2017 WINTER

Advanced Microsurgery Restores Wrist Function

Making Pioneering Strides in Coronary Care

Living Pain Free Without

HEALTHY HABITS How to Strengthen Your Immune System MedStar Union Memorial Hospital 1 [CONTENTS] WINTER 2017 LETTER FROM THE PRESIDENT

On behalf of your medical teams at MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital, I wish you a healthy and safe 2017. As we enter into this new year, we remain centered on continuing to provide our patients the right care, in the right setting, at the right time. FEATURES At MedStar Good Samaritan and MedStar Union Advanced Microsurgery Memorial, we have been at the forefront of this 4 Restores Wrist Function reinvention by working in harmony across both campuses to provide our patients with seamless Making Pioneering Strides care. Many of our patients have experienced 8 in Coronary Care treatment at both of our hospitals, such as when patients have cardiac surgery at MedStar Union Living Pain Free Memorial followed by cardiac rehabilitation at 10 Without Surgery MedStar Good Samaritan, or when patients come to the MedStar Good Samaritan Emergency department with a hand injury and are transferred to The Curtis National Hand Center at MedStar DEPARTMENTS Union Memorial. In these types of cases, our medical and clinical staffs work collaboratively 3 WHAT’S NEW to give our patients the best experiences to help them heal and return to their normal routines as 7 HEALTHY HABITS much as possible. 12 STAYING ACTIVE  This dedication to our patients is what drives us 13 CANCER UPDATE to work together, not only to provide the best access to care but also to be on the forefront of innovative 14 CLASSES AND EVENTS treatments. At MedStar Good Samaritan, we are proud to offer a new procedure for uterine fibroid embolization that is performed through the wrist. On the cover: Zachary Zelefsky was able to get back to his active life, thanks to a surgical procedure only available in the At MedStar Union Memorial, through the MedStar U.S. at MedStar Union Memorial Hospital. Heart & Vascular Institute, we now offer absorbable cardiac stents. By working collaboratively, we’re able to provide access to these innovative treatments, whether it’s in the communities that we serve or MedStar Union Memorial Hospital, located in northeast Baltimore City, is a regional specialty and teaching hospital. It is known nationally for throughout the region. Thank you for trusting us The Curtis National Hand Center, MedStar Heart & Vascular Institute, with your healthcare needs. MedStar Orthopaedics, and the development of the first hospital-based sports medicine program in the nation. Make MedStar Union Memorial Hospital your destination for world-class health care. In good health, Destinations is published by the Marketing and Communications department of MedStar Union Memorial Hospital. The information provided in this publication is intended to educate readers about subjects pertinent to their health and is not a substitute for consultation with a personal physician. For more information, call Bradley S. Chambers 855-546-2105. Printed in the U.S.A. Copyright 2017. President, MedStar Good Samaritan Hospital President, MedStar Union Memorial Hospital Senior Vice President, MedStar Health Find us on Twitter: @MedStarUMH

2 Destinations | WINTER 2017 [WHAT’S new]

CONGRATULATIONS TO MedStar Union Memorial Hospital’s Baltimore magazine TOP DOCTORS for 2016

altimore magazine recently published its Top Doctors issue for 2016. The physicians honored with this title are chosen by their peers, who respond to survey questions B such as: What physician would you send your own family member to?

