Health & You Magazine (Spring 2013)

BLO G . A DVE NTI STHEALTHCAR E.COM

YOU R G U I D E TO HE A LT H Y L IVIN G ■ SPRING 2013

Classes and Events Page 12

A convenient spot for local health tips, news and more Page 3

Quick, effective breast cancer treatment Page 4

Oxygen’s healing power for chronic wounds

Double

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take

With two new knees and rehabilitation, Marilyn Candler of North Potomac is feeling stronger every day

BROUGHT TO YOU BY:

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MEMB ERS O F A DVEN TIST HEA LTHCA RE

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OPENING

THOUGHTS

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Innovative Connections CONTENTS Features

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Cancer Care Innovation

A new radiation therapy delivers targeted treatment—and quicker results—to help women beat breast cancer.

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Less Is More

Get to know five kinds of minimally invasive options at Washington Adventist and Shady Grove Adventist Hospitals.

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Joint Replacement Excellence

Discover why people suffering from painful hips and knees (and other joints) are in excellent hands.

Joints are the points in our bodies where two bones or other elements meet. These are key intersections, such as knees, elbows or hips, that allow us to run, jump, walk and otherwise live active, healthy lives. Yet, for millions of people, painful joint conditions are part of daily living, causing quality of life to sometimes suffer.

Offering innovative approaches to joint treatment is an important way that the entire Adventist HealthCare system is improving the health of our community.

Whether a patient needs joint replacement surgery, physical therapy or ongoing medical management of a joint condition, the experts throughout Adventist HealthCare are making a difference and improving the health of those in our William G. “Bill” community by delivering quality, innovative care.

Robertson Several pages in this issue of Adventist HealthCare & You showcase how we address joint health in the local community—through innovative approaches to surgery using the latest techniques, physical therapy in the comfort of your home and comprehensive education programs for patients.

Similar to how a joint in our body connects bones or other elements, the broad range of services across Adventist HealthCare connects people to the joint care they need. Surgery to replace a joint in one of our local hospitals—Shady Grove Adventist Hospital in Rockville or Washington Adventist Hospital in Takoma Park—may be followed by a few days at Adventist Rehabilitation Hospital of Maryland for physical therapy or care at home through Adventist Home Care Services. Throughout the process, the coordinated focus remains on helping joint patients return to life through quality, compassionate care.

I invite you to learn more about our joint care as well as our other health services online at www.adventisthealthcare.com or through our new health blog, which is showcased on page 3.

Also consider following us on Facebook (www.facebook.com/adventisthealthcare) or Twitter (www.twitter.com/adventisthc).

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In good health,

An Upper Marlboro physician finds the high-quality care he needs where he often refers his patients.

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

Cardiac Care That Your Doctor Can Trust

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When a Wound Just Won’t Heal

Meet a Frederick area cancer survivor who relied on the power of oxygen to heal after treatment.

Connect with Us Through Social Media

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.

Department 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, 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/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014.

Volume 18, Number 2 © 2013 McMurry/TMG, LLC. 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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Adventist HealthCare & You Blog

Your Connection to Local Healthy Living If you are interested in health

and want to stay on top of the latest local health news, be sure to visit the new Adventist HealthCare & You Blog at blog.adventisthealthcare.com. With weekly health tips, expanded patient stories and the latest in community health news, the new blog is your online guide to local healthy living.

The new blog offers an innovative way to learn about breaking health news as well as the comprehensive services provided by Shady Grove Adventist Hospital, Washington Adventist Hospital and all of Adventist HealthCare’s entities. Also, local medical experts share Visit the Adventist important and lifesaving HealthCare & You Blog at health tips, such as early blog.adventisthealthcare.com signs of a heart attack and several times a week to stay on the importance of regular top of the latest health news and health screenings. local health care services.

The blog features videos with former patients in the

Check Out Our Blog Today!

community telling their stories of the high-quality, compassionate care they received from Adventist HealthCare’s dedicated health professionals.

Other videos showcase Adventist HealthCare’s extensive health and wellness services in the local community, including events such as the Spring into Better Health event in April and Pink Fling in the fall.

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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Outpatient Services Expand in Rockville Radiation oncologists (from left) Catherine Salem, M.D.; Donald Bridges, M.D.; Anu Singh, M.D.; and Amar Rewari, M.D., offer cancer treatments at Shady Grove Adventist Radiation Oncology Center to suit each patient’s needs.

