Health & You Magazine (Summer 2012)

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

YOU R G U I D E TO HE ALT H Y L IVIN G ■ SUMMER 2012

Classes and Events Page 12

Prostate cancer screenings help save lives Page 4

50 years of heart surgery at Washington Adventist Hospital Page 6

complete

Shady Grove Adventist Hospital expands cardiac rehab capabilities Page 10

Coordination Quick thinking by his wife, Tracey, and a team approach to stroke care put Donald “Barry” Jackson of Rockville on the path to recovery

BROUGHT TO YOU BY:

Page 8 MEMB ERS O F A DVEN TIST HEA LTHCA RE

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OPENING

THOUGHTS

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Celebrating 105 Years of Health in Our Community CONTENTS Features

4

Game Plan Against Cancer

6

Road Trip to Recovery

8

Complete Coordination

When a routine test suggests prostate cancer, a Rockville man and his doctors team up to beat the disease.

An avid motorcycle rider is back in action just months after heart surgery.

A system of comprehensive, coordinated stroke care gets a 38-yearold Rockville man back to his family.

10

More Space for Cardiac Rehab

Have you ever thought about how different our community was more than 100 years ago? It is amazing to consider how transportation, communication, education and, yes, even health care have changed over the past century.

One aspect that has not changed in the past 105 years is Adventist HealthCare’s commitment to improving the health of those we serve. When our first facility opened in Takoma Park in May 1907, the dedication of the staff and leaders to the health of the local community was very much the same as what you see today at Shady Grove Adventist Hospital in Rockville, Washington Adventist Hospital in Takoma Park, Adventist Rehabilitation Hospital of Maryland in Rockville, William G. “Bill” Adventist Behavioral Health and Adventist Home Care. This is also the same Robertson commitment that you see when you come to one of Adventist HealthCare’s community health events. Each day, in our facilities and out in the community, members of our extensive care team work to bring comprehensive health services, education and quality care to you and your family.

This issue of Adventist HealthCare & You reflects the quality services that have been at the core of our organization for the past 105 years. The technology that we use to treat and diagnose health conditions, such as heart attacks and cancer, has dramatically changed to help speed and ease recovery, reduce pain and get patients back to their lives faster than ever. Some of your neighbors featured in this issue—like prostate cancer patient Vaughn Clarke, heart surgery patient Chris Barritt and stroke patient Donald “Barry” Jackson—are great examples of this quality care right here in your community.

Similar to when Washington Adventist Hospital opened in 1907, our work to provide care extends beyond the walls of our hospitals. As part of our mission to improve health, we offer a wide range of health education classes and events throughout the year.

I hope that as you look toward the future, you will be comforted by the knowledge that Adventist HealthCare’s long-standing commitment to improving health will continue to be there for you and the community.

Connect with Us Through Social Media

In good health,

Shady Grove Adventist Hospital’s cardiac rehab center expands to offer a wider range of services.

11

Summer Safety Tips for Kids

Keep your children safe as the weather heats up.

Departments 3

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.

Health Beat

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

Senior Content Editor: Matt Morgan

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

Production Technology Director: Mary Winters

Art Director: Rosalie Kirkman Imaging Specialist: Dane Nordine

Adventist HealthCare & You is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 17, Number 3 © 2012 McMurry.

The material in Adventist HealthCare & You is not intended for diagnosing or prescribing. Consult your physician before under taking 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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HEALTH BEAT

Walk Your Way to Better Health Are you looking for a way to stay cool and active this summer?

Step up your routine by joining the Adventist HealthCare Walking Club at Westfield Montgomery Mall. Every Tuesday from 8 to 9:30 a.m., Adventist HealthCare experts provide free blood pressure screenings, other health screenings, and information on local health services and events to the public. Walking club members enjoy giveaways and complimentary breakfasts and personalized access to Adventist HealthCare medical experts. People of all ages and fitness levels are welcome.

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3/27/2012

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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.

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

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To find a doctor in your neighborhood visit www.AdventistMedicalGroup.org or call 1-800-642-0101.

