Adventist HealthCare & You Magazine (Fall 2019)

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YOUR GUIDE TO LIVING WELL  FALL 2019

A TEAM EFFORT

One Woman’s Journey Through Breast Cancer Page 12

A NEW HOSPITAL FOR OUR COMMUNITY PAGE 4

CLASSES & EVENTS PAGE 7


NEWS BRIEFS

ADVENTIST HEALTHCARE HONORED FOR SERVICE TO OUR COMMUNITY

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Adventist HealthCare is committed to caring for people – both patients who seek our award-winning care and those throughout our community in need of physical, mental and spiritual healing. That’s our Mission that we live every day. In fact, we are one of the largest providers of community benefit and charity care in the region. Recently, Adventist HealthCare received three awards honoring our organization’s dedication to serving our region through our Community Partnership Fund.

Three Recent Community Honors

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TABLE OF CONTENTS 3 4

Breakthrough Stroke Treatment

White Oak Medical Center Now Open

G iving From the Heart

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Living Healthy

Make an Anti-Inflammatory Diet 10 Work for You

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Getting Back in the Game

A Team Effort: One Woman’s Journey 12 Through Breast Cancer

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Working to Put an End to Bullying

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Joint Pain? It’s Time to Move

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Raising Awareness, Supporting Care

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FALL 2019

Manna Food Center recognized Adventist HealthCare as a 2019 Corporate Hero Against Hunger for providing a three-year grant to further eliminate hunger in Montgomery County. The first goal of this long-term funding helped Manna open a warehouse in the eastern part of the county to expand its outreach to Burtonsville and Colesville. Previously, our contributions in 2018 helped Manna distribute 3.5 million pounds of fresh, healthy food to Montgomery County families and gave over 3,000 school children access to nutritious meals.

Interfaith Works selected Adventist HealthCare to receive its 2019 Philanthropic Champion of the Year Award for contributing to the success of Interfaith Works’ programs. Our long-standing partnership has included financial contributions, volunteerism and highly successful donation drives. Interfaith Works is a coalition of more than 165 diverse congregations uniting to meet the needs of the poor and homeless in Montgomery County. Impacting more than 16,000 county residents each year, Interfaith Works helps donate clothing, household items and other necessities to both individuals and families in crisis to lift themselves out of poverty.

The Montgomery County Coalition for the Homeless gave its 2019 Distinguished Service Award to Adventist HealthCare to recognize our significant efforts to end homelessness in Montgomery County. The coalition honored Adventist HealthCare’s commitment to underserved individuals, including a successful pilot program that continues to provide permanent housing to people experiencing homelessness who are also frequently in hospitals and jails. This critical program has improved the health outcomes for hundreds of individuals while reducing hospitalization and corrections expenses. To learn how Adventist HealthCare helps the community, visit AHCYou.com/ FA19Community.


HIGH-TECH HIGHLIGHTS

BREAKTHROUGH

STROKE TREATMENT TROKES affect 800,000 people in the U.S. each year. Those who survive often suffer long-term impairments. Mary I. H. Cobb, MD, director of Cerebrovascular Neurosurgery, explains why an innovative stroke treatment she provides at Adventist HealthCare Shady Grove Medical Center in Rockville is a game-changer for Montgomery County.

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WHAT IS A STROKE? A stroke occurs when blood stops flowing to the brain. Strokes are most often caused by clots, or blockages, which can result in brain cell damage.

WHAT IS THE MOST COMMON STROKE TREATMENT? Patients brought to a hospital within 4 hours, 30 minutes after their first symptoms can be candidates for a clot-busting medication called tPA, or tissue plasminogen activator. Shady Grove’s stroke program has earned national recognition for its speed in giving tPA after a patient arrives to our hospital. However, because of time restrictions and other criteria, not all stroke patients qualify for tPA. Also, if a clot is located in a large vessel, tPA may not be powerful enough.

WHAT IS THE LATEST IN STROKE TREATMENT? Several clinical trials show patients with large blockages have much better outcomes with a treatment called mechanical thrombectomy. In this minimally invasive procedure, we access the femoral artery in the thigh and navigate wires and catheters into the vessels of the neck and brain. We then use a stent, which is a tiny tube to hold the passages open, to allow us to remove the blood clot. Once the clot is gone, the brain can again obtain the oxygen and nutrients it needs. Mechanical thrombectomy extends the time window for stroke treatment to 24 hours.

