Healthy Living FALL 2013

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Inside Inside this Issue: this Caring for Pick-A- Securing Patient 3 7 Grace Anne17 Dorney Pulmonary & Issue: Our Youngest DateCardiac Services WinsSafety National Award ... 9

MedStarStMarys.org Is Orthopaedic Surgery for You? ... 14

And more! Letter From the President Dear Friends, Change is in the air and it signifies the coming of a new season, among other things. And, as you know, changes are taking place within the healthcare industry. At MedStar St. Mary’s Hospital we continue to navigate through the uncertainty by keeping a solid focus on our vision to be the trusted leader in caring for people and advancing health.

Our hospital strives to be a High Reliability Organization. This means that while we work to improve the safety in our organization, we also prepare for challenges and take the lead with solutions. We work to help our industry evolve in order to meet today’s ever- growing demand for new services, improved patient experiences and efficiency of cost. With the current economic uncertainty, we fully understand how important that last item Christine R. Wray, FACHE is to you. President, MedStar St. Mary’s Hospital Senior Vice President, MedStar Health One of the ways we do this is through our partnerships with other MedStar Health hospitals. For example, we are able to bring specialists to our community to help fulfill needs such as in pediatrics. In fact, this issue’s cover story introduces our new MedStar Georgetown University Hospital pediatrician who will be opening a practice here soon. We’ve also added specialists to our Imaging Department. The two newest radiologists to join our staff from Center Radiology at MedStar Washington Hospital Center bring new services (see back cover) as well as convenient care close to home.

Kenneth A. Samet, FACHE Other conveniences include expanded hours and call-ahead appointments at Express President and CEO, Care in Charlotte Hall to help reduce wait time. In addition, two new nurse practitioners MedStar Health are now on staff at Express Care.

2 Barbara Thompson Are you worried that you are at risk for diabetes due to family history or other factors? Chair, Board of Directors, Read about a new program that begins at Health Connections this month. You will learn MedStar St. Mary’s Hospital skills and make lifestyle changes that can help you reduce your risk or prevent or delay

Christine R. Wray, FACHE the onset of the disease. The best part is that this first year-long program is free thanks President, MedStar to a grant from the state. The information is on page 19. St. Mary’s Hospital Senior Vice President, Yes, change is in the air, offering all of us new opportunities. Rest assured that one MedStar Health constant, however, is our dedication to your health and safety. Our record of meeting or exceeding rigorous industry standards in patient care (see page 15) speaks of our Holly Bond Meyer commitment to you. Healthy Living Editor Enjoy the many fall activities around the county! Amanda Bowie Healthy Living Writer Kindest Regards,

Linda J. Lagle Healthy Living Writer Christine R. Wray, Nicki Strickland President Healthy Living Designer MedStar St. Mary’s Hospital of St. Mary’s County, its Medical Staff and Auxiliary, are non-discriminating in their admission, treatment, employment and membership policies. The hospital employs, offers membership, renders treatment and receives vendor services without Healthy Living is published by regard to race, color, religion, age, sex, national origin or ancestry, marital status or status as a qualified disabled individual. Patients MedStar St. Mary’s Hospital. The receive considerate and respectful care at MedStar St. Mary’s regardless of the source of payment. MedStar St. Mary’s Hospital’s Payment information is intended to inform and Assistance Program provides free or reduced charges for care to patients who receive inpatient and outpatient services. This program is educate about health, not as a substitute available for individuals who are not eligible to receive medical assistance from the state and meet specific income requirements. If you are for consultation with a physician. interested in finding out if you qualify for payment assistance, please contact our Credit Office at 301-475-6039.

Featured on Our Cover: Visiting a physician’s office isn’t tops on any infant’s list, but it didn’t take long for sweet Avery to warm up to Dr. Julpohng Vilai. With a toddler of his own at home, Dr. Vilai knows how to make his youngest of patients feel happy, safe and at ease. Caring for the Youngest Members of Our Community

MedStar St. Mary’s Hospital is pleased to welcome Julpohng Vilai, MD, the hospital’s new full time pediatrician with MedStar Georgetown University Hospital Department of Pediatrics.

Dr. Vilai will care for patients in the Shanti Building located in Leonardtown, Md., full time beginning late 2013.

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Growing up as a first-generation his duty to help give young patients a Georgetown University Hospital. Asian-American, Julpohng Vilai, MD, voice. According to Dr. Vilai, they had Wanting to be involved in the was strongly encouraged to pursue taught him so much about himself - community that he will soon care for, medicine as a career. It was in his the kind of person he wanted to Dr. Vilai and his family moved to St. third year of medical school during a be, and what it means to advocate Mary’s County this past spring. “I felt rotation in Pediatrics where he found for someone who may not be the only way to provide healthcare his niche. able to express their needs and services to a community is to be It marked one of the rare periods desires. “Those feelings have never involved in that community, living as a medical student when Dr. Vilai had diminished.” here, experiencing the area as only a both a sense of accomplishment and Completing virtually all of his resident could,” he said. “I believe that was truly happy at the end of the day. education in his home state, Dr. Vilai only in this way can I better understand “Even at that point in my training,” he graduated from the University of and adapt to the specific needs of the said, “I felt that I was able to help even Nevada, Las Vegas and the University people in this community.” if it was spending part of the afternoon of Nevada School of Medicine. He Watch for more information soon coloring with a child in a hospital or went on to complete an internship to schedule an appointment with Dr. bringing her some applesauce.” at Penn State Hershey Children’s Vilai. He will also welcome a nurse Moving forward, Dr. Vilai found it Hospital and his residency at MedStar practitioner to his office shortly.

Continued on page 4 Continued from page 3 We handle kids with care and with expertise. Get to Know Dr. Julpohng Vilai

What is your philosophy as a pediatrician?

My philosophy is simply to do the best I can for every child and his or her family; to provide evidence-based, compassionate, and ethical standards of care to each child equally regardless of background; and, although we may not always be in agreement, to form an alliance with families in which the goal is the child’s well-being. As a pediatrician, my role is to support not only the child but also his or her family in providing a happy, healthy and safe environment in which children can succeed and excel.

What can parents expect from you as pediatrician to their child(ren)?