Cancer Care

Innovation New radiation therapy significantly reduces treatment time for breast cancer

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new and innovative form of radiation therapy is dramatically reducing the treatment time for women who have breast cancer—from five or six weeks to only five days for some women. The treatment, called highdose rate (HDR) brachytherapy, is part of the comprehensive cancer treatment offered by the Shady Grove Adventist Hospital cancer care team in its radiation treatment centers.

“Brachytherapy means we are treating you from inside of your body. That allows us to precisely target the tumor with powerful radiation and spare the healthy breast tissue,” says Amar Rewari, M.D., MBA, radiation oncologist at Shady Grove Adventist Radiation Oncology Center.

HDR treatment, which is painless and can be done as an outpatient, begins after a lumpectomy.

The patient’s breast surgeon inserts a multicatheter applicator, which is like a small tube, into the breast. The patient then goes to the Shady Grove Adventist Radiation Oncology Center at

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Germantown, where the applicator is connected to the HDR machine containing the radiation source. The radioactive source travels down the catheter tubes into the breast applicator, releasing a high-dose rate of radiation to destroy the tumor cells. The radiation source then travels back into the machine and the patient goes home.

After just five days of treatment, the applicator is removed.

“With today’s state-of-the-art technology, we have better control over where the radiation is delivered, making more women eligible for this treatment than ever before,” Dr. Rewari explains.

OPTIONS FOR CANCER CARE Visit www.yourcancerteam.com to learn more about HDR brachytherapy and the comprehensive cancer care at Shady Grove Adventist Hospital.

Later this year, Shady Grove Adventist Hospital will expand access to important outpatient cancer care services in Montgomery County with the opening of the new Shady Grove Adventist Aquilino Cancer Center on its Rockville campus. Patients fighting cancer will be able to obtain treatments such as chemotherapy and radiation therapy at the Aquilino Cancer Center. They will also have access to clinical trials and navigation services with oncology nurses, a social worker and a dietitian.

Visit www.yourcancerteam.com to learn more about the Aquilino Cancer Center.

“We are excited to offer HDR brachytherapy to our community.”

Candidates for HDR brachytherapy are women who have early stage, hormone-positive breast cancer. It is not an option for women whose disease has spread or who have later stages of cancer.

Nearly two-thirds of all cancer patients undergo radiation. Other forms of radiation therapy include low-dose rate (LDR) brachytherapy, in which the radioactive seeds are left inside the body and slowly release radiation, and traditional external radiation therapy, which uses high-powered X-ray beams to attack the tumor from outside the body. All treatment methods are offered by Shady Grove Adventist Radiation Oncology, which also features board-certified radiation oncologists Donald Bridges, M.D., Catherine Salem, M.D., and Anu Singh, M.D. The technology for HDR brachytherapy can also be used to treat gynecologic, esophageal, lung, skin and muscle cancers.

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Less Is More Five minimally invasive techniques that provide precision for doctors and quicker recoveries for patients

Innovations in surgical and medical technology have created more minimally invasive options that lead to big patient benefits.

This “less is more” approach helps patients get back to their normal lives as quickly as possible, with less painful and faster recoveries. Here are a few of the most innovative minimally invasive approaches at Washington Adventist Hospital in Takoma Park and Shady Grove Adventist Hospital in Rockville.

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Single-Site Robotic Surgery

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For patients concerned about radiation exposure from computed tomography (CT) scans, Washington Adventist Hospital is the only hospital in the area offering a low-dose radiation CT scan system. The low-dose system reduces patient radiation exposure by up to 40 percent while maintaining excellent image quality for diagnosing problems.

The innovative system offers fast, high-quality diagnostic ability with a low radiation dose across a spectrum of procedures, including cardiac, brain, chest, abdomen and orthopedic.

Minimally Invasive Valve Surgery

Heart valves are a series of one-way “gates” at the exit of each heart chamber that make sure blood always flows forward. Heart valve disease occurs when valves don’t work properly, either not allowing enough blood to move forward or letting blood leak back into the chambers. Left untreated, valve disease can become life-threatening. With minimally invasive valve surgery, incisions are small, only 5 to 6 centimeters, and patients often can go home in as soon as a day or two.

