Health & You Magazine (Summer 2013)

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YOU R G U I D E TO HE ALT H Y L IVIN G â– SUMMER 2013

1 day, 2 minimally invasive heart procedures Page 4

Page 12

Get the help you need to get your ZZZs Page 5

Expert care for premature babies

Page 9

stroke of good fortune Learn how comprehensive, quality care helped George Wilson of Hyattsville survive and thrive after a stroke Page 6

BROUGHT TO YOU BY:

MEMB ERS O F A DVEN TIST HEA LTHCA RE

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Opening

Page 6

COnTenTS Features

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A Healthier Heart through Smaller incisions

One Hyattsville man had two minimally invasive heart procedures and was home in three days.

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stroke of good fortune

Find out how the comprehensive care from Adventist HealthCare helped two local men survive and thrive after stroke.

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doubly blessed

Premature twins defy the odds, thanks to advanced, intensive care.

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saving Lives through Quality stroke Care For millions of Americans, strokes change lives in a matter of seconds. Yet, in the critical minutes that follow a stroke, quality care can save lives and potentially reduce the effect of this medical emergency.

The skilled care provided by the quality, experienced stroke teams at Shady Grove Adventist Hospital in Rockville and Washington Adventist Hospital in Takoma Park have allowed these two hospitals to obtain designations as Primary Stroke Centers from the Maryland Institute for Emergency Medical Services Systems and be recognized with the Gold Plus Achievement Award by the American Heart Association. This means that each year, members of our comWilliam G. “Bill” munity who experience this serious and life-threatening condition are treated by Robertson a comprehensive team of physicians, nurses and other caregivers, using the latest techniques and best practices in stroke diagnosis and care.

Thomas Din of Rockville and George Wilson of Hyattsville can tell you firsthand how these teams saved their lives and helped them progress on the path to recovery. Six months after Din’s stroke, the teams at Shady Grove Adventist Hospital and Adventist Rehabilitation Hospital of Maryland had him back on the ski slopes. Meanwhile, the Washington Adventist Hospital stroke team is helping Wilson on his way back to hosting a radio show. I hope you enjoy reading about these lives that were changed by stroke and touched

by Adventist HealthCare’s compassionate and skilled stroke teams here in Montgomery County.

May is Stroke Awareness Month and a good opportunity to remember the important steps that we can take when we see a friend, co-worker or loved one showing signs of a stroke. Learn more by visiting the Adventist HealthCare blog at blog.adventisthealthcare.com or turning to page 6 of this magazine.

In good health,

virtually scarless

Minimally invasive surgery offers big patient benefits.

11

thoughts

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

Connect with Us Through Social Media

heading off heat illness

Two emergency medicine physicians share tips for summer safety.

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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.

5 Q+A 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: John Sackett

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 3 © 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, PO Box 17910, Phoenix, AZ 85011, or go to acd.mcmurry.com.

Senior Production Manager: Laura Marlowe

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An Affiliate of GW Medical Faculty Associates More Locations Coming Soon!

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Adventist Medical Group currently has physicians in the following specialty areas: • Primary Care – Family Practice, Internal Medicine • Endocrinology – Adults and Children • Physical Medicine and Rehabilitation • Urology • Orthopedics • Rheumatology • General Surgery Adventist Medical Group offices are currently located in: • Camp Springs • Gaithersburg • Germantown • Greenbelt • Montgomery Village • North Potomac • Poolesville • Rockville • Silver Spring • Takoma Park • White Oak

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a healthier

Do You Know Y Heart A our ge?

heart smaller incisions through

Visit w w and ta w.trustedh ke our eartca FRE re ment t o find o E online risk .com a u ssesst your your ris k for he heart age an d art dis ease.

A Hyattsville man benefits from two minimally invasive procedures in one day More than a decade ago,

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a doctor detected a faint heart murmur in Clyde Neidhammer, now 67 years old, of Hyattsville. “He said not to worry at the moment, but down the road I might need surgery,” Neidhammer says.

During a more recent doctor appointment for his wife with Sung Lee, MD, electrophysiologist at Washington Adventist Hospital, Neidhammer asked whether Dr. Lee would listen to his heart, telling him of the doctor’s cautionary warning 10 years ago.

