Adventist HealthCare & You Magazine (Spring 2014)

HEALTHCARE&YOUAdventist

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CLASSES AND

EVENTSpage 12

Y O U R G U I D E T O H E A L T H Y L I V I N G • S P R I N G 2 0 1 4

MEMBERS OF ADVENTIST HEALTHCARE

One ‘Hip’ MomAnn McCoy of Rockville needed her hip replaced at age 43. The former orthopedics nurse now rejoices in activities with her two young sons PAGE 6

Cancer ResearchClinical trials come to Shady Grove Adventist Aquilino Cancer Centerpage 3

3 Diet TipsThis spring, renew your nutrition habits and improve your health page 4

Take HeartWhen you call 9-1-1, a coordinated cardiac care team springs to actionpage 8

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FeaturesOpening Thoughts

11 Q + A: Maternity Care

12 Living Healthy

Departments

5 Expanding Access to Primary CareAdventist HealthCare is improving the health of underserved residents.

10 Keeping Score of ConcussionsA simple test helps doctors diagnose and treat this head injury in athletes.

Cover Story

Hip, Hip, Hooray! This mother of two (and former orthope-dic nurse) needed a joint replacement at age 43. See why she was so impressed by her surgery and recovery. PAGE 6

In the game of tennis, success involves the careful coordination of the mind and body to enable contact with the ball and send it across the net. In the spring, my tennis game moves back outdoors, allowing me to combine a sport I love with warm weather and the bloom of a new season.

For some people, playing sports like tennis or golf—or even just walking—can be extremely di� cult because of joint pain. According to the Centers for Disease Control and Prevention, up to 30 percent of adults su� er from joint pain. This debilitating condition can a� ect knees, hips, shoulders, elbows or other joints and can be caused by conditions such as arthritis or injuries.

In our community, we are blessed to have some of the nation’s leading joint experts using the latest advances in joint care, including minimally invasive surgery and physical therapy. This issue of Adventist HealthCare & You introduces Ann McCoy, a mother who had her hip replaced at Shady Grove Adventist Hospital. Through the leading-edge, minimally invasive

approach, she is now back to kickboxing and running with her young sons. We included other stories of joint care at Adventist HealthCare facilities, which are nationally recognized for quality and feature some of the most expe-rienced and well-trained joint experts in the region.

I hope you fi nd time to enjoy the spring weather while participating in a healthy, outdoor activity. If you are playing tennis or another sport, don’t forget to warm up those muscles and joints! Visit www.adventisthealthcare.com/ortho to learn more about Adventist HealthCare’s exceptional joint care services or to take a free joint pain assessment.

William G. “Bill” RobertsonPresident and CEO, Adventist HealthCare

Swinging into Spring with Healthy Joints

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

Shady Grove Adventist Hospital9901 Medical Center DriveRockville, MD 20850www.shadygroveadventisthospital.comPresident: John Sackett

Washington Adventist Hospital7600 Carroll Ave.Takoma Park, MD 20912www.washingtonadventisthospital.comPresident: Joyce Newmyer

Editorial Team: Thomas Grant, Marisa Lavine

Writers: Susan Griffiths, Danielle Lewald, Loren Nix, Lydia Parris, Diana Troese

Senior Content Editor: Matt Morgan

Production Technology Director: Mary Winters

Senior Production Manager: Laura Marlowe

Adventist HealthCare & You is published four times annually by McMurry/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 19, Number 2 © 2014 McMurry/TMG, LLC.

The material in Adventist HealthCare & You is not intended for diagnos ing 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, tear off the shipping label and mail it to Remove Me, PO Box 17910, Phoenix, AZ 85011, or go to www.acd.mcmurry.com.

This title is a component of the About Health product.

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[EDIT: I gave readers a specifi c place on the site to go. “Health Tips” seemed to have some nice, well, health tips.]

[cta - online]Get More Healthy Diet TipsVisit the Adventist HealthCare & You blog at blog.adventisthealth-

care.com and click “Health Tips.”

[NOTE: Stat from FA10 masterbook.][PREP/ART: Here’s a stat to consider, if it works out. ~mm]355Average number of calories we consume each day from added sug-

ars. (Women should aim for a maximum of 100, and men 150.)Source: American Heart Association

The latest clinical research and collaborative care is at the Shady Grove Adventist Aquilino Cancer Center

It is the future of medicine and the hope for an end to disease. Clinical trials study the e� ectiveness and risks of medications as well as how patients respond to a new treat-

ment. And now, with the support of the National Cancer Institute (NCI) at the National Institutes of Health, clinical trials are o� ered at the Shady Grove Adventist Aquilino Cancer Center.

“We are proud to give our patients the opportunity to take part in the types of advanced research avail-able at academic centers, right here in their own community,” says Mikhail Kalnitskiy, the NCI clinical research manager based at the Aquilino Cancer Center.

