MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER Fall | 2017 Health

Advice on New Alzheimer’s Floor of Disease Private Pediatric Dentistry Rooms in our Operating Rooms Diabetes LaWan Case Study Celebrating our and Laila 40th Anniversary Mother and Baby Survive Odds and Thrive Message from the President

Christine Wray, FACHE, President, MedStar Southern Maryland Hospital Center Dear Neighbor,

7503 Surratts Road, Clinton, MD 20735 This is a very emotional issue of This issue also tackles health 301-868-8000 or TTY 301-877-4473 Health for us at MedStar Southern issues facing community members Kenneth A. Samet, FACHE Maryland Hospital Center. I’m sure all across the age spectrum, from President and Chief Executive Officer, it will tug at your heartstrings, as pediatric dentists who work on MedStar Health it does mine, and I hope you will very young patients in our M. Joy Drass, MD be inspired by what you see and Operating Rooms to an internal Executive Vice President and Chief be comforted to know how far we medicine physician who treats Operating Officer, MedStar Health will go for our patients and their geriatric patients and is able to Christine Wray, FACHE families. offer advice on caring for those President, MedStar Southern Maryland experiencing dementia. Hospital Center and Senior Vice In our cover feature, you will President, MedStar Health read about a mother and baby Finally, we would like you to know John W. Rollins, Jr. who were experiencing very dire the great news of two significant Chair, Board of Directors circumstances and who made milestones for our hospital. This Cheryl Richardson miraculous recoveries. It is a story fall, we celebrate 40 years of caring Director, Marketing and Community of medical expertise, an entire for patients in southern Maryland Relations system working together to save and we proudly announce the Design: Erin Glynn, Graphic Designer, two lives and of the determination grand opening of a new floor of Melanie Mussehl, Graphic Designer of the human spirit, both within private rooms for post-surgical these patients and inside all of the and oncologic patients. Heart&Soul Newsletter Design: physicians still involved. I am so Melanie Mussehl, Graphic Designer thankful to all of those mentioned Kindest regards, Content: Jennifer DuMont, in this heartwarming story and I Marketing Writer am proud to present LaWan’s and Photo Credits: Ryan Smith Photography, Laila’s story to all of you. Jennifer DuMont, Rachel Lytle

Christine Wray, FACHE Health is published as a community President, MedStar Southern Maryland service for the friends and patrons of Hospital Center and Senior Vice MedStar Southern Maryland Hospital Center. It in no way seeks to diagnose President, MedStar Health or treat illness or serve as a substitute for professional medical care. Please see your physician if you have a health problem.

On the cover: LaWan Sypert-Mujiheed with daughter Laila

2 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 Tidbits

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Superior Performance Private Rooms Open! Feedback and Advice Introducing Dr. Reed

Practice Greenhealth, the In response to demand from In MedStar Southern Our hospital’s Emergency national leading organization our community for more Maryland Hospital Center’s Department garners the most dedicated to environmental private rooms at MedStar ongoing quest to determine feedback we receive about our sustainability in healthcare, has Southern Maryland Hospital how we are meeting our hospital. Messages about recognized MedStar Southern Center, and as a part of our goals to put patients first, we experiences in this department Maryland Hospital Center mission to provide the best convene quarterly meetings are reviewed by the hospital’s for superior performance in care possible for our patients, to collect feedback from leadership team and the new environmental stewardship. we are proud to announce the former patients, their family Chair of the Emergency opening of an entire floor of members and engaged Department, who are all Our hospital was recently private rooms in the hospital’s community members. This committed to addressing presented with a Partner Bed Tower II. feedback is shared among concerns and making Recognition Award for our hospital leadership and improvements. commitment to recycling, For more information, see leads to improvements that working to reduce medical page 14. positively impact the patient See page 14 for a profile on waste, being conscious of experience. Dr. Reed, MD, FAAEM, FACEP. our environmental footprint, sourcing food and products See page 13 for more sustainably and establishing information on this council. green purchasing practices.

