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YOU R G U I D E TO HE A LT H Y L IVIN G â–  SPRING 2012

Classes and Events Page 12

Robotic surgery cuts down pain and recovery time Page 4

Innovative heart treatment keeps one woman tap dancing Page 8

Hip

Hatter Total joint replacement helped local hat store owner Andrea Bray of Silver Spring get back on her feet Page 6

Shady Grove Breast Center coming soon to your community Page 10

BROUGHT TO YOU BY:

MEMB ERS O F A DVEN TIST HEA LTHCA RE

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OPENING

THOUGHTS

Page 6

Introducing Adventist HealthCare & You

CONTENTS Features

4

Raving About the Robot

6

Joint Replacement Central

8

Dancing to a New Beat

Meet two local patients who benefited from the da Vinci surgical system.

Shady Grove Adventist and Washington Adventist Hospitals are helping patients get back to their active lives.

An innovative heart procedure has an 85-year-old dancing again.

9

Using Your Head

Helmets help ensure your child stays safe. Learn how to check for a proper fit.

10

Fighting Breast Cancer on a Whole New Level Shady Grove Breast Center offers stateof-the-art diagnosis and treatment.

Departments 3

You might have noticed a slight change on the cover of your magazine. Health & You has now become Adventist HealthCare & You. This name change has been made to better reflect the breadth of quality health care services that Adventist HealthCare, Shady Grove Adventist Hospital and Washington Adventist Hospital provide to you and your family. We recognize that during the 104 years Adventist HealthCare has been providing care in the region, the needs of our community have changed. Similar to the name of this publication, our organization and the services we have offered have changed to better meet the needs of those we serve. In our fast-paced and technologically savvy world, expanding access to health Gaurov Dayal, M.D. care and improving community wellness is about more than delivering quality care at a hospital. Today, this work involves bringing health care services and information out into the community. Whether we are offering flu shots in a church, hosting a health event in a local community center or providing health education through social media channels such as Facebook or Twitter, we are carrying out our mission of improving the health of our community. Part of our role as a local provider of health care is to ensure that all populations in our community receive the care and services they need. In our area and across the nation, the number of Americans older than 55 is growing. Although healthier than previous generations, this population has a specific set of health care needs and faces specific health care risks. With this in mind, Adventist HealthCare facilities in the region are working to provide a wide range of specialized, state-of-the-art services and care for aging adults. Whether it is minimally invasive surgery that results in faster and less painful recovery, or new advances in treating vascular conditions, Shady Grove Adventist Hospital, Washington Adventist Hospital and the other Adventist HealthCare facilities and services in the area provide the care that aging adults need and expect. Stories on the following pages highlight several new approaches to surgery, specialized care for vascular conditions and ways that we are working to provide more efficient emergency care. All of these are offered right here in your community. Visit www.adventisthealthcare.com to learn more about Adventist HealthCare.

Connect with Us Through Social Media

In good health,

Gaurov Dayal, M.D. Senior Vice President/Chief Medical Officer Adventist HealthCare

NEED A PHYSICIAN? Let us help! Visit www.adventisthealthcare.com/findadoc or call 800-642-0101 to access our free service that will connect you with local doctors.

Health Beat

12 Living Healthy

MEMBERS OF ADVENTIST HEALTHCARE

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

Editorial Team: Thomas Grant, Marisa Lavine

Shady Grove Adventist Hospital 9901 Medical Center Drive Rockville, MD 20850 www.shadygroveadventisthospital.com President: Dennis Hansen

Senior Content Editor: Matt Morgan

Washington Adventist Hospital 7600 Carroll Ave. Takoma Park, MD 20912 www.washingtonadventisthospital.com President: Joyce Newmyer

Production Technology Director: Mary Winters

Art Director: Rosalie Kirkman Imaging Specialist: Dane Nordine

Adventist HealthCare & You is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 17, Number 2 © 2012 McMurry. 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, P.O. Box 17910, Phoenix, AZ 85011, or go to acd.mcmurry.com.

Senior Production Manager: Laura Marlowe

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health beat

Stop by, Get Screened, Stay Healthy

Make plans to attend one of the upcoming free health screening events at Shady Grove Adventist and Washington Adventist Hospitals.

6th annual Spring into Better health event Offering a wide range of free cardiac and vascular screenings. When: Sunday, April 22, 1–4 p.m. Where: Shady Grove Adventist Hospital, Outpatient Surgery Center, 9901 Medical Center Drive, Rockville Info: Call 800-542-5096 for more information and to register

Join the Adventist HealthCare Walking Club

Experts from Adventist HealthCare entities, including Shady Grove Adventist Hospital, Washington Adventist Hospital, Adventist Home Health and Adventist Rehabilitation Hospital of Maryland, will be on hand each week to offer free health screenings as well as information on living a healthy lifestyle. Attendees are invited to register for free to become an Adventist HealthCare Walking Club member. Each registrant will receive a gift and special invitations to free health screenings and events. Visit www.adventisthealthcare.com for more information.

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free clinical breast exams, and oral, prostate and skin screenings. Preregistration is required at Washington Adventist Hospital. When: Sunday, March 18; screenings, 9 a.m.–1 p.m.; panel discussion, noon Where: Washington Adventist Hospital, Short-Stay Unit, 7600 Carroll Ave., Takoma Park When: Sunday, March 25, 9 a.m.–1 p.m. Where: Shady Grove Adventist Hospital, Outpatient Surgery Center, 9901 Medical Center Drive, Rockville Info: Call 800-542-5096 to preregister. For additional questions regarding the event, call cancer outreach coordinators Ashley Fried (301-315-3507) or Melina Talavera (301-315-3147).

