Adventist HealthCare & You Magazine (Fall 2014)

Adventist

HEALTHCARE

&YOU

MEMBERS OF ADVENTIST HEALTHCARE

Y O U R G U I D E T O H E A LT H Y L I V I N G • FA L L 2 0 1 4

Help when you need it

Improving health

Workplace well-being

Pathto

Wellness

Connected care

CLASSES AND EVENTS page 12

Adventist HealthCare’s initiatives to keep the community healthy PAGE 6

Follow us for news and health tips at blog.adventisthealthcare.com

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Opening Thoughts

Leading the Way to Wellness Last spring, I took over the role of leading Adventist HealthCare into the changing health care landscape. It is rewarding and exciting to lead an outstanding organization and team of compassionate, skilled, expert care providers who focus each day on providing the very best care to those we serve.

Our health care system is shifting from healing the sick to keeping the healthy, healthy.

For Adventist HealthCare, Montgomery County’s first and largest health care provider, this changing approach to care brings us back to our roots and connects deeply with our mission of improving the health of people and communities. What started at the Washington Sanitarium in Takoma Park (now Washington Adventist Hospital) in 1907 has continued over the past 107 years at Shady Grove Adventist Hospital, Adventist Rehabilitation Hospital of Maryland, Adventist Home Care, Adventist Behavioral Health and Adventist Medical Group. Today, technology and coordination connect Adventist HealthCare’s wide range of comprehensive services.

Whether you or a loved one needs urgent care at one of Adventist HealthCare’s centers opening this year, or you want to learn about your health through a screening at work, we will help to improve Share with Us ... your health and develop your personal path to wellness.

I hope you will see Adventist HealthCare as more than a how you stay provider of care to the sick, but instead as a catalyst to healthy and well local wellness. www.facebook.com/ If you are interested in reading regular updates on adventisthealthcare health and wellness information, I encourage you to visit our health blog at blog.adventisthealthcare.com. Thank www.twitter.com/ you for allowing me to be part of this community. I look adventisthc forward to Adventist HealthCare providing quality and compassionate health care to you and your families. www.youtube.com/

Features

Cover Story

Discovering New Directions in Health Care Explore Adventist HealthCare’s pathways to a healthier community. PAGE 6

8 Oh, Baby!

Shady Grove Adventist Hospital becomes first in Maryland to be recognized for breastfeeding support.

adventisthealthcare

9 Be Still My Heart

blog.adventisthealth care.com

A former triathlete’s atrial fibrillation was no match for the experts at Washington Adventist Hospital.

Terry Forde President and CEO, Adventist HealthCare

Department President and CEO, Adventist HealthCare Inc.: Terry Forde Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 www.shadygroveadventist hospital.com President: John Sackett Washington Adventist Hospital 7600 Carroll Ave. Takoma Park, MD 20912 www.washingtonadventist hospital.com Interim president: Terry Forde

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Editorial Team: Thomas Grant, Marisa Lavine Writers: Susan Griffiths, Danielle Lewald, Shanna Muschik, Loren Nix, Lydia Parris, Clarencia Stephen, Diana Troese Senior Content Editor: Matt Morgan Production Technology Director: Mary Winters

Adventist HealthCare & You is published four times annually by McMurry/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014.

Volume 19, Number 4 © 2014 McMurry/TMG, LLC.

12

Living Healthy

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.

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MEMBERS OF ADVENTIST HEALTHCARE

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Senior Production Manager: Laura Marlowe

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Care in the Air Four nurses fly to the aid of a fellow passenger

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uring a recent trip to a training event in Texas, four Shady Grove Adventist Hospital clinical education specialists found themselves in the right place at the right time.

As they flew from Baltimore-Washington International Thurgood Marshall Airport on March 17, Patricia Bodine, RN, CPAN; Maria Gentry, RN, CMSRN; Jennifer Lewis, RN, MSN, CCRN; and Cindy Mohardt, RN, CMSRN, saw a woman sitting near them collapse in the aisle.

The nurses quickly jumped into action. They helped wake the woman, who was initially unresponsive. She was sweating and had a weak pulse. They helped her back to her seat, then checked her blood sugar and blood pressure levels. While the plane was still in flight, the

woman passed out again. The nurses gave her ginger ale and placed an oxygen mask on her.

Gentry, who was sitting next Registered nurses (from left) Maria Gentry, Cindy Mohardt, Jennifer to the woman, remembers her Lewis and Patricia Bodine rushed to the aid of a woman who passed saying, “I am so blessed that out on their plane. you ladies were on this flight.