There is no instruction booklet that comes with your child after delivery. However, through my medical training, I have Combining state-of-the-art technology with a tradition of 4 been fortunate to learn some of the content that might be compassionate care offers your child a safe, easy experience included in such a how-to guide if one existed, and I am at MedStar St. Mary’s Hospital. Our services and partnerships privileged to share some of those pearls with families, while with Children’s National Medical Center and MedStar acknowledging that things are rarely black and white or Georgetown University Hospital pediatric specialists help to provide the best options for care. right and wrong. The one constant that families can count on We keep you conveniently close to home for routine is that we will work together with the best interests of their testing, fewer time constraints and quality care in an children in mind. My personal goals are to be open-minded environment you know and trust. but honest and fair, to find common ground rather than dictate care, and to personally invest in a relationship with f Pediatric Rehabilitation Services families as they face the many challenges that come with - Speech-Language Therapy, Physical Therapy parenthood. and Occupational Therapy f Pediatric Cardiology Services How will your affiliation to MedStar - Local Cardiology Clinic with Georgetown benefit the community? Children’s National Medical Center Specialists - Electroencephalography (EEG) Testing MedStar Georgetown and the entire MedStar Health family - Echocardiograms have a broad and experienced network of physicians f Pediatric Endocrinology and specialists, and, although there are already many - Local Services with MedStar Georgetown pediatric specialists in the area, the connection to such a University Hospital Specialists broad community of healthcare professionals allows for appropriate partnerships and referrals… I also have a love f MedStar Georgetown University Hospital of education and hope to provide learning opportunities Pediatric Hospitalists for medical students and residents at Georgetown, possibly f Pediatric Pulmonary Function Testing by creating stronger relationships with them and offering f Pediatric imaging studies visiting rotations here, with the goal that some may even be f Pediatric Sleep Studies interested in relocating to the area to provide healthcare resources. COMING SOON: Pediatric PULMONOLOGY Visit MedStarStMarys.org or call 301-475-8981 for more information. Enhancing the Patient Experience

“It is the goal of every associate at MedStar St. Mary’s, from leadership to nurses, physicians to support staff, and everyone in between, to work diligently at improving the patient experience each and every day,” said Christine Wray, FACHE, president of MedStar St. Mary’s and senior vice president of MedStar Health.

In fact, MedStar St. Mary’s ranks higher than all Southern Maryland hospitals and above the statewide average in all 10 survey questions on patients’ hospital experiences on the Hospital Consumer Assessment of Healthcare Providers “In fact, MedStar St. Mary’s and Systems (HCAHPS®) survey. The survey also reveals that MedStar St. Mary’s earns higher marks than the national average on five survey questions. ranks higher than all Southern Maryland hospitals The higher than average scores are a true reflection of the numerous programs the hospital’s Patient Experience Council has initiated to identify our strengths and above the statewide and opportunities for improvement. Beginning in 2011 the council invited average in all 10 survey patients ready for discharge to reflect on their direct and immediate experience questions on patients’ in front of a panel of hospital associates.

hospital experiences on “The discussions have proven advantageous to us,” said MaryLou Watson, 5 the Hospital Consumer vice president, nursing and chair of the Patient Experience Council. “We have made improvements based on the direct feedback from our patients.” Take Assessment of Healthcare for example the electronic progress boards in the Ambulatory Surgery waiting Providers and Systems area to keep concerned family members at ease and up to speed on their loved (HCAHPS®) survey. one’s progress.

The survey also reveals Most recently, the Council launched a standing Patient & Family Partnership that MedStar St. Mary’s Forum. The members of this advisory forum are committed community partners who meet each quarter to explore areas for improving the patient experience, earns higher marks than enhancing safety and giving advice for the best ways to accomplish this. For the national average more information on becoming a member of the forum to offer feedback on on five questions.” your patient experience, please contact Diane Gooding at 301-475-6008.

The HCAHPS® survey is a national, standardized evaluation of hospital patients’ experiences. The survey is administered to a random sample of patients continuously throughout the year. It addresses real patients’ experiences and provides information about the overall rating of the hospital, likelihood to recommend the hospital, communication with nurses, communication with doctors, communication about medications, responsiveness of staff, cleanliness, quietness, pain management, and discharge information.

MedStar St. Mary’s believes it is imperative the community has the tools to make informed decisions about their health services and choosing a hospital.

Visit www.medicare.gov/hospitalcompare/search.html to view the HCAHPS® survey results. The MedStar St. Mary’s Hospital team is excited to introduce the newest members Our Medical of our Medical Staff. As our community grows, we strive to bring high-quality physicians and specialists to Southern Maryland to meet the medical needs of the area’s residents. Community We believe it is important for our patients’ health to offer specialized services in a comfortable setting, close to home. If you happen to see one of these Medical Staff Spotlight members in the hospital or in the community, please take a moment to welcome him or her.

We are pleased to welcome a husband and wife team to our hospital. Jonathan Klingler, DO, is with our Emergency Department and Amy Klingler, PA-C, is a new adult hospitalist on our staff. Prior to coming to MedStar St. Mary’s Hospital, Dr. J. Klingler most recently served as an emergency medicine physician with Susquehanna Health in Williamsport, Pa. He did his residency in Pennsylvania at the Penn State Milton S. Hershey Medical Center, serving as senior emergency medicine resident. His osteopathic medicine studies were at the Lake Erie College of Osteopathic Medicine and he studied pre-med at Lock Haven University of Pennsylvania. As a physician assistant for the Hemophilia and Thrombosis Center of Central Pennsylvania, Amy Klingler also worked with the Milton S. Hershey Medical Center. In addition, she served as a PA for the Anesthesia Department. Before going to The Hershey Medical Center, she served with the Dana Farber Cancer Institute and University of Massachusetts Memorial as a bone marrow transplant certified PA. Both earned their bachelor’s degree in flight operations from Daniel Webster College in Nashua, N.H., and are 6 certified flight instructors and pilots. They are volunteer pilots with Angel Flight, transporting terminally ill oncology patients to hospitals in aircraft.

Rose Goncalves, MD Deborah Foerter, CRNP Medical School: Drexel Education: Master of University College of Medicine Science in Nursing

Residency: York Hospital Nurse Practitioner with Get Connected to Health Emergency Physician with Medical Emergency Resides in Waldorf, Md. Professionals

Resides in Hollywood, Md.

