Health & You Magazine (Winter 2014)

Adventist

HEALTHCARE

& &YOU

YOUR GUIDE TO H E A LT H Y L I V I N G WINTER 2014

MEMBERS OF ADVENTIST HEALTHCARE

Back on the Beat

Montgomery County police officers Edward Paden Jr. and James Lanham needed lifesaving heart care on the same day. They got it at Adventist HealthCare hospitals PAGE 6

Down 250 Pounds How life is different for a Frederick man after bariatric surgery page 4

Detecting Disease

Vascular ultrasound helps doctors identify serious conditions, noninvasively page 5

Uplifting News A safe and effective therapy to treat mental illness page 11

CLASSES AND EVENTS page 12

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

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Opening Thoughts

Skilled Hands, Thriving Hearts Our heart muscles perform the amazing task of moving blood through our bodies, into critical organs and other areas.

Essentially, our hearts are the foundation of our ability to live. Yet, our hearts can be incredibly fragile when they stop working. When this occurs, we depend on trained experts with skilled hands who have experience in healing our precious hearts.

At Washington Adventist Hospital in Takoma Park and Shady Grove Adventist Hospital in Rockville, we are blessed to have exceptionally skilled and experienced heart teams.

Whether their hands are performing open-heart surgery, using the latest approaches to minimally invasive heart care, inserting a catheter only minutes after a patient has arrived in the Emergency Department with a clogged artery, or holding the hand of a family member, these team members touch lives and heal hearts each day.

This annual heart edition of Adventist HealthCare & You shares some of the amazing stories of heart care in Adventist HealthCare facilities. Our teams helped two Montgomery County police officers return to their important work of keeping our community safe. We also helped a grandmother return to her vital role—caring for her family.

If you want to learn more about your heart, I encourage you to join us on Feb. 8, 2014, at the Fifth Annual Love Your Heart event at Westfield Montgomery Mall in North Bethesda. We will have Share with Us ... free heart screenings, heart education, healthy cooking demonstrations and more. This annual event how you like the allows our “hands” to improve the health of hearts in new magazine look! our community.

You can find more information on Adventist www.facebook.com/ adventisthealthcare HealthCare’s expert heart care, including videos with past patients and stories of our quality heart care, on our health blog at blog.adventisthealthcare.com. www.twitter.com/ adventisthc

In good health, www.youtube.com/ adventisthealthcare blog.adventisthealth care.com

Features

Cover Story

Protect and Serve These two police officers suffered heart attacks on the same day. See how their care teams responded. PAGE 6

4 Love and

(Weight) Loss Bariatric surgery gave one man confidence to start dating again.

10 40 Years Bringing

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

Historical milestones of Adventist Home Care Services.

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

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Editorial Team: Thomas Grant, Marisa Lavine Writers: Susan Griffiths, Danielle Lewald, Loren Nix, Lydia Parris, Jennifer Plaia, 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 1 © 2014 McMurry/TMG, LLC.

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Q + A: Carpal Tunnel Syndrome

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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, please tear off the shipping label and mail it to Remove Me, PO Box 17910, Phoenix, AZ 85011, or go to acd.mcmurry.com.

MEMBERS OF ADVENTIST HEALTHCARE

This title is a component of the About Health product.

Senior Production Manager: Laura Marlowe

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Q+A: Carpal Tunnel Syndrome

It’s All in the Wrist Orthopedic surgeons from the Joint Replacement Centers at Shady Grove Adventist and Washington Adventist Hospitals answer common questions about carpal tunnel syndrome

Lorne Weeks, MD

Steven Tuck, MD

What is carpal tunnel syndrome?

LORNE WEEKS, MD: The carpal tunnel is a canal in the wrist through which the median nerve and nine flexor tendons pass. The median nerve runs from the forearm into the palm and controls sensation to the thumb and index, middle and ring fingers. Flexor tendons control joint movement in the hands. Carpal tunnel syndrome, or CTS, results from a compression of the median nerve at the base of the palm.

What are the symptoms of CTS? STEVEN TUCK, MD: The most common initial symptoms of CTS include nighttime pain with numbness involving the thumb, index and middle fingers and sometimes the ring finger.

With time, numbness and tingling occur with use in the same four fingers—especially with gripping or squeezing such as when driving as well as when holding a book, a newspaper or a phone. Usually symptoms do not appear in the pinky finger. Pain will occur in the hand and fingers and radiate up the arm into the forearm and elbow as the problem worsens.

