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Classes and Events Page 12

YOU R G U I D E TO HE A LT H Y L IVIN G ■ WINTER 2013

One teacher’s lesson on early cancer detection Page 8

How to head off headaches Page 10

Heart

Care Reaches

Holiday eating tips for the whole family

Page 11

New Heights Avid climber Guillaume Marçais of Boyds gets just the right fix for his irregular heart rhythm Page 4 BROUGHT TO YOU BY:

MEMB ERS O F A DVEN TIST HEA LTHCA RE

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Opening

thoughts

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Continuing a Tradition of Quality Cardiac Care COnTenTS Features

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The Heart of good Health

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A Lesson on early Detection

Read about the compassionate heart care delivered by experts at Washington Adventist and Shady Grove Adventist Hospitals.

An annual exam leads a schoolteacher to surgery to treat and beat cancer.

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Staying Ahead of Headaches

A little more than 50 years ago, at Washington Adventist Hospital in Takoma Park, a team of experts performed the region’s first heart surgery. This historic case began a long-standing tradition of quality cardiac care that continues today at two Adventist HealthCare facilities: Washington Adventist Hospital and Shady Grove Adventist Hospital. Today, these two hospitals have some of the area’s top heart experts and many of the most coveted quality designations and awards for heart care (see page 6 for a full list). In this issue of Adventist HealthCare & You, we share the personal stories of heart care in your community. Our patients are just like you—moms and dads, William G. “Bill” brothers and sisters, and sons and daughters who have had their lives changed by Robertson heart conditions. The experts at Washington Adventist Hospital and Shady Grove Adventist Hospital have delivered outstanding care to these patients, helping them return to the people and activities they love. Our annual heart section spotlights the Center for Fitness and Health at Shady Grove Adventist Hospital, an award-winning facility that is helping heart patients live healthier. Each February we celebrate heart month—a good reminder to live heart-healthy and to recognize the signs of a heart condition. The Adventist HealthCare family celebrates heart month with a special annual event, Love Your Heart, which offers free heart screenings, heart-healthy cooking and exercise demonstrations, and healthy living education. This year’s event is Feb. 9 from 11 a.m. to 3:30 p.m. at Westfield Montgomery Mall in Bethesda. We hope you will make time for your heart this winter and take a few minutes to join us at Love Your Heart. Visit www.adventisthealthcare.com/loveyourheart to learn more about this annual event.

Two neurologists share tips for identifying the type of pain, how to manage it, and when to seek emergency care.

In good health,

11

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

Healthy Holiday eating

Connect with Us Through Social Media

Keep your whole family on track this holiday season with help from a registered dietitian.

Need a physiciaN?

Department

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.

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

Writers: Susan Griffiths, Danielle Lewald, Lydia Parris, Jennifer Plaia, Theresa Scolaro, Diana Troese

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

Production Technology Director: Mary Winters

Senior Content Editor: Matt Morgan

Adventist HealthCare & You is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 18, Number 1 © 2013 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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Quality Health Care Services for Upper Montgomery County Long before the population began to boom in upper Montgomery County— Gaithersburg, Germantown, Clarksburg and Boyds—Adventist HealthCare services were in place to provide quality health care to the community. In fact, Shady Grove Adventist Hospital first opened its doors in 1979 in anticipation of the medical care that the region would need. Today, these services continue to expand in Germantown to meet the growing needs of the diverse population.

Six Years of Quality Emergency Care Since the August 2006 opening of the Shady Grove Adventist Emergency Center on Route 118 in Germantown, more than 34,000 patients per year have benefited from emergency care delivered by physicians, nurses and staff. As the first freestanding emergency medical facility in Maryland, this state-of-the-art center has paved the way for a new model of emergency care. The Emergency Center was just the first part of what has become a network of comprehensive

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health care services for Germantown and upper Montgomery County. These include: p Shady Grove Adventist Radiation Oncology Center at Germantown p MobileMed Upcounty Primary Care Clinic p Maternity Partnership Prenatal Center p Medical Office Building p Shady Grove Radiology Germantown Office Visit www.germantowned.com to learn more about the Germantown Emergency Center.

of children and adults. To schedule an appointment with a physician at the Germantown office on Route 118, call 855-4AMG-DOC (426-4362). Visit www.adventistmedicalgroup.org to find a local physician or to learn more about Adventist Medical Group.

More Physicians + New Offices = Better Local Health The need for more primary care physicians to help manage population health and control chronic conditions such as diabetes is not a secret. To meet this need in upper Montgomery County, Adventist Medical Group, a joint network of physicians by Adventist HealthCare and GW Medical Faculty Associates, is expanding access to primary care physicians and offices. In July, the new Adventist Medical Group Germantown office opened with three leading primary care physicians ready to serve the local community

The Emergency Center is part of Adventist HealthCare’s comprehensive health care campus in Germantown.

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The Heart of Good Health

Welcome to our annual heart care section, where you’ll read personal stories of state-ofthe-art care provided by the experts at Washington Adventist Hospital in Takoma Park and Shady Grove Adventist Hospital in Rockville. We hope that the stories and information in this special section will help you and your family live heart-healthy throughout the year.