SPRINGFALL 20162017 | MedStar Southern Maryland Hospital Center HEALTH 23 Saving a Family

LaWan Sypert-Mujiheed with her husband Dawud and daughter Laila

ur story begins on throughout her pregnancy, as it contracting on her own. This baby a chilly night in late was a high risk case, being IVF was ready to meet her parents. And December 2016. with advanced maternal age. At the OB/GYN team was prepared. Excited, soon-to- her last appointment, Dawud Obe parents, LaWan Sypert- asked, ‘Doc, are we doing okay?’ But it quickly became frighteningly Mujiheed, an accountant, and I said, ’we’re doing just great.’” apparent that something was her doting husband, Dawud, very wrong. LaWan, who was arrived at our doors ready to Dr. Hotchkiss knew LaWan was in active labor, let out a noise, welcome their daughter. on her way to the hospital that a woosh of air, and collapsed, evening. The plan was for the passing out completely. The OB/GYN Dr. Michael Hotchkiss OB/GYN on duty, Dr. Meghan baby’s heartbeat slowed. was ready for this moment, as Malentacchi, to begin induction of well. “They’re a wonderful couple,” labor. Dr. Hotchkiss planned to see Nurses sprung into action, he said. “Dawud would come LaWan by morning when she was activating the hospital code for to every single visit with LaWan. ready to deliver. Soon after arrival Rapid Response. The mother's We were following her carefully at our doors, though, LaWan began condition continued to deteriorate.

4 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 An anesthesiologist was paged. beyond. I tell The baby needed to come out, every patient, now. Dr. Malentacchi performed you’ll get an emergency c-section and everything I baby Laila was delivered around have and that’s 1:40 a.m. Both mother and baby how the whole needed immediate attention. system operates. Both were in grave danger. We work collaboratively Dr. Brook Gebeyehu, the and it’s seamless anesthesiologist on duty, intubated the way we and oxygenated LaWan. She was work with one rushed into the Intensive Care Unit another and as the doctors worked in concert communicate to try to save her life. LaWan with patients and their families.” was comatose and experiencing In Labor & Delivery, baby Laila a blood clotting disorder that Dr. Mazarei thought carefully was struggling. After birth, she caused her to begin to bleed out about what was being described was experiencing a drastically of every orifice of her body. to her. It sounded like a case of fluctuating heart rate. Her lungs an amniotic embolism, which was were also compromised. Then, Across town, the Chair of our a scary proposition. She knew baby Laila coded, her tiny body hospital’s OB/GYN Department, these cases are around 80% fatal going into cardiac arrest, three Dr. Nahid Mazarei, received a and that fatality comes so quickly times. She was intubated with an phone call. It was 2:30 a.m. these cases are typically only unstable heart rate and was readied diagnosed during an autopsy to be flown to Children’s Hospital. after the mother passed away. I tell every She also remembered, with the Dr. Parker arrived. She saw LaWan remaining 20% who survive, had lost way too much blood. She patient, you’ll ran down to the blood bank, to “ the majority experience the get everything I tragedy of permanent brain the lone associate working this damage. Dr. Mazarei sprung into normally quiet shift before dawn. have and that’s action, jumping in her car and Dr. Parker counted units of blood calling another of our hospital’s herself, determined the amount how the whole experts, Dr. Sara Parker. of platelets LaWan needed and made the call that the Red Cross system operates. Around 3 a.m. the piercing ring of must bring extra units to save We work her phone awoke Dr. Parker. She LaWan’s life. The Red Cross’s truck bolted out of bed, raced to her car departed Baltimore for Clinton. collaboratively and discussed the facts of the case en route. They concurred: it was an The skies outside turned from and it’s seamless amniotic fluid embolism, wherein mist to rain. It would be unsafe for amniotic fluid and fetal cells flood baby Laila to fly by helicopter to the way we work a mother’s body, disrupting every Children’s Hospital. It would take with one another system, causing LaWan’s heart longer, but they must drive, with and lungs to collapse and her paramedics performing CPR for an and communicate body to have a seizure. She was hour on the road, not knowing how dying and they had to hurry. fortuitous it was that the weather with patients and prevented their flight. They did “I’m one of the luckiest OB/GYN not know until later, when the x-ray their families.” Chairs around,” said Dr. Mazarei. came through after they were “To have Dr. Parker, who is trained already on their way, but during “I’m so glad the nurses didn’t” in both critical care and obstetrics, the event of her birth, Baby Laila hesitate to call,” said Dr. Mazarei. it’s rare across the nation. It takes had developed a lung condition “They called at 2:30 a.m. with no us to a whole different level. What called bilateral pneumothorax. The reservations and that accelerated is great about this place is that pockets of air that were present what we were able to do. They’re with the MedStar network, you in her walnut-sized lungs meant empowered to go above and get layer after layer of support.” the pressure changes that would

