YOUR GUIDE TO LIVING WELL SPRING 2018
THRIVING
AFTER STROKE
Stories of Young Survivors — Page 4
CLASSES & EVENTS PAGE 7
NEWS BRIEFS
HEART PROGRAM’S CATH LAB RECEIVES NATIONAL RECOGNITION
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Adventist HealthCare Shady Grove Medical Center was honored this year as one of only two hospitals in the United States to hold the distinction of Cath Lab Accreditation with PCI from the American College of Cardiology (ACC). The ACC awarded the accreditation after a rigorous on-site study of the hospital’s ability to evaluate, diagnose and treat patients. The cardiac catheterization lab uses multiple techniques to offer heart patients highquality results with little to no recovery time. One type of minimally invasive approach involves cardiac catheterization, which uses a long, thin tube, or catheter, to diagnose or treat heart conditions. Another option involves percutaneous coronary intervention (PCI), also referred to as coronary angioplasty. This nonsurgical procedure opens coronary arteries with a balloon to relieve symptoms of heart disease or reduce heart attack damage. “We are honored to be recognized by the American College of Cardiology for the work being done in Shady Grove’s cath lab,” said Vice President Mary Greenberg, who oversees the hospital’s cardiac program. “This certification represents our cardiac team’s commitment to providing the best care for our patients so they have the best outcomes.” Visit AHCYou.com/SP18Cardiac for more information about our nationally recognized cardiac programs.
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ADVENTIST HEALTHCARE IMAGING OPENS NEW OFFICE
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TABLE OF CONTENTS
H eart Surgery Patient Shares Advice
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Strokes Can Strike at Any Age Breathe Easier this Spring & Summer Living Healthy
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Setting the Menu for a Healthy,
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Finding Time to Exercise
Flavorful Cookout as a New Mom
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To learn more, visit AHCYou.com/SP18Imaging.
for Staying Active
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Adventist HealthCare Imaging welcomes the former Precision Imaging in North Bethesda as its newest location. The office, now called Adventist HealthCare Imaging, has served the community with high-quality care since 2003. As part of Adventist HealthCare, the facility offers patients benefits such as new equipment, updated space and specialized imaging services including PET/CT and MRI. Roberto Soto, MD “We are committed to providing the community with expert care and the latest technology that will help patients on their journey to better health,” said Roberto Soto, MD, radiologist with Adventist HealthCare Imaging in North Bethesda.
Active Seniors – Active Lives
Recognizing Signs of Anxiety Disorder in Teens
G iving Thanks for the Chance to Run Beyond Cancer
SPRING 2018
DANCE YOUR WAY TO HEALTH!
Take the work out of your workout with Adventist HealthCare’s FREE Zumba class. Join us each Tuesday from 7–8 p.m. on the Fountain Plaza in Downtown Silver Spring. Zumba is a fun, low-impact cardiovascular activity for people of all ages and fitness levels. Classes begin in May and continue through September, as weather permits. Please bring water to stay hydrated. No registration necessary. Join us on Facebook to get regular updates about Zumba: Facebook.com/AdventistWAH.
HEART HEALTH
Heart Surgery Patient Shares Advice for
STAYING ACTIVE
spring turns into summer, Chris Barritt, 64, often hops on his bicycle for a scenic ride. You’d never guess that seven years ago, he had open-heart surgery at Adventist Healthcare Washington Adventist Hospital to remove a life-threatening tumor. “I wouldn’t be here today, and certainly wouldn’t be tackling long bike rides, without the heart team at Washington Adventist Hospital,” Chris said. “My surgeon and nurses were truly concerned about my care and my health.” Since his surgery, the Mount Airy, Maryland, resident has completed four sprint triathlons, a 56-mile bicycle ride and a cross-country motorcycle trip. “What we hope is that going through heart surgery will encourage patients to focus on their health and a healthy lifestyle,” said Paul Massimiano, MD, Chris’ heart surgeon. “Chris is a great example of someone who took advantage of the experience and turned it into a positive motivator.” Chris offers tips on how to stay active and motivated.
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WHAT IS YOUR ADVICE TO SOMEONE WHO HAS HAD HEART SURGERY? • Consult your doctor first to help set realistic fitness goals • Join a gym or health club • Exercise with a friend
HOW OFTEN DO YOU EXERCISE? • At least two days of cardio exercise each week, like cycling outdoors, indoor spin class or swimming • Two days of strength training per week • Walking our dogs twice daily
WHAT KEEPS YOU MOTIVATED? • Being able to play, hike and travel with my four grandchildren • Feeling great mentally and physically • Boosting my overall endurance • Staying physically fit
Seven years after open-heart surgery at Washington Adventist Hospital, Chris Barritt can ride his bike 56 miles and compete in sprint triathlons.
