SPRING 2009 Matters

WellnessSPRING 2009 Matters

Heart Attack 911 When time is muscle

Lyme Disease in Howard County

Obesity and Your Heart

CARING FOR OUR COMMUNITY President’sMessage Volume 13, No. 1 SPRING 2009 Dear Friends, The first months of 2009 have been marked largely by news of budget cuts and the scope and depth of our country’s financial woes, and many in our Wellness community are feeling the pinch. While these difficult times are filled with change and turmoil, Howard County General Hospital is not only Matters continuing to provide high-quality health care, but, with the cooperation and collaboration of the members of our medical staff, nurses, and other caregivers, we are taking steps to improve the programs and services we provide. These improvements, both large and small, contribute to HCGH’s ongoing Heart Attack commitment to clinical excellence. The construction of our new Pavilion, which should open this summer, is part of our Campus Development Plan, 911 and will enhance our facilities to better serve you and your family. Timely action makes all the difference for Our efforts to enhance HCGH’s services and programs have not gone heart attack patients unnoticed. In December, The American College of Surgeons Commission 4 on Cancer named HCGH’s Cancer Program a “Community Hospital Comprehensive Cancer Program,” and we received a full, three-year CONTENTS: accreditation with commendation. I invite you to read more about this high level of accreditation on page 18. Just recently we were notified that HCGH received the HealthGrades Distinguished Hospital Award for Clinical 3 HCGH Honored Excellence™. HealthGrades, a leading national independent health care HealthGrades presents HCGH with 2009 TM rating company, identified Howard County General as within the top five Distinguished Hospital Award for Clinical Excellence percent of hospitals in the country with the lowest mortality and complication rates over a range of many of the most common procedures and diagnoses. 7 Wellness Classes HCGH also is pleased to announce the receipt of two grants benefiting Healthy Families Howard County (HFHC), our outreach program that provides first-time parents with educational and emotional support to ease 11 Giving Matters their transition through pregnancy and into the first five years of parenthood. Thank You for a Year of Giving The Freddie Mac Foundation awarded HFHC another $50,000 grant to assist with operational cost, and our other major partner; the Horizon Foundation, provided a $12,100 grant to support strategic planning, 15 Health Matters evaluation, and marketing. Lyme Disease's Year-round Threat This financial support, coupled with our recent accolades, bolster ongoing efforts to expand our services and programs. Over the coming year, we will continue to highlight the efforts of these caregivers 16 Obesity and Your Heart at HCGH, as we strive to make HCGH the center How Your Waist Line Impacts Your Heart Health of clinical excellence for you and your family.

Sincerely, 18 Hospital News

Victor A. Broccolino, President and CEO 20 Mark Your Calendars Howard County General Hospital

Wellness Matters is published quarterly Public Relations Board of Trustees Howard County by Howard County General Hospital, a Mary Patton, director W. Brian McGowan, chair H. Elizabeth Horowitz General Hospital, Inc. private, not-for-profit, health care provider, Harry L. Lundy, vice chair* Robert T. Manfuso Victor A. Broccolino, president/CEO Writing/Editing/Design and a member of Johns Hopkins Medicine. Ann B. Mech, J.D., R.N., secretary Ronald R. Peterson* Bonnie Heneson Communications Howard Hospital Foundation Your physician should be consulted in Marc B. Applestein, M.D.* Peter J. Rogers, Jr. Evelyn T. Bolduc, chair regard to matters concerning the medical Custom Photography Vivian C. Bailey** Alton J. Scavo condition, treatment and needs of Carl Caruso Evelyn T. Bolduc Henry M. Seidel, M.D. Howard County your family. Jill Myers Victor A. Broccolino* G. Daniel Shealer, Jr., Esq. General Hospital Marvin P. Davis, M.D. Sue Song, APRN-PMH, Ph.D. Professional Staff Marc B. Applestein, M.D., president Adinarayana Divakaruni, M.D. Beverly J. White-Seals, Esq. George L. Doetsch, Jr. W. Gill Wylie Volunteer Auxiliary Miriam F. Dubin *Ex-Officio Trustee Alicia Slahetka, president Jonathan S. Fish, M.D. **Trustee Emeritus Please direct questions, suggestions and comments regarding Wellness Matters to the Public Relations Department at 5755 Cedar Lane, Columbia, MD 21044-2912 Telephone Number: 410 -740 -7810, Hospital Information: 410 -740 -7890, TDD: 410 -740 -7990, Web site: www.hcgh.org. Hospital Receives National Quality Award

On January 28, Howard County General Hospital was “It is this combination of technology, streamlined processes, notified that it was a recipient of the HealthGrades’ 2009 Dis- and superb caregivers that has led to lower mortality rates, tinguished Hospital Award for Clinical Excellence™. The award lower complication rates, and better clinical outcomes,” said is bestowed upon the top five percent of hospitals in the nation Broccolino. to recognize superior clinical quality across a range of the most common conditions for which patients enter the hospital. HealthGrades, a leading independent healthcare ratings com- Other quality designations pany, reviewed more than 41 million Medicare hospitalization records to determine mortality and complication rates at nearly received by Howard 5,000 hospitals across the United States in the study leading to County General include: this award. • “Community Hospital Comprehensive Cancer “Howard County General Hospital has put into place many Program” by the Commission on Cancer of the innovative programs and processes to improve the care our American College of Surgeons, the highest level patients receive,” said Victor A. Broccolino, president and CEO. commendation available to a community hospital. “This award is recognition of the collaboration among our “Primary Stroke Center” (2008) by the Maryland highly qualified physicians, nurses, technologists, and support • Institute for Emergency Medical Services Systems personnel who put our patients first.” (MIEMSS). When a person is suffering a stroke, Maryland law requires that EMS ambulances bring This award is recognition of the their patient to the closest designated Primary ‘‘ among our Stroke Center. For this Primary Stroke Center collaboration highly designation, MIEMSS standards require hospitals qualified physicians, nurses, to provide excellent patient care, including rapid assessment by a multi-disciplinary team and technologists, and support personnel the most advanced treatment with clot-busting who put our patients first.” medications. Judy Brown, vice president of Patient Safety and Performance • “Accreditation with Commendation” by the last Joint Commission survey (2007). The Joint Improvement, cited a number of the quality initiatives that led to Commission is an independent body that conducts the national Clinical Excellence award. “Howard County regular on-site hospital surveys and establishes General Hospital’s use of the Mobi-Lab system to ensure correct national standards for hospital quality. labeling of laboratory specimens, the Rapid Response Teams to bring aid quickly to patients who are failing rapidly, and the use of Provider Order Management to allow clinicians to enter orders electronically into the patient record have all helped to For more information on the HealthGrades’ award, improve processes that lead to better outcomes for our patients.” visit www.hcgh.org.

SPRING 2009 Wellness Matters [ 3 Retired Howard County Public School teacher Roma Slyter was substituting at Hammond High School on Time December 3, 2008. The fourth-period bell rang, and, as the children exited the classroom, Roma started to feel is what she describes as “a little pressure” in her chest. She sat down in her chair, completely unaware that she was Muscle experiencing a heart attack. What to do if You Think You are Having a Heart Attack

What is a Heart Attack? What Do I Do? “A heart attack occurs when blood flow to a section of your According to Dr. Walter Atha, medical director of the Emergency heart muscle becomes greatly reduced or blocked,” says Department at HCGH, the following may be heart attack symptoms: Dr. William Herzog, an interventional cardiologist on staff at • Uncomfortable pressure, squeezing, fullness, or pain in the center Howard County General Hospital. “If blood flow isn’t restored of your chest that lasts more than a few minutes or that goes away and comes back quickly to that section of your heart muscle, it becomes dam- • Discomfort in one or both arms, the back, neck, jaw, or stomach aged from lack of oxygen and begins to die.” • Shortness of breath with or without chest discomfort, particularly while exercising or walking Is it the Real Thing? • Breaking out in a cold sweat, nausea, lightheadedness, or fainting According to the American Heart Association, while some • Indigestion heart attacks are sudden and intense, most heart attacks start slowly with mild pain or discomfort. “The most common mis- “Women, diabetics, and the elderly often experience unusual take that you can make is to attribute your symptoms to some- symptoms other than chest discomfort, such as shortness of breath, thing else such as indigestion,” says Dr. Herzog. “I often see nausea/vomiting, and back or jaw pain,” notes Dr. Atha. “It is patients who aren’t sure they are having a heart attack wait too important to note that many patients having a heart attack experience long before seeking help.” chest ‘discomfort’ that they may not describe as ‘pain.’ ”

(continued on next page) Looking back, Roma realized that for a couple of weeks preceeding her heart attack she had been overly winded walking to her car after work. I was so out of breath when I reached my car, ‘‘ I would have to sit for five minutes just to catch That is the only thing that my breath. gave me Dr. Walter Atha, medical director of a clue there was a problem, says Roma. the HCGH Emergency ” Department, is board I only wish I would have realized the hint certified in emergency ‘‘ medicine. my body was giving me at the time.”

