Local Health Department: Stay informed about local vaccination resources by checking with your nearby health department. • Your Local Pharmacy: Many local pharmacies offer both flu and COVID-19 vaccinations and boosters, making it easily accessible for you. Over-the-counter flu and COVID-19 tests are readily available at pharmacies, grocery stores, and online retailers. These tests are user-friendly, quick, and provide reliable results for most individuals. For those requiring laboratory testing, Meritus Medical Laboratory locations offer comprehensive testing services. Please be aware that a healthcare provider's order is necessary, and your insurance will be billed accordingly. You can schedule your flu and COVID vaccine appointments with ease today through MyChart, your primary care provider's office or by visiting a pharmacy or grocery store. “We all have a part to play in reducing the spread of viral illnesses, including COVID-19 and the flu,” Dr. Budi said. “By getting vaccinated, you not only protect yourself but also contribute to the well-being of our entire community.” For the latest, up-to-date information on the flu season, viral illnesses, testing, treatment, and vaccination options, please visit MeritusHealth.com/Viralillness. ### Meritus Health, Western Maryland’s largest health care provider, is located at the crossroads of Western Maryland, Southern Pennsylvania and the Eastern Panhandle of West Virginia. The mission of Meritus Health is to improve the health of the region by providing the best healthcare, health services and medical education. As an anchor organization for the community, Meritus has nearly 4,000 employees and serves more than 200,000 residents of the tristate region through Meritus Medical Center, Brook Lane Health Services, Meritus Medical Group, Meritus Home Health, Meritus Equipped for Life, and the Meritus School of Osteopathic Medicine. More information can be found at www.MeritusHealth.com or visit our Facebook page or LinkedIn page.
Meritus Crisis Center, Mental Health Walk-in there to help everyone
When it comes to mental health or fighting addiction, it can seem like you’re on one side of a river looking to cross to the other side. A rushing torrent of forms, red tape and insurance issues can be discouraging enough to make you stay put. The Meritus Crisis Center and Meritus Mental Health Walk-in facility are designed to be a bridge, said Halima Naluwooza, MSN, CRNP, a psychiatric mental health nurse practitioner. “For anybody who is struggling, whether it's with mental health or addiction, it's sometimes hard to get a provider,” she said, noting some providers in the area are scheduling six months out or longer. “We're willing to bridge them, to get them in and assessed.” Help is available for those age 6 and older at the Mental Health Walk-in. The Crisis Center is for those 18 and older. The ones who seem to need the bridge the most are those seeking substance abuse recovery, she said. They are sometimes discouraged to get help because of the stigma that still surrounds substance use or they’ve tried before only to relapse. “With recovery, it doesn't matter if they’ve gone through it 20 times,” Naluwooza said. “We'll help them with the 21st time. Even when you’ve struggled before, we’re still willing to help.” What happens when you walk into the Orange Entrance? Access to the Crisis Center and Mental Health Walk-in starts in the same place: The Orange Entrance to the Robinwood Professional Center at 11110 Medical Campus Road. Go through the automatic double doors, then go in the first door on the left. There you walk into a waiting room with a front desk staffed to guide you, depending on your needs. Whether it’s addiction services or mental health, Naluwooza is one of the first stops. It’s her job to evaluate patients for mental health and general health issues. Perhaps they’re trying to get established with a mental healthcare provider, but aren’t able to get a prompt appointment. Naluwooza can determine if they need medication and prescribe it until the patient can see their own provider. Perhaps the patient wants to give up drinking or drugs. Naluwooza would determine if they can enter the six-bed Crisis Center, or if they’re suffering from conditions that would require them to visit the Emergency Department first. For example, she said alcoholic withdrawal known as delirium tremens, which can be life-threatening, requires immediate medical care. “Most are OK, but we do have to send some to the ER,” she said. “So long as they have been medically cleared, they can come back to us.” Once in the center, patients usually stay up to three days to get management of withdrawal symptoms while a discharge coordinator works to get them into an inpatient or outpatient rehabilitation. The coordinator also works with insurance companies and sometimes even secures scholarships for patients to cover costs. What makes Meritus behavioral health services different? A key part of the Crisis Center program is the availability of peer support personnel. These are people who, at one point in their lives, were struggling with substance abuse and are now working to help those in the throes of addiction. “We find the patient is more open to going through rehab or whatever treatment we can offer because they see someone who has gone through it before them and come out on the other side,” Naluwooza said. It’s the one-stop-shop aspects of the Crisis Center and Mental Health Walk-in that provides her satisfaction. “The biggest thing is just helping them start on their journey. They meet a lot of barriers when they start. They don’t know where to go,” Naluwooza said. “The thing I like about this place is that anyone who walks in here can be helped in one way or another.” To learn more about the Crisis Center, visit www.meritushealth.com/crisiscenter. To learn more about the Mental Health Walk-in clinic, go to www.meritushealth.com/mentalhealth.
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