Health & You Magazine (Fall 2012)

WWW. ADV E NTI STHEALTHCAR E.COM / M AG AZI NE

YOU R G U I D E TO H E A LT H Y L IVIN G â– FALL 2012

Classes and Events Page 12

The signs and proper treatment of concussions Page 3

See clearly after cataract surgery Page 9

Learn how to live well with diabetes Page 10

Conquering

Cancer

Meet cancer survivors like Tina VanDevander of Germantown who benefited from leading experts and advanced treatments at Shady Grove Adventist and Washington Adventist Hospitals

BROUGHT TO YOU BY:

Page 4 MEMB ERS O F A DVEN TIST HEA LTHCA RE

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Opening

thoughts

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Conquering ‘The Big C’ CONTENTS Features

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Teaming Up Against Cancer

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Breathing a Sigh of Relief

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A Clear Outlook on Life

Discover how leading experts, advanced treatments and a compassionate approach are helping patients at Shady Grove Adventist and Washington Adventist Hospitals.

A vascular surgeon gave a local woman options to remove a life-threatening blood clot in her lung.

A Clarksburg woman can finally see clearly without glasses, thanks to an innovative implantable lens.

10

Learning How to Live with Diabetes

Your first stop: the Outpatient Diabetes Education Program at Adventist HealthCare.

Department

The words “you have cancer” alter the lives of more than 1.5 million people each year in the U.S. These words bring feelings of fear, stress, determination and hope—all aimed at finding the best treatments and a potential cure for “the big C.” At Shady Grove Adventist and Washington Adventist Hospitals, our broad and comprehensive cancer team recognizes the impact that “the big C” has on those in our community who are diagnosed with cancer or support a loved one in this fight. That is why our team combines expert physicians, leading technology and convenient locations with another “c”: compassion.

William G. “Bill” At our hospitals, compassion can come in the form of a navigation team Robertson prepared to help a patient steer his or her way through the confusing and often overwhelming cancer treatment journey. Compassion can be a nurse holding a patient’s hand during a frightening procedure. We also see compassion as providing access to the latest advances in treatment right here in the community, so those fighting cancer can remain close to home.

In this issue of Adventist HealthCare & You, we share the stories of cancer care in our community. You can read about two local residents who fought cancer with the support of our teams at Shady Grove Adventist and Washington Adventist Hospitals. We also highlight some of the state-of-the-art technology and services available to our community now and in the near future, including the Aquilino Cancer Center coming to our Rockville campus in 2013.

I hope you will join us Sunday, Sept. 30, at Westfield Montgomery Mall for a special event to build awareness of breast cancer and to recognize and celebrate those in our community who battle this disease.

The day will feature a survivor fashion show, a free breast cancer risk assessment and talks by members of the Adventist HealthCare cancer team.

Whether you, a loved one or a friend is facing cancer, I hope you will consider putting the Adventist HealthCare team in your corner.

Connect with Us Through Social Media

In good health,

William G. “Bill” Robertson President and CEO, Adventist HealthCare

Need a physician?

Let us help! Visit www.adventisthealthcare.com/findadoc or call 800-642-0101 to access our free service that will connect you with local doctors.

12 Living Healthy

Members of Adventist HealthCare

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President & CEO, Adventist HealthCare Inc.: William G. “Bill” Robertson

Editorial Team: Thomas Grant, Marisa Lavine

Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 www.shadygroveadventisthospital.com President: Dennis Hansen

Writers: Susan Griffiths, Danielle Lewald, Lydia Parris, Jennifer Plaia, Theresa Scolaro, Diana Troese

Washington Adventist Hospital 7600 Carroll Ave. Takoma Park, MD 20912 www.washingtonadventisthospital.com President: Joyce Newmyer

Production Technology Director: Mary Winters

Senior Content Editor: Matt Morgan

Adventist HealthCare & You is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 17, Number 4 © 2012 McMurry.

The material in Adventist HealthCare & You is not intended for diagnos­ing or ­prescribing. Consult your physician before ­under­taking any form of ­medical treatment or ­adopting any exercise ­program or dietary guidelines. For permission to reprint any portion of this magazine, call 888-626-8779. If you wish to be removed from the mailing list, please tear off the shipping label and mail it to Remove Me, P.O. Box 17910, Phoenix, AZ 85011, or go to acd.mcmurry.com.

Senior Production Manager: Laura Marlowe

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What to Do if You Suspect a Concussion Any sudden blow

to the head, if strong enough, can cause a concussion, whether it’s from a contact sport, for example, or a car accident or a fall.

“Although most concussions are mild and the majority of people recover quickly and completely, concussions should be taken seriously,” says Scott Freedman, M.D., medical director of the Pediatric Emergency Department at Shady Grove Adventist Hospital.

“Concussions are a form of traumatic brain injury that can leave you with acute and sometimes lingering symptoms.”

Symptoms of a concussion include: ppLoss of consciousness ppDizziness or seeing stars ppNausea or vomiting ppConfusion

ppHead pain ppBlurred vision ppShort-term memory loss ppDifficulty concentrating ppMood changes ppExtreme drowsiness

After a head injury, make sure that you don’t return to a sports game or continue driving until you seek medical treatment to rule out a concussion.

“When a patient arrives in the Emergency Department with a head injury, we administer neurological evaluations that include obtaining a thorough history and testing memory, balance and reflexes to determine if a concussion occurred,” Dr. Freedman says.

If a concussion is confirmed, the patient must “allow for recovery and monitoring and be sure to seek a

follow-up examination with a primary care physician or a specialist before returning to full physical activity,” Dr. Freedman explains.

He also notes that once cleared, the patient should return to exercise gradually to minimize the risk of a second concussion or other injury.

It’s not always possible to prevent a concussion, but Dr. Freedman suggests two ways to minimize risk: ppWear protective gear while playing contact sports, biking, skiing or doing other physical activities that have higher risk for head injuries. ppDrive safely. This includes wearing a seat belt, properly using booster seats and staying focused on the road by not texting while driving.

