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HEALTHCARE & YOU YOUR GUIDE TO HEALTHY LIVING • FALL 2013 Adventist MEMBERS OF ADVENTIST HEALTHCARE Follow us for news and health tips at blog.adventisthealthcare.com ‘You Can Fight It’ A lifetime nonsmoker, Danielle Nigh of Hagerstown was diagnosed with— and conquered!—lung cancer PAGE 8 Joint Success Meet a mother from Bowie who is enjoying life again after knee replacement page 4 A NEW ERA Introducing the Shady Grove Adventist Aquilino Cancer Center page 6

Health & You Magazine (Fall 2013)

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A lifetime nonsmoker, Danielle Nih of Hagerstown, MD was diagnosed with - and conquered! - lung cancer. That story, upcoming community health classes & events, and more in the Fall 2013 issue of Adventist HealthCare & You magazine.

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Page 1: Health & You Magazine (Fall 2013)

HEALTHCARE&YOU

Y O U R G U I D E T O H E A L T H Y L I V I N G • F A L L 2 0 1 3

Adventist

MEMBERS OF ADVENTIST HEALTHCARE

Follow us for news and health tips at blog.adventisthealthcare.com

&YOU&YOU&Y O U R G U I D E T O H E A L T H Y L I V I N G • F A L L 2 0 1 3

MEMBERS OF ADVENTIST HEALTHCARE

‘You CanFight It’A lifetime nonsmoker, Danielle Nigh of Hagerstown was diagnosed with—and conquered!—lung cancer PAGE 8

Joint SuccessMeet a mother from Bowie who is enjoying life again after knee replacementpage 4

A NEW ERAIntroducing the

Shady Grove Adventist Aquilino Cancer Center

page 6

FdAHFA1364_01_Cover8.indd 1 7/23/13 11:32 AM

Page 2: Health & You Magazine (Fall 2013)

It is my pleasure to share two exciting additions to Adventist HealthCare. First, please help me welcome John Sackett, the new president of Shady Grove Adventist Hospital. John joined Shady Grove Adventist Hospital in April after spending the last 31 years at Avista Adventist Hospital, near Boulder, Colo. His dedicated work and leadership at Avista helped the hos-pital provide top-quality patient care and achieve some of the nation’s best patient experi-ence ratings. John has brought his expertise to our community and is helping Shady Grove Adventist Hospital deliver exceptional, compassionate health care to you and your family.

This fall, we will celebrate another new addition to Adventist HealthCare with the open-ing of the Shady Grove Adventist Aquilino Cancer Center on the Shady Grove Adventist Hospital campus. The facility will be the fi rst freestanding, comprehensive cancer center in Montgomery County. (See page 6.)

The unique and progressive approach to cancer care that will occur within the Aquilino Cancer Center will set it apart in our region. The center will bring together a full spectrum of cancer care services under one roof. The Aquilino Cancer Center will also provide space

for collaboration among members of the cancer care team to help provide the most coordinated and com-prehensive cancer care in the area. Patients and families facing a cancer diagnosis no longer have to travel to di� erent locations for appointments and treatments.

At Adventist HealthCare, we recognize that health care is constantly evolving. As Montgomery County’s fi rst health care system and the fi rst provider of health and wellness services, we are proud to pave the way for our community to access top-notch, quality health care services.

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

Expanding the Adventist HealthCare Family

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, Lydia Parris, Jennifer Plaia, 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 18, Number 4 © 2013 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, please tear off the shipping label and mail it to Remove Me, PO Box 17910, Phoenix, AZ 85011, or go to acd.mcmurry.com.

This title is a component of the About Health product.

6 A New Era in Cancer Care Introducing the Shady Grove Adventist Aquilino Cancer Center.

11 Building a Better HeartWashington Adventist Hospital sur-geons fix an architect’s mitral valve.

12 Living Healthy

Cover Story

’You Can Fight It’ Danielle Nigh counted on the care team at Shady Grove Adventist Hospital to help her beat lung cancer. PAGE 8

Features

Department

Opening Thoughts

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Page 3: Health & You Magazine (Fall 2013)

Supporting a Smoke-Free Life

People who stop smoking before age 50 cut their risk of dying in the next 15 years in half compared with those who keep smoking, according to the American Cancer Society. Despite serious health threats, mil-lions of Americans struggle with e� ectively kicking this harmful habit.

To help people conquer this challenge, Washington Adventist Hospital’s Tobacco Cessation Program was established in 2002. The program provides expert counseling, support and resources for people to achieve a smoke-free life.

Program features include:• NICOTINE REPLACEMENT THERAPY

(NRT). Nicoti ne patches, gums and lozenges help relieve nicotine cravings and reduce withdrawal

symptoms by providing low doses of nicotine without the harmful toxins found in smoke.

• COUNSELING. Expert, one-on-one counsel-ing provides personalized guidance to people over the course of a year. People are monitored and receive follow-up at one week, three months, six months and one year, to track progress and minimize relapse.

• SUPPORT GROUPS. Held monthly at Washington Adventist Hospital, these voluntary sessions o� er additional support to help people succeed in staying smoke-free. Open discus-sions with others facing similar challenges help decrease feelings of isolation, build confi dence and keep patients motivated to quit.

Since the program’s inception, Washington Adventist Hospital’s dedicated tobacco cessa-tion coordinators, Julinda Massey and Bozena Skraban, have provided expert counseling and support to more than 5,300 people.