We are proud to announce that 48 physicians from MedStar Union Memorial Hospital were recognized as Top Doctors by the magazine. Congratulations to the following physicians: • Paul Asdourian, MD – Orthopaedic • Nicholas Mantel, MD – Anesthesia Surgery: Spine • Stuart Miller, MD – Orthopaedic • Raja Ayash, MD – Pulmonary Surgery: Foot & Ankle • Henry Boucher, MD – Orthopaedic • Mahsa Mohebtash, MD – Hematology Surgery: Joint Replacement and Medical Oncology • Greg Burgoyne, MD – • Marc Mugmon, MD – Medical Cardiology • Wayne Campbell, MD – Infectious Disease • David Nasrallah, MD – General Surgery • Issam Cheikh, MD – Endocrinology • Joe Puthumana, MD – Hospitalist • Luis Dibos, MD – Cardiac Surgery • Salim Rizk, MD – Critical Care • Zeena Dorai, MD – and • Paul Sack, MD – Endocrinology Pediatric Neurosurgery • Waiel Samara, MD – Internal Medicine • Frank Ebert, MD – Orthopaedic Surgery: • Lew Schon, MD – Orthopaedic Surgery: Joint Replacement Foot & Ankle • Mike Fiocco, MD – Cardiac Surgery • Sudhir Sekhsaria, MD – Allergy • Moji Gashti, MD – Vascular Surgery • John Senatore, MD – • Dipin Gupta, MD – Thoracic Surgery • Carlton Sexton, MD – Radiology • Vinay Gupta, MD – Hepatobilary Surgery • Richard Shapiro, MD – Anesthesia and Surgical Oncology • Sue Shiber, MD – Cardiac Anesthesia • Greg Guyton, MD – Orthopaedic Surgery: • Allan Shikani, MD – Otolaryngology Foot & Ankle • Manau Singla, MD – Allergy/Immunology • Rick Heitmiller, MD – Thoracic Surgery • Peter Sloane, MD – Critical Care and • James Higgins, MD – Pulmonary • Peter Innis, MD – Hand Surgery • Brian Swehla, MD – Interventional Radiology • Allan Jensen, MD – • Dan Teklay, MD – Emergency Medicine • Chris Kearney, MD – Palliative Medicine • Justin Tortolani, MD – Orthopaedic Surgery: • Camille Kodsi, MD – Anesthesia and Spine Cardiac Anesthesia • John Wang, MD – Interventional Cardiology • Rich Lebow, MD – Pediatric Emergency • Cindy Webb, MD – Emergency Medicine Medicine and Pediatric Emergency Medicine • Brad Lerner, MD – Urology • David Widlus, MD – Interventional Radiology • Momina Mastoor, MD – Medical Cardiology • Neal Zimmerman, MD – Hand Surgery

For a referral to a physician who can address your healthcare needs, call 855-546-1191 or visit MedStarHealth.org/BaltimoreTopDocs.

MedStar Union Memorial Hospital 3 because it was so far along, my treatment options were limited. I was shocked.”

Kienbock’s disease is an Advanced Microsurgery extremely painful and debilitating condition that occurs when the blood supply to one of the small bones in the wrist, the lunate, is Restores Wrist interrupted. Since bone is living tissue that requires a regular and an supply of blood for nourishment, Active Life the bone can die if the blood Function ... supply stops. This is called avascular necrosis. Damage to the lunate causes a painful, stiff wrist and, over time, can lead ZACHARY ZELEFSKY HAD to arthritis and loss of function, always been active. He’d also had even at a young age. his share of injuries over the years. The disease progresses slowly “I played sports in high school and many people do not decide and as I got older I got into to see a doctor until they have running and biking.” lived with symptoms for a while. The cause is not known and So when he started having pain anyone can develop Kienbock’s in his wrist a couple of years ago, though it typically affects male he assumed it was temporary and patients in their teens or 20s. would go away. At the time he was diagnosed, Zelefsky was 27. “I had a minor wrist sprain after a bike fall and thought The treatment choices for that might have had something Kienbock’s disease depend on to do with it. But it never healed several factors, in particular how and, over the course of a couple far the disease has progressed. of years, the pain got worse,” Additional factors that are he explains. “I was losing basic considered include the patient’s strength and couldn’t bear activity level, personal goals any weight. It was limiting my and the surgeon’s experience. physical activity and interfering with my life.” That’s when he “Based on my condition, the decided to get it checked out. doctor suggested what is called a proximal row carpectomy, which Unfortunately, the relief Zelefsky involves completely removing needed took him a while to find. three bones of the wrist to “The first hand specialist I went relieve pain,” Zelefsky explained. to took X-rays and diagnosed me “However, it would have left me with advanced Kienbock’s disease,” Zelefsky’s wrist works just fine now, thanks with a nonfunctioning wrist. That’s he says. “He also informed me that to Dr. Higgins. not an outcome a doctor wants

