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MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER Winter | 2017

Special Care for Special Deliveries

A Look at Cardiac

Rehab

Story

Tips for AHealthierNew Year

Overcoming A Heart Attack

Attention 4 Wheel Drivers: We Need

YOU!

Avoiding Winter Injuries and

Illnesses

We hope the New Year finds you well. The beginning of the year can be such an optimistic time, when each of us is able to re-set our priorities and start the year off committed to health, fitness and new personal and professional goals. In this issue of Health, experts at MedStar Southern Maryland Hospital Center provide great advice on how to start the year off RIGHT. Our Heart & Soul section outlines how to change your life for the better by giving up smoking, making a commitment to eating right and incorporating exercise and fitness into your routine. We also feature pediatrician Pedro Sarmiento, MD, and internist and pediatric specialist Lauren Williams, MD, who are able to provide not only valuable general suggestions to consider for the new year, but also a helpful chart depicting recommended tests and immunizations for all ages, from newborns through the elderly.

For February, we recognize American Heart Month. The Center for Disease Control and Prevention tells us: Heart disease is the leading cause of death for men and women.While Americans of all backgrounds can be at risk for heart disease, African-American men, especially those who live

in the southeast region of the United States, are at the highest risk for heart disease.Additionally, more than 40 percent of African-Americans have high blood pressure, a leading cause of heart disease and stroke.At MedStar Southern Maryland Hospital Center, we have a comprehensive heart program that involves gifted cardiac specialists and a successful cardiac rehabilitation department we are very proud to promote in this issue.

Finally, we bring you news of two new physicians who have joined MedStar Southern Maryland Hospital Center, and we salute longtime Ear, Nose and Throat physician Norman Lester, MD.

Best wishes for a happy, healthy 2017!

Kindest regards,

2 MedStar Southern Maryland Hospital Center HEALTH | WINTER 2017

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

7503 Surratts Road, Clinton, MD 20735301-868-8000 or TTY 301-877-4473

Kenneth A. Samet, FACHEPresident and Chief Executive Officer, MedStar Health

M. Joy Drass, MDExecutive Vice President and Chief Operating Officer, MedStar Health

Christine Wray, FACHEPresident, MedStar Southern Maryland Hospital Center and Senior Vice President, MedStar Health

John W. Rollins, Jr. Chair, Board of Directors

Cheryl RichardsonDirector, Marketing and Community Relations

Design: Erin Glynn, Graphic Designer

Heart&Soul Newsletter Design: Melanie Mussehl, Graphic Designer

Content: Jennifer DuMont, Marketing Writer

Photo Credits: Herman Farrer Photography, Ryan Smith Photography

Health is published as a community service for the friends and patrons of MedStar Southern Maryland Hospital Center. It in no way seeks to diagnose 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: James Smith

Christine Wray, FACHE

President, MedStar Southern Maryland Hospital Center Senior Vice President, MedStar Health

Message from the

President

SPRING 2016 | MedStar Southern Maryland Hospital Center HEALTH 2

MHVI

If you have access to a 4-wheel drive vehicle and are available to drive essential hospital personnel to our facility and back home this winter, MedStar Southern Maryland Hospital Center needs you!

See page 14 for more information. Drivers will be reimbursed for mileage and will be given a hospital cafeteria meal voucher each day they transport an associate or associates. We would greatly appreciate your help!

As temperatures drop, MedStar Southern Maryland Hospital Center typically sees a rise of patients experiencing winter-related conditions in our Emergency Department. Precautions should be taken to prevent the spread of colds and flu, as well as falls on ice and over-exertion in cold temperatures. The very young and the elderly are particularly at risk. Turn to page 13 to learn more from one of our Emergency Department physicians.

Take control of your health and quit smoking now with the help of MedStars eight week Smoking Cessation course. Classes take place on Wednesday nights and re-start every eight weeks. The next session will take place on Wednesday, February 1st from 6 to 7 p.m. Price: $10 per participant (one-time fee) MedStar Brandywine Community Room 13950 Brandywine Road Brandywine, MD Registration required. 301-374-9098

Tidbits

1 2 3 4

WINTER 2017 | MedStar Southern Maryland Hospital Center HEALTH 3

Smoking Cessation Drivers Needed Winter Tips

4

1 2 3

MedStar Heart and Vascular Institute provides outstanding patient care at the right place at the right time. The new Nancy and Harold Zirkin Heart & Vascular Hospital at MedStar Washington Hospital Center is the latest step in the transformation of care for the Mid-Atlantic region residents and beyond. For more information, turn to page 14.

MedStar Washington Hospital Center 110 Irving Street, NW Washington, DC 20010 Referral and Appointment Line:844-333-3627

James Smith Finds the MedStar Treatment He Was

Looking ForDr. Mun K. Hong takes patient James Smith from a 90 percent

artery blockage to a healthier heart, arteries and lower blood pressure


Interventional cardiologist

Mun Hong, MD, and his patient James Smith

When Oxon Hill resident James Smith, 71, began feeling shortness of breath in the summer of 2015, he thought it was a temporary feeling due to being slightly over-worked. Still, he decided to get checked out by a physician. Knowing the outstanding reputation of doctors and hospitals in the MedStar system, he asked EMS responders to take him to a MedStar facility.