Want to help your kids stay focused and energized throughout the school day? Masha Fox-Rabinovich, outpatient dietitian at Washington Adventist Hospital, o� ers these easy suggestions for packing a balanced lunch with punch!

• Protein and fi ber help to keep us fuller longer. Foods such as turkey, cheese and peanut butter are high in protein. Combine the protein with the fi ber in whole-grain bread, and you have a kid-friendly sandwich that will keep kids fueled up all day.

• Always include vegetables for added fi ber and nutrients. Carrots, celery, cucumber slices or cherry tomatoes go great alongside any sandwich.

• Empty calories from the loads of sugar in soda and juice can cause an energy crash and contrib-ute to weight gain. Best drinking option? Water!

• Save the vending machine money, and pack healthy snacks. Try baked chips, popcorn, string cheese or unsalted nuts.

• What about dessert? Satisfy your child’s sweet tooth with healthy alternatives such as Greek yogurt with fruit, pudding or homemade baked goods such as oatmeal raisin cookies or fruit mu� ns.

Pack a Lunch with a Healthy Punch

“Our program strives to keep open and ongo-ing communication with patients, accommo-dating their needs to ensure their continued success,” Massey says. “Through following best practices such as counseling, NRT and consistent follow-up, we are able to support patients at each stage of their journey.”

Julinda Massey

Masha Fox-Rabinovich

a Smoke-Free Life

355 Average number of calories we consume each day from added sugars.

Source: American Heart Association

WANT TO QUIT? GET HELP TODAY

For more topics on how to quit smoking, contact

Washington Adventist Hospital’s Tobacco Cessation

Program today at301-891-5004, or visit the

Adventist HealthCare & You Blog at blog.adventist

healthcare.com.

Call

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Page 4: Health & You Magazine (Fall 2013)

New Knee

After su� ering with knee pain for several years, Rita Heywood, 55, of Bowie, reached her tipping point.

“Medication wasn’t working anymore. I knew surgery was the

next step,” Heywood says.Taking the recommendation of a friend,

Heywood went to see Christopher Magee, MD, orthopedic surgeon at the Joint Replacement Center at Washington Adventist Hospital.

“When I met Rita, it was clear conservative measures were no longer managing her intense knee pain,” Dr. Magee says. “She’s still young with two teenage kids to look after. Total knee replace-ment surgery was the best option to improve her quality of life and provide long-term relief.”

The Joint Replacement Center at Washington Adventist Hospital and the Joint Center at

Shady Grove Adventist Hospital, both part of the Gaithersburg-based Adventist HealthCare sys-tem, o� er comprehensive approaches to joint care including a pre-surgery class where patients, like Heywood, meet with an orthopedic clinical nurse specialist to discuss what to expect before, during and after surgery.

“The pre-surgery class was incredible,” Heywood says. “All my questions were answered, and I started doing exercises that later helped during rehabilitation.”

Heywood was amazed at how quickly she was out of bed following her March 2013 surgery.

“Joint replacement patients are up and rehabbing the day after sur-gery,” says Sridhar Durbhakula, MD, co-chair of the Joint Replacement Program at Shady Grove Adventist Hospital. “It’s critical for our team to get patients moving, and on a path to healing, as soon as possible following their surgery.”

The Washington Adventist Hospital and Shady Grove Adventist Hospital Joint Centers are sta� ed by coordinated care teams made up of specially trained orthopedic nurses, patient care techs, physical therapists, occupational therapists and a patient educator. Both hos-pitals provide dedicated rehabilita-tion areas within their joint units to help patients quickly hit the road to

Active since her knee replacement surgery in March 2013, Rita Heywood enjoys walking with her two children, Mary and Benjamin.

Joint replacement surgery helps a Bowie mom return to an active life

AWARD-WINNING JOINT CAREWhether you have questions about joint replacement or are looking for a physi-cian for joint replacement surgery, the experts at Shady Grove Adventist Hospital in Rockville and Washington Adventist Hospital in Takoma Park provide expert, coordinated care. To learn more, visit www.adventisthealthcare.com/jointcare. This year, Shady Grove Adventist Hospital was recognized with the Gold Seal of Approval for quality joint care from The Joint Commission.

JOINT REPLACEMENT

Q&A

Visit blog.adventisthealthcare.com to watch orthopedic surgeons from Washington Adventist and

Shady Grove Adventist Hospitals answer your important questions

on bone health and joint replacement surgery.

Video

recovery following their surgery. Additionally, as part of the Adventist HealthCare system, patients at Shady Grove Adventist Hospital and Washington Adventist Hospital have access to a comprehensive system of joint care that includes inpatient and outpatient rehabilitation as well as in-home nursing care and physical therapy.

For Heywood, the comprehensive team helped her move through her surgery and recovery.

“My care team anticipated my every need; they really set the tone for my recovery,” says Heywood, who has already lost 20 pounds since surgery and has been able to enjoy her favorite activities, such as walking with her kids. “They strike the perfect balance of compassionate care and understanding with a ‘get up and let’s work’ attitude to motivate you.”

with aNew Life

Christopher Magee, MD

Sridhar Durbhakula, MD

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Page 5: Health & You Magazine (Fall 2013)

Getting

In November 2011, it seemed as though sur-gery was the only option left for 49-year-old Dave Alger of Germantown, who was attempting to regain his health after years of being overweight.