SPRING 2009 Wellness Matters [ 5 Time is muscle; for every minute you lose, ‘‘ you may lose heart muscle you can’t get back... with that in mind, you should call 911 immediately if you think you are experiencing heart attack symptoms.” Help is on the Way “Time is muscle; for every minute you lose, you may lose heart Understand Your Risks and muscle you can’t get back,” says James Brothers, a Howard Ways to Improve Your Health County Fire and Rescue paramedic. “With that in mind, you Cardiovascular Clinic should call 911 immediately if you think you are experiencing February 21/ 9 a.m.–1 p.m. Free. heart attack symptoms. An Advanced Life Support (ALS) crew Lord & Taylor Court in The Mall in Columbia. that includes a paramedic will be sent to respond.” Walk-in. Registration not required. Visit our booths and speak with our physician experts. According to Brothers, within minutes of arriving paramedics Participate in screenings including carotid, total cholesterol, will start an EKG lead to monitor your heart’s function, run an IV, glucose, blood pressure, bone density, and body mass index. and, if necessary, administer medications. While under the care of Howard County Fire and Rescue, paramedics are in direct communication with the HCGH Emergency Department and the ideal ‘door to balloon’ time. “This phrase refers to the amount cardiologists on staff at the hospital, providing EKG results and of time between a heart attack patient’s arrival at the hospital to reports on your condition. This allows the hospital time to the time when the blocked artery is opened by angioplasty,” assemble the cardiac treatment team any hour of the day, as well explains Dr. Herzog. “The sooner you have a cardiac catheteri- as to have insight into your zation, the quicker we can identify and correct blockages, condition before you arrive. enabling us to save more heart muscle.” With HCGH’s state-of- “If you attempt to drive the-art catheterization lab, cardiologists can provide potentially yourself or have someone life-saving balloon angioplasty treatment for many patients drive you to the Emergency experiencing a heart attack. According to Dr. Herzog, providing Department, you will not this level of treatment can greatly increase a patient’s chance have the benefit of this vital for recovery. initial care and could lose “The Howard County paramedics got there almost immedi- precious time and muscle,” ately, and they whisked me to Howard County General Dr. William Herzog is a cardiologist with warns Brothers. Hospital,” notes Roma. “Once I got there, I had a cardiac HPV Heart in Columbia. He specializes in inter- The American Heart Asso- catheterization. They determined I had several arteries that were ventional cardiology and is on also on staff at ciation and the American blocked.” Roma had balloon angioplasty and stents inserted to Johns Hopkins Hospital. College of Cardiology have open her arteries. Today, she is recovering at home in Columbia set 90 minutes or less as the and looking forward to returning to the classroom soon.

6 ] Wellness Matters SPRING 2009 WellnessClasses special...... Events: Joint Lecture Transitioning Through of this seminar, presented by Leslie Mammograms Rogers, MSW, LCSW-C, OSW-C, February 19/ 7– 8:30 p.m. Free. Menopause Visit our personal touch Mammography you will be able to leave with a Moving from place to place may seem March 19/ 7– 8:30 p.m. Free. department and have your “Soft Pad” completed Advance Directives easy, but when you have pain in your Women may experience a variety of mammogram. HCGH will provide $50 document. Additional components joints you notice every motion. Learn changes during this time in their lives. screening mammograms in May and include how to appoint or be about the newest treatment options Learn more about these changes and October for women without symptoms appointed a health care agent. that are aimed at increasing your ways to promote a healthy transition. of breast disease. Availability is limited; This program is beneficial to anyone. comfort and mobility. Presented by Come with questions to ask during call 410-740-7900 to schedule an To register, call 410-740-5858. Richard Kinnard, M.D., medical our question-and-answer session appointment. In addition, HCGH director of The Joint Academy. with Rona Eisen, M.D. A highlighted CPR Across works in conjunction with the Howard discussion on the prevention of Howard County County Health Department to provide Cardiovascular Clinic osteoporosis (with exercise free mammograms to qualifying May 2/ 9 a.m.– noon. Free. February 21/ 9 a.m.– 1 p.m. Free. demonstration) will be included. women. To determine eligibility and Lord & Taylor Court in The Mall Hammond High School. American schedule an appointment, call in Columbia. Walk-in. Registration Topic of Cancer Heart Association Family & Friends 410-313-4255. not required. Visit our booths and April 21 and 23/ 5 –7 p.m. CPR for the adult or child victim. speak with our physician experts. Central Maryland Rehabilitation. This course is for the community Bring a Sack, Participate in screenings including Prostate cancer screening including and is not a certification course. Get Answers Back carotid, total cholesterol, glucose, PSA blood test. $15 for screening. Fitness and Sports June 9/ 2– 4 p.m. Free. blood pressure, bone density, and Colorectal kits will be available during Bring your medications and learn body mass index. screening as well as April 20– 24 from Medicine Clinic more about the prescription drugs noon– 5 p.m. in the Wellness Center. May 16/ 10 a.m.– 2 p.m. Free. you are taking. Heart Matters Kits are $7. Lord & Taylor Court in The Mall in February 24/ 8:30 a.m.– 3:30 p.m. Columbia. Talk with our physician $25. Activities include cholesterol Advance Directives experts, participate in our screen- test with specific information Seminar ings including feet, ankles/knees, regarding HDL, LDL, and triglyceride March 12 and May 14/ 6– 7 p.m. spine and shoulders, pain, and levels; blood pressure screening; Free. Learn about Advance Directives: osteoporosis. Visit our many booths and height and weight measurements. What are they? How do I benefit and learn fitness tips and ways Registration is required. from having them? How can I easily to incorporate more movement complete the form? At the completion into your life...... HEALTHY LIFESTYLES Well-Being 3 Keys to Adult/Child/Infant CPR Through Massage Mastering Stress Earn a two-year Heartsaver A certified massage therapist will Using interactive theory, games, certification card upon completion show you how to use massage to personality tests, and fun, you will of this class. This is not a health promote a healthier life and a sense of gain a greater understanding of your care provider course. February 23, well-being. Techniques for upper body: perception of stress and ways you March 10, March 26, April 8, April 23, Moving Through Anger February 13 and May 8, 7–9 p.m. can take positive control; build or May 6, 5:30–9:30 p.m. $48. Controlling your anger can be hard, Techniques for lower body: March 13 support systems; and incorporate First Aid: Adult Basic but you don't have to let anger control and May 22, 7–9 p.m. $50 per couple physical activity, time management, you. This three-week interactive Through lecture and hands-on training, for one class or $90 per couple for and relaxation techniques to class will teach you to channel your learn to effectively assess and treat a both classes. re-energize your daily life and anger into a positive force, help to wide range of ailments in emergencies. enhance well-being. March 17, identify what triggers your anger, Treatments covered are for adult Women’s Self Defense 7–9 p.m. Free. and provide you with techniques victims and children over 8 years old. Women age 16 and up will learn and to manage those triggers. March 19, Earn a three-year National Safety practice highly effective and easy-to- 26, and April 2, 6–7:30 p.m. Council Certification. June 20, learn techniques designed for adult $40 per person. situations. April 4, 9 a.m.–noon. $45. 9 a.m.–3:30 p.m. $60 (includes book).