4 Destinations | WINTER 2017 Today, Zelefsky is once again enjoying his long weekend bike rides.

ABOUT THE CURTIS NATIONAL HAND CENTER Since 1975, people all over the world have placed their hands in ours—The Curtis National Hand Center. From repairing traumatic injuries to treating repetitive motion injuries, arthritic conditions and congenital differences, our goal is to restore FAST FACT: the patient’s use of the hand, The Curtis National wrist, , elbow and shoulder Hand Center at to the greatest degree possible. MedStar Union Our long history of experience, Memorial Hospital outstanding medical staff and is the only U.S. state-of-the-art facilities combine center able to treat to create a treatment center that Kienbock’s disease is the first choice in caring for through advanced the hand or arm, no matter how microsurgery. common or complex. The Curtis National Hand Center is home to the country’s largest when the patient is young, and we talked about some salvage collection of hand surgeons and it didn’t appeal to me either.” procedures. But my disease specially trained hand therapists. had progressed too far and We treat over 25,000 patients He sought a second opinion none of those would have each year. As the designated from another specialist. been permanent solutions.” hand and upper extremity trauma center in Maryland, we have also “I told him that I wanted to Zelefsky continued researching cared for more than 1,200 hand preserve my wrist function and treatment options until he found trauma patients.

MedStar Union Memorial Hospital 5 Zelefsky’s disease was so progressed, he was told by the first doctors he saw that there was nothing they could do.

James Higgins, MD, chief of blood vessels into Zelefsky’s wrist. notes. “I started rehab and now The Curtis National Hand Center This involved removing a precisely- I am able to get back on my bike … at MedStar Union Memorial shaped segment of cartilage, bone go to the gym … play my guitar.” Hospital. and tiny sub-millimeter blood vessels from the knee joint, and “It is an exciting new threshold “Dr. Higgins was successfully transferring it to the wrist to for reconstructive surgery. I am treating patients with advanced replace the deteriorated lunate proud that our center is part of this Kienbock’s disease like mine bone. The transplanted piece was pioneering work,” says Dr. Higgins. using a surgical procedure not then meticulously reperfused with available anywhere else in the blood after Dr. Higgins connected Zelefsky, who works in the real United States,” he says. “When the minute and from estate development field, could I met with him he said I was a the knee tissue to blood vessels alternatively have had the surgery perfect candidate.” in the wrist with the use of a in Austria, where the only other microscope. hand surgeon in the world has During the five-hour surgery, used this technique successfully. Dr. Higgins and his specialized “I stayed in the hospital overnight team used a microscopic technique and by the next day they had me “I am glad I found Dr. Higgins. to transplant bone, cartilage and walking with crutches,” Zelefsky It’s pretty incredible,” he adds.

To make an appointment with a hand specialist at The Curtis National Hand Center at MedStar Union Memorial Hospital, call 855-546-2105.

6 Destinations | WINTER 2017 [HEALTHY habits]

Want to IMPROVE Your Strengthen Your HEALTH?Immune System veryone knows somebody who never seems to get sick. But did you ever wonder why? It’s not because they are able to avoid exposure to germs—that’s nearly impossible! E It’s because their immune system is able to keep them healthy. According to Robin Spence, MS, RDN, a dietitian in the Diabetes and Endocrine Center at MedStar Union Memorial Hospital, there are a number of simple ways to build an immune system that can help you stay well and avoid illness. “Many people eat a lot of junk and processed foods over the holidays and don’t get the exercise or sleep they need. This can Robin Spence, MS, RDN have a negative impact on your immune system, making you more susceptible to colds and the flu,” she explains.

EAT A BALANCED DIET in shape, it also increases your immune “You need many nutrients to support your function, improves sleep quality immune system,” Spence says. “So focus and makes you stronger. on eating whole foods that provide lots of vitamins and minerals. Making healthier food “Studies have shown that moderate choices and eating lighter will help you feel intensity exercise may cut down on the better and lose weight, if that is a goal.” number of colds you get,” Spence says.