The Best Course of Action for

Heart Care

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LIKE MANY PARENTS,

37-yearold Guillaume Marçais of Boyds was awakened in the middle of the night by his son. “I jumped out of bed to check on him,” Marçais says. “When I went back to bed, I noticed my heart was beating really hard and fast.” Past experience told him it was atrial fibrillation, or a-fib, a common problem where “unorganized” electrical activity makes the upper part of the heart beat faster than the rest, causing an irregular heart rhythm. “I had a-fib 10 years ago. I had it treated but it never completely went away,” he says. “Because of that, I knew the situation wasn’t critical, but when symptoms didn’t go away I decided to get it checked out.” Marçais went to Shady Grove Adventist Germantown Emergency Center, where doctors gave him medicine to calm his heart and referred him to Sean Beinart, M.D., electrophysiologist with Washington Adventist and Shady Grove Adventist Hospitals. “I’m an active person. I climb, run and bike,” Marçais says. “It’s important my heart is in good shape.” Marçais met with Dr. Beinart, who recommended an ablation procedure, where radiofrequency energy is used to eliminate heart tissue so the abnormal electrical signals can no longer reach the rest of the heart and cause a-fib. “Guillaume is young, active and healthy, making him a perfect candidate for an ablation procedure,” Dr. Beinart says. “You can also treat a-fib with medication, but we agreed daily medication wasn’t the best fit for his lifestyle.”

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Most patients who undergo an ablation will have complete elimination of, or significantly reduced, a-fib episodes. After a successful ablation procedure at Washington Adventist Hospital, Marçais is confidently back to his favorite hobby, climbing. When it comes to long-term heart health, he has plenty of motivation. “I have two young kids who climb with me now,” he says, “and I want to give them a challenge for as long as I can.”

H T

A Lab Fit for A-Fib and Other Treatments Washington Adventist Hospital now offers patients access to a new state-of-the-art electrophysiology (EP) lab for complex procedures, such as atrial fibrillation (a-fib) ablations. “The lab is outfitted with technology that allows for the lowest possible radiation exposure for all our EP procedures, which helps create a superior patient experience,” says Sung Lee, M.D., medical director of electrophysiology at Washington Adventist Hospital. “If a-fib is left untreated, it can lead to some serious long-term issues, such as an increased risk of stroke and heart failure,” Dr. Lee says. “It’s important to discuss your treatment options with a cardiac specialist.”

Sean Beinart, M.D.

Sung Lee, M.D.

A TRUSTED NAME FOR CARDIAC CARE

Guillaume Marçais is back to climbing at Earth Treks in Rockville after his procedure to treat atrial fibrillation.

Visit www.trustedheartcare.com to learn more about Washington Adventist Hospital’s 50 years of expert, patientfocused cardiac care and to watch a video of ablation patient Guillaume Marçais and his doctors talk about the hospital’s innovative heart care.

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How Heart Surgery Transformed a Frederick Mom’s Life TODAY, SUZANNE RIZKALLAH,

DISCOVER WHAT QUALITY CARE LOOKS LIKE

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a 35-year-old mother of two, is an avid jogger. Before last February, she had never exercised in her life. But after back pain turned out to be a symptom of heart disease, she adopted a healthy lifestyle that includes daily activity. When a CT (computed tomography) scan did not identify the source of the back pain, she was referred to a cardiologist. She sought out Dennis Friedman, M.D., medical director of cardiovascular services at Shady Grove Adventist Hospital. “A woman may present with unusual symptoms such as angina, or chest pain, in the center or left of the chest, as well as in the arms, jaw and even the back, as in Suzanne’s case,” Dr. Friedman explains. A nuclear stress test revealed coronary artery disease—and evidence of a possible heart attack. Rizkallah also had shortness of breath, which was diagnosed and treated as asthma two years before. “In retrospect, this shortness of breath may have been an atypical sign of angina,” Dr. Friedman says. “Her family history of heart disease was also a clue. After we clarified the diagnosis and therapy, we emphasized risk-factor modification, particularly diet, smoking and exercise.” Just three days after her test, Rizkallah found herself at Shady Grove Adventist Hospital for catheterization—a medical procedure in which a thin, flexible tube is inserted through a blood vessel in the wrist, groin or neck to diagnose and treat heart conditions. The catheterization revealed extensive coronary artery disease. Suzanne Rizkallah, 35, of Frederick has recovered well from coronary artery disease “The three major arteries to her heart and the side branches were blocked,” that was treated at Shady Grove Adventist and Washington Adventist Hospitals. Dr. Friedman says. “She needed surgery to restore long-term blood flow.” Rizkallah was transferred to Washington Adventist Hospital for coronary artery bypass graft (CABG) surgery with cardiac surgeon Anthony Rongione, M.D. “I was so scared. I kept thinking about my kids,” she says. “But then I met Dr. Rongione and he was so caring. Just like Dr. Friedman, he put me at ease.” Says Dr. Rongione: “During the surgery, I was able to graft, or connect, healthy arteries from Suzanne’s arm to the blocked coronary arteries. It essentially created new pathways for the blood to get to her heart.” Five days after surgery, Rizkallah was back home and ready to begin her rehabilitation. “Recovery from CABG takes time, and there is still a risk that a blockage could return,” Dr. Rongione says. “A patient could lessen that risk Dennis Friedman, M.D. Anthony Rongione, M.D. by living a heart-healthy lifestyle.” Rizkallah is doing just that under Dr. Friedman’s guidance. “I feel like I’m free,” Rizkallah says. “I’ve quit smoking. I exercise every day. I used to eat out a lot, but now I cook Go to www.adventisthealthcare.com/heart to learn how Shady Grove Adventist healthy foods at home.” Hospital’s excellent results have earned it the Gold Performance Achievement Award She has lost more than 20 pounds since her from the American Heart Association three years running. surgery. “My diet is forever,” she says. “Not because of my weight, but because of my heart.”