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COMING TOGETHER TO BRING YOU

ADVENTIST MEDICAL GROUP

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An Affiliate of GW Medical Faculty Associates

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A family history of prostate cancer prompted Vaughn Clarke to get checked every year. In 2010, those screenings saved his life.

game pl against

cance

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Expert team at Shady Grove Adventist Hospital helps Rockville dad battle prostate cancer

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or the past 18 years, Vaughn Clarke of Rockville diligently got his annual physical and prostate screening every spring. Clarke, a health-conscious former athlete, began getting annual prostate-specific antigen (PSA) screenings at age 40, after he lost his father to prostate cancer. For almost two decades, his tests came back normal.

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Needing to Know Following his diagnosis, Clarke had many questions and concerns and did not want to spend the weekend with them unanswered. Dr. Aron came in on a Friday, his day off, to meet with Clarke.

“As a physician, it is important for me to sit down with someone like Vaughn to decide together how to move on with further screenings,” Dr. Aron says. “After his biopsies came back positive, I talked with him about all of the potential risks, benefits and complications of his options.”

Says Clarke: “The day Dr. Aron revealed the results to me, I had an out-of-body experience.

It was so daunting, because now all of a sudden I had to actually face my own mortality. Dr Aron’s willingness to come in on his day off to answer my questions shows his personal commitment to my treatment.”

While Clarke had several treatment options to consider for his prostate cancer, Dr. Aron worked with him on a plan, which included a referral

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Barry Aron, M.D.

Don Bridges, M.D.

Radiation’s Place in Treatment

Protecting His Family, Too

As a member of Shady Grove Adventist Hospital’s expert cancer team, Dr. Bridges helped Clarke understand how radiation therapy would be used to treat his prostate cancer.

“Radiation therapy delivers high doses of radiation directly to the cancer cells, while sparing the surrounding healthy tissues,” Dr. Bridges says. “As part of a coordinated care team, I wanted to ensure that Vaughn was fully informed about the radiation treatment, in addition to other options, prior to making a decision about his treatment plan.”

After speaking with Drs. Bridges and Aron, Clarke decided to pursue an aggressive treatment option because of the aggressive nature of his cancer.

Clarke has told his two sons that they will need to start getting tested for prostate cancer early. He is teaching them to be knowledgeable about their family history and to protect themselves.

“I’m very pleased that I received such good treatment and care from the team at Shady Grove Adventist Hospital,” Clarke says. “I am feeling wonderful these days.”

He has a message for men who are putting off regular doctor visits: “I think most men don’t like to go to the doctor and don’t want to get their prostate screened,” he says, “but I want to tell them that it’s necessary to preserve your health.”

Desired Results

Put the Shady G Cancer Terove in Your Coranm er

In March 2011, instead of getting his annual physical and screening, Clarke started his cancer treatment, which included hormone treatment followed by five weeks of radiation.

Visit www .yourcan certeam.c The final step in his treatment to watch v om ideos of p ro state canc involved prostate seed implants in August. patient Va er ughn Clark e and learn This state-of-the-art procedure deposits a more abou t cancer c are at high dose of radiation to the prostate gland Shady Gro ve Adventi st over three months. At the end of his treatHospital. ments, Clarke had his PSA retested. The results showed a drop in his PSA levels, which indicated that his treatment plan had worked.

“My quality of life is dramatically better because I just feel better about myself,” Clarke says. “Currently I am considered cancer-free, although I still have to monitor my PSA level. But I’m really well on my way, and that takes away not only the physical anxiety, but also the psychological and emotional anxiety.”

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Then, in 2010, a required physical before wrist surgery left him stunned.

The physical showed that Clarke’s PSA reading was abnormal. He quickly met with Barry Aron, M.D., chair of urology at Shady Grove Adventist Hospital.

Dr. Aron retested Clarke’s PSA, which again came back abnormal. Clarke then underwent several other tests including a digital rectal exam. He also had six biopsies of his prostate; all came back positive for cancer.

to Don Bridges, M.D., a radiation oncologist at Shady Grove Adventist Hospital. Dr. Bridges took the same approach as Dr. Aron—spending the time with Clarke to help him understand his treatment options, risks and benefits.

“My first inclination was to go the surgery route,” Clarke says. “Then I met with Dr. Bridges and he talked with me for over three hours. He wanted me to make sure that I knew all of the pluses and minuses to my options.”

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Road Trip

traveling 5,000 e r o miles Bef , Chris Barr

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Celebrating 50 Years

Washington Adventist Hospital has been recognized as a leader in cardiac care since performing the area’s first heart surgery in 1962. The hospital has changed over the last 50 years, but what has remained constant is a long-standing commitment to bringing innovation, clinical excellence and compassionate cardiac care to the community.