STAY HYDRATED GET SEVEN TO EIGHT HOURS Many people find it hard to stay hydrated OF SLEEP A DAY during the winter months. Poor hydration Not getting enough sleep has been linked to weakens the immune system and can lead many health problems, including those that to nutritional and other imbalances that stem from an impaired immune system. can cause health problems. “Sleep loss influences how we fight illnesses,” “Being properly hydrated can help you lose she notes. “If you can, sleep at least seven to weight, too,” she adds. “In fact, many people eight hours a day.” mistake thirst for hunger, causing them to consume calories they don’t need.” By adopting just a few healthy habits, you can do wonders for your immune EXERCISE system. That’s the key to staying well Exercising is not only a great way to get all year long.

For a list of classes, events and screenings to help you learn how to stay healthy for life, see page 14.

MedStar Union Memorial Hospital 7 Making Pioneering Strides First Hospital in Maryland to Implant in Coronary Care Fully Bioresorbable Heart Stent

IN AUGUST, MEDSTAR HEART & Bressi is feeling better Vascular Institute at MedStar Union and is back at work after an angioplasty using a Memorial Hospital became the dissolvable stent. first hospital in Maryland to offer a remarkable new technology for treating coronary disease.

That’s when John C. Wang, MD, chief of the Cardiac Catheterization Laboratory, implanted a fully dissolvable cardiac stent in the blocked artery of a 60-year-old patient. And the patient, Joe Bressi, says he feels privileged to get the first one in Maryland.

“It made a big difference right away,” he says. “My blood flow is back and so am I.”

Approved by the Food and Drug Administration in July, the stent, known as a bioresorbable vascular Bressi, who has co-owned a local doctor prescribed medication that scaffold, is a major advancement pub for 14 years, has a stressful brought things back to normal.” in the treatment of coronary artery job that keeps him on the go all disease, which affects 15 million day long. So when he started Unfortunately, several months later people in the United States and feeling uncharacteristically tired— his symptoms returned and he remains a leading cause of death so tired he had to fight falling was finding it difficult to breathe. worldwide. Coronary artery disease asleep while driving—he made He had no stamina and couldn’t develops when cholesterol- an appointment with his primary comfortably walk very far. containing deposits build up and care physician. narrow the arteries, decreasing “My doctor checked my thyroid blood flow to the heart. This can “The blood tests showed that levels again and they were fine. cause chest pain, shortness of my thyroid was not functioning That’s when he suspected I might breath, fatigue or other heart properly, which was affecting my have a cardiac condition,” Bressi disease symptoms. metabolism,” he explains. “My says. “He sent me for a stress test,

8 Destinations | WINTER 2017 but they were unable to complete clogged artery open so the treated it because my blood pressure artery segment could heal. dropped so low.” Bressi, who was awake and He was then referred to MedStar alert during the procedure, Union Memorial for a heart recalls Dr. Wang turning to him catheterization, a more complex after the stent was implanted and procedure for evaluating heart congratulating him on being the function. A short time later, he was first in Maryland to receive the John C. Wang, MD told that his right coronary artery absorbable device. He was out was 80 percent blocked. of the hospital and back at home the next day. “That’s when Dr. Wang and his ABOUT THE MEDSTAR team took over,” Bressi says. “At this “The real advantage for patients HEART & VASCULAR point in time all that was going on is that once the stent is gone, the INSTITUTE was new to me. But I was confident blood vessel returns to normal,” I was in good hands.” says Dr. Wang. “Typically, after a MedStar Heart & Vascular metallic stent is implanted, the Institute is a network of highly vessel forever loses its ability to acclaimed and nationally ASK THE EXPERT— recognized cardiac experts GET HEART SMART contract and dilate. With this stent, once the scaffolding is dissolved, and care programs spanning Join us when experts from the vessel regains its full function. all 10 MedStar Health hospitals the MedStar Heart & Vascular This technology has changed our in the mid-Atlantic region. In Institute appear on WJZ’s way of thinking about coronary the Baltimore area, MedStar Ask the Expert series, artery disease. It makes more sense Heart & Vascular Institute Thursday, Feb. 9, from noon to treat a temporary problem with a experts are accessible at to 6:30 p.m. Learn more at stent that dissolves, than to implant MedStar Franklin Square MedStarHeart.org/HeartSmart. a permanent stent, recognizing Medical Center, MedStar Good that not all patients or lesions are Samaritan Hospital, MedStar Doctors often treat coronary suitable for the technology.” Harbor Hospital, MedStar artery disease with a procedure Union Memorial Hospital and called angioplasty to widen the Bressi feels fortunate that the more than a dozen community artery—typically using a metal stent, blockage was found when it was. locations. MedStar Heart & which is a permanent fixture. But Vascular Institute at MedStar scar tissue can form within the “If the artery was 100 percent Union Memorial is allied with stent causing the artery to narrow blocked, I probably would have had the Cleveland Clinic, the again. In Bressi’s case, the stent a heart attack. Today I can breathe nation’s No. 1 heart program, used was made of a naturally again, I can walk and I can tell my giving patients accelerated dissolving material, similar to what stamina is coming back,” he notes. access to the most advanced is used in dissolving sutures. The research, technologies and stent will begin to dissolve about “I have two grandkids who are techniques in cardiology and one year after it’s been implanted both toddlers and they are my cardiac surgery. This alliance and will be completely gone after everything,” he adds with tears also strengthens excellent about three years. By then, it will in his eyes. “Now I can keep up clinical care and enables high- have done its job of keeping the with them.” level collaboration on research.

