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A Second Chance AT L I F E






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For the fifth year in a row, the Home Health division of Adventist HealthCare Home Care Services has been named a Top Agency by HomeCare Elite. This national quality award is presented to the top 25 percent of Medicare-certified agencies in the United States. “It is an honor to receive this recognition based on the quality care and great experience we provide to our patients,” said Keith Ballenger, vice president of Adventist HealthCare Home Care Services. Adventist HealthCare Home Care Services provides in-home care to the community. To learn more about the services offered in the comfort of home, visit AHCYOU.COM/SP17HOMECARE .



 Getting Fresh With Spring Produce   H eart Monitor Saves a Young Mom’s Life  A dvanced Imaging Technology

3 4 6

Close to Home

7 Living Healthy

 D on’t Wait for Joint Surgery P ut Spring in Your Step 12  11

with Regular Walks


 Stretch It Out After Exercise

 U nderstanding Diabetes Teenagers and Mental Illness: 15  14

Knowing the Signs and How to Act



 G ift in Appreciation for Daughter’s Compassionate Care


MAKING HOMES HEALING PLACES Adventist HealthCare has expanded its partnership with a local nonprofit organization, Rebuilding Together Montgomery County, to launch a program that provides free home modifications and repairs for low-income patients. Through the program, Adventist HealthCare Washington Adventist Hospital will identify patients who need home modifications, such as wheelchair ramps, but cannot afford them. Adventist HealthCare will provide $25,000 to support the modifications in approximately 12 patients’ homes through Rebuilding Together. Earlier this year, Hennie Brown Jr., 84, of Silver Spring, Maryland, was able to join his wife, Matilda, upstairs in their three-story home for the first time in a year thanks to a wheelchair lift installed through this program. Hennie became wheelchair-bound about a year ago due to cancer and spinal stenosis.

GOLF TOURNAMENTS SUPPORT COMMUNITY HEALTH SERVICES Mark your calendar for Adventist HealthCare’s two golf tournaments in 2017. Both events raise funds to support health services in the local community. • Washington Adventist Hospital tournament, Monday, May 22, at The Country Club at Woodmore in Bowie, Maryland • Shady Grove Campus tournament, Monday, June 26, at Whiskey Creek Golf Club in Ijamsville, Maryland To support or register for these events, visit



Getting Fresh

WITH SPRING PRODUCE MARYLAND FARMERS MARKET FINDS Maryland is known for more than just Old Bay and crabs! This spring, visit a local farmers market to check out some of the delicious produce that’s native to our region, including: • • • • •

Asparagus Cabbage Peas Spinach Strawberries

Spring has sprung and so have all the fresh vegetables and fruits in our local farmers markets! The health benefit of purchasing fruits and veggies locally is that they arrive at your table faster, without losing nutrients while traveling across the country. ARMERS markets also support area farmers and the local economy, providing a great opportunity to get out and meet members of our community while trying new foods. Eating food that’s sourced from our community is an excellent way to enjoy seasonal produce at its peak of flavor and nutrition, explained Patricia Guay-Berry, RD, LDN, CSO, certified specialist in oncology nutrition at Adventist HealthCare. Fruits and vegetables such as artichokes, broccoli, strawberries and spinach are in season from March through June, so it’s a perfect time to get creative in the kitchen with these tasty and nutritious ingredients. Spring is an especially great time of year for asparagus, which is full of vitamins and minerals such as folate, fiber, iron, calcium and vitamins A, C, E and K. It is also packed with antioxidants and helps promote overall digestive health. No matter how you prepare it — grilled, roasted or sautéed — asparagus can add a healthy bite to your spring menus.



cup hazelnuts

2 bunches asparagus, tough ends snapped off

2 tablespoons, plus 2 teaspoons, extra-virgin olive oil

Sea salt

2 tablespoons freshly squeezed lemon juice Freshly ground pepper

4 cups loosely packed arugula


Place hazelnuts on a baking sheet. Set oven to 400° F, and bake hazelnuts for 5–7 minutes during preheating, until aromatic and browned. Coarsely chop the hazelnuts. Place asparagus on a baking sheet in a single layer, drizzle with 2 teaspoons of olive oil and evenly sprinkle the asparagus with salt. Bake for 8 minutes, until barely tender. Add the lemon juice, remaining olive oil, salt and a few grinds of pepper to a small bowl and mix. Place the arugula in a large bowl. Drizzle with half of the dressing and toss. Mound the arugula on individual plates, and arrange the asparagus on top. Drizzle with the remaining dressing and sprinkle hazelnuts on top. Yields 4 servings • Source:






Last November, at home with her four young children, 35-year-old Kymberli Petronio, of Damascus, Maryland, suddenly became nauseated and passed out. It wasn’t the first time she had fainted without warning.