Recognize a Concussion Visit www.adventisthealthcare.com/ magazine to learn more about concussions and emergency care at Shady Grove Adventist Hospital in Rockville and Washington Adventist Hospital in Takoma Park.

Introducing a network of local physicians created by two long-trusted names in local health care.

Whether you live in Montgomery, Prince George’s or Frederick counties, our physicians are here, in your community and ready to meet your health care needs.

The Adventist Medical Group network includes primary care physicians, surgeons and specialists. And, we are adding more doctors and locations to our network.

To find a doctor in your neighborhood visit www.AdventistMedicalGroup.org or call 1-855-4AMG-DOC (426-4362).

COMING TOGETHER TO BRING YOU

ADVENTIST MEDICAL GROUP

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An Affiliate of GW Medical Faculty Associates

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Teaming Up Against Leading experts, advanced treatments and a compassionate approach are part of cancer care at Shady Grove Adventist and Washington Adventist Hospitals

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Successful Breast Cancer Treatment for Local Mom

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ina VanDevander of Germantown discovered she had breast cancer at age 30. With it came uncertainty, questions and fear of what was ahead.

Thanks to the coordinated cancer care provided by the clinical team at Shady Grove Adventist Hospital in Rockville, today, at age 44, she’s cancer-free and, along with her husband, Mike, has been able to watch her son grow up.

VanDevander’s cancer journey started in March 1998, when she discovered a pea-sized nodule in her right breast while performing a self-exam. A mammogram,

an ultrasound and a biopsy revealed it was malignant. Her son, Nick, was a little younger than 3 at the time.

VanDevander underwent a lumpectomy, followed by six months of chemotherapy and six weeks of radiation.

“My doctors would all meet so they all knew my case and who I was,” she says. “I developed a very close bond with my oncology nurses, and I’m still friends with them after 14 years.”

Four years after her initial diagnosis, VanDevander discovered two malignant lumps on her left breast, leading to a

mastectomy. She later had a mastectomy on her right breast, as well, after genetic testing showed she had a gene increasing her risk for certain cancers.

“The only days of work that I missed were the Fridays that I had treatment, and for each surgery,” she says. “I was trying to keep everything normal for my son.”

VanDevander has been cancer-free for 10 years.

“I’m just happy that I’ve been able to watch my son get to his senior year in high school and now we’re planning on college,” VanDevander says.

Continued Coordination Shady Grove Adventist Hospital offers comprehensive, coordinated cancer care on its campus, which includes the Shady Grove Breast Center and the Aquilino Cancer Center, opening in 2013.

“The Aquilino Cancer Center will allow physicians and other members of the cancer care team to provide highly coordinated, comprehensive cancer care in one location,” says Joseph Haggerty, M.D., medical oncologist, chair of the Cancer Committee at Shady Grove Adventist Hospital and a tenant in the Aquilino Cancer Center.

In addition, the care team will meet in the center to coordinate individualized treatment plans.

The Shady Grove Breast Center, owned by Shady Grove Radiology, opened earlier this year, offering modern diagnostic capabilities and prevention services for women at high risk for breast cancer.

“We are pleased to have these facilities on our campus so that we can continue to provide highquality, comprehensive cancer care,” says Jane Peck, executive director of cancer care services for Adventist HealthCare.

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Put the Sh Cancaedy Grove r Team Your C orner in

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Carolyn Windbeck went to Bobby David, M.D., for minimally invasive robotic surgery to remove her pancreatic tumor.

Stopping Pancreatic Cancer in Its Tracks

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would be smaller, so my recovery would be faster, which I liked.”

Dr. David performed a distal pancreatectomy, where half of the pancreas is removed, using the da Vinci surgical system. Dr. David is one of the first doctors in the area, and among a few nationwide, to perform this procedure robotically.

“Typically, the spleen is also removed during pancreatic surgery,” Dr. David explains. “However, by doing the procedure robotically, I have an enhanced ability to visualize and operate on the surrounding blood vessels without having to remove the spleen.”

Patients who undergo robotic surgery tend to experience less pain, fewer complications, a shorter hospital stay and a quicker return to normal activities. Both Washington Adventist and Shady Grove Adventist Hospitals have expert surgeons who are robotically trained in areas such as general surgery, urology and gynecology. Both hospitals have the da Vinci surgical system.

“The recovery was remarkable. Just a week after my surgery, I woke up and I was completely painfree,” Windbeck says. “You go into surgery not always knowing what to expect, but luckily I had a great team pointing me in the right direction, and I couldn’t be happier with the outcome.”

SEE THE SURGICAL ROBOT IN ACTION! When Tina VanDevander discovered she had breast cancer at age 30, she sought the coordinated care at Shady Grove Adventist Hospital.

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Visit www.adventisthealthcare.com/davinci to learn more about the da Vinci surgical systems at Washington Adventist Hospital in Takoma Park and Shady Grove Adventist Hospital in Rockville.

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hen Carolyn Windbeck, 77, was taken to the hospital earlier this year with chest pain, the last thing she expected was for doctors to discover a possibly cancerous tumor on her pancreas.

“The chest X-ray showed that my heart was OK, but that I had a spot on my pancreas that needed to be looked at,” says Windbeck, a Sandy Spring resident. “When they said it was a tumor, I knew immediately that I wanted it removed, and my husband agreed.”

Her doctor sent her to Bobby David, M.D., a general surgeon at Washington Adventist Hospital in Takoma Park.

“Carolyn had a tumor in the tail of the pancreas. Tumors like hers become invasive cancers if they’re not surgically removed,” Dr. David says.

“We talked about her options for removing it, and agreed that minimally invasive robotic surgery would be the best way to go.”