For others looking to get in shape after heart surgery, Chris stresses patience. “When I first started cycling, I would be exhausted after an eight-mile, flat ride. Now I ride 18-plus miles with hills a couple of times a week,” Chris said. “It’s never too late to improve your physical health, no matter how fit you are.”
Do you exercise enough to stay heart healthy? Find out with our easy heart risk assessment at AHCYou.com/SP18Heart. AHCYOU.COM/SP18
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PATIENT PROFILE
STROKES CAN STRIKE AT ANY AGE ANY think of stroke as a disease that strikes when we’re older, but it can – and does – happen at any age. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or ruptures. If you think someone may be having a stroke, it’s essential to recognize the symptoms and act fast. In fact, FAST is the acronym for spotting and treating stroke symptoms: Face drooping, Arm weakness and Speech difficulties mean it’s Time to call 911 immediately. You should not assume a person can’t be having a stroke because he or she isn’t elderly. There really is no typical stroke patient, according to Terri Marshall, RN, stroke program coordinator at Adventist HealthCare Shady Grove Medical Center. “In the past five years, we have treated patients ranging in age from 19 to 103,” Terri said. “And 38 percent of our stroke cases occur in people younger than 65.” In young and middle-age adults, strokes happen for a variety of reasons. From undiagnosed birth defects to chronic conditions like diabetes and high blood pressure, the risk factors for stroke have no age limit. Just ask two young parents who were rushed to Adventist HealthCare hospitals – facilities that have received the American Stroke Association’s Gold Plus Achievement honor – after suffering strokes.
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Erica Burns, 41, is back to working out thanks to the stroke team at Adventist HealthCare Shady Grove Medical Center.
FITNESS INSTRUCTOR TRUSTS SHADY GROVE FOR CARE
RISK FACTORS Eighty percent of strokes are preventable, according to the American Stroke Association. If you have one or more of these risk factors, it’s important to speak to your doctor. • Obesity • High blood pressure • Smoking • Diabetes • Irregular heart rhythm • High cholesterol (atrial fibrillation)
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SPRING 2018
It was a morning just like any other. Erica Burns, 41, from Gaithersburg, got her three kids off to school and went to LA Fitness, where she is a spin instructor. But on her bike during the warmup for class, Erica felt her whole world begin to spin. She pushed through the class, but as she dismounted her bike, she realized she was too dizzy to walk. Soon after, she began vomiting and a co-worker called an ambulance. Erica arrived at Shady Grove Medical Center, where emergency teams began to treat her for vertigo and administer fluids. Vijaya Kommineni, MD, a hospitalist with Shady Grove, told
Erica that despite her young age, he wanted to do an MRI to spot any evidence of a stroke. “I had no real risk factors; my blood pressure and cholesterol were normal. I’m a fitness instructor,” Erica said. “However, I knew something was wrong. I was scared.” Just 20 minutes after Erica’s MRI, Dr. Kommineni came to her room to confirm that she had experienced a stroke. “I couldn’t believe it,” Erica said. “The only thing that made it real was the look on my husband’s face.” Erica‘s care team conducted a full evaluation and discovered a hole in her heart which had likely been there since birth. “It’s actually quite common, but I had the unfortunate luck to have a blood clot pass through.” After Erica was discharged, she began a baby aspirin regimen. Because she was already eating well and exercising regularly, she did not have to make any major lifestyle changes. Just two weeks later, Erica was back to teaching spin class. “My care team at Shady Grove gave me a great piece of advice, and that is to listen to your body,” Erica said. “If something doesn’t feel right, call your doctor or call 911 and go to the hospital.”
Jean and one of his Adventist HealthCare Rehabilitation therapists, Lynda Hiponia, work together to meet his rehabilitation goals.
REHAB GIVES HOPE TO YOUNG PATIENT One Friday morning in 2017, 34-year-old Jean Ngueleu began having intermittent headaches. The pain continued until Sunday morning, when he watched his toothbrush fall out of his hand as he brushed his teeth. Jean realized the right side of his body had gone numb. His wife, Diane, noticed something was wrong and called 911. Paramedics brought Jean from his Hyattsville home to the Emergency Department at Adventist HealthCare Washington Adventist Hospital. There, doctors discovered he had suffered a hemorrhagic stroke, which is caused by bleeding in the brain. Jean’s history of hypertension was one of the risk factors that led to his stroke. After a week of specialized care from the Washington Adventist Hospital medical teams in the Intensive Care Unit and Intermediate Medical Care Unit, Jean began therapy at Adventist HealthCare Rehabilitation’s inpatient program. “Jean, who was expecting his first son with his wife, could not walk or talk when he first came to Adventist Rehabilitation,” said Inder Chawla, MD, medical director at Adventist Rehabilitation in Takoma Park. His treatment plan included intensive occupational, speech, recreational and physical therapy. Within two weeks of starting rehabilitation, Jean regained his ability to walk and talk. After his stroke, Jean knew there would be challenges ahead. “I remember thinking one of my biggest challenges would be driving again. I didn’t know if I’d ever be able to.” However, because of his care, he was able to regain his ability to drive independently.