“Just getting to the point where I was con-templating having bariatric surgery was enough of a wake-up call to get me on the right track,” says Alger, outpatient scheduler at Adventist Rehabilitation Hospital of Maryland.

In March 2012, Alger found a way to achieve and maintain a healthy lifestyle, without sur-gery, through Adventist HealthCare’s employee health program, My Health Place®. The program o� ers employees access to an online portal of health resources as well as a discounted gym membership with Sport&Health fi tness clubs.

PERSONAL TOUCH“We recognize our sta� of caring professionals is our greatest asset, and we want to care for them as they care for our community,” says Marta Brito Pèrez, senior vice president and chief human resources o� cer of Adventist HealthCare.

Through the My Health Place® program, Alger received a personal health nurse to help him set and reach his goals. He also participated in personal training sessions at Sport&Health.

“He was always confi rming appointments, always here early and always asking questions,” says Benny Florezan-Dorsey, Alger’s personal trainer at Rio Sport&Health. “Training is not a

luxury. I tell people that it adds years to your life. It is part of your life, and hopefully people will make it that.”

Since beginning the program, Alger has lost more than 110 pounds and no longer has to take blood pressure medication.

“It’s nice to know that as a health care provider, the company is taking interest in the employees that work here,” he says. “It sets a better example when patients come in and see that the people

working here are in good shape or attempting to get themselves into better shape.”

EXTENDED REACHAs the program expands to the community, My Health Place® will be conveniently located in uniquely designed centers within Sport&Health fi tness clubs, places of employment, community centers, senior independent living facilities and churches.

Personal trainer Benny Florezan-Dorsey works with Dave Alger at Rio Sport&Health.

Employee health initiative improves life for a Germantown man

Programwith the

LEARN MORE ABOUT MY HEALTH PLACE®!

Visit www.myahchealthplace.com for tips and other information for a healthier lifestyle.

Online

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Page 6: Health & You Magazine (Fall 2013)

A New Era in Cancer CareThis fall, the Shady Grove Adventist

Aquilino Cancer Center will open its doors as the fi rst freestanding, comprehensive cancer center in Montgomery County. Local cancer

patients will no longer have to drive from loca-tion to location for medical appointments.

Just steps away from Shady Grove Adventist Hospital in Rockville, the cancer center will house comprehensive outpatient services that include multiple physician specialties and treatments, as well as education and support resources that include a navigation team.

CENTRALIZED SERVICES“When the Aquilino Cancer Center opens this September, cancer patients in our area will have immediate access to a facility that centralizes academic-caliber cancer care with personalized, coordinated treatment plans,” says Jane Peck, executive director of cancer care services for Adventist HealthCare. “All of this will take place in a warm, inviting and unique setting.”

The Aquilino Cancer Center will provide specialty services supporting the mind, body and spirit of cancer patients and their families:

physician o� ces in several areas of cancer care specialties; treatment options including radia-tion therapy, chemotherapy and infusion; imag-ing services (PET-CT); cancer navigation services; pain and symptom management; education and resource area with Wi-Fi; space for health pro-grams, support groups and screenings; pastoral care and spiritual support; rehabilitation; nutrition counseling; fi tness activities; retail shop for wigs, prosthetics, skin creams and lotions; and a cafe.

“By o� ering a wide range of resources and ser-vices at the Aquilino Cancer Center,” Peck says, “patients will be able to receive all of their cancer care in a single, convenient location, allowing them to spend more time with their families.”

The cancer center will have a dedicated park-ing area in front of the building for patients and their support team members.

MEDICAL, SCIENTIFIC CAMPUSThe latest advancements in treatment along with a holistic approach to cancer care will come together at the Aquilino Cancer Center. The location on a medical and scientifi c campus that includes the National Cancer Institute will mean that expert care teams, cancer patients and

their families will have access to the latest in treatments and research through clinical trials. Additionally, integrative therapies—such as mas-sage therapy, healing art, meditation and yoga—will be available to help build strength and bring comfort to patients during their cancer journeys.

The Aquilino Cancer Center will also focus on addressing the individual needs of those a� ected by cancer with an integrated approach to care.

“Multidisciplinary care teams will be able to come together to support the patient,” Peck explains. “Medical, surgical and radiation oncol-ogists, oncology nurses and the cancer care nav-igation services team will work together, in one facility, with a focus on personalized care plans.”

GOING GREENThe building material that went into the LEED-certifi ed cancer center is environmen-tally sustainable, from the green rooftop to the stonework.

“The feel of the cancer center is natural. It’s not cold or sterile looking. It makes you feel like you’re in a hotel or spa,” says Michael Aquilino of Potomac, whose family is a key donor and holds a special connection to the building.

Introducing the Shady Grove Adventist Aquilino Cancer Center

The Aquilino Cancer Center will support the mind, body and spirit of cancer patients and their families.

FREE CANCER CARE

PACKAGE

Visit www.yourcancerteam.com

to request a FREE care package for yourself

or a loved one who is battling cancer.

COMPREHENSIVE CANCER CARE Online

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Page 7: Health & You Magazine (Fall 2013)

Michael Aquilino (fourth from right) and his family join officials from Adventist HealthCare to break ground for the Aquilino Cancer Center in June 2012.

Making a Di� erenceThe Aquilino family and the Aquilino Cancer Center

For those who support a loved one through cancer treatment, the idea of a comprehensive cancer center can mean so much: time, convenience and comfort.