Says Windbeck: “As a retired operating room nurse, I knew that robotic surgery hasn’t been around for a very long time. I decided to try it, though, because I trusted Dr. David and have always had a good experience at Washington Adventist Hospital. I also knew the incision

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A First in Comprehensive Care The Aquilino Cancer Center will bring a wide range of coordinated services under one roof

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he Aquilino Cancer Center, opening next year on the campus of Shady Grove Adventist Hospital in Rockville, will lead the way in bringing integrated, comprehensive cancer care to our community. As the first community-based, comprehensive cancer center in Montgomery County, the Aquilino Cancer Center will offer personalized, coordinated care and a unique environmental experience. Adventist HealthCare officials broke ground on the facility in June.

“We are pleased to have a facility here in Montgomery County, on the Shady Grove Adventist Hospital campus,” says Dennis Hansen, president of Shady Grove Adventist Hospital. “This new center will allow our expert cancer care team to provide a broader range of highly coordinated, comprehensive services in one convenient location.”

The Aquilino Cancer Center, which will expand access to a wide range of coordinated services for cancer patients, will bring doctors, nurses, pain-management specialists and complementary therapies together under one roof to deliver integrated, comprehensive cancer care. The outpatient facility will offer personalized, expert, quality care to cancer patients,

with the most up-to-date technology to treat cancer. The approximately 50,000-square-foot, three-story building will house physician offices as well as complementary resources, such as an education library, nutrition counseling, navigation services and support groups, for cancer patients and families. It will also offer wellness programs, screening events and fitness activities.

“Physicians involved with cancer care who are practicing in and around the Aquilino Cancer Center will be able to utilize advanced technology and a coordinated approach to cancer screening, diagnosis and treatment,” says Joseph Haggerty, M.D., medical oncologist for Shady Grove Adventist Hospital.

With its location on the Shady Grove Life Sciences Center and the Great Seneca Science Corridor, the Aquilino Cancer Center will allow physicians practicing at the center to closely collaborate with local and national research organizations, offering patients an opportunity to participate in clinical trials and research projects.

New Advances in Cancer Treatment, Close to Home

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When it opens in 2013, the Aquilino Cancer Center will bring doctors, nurses, pain-management specialists and complementary therapies together under one roof.

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Shady Grove Adventist Radiation Oncology Center offers state-ofthe-art radiation therapy in Rockville and Germantown. Last summer, the Germantown location began offering a new technology in radiation treatment: high-dose rate afterload (HDR).

HDR can benefit those who have breast or gynecologic cancers by precisely targeting tumors and shortening the length of treatments.

Instead of five or six weeks of daily radiation therapy, patients receiving HDR therapy receive treatment twice a day for five days. For patients who qualify for HDR, the therapy is faster, more convenient and more comfortable than the traditional low-dose-rate approach.

“HDR therapy provides our community with the latest in cancer treatment,” says Anu to Singh, M.D., radiation oncologist. “This techeam.com er cancert c r n u a o C .y o w in il w u w q it A is nology helps me, as a physician, provide the e V ut th r more abo nologies in cance discover best outcomes possible for patients.” ch nd new te Grove Adventist Center a dy a h S Patients should discuss HDR with their t a r. t treatmen n Oncology Cente o ti doctors to determine if they are candidates for ia d Ra the treatment.

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Shady Grove Adventist and Washington Adventist Hospitals are working to make breast cancer care accessible to more women.

Breast Cancer Programs in the Community Expanding Access to Breast Cancer Screenings

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Teaming Up With Susan G. Komen for the Cure Since 2010, a nearly $1 million grant from Susan G. Komen for the Cure has allowed Shady Grove Adventist and Washington Adventist Hospitals to expand the Navigate to Health: Rapid Referral Program, which offers comprehensive breast care services to medically underserved, low-income, minority women throughout Montgomery and Prince George’s counties. By 2014, the program is expected to serve nearly 2,000 women in the area.

“We are grateful for this generous contribution, which allows us to increase access to mammograms as well as expand the educational services around breast cancer to improve the lives of women in our community,” says Judy Lichty, regional director of health and wellness for Adventist HealthCare.

After surgery or radiation for cancer, some people can develop lymphedema—an abnormal accumulation of protein in the body’s tissues that causes symptoms such as swelling, pain and decreased mobility.

Adventist Rehabilitation Hospital of Maryland offers a Lymphedema Management Program with complete decongestive therapy, which is a comprehensive treatment that works to redirect fluid from a swollen limb back into the bloodstream. This treatment includes manual lymphatic drainage, compression bandaging, therapeutic exercise, skin and nail care, compression garment fitting, and personalized education in self-care. Visit www.adventistrehab. com/lymphedema to learn more.

SAVE THE DATE FOR PINK FLING Members of the community are invited to join Shady Grove Adventist Hospital and Washington Adventist Hospital for a free breast cancer event Sunday, Sept. 30, from 1–4 p.m. at Westfield Montgomery Mall in North Bethesda. The event will include discussions on topics related to breast cancer by local experts, a cancer survivors fashion show and a FREE breast cancer risk assessment! Visit www.adventisthealthcare.com/pinkfling for more information about the event.

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Since 1993, the Breast Cancer Screening Program at Shady Grove Adventist and Washington Adventist Hospitals has made screening, diagnostic and treatment services accessible to all eligible women to reduce the number of deaths related to breast cancer. The program is funded by the Montgomery County Health Department’s Women’s Cancer Control Program, the state of Maryland’s Breast and Cervical Cancer Diagnosis and Treatment Program, the Shady Grove Adventist and Washington Adventist Hospital Foundations, and breast cancer grants.

Thanks to its local partnerships, Adventist HealthCare has been able to expand the program by increasing the number of mammograms provided to local women. This year, 450 mammograms were provided with the help of the Health Care Initiative Foundation, and 300 mammograms were provided thanks to the Primary Care Coalition, through funding from the American Breast Cancer Foundation.