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Visit b log.ad ven to lear n abou tisthealthc ar tt and th he expert su e.com e r geons q u ality ca Shady r Washin Grove Adve e at nt gton A dventis ist and t Hosp itals.

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Transradial Catheterization

Interventional cardiologists at Washington Adventist and Shady Grove Adventist Hospitals are performing more and more heart catheterizations, which help to obtain information about the heart muscle and its blood supply or to treat blocked arteries, by entering through the wrist, also known as transradial access. The transradial approach can reduce the risk of complications and ease recovery.

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Hana Table

Shady Grove Adventist Hospital was the first in Montgomery County to use the specially designed Hana Table for orthopedic surgery. The table allows doctors to perform hip surgery from an angle that results in a smaller incision. For patients, this means a faster recovery and a shorter hospital stay.

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Through state-of-the-art robotic technologies, the da Vinci Surgical System allows surgeons to perform complex operations with greater precision.

Single-site instruments for the robotic surgical system allow surgeons to remove a patient’s gallbladder, a procedure called a cholecystectomy, through a 1-inch incision made through the belly button.

This approach offers minimal pain and scarring and a faster recovery for patients.

Washington Adventist Hospital was the first hospital in Montgomery County to use this technology.

Low-Dose CT Scan

Se h e QuaelitW y Starrets

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Doing a Double Take on Knee Surgery A North Potomac woman replaced both knees at once to quickly gain back her active life

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Climbing stairs,

to end,” Candler says. “Before surgery, there even walking, was is a joint replacement workshop, led by Judy becoming too painful for Marilyn Candler, [Mardirossian], who’s specially trained in 77, of North Potomac. Arthritis in her knees joint replacement. My daughter and husband was also keeping her from one of her most also attended; it was great education for all cherished hobbies: playing music. three of us.”

“When knee pain keeps you In the total joint replacefrom participating in life, it’s ment class, which is required time to consider knee replacefor all joint patients prior to ment,” says Andrew Bender, surgery, Mardirossian—the M.D., orthopedic surgeon at joint replacement program Shady Grove Adventist Hospital. coordinator at Shady Grove Dr. Bender says it’s also Adventist Hospital—prepares time to consult with an patients for what to expect durorthopedist if your knee pain ing and after the procedure. keeps you awake at night Candler was up and walkor if it persists despite noning, using her new knees, the surgical treatments.

Andrew Bender, M.D. day after surgery. Three days Cortisone shots no longer later, she moved to Adventist Rehabilitation eased Candler’s arthritis pain, and her Hospital of Maryland, which is next door mobility was limited: “My right knee was so to the hospital, for a week of therapy as bad and my left was starting to worsen,” she an inpatient. says. “I didn’t want to spend the next two “The recovery period is three to six years recovering from two knee surgeries.” months, whether it’s one knee or both Dr. Bender supported her request to knees,” Dr. Bender explains. “If both knees replace both knees at once, with a procedure inevitably have to be replaced, it’s a tremencalled bilateral knee replacement, at Shady dous benefit for the patient to go through Grove Adventist Hospital’s Joint Replacement that recovery period just once.”

Center, which has been awarded The Joint Candler has continued outpatient rehaCommission’s Gold Seal of Approval. This bilitation three times a week, feeling stronger national certification recognizes Shady Grove with each session.

Adventist Hospital’s rigorous commitment to “I’m more mobile than I’ve been in the quality standards and patient-centered care. last year or so,” she says. “I can continue The surgery was performed in October. playing the harpsichord and I am back to “They take very good care of you at Shady playing the organ!”

Grove Adventist Hospital, from beginning

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Increased mobility after bilateral knee replacement and subsequent rehabilitation allowed Marilyn Candler to continue to play her instruments.

Members of the Shady Grove Adventist Hospital orthopedics care team with Judy Mardirossian (second from left).

Watch Marilyn Tell Her Story Go to blog.adventisthealthcare.com to watch Marilyn Candler’s recovery and learn more about Shady Grove Adventist Hospital’s Joint Replacement Center of Excellence.

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Q&A

Why Healthy Joints Matter Healthy joints are key to performing daily activities such as

Is the recovery from joint replacement surgery difficult?

running, walking, playing sports, chasing children or grandchildren and doing the activities you love most. So how do you ensure a long, active life free of joint pain? Here are some common questions on joint health answered by the expert orthopedic surgeons from the Joint Replacement Center at Washington Adventist Hospital.