“I had to go through it, driving to dif-ferent appointments, taking someone who’s frail in and out of the car,” recalls Michael Aquilino of Potomac. “When you’re going through cancer, time is so valuable. It will be great to have one place for their care.”

Aquilino began supporting cancer care proj-ects at Shady Grove Adventist Hospital when his late wife, Tammy, battled cancer. “It was a di� cult time,” he says, “but the treatment she received at Shady Grove Adventist Hospital was phenomenal.”

Aquilino and his family donated a suite in Tammy’s name to the hospital’s dedicated

inpatient cancer care unit. He also supported plans for a freestanding cancer center.

“That was six years ago. It’s exciting to see the building up today,” Aquilino says.

The comprehensive services that will be o� ered inside the Shady Grove Adventist Aquilino Cancer Center are also a source of pride and excitement for Aquilino.

“The caliber of doctors and the collaboration around the latest cancer research and clinical trials will really elevate Shady Grove Adventist Hospital to another level, o� ering the com-munity access and proximity to top-notch care close to home.”

Visit www.yourcancerteam.com to watch the Aquilino family share more of their thoughts on the opening of the Aquilino Cancer Center.

GENEROUS GIFTS SUPPORT GREATER ACCESS TO HEALTH CAREThe many services and programs that allow Adventist HealthCare to continue to provide comprehensive, quality cancer care to those in our community would not be possible without the generosity of donors. Members of the community have the opportunity to support vital initiatives that directly benefi t families, friends and neighbors by donating to the Adventist HealthCare Foundations. Support from gener-ous donors continues to change the lives of community members. Here are some examples:

SHADY GROVE ADVENTIST AQUILINO CANCER CENTER. This facility will expand access to a wide range of coordi-nated services for cancer patients, bring-ing doctors, nurses, pain management specialists and complementary therapies together to deliver exceptional, compas-sionate care under one roof.

BREAST CANCER SCREENING PROGRAM. This community screening program provides free screening services to underinsured and uninsured women. The program reduces the number of deaths related to breast cancer by mak-ing preventive health care and follow-up treatment accessible to all.

CANCER CARE SUPPORT SERVICES.A range of services help patients and families cope with a diagnosis of cancer: cancer care navigation services, sup-port groups, palliative care services, integrative health therapies, nutritional counseling and cooking classes, massage therapy and meditation, yoga classes and fi tness activities, education library and pastoral care services.

Every gift—small or large—helps pro-vide access to health care for those who need it most.

HOW CAN YOU HELP?

For more information on how to support cancer care services at Adventist HealthCare:• Call the Shady Grove Adventist Hospital Foundation at 240-826-6570.• Call the Washington Adventist Hospital Foundation at 301-891-6920.

• Visit us online at www.adventisthealthcare.com/donate.

For more information on how to support cancer care services at Adventist HealthCare:

Give

COMPREHENSIVE CANCER CARE

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Page 8: Health & You Magazine (Fall 2013)

Hagerstown woman puts the Shady Grove Adventist Hospital cancer team in her corner

Danielle Nigh never smoked a day in her life. Yet, she was diag-nosed with advanced lung cancer at the age of 37.

“When you hear ‘stage IV lung cancer,’ it’s like the worst thing you can hear,” recalls the Hagerstown resident, now 46. “I was shocked. I was a nonsmoker. I was healthy, never really

sick. But it can happen.”Smoking is by far the leading cause of lung cancer, but the American

Cancer Society says about 15 percent of lung cancers develop in people who never smoked. Two-thirds of nonsmokers who get lung cancer are women.

In Nigh’s case, a persistent cough sent her to a pulmonologist, who ordered a CT scan. The reading detected a suspicious mass in her chest. During her biopsy, a thoracic surgeon opted to remove her left upper lung.

After recovering from surgery, Nigh met with medical oncologist Joseph Haggery, MD, chair of cancer care at Shady Grove Adventist Hospital. They discussed her treatment options. He helped arm her with the knowledge—and hope—to fi ght the disease. That included putting the right cancer care team in her corner. For Nigh, it was the comprehensive team at Shady Grove Adventist Hospital.

“You can fi ght it, you can beat it, you can win,” Nigh says. “You need to have the right cancer care team behind you. If you do, it makes all the dif-ference in the world.”

It’s been 10 years since her fi rst diagnosis. Twice more over the years, Nigh found herself battling cancer, when it spread to her brain and spine. As a result, her hair no longer grows. With a multidisciplinary treatment course of surgery, radiation and chemotherapy, and the support of her family, friends and caregivers, Nigh has been cancer-free for seven years.

“I couldn’t have received any better care at Shady Grove Adventist Hospital,” she says. “The nurses were wonderful. I knew the radiologists, I knew the doctors. The care was just fantastic.”

Danielle Nigh has beaten cancer three times over the last 10 years. “You need to have the right cancer care team behind you,” she says. “If you do, it makes all the difference in the world.”

‘You Can Fight It’

11.7 million

IN DANIELLE’S OWN WORDS

Visit blog.adventisthealthcare.com to watch Danielle Nigh discuss her

cancer journey.

IN DANIELLE’S Video

COMPREHENSIVE CANCER CARECOMPREHENSIVE CANCER CARE

Number of people in the U.S. who are cancer survivors today, an all-time high, according to the Centers for Disease Control and Prevention.