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Read MoRe of KaReN’s stoRy Visit www.adventisthealthcare.com/heart to learn more about Karen Reed’s care at Shady Grove Adventist Hospital.

Award-Winning Heart Care Here are the honors for quality heart care held by Shady Grove Adventist Hospital and Washington Adventist Hospital.

Washington Adventist Hospital

ppHigh Performing in Cardiology and Heart After suffering a heart attack and stroke last summer, Karen Reed, 65, follows her prescribed cardiac rehabilitation program, with support from Nancy Moore, R.N., at the Center for Fitness and Health at Shady Grove Adventist Hospital.

Cardiac Treatment and Rehabilitation

Brings New Life

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Despite a heart attack anD a stroke last summer, Karen Reed and her heart are growing stronger every day, thanks to the expert care she received at Shady Grove Adventist Hospital and her commitment to cardiac rehabilitation. Reed’s journey back to heart health started with what seemed like indigestion, escalating within hours to nausea, cold sweats and dizziness. She called 9-1-1. When the paramedics arrived at her Rockville home, she asked to go to Shady Grove Adventist Hospital—a designated cardiac interventional center by the Maryland Institute for Emergency Medical Services Systems based on the quality of its heart care. “In the emergency room, I saw the fear on my husband’s face, and I was determined this would not be it,” Reed, 65, recalls. She was rushed from the Emergency Department to the specialized cardiac procedure area, where an expert heart team was ready to begin treatment. Reed immediately went into cardiac arrest due to an abnormal heart rhythm. The heart team, led by Dennis Friedman, M.D., interventional cardiologist and medical director of cardiac and vascular services at Shady Grove Adventist

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Hospital, had to resuscitate Reed 27 times during the lifesaving treatment. “We successfully used the latest advances in cardiac care to stabilize her heart rhythm and then opened her arteries with a catheter,” Dr. Friedman says. “A stent was placed to restore blood flow to her blocked right artery. Our goal was to save her life and get her back to her family.” Says Reed: “The whole time, the care team was surrounding me, telling me what they were doing, encouraging me.” Upon Reed’s discharge, Dr. Friedman recommended cardiac rehabilitation. Research shows cardiac rehabilitation enhances the ability to perform everyday tasks, reduces heart disease risk factors, and improves quality of life, emotional stability and outlook. Reed followed Dr. Friedman’s advice and registered at the Center for Fitness and Health at Shady Grove Adventist Hospital, which is nationally certified to provide monitored exercise for heart patients and those facing vascular and pulmonary conditions, cancer, obesity and diabetes. “My doctor tells me if I eat right and exercise appropriately—do cardiac rehab and walk—I will be in better health than I was six months before my heart attack,” Reed says. “My experience with [the Center for Fitness and Health] has been fantastic. I love the attention, the care and the monitoring.”

Surgery, U.S.News & World Report

ppAccredited Chest Pain Center, Level III with

PCI, Society of Chest Pain Centers

ppCardiac Interventional Center, Maryland

Institute for Emergency Medical Services Systems ppACTION Registry GWTG Silver Performance Achievement Award, American College of Cardiology Foundation and American Heart Association ppSilver Beacon Award for Excellence, American Association of Critical-Care Nurses ppCenter for Excellence for carotid stenting, Centers for Medicare and Medicaid Services ppAccredited Echocardiography Laboratory, Intersocietal Accreditation Commission ppAmerican Heart Association’s Mission: Lifeline Bronze Performance Achievement Award ppNationally Certified Cardiac Rehabilitation Program, American Association of Cardiovascular and Pulmonary Rehabilitation

Shady Grove Adventist Hospital ppAccredited Chest Pain Center, Level III with PCI, Society of Chest Pain Centers ppCardiac Interventional Center, Maryland Institute for Emergency Medical Services Systems ppACTION Registry GWTG Gold Performance Achievement Award (three years in a row), American College of Cardiology Foundation and American Heart Association ppWaiver to perform primary and nonprimary PCI, Maryland Health Care Commission ppNationally Certified Cardiac Rehabilitation Program, American Association of Cardiovascular and Pulmonary Rehabilitation ppAmerican Heart Association’s Mission: Lifeline Silver Performance Achievement Award ppAccredited Echocardiography Laboratory, Intersocietal Accreditation Commission ppAccredited Nuclear Medicine Program, Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories

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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.

Screening Description and Fees

LIPID PROFILE: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fasting recommended). Cost: $35, or $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. Cost: $65, or $61 for seniors (55-plus). Only order this or the lipid profile. HOMOCYSTEINE: Vascular fitness test. Cost: $95. HsCRP: Tests high-sensitivity C-reactive protein for cardiovascular risk. Cost: $45. GLUCOSE: Basic screening for diabetes (12 hours of fasting recommended). Cost: $8. A1C: Blood sugar test for known diabetics or those at high risk. Cost: $40. BODY-FAT ANALYSIS: Tests percentage of body fat. Cost: $10. BLOOD PRESSURE SCREENINGS: Free. See page 13 for dates and times. Check the Living Healthy section on pages 12 to 15 for more screenings and health events.