“I heard a very distinct murmur and referred Clyde to have an echocardiogram test the next day,” Dr. Lee says.

The test was used to confirm heart valve disease.

Neidhammer’s next stop would be to meet with

“I had no pain, and within a few weeks I was back on my feet and back to work.”

—Clyde Neidhammer

Anthony Rongione, MD, cardiac surgeon at Washington Adventist Hospital.

Dr. Rongione told Neidhammer his aortic heart valve would need to be replaced. “Before we perform surgery, we want to know what other issues we may discover in the heart, which is why patients will have a heart catheterization first,” Dr. Rongione says.

David Brill, MD, interventional cardiologist at Washington Adventist Hospital, performed the

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catheterization. “The procedure showed that Clyde’s left anterior descending heart artery was 70 percent blocked,” Dr. Brill says.

With that type of severe blockage combined with a diseased heart valve, the traditional course of treatment would be open-heart surgery—a coronary artery bypass graft, to deal with the blocked artery, and a valve replacement. Drs. Rongione and Brill, however, had another idea that would offer Neidhammer the same results with smaller incisions, less scarring and a faster recovery.

Neidhammer decided to go with the minimally invasive approach. The surgery was performed on Nov. 2, 2012.

Dr. Brill first performed a minimally invasive transradial catheterization, gaining access to the heart through a wrist artery, to open up Neidhammer’s artery. Immediately after, Dr. Rongione performed a minimally invasive aortic valve replacement. Neidhammer headed home just three days after surgery.

“I was pleased when the doctors told me they could take this hybrid approach rather than full open-heart surgery,” Neidhammer says. “I had no pain, and within a few weeks I was back on my feet and back to work.” As the pastor at Woodlawn Christian Fellowship in Hyattsville, Neidhammer says a fast and full recovery was important.

“My wife and I have been using the cardiac services at Washington Adventist Hospital for years,” Neidhammer says. “The cardiac team did such an amazing job. I’m just always impressed.”

Clyde Neidhammer benefited from two minimally invasive procedures to open a blocked artery and replace a diseased heart valve.

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QRA: Sleep

Do You Need a Sleep Study?

If YOu HAve TrOuble SleePING, reST ASSureD THAT HelP IS Here

You wake up in the morning exhausted. You get sleepy—even fall asleep— while driving, reading or watching TV. You may also snore, have a hard time falling asleep at night or wake up in the middle of the night, unable to fall asleep again.

If this sounds familiar, you might have a sleep disorder, and feeling tired isn’t the only concern. A sleep disorder can increase your risk for high blood pressure, heart attack, stroke, diabetes and weight gain.

Experts from the Sleep Disorders Centers at Shady Grove Adventist and Washington Adventist Hospitals explain when it might be time to talk to a doctor.

Get Help for Sleep problemS call the sleep disorders center at shady grove adventist Hospital at 301-294-5580 or sleep disorders services at washington adventist Hospital at 800-264-1487.

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How can you tell if i Have a sleep disorder?

We perform a sleep study, a series of tests conducted while you sleep.

This generally involves spending the night in a sleep lab, which is basically a private room in a sleep study center. Sleep studies diagnose sleep disorders, including: ◗◗ Obstructive sleep apnea, when someone snores heavily or stops breathing in the middle of the night. ◗◗ Insomnia, which is chronic difficulty falling and staying asleep. ◗◗ Periodic limb movements in sleep, which is uncontrollable twitching or jerking of the legs.

wHat are you looking for during a sleep study?

When a person participates in a sleep study at the Sleep Disorders Centers at Shady Grove Adventist and Washington Adventist Hospitals, a qualified sleep technologist uses the latest equipment to monitor brain waves, breathing and heartbeat during sleep. All of this helps to determine whether a sleep disorder exists. In the morning, a board-certified sleep specialist and a neurologist will review the study and share the diagnosis with the person’s referring doctor within two or three days.

study?

wHat can a person expect during a sleep

While a sleep test is conducted in a highly technical lab, the setting feels more like a bedroom where a person sleeps in a bed in a private room.

The person is connected to sensors on his or her head, chest and finger to monitor sleep patterns. Although this may sound invasive, most people are surprised to learn they sleep well through the test.