Kymberli first inexplicably fainted over a year earlier in February 2015 with her husband, Chris, and children nearby. “I was completely terrified,” Chris said. “She fell down right in front of me and turned blue.” Kymberli sought emergency care at Adventist HealthCare Shady Grove Medical Center, the same hospital that provided excellent care to her triplets one year earlier in the neonatal intensive care unit. Afterward, she met with Sean Beinart, MD, an electrophysiologist at Adventist HealthCare, who offered a new solution — a loop recorder. “I was so pleased with Dr. Beinart’s attentiveness and interest,” Kymberli said. Dr. Beinart implanted the tiny heart monitor on Kymberli’s upper chest, where it could record her heartbeat for three years, hopefully offering a diagnosis. “The loop recorder is used in patients who pass out from time to time, but not frequently enough for other types of monitors and tests to catch the event,” Dr. Beinart explained.


Fast forward more than a year to last November. Kymberli fainted a second time. Her heart had stopped beating for 18 seconds before miraculously restarting on its own. But this time, thanks to the loop recorder, Dr. Beinart saw Kymberli’s heartbeat pause. “If I didn’t have that monitor, we would have totally blown it off and assumed I had a stomach bug,” said Kymberli, the mother of 3-year-old triplets and a 5-year-old son. “We don’t know that my heart would have restarted the next time.” The loop recorder allowed Dr. Beinart to diagnose Kymberli with a rare heart rhythm disorder that causes the heart to beat too fast or too slow, often causing fainting, weakness or heart failure. Dr. Beinart immediately brought Kymberli to Adventist HealthCare Washington Adventist Hospital in Takoma Park, where he implanted a pacemaker to ensure her heart continues to beat regularly.

DO YOU KNOW THE SIGNS OF A HEART RHYTHM DISORDER? You may experience one or a few of these symptoms: • Chest discomfort • Dizziness • Fainting • Fatigue • Inability to exercise • Lightheadedness • Palpitations • Rapid heartbeat • Shortness of breath

Call 911 if you experience these symptoms.


Kymberli said she is alive today because of the heart monitor that allowed doctors to diagnose her condition and react quickly when she fainted. “We all feel so much safer now, knowing my heart is not going to stop while I’m driving the kids or running errands,” said Kymberli, who is back to taking her children to the library, cooking dinner and playing dress-up with confidence.

To learn more about how the heart experts at Adventist HealthCare diagnose and treat heart rhythm conditions with the loop recorder and other advanced approaches, visit AHCYOU.COM/SP17HEART.






Adventist HealthCare Imaging recently began offering SPECT/CT, a new state-of-the-art, advanced imaging scan. SPECT/CT allows better diagnosis of medical conditions such as thyroid cancer, parathyroid tumors, fractures, infections and some brain disorders. Currently, Adventist HealthCare Imaging has the only SPECT/CT machine in Montgomery County, Maryland.

HOW IT WORKS: IMAGES show pictures of organs or specific areas and can indicate how the surrounding area is functioning.

PHYSICIANS can more accurately identify an abnormality and pinpoint its location.

SPECT/CT combines images from two types of scans — nuclear medicine and computed tomography (CT) — to form color images from multiple views. This type of scan produces higher-quality images that may reduce the need for additional imaging studies.

CONDITIONS DIAGNOSED: • Alzheimer’s disease • Infections • Joint replacement problems • Lyme disease • Parathyroid tumors • Parkinson’s disease • Stress fractures • Thyroid cancer

Adventist HealthCare Imaging offers quality imaging services such as mammography, MRI, ultrasound and SPECT/CT at several Montgomery County locations. To find a location or book an appointment, call 301-590-8999 or visit AHCYOU.COM/SP17IMAGING.




Online registration and payment options are available for most programs. Visit AHCYOU.COM/SP17CALENDAR or call 800-542-5096 for information or to register.

