Adventist HealthCare & You Magazine (Spring 2014) by Adventist HealthCare

Adventist

HEALTHCARE

& &YOU

MEMBERS OF ADVENTIST HEALTHCARE

One ‘Hip’ Mom

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

Ann McCoy of Rockville needed

her hip replaced at age 43. The former orthopedics nurse now rejoices in activities with her two young sons PAGE 6

Cancer Research Clinical trials come to Shady Grove Adventist Aquilino Cancer Center page 3

3 Diet Tips

This spring, renew your nutrition habits and improve your health page 4

Take Heart

When you call 9-1-1, a coordinated cardiac care team springs to action page 8

CLASSES AND EVENTS page 12

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Opening Thoughts

Swinging into Spring with Healthy Joints In the game of tennis, success involves the careful coordination of the mind and body to enable contact with the ball and send it across the net. In the spring, my tennis game moves back outdoors, allowing me to combine a sport I love with warm weather and the bloom of a new season. For some people, playing sports like tennis or golf—or even just walking—can be extremely difficult because of joint pain. According to the Centers for Disease Control and Prevention, up to 30 percent of adults suffer from joint pain. This debilitating condition can affect knees, hips, shoulders, elbows or other joints and can be caused by conditions such as arthritis or injuries. In our community, we are blessed to have some of the nation’s leading joint experts using the latest advances in joint care, including minimally invasive surgery and physical therapy. This issue of Adventist HealthCare & You introduces Ann McCoy, a mother who had her hip replaced at Shady Grove Adventist Hospital. Through the leading-edge, minimally invasive approach, she is now back to kickboxing and running with her young sons. We included other stories of joint care Share with Us ... at Adventist HealthCare facilities, which are nationally recognized for quality and feature some of the most expewhat inspires you rienced and well-trained joint experts in the region. to stay active! I hope you find time to enjoy the spring weather www.facebook.com/ while participating in a healthy, outdoor activity. adventisthealthcare If you are playing tennis or another sport, don’t forget to warm up those muscles and joints! Visit www.twitter.com/ www.adventisthealthcare.com/ortho to learn adventisthc more about Adventist HealthCare’s exceptional joint care services or to take a free joint pain assessment. www.youtube.com/ adventisthealthcare

blog.adventisthealth care.com

Features

Cover Story

Hip, Hip, Hooray! This mother of two (and former orthopedic nurse) needed a joint replacement at age 43. See why she was so impressed by her surgery and recovery. PAGE 6

5 Expanding Access to Primary Care

Adventist HealthCare is improving the health of underserved residents.

10 Keeping Score of

Concussions

A simple test helps doctors diagnose and treat this head injury in athletes. William G. “Bill” Robertson President and CEO, Adventist HealthCare

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

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

Q + A: Maternity Care

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. For permission to reprint any portion of this magazine, call 888-626-8779. If you wish to be removed from the mailing list, tear off the shipping label and mail it to Remove Me, PO Box 17910, Phoenix, AZ 85011, or go to www.acd.mcmurry.com.

MEMBERS OF ADVENTIST HEALTHCARE

This title is a component of the About Health product.

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Online

YOUR CONNECTION TO CLINICAL TRIALS

[EDIT: I gave readers a specific place on the site to go. “Health Tips” seemed to have some nice, well, health tips.] [cta - online] Get More Healthy Diet Tips Visit the Adventist HealthCare & You blog at blog.adventisthealthcare.com and click “Health Tips.”

[NOTE: Stat from FA10 masterbook.] [PREP/ART: Here’s a stat to consider, if it works out. ~mm] 355 Average number of calories we consume each day from added sugPatientsshould at the Shady Grove Adventistof Aquilino Cancer ars. (Women aim for a maximum 100, and men Center 150.) have access to clinical trials and multidisciplinary specialty clinics. Source: American Heart Association

Visit www.your cancerteam.com to learn more about the clinical trials and multidisciplinary clinics at the Shady Grove Adventist Aquilino Cancer Center.