How does CTS develop?

DR. WEEKS: Predisposing factors for carpal tunnel syndrome include diabetes, hypothyroidism, gout, rheumatoid arthritis, pregnancy, obesity and heavy manual work frequently involving vibrating tools. Swelling of the nine flexor tendons within the carpal tunnel leads to compression of the median nerve.

Online

HEALTH INFO AT YOUR FINGERTIPS

Visit blog.adventisthealthcare.com to learn more about expert orthopedic care at Shady Grove Adventist Hospital in Rockville or Washington Adventist Hospital in Takoma Park.

What are the risk factors for CTS? DR. TUCK: There are complex causes of carpal tunnel syndrome. Internal risk factors include variations in the structure and function of one’s wrist. External factors include repetitive motion, forceful use of the hand, vibration and the position of the hand during use.

How can I reduce my risk for CTS? DR. WEEKS: Most patients sleep in a fetal position with wrists flexed, which compresses the median nerve at the level of the carpal tunnel.

Wearing a splint keeps the wrists extended and may prevent the development of carpal tunnel syndrome during sleep. Avoiding certain positions at night, such as sleeping on a side, helps reduce risk as well.

What treatment options are available?

DR. TUCK: Conservative measures include nighttime splinting, oral anti-inflammatories, occupational therapy and steroid injections. If pain and numbness continue or if studies demonstrate an interruption in the median nerve conduction, the patient may need surgery. This may include division of the carpal tunnel ligament through a small incision in the palm, which can be done either under direct vision or with a small telescopic-like device.

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Love and (Weight) Loss After dropping 250 pounds after bariatric surgery, one man finds romance and a renewed lease on life

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avid Muir would tell you that in losing more than 250 pounds he found his happy ending. The energetic 33-year-old Frederick resident is the father of three with another on the way. Yet, the future wasn’t always so bright.

In February 2010, Muir reached rock bottom. At 474 pounds, routine tasks like getting in the car, seeing a movie and shopping for clothes were nearly impossible. He had lost a job because of his weight and was recently divorced.

Believing he and his son deserved better, Muir took action.

He attended a free weight-loss surgery seminar at Shady Grove Adventist Hospital, where he heard about gastric sleeve surgery for the first time. On April 21, 2010, he underwent the procedure that changed his life.

Muir’s surgeon, Barry Greene, MD, bariatric medical director at Shady Grove Adventist Hospital, explains: “The sleeve gastrectomy was the best option for David, because it markedly decreases his hunger and allows him to feel full faster and stay full longer.”

The bariatric program at Shady Grove Adventist Hospital, recognized for its commitment to quality and patient safety by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery, includes exercise training, support groups, lifelong support and more. Muir made the most of these resources.

As Muir’s weight dropped, his confidence grew, so much so that four months (and 150 pounds!) after surgery, he gave a woman

his phone number—a first for him. They were married the following year, with Muir at a trim 181 pounds. In addition to two children from previous marriages, Muir and his wife, Jacki, had a child in December 2012. Their second child is due in January 2014.

Over the past three-and-a-half years, Muir has maintained his 250-pound loss. He and Jacki, who also had a sleeve gastrectomy at Shady Grove Adventist Hospital, say being active and practicing healthy eating habits is a family affair.

“Before my surgery, I had diabetes, high blood pressure, high cholesterol and life-threatening sleep apnea, and I didn’t even know it,” Muir recalls. “I’ve gained a new lease on life.”

This new approach was apparent on a recent family vacation when Muir spent hours on a ropes course accomplishing feats he never dreamed possible three short years ago. He says it was a defining moment in his new life.

Classes

READY TO EXPLORE WEIGHT-LOSS SURGERY? 4|

Register to attend a FREE seminar on the weight-loss surgery options available at Shady Grove Adventist Hospital. Visit www.shadygroveadventist hospital.com/bariatrics or call 240-826-5278.

Top: Jacki and David Muir on their wedding day Above: David Muir with his bariatric surgeon, Barry Greene, MD

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Video

VALUABLE RESOURCES ON VASCULAR SCREENING Visit www.shadygrove adventisthospital.com/ vascular for videos, tips, articles and more about the services at the Vascular Ultrasound Laboratory at Shady Grove Adventist Hospital.

Zahide Erkmen, MD, co-medical director of the Vascular Ultrasound Laboratory at Shady Grove Adventist Hospital, says the noninvasive ultrasound helps determine an effective treatment plan for conditions such as artery disease and blood clots.

