Fall 2014 | Quarterly publication of SUBURBA N A MEMBE ROFJOHN S HOPKIN S MEDICINE s n o i t c e r i D w INSIDE THIS ISSUE Free From Pain Thanks e 3 | Public Reporting of Hospital Performance to “A Joint Effort” 6 | Palliative Care Story on page 4 9 | WellWorks™ Calendar N suburbanhospital.org 2 | New Directions

PRESIDENT’S MESSAGE The annual U.S. News and World Report The Ranked Best rankings are out and for the third year in a row, Suburban Among the Top U.S. Hospitals by Hospital was named “high performing” in Orthopedics U.S. News & World Report among hospitals in the Washington, DC area. The Johns Suburban Hospital Ranked High Performing Hopkins Hospital in Orthopedics ranked #3 nationally out of The Johns Hopkins Hospital ranked in Rheumatology; #2 in Ear, Nose & more than 4,700 the top five in 10 specialties and #3 Throat; #3 in & hospitals in the overall in the nation in the U.S. News & Neurosurgery, Ophthalmology, United States and World Report ranking of close to 5,000 Psychiatry and Urology; #4 in Diabetes #1 in . U.S. hospitals. In the magazine’s ranking & Endocrinology, Gastroenterology & These are of hospitals at the state level, the hospital GI , and Geriatrics; and #5 in Gene E. Green, MD extraordinary was named first in all specialties in Cancer. Maryland and #1 in all specialties in achievements and we are very proud of Locally, and Baltimore. our employees and physicians, whose Suburban Hospital were ranked in the professionalism and dedication Johns Hopkins earned the #1 U.S. top tier among the 56 hospitals in the contribute to this recognition. To learn ranking for 22 years—an unprecedented Washington D.C. metropolitan area, more about Suburban’s high performing 21 years in a row from 1991 to 2011, coming in at 11th and 13th, respectively. orthopedic program, please read our and again in 2013. U.S. News rankings Sibley was noted as a top performer in cover story on Stephanie Schwam, who are based largely on complex measures of orthopedics and urology. Suburban was was given a new lease on life thanks to hospital performance, including ranked a top performer in orthopedics. joint replacement surgery. reputation, as determined by results of a In addition, Suburban was ranked 15th Numerous media and health care mailed and online survey to select among Maryland’s 70 hospitals. physician specialists; outcome measures; organizations are now involved in the A detailed list of the rankings and and structural elements, such as hospital business of evaluating hospital information about how they are put volume and technology. performance. This can be confusing together are available at because the methodologies differ and In addition to landing in the #3 spot on http://www.hopkinsmedicine.org/usnews continue to change each year. While U.S. News ’ Honor Roll of Best and at quantitative measurement is very Hospitals, the hospital ranked #1 in http://www.usnews.com/besthospitals . important, we believe we can best demonstrate our commitment to quality and safety by providing exceptional patient- and family- centered care day after day. On these While numbers are important, often words are a better measurement of our pages we are pleased to share with you commitment to providing exceptional patient- and family-centric care. Here what our patients are saying about are excerpts from recent comments we have received from our patients. Suburban Hospital. I also hope you will browse through the other stories in this newsletter to My experience at Suburban learn more about our clinical services, was exceptional. The nurses, wellness programs, and additional techs, cleaning staff and food recognitions we have achieved for The nurses were awesome! service personnel were ALL cardiac care and emergency services. They seemed really concerned polite, attentive and caring. that I was OK and they really Suburban is an EXCELLENT cared about my well-being. I live hospital, and I am happy to in Germantown and would only have been cared for in such go to Suburban for my care. an awesome way. Gene E. Green, M.D. Suburban Hospital | 3

Public Reporting of Hospital Performance What You Need to Know

An increasing amount of information Providers and Systems) is the first “Suburban Hospital fully supports about how hospitals perform is now national, standardized, publicly transparency in the reporting of a hospital’s available at the touch of a keyboard. The reported survey of patients’ perspectives quality metrics,” says Gene E. Green, goals of reporting this data publicly are to of hospital care. Since 2008, HCAHPS M.D., president of Suburban Hospital. hold hospitals more accountable; to better (pronounced H Caps ) data has allowed “That’s why we make it even easier for our enable hospitals to identify performance comparisons across hospitals locally, patients and community to review our challenges and make improvements; and regionally and nationally. performance by self-reporting on our Web to educate and empower consumers to The 32-question survey asks recently site, suburbanhospital.org/quality make good decisions about who will care discharged patients “how often” or for them and their loved ones. But what However, for many people, reviewing all does it all really mean? whether patients experienced critical of this information and understanding aspects of hospital care. For examples, what it means can be daunting,” he Consumer surveys confirm that most questions include “How often was your continues. “Patients should reach out to patients choose a hospital (in a non- pain well controlled?” and “How often their physician if they have a concern or emergency) based on a recommendation did doctors explain things in a way you question. We also invite them to contact from their personal physician. In could understand.” Ten of these our quality director at addition, some will go online to confirm measures are publicly reported on the [email protected]. that their hospital, or doctor, gets top Hospital Compare Web site, scores in a variety of categories. Providing www.medicare.gov/hospitalcompare . “At the same time, we suggest patients those scores is the business of many There, you can also download a 28- keep in mind that, while hospital media and health care organization s— page Guide to Choosing a Hospital , and statistics tell an important story, they are from Consumer Reports and U.S. News see the results of certain measures of only a small snapshot of the care. They and World Report , to Healthgrades and quality that show how well a hospital don’t tell you about all the services The Joint Commission. treats specific conditions. Examples provided, or about the people,” he adds. include how often a hospital gives More recently, the Centers for Medicare “At its core, health care is about people recommended treatments for heart and Medicaid Services (CMS), which taking care of people. I’m proud to say attack, heart failure and pneumonia; pays most of the health care bills for Suburban Hospital has a dedicated team surgical care and more. Also provided those over 65, began to publish online of highly trained, compassionate are a hospital’s rate of readmissions and data on hospital quality and patient physicians and staff who use state-of-the- satisfaction. HCAHPS (Hospital 30-day mortality (death rates) art technology to serve our patients well.” Consumer Assessment of Healthcare compared with the national rate.

What Ou r Patient s Say Abou t Suburba n Hospital I was not expecting the excellent treatment given by all from volunteers to surgeon. I cannot recall even one The lady who cleaned my room was the best. person who was not kind, friendly, She was on top of cleaning it and keeping it compassionate, gentle, helpful, polite clean. She was also very friendly to me and my and respectful during the four days family members. Even though she wasn’t a nurse As soon as my I was hospitalized. All of the extra and didn’t care for me as a nurse she took her visitors arrived a provided by Suburban Hospital will time in getting to know me and showing concern tech brought in be expressed to all to whom I speak. for me and made me feel comfortable with her chairs for them— THANK YOU to each and every coming in my room at any time. I really enjoyed without being employee and volunteer who make a her company. asked to do so. hospital stay a pleasure! 4 | New Directions

Free From Pain Thanks to “A Joint Effort ”