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Page 9: Health & You Magazine (Fall 2013)

Shady Grove Adventist Hospital in Rockville and Washington Adventist Hospital in Takoma Park are commit-ted to delivering coordinated, inte-grated cancer care to patients. The

approach includes a comprehensive navigation team that consists of skilled and experienced professionals trained to help patients and their loved ones navigate the cancer journey.

The cancer care navigation team, which pro-vides services to all patients who have cancer, focuses on ensuring patients have timely access to care by providing support and eliminating barriers they may encounter while undergo-ing treatment. The cancer care navigation team o� ers cancer patients and their families a multidisciplinary approach involving nurs-ing, nutrition and social work support, from

diagnosis through treatment and recovery.“Our navigation team provides personalized

care to meet the unique needs of our cancer patients and aims to ease the burdens that come with a cancer diagnosis,” says Traudi Rose, RN, OCN, CHPN, MBA, lead navigator for the Adventist HealthCare system. “Whether a patient needs resources, nutritional counseling, fi nancial assistance, emotional support or other services, our team is here to help.”

The Adventist HealthCare cancer care naviga-tion team includes:

CANCER NURSE NAVIGATORS to assist in coordinating and streamlining cancer care. They collaborate with physicians, patients and care-givers to decrease the time from diagnosis to treatment and provide education and counseling to patients and their families.

ONCOLOGY NUTRITION COORDINATORSto help patients achieve optimal nutritional status prior to surgery for faster healing. They also provide education to avoid malnutrition and help educate patients on complex nutri-tion and supplement issues before, during and after treatment.

ONCOLOGY SOCIAL WORKERS to assist in identifying fi nancial resources and psycho-social support. They work with patients and families on coping skills to use during their cancer journeys.

To reach a member of the Adventist HealthCare cancer care navigation team, call 240-826-6297 for Shady Grove Adventist Hospital or 301-891-5559 for Washington Adventist Hospital, or visit www.yourcancerteam.com to learn more.

The cancer care navigation team at Shady Grove Adventist and Washington Adventist Hospitals includes (from left) Traudi Rose, lead navigator; Lori Hartinger, breast nurse navigator; Samantha Whalen, oncology social worker; Cindy Clark, oncology dietitian; Elizabeth Castro, oncology social worker; and Fatu Fofana White, nurse navigator.

Navigating the Way, Together A team approach to

personalized cancer care

COMPREHENSIVE CANCER CARE

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Page 10: Health & You Magazine (Fall 2013)

Aconcussion is a type of traumatic brain injury caused by a bump, blow or jolt to the head that can change the way the brain nor-mally works. Concussions can

also occur from a blow to the body that causes the head to move rapidly back and forth.

If a concussion is not properly managed, symptoms may persist. Early intervention can help reduce the possibility of contin-ual symptoms.

When a head injury or an injury that could cause a concussion occurs, it is important to watch for the following symptoms:

• Headache or pressure in head• Nausea or vomiting• Dizziness or balance problems• Double or blurred vision

• Sensitivity to light or noise• Drowsiness• Poor concentration or memory problems• Confusion• Dilated pupils or diff erence in pupil size

from left eye to right eye• Slurred speech• Seizures• Decreased or irregular pulse or breathing• Mood changes• Loss of consciousnessAs football, soccer and other fall sports

begin, it is important to be aware of concussion symptoms that may occur after a head injury at games or practices. Athletes who have sustained a concussion may:

• Be confused about assignments or positions• Forget instructions such as sports plays

Learn the signs of a concussion and what to do if you see them

FOR MORE ON OUR CONCUSSION

PROGRAM

Visit www.adventistrehab.com/concussion for more information on Adventist Rehabilitation Hospital of Maryland’s concussion program.

FULL-SERVICE CONCUSSION CAREAdventist Rehabilitation Hospital of Maryland offers a comprehen-sive Concussion Assessment and Management Program that includes education, awareness, prevention, intervention and clinical care. The program treats people ages 14 and older who have head injuries from sports, motor vehicle accidents, falls or other head traumas.

The program’s interdisciplinary team includes a neuropsychologist and a physical therapist as well as a physiatrist (a physician specializing in physical medicine and rehabilitation).

“Our team works together to evalu-ate the presence or level of injury and determine a plan of care,” says Shital Pavawalla, PhD, neuropsychologist and clinical director of the Concussion Assessment and Management Program at Adventist Rehabilitation Hospital of Maryland. “In addition to being conve-nient for the patient, our comprehen-sive approach provides patients with a coordinated treatment plan that is also communicated back to their refer-ring physician.”

Plans include referral to appropriate therapeutic services such as physical therapy or further neuropsychologi-cal testing. Patients are also provided with recommendations on return to play, school and work as well as aca-demic modifi cations.

Heads Up

• Be unsure of the game, score or opponent• Move clumsily• Answer questions slowlyIt is important to stop activities and seek

medical attention if these symptoms occur after a head injury.

Diagnosis and management of concussions are vital to a quick and full recovery. When symptoms of a concussion occur, contact a physician or go to the nearest emergency room. If a concussion is diagnosed, follow-up care may be needed to manage the concussion and symptoms.

FOR MORE ON Online

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Page 11: Health & You Magazine (Fall 2013)

Buildinga Better Heart

Harry Gordon, 63, of Garrett Park, spends most days designing structures alongside his daughter, Caitlin. But when it came to the shape of his heart, he had to add

a di� erent type of architect to his team.Gordon was diagnosed with mitral valve

prolapse about 30 years ago, a disease in which the heart valve leafl ets (tissue) become abnormal and stretchy. As a result, the tissue is unable to close properly, causing the valve to leak. The condition did not a� ect Gordon’s lifestyle or put his health at risk until recently.

