Destinations

medstarhealth

NO5M3023MRP

Destinations

A publication from MEDSTAR UNION MEMORIAL HOSPITAL

SUMMER 2016 MedStarUnionMemorial.org/Destinations

Back in Action

After Spine

Surgery

CLOSING THE GAP

AS HEART PATIENTS

RECOVER

A TEAM APPROACH

TO BREAST CARE


contents

Departments

3 Who Needs a Primary Care

Physician? You Do.

9 News from MedStar Union

Memorial Hospital

12 For a Healthier You

14 News from Around MedStar Health

Features

4 Spine Surgery Gets Kelly

Back on Her Feet

6 Closing the Gap Between

Hospital and Home for People

with Heart Failure

10 Multi-Disciplinary Approach to

Breast Cancer Makes the Patient

Part of the Team

On the cover: Kelly went from being unable to move without

pain to striding with a smile after spine surgery.

MedStar Union Memorial Hospital, located in northeast Baltimore City,

is a regional specialty and teaching hospital. It is known nationally for

The Curtis National Hand Center, MedStar Heart & Vascular Institute,

MedStar Orthopaedics, and the development of the first hospital-based

sports medicine program in the nation. Make MedStar Union Memorial

your destination for world-class health care.

Destinations is published by the Marketing and Communications Department of

MedStar Union Memorial Hospital. The information provided in this publication is

intended to educate readers about subjects pertinent to their health and is not a

substitute for consultation with a personal physician. For more information, call

855-546-2105. Printed in the U.S.A. Copyright 2016.

LETTER FROM THE PRESIDENT

MedStar Health remains

committed to providing our

neighbors with options to seek

the most convenient medical

care possible, as we continue to

experience changes in how

health care is delivered.

One of those options is

providing various locations for

care throughout the communities

we serve. Recently, MedStar opened the Bel Air

Medical Campus, a 100,000-square-foot, state-of-theart

medical center offering quality, comprehensive

care in one convenient location. This “one-stop

shop” gives our patients access to many of the

MedStar Union Memorial Hospital and MedStar

Good Samaritan Hospital physicians they have come

to know and trust for services such as cancer care,

cardiology, diabetes care, gastroenterology, imaging

and laboratory services, orthopaedics, primary and

preventive care, rehabilitation, sports medicine,

vascular surgery, women’s health, and urgent care.

A similar campus opened in Federal Hill last year.

Another option is to seek medical care at specific

sites for specific conditions. MedStar Good

Samaritan’s Center for Successful Aging recently

opened a new, innovative suite that is a model for

providing geriatric care. Now, seniors can see multiple

providers in one convenient location for chronic and

complex conditions—with the goal of helping them

stay independent for as long as possible. And, for

our congestive heart failure patients, we are working

together to provide inpatient care at MedStar Union

Memorial Hospital while providing outpatient followup

care at MedStar Good Samaritan Hospital.

By providing our communities with coordinated

care in convenient locations, we are advancing our

vision to be the trusted leader in caring for people

and advancing health.

In good health.

Bradley S. Chambers

President, MedStar Union Memorial Hospital

President, MedStar Good Samaritan Hospital

Senior Vice President, MedStar Health

Find us on Twitter: @MedStarUMH

2 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


WHO NEEDS A PRIMARY CARE PHYSICIAN?

YOU DO.

Waiel Samara, MD, an internal

medicine specialist at MedStar Union

Memorial Hospital, answers some common

questions about why it’s important to build

a relationship with a primary care physician

(PCP)—even if you’re in good health.

Q: Who should have a primary care physician?

Dr. Samara: Everyone needs a Primary Care Physician.

Your PCP will monitor and coordinate your health care

as you get older. He or she will also refer you to the

proper specialist when you need one. It’s important

to establish a relationship of trust with a physician you

know, early on. This will allow you

to take care of any health need

you may encounter in a timely

fashion.

Waiel Samara, MD

Q: Why is an annual checkup

important?

Dr. Samara: A checkup is all about

prevention and early detection. It

also gives you a chance to discuss

health concerns and ask your

doctor any questions you may have.

Q: What kinds of screenings and tests are part

of an annual visit?