Danielle Lecky-Chaudhuri, MD Danielah Gautier, MD Medical School: Eastern Medical School: New York Virginia Medical School Medical College

Residency: Children’s Hospital Residency: Georgia Regents of the King’s Daughters Medical Center Pediatrics Obstetrician with Southern Pediatrician with Robert E. Maryland Women’s Healthcare Miller, MD Resides in California, Md. Resides in Waldorf, Md. From left: MedStar St. Mary’s Hospital Imaging associates, Mary Shanahan, Tracey Lynch, Beverly Ballard, and Rhonda Shade “Pick-A-Date.”

Blowing out 40 candles on your Cancer Society, women age 40 and keep communication lines open so birthday cake comes with at least older should be screened once patients know what to expect and are one very significant responsibility if per year. “We see breast cancer therefore less anxious.” you are a woman - scheduling your occur within one year’s time,” said MedStar St. Mary’s offers a variety first annual mammogram. But before Mary Shanahan, the lead radiology of imaging modalities to help with you pick up the phone to schedule technologist in Mammography. “I breast health that are fully accredited your appointment, MedStar St. Mary’s can’t stress enough the importance of by the American College of Radiology. wants you to “Pick-A-Date” that has having your annual exam.” That’s why In addition to accreditation, The Food special meaning to you. picking a date that is significant to you and Drug Administration awarded the There are certain dates that have is so clever. Mary also emphasizes that Mammography program a perfect 7 a way of locking themselves in your young women need to do regular self review score for Mammography memory and they represent the breast exams as well. Quality Standards Act compliance. perfect time to schedule your first or “Women should treat When you have your ongoing annual mammogram. When mammograms as a gift to themselves,” mammogram at MedStar St. Mary’s you choose a date that is already as Tracey Lynch sees it. A radiology between October 2013 and March important to you, you’ll never forget technologist, Tracey is conscious 2014* you will receive a gift card to schedule your yearly screening. that some women are scared of the to the new BTB Coffee Bar in For Beverly Ballard, secretary of the unknown. “I wish I could eliminate the Leonardtown, Md. To receive a travel Imaging Department, her birthday fear factor and help women get over coffee mug as well, be sure to say the month marks the time when she that hurdle.” Tracey and the rest of the catchphrase “I want to pick a date,” is prompted to schedule her Mammography team work together to when scheduling your appointment. mammogram. help women feel at ease during their Call 301-475-6399 today to “Pick-A- According to the American appointments. “We make it a point to Date.” *Mammograms may only be scheduled six months in advance. may only be scheduled six months in advance. *Mammograms

Have your mammogram at MedStar St. Mary’s between October 2013 and March 2014* and you will receive a gift card to the new BTB Coffee Bar in Leonardtown, Md. When you say the catchphrase “I want to pick a date” when scheduling your appointment, you’ll also receive a travel coffee mug. $5 Call 301-475-6399 today to “Pick-A-Date.”

*Mammograms may only be scheduled six months in advance. $5 Linking You to Good Health Your Life. Your Health. Your Way. That’s the philosophy of Health Connections’ Health Link program. We know your health is important to you and it is equally important to us. Health Link classes are designed to help you navigate caring for your health, especially for individuals with chronic conditions.

Heart Health call 301-475-6019. A physician’s order the onset of Type 2 diabetes. Free. is required. Living Well with a Cardiac Pulmonary Condition Seven Healthy Habits of People Sept. 7, 9 a.m., Multipurpose Room with Diabetes Better Breathers Club Diagnosed with a cardiac condition Nov. 8, 1 to 3 p.m., Oct. 17 and Dec. 19, noon to 1 p.m., but don’t know what that really means? Lexington Park Library Health Connections Come learn more about heart disease Have diabetes? Feel overwhelmed? If you have a pulmonary disease, such and causes, prevention, disease What if you could learn a bit about each as COPD, join us to learn how to better management, nutrition tips, reading of the seven self-care behaviors, then cope with the disease. We will discuss food labels and basic lifestyle changes work on one at a time? Join a certified several pulmonary-related topics, such sure to improve your quality of life. diabetes educator and learn how you as breathing techniques, home health Great opportunity for cardiac patients, can manage diabetes, one healthy care and exercise. This program is in family members and caregivers. Special step at a time. Caregivers and family partnership with the American Lung focus on emotional health and low- members welcome. Call 301-475-6019 Association. For more information, sodium cooking. Light breakfast. Call to reserve your spot. Free. contact Beth Slick, program facilitator, 8 301-475-6019 to register. Free. at 240-434-7143 or beth_slick@ Prevent Diabetes Workshop yahoo.com. Free. Diabetes Education Oct. 12, 1 to 3 p.m., Health Seated Yoga for Better Breathing Connections; and Oct. 18, Diabetes Self-Management Ten-week class beginning Oct. 3, 1 to 3 p.m., Lexington Park Library One-day sessions meet Sept. 28 and 6 to 6:30 p.m., Health Connections Do you have any risk factors for Oct. 19, 9 a.m. to 3 p.m., Yoga is a mind-body practice in com- Health Connections diabetes (family history, overweight, plementary and alternative medicine Take the mystery out of diabetic meal sedentary lifestyle) or have you even with origins in ancient Indian philoso- planning, monitoring, treatment been told you have pre-diabetes or phy. Use yoga to manage stress; com- options and day-to-day coping with “borderline” diabetes? Attend this two- bat asthma, COPD, high blood pres- diabetes. For more information about hour workshop taught by a certified sure and depression; and as part of a our American Diabetes Association- diabetes educator and learn how small general health regimen. Class taught by Recognized Education Center, changes can help you prevent or delay Dr. Bhasker Jhaveri. $50 for 10 weeks.

Ninth Annual National Diabetes Month Celebration Nov. 23, 10 a.m. to 1 p.m., Lexington Park Library MedStar St. Mary’s Hospital is offering a special event designed to help educate and inform you as part of the National Diabetes Month Celebration. Whether you just want to learn about the disease or you are living with the condition, you’ll find something of interest. Take advantage of free health screenings, including glucose and blood pressure. Speak with educators about prediabetes and diabetes. Health FALL 2013 Connections Calendar