“Aside from nonmelanoma skin cancer, breast cancer is the most common cancer among women in the U.S., which makes it vital to ensure that women in our community

have access to screenings through the Breast Cancer Screening Program,” says Jane Peck, executive director of cancer care services for Adventist HealthCare.

To apply for the program, call 240-7771750. If you want more information or have questions, call Ashley Fried at 301-315-3507.

Lymphedema Therapy

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Breathing a Sigh of

Relief

Expert care for a dangerous blood clot in the lung

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orty-eight-year-old mother of two Annie Foster Ahmed was playing tennis with her 10-year-old son when she ruptured her Achilles tendon. At the time, she had no way of knowing that this common injury would soon lead to a life-threatening condition.

A little more than a week after her injury, Foster Ahmed, of Derwood, began feeling unwell.

“I walked upstairs and I couldn’t breathe,” she says. “I was crawling up the steps and dizzy.”

Days later, she lost consciousness in her home and fell to the floor.

After Annie Foster Ahmed developed a life-threatening blood clot in her lung, vascular surgeon Jeffrey Wang, M.D., carefully explained the treatment options.

Emergency Vascular Care Foster Ahmed was taken by ambulance to Shady Grove Adventist Hospital.

Based on her symptoms, emergency physicians quickly began checking for a pulmonary embolism (PE), which is a blockage that is formed when a blood clot breaks off and travels to the lungs. They found that Foster Ahmed had developed a large blood clot in her leg, which led to a massive PE.

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Risks and Symptoms of Pulmonary Embolism Certain conditions or actions may increase your risk of developing a pulmonary embolism (PE)—a blockage that is formed when a blood clot breaks off and travels to the lungs. These include: ◗◗Long periods of inactivity (e.g., bed rest or a long plane or car trip) ◗◗Recent surgery involving the legs, hips, belly, heart or brain ◗◗Family history of blood clots ◗◗Cancer ◗◗Obesity ◗◗Stroke ◗◗Smoking ◗◗Childbirth ◗◗Taking birth control pills or hormone therapy The most common symptoms of PE are: ◗◗Sudden shortness of breath or rapid breathing ◗ ◗Sharp chest pain that worsens when you cough or breathe deeply ◗◗Coughing up blood If you experience symptoms of PE, call 9-1-1.

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Jeffrey Wang, M.D., vascular surgeon and medical director of vascular research at Shady Grove Adventist Hospital, explained the treatment options—blood thinning medication or intervention—to Foster Ahmed and her husband. The couple chose intervention, a vascular procedure that only a few physicians and hospitals in the state offer.

“A PE can lead to disability and even death; therefore, it is important to seek emergency medical attention,” Dr. Wang says. “By offering this procedure at Shady Grove Adventist Hospital, we are ensuring that our patients are treated as quickly as possible so that they can be restored to health.”

Says Foster Ahmed, “Once we gave the OK for the surgery, they took me in right away. Dr. Wang and the nurses talked me through everything.”

Support After Surgery As of March, Foster Ahmed no longer had the blood clots in her lungs or leg.

She started participating in the new deep vein thrombosis and PE support groups at Shady Grove Adventist Hospital, the first of their kind in the area.

“It was interesting to hear the different stories and situations that people had,” Foster Ahmed says. “It was nice to see that it doesn’t just happen to you at a certain age; it can happen out of the blue.”

Of her current lifestyle, she says, “I am paying more attention to my body now and have decided to slow down my life pace. Every day there is a reminder of what happened to me.”

Innovation Central Visit www.adventisthealthcare.com/vascular to learn more about expert vascular care at Shady Grove Adventist Hospital and take a free risk assessment for deep vein thrombosis.

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Need a Doctor ?

To find as Adven urgeon at Wa tist Ho spital o shington local p r anot hysicia n, call t her Find-a he -D at 800 oc Hotline -6420101.

Cindy Cromwell can see clearly now without glasses, thanks to an innovative lens implanted by Natasha Herz, M.D.

A Clear Outlook

on Life

Innovative eye surgery helps patients step out from behind the lens something, like you’re looking out a window all the time,” says Cindy Cromwell, 59, of Clarksburg, who had been wearing glasses nearly all her life.

In her 40s, Cromwell began to develop cataracts. “I had to turn on all the lights in the house because everything looked dark, colors weren’t vibrant,” she says.

“As people age, the eye’s natural lens begins to cloud,” explains Natasha Herz, M.D., ophthalmologist with Washington Adventist Hospital. “Once this clouding impairs your vision to the point that it’s interfering with your life, it’s time for cataract surgery.”

It’s common for one eye to be affected by cataracts earlier than the other, and in 2008 Cromwell underwent surgery at Washington Adventist Hospital to fix the cataract in her left eye. By 2011, she and Dr. Herz decided it was time to fix the right eye.

“Dr. Herz explained that eyes get to a certain point where contacts or glasses won’t correct the problem anymore,” Cromwell says. “This was my window of opportunity.”

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“We needed to remove Cindy’s cataract, but we were also dealing with astigmatism in her right eye, which causes blurred vision,” Dr. Herz says.

Dr. Herz decided to use an innovative implantable lens, known as the AcrySof Toric lens. The lens, which has been available for several years, was approved by the U.S. Food and Drug Administration in 2011 to correct severe instances of astigmatism.

“To help her regain high-quality distance vision after surgery and give her freedom from eyeglasses,” Dr. Herz says, “we decided to use this implantable lens that makes it possible to treat the cataract and correct the astigmatism at the same time.”

Cromwell says the improvement in her vision after surgery was immediate. “On the car ride home, I could tell that blues were bluer and greens were greener,” she says. “I didn’t realize what I had been missing.”

With the new implant, for the first time since she was 8 years old, Cromwell no longer needed glasses. “I must have given away about 22 pairs! I just didn’t need them anymore,” she says. “It’s freeing, and I owe it to Dr. Herz. She works miracles!”