Heart Screening Packages

SWEETHEART: Lipid profile and glucose. Cost: $38. HEART SMART: Expanded cholesterol test (VAP) and glucose. Cost: $69. HEART RISK SPECIAL: Expanded cholesterol test (VAP), homocysteine and HsCRP. Cost: $199. DIABETES CHECK: Glucose and A1c. Cost: $42.

MAKE AN APPOINTMENT Date

Time

Location

Wednesday, Feb. 27

8–10 a.m.

Washington Adventist Hospital

Wednesday, March 6

8–10 a.m.

Shady Grove Adventist Hospital

Friday, March 15

10 a.m.–noon

Rockville Senior Center, 1150 Carnation Drive, Rockville

Monday, March 18

10 a.m.–noon

Longwood Community Center, 19300 Georgia Ave., Brookeville

Registration required; events subject to cancellation due to low registration. For more information or to register, call 800-542-5096.

Mark Your Calendar!

Heart Smart: A Heart-Healthy Cooking and Screening Event Is healthy eating one of your new year’s resolutions? Learn why it should be. Join us for a FREE heart-healthy cooking, screening and education event on Wednesday, Jan. 9, from 6 to 7:30 p.m. at Washington Adventist Hospital. Register today for your chance to win an iPad! Visit www.trusted heartcare.com to learn more.

Love Your Heart 2013 Save the date for the 4th Annual Love Your Heart event on Saturday, Feb. 9, from 11 a.m. to 3:30 p.m., at Westfield Montgomery Mall in North Bethesda. The event will feature hearthealth screenings, heart-healthy cooking, exercise demonstrations and hearthealthy talks from medical professionals from Shady Grove Adventist and Washington Adventist Hospitals. Visit www.adventisthealthcare.com/ loveyourheart for more information and a video of last year’s event. Love Your Heart features waist-to-hip ratio measurements and blood pressure screenings.

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Heart-Health Screenings

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A Lesson on Early Detection After her annual exam, quick treatment helped schoolteacher Donna Beatrice beat cancer

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Donna Beatrice, 63, ignored the bleeding for about four months. “I kind of stalled,” she says. But after her gynecologist, Stephen Lakner, M.D., noticed the spotting at her yearly exam, things starting moving very quickly for the Gaithersburg resident. “I was concerned because postmenopausal bleeding can be a sign of cancer of the uterus,” Dr. Lakner says. “A biopsy showed endometrial cancer, which is cancer in the lining of the uterus.” Dr. Lakner brought in one of the gynecologic oncology experts at Shady Grove Adventist Hospital in Rockville, G. Scott Rose, M.D. Just a few days later, the two physicians jointly performed Beatrice’s total laparoscopic hysterectomy with lymph node dissection. “Cancer is such a loaded word,” Beatrice says. “But I totally trusted Dr. Lakner and Dr. Rose. I trust Shady Grove.” The U.S. history middle school teacher notes her coordination of care and the compassionate approach of the entire care team. “Everyone was so efficient and thoughtful, from reception to the lab to the doctors, nurses and techs,” she says. “In the operating room, the team explained everything about the procedure, so there was no fear factor. They took it upon themselves Stephen Lakner, M.D. G. Scott Rose, M.D. to really make me

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Donna Beatrice of Gaithersburg is cancer-free after minimally invasive surgery at Shady Grove Adventist Hospital.

feel at ease. One of the techs even held my hand before I went under the anesthesia.” Laparoscopic surgery, including the robotic da Vinci surgical system, is available at both Washington Adventist Hospital in Takoma Park and Shady Grove Adventist Hospital. The minimally invasive approach allows for smaller incisions, which means faster recovery times and less discomfort for patients. “Minimally invasive surgical techniques for removal of the uterus, tubes, ovaries and lymph nodes, via a conventional laparoscopic or roboticassisted procedure, is the most successful and least invasive treatment for removing a gynecological cancer, as long as it has not spread beyond the uterine lining,” Dr. Rose explains. In Beatrice’s case, the cancer had not spread, so there was no need for chemotherapy or radiation therapy. Beatrice will, however, maintain regular follow-up appointments with both Dr. Rose and Dr. Lakner. “Women should have annual routine checkups,” Dr. Lakner says. “Postmenopausal women in particular should be vigilant about any abnormal bleeding, abdominal pain or unusual discharge.” Though it was an “unnerving six weeks” for Beatrice, she now says, “I’m very optimistic. I can focus on work and not this health scare. I can say it in the past tense: I had uterine cancer.”

Whole-Person CanCer Care Visit www.yourcancerteam.com to learn about the new Aquilino Cancer Center, which opens in 2013, and how the cancer care team at Shady Grove Adventist Hospital provides comprehensive, coordinated cancer care.

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ADVENTIST MEDICAL GROUP Quality Health Care In Your Neighborhood Frederick Baltimore

Germantown Poolesville

Burtonsville

Rockville

White Oak

SHADY GROVE ADVENTIST HOSPITAL

N W

E

Olney

Gaithersburg

Silver Spring

Potomac

Takoma Park

S

Greenbelt

WASHINGTON ADVENTIST HOSPITAL

Washington D.C. Suitland

Camp Springs

To learn more about

Adventist Medical Group or to find a local physician, call 1-855-4AMG-DOC or visit www.AdventistMedicalGroup.org

An Affiliate of GW Medical Faculty Associates More Locations Coming Soon!