Electronic Health Records: Part of a Commitment to Care Excellence A few months ago, Shady Grove Adventist Hospital in Rockville officially moved to an electronic medical records (EMR) system for its patients. This transition involved many years of careful planning and training for the team, which now works daily in this state-of-the-art clinical system. We want to thank our patients for their patience during this important change. The move to the new EMR system is part of an Adventist HealthCare initiative called Care Excellence. Throughout Adventist HealthCare’s facilities, including Shady Grove Adventist Hospital, Care Excellence and the EMR system are transforming the standards of care delivery by enhancing the patient experience, increasing care provider productivity and expanding patient access to health information. When you visit Shady Grove Adventist Hospital, your medical information will now be in one secure, computerized file. Your physician or nurse will have instant access to your complete health care picture: your medical history, test results and medications. This change has been made with your safety and the delivery of quality care top of mind. One example of this focus is the fact that the new EMR will automatically alert your providers if a medication could react negatively with your allergies or prescriptions, helping them make quicker and more informed treatment decisions. Adventist Rehabilitation Hospital of Maryland in Rockville moved to the EMR system along with Shady Grove Adventist Hospital in December. Later this year, Washington Adventist Hospital in Takoma Park and Adventist Behavioral Health in Rockville will implement the EMR system.

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If you would like to step up your exercise routine and improve your health, join the Adventist HealthCare Walking Club every Tuesday from 8 to 9:30 a.m. at Westfield Montgomery Mall. People of all ages and fitness levels are welcome.

annual CanCer SCreening DayS

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Raving

t o b Ro

Local patients experience less pain and faster recovery with the da Vinci surgical system

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athleen Smith, a mother of three in Potomac, went to her doctor every six months for routine exams. After numerous findings of precancerous cells and attempts to clear the problem, her youngest daughter persuaded her to see Shady Grove Adventist Hospital gynecologist Carolynn Young, M.D. “My daughter was her patient first and she raved about her,” says Smith, 52.

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After speaking to Dr. Young, Smith faced two options: a conservative procedure to remove the cells, taking out only part of her uterus, or a complete hysterectomy. Smith initially did not want to undergo a hysterectomy because of concerns about the time she might have to take off from work. Her history of precancerous cells and her oldest daughter’s diagnosis with ovarian cancer at 16, however, led her to choose a hysterectomy.

“After I made the decision, Dr. Young said, ‘I think you are making the right decision,’ and that made me feel better,” Smith says.

Fantastic Visualization In July, Dr. Young performed Smith’s hysterectomy using the da Vinci robotic surgical system at Shady Grove Adventist Hospital in Rockville. During surgery, the da Vinci makes tiny incisions in the body and inserts miniaturized instruments and a high-definition camera. The surgeon sits at a nearby console and operates the robot, which translates his or her hand, wrist and finger movements into precise, real-time movements of surgical instruments. “The visualization is so fantastic because the camera magnifies it 10 times and the instruments allow for excellent articulation,” Dr. Young says. “As a physician, I can work at an amazing angle and make movements in a very precise manner.”

Delightfully Uneventful Recovery Dr. Young emphasizes that the da Vinci is having a tremendous positive effect on Potomac resident Kathleen Smith and Carolynn Young, M.D., with the da Vinci robotic surgical system at Shady Grove Adventist Hospital

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Michael Isaacson, M.D.

Silver Spring’s Maurice Diggs with urologist Jonathan Rhee, M.D., and the da Vinci robot at Washington Adventist Hospital

Benefits for Other Conditions Faster recovery is also noted among other surgeons who use the da Vinci for urologic and thoracic cancers, as well as general surgeries. “Patients with complex prostate cancer cases are often walking the day of surgery,” says Michael Isaacson, M.D., urologist at Shady Grove Adventist Hospital. “They go home from the hospital in one day and have their catheters removed after a week. That is one-third the time typically seen in open prostatectomy cases.” This quick recovery held true for 68-yearold Maurice Diggs of Silver Spring, who went

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www.a Visit dve servic ntisthealth es/d care system a-vinci-sur .com/ gicalto disc about the da over more V surgica inci robotic l syste m.

home the day after a robotically assisted prostatectomy with the da Vinci at Washington Adventist Hospital in Takoma Park. This was Diggs’ second robotic surgery with Jonathan Rhee, M.D., urologist at Washington Adventist Hospital. Diggs was sent to Dr. Rhee for further testing after his primary care physician found signs of an enlarged prostate. A biopsy revealed cancerous problems with his prostate and his kidney. Diggs and his wife of 46 years, Leigh, sat down with Dr. Rhee to discuss their options. “Of course, the first thing you think about when you’re told you have cancer is, there’s a chance I’m leaving this earth,” Diggs says. “But I felt confident in Dr. Rhee’s knowledge and skills dealing with both prostate and kidney cancers, so I thought I’d take my chance with him.”

Technology Comes Through Again One option was minimally invasive surgery using the da Vinci surgical system. “I’ve always been drawn to new technology,” Diggs says. “I liked that the da Vinci surgery was minimally invasive, and offered increased precision and accuracy for removing cancerous tumors.”

