DiscoverA publication from MEDSTAR FRANKLIN SQUARE MEDICAL CENTER FALL 2015 MedStarFranklinSquare.org/Discover

Center for Digestive Disease Now Open

FAST BACK PAIN RELIEF

IORT: A NEW OPTION FOR BREAST CANCER

BACK TO SCHOOL TIPS

HOW SLEEP KEEPS YOU HEALTHY

Knowledge and Compassion Focused on You Tips for Getting contents Back Into That School Routine Now that the lazy days of summer are over, are your kids having a rough time adjusting to a new schedule? We asked our pediatricians to weigh in with tips to help you get your children—and yourself— back into the school routine.

Set a Schedule “Establish homework routines, with a quiet area that promotes good study habits. Restrict TV and other electronics until Departments homework is completed, and always supervise computer use. Then, set and keep a consistent bedtime, even on weekends. 3 The Birthplace Remember that children need 10 to 12 hours of sleep a night. 7 Good to Know That can be hard to achieve with too many extracurricular activities. When it comes time to sign up for sports, music 12 Discover Health lessons, etc., be sure you don’t over commit.” Classes and Events –Tia Medley, MD 14 MedStar Health Organize “A few minutes of preparation can keep you from scrambling for things last minute. Try creating a central site for all family Features calendars and schedules to track after-school activities, back-to- 4 A Test That’s Easy to Swallow school nights, etc. At night, lay out clothing for the next day, and pack backpacks, sports bags, lunches and musical instruments. 8 Pain-Free for the First Time Then you’ll have time in the morning for a healthy breakfast, in 50 Years which will help your child be more alert and ready to learn.” 10 Done in One –Stephanie Hemm, MD Focus on Family On the cover Video capsule endoscopy gave Anita Pastan a “If your young child is having difficulty adjusting to school, try new lease on life. not to over react. If you drop them off at school, avoid lingering. Reassure them that you love them and will be back. Family dinner time is important at any age. As schedules fill up, try to make it a priority to sit down for a meal together as a family as often as possible.” –Gaurav Kumar, MD

Stay Healthy “If your child has already started the new school year, he or she should be up-to-date on the immunizations required to be MedStar Franklin Square Medical Center, a member of MedStar Health, enrolled in and attend school. If not, do it as soon as possible. provides safe, high-quality care, excellent service, and education Vaccines are an important step in preventing potentially serious to improve the health of those we serve. We offer a diverse array illnesses. And, flu season is right around the corner, so plan to of specialties and advanced technologies not traditionally found at community hospitals, and make quality health care easy to find with get a flu shot for the whole family as soon as they’re available. more than 40 primary- and specialty-care locations throughout eastern Encourage your child to sneeze into their elbow or a tissue, and Baltimore and Harford counties. to wash their hands frequently.”

Discover is published by the Public Affairs and Marketing department of –Lee Fireman, MD MedStar Franklin Square Medical Center. The information provided in this publication is intended to educate readers about subjects pertinent MedStar Franklin Square Medical Center has to their health and is not a substitute for consultation with a personal physician. For more information, call 855-546-0972. Printed in the U.S.A. board-certified pediatricians seeing patients in multiple Copyright 2015. locations. For an appointment, call 855-546-0972.

2 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 The Birthplace

THE BIRTHPLACE AT MEDSTAR FRANKLIN SQUARE MEDICAL CENTER

Nationally Recognized, Quality Care for Moms and Babies The Women’s Pavilion at MedStar Franklin Square Medical Center, home to the Birthplace at MedStar Franklin Square, just celebrated a record-breaking milestone. The number of babies delivered in the past year topped the charts at more than 3,000. There are many good reasons why so many soon-to-be moms choose MedStar Franklin Square, and two of them have been publicly recognized in recent months.

Best Feeding = Breastfeeding Numerous studies have established the emotional and physical health benefits of breastfeeding for both baby and mother, including: • Mother-baby bonding • Protecting babies from illness • Lowering the risk of childhood obesity • Reducing the mother’s risk for many cancers • Lowering the risk of post-partum depression But some new moms can find breastfeeding challenging. At MedStar Franklin Square, the team provides the tools and continuous support mothers need to successfully breastfeed, including education, a lactation consultant, and a weekly support group for new parents. applauded MedStar Franklin Square for reducing the In recognition of these efforts, MedStar Franklin number of non-medically indicated elective deliveries Square has been designated the first—and only— performed before 39 completed weeks of pregnancy. Baby-Friendly® Hospital in Baltimore. The Baby- Friendly Hospital Initiative, a global program launched New NICU by the World Health Organization (WHO) and the There’s more excitement for babies on the horizon United Nations Children’s Fund (UNICEF), awards the as construction of MedStar Franklin Square’s new coveted five-year designation. Neonatal Intensive Care Unit (NICU) is well underway. Having a baby admitted to the NICU, which cares Full Term = Fully Developed for newborns who are premature or in need of MedStar Franklin Square was also recognized this specialized medical care, can be scary. But when summer for its efforts to protect babies before they it’s needed, MedStar Franklin Square has a level even enter the world. To ensure full development of III B NICU, equipped with state-of-the-art medical the brain, lungs and other vital organs, babies need at technology. When it opens in early 2016, the new least 39 weeks in the womb. Babies delivered before NICU will be more than triple the size of the current full term face an increased risk of lifelong health NICU, and will offer 19 private rooms for patients and challenges including breathing problems, cerebral families. Four of the rooms will have accommodations palsy and learning disabilities. The March of Dimes for twins, in addition to many amenities to provide Maryland-National Capital Area Chapter recently visitors extra comfort and convenience.