WIDE-RANGING RESEARCHThe research team at the Aquilino Cancer Center is running Phase I–IV clinical trials. According to the Food and Drug Administration, Phase I trials study whether a drug is safe. Phase II examines whether it works in patients. Phase III focuses on large groups of people to confi rm e� ectiveness, monitor side e� ects and compare it with standard

treatments. Phase IV follows the treatment once it has gone to mar-ket to evaluate long-term use in a broader patient population.

“These types of clinical trials give cancer patients access to the most innovative treatments to attack the disease,” says John Wallmark, MD, a medical oncologist at Shady Grove Adventist Hospital and one of the physicians who oversee the Aquilino Cancer Center’s clinical trials program. “They also contribute to important advances in diagnosing, treating and preventing cancer.”

ACCESS TO CANCER SPECIALISTSIn addition to clinical trials, patients at the Aquilino Cancer Center have access to multidisciplinary clinics for breast, lung and prostate cancers. These specialty clinics put the patient at the center of the decision-making process about treatment and care planning. Each clinic includes many cancer specialists: medical oncologists, radia-tion oncologists, surgeons, oncology-certifi ed nurses, cancer care navigator nurses, an oncology dietitian and a social worker.

Clinical trials and multidisciplinary clinics are just another way the Aquilino Cancer Center brings expert cancer care to people in Montgomery County. People who are interested in exploring clinical trials should speak with their cancer care physicians to see whether they are eligible to participate in this type of research.

YOUR CONNECTION TO CLINICAL TRIALS

Visit www.yourcancerteam.com to learn

more about the clinical trials and multidisciplinary clinics at the Shady Grove

Adventist Aquilino Cancer Center.

Online

Patients at the Shady Grove Adventist Aquilino Cancer Center have access to clinical trials and multidisciplinary specialty clinics.

The Future of Fighting Disease

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Spring Clean Your DietThese three tips from a dietitian can help you get started

Spring is the perfect time to clean up your diet by adopting new, healthy eating habits. Masha Fox-Rabinovich, outpatient dietitian at Washington Adventist Hospital,

has three suggestions for renewing your nutrition and improving health.

1. DITCH DANGEROUS INGREDIENTS• Scale back on added sugars found in items

such as syrups, desserts and sweetened beverages. High sugar intake is linked to an increased risk for obesity, diabetes and heart disease.

• Eat fewer highly processed foods such as chips, cookies and frozen meals, which can negatively a� ect blood pressure, cholesterol and glucose levels.

2. ADD NATURAL DETOXIFIERS• Raise your glutathione levels by eating cruciferous vegetables

(broccoli, caulifl ower, cabbage, etc.), garlic, onions and avoca-dos. A powerful antioxidant, glutathione helps the liver remove toxins, neutralizes free radicals and enhances immune function.

• Increase dietary fi ber. Regularly eat beans, lentils, vegetables, fruits and nuts/seeds. High-fi ber diets help control or prevent type 2 diabetes, lower LDL (“bad”) cholesterol levels and improve digestion and bowel health. Adequate fi ber intake improves overall diet by fi lling you up on more nutrient-dense, real foods, instead of calorie-dense foods that contain little nutrition.

3. ENERGIZE THROUGH HYDRATION• Drink plenty of water. Water helps promote digestion, fl ush out

toxins from the organs and carry nutrients to your cells.• Squeeze lemon into a glass of water. Lemons are high in vitamin C

and other antioxidants that help cleanse the liver.

8 in 10 Number of American adults who are “weight conscious,” according to a 2010 survey by the Calorie Control Council.

GET MORE HEALTHY DIET

TIPS

Visit the Adventist HealthCare & You blog at

blog.adventisthealthcare.com and click “Health Tips.”

Online

Masha Fox-Rabinovich

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Expanding Access to

Adventist HealthCare works with a nonprofi t group to improve the health of medically underserved residents

As part of its mission to improve the health of people in the community, Adventist HealthCare is staunchly committed to providing access to high-quality health care to all community members regardless of their ability to pay. Earlier this year, Community Clinic

Inc. (CCI), a nonprofi t, community-based health care agency serv-ing residents of Montgomery and Prince George’s counties who are uninsured or underinsured, opened on Washington Adventist Hospital’s Takoma Park campus. Over the past few months, the clinic has helped to improve access to primary and preventive care for medically underserved local residents.

The partnership between Washington Adventist Hospital and CCI has made it possible to specifi cally target, through discharge and transition planning, underserved patients at high risk for hos-pital readmission. The program, which is among the fi rst collabo-rations in Maryland between a hospital and a federally qualifi ed health center, refl ects the growing change in Maryland and across the nation on how health care is delivered, linking patients with primary care providers and disease management specialists, with the goal of improving their health.

RESPONSE TO A NEED“Having Community Clinic Inc. on the grounds of the hospital enables our caregivers to provide an unbroken transition from hospital to home for at-risk patients,” says Joyce Newmyer, presi-dent of Washington Adventist Hospital. “Patients have direct access to the clinic, where they can make appointments with a new primary care physician as soon as they leave the hospital.”

Throughout the years, Washington Adventist Hospital has continued to be a regional leader in caring for the underserved.