Information & Registration: 410-740-7601 • Online Registration: www.hcgh.org • TDD: 410-740-7990 • Long Distance: 800-850-3137 • Pre-registration required for all programs SPRING 2009 Wellness Matters [ 7 IMPROVING YOUR HEALTH Living Well...Take Kiwanis-Wallas Recreation Center: maintain a vegetarian diet. For adults Pre-Diabetes: Charge of Your Health first Wednesday and third Friday of and children. Appointments are What Is It and What each month, 9:15–10:45 a.m. The scheduled on Tuesdays and Thursdays In this chronic disease management Mall in Columbia: second Tuesday between 9:30 a.m. and 2 p.m. as Can You Do About It? program, learn techniques to cope of each month, 8–10 a.m. Western well as Wednesdays and Thursdays If you have been told you have with feelings of frustration, fatigue, Howard County Senior Center: between 5:30 p.m. and 7:30 p.m. pre-diabetes or abnormal blood pain, and isolation; exercises for second and fourth Tuesday of each $35 for a half-hour visit. Call for sugar, you are at risk for developing maintaining and improving strength, month, 9–11 a.m. Glenwood Library: an appointment. diabetes. Understand what flexibility, and endurance; and skills first and third Monday of the month, pre-diabetes is and how to make to communicate more effectively 3:30–5:30 p.m. The Bain Center: Weight Loss through changes to prevent or delay actual with family, friends, and health first and third Thursday of each Bariatric Surgery diabetes. March 4, 7–9 p.m. professionals. This class is for month, 10 a.m.–noon. Savage Learn about weight loss surgery for Ambulatory Care Center. $15. people living with chronic conditions Library: second Monday of each the morbidly obese patient presented as well as caregivers of those with Individualized month, noon–3 p.m. Free. by the Johns Hopkins Center for chronic conditions. Wednesdays, Bariatric Surgery, a Bariatric Center Diabetes Management February 25–April 1, 1–3:30 p.m., Complementary of Excellence as certified by the Learn from a certified diabetes and Thursdays, April 16–May 21, Therapy and American Society for Bariatric Surgery. nurse educator how to manage 6:30–9 p.m. To register, call Maryland Fitness Programs Our multi-disciplinary team approach, your diabetes. For information or Access Point, 410-313-5980. $25. an appointment, call 410-740-7695. Exercise with knowledgeable exercise pre-operative and post-operative The Mall Milers physiologists who can provide personal support and education are several Dietary Counseling for keys to the long-term successes of Walking for health program at The Mall training. Take advantage of one-on-one People with Diabetes sessions with our golf physical thera- our former patients. To register, call in Columbia. Cosponsored by HCGH, Presented by a registered dietitian, pists making your game powerful, 410-550-0409 or register online at area agencies, and local businesses. this individualized counseling efficient, and consistent. Eliminate www.hopkinsbayview.org/bariatrics. Blood pressure screenings available program focuses on the dietary injuries with our “wHole-In-One” March 11 or May 13, 5–6:30 p.m. Free. the second Tuesday of each month. requirements of diabetes. Golf Body Enhancement Program. Call 410-730-3300 for details. Free. Phase II Cardiac Call 410-740-7695 for information. Enjoy benefits of massage therapy Nutrition and Cancer and acupuncture. Contact Central Rehabilitation Program Living with Diabetes A four- to 12-week program to assist Individualized, three-session counsel- Maryland Rehabilitation Center at Johns Hopkins education at HCGH. cardiac patients in the early recovery ing program with a registered dietitian 410-312-9000. A two-day program recognized by phase following a heart attack, angio- for those who wish to lower their risks the American Diabetes Association Individualized plasty, or cardiac surgery. Provides of certain cancers and those who and designed for people of all ages exercise, education, and emotional are undergoing treatment for cancer. Weight-Loss and with diabetes. Learn how you can support. HCGH Rehabilitation Call for dates and times. $90. Dietary Counseling be an expert at managing your own Services Dept. Call 410-740-7970 Nutritional counseling with a registered diabetes from presentations by Blood Pressure dietitian to discuss your dietary for information and an appointment. Screening & Monitoring an endocrinologist, podiatrist, concerns and goals including dietary psychologist, diabetes nurse HCGH Wellness Center: Wednesdays, External Enhanced requirements for weight loss, healthier educator, and dietitian. May be 3–6 p.m. Ellicott City Senior Center: Counterpulsation bones, high blood pressure, elevated covered by your medical insurance. Tuesdays, 9:30 a.m.–12:30 p.m. Therapy cholesterol, or for those wanting to March 13 & 14, April 3 & 4, A non-invasive alternative treatment April 17 & 18, 8:30 a.m.–3 p.m. for patients with stage III or IV angina. FREE HEALTH SCREENINGS Ambulatory Care Center. For information, call 410-740-7970. For information, call 410-740-7695. Podiatry Screening Skin Cancer Screening HCGH Cardiac Pulmonary March 26, 5–7 p.m. May 12 & 14, 5–7 p.m. Central MD Maintenance Program Rehabilitation Rehabilitation Center. Dermatologist will Diabetes Screening Rehabilitation A program lasting up to 10 weeks examine one or two areas of concern. March 31, 5–7 p.m. An exercise maintenance program is that is designed to decrease the Stroke Screening offered to give cardiac rehab program debilitating symptoms of Chronic Family Vision and graduates the opportunity to continue May 13, 10 a.m.–2 p.m. Screening Obstructive Pulmonary Disease through Hearing Screening exercising in a medically supervised includes carotid screening, blood exercise therapy, education, and April 28, 9–11 a.m. setting. Tuesday and Thursday mornings, pressure measurement, and a emotional support. HCGH Rehabilitation 8 a.m. and 9:30 a.m. $ 60 per month. Osteoporosis Screening stroke risk questionnaire. Services Dept. Call 410-740-7970 For information, call 410-740-7970. May 12, 5–7 p.m. for information and an appointment. Registration is required. Call 410-740-7601 or register online at www.hcgh.org.

HEALTHY FAMILIES Maybe Baby? Health Refresher Childbirth Breastfeeding Issues to Consider Program Learn advantages, preparation Before Pregnancy For couples who have attended a techniques, and ways to prevent Starting a family involves preparation previous childbirth program. Breath- and manage feeding problems. and planning. Our program, presented ing and relaxation exercises are A nurse lactation consultant by OB/GYN Margot Watson, M.D., practiced. Go to www.hcgh.org for will teach practical tips for assists you in learning about your more information. successfully combining career important choices to consider. Topics and breastfeeding. Go to Baby Signing www.hcgh.org for more information. include lifestyle, parent wellness, and Maternal Child Parents, grandparents, and caregivers health care matters. February 26, Classes Infant Care of babies up to 12 months old 7–8:30 p.m. Free. will learn 100 basic signs to Lecture, group discussion, and Class information and help your baby communicate. hands-on practice are used to Prenatal Class for registration forms are available March 21 or May 2, 9 a.m.–noon. enhance learning about the care of by calling 410-740-7601 $40 per person or $75 per couple Early Pregnancy an infant. Topics include newborn or online at www.hcgh.org. (includes review DVD). For parents-to-be in the first three appearance, feeding, sleeping, months of pregnancy. Learn about crying, signs of illness, care of Happiest Baby the early stages of pregnancy and Childbirth Weekend the newborn, and parenting roles. understand the physical changes, Expectant couples will learn about Go to www.hcgh.org for more on the Block your baby’s growth, and easy ways childbirth preparation in this week- information. Endorsed by the American Academy to support your pregnancy. end class. Go to www.hcgh.org of Pediatrics, this class will teach May 6, 7–9 p.m. Free. for more information. Infant Massage parents-to-be and parents of babies A certified infant massage instructor up to 3 months old successful tech- Prepared Childbirth Birthing Center Tour will teach techniques to parents niques that can quickly soothe your Program A preview of maternal-child services and caregivers. Babies age 1 to 12 crying newborn baby and promote Five-part program to prepare available for expectant couples. months are welcome. March 7, a more restful sleep for your infant for the birth of your baby. Go to Call at least eight weeks prior to 10–11 a.m. $20. and you! March 11, 7–9 p.m. $50 www.hcgh.org for more information. due date to schedule a tour. Free. per couple (includes parent kits).