LIVING healthy The Adventist HealthCare Center for Health Equity and Wellness offers classes, events and activities to support a healthy mind, body and spirit.

HEART HEALTH Free Blood Pressure Screenings

Adventist HealthCare offers a number of blood pressure screenings throughout the community each month. Rockville Senior Center 10 a.m.–noon First Monday of each month — May 1, June 5, July 3, Aug. 7 Damascus Senior Center 10–11:30 a.m. First Wednesday of each month — May 3, June 7, July 5, Aug. 2 Benjamin Gaither Community Center 9:30–11:30 a.m. Fourth Wednesday of each month — May 24, June 28, July 26, Aug. 23 Long Branch Community Center 10:30 a.m.–noon Second Monday of each month — May 8, June 12, July 10, Aug. 14, Sept. 11 Mid-County Community Center 10–11:30 a.m. Second Tuesday of each month — May 9, June 13, July 11, Aug. 8, Sept. 12 White Oak Community Recreation Center 1–2 p.m. Third Thursday of each month — May 18, June 15, July 20, Sept. 21 (no blood pressure screenings in August)

Takoma Park Community Center 11:30 a.m.—12:30 p.m. Fourth Thursday of each month — May 25, June 22, July 27, Aug. 24, Sept. 28

MATERNITY & CHILDBIRTH Adventist HealthCare offers maternal and child health classes to provide expert advice, support and education before and after birth. Classes include: • Childbirth • Breastfeeding • Grandparents Class • Fatherhood 101 • Infant CPR and more Learn more at

Lactation Services

Adventist HealthCare offers a range of lactation classes, consultation, breast-pump sales and rentals, as well as breastfeeding support groups. To learn more, visit and look under Maternity & Child, or call 240-826-MOMS (6667) for those living near SGMC or 301-891-4TLC (4852) for those living near WAH.

Gestational Diabetes Education

This weekly class teaches moms-to-be

how to manage blood glucose through proper nutrition, monitoring and exercise. Info: Call Shelly Milsted at 301-309-6079 to register, or have your doctor fax a referral to 301-315-3135. When: Every Friday from 9–10 a.m. Where: SGMC

Support Groups

Adventist HealthCare offers several support groups for parents. To learn more or to find a location near you, visit or call 800-542-5096.

BEST Program: Breastfeeding Education, Support and Togetherness (SGMC and WAH)

• Hecho de Pecho – Madres Latinas Unidas para la Lactancia: Free breastfeeding and baby care support group held in Spanish; pregnant and breastfeeding Spanish-speaking mothers are welcome. Free meals and giveaways included. • Discovering Motherhood: Adjusting to Your New Role • Perinatal Loss Support Group: New support group run by an experienced perinatal loss specialist for those who have experienced a loss related to pregnancy




CANCER Navigation Services

At Adventist HealthCare Shady Grove Medical Center and Washington Adventist Hospital, cancer care navigation teams assist people living with cancer, as well as their families, friends and caregivers. The navigation teams consist of professionals who can provide guidance through diagnosis, treatment and survivorship. Info: Call 240-826-6297 (SGMC) or 301-891-5559 (WAH) to speak to a member of the cancer care navigation team.

Look Good ... Feel Better®

Spend time with a professional esthetician to learn makeup tips so you can put your “best face forward” during and after treatment for cancer. Meet other women living with cancer, and receive a “personal toolkit” to take home. When: Monday, May 15 and July 17, 10 a.m.–noon Where: WAH, Radiation Oncology Info: Call 301-891-5559. When: Wednesday, May 3 and July 5, 6–8 p.m. Where: ACC Info: Call 240-826-6297.

Colorectal Cancer Screening Program

Adventist HealthCare, in partnership with the Montgomery County Health Department, offers this FREE, lifesaving screening program. Info: Call 301-315-3507 to see whether you are eligible.

Montgomery County Cancer Crusade Coalition

Join this meeting to discuss community needs for cancer screening. Info: Call 301-315-3507 for meeting dates and times.

Cancer Support Groups

Adventist HealthCare offers a range of support groups for patients living with cancer and their caregivers or for those who have survived cancer. For dates, times and locations, call 240-826-6297 (ACC) or 301-891-5559 (WAH). • All cancers (ACC) • Breast cancer (ACC)


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

NEUROSCIENCES 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

Support Groups

• Brain injury • Stroke • Spinal cord injury Info: For additional information about these groups, including a schedule of meetings and locations, visit or call 800-542-5096.