HOW IS SHADY GROVE ADVANCING ITS STROKE CARE CAPABILITIES? In June, we opened a specialized angiography suite with a biplane imaging machine that is among the most advanced in the U.S. We are the only hospital in Montgomery County with this latest technology and a fellowship-trained neurosurgeon on site to perform mechanical thrombectomy. These additions build on Shady Grove’s award-winning stroke and cardiac catheterization programs. Medicare data showed that in 2017, the D.C./Virginia/Maryland suburbs had the lowest mechanical thrombectomy rates in the U.S. Now, Adventist HealthCare is making sure our community has the timely, comprehensive stroke treatments it needs.

Mary I. H. Cobb, MD, director of Cerebrovascular Neurosurgery at Adventist HealthCare Shady Grove Medical Center in Rockville, is serving our area’s need for mechanical thrombectomy, a minimally invasive treatment that improves outcomes for stroke patients.

For more information about how we can treat your brain and spine problems, visit AHCYou.com/FA19Brain. AHCYOU.COM/FA19

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COMMUNITY BENEFIT

White Oak Medical Center

NOW OPEN

GET TO KNOW YOUR NEW HOSPITAL

WHERE IS IT?

The state-of-the-art Adventist HealthCare White Oak Medical Center in eastern Montgomery County is the new home of the hospital services you’ve trusted for more than a century at Washington Adventist Hospital in Takoma Park. Our comprehensive system of care, including our nationally-acclaimed heart program, is now even better positioned to meet the needs of our community in our new location. Learn all about your new community hospital:

• Address: 11890 Healing Way, Silver Spring, Maryland 20904 • G etting There: Behind the Target shopping center on Plum Orchard Drive, off Route 29 and Cherry Hill Road, and accessible by I-95 and the Intercounty Connector (MD 200). • Parking: A large garage offers more than 1,000 spaces for patients, visitors and staff. Parking at the Emergency Department entrance is also available for emergency patients. • P ublic Transportation: Both Metrobus and Ride On have routes to and from the hospital, with expanded routes coming in the future. A Bus Rapid Transit system along Route 29 is also planned by Montgomery County and Maryland.

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FALL 2019


WHAT DOES IT LOOK LIKE?

CONNECT WITH US

• Private Rooms: Patients, including those in the Emergency Department, receive care in private rooms, which reduces the risk of infection and improves the experience for patients and their families. • Green Spaces: The new campus is situated on 48 acres in the White Oak area of Silver Spring. Patients, visitors and staff take in the natural surroundings and fresh air from outdoor courtyards, including a green roof and an outdoor dining terrace. • Walking Trail: An outdoor walking trail provides a fitness and wellness area.

Find a Doctor

Volunteer or Give a Gift

Join Our Team

Learn more about your new community hospital by visiting AHCYou.com/FA19WhiteOak.

WHAT SERVICES ARE OFFERED? • A cute-Care Service Lines: Our services include Heart & Vascular, Emergency, Cancer, Pregnancy Care & Birth, Orthopedics, and Surgery. • Behavioral Health: Opening late 2019, our services will include both inpatient and outpatient behavioral health programs. • Outpatient Services: Opening spring 2020, there will be outpatient services and doctors’ offices in the Medical Pavilion connected to the hospital and accessible through the main hospital lobby. • Physical Rehabilitation: With expected completion summer 2020, Adventist HealthCare Rehabilitation will offer inpatient services, such as stroke and amputee care, as well as brain and spinal cord injury programs.

WHAT ABOUT OTHER FACILITIES? • T he Medical Pavilion at White Oak: Additional doctors’ offices and other outpatient medical services will be located in an adjoining building, which is under construction. The Medical Pavilion will open spring 2020. • W ashington Adventist Hospital: Washington Adventist Hospital is now closed, as we have moved our high-quality care to White Oak Medical Center. • T akoma Park Campus: Adventist HealthCare continues to serve Takoma Park and our community with 24-7 urgent care and physician offices on the site of our former hospital. AHCYOU.COM/FA19

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GRATEFUL PATIENT

Gabe Patricio thanks Paul Massimiano, MD, medical director of Minimally Invasive Heart Surgery at Adventist HealthCare White Oak Medical Center, for helping him get back to a rigorous workout plan following valve surgery.