FOR CHILDREN AND TEENS Program Registration CPR for Teens Home Sweet Home This American Heart Association Children ages 9 to 12 and their parents will Register online for HCGH’s course prepares teens, ages 11 to 17, learn safe and fun ways for children to stay Wellness Classes to perform CPR on an adult, child, and at home alone. May 2, 9–11 a.m. $10/family. Unless otherwise noted, classes will infant. Other topics include choking; be held at HCGH Wellness Center. how to call 911 and answer dispatcher Advance registration is required for all questions; and brief overview of an AED. classes and programs. MasterCard and Cosponsored by Health Quest, Inc. VISA are accepted. Make checks payable March 28, 1:30–4:30 p.m. $30. to HCGH. If a refund is requested, a $25 Essentials in Babysitting processing fee will be charged. There is a $25 charge for all returned checks. Classes Learn how to effectively manage may be cancelled due to low enrollment. children, create a safe environment, and apply emergency techniques. 410-740-7601 – information & registration Cosponsored by Health Quest, Inc. 410-740-7990 – (TDD) February 28, March 28, or April 25, 800-850-3137 – long distance only, 9 a.m.–1 p.m. $46 (includes lunch please and certificate of attendance). www.hcgh.org – online registration & to find a physician 410-740-7750 – physician referral

Knitting and Yoga and Acupuncture Crocheting Group Free yoga classes and acupuncture Instruction, fellowship, and good times treatment designed for cancer assured for the beginner or the advanced patients to revive, relax, and needler. Knit or crochet your own rebuild body, mind, and spirit are projects or create chemo caps, lap available and offered in partnership blankets, or preemie hats to donate. with the Tai Sophia Institute. First and third Wednesdays of each Call 410-740-5858 for class times month, 10:30 a.m.–noon. Free. and to register.

Hand-Stitching and Photo Organizing Class Quilting Group In this two-part series, learn how to Learn new methods of hand piecing, use your pictures to create meaning- including Dresden plate and yo-yo ful, archival-safe albums. Materials in upcoming months. Second and are available for purchase or bring CANCER SUPPORT PROGRAMS are held at the Claudia Mayer Cancer Resource fourth Wednesdays of each month, your own. Call 410-740-5858 for Center unless otherwise noted. Call 410-740-5858 or visit www.hcgh.org 10:30 a.m.–noon. Free. details and dates. for details. Registration required.

ONGOING SUPPORT GROUPS Cosponsored by HCGH

Adult Type 1 Diabetes Breast Cancer Support Group I Can Cope Support Group Third Wednesday of each month, An educational series for people Third Monday of the month, 7 p.m. 7–9 p.m. Central MD Oncology facing cancer sponsored by the 301-490-0029 or 410-788-8720. Center. 410-884-4650. Claudia Mayer Cancer Resource Center and the ACS. Upcoming Alcoholics Anonymous Caregiver’s Support Group classes include Managing Cancer Sundays, 2 p.m. and 7 p.m. Provides a chance for caregivers Related Fatigue on March 7 410-663-1922. to connect with each other, share and Managing the Effects of coping strategies, and build a Al-Anon Illness and Treatment on April 4. network of people going through a Registration required. 410-740-5858. For families and friends of alcoholics. similar experience. To register for Sundays, 7 p.m. 410-832-7094. the group, call 410-740-5858. Look Good Feel Better Licensed cosmetologists teach women Alateen Chronic Pain Support Group Overeaters Anonymous For teenagers with an alcoholic friend undergoing cancer treatment how to Third Monday of each month, Fridays, 10:30–11:30 a.m. or family member. Sundays, 7 p.m. manage appearance-related side 1–2:30 p.m. 301-873-3959. 410-963-2102. 1-888-4AL-ANON. effects of treatment. February 16 at Crohn’s and Colitis Foundation 7 p.m., March 16 at 3:30 p.m., or Rising Hope Support Group Alzheimer’s Caregivers of America Support Group April 20 at 7 p.m. 1-888-535-4555. For parents who have lost a Support Groups Fourth Tuesday of each month, Lupus Mid-Atlantic baby to miscarriage, stillbirth, Caregivers: first Friday of each month, 7–8:30 p.m. 1-800-618-5583. or newborn death. First Monday 11 a.m. Spouse caregivers: second First Wednesday of the month, 7 p.m. 800-777-0934. of each month, 7:30 p.m. Tuesday of each month, 10:30 a.m. Depression and Bipolar Support 410-740-7845. 410-313-9744. Alliance of Howard County Man-to-Man Prostate Cancer Second and fourth Fridays of the Support Group Stroke Support Group Aneurysm Support Group month, 7–9 p.m. 301-575-6766. Select Wednesdays of the month, First Monday of the month, 7 p.m. Third Thursday of each month, 7–9:30 p.m. 410-379-2896. 6:30–8 p.m. Ambulatory Care 410-442-4045. Hospice Services Center. Call 410-740-7601. of Howard County Bereavement Support Group Maryland Sickle Cell Disease Support for the terminally ill, Association WomenHeart, For families and friends who their families, and the bereaved. the National Coalition have lost loved ones at HCGH. Fourth Wednesday of the month, 410-730-5072. 7 p.m. 410-465-4822. of Women with Thursdays, 7– 8:30 p.m. Heart Disease To register, call Pastoral Care office Howard County Diabetes Narcotics Anonymous 443-854-8333. at 410-740-7898. Education and Support Group 1-800-317-3222. First Tuesday of each month, Better Breathing Club 7:30–9 p.m. The Bain Center. Nicotine Anonymous Support group information is subject In conjunction with the American 410-740-7695. 410-964-2180. to change. Before attending a meeting, Lung Association. Meets monthly. verify information and location by 410-740-7803. calling the contact number listed.

In this issue of Wellness Matters, the Howard Hospital Foundation recognizes the generous support Howard Hospital Foundation (HHF) of individuals, organizations, and corporations who have given to the hospital between January 1, 2008, and December 31, 2008. salutes the individuals, companies, Howard County General Hospital is grateful for each and every and foundations that have made contribution; however, due to space restrictions, only the names contributions in support of Howard of those who have given $250 or more are published here. Donor lists are checked carefully each year; in the unfortunate County General Hospital (HCGH) event of an error, please notify us at 410-740-7840. during the 2008 calendar year. This $3,500,000 philanthropic support is critical for The Horizon Foundation of HCGH to remain a state-of-the-art Howard County, Inc.* health care facility serving all in our community. $1,000,000 Evelyn and J.P. Bolduc* Your contributions have provided The Lundy Family* support for equipment, services, and capital expenses at the hospital. $500,000 – $999,999 F. Jean Warthen For example, in 2008 the Foundation purchased VersaCare® Beds for the The Bolducs, one of Howard County’s most generous families, issued a $250,000 – $499,999 $1 million matching gift challenge for the Campus Development Plan (CDP) Short Stay unit, a Fetal Telemetry Johns Hopkins Emergency Capital Campaign, which was met by their good friends the Lundys, also Medical Services* dedicated, long-time supporters of many local non-profits. (left to right) System for Labor and Delivery, and Cathy Lundy, Harry L. “Chip” Lundy, Evelyn Bolduc, J.P. Bolduc. The Rouse Company Defibrillators for the Emergency Foundation** * Howard Bank/The Scully Family* $15,000 – $24,999 Department. Nursing scholarships Bach-Tuyet Jeffrey, D.D.S. and Patty and Tom Buescher** * were awarded, and HHF was able $100,000 – $249,999 Robert Jeffrey* Ann Gallager to underwrite some of the wellness Norma and Tom Hoff* Johns Hopkins Medical Harkins Builders, Inc.* programs offered by the hospital. Howard County Anesthesia Laboratories* JJAM Enterprises, Inc.* Associates, P.A.** * Most importantly, your support for the Sung Kil Lee, Sang Ja Lee, Judy and Jon Kolker* Cynthia and E. Wayne Jackson* Christine Eunsook Lee, Maryland Endocrine, P.A.* major expansion at HCGH enabled M&T Bank* Sung Tae Kim* Dorothy E. and the Foundation to make a $2 million Charles H. Miller* Moira Mattingly and Jeff Leco* W. Brian McGowan* payment toward our pledge of $30 U.S. Foodservice* Grace and John C. Payne, M.D.* Judy and Bill Munn Family Fund million to the hospital in support of Rotary Club of Clarksville at the Mid-Shore Community $50,000 – $99,999 at Maple Lawn* Foundation, Inc.* the Campus Development Campaign. Anonymous* Samantha and Steven Sachs* Eileen and David Powell* Howard County General Hospital It is very rewarding to experience the Wilmot Sanz Architects* Julie and Jim Young* Volunteer Auxiliary* extreme generosity of so many in our Maryland Surgeons, P.A.* community. Our challenge is still Leslie and Alan Rifkin/ ongoing in 2009. Rifkin, Livingston, Levitan & I am confident you Silver, L.L.C.* Dawn and Bradley Smith* will continue to be as generous in the $25,000 – $49,999 future as you have Lynn and David Abramson* been in 2008. Bank of America The Columbia Bank* Mim and Steve Dubin* Sincerely, ENTAA Care* The Rotary Club of Clarksville at Maple Lawn provided much-appreciated help to H. Elizabeth and Peter Horowitz** * the community with a pledge to the CDP. (left to right) Back row: Niles Morton, Leo Emond, John Moseman, Pastor David Newman, Jeffery Stauffer, David Bird; Middle Row: Karen Kreh, HCGH President & CEO Victor Broccolino, Robert Evelyn Bolduc Pelletier, Scott Wyler; Front Row: Phyllis Newman, Theresa Fodel, Rotary Club Chair President Nancy Szlasa, Stephanie Gumm, May-Ellen Colon; Rotary Club members not pictured: Blair Hill, Prasad Karunakaran, Bill Molton, Nnneoma Obineche, Howard Hospital Foundation Folarin Shitta-Bay, Dr. Aaron Twigg.