People who undergo sleep studies at Shady Grove Adventist or Washington Adventist Hospital have the added benefit of being in a hospital setting, which means 24-hour access to emergency services, security and flexible scheduling. Many people who have sleep problems also have other serious health concerns, including hypertension, atrial fibrillation and pulmonary disease. The Sleep Centers at Shady Grove Adventist and Washington

Adventist Hospitals also provide on-the-spot professional fitting for a CPAP (continuous positive airway pressure) machine for people identified to have sleep apnea during their studies. This provides immediate treatment for the condition.

i tHink i migHt need a sleep study. How do i enroll?

You can download an enrollment form at www.shady groveadventisthospital.com/ sleep or www.washington adventisthospital.com/sleep and take it to your primary care physician for discussion. If it’s determined that you could benefit from sleep monitoring, the doctor can use the form to refer you to one of our Sleep Disorders Centers. Sleep studies are available for adults and children ages 5 and older.

People who undergo sleep studies at Shady Grove Adventist and Washington Adventist Hospitals have the medical access of a hospital setting with the comfort of a private bedroom.

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surviving and t

thanks to Co

Neurologist Perry Smith, MD, and Thomas Din review an MRI scan of Din’s stroke.

From Stroke to the Slopes

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W

hen Thomas Din, 61, an experienced skier and ski instructor at White Tail ski resort, was unable to walk up the stairs or grasp items, he knew it was time to call his doctor and explain his symptoms.

“They immediately told me to call 9-1-1,” the Rockville resident says.

It turned out Din, who has prediabetes and high blood pressure, was experiencing a stroke. He was taken by ambulance to Shady Grove Adventist Hospital, an accredited Primary Stroke Center and recipient of the American Heart Association’s (AHA) Gold Plus Quality Achievement Award, which recognizes compliance with AHA’s stroke measures for at least 24 consecutive months. Once Din arrived at Shady Grove Adventist Hospital, the comprehensive stroke team immediately began treatment.

“The quicker a stroke can be treated, the better chance there is for a meaningful, functional recovery,” says Jesse Irwin, MD, emergency physician at Shady Grove Adventist Hospital, who treated Din upon his arrival to the hospital. “Therefore, it

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is important to recognize the signs of a stroke and take quick action, which includes calling 9-1-1.”

After several days at Shady Grove Adventist Hospital, Din moved to Adventist Rehabilitation Hospital of Maryland to continue his recovery.

There, he regained his ability to perform tasks such as cooking and bathing.

Din worked to regain his balance on the multiple application suspension system, an overheadsuspended rail system, which is part of Adventist Rehabilitation Hospital of Maryland’s new NeuroRehabilitation and Balance Center.

In addition, he was able to practice skiing in a safe, controlled environment using the Wii system at Adventist Rehabilitation Hospital of Maryland.

“I really enjoyed it,” Din says. “Every chance I got to get onto the Wii to ski, I did it.”

On Jan. 3, 2013, less than six months after his stroke, Din was back in action, returning to the slopes as a skier. He resumed his instructing the next day.

“After eight runs on the bunny slope, I went to the intermediate slope,” Din says. “On those first few days, I ventured up into the expert slopes.”

a team approach Dr. Irwin is part of Shady Grove Adventist Hospital’s multidisciplinary stroke team, which includes a stroke care coordinator, emergency department physicians, neurologists, hospitalists, cardiologists, intensivists, radiologists, physiatrists, case managers, dietitians, nurses and therapists.

“Mr. Din had a small stroke, but it was in a critical place,” says Perry Smith, MD, neurologist at Shady Grove Adventist Hospital. “As a result, he had left-sided weakness, including problems with his tongue and problems walking.”

Din underwent physical therapy at the hospital and worked with speech therapists to regain tongue strength.

“Dr. Smith was so encouraging and told me he thought I’d be back to skiing,” Din says.

Thomas Din returned to the slopes as a skier and a ski instructor less than six months after his stroke.

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d

thriving

to Comprehensive Stroke Care Fast Action Fights the Effects of Stroke

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When radio personality George Wilson suffered a stroke, his wife, Iris, knew to call 9-1-1 so he could receive treatment in time to save his life.