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 3 A TEST THAT’S Easy to Swallow New Center for Digestive Disease offers futuristic tests like video capsule endoscopy

T FIRST, Anita Pastan couldn’t believe that swallowing a capsule A the size of a large vitamin pill could determine if any problems were lurking in hard- to-reach places in her digestive tract. But thanks to the advanced treatments now offered at the comprehensive new Center for Digestive Disease at MedStar Franklin Square Medical Center, this seemingly science-fiction approach helped doctors find and treat a polyp in her small intestine that otherwise would have been missed. Germantown resident Pastan has Peutz-Jeghers syndrome, an inherited condition in which people lack a protein that inhibits tumors, putting them at risk for polyps (pre-cancerous growths) and cancer. She suffered from numerous gynecological problems over the years, including fibroids and eventually cervical cancer. However, she hasn’t let her condition slow her down. She continues to be a busy woman, splitting her time between her jobs as a realtor and a promotional marketer, and Anita Pastan can enjoy walking her dog again thanks to Dr. Fleisher’s use of video capsule endoscopy, spending time with her three which found a polyp.

4 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 grandchildren, her horses and her dogs. A. Steven Fleisher, MD, chief of Gastroenterology at MedStar A. Steven Fleisher, MD Franklin Square and medical director of its new Center for Digestive Disease, explains, “People with this syndrome need periodic The new, spacious Center for Digestive Disease is now open and offers patients access to world-renowned colonoscopies and endoscopies gastroenterologists and colon and rectal surgeons in one convenient location. to monitor their condition. Yet these tests leave lots of small around the polyp to allow a the Center’s multidisciplinary intestine in between that we surgeon to readily find and team of experts uses a range of can’t visualize. Video capsule remove it.” groundbreaking non-surgical and endoscopy, in which a tiny minimally invasive techniques. “I first came to see Dr. Fleisher camera and light are embedded Among these is the da Vinci® in a time of crisis,” Pastan recalls. in a capsule about the size of robotic surgical system, which is “I was impressed that he is very a large pill, helps us get views less-invasive, can reduce pain, attentive and persistent, as well of that normally hidden area of decrease recovery time and limit as competent and strong. He the digestive tract. The camera complications. The Center also has a great bedside manner, and takes an image every half-second recently opened its state-of-the-art even gave me his personal cell while it passes through the body. GI/Endoscopy Suite. The procedure is very safe and phone number so I could call there’s no discomfort. It sends him after hours if I needed to. He “We’ve moved all of our offices an electronic image to a receiver and his staff are also flexible and to the new Center so that patients that the patient wears on his or accommodating. His employees can have their evaluation and her belt.” are good at scheduling patients, procedure rooms all in one place,” so I was always seen right away.” Dr. Fleisher explains. “We can be Pastan says, “Dr. Fleisher found even more attentive to the needs a polyp in a difficult spot and Comprehensive Center for of our patients than before, and Digestive Disease Highly Ranked eventually recommended surgery can simply walk across the hall to The new comprehensive to remove it. He marked the area collaborate with our colleagues. Center for Digestive Disease where it was so the surgeon found The Center’s new endoscopic at MedStar Franklin Square it easily.” suites also contain modern opened July 17, 2015. As its equipment, and facilities that are “We found a single polyp about name suggests, it offers care for 80 percent deep into Anita’s meticulously maintained.” a broad range of minor and more small intestine,” Dr. Fleisher complicated digestive problems, The Center includes a new states. “We used a single-balloon including many minimally inflammatory bowel disease enteroscope—a long, thin flexible invasive approaches that replace program with two experienced tube with a light and a camera traditional surgical approaches, gastroenterologists, Linda Ellen on the tip—to try to remove it, such as robotic-assisted Rosenthal, MD, and Jamie Walters, or, failing that, get an accurate procedures and a minimally MD, who specialize in treating location on the polyp so that invasive pancreatic biopsy. these common conditions. a surgeon can remove it. After making several unsuccessful Nationally ranked among the “We also can treat chronic liver attempts to secure the polyp, Top 50 “Best Hospitals” for disease and hepatitis C,” we were able to tattoo the area Gastroenterology and GI Surgery, Dr. Fleisher continues. “We offer