Join Adventist HealthCare for this monthly class to learn how to cook and eat healthy. Demonstrations provided by Executive Chef Jeff Whary. Cost: FREE but registration is required When: Second Wednesday of each month, 6:30–7:30 p.m. Where: Aquilino Cancer Center, Iris Room Info: 240-826-6297; parking will be validated

Nutrition Counseling

Adventist HealthCare’s Outpatient Nutrition and Diabetes office offers individual appointments with a registered dietitian for management of multiple conditions. This service is covered by many health insurance plans. When: Weekdays by appointment Where: Outpatient Nutrition and Diabetes Office, Washington Adventist Hospital, Professional Building, 7610 Carroll Ave., Takoma Park Info: Call 301-891-6105 to schedule an appointment. When: Tuesdays and Thursdays by appointment Where: SGMC Info: Call 301-891-6105 to schedule an appointment.

Weight-loss Surgery Informational Seminars

Learn about the life-changing weightloss surgery options offered at Adventist HealthCare Shady Grove Medical Center. When: Monthly on the first Thursday, 6:30–8:30 p.m.; second and fourth Wednesdays, 6–8 p.m.; and fourth Sunday, 5–7 p.m. Where: SGMC Cost: FREE Info: Ongoing series, open to all; call 240-826-5278 for room location and to register.

Weight-loss Surgery Support Group

This group provides ongoing support for those who have had weight-loss surgery. Registration is not required. When: First four Thursdays of each month, 7–8:30 p.m. Where: SGMC Sycamore Conference Room Cost: FREE Info: Call 240-826-5278 for room location and to register.

DIABETES Comprehensive Diabetes Self-management Education

Learn to better manage your diabetes with this three-class series, taught by a registered nurse, certified diabetes educator and registered dietitian. Physician referral required, but this course is covered by most health insurance plans. When: Monthly on consecutive Tuesdays, 5–8 p.m., or Thursdays, 1–4 p.m. Where: SGMC Info: 301-315-3129 Where: WAH Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: 301-891-6105

Prediabetes Class

Learn to manage prediabetes and prevent Type 2 diabetes. When: May 18, July 20, Sept. 14, Nov. 9, 5–7:30 p.m. Where: SGMC Magnolia Room first floor Info: To register for these FREE classes, visit



Diabetes Support Groups

This free group offers support to anyone living with diabetes or prediabetes. When: Last Tuesday of each month, 6–7 p.m. Where: WAH Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: RSVP at 301-891-6105.

NEW! Diabetes Cooking Class

Learn how to prepare quick, easy, healthy and delicious meals with ingredients that will help you better manage diabetes. When: Offered quarterly. June 1, Sept. 7, Dec. 7, 6–7 p.m. Where: SGMC Magnolia Room first floor Cost: FREE with parking validation

SENIORS’ HEALTH Adventist HealthCare recognizes the specialized health needs of our community’s aging adult population. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and personal consultations. For more information, including dates and locations, call 800-542-5096.

Grief Support Group

Adventist HealthCare’s Mission Integration and Spiritual Care Department offers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurturing environment. Where: SGMC Info: Call the Pastoral Care Department at 240-826-6112 or email JMufuh@ for information and to register. Where: WAH Info: Call the Pastoral Care Department at 301-891-5265 for more information.

Other Support Groups

Adventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics: • Amputee • Sickle cell anemia • Narcotics • Diabetes • Alcoholics Anonymous

For information about these groups, including a schedule of meetings and locations, visit SP17Calendar or call 800-542-5096.

CPR & FIRST AID CLASSES The Center of Resuscitation Excellence offers convenient CPR and first aid courses at various times and locations. Visit or call 240-826-CORE (2673) for course schedules, locations and registration.

American Safety & Health Institute (ASHI): All Ages CPR and AED Certification

This ASHI CPR and AED program is designed for anyone in the community who wants to learn how to perform CPR on people of all ages. All class material is included, along with a two-year certification card. When: Saturdays, May 6, June 3, July 8 and Aug. 5, 10 a.m.–1:30 p.m. Where: Magnolia Room, SGMC




Info: Call 800-542-5096 or visit

American Safety & 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. Two-year certification. When: Saturdays, June 3, Aug. 5, 2–4 p.m. Where: Magnolia Room, SGMC

Info: For additional information, including dates, locations and times, visit or call 800-542-5096.

