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  C ould You Have a Hidden

To kick off Breast Cancer Awareness Month in October, Adventist HealthCare honored more than 100 local breast cancer survivors with its annual survivor celebration. The Oct. 1 event started with the 2017 Survivor Brunch, which treated guests to food and gifts. This was followed by the second annual Paint the RIO Pink event, featuring a walk (pictured below) around the lake at RIO Washingtonian Center. Community members were then invited to take a free and fast breast cancer risk assessment and receive a gift bag filled with generous coupons and goodies. Local stores and restaurants offered discounts and other offers to help support early breast cancer detection. Thank you to the many stores and restaurants at Rio that supported Adventist HealthCare’s event.


Heart Problem?

Winning at Weight Loss Together  A Better View of Foot

Adventist HealthCare currently offers six free, online assessments to help you learn more about your health risks in the following areas:

and Ankle Injuries

7 Living Healthy 11

 S core a Snack Touchdown


 I s It the Winter Doldrums


 W hen a Loved One


 S ports Medicine Comes


 G etting Down to Business

on Game Day


Heart health

Breast cancer

Hip and joint pain

Colorectal cancer


or Depression?

Needs Help at Home to Downtown Crown with Kidney Stones

 L ocal Journalist and Mom of Three 16 Says Shady Grove ‘Like Family’

Visit to access these free assessments and learn more about your health.


Lisa Kristiansen is back to riding horses at the Wyndham Oaks stable in Boyds, Maryland, following her heart surgery.

COULD YOU HAVE a Hidden Heart Problem? L ISA Kristiansen thought she had a bad cold. It turned out to be a life-threatening heart condition. Always a healthy, active person with a love for riding horses, Lisa, 60, of Gaithersburg, had dismissed concerns from her husband and colleagues for months about her coughing and shortness of breath. “I couldn’t canter my horse three times around the ring without being completely out of breath,” said Lisa, who began riding horses at age 12.

A HIDDEN HEART PROBLEM Last February, she visited her cardiologist, who ordered some tests. Lisa could hardly believe the results. What she thought was a persistent cold was actually a leaky heart valve, known as a severe mitral valve prolapse. Her cardiologist recommended Paul Massimiano, MD, a heart surgeon at Adventist HealthCare Washington Adventist Hospital, specifically for his unique expertise in a less invasive surgical option that offered a faster, easier recovery than traditional openheart surgery. “When Dr. Massimiano told me he could do minimally invasive surgery, I was so excited — I stood up and hugged him,” Lisa said. “I just couldn’t be down and out for eight weeks.” Within a few days of her surgery, Lisa was up and walking. She was back to work, playing tennis and riding her horse with more energy than ever in just four weeks.

A COMMON RISK FOR ACTIVE PEOPLE “Healthy, active patients like Lisa often ignore symptoms, such as coughing, fatigue or shortness of breath, because they don’t associate them with a heart condition,” Dr. Massimiano said. “For these patients, the minimally invasive heart procedure offers an ideal solution. Thanks to the smaller incision, patients can resume most of their normal activities in just two to three weeks, instead of the usual six weeks or more after traditional open-heart surgery,” he added. “Now, I can ride around the ring many times and jump eight fences without being out of breath,” Lisa said. “My colleagues even tell me, ‘Your color is so much better. You look so much healthier.’”

LISTEN TO YOUR HEART Whether you’re a fitness fanatic or starting fresh, it’s important to watch for possible signs of heart problems. Call 911 if you experience these symptoms while exercising: • Chest pain or discomfort • Upper-body discomfort in the arms, shoulders, back, neck, jaw or stomach • Shortness of breath • Cold sweats and nausea • Weakness, light-headedness or fainting

Do you have a hidden heart problem? Find out with our easy heart risk assessment at AHCYOU.COM/W18