The Future of

Fighting Disease The latest clinical research and collaborative care is at the Shady Grove Adventist Aquilino Cancer Center

t is the future of medicine and the hope for an end to disease. Clinical trials study the effectiveness and risks of medications as well as how patients respond to a new treatment. And now, with the support of the National Cancer Institute (NCI) at the National Institutes of Health, clinical trials are offered at the Shady Grove Adventist Aquilino Cancer Center. “We are proud to give our patients the opportunity to take part in the types of advanced research available at academic centers, right here in their own community,” says Mikhail Kalnitskiy, the NCI clinical research manager based at the Aquilino Cancer Center.

WIDE-RANGING RESEARCH

The research team at the Aquilino Cancer Center is running Phase I–IV clinical trials. According to the Food and Drug Administration, Phase I trials study whether a drug is safe. Phase II examines whether it works in patients. Phase III focuses on large groups of people to confirm effectiveness, monitor side effects and compare it with standard

treatments. Phase IV follows the treatment once it has gone to market to evaluate long-term use in a broader patient population. “These types of clinical trials give cancer patients access to the most innovative treatments to attack the disease,” says John Wallmark, MD, a medical oncologist at Shady Grove Adventist Hospital and one of the physicians who oversee the Aquilino Cancer Center’s clinical trials program. “They also contribute to important advances in diagnosing, treating and preventing cancer.”

ACCESS TO CANCER SPECIALISTS

In addition to clinical trials, patients at the Aquilino Cancer Center have access to multidisciplinary clinics for breast, lung and prostate cancers. These specialty clinics put the patient at the center of the decision-making process about treatment and care planning. Each clinic includes many cancer specialists: medical oncologists, radiation oncologists, surgeons, oncology-certified nurses, cancer care navigator nurses, an oncology dietitian and a social worker. Clinical trials and multidisciplinary clinics are just another way the Aquilino Cancer Center brings expert cancer care to people in Montgomery County. People who are interested in exploring clinical trials should speak with their cancer care physicians to see whether they are eligible to participate in this type of research.

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Online

Spring Clean Your Diet

GET MORE HEALTHY DIET TIPS

These three tips from a dietitian can help you get started

Visit the Adventist HealthCare & You blog at blog.adventisthealthcare. com and click “Health Tips.”

pring is the perfect time to clean up your diet by adopting new, healthy eating habits. Masha FoxRabinovich, outpatient dietitian at Washington Adventist Hospital, has three suggestions for renewing your nutrition and improving health.

1. DITCH DANGEROUS INGREDIENTS

Masha Fox-Rabinovich

• Scale back on added sugars found in items such as syrups, desserts and sweetened beverages. High sugar intake is linked to an increased risk for obesity, diabetes and heart disease. • Eat fewer highly processed foods such as chips, cookies and frozen meals, which can negatively affect blood pressure, cholesterol and glucose levels.

2. ADD NATURAL DETOXIFIERS

• Raise your glutathione levels by eating cruciferous vegetables (broccoli, cauliflower, cabbage, etc.), garlic, onions and avocados. A powerful antioxidant, glutathione helps the liver remove toxins, neutralizes free radicals and enhances immune function. • Increase dietary fiber. Regularly eat beans, lentils, vegetables, fruits and nuts/seeds. High-fiber diets help control or prevent type 2 diabetes, lower LDL (“bad”) cholesterol levels and improve digestion and bowel health. Adequate fiber intake improves overall diet by filling you up on more nutrient-dense, real foods, instead of calorie-dense foods that contain little nutrition.

3. ENERGIZE THROUGH HYDRATION

• Drink plenty of water. Water helps promote digestion, ﬂush out toxins from the organs and carry nutrients to your cells. • Squeeze lemon into a glass of water. Lemons are high in vitamin C and other antioxidants that help cleanse the liver.

8 in 10 4|

Number of American adults who are “weight conscious,” according to a 2010 survey by the Calorie Control Council.

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Expanding Access to

Primary Care

Adventist HealthCare works with a nonprofit group to improve the health of medically underserved residents

s part of its mission to improve the health of people in the community, Adventist HealthCare is staunchly committed to providing access to high-quality health care to all community members regardless of their ability to pay. Earlier this year, Community Clinic Inc. (CCI), a nonprofit, community-based health care agency serving residents of Montgomery and Prince George’s counties who are uninsured or underinsured, opened on Washington Adventist Hospital’s Takoma Park campus. Over the past few months, the clinic has helped to improve access to primary and preventive care for medically underserved local residents. The partnership between Washington Adventist Hospital and CCI has made it possible to specifically target, through discharge and transition planning, underserved patients at high risk for hospital readmission. The program, which is among the first collaborations in Maryland between a hospital and a federally qualified health center, reflects the growing change in Maryland and across the nation on how health care is delivered, linking patients with primary care providers and disease management specialists, with the goal of improving their health.