Upon arrival here at 11 p.m. on a Sunday night, Smith found out he had, in fact, suffered a heart attack. Mun K. Hong, MD, FACC, Chairman of Cardiology and a member of the MedStar Heart & Vascular Institute quickly scheduled him for surgery the next morning. Dr. Hong implanted a stent to address the 90% blockage in one of Smiths arteries and medication was prescribed to clear Smiths other arteries.

Dr. Hong was excellent, said Smith. I watched everything on screen as it was done, and he talked me through it.

He was fortunate, said Dr. Hong. After experiencing a heart attack, we were able to treat him and hes been the model patient ever since. He is compliant with his medications, he finished cardiac rehab and he and his wife have made lifestyle changes to keep him healthy. Hes also lucky because his wife cares about him and wants him to do all they can to be healthy.

After being released, Smith was set up with a course of follow-up appointments in MedStar Southern Maryland Hospital Centers Cardiac Rehab.

I didnt want to go, but my wife insisted, said Smith. And Dr. Hong agreed with her!

After nine months of cardiac rehab, where he walked on a treadmill, rode a stationary bike and strengthened his chest muscles by using an arm cycle, Smith completed treatment in December of 2016.

Cardiac rehab has been extremely beneficial to Mr. Smith, said Dr. Mun K. Hong. Its giving patients both an exercise regimen and assurance they can resume activities. Also, theyre able to provide diet

recommendations and psychological resources. Many patients find the group setting to be a positive thing, as well. At cardiac rehab, they are very dedicated. Anyone who completes the program, like Mr. Smith, will leave with a different mindset.

Smiths workouts, closely and constantly monitored by cardiac rehab staff, has brought his blood pressure down significantly, for which he, his wife Lola, his son Darren and three beloved grandsons, are all grateful. Smith will continue to see Dr. Hong every three months in an ongoing effort to make sure he stays as healthy as his procedure and cardiac rehab appointments have made him.

To schedule an appointment with Dr. Hong, please call 855-212-1206. For more information, please visit MedStarSouthernMaryland.org/Heartcare.

MedStar Southern Maryland Hospital Centers Cardiac Rehab works in three phases. In phase one, patients are referred here while still in the hospital. In phase two, patients typically visit three times per week, which is usually covered by insurance. They exercise while overseen by associates and often pause for blood pressure or pulse checks. In phase three, patients visit to maintain the progress they have made. They are monitored less, but blood pressure and blood sugar is still tested.

For more information about MedStar Southern Maryland

Hospital Centers Cardiac Rehab facility, please call 301-877-7370. You can find an additional Cardiac Rehab success story in our photo collage on page 10.

Dr. Hong

was outstanding.

The physicians

assistants are,

too. When I

come in for

cardiac rehab,

they give me

blood pressure

tests and sit

down with me

to have a

conversation

about how

I feel.



No matter your age, when it comes to starting 2017 off the right way, physicians agree on the three most important measures you can take to jumpstart your health in the New Year. For this issue of Health, we have asked MedStar pediatrician Pedro Sarmiento, MD, and internist and pediatric specialist Lauren Williams, MD, for their best advice for starting your year out RIGHT.

The first theme cited by both physicians was eating healthy. You should start off the year committed to a well-balanced, healthy diet, said Williams. If you need to lose weight, goals are important, but with a healthy diet, weight loss will follow. Both physicians recommend five servings of fruits and vegetables per day, increasing your intake of water and decreasing or eliminating sugary drinks. Id recommend avoiding fast food and processed foods, said Dr. Sarmiento. Replace these meals with fresh food that you prepare at home. Cooking at

home, which is a great option for a quality family activity, lets you control ingredients, portion size and salt.

The second theme important for overall health is to make sure you are active. For both kids and adults, 30 minutes of exercise per day of some type of activity that increases the heart rate, is recommended. While running or walking are the most common ways to exercise, and are great for engaging a family in a healthy activity, other options, like Zumba classes, could be fun, says Dr. Williams. No matter what fitness program you begin, Start slow, with small, manageable goals, encourages Dr. Williams. She also advises post-menopausal women to incorporate weight-bearing exercise into their routine to increase bone strength.

Dr. Sarmiento says outdoor activities like skiing and ice skating are great options for winter exercise, as well. Additionally, for kids, Dr. Sarmiento recommends

limiting TV, computer and video time. He also cautions against not only smoking, but vaping, which is also detrimental to health.

Third, both physicians advise all ages to make sure to schedule annual physicals. We recommend annual physicals for all adults, even if you are a healthy person, says Dr. Williams. Annual physicals help keep adults up-to-date on vaccines and give us results for cholesterol, blood sugar, kidney function, hypertension and overall internal health. Also, since not every disease shows up with symptoms, annual physicals can detect silent problems, like high blood pressure.

MedStar Southern Maryland Hospital Center wishes you a happy, healthy New Year!

For more information, please visit MedStarSouthernMaryland.org/Screenings.

Starting your year out RIGHT

Advice for all ages from pediatrician

Pedro Sarmiento, MD,

and internist Lauren Williams, MD


For TeensThe American Academy of Pediatrics and both physicians recommend HPV immunizations, anytime from age nine through 26. This series of three vaccinations prevent infections that can cause cervical cancer and oral and genital warts. The immunization against HPV is only effective as a prevention measure, not as a cure.

