Maternal Mental Health Matters

MAY 3, 2017 IS WORLD MATERNAL MENTAL HEALTH AWARENESS DAY
#maternalMHmatters

Today is World Maternal Mental Health Awareness Day, and we’re helping to bring attention to an important health issue and available treatment options.

Worldwide, as many as one in five women experience some type of perinatal mood and anxiety disorder (PMAD). PMADs include postpartum depression, postpartum anxiety, postpartum obsessive compulsive disorder and others.

“There is still this myth that pregnancy is blissful and if you don’t enjoy pregnancy and having your baby, there’s something wrong with you,” says Patricia Widra, MD, assistant professor of psychiatry with the University of Maryland School of Medicine and a psychiatrist at University of Maryland Medical Center.

“But fifteen to twenty percent of women have this experience, and there are ways to treat it.”

Because of the stigma that often surrounds mental health disorders, many women hide or downplay their symptoms. Not getting support or treatment can have a devastating impact on the woman affected as well as on her partner and family. It’s important to treat a PMAD like any other health problem so that families can thrive.

“Most people don’t realize it, but post-partum depression (PPD) is the most common serious complication after delivery,” says Dr. Widra.

Women whose pregnancies end in miscarriage or stillbirth often experience not only grief but also postpartum depression. In addition, giving birth to a premature child, or having a child spend extended time in a neonatal intensive care unit (NICU) can also take a toll on a mother’s mental health.

Why is PMAD so prevalent? “We don’t know,” says Dr. Widra. “Part of it is depression in women in this age group is already more prevalent than in men anyway, even without pregnancy. Pregnancy is a major change-of-life event. Sometimes a woman doesn’t have enough social or financial support or doesn’t have a partner. Hormonal changes also have an effect – this is where a lot of current research is focusing. Somehow these shifts seem to trigger PMADs. We don’t know specifically why it happens in some people and not others.”

Symptoms of PMAD can appear any time during pregnancy and the first 12 months after childbirth. The good news is there are effective and well-researched treatment options available to help women recover.

“It’s important that a woman is medically screened for a mood or anxiety disorder at least once during her pregnancy – preferably in the second or third trimester,” says Dr. Widra. “Just as we screen women for diabetes and thyroid disorders during pregnancy, it is just as critical to screen for mood and anxiety disorders. Currently this is not the standard of care. There is a lot of push federally and in Maryland to make it the standard.”

What you can do: If you are a new mom, be aware of how you’re feeling, and seek help if you’re experiencing symptoms of PMAD. If you know someone who is a new mom, ask her how she is really feeling and encourage her to seek help if she needs it.

“Some women think that because they’re discouraged from taking most medications during pregnancy that there isn’t anything their doctor can do to help with an anxiety or mood disorder,” says Dr. Widra. This is not the case. “We now have research to show that there are non-medical treatments that are evidence-based to help women with mental health problems during pregnancy. It’s also considered relatively safe to use some antidepressants during pregnancy.” The bottom line, says Dr. Widra, is there are effective medical and non-medical treatment options available to women even during pregnancy.

Life changes around pregnancy make women more vulnerable to mental illness. Mental healthcare provides the necessary support to empower women to identify resources and personal capabilities. This can enhance their resilience to difficult life circumstances and support them to nurture their children optimally. Caring for mothers is a positive intervention for long-term social development.

Here are some mental health tips for women during their reproductive years:

  • If you are feeling blue, anxious or depressed, don’t wait. Talk to your doctor or a mental health professional about it as soon as possible.
  • If you’re taking medications for a mood or anxiety disorder and you become pregnant, don’t stop taking them without talking to a mental health professional.
  • Eating well, regular exercise, and a good night’s sleep are important during this period of your life as they are at any time in your life.
  • Do things that are good for brain health such as meditation and yoga.
  • If you have a history of depression, be proactive and aware of any signs and symptoms.

For more information or to make an appointment with a doctor who specializes in women’s emotional health and reproductive psychiatry, call 410-328-6091.

Fertility: 12 things you didn’t know (and 1 to never ask)

By Katrina Mark, MD

1. Fertility naturally declines as we age

That alone doesn’t mean you should start to worry. The general advice I give a woman is if she has been trying to become pregnant for a full year with no luck, she might consider a fertility evaluation. For a woman over age 35, she might consider it after six months. If a woman is younger and has irregular periods, it’s likely she isn’t regularly ovulating, so she might want to be evaluated sooner.