GIVING

Heart from the

an avid runner and former U.S. Marine Corps lieutenant colonel, Gabe Patricio was shocked when a routine checkup three years ago revealed he had a leaky heart valve. “I had zero symptoms, so it was a total surprise,” said the 56-yearold Washington, D.C., resident. “I exercise six or seven days a week and eat well, so I considered myself to be pretty healthy.” Gabe’s condition – mitral valve regurgitation – is caused by a faulty heart valve that leaks blood instead of circulating it through the body. “At that point, it just needed to be monitored, but the concern was always in the back of my mind,” said Gabe, president of Patricio Enterprises, which provides support services to the Department of Defense and other federal agencies. By late 2018, Gabe’s condition worsened and his cardiologist recommended Paul Massimiano, MD, for heart valve surgery. Dr. Massimiano serves as the medical director of Minimally Invasive Heart Surgery at Adventist HealthCare White Oak Medical Center and is one of the region’s leading experts in mitral valve surgery. Following this procedure, Gabe was grateful that he experienced a much easier recovery than if he had traditional open-heart surgery. The day after his minimally invasive procedure, he walked laps around the hospital’s Intensive Care Unit. Within a week, he was walking around D.C., and, two months later, he was back to running 50 miles a week.

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FALL 2019

MINIMALLY INVASIVE HEART EXPERTS Adventist HealthCare’s experienced heart surgeons: • Helped develop specialized techniques that use a small incision to repair or replace a heart valve • Performed more than 1,000 minimally invasive heart valve surgeries • Achieved nationally recognized results for our patients

To learn if you or a loved one can benefit from our comprehensive heart-care services, visit AHCYou.com/FA19Heart.

To express his gratitude for the outstanding care he received, Gabe made a generous $100,000 donation to support the capital construction campaign for White Oak Medical Center. “The gift was in honor of the wonderful people who cared for me and treated me with such compassion and professionalism,” Gabe said. “I wanted to do something to benefit their work environment and help ensure others experience the same exceptional care that I did.”

To learn more about how you can support Adventist HealthCare White Oak Medical Center, visit AHCYou.com/FA19Give.


REGISTRATION Online registration and payment options are available for most programs. Visit AHCYou.com/FA19Calendar or call 877-684-1511 for information or to register.

LIVING healthy Adventist HealthCare offers classes, events and activities to support a healthy body, mind and spirit. Check out our full listing of classes and events at AHCYou.com/FA19Calendar.

CLASS LOCATIONS The Center offers classes at numerous locations. Visit AHCYou.com/FA19Calendar 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

WOMC Adventist HealthCare White Oak Medical Center 11890 Healing Way, Silver Spring

AHC Adventist HealthCare 820 W. Diamond Ave., Gaithersburg*

Rehab Adventist HealthCare Rehabilitation 9909 Medical Center Drive, Rockville

CPD Adventist HealthCare Center for Professional Development 14915 Broschart Road, Suite 100, Rockville* *FREE parking

HEART HEALTH FREE Blood Pressure Screenings dventist HealthCare offers many blood A pressure screenings throughout the community each month. Visit AHCYou.com/ FA19Calendar for additional class/event locations.

PRENATAL, FAMILY AND WOMEN’S HEALTH Adventist HealthCare offers parent and family education classes to provide expert advice, support and education before and after birth. Classes include: • Childbirth • Breastfeeding • Grandparents • Brother/Sister Learn more at AHCYou.com/FA19Calendar.

Lactation Services Adventist HealthCare offers a range of lactation classes, consultations and breast pump rentals, as well as breastfeeding support groups. To learn more, visit AHCYou.com/FA19Calendar and look under “Pregnancy, Birth & Your New Baby.”

Terri Marshall, RN, Stroke Program Coordinator, helps inform the community about stroke prevention and warning signs.

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. Call 301-315-3459 for more information.

Support Groups Adventist HealthCare offers several support groups for parents. To learn more or find a location near you, visit AHCYou.com/ FA19Calendar or call 877-684-1511.

LEARN MORE OR REGISTER AT AHCYou.com/FA19Calendar.

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LIVING HEALTHY

BEST: Breastfeeding Education, Support and Togetherness (SGMC) When: Wednesdays from 10:30 a.m.–noon Preregistration is required. Where: Visit AHCYou.com/FA19Birth for more details. Hecho de Pecho – Madres Latinas Unidas para la Lactancia (WOMC) ¡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: Call 301-891-4852 for more details. Discovering Motherhood: Adjusting to Your New Role Meets every Monday When: 10:30 a.m.–12:30 p.m. Where: Visit AHCYou.com/FA19Birth for more details. Navigating Fatherhood Would you like to connect with other new dads? This group will help you navigate the challenges of fatherhood. When: One Saturday/month from 1–3:30 p.m. Where: Visit AHCYou.com/FA19Birth 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. When: Tuesdays, 7–8:30 p.m. Where: River (Willow) Room (SGMC) Info: Call 301-315-3130 or 3131 for more information.