RESPONSE TO A NEED

“Having Community Clinic Inc. on the grounds of the hospital enables our caregivers to provide an unbroken transition from hospital to home for at-risk patients,” says Joyce Newmyer, president of Washington Adventist Hospital. “Patients have direct access to the clinic, where they can make appointments with a new primary care physician as soon as they leave the hospital.” Throughout the years, Washington Adventist Hospital has continued to be a regional leader in caring for the underserved.

In 2012, the hospital provided nearly $34 million in charity care and community benefit to those who would not otherwise be able to afford it. Community benefit consists of Washington Adventist Hospital’s programs and activities that provide treatment or promote health and wellness as a response to identified community needs.

“Patients have direct access to the clinic, where they can make appointments with a new primary care physician BRIDGING THE GAP as soon as they leave the In addition, the Adventist hospital.”

HealthCare Center for Health —Joyce Newmyer, President, Equity and Wellness, through Washington Adventist Hospital research, innovative training, partnerships, local outreach and services, allows Washington Adventist Hospital and other health care and community organizations to provide quality care to everyone by bridging the health care access gap and building health care equity for minority and underserved populations in the region. The new clinic brings a patient-centered medical home to the Takoma Park campus to provide needed medical care to high-risk populations. Notes Bill Flynt, MD, CEO of Community Clinic Inc., “By working hand in hand with Washington Adventist Hospital, we’re able to connect with people in need of follow-up care and help them stay on track to achieve optimal health.”

Call

HEALTH CARE FOR EVERYONE IN THE COMMUNITY

Call 301-891-6285 to schedule an appointment with Community Clinic Inc. in Takoma Park.

Visit www.adventisthealthcare.com/ about/community/benefit to see Adventist HealthCare’s community benefit by the numbers.

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Online

Hip, Hip,

Hooray!

ARE YOU EXPERIENCING JOINT PAIN? Visit www.shadygrove jointcenter.com to take a FREE joint pain assessment.

Joint replacement lives up to this nurse’s high expectations

hen you’re a former orthopedic nurse in need of a hip replacement, you know what to look for in a surgeon. You also have high standards for the hospital and its program. Ann McCoy, now 46, of Rockville says the Joint Replacement Center at Shady Grove Adventist Hospital makes the grade. Currently an oncology nurse at the National Institutes of Health, McCoy was only 43 when she needed a total hip replacement. Severe pain affected McCoy at work, where she walks up to 3 miles per shift. It also kept her from playing with her two young sons, Alex, 9, and Phoenix, 7. After extensive research, McCoy chose orthopedic surgeon Brett Hampton, MD, to direct her care. Rather than rush to surgery, the two first developed an approach to use conservative measures in managing McCoy’s pain. Explains Dr. Hampton, “Ann is younger than many of the joint replacement patients we see, so it was important to balance her pain-management needs with the long-term prognosis of replacing her hip. Prosthetic joints have a life span, and we wanted Ann’s new hip to last her for a long time.”

PREPARING FOR SURGERY

As the pain grew worse, McCoy realized it was time for surgery. To prepare, she and her husband, Doug, attended the joint replacement class at Shady Grove Adventist Hospital. “Even as an orthopedic nurse,” McCoy says, “I was so impressed with the class and instructor.” McCoy says the free class was helpful in setting clear expectations for her and her husband, as well as

29% 6|

ensuring that she understood the importance of her commitment to and involvement in recovery. Her surgery was a huge success, and she was equally impressed with the well-coordinated postoperative care she received at Shady Grove Adventist Hospital. McCoy started physical therapy the day of her surgery. One week later and using a walker, she made the half-mile round trip to walk her children to school. Six weeks after that, she was back to work. Playing tag with her boys a few weeks after surgery, she says, was the “absolute pinnacle.”

TWO YEARS LATER

It’s been two years now since the hip replacement, and McCoy still enjoys playing with her children. She’s also taken up kickboxing, martial arts and step aerobics. Through tears of gratitude, she says, “Dr. Hampton literally gave me my life back.”