In 2012, the hospital provided nearly $34 million in charity care and community benefi t to those who would not oth-erwise be able to a� ord it. Community benefi t consists of Washington Adventist Hospital’s programs and activi-ties that provide treatment or promote health and wellness as a response to identifi ed community needs.

BRIDGING THE GAPIn addition, the Adventist HealthCare Center for Health Equity and Wellness, through research, innovative train-ing, partnerships, local out-reach and services, allows Washington Adventist Hospital and other health care and com-munity organizations to provide quality care to everyone by bridg-ing the health care access gap and building health care equity for minority and underserved populations in the region. The new clinic brings a patient-centered medical home to the Takoma Park campus to provide needed medical care to high-risk populations.

Notes Bill Flynt, MD, CEO of Community Clinic Inc., “By working hand in hand with Washington Adventist Hospital, we’re able to connect with people in need of follow-up care and help them stay on track to achieve optimal health.”

HEALTH CARE FOR EVERYONE

IN THE COMMUNITY

Call 301-891-6285 to schedule an appointment with Community Clinic Inc. in Takoma Park.

HEALTH CARE

Call

Visit www.adventisthealthcare.com/about/community/benefi t to see Adventist HealthCare’s community benefi t by the numbers.

PrimaryCare

“Patients have direct access to the clinic, where they can make appointments with a new primary care physician as soon as they leave the hospital.”

—Joyce Newmyer, President, Washington Adventist Hospital


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A new hip allows Ann McCoy to stay active with her two sons,

Alex (left) and Phoenix.

Joint replacement lives up to this nurse’s high expectations

W hen you’re a former orthopedic nurse in need of a hip replacement, you know what to look for in a surgeon. You also have high standards for the hospital and its program. Ann McCoy, now 46, of Rockville says the

Joint Replacement Center at Shady Grove Adventist Hospital makes the grade.

Currently an oncology nurse at the National Institutes of Health, McCoy was only 43 when she needed a total hip replace-ment. Severe pain a� ected McCoy at work, where she walks up to 3 miles per shift. It also kept her from playing with her two young sons, Alex, 9, and Phoenix, 7.

After extensive research, McCoy chose orthopedic surgeon Brett Hampton, MD, to direct her care. Rather than rush to sur-gery, the two fi rst developed an approach to use conservative measures in managing McCoy’s pain.

Explains Dr. Hampton, “Ann is younger than many of the joint replacement patients we see, so it was important to balance her pain-management needs with the long-term prognosis of replac-ing her hip. Prosthetic joints have a life span, and we wanted Ann’s new hip to last her for a long time.”

PREPARING FOR SURGERYAs the pain grew worse, McCoy realized it was time for surgery. To prepare, she and her husband, Doug, attended the joint replacement class at Shady Grove Adventist Hospital. “Even as an orthopedic nurse,” McCoy says, “I was so impressed with the class and instructor.” McCoy says the free class was helpful in setting clear expectations for her and her husband, as well as

ensuring that she understood the importance of her commit-ment to and involvement in recovery.

Her surgery was a huge success, and she was equally impressed with the well-coordinated postopera-tive care she received at Shady Grove Adventist Hospital. McCoy started physical therapy the day of her surgery. One week later and using a walker, she made the half-mile round trip to walk her children to school. Six weeks after that, she was back to work.

Playing tag with her boys a few weeks after surgery, she says, was the “absolute pinnacle.”

TWO YEARS LATERIt’s been two years now since the hip replacement, and McCoy still enjoys playing with her children. She’s also taken up kick-boxing, martial arts and step aerobics.

Through tears of gratitude, she says, “Dr. Hampton liter-ally gave me my life back.”

29% The percentage of U.S. adults who reported joint pain or sti� ness in the previous 30 days, according to the Centers for Disease Control and Prevention.

ARE YOU EXPERIENCING

JOINT PAIN?

Visit www.shadygrovejointcenter.com to take a

FREE joint pain assessment.

Online

Hip, Hip,Hooray! CompleteHip, Hip,Hooray!

Hip, Hip,Hooray!

Hip, Hip,

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A coordinated team guides you from surgery through full recovery

Need a joint replaced? Look no further than Adventist HealthCare, which o� ers a comprehensive system of coordi-nated care that supports patients as they move through the various stages of joint care. Whether you attend an informa-tional class to help understand your joint options, get individu-

alized care throughout your hospital stay or go to physical rehabilitation after surgery, Adventist HealthCare’s team of experts takes special care to ensure you get back on your feet quickly and safely.

“Joint replacement surgery is life-changing for many patients, as they are able to regain activity in previously painful joints,” says Christopher Magee, MD, orthopedic surgeon at Washington Adventist Hospital. “This is why it’s vital to have a strong, coordinated support system, which we provide through our joint replacement program.”

The Joint Replacement Centers at Shady Grove Adventist and Washington Adventist Hospitals, both part of the Gaithersburg-based Adventist HealthCare system, are made up of specially trained orthopedic surgeons, nurses, patient care technicians, physical therapists, occupational thera-pists and a patient educator. After surgery, Adventist HealthCare joint patients also have access to a coordinated, comprehensive system of joint care that includes inpatient and outpatient rehabilitation as well as in-home nursing care and physical therapy.