Jean is very thankful for the care he received from his doctor, nurses and therapists. “Everyone was always there when I needed them,” he said. “I would give five stars to everyone there [at Adventist Rehabilitation] for everything they did for me.” Less than a week after he was discharged from Adventist Rehabilitation, he returned to Washington Adventist, but this time for a different reason – the birth of his son. Today, Jean and Diane enjoy keeping up with their active 8-month-old boy, Karl (pictured on cover).
To learn more about Adventist HealthCare Rehabilitation’s nationally accredited stroke and other rehabilitation programs, visit AHCYOU.com/SP18Stroke. AHCYOU.COM/SP18
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HEALTH Q&A
Richard Samuel, MD, explains how a nebulizer helps open the airways when they become constricted due to exposure to pollen and other airborne allergens.
Breathe Easier THIS SPRING & SUMMER ARM weather brings many changes – including to the air we breathe! Richard Samuel, MD, medical director for Adventist HealthCare Urgent Care, offers his advice to protect your respiratory and long-term health when the days heat up.
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How can summertime air quality Q: affect our health? DR. SAMUEL: Warm weather usually brings increased levels of pollution and airborne allergens, like pollen, which can irritate your airways and make it difficult to breathe. These changes can trigger allergies and asthma symptoms, such as wheezing and coughing. Children, older adults and those with allergies and asthma are especially sensitive to these environmental changes.
Q:
ow can we reduce exposure to airborne H allergens at home?
DR. SAMUEL: Some easy ways to protect your home from allergens include vacuuming frequently and keeping windows closed. Cleaning surfaces to remove common allergens like pet dander, pollen and dust is also helpful. Showering at night can help wash away any allergens that have stuck to your hair and skin.
Q:
Are there other tips to protect our health?
DR. SAMUEL: Before going outside, check the UV and air quality index. This measures the strength of the sun’s radiation and the air quality. When levels are high, wear sunscreen, seek shade and limit outdoor physical activity during the warmest parts of the day.
Having seasonal respiratory issues? Find an urgent care location or make an online reservation at AHCYou.com/SP18Allergies.
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SPRING 2018
REGISTRATION Online registration and payment options are available for most programs. Visit AHCYou.com/SP18Calendar or call 877-684-1511 for information or to register.
LIVING healthy The Adventist HealthCare Center for Health Equity & Wellness offers classes, events and activities to support a healthy mind, body and spirit. A full listing of classes and events is available at AHCYou.com/SP18Calendar.
HEART HEALTH
CLASS LOCATIONS The Adventist HealthCare Center for Health Equity & Wellness offers classes at numerous locations. Visit AHCYou.com/SP18Calendar for additional class/event locations. SGMC Adventist HealthCare Shady Grove Medical Center 9901 Medical Center Drive, Rockville
ACC Aquilino Cancer Center 9905 Medical Center Drive, Rockville
WAH Adventist HealthCare Washington Adventist Hospital 7600 Carroll Ave., Takoma Park*
AHC Adventist HealthCare 820 W. Diamond Ave., Gaithersburg*
Rehab Adventist HealthCare Rehabilitation 9909 Medical Center Drive, Rockville *Free parking
Free Blood Pressure Screenings Adventist HealthCare offers a number of blood pressure screenings throughout the community each month. Rockville Senior Center 10 a.m. to noon First Monday of each month – June 4, July 2, Aug. 6 Damascus Senior Center 10–11:30 a.m. Wednesdays – June 6, July 11, Aug. 8 Benjamin Gaither Center 9:30–11:30 a.m. Fourth Wednesday of each month – May 23, June 27, July 25, Aug. 22 Long Branch Community Center 10:30 a.m. to noon Second Monday of each month – June 11, July 9, Aug. 13 Mid-County Community Center 11 a.m. to 12:30 p.m. Second Tuesday of each month – June 12, July 10, Aug. 14 White Oak Community Recreation Center 1:30–2:30 p.m. Third Thursday of each month – June 21, July 19, Aug. 16
Takoma Park Community Center 11:30 a.m. to 12:30 p.m. Offered on the following dates – May 22, June 26, July 24, Aug. 21 Victory Tower Senior Apartments 10–11:30 a.m. Last Friday of each month – May 25, June 29, July 27, Aug. 31 Green Ridge House Apartments 1–2 p.m. July 30, Oct. 29
PRENATAL, FAMILY AND WOMEN’S HEALTH Adventist HealthCare offers maternal and child health classes to provide expert advice, support and education before and after birth. Classes include: • Childbirth • Breastfeeding • Grandparents Class • Fatherhood 101 • Brother/Sister Learn more at AHCYou.com/SP18Calendar.