Senior Wellness & Events office at 1-800-656-4343, Ext. 203. Stroke Survivors Free. Sept. 17, Oct. 15 and Nov. 19, 7 to Senior Gold Card Club 8 p.m., Health Connections Sept. 5, Oct. 3 and Nov. 7, 12:30 to Ostomy Support Group Learn more about causes of stroke, 2 p.m., Health Connections First Sunday of every other month recovery and how to prevent future Each month, members enjoy a (Oct. and Dec.), 2 to 4 p.m., Chesapeake- problems. Speak with experts heart-healthy lunch and they are Potomac Home Health Agency in rehabilitation and enjoy light treated to interesting and informative Created specifically for patients and refreshments and the friendship of educational programs. Membership family members of patients who have other stroke survivors and their families. is free. Registration required. Call colostomies, ileostomies and urosto- Caregivers welcome. Call 301-475- mies. To register for this support group, 301-475-6019. Free. 6019 to register. Free. and to confirm dates, please call the CPHHA office at 1-800-656-4343. Free. Support Groups Cancer Care Bariatric Surgery Support Group Alzheimer’s Care Givers Cancer Support Group Sept. 14, Oct. 12 and Nov. 9, First and third Wednesdays of the Support Group 10 to 11 a.m., Health Connections month, 7 to 8:30 p.m., Outpatient Fourth Thursday of every month, Hosted by the Bariatric Surgery Team 9 Pavilion, Second Floor, 6:30 to 7:30 p.m., Chesapeake- at MedStar Washington Hospital Conference Room Potomac Home Health Agency Center. Free. Support and information sharing in a MedStar St. Mary’s and the American Cancer Society offer a support group small group setting for caregivers of Good Grief Support Group for cancer patients, their family mem- individuals with Alzheimer’s and related First and third Tuesdays of every bers and friends. The group is facili- dementia. Primary caregivers, family month, 6:30 to 8 p.m., Hospice tated by associates from Cancer Care members and friends of affected per- Learn positive coping skills for dealing & Infusion Services and Case Manage- sons are all welcome. To confirm dates with the loss of a loved one. Contact ment. Call 240-434-7247 for more or for information, contact the CPHHA Hospice at 301-994-3078. Free. information. Free.

Look Good, Feel Better Second Wednesday of the month, 7 to 8:30 p.m., Cancer Care & Infusion Services, Outpatient Pavilion The hospital partners with the National Cosmetology Association and the Cancer Awareness Day American Cancer Society for this free program for cancer patients in any Oct. 19, 10 a.m. to noon stage of diagnosis or treatment. This St. Mary’s Outpatient Pavilion Lobby seminar helps female cancer patients Learn about cancer prevention and nutrition tips to help lower improve their appearance and self- your risk. Guests will also receive information on colorectal, image by learning hands-on beauty breast and cervical cancers. Prostate screening will be available techniques to overcome side effects of for those who meet the criteria. chemotherapy and radiation. Call 301- 475-6070 to register. Free. Registration is required for prostate and skin cancer screenings. To register, call Health Connections at 301-475-6019. Health Connections Calendar

Keys to Wellness In the Community Flu Shots Alternative Medicine CPR,First Aid & Safety Coming Reflexology First Aid Soon Sept. 13, Oct. 11 and Nov. 8, Sept. 21 and Nov. 23, 12:30 to 2 to 5 p.m., Health Connections 3:30 p.m., Health Connections Enjoy a relaxing reflexology session! Do you know what to do in an $20 for 20-minute session. Call emergency? Participants receive an to register. American Heart Association Heart Saver First Aid completion card at the end of Yoga the course. $35. This upcoming flu season, flu Ten-week classes beginning Oct. 3, 4 to 5 p.m. or 5 to 6 p.m., shots will be available for $20 Heart Saver CPR/AED Health Connections through Health Connections. Sept. 20, Oct. 11 and Nov. 22, 4 to Start at your level of ability and 8 p.m.; and Sept. 21 and Nov. 23, Medicare will be accepted experience the relaxing benefits of 8 a.m. to noon, Health Connections yoga with gentle movement. Class for payment again this year. Designed by the American Heart 10 taught by Dr. Bhasker Jhaveri. Association, Heart Saver will teach More information about the $80 for 10 weeks. lay rescuers CPR, how to use an AED flu shots will be available and foreign object airway obstruction soon. Everyone counts when removal for adults, children and infants. Exercise, Nutrition & it comes to flu prevention. Call 301-475-6019 to register. $45. Weight Management Call 301-475-6019 for more

information. Body Composition Analysis By appointment only, Health Be sure to give Connections Ready to start that new fitness plan or prevention a shot want to measure the progress of your this season! current fitness routine? Analysis in- cludes measurements, and an in-depth look at body composition. $15.

Blood Drives It feels MedStar Health Blood Drives Sept. 13 and Nov. 18, 10 a.m. to 4 p.m.; Oct. 21, 1 to 6 p.m., Health Connections It feels good to give. Donate blood. MedStar depends on generous, committed good to give neighbors like you to support their life-saving services. Visit DonateBloodMedStar.org to make an appointment. Click on the donate blood tab and enter the Leonardtown zip code, 20650, to find the MedStar St. Mary’s drive. Or, call Health Connections at 301-475-6019 to register or for more information. To register for classes call 301-475-6019 or enroll at MedStarStMarys.org FALL 2013

Childbirth & Family after completing the first trimester of pregnancy. Permission from your healthcare provider is required. You may mail participant registration and release forms and Education send fee after your physician clears you. Bring two pillows and a blanket to class. $40 for four weeks. Child Passenger Safety Seat Check Sept. 16 and Nov. 4, 4 to 6 p.m., Parents-To-Be Health Connections MedStar St. Mary’s offers the following in-depth series of classes on becoming a Certified passenger safety technicians parent at Health Connections. These classes fill quickly. Call 301-475-6019. will inspect and teach parents how to properly install car seats. Presented w Infant CPR – learn lifesaving CPR techniques and actions to help a choking in cooperation with the St. Mary’s infant. Sept. 23, Oct. 28 and Nov. 25, 6:30 to 8:30 p.m., $15/person. Highway Safety Team. By appointment w New Brothers and Sisters – for siblings ages 3 to 10 years. Prepares little ones only. Free. for the new addition to your family. Oct. 30, 5 to 5:45 p.m., $5/child.