“Rehabilitation for joint replacement patients begins the same day as sur-gery,” says Brett Hampton, MD, orthopedic surgeon and co-medical director of the Joint Replacement Center at Shady Grove Adventist Hospital. “To help our patients recover as quickly and fully as possible, it is optimal to have them immediately begin strengthening the joint and regaining muscle.”

AFTER SURGERYPeople recovering from surgery who need additional rehabilitation after their hospital stay can receive inpatient or outpatient physical and occu-pational therapy through Adventist Rehabilitation Hospital of Maryland, which has a location in Rockville, adjacent to Shady Grove Adventist Hospital, and in Silver Spring, near Washington Adventist Hospital. The Adventist Rehabilitation Hospital of Maryland team o� ers a wide range of specialized therapies including balance training, joint mobilization, indi-vidualized exercise programs and wound care.

CARE AT HOMEAfter a hospital stay for joint surgery, some people require additional care, which can be provided within their homes. Adventist Home Care Services o� ers joint patients in-home nursing, physical therapy and other care to help them heal in the comforts of home. Specifi c services and therapies from Adventist Home Care Services include:

• Home safety assessment• Fall prevention• Treatment for muscle weakness, joint range of motion and pain• Instruction in therapy exercises• Gait and balance training• Functional mobility and activities of daily living• Wheelchair seating and positioning assessment• Caregiver education• Energy-saving techniques• Joint protection instruction

Christopher Magee, MD

Brett Hampton, MD

CompleteJoint Care

FIND OUT IF YOU COULD BENEFIT FROM

JOINT REPLACEMENT SURGERY

Visit www.adventisthealthcare.com/ortho to take our FREE online health risk assessment.

FIND OUT IF YOU Online

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CKPHO

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After you call 9-1-1 for chest pain, know that a coordinated emergency team is springing into action

W hen it comes to chest pain, shortness of breath or shoulder discomfort, one call can save a life.

“If someone is having symp-toms of a heart attack, they should not wait or try to treat it themselves. More importantly, they should not drive themselves to the hospi-tal,” says Joel Buzy, MD, emergency room physi-cian at Shady Grove Adventist Hospital. “Calling 9-1-1 is the quickest and most e� ective way to receive lifesaving treatment.”

TEAMWORK TAKES OVERWhen a person experiences chest pain and calls 9-1-1, Emergency Medical Services (EMS) sends an emergency vehicle with sta� trained in per-forming lifesaving procedures. Paramedics assess the person using an electrocardiogram (EKG) and send the results directly to the emergency room. This is used at local hospitals, includ-ing Washington Adventist Hospital in Takoma

Park and Shady Grove Adventist Hospital in Rockville, both recognized for their exceptional care of chest pain patients by the Society of Cardiovascular Patient Care (SCPC).

The experienced and coordinated emergency teams at Shady Grove Adventist Hospital or Washington Adventist Hospital then notify the chest pain team to prepare the cardiac catheter-ization laboratory, where a procedure can be performed to open the blocked artery.

TIME IS OF THE ESSENCE“With a heart attack, time is muscle,” says Michael Chen, MD, interventional cardiologist at Shady Grove Adventist Hospital and medical director of the cardiac catheterization lab at Washington Adventist Hospital. “The quicker a procedure is performed to open a blocked artery for a patient, the better the outcome.”

Calling 9-1-1 improves treatment speed and enhances medical supervision for the person, which improves his or her chances of recovery.

Interventional cardiologist Michael Chen, MD, left, and emergency room physician Joel Buzy, MD, consult on a case at Shady Grove Adventist Hospital.

“We have a well-coordinated system in place from the time that EMS fi rst sees the patient to when the chest pain team performs a procedure,” says Drew White, MD, director of emergency medicine at Washington Adventist Hospital. “We are constantly reviewing cases with EMS and analyzing our process to look for areas of improvement.”

NATIONALLY RECOGNIZED CAREWashington Adventist Hospital was the fi rst Maryland hospital to achieve accreditation as a Cycle IV Chest Pain Center with PCI (percuta-neous coronary intervention, or angioplasty) from SCPC. A Cycle IV accreditation, the highest o� ered, emphasizes the importance of stan-dardized diagnostic and treatment programs used for patients who have chest pain and other heart attack symptoms.

Shady Grove Adventist is one of only two hospitals in the state to receive the Gold Performance Achievement Award four times in a row by the American College of Cardiology Foundation’s National Cardiovascular Data Registry ACTION Registry®-GWTGTM (Get With the Guidelines). To achieve this, hospitals must consistently meet guidelines for specifi c mea-sures in caring for heart attack patients, such as how quickly a patient receives treatment.

GET ANSWERS ABOUT

HEART CARE

Visit www.adventisthealthcare.com/heart to learn more about expert heart care at Shady Grove Adventist Hospital and Washington Adventist Hospital.