Stephanie Schwam has a very busy life. Hip dysplasia occurs when the hip socket ON THE COVER | Stephanie Schwam shows The 31-year-old Poolesville resident does not form normally, joints slip out of her doctors that she can now exercise without works three days a week as a clerk for place, and the hip wears out. In pain, thanks to hip replacement surgery. Looking U.S. Customs and Border Protection, a Stephanie’s case, the pain was radiating on are orthopedic surgeon Daniel Valaik, MD, and cardiologist Mark Milner, MD. job she has held since she was 20 years from her hip to below her knee. By the old. In addition to her job, Stephanie time her condition was finally diagnosed, In order to address these issues, Dr. Valaik stays physically active by spending time in June 2013, Stephanie was almost carefully planned for Stephanie’s surgery. with her family, exercising daily and unable to walk. He “templated” her x-rays, measuring traveling. So when she began “Because she never complained of pain Stephanie’s hip on x-ray images and then experiencing leg pain that progressed when she was young, we had no idea using a computer to match her to the best until it was affecting her quality of life, about Stephanie’s hip dysplasia,” says her fitting implants. He also used specialized Stephanie and her family knew they dad, Steve. “Looking back now, we realize implants that allowed Stephanie to keep couldn’t rest until they discovered the that since she was about 10 years old, her excellent hip motion without cause and the cure. Stephanie’s diagnosis Stephanie couldn’t put her right heel dislocating. and treatment were made a little more down when she walked. Everyone had complicated by the fact that she has Dr. Valaik, who practices at Suburban missed that one sign of this condition.” Down syndrome. Hospital, recognized the need to Stephanie’s parents knew that her special coordinate Stephanie’s medical care both While Stephanie lives with her parents circumstances required the skills of a prior to as well as immediately following and commutes to work with a sister who special orthopedic surgeon. Her father, a her surgery. He explains: “I was able to lives close by, she is a very independent, West Point graduate, found that surgeon work closely with Stephanie’s cardiologist active woman. “Stephanie had been in Dr. Daniel Valaik of Johns Hopkins at Johns Hopkins Community Physicians complaining of pain below her knee for a Orthopaedic & Spine Surgery in Heart Care to ensure she was ready for while,” says her mom, Jodie. The pain Bethesda. As a graduate of the U.S. Naval surgery and would come through the wasn’t affecting her ability to walk, Academy and the Uniformed Services surgery with flying colors.” however. Then, about 18 months ago, the University of the Health Sciences, Dr. pain began getting progressively worse. That cardiologist was Dr. Mark Milner, Valaik had a military background similar Her mother took her to see an who has cared for Stephanie for many to Steve Schwam’s, who was also orthopedic surgeon, who x-rayed years. “Stephanie was born with impressed by his affiliation with Johns Stephanie’s knee and told them there was congenital heart disease, which often Hopkins Medicine. Dr. Valaik watched nothing wrong. A former nurse, Jodie accompanies Down syndrome,” notes Dr. Stephanie walk down his office hallway Schwam wasn’t convinced, and eventually Milner. “ She had an atrial septal defect as and knew that she needed hip insisted that the doctor x-ray Stephanie’s well as a condition called patent ductus replacement surgery immediately. hip. Sure enough, the new x-ray revealed arteriosus, both of which impact blood flow and oxygenation. Fortunately, both that Stephanie was suffering from hip “Hip replacement was Stephanie’s best heart defects resolved spontaneously when dysplasia, a condition that is often seen in chance to get rid of her hip pain, but this she was a baby and she grew up with no individuals with Down syndrome. operation is especially difficult in patients major cardiac problems. with Down syndrome,” says Dr. Valaik. “Stephanie’s hip socket was “For the past two years,” he continues, not shaped normally, so fitting the “Stephanie had occasionally been An Important Milestone implant to her anatomy was very experiencing fast heart rates and an This past year, Suburban Hospital’s Joint challenging. Also, patients with irregularity to her pulse with a sense of Replacement team performed 1,461 procedures— Down syndrome have generalized skipped beating. Just prior to her surgery, an increase of 161 over the previous year—setting ligamentous laxity, meaning their she had been coming to see me more a record for the hospital. Suburban continues to ligaments are especially loose, so often with these complaints. Both perform more joint replacements than other there is a much greater risk of the symptoms correlated with her lack of hospitals in Montgomery County and has one of hip replacement dislocating after activity due to her hip issues. I knew that the busiest programs in Maryland. surgery.” the surgery would increase Stephanie’s Suburban Hospital | 5

Hospital Receives Designation as Cardiac Interventional Center Suburban Hospital has received continued designation as a Cardiac Interventional Center (CIC) from the Maryland Institute for Emergency Medical Services Systems (MIEMSS). This involved a robust application and on-site inspection process that reviewed the hospital’s processes for caring for patients with acute cardiac problems from the time EMS picks them up through their care in the Emergency Department, Cath Lab, as an inpatient, and through Cardiac Rehab. The designation is for a period of five years. In its report, MIEMSS recognized Suburban for meeting the Maryland acute hospital licensing requirements, its excellent “door to balloon” times for patients needing angioplasty, its Beat Line

Stephanie Schwam and her surgeon, Daniel Valaik, MD tracking system for emergency medical personnel, and its participation in the County Hospital Alert Tracking Systems. functional status and this would have a their lives, and caring for Stephanie was beneficial effect on her heart rate and such a joy.” TO LEARN MORE | For more irregularity.” information on Suburban’s cardiac care How does Stephanie feel about her hip services, visit suburbanhospital.org/cardiac Dr. Milner’s confidence was justified, as replacement? “I’m able to walk again Stephanie proved to be very motivated. and to do more,” she says. “Now I can After just two days in the hospital, she just go.” was discharged home, where she continued with in-home physical therapy “I can’t say enough about Drs. Valaik for two weeks before graduating to and Milner,” says her mom. “They were Lakewood Gives Back outpatient therapy for two more months. a perfect match for what Stephanie (to Suburban!) Immediately after the surgery, Stephanie needed and I have the utmost noticed an improvement in her pain. She admiration for both doctors. I also want Members of the Lakewood Country Club was able to begin exercising again and she to recognize Suburban Hospital’s nurses in Rockville joined forces this fall to was back on the job within six weeks. She and physical therapists. They could not support breast cancer and infusion now walks a mile each day on her have been nicer.” programs at Suburban Hospital. Their 1st treadmill and uses an exercise bike daily as Steve Schwam shares a final thought annual charity benefit celebration included well. “Because Stephanie is able to be about his daughter’s successful surgery: a golf tournament, tennis round robin and active again, her heart rate has improved,” “Several weeks after her surgery, we swim competition, which resulted in a says Dr. Milner. “In fact, she no longer noticed that Stephanie put her right heel generous $15,000 donation for Suburban has any cardiac symptoms.” down on the pavement when she walked. Hospital! Event organizers were pleased with the outpouring of support from “Stephanie exceeded my expectations,” We haven’t seen her do that in more than members, sponsors and guests, most of says Dr. Valaik. “Her new hip has a decade,” he says. “We started to cry.” whom have been touched by breast allowed her to return to all of her daily cancer and recognize the important role activities, including exercise, completely TO LEARN MORE | Watch Dr. Valaik that Suburban Hospital plays in pain-free. I became a physician to help talk about advances in hip replacement preventing, diagnosing and treating this people and make a real difference in surgery at suburbanhospital.org/drvalai k. prevalent disease. 6 | New Directions