“Compared with traditional surgery methods, the da Vinci offers patients less scarring, less pain and a quicker return to normal life,” says Dr. Rhee, who is fellowship-trained on the da Vinci and has been performing robotically assisted surgeries since 2005. Before his prostatectomy, Diggs was given injections to control his prostate while he had a tumor removed from his kidney using the da Vinci. On Aug. 24, Diggs underwent his prostatectomy using the da Vinci at Washington Adventist Hospital. Within 24 hours, Diggs was able to go home. “The best news I got was that the cancer did not spread anywhere,” Diggs says.

A Flexible Option for Surgery In addition to prostate and gynecological cancers, the da Vinci can treat a variety of other medical conditions including kidney and bladder cancers. It can also treat endometriosis, uterine fibroids and pelvic floor conditions. “It is great that we can offer the da Vinci as a surgical option for our patients,” Dr. Rhee says. “I want to see my patients get back to their healthy and active lives, and the da Vinci is another way to make this happen.”

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gynecological procedures by allowing most of her patients to return home the day after surgery and return to work within two weeks. “In a case like Kathleen’s, I was able to use the da Vinci to help address a potentially serious health issue and get her back home and on the road to a quick recovery,” Dr. Young says. Smith left the hospital less than 24 hours after her one-hour surgery. She says that the recovery went better than she expected and that she was able to use stairs within a day of her surgery. She also experienced little pain and no need for the painkillers she was prescribed. “I’m very happy that the recovery was as uneventful as it was,” says Smith, who spent her second week of recovery at the beach with her parents in North Carolina.

Is a Vi Righd t for Ynoci u?

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Joint Replacement Central Hitting the Links Two Weeks After Hip Replacement Surgery

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It didn’t take long for Jim Nussbaum of Laytonsville to get back in the swing of things after hip replacement surgery at Shady Grove Adventist Hospital. Just 10 days, in fact. “I boldly stated I would play in an annual golf tournament with a group of my friends 10 days after surgery,” says Nussbaum, 59. “During the tournament, I was cautious, didn’t take my usual hard swing, but I was very happy with my day and my score.” Nussbaum credits Shady Grove Adventist Hospital, home to Montgomery County’s only Hana Table, which allows doctors to use a specialized front (anterior) approach to hip replacement surgery and hip fracture repairs. “The Hana Table has basically eliminated hip dislocation through its range of motion and its ability to spare muscle through the direct anterior approach,” explains Sridhar Durbhakula, M.D., Nussbaum’s orthopedic surgeon and chief of orthopedics at Shady Grove Adventist Hospital. “It means a shorter hospital stay and a faster recovery.”

Coming to the Table In the 18 months since Shady Grove Adventist Hospital began offering minimally invasive hip replacement surgery, the hospital also became the only one in the Washington, D.C., metropolitan area to offer the Hana Table together with computer navigation. “This system is state-of-the-art,” Dr. Durbhakula says. “It allows exact component

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positioning during the procedure with a three-dimensional rather than twodimensional view, and there is less radiation exposure to the patient and surgical staff.” This kind of technology and surgical skill persuaded Nussbaum to schedule the procedure he had been putting off for a year. “Another orthopedic doctor told me Jim Nussbaum played in a golf tournament with friends my left hip was shot and my right hip was just 10 days after hip replacement surgery at Shady Grove bad, too,” he recalls. “But he was offering Adventist Hospital. conventional hip surgery,” which entails a six-week recovery. “I was not going to be reckless,” Nussbaum Months later, a family friend handed him says, “but I did go into this with the mind-set, an article about the revolutionary Hana Table at ‘Let’s get this fixed, let’s move on and get on with Shady Grove Adventist Hospital. our lives.’ Setting the golf tournament as a short“I did some research and conferred with term goal was the perfect motivator.” Dr. Durbhakula,” Nussbaum says. “I liked the Nussbaum made sure to enroll in Shady doctor, I liked the approach, and my wife, Wendy, Grove Adventist Hospital’s total joint replaceand I especially liked the shortened hospital stay ment class, which helps patients understand and recovery time. This was what I was waiting what to expect during and after the procedure, for. I scheduled the surgery right away.” and his certified orthopedic nurses and physical therapists helped him “whiz through rehab,” he says. “By day four I was able to go up and down ‘Let’s Get This Fixed’ the stairs without a cane. I was driving after a Dr. Durbhakula did try to temper Nussbaum’s week. Now, I am walking upright and without 10-day golf goal, but adds: “Mr. Nussbaum was hip pain or a limp.” a star. A lot of his success had to do with And when the time comes to replace his right preoperative planning, his commitment hip—“in two or three years,” he says—Nussbaum to the rehabilitation and his coordination says he will “go back to Dr. Durbhakula and absowith Shady Grove’s Joint Center to optimize lutely go with the Hana Table again.” pain management.”

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t

With leading experts, the latest technology and experienced care teams, the joint replacement programs at Shady Grove Adventist and Washington Adventist Hospitals help local patients get home faster and back to their active lives

Discov More O er nline

Visit w ww.a health care.c dventist om to lear n more /magazine about repla joint Shady cement at Grove Adven or Was tis hingto n Adve t ntist Hospit al.