What are the chances I would the nurses did not catch her name or contact be sitting right next to a nurse?” information, so they could not follow up on her The woman’s condition was stabilized, so the condition. They are hopeful, however, that she plane did not need to perform an emergency had a quick recovery. The nurses are also happy landing, avoiding delay and inconvenience for that they were able to use their skills to assist a the passengers. The nurses worked with the passenger in need. flight staff to arrange for paramedics to meet “As nurses,” Mohardt says, “when we see that the woman at the landing gate. someone needs assistance, it’s our instinct to During the hectic activity to help the woman jump in and help.” off the plane and into the hands of paramedics,

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School’s In!

Video

CONCERNED ABOUT YOUR CHILD’S MENTAL HEALTH?

Let’s Take the

Stress Out

Visit www.adventist behavioralhealth.com/owc to watch videos about ADHD, anxiety and depression, or to learn more about Adventist Behavioral Health’s Outpatient Wellness Clinic.

Video series helps parents and kids manage this time of transition

work and school schedules—factors that often lead to depression and anxiety if not properly managed,” Dr. Leslie says. “The ADHD video is also a valuable aid for parents who are looking for help in supporting and engaging a child with ADHD.”

ADHD

According to the Centers for Disease Control and Prevention (CDC), approximately 11 percent of children ages 4 to 17 (6.4 million) have been diagnosed with ADHD as of 2011. The ADHD video explains how the condition affects young children and their development in school and at home. Dr. Leslie offers tips for parents to help children who have ADHD focus on completing tasks, staying organized at home and being more successful at school.

Marissa Leslie, MD, uses play to encourage children to share their feelings during a therapy session at the Adventist Behavioral Health Outpatient Wellness Clinic in Rockville.

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ANXIETY

tarting school for the first time or returning to the classroom is exciting and fun for some children. For others who might be struggling with attention deficit hyperactivity disorder (ADHD), anxiety or depression, it can be frightening and stressful. It is important for parents and guardians to keep an eye out for common signs of these mental illnesses that can surface during this time of transition and prevent children from succeeding in their studies.

Adventist Behavioral Health recently released videos to provide educational resources to parents and caregivers about how to recognize and handle ADHD, anxiety and depression in children. The videos feature Marissa Leslie, MD, Adventist Behavioral Health’s medical director of outpatient services and a child and adolescent psychiatrist at Adventist Behavioral Health’s Outpatient Wellness Clinic.

“The videos provide an overview of the causes and signs of the mental illness and offer easy tips on preventing stress and juggling the demands of

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A National Institute of Mental Health survey estimates that anxiety disorders affect 8 percent of teens ages 13 to 18. In the anxiety video, Dr. Leslie discusses the different symptoms of the condition, including excessive worry or fear, trauma-based anxiety disorders and ritualized behaviors (also known as obsessive-compulsive disorders). Dr. Leslie also helps differentiate normal anxiety behaviors from excessive and destructive anxiety behaviors.

DEPRESSION

The National Institute of Mental Health estimates that 11 percent of adolescents have a depressive disorder by age 18. In this video, Dr. Leslie explains the warning signs of depression and how individuals can help prevent the onset of depression, particularly during stressful times of year, like the back-to-school season, through practical stress management and self-care tips. Says Dr. Leslie, “A good night’s rest, exercise, eating a wellbalanced diet and ensuring you have time to relax can help tremendously in staying mentally healthy.”

Number of children ages 8 to 17 who said they experienced a physical symptom of stress (headache, stomachache, sleeplessness) in the last month.

Source: American Psychology Association

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Leading by

Example

Physicians follow their own advice for getting and staying healthy

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n November 2010, Thu Tran, MD, Ob-Gyn at Shady Grove Adventist Hospital, and six other physicians decided to go beyond advising people on how to be healthy. They decided to lead by example and show them.

They formed a “boot camp,” meeting weekly with a trainer for cardiovascular and strengthtraining exercises.

What began as a physical workout soon grew into a social and mental outlet for the busy group of physicians, moms and friends. The women followed each session with homemade healthy food and personal discussions.

“The essence of our boot camp has been the personal interactions that occur between the members along with the physical fitness activities,” Dr. Tran says.

TAKING IT ONLINE

As the group grew, the members recognized that their breadth of knowledge and hunger to promote health went beyond their boot camp and social discussions.

“We realized that there is so much misleading health information out there,” Dr. Tran says.

“We wanted to use our combined knowledge and expertise to help other women be healthy.”

In June 2013, they started a blog: www.ladydocscornercafe.com.

Featuring exercise and nutrition advice, a mental health section, a recipe log and other personal updates, the blog is a community resource. The online outlet, which includes contributions from dietitians, cardiologists and other medical experts, covers a broad range of health information and advice related to each member’s expertise.

“We pick topics that are relevant to people’s lives, so when people read the blog, they know more about everyday health issues,” Dr. Tran says. “We try and write in a way that you would address your family members or

friends, so the reader feels a connection. When they feel that connection, they tend to listen to us better.”