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 5 patients the convenience of a transplant-trained hepatologist MEET THE TEAM (liver specialist) who will hold a MedStar Franklin Square has assembled a team of some of the weekly clinic in our Center for top digestive disease specialists in the area to evaluate and treat very complicated liver diseases. a wide range of digestive disorders: Then, patients who need a liver transplant can receive one at our • A. Steven Fleisher, MD, chief of Gastroenterology, and medical sister facility, MedStar Georgetown director, Center for Digestive Disease Medical Center.” • John Covington, MD, gastroenterologist The new Center follows advanced • P. Jeffrey Ferris, MD, chief, Colon & Rectal Surgery protocols to treat recurrent Clostridium difficile (C. diff.), a • Linda Rosenthal, MD, gastroenterologist condition involving severe diarrhea • Lisa Savoie, MD, co-director, Robotic Surgery Program that is resistant to treatment. Treatment options include fecal • Jamie Walters, MD, gastroenterologist transplants, in which stool is • Ryan Yan, MD, gastroenterologist collected from a donor, mixed with a solution and placed in a patient • Bridgett Donnelly, nurse practitioner via colonoscopy or other method. • Shirley Sample, nurse practitioner This transplant introduces ‘good bacteria’ into the patient’s digestive To learn more or to schedule an appointment, call 855-546-0972. system to fight the disease. Also available at the new center are the latest evaluation and treatment methods for gastroesophageal Digestive Disease reflux disease (GERD), including radiofrequency ablation to treat Treatments a complication of chronic GERD Our providers offer multi-faceted called Barrett’s Esophagus, which procedures and treatment that can lead to cancer. include: Dr. Fleisher concludes, “We also support the bariatric program with RFA ablation for Barrett’s pre-surgical consults, and provide Esophagus general gastroenterology care Diagnosis and treatment of for common problems such as complex digestive cancers irritable bowel syndrome. We have (including endoscopic an experienced, highly dedicated ultrasound) staff that can treat all of these digestive diseases and more with Video capsule endoscopy the finest treatment and equipment Endoscopic esophageal pH test available.” Minimally invasive colon and rectal surgery for malignant Suffering from digestive and benign disease health issues? Visit MedStarFranklinSquare.org/ Advanced robotic colon and rectal surgery Discover to review a list of Sphincter-preserving procedure for rectal cancer symptoms and determine if it’s time to see a specialist. Then call Surgical treatment of inflammatory bowel disease 855-546-0972 to schedule an Treatment of complex anal rectal fistulae appointment.

6 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 Good to Know

STOP SABOTAGING YOUR SLEEP

Research has uncovered evidence that sleep is more critical to our health than previously suspected, and the lack of it is associated with increased risk of a number of medical problems. Make sure you’re getting seven to eight hours a night to promote your health. A surprising number of things can sabotage your sleep. Jacques Conaway, MD, medical director of the Sleep Center at MedStar Tips for a Better Night’s Sleep: Franklin Square Medical Center, shares his tips for resting easy in • Spend 30 minutes in natural • Avoid caffeinated beverages the box to the left. sunlight, wake up at sunrise or after 2 p.m. Check for caffeine use bright lights in the morning in unexpected places. Orange How Sleep Keeps You Healthy to regulate your sleep habits. soda, some flavored waters When you don’t sleep well, and teas, and even decaf your immune system can be • Get at least 20 to 30 minutes coffee have caffeine. compromised, making you more of vigorous exercise daily, but susceptible to infection, and in make sure it’s at least five to six • Cre ate a relaxing routine the long term, increasing your hours before bedtime. before bed, such as a warm risk of getting diabetes, heart or bath, a massage, reading • Stop smoking and avoid vascular disease, or becoming a book, listening to quiet alcoholic beverages before obese. Why does this happen? music or practicing breathing bed. Nicotine and alcohol can Sleep deprivation is associated exercises. disrupt your sleep. with increases in markers of • Make sure you have a inflammation, including cytokines • Avoid large meals and comfortable pillow and and C-reactive protein. Many of beverages before bed. A light mattress. these inflammatory processes snack is fine, but eating too affect your body’s ability to fight off much food late in the evening • Close your bedroom door or infection and are associated with can interfere with sleep. Drink create a subtle background increased risk of heart disease. less before bedtime so that you noise, such as a running fan, to won’t have to urinate as often. help drown out other noises. If you follow these tips but continue to have sleep problems, you may • Limit daytime napping to less • Make your bedroom an have a sleep condition that requires than 30 minutes and before electronic-free zone. medical attention. Speak with 3 p.m. Excessive daytime Electronic media devices your primary care physician about napping can contribute to (e.g., TV, computer, mobile a referral to the Sleep Center at inability to sleep at night. phone, video games) stimulate MedStar Franklin Square. the brain, and using them at • Stick to a regular schedule. bedtime can delay the time it Don’t have a primary care Keep your bedtime and wake takes you fall asleep. physician? We can help. Call time consistent from day to 855-546-0972 to find a day, including weekends. physician near you.