Feeling at Home While You Heal With five grandchildren,

two children, a husband and a business to run, Andrea Bray, 69, of Silver Spring could not let a painful hip slow her down. “I have rheumatoid arthritis, and when you have a chronic pain illness, you get used to it,” Bray says. “But the pain I was experiencing in my hip was going beyond that threshold.” Then Bray met with Zohair Alam, M.D., an orthopedic surgeon at The Joint Replacement Center at Washington Adventist Hospital. “Andrea wasn’t sure if she wanted surgery at first,” Dr. Alam says. “But it was clear to me that she was motivated to live an active life, and I wanted her to know she didn’t have to live that life with such extreme pain.” Adds Bray: “Dr. Alam was thorough, professional and kind. I own a hat store in Silver Spring, and it requires a lot of walking to service my

customers. I realized surgery was the best option to keep me going at the speed I wanted to be going at.”

Integrated Care

Joint replacement surgery at Washington Adventist Hospital allowed Andrea Bray to stay active as a hat store owner.

In fall 2011, Bray had a total hip replacement at The Joint Replacement Center at Washington Adventist Hospital, where she was looked after by a coordinated care team of specially trained orthopedic nurses, techs, therapists and a clinical nurse specialist/patient educator. The team at the center is dedicated to the care of all joint replacement patients from pre- and postoperative education to rehabilitation and recovery.

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Smooth Transitions Bray made such great progress at The Joint Replacement Center that she was discharged just two days after her operation. She continued her recovery at the Adventist Rehabilitation Hospital in Takoma Park for another week before transitioning home. “This experience taught me that people like me don’t have to suffer,” Bray says. “Thanks to Dr. Alam and my orthopedic team, I can keep on strutting!”

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“The day after my surgery, I was up and moving around. I appreciated the one-on-one care I received and the fact that my family felt welcomed and comfortable when they would visit. I even got to order my meals off a special menu. I almost didn’t want to leave!” —Andrea Bray, hip replacement patient

“The Joint Replacement Center at Washington Adventist Hospital creates seamless, integrated care for joint replacement patients like Andrea,” Dr. Alam says. “We offer innovative techniques to replace or preserve a joint, while at the same time providing patients with a comfortable, homelike environment to heal in.” Says Bray: “The day after my surgery, I was up and moving around. I appreciated the one-onone care I received and the fact that my family felt welcomed and comfortable when they would visit. I even got to order my meals off a special menu. I almost didn’t want to leave!”

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Dancing

to a

new beat

Innovative heart care puts the spring back in Ruth Garrett’s step

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s an active 85-year-old who enjoyed tap dancing and singing at her local senior center, Ruth Garrett of Clarksburg recognized the serious nature of heart problem symptoms that appeared last summer. “I had heaviness in my chest—it felt like a weight,” Garrett says. “And I was having trouble breathing. I could only walk a few feet before I had to sit down and catch my breath.” Three years earlier, Garrett experienced complications during a heart procedure at a hospital outside Maryland. In the years that followed, Garrett continued to take medication to help keep her heart functioning properly. But then came summer 2011. Medication wasn’t helping, and Garrett knew she needed more serious attention.

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Discovering a New Option

Ruth Garrett is tap dancing with her friends again after an innovative heart procedure at Washington Adventist Hospital.

After talking to her primary care doctor about her symptoms, Garrett was referred to Michael Chen, M.D., interventional cardiologist at Washington Adventist Hospital in Takoma Park. “When I met with Ruth, it was clear that her blood vessels weren’t getting her heart the blood and oxygen it needed,” Dr. Chen says. “We discussed an interventional procedure to go in and open up her blocked arteries, and because of the complications she suffered in the past, we would get to her heart through the artery in her wrist rather than her groin.” Going through the wrist, referred to as a transradial approach, can reduce the risk of complications and improve patient results. Cardiologists at Washington Adventist Hospital are leaders in the region for transradial catheterizations.

In Good Hands “When I heard they could go in through my wrist, I was relieved because I knew this was my chance to get my life back,” Garrett says. “My primary care doctor said Dr. Chen was brilliant, so I trusted that my heart was in the best hands.” Adds Dr. Chen: “Patients prefer the transradial approach because it enables them to be mobile much faster, they tend to have less overall

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discomfort, there’s a lower risk of complications and they’ll have a shorter recovery time. In Ruth’s case, she was able to go home the day after her procedure.” Garrett says the results of her procedure were felt immediately. “It was incredible. The weight was gone. I could breathe easier. I had energy,” she says. “I’m back to tap dancing with my friends and I feel like I’m 35 again! Dr. Chen gave me a new life.”

Free Heart Quiz Visit www.trustedheartcare.com to take a FREE heart quiz and request a FREE heart consultation with an expert from Washington Adventist Hospital.