FALL 2017 | MedStar Southern Maryland Hospital Center HEALTH 5 have occurred during a helicopter responding. But Dominique a plan. I thought of that every flight would have been fatal. Stuckey, Director of the Women and time I would drive to the hospital Newborn’s Center, would bring her to see my baby. I knew she Laila arrived in dire condition, but fellow Labor & Delivery nurses in would pull through, just like her alive, at Children’s Hospital. It was numerous times per day, believing mother. They are strong women. now after 10 a.m. To stabilize the LaWan could hear and understand And I think about Dr. Mazarei. baby, physicians there put her into them. Slowly, she began to I’ve never seen a woman as a hypothermic state, where her respond to simple commands. strong as my wife, but she is.” delicate body was cooled down, slowing her metabolism and Baby Laila gained weight. Her As his anxiety has faded with hopefully, they fervently wished, daddy came to see her every day. time, the overwhelming feelings sparing her from brain damage. Her doctors waited nervously for of love and gratitude remain the results of her EEG with Dawud. He calls Laila the tests measuring brain apple of his eye and a gift from activity. To their delight, God. He also continues to marvel the tests came back at LaWan powering through with normal results. her recovery. She still goes to Laila was bright-eyed therapy three times per week, but and incredibly, she was they are healthy, they are alive perfect. After just over and they are a happy family. a week at Children’s Hospital, she was ready For the doctors, nurses and all for discharge and was MedStar associates who played a finally brought to the part in this story, the experience bedside of her mom. has not left their minds, either. What remains with the team is an From MedStar Southern inspiring, touching memory of Maryland Hospital Center, being a part of something that Back at MedStar Southern LaWan would transition to the can truly be called a miracle. Maryland Hospital Center, steroid MedStar National Rehabilitation treatments and units of blood had Hospital (MNRH), thanks to the “The whole team functioned been administered to LaWan, and help Dr. Parker and hospital extremely well,” said Dr. Hotchkiss. the medication began to help her administration provided to secure “Every time we’d say ‘you’ve blood coagulate again. After all transition to this top-tier facility. got to do more!’ they did more. the units of blood and platelets It was an amazing response she received, it looked like there It would take her months in rehab at and a great outcome.” was a sliver of possibility she the MNRH for LaWan might live. She was in a coma, but to recover. There, she was as stable as possible under learned how to eat, the circumstances. Would she swallow and speak come out of her coma? Would again. She grew she live long enough to meet her stronger by the week. baby? If so, would she ever wake up and be able to hold her? The Present Miraculously, ten Exhausted, Dr. Parker and months have passed Dr. Mazarei could finally breathe and LaWan and again. For now, though they would Laila are doing well. stay at the hospital for countless Laila is a happy hours ahead, as would the entire baby who likes to team, they could rest. And wait. make her voice heard. She has two teeth and The Aftermath is mere weeks from crawling. Visit MedStarSouthernMaryland.org/ LaWan lay in her bed, barely Family for more information about our responsive, for days. ICU nurses “You are never prepared to hear Women and Newborns Center. were losing hope for recovery your wife is dying and your baby because their patient just wasn’t is too,” he said. “But God had

6 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 Alzheimer’s Awareness To endure Alzheimer’s, find a knowledgeable physician, pre-plan and seek resources

Internal Medicine and Geriatric Physician Helen Norwood, MD

s the number of people Dementia is a neurocognitive should seek out reputable and living well into their 80’s (mental processing) disorder helpful organizations such as the has risen, so have the affecting perception, memory, Alzheimer’s Association (alz.org) or number of people living judgment or reasoning. Impairment a local Center for Aging to assist Awith Alzheimer’s disease. Today, areas include learning, memory, with information and resources, or more than five million Americans language, executive function, finding social workers. Since there are living with the disease. motor function and social is no cure for Alzheimer’s disease, Awareness of Alzheimer’s disease cognition, and often become having resources families can rely has also increased over the years, apparent when family members on for assistance and information though caring for people who have observe behavioral changes and is important. dementia remains difficult. incidences of poor judgment, says Dr. Norwood. Please visit “Families today are typically MedStarSouthernMaryland.org/ smaller, more spread out and As your loved one ages, Norwood Alzheimers to learn more about more dependent on wage earners recommends families come up with Alzheimer's Disease and dementia. working outside the home,” says care plans, and urges individuals MedStar internal medicine and to plan ahead to designate a power If you need to find a doctor for an geriatric physician Helen Norwood, of attorney. This process should be aging parent or relative, please visit MD, MedStar Medical Group. done sooner rather than later, she MedStarSouthernMaryland.org/ “This means there is an increasing says, when the elderly family FindADoc to access our Find-A-Doc necessity for resources for families member can still express their feature. who have an elderly family wishes and values. member experiencing dementia or Alzheimer’s disease, which is the When Alzheimer’s is diagnosed, leading form of dementia.” patients and their families