For WomenPap: This test for cervical cancer should typically be done once every three years, beginning at age 21.

Mammogram: This test to detect breast cancer should be done yearly, beginning at age 40, unless there is a family history of breast cancer, which means beginning testing before the age of 40.

For MenProstate Cancer Screening: Beginning at age 50, men should submit to either a blood test or rectal exam to detect prostate cancer. African-American and other minority men, or men with increased risk factors should begin tests at age 40.

Colon Cancer Screenings: At age 50, men should undergo a colonoscopy to detect colon cancer, and repeat this test every 10 years.

For all adultsYearly flu shots are recommended, particularly for those with chronic medical conditions, such as heart, lung or kidney disease.

Tetanus shots are recommended every 10 years.Pneumonia vaccines are recommended for adults age 65 or older.

Shingles vaccines are recommended after age 60. Shingles vaccines are given to prevent developing the disease and decreasing long term effects in the event that shingles still occurs after vaccination, says Dr. Williams.

For Children The Maryland Department of Health recommends the following vaccination schedule:

Hepatitis B: At birth, 2 months and 6 months

Rotavirus: At 2 months, 4 months and 6 months Diphtheria/Tetanus/Pertussis: At 2 months, 4 months, 6 months, 15 months and age 4-6 Haemophilus Influenzae Type B: At 2 months, 4 months, 6 months and 15 months Pneumococcal: At 2 months, 4 months, 6 months and 12 months Polio: At 2 months, 4 months and 6 months Measles/Mumps/Rubella: At 12 months and 4-6 years Varicella: At 12 months and 4-6 years Hepatitis A: At 12 months and 18 months (Certain high-risk groups may require additional immunizations through age 18.) Flu Shots: Yearly, beginning at 6 months Dental and Eye Exams: Yearly, beginning prior to starting first grade.

What Vaccinations and Tests Are Needed at What Age?

+


>Spine Specialist Joins Nationally Recognized Neurosurgery Program at MedStar Southern Maryland Hospital Center

Steven Spitz, MDNeurosurgeon

MedStar Southern Maryland Hospital Center welcomes new neurosurgeon,

Steven Spitz, MD. Dr. Spitz joins a neurosurgery practice that treats the full spectrum of brain and spine cases and says he welcomes the opportunity to serve the patients in southern Maryland and work in a collaborative fashion with the rest of the department, which is part of our integrated clinical partnership with MedStar Georgetown University Hospital.

Its exciting to come back to where I trained, said Dr. Spitz. MedStar is great to work with, as its a corporation of many hospitals and

a large network of physicians that can assist in a patients care.

Dr. Spitz attended medical school at Medical College of Georgia, completed his residency in neurosurgery at MedStar Georgetown University Hospital and became a Post Doctorate Fellow at Johns Hopkins University Hospital. Prior to joining MedStar Southern Maryland Hospital Center, Dr. Spitz completed a Spine Fellowship at Emory University Hospital, Atlanta, Georgia, where he honed his treatment philosophy.

I believe healthcare decisions should be a collaboration between myself and the patient, said

Dr. Spitz. Im not here to tell a patient what to do, but to make a plan with them. I make sure they have the information they need to make informed decisions.

MedStar Southern Maryland Hospital Center was recently recognized among the top forty hospitals in the nation for Neurology and Neurosurgery by U.S. News & World Report.

To make an appointment, please call 855-212-2963. For more information, please visit MedStarSouthernMaryland.org/Neurosurgery.


Two profound events happened along Dr. Sarah Shers path to becoming MedStar

Southern Maryland Hospital Centers new plastic surgeon. First, she spent time at Texas Childrens Hospital, where she saw the significant role plastic surgery played in restoring defects in young patients. Second, she completed a mission trip with Operation Smile, repairing cleft lips and palates in India. Both experiences reaffirming to her the important role plastic surgery plays in restoring both bodies and self-esteem.

At MedStar Southern Maryland

Hospital Center, Dr. Sher will partner with Dr. Ekaterini V. Tsiapali, a breast surgeon with the MedStar Breast Health Program at MedStar Southern Maryland Hospital Center, often working together in one room as Tsiapali removes breast cancer and Sher re-shapes or rebuilds the breast. Dr. Sher will also perform breast reductions, which can help reduce back and headaches, aid in weight loss and improve mobility.

The most important thing I want to get across is that many people arent aware many breast reconstruction procedures, like fixing asymmetry, are covered by insurance, says Dr. Sher. Often, the procedures are easily fixed,

out-patient procedures. Literally, a two to four hour procedure can change a womans life.

Dr. Sher received her undergraduate degree from Southwestern University and her medical degree from the University of Texas Health Science Center at San Antonio. She completed her internship and residency in plastic surgery at MedStar Georgetown University Hospital.

To make an appointment, please call 855-212-4830. For more information, please visit MedStarSouthernMaryland.org/Reconstruction.