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Using Your Head How helmets prevent serious injuries in kids This spring,

when your child of bicycle-related deaths. At the takes off on a bike, roller skates or same time, studies show that nearly a scooter, remind him or her that 75 percent of fatal head injuries safety is key—and it’s the law when among young riders can be preit comes to wearing helmets in vented by wearing a helmet.” Maryland for riders younger than Montgomery County Fire and 16 (Annotated Code of Maryland Rescue suggests using the “2-V-1 § 21–1207.1). In Montgomery finger test” to make sure a helmet County, the rule applies to everyfits. When your child puts on his or one younger than 18 (Montgomery her helmet, check for the following: p Two fingers’ width between County Code, Sec. 7–2). Scott Freedman, M.D. the eyebrows and the front of Yet, wearing a helmet is the helmet. not enough. p V-shape under each ear, with the straps joined “Safety starts with proper helmet-fitting and just under each ear at the jawbone. use to adequately protect your child,” explains p One finger’s width under the chin strap. Scott Freedman, M.D., medical director of the Pediatric Emergency Department at Shady Grove “As a father myself,” Dr. Freedman says, “I Adventist Hospital. “Poorly fitting helmets can know it can be difficult to force a child to wear a double the risk of head injury if there is an accihelmet. Yet, as a physician, I know this small act dent. Severe head trauma accounts for 60 percent can literally save your child’s life.”

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Although every parent wants to avoid a trip to the emergency room because of a fall from a bicycle or roller skates, it is good to know that expert emergency medical care is available, close to home, when it is needed. Shady Grove Adventist Hospital has Montgomery County’s first and largest full-service, 24-hour Pediatric Emergency Department with specially trained pediatric emergency physicians, nurse practitioners, physician assistants, pediatric nurses, medical technicians, pediatric surgeons, radiologists and anesthesiologists.

EMERGENCY DEPARTMENT FOR CHILDREN Visit www.shadygroveadventist hospital.com/pedsED to learn more about the Pediatric Emergency Department at Shady Grove Adventist Hospital.

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Fighting

Breast Cancer

on a Whole New Level

Shady Grove Breast Center brings expert care, latest technology to the community

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BROAD RANGE OF BREAST SERVICES The full range of services offered at the Shady Grove Breast Center will include: ◗ Full-field digital mammography. The center will partner with Shady Grove Radiology to deliver immediate results upon the completion of a mammogram to eliminate added stress. ◗ Stereotactic, ultrasound-guided and MRI-guided biopsies. Biopsies are performed to help identify the cause of a suspicious lump or mass. ◗ Dedicated breast MRI with computer-aided detection (CAD). The CAD system acts as a second set of eyes to enhance the accuracy of the exam. ◗ Bone densitometry. A test of bone density helps to detect early stages of osteoporosis. ◗ Breast ultrasound. Sound waves are used to help evaluate a suspicious lump or breast mass.

he Shady Grove Breast Center will open its doors this spring, offering local women a state-of-the-art facility with comprehensive breast imaging and breast cancer support services. The new center has been created through a partnership between Shady Grove Adventist Hospital and Shady Grove Radiology. This unique facility, next to Shady Grove Adventist Hospital, will feature the latest breast imaging equipment to provide high-quality, specialized services to women, focusing on breast cancer prevention and early intervention. The Shady Grove Breast Center will offer a wide range of modern diagnostic capabilities with nearby support from Shady Grove Adventist Hospital’s comprehensive cancer team of medical and surgical oncologists, radiation therapists and a breast cancer navigator. “Our goal is to offer an enhanced level of breast services to women that truly caters to their needs throughout all stages of their care experience,” says Sonya Kella, M.D., medical director and breast radiologist at the Shady Grove Breast Center. Dr. Kella will play an integral role in providing world-class breast care at the center. By serving as a breast radiologist and a consultant to physicians, she will ensure the highest level of diagnostic accuracy and the rapid delivery of results to Breast Center patients. “With the new Breast Center,” Dr. Kella adds, “we are going to be able to offer patients the latest and best breast imaging technology in a centralSonya Kella, M.D., ized, conveniently located facility to bring comprehensive breast health Shady Grove Breast Center medical director care to the community.”

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Who’s o Cancne Your r Team ?

To lear n more about Breast the S Ce of can nter and the hady Grove cer car full spe e pr ctru Grove Adven ovided by Sh m tist Ho ady www.y spita ou call the rcancertea l, visit m.co can team a cer care navig m or t 240826-6 ation 297.

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Advancements in

Emergency Care Washington Adventist Hospital reduces wait times for emergency patients When you are sick or in pain, the last thing you want to face is a long wait in a hospital’s emergency department. At Washington Adventist Hospital’s Emergency Department (ED), a doctor, nurse and medical tech­ nician are all involved in your care—right from the start. This coordinated care approach allows patients to receive quality care faster and return home, where they truly want to be. Since 2009, Washington Adventist Hospital in Takoma Park has sig­ nificantly increased its efforts to decrease wait times and enhance the patient experience. This approach ensures that patients with the most severe, life­threatening medical conditions get immediate attention, while at the same time those with minor illnesses and injuries are seen in a sepa­ rate “fast­track” area where they can receive the tests and treatment they need quickly and efficiently. “By having a physician, nurse and medical technician part of a patient’s care early in the process, we’re able to reduce wait times and tell our patients

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Visit w ww.w ashi hospi right away what they need to tal.co ngtonadve m/e ntis learn m have done,” explains Drew ore ab mergency t t out Wa o Adven White, M.D., medical director tist Ho s spital’s hington ments of the Department of Emergency a dvanc and a e in eme chievement Medicine at Washington Adventist s rgency c a re . Hospital. Washington Adventist Hospital has an average wait­to­see­ a­physician time of 17 minutes. “Even with limited space as a challenge, we have been able to make innovations that have put us ahead of national benchmarks in terms of patients who leave the ED without being treated, which usually happens because the wait is too long,” Dr. White says. Washington Adventist Hospital’s ED average for patients who leave with­ out being treated is four times lower than national benchmarks, according to National Hospital Ambulatory Medical Care Survey data. The hospital has also attained top rankings in the area of patient satisfaction of ED physicians, with physicians receiving an overall rating in the 99th percentile compared with other emer­ gency departments across the nation. Another achievement came in October 2011 when Washington Adventist Hospital celebrated its first full year of zero hours of yellow diversion for ambulances. During “yellow diversion,” ambulances are rerouted to the next nearest hospital because an emer­ gency department cannot take any more patients by ambulance because of volume of patients or other situations in the hospital. “Maintaining zero hours of yellow diversion serves as another example of our hospital’s commitment to providing qual­ ity emergency care to our community and enhancing the patient experience,” says Joyce Newmyer, president of Washington Adventist Hospital.