FALL 2017 | MedStar Southern Maryland Hospital Center HEALTH 7 Pediatric Dentist Tanek Jenkins, DDS with patient

Pediatric Dentistry Patients are Welcome at MedStar Southern Maryland Hospital Center

t may surprise you to learn “Everyone here is very nice and the health of their teeth. She that a significant percentage helpful,” says Dr. Jenkins. “This also enjoys making a cosmetic of the cases seen in MedStar hospital has shown a commitment difference, helping children who Southern Maryland Hospital to get these children in. MedStar have been teased because of the ICenter’s Operating Rooms are for and their anesthesia team have appearance of their teeth. procedures with pediatric dentists. recognized a need and they Several groups of dentists come have been generous in giving us “It makes me feel good when I can here when they have little patients blocks of time because we have help with a 180 degree difference who need to be sedated for dental expressed this need.” and create a work of art,” says procedures. Dr. Jenkins. “Parents appreciate The mouth and teeth are the these services as well. I tell them, Dr. Tanek Jenkins is one dentist windows into the health of the I will treat their child like they’re who regularly schedules whole body, explains Dr. Jenkins. mine. I say ‘this is my baby now, procedures at our hospital, This is why she loves pediatric don’t worry.’” performing tooth extractions, root dentistry, as she can help set up canals and stainless steel and someone when they are young white zirconia cosmetic crowning. for a lifetime of taking care of

8 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 If you are looking for a pediatric dentist, call:

Dr. Tanek Jenkins, DDS ABC Dentistry- Oxon Hill 301-686-0710

Dr. Richee Berry, DDS Dr. Jarrett Caldwell, DDS Dr. Marian B. Jordan, DDS Berry's Children Dental LLC- Bowie 301-383-0959

Dr. Felix Aguto, DDS We Make Kids Smile Pediatric Dentistry- Waldorf 301-645-6556

Dr. Ebonee Thrower, DDS Bright Starr Pediatric Dentistry- Bowie 240-764-5753

Dr. Eileen Buckle, DDS KOOL Smiles Dentistry- District Heights 844-605-9949

FALL 2017 | MedStar Southern Maryland Hospital Center HEALTH 9 MedStar Southern Maryland Hospital Center Celebrates40th Anniversary! Southern Maryland Hospital was born in 1977, when Dr. Francis P. Chiaramonte saw the need for a community hospital in this part of southern Maryland.

Since its humble founding, the hospital has continued to grow, adding a second bed tower in 1986 and numerous specialties and services over the years. In 2012, we became a part of the MedStar health system, bringing with it the expertise and resources to continue our journey to becoming a High Reliability Organization on the cutting edge of care.

In 2016, MedStar Southern Maryland Hospital Center earned the distinction of being rated the #2 Hospital in the MedStar Southern Maryland Hospital Center Celebrates40th Anniversary! Washington Region, the #5 Hospital in the State of Maryland and among the top 40 hospitals in the nation for Neurology & Neurosurgery in U.S. News & World Report’s Best Hospitals issue. We have also recently earned honors from the American Heart Association, Nurses Improving Care for Healthsystem Elders and Project Greenhealth.

We’ve changed and evolved and grown over the past four decades, but our commitment to our community and to our SPIRIT Values (Service/PatientFirst/ Integrity/Respect/Innovation/Teamwork) has never changed.

Please visit MedStarSouthernMaryland.org/ OurHospital to learn more. > New Vascular Surgeon Joins MedStar Southern Maryland Hospital Center

he bad news: diabetes and unhealthy lifestyle choices that include eating unhealthy food and smoking are prevalent in Tsouthern Maryland, and these may lead to issues that require a vascular surgeon. The good news: MedStar Southern Maryland Hospital Center has brought a new vascular surgeon onboard to help with issues resulting from these conditions. Dr. Joshua Dearing will treat all types of vascular issues, from leg pain and leg swelling to aneurysm, and is committed to being there for his patients for the long-term.

“Problems requiring vascular surgery do not get solved in one visit,” said Dr. Dearing. “This means I get to have a longstanding relationship with my patients.”

Dr. Dearing earned a bachelor’s degree in biology and researched molecular and cell biology at Duke University. He attended medical school at the University of North Carolina’s Chapel Hill School of Medicine. While there, he conducted research on abdominal transplant surgery. His residency took place at the Albert Einstein School of Medicine with the Montefiore Medical Center in New York. Dr. Dearing completed his fellowship in vascular surgery at MedStar Washington Hospital Center in Washington, DC.