STRENGTH IN SUPPORT

Since its start three and a half years ago, the boot camp has grown to more than 40 women, many of whom are physicians working at Shady Grove Adventist and Washington Adventist Hospitals.

In addition to working out and writing for the blog, the group members enjoy spending recreational time together.

“We have become the best sisters,” Dr. Tran says. “We used to pass by and say hello politely, and now it’s amazing how much we know about each other.”

Learning from her own experience, Dr. Tran encourages her patients to create a support network when trying to achieve goals.

“If you gather with your friends whose careers or personal lives have many things in common with you,” she says, “you never know how powerful your group can turn out.”

What started out in 2010 as a group of seven physicians meeting weekly for workouts has grown into a support network of more than 40 members.

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PLENTY OF GREAT HEALTH ADVICE

Visit Thu Tran’s blog at www.ladydocscornercafe.com and Adventist HealthCare’s blog at blog.adventisthealthcare.com for the latest health information.

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g n i r e Discov

New Dir

Adventist HealthCare is helping create a healthier community.

Learn about four paths to wellness

largest comm Adve educat health Advent health

CONVENIENT, QUALITY URGENT CARE

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As the health care system focuses on reducing costs, urgent care centers have grown in popularity. They offer an affordable alternative to emergency room visits for non-life-threatening injuries and illnesses.

“We all find ourselves in pressing situations when we need care at a specific time and in a specific location. However, these are often situations that don’t require the expertise and resources of a hospital emergency room,” says Terry Forde, president and CEO of Adventist HealthCare. “Urgent care centers offer that alternative and ultimately are more cost-effective for both the consumer and the provider.”

Later this year, Adventist HealthCare will open urgent care centers in partnership with Florida-based Centra Care, which operates 24 centers in central Florida. Centra Care, Adventist HealthCare Urgent Care centers will open in Germantown and Rockville by the end of 2014 and in Laurel in early 2015. Additional locations are planned for the future.

Each Centra Care location will feature walk-in appointments as well as online reservations. The facilities also will feature on-site lab work, pharmacy, X-rays, EKGs, physicals and immunizations.

Explore: www.adventisturgentcare.com

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Centra Care, Adventist HealthCare Urgent Care centers will open in Germantown and Rockville by the end of 2014 and in Laurel in early 2015.

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ver the last few years, reform to the U.S. health care system has brought about many dramatic changes to hospitals and the care they deliver. Instead of just providing highquality care to the sick within a hospital, today’s health care professionals are focusing more on preventing disease and maintaining health among the entire population, while reducing costs. For Gaithersburg-based Adventist HealthCare, Montgomery County’s first and

Adventist HealthCare aims to improve health for employees while they are at work, ultimately boosting the population’s overall good health.

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PROMOTING HEALTH AT WORK

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Most people spend 40 hours per week—or a third of each weekday— at work. By improving health for employees while they are at work, businesses can save money and boost the population’s overall good health. To support this effort locally, Adventist HealthCare’s workplace wellness affiliate, LifeWork Strategies, has partnered with more than 300 businesses to provide education and wellness programs to employees.

Reducing the rates of chronic diseases, such as diabetes and hypertension, can help people live healthier and ultimately reduce overall health care costs for businesses.

“A healthier workforce lowers costs on health insurance premiums and lowers absenteeism and increases productivity,” says Mindy Pierce, director of LifeWork Strategies. LifeWork Strategies is a member of Adventist HealthCare and delivers integrated wellness and behavioral health programs to a wide range of businesses.

Explore: www.lifeworkstrategies.com

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irections Health

ystem als ghth care e and ts. For st and

in

largest provider of health care services, this change fits well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.

Care

PROMOTING COMMUNITY WELLNESS Adventist HealthCare’s rich history in community wellness is the perfect match to today’s changing health care system. In fact, Adventist HealthCare’s Center for Health Equity and Wellness works aggressively to raise awareness of community health needs and local disparities, improve access to culturally appropriate care and provide community wellness outreach and education.

“Our mission is focused on supporting Adventist HealthCare in implementing health equity and community wellness approaches that improve population health,” says Marcos Pesquera, executive director of the center. “By partnering with other organizations that share our mission, we are able to address social issues that impact health, extend the reach of quality health care services to our most vulnerable communities and provide the necessary resources to keep them healthy and well.”

The center’s array of health and wellness programs, and free community events and screenings, help expand access to valuable health care services reaching more than 60,000 residents each year.

Explore: www.adventisthealthcare.com/health/ equity-and-wellness

Programs, events and screenings help expand access to valuable health care services.

Health care providers are teaming up to enhance the patient experience, improve the total quality of care and lower health care costs.