Palliative Care Provides Extra Support

When Cooperine Keene, a 42 year old discomfort, symptoms single mother from Upper Marlboro, and stress of serious Md., arrived at Suburban Hospital’s illness. It serves as a Emergency Department in May 2014, complement to primary she never expected to be admitted for a medical treatment. two-month-long hospital stay. Keene, Most insurance plans who was diagnosed with colon cancer a cover all or part of the year earlier, was suffering from crippling treatment, just as with back pain as a result of the cancer other hospital medical spreading to her bones. services. A common Members of the palliative care team, Marie Tax, MSW, and Steven Wilks, MD, discuss pain management with a patient. misconception is that Under the care of an oncology team led palliative care is only for hospice practitioner and the hospital’s full time by Dr. Nicholas Farrell, Keene began patients who are terminally ill. Rather, chaplain, Reverend Barbara McKenzie. inpatient radiation treatments to try to palliative care is for anyone with a stop the cancer from spreading further. “Palliative care is an integrated serious medical condition, regardless of When the pain became unbearable, discipline,” says Dr. Wilks. “There is age, stage of illness, or prognosis. Suburban Hospital’s Palliative Care proven evidence that by pulling together team was called in. What she quickly Because the purpose of palliative care is all of a patient’s information, speaking learned was that, in addition to relief to address distressing symptoms such as directly with their medical team, and from her discomfort, the team provided pain, nausea, fatigue, depression, stress meeting with the patient to understand her with soothing massage therapy, and any of the other problems their needs and fears, we can help patients psychological and emotional support associated with a serious illness, it is and their families cope, improve—and in and assistance with making available for any patient, regardless of some cases—prolong their lives.” arrangements for home care when it their age or prognosis. Suburban For Keene, this made a huge difference in was time to be discharged. Hospital’s palliative care team is led by her outlook. “Dr. Wilks visited me every By definition, palliative care is Steven Wilks, M.D., and includes a single day of my two-month stay,” she comprehensive treatment of the social worker, massage therapist, nurse says. “He sat down and talked to me, explaining what each of my medications was for and what my treatment options “...palliative care is comprehensive were. He arranged for a massage therapist to visit frequently and he even encouraged treatment of the discomfort, symptoms my nurses to take me outside for some much needed sunshine. The entire palliative care team lifted me up and and stress of serious illness. encouraged me, which went a long way in helping me cope with my illness.” “Palliative care incorporates the humanistic reasons I went into medicine. I get to help patients and their families by alleviating suffering every day,” says Dr. Wilks. “I go home happy because my team has made their day a little easier.”

TO LEARN MORE | For more information about palliative care, call Dr. Wilks at 301-896-3139 .

Cooperine Keen, of Upper Marlboro and her son, Lorenzo, enjoy a game of Wii Bowling in her living room. Suburban Hospital | 7

Ask the Expert Pulmonary Diseases Affect Millions of Americans From influenza and asthma to bronchitis changes in thinking such as not waking If you are healthy, the CDC recommends and chronic obstructive pulmonary disease up, irritability or seizures; flu-like you get the 23 antigen pneumococcal (COPD), those living with a lung condition symptoms that improve but then worsen vaccine (Pneumovax 23, Pnu-Immune) include young and old, men and women, with a fever and cough; severe vomiting or once after the age of 65. There is a 13 smokers and abdominal pain; or worsening of a chronic antigen vaccine (Prevar 13), but it is non-smokers. medical condition such as diabetes or a mostly used in younger patients or those Dr. Steven heart condition. who are high risk. Those patients who Kariya, a have health conditions as listed previously pulmonologist I have asthma. Are there any should get a pneumococcal vaccine once and critical care Q additional precautions I between the ages of 19 and 65, and then physician and need to take to protect again at least five years later or after age chair of the myself against infections? 65. Although many doctors (including Suburban A: Many of my asthmatic patients find myself) used to have their patients get Hospital that any respiratory infection or cold can revaccinations every five years, the CDC Provider Quality cause their asthma to get much worse. I now only recommends this for those Committee, encourage everyone to wash their hands without a functioning spleen. Steven Kariya, MD discusses what frequently with soap and water, or cleanse Everyone over the age of 6 months should you need to know about some of the more them with antibacterial hand sanitizers get the annual influenza vaccine. All common pulmonary conditions. that are alcohol based. And everyone Suburban Hospital physicians and should cough or sneeze into their elbows, employees are required to get the flu What are the most not their hands, and wash their hands vaccine annually. Q common pulmonary afterward. If someone with asthma finds conditions you treat? that his/her breathing is getting worse What is COPD and what A: Most of my patients have a cough or with a cold, contact a doctor. Q are the symptoms? trouble breathing, diagnoses of asthma or I often encourage my patients to get A: COPD is a breathing problem COPD, or they need an evaluation of an allergy testing to see if they are allergic to usually related to smoking. Patients can abnormal chest X-ray or chest CT scan. something in their homes or work experience shortness of breath, chronic environments. Some of my biggest cough, or recurrent respiratory infections. When I get a cold, I also get arguments are with patients who are When diagnosing COPD, a physician a lingering cough that can allergic to pets but allow their dogs or cats Q will look for a combination of chronic last for weeks. When do I to sleep with them in their beds. If they bronchitis (chronic cough, often with need to call my doctor? are allergic to their pets, they should ban sputum) and emphysema). Because the pets from their bedrooms. A: When I hear this story, I worry about COPD progresses slowly, many patients whether this person might have believe they are just getting old or slowing undiagnosed asthma. I generally suggest Who should get the down. We have many medications and that adult patients call their doctors if they Q pneumonia vaccine and other therapies to help these patients, but when? have any of the following symptoms: they will not get these therapies if they trouble breathing or shortness of breath; A: The Centers for Disease Control and don’t seek medical attention. fever above 102 degrees; fainting or feeling Prevention (CDC) and other authorities like you are about to faint; coughing up make their recommendations for What are the risk factors blood; change in thinking such as pneumonia vaccine based on whether for COPD? confusion or disorientation; chest pain or Q patients are healthy or have health pressure; severe or persistent vomiting; problems that might affect their ability to A: The major risk factors for COPD are severe sinus pains in the face or forehead; fight off infections (i.e., are immune- smoking and age (usually over 50 years of very swollen glands in the neck or jaw; or compromised) and are therefore high risk. age). Occasionally, patients with chronic symptoms that last for more than 10 days. These include people who have had their asthma can develop COPD. For children, the list should also include: spleens removed, diabetics, or those with bluish skin color; earache or ear drainage; chronic heart, lung or kidney problems. continued on page 8 8 | New Directions

Ask the Expert continued from page 7 surprising how many patients don’t know infections, and often improves after a few What is the difference how to use their inhalers properly. If you days or perhaps a few weeks. Pneumonia is Q between asthma and COPD? aren’t using an inhaler properly, you are an infection of the lung tissue. It may be How are they diagnosed? wasting expensive medications. Along with caused by viral or bacterial infections. A: Patients with asthma frequently have teaching my patients how to use their Pneumonia, especially bacterial, can be childhood asthma and have daily inhalers, I also encourage them to exercise dangerous if antibiotics are delayed. and stay active, to get their immunizations variations in their symptoms. Respiratory infections are most prevalent in regularly, and to maintain ideal body the fall and winter months. Again, I urge They often experience nighttime coughing weight. For some of my patients who have everyone to get the flu shot and the and/or wheezing, and problems with hay low oxygen levels, supplemental oxygen can fever and/or eczema. Many times there is help them live longer and better. pneumonia vaccine, to wash or clean their another family member with allergies hands frequently, to cough into their (asthma, hay fever, or eczema). Their elbows, and to stay home if they are sick symptoms and breathing tests can Do I need to worry about (i.e., fever, constant coughing, vomiting or normalize with treatment. On the other Q new viruses like MERS? diarrhea). Many people are worried about hand, patients with COPD have a history A: Not unless you travel to the Middle tuberculosis (TB). While TB affects 32 of smoking or are older, and develop East or come into contact with someone percent of the world population, the disease breathing problems such as cough with who just came back from that part of the is uncommon in this area, mostly affecting phlegm, shortness of breath with exertion, world and has a bad cold. Any new virus foreign-born individuals. or frequent episodes of bronchitis. Their can worry people, especially public health About Dr. Steven Kariya breathing tests never normalize. officials, but the current feeling is that Dr. Kariya graduated from Harvard College most Americans are at low risk for this When diagnosing asthma or COPD, I and received his medical degree from virus. Again, I would recommend that almost always have patients do spirometry, Cornell University Medical College. He everyone get the flu vaccine, and the a breathing test that measures airflow. completed his internship and residency in Patients blow into a machine that pneumonia vaccine when appropriate. internal medicine at the Johns Hopkins measures how fast they can breathe out, Hospital and his fellowship training in and how much. We compare the patient’s Are there any other pulmonary and critical care medicine at results with what we expect from others to communicable respiratory Brigham and Women’s Hospital, Harvard determine if they have airflow obstruction Q diseases I should be Medical School and the Harvard School of due to asthma or COPD, and how severe concerned about? Public Health. He is a clinical professor of it might be. A: Yes, there are. Doctors classify medicine at George Washington University respiratory infections as upper or lower, and the current president of the How is COPD treated? depending on whether they affect patients Metropolitan D.C. Thoracic Society. Dr. Q above or below the vocal cords. As a lung Kariya serves as a volunteer physician and a A: Most importantly, current smokers specialist, I often see patients with lower member of the Board of Directors at the must stop smoking. There are many respiratory tract infections. Bronchitis is an Mercy Health Clinic for indigent patients. medications that can help patients with infection of the airways, usually associated Dr. Kariya’s office is located at 10605 COPD or asthma. Most of these with cough, shortness of breath, and Concord Street in Kensington. The phone medications are given by inhalation. It’s phlegm. Bronchitis is often caused by viral number is 301-942-2977.