Dr. Dearing speaks French and is proficient in medical Spanish. He performs procedures Tuesdays and Thursdays and has office hours here from 9 a.m. to 4 p.m. on Fridays.

For more information visit MedStarSouthernMaryland.org/ Dearing. To make an appointment with Dr. Dearing, call 301-877-7353. 12 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 Tidbits

What is the PFACQS Committee? How is it Helping MedStar Southern Maryland Hospital Center Improve?

FACQS stands for Patient and Family primary care physician. In the future, the hospital Advisory Council for Quality and Safety. It plans to hold additional courses and screenings, is a committee that meets quarterly, and is such as this summer’s Living Well courses dealing made up of hospital associates and with chronic pain management, and a lung cancer patients, family members of patients and screening to be held in August. The TCC is also Pcommunity members. Its mission is to work expected to expand services to patients who together to help each MedStar hospital need diabetes management and palliative continuously improve safety and quality of care, (end of life) care. with an ongoing commitment to put patients first. “When MedStar Southern Maryland Hospital Center “This is where I come to make a difference,” said put out the message we were seeking PFACQS Carlene Davenport, one of the members who Committee members, the response was represents the community on the PFACQS overwhelming,” said MSMHC President Christine Committee. “It’s important this hospital keeps Wray. “We are so proud of this committee and their striving. I tell people: I guarantee you, they’re important work. We want real, honest feedback, and working and they’re making improvements. Like they aren’t afraid to give it to us. This helps us with voting, you have to participate to make a tremendously, both as we identify ways we can difference and this is where I come to be an active improve, and also ways we can let the community participant in my community.” know the great things that are happening here.”

At the beginning of summer, the PFACQS MedStar Southern Maryland Hospital Center thanks Committee met to discuss great strides the hospital all members of our committee and dedicates itself has made to reach out into the community. These to incorporating the work of PFACQS into our daily efforts included running smoking cessation courses operations. and establishing the Transitional Care Clinic (TCC), which provides care and resources to patients who Visit MedStarSouthernMaryland.org/PFACQS for have left the hospital but have not yet seen their more information on MedStar Southern Maryland Hospital Center's PFACQS Committee.

FALL 2017 | MedStar Southern Maryland Hospital Center HEALTH 13 Tidbits

conditions and associated Hospital complications that require long- Welcomes term planning. “We truly serve a larger community that relies upon us to provide the New Chair of best care possible,” said Dr. Reed. “We continually strive to improve Emergency patient care and experience by addressing feedback and concerns Department from our patients and colleagues.”

hen Dr. Kevin Reed, Dr. Reed received his bachelor’s MD, FAAEM, FACEP, degree from Brown University and joined MedStar went to medical school at the Southern Maryland University of Maryland in Baltimore. WHospital Center from MedStar He completed his residency with Harbor Hospital, he brought with the University of Maryland Medical him a commitment to the MedStar System. Since 2001, Dr. Reed has way of thinking, saying, “We are served as an Assistant Clinical truly focused on patient care, Professor at MedStar Georgetown working as a team to provide the University Hospital. He joins us at best care for patients and their MedStar Southern Maryland families while caring for our staff.” Hospital Center after serving as Vice-Chair of the Department of Dr. Reed also brings with him a Emergency Medicine at MedStar passion for acute care, or short- Harbor Hospital since 2011. term treatment for a severe injury or episode of illness, but also Please visit recognizes that the patient MedStarSouthernMaryland.org/ population of southern Maryland Emergency for more information often experiences chronic on the Emergency Department.

physicians, nurses, physician Professional Services. “The way it Fully Renovated assistants, nurse assistants, was done means a quieter floor, dieticians, physical therapists, with ample room for visitors, better respiratory therapists, case access to the patient for our 2North/2South managers and social workers. caregivers and, most importantly, patient privacy is enhanced.”

Tidbits Now Open Plans for this floor began one year prior to opening. During that time, Please visit his summer saw the the hospital consulted with MedStarSouthernMaryland.org/ highly-anticipated physicians, nurses and ancillary OurHospital for more information opening of departments for recommendations, on MedStar Southern Maryland 2North/2South, or Bed then performed extensive Hospital Center’s facility. TTower II, at MedStar Southern renovations and acquired Stryker Maryland Hospital Center. This beds, which have the latest fully renovated floor features features in comfort and safety. The state-of-the-art equipment, a design of the floor offers the new bright and attractive design and concept of a decentralized nurses’ private rooms. station, which will allow for greater visibility and better care. Bed Tower II was created to care for post-operative orthopaedic “We’re really proud of and other surgical patients, as 2North/2South because the fact is, well as cancer patients. Care on it’s dramatically different,” said this floor will be delivered by Grant McClure, Vice President of