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Adventist Medical Group Locations Adventist Medical Group currently has physicians in the following specialty areas: • Primary Care – Family Practice, Internal Medicine • Endocrinology – Adults and Children • Physical Medicine and Rehabilitation • Urology • Orthopedics • Rheumatology • General Surgery Adventist Medical Group offices are currently located in: • Camp Springs • Gaithersburg • Germantown • Greenbelt • Montgomery Village • North Potomac • Poolesville • Rockville • Silver Spring • Takoma Park • White Oak

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Staying ahead of

HeAdAcHeS Try these tips to relieve this common condition— or prevent it altogether

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eadaches are the most common form of pain and a major reason cited for days missed at work or school as well as visits to the doctor, according to the National Institute of Neurological Disorders and Stroke. Leading experts at Washington Adventist and Shady Grove Adventist Hospitals offer advice to help stave off and treat headaches. “It is important for people to first learn what types of headaches they are getting so that they can seek the most effective treatment,” says Perry Smith, M.D., neurologist at Shady Grove Adventist Hospital. “The most common headaches that people experience are tension headaches, which are associated with bandlike feelings of pressure and tightness and are typically caused by stress, posture or emotions such as anxiety and anger.”

Amir Zangiabadi, M.D., neurologist at Washington Adventist Hospital, explains the symptoms of migraines, which affect an estimated 28 million Americans. “Migraines consist of a throbbing headache that is associated with nausea, vomiting and sensitivity to light and/or sounds,” he says. “Some people may also experience a physiological warning that a migraine will begin, called an ‘aura,’ which causes vision changes such as seeing stars or zigzag lines.” When it comes to the prevention and treatment of headaches, Drs. Smith and Zangiabadi note the importance of a healthy lifestyle including exercising regularly and getting seven to eight hours of sleep every night. Also: p Take an over-the-counter painkiller. Painkillers such as acetaminophen and ibuprofen can help reduce discomfort.

Signs That It’s Serious Occasionally, headaches are a sign of a more serious medical condition. If you experience headaches on a regular basis, experts suggest contacting your primary care physician. You should seek emergency medical attention if your headache is: ◗◗ New or different or could be classified as “the worst of your life” ◗◗ Severe and localized to one eye, with redness in that eye ◗◗ Associated with paralysis, loss of balance, numbness or tingling ◗◗ Associated with fever, stiff neck, nausea and vomiting ◗◗ Associated with a seizure, head trauma or loss of consciousness ◗◗ Accompanied by changes in vision, speech or behavior

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p Manage stress and relax. Talk to someone if

you are feeling overwhelmed. Practice deep breathing and muscle relaxation. p Manage your diet. Try to eliminate or avoid food or drinks that are possible headache triggers, such as cheeses, chocolate and processed meats. p Keep a headache diary. Tracking headaches and other habits may help identify triggers. p Talk to your doctor. A physician can discuss your symptoms and determine the best course of treatment.

Around-the-CloCk CAre The neurology teams at Shady Grove Adventist and Washington Adventist Hospitals now include neurology hospitalists who provide around-the-clock care to patients in the hospital. The dedicated neurology hospitalists include Perry Smith, M.D., and Amir Zangiabadi, M.D. Neurologists are physicians who treat conditions that affect the nervous system, which includes the brain, spinal cord and peripheral nerves. Visit www.adventisthealthcare. com/magazine to learn more about the neurology hospitalist programs at Shady Grove Adventist and Washington Adventist Hospitals. Perry Smith, M.D. Amir Zangiabadi, M.D.

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healthy

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C Abouotncerned Diabet es?

Health ye people ating is partic u who ha Educa ve diab larly importa tio and W n programs a etes. The Dia nt for ashing t Shad betes ton A y Gro Call 80 dventist Hos ve Adventis t pitals 0-54 www.a dvent 2-5096 or v can help. isthea isit lthcar servic e.com es/d / to lear iabetes n more .

eating Stay on track with helpful tips from local experts Busy holiday schedules

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Five Healthy Tips for Families Elly Shaw-Belblidia, R.D., CNSC, a pediatric dietitian at Shady Grove Adventist Hospital, offers parents five tips to help kids stay healthy over the holidays. Go for quality, not quantity. Make a smaller batch of cookies, for example, and don’t put them out all at once.

1 2 3 4

Keep healthy foods on hand. Try fruit platters and cut-up veggies with low-fat dip (kids do enjoy them!). Avoid sugary beverages. Instead of regular sodas, keep a pitcher full of water and add lemon slices.

Be smart with sweets. Avoid having fattening snacks and desserts out on the kitchen counter. Savor those special foods at family gatherings, but eat less of them and don’t eat them constantly.

5

Stay physically active. Plan fun winter activities such as ice-skating.