EANNE and Bill Garber of Poolesville, Maryland, had tried diet after diet yet still struggled to lose weight. After years with little or no results, the husband and wife decided to take a new approach and undergo bariatric surgery together at Adventist HealthCare Shady Grove Medical Center. Bariatric surgery reduces the size of the stomach, helping people decrease the amount of food they eat and feel full longer. Jeanne underwent the procedure in January 2016 with Tuesday Cook, MD, bariatric surgeon at Shady Grove Medical Center. Bill had surgery with Dr. Cook two months later. According to Dr. Cook, it is common for couples to undergo this surgery together. “I have many couples who desire to lose weight in order to improve their health and their lifestyle,” Dr. Cook said. “Having your lifetime partner by your side throughout the entire process, supporting you every step of the way, usually leads to better compliance and outcomes.” She said pairing up for weight loss can have a positive impact on the whole family. Grocery trips become healthier, and cooking nutritious meals becomes a family affair. If a couple is considering undergoing weight-loss surgery together, Dr. Cook recommends staggering the procedure dates. Separating the surgeries allows for the postoperative spouse to be in great shape to take care of the spouse who has surgery next, while balancing any household responsibilities.



Nearly two years after surgery, Jeanne has lost 145 pounds and Bill has lost 225 pounds.


WEIGHT-LOSS SURGERY SEMINAR Shady Grove Medical Center’s bariatric surgeons host free, informational weight-loss surgery seminars. Attend in person or through an online webinar.



NUTRITIONAL COUNSELING AND WEIGHT-LOSS SURGERY EDUCATION Classes are offered twice a month and taught by both a certified bariatric nurse and bariatric registered dietitian.

MANAGEMENT OF CHRONIC CONDITIONS Caregivers work with patients to get conditions such as diabetes and high blood pressure under control so the patient is able to undergo surgery.

SURGERY The surgery itself typically lasts 90 minutes to three hours. Shady Grove’s specialized bariatric surgery team cares for patients throughout the procedure.

OSS TO GE T H E R “We enjoy so much more today, and I’m amazed how many things I took for granted that I didn’t even realize I couldn’t do,” Jeanne said. “We are actually living.” The couple exercises and travels regularly these days — activities that were nearly impossible a few years ago. “I wish I had had this surgery earlier because I feel like I’ve missed out on so much,” Jeanne said. “What would I say to someone considering this? Do it. Take the leap.” According to Shady Grove Medical Center’s Bariatric Program medical director, Barry Greene, MD, anyone who is 60 pounds or more overweight can benefit from the procedure. “Weight-loss surgery has been shown to be safer than obesity,” Dr. Greene said. “Significant, long-term weight loss often cures diseases like diabetes, hypertension and sleep apnea and allows patients to enjoy their [lives] again.”

QUICK RECOVERY Recovering from weight-loss surgery is easier than you may think. Most patients have little discomfort and return to work in one week, Dr. Greene said. Following weight-loss surgery, it’s necessary to make a few changes to your lifestyle. Because of the surgery, patients eat a smaller volume of food and are encouraged to follow a lowcarb, healthy diet. Dr. Greene said that on average, patients lose approximately 100 pounds following surgery.

EXPERT CARE The Bariatric Program at Shady Grove Medical Center is nationally recognized for its commitment to quality, patient safety and excellent outcomes. Shady Grove’s safe, high-quality care has passed


rigorous review to earn accreditation from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, which is the gold standard for weight-loss surgery programs. Shady Grove Medical Center’s dedicated Bariatric Unit features all private rooms. Additionally, nurses and team members are specially trained to care for bariatric patients following surgery.




Most bariatric surgery patients go home in one to two days. By then, they can do most things, such as shower or use stairs.

Patients can attend free support groups at the hospital both before and after surgery.

Our bariatric team frequently checks on patients once they’ve gone home, including a six-month post-surgery visit and a yearly appointment.