14 MedStar Southern Maryland Hospital Center HEALTH | FALL 2017 Heart&Soul HELPING YOU GET TO THE HEART OF THE MATTER

FALL 2017 • VOLUME 2 • ISSUE 4

A Message from the Vice President, Medical Affairs It is my pleasure to introduce Heart&Soul in our fall issue of MedStar Southern Maryland Hospital Center’s Health magazine. As usual, we have selected topics that we believe are particularly relevant to the healthcare needs of our community. Diabetes mellitus is a relatively common disorder affecting our ability to process glucose, which you will read about on the following page. The end result of poorly managed diabetes is a myriad of complications involving just about every organ in the human body. The heart is not immune to the effects of diabetes and some of our cardiology experts discuss some of these effects and how to prevent them. We certainly hope that the information is informative and highlights the ongoing commitment of MedStar Southern Maryland Hospital Center to the Dr. Chile Ahaghotu, MD health and well-being of our community. Vice President, Medical Affairs MedStar Southern Maryland Hospital Center Sincerely,

Chile Ahaghotu, MD, Vice President, Medical Affairs

Case Study with Cardiologist Mun K. Hong, MD Patient Profile: Mr. G. is a 72-year old gentleman from the neighborhood, who has had long- standing diabetes. He had been experiencing shortness of breath with his daily activities, but as a retiree, he had been attributing it to his lack of exercise and aging. His shortness of breath continued to worsen, occurring with just walking up stairs in his home or going out to get the mail. He took his time with these activities to minimize the shortness of breath he was experiencing. When he saw his primary care physician the last time, he said “no” when his doctor asked him whether he was having any new symptoms.

What Brought Mr. G to MedStar Southern Maryland Hospital Center? By: Mun K. Hong, MD, FACC Chairman, Department of Cardiology On the day of his presentation to our hospital, his shortness of breath became severe even at rest and his family called 911. When he was brought to our hospital, he could not catch his breath and his EKG showed that he was having a heart attack. We had to use a breathing machine to help him get enough oxygen and our emergency heart procedure showed that he had severe blockages in his heart arteries, requiring heart surgery.

What did we learn from his case? Patients with diabetes may experience shortness of breath as a symptom of their heart condition rather than the traditional chest discomfort or chest pain. Any worsening symptom, such as increasing shortness of breath with less physical activities or especially at rest, should prompt further evaluation. Heart attacks are dangerous, because we cannot predict when they may happen. This is why it is important for patients with risk factors, such as diabetes, to see their doctors regularly and discuss any new symptoms, even if minor. Heart&Soul FALL 2017 EDITION

November is National Diabetes Month Whether you have Type 1 (when your body does not produce insulin) or Type 2 (when your body poorly regulates insulin production), diabetes is a serious health concern. You can help prevent diabetes by eating right, exercising, taking medications properly and working to eliminate stress.

If you think you may have diabetes, ask your physician to run tests. Tests for blood sugar, blood pressure and cholesterol are easily available. You can learn more by visiting the National Institute of Health’s website at niddk.nih.gov. Type 1 If you have diabetes, you need to do your part to minimize the problem by maintaining a healthy weight and listening to instructions from your doctor. If you Type 2 need a physician, please visit MedStarSouthernMaryland.org/FindADoc.