2. Sometimes there’s a reason for infertility – and sometimes, there’s not

There are some things we know cause infertility. About 20 percent of the time, we find no reason for it. For a woman, infertility can be due to a condition that causes you to not ovulate regularly such as diabetes, thyroid disease and polycystic ovaries. It can also be caused by blocked fallopian tubes or a history of ectopic pregnancy. For men, it can be due to semen issues such as a low sperm count.

Early menopause in women under the age of 40 is rare, but it can run in families and cause infertility. Lifestyle factors such as smoking and obesity contribute to infertility in both women and men.

3. Taking birth control for long periods of time does not hurt fertility

No, taking birth control stops you from getting pregnant, but it doesn’t hurt fertility once you stop taking them.

4. If you are having trouble conceiving, consider these culprits:

  • Lifestyle factors: If you smoke, try to quit. If you are obese, try to lose weight. Vigorous exercise and low body weight can also cause ovary issues. Marathon runners and gymnasts have this issue frequently. Luckily, increasing body fat percentage or decreasing exercise a small amount can often correct it.
  • Chronic conditions: If you suffer from a chronic condition such as diabetes or hypertension, make sure you are managing it and keeping it under control.
  • Ovulation issues: For women who aren’t ovulating regularly, the first line is usually Clomid, a pill that makes a woman’s body produce eggs and ovulate each month. Many OB-GYNs will prescribe this, so you don’t necessarily need to see a fertility specialist.

If there’s no known reason trouble conceiving, your OB-GYN may refer you to a fertility specialist for treatment. Fertility specialists and even some OB-GYNs perform intrauterine insemination (IUI), where sperm are placed directly in the uterus around the time the ovary releases one or more eggs to be fertilized. In vitro fertilization (IVF) is when the sperm and egg fertilize outside the woman’s body and then the fertilized egg is implanted in the uterus.

5. Your OB-GYN can often provide some fertility assistance

If a woman is trying to conceive, she should share this with her OB-GYN. If she is having trouble, an OB-GYN can provide a general evaluation to look for causes, as well as provide education, which often is very helpful.

6. Don’t worry if it’s been a month or two and you’re not pregnant

Ninety percent of couples get pregnant within a year. Don’t worry if it’s only been a few months. This is normal and usually there’s nothing wrong with you.

7. The overall rate of infertility hasn’t changed

Although more are seeking treatment. In this age, more women may be delaying fertility because of better access to education and career opportunities. The average age of a woman when she has her first child has gone up over the last few decades. Delaying childbearing increases the likelihood for a woman to experience fertility issues. There also may be more people pursuing fertility treatment now because there is better access to treatment.

8. Egg freezing is much better than it used to be

Typically, egg freezing is recommended for those who desire it when a woman is between the ages of 35 and 38. If a woman is interested in having eggs frozen, she should speak with a fertility specialist. This technology has gotten better in the last several years and there has been better success. Fertility specialists can now freeze eggs without having to fertilize them. Insurance generally doesn’t cover egg freezing unless there is a medical reason.

9. Fertility treatments have come a long way

Overall, fertility treatment has high success rates these days. In vitro fertilization (IVF) has a very high success rate. Even for women who have premature ovarian failure, which is loss of ovary function before the age of 40, can opt for a donor egg and carry a pregnancy. Sometimes it depends on what a person is willing to go through and what you can afford, although many insurances cover some fertility treatment. Most don’t cover everything and it can be expensive.

10. There are reasons not to consider fertility treatment

Some treatments can be quite expensive. Some people may have moral objections. In some cases, a woman may have a chronic condition that it wouldn’t be recommended or safe to pursue pregnancy, such as certain heart conditions. Sometimes if either partner has a genetic disorder that is hereditary, they may not want to risk passing it along to a child. If a couple chooses not to pursue fertility treatment but still wants to have children, adoption or a donor egg are also options.

11. Fertility treatments aren’t just physically demanding

They’re also mentally draining. There have been studies that have shown a woman going through fertility treatments may experience the same level of depression as someone going through cancer treatment. The psychological aspect of fertility treatments is under-recognized. We view pregnancy as a positive thing because you get a baby at the end, but fertility treatment can make a person anxious and terrified – while trying to conceive and also during pregnancy and after the baby is born. Some women are traumatized from the experience and develop an anxiety disorder. Women often go through these struggles in private because they often don’t want to tell anyone. The same is often true with miscarriages. Many women experience very real grief and depression during these times. It’s important to make sure people are getting counseling because a lot of times they aren’t even talking to their friends or family about it. If you have breast cancer, people bring you food. There is no greeting card for infertility.