To make an appointment with a specialist at MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital, call 877-74-HEART (877-744-3278). To see more of Bressi’s story, visit MedStarUnionMemorial.org/Destinations.

MedStar Union Memorial Hospital 9 Living Pain Free Without Surgery

MANY PEOPLE SUFFER Orthopaedics at MedStar Union needlessly with pain. Yet they avoid Memorial agrees. seeking help because they think surgery is the only option that will “Patients need to feel like they provide relief. But the reality is that can trust you to take care of today there are many effective them … that their specific needs nonsurgical options for dealing are going to be met. We spend with pain. You just have to find a lot of time with each patient Arash Khoie, MD the right pain specialist. taking a full history,” she says. “We try to help them understand Whether your pain is from arthritis their pain and explain what can or an old injury, you can get it realistically be done about it.” under control. At MedStar Union Memorial Hospital, our pain It’s an approach that the Heard management specialists are able family has found particularly to help relieve your pain and refreshing. Kim Heard, 42, restore your ability to enjoy your suffered with neck pain for favorite activities. years. The mother of four, including two toddlers, was Julie Tu Hoang, MD “One of the best ways to ensure in such pain she couldn’t lift you get the most successful her kids. Barely able to take FAST treatment for your pain is for us care of her young family, she FACT: to fully comprehend what you made an appointment with her Different types are dealing with,” says Arash primary care doctor. When an of pain respond Khoie, MD, an anesthesiologist MRI revealed a pinched nerve, to different kinds at MedStar Union Memorial she was referred to Dr. Khoie. of treatment. who is a fellowship-trained pain To address this, management specialist. “He made me feel so comfortable,” the specialists she says. “He spent time with at MedStar “As a doctor, I believe that building me and explained everything in Union Memorial rapport with a patient is essential English, not in medical jargon.” Hospital take a to the development of the best multidisciplinary treatment plan for that individual.” Dr. Khoie recommended an approach to pain epidural injection to decrease management. Julie Tu Hoang, MD, a fellowship- the swelling and the pain trained physiatrist with MedStar associated with it.

10 Destinations | WINTER 2017 my doctor suggested I see a pain specialist,” he explains.

At his wife’s urging, he went to Dr. Khoie and, after a series of injections, he feels good and Cliff and Kim Heard, along with their is pain free. daughter, Candace, and son, Collin, enjoy a pain-free walk in the park. “Dr. Khoie is so empathetic and puts you at ease. I wish I knew about him earlier. I probably wouldn’t have had so many .”

“Our goal is to teach patients about their pain,” says Dr. Khoie. “The outcomes are better when a patient knows what is happening and why, rather than just being told how they are going to be treated. We take time to discuss the possible treatment options and weigh the risks and benefits of each. Then we decide together which treatment option is most appropriate.”

Dr. Hoang notes that because different kinds of pain respond to different kinds of treatment, the specialists at MedStar Union Memorial take a multidisciplinary approach to pain management.