Dr. Samara: Your doctor will obtain a complete

medical history, including social and family history.

He will check your vital signs (temperature, pulse,

rate of breathing, and blood pressure) and perform a

thorough physical exam. A series of labs and imaging

studies customized to your health, gender and age

may be ordered, including a lipid profile to check

your cholesterol levels, blood glucose to check for

diabetes, and PSA level in males to check for prostate

cancer, among others. These labs help detect any

abnormalities that may indicate a health problem.

Your doctor will advise you if you need screening

tests such as a mammogram and colonoscopy. Your

immunization status will be updated and necessary

vaccines will be administered.

It’s important to follow up and discuss all results with

your doctor a few days after your visit.

Finally, staying healthy is a team effort, so stay

informed and proactive regarding your health.

NEED A PRIMARY CARE PHYSICIAN?

WE CAN HELP!

To find a MedStar Union Memorial

Hospital PCP, call 855-546-2105 or visit

MedStarUnionMemorial.org and click

“Find a Doctor” in the center of the page.

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 3


SPINE SURGERY

BACK

Last summer, 34-year-old

Kelly King woke up with

what she thought was a

crick in her neck. “My neck

felt stiff and sore,” she remembers.

“I figured it would get better if I

put a heating pad on it, but the

pain got worse. Then it started

radiating down my arm and back.”

Eventually, the pain was serious

enough that she went to a local

emergency room, where the doctor

gave her some pain medication

and sent her home.

AWARD WINNING CARE

The Joint Commission awarded the first Gold Seal

of Approval for Excellence in Spine Surgery in Maryland

to MedStar Union Memorial Hospital.

As the months

passed, King’s

pain continued

to worsen

and she lost

feeling in her

left leg and

started to limp.

“I couldn’t

Paul Asdourian, MD imagine what

was causing

the problem,” she says. “It was so

bad, my mother thought maybe

I had a small stroke.” She made an

appointment with her primary care

physician, who ordered an MRI.

The test showed that she had

a very large herniated disc in

her neck. From there, King was

referred to Paul Asdourian, MD,

a MD, fellowship-trained

a orthopaedic spine surgeon

What Kelly King thought was a stiff

neck was actually the first symptom of

a serious problem with her spine.

4 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


GETS KELLY

ON HER FEET

at MedStar Union Memorial

Hospital and regional director

of the MedStar Spine Program.

“Dr. Asdourian was very surprised

that I was still able to walk, drive

and work 40 hours a week as a

security guard,” she explains.

Because of the size of the

herniated disc, and the fact that

it was compressing King’s spinal

cord and could cause permanent

damage if it was not removed,

Dr. Asdourian told her she needed

surgery. In collaboration with

Zeena Dorai, MD, FACS, chief of

Neurosurgery at MedStar Union

Memorial Hospital and MedStar

Good Samaritan Hospital, he

performed a cervical discectomy

and fusion to remove the damaged

disc, relieving the pressure on the

spinal cord and stabilizing it.

“Traditionally, neurosurgery and

orthopaedics operate on separate

tracks,” Dr. Asdourian explains. “At

MedStar Union Memorial, there’s

always been a good, collaborative

relationship

between these

specialties,

which has been

enhanced by

the addition

of Dr. Dorai to

the staff. For

complex spine

problems like

Zeena Dorai, MD Ms. King’s, it’s

Working as a team, MedStar Union

Memorial Hospital's orthopaedics

and neurosurgery experts restored

the health of Kelly's spine.

better to have four expert hands

during surgery rather than just two.”

Adds Dr. Dorai, “We recognize each

other’s strengths and work more

quickly as a team, which lowers the

complication rate and improves

outcomes for our patients.”

“I instantly felt better.”

When King woke up in the recovery

room after her surgery, the nurse

was rubbing her left leg. “My first

thought was, ‘I can feel my leg!’”

she says. “I instantly felt better.

When I got out of bed and I felt my

feet on the floor I was so excited!

I hopped up and started moving!”