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 7 PAIN-FREE for the First Time in 50 Years Mini-open surgery gives faster relief to back pain sufferers

INDA HILL THOMAS, a 66-year-old resident of Dundalk, is ‘Mom’ not only to two children, Ltwo step-children and a brood of grandchildren and step- grandchildren, but also to her friends’ children. An avid gardener and crocheter, she also wants to keep up with her husband, who is 13 years younger. However, for many years, severe arthritis and chronic pain in her neck and lower back made that difficult. In the 1990s, Hill Thomas had four of her cervical (neck) vertebrae fused, which she recalls ‘hurt like heck.’ The vertebrae in her lumbar (lower back) spine also shifted out of their proper place, compressing the spinal nerves and causing continuous pain. Despite the surgery, she continued to have pain for many years, only getting relief after seeking treatment from neurosurgeon Louis Chang, MD, in May 2014. Dr. Chang, now a part of the neurosurgical team at MedStar Franklin Square Medical Center, describes how he treated Hill Thomas: “I first performed an anterior cervical discectomy An innovative back procedure lets Linda Hill Thomas garden with her granddaughter Harlee without pain for the first time in 50 years. and fusion (ACDF) to treat the

8 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 narrowing of her spinal canal and potentially less pain medication. compression of her spinal cord in I’ve also encountered fewer her neck, above her old fusion. She complications and less blood loss recovered well from that surgery, during surgery.” and her symptoms from her Hill Thomas’s experience is proof. cervical area improved.” “I hardly had any pain after my His work, however, was not yet surgery. My recovery time was done. “Linda was also having Louis Chang, MD Hatem Abdo, MD remarkable,” she exclaims. issues related to her lower back,” he explains. “So months after she Benefits of MIS or Mini-Open Try Conservative Treatments First recovered from her neck surgery I Surgery Surgery for degenerative spine removed bone to decompress the “We’ve seen major advances over disease should be considered only nerves and realigned and stabilized the past several years to allow for when conservative treatments, such her lumbar spine.” minimally invasive surgery (MIS) or as physical therapy and lifestyle ‘mini-open’ approaches,” Dr. Chang modifications, have failed. Dr. Chang used a ‘mini-open’ explains. “Some people think we technique in which he removed use an endoscope or laser, neither “However, people don’t need to bone and placed implants, without of which is accurate. Very few spine wait until they’ve failed conservative having to make a large incision surgeons in Baltimore offer these treatments to see me, because or going through scar tissue from techniques, in part because there I can guide them to treatments her old surgery. “She has been is a steep learning curve for this that are likely to work for their doing remarkably well after both approach.” condition,” comments Dr. Chang. “If surgeries, with significant reduction their symptoms persist or worsen Hatem Abdo, MD, a neurosurgeon in her pain and symptoms,” he and their quality of life continues to and Dr. Chang’s colleague, adds, shares. decline, they should weigh the risks “Traditional lumbar fusions usually and potential benefits of surgery “I think the world of Dr. Chang,” cut through major muscles and and decide if it’s right for them.” Hill Thomas exclaims. “He fixed me remove large amounts of bone where no one else would. I can’t and joints. Instead, we go between Hill Thomas remarks, “I can work in say enough about him. He’s easy tissue and muscles, sparing as my yard and my garden again. And to talk to and caring, gentle and much as possible, which is far less now I can take my grandchildren to thoughtful—everything you’d want traumatic.” the park. Dr. Chang gave me a new in a doctor. I knew he was the right lease on life.” Dr. Chang adds, “It’s exciting one when I first met him.” to be at the forefront. I can see To learn more about “What he’s done for my life is the difference MIS makes in my neurosurgery services or to remarkable,” she concludes. “I’m patients. They have shorter hospital schedule an appointment, free of pain for the first time in stays, quicker recovery, less visit MedStarFranklinSquare/ 50 years!” pain after surgery and therefore Discover, or call 855-546-0972.