“We collaborate with other relevant specialists for the most comprehensive care options,” adds Dr. Hoang. “But whenever possible, we encourage patients to try nonsurgical options like physical therapy and medication or treatments such as injections “At first I was a bit scared, but he Her husband, Cliff Heard, 48, or nerve blocks.” did a great job of taking my mind had been through five surgeries off the procedure and calming for a ruptured disk in his back. me down.” But he was still experiencing pain. To make an appointment with a pain management specialist at After two injections, the pain “I was contemplating going MedStar Union Memorial in her neck was gone. through surgery again when Hospital, call 855-546-2105.

MedStar Union Memorial Hospital 11 [STAYING active] SIX Tips for in the STAYING ACTIVE Months Ahead

inter is here, along with colder weather, darker evenings, and coughs and colds. Once the days get shorter, many people get the urge to curl up in front of the TV W with a big bag of chips and a soda.

Right now, that’s the worst thing you can do. Unfortunately, winter can limit you to indoor activities, because of slippery surfaces or “The healthier you are the more resistant you even just the temperature. Beatrice Sanchez, MD are to colds and infections,” says Beatrice Sanchez, MD, a primary care physician with “Safety is a serious concern in the winter,” MedStar Union Memorial Adult Medicine notes Dr. Ghafoor. Specialists at Lake Falls. Although it might be a little harder to push “The advantages of regular exercise yourself during the winter, working out is are too great to be put on hold when likely to pay off in the spring. workouts become inconvenient. People who exercise reduce their risk for heart “So rather than using winter weather as an disease, high blood pressure, certain excuse, view it as an opportunity to be more cancers, diabetes and osteoporosis,” creative about how you approach getting Hina Ghafoor, MD adds Hina Ghafoor, MD, who practices your daily exercise,” says Dr. Sanchez. with Dr. Sanchez at Lake Falls. “In addition, regular workouts improve your mood, Before you start a regular exercise routine, increase your energy level and help consult with your doctor. Finally, get your you sleep better.” flu shot—it will help ensure you stay healthy so you can stay active.

HERE ARE A FEW IDEAS FOR STAYING ACTIVE INDOORS IN THE MONTHS AHEAD: 1 2 3 4 5 6

Go to an enclosed Join an exercise class. Create a playlist of your Invest in some practical Take advantage of all Work around the public space like a Many people are more favorite songs and exercise equipment the exercise videos house. Many day- shopping mall and motivated by doing dance. A 150-pound and set up a home available today. You to-day chores take a walk. activities in groups. person can burn gym. To save money, can even borrow require you to be 95 calories dancing consider buying used videos from the library. physically active. for just 15 minutes. equipment.

To find a MedStar Union Memorial Hospital primary care physician, call855-546-2105 or visit MedStarUnionMemorial.org and click “Find a Doctor” in the center of the page.

12 Destinations | WINTER 2017 [STAY[CANCER active update] ]

Get Screened Start the Year RIGHT for Cancer

here are approximately 14.5 million cancer survivors in the U.S. today—a number that is expected to grow to almost 19 million by 2024, according to a recent report from T the American Cancer Society (ACS). The report attributes this good news, in part, to improvements in cancer screening.

Cancer screenings enable medical COLORECTAL providers to catch cancer in the early Screenings are recommended for all adults stages when the disease is most treatable. age 50 and older, or younger if at high risk. That’s why they are so important. • Colonoscopy every 10 years BREAST Following are screening guidelines from • Fecal occult blood test every year MedStar Health Cancer Network for a • Flexible sigmoidoscopy every five years, or few of the most common cancers. Some • Double-contrast barium enema every individuals may need earlier or more five years frequent screenings depending on their Free colorectal screenings are available to risk factors. This is something you should CERVICAL individuals age 50 and older, with limited discuss with your doctor. income, and uninsured or underinsured. Call 410-350-8216 to see if you qualify. BREAST Screenings are recommended for LUNG all women. Screenings are recommended for individuals COLORECTAL • Breast exam by a medical provider who are at high risk based on the following (every three years for women ages 20 criteria: to 39 and every year after age 40) • 55 to 77 years of age • Annual mammograms and breast exams • A smoker of a pack of cigarettes a day by a medical provider for women ages for 30 years or more LUNG 40 and older, or younger if at high risk • Currently smoking or have quit fewer than 15 years ago CERVICAL Screenings are recommended for all PROSTATE women age 21 and older, or upon Screenings can be beneficial for men becoming sexually active. age 50 and older, or younger if at high risk. PROSTATE • Periodic Pap tests with frequency Men should talk to their medical provider based on age (after three normal tests, about the value of two tests: a woman may need less frequently) • Digital rectal exams Free breast and cervical screenings are • Prostate-specific antigen blood tests available to women who are age 40 and older, with limited income, and uninsured Visit MedStarCancer.org/Baltimore or or underinsured. Call 410-350-2066 call 877-715-HOPE (4673) for more to see if you qualify. information or a free physician referral.