Washington Adventist Hospital is proud to have experienced many of the region’s firsts in cardiac care. For example, the hospital’s accredited Chest Pain Center was the first in the Washington, D.C., region to attain the highest level of accreditation, Level III with PCI, which recognizes high-quality care and rapid, lifesaving treatment for chest-pain patients. In 2011, the Society of Thoracic Surgeons awarded Washington Adventist Hospital a three-star rating for heart surgery—the highest possible quality rating in this category, only awarded to about 12 to 15 percent of hospitals in the country. In addition, U.S.News & World Report named Washington Adventist Hospital one of the best regional hospitals, ranking fifth out of the top 24 hospitals in the D.C. area.

The quality of care provided to patients at Washington Adventist Hospital has helped thousands of people in our community get back to their normal lives and on the path to living heart-healthy.

ith a 5,000-mile cross-country trip just a few months away, Chris Barritt, 57, of Carroll County was shocked when doctors told him he would need open-heart surgery to remove a heart tumor.

The diagnosis “felt surreal, like a dream,” Barritt says.

What started as an ordinary day was interrupted when he suddenly experienced strokelike symptoms, notably the inability to speak a full sentence.

He was rushed to the hospital, where doctors said he was experiencing a transient ischemic attack, or TIA, which occurs when blood flow to part of the brain is briefly halted. After several follow-up tests, he was told to visit his cardiologist, who detected a heart tumor while performing an echocardiogram. The doctor called David Brill, M.D., interventional cardiologist and director of the cardiac catheterization lab at Washington Adventist Hospital, and instructed Barritt to go directly to the hospital.

“This was the second time in my entire life I had been in the hospital,” Barritt says. As an avid walker with two dogs and young grandchildren, Barritt exercised regularly and practiced a healthy lifestyle.

Reassuring Expertise Paul Massimiano, M.D., heart surgeon and program director of cardiac surgery at Washington Adventist Hospital, performed openheart surgery to remove Barritt’s tumor.

Before surgery, Barritt started to have doubts that he would be able to recover in time for his scheduled motorcycle trip through Maine,

A HISTORY OF INNOVATIVE HEART CARE AT WASHINGTON ADVENTIST HOSPITAL 1962

1964

1971

1972

1987

1988

1992

Performs the D.C. area’s first heart valve surgery

First to offer comprehensive cardiac care in the region

Region’s first heart surgery

Region’s first coronary artery bypass graft

Region’s first balloon mitral valve repair

World’s first use of percutaneous cardiopulmonary bypass support

Region’s first Chest Pain Center

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rip to Recovery

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New Hampshire, Vermont and parts of Canada, but Dr. Massimiano put his mind at ease. “Dr. Massimiano was very reassuring,” Barritt says. “He felt I would be healed in time and said I should continue planning.”

Adds Dr. Massimiano: “Heart patients who have well-established healthy eating and exercise habits have an advantage during the recovery period. I was confident Chris would follow the right steps on the road to recovery and we’d get him back to his adventurous lifestyle.”

Coordinated Team After Barritt’s surgery, the cardiac team at Washington Adventist Hospital, along with a host of family, helped him get back on his feet and back on his motorcycle.

Washington Adventist Hospital has a coordinated team of cardiac and intensive care doctors, nurses, technicians and rehabilitation therapists who work together to offer personalized and caring treatment aimed at mobilizing patients as quickly as possible to aid in their recovery.

“My entire team of doctors and nurses was truly concerned about my care and my health,” Barritt says.

Sure enough, just a few months after surgery, Barritt was able to take his cross-country motorcycle road trip as planned.

“There is life after heart surgery,” Barritt says. “You’ve got to get moving and listen to your doctor’s orders!”

le

With the blessing of his doctors, Chris Barritt of Carroll County takes a motorcycle trip through Newfoundland and Labrador, Canada, mere months after open-heart surgery at Washington Adventist Hospital.