CANCER Integrative Medicine Program Our program combines conventional cancer care with evidence-informed, complementary therapies addressing the whole person – body, mind and spirit. Where: Aquilino Cancer Center

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Info: For information about upcoming classes, call 240-826-2010. To schedule a clinical consultation, call 301-795-0078.

Navigation Services At the Aquilino Cancer Center, our cancer care navigation team provides guidance through diagnosis, treatment and survivorship. Info: Call 240-826-2050 or email CancerServices@AdventistHealthCare.com

Cancer Screening Programs Adventist HealthCare, in partnership with the Montgomery Cares Program and the Montgomery County Department of Health and Human Services, offers FREE or low cost, lifesaving screening programs. Breast Cancer Screenings: 240-826-CARE (2273) Colorectal Cancer Screenings: 240-826-CARE (2273) or Montgomery County Cancer Crusade at 240-777-1222

Running Beyond Cancer Our FREE run-walk training program for patients and survivors aims to build stamina and social connections. Coaches from the Montgomery County Road Runners Club train participants to complete the 2020 New Year’s Day 5K. Doctor’s clearance required. When: Tuesdays at 6:30 p.m. and Saturdays at 8 a.m. beginning Oct. 8. Where: ACC and local trails Info: Visit AHCYou.com/FA19Calendar under “Cancer.”

BRAIN & SPINE 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, call 877-684-1511 or visit AHCYou.com/FA19Calendar.

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. Patricia Guay-Berry provides nutrition updates. When: First Wednesday of each month, noon–1 p.m. and second Wednesday of each month, 6:30–7:30 p.m. Where: Aquilino Cancer Center, Iris Room Info: Registration is required, and there is a cost. Call 240-826-2010 or email ACCPrograms@AdventistHealthCare.com.

Nutrition Counseling Adventist HealthCare’s Outpatient Nutrition and Diabetes Education 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: Takoma Park and SGMC Info: Call 301-891-6105 for an appointment or visit AHCYou.com/ FA19Calendar for more information.

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, 6–8 p.m.; second and fourth Tuesdays, 6–8 p.m.; and fourth Sunday, 5–7 p.m. Where: SGMC Birch Conference Room Cost: FREE Info: Ongoing series, open to all; call 240-826-5278 for room location and to register.

Post-Op Weight-Loss Surgery Support Group 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 Dogwood Conference Room Cost: FREE Info: Call 240-826-5278 for more information.

LEARN MORE OR REGISTER AT AHCYou.com/FA19Calendar.


LIVING HEALTHY

When: Every other month on a weekday, 5–8 p.m. Where: Visit AHCYou.com/FA19Calendar for additional class/event locations near WOMC. Info: To register for either location, visit AHCYou.com/FA19Diabetes.

SUPPORT GROUPS

Adventist HealthCare chefs educate the community about how to cook nutritious meals that are also delicious.

DIABETES Comprehensive Diabetes Self-Management Education Learn to better manage your diabetes with this three-class series. Physician referral required. Info: Call 301-315-3459 for more information.

Prediabetes Class Learn to manage prediabetes and prevent Type 2 diabetes. When: Alternate months on a Thursday, 5–7:30 p.m. Where: SGMC Info: Visit AHCYou.com/FA19Calendar to register for these FREE classes.

Adventist HealthCare offers many FREE support groups for patients and their loved ones. The following ongoing support groups are available: • Amputee • Narcotics • Diabetes •A lcoholics Anonymous For information about these groups, including a schedule of meetings and locations, call 877-684-1511 or visit AHCYou.com/FA19Calendar.

CPR CLASSES Adventist HealthCare Life Support offers convenient CPR and First Aid courses. Visit AHCYou.com/FA19Calendar or call 240-826-2673 for course schedules, locations and registration. The AHA’s CPR/AED and Heartsaver First Aid courses provide the knowledge and skills that may help save a life. These courses are intended for anyone with little or no medical training who needs a course completion card for work, regulatory (e.g. OSHA) or other requirements. (Not intended for healthcare workers.)

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/FA19Calendar for upcoming dates or to register for these classes. Where: SGMC Magnolia Room When: Alternate months on a Thursday, 6–7 p.m.

Living Well With Diabetes This three-hour class includes topics such as monitoring, healthy eating, being active and more! When: Alternates monthly on a Monday, 5:30–8:30 p.m., or a Saturday, 10 a.m.–1 p.m. Where: CPD,14915 Broschart Road, Suite 100, Rockville, MD 20850

American Heart Association: Heartsaver CPR and AED Certification The following topics will be covered: •A dult CPR and AED use •O pioid-associated, life-threatening emergencies • Choking in adults •C hild CPR and AED use • Choking in children • Infant CPR • Choking in infants A completion eCard, good for two years, will be issued when the course is completed. Cost: $65, which includes book When: Monthly; please visit AHCYou.com/

FA19Calendar for dates and times. Where: CPD, 14915 Broschart Road, Suite 100, Rockville, MD 20850 Info: Call 240-826-2673, email LifeSupport@AdventistHealthCare.com or visit AHCYou.com/FA19Calendar.