Getting to the Heart of Stroke Heart disease is one of the major risk factors for stroke. Speak to your doctor to closely monitor and treat these conditions to help prevent stroke: ◗ High blood pressure (hypertension). This causes the heart to pump harder than normal, weakening blood vessels and causing damage to major organs, including the brain. ◗ High cholesterol. High levels of cholesterol can cause arteries to clog, resulting in a stroke or a heart attack. ◗ Atrial fibrillation (AF). The most common form of irregular heartbeat, AF can cause blood to pool in the heart and form clots that can be carried to the brain, causing a stroke.

get more answers online Visit the Adventist HealthCare & You blog at blog.adventisthealthcare.com for more information about our expert stroke care programs.

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adio talk show host George Wilson, 65, of Hyattsville, relies on his ability to speak more than most. Yet a sudden stroke put his ability to speak and his life at risk.

“George is never sick,” says Wilson’s wife, Iris. “He’s always the one taking care of me.”

The tables quickly turned in December 2012 when Iris heard a loud thump in their bedroom. She found Wilson collapsed. “My vocal cords and the right side of my body suddenly became paralyzed,” Wilson recalls. Iris instructed their daughter to call 9-1-1. Wilson was taken by ambulance to the emergency department at Washington Adventist Hospital.

Iris’ fast actions helped save her husband’s life.

“When George arrived, the team administered tissue plasminogen activator [tPA], a clot-dissolving agent that is the only treatment shown to reduce the effects of stroke and reduce permanent disability,” says Perry Smith, MD, the neurologist who helped the Washington Adventist Hospital stroke team make the quick decision to administer the medication.

Receiving tPA within an hour of his stroke preserved Wilson’s brain tissue.

According to the American Stroke Association, only 3 to 5 percent of stroke patients reach the hospital within the recommended three-hour window to be considered for this treatment.

“During a stroke, minutes matter, so it is vital to call 9-1-1 when symptoms appear,” says Amir Zangiabadi, MD, neurologist at Washington Adventist Hospital. “These include sudden weakness or numbness of the face, arm or leg; confusion or trouble speaking; and loss of balance or coordination.”

At the hospital, Wilson was treated by a multidisciplinary team of experts, including a stroke care coordinator, neurologists, hospitalists and therapists, who worked together to stabilize his condition and prepare him for rehabilitation.

“I was amazed at how quickly he bounced back,” Iris says. In two or three days, Wilson went from being able to say one word to full phrases and from not being able to move the right side of his body to being totally mobile again.

“Our team is committed to providing expertise in fast evaluation and treatment of stroke patients. This helps to prevent serious brain damage and allow for an optimal outcome,” says Peggy Elter, RN, stroke program coordinator at Washington Adventist Hospital, a designated Primary Stroke Center by the Maryland Institute for Emergency Medical Services and Systems and a recipient of the American Heart Association’s Gold Plus Quality Achievement Award.

Wilson continues intensive speech therapy so he can soon return to his beloved radio mic. When he returns, he will share an important message: “I want to urge people to get their hearts checked.”

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Best for Baby Shady Grove Adventist Hospital takes the lead in providing breastfeeding support and education to new moms

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Every parent wants to give his or her child the best start in life. The Birth Center at Shady Grove Adventist Hospital is honored to be part of that journey for more than 5,000 families each year, and is taking a journey of its own: to become one of the first “baby-friendly” hospitals in Maryland.

The Baby-Friendly Hospital Initiative from the World Health Organization and the United Nations Children’s Fund is considered the gold standard of care. The designation recognizes hospitals that provide extensive support for and encouragement of breastfeeding. Hospitals must follow 10 steps to become baby-friendly, including: p Helping mothers initiate breastfeeding within one hour of birth. p Practicing “rooming in” (keeping mothers and infants together 24 hours a day). p Training all health care staff in the skills necessary to implement the breastfeeding policy.

Shady Grove Adventist Hospital also offers daily breastfeeding classes and support groups for new mothers in the hospital. Once they go home, moms can access a free phone assistance line (240-826-MOMS) and a free weekly breastfeeding support group. All of these resources are staffed by lactation consultants who have earned the prestigious International Board of Lactation Consultants Care Award.