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l 1997

2003

2004

2005

2010

2011

Area’s first carotid artery stent procedure

Nation’s first transmyocardial revascularization

Region’s first Dor procedure, where a patch of bovine pericardium is used to remodel the heart

Region’s first thoracic fluid status monitor implanted

First in the Mid-Atlantic region to perform mini-maze to correct atrial fibrillation

First in the D.C. region to earn highest level of Chest Pain Center accreditation, Level III with PCI, from the Society of Chest Pain Centers

Region’s first MRI-safe pacemaker implanted

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SUMMER 2012 | 7

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complete

coordination A system of comprehensive care gets a young father back to his family after a stroke

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Donald “Barry” Jackson, a 38-year-

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As he recovers from his stroke, Rockville’s Donald “Barry” Jackson enjoys spending time with daughters Savannah, 5, and Sydney, 3.

old father of two, went through his normal routine on July 12, 2011, like any other day. He came home and, feeling fine, he went to bed. But when he woke up just after midnight, he knew something was wrong.

“I was in no pain at all, but I couldn’t move,” Jackson says. “My wife asked if I was OK, and I couldn’t answer.”

Jackson’s wife, Tracey, and her mother managed to get him out of the house and on the way to Shady Grove Adventist Hospital. Jackson recalls the trip to the hospital as somewhat of a blur.

“Often, people do not feel pain when they have a stroke; however, it is important to recognize the signs and symptoms of a stroke, such as sudden inability to speak or slurred speech, sudden facial droop or sudden inability to move a limb,” says Jesse Irwin, M.D., an emergency department physician at Shady Grove Adventist Hospital who cared for Jackson when he arrived. “Time is brain, and people should immediately call 9-1-1 if they think they or a family member is having a stroke.”

At the Hospital

GET THE FACTS ON STROKE Visit www.adventisthealthcare.com/magazine to learn more about comprehensive stroke care at Shady Grove Adventist Hospital and Adventist Rehabilitation Hospital of Maryland.

Jackson had no risk factors for stroke—no high blood pressure, no heart disease and no family history. Dr. Irwin and treating neurologist James Yan, M.D., quickly determined that Jackson was having a stroke and gave him a medication called tissue plasminogen activator, or tPA, which breaks up the blood clots that cause certain kinds of strokes.

Jackson stayed at Shady Grove Adventist Hospital for two days after his stroke. There, the

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Park, three times a week for speech and occupational therapy. The stroke affected the right side of his body more than the left, and much of his therapy involved improving the use of his right arm and hand.

Despite being left-handed, Jackson found the rehabilitation of his right hand to be the most frustrating part of therapy. “The hand is a crucial thing for everybody,” he says. “You don’t realize until it’s gone.”

Team Approach Provides Best Results Shady Grove Adventist and Washington Adventist Hospitals are designated primary stroke centers by the Maryland Institute of Emergency Medical Services Systems. This important quality designation means that both hospitals have demonstrated enhanced care and a coordinated approach for stroke patients, including stroke units and round-the-clock neurosurgical and neuroimaging services.

“We have established a number of key elements that allow for a streamlined approach to caring for stroke patients,” says Peggy Elter, R.N., stroke program coordinator at Washington Adventist Hospital. “The comprehensive approach ensures rapid assessment, diagnosis and treatment.”

According to Margaret DuFour, BSN, R.N., stroke program coordinator at Shady Grove Adventist Hospital, quick actions can save lives and limit disabilities for stroke patients. “We have an integrated emergency response system that allows emergency medical services to alert the emergency department that a stroke patient is coming to our hospital,” DuFour explains.

Rehab Experts Assemble Additionally, while Jackson was at Shady Grove Adventist Hospital, the rehabilitation experts at Adventist Rehabilitation Hospital of Maryland, which sits on the Shady Grove Adventist Hospital campus, sprung into action.

“At Adventist Rehabilitation Hospital, our team of physicians, nurses and therapists help

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Margaret DuFour, BSN, R.N., stroke program coordinator at Shady Grove Adventist Hospital

Return to Life Jackson recalls how his therapists at Adventist Rehabilitation Hospital worked with him to regain basic skills that were affected by his stroke. Therapists helped him walk better and even helped him run.

Over the next several months, with the help of his therapists, Jackson tried to return to activities that were a big part of his life before his stroke— such as running, swimming, riding his bicycle and taking his daughters to the park.

Jackson returned to work Jan. 3, less than six months after his stroke. As he continues to improve with the help of his therapists and the support of his family, Jackson says the situation gets easier on his wife and family, and they like to take it one day at a time.