NEUROSURGERY part of Dr. Miele recently completed a TEAM GROWS MedStar fellowship in orthopaedic spine Franklin Square surgery at the Johns Hopkins GOOD NEWS FOR Medical Medical Institutes. He received Center, the PATIENTS his medical degree from Tuffs team sees University School of Medicine This past summer, renowned, patients near and completed his Neurosurgery neurosurgeons Hatem Abdo, MD, the hospital and Louis Chang, MD, welcomed William Miele, MD and will soon residency at Tufts Medical a new colleague—William be moving their practice to the Center, serving as chief resident Miele, MD, on board. Now a hospital campus. in his last year.

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 9 DONE IN ONE Radiation therapy during a lumpectomy is a new option for some women

HEN she’s not that idyllic lifestyle to a halt. “When she was a godsend. She takes working or you hear the word ‘cancer,’ your her time, draws you pictures to spending time whole world falls apart,” she says. illustrate what she’s saying and with one of her lets you get your feelings out. W “After my mammogram, I had a 15 grandchildren or 21 great- She’s wonderful.” biopsy that confirmed that I had grandchildren, Middle River’s Stage 1 breast cancer, meaning Lewis was fortunate to be at Joyce Lewis can often be found that it was confined to one small one of the few medical centers watching birds from her porch or area,” she recalls. “Luckily, I saw offering a new highly targeted fishing on her boat. But in the fall Dr. Kristen Fernandez, a breast type of radiation therapy of 2013, she found a lump in her surgeon at MedStar Franklin treatment called Intraoperative breast that temporarily brought Square Medical Center, and Radiation Therapy (IORT). With IORT, select patients undergoing a lumpectomy, in which only a portion of the breast is removed, receive a single dose of radiation following the procedure. Dr. Fernandez, Breast Center director, explains, “With IORT, women get their surgery and radiation therapy completed on the same day. The radiation oncologist comes into the OR immediately following the lumpectomy, and gives a single dose of radiation therapy before I close the lumpectomy incision. The woman avoids having to wait several weeks after her lumpectomy to receive radiation therapy, and has everything taken care of in a single procedure, rather than having radiation administered over five Joyce Lewis got back to fishing in Middle River sooner thanks to IORT, a new treatment for select breast cancer patients. to six weeks.”

10 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 Lewis and her husband Jim enjoy a quiet afternoon by the water.

Generally speaking, women who bookkeeper. “When Dr. Fernandez are good candidates for IORT first suggested IORT I was hesitant, MEET THE are post-menopausal and have but I researched it and decided early-stage breast cancer with a it was right for me. I didn’t have BREAST HEALTH small tumor that has been caught to miss any work, compared to TEAM at an early stage—before it has having to undergo radiation spread. Possible candidates meet therapy twice a week for six weeks. MedStar Franklin with the surgeon and a radiation And if my cancer were to recur, I Square Medical Center’s oncologist before the operation. could still get traditional radiation multidisciplinary team is committed to helping both therapy to treat it.” “We’ve women and men manage performed Studies have found that IORT the diagnosis and treatment the procedure survival rates are comparable to of breast cancer and other on about those with traditional radiation. diseases of the breast. 50 carefully It kills any tiny cancer cells that Breast surgeons Kristen selected women might be remaining at the tumor Fernandez, MD, and Atsuko in the past site—the area where cancer is most Okabe, MD, are joined by specialized radiologists, Kristen Fernandez, MD 18 months,” likely to return. notes a pathologist, breast Dr. Fernandez. “IORT allows us to “I’ve had no side effects and I feel reconstruction surgeons, deliver more targeted radiation pretty good,” Lewis states. “I’m a radiation oncologists, medical directly to the spot where the survivor, and everything went so oncologists, nurse navigators, tumor was. It only takes about well. And my husband has been nutritionists, genetic 30 minutes, and women go home a great support. We laughed, we counselors, physical therapists the same day. The side effects are cried and he was by my side every and certified lymphedema typically limited to some soreness minute.” therapists. Services are offered in two locations: the and scar tissue, similar to the side “The whole team at the Breast MedStar Franklin Square effects of lumpectomy alone. With Center is outstanding,” she campus and Bel Air. traditional radiation therapy, the exclaims. “No matter what issue or entire breast receives radiation, concern you have, they’ll take the Call 855-546-0972, or visit which can affect surrounding areas, time to talk to you. If any woman is MedStarFranklinSquare.org/ such as the heart and lungs.” considering IORT, I would strongly Discover to learn more or to “I almost never miss a day of recommend it. It can give you your schedule an appointment. work,” says Lewis, a 66-year-old life back.”

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 11 Discover Health

Community Lectures and Class Schedule At MedStar Franklin Square Medical Center, we care about the health and wellness of our community. One of the ways we try to keep you healthy and active is by offering special classes, lectures and screenings. Join us, and learn how you can stay healthy for life.