MedStar Union Memorial Hospital 13 [CLASSES and events]

COMMUNITY LECTURES AND CLASS SCHEDULES At MedStar Union Memorial Hospital, 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, events and screenings. Join us, and learn how you can stay healthy for life.

HEART CARE Fitness for 50s JOINT AND Get Your Spine A one-hour, low-impact SPINE CARE in Line Cardiac Rehabilitation aerobics and strength It is easy to put off dealing Wednesday, Feb. 1 For patients with training exercise class with hip, knee, back or 2 p.m. heart-related illnesses Every Tuesday shoulder pain—until the pain Finksburg Library, or procedures, cardiac 11 a.m. to Noon stops you from doing the 2265 Old Westminster Pike, rehabilitation is a Hampden Family Center things you love. Our free Finksburg medically supervised, informational classes are a 1004 West 36th St., Thursday, Feb. 2 outpatient exercise great place to start and get Baltimore 6 p.m. program that addresses you on the path to more Westminster Library, the physical and mental freedom. Join us for these 50 E. Main St., aspects of recovery. free classes, led by Nicole HAND CARE Westminster Physician referral Tannahill, PT, CLT-LANA, required. Musician’s Clinic orthopaedic educator and Tuesday, Feb. 28 6 p.m. Mondays, Tuesdays The Musician’s Clinic physical therapist. Eldersburg Library, and Thursdays at The Curtis National 6400 W. Hemlock Dr., 8 to 9:30 a.m., 9:30 Hand Center is open When You and Pain Sykesville to 11 a.m., 11 a.m. to to professional, amateur are Joined at the Hip 12:30 p.m., 1:30 to 3 p.m. and recreational (or Knee) Tools for Shoulder Pain Call 410-554-2167 performing artists. Monday, Jan. 30 Friday, Feb. 10 for details. Get help so you can 6:30 p.m. 2 p.m. enjoy the music MedStar Orthopaedics, Medicare covers North Carroll Library, you love. 1407 York Rd., Suite 100, 80 percent of this service. 2255 Hanover Pike, Lutherville Call 410-235-5405 for Hampstead upcoming appointment Tuesday, Feb. 7 Thursday, Feb. 16 dates. 6 p.m. EXERCISE 6 p.m. Eldersburg Library, Finksburg Library, Chair Exercise Congenital Hand Clinic 6400 W. Hemlock Dr., The Curtis National 2265 Old Westminster Pike, A free exercise program Sykesville Hand Center offers a Finksburg consisting of aerobics, Wednesday, Feb. 8 free clinic monthly for Friday, Feb. 17 strength training and 1 p.m. children and adults with 1 p.m. flexibility done while Westminster Library, congenital hand and arm Westminster Library, sitting in a chair 50 E. Main St., differences. Congenital 50 E. Main St., Westminster Every Friday differences are issues Westminster 10 to 11 a.m. that are present at birth, Wednesday, Feb. 15 Wednesday, Feb. 22 St. Mary’s Roland such as problems with 1 p.m. 2 p.m. View Towers the formation of the North Carroll Library, Eldersburg Library, 3939 Roland Ave., entire arm or hand, 2255 Hanover Pike, 6400 W. Hemlock Dr., Baltimore failure of parts of the Hampstead Sykesville hand to separate, Friday, Feb. 24 To register, visit extra or , 1 p.m. MedStarUnion or other issues. Finksburg Library, Memorial.org/ Clinics will be held 2265 Old Westminster Pike, Destinations or on Thursdays. Finksburg call 877-34-ORTHO 5 to 6 p.m. Monday, Feb. 27 (877-346-7846). Call 410-235-5405 6:30 p.m. for an appointment. MedStar Orthopaedics, 1407 York Rd., Suite 100, Lutherville

14 Destinations | WINTER 2017 [CLASSES and events]

To register, visit MedStarUnionMemorial.org/Destinations or call 855-546-2105. All classes are free unless noted otherwise.