Ride to Conquer Cancer Thousands of cyclists and supporters came out on September 13-14 for the inaugural Ride to Conquer Cancer, which covered more than 150 miles throughout the Baltimore/DC region. Proceeds of more than $1M will benefit cancer programs and research at the Johns Hopkins Kimmel Cancer Center in Baltimore as well as at Sibley Memorial Hospital and Suburban Hospital. View exciting pictures and video from the event at hopkinsmedicine.org/suburban_hospital. It’s not too late to add your support! Contact the Foundation Office at 301-896-GIVE .

Carmen Vogt, RN, trains for the September 150-mile Ride to Conquer Cancer. Register online at events.suburbanhospital.org Suburban Hospita l | 9

Cancer Program Heartwell Programs Events Health, Nutrition, Fitness and Cancer Support Joint & Spine Groups Education Community Outreach Programs and Services Community Flu Nutrition & Weight Clinics Management Community Health Parenting Seminars Workshops Health & Safety Senior Programs

Health Screenings Special Events

Healthy Lifestyles Support Groups Nutrition and Weight Management Healthy Weigh Series Wednesdays | October 15 – December 10 Healthy Choices 8 weeks | 5:30-6:15 pm | $85 HP | Wednesdays October 8 – December 17 Focusing on the building blocks of a healthy diet, HeartWell Programs | Free! 10 weeks | 7-8 pm | $145 HP explore the latest topics in nutrition, exercise and A free community-based health promotion program A 10-week structured program to help you lifestyle issues that can affect weight management. focused on cardiovascular health and wellness through learn a non-diet lifestyle approach to weight Topics include portion size, making healthier screenings, counseling and education programs. management. A Suburban Hospital registered menu options when dining out and bulking up on dietitian will help you get started on the best fiber rich food. Facilitated by licensed/registered “Know Your Numbers” way to achieve a healthy body through nutrition, dietitian. exercise and behavioral skills. Every Tuesda y | 9:30 am-2 pm GSC Nutrition One on One Every Wednesday and Thursday | 9 am-2 pm HP By appointment | Call 301-896-3939 Every Wednesday | 10 am-2 pm MSC $70 per hour SH Meet with a Suburban Hospital HeartWell nurse Register Online for A registered and licensed dietitian will conduct a for counseling on the numbers that are WellWorks Classes! thorough health evaluation and create a important to managing your heart health. personalized nutrition and exercise strategy to Now, it is easier than ever to register for meet your specific health concerns. Young at Heart an upcoming seminar. To view the entire Every 2nd Thursday of the month listing of upcoming events, please visit 11am-Noon HP events.suburbanhospital.org , create Healthy Cooking Series Join the HeartWell nurse to explore strategies to an account and register online! If you have “Best Deal in Town!” any questions, please visit our online Event help keep you Young at Heart . 6-8 pm | $25 per class | $45 for series SH Registration FAQ page or call 301 -89 6-3939. HeartWell in Action | Free! WellWorks class policy applies. Cooking with Food Trends | New! An educational seminar series discussing Tuesday, October 28 strategies for Heart Healthy Living. Class Locations Specialty ingredients such as Chia seeds,

n coconut milk, and tahini look interesting but Fiber is Your Friend BRSC Bethesda Regional Service Center how do you use them in everyday cooking? Wednesday, October 1 | 12:45-1:30pm MSC

o 4805 Edgemoor Lane, Join us for a demonstration that will | GSC i 2nd Floor, Bethesda, MD Tuesday, October 7 11am-Noon incorporate the latest healthy food trends t CBCC Clara Barton Community Center Join the HeartWell nurse for a discussion 7425 MacArthur Blvd, Cabin John, MD into your daily dishes. a FH Friendship Heights Community Center about the health benefits of a high fiber diet.

r 4433 S. Park Avenue, Chevy Chase, MD “Mo’Rockin” Spice Market | New!

t GSC Gaithersburg Senior Center Diabetes – Surviving the Holidays 80 Bureau Drive, Gaithersburg, MD Tuesday, November 18 s Tuesday, November 4 | 11am-Noon GSC HP Join us on an exotic food journey and

i Holiday Park Community Center 3950 Ferrara Drive, Wheaton, MD adventure! Take a culinary tour of Morocco Wednesday, November 5 | 12:45-1:30pm MSC g JELCC Jane E. Lawton Community Center and learn to make tasty, aromatic and Join the HeartWell nurse to discuss strategies 4301 Willow Lane, Chevy Chase, MD e nutritious dishes that you can enjoy at home. for living well with diabetes during the holidays. JHSC Johns Hopkins Health Care and Surgery Center Recipes and strategies for entertaining as well as R 6420 Rockledge Drive, Bethesda, MD stress management techniques will be included. JHWC Johns Hopkins Health Care and Dress up your Greens s Wellness Center Monday, December 8 | 6-8 pm | $25 JHWC Healthy Heart and Mind

s 20500 Seneca Meadows Parkway, | Germantown, MD Salads make the perfect side dish or meal! Support Group New! a LFM Lakeforest Mall Get out of the traditional salad rut with these 4th Tuesday of ever y mont h | 11:30 am-Noo n GSC l 701 Russell Avenue, Gaithersburg, MD delicious combinations of grains, greens, beans 4th Wednesday of ever y mont h | 12:45-1:15p m MSC MSC Margaret Schweinhaut Center and fruit.