BIRTH AND FAMILY Infant Care Weekend Express EDUCATION and Safety Class Sunday, Sept. 20; Saturday, For expectant parents, new Oct. 17; and Saturday, NEW! To register, call parents, grandparents, Nov. 14 888-74-OBTLC and babysitters. Learn $100 per couple (includes Giant Store Tours (877-746-2852) unless lunch vouchers and snacks) basic infant care and safety In partnership with otherwise noted. measures. Sibling Class the Family Health Tuesday, Sept. 1 and Birthplace Tours at Teaches children ages Center at MedStar Wednesday, Nov. 18 MedStar Franklin Square 3 to 8 what to anticipate Franklin Square, 6:30 to 9:30 p.m. Expecting? Take a free tour when their new sibling the Rosedale Giant $30 per couple of our facilities and learn joins the family. is offering free store what we have to offer. Infant/Child CPR Sunday, Nov. 15 tours. Learn how to Tuesday, Sept. 1 and Choking 1 to 2:15 p.m. shop and eat for a 5:30 and 7:30 p.m. Thursday, Oct. 15 $20 for first child, $10 healthy heart. Saturday, Sept. 26 and 6:30 to 9:30 p.m. each additional child No need to register; Sunday, Sept. 27 $45 gather in produce 11:30 a.m. and 1:30 p.m. Classes-to-Go department five Tuesday, Oct. 6 Infant/Child CPR Prepare for a new baby in minutes prior to and First Aid 5:30 and 7:30 p.m. the comfort of your own the tour time. Two classes covering home with DVDs Sunday, Oct. 31 Tuesday, Oct. 13 infant/child CPR and first and books. Visit 11:30 a.m. and 1:30 p.m. 1 to 1:45 p.m. aid. Classes can be taken MedStarFranklin Sunday, Nov. 1 Saturday, Nov. 7 separately or together. Square.org/Classes for 11:30 a.m. and 1:30 p.m. 10:30 to 11:15 a.m. Saturday, Nov. 21 a list of available titles. Tuesday, Nov. 3 Thursday, Dec. 3 9 a.m. to 5 p.m. Stroller Strides 1 to 1:45 p.m. 5:30 and 7:30 p.m. $45 per class/$70 both A stroller fitness class for Saturday, Nov. 28 classes (per person) 11:30 a.m. and 1:30 p.m. mothers and mothers-to- Free Flu Shots Prepared Childbirth be. Stay in shape, spend 9th Annual Drive Breastfeeding: Facts, Classes time with your child and Through Flu Myths and Techniques at To get ready for a new meet other mothers. Vaccination MedStar Franklin Square baby, first-time expectant Monday through Friday Clinic. Get a free Designed to prepare you parents will learn about 9 to 10 a.m. flu shot from a to feel comfortable and labor and delivery, the Fee applies. Sponsored by MedStar Franklin confident breastfeeding. birth partner’s role and MedStar Franklin Square Square nurse Monday, Sept. 14; relaxation techniques. Medical Center, walking without even having Thursday, Oct. 8; and We offer two options: takes place at White to get out of your car. Thursday, Nov. 5 Four-Week Series Marsh Mall and Honeygo CCBC-Essex campus 6:30 to 9:30 p.m. Thursdays, Sept. 3 Regional Park. Sunday, Nov. 1 $30 through 24; 8 a.m. to noon Wednesdays, Oct. 7 through 28; and Mondays, Nov. 2 through 23 6:30 to 9 p.m. $85 per couple