“Research shows breastfed babies have a lower risk of SIDS [sudden infant death syndrome], diabetes, respiratory and ear infections, skin allergies and obesity,” says Jim Rost, MD, medical director of pediatrics/neonatal intensive care at Shady Grove Adventist Hospital.

“Additionally, moms who breastfeed experience decreased risk of breast and ovarian cancers and increased weight loss.”

Explains Terry Francis, RN, director of perinatal services at Shady Grove Adventist Hospital: “However a mom chooses to feed her baby, our expert team of physicians, nurses and lactation consultants work with families to provide exceptional education and assistance both in the hospital and after they return home.”

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TAKE A TOUR OF THE BIRTH CENTER AT SHADY GROVE ADVENTIST HOSPITAL Visit www.shadygrovebaby.com to sign up for a free tour of the Birth Center at Shady Grove Adventist Hospital or to learn more about the center.

A ‘Mother-Friendly’ Approach to Childbirth “Birthing is a normal, healthy process,” says Miriam Rieger, clinical nurse manager of labor and delivery, when explaining the “mother-friendly” approach to childbirth practiced by nurses and physicians at Washington Adventist Hospital. The team uses an evidence-based model that empowers the mother and enhances confidence in her ability to give birth.

Philosophical cornerstones of the mother-friendly approach include: ◗ Women and babies have the inherent wisdom necessary for birth. ◗ Every woman should have the opportunity to give birth as she wishes in a nurturing and secure environment. ◗ Interventions will only happen when necessary during pregnancy, birth and the postpartum period. ◗ Maternity care should be based solely on the needs of mother and child, not on the needs of the care provider.

Visit www.washingtonadventisthospital.com to learn more about childbirth at Washington Adventist Hospital.

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Doubly

Blessed

Extremely premature twins defy the odds, thanks to advanced, expert care Thirty-three-year-old

Tiffany Schetter of Germantown was just 20 weeks into her pregnancy when she learned that one of her unborn twins had only a small chance of survival.

Tiffany and her husband, Aaron, were told their daughter was not getting adequate blood flow. Their doctor connected them with Jim Rost, MD, medical director of the neonatal intensive care unit (NICU) at Shady Grove Adventist Hospital, to learn about the care their babies would receive when they arrived.

“Dr. Rost was unbelievably warm and inviting to us and helped us feel at ease,” Tiffany says.

The Schetters met with Dr. Rost and toured the Level IIIb NICU. “We were really relieved to find out that one of the better NICUs in the state was so close to where we live,” Tiffany says. “We felt very comfortable knowing we would deliver the babies there.”

A Level IIIb designation, which is one of the highest in Maryland, means Shady Grove Adventist Hospital’s NICU provides advanced care for newborns with severe or complex illness, including extreme prematurity.

Alexis and Dylan Schetter

Expert care, compassionate support “The NICU is staffed around the clock with board-certified neonatologists; neonatal nurses; educators; respiratory therapists; occupational, physical and speech therapists; and lactation consultants,” Dr. Rost says. “They are dedicated to providing the highest level of care in a warm, caring and familyfriendly environment.”

On Aug. 22, 2012, at 27 weeks, Tiffany’s daughter’s heartbeat decelerated and physicians performed an emergency cesarean section.

Both twins had respiratory issues and were placed in the NICU. Alexis weighed just 1 pound, 6 ounces, and her brother, Dylan, weighed 2 pounds, 8 ounces.

“Many of our NICU patients receive care for issues related to prematurity and often have respiratory distress syndrome,” Dr. Rost says. “We have a complete range of technologies to assist babies with breathing problems.”

Dylan required only minimal respiratory support, whereas Alexis was placed on a breathing machine called a ventilator. Tiffany spent up to 12 hours a day visiting her babies in the NICU. Dylan went home after 51 days, but Alexis stayed for more than 120 days.

together at last

Make a personalized birth plan

Aaron and Tiffany Schetter are grateful for the expert neonatal care twins Dylan and Alexis received at Shady Grove Adventist Hospital.

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To learn more about the Birth Center at Shady Grove Adventist Hospital or to work with our birth advisor to develop your birth plan, go to www.shadygrovebaby.com. To see more about the Schetter family, visit blog.adventisthealthcare.com.

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On Dec. 23, 2012, Alexis finally joined her brother at home.