COORDINATING CARE An accountable care organization (ACO) is a group of doctors and other health care providers who work together to coordinate integrated care for a population of people. The Mid-Atlantic Primary Care ACO LLC, managed by Adventist HealthCare, launched in January as one of the largest ACOs in the region. The physician-led partnership includes more than 1,000 health care providers who care for more than 14,000 Medicare patients.

“ACOs are at the center of care delivery, because they create more efficient and coordinated care, improving the total quality of care and lowering health care costs,” says Patrick Garrett, MD, senior vice president of physician integration, innovation and population-based care, and president of Adventist Medical Group.

Dr. Garrett is the chief administrator of the Mid-Atlantic ACO, whose participating providers are Adventist Medical Group, MedPeds LLC, Comprehensive Women’s Health, Doctors First, Wayne Meyer, MD, and George Washington Medical Faculty Associates Inc. “Patients whose providers have chosen to participate with the MidAtlantic ACO benefit from improved care coordination, because up-todate health information is shared across the continuum,” Dr. Garrett says. “This communication among health care service providers supports the physician in making sure patients receive high-quality care.”

Explore: 800-642-0101, www.adventisthealthcare.com/doctors

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Oh, Baby!

Shady Grove Adventist Hospital is the first in Maryland to earn an international designation for breastfeeding support

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reastfeeding has many benefits for both moms and babies, research has shown. However, support and guidance during the first days following birth are critical to begin and continue with breastfeeding long-term.

Earlier this year, Shady Grove Adventist Hospital became the first hospital in Maryland and one of only 179 in the U.S. to achieve BabyFriendly designation through the World Health Organization and the United Nations Children’s Fund. The Baby-Friendly Hospital Initiative is a global program that encourages and recognizes hospitals that offer an optimal level of care for infant feeding. Only 7.2 percent of babies in the U.S. are born in a Baby-Friendly designated facility.

For new and expectant moms, this means extra levels of support and education when they deliver at Shady Grove Adventist Hospital.

“Breastfeeding has numerous benefits for babies, including a lower risk of sudden infant death syndrome, diabetes, respiratory and ear infections, skin allergies and obesity later in life,” says Carol Chornock, RN, IBCLC, lactation coordinator at Shady Grove Adventist Hospital. “Our physicians and staff are trained and educated in helping new mothers get off to the best start for breastfeeding.”

All of Shady Grove Adventist Hospital’s breastfeeding classes are staffed by certified lactation consultants who specialize in the clinical management of breastfeeding.

Shady Grove Adventist Hospital offers extra support to help mothers initiate breastfeeding

within one hour of birth. The hospital also has a standard practice of “rooming-in,” which allows mothers and infants to stay together 24 hours a day.

“Baby-Friendly truly empowers the mother to be the best mother she can be, regardless of her choice in feeding,” Chornock says.

MAKING THE GRADE

For Prince George’s County High School English teacher Charis Mbugua of Clarksburg and her husband, Peter, manager of planning and market analysis for Adventist HealthCare, Shady Grove Adventist Hospital “made the grade” when they were deciding where to deliver their first child.

“I loved the atmosphere,” Mbugua says. “As soon as we finished the tour, I knew this was where we wanted to deliver.”

With daily breastfeeding classes for mothers in the hospital, weekday phone support and a free weekly support group, new parents like the Mbuguas have help every step of the way.

“I think new mothers are so overwhelmed with all the do’s and don’ts of parenting that it is so helpful to know you will have professionals guiding you and providing support before, during and after the birth,” Mbugua says.

In addition to being Baby-Friendly, Shady Grove Adventist Hospital has obtained gold-level Breastfeeding-Friendly Workplace recognition from the Maryland Breastfeeding Coalition, as well as the International Board of Lactation Consultants Care Award.

SUPPORT ACROSS THE SYSTEM

For moms in southern and eastern Montgomery County, Washington Adventist Hospital in Takoma Park, also a member of Adventist HealthCare, offers comprehensive breastfeeding classes and support at the hospital for new parents.

“Breast milk is the optimal food for infants, because it has the correct amount of protein and other nutrients to promote infant growth and development,” says Stacy Andrews, MD, Ob-Gyn at Washington Adventist Hospital.

“While breastfeeding is linked to benefits for babies, it is also associated with a decreased risk of breast and ovarian cancers for mothers.”

Both hospitals offer a full range of child care classes for expecting and new parents, including classes on childbirth, infant CPR and fatherhood.

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THE MBUGUAS SHARE THEIR BIRTH EXPERIENCE

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Visit blog.adventisthealthcare.com to read about Charis and Peter Mbugua’s birth experience and learn more about Shady Grove Adventist Hospital’s Baby-Friendly designation.

After Charis and Peter Mbugua toured Shady Grove Adventist Hospital, recipient of the World Health Organization’s Baby-Friendly designation, they knew right away they would deliver their child there.