A new hip allows Ann McCoy to stay active with her two sons, Alex (left) and Phoenix.

The percentage of U.S. adults who reported joint pain or stiffness in the previous 30 days, according to the Centers for Disease Control and Prevention.

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Complete © THINKSTOCKPHOTOS

Joint Care

A coordinated team guides you from surgery through full recovery

eed a joint replaced? Look no further than Adventist HealthCare, which offers a comprehensive system of coordinated care that supports patients as they move through the various stages of joint care. Whether you attend an informational class to help understand your joint options, get individualized care throughout your hospital stay or go to physical rehabilitation after surgery, Adventist HealthCare’s team of experts takes special care to ensure you get back on your feet quickly and safely. “Joint replacement surgery is life-changing for many patients, as they are able to regain activity in previously painful joints,” says Christopher Magee, MD, orthopedic surgeon at Washington Adventist Hospital. “This is why it’s vital to have a strong, coordinated support system, which we provide through our joint replacement program.” The Joint Replacement Centers at Shady Grove Adventist and Washington Adventist Hospitals, both part of the Gaithersburg-based Adventist HealthCare system, are made up of specially trained orthopedic surgeons, nurses, patient care technicians, physical therapists, occupational therapists and a patient educator. After surgery, Adventist HealthCare joint patients also have access to a coordinated, comprehensive system of joint care that includes inpatient and outpatient rehabilitation as well as inhome nursing care and physical therapy. “Rehabilitation for joint replacement patients begins the same day as surgery,” says Brett Hampton, MD, orthopedic surgeon and co-medical director of the Joint Replacement Center at Shady Grove Adventist Hospital. “To help our patients recover as quickly and fully as possible, it is optimal to have them immediately begin strengthening the joint and regaining muscle.”

AFTER SURGERY

People recovering from surgery who need additional rehabilitation after their hospital stay can receive inpatient or outpatient physical and occupational therapy through Adventist Rehabilitation Hospital of Maryland, which has a location in Rockville, adjacent to Shady Grove Adventist Hospital, and in Silver Spring, near Washington Adventist Hospital. The Adventist Rehabilitation Hospital of Maryland team offers a wide range of specialized therapies including balance training, joint mobilization, individualized exercise programs and wound care.

CARE AT HOME

After a hospital stay for joint surgery, some people require additional care, which can be provided within their homes. Adventist Home Care Services offers joint patients in-home nursing, physical therapy and other care to help them heal in the comforts of home. Specific services and therapies from Adventist Home Care Services include: • Home safety assessment • Fall prevention • Treatment for muscle weakness, joint range of motion and pain • Instruction in therapy exercises • Gait and balance training • Functional mobility and activities of daily living • Wheelchair seating and positioning assessment • Caregiver education • Energy-saving techniques • Joint protection instruction

Online

Brett Hampton, MD

Christopher Magee, MD

FIND OUT IF YOU COULD BENEFIT FROM JOINT REPLACEMENT SURGERY

Visit www.adventisthealth care.com/ortho to take our FREE online health risk assessment.

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Lifesaving in a Care Í

A r

Heartbeat After you call 9-1-1 for chest pain, know that a coordinated emergency team is springing into action

hen it comes to chest pain, shortness of breath or shoulder discomfort, one call can save a life. “If someone is having symptoms of a heart attack, they should not wait or try to treat it themselves. More importantly, they should not drive themselves to the hospital,” says Joel Buzy, MD, emergency room physician at Shady Grove Adventist Hospital. “Calling 9-1-1 is the quickest and most effective way to receive lifesaving treatment.”

TEAMWORK TAKES OVER

When a person experiences chest pain and calls 9-1-1, Emergency Medical Services (EMS) sends an emergency vehicle with staff trained in performing lifesaving procedures. Paramedics assess the person using an electrocardiogram (EKG) and send the results directly to the emergency room. This is used at local hospitals, including Washington Adventist Hospital in Takoma

Interventional cardiologist Michael Chen, MD, left, and emergency room physician Joel Buzy, MD, consult on a case at Shady Grove Adventist Hospital.