What is Diabetes? Diabetes mellitus (DM) is a disease that affects how our body uses blood (glucose). The most common form of diabetes in adults is type 2 diabetes which is usually attributed to obesity. Glucose is an important source of energy for muscles and body tissues and it’s the main source of energy for the brain. If somebody has diabetes, it means he/she has too much glucose in his/her body that can’t be utilized by muscles and tissues. Too much glucose in the blood leads to serious health problems. What causes Diabetes? 1. Hypertension (high blood pressure): When patients have both hypertension and diabetes, which is a common combination, their risk for cardiovascular disease doubles. Controlling blood pressure with medications will decrease cardiovascular By: Malik Al-Omari, MD complication. Department of Cardiology 2. Abnormal cholesterol and high triglycerides: Patients with diabetes often have unhealthy cholesterol levels including high LDL (“bad”) cholesterol, low HDL (“good”) cholesterol, and high triglycerides. This triad of poor lipid counts often occurs in patients with diabetes. Correcting cholesterol abnormalities with medications will significantly decrease the risk of cardiovascular disease. 3. Obesity: Obesity is usually the main reason for developing type 2 DM and is a major risk factor for cardiovascular disease. Weight loss can improve DM, high blood pressure and decrease the risk of coronary artery disease. 4. Lack of physical activity: Exercising and losing weight can prevent or delay the onset of type 2 diabetes, reduce blood pressure and help reduce the risk for heart attack and stroke. It’s likely that any type of moderate and/or vigorous intensity, aerobic physical activity—whether sports, household work, gardening or work-related physical activity—is similarly beneficial. What happens if you develop Diabetes? Diabetes increases the risk of coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries. Diabetes is treatable with life style changes and medication. Life style modification includes a strict low carbohydrate diet, exercise and weight loss. There are several types of medications that control diabetes. Controlling blood glucose will decrease the cardiovascular complication. Even when glucose is controlled, people with diabetes continue to be at higher risks heart disease and stroke. That’s because people with diabetes, particularly type 2 diabetes, may have one or more of the above conditions that contribute to their risk for developing cardiovascular disease. The American Heart Association recommends at least 30 minutes of moderate-intensity aerobic activity at least 5 days per week or at least 25 minutes of vigorous aerobic activity at least 3 days per week for a total of 75 minutes; or a combination of moderate-and vigorous-intensity aerobic activity. Ask-the-Doctor Seminar Series Community Healthcare Education

“Diabetes Awareness Day” People with diabetes face serious risks to their heart, eyes, and kidneys, as well as their overall health—even when they have no symptoms. Prevention, early detection and management are the keys to controlling diabetes.

In recognition of American Diabetes month, the Diabetes Self-Management Program at MedStar Southern Maryland Hospital Center is inviting you to join us for Diabetes Awareness Day. You’ll be able to find out if you are at risk for diabetes, or to learn how to manage your health if you’ve already been diagnosed.

At this FREE community event, you’ll have an opportunity to meet our diabetes care expert: • Lauren R. Williams, MD, internal medicine and pediatrics, Fort Washington Family Medical Center, 301-292-1590

All attendees will also receive a certificate for a FREE diabetes screening, including blood glucose, Hemoglobin A1c, and cholesterol levels- a simple blood test that could save your life. Fasting the day of the event is not necessary as the certificate can be used anytime by bringing it to the hospital laboratory. Come and join us! Tuesday, November 7, 2017 from 6:30 p.m. to 8 p.m., at the Surratts-Clinton Branch Library, 9400 Piscataway Rd., Clinton, MD

Admission is free but you must reserve a seat in advance. Register online today at MedStarSouthernMaryland.org/Calendar or call 855-211-8405.

About Dr. Williams: Dr. Lauren Williams has been a primary care provider in Southern Maryland for four years. Her practice includes preventive medicine as well as the management of chronic diseases such as asthma and diabetes for adults and children. She completed her medical degree at the University of Virginia and a combined residency in internal medicine and pediatrics at the University of Illinois at Chicago. She enjoys being a part of each patient’s journey toward a healthier life. Ask-the-Doctor Seminar Series Community Healthcare Education

Please join us for an informative, interactive seminar “Advances in the Management of Joint Pain” Presented by Daniel M. Hampton, MD

If joint pain, swelling, and stiffness are limiting your mobility, you don’t need to tough it out thanks to advances in orthopaedic medicine. Now a wide variety of surgical and non-surgical pain management options are available to help you get back on track and enjoy your daily activities again.

Dr. Hampton will discuss the treatment options that help people who are suffering from hip and knee arthritis, including joint replacement surgery. You’ll learn about the medical issues that can lead to total joint replacement, as well as the steps involved in surgery and recovery, including preoperative planning, time in the hospital for surgery, postoperative rehabilitation, and what to expect from your new joint. The discussion will be followed by a question-and- answer session. Tuesday, December 19, 2017 from 6:30 p.m. to 8 p.m., at the MedStar Southern Maryland Hospital Center Meeting Room 7503 Surratts Road, Clinton, MD

Admission is free but you must reserve a seat in advance. Register online today at MedStarSouthernMaryland.org/Calendar or call 855-211-8405. About Dr. Hampton: Dr. Hampton is Chief of Orthopaedic Surgery at MedStar Southern Maryland Hospital Center and Chief Medical Officer/Head Team Physician for DC United. He graduated from Georgetown University and completed his orthopaedic residency at MedStar Georgetown University Hospital. He went on to complete a fellowship specializing in sports medicine/knee and shoulder surgery at Harvard’s Brigham & Women’s Hospital. Dr. Hampton specializes in sports-related injuries, but also treats general orthopaedic problems. His special interest areas include shoulder surgery, cartilage restoration/transplant surgery, adolescent and adult sports medicine, primary and revision arthroscopic surgery and minimally invasive surgery.