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Be Still

My Heart

SEE HEART PATIENTS BACK AT WHAT THEY ENJOY

Atrial fibrillation threatened to slow down this former triathlete—that is, until the Washington Adventist Hospital experts restored his rhythm

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s a former triathlete and THE FIX husband to a profesAblation uses a thin wire called a sional runner, 61-yearcatheter to deliver heat energy to old Thomas Scott of specific areas of the heart in a safe, Rockville wasn’t used precise manner and can help eliminate to taking things slow. That changed the faulty electrical signals that trigwhen heart problems struck. ger a-fib.

Since 2012, Scott experienced what “Cardiac ablation is often the best he later learned was intermittent course of action for a-fib patients who Sean Beinart, MD atrial fibrillation (a-fib), the most comare younger and physically active,” mon type of arrhythmia, or abnormal heart Dr. Beinart says. “We agreed this was the best rhythm. “All of a sudden, my heart would begin option to help Tom maintain a high-quality, to race,” Scott says.

The condition is related to an issue with the heart’s electrical system that causes the two upper parts of the heart, also known as the atria, to quiver, or fibrillate. For Scott, these symptoms would usually last less than three hours and then disappear.

Visit blog.adventisthealth care.com to watch a video of former heart surgery patient Chris Barritt complete his first triathlon and see how others treated at Washington Adventist Hospital are flourishing.

active lifestyle without the negative side effects that can develop from medication.”

Since his successful ablation procedure at Washington Adventist Hospital in November, Scott has been back to enjoying mountain biking, weight lifting and cycling.

“I was back to working out within a few weeks!” says Scott, who has a lot to keep him going. “I’m married to an elite athlete, so I better stay in shape.”

WORSENING CONDITION

After further a-fib episodes resulted in multiple trips to the Shady Grove Adventist Hospital emergency room, Scott knew he needed to find a solution. Concerned, Marnie Bernard, PA-C, certified physician assistant working in the office of Jonathan Plotsky, MD, in Rockville, referred him to Sean Beinart, MD, electrophysiologist with Washington Adventist and Shady Grove Adventist Hospitals.

“I researched several area hospitals’ cardiac programs to compare my options,” Scott says.

A radio ad on WTOP persuaded him to visit Washington Adventist Hospital’s website, which at the time featured Guillaume Marçais, a local rock climber whom Dr. Beinart treated with an ablation procedure to correct his a-fib.

“I was immediately impressed by Dr. Beinart,” Scott says. “I knew he could fix me like he fixed the rock climber.”

Former triathlete Thomas Scott quickly got back to biking and other enjoyable activities—like keeping up with his wife, Patty, a professional runner—after treatment for an abnormal heart rhythm.

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The Once-a-Year Test

That Can

Save

Your Life

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f scheduling your yearly mammogram tends to slip off your to-do list, you’re certainly not alone. But the fact remains, you should make this invaluable exam a priority. According to the government’s Office on Women’s Health, a highquality mammogram plus a clinical breast exam performed by a doctor is the most effective way to detect breast cancer early.

Research shows that early detection saves lives. Women diagnosed with breast cancer at stage 1 (a low severity) have a nearly 90 percent survival rate, according to the American Cancer Society; women with stage 4 breast cancer (the highest severity), however, have a 15 percent chance of living another five years.

WHO NEEDS A MAMMOGRAM?

The American Cancer Society recommends annual mammograms for women starting at age 40. In addition, a clinical breast exam should be given about every three years for women in their 20s and 30s and every year for women age 40 and older.

Starting in their 20s, women should also conduct breast self-exams. Doctors may recommend some women with a family history of breast cancer, a genetic tendency or other factor be screened with MRI in addition to a mammogram.

“I believe every woman needs a screening protocol tailored to her individual health needs,” says Sonya Kella, MD, breast radiologist and medical director of the Shady Grove Breast Center. “Risk assessment and breast density evaluation play key roles in establishing a new standard of care. Women should talk to their doctors about risk factors and the right tests.”

WHAT’S ALL THIS TALK ABOUT ‘DIGITAL’?

Mammograms can detect changes in the breast that may be early signs of cancer but are too small or subtle to be felt. State-of-the-art digital mammography equipment uses high-resolution computers and specially designed digital detectors to produce the highest-quality images.

“With digital mammography, doctors can adjust the brightness, change contrast and zoom in for close-ups of specific areas of interest,” says Kristine Dettloff, MD, breast radiologist at the Shady Grove Breast Center. “Compared to older film-based systems, digital mammography can greatly reduce the need for image retakes, which potentially saves patients additional time in the exam room and reduces exposure to X-rays.”