“Seeing a patient discharged home, particularly after a stay in the NICU, is one of the greatest feelings a team can experience,” Dr. Rost says.

Alexis remained on oxygen after going home, and nurses from the NICU helped Tiffany and her husband adjust to caring for her by helping them set up a makeshift NICU in their home.

With both children home and gaining weight, Tiffany is thankful for the Shady Grove Adventist Hospital NICU team.

“Not only was it convenient for us,” she says, “but we were very fortunate to have a facility that could handle a baby as small and as sick as our daughter and to have as positive of an outcome.”

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Virtually Minimally invasive, ‘single-site’ surgery offers big benefits As a busy wife

and working mother of four boys, Yolanda Patzi, 38, of Germantown, was hoping the stomach pain she had been experiencing would go away on its own. “I didn’t want to miss work,” Patzi says. “But when the pain on my right side didn’t go away after nearly four weeks, I decided to go to the emergency room.”

After an emergency room visit and a checkup with her primary care physician, doctors determined the problem was gallstones. Patzi was referred to Takoma Surgical to discuss her treatment options with a surgeon.

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greater precision, better results “I speak Spanish, so when I called Takoma Surgical, I told them it was important to me to have a surgeon who spoke Spanish,” Patzi says. “I chose to see Dr. Cynthia Plate because Yolanda Patzi, a busy wife and mother of four, can hardly find the scar left over from her minimally she spoke my language and I wanted the ability to communiinvasive gallbladder surgery. cate with her and navigate my options in a way that made me feel most comfortable.”

Adds Cynthia Plate, MD, general da Vinci Surgical System allows surgeons to perform complex operations surgeon at Washington Adventist with greater precision. The robot translates the surgeon’s hand, wrist and Hospital: “When I met with Yolanda, finger movements into precise, real-time movements of surgical instruments. exams indicated she had multiple gallstones. We discussed removing the gallMinimal scarring, quicker recovery bladder, and I told her we could do this The procedure Dr. Plate recommended to Patzi, known as a single-site with a minimally invasive technique that cholecystectomy, uses robotic technology to assist the surgeon in removincludes only one small incision using ing a person’s gallbladder through a single, 1-inch incision made through the da Vinci robotic surgical system at the belly button.

Washington Adventist Hospital.”

“I told Yolanda she would experience virtually no scarring, minimal Using state-of-the-art robotic pain and a quick recovery,” Dr. Plate says. “For a young, busy mother, we and computer technologies, the agreed it was her best option.”

Cynthia Plate, MD For Patzi, the quick recovery and no scarring were important in her decision to go ahead with the surgery.

“I knew the incision would be small, but after surgery I tried to find it and I kept asking, ‘Where is it?’” Patzi says.

Visit www.adventisthealthcare.com/services/da-vinci-surgical-system “I couldn’t have asked for a better experience. Dr. Plate to watch a video about “scarless,” single-site surgery and learn more about was so nice and calm, and the whole hospital team was the da Vinci Surgical System. friendly yet professional. I knew I was in good hands.”

Discover How robotic surgery works

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Heading Off Heat Illness Two emergency medicine experts share tips for summer safety

T

he warm weather is finally here, bringing the urge to leave the days of winter hibernation behind and enjoy the outdoors. Local emergency medicine physicians Drew White, MD, and Erik Schobitz, MD, offer some advice to stay healthy this summer.

“Heat illness is one of the more common conditions we see during this time,” says Dr. White, medical director of emergency medicine at Washington Adventist Hospital.

“Emergency room visits increase about 18 percent over the summer months.”

Dr. Schobitz, medical director of the pediatric emergency department at Shady Grove Adventist Hospital, urges parents to pay particular attention to young children who are out in the summer heat.

“Infants and children younger than 4 are at a higher risk for heat-related illness,” Dr. Schobitz says. “It’s important for children to stay hydrated by ensuring that they drink 4 to 5 ounces of water every 30 minutes.”

Drs. White and Schobitz add these important summer health tips:

Take steps to prevent a heat illness. p Wear light-colored clothes that are breathable. p Take regular breaks in the shade. p Drink plenty of water, especially when exercising.

Drink fluids before, during and after an activity. p Avoid intense exercise when temperatures rise above

80 degrees.