C 1000 Forest Glen Road, Silver Spring, MD Join us for a cardiovascular support group for PCC Potomac Community Center individuals and their family members who have 11315 Falls Road, Potomac, MD Fitness Programs heart disease or have experienced a cardiac RSC Rockville Senior Center 1150 Carnation Drive, Rockville, MD Mall Walking Program | Ongoing, Free! event or stroke. This informal, small group SH Suburban Hospital Wednesdays | 8:30-9:30 am LFM setting provides support through open 8600 Old Georgetown Road, Bethesda, MD discussions. SMH Sibley Memorial Hospital Walk your way to good health indoors! 5255 Loughboro Rd NW, Washington, DC Registered participants receive free blood For further information, call 301-896-6507. WP Wisconsin Place pressure screenings and health information. 5311 Friendship Blvd, Chevy Chase, MD 10 | New Directions Register online at events.suburbanhospital.org

Diabetes LITE Education Programs Renew Hope. Better Breathers Club | Free! Thursday, November 13 | 6:30-7:30 pm SH Pre-Diabetes Action Class | New! Donate Blood. Be part of a patient-centered and community- Wednesday, October 1 or November 12 Wednesday, December 3 | 10 am-3:30 pm SH based club that supports persons with chronic 6:30-8:30 pm | $10 SH Giving blood doesn’t require much time. You can lung disease including COPD, asthma, idiopathic Have you been told you have pre-diabetes? help save up to three lives in about an hour. Join pulmonary fibrosis and lung cancer. Families, It’s not too late to take action! Learn how Suburban Hospital for the next American Red Cross friends and support persons are invited to diabetes progresses and what essential lifestyle Blood Drive and give life to someone. To schedule participate. modifications can slow or prevent the onset of your life-saving appointment, call 301-896-2849. diabetes. This class is ideal for anyone diagnosed Mindfulness Meditation with pre-diabetes or at-risk of developing Fridays | October 17 – November 14 diabetes due to family or personal healthy 10-10:45 am | 5-week session | $55 BRSC history. Taught by a registered nurse and certified diabetes educator. Health Assessments A Mindfulness Center instructor will guide Take advantage of both screenings for $60. participants to learn the basics of mindfulness Diabetes Support Group | Free! meditation by focusing on posture, breathing and Cholesterol Screening | $35 energy work. Join individuals living with diabetes and their Osteoporosis Screening | $30 familes to share concerns, stories, resources and Tuesday, December 9 | 4-6 pm SH Learn to Understand Your Anger self-management strategies. New members are welcome and healthy refreshments are served. Cholesterol: Finger-stick method for total Tuesday, October 14 | 7-9 pm | $20 SH Various locations and times available — call cholesterol & HDL cholesterol. No fasting Understand your anger style, its triggers and the 301-896-3939 or visit events.suburbanhospital.org required. Bone Density: A three- to five-minute impact on your health. Discover healthy and to learn more. quick and easy heel test measures bone mass practical techniques for managing your anger in density to estimate your risk of developing everyday situations. Not appropriate for court osteoporosis. By appointment only. Please call referrals. 301-896-3939 . Learn to Manage Your Anger Parenting Seminar | Free! Varicose Vein Screening | Free! Tuesday, October 21 | 7-9 pm | $20 SH Monday, October 20 | 4-6 pm SH Wednesday, November 12 | 6:30-8:30 pm Do you have painful veins in your leg? Swelling or Just One of the Kids: $20 HP discoloration around your ankles? Our vein Raising a Resilient screenings take less than five minutes, and both Learn to manage your anger and handle conflicts men and women can participate. Dr. Andrew in a positive and healthy way. Not appropriate for Family When One of Schulick will examine your legs and answer court referrals. questions about treatment options. Space is Your Children Has a limited and registration is required .

Physical Disability Joint and Spine Education SAVE TH E DATE! Thursday, November 6 SH Registration required; please call 301-896-3939. 2014 Fall Diabetes 6 pm Registration and Refreshments Pre-Operative Spine Class 6:30-8 pm Seminar Wednesdays | October 8 – December 17 Symposium: Food, 2-3 pm | Free SH Registration Requested. Patients scheduled for spine surgery – lower, Medicine and the Quest Register online at mid-back and neck (cervical) – learn pre- events.suburbanhospital.org operative preparation and post-operative care. to Conquer Diabetes or call 301-896-3939. Registration required. and Pre-Diabetes If you have a child with a physical Pre-Operative Joint Class disability, how can you plan your Tuesdays | October 7 – December 30 Thursday, November 13 SH family’s life in a way that is inclusive for 9:30 am-Noon | Free SH 6:30-7 pm Registration & everyone? Most parents whose child has a Patients scheduled for joint replacement surgery physical disability want them to have fun, be or directed by their surgeon to attend prior to Refreshments | 7-8 pm Seminar responsible, make friends, and take scheduling surgery will learn about pre-operative Culinary medicine is an acceptable risks—in short, to feel like “just preparation and post-operative care. Registration required. evolving field that one of the kids”. Join psychologists and incorporates the art of authors of Just One of the Kids , Kay Harris cooking with science to Kriegsman and Sara Palmer as they share Healthy Lifestyles improve health and valuable Freedom From Smoking ® Class well-being. Board-certified advice for Wednesdays | October 8 – November 19 & general internist Daphne any family Friday, November 7 | 7-8:30 pm Keshishian, MD, will discuss with 7-weeks/8-sessions | $95 SH applying the principles of Daphne Keshishian, children For over 25 years, American’s gold standard MD, speaker culinary medicine to the who have smoking cessation program, Freedom From management and a physical Smoking ® has guided thousands of people to gain prevention of diabetes. Discover a world disability. the skills and techniques needed to quit smoking. that lies somewhere between your doctor’s Supported by the Montgomery County Cancer office, the pharmacy and your kitchen! Kay Harris Kriegsman and Sara Palmer Crusade . Register online at events.suburbanhospital.org Suburban Hospita l | 11

Parenting Seminar Touch of Massage Senior Programs Tuesday, October 21 Build flexibility, strength and a healthy heart. More Joy and Less | SH 6:30-9:30 pm $45 per couple Improve your memory and get those joints jumpin’! Through the ancient techniques of Swedish Stress: Parenting with massage, learn how to apply firm but gentle Senior Shape - Weight Training pressure to improve circulation, ease muscle aches, Tuesdays | October 7 – December 23 Courage and reduce tension and improve flexibility. Massages of 10-10:45 am | $30 MSC the face, hands and feet will be demonstrated. Tuesdays & Fridays | October 7 – December 19 UNcommon Sense Dress comfortably and please bring a pillow, 12:15-1 pm | $30 JELCC SH a beach towel and two hand towels . Thursday, October 23 This specialized course is designed to increase 7-9 pm | $15/person | $25/couple Let’s Beat Procrastination! muscular strength, endurance, improve range of motion and balance. Bring weights and a mat. Tuesday, November 11 | 7-9 pm | $2 0 SH Registration: Recognize your procrastination patterns and Senior Shape - Advanced Aerobics ymcaparenting.eventbrite.com learn “how to” techniques to help get results and Tuesdays | October 7 – December 23 Fee waivers available. ultimately reduce your stress! WP 10-10:45 am | $30 Raising children can be Simplify Your Life A certified exercise trainer will lead you through a stressful. Learn positive ways series of low to medium impact aerobic exercises SH Wednesday, November 19 | 7-9 p m | $20 intended to strengthen your cardiovascular system to deal with most common De-clutter and make life simpler! Learn and improve your body’s strength and endurance. parenting situations using this techniques and skills for de-cluttering and de- Bring weights, bands and a mat. evidence-based results- stressing your life. Discussion will include more oriented approach to than just cleaning out your messy closet. Senior Shape - Aerobics/Strength/Stretch Fridays | October 3 – December 19 parenting. The authors of Parenting With Courage and UNcommon Sense , Health and Safety 11:15 am -12 pm | $30 BRSC Join our certified exercise instructor as they Linda Jessup, R.N., and Emory Luce Baldwin, All courses are designed according to current guide you through a series of low-impact M.S., will guide you through common American Heart Association guidelines. aerobic exercises intended to strengthen your parenting situations that Basic First Aid and CPR cardiovascular system and improve your body’s will bring more joy and strength and endurance. Bring weights and bands. Tuesday, October 7 & Wednesday, October 8 pleasure to your family life. Two, 4-hour sessions | 6-10 pm | $85 SH Senior Shape - Advanced Traducción al Español Receive instruction for Adult CPR and treatment Aerobics/Strength/Stretch of bleeding, burns, broken bones and more. For Mondays | October 6 – December 22 disponible. Reasonable laypeople who require CPR credential 11-11:45am | $30 PCC disability accommodations documentation. A certified exercise instructor will lead you available upon request. Linda Jessup, RN CPR for Friends and Family through exercises that increase flexibility, joint Please contact Rob stability, balance, strength and cardiovascular Tuesday, November 4 | 6-9 pm | $75 SH Guttenberg at endurance. Must be able to perform floor work. 301-593-1160 by Receive instruction for adult, child and infant Bring weights, bands and a mat. CPR and choking rescue. AED will also be October 1. discussed. Designed for the general public who Senior Shape - Stability Ball Proceeds fund the want to learn how to save a life. This is a non- Tuesdays | October 7 – December 23 credential course. 11-11:45 am | $30 MSC prevention services of YMCA Youth & Family Heartsaver AED and Adult CPR Focusing on toning and defining your core muscles, our expert trainer will lead you through Emory Luce Services. Thursday, December 4 | 6-9 pm | $75 SH a series of exercises that aims to build better Baldwin, MS Learn the latest AED training and lifesaving balance. Bring an exercise ball and weights. techniques. This course is designed for laypeople that require a CPR credentialed course. Survival Guide for First Time Grandparents | New! Wednesday, November 19 | 6-9 pm | $75 HP Infant, child CPR and choking rescue instruction for first time grandparents. Course will also Scotland Health Partnership: include a refresher on life skills such as diapering, Along with Montgomery County swaddling, feeding and how to soothe a crying Police, Fire and B-CC Rescue baby. Non-credential course. partners, Suburban Hospital celebrated National Night Out Safe Sitter in August. A record number of Saturday, October 18, November 1, community residents joined in November 8 or December 6 | 9 am-4 pm the evening of safe, fun and Registration required | One Day | $95 SH engaging health activities. A comprehensive training course designed to teach babysitting essentials to 11-to 13-year-olds. Course includes tactics for handling emergencies, basic first aid and child-care skills. If you are interested in becoming a Safe Sitter instructor, please call 301-896-2999 for more information. 12 | New Directions Register online at events.suburbanhospital.org