*Includes Campus Development Plan pledge or payment on prior year pledge. **Includes Master Facility Plan pledge payment. SPRING 2009 Wellness Matters [ 11 $10,000 – $14,999 $2,500 – $4,999 Bra-La-La, L.L.C. Mary and L. Earl Armiger AXA Foundation Zipporah and Tuvia Blechman, M.D.** Anne and George Barker* Audrey Benford Shawn Brast* Blossoms of Hope, Judy and Terry Brown* Jody and Glen Davis* The Howard County Jane and Larry Droppa/ Heather Dull Cherry Tree Project Thomas J. Watson Foundation Rick Edwards* Betty Anne and Fred Frederick Suzanne and Paul Gleichauf* Elan Jewelry LTD/ Dessie and James Moxley** Rebecca and David Gruber Brighton Collections by Alli PNC Bank* Gregory Hamm Kelly Fadrowski* Beverly White-Seals, Esq. and Howard County General Hospital Allison Finkernagel* Jerry Seals, M.D.* Professional Staff Paula and David Forman Diana and Glenn Wilson Maryland Spine & Sports Barbara Grisso Shirley Yang, M.D. Medicine/Clark Brill, M.D., Family of Nancy Hancock Michelle and James Zalucki, M.D.* John Collins, D.O., Deborah Harris* Aaron Twigg, M.D.* HCGH supporters Kelly and George L. Kathy Ann Harris* “Chip” Doetsch III, President of Apple $5,000 – $9,999 Peggy and John Maynes Ford, Inc., pose with their 1929 Ford Jan Hines* ALLCARE of Maryland, L.L.C./ Ann Baldwin Mech, J.D., R.N.* Model A Coupe, which they loaned to Howard County Extension Margaret and Victor Kim, M.D.* Elizabeth and Ronald Peterson* the hospital to display during a CDP Homemakers Council rooftop celebration in September 2008. American Cancer Society Margaret and Charles Reese Lisa and David Johnson American Radiology Services River Hill Garden Center Kokopelli, Ltd. Vivian C. "Millie" Bailey Carl Segal, M.D.* Fern and J. Edward Hamel L.L. Bean Biegel & Waller, L.L.C. Emmy and William Volenick Elizabeth and Peter Hibbard Georgia Lovette Lucille and Jay Blackman* Linda Lee and Brian Hickerson Stephen Mann* Mary Lynn and Fred Festa $1,500 – $2,499 Merrillyn and Lawrence Hill* Barbara and Roderick Matheson Mohammed R. Gheba, M.D.* Dorothy and John Brillantes* Jewish Federation of Patricia McAllister* Leonore Hess Sreedevi and Siddhartha Murthy* Howard County Miles & Stockbridge Foundation, Inc. Joseph K. Jamaris, M.D.* Mary and Bart Peitz Stacey J. Keen, M.D., and Patricia Miller* Bruce Pfeufer** Anne and Peter Rogers* Andrew J. Alpert, Ph.D.* Vannesia Morgan-Smith* Donna and Lowell Pidel* Barbara and Lawrence Rowe Phyllis and Lawrence Kroger Mary Patton* Hari and Bharti Razdan, M.D.* Dr. and Mrs. Michael E. Silverman* Jennifer and Stephen Lee Delphine and Charles Peck Sandy Spring Bank April and David Tayman, D.V.M.** Melissa Leffler Quality Associates, Inc. Speizman Horowitz Family Fund United Methodist Women of Michelle and Jerry Levine, M.D. Rotary Club of Columbia-Patuxent at the Columbia Foundation Queens Chapel Church Richard Lombardo Alicia Rowe* Sue Song* Beverly and James Mann Silvia Salamanca* Susan Swiatek and $1,000 – $1,499 Marilyn Mattes Gail and Ronald Schimel Stanley Podlasek, M.D.* Appletree Family Fund at the Deidre and Christopher McCabe Melissa and Walter Shown Diane and Ed Tortolani, M.D.* Columbia Foundation* Linda Krichten and Donald Miller Lisa and David Wagner Waverly Woods Development Felicia Bennett Oakland Mills High School Susan and Melvyn Wahlberg Corporation** Lynn and Bill Benton Padraic and Ellen Kennedy Fund Bev and Lee Wilhide* Dianne Braun* at the Columbia Foundation $250 – $499 Eugene Willis, M.D.** * Margaret Bridwell Richard Van Lunen Charitable Alden Aggabao* Suzanne and John Brinkley Foundation Julia Baylor* Bristol-Myers Squibb Foundation James Riggs Theresa Beck* CCA Softball Jerome Ross, M.D.* Gary Becker* CCN, Inc. Rotary Club of Columbia Joan Becker* Catherine and Edward Cochran Foundation Susan Berger* Patricia and David Condron Karen and Robert Rynarzewski Martha and Leo Black Peggy and Charles Ecker Marcia and John Schveibinz Barbara Byron* Electrico, Inc. Bela and Sanjay Shah, M.D.* Michael Carter* Susan and Robert Fischell Holly and George Stone, M.D. CCure Couture, L.L.C. Kari and Jeffrey George Judith and David Tripp Chesapeake Oncology-Hematology David B. Glasser, M.D.* Brian Winter Associates, P.A. Kristin and Jeffrey Goldscher Nancy and Henry Yee Columbia Horse Center, Inc. Cheryl and William Grau Andrea del Rosario* Dorothy and H. Thomas Grimes $500 – $999 Karen and Douglas Douglas CDP Capital Campaign supporters Shaye and Keith Baraka John Dunn* Jena and Sean Peay, President of Dynanet Corporation. Barbara Lawson Fund Linda Eitel* at the Columbia Foundation Diane and Robert Emrich* *Includes Campus Development Plan pledge or payment on prior year pledge. Lynda Ann Bell* Lily and Nicholas Gold **Includes Master Facility Plan pledge payment.