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make it easy to give in to poor eating habits that can have a big effect on your health long after the holidays have passed. Tanya M. Johnson, registered dietitian and certified diabetes educator at Washington Adventist Hospital, helps you stay on track this winter. Get festive with food. Use colorful fruits and vegetables to decorate your plate and get a good variety of vitamins and minerals. Tomatoes provide vitamins C and Tanya M. Johnson, E. Incorporate dark-green, leafy vegetables, R.D., LDN, CDE such as spinach, kale and collard greens, into your recipes. These powerhouse foods are low in calories and carbohydrates and are a good source of vitamin A. Citrus fruits such as oranges and lemons offer a daily dose of soluble fiber and vitamin C. Celebrate smart at holiday GatherinGs. Use portion control with sweets. To avoid weight gain at holiday gatherings, eat at regular intervals, don’t skip meals and use these tricks: p At the office: Place bags of treats away from your desk. p At a buffet: Use a smaller plate as your dinner plate. Consider fruit for dessert instead of cheesecake or other sweets. p At a dinner party: Bring a healthy dish to share. Eat a small snack beforehand so you won’t be tempted to overeat. Control your blood suGar. People who have diabetes can check blood sugar levels before and after meals to help guide food choices. Adding healthy proteins such as nuts, tofu and lean meats to snacks and meals will help manage blood sugar levels.

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Living Healthy December 2012–march 2013 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

Visit w care.c ww.adventis o t descrip m/calendar health for det tions o ailed f class for any es. To of t events he winter cla register sse , ca or the ll 800-542- s and numbe 5 r listed 096 progra in the m desc ription .

Childbirth Classes at shady Grove adventist hospital Please note that most classes are held off-site at our corporate headquarters at 1801 Research Blvd. in Rockville, about five minutes away from the hospital campus. Visit www.shadygrove baby.com for more information. Call 800-542-5096 to register.

Childbirth & baby Care Course Prepares you for labor and birth— including labor comfort techniques— and caring for mom and baby during the first weeks after birth. Offered in four formats.

◗◗ ARHM Adventist Rehabilitation Hospital of Maryland 9909 Medical Center Drive, Rockville Paid parking

Six-Week Course When: Tuesdays, Jan. 8–Feb. 12 (snow makeup dates Feb. 19 and Feb. 26); or March 5–April 16 (skip March 26, snow makeup date April 23); 7:30–9:30 p.m. When: Wednesdays, Feb. 27–April 10 (skip March 27, snow makeup dates April 17 and 24), 7:30–9:30 p.m. When: Thursdays, Nov. 29–Jan. 10 (skip Dec. 27, snow makeup dates Jan. 17 and 24); or Jan. 31–March 14 (skip Feb. 14, snow makeup dates March 21 and 28); 7:30–9:30 p.m. Cost: $140 per couple

Visit www.adventist healthcare.com/calendar for additional class/event locations.

Four-Week Course When: Sundays, Feb. 10–March 10 (skip Feb. 17, snow makeup dates March 17 and 24), 6–9 p.m. Cost: $150 per couple

◗◗ AHC Adventist HealthCare 1801 Research Blvd., Rockville

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Registe Today r

More Prenatal and Child Care Classes Shady Grove Adventist Hospital also offers: ◗◗ Maternity Tours—now register online! ◗◗ Baby Care Basics Class ◗◗ Refresher Childbirth Class ◗◗ Cesarean Birth Class ◗◗ Infant Safety & CPR for Parents ◗◗ Fatherhood 101 Class ◗◗ Grandparents Class ◗◗ Brother and Sister Class

◗◗ How to Succeed in Parenting—New! ◗◗ Postpartum Support Groups for New Moms and Their Babies ◗◗ Prenatal Breastfeeding Class ◗◗ Lactation Consultation Appointments For more information and to register, visit www.shadygrovebaby.com or call 800-542-5096.

Childbirth classes are also offered at Washington Adventist Hospital. For more information, visit www.washingtonadventisthospital.com/services/maternity or call 800-542-5096.

Looking for Heart-Health Screenings? Find a list of descriptions and fees for heart-health screenings on page 7 of this issue.

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Three-Day Over Three Weekends Course Morning session: Saturdays, Jan. 5, 12 and 26 (skip Jan. 19, snow makeup dates Feb. 2 and 9); or March 2, 9 and 16 (snow makeup date March 23); 9 a.m.–1 p.m. Afternoon session: Saturdays, Jan. 5, 12 and 26 (skip Jan. 19, snow makeup dates Feb. 2 and 9); or March 2, 9 and 16 (snow makeup date March 23); 2–6 p.m. Cost: $150 per couple One Weekend Course When: Saturday and Sunday, Dec. 1 and 2 (snow makeup dates Dec. 8 and 9); Dec. 15 and 16 (snow makeup dates Dec. 22 and 23); Jan. 26 and 27 (snow makeup dates Feb. 2 and 3); Feb. 9 and 10 (snow makeup dates Feb. 16 and 17); or March 23 and 24; 10 a.m.–5 p.m. Cost: $150 per couple

exPress childBirth class A lecture format for those desiring only basic information about labor and birth. This does not include breathing techniques, relaxation techniques or infant care. When: Sundays, Jan. 13 (snow makeup date Jan. 20) or March 3 (snow makeup date March 10), 1–5 p.m. Cost: $65 per couple

lactation serVices Lactation consultation, breast-pump sales and rentals, and breastfeeding support groups. Info: Call 240-826-MOMS (6667) (SGAH) or 301-891-4TLC (4852) (WAH)