Community CPR and AED Training Adventist HealthCare offers American Safety & Health Institute CPR and AED courses. This program teaches adult, child and infant CPR along with relief of choking. This course provides a two-year certification. When: Saturday, May 6, June 3, July 8,

Aug. 5, 10 a.m.–1:30 p.m. Where: SGMC Magnolia Room

Community First Aid Training

Adventist HealthCare offers the American Safety & Health Institute basic first aid course, which provides training on treating bleeding, shock, fractures, sprains, nosebleeds, seizures, diabetic emergencies and heat/cold emergencies. When: Saturday, June 3, Aug. 5, 2–4 p.m. Where: SGMC Magnolia Room


The Adventist HealthCare Center for Health Equity and Wellness offers classes at numerous locations. Visit for additional class/event locations. SGMC Adventist HealthCare Shady Grove Medical Center 9901 Medical Center Dr. Rockville


ACC Aquilino Cancer Center

9905 Medical Center Dr. Rockville

WAH Adventist HealthCare Washington Adventist Hospital 7600 Carroll Ave. Takoma Park*

AHC Adventist HealthCare

820 W. Diamond Ave. Gaithersburg*


Rehab Adventist HealthCare Rehabilitation 9909 Medical Center Dr. Rockville *Free parking



Joint Surgery

The words “joint replacement surgery” can be daunting for many reasons: fear of pain, slow recovery and more. Modern approaches to joint replacement and an understanding of the facts about this surgery can help get patients back on their feet, pain-free. The experienced team at Adventist HealthCare Shady Grove Medical Center addresses common concerns about joint replacement surgery. I’m afraid it’s going to hurt. The pain after joint replacement surgery is muscular pain or tenderness at the incision site, which will go away in just a few weeks, said Kristen Black, Joint Center coordinator. These sensations are not like the pain prior to surgery, which is bone-on-bone or arthritic pain that only increases with time, she said. I’m worried about a lengthy recovery. Joint replacement surgery used to require patients to put their lives on hold for weeks or months. Long recovery is now a thing of the past, Black noted. Most return home after a night or two in the hospital. Patients who meet certain criteria may qualify for Shady Grove’s enhanced recovery program and be discharged within 23 hours. Robotic surgery can also reduce healing time. Shady Grove pioneered MAKOplasty robotic joint surgery in Montgomery County and now stands alone in our region by offering the technology for total hip replacements. Surgery can wait; I’ll do it in a few years. Many people believe they’re too young for surgery or they can wait until their condition gets worse. However, if joint pain is interfering with walking, working or enjoying even simple activities, then surgery may be the right option for you, said Brett Hampton, MD, medical director of The Joint Center at Shady Grove. “If you’re considering joint surgery, don’t wait,” Dr. Hampton said. “We’ll find the approach that’s right for your unique circumstances and get you moving better than ever.”

If you think joint replacement surgery may be the right option for you, take our FREE online health risk assessment by visiting AHCYOU.COM/SP17JOINTS.

BOUNCING BACK FROM JOINT SURGERY Cathy Ouellette, 55, of Poolesville, Maryland, hiked the Half Dome in Yosemite National Park just four months after having knee replacement surgery at Adventist HealthCare Shady Grove Medical Center. She attributed her quick recovery to her excellent care team, her active lifestyle and not waiting to have surgery until she could no longer walk. Cathy noted that life with her new knee “continues to be fabulous!”

In 2016, Adventist HealthCare Shady Grove Medical Center again earned The Joint Commission’s Gold Seal of Approval for meeting high quality standards in hip and knee replacement surgery. AHCYOU.COM/SP17BLOG





Spring is a great time to make a daily walk part of your health routine. Many experts recommend walking 10,000 steps per day, which is equivalent to 30 minutes of brisk exercise. However, it is estimated that many Americans complete only about 5,000 steps per day.


• R  esearch shows walking regularly can improve health and increase lifespan. • Walking helps maintain body weight, reduce risk of obesity and enhance mental well-being.

• W  alking reduces the risk of osteoporosis, breast and colon cancer and non-insulin-dependent (Type 2) diabetes. • Walking can be done anywhere. Take the stairs instead of the elevator. Hold a walking meeting with your co-workers.