Zohair Alam, M.D.: Many patients think joint surgery involves a lengthy recovery process that will keep them in bed and away from activity for an extended period. In reality, the specially trained care team in the Joint Replacement Center at Washington Adventist Hospital helps patients quickly move down the path to recovery following their surgery. Patients are surprised to know they can often go home after just three days. Many patients are back to their favorite activities just weeks following their surgery.

What can I do to lower my risk for bone and joint disease?

Dexter Love, M.D.: Genetics play a role in the long-term health of your bones and joints, but there are also preventive measures you can take, such as eating a proper diet and exercising regularly. Low-impact walking and weight training provide the proper stress in your bones and joints that feeds your cartilage with nutrients and oxygen, which is important for maintaining flexibility and movement.

Christopher Magee, M.D.: Exercise and diet are also important because the more you weigh, the more strain you put on your joints.

Losing even a small amount of weight can make a big difference in your joint health.

What is the difference between osteopenia and osteoporosis?

How do I know when it’s time for joint replacement surgery?

Dr. Magee: I ask patients, “How is joint pain affecting your life?” If it’s keeping them from the things they want to do, it’s time to discuss options. Conservative measures are taken first, such as physical therapy, medication and weight reduction, but if those don’t improve the patient’s quality of life, then it’s time to consider surgery for long-term relief.

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QuesGtiot More Got Mo ons? We’v re Answ e ers!

Visit b lo to watc g.adventis th h ortho Grove pedic s ealthcare.c Adven u om rgeons tist Hospit f als ans and Washing rom Shady ton A questio wer more o f your im dventist ns on b one he portan replac ement alth and joint t surger y.

From left: Dexter Love, M.D.; Zohair Alam, M.D.; and Christopher Magee, M.D.

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Dr. Magee: Both osteopenia and osteoporosis indicate a degree of bone loss. With osteopenia, the bone loss isn’t significant enough to cause an increased risk for fractures. Osteoporosis, however, needs serious treatment to prevent fractures and slow bone loss. Not everyone diagnosed with osteopenia will develop osteoporosis.

Dr. Love: If you have osteopenia, you can slow down bone loss by maintaining a proper diet rich in calcium and vitamin D, getting regular exercise and quitting smoking.

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Healing Comes Home After double knee surgery, a local man recovers at home with expert care With some encouragement,

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a healing environment and a compassionate caregiver, Robert Colish, 72, of Silver Spring was able to regain his independence just two weeks after bilateral knee replacement surgery.

This type of procedure replaces both knees simultaneously, making rehabilitation a critical and often challenging stage of recovery. Patients experience difficulty in moving, lifting and bending both legs for the first several weeks following surgery.

“Before therapy, it was painful to stand on hard surfaces,” Colish says. “It made normal activities like grocery shopping very difficult.”

Choosing to recover in the comfort of his own home in June 2012, Colish was referred to Adventist Home Care Services, which provides a full range of home health care services across the Maryland-D.C. region, ranging from assistance with personal care to skilled help from a nurse or a therapist.

After an initial in-home assessment, Jill Harper, physical therapist at Adventist Home

Care Services, worked closely with Colish’s physician and family members to develop a personalized medical plan of care directly tailored to his condition and needs.

“Robert’s therapy involved a lot of strengthening, stretching and range-of-motion exercises to improve his mobility,” Harper says. “Our goal is to help patients get to their maximum functioning level so they can get back to living and enjoying life again.”

Harper explained that she approached caring for Colish as she would her own parents.

“It wasn’t just about the exercise; it was the way Jill was able to get his mind off the pain and get him motivated,” says Colish’s wife, Kay. Adds Colish, “Jill pushed me, yet always took my feelings into consideration. She gave me the confidence to believe I could make it on my own.”

Today, Colish is back at work as a plumber and is able to enjoy his hobby of gardening without pain and discomfort.

Specialized Rehabilitation After an illness, an injury or a medical operation, patients who require additional clinical care often have the option of receiving rehabilitation services in a specialized rehabilitation facility, in a hospital or in an outpatient facility. Adventist Rehabilitation Hospital of Maryland offers specialized inpatient and outpatient treatment to help people who have physical challenges regain their independence.