Plastic Surgeon Joins MedStar Southern Maryland Hospital Center

> Sarah Sher, MDPlastic Surgeon

Cardiac Rehab: Changing Lives One Patient at a TimeIt would be difficult to find another patient who more successfully illustrates the dramatic changes that can take place at MedStar Southern Maryland Hospital Centers Cardiac Rehab facility, than Bobbie Yates, Sr.

Last year, Mr. Yates, a retired teacher, high school tennis coach and grandfather of eight from Clinton, MD, was in the hospital with doctors telling his wife that he might not make it. He had undergone open-heart surgery for a faulty valve, and remained on life support. When he was able to breathe again on his own, he remained weak, barely able to walk when he left the hospital. To Mr. Yates and his wife of forty-two years, the future looked bleak.

Today, you would not believe the man on the treadmill could have ever been that sick. Mr. Yates was prescribed a course of treatment in

Cardiac Rehab: Changing Lives One Patient at a TimeCardiopulmonary Rehab that includes working out using treadmills, bikes, weights, upper body strengthening machines and a rowing machine, while his pulse, oxygen levels in the blood and respiration are constantly monitored.

The people here are so great, said Yates. They know their stuff and theyre very thorough here. Im closely monitored, Ive gotten help with my diet and theyve lifted my spirits.

We are very proud of what we do; it is why we come to work every day, says Cardiopulmonary Rehab Clinical Coordinator Jodi Alderman BSN, RN. Mr. Yates is an inspiration to me, the staff and other patients.

For more information about theCardiac Rehab Program, please visit MedStarSouthernMaryland.org/Cardiopulmonary.


Nondiscrimination StatementSTATEMENT: MedStar Southern Maryland Hospital Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

NOTICE: MedStar Southern Maryland Hospital Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MedStar Southern Maryland Hospital Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.MedStar Southern Maryland Hospital Center:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

Qualified sign language interpreters

Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to peoplewhose primary language is not English, such as:

Qualified interpreters

Information written in other languages

If you need these services, contact a Patient Advocate at 301-877-4279.

If you believe that MedStar Southern Maryland Hospital Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Patient Advocate, 7503 Surratts Road, Clinton, MD 20735, Phone: 301-877-4279, Fax: 301-877-5813, E-Mail: [email protected]. If you need help filing a grievance, a Patient Advocate is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Espaol (Spanish)

STATEMENT: MedStar Southern Maryland Hospital Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

NOTICE: MedStar Southern Maryland Hospital Center cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. MedStar St. Marys Hospital no excluye a las personas ni las trata de forma diferente debido a su origen tnico, color, nacionalidad, edad, discapacidad o sexo.

MedStar Southern Maryland Hospital Center:

Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:

Intrpretes de lenguaje de seas capacitados.

Informacin escrita en otros formatos (letra grande, audio, formatos electrnicos accesibles, otros formatos).

Proporciona servicios lingsticos gratuitos a personas cuya lengua materna no es el ingls, como los siguientes:

Intrpretes capacitados.

Informacin escrita en otros idiomas.

Si necesita recibir estos servicios, comunquese con Patient Advocate at 301-877-4279.

Si considera que MedStar Southern Maryland

Hospital Center no le proporcion estos servicios o lo discrimin de otra manera por motivos de origen tnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: Patient Advocate, 7503 Surratts Road, Clinton, MD 20735, Phone: 301-877-4279, Fax: 301-877-5813, E-Mail: [email protected]. Si necesita ayuda para hacerlo, a Patient Advocate est a su disposicin para brindrsela.

Tambin puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE.UU. de manera electrnica a travs de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente direccin o por telfono a los nmeros que figuran a continuacin:

U.S. Department of Health and Human Services200 Independence Avenue, SWRoom 509F, HHH BuildingWashington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD)

Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html.

ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Llame al 1-844-683-9048.

Tagalog (Tagalog Filipino)

Sumusunod ang MedStar Southern Maryland Hospital Center sa mga naaangkop na Pederal na batas sa karapatang sibil at hindi nandidiskrimina batay sa lahi, kulay, bansang pinagmulan, edad, kapansanan o kasarian.

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-683-9048.

(Arabic)

MedStar Southern Maryland Hospital Center

.

: . 8409-386-448-1.

Franais (French)

MedStar Southern Maryland Hospital Center respecte les lois fdrales en vigueur relatives aux droits civiques et ne pratique aucune discrimination base sur la race, la couleur de peau, lorigine nationale, lge, le sexe ou un handicap.

ATTENTION: Si vous parlez franais, des services daide linguistique vous sont proposs gratuitement. Appelez le 1-844-683-9048.

Deutsch (German)

MedStar Southern Maryland Hospital Center erfllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfgung. Rufnummer: 1-844-683-9048.

(Chinese)


1-844-683-9048.

(Korean)

MedStar Southern Maryland Hospital Center () , , , , .

: , . 1-844-683-9048 .

Igbo asusu(Ibo)

MedStar Southern Maryland Hospital Center na eso usoro iwu federal civil rights. Ha a nakwagi akpachapu onye o bula nihe e be o nye ahu si, a gburu ya, colo ahu ya, aha ole onye ahu di, ma o bu nwoke ma o bu nwanyi.