As part of our commitment to the health and well-being of our community, Adventist HealthCare is pleased to sponsor the Pathway to Wellness at the RIO Washingtonian Center in Gaithersburg. This Pathway encircles the lake (see map below) and offers a beautiful space for walks, runs or any other physical activity — solo or with family, friends or co-workers.







AT THE RIO WASHINGTONIAN CENTER Parking is available at multiple locations around the property, with convenient entrance onto the marked Pathway. This map shows the 0.75-mile route around the lake.

Movie Theater

To learn more about Adventist HealthCare’s events, information and activities to improve community health and well-being, sign up for our email newsletters at AHCYOU.COM/SP17EMAIL.




After exercise — whether walking, running, biking or another form — take a few minutes to stretch to decrease your risk of injury and improve flexibility. TATIC stretching loosens muscles while the body is at rest and is most effective after exercise because the muscles are already warmed up. The sports medicine experts at Adventist HealthCare Rehabilitation recommend the following static stretches. Remember to stop stretching if you feel any strain or pain.



Lie on your side with your top hip and knee bent at a 90-degree angle. Hold that knee with your bottom hand and press down lightly. Rotate your top hand around your body and follow that hand with your eyes. Don’t allow your knee to come off the floor. Hold for 30 seconds. Repeat on the other side.


Sit in a chair and cross one foot over the opposite knee. Lean forward until you feel a stretch in the back of the hip that is crossed. Hold for 30 seconds. Repeat with the other leg.

3. PECTORAL CORNER STRETCH Stand facing a corner, with one foot slightly in front of the other. Place your hands and elbows on the wall, taking care not to hyperextend your lower back. Your shoulder blades should be down and relaxed. Lean forward to feel a stretch in your chest. Hold for 30 seconds.

If you are experiencing pain or discomfort during or after exercise, Adventist HealthCare Rehabilitation offers free injury screenings with a physical therapist. To schedule a screening, call 240-826-8940. To learn more about our expert rehabilitation services, visit AHCYOU.COM/SP17REHAB.

NEW, CONVENIENT LOCATION COMING SUMMER 2017 Adventist HealthCare Rehabilitation’s outpatient clinic at RIO Sport&Health is moving to Downtown Crown in Gaithersburg, Maryland. The new location will offer expert services by physical therapists and physicians who specialize in orthopedic and sports-related injuries. AHCYOU.COM/SP17BLOG



understanding DIABETES

More than 9 percent of Americans live with diabetes, according to the Centers for Disease Control and Prevention. Despite its prevalence, diabetes is frequently misunderstood. People often misinterpret or miss signs and symptoms, delaying diagnosis. Adventist HealthCare diabetes educator Michele McBride clarifies important facts about this disease. THE DISEASE: Diabetes is a disease in which the levels of blood glucose, also called blood sugar, are higher than normal.

THE TYPES: There are two major types of diabetes: Type 1 and Type 2. Type 1 is an autoimmune response that causes a person’s body to produce no insulin. Insulin injections are necessary for the rest of the person’s life. In Type 2 diabetes, the person’s body still makes insulin. However, the amount is not enough or the body is insulin-resistant. This results in too much sugar remaining in the blood. The common perception is that Type 1 diabetes affects children and adolescents and Type 2 affects adults, but it is increasingly recognized that both conditions cross over age groups.


THE CAUSE: People develop Type 2 diabetes for many reasons. Family history of the disease, environmental factors, ethnicity and age can all play a role. Type 1 diabetes is caused by genetics and unknown factors that trigger the disease.

Treatment for diabetes varies depending on the type. People with Type 1 diabetes are insulin-dependent or require regular insulin injections. Type 2 can often be managed with diet and exercise, oral medications, non-insulin injectable medication or insulin. Ongoing diabetes education is crucial to anyone managing the disease. Patients can benefit from new strategies and information as they age. The comprehensive diabetes program at Adventist HealthCare teaches individuals how to live their best life with diabetes.

KNOW THE SIGNS Symptoms of Type 1 and Type 2 diabetes are the same and are generally vague with a gradual onset. These symptoms are often ignored until a person is sick and requires medical attention. Symptoms include: • Blurry vision • Extreme thirst and/or hunger, • Extreme fatigue • Excessive urination even when eating or drinking • Unexplained weight loss

If you or a loved one is experiencing symptoms of diabetes or has risk factors for the disease, take Adventist HealthCare’s free, online diabetes health risk assessment to calculate your risk of developing the disease. Visit AHCYOU.COM/SP17DIABETES.