Services include comprehensive rehabilitation programs for traumatic brain injuries, spinal cord injuries, strokes, amputations, orthopedic injuries and surgeries, sports-related injuries, work-related injuries, cardiopulmonary conditions and neurological disorders.

Adventist Rehabilitation Hospital of Maryland is the only acute rehabilitation hospital in a fivestate region to be accredited by the Commission on the Accreditation of Rehabilitation Facilities International in all four specialty areas: amputation, brain injury, spinal cord injury and stroke.

Adventist Rehabilitation Hospital of Maryland has inpatient locations in Rockville and Takoma Park and outpatient locations in Rockville and Silver Spring. Visit www.adventistrehab.com to learn more.

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Jill Harper, physical therapist with Adventist Home Care Services, helps Robert Colish regain mobility after double knee replacement surgery.

Home Care in Robert’s Own Words Go to www.adventisthomecare.com to watch a video about Robert Colish’s experience with Adventist Home Care Services.

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Cardiac Care That Your Doct r Can Trust After suffering chest pain, an Upper Marlboro physician chose to see the experts at Washington Adventist Hospital It was soon after Delbert Perkins, M.D., experienced unexplainable chest pain one evening that he put his heart and his trust in someone else’s hands.

At his internal medicine practice in Upper Marlboro, Md., Perkins obtained an electrocardiogram (EKG), which records the heart’s electrical activity. He could tell by the results that something was wrong and requested his wife take him to the Emergency Department at Washington Adventist Hospital.

“I’ve referred many of my patients to Washington Adventist Hospital for cardiac care,” Perkins says. “Every time they come back from heart procedures, I always see that they get the best care.”

Looking Further into the Results When he made it to the hospital, Perkins was no longer experiencing chest pain or other symptoms of a heart attack. His second EKG results were normal.

George Ho, M.D., emergency physician, recognized there was still cause for concern. He found that the first EKG reading showed signs of an ST-elevation myocardial infarction (STEMI), a critical type of heart attack.

Dr. Ho acted quickly and called a “code heart.”

“At Washington Adventist Hospital, a ‘code heart’ increases staff awareness of a heart attack patient and rapidly mobilizes the necessary resources,” Dr. Ho explains. “It is a team approach that allows us to work as quickly and effectively as possible to save heart muscle and give our patients the best outcome.”

A Team Springs to Action

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Washington Adventist Hospital’s George Ho, M.D., left, and Anees Ahsan, M.D., worked together to provide rapid, lifesaving treatment to a local heart attack patient.

Do You Know Your Heart Age? Take our FREE online health risk assessment to see if you’re at high risk for heart disease.

Visit www.trustedheartcare.com to learn more.

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Anees Ahsan, M.D., interventional cardiologist, was immediately paged and alerted of Perkins’ condition. “As an accredited Chest Pain Center, the hospital’s cardiac team continually demonstrates its commitment to coordinated care and rapid, lifesaving treatment. We work together to provide exceptional care for our patients.”

Dr. Ahsan performed an emergency cardiac catheterization, a minimally invasive procedure where a thin, flexible tube is inserted into the coronary artery to produce an X-ray of the heart.

“We quickly discovered we were dealing with a life-threatening blockage,” Dr. Ahsan says. “One of his major arteries was 99 percent blocked.”

Dr. Ahsan successfully removed the blockage and restored blood flow to the heart by placing a stent in the artery. Thanks to the action of the team at Washington Adventist Hospital, Perkins was able to recover from his heart attack and return home the next day.

“They were very aggressive in getting me in and treated,” Perkins says, “which made all the difference in my recovery.”

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When a Wound

Just Won’t Heal

Oxygen therapy helps a Frederick area woman improve her health and quality of life It was just weeks before her wedding

when 31-yearold Monique Marwani of Ijamsville in Frederick County learned she had cervical cancer. Marwani, now 38, received treatment that left her cancerfree for more than five years but also caused some other health issues.

“Sometimes when you have an illness like mine that lasts so long, the doctors will tell you you’re lucky to be alive and this is your new normal,” says Marwani, who was treated with radiation and chemotherapy and developed a condition called radiation cystitis.

“Radiation cystitis is the formation of abnormal blood vessels in the bladder, due to radiation treatment,” says Barry Aron, M.D., chair of urology at Shady Grove Adventist Hospital. “As a result of this condition, Monique was experiencing bleeding.”