Ige nti: O buru na asu Ibo asusu, enyemaka diri gi site na call 1-844-683-9048.

d Yorb (Yoruba)

MedStar Southern Maryland Hospital Center tele ilana ofin ijoba apapo lori eto ara ilu atipe won ko gbodo sojusaju lori oro eya awo, ilu-abinibi, ojo-ori, abarapa tabi okunrin ati obinrin.

AKIYESI: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-844-683-9048.

(Russian)MedStar Southern Maryland Hospital Center , , , , .

: , . 1-844-683-9048.

Ting Vit(Vietnamese)MedStar Southern Maryland Hospital Center tun th lut dn quyn hin hnh ca Lin bang v khng phn bit i x da trn chng tc, mu da, ngun gc quc gia, tui, khuyt tt, hoc gii tnh.

CH : Nu bn ni Ting Vit, c cc dch v h tr ngn ng min ph dnh cho bn. Gi s 1-844-683-9048.

(Amharic)


: 1-844-683-9048

(Urdu)


: 1-844-683-9048

(Hindi)MedStar Southern Maryland Hospital Center , , , , , : 1-844-683-9048

(Farsi) MedStar Southern Maryland Hospital Center

.

: . 1-448-386-8409 .

You Cant Prevent Cold, Snow and Ice, but You Can Protect Yourself Against Some Winter Illnesses and Injuries

Tidbits

flu, and to receive annual flu shots. She also suggests we should layer our winter clothing and wear hats and gloves to prevent frostbite and hypothermia. Nosebleeds are common as well, caused by the dry winter air. Dr. DeVaul says sleeping with a humidifier in the room can help, as well as applying Vaseline in the nostrils.

There are also winter-related problems not often thought about, says DeVaul. First, she cites carbon monoxide poisoning as a danger during winter months. Using kerosene heaters and generators in areas that are not properly ventilated can lead to dangerous levels of carbon monoxide in the air. Since it is an odorless gas and the earliest symptom is drowsiness, poisoning can quickly incapacitate a person and may even lead to death. Problems linked to kerosene heaters are exacerbated for the elderly, smokers or those with pre-existing lung conditions.

Another winter-related complication seen in the Emergency Department are burns caused by space heaters and electric blankets. Dr. DeVaul urges caution and making sure to monitor children to prevent injury.

Dr. DeVaul has been with MedStar Southern Maryland Hospital Centers Emergency Department for one year. She came to the hospital from MedStar Washington Hospital Center, where she completed her residency. Dr. DeVaul earned her undergraduate degree from Cornell and her doctor of medicine from the University of Buffalo. She is one of a team of more than a dozen physicians who staff MedStar Southern Maryland Hospital Centers Emergency Department.

For more information, please visit MedStarSouthernMaryland.org/Emergency.


Each winter, many Emergency Departments across the country see admissions for common winter conditions and emergencies caused by drops in temperature. Falls on ice are common, particularly when ice forms that is difficult to see, and elderly people more easily break bones in falls. Emergency Department physicians also see patients who over-exert themselves shoveling, says ED physician Sonja DeVaul, MD, who advises anyone out shoveling to take breaks, restrain themselves from overdoing an activity when they are not used to strenuous exercise, and to stay hydrated.

Other common problems that bring patients into our hospital include colds, flu and coughs due to viruses and infections. Dr. DeVaul advises everyone to wash their hands thoroughly during the winter months to help prevent the spread of colds and

MedStar Southern Maryland

Hospital Center Emergency

Department Physician Sonja

DeVaul, MD, Advises Area

Residents How to Avoid

Winter-Related Emergency

Department Visits

During severe weather, MedStar Southern Maryland Hospital Center relies on a team of 4-wheel drive vehicle owners who volunteer to transport essential medical staff and hospital associates to work and back home. We are committed to ensuring essential health care providers are available to deliver and support patient care around-the-clock and greatly appreciate volunteers who are able to support this mission by providing this needed service.

Volunteer drivers must be 25 years of age or older and have access to a 4-wheeldrive vehicle, have a current drivers license, vehicle

insurance coverage, and a cell phone. Volunteers must undergo an application process to include a background check and short interview. Drivers will be reimbursed for their gasoline and the hospital will provide a free meal in our cafeteria each day the volunteer transports a passenger or passengers.

Volunteers will work with hospital associates to drive in their geographical area with the amount of notice and within the time limits they specify on their application.

Volunteer to drive essential hospital personnel to work and home

Recruiting 4-Wheel Drive Vehicle Owners

Outstanding patient care at the right place at the right time

MedStar Heart & Vascular Institute

MedStar Heart & Vascular Institute has built the first dedicated Heart Hospital in the Nations Capital. Located on the campus of MedStar Washington Hospital Center in northwest Washington, D.C., the 160,000 square foot, 164-bed facility consolidates all cardiovascular care, allowing patients with similar medical issues to be cared for together on single-care units that have dedicated teams of cardiologists, cardiac and vascular surgeons, nurse practitioners and nurses, to more efficiently deliver the highest quality cardiovascular care.

Patient units feature their own echocardiography, X-ray, stress tests and other non-invasive

services for faster, more convenient examinations and evaluations. The majority of the rooms are also private, furnished with couches and other amenities to increase the comfort and satisfaction levels of patients and their families.