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“When you wear glasses, you always feel like you’re inside

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Tanya Johnson, R.D., LDN, CDE, left, and Michele McBride, R.N., BSN, CDE, right, educate local patients and families about diabetes.

Learning How to Live with Diabetes The Outpatient Diabetes Education Program at Washington Adventist and Shady Grove Adventist Hospitals shows you how

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People who are living with diabetes are benefiting from new medication, advanced technology and research, which help them to better manage their disease. The Outpatient Diabetes Education Program at Washington Adventist and Shady Grove Adventist Hospitals helps patients with all stages of diabetes and their family members learn how to live with the disease. The comprehensive program provides one hour of one-on-one counseling in addition to nine hours of diabetes education taught by certified diabetes educators, including a registered nurse and a registered dietitian. The small class sizes allow for interactive sessions and personalized instruction.

“It’s a very open learning environment,” says Tanya Johnson, R.D., LDN, certified diabetes educator (CDE) at Washington Adventist Hospital. “Students are encouraged to share their experiences and ask questions, which allow us to engage with each person and address the most relevant topics of concern.”

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Topics discussed during the program include: pp Checking and understanding blood glucose

numbers pp Prevention of short-term and long-term

conditions ppMedication guidance ppFood and eating education ppFoot care ppPhysical activity recommendations ppGoal setting, coping and stress management

Washington Adventist and Shady Grove Adventist Hospitals offer evening classes on Tuesdays from 6 to 9 p.m. to accommodate patients’ work schedules. Bilingual classes (English and Spanish) are also available. At the conclusion of the sessions, participants fill out an evaluation to ensure that the program is providing the most comprehensive diabetes education and is growing to fit the needs of each patient.

“It’s rewarding to see how patients’ lives have changed for the better because they’ve lost weight, their blood sugar has improved and

they have been able to get in control of their lives as a result of going through the course,” says Michele McBride, R.N., BSN, CDE, coordinator of the Outpatient Diabetes Education Program at Adventist HealthCare.

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Call 8 www.a 00-542-50 96 or v dven isit servic tisthealth car es ­inform /diabetes fo e.com/ ation o r more r to the pro register for gram.

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The ABZzzs of

Good Sleep

Snoring is not normal!

Snoring occurs when a person’s air passage is too narrow. When the tongue and muscles around the air passage relax during sleep, there may not be enough room for quiet flow of air. The problem usually gets worse as a person ages or gains weight.

“People who snore usually have to work harder to breathe during sleep,” explains Marc Raphaelson, M.D., director of the Sleep Disorders Center at Washington Adventist Hospital. “When breathing is difficult, often we are not fully

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refreshed in the morning, and we are sleepy or fatigued during the day. This is what happens in people who have sleep apnea.”

Adds Konrad Bakker, M.D., director of the Sleep Disorders Center at Shady Grove Adventist Hospital: “People with sleep apnea frequently stop breathing at night, leading to an increased risk of high blood pressure, heart attack, stroke, diabetes and daytime sleepiness. Fragmented sleep, second to sleep apnea, also has been implicated in weight gain. Left untreated, there is a tremendous cost, in terms of health, quality of life and work productivity.”

Sleep testing is the only way to find out whether the snoring is just noise or an indicator of sleep apnea. Talk to your doctor about getting help if you: p Have a hard time falling asleep p Have high blood pressure p Snore so heavily that it bothers others

p Wake up in the middle of the night and cannot

go back to sleep p Get sleepy while driving, reading or watching TV p Feel sore or stiff in the morning p Wake up with headaches

DO YOU NEED SLEEP TESTING? The Sleep Disorders Centers at Shady Grove Adventist Hospital (301-294-5580) and at Washington Adventist Hospital (800-264-1487) can diagnose and treat a wide range of sleep disorders, leading to better sleep and better days. Or visit www.adventisthealthcare.com/ magazine to learn more.

7/18/12 10:55 AM

Living Healthy SEPTEMBER–NOVEMBER 2012 Health and wellness classes, programs and activities for a healthy mind, body and spirit.

Brought to you by the Health & Wellness Department of Adventist HealthCare.

Class Locations Adventist HealthCare health and wellness classes are offered at numerous locations within the community including: ◗ SGAH Shady Grove Adventist Hospital 9901 Medical Center Drive, Rockville Paid parking

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◗ WAH Washington Adventist Hospital 7600 Carroll Ave., Takoma Park ◗ AHC Adventist HealthCare 1801 Research Blvd., Rockville ◗ ARHM Adventist Rehabilitation Hospital of Maryland 9909 Medical Center Drive, Rockville Paid parking Visit www.adventist healthcare.com/calendar for additional class/event locations.

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Registe Today r

Visit w care.c ww.adventis o t descrip m/calendar health for det tions o ailed f class for any es. To of events the fall class register , ca es or the ll 800-542- and numbe 5096 r liste progra m desc d in the ription .

HEART-HEALTH SCREENINGS WITH MEDICAL CONSULTATION HEALTH SCREENINGS Our comprehensive screenings and private, two- to four-minute personal consultations with licensed medical professionals are designed to help you understand and manage your specific health risks for heart disease and related conditions. Please note that some screenings require a fee and fasting.

When: Wednesdays, Sept. 5 and Nov. 7, 8–10 a.m.

Where: SGAH Sycamore Room When: Wednesday, Oct. 24, 8–10 a.m.