Online

Íin aLifesaving Care

HeartbeatAfter su� ering from heart trouble during a morning run, one Lanham man was saved—and restored

Not Just Another Day Park

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When Jerry Farmer suffered a cardiac arrest in College Park, Beatrice Yeawon (left) and Sandra

Roberts administered CPR until medical help arrived. He credits them for saving his life.

This past June, Sandra Roberts and Beatrice Yeawon, patient care technicians at Washington Adventist Hospital, began

their morning with a routine walk around Lake Artemesia in College Park. On that particular day, however, their presence had a much greater impact than they could have ever imagined.

They turned a corner to fi nd a jog-ger collapsed on the ground. Another bystander was already calling 9-1-1.

“I immediately ran over to check on the man,” Roberts says. “After fi nding he had no pulse, I started doing CPR.” Roberts and Yeawon took turns administering chest compres-sions until an ambulance arrived to take the man to the Emergency Department (ED) at Washington Adventist Hospital.

The jogger was Jerry Farmer, a 56-year-old from Lanham who was su� ering from sudden cardiac arrest, which generally occurs as a result of an electrical disturbance in the heart and pre-vents blood fl ow to the rest of the body. If not treated immediately, this condition can lead to sudden cardiac death.

THREE BLOCKAGESThe next several days were critical for Farmer. Expert care and coordination between the ED and the intensive care unit helped to stabilize Farmer, and he fully regained consciousness. Farmer then underwent a cardiac catheteriza-tion procedure in an e� ort to identify the cause of his arrest.

“After locating three critical block-ages in his heart arteries, we per-formed an angioplasty and placed three stents,” says Anees Ahsan, MD, interventional cardiologist at Washington Adventist Hospital. “This minimally invasive procedure uses a small balloon guided across a nar-rowing in the artery and infl ates to unblock the artery, which very signifi -cantly reduces the possibility of the blockage returning.”

To correct Farmer’s irregular heart-beat and prevent future episodes of cardiac arrest, Pirooz Mofrad, MD, electrophysiologist and medi-cal director of electrophysiology at Washington Adventist Hospital, then inserted an implantable car-dioverter defi brillator (ICD) within Farmer’s heart.

HOW IS YOUR HEART? TAKE A FREE RISK

ASSESSMENT

Visit www.trustedheartcare.com to take

a FREE heart health risk assessment and

review your results with a nurse at Washington

Adventist Hospital.

HOW IS YOUR Online

Anees Ahsan, MD

Pirooz Mofrad, MD

“The ICD is an electronic device used to monitor heart rhythm and delivers energy to the heart muscle to help it beat in a normal sequence,” Dr. Mofrad explains. “This device gives people with damaged hearts a second chance at a normal life.”

A GRATEFUL PATIENTNow safely back to work, Farmer credits Roberts, Yeawon and the entire medical team at Washington Adventist Hospital for saving him. “The care was exceptional,” he says.

“I can’t thank Beatrice and Sandra enough for saving my life,” Farmer adds. “Without their medical expertise, the outcome would have been very di� erent.”

After su� ering from heart trouble during a morning run, one Lanham man was saved—and restored

Not Just Another Day ParkÍat the


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Keeping Score of Concussions

Test helps doctors diagnose and treat head injuries in student-athletes

As head injuries become an increasing concern in sports, Adventist Rehabilitation Hospital of Maryland is working with Montgomery

County Public Schools (MCPS) to improve concussion diagnosis and treatment.

The result of the partnership is a program, which began last fall, that requires all high school athletes to take a preseason baseline exam every two years using a computerized tool called ImPACTTM.

“ImPACT measures cognitive functions such as memory, processing speed and reaction time,” says Shital Pavawalla, PhD, neuropsychologist and clinical director of the Concussion Assessment and

Management Program at Adventist Rehabilitation Hospital of Maryland. “The baseline exam results can be compared with post-injury tests to aid in diagnosis and to help determine an appropriate treatment plan.”

Adventist Rehabilitation Hospital of Maryland provides exams at 13 of the 25 Montgomery County high schools, testing more than 8,000 athletes this past school year. Next year, the hospital anticipates providing about 2,000 additional tests to freshmen and new athletes.

In addition to the MCPS partnership, Adventist Rehabilitation offers a comprehensive concussion clinic for adolescents and adults, ages 14 and older, who have experienced a concussion injury from any trauma, including from sports, motor vehicle accidents or falls.

Visit www.adventistrehab.com/concussion for more information.

Approximate number of students ages 8 to 17 who play organized sports. Some popular sports among boys and girls:

28.7 million40% 40% 24% 25% 23% 17%

FOOTBALL BASKETBALL BASKETBALL VOLLEYBALL SOCCERBASEBALL

Shital Pavawalla, PhD

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Q+A: Topic Name

What is “full term”?In 2013, the American College of Obstetricians and Gynecologists and

the Society for Maternal-Fetal Medicine issued new defi nitions to explain the duration, or “term,” of a woman’s pregnancy.