Heat exhaustion results from the body overheating after exposure to high temperatures with high humidity levels or after excessive physical activity. Common signs and symptoms include: p Heavy sweating p Weak, rapid pulse p Faintness p Muscle cramps p Nausea p Headache

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Visit t Health he Adventist Care & blog.a You dvent isthea blog at for mo lthc re sum mer sa are.com fety tip s.

Erik Schobitz, MD

Know when to act.

If you or a loved one is experiencing symptoms of heat illness, take the following action: p Stop the activity and move to a cooler place. p Provide the person with water to drink. p For heat illness, call 9-1-1 if the symptoms continue or worsen over 60 minutes. p If symptoms of heatstroke appear, call 9-1-1 immediately.

Drew White, MD

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Learn the signs and symptoms of heat illnesses.

Heatstroke is a potentially fatal condition, which occurs when your body temperature continues to rise.

Watch out for these warning signs: p High body temperature (104 degrees or higher), the main indicator p Lack of sweating p Racing heart and strong pulse p Neurological symptoms, including seizures and loss of consciousness p Muscle cramps or weakness

More Summ Safety er OnlinTeips

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Living Healthy JUNE–SEPTEMBER 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

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◗ WAH Washington Adventist Hospital 7600 Carroll Ave., Takoma Park ◗ AHC Adventist HealthCare 820 W. Diamond Ave., Gaithersburg ◗ 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 19, 8–10 a.m.

Where: WAH Cafeteria Conference Rooms A&B When: Wednesday, Sept. 11, 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 Rockville Senior Center, 1150 Carnation Drive, Rockville, Friday, Sept. 27, 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 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

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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: First Thursday of each month (except Thursday, July 11, because of holiday), 11:30 a.m.–1:30 p.m.

Where: WAH Cafeteria When: Third Thursday of each month, 5:30–6:30 p.m.

Where: New location! White Oak Community Recreation Center, 1700 April Lane, White Oak Info: Call 800-542-5096

CANCER PROGRAMS 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

LOOK GOOD ... FEEL BETTER

When: Monday, Sept. 9, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

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.

HEART TO HEART SUPPORT GROUP For patients and families.

When: Thursdays, June 20, July 18, Aug. 15 and Sept. 19, 7–8 p.m.

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

COLORECTAL CANCER SCREENING PROGRAM

WOMEN AND HEART DISEASE SUPPORT GROUP

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

For patients and families.

When: Thursdays, June 20, July 18, Aug. 15 and Sept. 19, 11:30 a.m.–1 p.m.

Where: WAH Cafeteria Conference Room, Lower Level II

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

CARDIAC & VASCULAR EDUCATION INTRODUCTION TO CARDIAC REHABILITATION AND EECP TREATMENT FOR CHEST PAIN Info: For an appointment, call the Center for Fitness and Health at Shady Grove Adventist Hospital at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016 Cost: FREE

INTERNAL CARDIAC DEFIBRILLATOR AND PACEMAKER DISCUSSION GROUP Group discussion for patients and the families of patients with these devices.

When: Mondays, July 8 and Sept. 9, 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, June 10 and Aug. 12, 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 For patients and families.

When: Tuesdays, June 25 and Sept. 24, 6–7 p.m.

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

DIABETES PROGRAMS & NUTRITION COUNSELING DIABETES OUTPATIENT EDUCATION PROGRAMS

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

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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, June 25 and July 9 and 23, 6–9 p.m.

Session 2: Tuesdays, Aug. 13 and 27 and Sept. 10, 6–9 p.m.

Where: 9715 Medical Center Drive, Suite 201, Rockville

Session 1: Tuesdays, July 2, 16 and 30, 6–9 p.m.

Session 2: Tuesdays, Aug. 20 and Sept. 3 and 17, 6–9 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, June 20 and 27, 9:30–11:30 a.m.

Session 2: Thursdays, July 18 and 25, 9:30–11:30 a.m.

Session 3: Thursdays, Aug. 22 and 29, 9:30–11:30 a.m.

Session 4: Thursdays, Sept. 19 and 26, 9:30–11:30 a.m.

Where: SGAH Session 1: Thursdays, June 6 and 13, 9:30–11:30 a.m.