“I’m not up to my own standards,” Jackson says, “but I’m getting there.”

patients like Donald regain the functions that they need to get back to life following a stroke or other traumatic injury,” says Terrence Sheehan, M.D., chief medical officer of Adventist Rehabilitation Hospital of Maryland, where Jackson received inpatient rehabilitation. “Our team helped Donald return back to the active lifestyle that he had with his young family before his stroke.”

Going Home For the next month, Jackson underwent intensive speech, occupational and physical therapy with the expert team at Adventist Rehabilitation Hospital. His therapy included learning to walk again. Jackson’s wife and daughters visited him frequently during his stay.

“It was hard, but I did it,” Jackson says. “The doctors, therapists, nurses and everyone at the rehab hospital were really nice and professional, and they worked really hard to make my time there as productive as possible.”

After completing inpatient therapy, Jackson continued coming to Adventist Rehabilitation Hospital, which also has a facility in Takoma

Occupational therapist Shilpa Deshmukh works with Donald “Barry” Jackson to rehabilitate the side of his body that was most affected by his stroke.

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comprehensive stroke team—which includes a stroke care coordinator, neurologists, hospitalists, cardiologists, intensivists, radiologists, emergency department physicians, case managers, dietitians, nurses, therapists and a physiatrist from Adventist Rehabilitation Hospital of Maryland—determined the underlying cause of his stroke: a hole in his heart.

“As a primary stroke center, Shady Grove Adventist Hospital offers comprehensive, quality stroke care to all of our patients from the time they enter the emergency department to when they are discharged to either rehabilitation or home,” says Margaret DuFour, stroke program coordinator for Shady Grove Adventist Hospital.

Peggy Elter, R.N., stroke program coordinator at Washington Adventist Hospital

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more space for

Cardiac Rehab

State-of-the-art facility at Shady Grove Adventist Hospital will offer a wider range of services

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his May, Shady Grove Adventist Hospital opens its newly expanded Cardiac Rehabilitation Center, which will provide exercise, health and wellness support to the community. The updated facility will encompass a larger array of programs for different patient needs, including a pulmonary program, oncology fitness program and vascular rehabilitation.

“In this new environment, our expert multidisciplinary clinical team will continue to provide high-quality care to our cardiac patients, while also offering care to new patients with other health conditions that could benefit from monitored exercise,” says Dennis Friedman, M.D., medical director of cardiac and vascular services. “By providing a wider range of care, we will be able to help more members in the community achieve better health.”

Help for Many Conditions

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The Cardiac Rehabilitation Center already has more than 26,000 annual patient encounters. With the new renovation, the capacity is expected to increase by at least 25 percent.

Although the center will still treat predominantly cardiac patients, the new space will allow patients with other health conditions to benefit

from the facility and expert staff, which includes exercise physiologists, cardiologists, registered Edward E. Martin learns about treadmill exercise from cardiac rehab registered nurse Jan Shuman. nurses, dietitians and licensed psychologists.

When the renovations are complete, the bright, state-of-the-art space will include an education room, an updated locker room and larger waiting area.

Supplemental Support The new facility will also serve as an important step toward creating a stress management program, with a focus on prevention. Yoga, tai chi, massage, relaxation therapy and other stress control programs will be offered in the facility. The center also plans to offer pastoral care support, as well as nutrition and exercise classes. The Cardiac Rehabilitation Center at Shady Grove Adventist Hospital is one of the largest programs in Maryland and is a certified cardiac and vascular rehabilitation center by the American Association for Cardiovascular and Pulmonary Rehabilitation.

“We believe our program is unique because, in addition to fitness and medical treatment, we are offering programs aimed at prevention such as stress management and meditation,” says Barbara Courtney, director of cardiac rehab, respiratory and rehab medicine. “We are offering more complementary programs to help members of our community improve their health before they experience a heart condition.”

Shady Grove Adventist Hospital’s Cardiac Rehabilitation Center is also home to Montgomery County’s only enhanced external counterpulsation (EECP) program, a noninvasive therapy used to treat patients who have chronic stable chest pain, also known as angina.

Are You a Candidate for Cardiac Rehab?

Deborah S. Ris uses a recumbent stationary bike under the guidance of exercise physiologist Nathan Stewart.

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Visit www.shadygroveadventisthospital.com/cardiacrehab to learn more about Shady Grove Adventist Hospital’s cardiac services.