American Heart Association: Heartsaver First Aid Certification The following topics will be covered: • Basics of first aid (duties, roles and responsibilities of first-aid rescuers) • Medical emergencies (breathing impairment, choking, allergic reaction, heart attack, stroke and more) • Injury emergencies (external and internal bleeding, wounds, sprain, 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 completed. Cost: $55, which includes book When: Monthly; please visit AHCYou.com/ FA19Calendar for dates and times. Where: CPD,14915 Broschart Road, Suite 100, Rockville, MD 20850 Info: Call 240-826-2673, email LifeSupport@AdventistHealthCare.com, or visit AHCYou.com/FA19Calendar.

American Heart Association: Infant Safety & CPR This class teaches safety, choking management and CPR for newborns through age 1. An AHA Family & Friends CPR attendance card will be given to each participant at completion. For individuals 16 and older. NO BABIES PLEASE. Class topics include: • CPR skills • Injury and poisoning prevention • Management of choking Cost: $50/individual or $65/couple, which includes book When: Monthly; please visit AHCYou.com/ FA19Calendar for dates and times. Where: CPD,14915 Broschart Road, Suite 100, Rockville, MD 20850 Info: Call 240-826-2673, email LifeSupport@AdventistHealthCare.com or visit AHCYou.com/FA19Calendar.

LEARN MORE OR REGISTER AT AHCYou.com/FA19Calendar.

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EATING WELL

ANTI-INFLAMMATORY

Make an Anti-Inflammatory Diet Work for You

VERY few years, a new diet makes the rounds, promising amazing results. Recently, the focus has been on the anti-inflammatory diet – which the medical community looks at as more than a passing fad. “The anti-inflammatory diet is very promising on several fronts,” explained Patty Guay-Berry, registered dietitian for the Shady Grove Adventist Aquilino Cancer Center. “Researchers are finding a diet that helps the body fight inflammation can reduce a person’s risk of heart disease, dementia, Alzheimer’s and cancer.”

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INFLAMMATION AND YOUR HEALTH Inflammation is part of your body’s defense against outside threats, which may include stress, infection or toxins. The immune system senses these dangers and activates proteins from white blood cells and other substances to help protect your cells and tissues. A little inflammation is good for your health. Chronic inflammation, however, is bad for the body. The immune system can overreact and constantly trigger inflammatory responses from factors like: • Lack of sleep • Poor diet choices • Chronic stress • Lack of physical activity • Alcohol and tobacco use “This inflammatory cascade is what can lead to serious health issues – including cancer,” Patty said.

HOW THE DIET WORKS “What we put in our bodies changes how our cells respond,” Patty said. “Certain nutrients in food that contain vitamins and minerals are proven to fight inflammation, while others – like processed foods, refined sugar and simple carbohydrates – can trigger an inflammatory response in the body.” Antioxidants, omega-3 fatty acids, resveratrol and curcumin are all nutrients and compounds with inflammation-fighting properties.

MINDFUL CHOICES EQUAL HEALTHY DIETS It’s easy to get into a rut when it comes to meals and snacks. Patty encourages the people she sees to make more mindful choices. “When you’re in the grocery store planning meals for the week or getting ready to order from a restaurant, stop and ask yourself ‘Is this good or bad for my body?’” she said. “Taking just 10 seconds to put more thought into what you are doing can help you break bad habits and make healthier choices.”

For more on healthy eating, visit AHCYou.com/FA19Recipe.

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DIET TIPS

EAT MORE WHOLE FOODS Load your grocery cart with plenty of fruits and vegetables for meals and snacks and skip processed foods. “Start reading food labels,” said Patty Guay-Berry, registered dietitian for the Shady Grove Adventist Aquilino Cancer Center. “Stick to foods that have five ingredients or less.” Another one of Patty’s favorite tips is to visit a local farmer’s market or join a community supported agriculture (CSA) group in your area. Access new and fresh fruits and vegetables, making it fun to eat healthy.

CUT BACK ON SUGAR Sugar sneaks its way into many foods – including bread, tomato sauce and packaged snacks. There are roughly 61 different names for sugar listed in ingredients. Patty once again urged reading labels and said, “Keep in mind, men should have only nine teaspoons of added sugar and women need to stick to six teaspoons of added sugar or less in a day.”