Understanding

Ultrasound Quality, noninvasive vascular screenings save lives

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ascular conditions, such as artery disease and blood clots, affect millions of Americans, according to the Vascular Disease Foundation.

When left untreated, vascular diseases can lead to impaired mobility, decreased quality of life and, in severe cases, stroke, amputation, kidney failure or death. Rapid diagnosis and treatment of vascular conditions are key to limiting serious complications.

“Early intervention is vital to treating a vascular condition before it becomes more serious or life-threatening,” says Zahide Erkmen, MD, chief interventional radiologist and co-medical director of the Vascular Ultrasound Laboratory at Shady Grove Adventist Hospital. “A vascular

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ultrasound is a noninvasive way of diagnosing diseases of the arteries and veins.”

QUALITY VASCULAR CARE, CLOSE BY

The Vascular Ultrasound Laboratory at Shady Grove Adventist Hospital is fully accredited by the American College of Radiology. It also holds accreditations by the Intersocietal Accreditation Commission for its vascular testing in the areas of carotid, venous and arterial Doppler ultrasound. These accreditations represent the highest standards for certification in a vascular lab and reflect the hospital’s commitment to providing quality care.

Patients are either referred to a vascular

ultrasound lab by a physician or they come to the lab after going to the emergency department with severe symptoms of a vascular condition.

“Vascular conditions can occur in all age groups and for many different reasons,” Dr. Erkmen says. “While we offer testing for a variety of vascular issues, the most common ultrasounds that we perform are carotid and venous ultrasounds.”

DIFFERENT SCREENING FOR DIFFERENT CONDITIONS

Venous ultrasounds identify blood clots—most often in the legs—known as deep vein thrombosis.

Carotid ultrasounds detect narrowing caused by plaque buildup in the artery that feeds the brain.

“Once we perform an ultrasound, our expert team of vascular sonographers and specially trained radiologists is able to quickly interpret the images and detect the disease,” Dr. Erkmen says. “This allows us to determine an effective treatment plan so that we can improve the person’s quality of life and reduce the risk for serious complications.”

The Vascular Ultrasound Laboratory at Shady Grove Adventist Hospital also provides ultrasounds specific to other arteries or veins in the body as well as testing for conditions such as Raynaud’s, where a person’s extremities are always cold.

The number of Americans older than 50 who have peripheral arterial disease, a narrowing or blockage of arteries that carry blood to the legs and feet.

Source: PAD Coalition

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THE HEART OF GOOD HEALTH

Protect

and Serve

Medical teams at the ready save two police officers who have heart attacks on the same day

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n Sept. 10, 2012, dozens of Montgomery County police officers lined the halls of Shady Grove Adventist Hospital in Rockville. In Takoma Park, dozens more officers visited Washington Adventist Hospital. In an amazing twist, heart attacks sent two of their uniformed brothers to the hospital on the same day. They followed different paths, but both say they reached the same conclusion: Learn about your heart health.

A RACING HEART

“The triathlon masked the heart attack symptoms,” says Officer Edward Paden Jr. “Based on the amount of exertion, I should have been sweating. As for the discomfort in my chest, I knew I was getting over a cold.”

The 44-year-old Silver Spring resident pushed on and completed the 1.2-mile swim, 56-mile bike ride and 13.1-mile run on Sept. 9.

Still in pain the next morning, Paden visited his doctor, who immediately sent him to a cardiologist. An echocardiogram showed two heart attacks and a possible third about to occur.

A medical helicopter flew Paden to Washington Adventist Hospital, where an emergency catheterization found a 95 percent blockage in his lower anterior descending

artery. “If that artery had closed,” says interventional cardiologist Gregory Fisher, MD, “Mr. Paden would have had a major infarct,” which is inadequate blood flow to his heart.

Dr. Fisher placed a stent to open Paden’s coronary arteries, which supply blood to the heart.

“Given the fact he is young and otherwise healthy, placing a stent is less invasive and just as successful as bypass surgery,” Dr. Fisher says.

“He’ll never notice any decreased heart function.”

Dr. Fisher says Paden responded well and recovered quickly, due in part to the fact that he is in good shape.

Paden didn’t have a family history of heart disease. He exercised, didn’t smoke, and controlled his blood pressure and cholesterol. Doctors told him a plaque rupture brought on by stress caused his heart attacks.