Local Flu Shot Clinics AARP Smart Driver Healthy Holidays: Making a Difference Saturday, October 11 | Noo n- 3 pm Saturday, October 18 or November 15 with Your Diabetes Back to Bethesda | Suburban Hospital Table 1-5:30 pm SH Thursday, November 20 | 1-2 pm RSC Learn defensive driving techniques, new traffic From cranberry sauce to roasted chestnuts, find Tuesday, October 14 | 9-10:30 am laws and the rules of the road. Appropriate out which foods are the healthiest options! Join YMCA Bethesda-Chevy Chase for drivers age 50 and older. The fee, due at the HeartWell nurse Leni Barry as she discusses the challenges that come with living with 9401 Old Georgetown Road, Bethesda the class, is $15 for AARP members, $20 for non-members; please make checks diabetes during the holiday season and learn No appointment necessary. Must be 18 payable to AARP . Bring driver’s license and a specific strategies for overcoming them. pen. Registration required. years or older. Cost is $25. Cash, check and How to Avoid a Broken Heart major credit cards accepted. Wednesday, December 10 | 1-2 pm FH The hospital does not bill Medicare/ Community Health Seminars Learn how to prevent heart disease and modify Medicaid . Receipts are available for All community seminars are free and open to the public. risk factors that can lead to chronic health insurance purposes. Registration requested. Please call 301-896-3939. problems. Dr. Eric Lieberman will answer your questions about practical prevention routines and Questions? Call 301-896-6507 Saving Your Skin state-of-the-art treatment options. Wednesday, October 8 | 1-2 pm FH Visit events.suburbanhospital.org for Changes to your skin are common as you age Suburban Hospital additional locations and schedule changes. and it’s important to stay informed in order to determine when you should see a doctor. Dr. Cancer Support Groups TO LEARN MORE | For more information Roberta Palestine and Dr. Meghan Thomas from Facing Forward: A Post-Treatment about seasonal flu, visit cdc.gov/flu The Dermatology Center and Rockledge Med Breast Cancer Support Group Spa will discuss common skin conditions, what Mondays | October 6, 13, 20 & 27 and to look for between your appointments and November 3 & 10 | 5:30-7 pm | Free JHSC steps that can be taken to protect your skin. This support group for women who have Pilates for Seniors What to Expect During completed treatment within the past year Tuesdays | September 30 – November 4 or Your Hospital Stay addresses the unique feelings and concerns faced by survivors upon the completion of cancer November 18 – December 23 Thursday, October 23 | 1-2 pm RSC treatment. Facilitated by Stephanie Stern, LCSW- BRSC 11:15 am-Noon | 6-week session | $60 Whether you are having major surgery or an C, oncology social worker. Call Susan Jacobstein Pilates for Seniors incorporates gentle outpatient procedure, the prospect of going to at 301- 896-6837 to register. movements to strengthen the core, lengthen the the hospital can be stressful. Alexis Edwards, RN, spine and build muscle tone while improving director of surgical pretesting at Suburban Prostate Cancer Support Group posture and increasing flexibility. Bring a mat and Hospital, will answer your questions and review a Mondays | October 20, November 17 and dress comfortably. Taught by a certified exercise surgical checklist to help you better prepare for December 15 | meets third Monday of each a hospital visit. instructor. month | 7-8:30 pm | Free SH Relieve Your Back Pain Ongoing, monthly support group open to all Tai Chi prostate cancer patients and their families. Guest Tuesday, October 28 | 1-2 pm HP Tuesdays | September 16 – October 21 speakers alternate with informal discussions 4-5 pm | 6-week session | $70 CBCC The newest minimally invasive procedures allow among participants. Drop-ins welcome; for Thursdays | October 30 – December 18 for shorter hospital stays, smaller incisions and a information call Susan Jacobstein at 301-896-6837. 10:30-11:30 am | 7-week session | $75 BRSC return to work and daily activities much sooner. Dr. Quoc-Anh Thai, Johns Hopkins neurosurgeon, Improve your memory, coordination, balance and will discuss back and neck pain from herniated Sibley Hospital flexibility through Tai Chi taught by an instructor discs, spasms and spinal stenosis and treatment from the School of Mind & Body Harmony. Cancer Support Groups options. Wear loose clothing and comfortable shoes. Gynecologic Oncology Support Group Appropriate for beginners. Understanding Parkinson’s Disease Tuesdays | October 14, November 11 and Wednesday, November 5 | 1-2 pm FH December 9 | meets second Tuesday of Zumba ® Gold While the cause of Parkinson's disease is each month | 2-3:30 pm | Free SMH Tuesdays | November 11 – December 16 unknown, recent advances in research have made Renaissance Building, Sullivan Breast Center JELCC 11-11:45 am | 6-week session | $60 a difference for those living with the disease. Dr. Conference Room ® Intended for the active senior, Zumba Gold is a Kelly Mills from the Johns Hopkins Movement This ongoing monthly support group, open to all fun, safe, and effective Latin-and international Disorders Center will give an overview of gynecologic cancer patients, provides a place to inspired fitness program that is easy to follow Parkinson’s along with practical strategies for living meet others with similar experiences and gain and can be done seated or standing. Dress with the symptoms associated with the disease support and friendship. Facilitated by Liz Carrino- such as tremors, slowness and dystonia. comfortably. Tamasi, MSW and Antoinette Solnik, RN. For more Nothing to Sneeze At information and to register, call Liz Carrino-Tamasi Zumba ® Gold-Toning | New! at 202-243-2274. Thursday, November 13 | 1-2 pm HP Wednesdays, October 15 – November 19 Women in Treatment for Breast Cancer 1-1:45 pm | 6-week session | $60 BRSC Have you been dealing with the irritating effects of allergies? Dr. Heidi Isenberg-Feig, allergist with Wednesdays | October 8, November 12 and Tailored for active older adults who want to Johns Hopkins Community Physicians, will December 10 | meets second Wednesday of focus on muscle conditioning and light weight each month | 6-8pm | Free | SMH ® describe the different diagnoses that can come activity, Zumba Gold-Toning blends the fun of from a runny nose, as well as other issues Renaissance Building, Patient Services ® Zumba at a slower pace with a redefining total occurring in older adults such as allergic Conference Room ® body workout using Zumba Toning Sticks to reactions and sensitivity to certain foods and Women in treatment for breast cancer will learn shake up those muscles! Dress comfortably. medications. relaxation techniques, imagery and cognitive Register online at events.suburbanhospital.org Suburban Hospita l | 13