Considering weight-loss surgery? Visit to register for a free seminar at Shady Grove Medical Center. AHCYOU.COM/W18



A BETTER VIEW OF FOOT AND ANKLE INJURIES DVENTIST HealthCare Imaging’s new weight-bearing foot and ankle CT (PedCT) scan, which is available at Adventist’s Rockville center, offers an improved way to diagnose foot and ankle injuries by providing a clearer, more precise view. The scan creates an image of the foot or ankle while the patient stands instead of sitting or lying. This approach provides a clearer view compared with traditional X-rays and enables more precise treatment of injuries or deformities such as fractures, bunions and other bone-related issues. The foot and ankle CT scan offers better imaging of the following conditions and/or injuries: • Fractures of the toe, ankle and foot • Evaluation of bunion deformities • Evaluation of arthritic joints • Pre- and postoperative planning and assessment



ACCURACY Standing images offer the most accurate assessment of injuries

CLARITY More detailed, precise 3-D images of the foot and ankle compared with traditional X-rays

A patient prepares for a foot and ankle CT scan at Adventist HealthCare Imaging (left). Images from the new CT scan (below).

SPEED The new PedCT scans take less than 60 seconds

LOW RADIATION These new scans offer ultra-low radiation exposure

Learn more about Adventist HealthCare Imaging or request an appointment at



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

LIVING healthy The Adventist HealthCare Center for Health Equity & Wellness offers classes, events and activities to support a healthy mind, body and spirit. A full listing of classes and events is available at


CLASS LOCATIONS The Adventist HealthCare Center for Health Equity & Wellness offers classes at numerous locations. Visit for additional class/event locations. SGMC Adventist HealthCare Shady Grove Medical Center 9901 Medical Center Drive, Rockville

ACC Aquilino Cancer Center 9905 Medical Center Drive, Rockville

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

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

Rehab Adventist HealthCare Rehabilitation 9909 Medical Center Drive, Rockville *Free parking

Free Blood Pressure Screenings Adventist HealthCare offers a number of blood pressure screenings throughout the community each month. Rockville Senior Center 10 a.m.–noon First Monday of each month – Feb. 5, March 5, April 2 Damascus Senior Center 10–11:30 a.m. First Wednesday of each month – Feb. 7, March 7, April 4 Benjamin Gaither Community Center 9:30–11:30 a.m. Fourth Wednesday of each month – Jan. 24, Feb. 28, March 28, April 25 Long Branch Community Center 10:30 a.m.–noon Second Monday of each month – Feb. 12, March 12, April 9 Mid-County Community Center 11 a.m.–12:30 p.m. Second Tuesday of each month – Feb. 13, March 13, April 10 White Oak Community Recreation Center 1:30–2:30 p.m. Third Thursday of each month – Jan. 18, Feb. 15, March 15, April 19

Takoma Park Community Center 11:30 a.m.–12:30 p.m. Offered on the following dates – Jan. 21, Feb. 22, March 22, April 26 Victory Tower Senior Apartments Last Friday of each month – 10–11:30 a.m. Jan. 26, Feb. 23, March 30, April 27 Green Ridge House Apartments 1–2 p.m. Jan. 10, April 11

PRENATAL, FAMILY AND WOMEN’S HEALTH Adventist HealthCare offers maternal and child health classes to provide expert advice, support and education before and after birth. Classes include: • Childbirth • Breastfeeding • Grandparents Class • Fatherhood 101 • Brother/Sister Learn more at

Lactation Services Adventist HealthCare offers a range of lactation classes, consultations, breastpump rentals and accessory sales, as well as breastfeeding support groups. To learn more, visit and look




under Maternity & Childbirth, or call 240-826-MOMS (6667) for those living near SGMC or 301-891-4TLC (4852) for those living near WAH.

Gestational diabetes counseling is by appointment. This counseling teaches moms-to-be how to manage blood glucose through proper nutrition, monitoring and exercise. Info: Call Sheila Mulhern at 301-891-6105 to register, or have your doctor fax a referral to 301-309-6079. Where: SGMC

A two-part integrative medicine series exploring concerns around sugar in our diets, as well as its role in cancer, metabolism and more. Also learn quick and healthy dessert recipes for satisfying a sweet tooth. Where: Aquilino Cancer Center When: Feb. 6 and March 6, 3–4:30 p.m. Cost: Free. Registration required by calling 240-826-2010. Info: For a full listing of winter classes, visit To register for upcoming integrative medicine classes, call 240-826-2010. To schedule a clinical consultation for integrative medicine, call 301-795-0078.