Where: WAH Cafeteria Conference Room Other locations: p Rockville Senior Center, 1150 Carnation Drive, Rockville, Fridays, Sept. 28 and Nov. 16, 10 a.m.–noon p Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg, Wednesday, Oct. 10, 10 a.m.–noon p Holiday Park Multipurpose Senior Center, 3950 Ferrara Drive, Wheaton, Friday, Nov. 2, 10 a.m.–noon Info: Call 800-542-5096; registration required; event subject to cancellation due to low registration

SCREENING DESCRIPTION AND FEES Lipid profile: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fasting recommended); $35, $31 for seniors (55-plus); only order this or the expanded cholesterol test Expanded cholesterol test: This VAP (vertical auto profile) includes all of the lipid profile plus information that can help identify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profile test Homocysteine: Vascular fitness test; $95 HsCRP: Tests high-sensitivity C-reactive protein for cardiovascular risk; $45 Blood pressure monitoring: FREE Glucose: Basic screening for diabetes (12 hours of fasting recommended); $8 A1c: Blood sugar test for known diabetics or those at high risk; $40 PSA (prostate-specific antigen): Prostate cancer screening test for men; $40 Body-fat analysis: Tests percentage of body fat; $10

HEART SCREENING PACKAGES Sweetheart: Lipid profile and glucose; $38 Heart smart: Expanded cholesterol test (VAP) and glucose; $69 Heart risk special: Expanded cholesterol test (VAP), homocysteine and HsCRP; $199 Diabetes check: Glucose and A1c; $42

FREE, MONTHLY BLOOD PRESSURE TESTING

When: First and third Wednesday of each month, 10–11:30 a.m.

Where: Damascus Senior Center, 9701 Main St., Damascus When: Second Tuesday of each month, 10–11:30 a.m.

Where: Mid County Community Recreation Center, 2004 Queensguard Road, Silver Spring When: First Monday of each month, 10–11:30 a.m.

Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: Second Monday of each month, 10 a.m.–noon Where: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring When: Second Tuesday of each month, 12:30–2:30 p.m.

Where: ARHM Lobby When: Third Wednesday of each month, 11:30 a.m.–1:30 p.m.

Where: SGAH Cafeteria When: Fourth Wednesday of each month, 9:30–11:30 a.m.

Where: Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg When: Second Thursday of each month, 10–11 a.m.

Where: Bowie Senior Center, 14900 Health Center Drive, Bowie

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When: Fourth Thursday of each month, 11:30 a.m.–12:30 p.m.

Where: Takoma Park Community Center, 7500 Maple Ave., Takoma Park When: First Thursday of each month, 11:30 a.m.–1:30 p.m.

Where: WAH Cafeteria Info: Call 800-542-5096

Seasonal Flu and Pneumonia Vaccine Annual flu vaccines are the best defense against the flu for children and adults.

Influenza and pneumonia vaccine will be offered to the community at low cost.

Medicare Part B accepted including some insurance.

Info: Visit www.helpstoptheflu.com or call 301-315-3140

cancer, and offer practical advice and emotional support. See page 15 for a full list of available cancer support groups.

Colorectal Cancer Screening Program Adventist HealthCare partners with the Montgomery County Health Department to offer this FREE, life­ saving screening.

Info: Call 301-315-3507 or 301-315-3147 to see if you are eligible

Montgomery County Cancer Crusade Coalition Monthly meeting to discuss community needs for cancer screenings.

Info: Call 301-315-3507 or 301-315-3147 for meeting dates and times

CANCER PROGRAMS At Shady Grove Adventist and Washington Adventist Hospitals, can­ cer care navigation teams assist people living with cancer, their families and friends, and caregivers. The navigation teams consist of professionals who can provide guidance through diagnosis, treatment and survivorship.

Info: Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) to speak to a member of the cancer care navigation team

Look Good ... Feel Better

When: Monday, Sept. 10, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

Cancer Support Groups Two cancer support groups are offered at Shady Grove Adventist Hospital.

Participants meet people facing similar challenges, share their experiences with

To register, call 800-542-5096 or visit www.adventisthealth care.com/calendar

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Introduction to Cardiac Rehabilitation and EECP Treatment for Chest Pain Info: For an appointment, call the Center for Fitness and Health at Shady Grove Adventist Hospital at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016 Cost: FREE

Internal Cardiac Defibrillator and Pacemaker Discussion Group Group discussion for patients and the families of patients with these devices.

When: Mondays, Sept. 10 and Nov. 12, 7–8 p.m.

Where: SGAH Info: Call 240-826-6662

Congestive Heart Failure Class and Discussion Group For patients and families.

When: Mondays, Oct. 8 and Dec. 10, 7–8 p.m.

Where: Center for Fitness and Health at SGAH Info: Call 240-826-6662

For patients and families.

When: Tuesdays, Sept. 25 and Dec. 18, 6–7 p.m.

Where: SGAH, Willow Room Info: Call 240-826-6177 or email dvtpeinfo@ahm.com

fitness & weight management Beginning T’ai Chi Ch’uan T’ai chi ch’uan is a set of naturally flowing movements performed slowly in a sequence with a spirit of calmness, balance and awareness.

It teaches ways of relaxation and is excellent for stress reduction and developing strength and flexibility.

Come to class with an empty stomach.

Wear sneakers and loose clothing.

Session 1: Saturdays, Sept. 15–Oct. 6, 10–11:15 a.m.

Session 2: Saturdays, Oct. 6–Nov. 3, 10–11:15 a.m.

Where: SGAH Short-Stay Lobby Cost: $15 per class, $44 per session, $85 for sessions 1 and 2 (entire series) Info: Call 800-542-5096 to register

SugarLoafers Walking Club A club for people who share an interest in keeping fit through walking.

When: Business meeting on second Tuesday of each month, 7:15–9 p.m.

Cost: FREE Info: Call Jackie at 301-977-6870 or Maribeth at 301-936-5496, or email gammie0612@verizon.net; visit www.sugarloafers.org

When: Saturdays, Sept. 22, Oct. 20, Nov. 17, Dec. 15, 10 a.m.–noon Where: WAH Cost: $40 per person, $55 per couple

Baby-Sitting This two-session class for boys and girls ages 11 to 15 covers accident prevention and basic care for infants and children.

Both sessions required for certificate.