12. Don’t shy away from a friend who’s having trouble conceiving

If you someone close to you who is going through fertility issues, don’t completely ignore it or become distant. Be a friend, act normal and open yourself up to the person for conversation if he or she wants to talk. A lot of times people want to talk about it but don’t know how. Give them the hope and space to talk as much or as little as they want. Everyone deals with a loss and struggles differently; some are private about it and don’t want to talk about it, but others do.

Don’t ever ask a woman when she’s going to have a baby

For someone who is going through fertility treatment, being constantly asked when they’re going to have a baby can be devastating. You don’t know what someone may be going through.

Dr. Katrina Mark is an OB-GYN at University of Maryland Medical Center and Assistant Professor of Obstetrics, Gynecology and Reproductive Sciences at the University of Maryland School of Medicine.

 

 

 

What Can Women Do to Prevent Early Menopause?

About Early Menopause

The average age a woman goes into menopause is 51. Menopause is considered abnormal when it begins before the age of 40 and is called “premature ovarian failure.” Common symptoms that come with menopause include hot flashes, night sweats, sleep problems, sexual issues, vaginal dryness, pain during sex, pelvic floor disorders (urine, bowel leakage, pelvic organ prolapse), losing bone mass, and mood swings.

Menopause is mostly genetically predetermined, which means you generally can’t do much to delay it from happening. What we can do is work to counter-balance or prevent the symptoms and effects that tend to develop during menopause.

What You Can Do

Women can do a lot of things to prepare themselves for changes that will come with menopause. These include modifying our lifestyles so we are eating a healthy diet and exercising regularly.

Diet and Exercise

Related to diet, women should look into their caloric intake and make adjustments like eating smaller meal portions, and eating a well-balanced diet that includes lots of fiber and protein and less carbohydrates. Avoid eating late at night or snacking, which means no eating two to three hours before bed time.

Take calcium and vitamin D supplements for bone health to prevent osteoporosis. Well-balanced food with decreased caffeine intake also helps to decrease night sweats.

Exercise is one of the most important and modifiable factors that all women must take advantage of. Cardio workouts including walking or jogging three times a week will boost your cardiovascular system and endurance, and also help you control your weight. It’s also important to do weight-bearing exercises regularly to build up bones and prevent osteoporosis.

Kegels

Kegel exercises can help prevent pelvic floor disorders (urine, bowel leakage, pelvic organ prolapse). Kegel exercises should ideally be done every day three times a day. Every woman needs to know how to do Kegel exercises properly. Unfortunately, many women think they do Kegel exercises when, in fact, they do not, because the muscles are hidden inside the body. Your physician should be able to help you with it. You can do long squeezes for 10 seconds, or fast squeezes. This helps to maintain strength and endurance of the pelvic muscles in order to prevent urinary or bowel leakages in the future.

Mental Health

If possible, I recommend having regular sex. It improves vaginal lubrication and helps to prevent vaginal dryness and pain with intercourse. It is also good for your overall mood.
Finally, every women should work on developing a positive attitude, and spending time in a healthy environment helps – for example, taking frequent walks in a park or whatever makes you feel good; finding a way to de-stress and/or control any stress in your life. This will improve your mental health.

Hormone Therapy

Hormonal treatment for early menopause and menopause has been out of favor because of concerns with breast cancer, cardiovascular disease, and stroke. With that said, it is still gold-standard treatment especially for hot flashes and night sweats. Hormonal therapies could offer significant benefits to women especially those going through early menopause. Talk to your doctor about what is right for you.

Fertility

A woman going through early menopause is still fertile. Unless you don’t have periods at all anymore, there is still a risk that you can get pregnant, so it’s important to use some form of contraception to avoid pregnancy.

Tatiana V. Sanses, MD, is Assistant Professor of Female Pelvic Medicine and Reconstructive Surgery at University of Maryland School of Medicine and Director of Outreach Program for Urogynecology at University of Maryland Medical System.

 

 

Recovering Cancer Patient Takes Control of Health and Weight

Verna Prehn, before and after

My Story of Getting Healthy

By Verna Prehn

Three years ago I was diagnosed with ovarian cancer. At the time of my diagnosis, I was a very large woman (weighing more than 300 lbs) with a very high “at-rest” heart rate and (we would find out later) severely malnourished.