Support Groups

Navigation Services

Gestational Diabetes Education

Adventist HealthCare offers several support groups for parents. To learn more or to find a location near you, visit or call 877-684-1511. BEST: Breastfeeding Education, Support and Togetherness (SGMC and WAH) Meets every non-holiday Wednesday except spring break and Christmas to New Year’s break Hecho de Pecho – Madres Latinas Unidas para la Lactancia ¡Acompañe a otras madres que hablan español en un grupo gratis de apoyo a la lactancia! Comparta sus experiencias y participe junto con otras madres en una reunión cordial e informativa para aprender sobre la maternidad y apoyar la lactancia materna. Puede traer a sus bebés, a sus niños mayores o a una persona de apoyo. ¡Proveemos el desayuno gratis y regalitos! Discovering Motherhood: Adjusting to Your New Role Meets every Monday Perinatal Loss Support Group New six-week support group run by an experienced perinatal loss specialist for those who have experienced a loss related to pregnancy. Meets on Tuesdays in the Willow Room

CANCER Integrative Medicine Program Adventist HealthCare’s Integrative Medicine Program combines conventional cancer care with evidence-informed, complementary therapies addressing the whole person — body, mind and spirit.


A Spoonful of Sugar

At Aquilino Cancer Center, our cancer care navigation team assists people living with cancer, as well as their families, friends and caregivers. The navigation team consists of professionals who can provide guidance through diagnosis, treatment and survivorship. Info: Call 240-826-6297 or email for all navigation services and care coordination requests.

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. Info: For upcoming dates and locations, call Ana Torres at 240-826-CARE (2273).

Colorectal Cancer Screening Program Adventist HealthCare, in partnership with the Montgomery County Health Department, offers this FREE, lifesaving screening program. Info: Call 240-826-CARE (2273) to see whether you are eligible.

Montgomery County Cancer Crusade Join this meeting to discuss community needs for cancer screening. Info: Call 240-826-CARE (2273) for meeting dates and times.

Cancer Support Groups Adventist HealthCare offers a range of support groups for patients living with cancer, their caregivers or those who have survived cancer. For more information, call 240-826-6297 (ACC) or 301-891-5559 (WAH). Thyroid cancer (ACC) When: First Tuesday of each month, 6:30-8 p.m. Info: A support group on Facebook is available for patients with other types of cancer: ConnectingThroughCancer. In addition, ACC patients and their caregivers may call 240-826-6297 for information about joining an online support group.

NEUROSCIENCES Community Aphasia Group A communication enrichment program for those with aphasia Cost: $140 for six-week series Info: Contact Sandi Lancaster at 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, call 877-684-1511 or visit

NUTRITION, FITNESS AND WEIGHT LOSS Eat Well for Health Join Adventist HealthCare for this monthly cooking and nutrition class to learn a plantbased meal plan for optimal health. Samples of the meal prepared are provided by Executive Chef Jeff Whary. Nutrition updates are provided by Patricia Guay-Berry. Cost: FREE but registration is required When: Second Wednesday of each month, 6:30–7:30 p.m. Where: Aquilino Cancer Center, Iris Room Info: Call 240-826-2010 or email; parking will be validated.



Nutrition Counseling

Weight-loss Surgery Support Group

Prediabetes Class

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., Suite 350, Takoma Park Info: Call 301-891-6105 to schedule an appointment.

This group provides ongoing support for those who have had weight-loss surgery. Registration is not required. When: First four Thursdays of each month, 7–8:30 p.m. Where: SGMC Sycamore Conference Room Cost: FREE Info: Call 240-425-4589 for more information.