12 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 Prenatal/Postpartum SUPPORT GROUPS Cancer Support Group Circle of Friends Cancer Yoga — 4-Week Series Open to patients Support group Openly explore and Alzheimer’s Caregivers’ diagnosed with any For people battling cancer strengthen your mind, Support Group type of cancer and their with chemotherapy. body and spirit through Co-sponsored by the families or caregivers. BCAUSE (Breast Cancer the journey of pregnancy Alzheimer’s Association. Monthly, second Tuesdays and U Support and and beyond. Caregivers of those with Sept. 8; Oct. 13; and Encouragement) Tuesdays, Sept. 8 through Alzheimer’s disease or Nov. 10 5:30 to 7 p.m. For women ages 40 and 29; Oct. 6 through 27; and other dementia-related To register, call younger at different Nov. 3 through 24 disorders are welcome. 443-777-7395. stages. 6 to 7:15 p.m. Monthly, second Mondays Diabetes Support Group­— $60 per person for Sept. 14; Oct. 12; and Lunch and Learn Series 4 weeks Nov. 9 7 to 8:30 p.m. WELLNESS AND Open to all diabetes and PREVENTION Prenatal and Bariatric Support Groups those who support them. Postpartum Massage For people who have had Monthly, second Bariatric Education Offered through or are planning to have Wednesdays Seminar at MedStar Outpatient Physical bariatric surgery. Spouses, Sept. 9—Diabetes and Franklin Square Medicine and family members and Stroke Risk; Oct. 14—Why For anyone interested in Rehabilitation. friends are welcomes. Do I Need a Primary Care having/learning about Available weekdays by Monday, third Physician? Noon to 1 p.m.; bariatric surgery. Explore appointment. Wednesdays Nov. 11—Diabetes Holiday the options and determine Call 443-777-7750. Sept. 16—After Surgery: Cooking Demo 5:30 p.m. if you are a candidate for $55/1 hour, The Psychology of Lung Cancer bariatric surgery. $30/30 minutes. Success; Oct. 21—Eating Support Group Sept. 4, 10 a.m. to noon Gift certificates Healthy on a Budget; Lunch for and esophageal Sept. 9, 6 to 8 p.m. available. Nov. 18—Celebrating patients and their families Sept. 16, 6 to 8 p.m. the Holidays, Bariatric or caregivers. Sept. 23, 5 to 7 p.m. Bootcamp 4 to 5:30 p.m. CANCER CARE AND Bi-monthly, last Thursdays Oct. 14, 6 to 8 p.m. PREVENTION Breast Cancer 5:30 to 7 p.m. Oct. 21, 6 to 8 p.m. Support Group Oct. 28, 5 to 7 p.m. Stroke Club Lung Cancer Screening Sharing, support and Nov. 6, 10 a.m. to noon For individuals who have Program education for breast Nov. 10, 6 to 8 p.m. had a stroke and their Lung cancer has no cancer patients. Nov. 18, 6 to 8 p.m. families or caregivers. symptoms in the early Monthly, fourth Nov. 25, 5 to 7 p.m. stages. Early detection is Monthly, first Thursdays, Wednesdays Stop Smoking Today possible with a low-cost alternating between Sept. 23; Oct. 28; and Get the extra boost you lung screening CT scan. MedStar Franklin Square Nov. 25 6:30 to 8 p.m. need to quit for good. The scan is painless and Medical Center and 443-777-2507. This five-week course is takes about five minutes. MedStar Good Samaritan taught by an experienced You may be a candidate if: Breast Cancer: Survivors Hospital certified tobacco • You are between the Offering Support Sept. 4; Oct. 1; and Nov. 5 treatment specialist with ages of 55 and 77 One-on-one mentoring 1 to 2:30 p.m. a proven approach to • You have a smoking that matches breast cancer Walk-ins are welcome. smoking cessation. history of at least survivors with women Call for upcoming dates. 30 pack-years (i.e., a newly diagnosed with the HARFORD COUNTY Free if you live, work or pack of cigarettes per disease. SUPPORT GROUPS pay tuition in Baltimore day for at least 30 years, Call 443-777-2505 to County. or two packs a day for at become a mentor or find Meetings take place at least 15 years) your own mentor. 104 Plumtree Road, Suite 108, Bel Air. •  You are either still Breastfeeding and smoking or quit less than Call 410-515-6400 for New Moms dates and times. 15 years ago Get support, advice To schedule an and tips from newborn appointment at a providers, lactation staff MedStar location near and other new moms. For the most up-to-date list of classes and events you, call the MedStar Weekly, Tuesdays, 6 to visit, MedStarFranklinSquare.org/Discover or Health Cancer Network 7:30 p.m. To register, call call 855-546-0972 to register. at 877-715-4673. 443-777-7427.

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 13 News from Around MedStar Health

CANCER Catch breast cancer early. Get screened. WHEN BREAST CANCER IS • Mutations of certain genes the same side of the family found in its early stages, • A personal history of breast had the same or related treatment is much more likely cancer cancers (e.g., breast and ovary to be successful. That’s why it’s or colon and uterine),” says The MedStar important to get screened. For Emily Kuchinsky, MS, CGC. Health Cancer most women, the American Network offers Cancer Society recommends: For a free genetic risk free genetic risk consultation, call 443-777-7656. • Yearly mammograms starting consultations at age 40 with our • Clinical breast exams every Emily Kuchinsky, MS certified genetic Ready to get screened? three years for women in their counselor to determine your To make a mammogram appointment, 20s to 30s and every year risk for breast cancer and help call 877-715-HOPE (4673). If you starting at age 40 you decide if genetic testing is are uninsured or underinsured and appropriate. “Consider a genetic a resident of Baltimore City, you Some women may need to start risk assessment if you have had may qualify for free breast cancer being screened earlier or may cancer at a young age, if you or screenings. Call 410-350-2001 to need more frequent screening or a close family member had more learn more. additional types of testing. These than one kind, or a rare type of include women with: cancer (ovary, pancreas, etc.), or • A family history of breast cancer if two or more close relatives on