12 ] Wellness Matters SPRING 2009 FOUNDATION NEWS Rebecca and David Gruber Hager Sharp, Inc. Gifts/Pledges to the Campus Development Plan Capital Campaign Eileen and David Harrity* (2004 - 2008) Kimberly Humphrey* Hyatt and Company $7,000,000 Cynthia and E. Wayne Jackson $10,000 – $24,999 Kathleen and Steven Joss Howard County Government JJAM Enterprises, Inc. Anonymous (2) Roslyn Katz* Mary Agnes and Fred Lewis, D.V.M. Mary and L. Earl Armiger Julie and Kenneth Katz $4,200,000 Dorothy E. and W. Brian McGowan Vivian C. "Millie" Bailey Susan Kinsley* The Horizon Foundation of Charles H. Miller Dorothy and John Brillantes Carla Leach* Howard County, Inc. M&T Bank Judy and Terry Brown Carol and Charles Long Judy and Bill Munn and the Betty Anne and Fred Frederick Katherine and Richard Loughlin $2,000,000 Munn Family Foundation Suzanne and Paul Gleichauf Donna and Scott Maher The Rouse Company Foundation Grace and John C. Payne, M.D. Koren Family Foundation Blanka McClammer* Eileen and David Powell at the Columbia Foundation Mt. Hebron High School $1,000,000 Mary and E. Randolph Marriner Cheryl Murphy* Evelyn and J.P. Bolduc $50,000 – $99,999 Maryland Endocrine, P.A. Neurology Physicians, L.L.C. The Lundy Family Anonymous Maryland Primary Care Physicians, Beth Nicholson* Patty and Tom Buescher L.L.C./Drs. Flowers, Levine, Toby and Harold Orenstein $500,000 – $999,999 Harkins Builders, Inc. Prada, Diener, Jackson, Conger, Michelle Panjwani Chanceland Farm HPV Heart, P.A. Poblete, Price Douglas Paul W. R. Grace Foundation, Inc. Judy and Jon Kolker Maryland Spine & Sports Medicine/ Shane Pendergrass Martek Biosciences Corporation Clark Brill, M.D., John Collins, D.O., Robin Poirier* $250,000 – $499,999 Maryland Surgeons, P.A. Aaron Twigg, M.D. Marianne and Stephan Pulio* Mary and Kingdon Gould, Jr. PNC Bank Ann Baldwin Mech, J.D., R.N. Helen Pushwal Howard County General Hospital Leslie and Alan Rifkin/ Margaret and Paul Norris Jean Randall* “Pitch In To Win” Rifkin, Livingston, Levitan & Elizabeth and Ronald Peterson Pamela and Randy Roberts Employee Campaign Silver, L.L.C. Anne and Peter Rogers Deborah Robinson* Howard County General Hospital Dawn and Bradley Smith Beverly White-Seals, Esq. and Linda Sayre* Volunteer Auxiliary Jerry Seals, M.D. Lisa and John Selby Johns Hopkins Emergency $25,000 – $49,999 Dr. and Mrs. Michael E. Silverman Simply Divine, L.L.C. Medical Services Lynn and David Abramson Diana and Glenn Wilson Susan Shermock* Painted Veil Movie Premiere ALLCARE of Maryland, L.L.C./ Shirley Yang, M.D. Sharon Sopp* U.S. Foodservice Margaret and Victor Kim, M.D. Michelle and James Zalucki, M.D. Laura and Lawrence Sorkin Lucille and Jay Blackman Mary Stitak $100,000 – $249,999 The Columbia Bank $5,000 – $9,999 William Taylor* Norma and Tom Hoff Mim and Steve Dubin American Radiology Services Ten Acres Medical Center, L.L.C. Howard County Anesthesia ENTAA Care Audrey Benford Diane Tollick* Associates, P.A. H. Elizabeth Horowitz Biegel & Waller, L.L.C. Norma and George Walgrove HCGH Benefit Golf Classic 2007 Howard Bank/The Scully Family Dianne Braun Eileen and Edward Wilson HCGH Benefit Golf Classic 2008 Howard County General Hospital Suzanne and John Brinkley Ireatha Woods Professional Staff Broken N. Stable Bach-Tuyet Jeffrey, D.D.S. and Mary Lynn and Fred Festa Robert Jeffrey Mohammed R. Gheba, M.D. Johns Hopkins Medical Laboratories Merrillyn and Lawrence Hill Sung Kil Lee, Sang Ja Lee, Peter and Beth Horowitz Fund Christine Eunsook Lee, at the Columbia Foundation Sung Tae Kim Joseph K. Jamaris, M.D. Moira Mattingly and Jeff Leco Bharti and Hari Razdan, M.D. Richard Lombardo River Hill Garden Center Donna and Lowell Pidel Karen and Robert Rynarzewski Rotary Club of Clarksville Sandy Spring Bank at Maple Lawn Nancy and Michael Smith Samantha and Steven Sachs Sue Song Trails, Inc. Speizman Horowitz Family Fund Bev and Lee Wilhide at the Columbia Foundation Eugene Willis, M.D. Susan Swiatek and The CDP has benefited from charitable funding from Howard County Anesthesia Associates, P.A., several of whom are shown above. (left to right) Cheryl M. Johnson-Bracey, M.D.; Wilmot Sanz Architects Stanley Podlasek, M.D. Cheryl R. Burruss, M.D.; James D. Nowakowski, M.D.; HCGH President and CEO Victor Julie and Jim Young Diane and Ed Tortolani, M.D. Broccolino; Howard Hospital Foundation Vice President of Development Christopher J. McCabe; John E. Preston, M.D.; Clarita G. Frazier, M.D.; Bernard Marquis, M.D. (continued on next page)

SPRING 2009 Wellness Matters [ 13 HPV Heart, P.A. RAISED OVER $800,000 to $2,500 – $4,999 IN MEMORIAM Cynthia and E. Wayne Jackson† benefit Howard County General Axios, Inc. F. Jean Warthen JJAM Enterprises, Inc. Hospital and the Claudia Mayer Lynda Ann Bell Cancer Resource Center Shawn Brast Johns Hopkins Emergency The 10th Anniversary Celebration Jody Davis Medical Services† of the Claudia Mayer Cancer Rick Edwards Kicks Against Breast Cancer Resource Center (Fretz Event) Kelly Fadrowski Mary Agnes and Fred Lewis, D.V.M. Cuts Against Cancer Deborah Harris The Lundy Family HCGH Annual Benefit Golf Classic Kathy Ann Harris Dorothy E. and W. Brian McGowan Kicks Against Breast Cancer Leonore Hess Charles H. Miller Esmond Saturday Soiree Jan Hines Dessie and James Moxley Symphony of Lights Angela Jenkins M&T Bank† HCGH friend and supporter Jean Warthen Stephen Mann Judy and Bill Munn and the was an energetic volunteer and generous MEMORIAL GIFTS donor to the hospital. Through the years, Munn Family Foundation Patricia McAllister were received by the Howard she gave countless hours of service to Sreedevi Murthy David Paul, M.D. Hospital Foundation to HCGH and made many donations through Mary Patton Grace and John C. Payne, M.D. the Howard Hospital Foundation. Sadly, remember the following people: Jean passed away in December of 2007. Carl Segal, M.D. Christina and Don Pistorio Anna Abromaitis Her support of our community’s health Emmy and William Volenick PNC Bank Ricky Barnes care lives on thanks to her forethought Peggy Yaskovich Eileen and David Powell and planning. Jean arranged to continue Lily Bauer her giving to the hospital through a Quest Diagnostics, Inc. Gerry Bischoff bequest. We honor Jean for her deep The Rouse Company Foundation Karen Brown commitment to HCGH and to the health and well being of her community. The Ryland Group, Inc. Cui-Yue Cao Hillery and Alton J. Scavo Hong Cheong Faith Kubiak Members of the LEADERSHIP U.S. Foodservice Ginger Clark Hope Kubiak COUNCIL have contributed Wells Fargo Bank Leona Bell Corbett Lenora Lankford $100,000 and above to the John and Karen Whiteside†† Rosa Drummond Sanghe Lyu Howard Hospital Foundation. W.R. Grace Foundation, Inc. Amoura Edinbugh Margaret MacLean We are proud to recognize: Caroline Eng Michael Macut Anonymous† † Denotes new member 2008 Walter Eng Catherine Marsh Apple Ford †† Includes bequest Kathy Farley Barbara Michels Bank of America Linda Fuji Tina Monteferrante Bare Bones Grill and Brewery Wilmer K. Gallager Jessica Phillips Evelyn and J.P. Bolduc FUNDRAISING EVENTS Susan Garrett Arya Rafei Shirley Bossom†† offer additional opportunities Marilyn Gilson Mrs. Rowan Chanceland Farm for the community to support James W. Hagen, Jr. Mary Ellen Sadowski The Columbia Bank† our hospital. We are George Hicks Cecil Selders Constellation Energy Group, Inc. proud to recognize the Margaret Hicks Gloria J. Webster following events: Esmond Saturday Soiree† James William Hines Harold Wilson, Sr. Fretz Event to benefit the Claudia Mayer Cancer Resource Center Mary and Kingdon Gould, Jr. Harkins Builders, Inc. HCGH Annual Benefit Golf Classic Special Thanks HCGH Professional Staff TO THE SPONSORS HCGH Symphony of Lights PRESENTING SPONSOR OF THE 15TH ANNUAL HCGH Volunteer Auxiliary Margaret and Wilson Hoerichs SPARKLING SPONSORS Norma and Tom Hoff† The Horizon Foundation of ILLUMINATING SPONSORS Howard County, Inc. H. Elizabeth and Peter Horowitz Howard County Anesthesia GLOWING SPONSORS Associates, P.A.† Antwerpen Toyota Constellation Energy Group, Inc. Eggspectation Sodexo