• Early term: 37 weeks, 0 days, to 38 weeks, 6 days

• Full term: 39 weeks, 0 days, to 40 weeks, 6 days

• Late term: 41 weeks, 0 days, to 41 weeks, 6 days

• Post-term: 42 weeks, 0 days and beyondThe guidelines were created in response to the

trend of inducing labor or scheduling a cesarean delivery earlier than 39 weeks when not medi-cally necessary.

“Pregnant women should look at these defi -nitions as guidelines, not rules, and keep an open dialogue with their doctor,” says Kimberly Campbell, MD, chair of the Department of OB-GYN at Washington Adventist Hospital. “Every pregnancy and labor is unique, but the underlying message is it’s best to let nature take its course unless there’s a medical reason not to.”

Can I use a midwife when I deliver at the hospital?

“Many expectant moms I work with are happy to learn they can use a midwife and deliver at Shady Grove Adventist Hospital,” says Kathy Schaaf, birth advisor at Shady Grove Adventist Hospital. “A midwife can be a great option for a woman looking for a very personalized, holistic approach to pregnancy, labor and delivery.” Shady Grove Adventist Hospital works with the certifi ed nurse midwives at Midwifery Care Associates.

Midwives work with other members of the health care team, such as physicians and nurses, to provide the highest-quality care. Schaaf explains that a midwife will encour-age and support a woman’s desire to have an unmedicated birth experience and also o� er guidance and knowledge if the birth plan changes along the way.

Will I be supported in my choice to breastfeed?

“No matter how a mother chooses to feed her child, our team is here to support that mother and serve as a resource,” Schaaf says. In fact, for those who choose to breastfeed, the Birth Center at Shady Grove Adventist Hospital is on path to become one of the fi rst “baby-friendly” hospitals in Maryland designated by the World Health Organization and the United Nations Children’s Fund. Hospitals must follow 10 steps to become baby-friendly and support all moms, including those who choose to breastfeed their babies. These steps include:

• Helping mothers initiate breastfeeding within one hour of birth.

• Practicing “rooming in” (keeping mothers and infants together 24 hours a day).

• Training all health care staff in the skills necessary to implement the breastfeeding policy.

Baby on the Way!Experts answer common questions on pregnancy and maternity care

Q+A: Topic NameQ+A: Maternity Care

Kathy Schaaf

Kimberly Campbell, MD

TAKE A PEEK INSIDE THE

BIRTH CENTERS

Visit blog.adventisthealthcare.com to take a virtual tour of the Birth Centers at Shady Grove Adventist Hospital and Washington Adventist Hospital.

Online

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HEART HEALTH

Heart-Health Screenings with Medical ConsultationOur comprehensive screenings and private, two- to four-minute personal consulta-tions with licensed medical professionals are designed to help you understand and manage your specifi c health risks for heart disease and related conditions. Please note that some screenings require a fee and fast-ing, but please be sure to drink water to remain hydrated.When: Wednesdays, April 23 and June 25, 8–10 a.m.Where: WAH

When: Wednesday, May 21, 8–10 a.m.Where: SGAH

When: Wednesday, April 30, 10 a.m.–noonWhere: Damascus Senior Center, 9701 Main St., Damascus

When: Wednesday, May 14, 10 a.m.–noonWhere: Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg

When: Wednesday, May 28, 10 a.m.–noonWhere: Rockville Senior Center, 1150 Carnation Drive, Rockville

When: Wednesday, June 11, 10 a.m.–noonWhere: Marilyn J. Praisner Recreation and Community Center, 14906 Old Columbia Pike, Burtonsville

Info: Call 800-542-5096; registration required; event subject to cancellation due to low registration

Living Healthy

CLASS LOCATIONSAdventist HealthCare health and wellness classes are o� ered at numerous locations within the community, including the following. Visit www.adventisthealthcare.com/calendar for additional class/event locations.

SGAHShady Grove Adventist Hospital9901 Medical Center Drive, RockvillePaid parking

ACCAquilino Cancer Center9905 Medical Center Drive, RockvillePaid parking

WAHWashington Adventist Hospital7600 Carroll Ave., Takoma Park

AHCAdventist HealthCare820 W. Diamond Ave., Gaithersburg

ARHMAdventist Rehabilitation Hospital of Maryland9909 Medical Center Drive, RockvillePaid parking

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.

April-June 2014FREE, MONTHLY BLOOD PRESSURE TESTINGAvailable at multiple locations throughout Montgomery County.Info: Visit www.adventisthealthcare.com/calendar or call 800-542-5096

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Screening Description and FeesLipid profi le: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fast-ing recommended); $35, $31 for seniors (55-plus); only order this or the expanded cholesterol testExpanded cholesterol test: This VAP (ver-tical auto profi le) includes all of the lipid profi le plus information that can help iden-tify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profi leHomocysteine: Vascular fi tness test; $95HsCRP: Tests high-sensitivity C-reactive protein for cardiovascular risk; $45Blood pressure monitoring: FREEGlucose: Basic screening for diabetes (12 hours of fasting recommended); $8A1c: Blood sugar test for known diabetics or those at high risk; $40PSA (prostate-specifi c antigen): Prostate cancer screening test for men; $40Body-fat analysis: Tests percentage of body fat; $10