“I would have to stop and rest with activities that I could do before very easily,” says Gordon, who enjoys running, hiking and canoeing in his spare time.

After consulting with his cardiologist, Dennis Donahue, MD, at Washington Adventist Hospital, it was determined that surgery would be the best course of action to address Gordon’s leaking mitral valve. If not treated in a timely manner, his condition could lead to heart failure.

Gordon was referred to Paul Massimiano, MD, heart surgeon and program director of cardiac surgery at Washington Adventist Hospital, who performed a minimally invasive mitral valve

repair, a surgery that involved a 2-inch incision through the right chest.

“We chose the minimally invasive approach for Mr. Gordon to help him get back to his active lifestyle as quickly as possible,” Dr. Massimiano says. “The minimally inva-sive repair technique provides an excellent solution with fewer complications and a faster recovery.”

Says Gordon: “What impressed me about Dr. Massimiano was how he took the time to explain in detail how he fi xed my heart, through drawings. As an architect, this really helped me understand and gave me reassurance.”

Looking back, Gordon is grateful for the sup-port he’s had both before and after surgery.

“My experience with the entire team at Washington Adventist Hospital was very comforting and encouraging,” Gordon adds. “From the person at the welcoming desk to the admitting station, to my doctors and nurses, at every level I felt like there was a true care and concern for the patient.”

With a successful procedure, Gordon is on the road back to his favorite outdoor activities. “Dad plans to be hiking well into his 90s,” Caitlin says, “and I’m confi dent he’ll get there.”

Architect Harry Gordon called on the experts at Washington Adventist Hospital to fi x his leaky mitral valve

DISTINCTIVE, HIGH-QUALITY HEART CAREWashington Adventist Hospital was the fi rst hospital in Maryland to be named an accredited Cycle IV Chest Pain Center with PCI (percutaneous coronary inter-vention, or angioplasty) from the Society of Cardiovascular Patient Care, which recognizes high-quality care and rapid, lifesaving treatment given to chest pain patients. Are you at risk for heart dis-ease? Visit www.trustedheartcare.com to learn your heart age and risk with a free online assessment.

Architects Harry Gordon and daughter Caitlin are grateful for the Washington Adventist Hospital team that assembled to heal Gordon’s heart.

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HEART-HEALTH SCREENINGS WITH MEDICAL CONSULTATIONHealth ScreeningsOur comprehensive screen-ings and private, two- to four-minute personal consultations with licensed medical profes-sionals are designed to help you understand and manage your specifi c health risks for heart disease and related conditions.

Please note that some screen-ings require a fee and fasting.When: Wednesdays, Sept. 11 and Nov. 6, 8–10 a.m.Where: SGAH

When: Wednesday, Oct. 23, 8–10 a.m.Where: WAH Cafeteria Conference Rooms A&B

Info: For information on room locations, visit www.adventisthealthcare.com/calendar or call 800-542-5096

Other locations:• Rockville Senior Center, 1150

Carnation Drive, Rockville, Fridays, Sept. 27 and Nov. 15, 10 a.m.–noon

• Mid County Community Center, 2004 Queensguard Road, Silver Spring, Tuesday, Oct. 1, 10 a.m.–noon

• Gaithersburg UpCounty Senior Center, 80A Bureau Drive, Gaithersburg, Wednesday, Oct. 9, 10 a.m.–noon

• Holiday Park Multipurpose Senior Center, 3950 Ferrara Drive, Wheaton, Friday, Nov. 1, 10 a.m.–noon

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

Screening Description and FeesLipid profi le: Basic choles-terol test, total cholesterol, HDL, LDL, VLDL, triglycer-ides, cholesterol/HDL ratio (12 hours of fasting recom-mended); $35, $31 for seniors (55-plus); only order this or the expanded cholesterol testExpanded cholesterol test: This VAP (vertical auto profi le) includes all of the lipid profi le plus information that can help identify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profi le testHomocysteine: Vascular fi tness test; $95HsCRP: Tests high-sensitivity C-reactive protein for cardio-vascular risk; $45Blood pressure monitoring: FREEGlucose: Basic screening for diabetes (12 hours of fasting recommended); $8

Living Healthy

A1c: 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), homo-cysteine and HsCRP; $199Diabetes check: Glucose and A1c; $42

Free, Monthly Blood Pressure TestingWhen: First Wednesday of each month, 10–11:30 a.m.Where: Damascus Senior Center, 9701 Main St., Damascus

When: Second Tuesday of each month, 10–11:30 a.m.Where: Mid County Community Recreation Center, 2004 Queensguard Road, Silver Spring

When: First Monday of each month, 10 a.m.–noonWhere: Rockville Senior Center, 1150 Carnation Drive, Rockville

When: Second Monday of each month, 10 a.m.–noonWhere: Long Branch Community Center, 8700 Piney Branch Road, Silver Spring

When: Third Tuesday of each month, 10–11 a.m.Where: Tower Oaks Apartments, 101 Odendhal Ave., Gaithersburg

CLASS LOCATIONSAdventist HealthCare health and wellness classes are o� ered at numerous locations within the community, including:

SGAHShady Grove Adventist Hospital9901 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

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

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.