ADD MORE WHOLE GRAINS AND PROTEIN Whole grain options often have less sugar and fewer refined carbohydrates, giving you more bang for your buck. High quality protein is also likely to have fewer additives. “I often tell people to buy the best quality protein you can afford,” Patty explained. “You may not be able to eat grass-fed beef every night, but when you can, opt for higher quality cuts for stronger health benefits.” And if your budget is tight, beans are a very affordable source of protein. When purchasing canned beans, make sure the cans are BPA-free.


Getting Back

REHAB IN ACTION

IN THE GAME

URING a scrimmage last fall, Anujin Dashdorj, a junior on the girls’ varsity basketball team at Richard Montgomery High School, collided with an opposing player and fell to the floor. Anujin resumed playing and didn’t notice anything wrong until later that night, when she experienced headaches and memory loss. The next day, Anujin told her coach about her symptoms. Her coach referred her to Tori Simonetti, a certified athletic trainer with Adventist HealthCare Rehabilitation who helps student athletes at the Rockville, Maryland, high school. Adventist HealthCare Rehabilitation has 13 trainers working with high school athletes at Montgomery County Public Schools (MCPS). “Upon my initial examination, it was clear that Anujin had suffered a concussion from her fall on the basketball court,” Tori said. To further evaluate Anujin’s condition, Tori consulted with Trey Godwin, MD, an Adventist HealthCare Rehabilitation physiatrist who specializes in sports medicine.

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“Concussions are commonly undiagnosed because the symptoms don’t always appear right away,” Dr. Godwin said. “Symptoms can include headaches, nausea, dizziness, sensitivity to light, fatigue and difficulty concentrating.” After symptoms lessen and students are medically cleared by a licensed healthcare provider, MCPS requires students to follow the state’s “return-to-play protocol.” Tori worked closely with Anujin to supervise her during the six stages of the rehabilitation program. “The first stage begins with light aerobic activity, such as jogging for 20 minutes,” Tori said. “Students transition to a progressive resistance training workout, which can consist of 10 minutes on a stationary bike, sprints, lunges and strength training exercises. In the final stage, they return to play in a game.” Nearly two weeks later, Anujin was symptom-free and playing basketball with her team without restrictions. “Tori and Dr. Godwin were there every step of the way to help me return to playing basketball after my concussion,” Anujin shared. “Now I can play just as well as I did before my concussion.” After the team’s regular season, Anujin was selected to the all-state team by the Maryland Basketball Coaches Association. She recently started her senior year at Richard Montgomery High School and is planning to play basketball in college.

To learn how we can help with sports injuries, visit AHCYou.com/ FA19Sports.

Anujin Dashdorj (center), Richard Montgomery High School girls’ varsity basketball player, returned to play following a concussion, thanks to Tori Simonetti (right), an Adventist HealthCare Rehabilitation certified athletic trainer, and Trey Godwin, MD, an Adventist HealthCare Rehabilitation doctor.

AHCYOU.COM/FA19

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PATIENT PROFILE Amy Morris took up light yoga and journaling as therapeutic ways of chronicling her journey after life-saving care at Shady Grove Adventist Aquilino Cancer Center.

A Team Effort

One Woman’s Journey Through Breast Cancer HIS time last year, Amy Morris, 50, was busy at Bloomberg Radio as a morning news anchor. She worked from the early hours of the morning into the afternoon, then headed to the gym. “Fitness is important to me, so I would leave work and work out. It was a way for me to let it all out,” Amy said. But everything changed in October 2018, when Amy felt a lump in her breast during a routine self-exam. “When I found my lump, it was like ice started running through my veins. I completely froze.” Grateful that she had her yearly mammogram already scheduled, Amy wanted to talk herself out of the possibility of having breast cancer. “But I felt there was a little voice in the back of my head that was saying, ‘This is new, and it’s not right,’” she said.

got a call recommending further testing. Amy went to the Adventist HealthCare Shady Grove Breast Center where Sonya Kella, MD, medical director for Women’s Imaging, performed her biopsy. “Everyone I met at the Breast Center, from the doctors to the techs, were soothing and comforting, despite the anxiety that was building inside of me,” Amy said. A few days later, Amy received the results: she had breast cancer. Dr. Kella asked Amy to return to the Breast Center as soon as possible. “They were so understanding about the stress I was under,” Amy said. “Dr. Kella sat with me, gave me all the ins-and-outs of what I was facing, and walked me through my treatment plan.”