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Call

SCHEDULE YOUR MAMMOGRAM TODAY Shady Grove Breast Center: 301-590-8999 Washington Adventist Hospital: 301-891-5053

COMING SOON

Adventist HealthCare will expand services in the community with the opening of the Adventist HealthCare White Oak Breast Center this fall under the leadership of Sonya Kella, MD, and Kristine Dettloff, MD. This full-service facility integrates screenings, diagnosis and treatment into one convenient location for our community. It’s just one more reason to choose Adventist HealthCare to help you live life well.

Visit www.washingtonadventisthospital.com/ breastcenter to learn more.

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Cancer Care,

Continued

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COMPLETE CANCER CARE Visit www.your cancerteam.com for more information on the Shady Grove Adventist Aquilino Cancer Center.

Aquilino Cancer Center’s healing touch extends with specialized therapy

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arbara Homon, 71, of Derwood, Md., is an inspiration to those she meets. After undergoing treatment for breast cancer in 2009, she developed lymphedema, a common side effect for cancer patients who have lymph nodes removed. She now works diligently to keep her lymphedema well-controlled by receiving regular therapy at the Shady Grove Adventist Aquilino Cancer Center. After experiencing many aspects of cancer care, she gives the rehabilitation services at the cancer center, which opened in November 2013, two thumbs up.

“The setting at the Aquilino Cancer Center promotes community among patients and their families,” Homon says. “I’ve been able to establish relationships with others who share a similar journey, and my husband loves the peaceful and inviting waiting area.”

A team from Adventist Rehabilitation Hospital of Maryland provides expert care to patients in the Aquilino Cancer Center. The specialized therapy can alleviate side effects from cancer treatment, like fatigue, pain, fibrosis and lymphedema.

“Cancer and its treatments, such as chemotherapy and radiation, can affect speech, occupational or physical abilities,” explains Jennifer Nulton, OTR/L, CHT, CLT, Homon’s lymphedema therapist.

“Rehabilitation helps minimize symptoms and improve quality of life.”

Quality of life is important to Homon, whose cheerful, upbeat nature is contagious. She says the Aquilino Cancer Center’s private rooms and dedicated therapists allow patients to comfortably talk about sensitive topics, like weight gain and how the lymphedema garments make them feel. Services and support groups are also available within the center to meet the emotional and spiritual needs of patients.

Homon’s latest round of therapy proved especially challenging, lasting five months. Yet, through it all, the Aquilino Cancer Center team provided the physical and mental support she needed.

“Jennifer kept me settled when I thought we were out of options,” Homon says.

TREATING LYMPHEDEMA

Lymphedema is a condition where lymph nodes are blocked or damaged, causing arms, legs or other body parts to swell. Some people are born with abnormalities of their lymphatic system. Others may develop lymphedema due to cancer treatment, injury, complications from obesity, circulatory problems or a parasite known as filariasis. There is no cure for lymphedema.

The most effective treatment, complete decongestive therapy (CDT), is offered in the Shady Grove Adventist Aquilino Cancer Center. CDT involves a combination of manual lymph drainage massage, shortstretch compression bandaging, exercise and skin care.

During phase one, CDT is performed daily until the reduction of fluid reaches a plateau. Phase two, the maintenance phase, involves self-management and compression garments.

Barbara Homon visits the Shady Grove Adventist Aquilino Cancer Center to receive treatment for lymphedema from Jennifer Nulton, OTR/L, CHT, CLT. B LO G . A DV E N T I S T H E A LT H C A R E .CO M |

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Living Healthy

HEART HEALTH Heart-Health Screenings with Medical Consultation 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, but please be sure to drink water to remain hydrated.

When: Wednesdays, Sept. 17 and Nov. 19, 8–10 a.m.

Where: SGAH, Birch Room When: Fridays, Sept. 26 and Nov. 14, 10 a.m.–noon Where: Rockville Senior Center, Health Room, 1150 Carnation Drive, Rockville When: Wednesday, Oct. 8, 10 a.m.–noon Where: Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg When: Thursday, Oct. 23, 8–10 a.m.

Where: WAH, Cafeteria Conference Rooms A&B

Visit www.helpstoptheflu.com for community flu shot clinic dates and times.

When: Tuesday, Oct. 28, 10 a.m.–noon Where: Mid County Senior Center, 2004 Queensguard Road, Silver Spring (new location)

SeptemberNovember 2014

Health and wellness classes, programs and activities for a healthy mind, body and spirit, brought to you by the Adventist HealthCare Center for Health Equity and Wellness.

Info: Call 800-542-5096; registration required; event subject to cancellation due to low registration

FREE, MONTHLY BLOOD PRESSURE TESTING Available at multiple locations throughout Montgomery County.