September-December 2013

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When: Third Wednesday of each month, 11:30 a.m.–1:30 p.m.Where: SGAH Cafeteria

When: Fourth Wednesday of each month, 9:30–11:30 a.m.Where: Gaithersburg Upcounty Senior Center, 80A Bureau Drive, Gaithersburg

When: First Thursday of each month, 11:30 a.m.–1:30 p.m.Where: WAH Cafeteria

When: Third Thursday of each month, 5:30–6:30 p.m.Where: New location! White Oak Community Recreation Center, 1700 April Lane, White Oak

Info: Call 800-542-5096

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

Look Good ... Feel BetterMeet with other women living with cancer and a professional esthetician to learn makeup

Featured ClassExpecting? Expect to Be Expecting? A wide range of maternal/child health classes is available to you at Shady Grove Adventist and Washington Adventist Hospitals. Parents-to-be and siblings-to-be get expert advice, sup-port and education both before and after the birth of your baby. Detailed descriptions and listings for locations are available online at www.adventisthealthcare.com/calendar or by phone at 800-542-5096.

LACTATION SERVICES

Lactation consultation, breast-pump sales and

rentals, and breastfeeding support groups.

SGAH: 240-826-MOMS (6667)

WAH: 301-891-4TLC (4852)

Call

REGISTER TODAY

Visit www.adventisthealthcare.com/calendar

for detailed descriptions of classes. To register for

any of the fall classes and events, call 800-542-5096 or the number listed in the

program description.

REGISTER TODAY

Classestips 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, Nov. 6, 6–8 p.m.Where: SGAHInfo: Call 240-826-6297

When: Monday, Sept. 9, 10 a.m.–noonWhere: WAHInfo: Call 301-891-5559

Cancer Support GroupsTwo cancer support groups are o� ered at Shady Grove Adventist Hospital. Participants meet people facing similar challenges, share their experiences with cancer,

and o� er practical advice and emotional support. See page 15 for a full list of avail-able cancer support groups.

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 can-cer screenings.Info: Call 301-315-3507 or 301-315-3147 for meeting dates and times

CARDIAC & VASCULAR EDUCATIONIntroduction 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, Sept. 19,

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Oct. 17, Nov. 21 and Dec. 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, Sept. 19, Oct 17, Nov. 21 and Dec 19, 11:30 a.m.–1 p.m.Where: WAH Cafeteria Conference Room, Lower Level II

Internal Cardiac Defi brillator and Pacemaker Discussion GroupGroup discussion for patients and the families of patients with these devices.When: Mondays, Sept. 9 and Nov. 11, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, RockvilleInfo: Call 240-826-6662

Congestive Heart Failure Class and Discussion GroupFor patients and families.When: Mondays, Oct. 14 and Dec. 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: Tuesdays, Sept. 24 and Dec. 17, 6–7 p.m.Where: SGAH, Willow RoomInfo: Call 240-826-6177 or email [email protected]

DIABETES PROGRAMS & NUTRITION COUNSELINGDiabetes 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 insurances.

Call your carrier to verify your coverage.When: Monthly on Tuesdays, 6–9 p.m.; call 301-315-3129 for datesWhere: 9715 Medical Center Drive, Suite 201, Rockville

When: Day and evening classes available; call 301-891-6105 for times and datesWhere: 7610 Carroll Ave., Suite 350, Takoma Park

New! Prediabetes ClassLearn how to manage predia-betes and prevent type 2 dia-betes in this two-class series.Session 1: Thursdays, Sept. 19 and 26, 9:30–11:30 a.m.Session 2: Thursdays, Oct. 17 and 24, 9:30–11:30 a.m.Session 3: Thursdays, Nov. 14 and 21, 9:30–11:30 a.m.Where: SGAH

Session 1: Thursdays, Sept. 5 and 12, 9:30–11:30 a.m.Session 2: Thursdays, Oct. 3 and 10, 9:30–11:30 a.m.Session 3: Thursdays, Oct. 31 and Nov. 7, 9:30–11:30 a.m.Where: WAHInfo: Visit www.adventisthealthcare.com/calendar to register for the classes, which are FREE due to a grant from the foundation

Nutrition CounselingIndividual nutrition counsel-ing. Appointment duration is one hour.When: First Monday of each month in the eveningCost: $85

Info: Call 800-542-5096 to register

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]

FITNESS & WEIGHT MANAGEMENTBeginning T’ai Chi Ch’uanT’ai chi ch’uan is a set of natu-rally fl owing movements per-formed slowly in a sequence with a spirit of calmness, balance and awareness. It teaches ways of relaxation and is excellent for stress reduc-tion and developing strength and fl exibility. Come to class with an empty stomach. Wear sneakers and loose clothing.When: Saturdays, Sept. 28–Nov. 16, 10–11 a.m.Where: SGAH Short-Stay LobbyCost: $15 per class; $80 per session

SugarLoafers Walking ClubA club for people who share an interest in keeping fi t through walking.When: Business meeting on second Tuesday of each month, 7:15–9 p.m.Cost: FREEInfo: Call Jackie at 301-977-6870 or Maribeth at 301-946-5496, or email [email protected]; visit www.sugarloafers.org

American Safety and Health Institute (ASHI): Basic First Aid ClassOSHA-approved fi rst aid certifi cation for construction workers, teachers, scout leaders, security guards, lifeguards and those who want to help in the community with emergencies and disasters. Three-year certifi cation.When: Sept. 17 and Nov. 5, 5:30–8 p.m.Where: To be determined