Breastfeeding Moms w Breastfeeding Basics – learn the fundamentals of breastfeeding. Sept. 9, Each Wednesday, 10 a.m. to noon, Oct. 14 and Nov. 11, 6:30 to 9 p.m., $15/couple. Health Connections If you are a new mom who could use w Childbirth – covering labor, delivery and beyond. One-day class. Sept. 28, the support of other mothers, attend Oct. 26 and Nov. 30, 9 a.m. to 4 p.m., $55/couple. Five-week class. Sept. 11 11 this free support group facilitated by and Oct. 30, 6:30 to 8:30 p.m., $55/couple. lactation consultants. w Web-based option: Childbirth classes for parents-to-be who cannot attend

Safe Sitter our traditional classes or for couples looking for a refresher course. This easy Oct. 26 and Nov. 16, 8:45 a.m. to to use web-based class shows real-life examples of the labor and childbirth 4 p.m., Health Connections process. $55. MedStar St. Mary’s offers this program w to teach adolescents ages 12 to 14 Baby Care and Beyond – This interactive, fun and informative class answers years-old common sense babysitting your baby care questions and takes the mystery out of parenting. Practical tips, basic first aid and CPR. Call early skills like bathing and diapering, combined with ways to enhance your baby’s to register for this popular class. $65. brain development makes this a must-have class for all parents. Sept. 16, Oct. 7 and Nov. 4, 6:30 to 9 p.m., Health Connections. $15/couple. Web-based Prenatal Yoga option available in both English and Spanish. $25 Four-week program beginning Sept. 17, 5:30 to 6:30 p.m., Health Connections w Women’s Health & Family Birthing Center Tours – Is there a baby in your The practice of yoga can help your future? Come tour our Women’s Health & Family Birthing Center. Registration body and speed your recovery after required. Free. Second and fourth Sunday of each month, 4 to 5 p.m., childbirth. You may begin the class Main Lobby.

Get Connected to Health, is available five days a week! This low-cost primary healthcare service for the low income and uninsured of St. Mary’s County is available in Lexington Park and Charlotte Hall. Call 301-475-6019 for more information or to make an appointment. Read more about exciting new things to come with Get Connected to Health on pg. 12! THE POWER TO HEAL

GiTHE POWERving TO HEAL

GivTHE POWER TO HEALng The generosity of community part in giving back to our community giving members, physicians, associates, and and I am humbled by the immense the Hospital Auxiliary contributed support,” said Thomas Jarboe. “The Dr. The Power to Heal to the campaign’s success. Special J. Patrick Jarboe Mobile Health Center appreciation goes to the Hospital is essential to bringing primary health Foundation for generous philanthropic care to many individuals in our county. Annual supportGi of thisvi campaignng for the new My father was passionate about the mobileThe center Power dedicated to to HealDr. Jarboe, Get Connected to Health program and Campaign one of the program’s most dedicated the delivery of care. I cannot thank the volunteer physicians. community enough for ensuring such Delivers As a part of this fundraising effort, a legacy.” the hospital established the 1912 As a result of the successful Community members will soon be Society, a special gift recognition level campaign the new mobile center seeing evidence on county roads and an essential, permanent part of should be on the road delivering of the hospital’s successful annual hospital fundraising that pays homage health care five days a week later this campaign for the new Dr. J. Patrick to our founding year. The 1912 Society fall. It took numerous vendors and Jarboe Mobile Health Center. A represents a standing tribute to the suppliers to completely customize heartfelt thank you goes out to our ideals of our founders. These include the inside of the mobile unit to Southern Maryland community. You serving our community and providing accommodate all of the clinical and helped us raise more than $457,900 quality, compassionate care. The technological needs as well as patient for the Health Connections Get society recognizes donors who give an comfort. The unit will replace the Connected to Health program’s annual philanthropic gift of $1,000 or current road worn, mechanically weary mobile outreach center that brings more to MedStar St. Mary’s. and unpredictable 12-year old van primary health care to underserved “Whether your gift was small or to be recycled as a stationary dental members of St. Mary’s County. large, know that you played a vital clinic in the Health Enterprise Zone. 12

Coming soon! Look for the all new Dr. J. Patrick Jarboe Mobile Health Center to be on the roads around November. The mobile unit will house a small, comfortable wait area for patients along with two private exam rooms, as well as work space, a restroom, and built in storage. A certified nurse practitioner staffs the mobile center full time.

A Century of Caring Our hospital history - 100 years in the making

This engaging, commemorative book celebrates… Community, friends & neighbors, partnerships …and a Century of Caring

Interested in purchasing a copy? Call 301-475-6455. The St. Mary’s Hospital Supporting Foundation recently awarded scholarships to students Healthcare pursuing a career in health care. Focused on our area’s healthcare needs, the Foundation dedicates Students itself to providing a bright future for our hospital and the community we serve. Generous donations from the community and Foundation fundraisers held throughout the year, including such events as the Gala, support the program. Each scholarship helps pay for tuition, books and fees associated with the degree or certification. Since the Foundation began awarding healthcare scholarships in 2001, more than 100 Southern Maryland th students have benefitted. The 26 According to Cindy Greb, chair of the Foundation’s scholarship committee, the selection process gets tougher Annual Foundation Gala each year. “It seems that every year brings us more exceptional candidates who are truly passionate in their The Wonder of Winter desire to work in the healthcare field,” she said. “How St. Mary’s Hospital Foundation will present its 26th wonderful this is for our community.” Annual Foundation Gala on Friday, Nov. 22, 2013. Congratulations go to this year’s group of This year’s theme is designed to allure the Southern scholarship winners: Maryland community with The Wonder of Winter. The captivating black-tie benefit event will be held at the Hollywood Social Hall. Nothing shimmers like moonlight reflected on an 13 ice blue pond and freshly fallen snow. Tree branches stand poised to welcome and display each feathery dusting of snowflakes that land glistening with frost, as if enrobed in silver glitter. Your breath creates a wispy Katrina Bazemore Jessie Bodecker Sydney Deems design as it crystallizes in the outside air. Then, as you of Leonardtown of Mechanicsville of Leonardtown enter the mystical beauty of a serene winter scene, it Bachelor of Science Associate Degree of Bachelor of Science in in Genetics Nursing Physical Therapy seems to surround you, cloaked in the warmth of its beauty. The Wonder of Winter promises to mesmerize with its stark, exquisite splendor. Dressed in elegant attire, you step into the Hollywood Social Hall and find yourself drawn to the delicious hors d’oeuvres and delectable fare created by Design Cuisine. The sounds of the band Nocturne fill the room, encouraging all to heat up the dance Dawn Drury Teresa Farrell Elizabeth Schachterle floor. While new to our Gala, both Design Cuisine and of Ridge of Avenue of Leonardtown Nocturne have an extensive record of accolades and Bachelor of Science in Associate Degree in Bachelor of Science in success in the greater D.C. sphere of events. A Century of Caring Nursing Radiography Nursing The Gala is Southern Maryland’s premier formal Our hospital history - 100 years in the making event for a wonderful cause – our community hospital. Seating is limited and ticket prices are $225 per person. This engaging, commemorative book celebrates… Sponsorship opportunities are available and begin Community, friends & neighbors, partnerships Katherine Thompson at $850. For more information, please contact our of Chaptico …and a Century of Caring Philanthropy Officer, Andy Dziuban, at 301-475-6455 or Bachelor of Science in Health visit MedStarStMarys.org for a sponsor packet. and Exercise Science Interested in purchasing a copy? Call 301-475-6455. Relay for Life Team Ranks High The MedStar St. Mary’s Hospital Team raised $11,227 for Relay for Life this year ranking fourth among the 95 teams participating. Relay for Life of St. Mary’s County was held June 8, 2013, at Leonardtown High School and is the American Cancer Society’s signature activity. Teams of people camped out and took turns walking while raising much-needed funds to fight cancer and create awareness of cancer prevention and treatment. In addition to walking in the relay event, hospital team members sold cupcakes and raffle tickets for a chance to win a handmade quilt donated by Magdalena H. Fisher. MedStar St. Mary’s associates and some of their friends More than 1,200 people participated in the Relay for Life in and family participated in this year’s Relay for Life event. Among the team’s major contributors were: Christine Leonardtown, Md., raising a total of more than $251,480 for the Wray, Cheseldine Management Consulting LLC, Bowles American Cancer Society’s research, education, advocacy, and Farms LLC, and the Farmer’s Daughter Cupcakes. service programs.