Lactation Services
Adventist HealthCare offers a range of lactation classes, consultations, breastpump rentals and accessory sales, as well as breastfeeding support groups. To learn more, visit AHCYou.com/SP18Calendar and
LEARN MORE OR REGISTER AT AHCYou.com/SP18Calendar.
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LIVING HEALTHY
look under Maternity & Childbirth, or call 240-826-MOMS (6667) for those living near SGMC or 301-891-4TLC (4852) for those living near WAH.
Gestational Diabetes Education
Gestational diabetes counseling is by appointment. This counseling teaches moms-to-be how to manage blood glucose through proper nutrition, monitoring and exercise. Info: Call Sheila Mulhern at 301-891-6105 to register, or have your doctor fax a referral to 301-309-6079. Where: SGMC
Support Groups
Adventist HealthCare offers several support groups for parents. To learn more or to find a location near you, visit AHCYou.com/SP18Calendar or call 877-684-1511. BEST: Breastfeeding Education, Support and Togetherness (SGMC) Meets every non-holiday Wednesday except spring break and Christmas to New Year’s break Hecho de Pecho – Madres Latinas Unidas para la Lactancia (WAH) ¡Acompañe a otras madres que hablan español en un grupo gratis de educación y apoyo a la lactancia! Comparta sus experiencias y participe junto con otras madres en una reunión cordial e informativa para aprender sobre la maternidad y apoyar la lactancia materna. Puede traer a sus bebés, a sus niños mayores o a una persona de apoyo. ¡Proveemos el desayuno gratis y regalitos! Dónde: WAH, Conference Room AB (sala de conferencias, LL2) Cuándo: Sábado, junio 23, 10:30 a.m. to 12:30 p.m. Discovering Motherhood: Adjusting to Your New Role Meets every Monday When: 10:30 a.m. to 12:30 p.m. Where: Visit AHCYou.com/SP18Birth for more details. Perinatal Loss Support Group This six-week support group for those who have experienced a loss related to pregnancy is run by an experienced perinatal loss specialist. Meets on Tuesdays in the River (Willow) Room
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CANCER Integrative Medicine Program
Adventist HealthCare’s Integrative Medicine Program combines conventional cancer care with evidence-informed, complementary therapies addressing the whole person – body, mind and spirit. Where: Aquilino Cancer Center Info: For information on upcoming integrative medicine classes, call 240-826-2010. To schedule a clinical consultation for integrative medicine, call 301-795-0078.
Navigation Services
At Aquilino Cancer Center, our cancer care navigation team assists people living with cancer, as well as their families, friends and caregivers. The team provides guidance through diagnosis, treatment and survivorship. Info: Call 240-826-6297 or email CancerServices@AdventistHealthCare.com for all navigation services.
Look Good ... Feel Better®
Spend time with a professional aesthetician to learn makeup tips so you can put your “best face forward” during and after treatment for cancer. Meet other women living with cancer, and receive a “personal toolkit” to take home. When: June 18, 10 a.m. to noon Where: WAH, Lower Level 1, Radiation Oncology Conference Room When: Aug. 27, 10 a.m. to noon Where: WAH, Lower Level 2 Conference Room A & B (next to cafeteria) Info: Call outreach coordinator at 240-826-CARE (2273).
Colorectal Cancer Screening Program
Adventist HealthCare, in partnership with the Montgomery County Health Department, offers this FREE, lifesaving screening program. Info: Call 240-826-CARE (2273) or Montgomery County Cancer Crusade at 240-777-1222 to see whether you are eligible.
Montgomery County Cancer Crusade
Join this meeting to discuss community needs for cancer screening. Info: Call 240-826-CARE (2273) for meeting dates and times.
Cancer Support Groups
Adventist HealthCare offers a range of support groups for patients living with cancer, their caregivers or those who have survived cancer. Call 240-826-6297 (ACC) or 301-891-5559 (WAH) for more information. Thyroid Cancer (ACC) When: First Tuesday of each month, 6:30–8 p.m. Info: rockville-md@thyca.org A support group on Facebook is available for patients with other types of cancer: facebook.com/groups/ ConnectingThroughCancer. In addition, ACC patients and their caregivers may call 240-826-6297 for information about joining an online support group.