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Promoting Healing In September 2012, Dr. Aron performed a surgery on Marwani to stop the bleeding. Following this, physicians recommended that she undergo hyperbaric oxygen (HBO) therapy at Shady Grove Adventist Hospital’s Wound Care Center.

HBO therapy is a medical procedure where 100 percent oxygen is supplied to a person inside a pressurized chamber. The concentration of oxygen in the bloodstream is quickly increased and delivered to a patient’s wound for faster healing.

“In Monique’s case, the goal of HBO therapy was to heal the walls of the bladder,” says Joel Buzy, M.D., emergency physician and medical director of hyperbarics at Shady Grove Adventist Hospital. “Radiation can damage tissue and blood vessels, resulting in a lack of oxygen and healing. HBO therapy increases oxygen, stimulating the body to repair the affected area.”

Good Things Are Happening The combination of surgery and HBO therapy promoted healing and stopped the bleeding that Marwani had experienced for years. In addition, she noted that her overall pain level was reduced and her hip bones, which were once so tender that she couldn’t touch them, were now strong enough to lean against items with no pain.

“It is the easiest form of treatment because you are lying there relaxing and your body is literally being healed. All you have to do is breathe,” Marwani says. “It is good to know that there is something out there to propel you into wellness. It leads me to believe good things will happen.”

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When Monique Marwani of Ijamsville experienced health issues after her cancer treatment, she sought the healing power of hyperbaric oxygen therapy at Shady Grove Adventist Hospital.

A Focus on Preservation To reduce the possibility of complications from nonhealing wounds, such as from amputations, Shady Grove Adventist Hospital has implemented a Limb Preservation Program, which is focused on the prevention and treatment of wounds.

“By using evidence-based medicine to examine our results, we can continue to provide the highest quality and most advanced care to patients in the future,” says Amir Assili, DPM, medical director of Shady Grove Adventist Hospital’s Wound Care Center. “We strive to provide innovative, quality care to our patients in order to preserve limbs whenever possible.”

In addition to treatment, the program will monitor high-risk individuals. A similar program will be in place at Washington Adventist Hospital in the coming months.

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Comprehensive Wound Care An estimated 8 million Americans experience chronic wounds, which are wounds that have not responded to medical care within 30 days. Chronic wounds can be caused by diabetes, poor circulation, trauma, vascular disease and immobility.

The Wound Care Centers at Shady Grove Adventist Hospital in Rockville and Washington Adventist Hospital in Takoma Park offer the most advanced treatment for chronic wounds, including the only hyperbaric oxygen (HBO) chambers in Montgomery County.

HBO therapy is used to treat: RRRadiation cystitis RRDiabetic wounds RRFoot wounds Joel Buzy, M.D., medical director of Shady Grove Adventist Hospital’s HBO unit and RRBone infections emergency physician, left, and Amir Assili, DPM, medical director of the Wound RRCertain skin infections Care Center and podiatrist, work together to prescribe hyperbaric oxygen therapy RRCarbon monoxide poisoning to promote faster healing of chronic wounds.

RRGas gangrene RRCompromised skin grafts RRAir or gas embolism Depending on each individual, wound care experts will help decide whether HBO therapy or another treatment is appropriate.

“Our centers are made up of multidisciplinary care teams including internists, podiatrists and endocrinologists, as well as vascular Occasionally, complications from wounds require rehabilitation. and plastic surgeons,” says Rafael Mazuz, program director of the Adventist Rehabilitation Hospital of Maryland, which is part of the Center for Advanced Wound Care and Hyperbaric Medicine at Adventist HealthCare system, provides comprehensive rehabilitation Washington Adventist Hospital. “This diverse team allows patients to patients, including those who have had amputations due to chronic to go to one location to receive care despite the type of wound wounds. Therapists and physicians work with these patients so that they have.” they can return to their daily activities.

The wound care team assesses factors that may affect Adventist Rehabilitation Hospital of Maryland is the the body’s ability to heal, such as medical conditions, only hospital in a five-state region that is accrednutrition and medications. Experts then develop ited by the Commission on the Accreditation comprehensive care plans, which include of Rehabilitation Facilities International in monitoring wounds, providing patient all four specialty areas: amputation, brain education and communicating with injury, spinal cord injury and stroke.