When: Saturdays, Sept. 15 and 22, Oct. 13 and 20, Nov. 3 and 10, Dec. 1 and 8, 10 a.m.–noon Where: AHC Cost: $35 per person

Teen CPR Companion to Baby-Sitting Rescue breathing, CPR skills, use of automated external defibrillator and management of choking for all ages.

When: Saturdays, Sept. 29 , Oct. 27, Nov. 17, Dec. 15, 2–5 p.m.

Where: AHC Cost: $60 per person ($10 discount when taken with baby-sitting class)

Home Alone Prepares 8- to 11-year-olds and their parents for times when children will spend brief periods alone at home.

Children must attend with a guardian.

When: Saturdays, Sept. 29, Oct. 27, Nov. 17, Dec. 15, 10 a.m.–noon Where: AHC Cost: $15

Adventist HealthCare Walking Club Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall food court

Youth Health & Education Infant Safety and CPR A Family & Friends class that covers safety, CPR skills and choking manage­ ment for newborns to 1-year-olds.

When: Sundays, Sept. 2, 9, 16, 23 and 30; Oct. 7, 14, 21 and 28; Nov. 4, 11 and 18; Dec. 2, 9 and 16; 10 a.m.–noon When: Wednesdays, Sept. 5 and 19; Oct. 3 and 31; Nov. 7 and 28; Dec. 5; 6–8 p.m.

Where: AHC

Self-improvement Arthritis or Joint Pain?

Learn about the total hip or knee replacement procedure, hospital stay and rehabilitation program at Shady Grove Adventist Hospital.

When: First Wednesday of each month, 1:30–3 p.m.

Where: SGAH Cost: FREE Info: Call 800-642-0101

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Meet with other women living with cancer and a professional esthetician to learn makeup tips so you can put your “best face forward” during and after treatment for cancer. You’ll have fun and receive a “personal tool kit” to take home.

When: Wednesday, Nov. 7, 6:30– 8:30 p.m.

Where: SGAH Info: Call 240-826-6297

CARDIAC & Vascular EDUCATION

Deep Vein Thrombosis and Pulmonary Embolism Support Group

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Diabetes Programs & Nutrition Counseling Diabetes Outpatient Education Programs This comprehensive series will help you learn how to better manage your diabetes with tips on self-care, eating right and more.

Session 1: Tuesdays, Sept. 4 and 18 and Oct. 2, 6–9 p.m.

Session 2: Tuesdays, Nov. 6 and 20 and Dec. 4, 6–9 p.m.

Where: 9715 Medical Center Drive, Suite 201, Rockville Session 1: Tuesdays, Sept. 11 and 25 and Oct. 9 and 16, 6–8 p.m.

Session 2: Tuesdays, Oct. 30, Nov. 13 and 27, and Dec. 11, 6–8 p.m.

Holiday Park Multipurpose Senior Center

Where: 7610 Carroll Ave., Suite 350, Takoma Park Info: Call 800-542-5096 for cost and other information

3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Tuesday, Oct. 9, 1:15–2:15 p.m. p Natural, Processed, Fresh, Frozen, Organic—What Is Better for You? Info: 240-777-4999

New! Prediabetes Class Learn how to manage prediabetes and prevent type 2 diabetes in this twoclass series.

Session 1: Thursdays, Oct. 18 and 25, 9:30–11:30 a.m.

Session 2: Thursday, Nov. 29, 9:30–11:30 a.m.

Session 3: Thursdays, Dec. 20 and 27, 9:30–11:30 a.m.

Where: SGAH Session 1: Thursdays, Oct. 4 and 11, 9:30–11:30 a.m.

Session 2: Thursdays, Nov. 8 and 15, 9:30–11:30 a.m.

Session 3: Thursdays, Dec. 6 and 13, 9:30–11:30 a.m.

Where: WAH

Grief Support Groups

Info: Call 800-542-5096 for cost and other information

Diabetes Education Programs These FREE education programs teach you how to manage your diabetes. p Carbohydrate Counting When: Tuesdays, Sept. 11, Oct. 9, Nov. 13, Dec. 11, 6:30–8 p.m. p Advanced Pumping When: Tuesdays, Sept. 18, Nov. 20, 6:30–8 p.m. p Diabetes Technology Update When: Tuesdays, Sept. 25, Oct. 23, Nov. 27, Dec. 18, 6–7 p.m.

Where: SGAH Info: Call 800-542-5096

Nutrition Counseling Individual nutrition counseling.

Appointment duration is one hour.

When: First Monday of each month in the evening Cost: $85 Info: Call 800-542-5096 to register

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Community Aphasia Group A support group for those with aphasia.

Cost: $140 for six-week series Info: Contact Sandi Lancaster at 240-864-6033 or slancas2@adventisthealthcare.com

Lactation Services Lactation consultation, breast-pump sales and rentals, and breastfeeding support groups.

SGAH: 240-826-MOMS (6667)

Expecting?

Expect to Be Expecting?

A wide range of maternal/child health classes is available to you at Shady Grove Adventist WAH: and Washington Adventist 301-891-4TLC (4852) Hospitals. Parents-to-be and siblings-to-be get expert advice, support and education both before and after the birth of your baby. Detailed descriptions and listings for locations are available online at www.adventisthealthcare.com/calendar or by phone at 800-542-5096.

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Seniors’ health Adventist HealthCare recognizes the specialized health needs of our community’s senior population. We offer a number of education sessions to help seniors live healthfully. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and personal consultations. (See page 12 for additional information on health screenings.)

Adventist HealthCare’s Pastoral Care Services offers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurturing environment. Please call 301-891-5265 to preregister for all groups.

Washington Adventist Hospital p DivorceCare Thirteen-week session for those

American Safety and Health Institute (ASHI): Basic First Aid Class

p

OSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards, lifeguards and those who want to help in the community with emergencies and disasters.

Three-year certification.

When: Nov. 14, Dec. 5, 6:30–9:30 p.m.