King is looking forward to being

able to do all the things she enjoys

with no pain or limp. “Dr. Asdourian

and Dr. Dorai treated me like

family,” she adds. “They took

great care of me and welcomed

my family, who came with me to

the hospital. Dr. Dorai knew I was

scared because there was a chance

that I wouldn’t get the feeling back

in my leg, and she did everything

she could to ease my worries. She

said, ‘You don’t worry. Let us worry.

You’re in good hands.’ And she

couldn’t have been more right!”

BACK OR

NECK PAIN?

COUNT ON

MEDSTAR

ORTHOPAEDICS

The MedStar Orthopaedics

team includes orthopaedic

spine surgeons, neurosurgeons,

physiatrists, neuroradiologists,

physical therapists, and

occupational therapists

who provide:

• Physical therapy and

rehabilitation

• Pain management

• Injections, radiofrequency

ablation and electrothermal

therapy

• Surgery, including microscopic

and minimally invasive spine

surgery approaches

To make an appointment

with a specialist from MedStar

Orthopaedics, call 877-34-ORTHO

(877-346-7846).

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 5


CLOSING THE GAP

Thomas Houck is not a

man who likes to sit still.

The 70-year-old southwest

Baltimore native has had

four successful careers in very

different fields over the years.

After 20 years running printing

presses for galleries, including

the Smithsonian and Corcoran, he

decided to become a mechanic

and opened a commercial washer

and dryer business, serving clients

across the Delmarva region,

including the Baltimore Ravens and

Orioles. He sold that business to

build and run a seafood restaurant.

As he got closer to retirement

age, he sold the restaurant

and bought a laundromat,

which he manages today.

Even an aortic valve replacement

and double bypass surgery in 2000

didn’t slow him down significantly,

but last year, he collapsed at

home after suffering a heart attack

and was transported to a local

emergency room. After he was

stabilized, Houck was transferred to

MedStar Union Memorial Hospital,

where George Ruiz, MD, FACC,

chief of Cardiology, diagnosed him

with congestive heart failure, which

left his heart too weak to pump

effectively. After treatment in the

Jessica Sobul, director of

Rehabilitation and Occupational

Therapy at FutureCare, helped

Thomas Houck rebuild his

strength and independence.

6 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


BETWEEN HOSPITAL AND HOME FOR

PEOPLE WITH HEART FAILURE

hospital, his condition improved,

but he was not yet healthy enough

to go home.

“This is a fairly common situation

with patients who have heart

failure,” explains Dr. Ruiz. “They’ve

improved enough that they don’t

need inpatient hospital care, but

they need more care than they

would get through outpatient

visits to their cardiologist. There’s

a gap between the hospital and

outpatient care patients receive

once they are discharged.”

At the MedStar Heart & Vascular

Institute at MedStar Union Memorial,

Jeffrey Quartner, MD, FACC, the

previous chief of Cardiology,

started thinking beyond the hospital

walls to find a solution that would

meet the needs of these patients.

“We looked for the best platform

to meet those needs and found

it by working with two sub-acute

care partner facilities, FutureCare

Homewood and FutureCare at

MedStar Good Samaritan Hospital.

Additional services are available

through the outpatient heart failure

clinic at MedStar Good Samaritan’s

Good Health Center.”

More time to recover

The care, support and rehabilitation

that patients receive at these

partner facilities gives them

more time to recover and helps

them build the strength they

need to eventually return home

and live independently. It fills

the gap between inpatient and

outpatient care and lowers the risk

of readmission. Dr. Ruiz and

Meet George Ruiz, MD, FACC

George Ruiz, MD

Dr. Ruiz is the chief of

Cardiology at MedStar Union

Memorial Hospital and MedStar

Good Samaritan Hospital. Boardcertified

in advanced heart failure

and cardiovascular disease, he

specializes in adult cardiology,

pulmonary hypertension,

adult congenital heart disease,

right heart failure, advanced

mechanical support, and

congestive heart failure.

After joining MedStar Health in 2005 as an attending

physician, Dr. Ruiz worked with the Division of

Maternal Fetal Medicine in the Department of

Obstetrics and Gynecology at MedStar Washington

Hospital Center. There, he became a founding

member of the Special Moms/Special Babies program,

the first regional service to care for pregnant women

with heart disease. Before joining MedStar Union

Memorial as chief, he was associate director of

Advanced Heart Failure at MedStar Washington

Hospital Center and director of the hospital’s

pulmonary hypertension program.