This state-of-the-art facility unites virtually the entire heart and vascular healthcare delivery staffcardiologists, cardiac and vascular surgeons, nurse practitioners, cardiac care nurses, and other specialized caregiversinto one cohesive team in one location for more effective, streamlined care.

For more information, please visit MedStarSouthernMaryland.org/HeartHospital.

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its


Please call 301-877-5700 for more information or visit MedStarSouthernMaryland.org/Volunteer.

Interested? Complete and return the application form on the next page. Applications can be mailed to: Marketing & Community Relations Department, 7503 Surratts Road, Clinton, MD 20735.

MedStar Health: Adult Volunteer Driver Intake Form

Name:________________________________________________________________________________ Date of Birth:_______________ Last First Middle Initial

Address: ________________________________________________________________________________________________________ Street City State/Zip Code

Home/Cell Phone: ____________________ Work Phone:____________________E-Mail: ______________________________________

Social Security Number: ____________________Drivers License State & Number: ____________________________________________

Have you ever been employed or volunteered at this Hospital? Yes No If yes, under what names and date:___________________

______________________________________________________ On what date can you begin?_______________________________

Identify any relative(s)/friends presently employed at MedStar Southern Maryland Hospital Center:

Name: _________________________________________________ Relationship: __________________________________________

Name: _________________________________________________ Relationship: __________________________________________

Can you perform the functions of a volunteer without accommodations? Yes No If no, please explain: ______________________________________________________________________________________________

List any allergies you have to drugs, foods, or environmental agents (i.e., pollen, dust, mold, chemicals, etc.). Describe reactions you have had to substances you are allergic to: __________________________________________________________________________________

_______________________________________________________________________________________________________________

List the medications and prescriptions you take on a routine basis:__________________________________________________________

_______________________________________________________________________________________________________________

In case of emergency, please notify:

Name:__________________________________________ Relationship: _______________________Telephone: ____________________

Family Physician: _________________________________ Telephone: ______________________________

Please provide this information for any vehicle that you may drive.

1) Color/Make/Model of Vehicle: __________________________________________________________ # Passengers seat belts:_______

2) Color/Make/Model of Vehicle: __________________________________________________________ # Passengers seat belts:_______

Geographic Area(s) that can be served: ________________________________________________________________________________

If asked to drive during a transportation failure, please estimate how quickly you could respond to a call: Immediately 30 60 minutes 1-2 hours over 2 hours

Is your vehicle equipped with GPS/Navigation: Yes No

What experience have you had driving for other Hospitals or organizations?

Organization:_______________________________________________________________ Date: _______________________________

Organization:_______________________________________________________________ Date: _______________________________

Identify all states for which you have had a drivers license during the past five calendar years:

______________________________________________________________________________________________________________

Attach a copy of the following items to this application:1. Valid drivers license2. Current automobile insurance identification card *3. Vehicle registration**For all vehicles that you might drive

Have you ever been convicted of a criminal or civil offense other than a minor traffic violation? Yes NoHave you ever been fined for a criminal or civil offense other than a minor traffic violation? Yes NoHave you ever had a DWI or DUI charge? Yes NoIf you answered Yes to any of the three questions above, describe when the conviction, fine, or charge occurred; the facts and circumstances; and any facts pertaining to rehabilitation, if applicable. Do not list any criminal charges for which the records have been expunged. A criminal offense will not necessarily bar you from serving as a volunteer.When:______________________ Explain: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________When:______________________ Explain: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ PLEASE VERIFY WITH YOUR SIGNATURE THAT ALL THE INFORMATION YOU HAVE GIVEN ON THIS APPLICATION IS TRUE AND ACCURATE.Applicants Statement (please read carefully before signing):

I certify that the answers given herein are true and complete to the best of my knowledge. I also certify that I have not knowingly withheld any information that would affect this application unfavorably. I understand and agree that any false statement or omissions as addressed above with respect to the information required on this application is grounds for refusal to use my services as a volunteer or for withdrawal of any offer of volunteer assignment made to me or for the termination of my volunteer assignment at MedStar Southern Maryland Hospital Center.

I authorize MedStar Southern Maryland Hospital Center to investigate all matters covered by this application as well as all statements made by me on this application.

I authorize a background check (inclusive of a check of my driving record), reference checks, and investigation of all statements contained in this application that are necessary for a decision of my qualifications as a volunteer driver.

I also agree, if assigned, that I am to volunteer faithfully and diligently, to be careful and avoid an accident, to come to my assignment promptly, and to execute the duties assigned by my supervisor or designee.

I agree to abide by all present and subsequently issued policies and rules of MedStar Southern Maryland Hospital Center.

I understand that I will be required to maintain and protect the confidentiality of patient information, medical records, patient and Hospital financial data, and any patient, employee, physician, and Hospital information obtained through my volunteer assignment with MedStar Southern Maryland Hospital Center.

I understand that my own personal motor vehicle insurance policy is expected to provide the primary coverage for any and all accidents which occur during my service as a volunteer driver for MedStar Southern Maryland Hospital Center.

I understand that it is my responsibility to ensure that my vehicle has passed all required inspections and is in proper operating condition. I also understand that I must comply with all local driving/traffic laws.

I further certify that I agree to adhere to the policies and standards of MedStar Southern Maryland Hospital Center if accepted as a volunteer.