14 ] Wellness Matters SPRING 2009 FOUNDATION NEWS HealthMatters Maryland’s Year-round Threat: Lyme Disease Maryland’s Lyme disease cases reported to the Center for Disease DR. AWAN’S TIPS TO DECREASE YOUR RISK: Control and Prevention have increased by more than 650 percent • When outdoors, wear light-colored long pants since 1993 according to the Lyme Disease Research Foundation of and long sleeves. Maryland. Between 2007 and 2008, the number of reported cases • Avoid wooded or bushy areas with tall grass of Lyme disease in Howard County tripled. While ticks are most and leaves. active during late spring/early fall, Maryland’s fairly moderate • Talk to your veterinarian about tick control winters make Lyme disease a year-round threat. products for your pets. • Check yourself, your kids, and pets for ticks Lyme disease is caused by a bacterium transmitted by the bite of after being outdoors. an infected black-legged tick carried by deer. The tick must be attached to your skin for at least 24 hours.

...Infected people may have According to the Maryland Community Health Administration, ‘‘ fever, headache, fatigue, three to 30 days after a tick bite, 70 to 80 percent of infected or joint pain...If you have any people will see a gradually expanding rash at the bite site that may resemble a bull’s eye. “Infected people may have a fever, headache, of these symptoms, contact fatigue, or joint pains. It also can cause facial muscle paralysis and your physician immediately; meningitis,” says Dr. Mateen Awan, an internist on staff at Howard most Lyme disease County General Hospital. “If untreated, you may experience a loss cases can be cured of muscle tone, severe headaches, neck stiffness, shooting pains, heart palpitations and dizziness, severe joint pain, with antibiotics if memory loss and difficulty concentrating. If you have diagnosed and any of these symptoms, contact your physician treated early. immediately; most Lyme disease cases can be cured ” with antibiotics if diagnosed and treated early.”

Dr. Mateen Awan is an internist in private practice in Columbia. He specializes in internal medicine.

HEALTH MATTERS [ 15 Steps to Take Now for a Healthier Tomorrow Following the food-laden holiday season, you may have What Can I Do? noticed that your clothes are fitting a little tighter. While While losing weight and maintaining an active and healthy weight gain seems almost inevitable after all the turkey, stuff- lifestyle can be very challenging, there are steps that you can take ing, and holiday cookies, keeping an eye on your weight and support you can receive right in your community to help and staying vigilant against an you get the weight off and keep expanding waistline is about it off. more than just looking good; as “I remind my patients that the scale goes up so does your the human body is not designed risk for heart disease and other for the way we live now,” serious medical conditions. explains Dr. Albert. “After many thousands of years of adaptation How Much Fat to periods of famine and physical is Too Much Fat? labor, humans have suddenly “The best way to determine if become sedentary and food has you have too much fat is to become readily available. We measure your waist circumfer- have to realize our bodies are ence and body mass index (BMI),” says Dr. Michael Albert, an trying to help us store food as a survival mechanism. But living internist on staff at Howard County General Hospital. “A high- in the U.S. in the 21st century does not require us to do that. We risk waistline is 35 inches or greater for women and 40 inches need to fight the innate urge to overeat, both in terms of portion or more for men. A recent study showed that people whose size and in terms of the calorie-rich foods we crave.” waist size is more than 50 percent of their height also are at increased risk.” Another important factor for those concerned Losing weight will also about their weight gain to consider is their BMI. ‘‘ strengthen you physically, What is My BMI? enhance your mental health, “BMI is calculated based on your body weight relative to your height,” says Dr. Albert. “To determine your BMI, multi- improve your sleep, ply your weight in pounds by 703, divide that number by your reduce stress, and height in inches, and then divide again by your height in inches.” The American Heart Association lists a BMI of less than give you more energy. 18.5 as underweight, values from 18.5 to 24.9 as normal, BMI’s ” of 25 to 30 as overweight, and values greater than 30 are Dr. Albert stresses that obese patients should consult their considered obese. physician when determining what diet changes to make. “Most people think exercise alone can compensate for poor eating If I am Considered Obese, habits, but the opposite is true. While exercise helps promote Does that Impact My Heart Disease Risk? cardiovascular health, it takes dramatic changes in people’s eat- “Obesity is emerging as the number one risk factor for cardio- ing habits to truly lose weight.” While eliminating processed vascular disease,” explains Dr. Albert. “Obesity contributes to foods, refined sugars and desserts, and fast food is important, high blood pressure, high cholesterol, and diabetes. Because of Dr. Albert also recommends a reduction in portion size. this and other factors, it greatly increases one’s chances of heart “Losing weight also will strengthen you physically, enhance your attack or stroke. The good news is that obesity is a completely mental health, improve your sleep, reduce stress, and give you controllable risk factor.” more energy.”

16 ] Wellness Matters SPRING 2009 Increased Waist Line,

Increased Heart Disease Risk Dr. Michael Albert is an internist with What Resources Are Available to Help Me? Charter Internal Medicine in Columbia. He practices Howard County General Hospital offers ongoing nutritional counseling. Half-hour appointments primary care with an emphasis on preventive with a registered dietitian at HCGH to discuss dietary concerns and goals are scheduled on medicine. Tuesdays and Thursdays between 9:30 a.m. and 2 p.m. as well as Wednesdays and Thursdays between 5:30 and 7:30 p.m. Call 410-740-7601 to make an appointment. In addition, you can get support through the overeaters anonymous ongoing support group that is cosponsored by HCGH. Held Fridays from 10:30–11:30 a.m., this group is free. For more details, call 410-963-2102. As part of its commitment to help people live healthier lives, HCGH’s Wellness Center is participating in Get Active Howard County, a 10-week program that encourages participants to be more physically active on a regular basis. Participants are able to set their own goals based on how active they are currently and how active they would like to be. You get credit for each minute you are active daily, and you can track your progress by recording the number of minutes you earn toward your total point goals weekly. Throughout the 10 weeks, free activities are held throughout the community. For more information, contact Carol Wasser at [email protected] or 410-715-5523.

SPRING 2009 Wellness Matters [ 17 Cancer Program Recognized by Commission on Cancer The Commission on Cancer of the American College of Surgeons has accredited HCGH’s Cancer Program as a “Community Hospital Comprehensive Cancer This recognition is validation that Program.” Previously recognized as a “Community Hospital Cancer Program,” ‘‘HCGH patients do, in fact, receive high this new designation reflects the program’s enhanced range of diagnostic and treatment quality cancer care close to home,” said services available on site or by referral. This new accreditation level also is due in part Nicholas W. Koutrelakos, M.D., chair, HCGH Cancer Committee and a member to the inclusion of a pain management specialist as part of the hospital’s cancer of Maryland Oncology/Hematology, P.A. committee, weekly cancer conferences held at the hospital that are reviewing more “Such an accreditation reflects the enhanced patient cases than ever before, and additional services offered including a variety range of diagnostic and treatment services of cancer studies and extensive community outreach. that are available on site or by referral.” HCGH Psychiatrist Elected Distinguished Fellow The American Psychiatric Associa- tion has elected Stephanie S. Durruthy, M.D., a board-certified psychiatrist on staff at HCGH with an expertise in women and their mental health, to the status of Distinguished Fellow. This designation is awarded to outstanding psychiatrists who have demonstrated significant contributions to psychiatry in the areas of teaching, writing, community involvement, volun- teering, and clinical excellence. Construction Update As part of HCGH’s Campus Development Plan, the new improving all areas of surgical services, adding three additional patient pavilion is on target to open in August 2009. Opened operating rooms, enlarging the inpatient/outpatient surgical in mid-December, the new entry plaza boasts a large patient waiting room, opening a new medical library, overhauling drop-off/pick-up area, handicapped and 30-minute parking the cafeteria, creating space for other support departments, spaces for patients and visitors, a new entryway, and a bright and relocating the medical staff services office. The lobby, waiting area. Telecommunications, Information Technology, also undergoing transformation, will continue to serve as the Outpatient Center, and Pharmacy will relocate to the the building’s main entrance for staff and visitors. pavilion, followed by patient care areas. We appreciate your patience, and we will continue to update In addition to new construction, renovations to the existing you on the progress as we work toward the anticipated hospital are underway, including expanding the laboratory, completion of the campus by early 2011.