I went through tough but successful treatment, including two surgeries, chemotherapy, artificial feedings with a nasogastric tube, and blood transfusions, under the care of Dr. Sarah Temkin at the University of Maryland Marlene and Stewart Greenebaum Cancer Center.

Chemo had many side effects, including bone pain, hair loss and weight loss (97 pounds), but it has successfully freed me from cancer for now, and Dr. Temkin keeps a close watch on my health, vigilant for a recurrence that would require additional treatment. Dr. Temkin told me that keeping the weight off that I had lost with chemotherapy treatments would be healthy for me and increase my survivorship.

After treatment was complete, I began to put on weight, but Dr. Temkin said not to worry too much because everyone puts on a bit of weight after they have completed treatment. But my little bit of weight became a lot more weight until I had put on all 97 pounds I had lost.

I went to Dr. Tais Baig in UM Family Medicine as my primary care physician to have her regulate medication for my high blood pressure and rapid heart rate. She ran tests and found that my blood glucose was high enough to suspect diabetes. Dr. Baig talked with me for a while, getting to know me and asked how she could best help me with my health.

I told her that I wanted to get the weight off because I wanted to increase my survivorship and I knew that being so heavy is a threat to my health. I told her that I didn’t know how to do it. I don’t know what good nutrition is, what’s good or bad to eat, and how to come up with a plan to lose weight. She told me about the University of Maryland Medical Weight Management Program through the Department of Family and Community Medicine. Dr. Baig helped me through getting an appointment to begin.

I met Dr. Verlyn Warrington at my first appointment. She explained the program, gave me lots of information and set me up for the group meetings with a licensed clinical social worker and behavior therapist, Harriet Mandell. I was taking medication for high blood pressure and rapid heart rate, thyroid medication for an under active thyroid, an inhaler for asthma, and Dr. Warrington wanted to put me on medication for diabetes.

My first meeting with the support and accountability group was overwhelming. We talked about protein, protein, protein. We talked about portion size. We talked about eating several times a day and not skipping meals. Harriet told us that if we followed the plan we would lose 10 percent of our body weight in three months. It took me about a week-and-a-half before I gave the plan a try because I was afraid and overwhelmed. In three months, I did indeed lose 10 percent of my body weight. In fact, I lost 35 pounds that first three months.

Additionally, Dr. Warrington explained that I needed to increase my activity level. I had some restrictions on what I could do because of my knees and asthma. I began walking. I started walking around the perimeter of my neighborhood, which measures out to just over a mile. At first, I couldn’t walk and talk at the same time and I had to stop frequently to rest and catch my breath. As I have lost more weight and have increased my cardiovascular endurance, I have started exercising to on-line walking videos

I have learned so much from Harriet, Dr. Warrington, Dr. Vivienne Rose and the people in our support and accountability group. I know how to think and make good choices about eating. HALT is a good motto to follow because my emotions drive my eating habits. So I think: HALT – am I HUNGRY? Or am I ANGRY? or am I LONELY? or am I TIRED? Actually, I add an “S” to it (HALTS) – am I STRESSED?

I read the labels on food and check them for calories, fat and sugar content. I measure my food so that I keep healthy portion sizes. (Portion size was a huge surprise to me. I had an unrealistic concept of what an individual serving was and what was actually food for two or three people.)

I keep track of my food in a food journal through MyFitnessPal.com. It also keeps track of my exercise and activity level. Dr. Warrington told me about this tool to use because I had gone about two months and had only lost one pound. Dr. Warrington and the food journal help me to realize that I was eating too few calories – I wasn’t eating enough food.

Dr. Vivienne Rose and Harriet Mandel present Mrs. Verna Prehn with a congratulatory plaque marking her 100 pound weight loss

Dr. Vivienne Rose and Harriet Mandel present Mrs. Verna Prehn with a congratulatory plaque marking her 100 pound weight loss

 

It has been 14 months since Dr. Warrington, Dr. Rose and Harriet helped me make a lifestyle change that is healthier for me and increases my rate of survivorship. At my last appointment and weigh-in, I had lost 100 pounds. It took 13 months. I am no longer on medication for my heart or blood pressure or thyroid. My blood glucose is no longer in the diabetic or pre-diabetic range. I have walked two 8k walks. I walk to videos or outdoors five times a week. I do strength training exercises with weights and bands. I am starting a faith and fitness class with a trainer and will begin a gym membership soon. I can walk my entire neighborhood in 20 minutes without stopping and while carrying on a conversation at the same time.