Learn to manage prediabetes and prevent Type 2 diabetes. When: Jan. 18, March 15, May 10, July 19, Sept. 13, Nov. 8 Info: Visit to register for these FREE classes.

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.

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 prescription required. Most insurance policies cover diabetes education; call your insurance to verify coverage. Group classes are offered at both Shady Grove Medical Center and Washington Adventist Hospital. When: Tuesdays, 5–8 p.m., or Thursdays, 1–4 p.m., every other month Where: SGMC Info: Call 301-315-3459. When: Alternates monthly – consecutive Wednesdays, 5–8 p.m., or Thursdays, 1–4 p.m. Where: WAH Outpatient Nutrition and Diabetes Education Office, 7610 Carroll Ave., Suite 350, Takoma Park Info: Call 301-891-6105.

Diabetes Support Group This free group offers support to anyone living with diabetes or prediabetes. When: Last Tuesday of each month, 5–6 p.m. Where: WAH Outpatient Nutrition and Diabetes Education Office, Suite 350 Info: RSVP at 301-891-6105.

NEW! Diabetes Cooking Class Learn how to prepare quick, easy, healthy and delicious meals with ingredients that will help you better manage diabetes. Info: Visit for upcoming dates or to register for these FREE classes.

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 877-684-1511.

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




Other Support Groups Adventist HealthCare offers many FREE support groups for patients and their loved ones. The following ongoing support groups are available: • Amputee • Sickle cell anemia • Narcotics • Diabetes • Alcoholics Anonymous For information about these groups, including a schedule of meetings and locations, call 877-684-1511 or visit

CPR & FIRST-AID CLASSES The Adventist HealthCare Center for Health Equity & Wellness offers convenient CPR and first-aid courses at various times and locations. Call 877-684-1511 or visit 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, Feb. 3, March 3, 10 a.m.–2 p.m. Where: 14915 Broschart Road Ladew Conference Room, First Floor Rockville, MD 20850 Info: Call 877-684-1511 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: Saturday, Feb. 3, 2–4 p.m. Where: 14915 Broschart Road Ladew Conference Room, First Floor Rockville, MD 20850 Info: For additional information, including dates, locations and times, visit or call 877-684-1511.





Snack Touchdown ON GAME DAY

Football fans dream of the celebratory spread all year, but for those trying to eat healthy, navigating a game-day party can turn into a junk food-filled nightmare!


YPICAL Super Bowl snacks like potato chips and fried chicken wings are usually high in saturated fat, sodium and calories,” said Meaghan Butler, RD, a registered outpatient dietitian at Adventist HealthCare Washington Adventist Hospital. “Eating too much of this type of food can increase your risk for diabetes and heart disease.” Simple changes can turn a game-day calorie calamity into a nutritious win.



Packaged chips, cheese curls or crackers

Kale chips or plain popcorn flavored with your favorite spices

Fried chicken wings

Baked chicken wings

Baked goods or candy

Fruit kabobs or platter with low-calorie yogurt or whipped topping

Blue cheese or ranch dressing

Greek yogurt-based dips

Sour cream-based dips

Hummus or guacamole

Soda or juice drinks

Water or seltzer with a splash of 100 percent fruit juice


2 ripe avocados

Pinch of cayenne pepper

2 tablespoons red onion, diced small

1 tablespoon cilantro, finely chopped

1 tablespoon fresh lime juice

1 tablespoon mint, finely chopped

¼ teaspoon sea salt

3 tablespoons pomegranate seeds


1. In a medium bowl, mash the avocado with a fork and add the red onion, lime juice, sea salt, cayenne pepper, cilantro and mint. Combine well. Add two tablespoons of the pomegranate seeds and combine. 2. Garnish with the remaining pomegranate seeds. Serve with sliced bell peppers, jicama or your favorite veggies. For more recipes, visit AHCYOU.COM/W18