Drew White, M.D., medical director of the Department of Emergency Medicine at Washington Adventist Hospital, and Sunita Waddell, director of emergency nursing services, consult with a patient.

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Better Faster Care, Care

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Living Healthy APRIL–JUNE 2012

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.

Class Locations Adventist HealthCare health and wellness classes are offered at numerous locations within the community including:

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◗ SGAH Shady Grove Adventist Hospital 9901 Medical Center Drive, Rockville Paid parking ◗ WAH Washington Adventist Hospital 7600 Carroll Ave., Takoma Park ◗ AHC Adventist HealthCare 1801 Research Blvd., Rockville ◗ ARHM Adventist Rehabilitation Hospital of Maryland 9909 Medical Center Drive, Rockville Paid parking Visit www.adventist healthcare.com/calendar for additional class/event locations.

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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. When: Wednesdays, April 4, June 13, 8–10 a.m. Where: WAH Cafeteria Conference Room When: Wednesday, May 2, 8–10 a.m. Where: SGAH Sycamore Room Other locations: p Damascus Senior Center, 9701 Main St., Damascus, Wednesday, April 18, 9:30–11:30 a.m. p Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg, Wednesday, May 9, 10 a.m.–noon p Marilyn Praisner Senior Center, 14906 Old Columbia Pike, Burtonsville, Wednesday, June 6, 9:30–11:30 a.m. Info: Call 800-542-5096; registration required

SCREENING DESCRIPTION AND FEES Lipid profile: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL,

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

Where: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring

HEART SCREENING PACKAGES

When: Fourth Thursday of each month, 11:30 a.m.–12:30 p.m. Where: Takoma Park Community Center, 7500 Maple Ave., Takoma Park

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

FREE, MONTHLY BLOOD PRESSURE TESTING

When: Second Tuesday of each month, 12:30–2:30 p.m. Where: ARHM Lobby When: Third Wednesday of each month, 11:30 a.m.–1:30 p.m. Where: SGAH Cafeteria When: Fourth Wednesday of each month, 9:30–11:30 a.m. Where: Gaithersburg Upcounty Senior Center, 80 Bureau Drive #A, Gaithersburg When: Second Thursday of each month, 10–11 a.m. Where: Bowie Senior Center, 14900 Health Center Drive, Bowie

When: First Thursday of each month, 11:30 a.m.–1:30 p.m. Where: WAH Cafeteria Info: Call 800-542-5096

When: First Monday of each month, 10–11:30 a.m. Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: Second Monday of each month, 10 a.m.–noon

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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: Tuesday, May 8, 6–8 p.m. Where: SGAH Info: Call 240-826-6297 When: Tuesday, June 5, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

When: Tuesdays, April 10–May 15, 6–7:30 p.m. Where: AHC Germantown Room Cost: $95 Info: Call 800-542-5096 to register

BEGINNING T’AI CHI CH’UAN

CARDIAC EDUCATION INTRODUCTION TO CARDIAC REHABILITATION AND EECP TREATMENT FOR CHEST PAIN Info: For an appointment, call Shady Grove Adventist Hospital Cardiac Rehab at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016 Cost: FREE

INTERNAL CARDIAC DEFIBRILLATOR AND PACEMAKER DISCUSSION GROUP Group discussion for patients and the families of patients with these devices. When: Monday, May 14, 7 p.m. Where: SGAH Info: Call 240-826-6662

CANCER SUPPORT GROUPS Five 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

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

To register, call 800-542-5096 or visit www.adventisthealth care.com/calendar

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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

DIABETES NUTRITION COUNSELING Afternoon appointments with a certified diabetes educator. When: Mondays, April 9, May 7, June 4, Where: To be determined Cost: $85 Info: Call 800-542-5096 to register

INTRODUCTION TO SLIM DOWN AND WIN WEIGHT MANAGEMENT This six-week introductory course, led by nutrition expert and registered dietitian Kay Loughrey, will teach you how to lose weight forever, beat stress, find your joy, and prevent weightrelated disease. Participants will complete interactive exercises, weigh in, keep food records, and be physically active. The course will include a coupon for 50 percent off an individual followup counseling session.