Park and Shady Grove Adventist Hospital in Rockville, both recognized for their exceptional care of chest pain patients by the Society of Cardiovascular Patient Care (SCPC). The experienced and coordinated emergency teams at Shady Grove Adventist Hospital or Washington Adventist Hospital then notify the chest pain team to prepare the cardiac catheterization laboratory, where a procedure can be performed to open the blocked artery.

“We have a well-coordinated system in place from the time that EMS first sees the patient to when the chest pain team performs a procedure,” says Drew White, MD, director of emergency medicine at Washington Adventist Hospital. “We are constantly reviewing cases with EMS and analyzing our process to look for areas of improvement.”

TIME IS OF THE ESSENCE

Washington Adventist Hospital was the first Maryland hospital to achieve accreditation as a Cycle IV Chest Pain Center with PCI (percutaneous coronary intervention, or angioplasty) from SCPC. A Cycle IV accreditation, the highest offered, emphasizes the importance of standardized diagnostic and treatment programs used for patients who have chest pain and other heart attack symptoms. Shady Grove Adventist is one of only two hospitals in the state to receive the Gold Performance Achievement Award four times in a row by the American College of Cardiology Foundation’s National Cardiovascular Data Registry ACTION Registry®-GWTGTM (Get With the Guidelines). To achieve this, hospitals must consistently meet guidelines for specific measures in caring for heart attack patients, such as how quickly a patient receives treatment.

“With a heart attack, time is muscle,” says Michael Chen, MD, interventional cardiologist at Shady Grove Adventist Hospital and medical director of the cardiac catheterization lab at Washington Adventist Hospital. “The quicker a procedure is performed to open a blocked artery for a patient, the better the outcome.” Calling 9-1-1 improves treatment speed and enhances medical supervision for the person, which improves his or her chances of recovery.

Online

GET ANSWERS ABOUT HEART CARE

Visit www.adventisthealthcare.com/heart to learn more about expert heart care at Shady Grove Adventist Hospital and Washington Adventist Hospital.

NATIONALLY RECOGNIZED CARE

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Not Just Another

DayÍPark at the

After suffering from heart trouble during a morning run, one Lanham man was saved—and restored

his past June, Sandra Roberts and Beatrice Yeawon, patient care technicians at Washington Adventist Hospital, began their morning with a routine walk around Lake Artemesia in College Park. On that particular day, however, their presence had a much greater impact Anees Ahsan, MD than they could have ever imagined. They turned a corner to find a jogger collapsed on the ground. Another bystander was already calling 9-1-1. “I immediately ran over to check on the man,” Roberts says. “After finding he had no pulse, I started doing CPR.” Roberts and Yeawon took turns administering chest compressions until an ambulance arrived to take the man to the Emergency Pirooz Mofrad, MD Department (ED) at Washington Adventist Hospital. The jogger was Jerry Farmer, a 56-year-old from Lanham who was suffering from sudden cardiac arrest, which generally occurs as a result of an electrical disturbance in the heart and prevents blood flow to the rest of the body. If not treated immediately, this condition can lead to sudden cardiac death.

“After locating three critical blockages in his heart arteries, we performed an angioplasty and placed three stents,” says Anees Ahsan, MD, interventional cardiologist at Washington Adventist Hospital. “This minimally invasive procedure uses a small balloon guided across a narrowing in the artery and inflates to unblock the artery, which very significantly reduces the possibility of the blockage returning.” To correct Farmer’s irregular heartbeat and prevent future episodes of cardiac arrest, Pirooz Mofrad, MD, electrophysiologist and medical director of electrophysiology at Washington Adventist Hospital, then inserted an implantable cardioverter defibrillator (ICD) within Farmer’s heart.

Online

HOW IS YOUR HEART? TAKE A FREE RISK ASSESSMENT Visit www.trusted heartcare.com to take a FREE heart health risk assessment and review your results with a nurse at Washington Adventist Hospital.

“The ICD is an electronic device used to monitor heart rhythm and delivers energy to the heart muscle to help it beat in a normal sequence,” Dr. Mofrad explains. “This device gives people with damaged hearts a second chance at a normal life.”

A GRATEFUL PATIENT

Now safely back to work, Farmer credits Roberts, Yeawon and the entire medical team at Washington Adventist Hospital for saving him. “The care was exceptional,” he says. “I can’t thank Beatrice and Sandra enough for saving my life,” Farmer adds. “Without their medical expertise, the outcome would have been very different.”