Info: Visit www.adventisthealthcare.com/ calendar or call 800-542-5096

CLASS LOCATIONS

The Adventist HealthCare Center for Health Equity and Wellness offers classes at numerous locations within the community, including the following. Visit www.adventisthealthcare.com/calendar for additional class/event locations.

SGAH Shady Grove Adventist Hospital 9901 Medical Center Drive, Rockville Paid parking

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ACC Aquilino Cancer Center 9905 Medical Center Drive, Rockville Paid parking

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

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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 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 Navigating Your Vascular Health Join us for free health screenings and more.

When: Sunday, Oct. 12, 1–4 p.m.

Where: WAH 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 Heart to Heart Support Group For patients and families.

When: Thursdays, Sept. 18, Oct. 16 and Nov. 20, 7–8 p.m.

Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville Women and Heart Disease Support Group For patients and families.

When: Thursdays, Sept. 18, Oct. 16 and Nov. 20, 11:30 a.m.–1 p.m.

Where: WAH, Cafeteria Conference Rooms A&B

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

When: Mondays, Sept. 8 and Nov. 10, 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: Monday, Oct. 13, 7–8 p.m.

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

Classes

REGISTER TODAY Online registration and payment options are now available for some programs.

Visit www.adventist healthcare.com/calendar or call 800-542-5096 for more information or to register.

Deep Vein Thrombosis and Pulmonary Embolism Support Group For patients and families.

When: Tuesday, Sept. 23, 6–7 p.m.

Where: SGAH, Willow Room Info: Call 240-826-6177 or email dvtpeinfo@ahm.com For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealth care.com/calendar or call 800-542-5096.

PRENATAL, FAMILY AND WOMEN’S HEALTH Prenatal Classes for Expecting Couples and Families A wide variety of maternal and child health classes is available through Shady Grove Adventist and Washington Adventist Hospitals. Expecting families will receive expert advice, support and education before and after the birth of their babies.

Classes include Childbirth, Breastfeeding, Grandparent, Fatherhood, and more. Online registration now available!

Info: Detailed descriptions and listings for locations are available by visiting www.adventisthealthcare.com/calendar or calling 800-542-5096 Lactation Services Lactation classes, consultation, breastpump sales and rentals, and breastfeeding support groups.

Info: Call 240-826-MOMS (6667) for SGAH or 800-542-5096 for WAH

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

When: Sundays, Sept. 7 and 21; Oct. 5 and 19; Nov. 9 and 23, 10 a.m.–noon When: Wednesdays, Sept. 10 and 17; Oct. 8, 15, 22 and 29; Nov. 12 and 19, 6–8 p.m.

Where: SGAH Cost: $40 per person, $55 per couple

Private Infant Safety and CPR Info: Call 800-642-0101 for details SUPPORT GROUPS • BEST breastfeeding • Discovering motherhood • The Latch Clinic: TLC for breastfeeding moms

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Living Healthy JOINT HEALTH Joint Replacement Class 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: www.adventisthealthcare.com/ calendar

YOUTH HEALTH Interested in Infant Safety and CPR? Multiple classes available, including BabySitting, CPR Companion to Baby-Sitting, Home Alone (prepares 8- to 11-year-olds and their parents for times when children will spend brief periods alone at home), and more.

Info: Visit www.adventisthealthcare.com/ calendar or 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

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 SUPPORT GROUPS • All cancers (ACC) • Breast cancer (ACC) • Caregivers (ACC) • Thyroid cancer (ACC) • Women’s lifestyle (WAH) For dates, times and locations, call 240-826-6297 (ACC) or 301-891-5559 (WAH).

NEUROSCIENCES 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 SUPPORT GROUPS • Brain injury • Stroke • Spinal cord injury For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealth care.com/calendar or call 800-542-5096.

HEALTH MAINTENANCE Diabetes Outpatient Education Programs This comprehensive, three-class series will help you learn how to better manage your diabetes with tips on self-care, eating right and more. Covered by most health insurances. Call your carrier to verify your coverage. A physician’s referral is required.

When: Monthly on consecutive Tuesdays, 6–9 p.m.

Where: SGAH Info: 301-315-3129 When: Day and evening classes available Where: Professional building next to WAH, Suite 350 Info: 301-891-6105

Prediabetes Class Learn how to manage prediabetes and prevent type 2 diabetes in this two-class series.

When: Alternate months at each location, Thursdays, 9:30–11:30 a.m.

Where: SGAH and WAH Info: Visit www.adventisthealthcare.com/ calendar to register for these FREE classes Nutrition Counseling Individual appointments and group sessions with a registered dietitian for management of high blood pressure, unhealthy cholesterol levels, diabetes and prediabetes, digestive problems, food allergies and other diagnoses. Nutrition counseling, or medical nutrition therapy, is a benefit covered by many health insurances. We will

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: Wednesdays, Sept. 10 and Nov. 5, 6–8 p.m.