Where: AHC Clarksburg Room, third floor

p

p

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CPR & First Aid Classes by the Adventist Healthcare Center of Resuscitation Excellence The Center of Resuscitation Excellence offers convenient CPR and first aid courses at various times and locations. For additional course schedules, locations and registration, call 240-826-CORE (2673) or visit www.adventistlifesupport.com.

The center also offers ACLS, PALS, NRP, pediatric emergency assessment and triage; CPR for health care providers; and AED and public access defibrillation (PAD) consultation services. Prices include cost of book.

American Heart Association (AHA) Classes AHA Heartsaver AED/CPR Learn community CPR and AED use for all ages. Course completion card issued, valid for two years.

Cost: $84 AHA Family & Friends CPR for All Ages Learn community CPR in a stressfree environment. No testing. Note: No card issued.

Cost: $45 AHA Family & Friends CPR for Pediatrics Same class as above except with a focus on the care of children from birth to adolescence. No testing.

Note: No card issued.

Cost: $40 per person, $60 per couple

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NSC CPR/AED and First Aid for Pediatrics MDE- and OSHA-approved first aid certification for day care workers, teachers, scout leaders, coaches and anyone who works with children. Focus is on care of infants and children. Three-year first aid certification and two-year CPR certification. Get both certifications during same course.

Cost: $121 The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the association.

Shady Grove Adventist Hospital

p Grief Care Six-week session for the bereaved Tuesdays, Sept. 4–Oct. 9, 7–9 p.m. p Empty Arms, Aching Hearts Six-week session to comfort those grieving the loss of a baby through pregnancy loss, miscarriage, stillbirth or infant death Thursdays, Sept. 6–Oct. 11, 7–9 p.m.

Info: Call 240-826-6112 or email stoth@adventisthealthcare.com for questions and to register

To register, call 800-542-5096 or visit www.adventisthealth care.com/calendar

Support Groups Adventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics: ◗ Congestive heart failure ◗ Living with heart disease ◗ Heart patient ◗ Alcoholics Anonymous ◗ Alzheimer’s ◗ Amputee ◗ Brain injury ◗ Diabetes ◗ DVT (deep vein thrombosis)

◗ Weight-loss surgery ◗ Multiple sclerosis ◗ Stroke ◗ Narcotics ◗ Sickle cell anemia ◗ Spinal cord injury ◗ BEST breastfeeding ◗ Discovering motherhood

For additional information about these groups, including a schedule of meetings and locations, visit www.adventist­ healthcare.com/calendar or call 800-542-5096.

Cancer Support Groups Three cancer support groups offering opportunities to meet people facing similar challenges are available at Adventist HealthCare. Members share experiences with cancer, offer practical advice and emotional support, and gain a sense of empowerment and control. The following cancer groups are currently meeting: ◗ Women’s lifestyle (WAH) ◗ Breast cancer (SGAH) ◗ Thyroid cancer (SGAH) Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) for dates, times and locations

Special Event:

Navigating Your Vascular Health Join us for free vascular screenings, lectures and more.

Where: WAH When: Sunday, Sept. 9, 1–4 p.m.

Where: SGAH When: Sunday, Sept. 23, 1–4 p.m.

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healing from a separation or divorce Saturdays, Sept. 8–Dec. 1, 3–4:30 p.m. p Empty Arms, Aching Hearts (English and Spanish) For those experiencing pregnancy loss, miscarriage, stillbirth or infant death Second Sunday of each month, 2:30–4 p.m. p Journey Through Your Goodbyes Six-week mutual support group to reflect on the journeys through hurts caused by goodbyes and the anxieties encountered by change (loss of job, financial change, end of a friendship, extended illness, death) Tuesdays, Oct. 2–Nov. 6, 7–8:30 p.m. p Surviving the Holidays A holiday grief workshop and a time through sorrow to celebrate and honor treasured memories of your loved one Sunday, Nov. 18, 3:30–6:30 p.m.

National Safety Council (NSC) Classes NSC First Aid OSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards and those who want to help in the community with emergencies and disasters. Three-year certification.

Usually is offered in conjunction with Heartsaver AED/CPR. Get both certifications at the same time.

Cost: $65

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Adventist HealthCare, Inc. 1801 Research Boulevard Rockville, MD 20850

non-profit org us postage

p aid Health & YOU

Washington Adventist Hospital

Frederick

301-891-7600

7600 Carroll Avenue, Takoma Park

Shady Grove Adventist Hospital

Baltimore

240-826-6000

9901 Medical Center Drive, Rockville

Germantown

Shady Grove Adventist Emergency Center

Gaithersburg

301-444-8000

Burtonsville Rockville

19731 Germantown Road, Germantown

Rockville

N

Shady Grove Adventist Hospital Prenatal Center

301-444-8350

College Park

W

19735 Germantown Road, Germantown

E

Washington D.C.

S

Eastern Shore

Adventist HealthCare in YOUR Community Find a Physician by phone or internet: This FREE 24-hour referral service can help you find a physician or specialist

1-800-642-0101 or visit www.AdventistHealthCare.com/FindADoc

that best suits your health needs. Call

Shady Grove Adventist Radiation Oncology Center: - Germantown: 301-795-0064 20330 Seneca Meadows Parkway, Germantown

- Rockville: 301-309-6765

40 West Gude Drive, Rockville, Suite 120

Adventist Rehabilitation Hospital of Maryland

240-864-6000

9909 Medical Center Drive, Rockville

Adventist Behavioral Health

301-251-4500

14901 Broschart Road, Rockville (main campus)

Adventist Home Care Services

301-592-4400 (main office)

Serving Seven Maryland counties, parts of D.C.

The Reginald S. Lourie Center for Infants and Young Children

301-984-4444

www.AdventistHealthCare.com

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12301 Academy Way, Rockville

Proposed Locations: Washington Adventist Hospital (relocated) Clarksburg Hospital & Medical Campus

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