Heart Screening PackagesSweetheart: Lipid profi le and glucose; $38Heart smart: Expanded cholesterol test (VAP) and glucose; $69Heart risk special: Expanded cholesterol test (VAP), homocysteine and HsCRP; $199Diabetes check: Glucose and A1c; $42

Introduction to Cardiac Rehabilitation and EECP Treatment for Chest PainInfo: 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 301-891-6016Cost: FREE

Heart to Heart Support GroupFor patients and families.When: Thursdays, April 17, May 15 and June 19, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville

Women and Heart Disease Support GroupFor patients and families.When: Thursdays, April 17, May 15 and June 19, 11:30 a.m.–1 p.m.Where: WAH

REGISTER TODAY

Online registration and pay-ment options are now avail-

able for some programs. Visit www.adventist

healthcare.com/calendar or call 800-542-5096

for more information or to register.

REGISTER TODAY

ClassesInternal Cardiac Defi brillator and Pacemaker Discussion GroupGroup discussion for patients and the families of patients with these devices.When: Monday, May 12, 7–8 p.m.Where: SGAHInfo: Call 240-826-6662

Congestive Heart Failure Class and Discussion GroupFor patients and families.When: Mondays, April 14 and June 9, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, RockvilleInfo: Call 240-826-6662

Deep Vein Thrombosis and Pulmonary Embolism Support GroupFor patients and families.When: Tuesday, June 24, 6–7 p.m.Where: SGAH, Willow RoomInfo: Call 240-826-6177 or email [email protected]

SUPPORT GROUPS• Congestive heart failure• Living with heart disease

• Heart patient• DVT (deep vein thrombosis)For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealthcare.com/calendar or call 800-542-5096.

PRENATAL, FAMILY AND WOMEN’S HEALTH

Prenatal Classes for Expecting Couples and FamiliesA wide variety of maternal and child health classes is available through Shady Grove Adventist and Washington Adventist Hospitals. Expecting families will receive expert advice, support and education before and after the birth of their babies. Classes include Childbirth, Breastfeeding, Grandparent, Fatherhood, and more. Online registration now available!Info: Detailed descriptions and listings for locations are available by visiting www.adventisthealthcare.com/calendar or calling 800-542-5096

Lactation ServicesLactation classes, consultation, breast-pump sales and rentals, and breastfeeding support groups.Info: Call 240-826-MOMS (6667) for SGAH or 800-542-5096 for WAH

Infant Safety and CPRA Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.When: Sundays, April 6 and 27; May 4, 11, 18 and 25; June 1, 8, 15, 22 and 29; 10 a.m.–noonWhen: Wednesdays, April 16 and 23, May 14 and 28, June 11 and 25, 6–8 p.m.Where: SGAH

When: Saturdays, 9:30–11:30 a.m.Where: WAH

Cost: $40 per person, $55 per couple

Private Infant Safety and CPRInfo: Call 800-642-0101 for details



Living Healthy

JOINT HEALTH

Joint Replacement ClassLearn about the total hip or knee replace-ment procedure, hospital stay and rehabilitation program at Shady Grove Adventist Hospital.When: First Wednesday of each month, 1:30–3 p.m.Where: SGAHCost: FREEInfo: www.adventisthealthcare.com/calendar

YOUTH HEALTH

Interested in Infant Safety and CPR?Multiple classes available, including Baby-Sitting, CPR Companion to Baby-Sitting, Home Alone (prepares 8- to 11-year-olds and their parents for times when children will spend brief periods alone at home), and more.Info: Visit www.adventisthealthcare.com/calendar or call 800-542-5096

CANCER PROGRAMS

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

Look Good ... Feel BetterMeet 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 “per-sonal tool kit” to take home.When: Wednesday, May 7, 6–8 p.m.Where: ACCInfo: Call 240-826-6297

When: Monday, June 2, 10 a.m.–noonWhere: WAHInfo: Call 301-891-5559

Colorectal Cancer Screening ProgramAdventist HealthCare partners with the Montgomery County Health Department to o� er this FREE, life saving screening.Info: Call 301-315-3507 or 301-315-3147 to see if you are eligible

Montgomery County Cancer Crusade CoalitionMonthly meeting to discuss community needs for cancer screenings.Info: Call 301-315-3507 or 301-315-3147 for meeting dates and times

SUPPORT GROUPS• All cancers (ACC)• Breast cancer (ACC)

• Caregivers (ACC)• Thyroid cancer (ACC)• Women’s lifestyle (WAH)For dates, times and locations, call 240-826-6297 (ACC) or 301-891-5559 (WAH).