NEUROSCIENCES Community Aphasia Group
A communication enrichment program for those with aphasia Cost: $140 for six-week series Info: Contact Sandi Lancaster at SLancas2@AdventistHealthCare.com or 240-864-6033.
Support Groups • Brain injury • Stroke • Spinal cord injury Info: For additional information about these groups, including a schedule of meetings and locations, visit AHCYou.com/SP18Calendar or call 877-684-1511.
NUTRITION, FITNESS AND WEIGHT LOSS Eat Well for Health
Join Adventist HealthCare for this monthly cooking and nutrition class to learn a plant-based meal plan for optimal health. Samples of the meal prepared are provided by Executive Chef Jeff Whary. Nutrition updates are provided by Patricia Guay-Berry. Cost: FREE but registration is required When: Second Wednesday of each month, 6:30–7:30 p.m. Where: Aquilino Cancer Center, Iris Room Info: Call 240-826-2010 or email
LEARN MORE OR REGISTER AT AHCYou.com/SP18Calendar.
LIVING HEALTHY
ACCPrograms@AdventistHealthCare.com; parking will be validated.
Nutrition Counseling
Info: Ongoing series, open to all; call 240-826-5278 for room location and to register.
Adventist HealthCare’s Outpatient Nutrition and Diabetes Office offers individual appointments with a registered dietitian for management of multiple conditions. This service is covered by many health insurance plans. When: Weekdays by appointment Where: Outpatient Nutrition and Diabetes Office, WAH, Professional Building, 7610 Carroll Ave., Suite 350, Takoma Park Info: Call 301-891-6105 to schedule an appointment.
Weight-loss Surgery Support Group
When: Tuesdays and Thursdays by appointment Where: SGMC Info: Call 301-891-6105 to schedule an appointment.
Comprehensive Diabetes Self-management Education
Weight-loss Surgery Informational Seminars
Learn about the life-changing weightloss surgery options offered at Adventist HealthCare Shady Grove Medical Center. When: Monthly on the first Thursday, 6:30–8:30 p.m.; second and fourth Wednesdays, 6–8 p.m.; and fourth Sunday, 5–7 p.m. Where: SGMC Cost: FREE
This group provides ongoing support for those who have had weight-loss surgery. Registration is not required. When: First four Thursdays of each month, 7–8:30 p.m. Where: SGMC Sycamore Conference Room Cost: FREE Info: Call 240-425-4589 for more information.
DIABETES Learn to better manage your diabetes with this three-class series, taught by a registered nurse, certified diabetes educator and registered dietitian. Physician prescription required. Most insurance policies cover diabetes education; call your insurer to verify coverage. Group classes are offered at both Shady Grove Medical Center and Washington Adventist Hospital. When: Tuesdays, 5–8 p.m., or Thursdays, 1–4 p.m., every other month Where: SGMC Info: Call 301-315-3459. When: Alternates monthly – consecutive
Wednesdays, 5–8 p.m., or Thursdays, 1–4 p.m. Where: WAH Outpatient Nutrition and Diabetes Education Office, 7610 Carroll Ave., Suite 350, Takoma Park Info: Call 301-891-6105.
Prediabetes Class
Learn to manage prediabetes and prevent Type 2 diabetes. When: July 19, Sept. 13, Nov. 8 Info: Visit AHCYou.com/SP18Calendar to register for these FREE classes.
Diabetes Support Group
This FREE group offers support to anyone living with diabetes or prediabetes. When: Last Tuesday of each month, 5–6 p.m. Where: WAH Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: RSVP at 301-891-6105.
Diabetes Cooking Class
Learn how to prepare quick, easy, healthy and delicious meals with ingredients that will help you better manage diabetes. Info: Visit AHCYou.com/SP18Calendar for upcoming dates or to register for these FREE classes.
NEW! Living Well With Diabetes
This three-hour class, offered once a month, is designed to get you on the path to living well with diabetes. Topics include monitoring, healthy eating, being active and much more! Cost: $40, which includes class materials When: These classes are offered in the evenings or on the weekend: June 25, 5:30–8:30 p.m.; July 28, 10 a.m. to 1 p.m.; Aug. 27, 5:30–8:30 p.m. Where: Adventist HealthCare Center for Professional Development (14915 Broschart Road, Suite 100, Rockville, MD 20850) Info: To register, visit AdventistHealthCare.com, click “Classes & Events,” and search “Living well with diabetes.”