“I never realized stress could be a killer,” Paden says.

It was not until Paden awoke in Washington Adventist Hospital’s Cardiac and Vascular Intensive Care Unit that he learned a fellow officer had also suffered a heart attack.

SKIPPING A BEAT

During a gym workout, Officer James Lanham felt some pain in his shoulder. Also suddenly tired, he decided to go home to rest. However,

Every 25 seconds

his watchful partner insisted Lanham go to the freestanding Shady Grove Adventist Emergency Center in Germantown.

Doctors there confirmed a heart attack. An ambulance rushed him to the catheterization lab at Shady Grove Adventist Hospital in Rockville.

Lanham’s heart stopped for the first time in the ambulance. “The next thing I remember is waking up at Shady Grove Adventist Hospital six days later,” the Gaithersburg resident recalls.

During that week, Dennis Friedman, MD, medical director of cardiac and vascular services at Shady Grove Adventist Hospital, managed Lanham’s care. “He came in with a massive heart attack, cardiac arrest and a 10 percent chance of survival,” Dr. Friedman says. “We placed a stent in his right artery and inserted a balloon pump to stabilize his vital signs, all during repeated cardiac arrest episodes. Within 24 hours, he made marked improvement.”

After the procedure, Dr. Friedman met with Lanham’s wife, Laura, also a Montgomery County police officer. Thirty more officers stood in the room to support the couple and their two daughters.

“It was like a big family,” Dr. Friedman says.

“Both officers had the complete support of their colleagues.”

The frequency that someone in the U.S. will have a coronary event such as a heart attack.

Source: American Heart Association

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Video

TAKE A VIRTUAL TOUR OF THE CENTER FOR FITNESS AND HEALTH Visit www.shadygrove adventisthospital.com/ cfh to watch a video tour of the Center for Fitness and Health at Shady Grove Adventist Hospital and see all the benefits of monitorede xercise.

Montgomery County police officers Edward Paden Jr. (left) and James Lanham needed expert heart care from Adventist HealthCare when heart attacks sent one to Washington Adventist Hospital and the other to Shady Grove Adventist Hospital on the same day.

Lanham and his wife say they felt the same type of support from the hospital. “We were surrounded by not only medical talent, but spiritual support. It was incredible,” Laura says.

“Even when it appeared my life had ended,” Lanham adds, “they continued to fight for me.”

BACK TO HEALTH

Both officers are back on the beat today, thanks to expert care from the heart teams at Washington Adventist and Shady Grove

Adventist Hospitals. Both are also enrolled in cardiac rehabilitation at the Center for Fitness and Health at Shady Grove Adventist Hospital.

The program benefits those recovering from a heart attack, heart failure or angina (chest pain) through monitored exercise, nutrition counseling, stress management and education, as well as emotional support.

According to Lanham, the team at the Center for Fitness and Health helped him improve his endurance through supervised exercise.

“I can’t say enough about the cardiac rehab team,” Lanham says. “They’re always checking on you and supporting you.”

Paden says the monitored exercise program is helping to get him back to racing form. As a first-aid trainer for Montgomery County Police, Paden is also sharing heart-health tips with new recruits.

“I tell them it’s not just about being physically fit; it’s about being mentally fit,” he says. “If you don’t have a hobby or outlet, find one.”

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THE HEART OF GOOD HEALTH

Care for the Heart, from the

Heart

Kris Quinn of Gaithersburg was back on her feet quickly after a minimally invasive heart procedure performed by Michael Chen, MD, interventional cardiologist at Washington Adventist Hospital.

An innovative treatment helps a busy grandmother recover quickly, in time for a big family event

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ris Quinn of Gaithersburg is certainly not your typical 71-year-old. A kitchen designer by day and professor by night, she has a lot to keep her busy. The cardiac team at Washington Adventist Hospital provided this active grandmother with an innovative, minimally invasive approach for her heart problems that helped her recover just in time for a long-awaited family wedding.

KNOWING THE SIGNS OF TROUBLE

Looking back, Quinn realized there were several signs of heart issues. She recalls one instance when she was chaperoning granddaughter Leanna’s class trip to the zoo. “I felt heavy pressure up my neck and down my arms,” she says. “I stopped for a couple of minutes, then kept walking, and the pressure went away.”

Two days later while mowing the lawn, she felt the same heavy pressure in her chest and decided to call her primary care physician, Carolyn O’Conor, MD. Very concerned, Dr. O’Conor arranged for Quinn to see a cardiologist as soon as possible.