I hereby acknowledge that I have read and do understand the above statements.

Print Name: ________________________________________

Signature: ________________________________________ Date: ________________________________________

Heart&SoulHELPING YOU GET TO THE HEART OF THE MATTER

WINTER 2017 VOLUME 2 ISSUE 1

Happy New Year from Heart&Soul!In this issue, Heart&Soul offer tips from three professionals at MedStar Southern Maryland Hospital Center to help you make the right choices to follow through with New Years Resolutions to eat healthy, exercise and quit smoking.

Theres no disputing it, Michael Booth knows what hes talking about when it comes to healthy eating. His before body, one hundred pounds heavier than his after body, means he not only practices what he preaches and knows the best tips having tried them himself, but he also can empathize with patients struggling to become healthier by making better food choices. The Howard graduate in Nutritional Sciences and registered dietitian offers the following tips:

1. Consult your doctor before beginning any new eating and exercise pattern.

2. Set small, reasonable goals. Rather than trying to lose a great deal of weight quickly, make small changes. For example, limit mindless snacking in front of the TV and cut back on the number of visits to fast food restaurants. This will make a big impact over the long term.

3. Eat until satisfied and dont stuff yourself past the point of fullness. It takes you about 20 minutes to recognize that you are getting full. Slow down, chew your food, and listen to your body. It will be your guide to determining just how much you should be eating.

4. Often, portion control has more of an impact than changing the food you typically eat. When you go to a restaurant, for example, you can ask for half your portion as a meal and half to take home for another meal. Spreading your calories in 5-6 small meals throughout the day will keep you from overeating.

5. Do your research and learn how to choose healthy food. Fad diets arent made for long term results. Instead, visit ChooseMyPlate.gov, which gives practical advice on how to portion what you eat to ensure adequate intake of macro- and

micronutrients. What helped me get where I wanted to be was learning the science behind what I was doing, said Booth.

6. Choose fresh and whole foods versus pre-packaged or fast food. One way to control ingredients is to cook at home, which can be made into a fun, family activity. This will help cut down on sugar, fat and salt intake which in excess can lead to the development of various chronic diseases.

7. Cut down on sugar, fat and salt. Salt has an even greater negative effect on African-Americans, says Booth.

8. Find opportunities to replace soda and juice with water. There are hidden calories in many drinks that can really increase your daily calorie count.

9. Add exercise. According to the CDC, the general recommendation for most healthy adults is 150 minutes of moderate-intensity aerobic activity (i.e. briskly walking) every week. Taking a walk with your kids benefits everyones hearts.

10. Measure your progress, but do not be discouraged by the scale. The scale may not be changing, but as you increase your level of physical activity, you will likely be decreasing the amount of fat and increasing the amount of muscle stored on your body. In this case, it is a good idea to use a tape measure in combination with the scale to truly track your success.

Michael Booth, Dietitian MedStar Southern Maryland Hospital Center

Healthy Eating By: Michael Booth, Dietitian

In her eight years as an exercise physiologist at the hospitals Cardiac Rehab, Allison Dominiecki has seen many scared, unhealthy patients go from being out-of-shape to becoming a model of fitness. There are so many wonderful patients, says Dominiecki. They sometimes come here scared, with no confidence, or timid to be in a group setting. I see how hard they work and the confidence they put in us, its just amazing to see.

Exercise recommendations:

1. Consult a physician before starting an exercise program to

make sure you are tested for the presence of any pre-existing conditions, and to ensure your heart is healthy enough for exercise. Once you are ready, The American College of Sports Medicine recommends 150 minutes of moderately intense aerobic exercise per week.

2. Set realistic goals. Have a big goal in mind, but break that down into smaller, easier steps.

3. Find something that appeals to you. When you enjoy your exercise, you will stick with it. Its also a great

idea to involve your family, especially children, who can begin a lifetime of healthy behaviors now.

4. Variety is the spice of life. Just as you do not want to eat the same meal every day, make sure you vary your exercise to keep you from getting bored. You can try a spin class and end up loving it, like I did, says Dominiecki, who also urges trying stretching, resistance training, aerobics, water aerobics and swimming. Dont forget strength training, she says, which can help improve muscle

tone and strength. It also helps shape and tone the body and burns calories.

5. Remember that its never too late to start. We have several patients in their 90s, says Dominiecki. And do not become discouraged, just keep going!

Allison Dominiecki, BS, Exercise Physiologist MedStar Southern Maryland Hospital Center

Starting an Exercise Program By: Allison Dominiecki, BS, Exercise Physiologist

Heart&SoulWINTER 2017 EDITION

Quitting Smoking By: Christina Josephson, Respiratory Therapist

There may be up to 7000 chemicals in one cigarette, says Josephson, and many of these chemicals have been proven to be cancer-causing.

Health problems associated with smoking include harm to vital organs in the body. In the pulmonary system, smoking causes irritation and inflammation of the throat, trachea and airways, as well as reduces lung function. In the circulatory system, smoking can raise blood pressure and heart rate and increase the risk of heart attack and stroke. In the immune system,

smoking increases susceptibility to flu and pneumonia. In the skeletal system, smoking reduces bone density. In the digestive system, smoking inflames the stomach and intestines and increases the risk of ulcers. Smoking also causes risks to unborn babies, including miscarriage, low birth weight and increased risk of cleft palate.