BEGINNER T’AI CHI This six-session coed exercise program will help you learn how to improve balance and coordination while providing a great workout. When: Thursdays, April 5–May 10, 6:30–7:30 p.m. Where: WAH Cost: $15 per class, $70 for entire series Info: Call 800-542-5096

BEGINNER YOGA When: Mondays, April 9–June 11 Where: WAH Conference Center Third Floor Cost: $15 per class, $120 for entire series Info: Call 800-542-5096

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. (except January and July) Cost: FREE Info: Call Jackie at 301-977-6870 or Maribeth at 301-936-5496, or email gammie0612@verizon.net; visit www.sugarloafers.org

ADVENTIST HEALTHCARE WALKING CLUB Includes free blood pressure screenings. When: Tuesdays, 8–9:30 a.m. Where: Westfield Montgomery Mall food court

INFANT SAFETY AND CPR A Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds. When: Sundays, April 15, 22 and 29; May 6, 20 and 27; June 10, 17 and 24; 10 a.m.–noon When: Wednesdays, April 18; May 2, 16 and 30; June 13 and 27; 6–8 p.m. Where: AHC When: Saturdays, April 21, May 19, June 23, July 21, Aug. 25, 10 a.m.–noon Where: WAH Cost: $40 per person, $55 per couple

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, April 21 and 28 or June 2 and 9, 10 a.m.–noon When: Sundays, May 20 and 27, 10 a.m.–noon Where: AHC 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, April 28, May 26, June 30, 2–5 p.m. Where: AHC 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: Saturdays, April 28, May 26, June 30, 10 a.m.–noon Where: AHC Cost: $10

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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

NUTRITION, FITNESS & WEIGHT MANAGEMENT

T’ai chi ch’uan is a set of naturally flowing movements performed slowly in a sequence with a spirit of calmness, balance and awareness. It teaches ways of relaxation and is excellent for stress reduction and developing strength and flexibility. Come to class with an empty stomach. Wear sneakers and loose clothing. When: Saturdays, April 7–May 26, 10–11:15 a.m.; snow makeup date , April 21 Where: SGAH Sycamore Room Cost: $15 per class, $85 for entire series Info: Call 800-542-5096 to register

YOUTH HEALTH & EDUCATION

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SELFIMPROVEMENT ARTHRITIS OR JOINT PAIN? 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: Call 800-642-0101

DIABETES EDUCATION PROGRAMS These FREE education programs teach you how to manage your diabetes. pCarbohydrate Counting When: Tuesdays, April 10, May 8, June 12, 6:30–8 p.m. pAdvanced Pumping When: Tuesday, May 15, 6:30–8 p.m. pDiabetes Technology Update When: Tuesdays, April 24, May 22, June 26, 6–7 p.m. Where: SGAH Info: Call 800-542-5096

DIABETES OUTPATIENT EDUCATION PROGRAMS This comprehensive, three-class series will help you learn how to better manage your diabetes with tips on self-care, eating right and more. Session 1: Tuesdays, March 27 and April 10 and 24, 6–9 p.m. Session 2: Tuesdays, May 15 and 29 and June 12, 6–9 p.m. Where: SGAH Session 1: Tuesdays, April 3 and 17 and May 1, 6–9 p.m. Session 2: Tuesdays, May 22 and June 5 and 19, 6–9 p.m. Where: WAH Info: Call 800-542-5096 for cost and other information

NEW! PREDIABETES CLASS Learn how to manage prediabetes and prevent type 2 diabetes in this twoclass series. Session 1: Thursdays, April 12 and 26, 9:30–11:30 a.m. Session 2: Thursdays, May 10 and 24, 9:30–11:30 a.m. Session 3: Thursdays, June 7 and 21, 9:30–11:30 a.m. Where: SGAH Session 1: Thursdays, April 19 and May 3, 9:30–11:30 a.m. Session 2: Thursdays, May 17 and 31, 9:30–11:30 a.m. Session 3: Thursdays, June 14 and 28, 9:30–11:30 a.m. Where: WAH Info: Call 800-542-5096 for cost and other information

COMMUNITY APHASIA GROUP A support group for those with aphasia. Cost: $140 for six-week class Info: Contact Sandi Lancaster at 240-864-6033 or slancas2@adventisthealthcare.com

SENIORS’ HEALTH

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Adventist HealthCare recognizes the specialized health needs of our community’s senior population. We offer a number of education sessions to help seniors live healthfully. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and personal consultations. (See page 12 for additional information on health screenings.)

HOLIDAY PARK MULTIPURPOSE SENIOR CENTER

LACTATION SERVICES Lactation consultation, breast-pump sales and rentals, and breastfeeding support groups. SGAH: 240-826-MOMS (6667)

EXPECTING? EXPECT TO BE EXPECTING?

A wide range of maternal/child health classes is available to you at Shady Grove Adventist WAH: and Washington Adventist 301-891-4TLC (4852) 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.

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3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Thursday, May 17, 1:15–2:15 p.m. pMeds That Manage Heart Disease: Traditional and Alternative, by Mohammad H. Chaudhry, M.D., of the Heart Center at Washington Adventist Hospital Info: 240-777-4999

Stroke: Act FAST May is Stroke Prevention Month. Get a FREE personalized assessment of your risk for stroke and also find out how you can prevent the disease. When: Sunday, May 6, 1–4 p.m. Where: Washington Adventist Hospital Info: Call 800-542-5096 to register; registration not required

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.

p

WASHINGTON ADVENTIST HOSPITAL pDivorceCare Six-week session for those healing from a separation or divorce Saturdays, April 7–May 12, 3–4:30 p.m. pEmpty Arms, Aching Hearts (English and Spanish) For those experiencing pregnancy loss, miscarriage, stillbirth or infant death Sunday, June 10, 2:30–4 p.m. pJourney Through Our Goodbyes Six-week mutual support group to reflect on the journeys through hurts caused by goodbyes and the anxieties encountered by change (loss of