Session 2: Thursdays, Aug. 1 and 15, 9:30–11:30 a.m.

Session 3: Thursdays, Sept. 5 and 12, 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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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, Aug. 7, 6:30–8:30 p.m.

Where: SGAH Info: Call 240-826-6297

CANCER SUPPORT GROUPS

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Community ApHASiA group A support group for those with aphasia.

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

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 8–29, 10–11:15 a.m.

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

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

When: Business meeting on second Tuesday of each month (no meeting in July), 7:15–9 p.m.

Cost: FREE Info: Call Jackie at 301-977-6870 or Maribeth at 301-946-5496, or email gammie0612@verizon.net; visit www.sugarloafers.org

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Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall food court

youtH HeAltH & eduCAtion infAnt SAfety And Cpr A Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.

When: Sundays, June 2, 9, 16 and 23; July 7, 14, 21 and 28; Aug. 4, 11, 18 and 25; Sept. 1, 8, 15, 22 and 29; 10 a.m.–noon When: Wednesdays, June 12 and 26, July 10 and 24, Aug. 14 and 28, Sept. 11 and 25, 6–8 p.m.

When: Saturdays, 9:30–11:30 a.m.

Cost: $40 per person, $55 per couple

privAte infAnt SAfety And Cpr Info: Call 800-642-0101 for details

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, June 15 and 22, July 20 and 27, Aug. 24 and 31, Sept. 21 and 28, 10 a.m.–noon Where: SGAH Cost: $35 per person

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

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.

SGAH: 240-826-MOMS (6667)

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teen Cpr CompAnion to BABy-Sitting Rescue breathing, CPR skills, use of automated external defibrillator and management of choking for all ages.

When: Saturdays, June 29, July 27, Aug. 31, Sept. 28, 2–5 p.m.

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

American Safety and Health Institute (ASHI): Basic First Aid Class 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 12, July 10, 6–9 p.m.

Where: To be determined

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

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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, Aug. 31, Sept. 28, 10 a.m.–noon Where: SGAH Cost: $15

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

SENIORS’ HEALTH

HOLIDAY PARK MULTIPURPOSE SENIOR CENTER 3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Thursday, July 18, 1:15–2:15 p.m. p Great Salads—Quick, Easy, Affordable, Healthy and Delicious (Without Buying the Whole Produce Department) Info: 240-777-4999

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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 Hospital Visitation Workshop for Clergy/Laity A three-hour workshop for local church clergy/laity as they meet congregational needs during hospital visitation to church members and their families Sunday, June 23, 3–6:30 p.m. p Empty Arms, Aching Hearts (English and Spanish) A baby loss support group in a safe and nurturing environment for parents and others grieving from pregnancy loss Sundays, July 14, Aug. 11, Sept. 8, 2:30–4 p.m. p DivorceCare The closing meetings of a 13-week support group, this safe and nurturing environment is for those healing from separation or divorce Saturdays, continuing through Sept. 28, 3–4:30 p.m. p Grief Care A mutual support group that meets seven consecutive weeks for those experiencing loss Tuesdays, Aug. 6–Sept. 17, 7–8:30 p.m. p Service of Remembrance A memorial service to honor the lives of loved ones who have passed Saturday, Aug. 3, 3 p.m.

Info: Call Carolyn Jones at 301-891-5265 to preregister

SHADY GROVE ADVENTIST HOSPITAL Call the Pastoral Care Department at 240-826-6112 or email jmufuh@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).

SUPPORT GROUPS Adventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics: ◗ ◗ ◗ ◗ ◗ ◗ ◗ ◗

Congestive heart failure Living with heart disease Heart patient Alcoholics Anonymous 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:

Navigating Your Vascular Health Join our physicians and staff for an afternoon of screenings and lifestyle topics to enhance your vascular health.

When: Sunday, Sept. 15, 1–4 p.m.

Where: SGAH Surgical Services Area, First Floor When: Sunday, Sept. 29, 1–4 p.m.

Where: WAH Short-Stay Unit Info: To register, call 800-542-5096 or visit www.adventisthealthcare.com/calendar

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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.

GRIEF SUPPORT GROUPS

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

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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

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Washington D.C.

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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 Medical Campus

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