Tools

DO YOU KNOW YOUR RISK FOR HEART DISEASE?

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Visit www.trustedheartcare.com to learn your heart age and to register to discuss your heart disease risk for FREE with a cardiac nurse.

Quinn insisted on Michael Chen, MD, interventional cardiologist at Washington Adventist Hospital. “My husband has been going to Dr. Chen for years, and we just adore him,” she says. “I knew I could trust him.”

A NEW APPROACH

A nuclear stress test determined that Quinn needed a cardiac catheterization procedure, which is used to identify the best treatment to restore blood flow to the heart. With her grandnephew’s wedding just one week away, Quinn was worried she wouldn’t be well enough to join her family for the celebration.

Dr. Chen explained that a minimally invasive approach known as a transradial catheterization, which involves inserting a thin, flexible wire through the wrist instead of the groin, would open up the blocked heart artery.

“Patients generally prefer this option, which enables them to be up and around much faster, experience less overall discomfort and have a quicker recovery,” Dr. Chen says.

Washington Adventist Hospital’s cardiac team performs thousands of cardiac catheterizations each year, and its cardiologists are regional leaders in the transradial approach.

During the procedure, Dr. Chen was able to successfully insert a stent, a small tube-shaped metal scaffold, into the heart artery to prevent it from closing and to restore blood flow to the heart.

BACK HOME AND CELEBRATING

“We were able to get Kris home the next day and safely on her way to the wedding,” Dr. Chen says.

“I feel wonderful. I didn’t even have a bruise on my wrist,” says Quinn, who is back to work and keeping up with her grandkids.

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e Date

Save th

WOMEN AND HEART DISEASE

Did you know that one in five women in the U.S. has some form of heart disease? In fact, heart disease claims more women’s lives each year than the next eight leading causes of death combined, including breast cancer.

Lower your risk for heart disease with a few simple steps such as avoiding tobacco, maintaining a healthy weight, controlling your cholesterol and blood pressure, and having regular checkups with your doctor.

Women may also experience slightly different symptoms than men when having a heart attack. Know the signs: • Chest pain or discomfort • Pain in shoulders, neck, jaw, arms or stomach • Shortness of breath, with or without chest pain • Unexplained dizziness or fainting • Unusual chronic fatigue • Nausea • Sweating • Swelling, especially in the ankles or lower legs If you experience any of these symptoms, call 9-1-1 immediately! Visit www.trustedheartcare.com to take a FREE online heart-health risk assessment and learn your risk for heart disease.

2014 Join Adventist HealthCare for the Fifth Annual Love Your Heart Expo on Feb. 8, 2014, at Westfield Montgomery Mall.

This free event will include hearthealth screenings, cooking and exercise demonstrations and talks by leading, local heart experts! Attendees will also have many chances to win prizes and giveaways, including the grand prize of an iPad. Visit www.adventisthealthcare.com/ loveyourheart for more information.

Coming Soon: Transradial Lounge As a trusted name for cardiac care, Washington Adventist Hospital is dedicated to providing the best for our patients.

Coming soon, the hospital will open a state-of-the-art Transradial Recovery Lounge for patients who undergo a transradial heart catheterization. This procedure allows doctors to use an artery in the wrist to gain access to the heart. The heart experts at Washington Adventist Hospital are regional leaders in this approach, providing patients with an option that is less painful and allows them to be mobile soon after the procedure. By relaxing in an upright lounge chair after their procedures, patients have a homelike environment and a comfortable setting for recovery. For help finding an expert heart doctor, call the Find-a-Doc Hotline at 800-642-0101.

Former Washington Adventist Hospital heart patient Kris Quinn, with daughter Ann and granddaughter Leanna

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Online

ARE YOU ELIGIBLE FOR HOME CARE SERVICES?

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eing surrounded by the comforts of home and family while healing can greatly lift a person’s spirits and ease recovery. Adventist Home Care Services, which is part of the Adventist HealthCare system, is honored to be celebrating its 40th anniversary of bringing healing home.

A dedicated team of skilled nurses, therapists, nursing aides and social workers provides home care services tailored to each patient’s specific needs, whether it is assistance with daily living activities or recovering after a hospital stay.

“Our goal is to provide compassionate, quality care that helps patients remain independent

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Answer a few questions at www.adventisthomecare. com to see if you might qualify and sign up for a FREE home care consultation with an Adventist Home Care Services nurse today. in their homes while facing a variety of health conditions and circumstances,” says Keith Ballenger, vice president of Adventist Home Care Services.