SENIORS’ HEALTH Adventist HealthCare recognizes the specialized health needs of our community’s aging adult population. FREE monthly lectures cover a wide variety of timely
LEARN MORE OR REGISTER AT AHCYou.com/SP18Calendar.
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LIVING HEALTHY
health topics for seniors, in addition to health screenings and personal consultations. For more information, including dates and locations, call 877-684-1511.
Grief Support Group Adventist HealthCare’s Mission Integration and Spiritual Care Department offers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurturing environment. Where: SGMC Info: For information and to register, email JMufuh@AdventistHealthCare.com or call the Pastoral Care Department at 240-826-6112. Where: WAH Info: Call the Pastoral Care Department at 301-891-5265 for more information.
Other Support Groups
Adventist HealthCare offers many FREE support groups for patients and their loved ones. The following ongoing support groups are available: • Amputee • Sickle cell anemia • Narcotics • Diabetes • Alcoholics Anonymous For information about these groups, including a schedule of meetings and locations, call 877-684-1511 or visit AHCYou.com/SP18Calendar.
CPR & FIRST-AID CLASSES The Adventist HealthCare Center for Health Equity & Wellness offers convenient CPR and first-aid courses at various times and locations. Call 877-684-1511 or visit AHCYou.com/SP18Calendar for course schedules, locations and registration.
American Heart Association (AHA): Heartsaver CPR and AED Certification The AHA’s Heartsaver CPR AED course provides knowledge and skills that may help save a life. This course is intended for anyone with little or no medical training who needs a course-completion card for job, regulatory (e.g., OSHA) or other requirements. This course can
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also be taken by anyone who wants to be prepared for an emergency in any setting. The following topics will be covered: • Adult CPR and AED use • Opioid-associated life-threatening emergencies • Adult choking
Child CPR and AED use • Child choking • Infant CPR • Infant choking A completion eCard, good for two years, will be issued when the course is successfully completed. When: Saturdays – June 2, July 7, Aug. 4, Sept. 8, Oct. 6, Nov. 3, Dec. 1, 10 a.m. to 2 p.m. Where: 14915 Broschart Road Ladew Conference Room, First Floor Rockville, MD 20850 Info: Call 877-684-1511 or visit AHCYou.com/SP18Calendar.
American Heart Association: Heartsaver First Aid The AHA’s Heartsaver First Aid course provides the knowledge and skills for first aid, consisting of the most common
life-threatening emergencies, how to recognize them, how to call for help and how to perform lifesaving techniques. The following are covered: • Basics of first aid (duties, roles and responsibilities of first-aid rescuers) • Medical emergencies (breathing, choking, allergic reaction, heart attack, stroke and more) • Injury emergencies (external and internal bleeding, wounds, sprains, broken bones, burns, and more) • Environmental emergencies (bites and stings, cold- and heat-related emergencies, poisonings, and more) • Preventing illness and injury A completion eCard, good for two years, will be issued when the course is successfully completed. When: Saturdays – June 2, Aug. 4, Oct. 6, Dec. 1, 3–7 p.m. Where: 14915 Broschart Road Ladew Conference Room, First Floor Rockville, MD 20850 Info: For additional information, including dates, locations and times, visit AHCYou.com/SP18Calendar or call 877-684-1511.
LEARN MORE OR REGISTER AT AHCYou.com/SP18Calendar.
Setting the Menu
EATING WELL
for a Healthy, Flavorful Cookout RILLING season provides lots of opportunities for a fun, healthy approach to meals with family and friends. Catherine Fore, RD, LDN, a bariatric dietitian at Adventist HealthCare Shady Grove Medical Center, recommends building your healthy barbecue around fruits and vegetables that are high in fiber, low in calories and full of nutrients. These substitutions for high-calorie, high-fat food can help you maintain a healthy weight and prevent health problems like diabetes and heart disease.
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Nosh on carrots, celery and hummus for a perfect starter.
Grill some lean protein, such as skinless chicken breasts, turkey or veggie burgers, fish, or tofu.
Load your burger with avocado, sprouts, mushrooms or other veggies.
Hydrate with infused water. Try strawberry, lemon and mint.
Enjoy seasonal fruit like watermelon or grilled fresh pineapple kabobs for dessert.