Where: ACC Info: Call 240-826-6297 When: Monday, Sept. 8, 10 a.m.–noon Where: WAH, Radiation Oncology Info: Call 301-891-5559

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

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

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Adventist HealthCare Walking Club Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall Food Court Info: Visit www.adventisthealthcare.com/ walkingclub

verify that your insurance plan covers the cost of nutrition counseling prior to your initial appointment.

When: By appointment, Mondays through Fridays Where: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: Call 301-891-6105 to schedule an appointment When: First Monday of each month in the evening Where: AHC Cost: $85 Info: Call 800-542-5096 to register

Support Group Free group sessions open to anyone with diabetes or prediabetes.

When: First Tuesday of each month, 6–7 p.m.

Where: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: Call 301-891-6105 to RSVP 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.

Beginner and advanced levels available.

Beginner Level When: Wednesdays, Sept. 17–Nov. 5, 7–8 p.m.

Advanced Level When: Wednesdays, Sept. 17–Nov. 5, 8–9 p.m.

Cost: $80 Info: Call 800-542-5096 for location information and to register

Weight-Loss Surgery Informational Seminars When: Monthly on the first Thursday, 6:30– 8:30 p.m.; second and fourth Wednesdays, 6–8 p.m.; and fourth Sunday, 5–7 p.m.

Where: SGAH Cost: FREE Info: Open to all; contact Latasha Baxter at 240-826-5278 or lbaxter@adventisthealth care.com for room location and to register

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. For additional information, dates, locations and times, call 240-777-4999.

Holiday park Multipurpose Senior Center 3950 Ferrara Drive, Wheaton Healthy Living Lecture Series • 2014 Diabetes update When: Tuesday, Oct. 14, 1:15–2:15 p.m.

Info: 240-777-4999

Support GroupS Grief 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.

Where: SGAH Info: Call the Pastoral Care Department at 240-826-6112 or email jmufuh@adventist healthcare.com for more information and to register

Where: WAH Info: Call the Pastoral Care Department at 301-891-5265 for more information

Weight-Loss Surgery When: First four Thursdays of each month, 7–8:30 p.m.

Where: SGAH, Sycamore Conference Room Cost: FREE Info: Open to all; registration not required; contact Latasha Baxter at 240-826-5278 or lbaxter@adventisthealthcare.com for additional information others Adventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics.

• Alcoholics Anonymous • Amputee • Diabetes • Narcotics • Sickle cell anemia For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealth care.com/calendar or call 800-542-5096.

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).

HeartSaver Cpr and AED This American Health & Safety Institute CPR and AED program is designed for anyone in the community who wants to learn how to perform CPR on all ages. Book is included, along with two-year certification card.

When: Saturdays, Sept. 27, Oct. 25, Nov. 15, 9 a.m.–noon Where: SGAH Info: For additional information, dates, locations and times, visit www.adventist healthcare.com/calendar or call 800-542-5096 American Safety & 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. Threeyear certification.

When: Sept. 9, Oct. 8, Nov. 12, Dec. 8, 5:30–8 p.m.

Where: SGAH

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Adventist HealthCare, Inc. 820 W. Diamond Ave., Suite 600 Gaithersburg, MD 20878

non-profIt orG uS poStAGe

pA I D HeAltH & You

Frederick

Baltimore

3

Germantown

1

2

Poolesville

Gaithersburg

Burtonsville

Rockville 6

SHADY GROVE ADVENTIST HOSPITAL

Potomac

White Oak 7

Silver Spring Takoma Park

N

Greenbelt

WASHINGTON ADVENTIST HOSPITAL

E

S

8

4

5

W

Olney

Washington D.C.

9

Suitland

Camp Springs

Adventist Medical Group Primary Care & Specialty Offices

Shady Grove Adventist Hospital ................................................240-826-6000 Washington Adventist Hospital ..... ...........................................301-891-7600 1

Shady Grove Adventist Emergency Center ..................................301-444-8000

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Shady Grove Adventist Hospital Prenatal Program ....................... 301-444-8350

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Shady Grove Adventist Radiation Oncology Center - Germantown ..301-795-0064

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Shady Grove Adventist Radiation Oncology Center - Rockville ...... 301-309-6765

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Adventist Behavioral Health .......... ...........................................301-251-4500

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Adventist Rehabilitation Hospital of Maryland .............................240-864-6000

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The Reginald S. Lourie Center for Infants and Young Children .........3 01-984-4444

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Adventist Home Care Services Offices ........................................301-592-4400

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Adventist Behavioral Health - Eastern Shore ................................410-221-0288

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Find Physician by Find aa a Physician Physician by by Find phone or online: phone or or online: online: phone Call 1-800-642-0101 Call 1-800-642-0101 or or visit visit

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

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