This past year, Adventist Home Care Services, one of the largest home care service agencies in Maryland, provided care to more than 6,000 patients.

HISTORICAL MILESTONES

1983: Expanded to offer nursing services and personal care for people who require assistance with daily living activities.

1995: Established a nursing referral service that

offers a cost-effective option for home nursing aide services.

2007: Accredited by the Community Health Accreditation Program, achieving nationally recognized standards of excellence in home care.

2012: Named one of the top 500 of the 2012 HomeCare Elite, a compilation of the topperforming home health agencies in the U.S., and was one of only two agencies in Maryland to achieve this level of recognition.

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Call

WANT TO KNOW MORE ABOUT THIS TREATMENT?

There Is Hope

To learn more about electroconvulsive therapy (ECT) at Washington Adventist Hospital, visit blog.adventist healthcare.com or call 301-891-5600.

Electroconvulsive therapy offers a safe and effective option for people who suffer from mental illness

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lthough many individuals suffer through occasional bouts of depression that can be managed by medication or other treatments, millions of people are affected by major depression, a debilitating mental illness that can prevent a person from participating in the activities of daily living.

According to the National Institutes of Mental Health, major depressive disorders affect approximately 14.8 million American adults, or about 6.7 percent of the U.S. population 18 and older, in a given year. Major depression is characterized by persistent feelings of sadness, helplessness, fatigue and worthlessness; suicidal thoughts; and a lack of interest in activities once enjoyed such as going to work, spending time with friends and participating in hobbies.

For people suffering from major depressive disorders, also known as severe depression, everyday tasks such as getting out of bed, eating

or taking a shower can seem overwhelming. The good news is that major depression is a manageable and treatable disease.

TIME TESTED

Electroconvulsive therapy (ECT) is a safe and effective form of treatment for adults suffering from major depression and other severe mental illnesses. ECT procedures are conducted in Washington Adventist Hospital’s state-of-theart surgical unit by a highly trained clinical team.

During an ECT treatment, patients are given general anesthesia and a muscle relaxant before electric currents are delivered to the brain, causing a mild seizure. The procedure lasts five to 10 minutes.

ECT has been used to treat severe mental illness in the U.S. since the 1940s. In the last 70 years, psychiatrists have made significant enhancements to the delivery of treatment and aftercare procedures. Today, ECT is provided to nearly 100,000 people annually. People

who receive treatment often include those who have not responded to traditional therapy and medication or those who cannot tolerate the side effects associated with psychotropic medication.

“One of the benefits of ECT is that it provides rapid stabilization of severe depression symptoms,” says Gebrehana Zebro, MD, a psychiatrist and lead for the ECT program. “Many patients often begin feeling relief and resume normal sleeping and eating habits after just a few treatments.”

CONSIDERATIONS

Before considering ECT, talk to your doctor to determine if you meet criteria for treatment. If your doctor recommends ECT, he or she must provide a complete medical examination, including a physical examination, a neurological examination, an electrocardiogram and blood work, to Washington Adventist Hospital before scheduling the procedure.

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Living Healthy or visit www.adventisthealth care.com/calendar

Body-fat analysis: Tests percentage of body fat; $10

Other locations: • Rockville Senior Center, 1150 Carnation Drive, Rockville, Fridays, Jan. 24 and March 28, 10 a.m.–noon • Longwood Senior Center, 19300 Georgia Ave., Brookeville, Monday, March 24, 10 a.m.–noon

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

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

December 2013March 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.

HEART-HEALTH SCREENINGS WITH MEDICAL CONSULTATION

Health Screenings Our comprehensive screenings and private, two- to four-minute personal consultations with licensed medical professionals are designed to help you understand and manage your specific health risks for heart disease and related conditions. Please note that

some screenings require a fee and fasting, but please be sure to drink water to remain hydrated.

When: Wednesdays, Jan. 15 and March 19, 8–10 a.m.

Where: SGAH When: Wednesday, Feb. 26, 8–10 a.m.