WATERMELON & JICAMA SIDE SALAD WITH CITRUS MARINADE SALAD:
MARINADE:
2 Tbsp. rice vinegar
½ tsp. orange juice
1½ Tbsp. canola oil
¼ tsp. orange zest
¾ cup orange sections
¼ tsp. honey
¾ cup fresh jicama, peeled and cut into ¾-inch cubes
½ tsp. lime juice
¼ tsp. crushed red pepper flakes
1½ cups fresh watermelon, cut into ¾-inch cubes
DIRECTIONS:
In a bowl, combine the watermelon, orange, jicama and cilantro. Combine all marinade ingredients in a separate bowl. Mix well. Spoon marinade over salad ingredients. Toss to coat. Serves 6.
2 Tbsp. fresh cilantro
Courtesy of Adventist HealthCare Chef Jeff Whary. For more recipes, visit AHCYou.com/SP18Recipe. AHCYOU.COM/SP18
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PERSONAL WELLNESS
Finding Time to Exe
as a New Mo
ETWEEN midnight feedings and diaper changes, new moms may find it challenging to make time for exercise. But sneaking fitness into the new routine can benefit both mom and baby. Regular exercise after pregnancy not only promotes weight loss and prevents blood clots, but it also boosts energy levels and relieves stress. “Generally, moms who have had an uncomplicated vaginal birth can begin exercising four weeks after delivery,” said Judith Gurdian, MD, an OB-GYN who delivers babies at Adventist HealthCare Shady Grove Medical Center. “For moms who have had a cesarean section or a more complicated birth, it may take eight weeks or more. Your doctor can let you know when it’s best to begin.”
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SPRING 2018
For all new moms, starting slow and setting small goals are key. Begin with a walk around the block with the stroller. Activities like yoga or Pilates are great ways to regain flexibility. And building up to 150 minutes a week of exercise, along with lifting light weights, is the best way to get back strength and stamina. No matter the exercise, it’s important to find something you love doing and commit to doing it regularly. Naureen Alam, MD, also a Shady Grove OB-GYN, said that even with exercise, it’s possible to still look pregnant months after delivery. “Your abdominal muscles stretched to accommodate a baby, so it takes time to regain the muscle tone that was lost. “Many pregnant and postpartum women have diastasis, a separation of the abdominal muscles, which can take weeks or months to heal,”
Shady Grove mom Melissa Chen of Damascus and baby Bradley take to the park with Naureen Alam, MD, to discuss fitness after giving birth.
PERSONAL WELLNESS
LOCAL MOMS OFFER EXERCISE TIPS Developing an exercise routine after having a baby can be difficult, but it’s not impossible. Some of the moms in Adventist HealthCare Shady Grove Medical Center’s Discovering Motherhood support group share what helped them.
“Within a few days of coming home from the hospital with my baby, we were going on short walks around the neighborhood.” – Sharon Grotsky, Olney
“I got back into strength training with weights and cardio pretty quickly after my birth.” – Katie Noyes, Damascus
“I did light exercises at home after being cleared by my doctor. Early on, I would wear my baby [using a wrap or baby carrier] and do lunges and take long walks in the neighborhood with our dog.” – Tatiana Yunker, Germantown
ercise
om
Dr. Alam added. “Some women may even need targeted physical therapy.” Whether exercising to shed pregnancy weight or as a way to get fresh air, Thu Tran, MD, a Shady Grove OB-GYN, said it’s crucial that moms care for themselves as they care for their newborns. “Be patient and forgiving of yourself. Any exercise you do is better than none.”
For a free consultation about the benefits of delivering at Shady Grove Medical Center, visit AHCYou.com/SP18Advisor.
“I did barre classes two months after birth, and it was great for regaining strength, decreasing my stomach and having some ‘me’ time.” – Gloria Ge Song, Rockville
“YouTube has great Mommy and Me yoga videos!” – Renee Bourassa, Frederick
“Exercise? Does juggling two babies when walking up the stairs count?” – Debbie Savage, Olney
For more information about support groups for moms at Shady Grove Medical Center, visit AHCYou.com/SP18Birth. AHCYOU.COM/SP18
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PHYSICAL REHABILITATION
ACTIVE SENIORS –
Active Lives
HROUGHOUT our lifetime, we hear how exercise will help us maintain good health. In fact, research has shown that regular exercise has many benefits, including increased energy and physical strength. Exercise can also improve our ability to manage chronic diseases like diabetes, heart disease and osteoporosis. For active seniors, resistance bands can be a great way to engage in effective, low-impact exercise. Resistance bands are inexpensive and easy to store, making them perfect for people with varying levels of mobility and joint stability who want to exercise at home. Our team of experts at Adventist HealthCare Rehabilitation can help seniors incorporate the following exercises into their daily routines a few times a week. They suggest that seniors see if they can do 10 repetitions of each exercise and repeat the complete series three times.
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SHOULDER DIAGONAL FLEXION AND ABDUCTION Hold the ends of the resistance band with each hand at your hip. Lift one arm diagonally up and away against the resistance. Hold for three seconds.