Tips for how to quit:

1. Pick a date.

2. List your reasons to quit.

3. Talk to your doctor about designing a quitting strategy. Most

smokers need some type of nicotine replacement therapy.

4. Seek help from family, friends and support groups.

5. Practice the 4 Ds: Delay lighting up. Deep breathe. Drink water. Do something else.

6. Reward yourself for milestones.

7. Plan ahead to deal with tough situations without resorting to smoking.

8. Do your research to stay informed and motivated. Visit smokefree.gov.

For more information about our smoking cessation class, please visit MedStarSouthern Maryland.org/Smoking.

RESOURCE GUIDEMEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER

For more details on these programs and others, please call the phone numbers listed or visit our website: MedStarSouthernMaryland.org

SUPPORT GROUPS

Breastfeeding Support GroupFree!Every Thursday from 10 a.m. to 11 a.m.(excluding holidays)Recreation area of 2 North301-877-5740

Diabetes Support GroupFree!Fourth Thursday of every month(November and December moved to third Thursday because of holidays)from 7 p.m. to 8 p.m.Hospital Library (ground floor)301-877-5560

Prostate Cancer Support GroupFree!Second Tuesday of every month from 6:30 p.m. to 8:30 p.m.Hospital Library (ground floor)301-374-9098

NAMI/Mental Health Support Group for Family Members and CaregiversFree!First Tuesday of every month from 6:30 p.m. to 8 p.m.Hospital Library (ground floor)301-429-0970

Stroke Support GroupFree!Last Thursday of every month from 5 p.m. to 6:30 p.m.Hospital Library (ground floor) Registration required.301-877-5858

CLASSES

Breastfeeding ClassFirst Saturday of every month from 9 a.m. to noon.Hospital Library (ground floor) Registration required.301-877-5740

The First Year of LifeThird Saturday of every month from 9 a.m. to 2:30 p.m.Hospital Library (ground floor)Registration required.301-877-5740

Prenatal Childbirth ClassSecond Saturday of every month from 9 a.m. to 4 p.m.Hospital Library (ground floor)Registration required.301-877-5740

Smoking Cessation ClassEvery Wednesdayfrom 6 p.m. to 7 p.m.MedStar Health at BrandywineCommunity Room13950 Brandywine RoadBrandywine, MD 20613Registration required.301-374-9098

OTHER PROGRAMS

Blood Pressure ScreeningsFree!Every Thursday from noon to 4 p.m.Hospital Solarium301-374-9098

Car Seat Safety CheckFree!Third Saturday of every month. Not offered during the months of December, January, and February.2:30 p.m. to 4:30 p.m.Colony South Hotel (parking lot)Registration required. 301-877-5740

Hospital Volunteer ProgramMedStar Southern Maryland Hospital Center volunteers make a difference every day helping to support the health of our community. Please call 301-877-4553 for more information about volunteer opportunities.

Mall Walkers ProgramFree!St. Charles Towne CenterSupervised, all-weather walking with FREE blood pressure monitoring. 301-374-9098

Women and Newborns Center ToursFree!Hospital Solarium (first floor)301-877-5740

Weight Loss Surgery Seminar and Support Group MeetingFree!Tools, resources and non-judgemental support for battling obesity. Seminar conducted by bariatric surgeon John Brebbia, MD, MBA, FACS, CNSC.Fourth Tuesday of every month Hospital Library (ground floor)Seminar: 7 p.m. to 8 p.m.Support Group: 6 p.m. to 7 p.m. Registration required.301-774-8962


Ear Nose and Throat Doctor enjoys the challenge of a practice that ranges in scope from simple fixes to complex surgery.

There are three favorite aspects of his job as an ear, nose and throat (ENT) physician, says Norman Lester, MD. First, when patients come in with an easily-fixed problem, its rewarding to instantly see the patient feeling better and leaving his office happy.Second, he enjoys taking on challenging procedures, such as complex salivary gland surgery, when he confronts the delicate task of dealing with the tumors and infections that are the root of this problem.Third, he appreciates being on a team with colleagues he considers extremely gifted, as they work together take care of patients in southern Maryland.

What would I do for my own family? asks Dr. Lester.Thats what I do for my patients.People in our

Top Doctordepartment are among the best. Theyre really strong physicians Im happy to be around. We can take care of most problems that come into our office and were connected to the best academic centers in the region, so were a good conduit for patients who need a higher level of service.

Lester and his colleagues treat all general ENT issues, including a wide range of nasal and sinus disorders like nasal obstruction, chronic sinusitis, and polyps, as well as throat problems, like chronic tonsillitis, voice problems, and swallowing disorders. They also treat surgical thyroid disorders, head and neck masses and tumors of all kinds, hearing loss, balance problems due to ear disorders, disorders of smell and taste, and the evaluation and treatment of inhalant allergy.

7503 Surratts RoadClinton, MD 20735

To arrange a consultation with Dr. Lester, call 855-212-3208 or visit MedStarSouthern Maryland.org/DrLester.

MedStarSouthernMaryland.org

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