Where: WAH Cafeteria Conference Rooms A&B Info: For information on room locations, call 800-542-5096

Screening Description and Fees Lipid profile: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fasting recommended); $35, $31 for seniors (55-plus); only order this or the expanded cholesterol test Expanded cholesterol test: This VAP (vertical auto profile) includes all of the lipid profile plus information that can help identify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profile test Homocysteine: Vascular fitness test; $95 HsCRP: Tests high-sensitivity C-reactive protein for cardiovascular risk; $45 Blood pressure monitoring: FREE Glucose: Basic screening for diabetes (12 hours of fasting recommended); $8 A1c: Blood sugar test for known diabetics or those at high risk; $40 PSA (prostate-specific antigen): Prostate cancer screening test for men; $40

Free, Monthly Blood Pressure Testing When: First Wednesday of each month, 10–11:30 a.m.

Where: Damascus Senior Center, 9701 Main St., Damascus When: Second Tuesday of each month, 10–11:30 a.m.

Where: Mid County Community Recreation Center, 2004 Queensguard Road, Silver Spring When: First Monday of each month, 10 a.m.–noon Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: Second Monday of each month, 10 a.m.–noon Where: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring When: Third Tuesday of each month, 10–11 a.m.

Where: Tower Oaks Apartments, 101 Odendhal Ave., Gaithersburg When: Third Wednesday of each month, 11:30 a.m.– 1:30 p.m.

Where: SGAH Cafeteria

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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When: Fourth Wednesday of each month, 9:30–11:30 a.m.

Where: Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg When: First Thursday of each month, 11:30 a.m.–1:30 p.m.

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

Where: New location!

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

CANCER PROGRAMS

At Shady Grove Adventist and Washington Adventist Hospitals, cancer care navigation teams assist people living with cancer, their families and friends, and caregivers. The navigation teams consist of professionals who can provide guidance through diagnosis, treatment and survivorship.

Info: Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) to speak to a member of the cancer care navigation team

Look Good ... Feel Better 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, Feb. 5, 6–8 p.m.

Where: ACC Info: Call 240-826-6297 When: Mondays, Dec. 2 and March 3, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

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.

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

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

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

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

Featured Class

Expecting? Expect to Be Expecting?

Many maternal/child health classes are available at Shady Grove Adventist and Washington Adventist Hospitals.

Parents-to-be and siblings-to-be get expert advice, support and education both before and after the birth of your baby. Detailed descriptions and listings for locations are available online at www.adventisthealthcare.com/ calendar or by phone at 800-542-5096.

Call

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

SGAH: 240-826-MOMS (6667) WAH: 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

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Living Healthy coverage. A physician’s referral is required.

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

Where: SGAH Info: Call 301-315-3129 for dates and locations

Special Event

Love Your Heart 2014

Join us for our Fifth Annual Love Your Heart Expo for FREE heart health screenings, cooking and exercise demonstrations, and talks by leading local experts.

When: Saturday, Feb. 8, 11 a.m.–3 p.m.

Where: Westfield Montgomery Mall Info: Visit www.adventisthealth care.com/loveyourheart for more information CARDIAC & VASCULAR EDUCATION

Introduction to Cardiac Rehabilitation and EECP Treatment for Chest Pain Info: For an appointment, call the Center for Fitness and Health at Shady Grove Adventist Hospital at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016 Cost: FREE Heart to Heart Support Group For patients and families.

When: Thursdays, Jan. 16, Feb. 20 and March 20, 7–8 p.m.

Where: SGAH Women and Heart Disease Support Group For patients and families.

When: Thursdays, Jan. 16, Feb. 20 and March 20, 11:30 a.m.–1 p.m.

Where: To be determined Internal Cardiac Defibrillator and Pacemaker Discussion Group Group discussion for patients and the families of patients with these devices.

When: Mondays, Jan. 13 and March 10, 7–8 p.m.

Where: SGAH Info: Call 240-826-6662 Congestive Heart Failure Class and Discussion Group For patients and families.

When: Monday, Feb. 10, 7–8 p.m.

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When: Day and evening classes available Where: WAH Info: Call 301-891-6105 for dates and times

Where: To be determined Info: Call 240-826-6662

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

When: Tuesday, March 25, 6–7 p.m.

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

DIABETES PROGRAMS & NUTRITION COUNSELING

Diabetes Outpatient Education Programs This comprehensive, threeclass 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

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

When: Consecutive Thursday mornings, 9:30–11:30 a.m.

Where: SGAH and WAH Info: Visit www.adventist healthcare.com/calendar to register for these FREE classes Nutrition Counseling Individual nutrition counseling. Appointment duration is one hour.

