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 Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
Wellness
                              fall 2020

    Matters
The COVID Effect:
A Patient’s Emergency Story
Despite the Pandemic
Recovering After COVID-19
Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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
Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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
Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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
Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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
Wellness Matters The COVID Effect: A Patient's Emergency Story Despite the Pandemic Recovering After COVID-19 - Johns Hopkins Medicine
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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