I still have a considerable amount of weight to lose to get to a healthy weight that I am comfortable with. I feel so much better already. I take the steps instead of the elevator and it doesn’t hurt my knees! I know so much more about what is a healthy food choice and portion size. The University of Maryland Medical Weight Management program, Dr. Warrington, Dr. Rose and Harriet have helped me claim a new healthier way of living.

Verna Prehn

Elkridge, Md.

Spreading Love and Unity in The Breast Center at UMMC

By Tiesha Dove, CMA

Certified Medical Assistant, The Breast Center

Here at The Breast Center at UMMC, many of our patients come in once a year or so for a screening mammogram and soon receive a letter confirming everything looks normal. But others find themselves dealing with the harsh reality of cancer, and we do our best to care for them throughout their treatment. We always want to help in any way we can, even if it’s just with a smile. Our staff members are supportive of one another as we support patients, and that’s how the Valentine’s Day sock exchange came to be.

Who knew that a simple pair of socks would bring so much happiness? The sock exchange started out as a random act of kindness. I always wear crazy socks because they’re fun and brighten up my day. When my co-worker, Stephanie Jackson, noticed and admired my socks one day, it sparked the idea to spread the joy of crazy socks. On Valentine’s Day.

Just like with a “secret Santa” drawing, everyone in our office drew names and then each bought a pair of crazy socks for the person whose name she drew. We exchanged the socks on Valentine’s Day during our lunch hour, and then we all agreed to wear them the next day, showing them off to our patients and spreading love and unity within our Breast Center community.

And, by the way, we decided that the sock exchange will be an annual event.

Pictured above are, from left to right: Regina Pinkey-Gillespie, Stephanie Jackson, Danita Biles, Tiesha Dove, Kam Finckel, Gayle Sis, Lynne Randolph, Esther Jackson, Barbara Myers and Dornette Brown.

In the Pink: UMMC’s Gina Muldrow Wins a Night Out

Gina Muldrow, left, and her sister, Karen Mohammad, stop by the UMMC main entrance during their night out in a pink limousine. Gina is a stem cell donor navigator in the Blood and Bone Marrow Transplant Unit at UMMC. She won the night out as a door prize when she participated in after-hours events reserved for staff to schedule their own screening mammograms.

 By Gina Muldrow

The Pink Limo was awesome, a real treat and an eye catcher. It has the biggest, prettiest lashes on the headlights — it’s definitely a girly car. And my sister, Karen Mohammad, and I both felt like pretty pink princesses.

The driver was funny, friendly and courteous. Karen and I felt like a tourists while he drove us around Baltimore. It really is a beautiful city at night.

We had dinner at the Black Olive Restaurant. It’s such a lovely, quaint little place in the heart of Fells Point, sitting back on a cobblestone street. Incidentally, the dim lighting would make for an elegant, romantic evening if you’re with your sweetheart. But even if you’re with a sister or a good friend, it’s a beautiful place to have dinner.

The service was very fast and professional, and the food …. OMG! It was awesome. 🙂 Delicious to the last bite. I’m sure they have the best chef in town.

Before we ordered, our waitress gave us a tour of the Black Olive’s seafood display. She educated us about the types of fish they offered and where they came from. In the end, we chose a fish entrée and a lamb entree.

All in all, it was a fantastic evening and I’m so lucky and appreciative of the experience.
Thank you all in the Breast Center for all you do.

Save the Ta-Tas!

Prevention, Screening and Lifestyle Changes Could Reverse the Alarming Increase in Diabetes

 

By Catherine Brown, MS, RD, CDE
Diabetes Education Coordinator

November is National Diabetes Awareness Month.  The incidence of diabetes is increasing at an alarming rate worldwide.  In theUnited States, 26 million people have diabetes.  That’s 8.3 percent of us. Chances are you know someone with diabetes.  Additionally, an estimated 79 million people have pre-diabetes, which means the sugar level in their blood is higher than normal and could lead to diabetes. 

Here are a few more statistics from the Centers for Disease Control and Prevention that paint an even clearer picture of this enormous public health problem: 

  • Every 17 seconds, someone is diagnosed with diabetes.
  • Diabetes kills more people each year than breast cancer and AIDS combined.
  • By 2050, according to some estimates, as many as 1 in 3 Americans will have diabetes.

Symptoms of diabetes include extreme fatigue, blurry vision, frequent urination and increased thirst.  However, many people don’t experience any symptoms, or don’t have symptoms until their blood sugar levels are much too high.  To help determine if you are at risk for developing diabetes, take the risk test at http://www.diabetes.org/assets/pdfs/alert-day-2011/diabetes-risk-test-english.pdf. Discuss your results with your doctor.