CANCER CARE Freshstart® Smoking Cessation Program Breast and Cervical This evidence-based Cancer Screening approach is geared to Free mammograms, help you quit smoking breast exams and pap through motivational tests are available for activities, counseling, women age 50 and older problem-solving who live in Baltimore City techniques, social or County, are uninsured support and education or underinsured, and about medications. meet certain income Thursdays, Jan. 26; requirements. Feb 2 to 16 Call 410-350-2066 2 to 3:30 p.m. to see if you qualify. Shepherd’s Clinic/ Joy Wellness Center Genetic Counseling 2800 Kirk Ave., Baltimore MedStar Health has a genetic counselor available Living Well: to guide you and your Take Charge family, as well as answer of Your Health any questions you may SUPPORT GROUPS WELLNESS AND A six-week self-management have. Please ask your PREVENTION program to help adults with primary care doctor if this Arm-in-Arm diseases such as high blood is appropriate for you. Open to breast cancer Life Balance/Weight pressure, diabetes, arthritis, Call 443-777-7656 survivors and those Management Program chronic pain, heart disease, for an appointment. newly diagnosed A free, 16-week program stroke or cancer. Topics Call 410-554-6505 for designed to help you eat include nutrition, exercise, meeting dates and times. healthier, exercise daily, relaxation, dealing with DIABETES CARE lose weight, and improve fatigue and pain, as well as effective communication. Receive diabetes Caregiver Support Group problem-solving and education and A support group for coping skills. The program Wednesdays, Feb. 1 to 22; nutrition support those who care for an is facilitated by a registered March 1 and 8 from our experts. aging adult, hosted nurse/coach who will help 1:30 to 4 p.m. Learn about glucose by the Center for you make positive health Shepherd’s Clinic/ monitoring, medication Successful Aging changes. The information Joy Wellness Center instruction, nutrition, comes from the National 2800 Kirk Ave., Baltimore Thursdays, Feb. 9; March 9 weight gain/loss, Diabetes Prevention 3:30 to 5 p.m. exercise, foot care, Program and is targeted MedStar Good coping skills, and more. at reversing prediabetes. Samaritan Hospital Patients do not have Russell Morgan Building, Tuesdays, Jan. 24 to May 16 to see an endocrinologist Suite 502 1 to 2 p.m. for education or nutrition. Hampden Family Center Register online or Call 410-554-4511 1104 W. 36th St., Baltimore call 443-444-4100. for details. Fridays, Feb. 3 to May 19 Call 855-546-2105 Noon to 1 p.m. Covered by most insurance to register for these companies. Shepherd’s Clinic/ Joy Wellness Center classes, unless 2800 Kirk Ave., Baltimore noted otherwise.

MedStar Union Memorial Hospital 15 Nonprofit Org. U.S. Postage PAID Baltimore, MD Permit No. 6011

201 E. University Pkwy. • Baltimore, MD 21218 MedStarUnionMemorial.org/Destinations 855-546-2105

Trust the Mid-Atlantic’s foot and ankle experts: MedStar Orthopaedics

Treating Common Foot Pain Through the Most Complex Ankle Reconstruction Cases

For your foot and ankle concerns, trust the same internationally renowned team of experts who conduct stem cell research for Achilles tendon repair, develop the latest techniques in joint preservation and invent new ankle implants that allow patients to avoid fusion and movement loss.

The fellowship-trained foot and ankle surgeons at MedStar Orthopaedics see patients at nine locations, including Bel Air, Ellicott City, Federal Hill, Waugh Chapel, and Westminster.

Gregory Guyton, MD Steven Kulik, MD Stuart Miller, MD Lew Schon, MD Jacob Wisbeck, MD 16-MFSMC-4057.012017

Visit MedStarOrtho.org/Trust or call 855-210-7119. Take the next step to relieve your pain.