Quilt Raffle Going on Now Annual Golf Stay warm on these crisp fall evenings wrapped in a quilt hand sewn by some of Tournament 14 MedStar St. Mary’s associates in the Women’s Health & Family Birthing Center. The quilt, suitable for a twin bed spread or full bed cover, was donated to the Gets Face Lift St. Mary’s Hospital Auxiliary and is currently being raffled off to raise funds for New life is being breathed into the patient comfort items. Annual Auxiliary Golf Tournament. To purchase tickets, visit the hospital Gift Shop located just inside the main hospital lobby. Tickets cost just $1 each or $5 for six. The winner will be announced Now a joint effort between the at the Auxiliary’s Annual Fall Bazaar on Friday, October 25. Plan to attend from Auxiliary and Foundation, the 9 a.m. to 5 p.m. golf outing is sure to be bigger To learn more about Auxiliary events or to become a member, call the and better than ever. Traditionally Philanthropy Office at 301-475-6455. held in September, the event Gift Shop Hours has been delayed until spring of 2014 to ensure the new and Mon. - Fri. / 10 a.m. - 6 p.m. improved tournament exceeds your expectations. Sat. / 11 a.m. - 2 p.m. You won’t want to miss out on Sun. / 1 - 5 p.m. all of the fun, food and friendship. Start organizing your team now by encouraging your friends, colleagues and family members to join you. Just think of all of the fun you’ll have out on the manicured greens to help raise money for the hospital. More information about sponsorship opportunities will be available in the winter 2013 issue of Healthy Living. Award Recognizes Patient Safety Emphasis The Delmarva Foundation awarded MedStar St. Mary’s Hospital the 2013 Excellence Award for Quality Improvement for the sixth consecutive year. This is the seventh year overall that the hospital achieved the foundation’s highest recognition. “This award represents exceptional teamwork and an unwavering commitment to Patient First by all of our hospital associates and physicians,” said Christine Wray, FACHE, the hospital’s president and senior vice president, MedStar Health. The Delmarva Foundation recognizes hospitals that achieve excellence in patient safety and quality improvement in four inpatient clinical areas: acute myocardial infarction (heart attack), heart failure, pneumonia, and surgical care improvement.

In order to achieve the award the hospital must meet or exceed the following criteria: MedStar St. Mary’s • Individual performance measure rate must be • An aggregate performance score aggregate score is 90 percent or above on 14 required measures of 96 percent or higher over the for every quarter of a calendar year four quarters 98.7 percent.

“Every patient at MedStar St. Mary’s is someone’s son, daughter, father, mother or friend,” said Joan Gelrud, hospital vice president. “We owe patients a safe, successful experience. Agencies such as the Delmarva Foundation continually evaluate us against rigorous criteria so when we meet or exceed these standards, it tells patients they can have confidence in the care we provide.”

Securing Patient Safety 15 MedStar St. Mary’s received a 2013 Patient Safety Excellence Award™ from HealthGrades®, a leading independent online resource that helps consumers search, evaluate, compare, and connect with physicians and hospitals. As a 2013 award winner, MedStar St. Mary’s is in the top 10 percent of hospitals in the nation for patient safety excellence and recognized as a hospital with the lowest occurrences of 14 preventable patient safety events. On average, patients hospitalized in a Patient Safety Excellence Award™ hospital were 52 percent less likely to experience one of 14 patient safety events compared to lowest-performing hospitals. The award from HealthGrades® helps reinforce the hospital’s commitment to patient safety. It is a top priority and we continually strive to enhance the layers of safety that already exist. One example of how MedStar St. Mary’s continues to enhance patient safety is the addition of a high-tech, secure BioID fingerprinting system for access to the Something to think about: medications that our care providers dispense to patients. On average, patients treated in Patient Safety How it Works Excellence Award-winning hospitals were: To gain access to the medication station, authorized staff log on to the dedicated  81 percent less likely to experience hip computer and place their finger on a sensor. Highly efficient, the Pyxis BioID adds fracture following surgery* another layer of safety for patients and a higher level of security for associates. The biometric system verifies a user’s identity by comparing the unique  80 percent less likely to experience human characteristics of their fingerprint. Because fingerprints are exclusive to pressure sores or bed sores acquired an individual, they cannot be duplicated. The BioID sensor on the medication in the hospital* station creates a digital representation of the user’s print or template. What makes  70 percent less likely to experience a the system so secure is that the template is not an image of a print and that a full catheter-related bloodstream infection fingerprint image cannot be restored from the encoded templates. This means no acquired in the hospital* random or unauthorized access to patient medications is possible.