BILATERAL HORIZONTAL ABDUCTION While sitting or standing, hold each end of the elastic band straight and in front of your body. Then pull your arms apart and to your side. Hold for three seconds.
STANDING BILATERAL SHOULDER ABDUCTION Stand with one foot on the elastic band and hold the ends of the band in each of your hands at your sides. Lift both arms up on your sides to 90 degrees. Hold for three seconds.
Are you interested in learning more about our rehabilitation services for senior adults? Visit AHCYou.com/SP18Seniors.
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SPRING 2018
MENTAL HEALTH
RECOGNIZING SIGNS OF ANXIETY DISORDER IN TEENS ENIOR year of high school brings many exciting milestones. Most teenagers view studying for final exams, finding a date for prom and preparing for college as sometimes stressful but important rites of passage. However, for teens with an anxiety disorder, events like these can trigger constant and overwhelming feelings of worry that can cripple their ability to function. Anxiety disorders are a mental health condition characterized by excessive worry and irrational fearfulness. There are several types, including social anxiety and panic, as well as general anxiety disorders. Adventist HealthCare Behavioral Health & Wellness Services offers expert outpatient treatment for those who are struggling. “The key to helping your teen prevent and manage anxiety is to normalize the conversation about mental health,” said Jason Martin, LCPC, CPRP, director of clinical services at Adventist HealthCare Behavioral Health & Wellness Services in Rockville. “Parents should feel as comfortable talking to their teens about their mental health as they Jason Martin are about their schoolwork.”
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Assure your teen he or she is not alone. According to the Anxiety and Depression Association of America, anxiety disorders affect 1 in 8 children. Look for warning signs together. Research shows that children and teens with untreated anxiety are at higher risk to perform poorly in school, miss out on important social experiences and engage in substance abuse. Warning signs include: • Trouble sleeping • Excessive worry • Frequent outbursts or intense irritability • Panic attacks • Drug or alcohol abuse Teens who suffer from anxiety can also experience physical symptoms such as chest pain, frequent headaches and shortness of breath. Don’t wait to get support. Early identification and treatment can help teens better understand their emotional triggers and develop techniques to manage anxiety, Jason said. Overall, he emphasized, “Talk to your teen regularly about his or her feelings, anxieties and fears.”
If your teen needs help, call Adventist HealthCare Behavioral Health & Wellness Services at 800-204-8600 for a free consultation. AHCYOU.COM/SP18
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NONPROFIT ORG. U.S. POSTAGE
PAID
PERMIT NO. 93
ADVENTIST HEALTHCARE, INC. 820 W. DIAMOND AVE, SUITE 600 GAITHERSBURG, MD 20878
Adventist HealthCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. For more information, see link on our home page at AdventistHealthCare.com. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 301-315-3333. 注意：如果您使用繁體中文，您可以免費獲得語言援助 服務。請致電 301-315-3333。
This publication does not serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.
MEET OUR GRATEFUL PATIENTS
GIVING THANKS FOR THE
CHANCE TO RUN BEYOND CANCER
After outpacing cancer, members of the Running Beyond Cancer training group conquered single-digit temperatures in January to complete their goal: a New Year’s Day 5K. UNNING Beyond Cancer, a joint effort of the Shady Grove Adventist Aquilino Cancer Center and the Montgomery County Road Runners Club, began in October 2017. Coaches Don Shulman and Andy Steinfeld helped patients build stamina and confidence during walks and runs near the center and on county trails. Audrey Fincher of Silver Spring was inspired to be a volunteer coach after beating non-Hodgkin’s lymphoma under the care of Joseph Haggerty, MD, whose practice is in the center. When Audrey was diagnosed in 2001, Dr. Haggerty said her cancer treatment could feel like running a marathon. “I told him if he got me through it alive, I would run a real marathon,” Audrey said. “Three years later, I brought him my Marine Corps Marathon finisher’s medal.” She has been cancer-free for 15 years and frequently races in ultramarathons. When Audrey heard about Running Beyond Cancer, she insisted on helping. “I knew I wanted other survivors to feel the same triumph of crossing that finish line and realizing that, far from being a victim, they are even stronger and more capable than before.” That sense of accomplishment is exactly what the group’s participants say they gain from the program. “I ran last in seventh grade!” said Pervin Antia, who is in treatment for breast cancer. “I have made awesome friends who urge me on. I never knew I had it in me.”
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Pervin Antia (right) competes in a Gaithersburg 5K .
Help Adventist HealthCare expand programs for our patients by giving at AHCYou.com/SP18Donate.