The good news is that a major research study, called the Diabetes Prevention Program, showed that the more common type 2 diabetes can be prevented with lifestyle changes. Performing 150 minutes of exercise per week and reducing calorie and fat intake to lose 7 percent body weight was effective in preventing or delaying diabetes.  To learn more about this study, visit http://ndep.nih.gov/media/dpp_factsheet.pdf.

Diabetes is a chronic and costly disease that can lead to kidney disease, eye damage, nerve damage and heart disease if not well controlled.  People with diabetes need to adopt several behaviors, such as staying active, eating a healthy diet and monitoring their blood sugar.  Usually, they need a team of professionals to help manage the condition. The University of Maryland Center for Diabetes and Endocrinology offers physicians, nurse practitioners, diabetes educators, dietitians, pharmacists, podiatrists and psychiatrists to assist patients. It provides diabetes education classes to help patients better manage their diabetes.

 To learn more about our services or to make an appointment, please call 410-328-6584 or visit http://www.umm.edu/diabetes/index.htm. For more information about diabetes, check out the American Diabetes Association’s website at http://www.diabetes.org/.

Looking Good! UMMS Experts Shine at the “Healthy, Wealthy, Wise and Beautiful Conference & Expo,” June 18

By Sharon Boston
Media Relations Manager

The University of Maryland Medical System is partnering with Heart & Soul Magazine to bring you a lively day of health information and fun as part of the magazine’s Heart & Soul Awards Weekend, when you can be part of some amazing, star-studded events taking place in right downtown Baltimore.

But when it comes to health, UMMS is the star! At the conference, our doctors and nurses will lead more than 18 interactive seminars on topics such as breast health, heart disease, diabetes, uterine fibroids and inflammatory bowel disease. There are also seminars on weight management, skin care and “successful” aging.

Actor Boris Kodjoe

There is something for everyone with workshops for nursing professionals, teens and women of all ages!

During the day you also talk with more than 30 health, wealth and beauty exhibitors; get screenings for cholesterol and blood pressure; take part in fitness demonstrations and mingle with Heart & Soul celebrities, including award show host Boris Kodjoe who will be stopping by.

The day begins with a keynote address by Dr. Michelle Gourdine, author of the brand new book: “Reclaiming Our Health: A Guide to African American Wellness.”

Dr. Michelle Gourdine

It’s just $10 for general admission for a fantastic day of health information and fun designed to make you feel “healthy, wealthy, wise and beautiful.” But space is filling up, so click here to register!

The website has details about the cost for nurses earning CEU credit as well as how teenagers can come for free by submitting an essay. You can also see the full schedule of workshops featuring UMMS experts.

We hope to see you on the 18th for the Health, Wealthy, Wise and Beautiful Conference & Expo!

Back to Reality

By Sharon Boston
Media Relations Manager

Vivenne Rose talks with Shanice during her baby’s check up as the video crew records the action.

The University of Maryland Medical Center goes primetime on Tuesday, October 19 at 9:00 p.m. when the Discovery Health Channel airs “I’m Pregnant And…Morbidly Obese,” a show that followed one of our patients before and after her delivery.

The program tells the story of Shanice Glenn, a 26-year-old Baltimore woman who had a Body Mass Index of 53 (30 is considered obese) when she gave birth to her second daughter earlier this year. Shanice is a patient of Family Medicine physicians Dr. Vivienne Rose and Dr. Ada Orisadele.

The crew spent many hours with us, videotaping in several different locations including Family Medicine and the Mother/Baby unit. Watch the show to see if you can spot any places you recognize.

The show was originally scheduled to air in September, but the Discovery Health Channel postponed it until October 19.

Check out our previous blog with behind-the-scenes details of what happened when “Reality TV Came to UMMC.”

Other Posts By Sharon Boston:

Dr. Ahmet Baschat Becomes Couple’s Hero After Performing Surgery to Save Twins

After being diagnosed with Twin to Twin Transfusion Syndrome at a local hospital, Liz Tarallo was referred to Dr. Ahmet Baschat at the University of Maryland Medical Center’s Center for Advanced Fetal Care (CAFC). Dr. Baschat performed laser ablation surgery that saved the lives of Liz’s twin boys. In this video, Liz talks about her experience at the Medical Center and the excellent care she received from the entire CAFC staff, and explains why she and her entire family consider Dr. Baschat to be their hero.