COMPASSIONATE CARE

Because she had a prior successful surgery at Shady Grove Medical Center, Amy knew she wanted to stay within the Adventist HealthCare system for her breast cancer care.

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The following week, Amy had her mammogram at Adventist HealthCare Imaging in Germantown, Maryland. The next day, she

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EXPERT, COORDINATED SURGERY


The Shady Grove Adventist Aquilino Cancer Center is the first communitybased, free-standing, comprehensive cancer center in Montgomery County. Multidisciplinary cancer care team members work together in one facility to offer patients seamless, coordinated care.

Amy met with Glenn Sandler, MD, a breast surgeon at Shady Grove Medical Center. After some additional testing to determine the right treatment plan, Dr. Sandler referred Amy to Shannon O’Connor, MD, medical oncologist and hematologist. Under the recommendation of Dr. O’Connor, Amy started chemotherapy at the Shady Grove Adventist Aquilino Cancer Center in November 2018 and finished in February 2019. Feeling she had missed the holidays and her birthday during her treatment, Amy traveled to her home state of South Carolina to visit with her family at the beach. “There are very few ills the beach can’t cure,” she said. She also took up light yoga and journaling as therapeutic ways of chronicling her journey. When she returned, she jumped back into her treatment. The next step for Amy was to have a double mastectomy. “You go through a grief period when you realize that a mastectomy is your best option,” Amy said. Ultimately, she decided to have both breasts removed, which lessened her chances of recurrence. After her surgery, Dr. Sandler wanted to ensure Amy was all clear. He recommended the Aquilino Cancer Center, where she saw Marie Gurka, MD, for radiation treatment. Amy is now preparing for reconstructive surgery, so she met with plastic surgeon Gregory Dick, MD, who is part of the breast program with Adventist HealthCare. “He was so reassuring,” Amy said.

A LIFE SAVED Now back in her routine of working and exercising, Amy thinks back on her journey and says that she owes a lot to the team that was behind her each step of the way. “The Adventist team saved my life, and they did it in a way that made me feel like I wasn’t just a number,” Amy said. “In addition to the expert care, they knew the compassion I needed, to understand when I needed a box of tissues or just a hug. These small gestures made such a big difference.” As far as the lessons Amy learned from her breast cancer journey, she said there is one big one. “I’m a very tough woman. I have a high pain tolerance and I never cry,” Amy said. “But through this, I’ve learned to cry. I’ve learned to let it out. It’s not weakness, it’s release. You have to give yourself time to lose your mind, to grieve. Then, you have to pull it back together.”

COMPREHENSIVE BREAST CARE FOR YOU Adventist HealthCare provides a full suite of breast care services – from screenings for early detection to diagnosis, support and treatment, and recovery services. Our experienced team includes fellowship-trained radiologists, physicians, surgeons and other specialized experts across our system.

SCREENINGS We offer 3D mammography, along with a variety of other breast screenings.

DIAGNOSIS AND SUPPORT Our team of experts – which includes surgeons, oncologists, social workers and spiritual advisors – is dedicated to helping patients every step of the way and reach recovery.

TREATMENT We provide personalized treatment, from surgery to radiation and infusion. Minimally invasive technologies, such as the SAVI SCOUT® and Accelerated Partial Breast Irradiation, can mean less stress and a shorter recovery time.

RECOVERY We support our patients after treatment with several wellness programs to further facilitate physical, mental and spiritual healing.

For more on our comprehensive services, visit AHCYou.com/FA19Cancer. To learn your breast cancer risk, visit AHCYou.com/FA19Breast. AHCYOU.COM/FA19

13


WOMEN’S HEALTH

A Workplace Bullying Institute survey estimates that

61%

of U.S. employees are aware of abusive or bullying conduct in the workplace.

19%

have experienced bullying, and another

19%

have witnessed it.

Lisa Eley shares her story on workplace bullying so others may find help.

Working to Put an End

BULLYING L to

ISA Eley didn’t know she was depressed until one day when she reached for a bottle of pills on her dresser. “I knew something was wrong when I contemplated swallowing the entire bottle,” Lisa said. “I drove myself to the emergency room immediately.” For more than a year prior, she had endured harassment and bullying from a supervisor at work. The abuse left her feeling hopeless and defeated. Lisa was evaluated at Adventist HealthCare Shady Grove Medical Center’s Emergency Department and transferred to the hospital’s Montgomery Unit, an inpatient treatment unit for adults facing mental health challenges such as depression, anxiety and bipolar disorder. The treatment program helps individuals who are experiencing a mental health crisis due to increased stress or sudden life changes, such as the loss of a loved one, trauma, job loss or divorce. According to the National Alliance on Mental Illness, approximately 1 in 5 people have a diagnosable mental health disorder in a given year.