A graduate of Brown University, Dr. Ruiz received

his medical degree from the Albert Einstein College

of Medicine in New York City. He did his postgraduate

training at Brigham and Women’s Hospital in Boston

where he was chief medical resident, a fellow in

cardiology and one of the first to be jointly-trained

at Boston Children’s Hospital in the emerging

subspecialty of adult congenital heart disease.

Dr. Ruiz also recently received his MBA from Johns

Hopkins Carey Business School and served two years

as a White House fellow, during which time he was

a special assistant to the Secretary of Veterans Affairs

working on health-related matters.

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 7


Thanks to MedStar

Union Memorial

Hospital's extended

circle of care, Thomas

is more independent

and happy to be

back at home.

UNDERSTANDING

CONGESTIVE HEART FAILURE

Congestive heart failure occurs

when the heart becomes weak or

stiff and cannot pump blood as

well as it should. A range of heart

problems, including coronary

artery disease, heart attack, heart

valve problems, inflammation

of the heart muscle, congenital

heart defects, arrhythmia, and

uncontrolled high blood pressure

can cause damage to the heart,

leading to heart failure.

The symptoms of heart failure

can progress gradually or start

suddenly and can include:

• Shortness of breath

• Fatigue and weakness

• Swelling in legs, ankles and feet

or abdomen

• Fast or irregular heartbeat

• Chronic cough or wheezing

• Sudden weight gain from

retaining fluid

• A more frequent need to

urinate at night

There are steps you can take

to lower your risk of heart failure,

such as:

• Not smoking

• Controlling chronic health

problems like high blood

pressure and diabetes

• Getting regular aerobic

exercise

• Maintaining a healthy weight

Dr. Quartner make regular rounds

at the facilities to provide ongoing

care and close follow-up.

“In the old model of care, people

with heart failure had to stay in

the hospital longer,” adds Dr. Ruiz.

“There wasn’t the same focus on

rehabilitation our new approach

can provide. Now they have this

intermediate step in their recovery

that provides continuity of care and

an ongoing relationship with their

cardiologist, so any problems can

be spotted and addressed more

quickly than they would if we were

only seeing the patient every few

weeks in the office. Our partnership

with FutureCare and the Good

Health Center at MedStar Good

Samaritan is an example of one

more way we’re trying to see things

from our patients’ perspective. Our

patients living with heart failure

have people who depend on them,

so it’s important that they are able

to be independent and manage

their heart disease effectively.

Our goal is to provide a complete

circle of care so they can get better

sooner and get back to being with

family and friends, doing what

they enjoy.”

“I feel like I have the heart

of a young man.”

When he was discharged from the

hospital, Houck was far from ready

to return home. Dr. Ruiz arranged

for him to be transferred to

FutureCare’s Homewood facility for

additional care and rehabilitation.

“When I first got there, I needed a

wheelchair to get around because I

got tired so quickly. One of the first

things you do in rehab is walk down

the hall using a walker with one

of the physical therapists,” Houck

explains. “At the end of the hall,

you can sit down in a wheelchair

and rest until you’re ready to walk

back. Now, I can walk down and

back with just a little rest. I can work

out on the exercise equipment to

build up my strength and balance.

I feel like I have the heart of a young

man! A miracle was performed!”

To make an appointment with

a specialist at MedStar Heart &

Vascular Institute at MedStar

Union Memorial Hospital, call

877-74-HEART (877-744-3278).

8 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


MEDSTAR UNION

MEMORIAL HOSPITAL

PARTNERS WITH

THE Y OF CENTRAL

MARYLAND

Helping our neighbors lead healthier lives is

at the heart of what we do. To provide you

with access to programs and resources in our

community, we recently established a partnership with

the Y of Central Maryland. Through this partnership

we’ll bring you educational seminars, free health

screenings and events to help you lower your risk

of developing health problems and practice healthy

habits like exercising, eating right and quitting

smoking, just to name a few.