Free, Monthly Blood Pressure testing

cardiac & Vascular education

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

introduction to cardiac rehaBilitation and eecP treatMent For chest Pain

When: Second Tuesday of each month, 10–11:30 a.m. Where: Mid County Community Recreation Center, 2004 Queensguard Road, Silver Spring When: First Monday of each month, 10–11:30 a.m. Where: Rockville Senior Center, 1150 Carnation Drive, Rockville When: Second Monday of each month, 10 a.m.–noon Where: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring When: Third Tuesday of each month, 10–11 a.m. Where: Tower Oaks Apartments, 101 Odendhal Ave., Gaithersburg When: Third Wednesday of each month, 11:30 a.m.–1:30 p.m. Where: SGAH Cafeteria When: Fourth Wednesday of each month, 9:30–11:30 a.m. Where: Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg

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

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

Two cancer support groups are offered at Shady Grove Adventist Hospital. Participants meet people facing similar challenges, share their experiences with cancer, and offer practical advice and emotional support. See page 15 for a full list of available cancer support groups.

seasonal Flu and PneuMonia Vaccine Annual flu vaccines are the best defense against the flu for children and adults. Influenza and pneumonia vaccine will be offered to the community at low cost. Medicare Part B accepted including some insurance. Info: Visit www.helpstoptheflu.com or call 301-315-3140

cancer suPPort grouPs

colorectal cancer screening PrograM Adventist HealthCare partners with the Montgomery County Health Department to offer this FREE, lifesaving screening. Info: Call 301-315-3507 or 301-315-3147 to see if you are eligible

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

heart to heart suPPort grouP For patients and families. When: Thursdays, Dec. 20, Jan. 17, Feb. 21 and March 21, 7–8 p.m. Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville

WoMen and heart disease suPPort grouP For patients and families. When: Thursdays, Dec. 20, Jan. 17, Feb. 21 and March 21, 11:30 a.m.–1 p.m. Where: WAH Cafeteria Conference Room, Lower Level II

internal cardiac deFiBrillator and PaceMaker discussion grouP Group discussion for patients and the families of patients with these devices. When: Mondays, Jan. 14 and March 11, 7–8 p.m. Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville Info: Call 240-826-6662

congestiVe heart Failure class and discussion grouP For patients and families. When: Mondays, Dec. 10 and Feb. 11, 7–8 p.m. Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville Info: Call 240-826-6662

deeP Vein throMBosis and PulMonary eMBolisM suPPort grouP For patients and families. When: Tuesdays, Jan. 8 and March 19, 6–7 p.m. Where: SGAH, Willow Room Info: Call 240-826-6177 or email dvtpeinfo@ahm.com

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When: Monday, March 4, 10 a.m.–noon Where: WAH Info: Call 301-891-5559

Info: Call 800-542-5096

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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

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

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

cancer PrograMs

Info: For an appointment, call the Center for Fitness and Health at Shady Grove Adventist Hospital at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016 Cost: FREE

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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 PROGRAMS & NUTRITION COUNSELING DIABETES OUTPATIENT EDUCATION PROGRAMS This comprehensive series will help you learn how to better manage your diabetes with tips on self-care, eating right and more. Session 1: Tuesdays, Jan. 15 and 29 and Feb. 12, 6–9 p.m. Session 2: Tuesdays, March 12 and 26 and April 9, 6–9 p.m. Where: 9715 Medical Center Drive, Suite 201, Rockville Session 1: Tuesdays, Jan. 8 and 22 and Feb. 5 and 19, 6–8 p.m. Session 2: Tuesdays, March 5 and 19 and April 2 and 16, 6–8 p.m. Where: 7610 Carroll Ave., Suite 350, Takoma Park Info: Call 800-542-5096 for cost and other information

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NEW! PREDIABETES CLASS Learn how to manage prediabetes and prevent type 2 diabetes in this twoclass series. Session 1: Thursdays, Dec. 20 and 27, 9:30–11:30 a.m. Session 2: Thursdays, Jan. 24 and 31, 9:30–11:30 a.m. Session 3: Thursdays, Feb. 21 and 28, 9:30–11:30 a.m. Where: SGAH Session 1: Thursdays, Dec. 6 and 13, 9:30–11:30 a.m. Session 2: Thursdays, Jan. 10 and 17, 9:30–11:30 a.m. Session 3: Thursdays, Feb. 7 and 14, 9:30–11:30 a.m. Where: WAH Info: Call 800-542-5096 for cost and other information

DIABETES EDUCATION PROGRAMS These FREE education programs teach you how to manage your diabetes. pAdvanced Pumping pDiabetes Technology Update Info: Call 800-542-5096

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

YOUTH HEALTH & EDUCATION INFANT SAFETY AND CPR A Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds. When: Sundays, Dec. 2, 9 and 16; Jan. 13, 20 and 27; Feb. 3, 10, 17 and 24; March 3, 10, 17, 24 and 31; 10 a.m.–noon When: Wednesday, Dec. 5, 6–8 p.m. Where: AHC

FITNESS & WEIGHT MANAGEMENT

When: Saturdays, Jan. 19, Feb. 16, March 16, 9:30–11:30 a.m. Where: WAH Cafeteria Conference Rooms Cost: $40 per person, $55 per couple