18 ] Wellness Matters SPRING 2009 HOSPITAL NEWS HCGHNewsMatters HCGH POM: doctorsserving you New Technology Adds to Patient Safety ...... In the hospital’s continuing efforts to address patient safety, a new Provider Order These HCGH physicians have recently relocated or established new offices Management (POM) program – an online ordering system through which physicians in Howard County. order tests, procedures, or medications – has been instituted. Now, when a physician enters orders personally via POM, the orders are submitted electronically directly to the FAMILY PRACTICE Kristin M. Clark, M.D. appropriate department, such as the laboratory or pharmacy. The orders can be read easily 5018 Dorsey Hall Drive #104 and, by electronic signature, it is clear which physician submitted them. Additionally, Ellicott City, MD 21042 410-730-8288 because they are sent directly to the department, the orders can be executed much quicker. The system certainly has many other benefits as well, including an error-checking Alkesh D. Patel, M.D. 10632 Little Patuxent Pkwy. mechanism that instantly alerts the physician to interactive medication errors, remote Suite 111 access that enables physicians to submit orders or check on a patient’s condition while Columbia, MD 21044 outside of the hospital, and a record-keeping system that stores the medical information 410-997-9751 for any future hospital stays the patient may have. HEMATOLOGY/MEDICAL ONCOLOGY Yuanjue Louann Zhang, M.D. Central Maryland Oncology 11065 Little Patuxent Pkwy. Healthy Families Columbia, MD 21044 410-964-2212 Howard County Receives Grant NEUROLOGY Margaret W. Perrin, M.D. In November 2008, the Maryland Neurological Center Healthy Families Howard County (HFHC) 11085 Little Patuxent Pkwy. #212 program at Howard County General Hospital Columbia, MD 21044 410-730-1212 received a $50,000 grant from the Freddie Mac New Professional Foundation to assist with operational costs Staff Officers Named OBSTETRICS AND GYNECOLOGY as well as a $12,100 grant from the Horizon Andrea Kwong, M.D. for 2009 Johns Hopkins Community Physicians Foundation to support strategic planning, at Howard County evaluation, and marketing. The program, which The HCGH Professional Staff has 6350 Stevens Forest Drive #105 elected Marc Applestein, M.D., Columbia, MD 21046 is administered by HCGH in partnership with 443-259-3770 Family and Children’s Services of Central as president of the professional Maryland (FCS), receives additional funding staff for 2009. A member of the PULMONARY DISEASE professional staff since 1988, Uday B. Nanavaty, M.D. from the Columbia Foundation and the Com- 3449 Wilkens Avenue #207 munity Services Partnerships Program as well as Dr. Applestein is certified by Baltimore, MD 21229 the American Board of Urology. 410-646-7900 through in-kind services from HCGH and FCS. Dr. Applestein, who is with Kathleen F. Sarmiento, M.D. HFHC, which began in 2001 with a grant Central Maryland Urology Pulmonary Disease & Critical Care Assoc. 10724 Little Patuxent Pkwy. # 200 from the Howard County Children’s Board, Associates, P.A., received his Columbia, MD 21044 provides first-time parents with educational doctorate in medicine from the 410-997-5944 and emotional support to ease their transition University of Maryland. Serving New Address: through pregnancy and into the first five years with Dr. Applestein will be Chesapeake Oncology-Hematology of parenthood. This free program gives parents internist Jonathan S. Fish, M.D., Associates access to community resources and allows 5450 Knoll North Drive #300 as vice-president and pulmonolo- Columbia, MD 21045 qualifying participants to receive home gist Francis S. Chuidian, M.D., 410-740-1744 visitation and referrals from FCS. as secretary/treasurer.

HOSPITAL NEWS SPRING 2009 Wellness Matters [ 19 2OO9 calendar...... of Events: February Cardiovascular Clinic Saturday, February 21/ 9 a.m.– 1 p.m. The Mall in Columbia Free. Walk-in. Registration not required. Visit our booths and speak with our physician experts. Participate in free screenings including carotid, total cholesterol, glucose, blood pressure, bone density, and body mass index. April (continued) March Pink Plates: Think Pink! HC DrugFree Teen Job & Help us raise awareness about breast cancer, look for the “Pink Plate Volunteer Fair Specials” on the menus of some of our finest restaurants throughout Saturday, March 7/ 10 a.m.– 2 p.m. Howard County during the month of April. All proceeds raised support Long Reach High School Blossoms of Hope and the Claudia Mayer Cancer Resource Center. Sponsored by Howard County General Hospital, this event provides teens the opportunity to look for jobs and volunteer internships with more May than 100 businesses and organizations as well as attend workshops. CPR Across Howard County: This year's fair will also include a Teen Health and Wellness focus. Saturday, May 2/ 9 a.m.– noon For more information, call 443-325-0040 or visit www.hcdrugfree.org. Hammond High School Ulman Cancer Fund for Young Adults presents This FREE American Heart Association Family & Friends CPR course Eleven - THE EVENT is a hands-on experience for people age 11 and up who want to learn Designing a Difference with Vern Yip the techniques of adult and child CPR and choking prevention but do Monday, March 9 not require a CPR certification. Refreshments and a CPR book will For more information, visit www.ulmanfund.org/11theevent be provided. Registration is required by calling 410-740-7601 or or call 410-964-0202. visiting www.hcgh.org. Latino Fair Fitness and Sports Medicine Clinic Saturday, March 14/ noon– 4 p.m. Saturday, May 16/ 10 a.m.– 2 p.m. Wilde Lake Interfaith Center Lord & Taylor Court in The Mall in Columbia HCGH, the Howard County Health Department, St. John the Evangelist Talk with our physician experts, participate in our screenings Catholic Church, and Alianza de la Comunidad will hold the fifth annual including feet, ankles/knees, spine and shoulders, pain, and Latino Health Fair for Latino community members. Attendees will be able osteoporosis. Visit our many booths and learn fitness tips to receive health information as well as health screenings including blood and ways to incorporate more movement into your life. pressure, total cholesterol, glucose, clinical breast exams, and more. For more information, call 410-740-7696. Non-Profit Org. April U.S. Postage Living Well Fair PAID Saturday, April 18/ 9 a.m.– noon Balto., MD Permit No. 1608 The Bain Center 5755 Cedar Lane The Howard County Muslim Foundation, in partnership with HCGH and the Columbia, MD 21044 Howard County Health Department, is sponsoring the fifth Community Health Fair. For more information, call 410-465-7400. Thirteenth Annual KICKS Against Breast Cancer: Saturday, April 18 Maryland Soccerplex in Germantown, Md. Some of the best athletes in women’s soccer face off in this annual event. Teams include Villanova, George Mason University, University of Virginia, U.S. Naval Academy, Ohio State, and Loyola. All proceeds benefit the Claudia Mayer Cancer Resource Center. Visit www.kicksagainstbreastcancer.org or call 410-740-5858 for more information. Blossoms of Hope Half Marathon at the Howard Life Festival Sunday, April 26 Support Blossoms of Hope, the Claudia Mayer Cancer Resource Center, and the Ulman Fund by choosing to run or bike. Events, sponsored by the Columbia Triathlon Association, include the ½ marathon, the ½ marathon relay, the 5K run and the Metric Century, 65K or 30K rides. For more information and to register, visit www.tricolumbia.org/HowardLifeFestival or call 410-313-1900.