Is It the Winter Doldrums or DEPRESSION? T HE winter months — with shorter days, colder weather, barren landscapes and less natural sunlight — can affect your mood. The “winter doldrums” is a temporary feeling of sadness and lethargy that some experience during this season. Yet, how would you know if you or a loved one is experiencing a momentary bout of the winter doldrums or a serious form of depression that needs treatment? Depression is not a passing phase. It is a mood disorder that causes feelings of prolonged sadness, hopelessness and irritability. It can also lead to suicidal thoughts or behaviors. “People with depression are plagued by feelings of sadness, social withdrawal and listlessness, making it difficult for them to function,” said Marissa Leslie, MD, medical director at Adventist HealthCare Behavioral Health & Wellness Services in Rockville. “Everyday activities such as maintaining good hygiene, getting children ready for school in the morning or going to work can be a struggle for people who are depressed.” Other mood disorders, including seasonal affective disorder (SAD), also occur in the fall and winter. SAD typically causes irritability, general hypersensitivity and loss of energy. It can also cause some people to eat and sleep excessively. Left untreated, all mood disorders can have a debilitating impact on work and family life. To stay mentally well during the winter months and throughout the year, Dr. Leslie encourages individuals to establish healthy diet and exercise routines and make time to get 30 minutes or more of natural sunlight three times a week. Now that winter has arrived, pay close attention to any changes in mood or energy levels, and seek help if you have symptoms lasting two weeks or longer.


Eat a healthy diet Exercise regularly Get plenty of rest Get at least 30 minutes of sunlight three times a week Build a support network of family and friends

To find out if you are at risk for depression, complete our free online depression screening at




When a Loved One

Needs Help at Home


VER the holidays, did you notice that a loved one who lives at home may have become less self-sufficient? Was he or she not as stable while standing, possibly creating a fall risk? Or, did you notice that your loved one may be having trouble preparing food or doing laundry? These are not uncommon issues. The good news is that options are available to help people facing these challenges stay in their homes. Experts from Adventist HealthCare Home Care Services offer advice about when to seek assistance for a loved one at home. Maxine Wright, a patient services coordinator with Adventist HealthCare Home Care, notes key signs that may indicate help is needed:

 Personal hygiene issues: poor personal hygiene

 Appointment difficulties: not showing up or failing

 

and wearing the same clothing for several days Clutter: a dirtier and/or more cluttered home Expired food: spoiled or expired groceries that aren’t thrown away Weight concerns: a poor diet, a negative change in diet or weight loss Medication confusion: outdated medication or the same meds with different dosages Bruising: unexplained bruising or a casual mention in conversation of a “trip,” “fall” or “small accident” Trouble with mobility: difficulty walking or getting up from a seat or bed

to schedule important appointments Memory lapses: forgetfulness or being repetitive in asking questions or during conversation Struggles with paying bills: notices about missed or late payments, bounced checks and calls from collection agencies Social withdrawal: loss of interest in social events, friends or community Mood: changes in mood, signs of depression or low energy

Adventist Home Health Receives National Quality Award

Adventist HealthCare Home Health recently received the Home Care Elite Award for the seventh consecutive year. To learn more about the care and services available in homes through Adventist HealthCare Home Care, visit






Adventist HealthCare Rehabilitation’s new Outpatient Clinic in Gaithersburg’s Downtown Crown provides physical therapy to relieve pain from sports-related and orthopedic conditions and injuries. Our new location in Downtown Crown offers a number of therapeutic services, including manual therapy, therapeutic dry needling, functional movement screening, pain management and education and ergonomic screening. The clinic also offers a free 15-minute injury screening, which can help assess and improve movement and pinpoint problem areas that could benefit from therapy. “We are thrilled to bring our expert care to the community to help people move more freely and enjoy favorite activities without pain,” said Elizabeth Kotroba, associate vice president of operations at Adventist HealthCare Rehabilitation. Visit the new Downtown Crown location at 117 Ellington Blvd. in Gaithersburg.

If you are experiencing pain, call 240-826-8940 today to schedule a free injury screening.

Emergency Care or Urgent Care Which is right for you?