TEENAGERS AND MENTAL ILLNESS Knowing the Signs and How to Act

As a parent, it can be difficult to recognize the early signs of depression and anxiety in your teenager. Marissa Leslie, MD, psychiatrist and medical director for Adventist HealthCare Behavioral Health & Wellness Services in Rockville, provides answers to commonly asked questions about teens and mental health.

Q | 

My teen doesn’t show any interest in school or extracurricular activities. Is this a passing phase?

DR. LESLIE: Withdrawal from normal activities, such as school and extracurricular activities your teen once enjoyed, could be a sign of depression. Ask your teen about his or her experience to help get to the root of the problem. Triggers for depression can include body and self-image issues, bullying or pressure to perform academically. If talking to your child does not help, contact a mental health professional.

Q | 

My teen is very competitive at school and gets extremely anxious preparing for exams. This causes him to be extremely irritable with family members. What can I do to help ease his anxiety?

DR. LESLIE: It’s normal for your teen to feel anxious sometimes, but when his anxiety becomes excessive and interferes with his ability to function at home or at school, it’s important to seek professional help. His anxiety could be caused by a number of factors, including pressure at school or bullying.

Q | 

I noticed a change in my teen’s eating habits and behavior during the past several weeks. She is eating much less than usual and often skips meals entirely. Could she have an eating disorder?

DR. LESLIE: If your teen is limiting food intake for an extended period of time and there is a noticeable decline in her energy level and

mood, she might have an eating disorder such as anorexia. These disorders affect girls’ and boys’ emotional and physical health, leading to potentially life-threatening consequences if they are not treated by a mental health professional.

If your teen needs help, Adventist HealthCare Behavioral Health & Wellness Services offers outpatient care for teens at two convenient locations in Montgomery County. Call 800-204-8600 to schedule an appointment.

Marissa Leslie, MD, (right) medical director for Adventist HealthCare Behavioral Health & Wellness Services in Rockville, helps parents recognize early signs of depression and anxiety in teenagers.



Z IP C O 4 3 973









Adventist HealthCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. For more information, see link on our home page at ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 301-315-3333. 注意:如果您使用繁體中文,您可以免費獲得語言援助 服務。請致電 301-315-3333。

This publication does not serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.



Joanne Sprague thanks therapist Bryan Gacuma, who was part of the expert team that cared for her at Adventist HealthCare Rehabilitation.

for Daughter’s Compassionate Care ARY PUGH of St. Mary’s County was inspired to contribute to Adventist HealthCare after witnessing the care that her daughter, Joanne Sprague, received following a devastating motor vehicle accident. Last August, Joanne and her husband, Dan, were riding a motorcycle when a car crossed the median and plowed into them, killing Dan instantly. Joanne’s critical injuries included brain bleeds and a broken jaw, pelvis and wrist. It took two weeks to get her stabilized before Mary arranged for Joanne to be transferred to Adventist HealthCare Rehabilitation (Rehab) in Rockville. During the four weeks at Rehab, Mary seldom left her daughter’s side and was grateful that Kirsten Ricci, MD, allowed her to stay with Joanne during the healing process. The Rehab staff knew that Joanne had many physical and emotional challenges ahead. She was dealing with intense pain and


muscle atrophy. She was also unable to stand or walk and had lost almost 20 pounds. She required occupational therapy, as well as cognitive and speech therapy. “All of the nursing staff was spectacular, and they were all very sensitive to my situation,” said Joanne. “When they would come in and realize that I had just lost my husband, they would often sit with me, and we would cry and pray together.” Joanne has since returned to work, driving and the challenges of raising her son. “Dan’s sudden death was a terrible blow to all of us,” said Mary, ”and it is difficult to imagine how Joanne would have gotten through the emotional pain and recovered from her own serious injuries without the kindness and care she received from the [Rehab] staff.”

Consider making a donation to support the compassionate and high-quality care across Adventist HealthCare. Visit AHCYOU.COM/SP17GIVING.

Adventist HealthCare & You Magazine (Spring 2017)  

A Second Chance at Life - a heart monitor saves a young life. That story, upcoming community health classes & events, and more in the Sprin...

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