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Cpr & FirSt aid ClaSSeS by the adventiSt healthCare Center oF reSuSCitation exCellenCe The Center of Resuscitation Excellence offers convenient CPR and first aid courses at various times and locations. For additional course schedules, locations and registration, call 301-315-3266 or visit www.adventistlifesupport.com. The center also offers ACLS, PALS, NRP, pediatric emergency assessment and triage; CPR for health care providers; and AED and public access defibrillation (PAD) consultation services. Prices include cost of book. american Heart association (aHa) Classes AHA Heartsaver AED/CPR Learn community CPR and AED use for all ages. Course completion card issued, valid for two years. Cost: $74 AHA Family & Friends CPR for All Ages Learn community CPR in a stress-free environment. No testing. Note: No card issued. Cost: $40 AHA Family & Friends CPR for Pediatrics Same class as above except with a focus on the care of children from birth to adolescence. No testing. Note: No card issued. Cost: $35 per person, $50 per couple

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NSC CPR/AED and First Aid for Pediatrics MDE- and OSHA-approved first aid certification for day care workers, teachers, scout leaders, coaches and anyone who works with children. Focus is on care of infants and children. Three-year first aid certification and two-year CPR certification. Get both certifications during same course. Cost: $121 The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the association.

Shady Grove adventiSt hoSpital p  Grief Care Six-week session for the bereaved Tuesdays, April 10–May 15, 7–9 p.m. p  Empty Arms, Aching Hearts Five-week session to comfort those grieving the loss of a baby through pregnancy loss, miscarriage, stillbirth or infant death Thursdays, April 12–May 10, 7–9 p.m. Info: Call 240-826-6112 or email stoth@adventisthealthcare.com for questions and to register

To register, call 800-542-5096 or visit 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 ◗  Alzheimer’s ◗  Amputee ◗  Brain injury ◗  Diabetes

◗  Weight-loss surgery ◗  Multiple sclerosis ◗  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.adventist healthcare.com/calendar or call 800-542-5096.

CanCer Support GroupS Five cancer support groups offering opportunities to meet people facing similar challenges are available at Shady Grove Adventist Hospital. 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 ◗  Breast cancer ◗  Leukemia and lymphoma

◗  Thyroid cancer ◗  Caregivers

Call 240-826-6297 for dates, times and locations.

Foundations of Faith Community Nursing Educational course for registered nurses who wish to work within their faith community. Gain the theoretical and practical knowledge necessary to begin a faith community nurse practice. This is the approved curriculum by the International Parish Nurse Resource Center. Students receive 40.5 contact hours. When: June 18–22 Info: Call 301-315-3141 for information on location, cost and registration

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job, financial change, end of a friendship, extended illness, death) Tuesdays, May 22–June 26, 7–8:30 p.m. p  How to Provide Friendship Support Groups for the Bereaved in a Church Setting Two-part workshop trains church laity in grief dynamics and how to offer friendship support in a congregation (both days mandatory) Saturdays, June 23 and 30, 2:30– 6 p.m. p  How to Make a Meaningful Hospital Visit Workshop for Clergy and Church Laity This workshop is open to community clergy, local church elders and other lay members who wish to enhance their skills in providing meaningful hospital visits with people who are sick or in crises Saturday, June 16, 2:30–5:30 p.m. Info: Call 301-891-5265 for information and registration

national Safety Council (nSC) Classes NSC First Aid OSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards and those who want to help in the community with emergencies and disasters. Three-year certification. Usually is offered in conjunction with Heartsaver AED/CPR. Get both certifications at the same time. Cost: $65

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Adventist HealthCare, Inc. 1801 Research Boulevard Rockville, MD 20850

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Frederick

Baltimore Washington Adventist Hospital

301-891-7600

Germantown

7600 Carroll Avenue, Takoma Park

Shady Grove Adventist Hospital

Burtonsville Gaithersburg Rockville

9901 Medical Center Drive, Rockville

Adventist Rehabilitation Hospital of Maryland

Anne Arundel

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240-826-6000

240-864-6000

9909 Medical Center Drive, Rockville

E S

Washington D.C.

Eastern Shore

Adventist Behavioral Health

301-251-4500

14901 Broschart Road, Rockville (main campus)

Adventist HealthCare in YOUR Community

Adventist Home Care Services

301-592-4400 (main office)

Serving 7 Maryland counties and parts of D.C.

Find a Physician by phone or internet: This FREE 24-hour referral service can help you find a physician or specialist

1-800-642-0101 or visit www.AdventistHealthCare.com/FindADoc that best suits your health needs. Call

Shady Grove Adventist Emergency Center

301-444-8000

19731 Germantown Road, Germantown

The Reginald S. Lourie Center for Infants and Young Children

301-984-4444

12301 Academy Way, Rockville

Nominate a Physician: We invite you to nominate a physician who has created an extraordinary patient experience for you or a loved one for the Adventist HealthCare Physician R.I.S.E.S. Award.

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www.AdventistHealthCare.com/RISES

Proposed Locations Washington Adventist Hospital (relocated) Clarksburg Hospital & Medical Campus

www.AdventistHealthCare.com

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Health & You Magazine (Spring 2012)