THREE BLOCKAGES

The next several days were critical for Farmer. Expert care and coordination between the ED and the intensive care unit helped to stabilize Farmer, and he fully regained consciousness. Farmer then underwent a cardiac catheterization procedure in an effort to identify the cause of his arrest. When Jerry Farmer suffered a cardiac arrest in College Park, Beatrice Yeawon (left) and Sandra Roberts administered CPR until medical help arrived. He credits them for saving his life.

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Keeping Score of Concussions

Test helps doctors diagnose and treat head injuries in student-athletes

s head injuries become an increasing concern in sports, Adventist Rehabilitation Hospital of Maryland is working with Montgomery County Public Schools (MCPS) to improve concussion diagnosis and treatment. The result of the partnership is a program, which began last fall, that requires all high school athletes to take a preseason baseline exam every two years Shital Pavawalla, using a computerized tool called ImPACTTM. PhD “ImPACT measures cognitive functions such as memory, processing speed and reaction time,” says Shital Pavawalla, PhD, neuropsychologist and clinical director of the Concussion Assessment and

28.7 million

Approximate number of students ages 8 to 17 who play organized sports. Some popular sports among boys and girls:

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Management Program at Adventist Rehabilitation Hospital of Maryland. “The baseline exam results can be compared with post-injury tests to aid in diagnosis and to help determine an appropriate treatment plan.” Adventist Rehabilitation Hospital of Maryland provides exams at 13 of the 25 Montgomery County high schools, testing more than 8,000 athletes this past school year. Next year, the hospital anticipates providing about 2,000 additional tests to freshmen and new athletes. In addition to the MCPS partnership, Adventist Rehabilitation offers a comprehensive concussion clinic for adolescents and adults, ages 14 and older, who have experienced a concussion injury from any trauma, including from sports, motor vehicle accidents or falls. Visit www.adventistrehab.com/concussion for more information.

FOOTBALL

40%

BASKETBALL

40%

BASEBALL

24%

BASKETBALL

25%

VOLLEYBALL

23%

SOCCER

17%

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Q+A: Q+A:Maternity Topic Name Care

Baby on the Way!

Experts answer common questions on pregnancy and maternity care

Kimberly Campbell, MD

Kathy Schaaf

Can I use a midwife when I deliver at the hospital?

What is “full term”? In 2013, the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine issued new definitions to explain the duration, or “term,” of a woman’s pregnancy. • Early term: 37 weeks, 0 days, to 38 weeks, 6 days • Full term: 39 weeks, 0 days, to 40 weeks, 6 days • Late term: 41 weeks, 0 days, to 41 weeks, 6 days • Post-term: 42 weeks, 0 days and beyond The guidelines were created in response to the trend of inducing labor or scheduling a cesarean delivery earlier than 39 weeks when not medically necessary. “Pregnant women should look at these deﬁnitions as guidelines, not rules, and keep an open dialogue with their doctor,” says Kimberly Campbell, MD, chair of the Department of OB-GYN at Washington Adventist Hospital. “Every pregnancy and labor is unique, but the underlying message is it’s best to let nature take its course unless there’s a medical reason not to.”

Online

TAKE A PEEK INSIDE THE BIRTH CENTERS

“Many expectant moms I work with are happy to learn they can use a midwife and deliver at Shady Grove Adventist Hospital,” says Kathy Schaaf, birth advisor at Shady Grove Adventist Hospital. “A midwife can be a great option for a woman looking for a very personalized, holistic approach to pregnancy, labor and delivery.” Shady Grove Adventist Hospital works with the certiﬁed nurse midwives at Midwifery Care Associates. Midwives work with other members of the health care team, such as physicians and nurses, to provide the highest-quality care. Schaaf explains that a midwife will encourage and support a woman’s desire to have an unmedicated birth experience and also offer guidance and knowledge if the birth plan changes along the way.