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Summer Safety Tips for

Kids

For many children, summertime should mean outdoor fun, but

too often it means an unexpected trip to the emergency room for an injury or illness that could have been avoided.

One of the most common conditions that kids experience in summer is related to high temperatures.

“Know the signs of heat illness,” says Drew White, M.D., medical director of emergency medicine at Washington Adventist Hospital.

“Severe thirst, nausea, fast and shallow breathing, headache, and cool, clammy skin can all indicate heat exhaustion. If your child is experiencing these, you should seek immediate medical care.”

Scott Freedman, M.D., medical director of the Pediatric Emergency Department at Shady Grove Adventist Hospital, also cautions against prolonged exposure to the sun. “It’s important to avoid sun exposure for babies under 6 months,” he says. “For kids over 6 months, apply sunscreen with at least SPF 15, and plan outdoor activities for before 10 a.m. and after 3 p.m.”

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Drs. White and Freedman also offer these tips for kids: ppDRINK AND TAKE BREAKS. Drinking lots of water helps avoid heatrelated illness. And kids playing outdoors need a break every 20 to 30 minutes to rehydrate. ppLEARN TO SWIM. As a parent, it is important that you teach your children

to swim. At the pool or beach, they should swim under lifeguard supervision and obey all rules. ppUPDATE EQUIPMENT AND WEAR HELMETS. Check bikes, skateboards

and roller skates for worn-out parts to make sure everything works properly.

With any of this equipment, always require your kids to wear a helmet.

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Living Healthy JUNE–SEPTEMBER 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:

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◗ SGAH Shady Grove Adventist Hospital 9901 Medical Center Drive, Rockville Paid parking ◗ 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 th events e summer cla register , ca ss or the ll 800-542- es 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: Wednesday, June 13, 8–10 a.m.

Where: WAH Cafeteria Conference Room When: Wednesday, Sept. 5, 8–10 a.m.

Where: SGAH Sycamore Room Other locations: p Marilyn Praisner Senior Center, 14906 Old Columbia Pike, Burtonsville, Wednesday, June 6, 9:30–11:30 a.m. p Rockville Senior Center, 1150 Carnation Drive, Rockville, Friday, Sept. 28, 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 Wednesday and third Thursday 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, 80 Bureau Drive #A, Gaithersburg When: Second Thursday of each month, 10–11 a.m.

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

4/26/12 2:31 PM

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

Monthly meeting to discuss community needs for cancer screenings.

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

CARDIAC EDUCATION

CANCER PROGRAMS

INTRODUCTION TO CARDIAC REHABILITATION AND EECP TREATMENT FOR CHEST PAIN

LOOK GOOD ... FEEL BETTER 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: Tuesday, Aug. 7, 6–8 p.m.

Where: SGAH Info: Call 240-826-6297 When: Monday, June 4, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

CANCER SUPPORT GROUPS

COLORECTAL CANCER SCREENING PROGRAM Adventist HealthCare partners with the Montgomery County Health Department to offer this FREE, lifesaving screening.

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

Info: For an appointment, call Shady Grove Adventist Hospital Cardiac Rehab 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, July 9 and Sept. 10, 7 p.m.

Where: SGAH Info: Call 240-826-6662

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.

When: Saturdays, June 9–30, 10–11:15 a.m.

Where: SGAH Short-Stay Lobby Cost: $15 per class, $42 for entire series Info: Call 800-542-5096 to register

BEGINNER T’AI CHI This six-session coed exercise program will help you learn how to improve balance and coordination while providing a great workout.

Cost: $15 per class, $70 for entire series Info: Call 800-542-5096

BEGINNER YOGA

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

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Cost: $15 per class, $120 for entire series Info: Call 800-542-5096

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

ADVENTIST HEALTHCARE WALKING CLUB Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall food court

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, May 26, June 30, 10 a.m.–noon Where: AHC Cost: $10

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

YOUTH HEALTH & EDUCATION INFANT SAFETY AND CPR A Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.

When: Sundays, July 1, 8, 15, 22 and 29; Aug. 5, 12, 19 and 26; Sept. 2, 9, 16, 23 and 30; 10 a.m.–noon When: Wednesdays, July 11 and 25; Aug. 1, 15 and 29; Sept. 5 and 19; 6–8 p.m.