NEUROSCIENCES

Community Aphasia GroupA support group for those with aphasia.Cost: $140 for six-week seriesInfo: Contact Sandi Lancaster at 240-864-6033 or [email protected]

HEALTH MAINTENANCE

Diabetes Outpatient Education ProgramsThis comprehensive, three-class series will help you learn how to better manage your diabetes with tips on self-care, eating right and more. Covered by most health insur-ances. Call your carrier to verify your cover-age. A physician’s referral is required.When: Monthly on consecutive Tuesdays, 6–9 p.m.Where: SGAHInfo: 301-315-3129

When: Day and evening classes availableWhere: Professional building next to WAH, Suite 350Info: 301-891-6105

Prediabetes ClassLearn how to manage prediabetes and pre-vent type 2 diabetes in this two-class series.When: Alternate months at each location, Thursdays, 9:30–11:30 a.m.Where: SGAH and WAHInfo: Visit www.adventisthealthcare.com/calendar to register for these FREE classes

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Nutrition CounselingIndividual appointments and group ses-sions with a registered dietitian for man-agement of high blood pressure, unhealthy cholesterol levels, diabetes and prediabe-tes, digestive problems, food allergies and other diagnoses. Nutrition counseling, or medical nutrition therapy, is a benefit cov-ered by many health insurances. We will verify that your insurance plan covers the cost of nutrition counseling prior to your initial appointment.When: By appointment, Mondays through FridaysWhere: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350Info: Call 301-891-6105 to schedule an appointment

When: First Monday of each month in the eveningWhere: AHCCost: $85Info: Call 800-542-5096 to register

Support GroupFree group sessions open to anyone with diabetes or prediabetes.

When: First Tuesday of each month, 6-7 p.m.Where: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350Info: 301-891-6105 to RSVP

t’ai Chi Ch’uanT’ai chi ch’uan is a set of naturally flow-ing movements performed slowly in a sequence with a spirit of calmness, balance and awareness. It teaches ways of relax-ation and is excellent for stress reduction and developing strength and flexibility. Come to class with an empty stom-ach. Wear sneakers and loose clothing. Beginner and advanced levels available.

Beginner LevelWhen: Saturdays, March 15–May 3, 10–11 a.m.Where: SGAH Short-Stay Unit

Advanced LevelWhen: Saturdays, March 15–May 3, 10–11 a.m.Where: SGAH Short-Stay UnitCost: $80

Info: Call 800-542-5096 for more informa-tion and to register

Adventist HealthCare Walking ClubIncludes free blood pressure screenings.When: Tuesdays, 8–9:30 a.m.Where: Westfield Montgomery MallInfo: Visit www.adventisthealthcare.com/walkingclub

Weight-Loss Surgery Informational SeminarsOpen to all.When: First Thursday and second and fourth Wednesdays of each month, 6–8 p.m.; fourth Sunday of each month, 5–7 p.m.Where: SGAHCost: FREEInfo: Contact Latasha Baxter at 301-977-6870 or [email protected]

SeniorS’ health

Adventist HealthCare recognizes the spe-cialized health needs of our community’s senior population. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and personal consultations. For additional information, dates, locations and times, call 240-777-4999.

Support GroupS

GriefAdventist HealthCare’s Pastoral Care Services offers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurtur-ing environment.

Where: SGAHInfo: Call the Pastoral Care Department at 240-826-6112 or email jmufuh@adventist healthcare.com for more information and to register

Where: WAHInfo: Call the Pastoral Care Department at 301-891-5265 for more information

othersAdventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics.• Alcoholics Anonymous• Amputee• Diabetes• Weight-loss surgery• Narcotics• Sickle cell anemiaFor additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealth care.com/calendar 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. For course schedules, locations and registration, visit www.adventistlifesupport.com or call 240-826-CORE (2673).

HeartSaver Cpr and AEDThis American Health & Safety Institute CPR and AED program is designed for anyone in the community who wants to learn how to perform CPR on all ages. Book is included, along with two-year certification card.Info: For additional information, dates, locations and times, visit www.adventist healthcare.com/calendar or call 800-542-5096

American Safety & Health Institute (ASHI): Basic First Aid ClassOSHA-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: April 8, May 6, June 9, 5:30–8 p.m.Where: SGAH



Adventist HealthCare, Inc.820 W. Diamond Ave., Suite 600Gaithersburg, MD 20878

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Shady Grove Adventist Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240-826-6000

Washington Adventist Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-891-7600

Shady Grove Adventist Emergency Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-444-8000

Shady Grove Adventist Hospital Prenatal Program . . . . . . . . . . . . . . . . . . . . . . . 301-444-8350

Shady Grove Adventist Radiation Oncology Center - Germantown . .301-795-0064

Shady Grove Adventist Radiation Oncology Center - Rockville . . . . . . 301-309-6765

Adventist Behavioral Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-251-4500

Adventist Rehabilitation Hospital of Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240-864-6000

The Reginald S. Lourie Center for Infants and Young Children . . . . . . . . .301-984-4444

Adventist Home Care Services O�ces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-592-4400

Adventist Behavioral Health - Eastern Shore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410-221-0288

Adventist Medical Group Primary Care & Specialty O�ces

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc







SHADY GROVEADVENTIST HOSPITAL

WASHINGTONADVENTIST HOSPITAL

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Documents

Adventist HealthCare & You Magazine (Spring 2014)