*Compared to hospitals ranked in the bottom 5 percent in the nation. Back to Living

Recurring back pain shouldn’t be ignored. That’s the advice George Kennett of Avenue, Md., gives all his friends who complain of aches. George no longer suffers after undergoing a laminectomy spine surgery at MedStar St. Mary’s Hospital earlier this year. When nerve root compression left him in unbearable pain, George was thrilled to read that Usman Zahir, MD, of the MedStar Georgetown Orthopaedic Institute, is performing spine surgeries at MedStar St. Mary’s right in Leonardtown. “I was blown away,” said George who learned about Dr. Zahir in an issue of Healthy Living. From the moment George met Dr. Zahir, he was impressed. Not only do the two have some things in common - both are avid bicyclists and alumni of St. Mary’s Ryken High School and the University of Maryland but according to George, “Dr. Zahir is dynamic, young, well spoken and educated in the latest advancements in surgery.” Adding to his first impression, George put it frankly, “Dr. Zahir has an awesome bedside manner.” 16 George had a long history of back pain stemming from a fall he took in his 20s. While working on a farm, he fell 20 feet from a tobacco barn landing flat on his feet. The impact caused him to fall backward and hit his head George Kennett is once again enjoying a more active and pain on a wooden sill. Although his head injury was treated, free life following successful spine surgery. the damage to his back went undetected. The injury plagued George for years. His service as Dr. Zahir took a fresh approach. “He doesn’t push his patients a medical corpsman in the Navy Reserves ended with into a surgery they don’t need,” said George, but alternatives an honorable discharge after 15 years because of his weren’t working. nagging back issues. Even during his time as Fire Chief George had surgery at MedStar St. Mary’s for a at Patuxent River Naval Air Station, his back pain was a laminectomy of his spine on January 29, 2013. Dr. Zahir factor. performed the surgery that involved removing the lamina George underwent two prior spine surgeries, one from George’s spine. This opened the spinal canal giving in 2000 and the other in 2011 to alleviate pressure on the spinal nerves more room. Lamina is part of the bone that a sciatic nerve. Both surgeries corrected the issues, but makes up a vertebra in the spine. Dr. Zahir also performed persistent pain, numbness and weakness in George’s a spinal fusion to permanently join together two bones in lower back, buttocks and legs presented themselves yet George’s spine so there can be no movement between again. “Some people don’t realize that back problems them. can lead to the loss of all function and control below the The surgery was successful as George is back to living waist,” said George. “At one point, I lost all mobility.” life more fully. Of course, he has just a few limitations as the When Dr. Zahir reviewed George’s X-rays, it was clear bone fusion takes some time to form and heal properly. In to him that medication and painful epidural nerve blocks time, George can return to serving his community as a life would only prolong the inevitable. According to George, member of the 7th District Rescue Squad.

Dr. Usman Zahir’s office is located in the Specialty Physicians Suite at MedStar St. Mary’s Hospital in the Outpatient Pavilion. To make an appointment, call the MedStar Georgetown Orthopaedic Institute at 240-434-7483. Working Toward Wellness As an organization devoted to health and as a supporting resource organization for the state’s Healthiest Maryland Businesses initiative, MedStar St. Mary’s Hospital is assisting businesses and non-profits to create wellness programs. By partnering with companies to offer subject matter expertise, the hospital is also engaging the community in a healthier lifestyle. Workplace wellness programs Andrea Hamilton, community health educator (front), works with employees from the can help reduce healthcare costs, St. Mary’s County Health Department to encourage their wellness efforts. reduce employee absenteeism, increase employee productivity, and Connections. “We can assist businesses be changed to offer healthier options and can impact insurance costs. In fact, in writing a wellness policy, starting employee health fairs can provide a lot of the Affordable Care Act and how it an employee wellness committee, information in one setting. can affect employee health was the customizing programs or doing The county’s Health Department topic for a recent forum sponsored by something as simple as provide access introduced contests like the “Lose to Healthiest Maryland Businesses and the to resources, offering on-site health Win” weight loss competition. Another Mid-Atlantic Business Group on Health. screenings or any combination of idea is to have a pot luck with employees The event was hosted by SMECO, support.“ contributing a healthy dish and a copy of which has a fully integrated, successful Community Health Educator the recipe to share with others. 17 workplace wellness program in place. Andrea Hamilton works with county Organizations and businesses typically Health Connections had staff available partners, such as the Sheriff’s Office develop their own wellness policy and to discuss workplace wellness and the and the SMC Health Department, our hospital health educators offer ways opportunities for customizing wellness through the auspices of the state’s to support them. Some services are fee services offered to businesses. Community Health Transformation based. “We help jump start a program “We have an entire wellness Grant. “Change doesn’t have to mean a and give companies a good template to package available for businesses,” major overhaul,” according to Andrea. follow and build upon with input from said Lori Werrell, director of Health For example, vending machines can their employees,” said Andrea.

Practicing What we Preach Our Wellness Team organizes health fairs, yoga and Zumba® classes and distributes health tips. The cafeteria offers healthier options such as reduced sodium levels and food free from trans fat. Campus walking routes are marked and Walking Program participants have a chance to win a prize each month. “We award participation rather than the total miles walked,” commented Karen McCleaf, nurse practitioner for Occupational Health. The hospital recently received a Fit and Friendly Workplace Award from the American Heart Association for these changes.

Donna Knott, If interested in developing a program for your nutrition services, takes great workforce, contact Lori Werrell, director of strides toward wellness. Health Connections, at 301-475-6019. Construction Underway Pardon the dust next time you visit MedStar St. Mary’s Hospital as numerous construction projects are underway and will be ongoing for the next 18 months. While most of the renovations will take place behind the scenes, a few will be noticeable to visitors. The following are some things that may impact your visit: Main Lobby patient way finding. The design calls for an open floor The registration area located just behind the front desk plan and a centralized tracking board. The revised will be revitalized. In addition, the cashier will be relocated layout will enhance patient safety and customer service to provide a more private location for patients to make by assuring efficiency and fast turnaround time for Lab transactions. The public restrooms in the main lobby as testing. well as in the Emergency Department will be modernized Sleep Lab with new fixtures and finishes. The Sleep Lab will move from its current location on the Education & Simulation third floor to space next to the MedStar Wound Healing Center Center. The space will include two beautifully designed There will be a complete and comfortable sleep rooms along with staff monitoring overhaul of the Annex just down areas. the hill from the Emergency Archives Center and Library Department. Half of the building Just to the right of the visitor elevator will be the archives will become an Education & center and library that will house memorabilia from the Simulation Center and home to hospital’s 100 plus year history for all to peruse and enjoy. Organizational Learning and Research. The ALS unit will remain in the other half. Our space will allow for continued Imaging training of hospital associates as well as emergency Renovations within Imaging include a future CT room, 18 medical technicians throughout St. Mary’s County. radiology room and two angiography suites that can be used for vascular and minor procedures. Lab Design The Phlebotomy area of the Laboratory will become a This overview covers some of the renovations anticipated mirror image of its current location that will bring the that may affect visitors. Please bear with us as we enhance outpatient area much closer to the lobby for convenient our facilities.