Where: AHC When: Saturdays, June 23, July 21, Aug. 25, Sept. 22, 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, July 7 and 14 or Sept. 15 and 22, 10 a.m.–noon When: Sundays, Aug. 5 and 12, 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, July 28, Aug. 25, Sept. 29, 10 a.m.–noon Where: AHC

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, July 10 and 24 and Aug. 14, 6–9 p.m.

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

Where: 9715 Medical Center Drive, Suite 201, Rockville Session 1: Tuesdays, July 3 and 17 and Aug. 7 and 21, 6–8 p.m.

Session 2: Tuesdays, Sept. 11 and 25 and Oct. 9 and 16, 6–8 p.m.

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

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

Participants meet people facing similar challenges, share their experiences with cancer, and offer practical advice and emotional support. See page 15 for a full list of available cancer support groups.

HOME ALONE

SUGARLOAFERS WALKING CLUB

Info: Call 800-542-5096

At Shady Grove Adventist and Washington Adventist Hospitals, cancer 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

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

MONTGOMERY COUNTY CANCER CRUSADE COALITION

4/20/12 3:40 PM

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

Session 1: Thursdays, July 19 and 26, 9:30–11:30 a.m.

Session 2: Thursdays, Aug. 23 and 30, 9:30–11:30 a.m.

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

Where: SGAH

p Advanced Carbohydrate Counting When: Tuesdays, July 10, Aug. 14, Sept. 11, 6:30–8 p.m. p Advanced Pumping When: Tuesdays, July 17, Sept. 18, 6:30–8 p.m. p Diabetes Technology Update When: Tuesdays, July 24, Aug. 28, Sept. 25, 6–7 p.m.

Where: SGAH Info: Call 800-542-5096

Session 1: Thursdays, July 5 and 12, 9:30–11:30 a.m.

Session 2: Thursdays, Aug. 9 and 16, 9:30–11:30 a.m.

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

Where: WAH

Nutrition Counseling

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

Community Aphasia Group

Diabetes Education Programs These FREE education programs teach you how to manage your diabetes.

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

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

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

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.)

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: June 6, July 9, Aug. 7, Sept. 12, 6:30–9:30 p.m.

Where: AHC Clarksburg Room third floor

Holiday Park Multipurpose Senior Center

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3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Tuesday, July 24, 1:15–2:15 p.m. p Everything You Wanted to Know About Joint Replacement, presented by Zohair Alam, M.D., orthopedic surgeon at The Joint Replacement Center at Washington Adventist Hospital Info: 240-777-4999 p Everything You Wanted to Know About Joint Replacement Info: 240-777-4999

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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Grief Support Groups

p DivorceCare Six-week session for those healing from a separation or divorce Saturdays, June 2 and 9 and Sept. 8–29, 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

p

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

p Grief Care Seven-week mutual support group for those experiencing loss Tuesdays, July 17–Aug. 28, 7–8:30 p.m.

4/20/12 3:40 PM

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 301-315-3266 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, June 5–July 10, 7–9 p.m. p Empty Arms, Aching Hearts Five-week session to comfort those grieving the loss of a baby through pregnancy loss, miscarriage, stillbirth or infant death Thursdays, June 7–28 and July 12, 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: ◗ Women and heart disease—NEW! ◗ Congestive heart failure ◗ Living with heart disease ◗ Heart patient ◗ Alcoholics Anonymous ◗ Alzheimer’s ◗ Amputee ◗ Brain injury

◗ Diabetes ◗ 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

Two cancer support groups offering opportunities to meet people facing similar challenges are available at Shady Grove Adventist Hospital. 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: ◗ Breast cancer ◗ Thyroid cancer Call 240-826-6297 for dates, times and locations.

Special Event:

Navigating Your Vascular Health Join us for free health screenings 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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p How to Provide Friendship Support Groups for the Bereaved in a Church Setting Two-part workshop trains church laity in grief dynamics and how to offer friendship support in a congregation (both days mandatory) Saturdays, June 23 and 30, 2:30– 6 p.m. p How to Make a Meaningful Hospital Visit Workshop for Clergy and Church Laity This workshop is open to community clergy, local church elders and other lay members who wish to enhance their skills in providing meaningful hospital visits with people who are sick or in crises Saturday, June 16, 2:30–5:30 p.m. p Service of Remembrance A memorial service to honor the memory of loved ones who are no longer with us Saturday, July 14, 3 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

4/26/12 2:31 PM

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

4/20/12 3:40 PM