KNOWLEDGE IS POWE R . 16th Annual “Living With Breast Cancer” Symposium: Cancer Programs an d Events Making Healthy Choices The following programs are designed for cancer patients, survivors and their loved ones. | SH Programs are free unless otherwise noted. October 25 8:30 am-Noo n Suburban Hospital Auditorium Surviving Survivorship: Living with Cancer Principles of Immunotherapy in the 8600 Old Georgetown Road, Bethesda, MD | Treatment of Prostate Cancer Saturday, October 11 12-4 pm After a diagnosis of breast cancer, many women | | SH BWI Airport Marriott 1743 West Nursery Monday, Oct. 20 7-8:30 pm incorporate healthy eating, exercise and other Road, Linthicum, MD 21090 Suburban Hospital Auditorium changes into their lives but it can be difficult to This annual conference presented by the Johns Immunotherapy has emerged as a therapeutic know which recommendations are healthy and Hopkins Medicine hospitals, will address your intervention in prostate cancer and other which are hype. Become an informed survivor! unique needs as a cancer survivor or family cancers. Join Ravi A. Madan, MD, Clinical Join cancer nutrition consultant Lynda McIntyre, member. William Nelson, MD, PhD, director of the Director of the Genitourinary Malignancies RD, LD; lymphedema specialist Janet Sobel and a Sidney Kimmel Comprehensive Cancer Center at Branch at the National Cancer Institute, to Whole Foods healthy eating specialist who will Johns Hopkins, will present a vision of cutting edge learn how this exciting new approach differs provide advice on strategies to help decrease the cancer treatment and research. Workshops will from other therapeutic interventions and how risk of recurrence, improve the immune system include taming worry and anxiety, challenges of it can benefit patients. Offered as part of the and optimize health. Open to all breast cancer caregiving, the art of thriving, survivorship from ongoing Prostate Cancer Support Group . survivors, family and friends. Breakfast will be the physician’s view, yoga, and restoring your self- Registration is not required. For information provided. Registration required; visit image. Parking, lunch and the program are all call Susan Jacobstein at 301-896-6837. events.suburbanhospital.org or call 301-896-3939. provided at no cost. Register by October 1 by calling Barry Miller at 410-955-8934.

coping skills and will share experiences. Led by a Yoga for Cancer Survivors Sibley Memorial Hospital Cancer licensed, independent clinical social worker. Wednesdays | November 5, 12, 19 and Program Events/Classes Contact Margie Stohner, LICSW, at 202-686- December 3 & 10 | 6:30-7:45 pm 6335 or [email protected] for more $30 | scholarships available JHSC Meditation and Mindfulness: Practices information and to register. Restore and refresh your body, mind and spirit in to Help Regulate the Stress Response Young Adults with Cancer Support Group gently paced classes that enhance strength, After a Cancer Diagnosis | | | Tuesdays | October 28, November 25 and flexibility and balance. No prior yoga experience Every Tuesday 2-3 pm New Time! Free SMH December 23 | meets fourth Tuesday of necessary. Taught by Maggie Rhoades. Open to all Renaissance Building Conference Room 2 | | SMH each month | 4-5:30 pm | Free SMH cancer survivors. Registration is required. Visit Every Thursday 7-8 pm Free Renaissance Building, Sullivan Breast Center events.suburbanhospital.org or call 301-896-3939. Conference Room 4 Conference Room Skin Cancer Screening Patients, family members and caregivers will learn ways to regulate the stress response, Informal group designed for any cancer survivor Monday, November 3 & Tuesday, November 4 discover a deeper sense of ease and gain a in their 20s or 30s to meet others going through | JHSC 6-8 pm Free greater sense of balance and intentional choice similar experiences and gain support and Join board-certified dermatologists for one of in their lives. No registration or prior friendship. Facilitated by Liz Carrino-Tamasi, these free screenings! Co-sponsored by the Sidney experience needed. Facilitated by Anne Gosling, MSW. For more information and to register, call J. Malawer Memorial Foundation. Registration is PhD. For more information, contact Pam Goetz Liz Carrino-Tamasi at 202-243-2274. required. Visit events.suburbanhospital.org or call at [email protected] or at 202-243-2320. 301-896-3939. Yoga for Women Cancer Survivors Suburban Hospital Cancer Eating Well After Cancer Treatment Every Monday | 7-8:15 pm (call for location) Program Events/Classes/Screenings Tuesday | November 11 | 6-8 pm | Free JHSC Every Wednesday | 9:30-10:45 am SMH Join Kristin Vorel, clinical dietitian, for tips on The following programs are designed for cancer Renaissance Building, Conference Room 2 better eating and a cooking demonstration. Open patients, survivors and their loved ones. Programs New time! | $7 per class | Scholarships available are free unless otherwise noted. to cancer survivors, family and friends. Registration is required. Visit events.suburbanhospital.org or Amy Dara Hochberg teaches weekly meditative, Look Good…Feel Better call 301-896-3939. gentle and restorative yoga using mindful Monday, October 27 | 1-3 pm | Free JHSC movement, balance and breathing techniques to Guided Cancer Nutrition Tour at help women with a history of cancer reduce Women cancer patients in active treatment are Whole Foods anxiety, improve quality of life, and regain sense of invited to participate in this free program that Tuesday, Nov. 18 | 2-3 pm | Free Whole Foods self. Register at www.sibley.org/cancersupport . teaches you how to combat appearance-related Lynda McIntyre, RD, LD, oncology dietitian Walk-ins welcome with cash/check, if space treatment side effects. Trained volunteer specialist, guides this tour focusing on foods that permits. Contact Pam Goetz at [email protected] cosmetologists will demonstrate how to cope are beneficial during and after cancer treatment. or 202-243-2320 with questions. with skin changes and hair loss. Registration is Shopping tips, healthy cooking advice and required. Visit events.suburbanhospital.org or call delicious samples provided by Whole Foods. 301-896-3939. Open to cancer survivors and their family members. Registration is required. Visit events.suburbanhospital.org or call 301-896-3939. 14 | New Directions