14

FALL 2019

“I am grateful to the team at Shady Grove Medical Center for helping me get my life back on track during a very challenging time,” Lisa said. “I am also grateful to have the support of my friends and family on my journey to stay mentally healthy and help eliminate the stigma of mental illness.” Lisa, who lives in Gaithersburg and has changed jobs, now shares her story to help others who are facing similar challenges. She wrote a book about her experience as a victim of workplace bullying and how she overcame depression as an African-American woman. She also participates in community events to spread the word about how to recognize mental illness and the importance of seeking treatment. Lisa hopes that sharing her story will help save lives – one mind at a time.

Wondering about depression? Take our free online assessment at AHCYou.com/FA19Bully.


JOINT PAIN? IT’S TIME TO

YOUR HEALTH

Move

Is that nagging hip, knee or shoulder pain a sign that you should see an orthopedic surgeon? Answer these questions to see if it’s time to make your move. Blue: Move to the next question. Green: You’re ahead of the game, but keep an eye on your pain. : Consider making an appointment with your primary care provider to discuss your pain.

I only have pain now and then

DO YOU MOSTLY STAND, LIFT OR WALK AT WORK?

NO

YES

ARE YOU VERY ACTIVE IN SPORTS?

IS YOUR PAIN FROM AN ACCIDENT OR INJURY?

I have trouble moving, and it hurts even when I rest.

HOW BAD IS YOUR PAIN?

NO

IS THIS CAUSING SWELLING THAT REST, MEDICINE OR PHYSICAL THERAPY IS NOT HELPING?

HAVE YOU BEEN DIAGNOSED WITH ARTHRITIS?

YES TALK WITH YOUR DOCTOR

NO

Sources: American Academy of Orthopedic Surgeons, Agency for Healthcare Research & Quality

Start Here

Yes, but I am afraid.

YES

Adventist HealthCare Shady Grove Medical Center is nationally recognized for quality in joint surgery. Additionally, modern materials and techniques make surgery easier and less painful than it used to be.

NO Yes, but I am worried about being down for too long.

YES

YES

HAS YOUR DOCTOR SUGGESTED SURGERY?

Robotic technology pioneered in our region at Shady Grove Medical Center has been proven to shorten recovery times.

Ready to make the move and talk to a surgeon about joint surgery? Find an expert doctor affiliated with our Joint Replacement Center of Excellence at AHCYou.com/FA19Doctors.

AHCYOU.COM/FA19

15


Z IP C O 4 3 973

M AILED

OM

DE

FR

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 FUNDRAISING EVENTSPATIENTS

RAISING AWARENESS, Supporting Care

Our commitment to improve the health of the community inspires individuals, organizations and companies to donate financially to Adventist HealthCare. Gifts of all sizes play an important role in helping us expand our programs, as two events held this past spring illustrate. We appreciate the donors who contribute to these initiatives, which help us grow our comprehensive system of healthcare and serve our community.

AMPUTEE EVENT Adventist HealthCare Rehabilitation held its fourth annual Amputee Awareness 5K Walk, Wheel or Run event in April at Wootton High School in Rockville. More than 220 participants helped raise nearly $50,000 to support services and equipment for amputee patients to further improve their quality of life and empower independent living. Adventist HealthCare Rehabilitation’s amputee program, which treats nearly 300 patients annually, was the third of its kind in the U.S. to obtain certification from the Commission on Accreditation of Rehabilitation Facilities. Many thanks to this year’s host sponsor, Medical Center Orthotics & Prosthetics, as well as all the sponsors, participants and volunteers who made the event a tremendous success. To support Adventist HealthCare Rehabilitation’s amputee program, visit AHCYou.com/FA19Amputee.

WHITE OAK MEDICAL CENTER Nearly 130 golfers teed off at the 19th Annual Golf Classic in May. The event, held at The Country Club at Woodmore in Bowie, raised more than $240,000 to benefit Adventist HealthCare White Oak Medical Center, which opened Aug. 25. Thank you to all the sponsors and participants who made the event a success, including title sponsor NAI Michael, as well as Co-underwriters CallisonRTKL, the project’s architect, and Turner Construction Co. Other top sponsors included the Columbia Union Conference of Seventh-day Adventists, DARCARS Toyota Silver Spring, Trammell Crow Co. and US Anesthesia Partners-Maryland. To learn more about how you can support Adventist HealthCare White Oak Medical Center, visit AHCYou.com/FA19Donate.


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