When: First Monday of each month in the evening Cost: $85 Info: Call 800-542-5096 to register

FITNESS & WEIGHT MANAGEMENT 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.

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@adventisthealth care.com

Come to class with an empty stomach. Wear sneakers and loose clothing.

Beginner Level When: Saturdays, Jan. 11– March 1, 10–11 a.m.

Where: To be determined Cost: $15 per class; $80 per session Advanced Level When: Saturdays, Jan. 11– March 1, 11 a.m.–noon Where: SGAH Short-Stay Lobby Cost: $15 per class; $80 per session Info: Call 800-542-5096 for more information and to register

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

When: Business meeting on second Tuesday of each month, 7:15–9 p.m.

Cost: FREE Info: Call Jackie at 301977-6870 or Maribeth at 301-946-5496, or email gammie0612@verizon.net; visit www.sugarloafers.org

Featured Class

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

OSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards, lifeguards and those who want to help in the community with emergencies and disasters. Three-year certification.

When: Jan. 14, Feb. 12 and March 11, 5:30–8 p.m.

Where: To be determined

WINTER 2014

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Adventist HealthCare Walking Club Includes free blood pressure screenings.

When: Tuesdays, 8–9:30 a.m.

Where: Westfield Montgomery Mall Info: Visit www.adventist healthcare.com/walkingclub 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

YOUTH HEALTH & EDUCATION

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

When: Sundays, Jan. 19 and 26; Feb. 2, 9, 16 and 23; March 2, 9, 16, 23 and 30; 10 a.m.–noon When: Wednesdays, Jan. 29, Feb. 12 and 26, March 12 and 26, 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 Baby-Sitting This two-session class for boys and girls ages 11 to 15 covers accident prevention and basic care for infants and children. Both sessions required for certificate.

When: Saturdays, Jan. 11 and 18, Feb. 8 and 15, March 15 and 22, 10 a.m.–noon Where: SGAH Cost: $35 per person

Teen CPR Companion to Baby-Sitting Rescue breathing, CPR skills, use of automated external defibrillator and management of choking for all ages.

When: Saturdays, Jan. 25, Feb. 22, March 29, 2–5 p.m.

Where: SGAH Cost: $60 per person ($10 discount when taken with baby-sitting class) Home Alone Prepares 8- to 11-year-olds and their parents for times when children will spend brief periods alone at home. Children must attend with a guardian.

When: Saturday, March 29, 10 a.m.–noon Where: SGAH Cost: $15

ORTHOPEDIC CLASSES

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.adventisthealth care.com/calendar

SUPPORT GROUPS Adventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics: • Congestive heart failure • Living with heart disease • Heart patient • Alcoholics Anonymous

• • • •

Amputee Brain injury Diabetes DVT (deep vein thrombosis) • Weight-loss surgery • Stroke

• • • • •

Narcotics Sickle cell anemia Spinal cord injury BEST breastfeeding Discovering motherhood

For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealthcare.com/calendar or call 800-542-5096.

CANCER SUPPORT GROUPS

Three cancer support groups offering opportunities to meet people facing similar challenges are available at Adventist HealthCare.

Members share experiences with cancer, offer practical advice and emotional support, and gain a sense of empowerment and control.

The following cancer groups are currently meeting: • All cancers (ACC) • Breast cancer (ACC) • Caregivers (ACC)

• Thyroid cancer (ACC) • Women’s lifestyle (WAH)

Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) for dates, times and locations.

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.

Holiday Park Multipurpose Senior Center 3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Thursday, Feb. 13, 1:15–2:15 p.m.

• Current Surgical Update on Managing Heart Disease Info: 240-777-4999

GRIEF SUPPORT GROUPS

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.

Info: Call 240-826-6112 or email jmufuh@adventist healthcare.com for more information and to register

Shady Grove Adventist Hospital • Holiday Grief Support Group A time through sorrow to celebrate and honor treasured memories of your loved one Saturday, Nov. 30, 3–5 p.m.

Washington Adventist Hospital Call the Pastoral Care Department at 301-891-5265 for more information

• Journey Through Your Goodbyes Six-week mutual support group to reflect on the journeys through hurts caused by goodbyes and the anxieties encountered by change (loss of job, financial change, end of a friendship, extended illness, death) Saturdays, Feb. 8–March 15, 3–5 p.m.

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.adventistlife support.com or call 240-826-CORE (2673).

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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

2

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

3

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

4

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

5

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

6

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

7

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

8

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

9

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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