Noteworthy! Kaiser Permanente, Johns Awards Presented at Annual Medical Staff Meeting Hopkins Medicine Announce The leaders of the hospital’s Progressive Cardiac Care Unit (PCU), Dr. Amirali Nader, Enhanced Strategic Kimberley Kelly, RN, and Cora Abundo, RN (from left), were presented with the first Collaboration Patient-and Family-Centered Care Leadership Award for their bedside shift-change Kaiser Permanente and Johns Hopkins pilot program. As the first unit Medicine have announced plans to to initiate a program that moves strengthen the successful collaboration change-of-shift reporting from between the two health care the nursing station to the organizations. With the new agreement, bedside, the team was Kaiser Permanente and Johns Hopkins recognized for their commitment Medicine will expand ways to deliver to including patients and their quality care by sharing evidence-based care partners in the health care best practices, advancing population health team. The PCU’s leadership has programs, collaborating on education and embraced the promotion of research endeavors, and exploring how patient- and family-centered care the organizations can work together to at Suburban Hospital with a create better health care models for number of new initiatives. consumers and their communities. Also honored at the dinner were Dr. Barton Leonard and Dr. The agreement between the two health Matthew Leonard for their roles in developing the hospital’s new Clinical Decision care organizations will initially focus on: Unit (CDU). The 16-bed CDU serves as an alternative to discharge or hospital m Sharing best practices and leveraging admission for the ED patient who may benefit from an extended observation period. electronic medical records to Both physicians were instrumental in creating the unit. accommodate the growing need among providers and patients to access clinical information quickly and efficiently. Free Seminar m Strengthening the relationship between Concussion: What You Kaiser Permanente and Suburban Hospital, a member of Johns Hopkins Need to Know about Medicine, by combining their collective Prevention and Treatment expertise to create an advanced model Wednesday, October 29, 2014 of care. 6 pm | Registration and Light Refreshments m Bringing care into the home to meet 6:30-7:30pm | Seminar the evolving needs of patients by Suburban Hospital Auditorium exploring and leveraging technology to 8600 Old Georgetown Road, deliver personalized medicine. Bethesda, MD 20814 m Building on the existing collaboration What is a concussion, what are the between Kaiser Permanente and Johns symptoms and how is it medically Hopkins’ Armstrong Institute for managed? Prevention and management Patient Safety and Quality to advance of concussion is a growing concern for the patient experience and improve parents, but everyone can benefit from treatment outcomes while reducing this panel discussion featuring a neurologist, neurosurgeons, and traumatic brain costs. injury experts. There will be time allocated for a question and answer session. m Pursuing opportunities to develop Panel: educational programs and research- Dr. G. Parikh, Neurologist, NIH Traumatic Brain Injury Program based best practices that benefit the Dr. Quoc-Anh Thai, Johns Hopkins Medicine Neurosurgeon overall health of the people in the Dr. David Lin, Johns Hopkins Medicine Neurosurgeon communities served by both And other members of the NIH Traumatic Brain Injury Program Team organizations. To register, go to suburbanhospital.org/events or call 301-896-3939 . Suburban Hospital | 15

JHC P Update New s inBrief Need a Weekend Appointment? New Programs, Services and Information Johns Hopkins Community Physicians Germantown and North Bethesda now offer Saturday hours from Suburban Welcomes 8:30 a.m. to noon. To schedule an appointment, call New Cancer Specialist 240-912-2738 (Germantown) or 240-314-7080 (North Dr. Armine Smith, a urologic oncologist, recently Bethesda). joined Suburban Hospital’s medical staff. Johns Hopkins Dr. Smith is an assistant professor of urology Community Physicians at John Hopkins University and the director of North Bethesda John Hopkins urologic oncology at Sibley Memorial Hospital. She completed her Welcomes New Providers Armine Smith, MD urologic oncology fellowship at the National Johns Hopkins Community Cancer Institute, where she focused on personalized targeted Physicians North Bethesda therapies for bladder cancer. Dr. Smith is well versed in the latest welcomes internal medicine research and breakthroughs in cancer care including cutting edge physician Annie George, M.D., and surgery and new imaging technology for cancer diagnosis. Annie George, MD family medicine practitioner Khanh Nguyen, M.D. to the practice. Dr. Dr. Smith’s expertise in urologic malignancies includes bladder, George completed her internal prostate, kidney, adrenal, testis and penile. medicine residency at Georgetown Dr. Smith sees patients in the Johns Hopkins Community Physicians’ University Veterans Affairs Medical office in the Sibley Medical Building, suite 300. For appointments call Center and is board-certified in 443-367-4719 . internal medicine. Dr. Nguyen completed his residency at Bremerton Naval Hospital. To schedule an appointment with either provider, please call Khanh Nguyen, MD 240-314-7080 .

Addition Kidney and Liver Garage Transplant Clinic Existing Offered at Johns Hopkins Hospital Community Physicians Downtown Bethesda Transplant surgeon Ben Philosophe, M.D., PhD, is now seeing patients at Johns Hopkins Community Ben Philosophe, MD, PhD Physicians Downtown Bethesda on Campus Enhancement the first and third Thursday of each month. Joining him there are Groundbreaking this Fall Nephrologist Fizza Naqvi, M.D., as well as gastroenterologist and Suburban Hospital will break ground this fall for its campus enhancement hepatologist Kirti Shetty, M.D. project. The plans include more private patient rooms; state-of-the-art operating rooms that will be located on the same floor as the new Please call 410-955-5045 to reach Emergency/; additional parking to include a new garage; the kidney transplant office or better traffic and pedestrian circulation; and needed physician office space. 410-614-2989 to reach the liver Financing for the $225M project requires a commitment of transplant office. organizational reserves, tax-exempt bonds and significant philanthropic Kirti Shetty, MD support from the community. To learn more about how you can impact this important project, including naming opportunities, please contact the Foundation Office at 301-896-GIVE . 16 | New Directions

Non-Profit EMAIL | Sign up for email 8600 Old Georgetown Road Organization Bethesda, MD 20814 U.S. P ostage updates from Suburban Hospital PAID 301-896-3100 Baltimore, at suburbanhospital.or g Maryland suburbanhospital.org Permit 4475

PHYSICIA N MATC H | Need a physician referral? Call Suburban On-Call at 1-855-JHM-3939 or go to suburbanhospital.org and click on “Find a Doctor.” This is a free service provided by Suburban Hospital.

Diabetes Education Visit our Programs Provide New, Improved Practical Tips Web Site! Sibley and Suburban hospitals have Suburban Hospital recently joined forces to offer free education launched a new Web site on the programs for people with diabetes Johns Hopkins Medicine (JHM) and their families. Medical experts Web platform that features many provide the most current enhancements. information on how to successfully manage diabetes day-to-day and Suburban’s Web site allows you to prevent long-term complications. register online quickly and conveniently for hundreds of Monthly support groups are a chance wellness seminars and screenings. to share tips and learn about new A more robust “find a doctor” tool self-management tools and enables you to search for hundreds techniques from health experts. of primary care and specialty care Special pre-diabetes classes offer physicians who are accepting new information on how simple behavior patients. And a robust health changes can help delay, prevent or library features hundreds of reduce risk of developing diabetes. articles on health topics. Also Bi-annual symposiums feature check out our Web site to learn renowned speakers who cover the about numerous clinical trials that latest diabetes topics. For a complete you may be eligible for. list of upcoming programs visit Visit hopkinsmedicine.org/suburban_hospital events.suburbanhospital.org

facebook.com/suburbanh ospital NEW DIRECTIONS | Published quarterly by the MARKETING COMMUNICATIONS | 301-896-2580 Suburban Hospital Marketing Communications Department Ronna Borenstein-Levy l Senior Director for the benefit of the community. It does not replace Debra Scheinberg and Sandy Padwo Rogers l Contributing Writers twitter.com/suburbanh osp medical advice from your physician. Suburban Hospital does Briana Booker l Web Coordinator not discriminate on the basis of race, age, sex, handicap or Carol Ford l Information Specialist plus.google.com/+suburbanhospital religion. To be removed from this mailing list, send us your name and mailing label information c/o New Directions or Joni Blymire l Design youtube.com/suburbanh ospital emai l [email protected] g ©2014 Keith Weller l Photography