Express Care in Charlotte Hall Convenient, Fast Care for You and Your Family

New appointment scheduling Schedule a same-day appointment by calling 301-290-1499. Walk-ins are always accepted.

new extended HOURS Mondays – Fridays Weekends and Holidays 3 to 11 p.m. 10 a.m. to 8 p.m.

Express Care St. Mary’s Medical Center at Charlotte Hall 37767 Market Drive (near Golden Beach Road)

301-290-1499 phone Historic Transaction The final piece of business transacted at the downtown Leonardtown branch of PNC Bank before closing its doors was a deposit for $2,600 that was made to the MedStar St. Mary’s Hospital building fund. The check was from the Gough/Broun family that has a long history with the bank. The transaction was timed specifically to take place at 3 p.m., the end of the bank’s business day and just before the doors were locked. The small ceremony marking the transaction took place even as crews moved furniture and office equipment out of the building.

Shown in the photo from left to right are: Tim Storch, Mary Leigh Harless, Jo Ann Gough, Cathy Duke Wright, Christine Wray, and MaryLou Watson. The father and grandfather of sisters Mary Leigh Harless and Jo Ann Gough each served as First National Bank of St. Mary’s president and the bank’s chairman of the board during their tenure and were supportive of the hospital. First National eventually became Mercantile Bank and is now PNC.

positive lifestyle changes in the hope adopting and sustaining a lifestyle Improving the of preventing or delaying the onset shown to delay or prevent the onset of 19 of type 2 diabetes. Lori encourages this chronic disease,” said Jenna. Odds Against couples to join together or to have If interested in participating in this friends or family members also take the program, call Health Connections at Diabetes class because change is easier to make 301-475-6019 for more details. when you have built in support. A new program designed to help The program includes a core community members prevent or delay session with a one-hour class held each Related programs also the onset of type 2 diabetes is being week for 16 weeks. After that, members available through offered by Health Connections at no attend once a month for six months for Health Connections. Express Care in Charlotte Hall charge to participants. Funded by a ongoing support. Program participants Call 301-475-6019 grant from the Maryland Department will learn a new skill and practice it for information. Convenient, Fast Care for You and Your Family of Mental Health and Hygiene and each week. “Think of each skill as a • Steps to a Fit and endorsed by the Center for Chronic building block. We’ll add on one block Healthy You Disease Prevention and Control at a time,” said Jenna Mulliken, one of (CCDPC), the new program begins the program’s trained lifestyle coaches • Diabetes education/ Sept. 11 at the hospital. and a program coordinator with Health management programs “We are excited to offer this highly Connections. “This helps to achieve certified by the successful, evidenced-based program a goal in a way that is doable, not American Diabetes complete with coaching and dynamic overwhelming.” Association group sessions,” said Lori Werrell, The evidence-based program director of Health Connections. The is also successful because each • Diabetes Alert Day program is open to anyone diagnosed participant makes personal choices on November 23. as pre-diabetic or with other risk factors about how to achieve his or her See page 8. such as being overweight or having goals. “Although there is a weight loss family members with the disease. component, this program is about Individuals should also want to make more than losing weight. It’s about MedStar Franklin Square Medical Center MedStar Georgetown University Hospital Non Profit Org. MedStar Good Samaritan Hospital U.S. Postage MedStar Harbor Hospital PAID MedStar Montgomery Medical Center Waldorf, MD MedStar National Rehabilitation Network Permit 144 MedStar Southern Maryland Hospital Center MedStar St. Mary’s Hospital MedStar Union Memorial Hospital MedStar Washington Hospital Center MedStar Family Choice Postal Patron MedStar Ambulatory Services MedStar Health Centers MedStar Visiting Nurse Association MedStar Institute for Innovation MedStar Health Research Institute MedStarStMarys.org

25500 Point Lookout Road P.O. Box 527 Leonardtown, MD 20650 301-475-8981

New Radiologists Add Services Radiology specialists Jeremy Camden, He has expertise in image guided MD, and Scott Kuo, MD, are helping to bone and soft tissue biopsies and bone expand services and provide added marrow aspirations and biopsies. 20 convenience for our Southern Maryland Dr. Camden is also able to treat patients community. in pain management through such Dr. Camden and Dr. Kuo, both procedures as epidural steroid injections with Center Radiology at MedStar to alleviate back pain and hip joint Washington Hospital Center, are now injections, among others. Having these on staff at MedStar St. Mary’s Hospital procedures available in a convenient Imaging Department full time. location close to home is of great benefit The two physicians bring expertise to our patients because it will save time that will be of additional benefit to our and travel. Cancer Care & Infusion Services patients. Dr. Camden earned his medical Musculoskeletal radiologist degree from Eastern Virginia Medical Dr. Jeremy Camden specializes in School. He also studied orthopaedics Dr. Scott Kuo, image guided diagnostics and pain for a year at the University of Medicine Interventional Radiologist management delivery to assist patients. and Dentistry in New Jersey‘s (UMDNJ) Robert Wood Johnson University. He directly to liver tumors, relieving bile duct completed his diagnostic radiology and urine blockage, and placing ports and residency and fellowship at Virginia lines for chemotherapy. Commonwealth University. Dr. Kuo received his medical degree Dr. Scott Kuo specializes in from UMDNJ Robert Wood Johnson interventional radiology with interests University. He did his fellowship and in fibroid embolization, varicose veins diagnostic radiology residency at MedStar and vertobroplasty/kyphoplasty, a Georgetown University Hospital. procedure that is for the stabilization and Both radiologists chose their areas of relief of pain from spine fractures often specialization because they want to deliver associated with osteoporosis. He also is care with minimally invasive procedures experienced in interventional oncology, that can be used to diagnose as well as which includes delivery of chemotherapy treat different disease processes.

To make an appointment with Dr. Camden or Dr. Kuo, Dr. Jeremy Camden, Musculoskeletal Radiologist call Central Scheduling at 301-475-6399.