To sch referring physicians. edule a Visit www.adventistrehab.com na Cente “Untreated wounds can lead to infecr exper ppointment to learn more about the amputation w t Hospit tions, amputations or even death,” says al Wou , call the Shad ith a Wound n C y rehabilitation program at Adventist d Care a or the Cente Grove Adven re Ce Paul Wielebinski, M.D., medical director r at 24 tist Hyperb nter for Adv Rehabilitation Hospital of Maryland.

0 82 an ar of the center at Washington Adventist Hospit ic Medicine a ced Wound C 6-6106 al at 30 t are and Hospital and a primary care physician 1-891- Washington blog.a Adven 5908. d tist v Y e ou can ntis with Adventist Medical Group. “It is also vis sched thealthcar it ule a c important to seek medical attention for onsult e.com to ation. any nonhealing wounds in order to avoid

Rehabilitation’s Role in Healing

these serious complications.”

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Need C for a Ch are Wounrdonic ?

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Living Healthy APRIL–JUNE 2013

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 ◗ WAH Washington Adventist Hospital 7600 Carroll Ave., Takoma Park

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◗ 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.

*The Adventist HealthCare offices will be moving in April.

Please call 800-542-5096 to confirm the location of classes scheduled here.

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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, April 24 and June 19, 8–10 a.m.

Where: WAH When: Wednesday, May 1, 8–10 a.m.

Where: SGAH Info: For information on room locations, visit www.adventisthealthcare. com/calendar or call 800-542-5096 Other locations: p Damascus Senior Center, 9701 Main St., Damascus, Wednesday, April 17, 9:30–11:30 a.m. p Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg, Wednesday, May 15, 10 a.m.–noon p Rockville Senior Center, 1150 Carnation Drive, Rockville, Wednesday, May 29, 10 a.m.–noon p Marilyn J. Praisner Community Center, Wednesday, June 5, 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 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

Foundations of Faith Community Nurses Educational course for registered nurses who wish to work within their faith communities. Approved by IPNRC curriculum.

When: April 12–14 and May 11–12 Cost: $600, includes materials, meals and lodging Info: Must preregister by March 15; call 301-315-3141 for more information and to register

1/21/13 8:41 AM

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: Third Tuesday of each month, 10–11 a.m.

Where: Tower Oaks Apartments, 101 Odendhal Ave., Gaithersburg 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 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

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: Wednesday, May 8, 6–8 p.m.

Where: SGAH Info: Call 240-826-6297 When: Monday, June 3, 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 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

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Women and Heart Disease Support Group For patients and families.

When: Thursdays, April 18, May 16 and June 20, 11:30 a.m.–1 p.m.

Where: WAH Cafeteria Conference Room, Lower Level II

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

When: Monday, May 13, 7–8 p.m.

Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville Info: Call 240-826-6662

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

When: Mondays, April 8 and June 10, 7–8 p.m.

Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville Info: Call 240-826-6662

Deep Vein Thrombosis and Pulmonary Embolism Support Group

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

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, May 7 and 21 and June 4, 6–9 p.m.

Session 2: Tuesdays, July 2, 16 and 30, 6–9 p.m.

Where: 9715 Medical Center Drive, Suite 201, Rockville

Special Event:

Spring into Better Health

Join us for our 6th annual event for FREE cardiac and vascular screenings.

Where: SGAH Surgical Services Area, First Floor When: Sunday, April 21, 2013, 1–4 p.m.

Session 1: Tuesdays, April 30, May 14 and 28, and June 11, 6–8 p.m.

Session 2: Tuesdays, June 25, July 9 and 23, and Aug. 6, 6–8 p.m.

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

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

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

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

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

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

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

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

Where: WAH Info: Call 800-542-5096 for cost and other information Visit www.adventisthealthcare.com/ calendar for additional diabetes education classes

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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CARDIAC & Vascular EDUCATION Introduction to Cardiac Rehabilitation and EECP Treatment for Chest Pain

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

For patients and families.

When: Thursdays, April 18, May 16 and June 20, 7–8 p.m.

Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville

For patients and families.

When: Tuesday, June 25, 6–7 p.m.

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

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

Heart to Heart Support Group

1/21/13 8:32 AM

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

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, March 9–30, 10–11:15 a.m.

Session 2: Saturdays, April 6–27, 10–11:15 a.m.