Urgent Care

Emergency Care Uncontrolled Bleeding


Severe Abdominal Pain

Broken Bone

Fainting or Head Injury

Chest Pain

Cold & Flu Symptoms

Eye Infections

Sore Throat & Ear Ache

Urinary Tract Infections

Minor Abdominal Pain

Upper Respiratory or Sinus Illness

Cuts, Sprains & Strains

Severe Headache

Need Emergency Care?

Need Urgent Care?

Call 911 if you experience loss of consciousness, signs of a heart attack or stroke, shortness of breath or life/limb threatening injury.




IDNEY stones are small, hard deposits of minerals and acid salts that form in the kidney and cause pain when they move or pass through the body. One in 10 people will experience kidney stones, most often after the age of 30. Jonathan Rhee, MD, a urologist with Adventist HealthCare Adventist Medical Group, answers questions about this common condition.

Dr. Jonathan Rhee, urologist with Adventist HealthCare Adventist Medical Group

QW  hat causes kidney stones? DR. RHEE: The most common reason a person develops a kidney stone is not drinking enough water. The kidneys filter out toxins from the body. When there is not enough fluid moving through the kidneys, a stone can form. Other factors that can contribute to the formation of a stone are family history as well as too much salt and red meat. The chance of developing a kidney stone doubles if you’ve had a prior stone.


What are the symptoms?

DR. RHEE: The hallmark symptom of a kidney stone is severe pain. The pain can sometimes feel like a muscle strain in your lower back that is not relieved by changing positions. Other symptoms include blood in your urine, nausea or vomiting and difficulty passing urine.

Q What are the treatment options? DR. RHEE: Treatment for a kidney stone depends on the

DID YOU KNOW ... the average kidney stone is 5 millimeters, or the size of a pencil eraser.

size and type of stone. Stones that are less than 5 millimeters in size, about the size of a pencil eraser, can be passed on their own through drinking lots of water. Certain medications may also help pass the stone. For larger stones, laser or shockwave treatments can help break up the stone, limiting kidney damage that may occur if the stone moves.

Q How can I prevent kidney stones? DR. RHEE: The best way to prevent kidney stones is to drink plenty of water, limit the amount of salt and red meat in your diet and avoid fatty foods. This is good advice for any healthy lifestyle but will also lessen your chances of developing a stone and prevent damage to your kidneys.

If you suffer from or are at risk of developing kidney stones, Adventist HealthCare Adventist Medical Group can help. Find a doctor at



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.



SAYS SHADY GROVE ‘LIKE FAMILY’ a Gaithersburg native, NBC4 traffic reporter Melissa Mollet has come to rely on Adventist HealthCare Shady Grove Medical Center. From bouts with the flu to visits to our pediatric emergency department, Melissa said she and her family depend on the caregivers at Shady Grove. In July, Melissa and her husband, Jake, welcomed daughter Colette Ryan into the world at The Birth Center at Shady Grove. Colette was delivered by Anders Apgar, MD, who Melissa said “held my hand throughout my whole pregnancy” and was particularly rooting for this baby after Melissa’s public battle with infertility. “I often say that days that are special to me, like Christmas morning, in my mind have glitter on them,” she added. “I think my delivery at Shady Grove had glitter on it.” As a way to thank Adventist HealthCare, Melissa served as the master of ceremonies for the health system’s third annual gala Nov. 18. The 2017 event celebrated the nurses who provide world-class care for our community. “With the nurses and staff at Shady Grove, it feels like family is caring for us,” Melissa said. “Shady Grove would surely be my first choice if somebody asked me which hospital to visit in our community.”


Visit to help support health services for the community.

Adventist HealthCare & You Magazine (Winter 2018)  

Winning at Weight Loss Together - After trying diet after diet with little or no results, this husband and wife decided to take a new appr...

Adventist HealthCare & You Magazine (Winter 2018)  

Winning at Weight Loss Together - After trying diet after diet with little or no results, this husband and wife decided to take a new appr...