Featured Class

Navigating Your Vascular HealthJoin our physicians and sta� for an afternoon of screenings and lifestyle topics to enhance your vascular health.When: Sunday, Sept. 15, 1–4 p.m.Where: SGAH Surgical Services Area, First Floor

When: Sunday, Sept. 29, 1–4 p.m.Where: WAH Short-Stay Unit

Info: To register, call 800-542-5096 or visit www.adventisthealthcare.com/calendar

Special EventNavigating Your Vascular HealthJoin our physicians and sta� for an afternoon of screenings and lifestyle topics to enhance

visit www.adventisthealthcare.com/calendar

Living Healthy

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Adventist HealthCare o� ers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics:

• Congestive heart failure

• Living with heart disease

• Heart patient• Alcoholics

Anonymous

• Amputee• Brain injury• Diabetes• DVT (deep

vein thrombosis)• Weight-loss surgery• Stroke

• Narcotics• Sickle cell anemia• Spinal cord injury• BEST breastfeeding• Discovering

motherhood

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

CANCER SUPPORT GROUPSThree cancer support groups off ering opportunities to meet people facing similar challenges are available at Adventist HealthCare. Members share experiences with cancer, o� er practical advice and emotional support, and gain a sense of empowerment and control. The following cancer groups are currently meeting:

• Women’s lifestyle (WAH)

• Breast cancer (SGAH)

• Thyroid cancer (SGAH)

Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) for dates, times and locations.

SUPPORT GROUPS

Adventist HealthCare Walking ClubIncludes free blood pres-sure screenings.When: Tuesdays, 8–9:30 a.m.Where: Westfi eld Montgomery Mall fi rst fl oor near Aroma

YOUTH HEALTH & EDUCATIONInfant Safety and CPRA Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.When: Sundays, Sept. 1, 8, 15, 22 and 29; Oct. 6, 13, 20 and 27; Nov. 3, 10, 17 and 24; 10 a.m.–noonWhen: Wednesdays, Sept. 11 and 25, Oct. 9 and 23, Nov. 6 and 20, 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

Baby-SittingThis two-session class for boys and girls ages 11 to 15 covers accident prevention and basic care for infants and children. Both sessions required for certifi cate.When: Saturdays, Aug. 24 and 31, Sept. 21 and 28, 10 a.m.–noonWhere: SGAHCost: $35 per person

Teen CPR Companion to Baby-SittingRescue breathing, CPR skills, use of automated external defi brillator and management of choking for all ages.When: Saturdays, Sept. 28, Oct. 26, Nov. 23, 2–5 p.m.Where: SGAHCost: $60 per person ($10 discount when taken with baby-sitting class)

Home AlonePrepares 8- to 11-year-olds and their parents for times when children will spend brief periods

alone at home. Children must attend with a guardian.When: Saturdays, Sept. 28, Nov. 23, 10 a.m.–noonWhere: SGAHCost: $15

SELF-IMPROVEMENTArthritis or Joint Pain?Learn about the total hip or knee replacement procedure, hospital stay and rehabilita-tion program at Shady Grove Adventist Hospital.When: First Wednesday of each month, 1:30–3 p.m.Where: SGAHCost: FREEInfo: Call 800-642-0101

SENIORS’ HEALTHAdventist HealthCare rec-ognizes the specialized health needs of our com-munity’s senior population. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and per-sonal consultations.

Holiday Park Multipurpose Senior Center3950 Ferrara Drive, WheatonHealthy Living Lecture SeriesWhen: Thursday, Oct. 24, 1:15–2:15 p.m.• 2013 Diabetes UpdateInfo: 240-777-4999

GRIEF SUPPORT GROUPSAdventist HealthCare’s Pastoral Care Services o� ers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurtur-ing environment. Please call 301-891-5265 to preregister for all groups.

Washington Adventist Hospital• Empty Arms, Aching Hearts

(English and Spanish)A baby loss support groupSundays, Sept. 8, Oct. 13, Nov. 10, Dec. 8, 2:30–4 p.m.

• DivorceCareThis 13-week support group is a safe and nurturing envi-ronment for those healing from separation or divorce

Saturdays, Sept. 14–Dec. 7, 3–4:30 p.m.

• Holiday Grief WorkshopA time through sorrow to celebrate and honor trea-sured memories of your loved oneSunday, Nov. 3, 3–5 p.m.

• Journey Through Your GoodbyesSix-week mutual support group to refl ect on the journeys through hurts caused by goodbyes and the anxieties encountered by change (loss of job, fi nancial change, end of a friendship, extended illness, death)Tuesdays, Nov. 5–Dec. 10, 7–8:30 p.m.

• New! Holiday Divorce WorkshopHelp for the divorced and separated during the holidaysSaturday, Nov. 9, 3–5 p.m.

Info: Call Carolyn Jones at 301-891-5265 to preregister

Shady Grove Adventist HospitalCall the Pastoral Care Department at 240-826-6112 or email [email protected] for more information

CPR & FIRST AID CLASSESThe Center of Resuscitation Excellence o� ers convenient CPR and fi rst aid courses at various times and loca-tions. For course schedules, locations and registration, visit www.adventistlifesupport.com or call 240-826-CORE (2673).

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

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SuitlandCamp Springs

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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

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

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

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

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

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

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

* Opening in September 2013

SHADY GROVEADVENTIST HOSPITAL

WASHINGTONADVENTIST HOSPITAL

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