Don’t miss out! Join our Ask the Doctor e-mail list at MedStarSouthernMaryland.org/AskTheDoc MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER RESOURCE GUIDE For more details on these programs and others, please call the phone numbers listed or visit our website: MedStarSouthernMaryland.org/Calendar.

SUPPORT GROUPS CLASSES OTHER PROGRAMS

Breastfeeding Support Group Breastfeeding Class Hospital Volunteer Program Every Thursday One Saturday a month MedStar Southern Maryland from 10 a.m. to 11 a.m. from 9 a.m. to noon. Hospital Center volunteers make (excluding holidays) Hospital Library (ground floor) a difference every day helping Recreation area of 2 North Registration required. to support the health of our Cost: FREE 301-877-5740 community. Please call 301-877-5740 301-877-4553 for more Baby Basics information about volunteer Diabetes Support Group This class focuses on newborn opportunities. Fourth Thursday of every month care during the first six weeks (November and December of life. The class provides Mall Walkers Program moved to third Thursday because education on newborn health, St. Charles Towne Center of holidays) newborn care, milestones, home Supervised, all-weather walking from 7 p.m. to 8 p.m. safety and basic newborn care. with FREE blood pressure Hospital Library (ground floor) One Saturday a month monitoring. Cost: FREE from 6 p.m. to 9 p.m. Cost: FREE 301-877-5560 Hospital Library (ground floor) 301-374-9098 Registration required. Prostate Cancer 301-877-5740 Women and Newborns Support Group Center Tours Second Tuesday of every month Prenatal Childbirth Hospital Solarium (first floor) from 6:30 p.m. to 8:30 p.m. Class & Tour Cost: FREE Hospital Library (ground floor) One Saturday a month 301-877-5740 Cost: FREE from 9 a.m. to 4 p.m. 301-374-9098 Hospital Library (ground floor) Weight Loss Surgery Seminar Registration required. and Support Group Meeting NAMI/Mental Health Support 301-877-5740 Tools, resources and non- Group for Family Members judgemental support for battling and Caregivers Smoking Cessation Class obesity. Seminar conducted by First Tuesday of every month This course will help educate bariatric surgeon John Brebbia, from 6:30 p.m. to 8 p.m. and support participants in their MD, MBA, FACS, CNSC. Hospital Library (ground floor) quest to take control of their First Wednesday of every month Cost: FREE health and quit smoking now. MedStar Health at Brandywine 301-429-0970 Every Wednesday Community Room from 6 p.m. to 7 p.m. 13950 Brandywine Road Stroke Support Group MedStar Health at Brandywine Brandywine, MD 20613 Last Thursday of every month Community Room Seminar: 6 p.m. to 7 p.m. from 5 p.m. to 6:30 p.m. 13950 Brandywine Road Support Group: 7 p.m. to 8 p.m. Hospital Library (ground floor) Brandywine, MD 20613 Registration required. Registration required. Registration required. Cost: FREE Cost: FREE Cost: $10 301-774-8962 301-877-5858 301-374-9098

FALL 2017 | MedStar Southern Maryland Hospital Center HEALTH 15 7503 Surratts Road Clinton, MD 20735

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Top Doctor Orthopaedic Surgeon and Spine Specialist Alan Schreiber, MD, Reaches Thirty Year Career Milestone

wo major developments has all the equipment and we cater have changed orthopaedic to our community.” surgery during the three decades Dr. Alan Schreiber Dr. Schreiber earned his Thas been an orthopaedic surgeon at undergraduate degree in biology MedStar Southern Maryland Hospital from the University of Connecticut. Center. First, the spine surgery in He attended medical school at which he specializes has been Georgetown University. He refined to use far smaller incisions, completed an internship in general which has the benefit of less pain for surgery and a residency in the patient. Second, for the joint and orthopaedics at the Naval Hospital in arthroscopy procedures he also San Diego. His year-long, advanced performs, technology has advanced fellowship in spine surgery took so that total joint replacement cases place at Rancho Los Amigos Medical are now more accurate and include Center in Downey, CA. computerized knee alignment. Please visit “We take care of a variety of cases MedStarSouthernMaryland.org/ covering a multitude of procedures; Schreiber to make an appointment knees, wrists, shoulders, spines, with Dr. Schreiber in Waldorf or hands,” says Dr. Schreiber. “MedStar Brandywine, or call 301-856-1682 Southern Maryland Hospital Center for all MedStar Orthopaedic Institute physicians.