BEGINNING T’AI CHI CH’UAN

BABY-SITTING

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. Session 1: Saturdays, Jan. 19–Feb. 9, 10–11:15 a.m. Session 2: Saturdays, Feb. 16– March 9, 10–11:15 a.m. Where: SGAH Short-Stay Lobby Cost: $15 per class, $44 per session, $85 for sessions 1 and 2 (entire series) Info: Call 800-542-5096 to register

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, Dec. 1 and 8, Jan. 12 and 19, Feb. 9 and 16, March 16 and 23, 10 a.m.–noon Where: AHC Cost: $35 per person

SUGARLOAFERS WALKING CLUB A club for people who share an interest in keeping fit through walking. When: Business meeting on second Tuesday of each month, 7:15–9 p.m. Cost: FREE Info: Call Jackie at 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

SENIORS’ HEALTH 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 7 for additional information on health screenings.)

HOLIDAY PARK MULTIPURPOSE SENIOR CENTER 3950 Ferrara Drive, Wheaton Healthy Living Lecture Series When: Tuesday, Feb. 19, 1:15–2:15 p.m. pHeart-Healthy Living Made Easy Info: 240-777-4999

TEEN CPR COMPANION TO BABY-SITTING Rescue breathing, CPR skills, use of automated external defibrillator and management of choking for all ages. When: Saturdays, Dec. 15, Jan. 26, Feb. 23, March 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, Dec. 15, Jan. 26, Feb. 23, March 30, 10 a.m.–noon Where: AHC Cost: $15

SELF-IMPROVEMENT 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

American Safety and Health Institute (ASHI): Basic First Aid Class OSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards, lifeguards and those who want to help in the community with emergencies and disasters. Three-year certification. When: Jan. 9, Feb. 5, March 11, 6–9 p.m. Where: AHC Clarksburg Room, third floor

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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, visit www.adventistlifesupport.com or call 240-826-CORE (2673). 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: $84 AHA Family & Friends CPR for All Ages Learn community CPR in a stressfree environment. No testing. Note: No card issued. Cost: $45 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: $40 per person, $60 per couple

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. Please call 301-891-5265 to preregister for all groups.

WASHINGTON ADVENTIST HOSPITAL p DivorceCare Thirteen-week session for those healing from a separation or divorce Saturdays, March 2–May 25, 3–4:30 p.m. p Empty Arms, Aching Hearts (English and Spanish) For those experiencing pregnancy loss, miscarriage, stillbirth or infant death

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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. Second Sunday of each month, 2:30–4 p.m. p Grief Care Seven-week mutual support group for those grieving from a loss Tuesdays, Jan. 15–Feb. 26, 7–8:30 p.m.

SHADY GROVE ADVENTIST HOSPITAL Call the Pastoral Care Department at 240-826-6112 or email stoth@adventisthealthcare.com for more information

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 Amputee Brain injury Diabetes DVT (deep vein thrombosis)

◗ ◗ ◗ ◗ ◗ ◗ ◗

Weight-loss surgery Stroke Narcotics Sickle cell anemia Spinal cord injury BEST breastfeeding Discovering motherhood

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

CANCER SUPPORT GROUPS Three cancer support groups offering opportunities to meet people facing similar challenges are available at Adventist HealthCare. Members share experiences with cancer, offer practical advice and emotional support, and gain a sense of empowerment and control. The following cancer groups are currently meeting: ◗ Women’s lifestyle (WAH) ◗ Breast cancer (SGAH) ◗ Thyroid cancer (SGAH) Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) for dates, times and locations.

Special Event:

Cancer Screening Day Join us for our annual event. Doctors and nurses help perform various FREE screenings, such as colorectal, prostate (PSA and DRE), skin, oral, bladder, thyroid and clinical breast exams. Cost: FREE Where: WAH Short-Stay Unit When: Sunday, March 10, 9 a.m.–2 p.m. Where: SGAH Outpatient Surgery When: Sunday, April 7, 9 a.m.–2 p.m.

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GRIEF SUPPORT GROUPS

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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pA I D HeAltH & You

Washington Adventist Hospital

Frederick

301-891-7600

7600 Carroll Avenue, Takoma Park

Shady Grove Adventist Hospital

Baltimore

240-826-6000

9901 Medical Center Drive, Rockville

Germantown

Shady Grove Adventist Emergency Center

Gaithersburg

301-444-8000

Burtonsville Rockville

19731 Germantown Road, Germantown

Rockville

N

Shady Grove Adventist Hospital Prenatal Center

301-444-8350

College Park

W

19735 Germantown Road, Germantown

E

Washington D.C.

S

Eastern Shore

Adventist HealthCare in YOUR Community 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 Radiation Oncology Center: - Germantown: 301-795-0064 20330 Seneca Meadows Parkway, Germantown

- Rockville: 301-309-6765

40 West Gude Drive, Rockville, Suite 120

Adventist Rehabilitation Hospital of Maryland

240-864-6000

9909 Medical Center Drive, Rockville

Adventist Behavioral Health

301-251-4500

14901 Broschart Road, Rockville (main campus)

Adventist Home Care Services

301-592-4400 (main office)

Serving Seven Maryland counties, parts of D.C.

The Reginald S. Lourie Center for Infants and Young Children

301-984-4444

www.AdventistHealthCare.com

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12301 Academy Way, Rockville

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

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Health & You Magazine (Winter 2013)