Will I be supported in my choice to breastfeed? “No matter how a mother chooses to feed her child, our team is here to support that mother and serve as a resource,” Schaaf says. In fact, for those who choose to breastfeed, the Birth Center at Shady Grove Adventist Hospital is on path to become one of the first “baby-friendly” hospitals in Maryland designated by the World Health Organization and the United Nations Children’s Fund. Hospitals must follow 10 steps to become baby-friendly and support all moms, including those who choose to breastfeed their babies. These steps include: • Helping mothers initiate breastfeeding within one hour of birth. • Practicing “rooming in” (keeping mothers and infants together 24 hours a day). • Training all health care staﬀ in the skills necessary to implement the breastfeeding policy.

Visit blog.adventisthealthcare.com to take a virtual tour of the Birth Centers at Shady Grove Adventist Hospital and Washington Adventist Hospital.

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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, April 23 and June 25, 8–10 a.m. Where: WAH When: Wednesday, May 21, 8–10 a.m. Where: SGAH When: Wednesday, April 30, 10 a.m.–noon Where: Damascus Senior Center, 9701 Main St., Damascus When: Wednesday, May 14, 10 a.m.–noon Where: Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg When: Wednesday, May 28, 10 a.m.–noon Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: Wednesday, June 11, 10 a.m.–noon Where: Marilyn J. Praisner Recreation and Community Center, 14906 Old Columbia Pike, Burtonsville

April-June 2014 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.

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

Adventist HealthCare health and wellness classes are offered 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 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, April 17, May 15 and June 19, 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, April 17, May 15 and June 19, 11:30 a.m.–1 p.m. Where: WAH

Internal Cardiac Defibrillator and Pacemaker Discussion Group Group discussion for patients and the families of patients with these devices. When: Monday, May 12, 7–8 p.m. Where: SGAH Info: Call 240-826-6662 Congestive Heart Failure Class and Discussion Group For patients and families. When: Mondays, April 14 and June 9, 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, June 24, 6–7 p.m. Where: SGAH, Willow Room Info: Call 240-826-6177 or email dvtpeinfo@ahm.com SUPPORT GROUPS • Congestive heart failure • Living with heart disease • Heart patient • DVT (deep vein thrombosis) 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, April 6 and 27; May 4, 11, 18 and 25; June 1, 8, 15, 22 and 29; 10 a.m.–noon When: Wednesdays, April 16 and 23, May 14 and 28, June 11 and 25, 6–8 p.m. Where: SGAH When: Saturdays, 9:30–11:30 a.m. Where: WAH Cost: $40 per person, $55 per couple

Private Infant Safety and CPR Info: Call 800-642-0101 for details

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 When: Monday, June 2, 10 a.m.–noon Where: WAH 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 if you are eligible

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

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

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

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 Meet with other women living with cancer and a professional esthetician to learn makeup tips so you can put your “best face forward” during and after treatment for cancer. You’ll have fun and receive a “personal tool kit” to take home. When: Wednesday, May 7, 6–8 p.m. Where: ACC Info: Call 240-826-6297

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SPRING 2014

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Advanced Level When: Saturdays, March 15–May 3, 10–11 a.m. Where: SGAH Short-Stay Unit Cost: $80 Info: Call 800-542-5096 for more information and to register

Adventist HealthCare Walking Club Includes free blood pressure screenings. When: Tuesdays, 8–9:30 a.m. Where: Westfield Montgomery Mall Info: Visit www.adventisthealthcare.com/ walkingclub 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 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: 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.

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 • Weight-loss surgery • 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.

Weight-Loss Surgery Informational Seminars Open to all. When: First Thursday and second and fourth Wednesdays of each month, 6–8 p.m.; fourth Sunday of each month, 5–7 p.m. Where: SGAH Cost: FREE Info: Contact Latasha Baxter at 301-977-6870 or lbaxter@ahm.com

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.

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

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. 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: April 8, May 6, June 9, 5:30–8 p.m. Where: SGAH

Beginner Level When: Saturdays, March 15–May 3, 10–11 a.m. Where: SGAH Short-Stay Unit B LO G . A DV E N T I S T H E A LT H C A R E .C O M |

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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

Germantown

Poolesville

Gaithersburg

Burtonsville

Rockville 6

SHADY GROVE ADVENTIST HOSPITAL

Potomac

White Oak 7

Silver Spring Takoma Park

Greenbelt

WASHINGTON ADVENTIST HOSPITAL

Olney

Washington D.C.

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

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

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

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

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

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

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

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

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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