HEART Wrist approach for cardiac catheterization means faster recovery IN TRADITIONAL CARDIAC it because they can sit up and “The transradial approach feels catheterization, which is used to walk out the door immediately like having an IV inserted,” adds diagnose and treat coronary artery after the Dr. Siddiqi. “It’s typically more disease, a catheter is inserted procedure. With comfortable than insertion through the femoral artery in the the femoral artery through the femoral artery.” groin and guided to the arteries approach, they The doctors of the MedStar Heart in the heart. But the doctors at must lie flat in one & Vascular Institute are some MedStar Heart & Vascular Institute position for two to of the most experienced in the are using a newer, safer approach six hours.” Nauman Siddiqi, MD region with transradial cardiac known as transradial cardiac Other advantages of transradial catheterization. Most patients catheterization. cardiac catheterization include: are candidates for this approach, “We use a small needle to insert and it’s especially beneficial for • L ower risk of bleeding the catheter through the radial patients who are overweight, have complications artery in the wrist,” explains peripheral artery disease or back Nauman Siddiqi, MD, one of • Less time spent in the hospital problems that make it difficult to the Institute’s interventional • Faster overall recovery lie flat for a long period. cardiologists. “Patients prefer • Less discomfort

To make an appointment at the MedStar Heart & Vascular Institute, call 877-74-HEART (877-744-3278).

14 Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 ORTHOPAEDICS When is the right time to have joint replacement surgery? IF YOU’RE LIVING WITH But things have changed,” • Are your symptoms putting you chronic pain in your hips, knees explains Scott Berkenblit, MD, at risk for falls or other accidents or other joints, you may be PhD, a fellowship-trained hip at home or at work? considering joint replacement and knee surgeon with MedStar • Are non-surgical treatments surgery. But how do you know Orthopaedics. “With advanced like medications and physical when the time is right for you? techniques and minimally invasive therapy no longer helping? The primary goal options, we can perform the If you answered yes to any of this surgery is surgery and get the patient back of these questions, talk to an pain relief, and to their lives much sooner with orthopaedist to learn if joint restoring the less pain, leaving them to wonder replacement could be the best ability to take part why they waited so long.” choice for you. in the activities Ask yourself these questions: Scott Berkenblit, MD, you want and PhD • Have you had to modify your For more information about need to do each lifestyle and forgo doing the MedStar Orthopaedics, visit day. “People may be hesitant things you enjoy, or have to MedStarOrtho.org or call to consider joint replacement do for your job because of 877-34-ORTHO (877-346-7846). surgery, remembering a parent joint pain? or grandparent’s experience.

Medical Care When You Need It, Where You Need It.

MedStar PromptCare, a network of urgent care centers, provides medical care for injuries and illnesses that are not life-threatening, as well as physicals (sports, camp and pre-employment), concussion evaluations, flu shots, laboratory, and X-ray services. CENTRAL MARYLAND REGION Belcamp Perry Hall Towson 1321 Riverside Pkwy. 8605 Ridgely’s Choice Dr. 6317 York Rd. 410-297-2380 PHONE 410-248-2310 PHONE 443-777-6890 PHONE Federal Hill Pikesville 1420 Key Hwy. 1419 Reisterstown Rd. 410-230-7800 PHONE 410-415-2100 PHONE WASHINGTON METRO REGION Adams Morgan Capitol Hill Gaithersburg 1805 Columbia Rd., NW 228 7th St., SE 12111 Darnestown Rd. 202-797-4960 PHONE 202-698-0795 PHONE 301-926-3020 PHONE Alexandria Chevy Chase Wheaton 3610 D King St. 5454 Wisconsin Ave. 11915 Georgia Ave. 703-845-2815 PHONE 301-215-9420 PHONE 301-942-4505 PHONE MedStarPromptCare.org

Discover MEDSTAR FRANKLIN SQUARE MEDICAL CENTER Fall 2015 15 Nonprofit Org. U.S. Postage PAID Baltimore, MD Permit No. 4534

9000 Franklin Square Drive, Baltimore, MD 21237 MedStarFranklinSquare.org/Discover | 855-546-0972 Our cancer care was just rated as the gold standard.

About 50 hospital systems in the country have achieved network accreditation from the Commission on Cancer. We’re proud to be one of them. It means we have exceeded expectations in meeting quality care standards and have maintained a high level of excellence in delivering comprehensive, patient-centered care. Here, you’ll have access to clinical trials, new treatments and genetic counseling. We also offer services such as psycho-social support, patient navigation and survivorship care. All provided by 500 experts in the four Baltimore MedStar Health hospitals –all dedicated to providing care that’s focused on you.

Visit MedStarCancer.org or call 877-715-HOPE (4673) to learn more about our physicians and services.

MedStar Franklin Square Medical Center MedStar Good Samaritan Hospital MedStar Harbor Hospital MedStar Union Memorial Hospital