Session 3: Saturdays, May 4–25, 10–11:15 a.m.

Where: SGAH Short-Stay Lobby Cost: $15 per class; $44 per session; $124 for sessions 1, 2 and 3 (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

Adventist HealthCare Walking Club Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall food court

S Youth Health & Education

When: Saturdays, April 20, May 18, June 15, 9:30–11:30 a.m.

Where: WAH Cafeteria Conference Rooms Cost: $40 per person, $55 per couple

Baby-Sitting

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

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, April 13 and 20, May 11 and 18, June 15 and 22, 10 a.m.–noon Where: AHC Cost: $35 per person

SGAH: 240-826-MOMS (6667)

Teen CPR Companion to Baby-Sitting

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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Infant Safety and CPR A Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.

When: Sundays, April 7, 14, 21 and 28; May 5, 12, 19 and 26; June 2, 9, 16, 23 and 30; 10 a.m.–noon When: Wednesdays, April 3 and 17, May 15 and 29, June 12 and 26, 6–8 p.m.

Where: AHC

Lactation Services

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Rescue breathing, CPR skills, use of automated external defibrillator and management of choking for all ages.

When: Saturdays, April 27, May 25, June 29, 2–5 p.m.

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

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

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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: March 11, April 10, May 14, June 12, 6–9 p.m.

Where: AHC Clarksburg Room, third floor

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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, April 27, May 25, June 29, 10 a.m.–noon Where: AHC Cost: $15

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

1/21/13 8:32 AM

Special Event:

Stroke Prevention Day Learn the Stroke R.A.P. (Recognize, Act, Prevent)! Get a FREE personalized assessment of your risks and learn how you can prevent stroke.

Where: WAH When: Sunday, May 19, 1–4 p.m.

Info: Visit www.adventisthealthcare.com/calendar for more details

SELF-IMPROVEMENT

WASHINGTON ADVENTIST HOSPITAL

ARTHRITIS OR JOINT PAIN?

p DivorceCare Thirteen-week session for those healing from a separation or divorce Saturdays, March 2–May 25, 3–4:30 p.m. p Empty Arms, Aching Hearts (English and Spanish) For those experiencing pregnancy loss, miscarriage, stillbirth or infant death Sundays, April 14 and June 9, 2:30–4 p.m. p Journey Through Your Goodbyes Six-week mutual support group for those grieving from a loss of job, financial change, end of a friendship, extended illness, death Tuesdays, April 23–May 28, 7–8:30 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 Sunday, June 16, 2:30–5:30 p.m. p “Little Ones” Remembered Service In loving memory of the little ones who so briefly touched our lives Sunday, May 5, 4–6 p.m.

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

SENIORS’ HEALTH Adventist HealthCare recognizes the specialized health needs of our community’s senior population. 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.)

HOLIDAY PARK MULTIPURPOSE SENIOR CENTER 3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Tuesday, May 21, 1:15–2:15 p.m. p Why Am I Shrinking and Other Aging-Aching Back Concerns Info: 240-777-4999

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.

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Call the Pastoral Care Department at 240-826-6112 or email stoth@adventisthealthcare.com for more information

CPR & FIRST AID CLASSES The Center of Resuscitation Excellence offers convenient CPR and first aid courses at various times and locations. For course schedules, locations and registration, visit www.adventistlifesupport.com or call 240-826-CORE (2673).

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 Amputee Brain injury Diabetes DVT (deep vein thrombosis)

◗ ◗ ◗ ◗ ◗ ◗ ◗

Weight-loss surgery 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:

Cancer Screening Day Join us for our annual event. Doctors and nurses help perform various FREE screenings, such as colorectal, prostate (PSA and DRE), skin, oral, bladder, thyroid and clinical breast exams.

Cost: FREE Where: WAH Short-Stay Unit When: Sunday, March 10, 9 a.m.–2 p.m.

Where: SGAH Outpatient Surgery When: Sunday, April 7, 9 a.m.–2 p.m.

Info: To register, call 800-542-5096 or visit www.adventisthealthcare.com/calendar

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GRIEF SUPPORT GROUPS

SHADY GROVE ADVENTIST HOSPITAL

SUPPORT GROUPS

1/21/13 8:32 AM

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

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Shady Grove Adventist Hospital Prenatal Center

301-444-8350

College Park

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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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