“We are very proud to team up with the Y of Central

Maryland,” says MedStar Union Memorial Hospital

President Bradley S. Chambers. “By sharing resources,

we can drive quality healthcare and work to prevent

health problems. We’re looking forward to joining

together for several exciting initiatives.”

Maybe you

haven’t heard

about the

MedStar Institute for

Innovation (MI2), but

it’s possible you have

benefitted from one

of the projects it has

supported. MI2’s goal

is to spark and support innovation throughout the

MedStar organization, helping the hospitals and

their staff deliver the highest quality, safest care,

and spurring patients to lead healthier lives.

Those innovations can take many forms. At MedStar

Union Memorial Hospital, one recent project involved

using technology to help heart failure patients avoid

readmission. Through a Verizon Foundation grant,

Kathryn Walker, PharmD, senior clinical director for

Palliative Medicine at MedStar Health, and David

Brennan, MI2’s director of Telehealth Initiatives,

received 75 Android tablets and two years of

INNOVATING FOR BETTER HEALTH

connectivity. Patients used secure messaging and

videoconferencing on the tablets to stay in touch

with their care teams from home. The pilot was a

success—helping to reduce readmission rates, prevent

medication safety events and foster a greater sense of

engagement and participation for palliative medicine

patients. The program is currently being expanded

to other MedStar hospitals.

Another MI2 project at MedStar Union Memorial will

eventually help people with hand tendon injuries. Sam

Fuller, MD, a fellow at the Curtis National Hand Center,

has invented a unique device that allows surgeons to

reattach tendons without sutures. The benefit of this

new approach is that patients can move their fingers

during recovery, which helps them regain better range

of motion. Steve Kinsey, MI2’s director of MedStar

Inventor Services, is helping Dr. Fuller develop the

prototype and patent the device.

To learn more about what’s happening at MI2,

visit MI2.MedStarHealth.org.

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 9


MULTI-

DISCIPLINARY

APPROACH TO

BREAST CANCER

MAKES THE

PATIENT PART

OF THE TEAM

Kathleen Graf says MedStar Union

Memorial Hospital's team approach

made her more involved in making

decisions about her treatment.

Mary (Kathleen) Graf

had her annual

mammogram in

April and the results

were normal. But a few months

later at her yearly checkup, her

gynecologist noticed a very small

lump in her breast. “It was tiny,”

the 69-year-old Towson resident

remembers. “I could barely feel it

even when my doctor put my

finger directly on it.”

Although her gynecologist didn’t

think there was anything to worry

about, especially since Graf had

a normal mammogram just a few

months before, she sent her for

a 3-D mammogram, which did

show a suspicious area. Her doctor

referred her to Maen Farha, MD,

FACS, breast surgeon and medical

director of the Breast Center at

MedStar Union Memorial Hospital,

for a needle biopsy. The biopsy

and pathology confirmed that

Graf had estrogen receptor

positive (ER+) breast cancer, and

Dr. Farha told her she would

need surgery.

“I felt more involved

in the process.”

Breast cancer patients receive

care from a number of different

specialists, including a surgeon, a

radiation oncologist and a medical

10 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


oncologist. Typically, a patient

has a separate consultation with

each doctor. That approach takes

time and gives the patient three

opinions about treatment, which

can be confusing. The approach

at MedStar Union Memorial is

intentionally different, for

that reason.

“Studies have found that

70 percent of the information

patients receive is forgotten if the

appointments are spread out,”

explains Dr. Farha. “At MedStar

Union Memorial, we bring all

three physicians, the pathologist,

radiologist, and when appropriate,

our staff social worker, genetic

counselor, and patient navigator,

together to discuss the case. Then

we all meet with the patient as a

team to discuss treatment options

and answer any questions. This

multi-disciplinary approach is more

efficient for the patient, helps us

develop a better treatment plan,

improves communication between

physicians, and makes the patient

an integral part of the team and

decision-making process.”

Adds Graf, “In one visit, I talked

with and heard from all the

physicians. If there were differences

of opinion, they spoke openly

in front of me. With that open

communication, I felt more

involved in the process and

understood my options.”

A single dose rather than

six weeks of daily radiation

One of those options was to

take part in a phase IV study of

intraoperative radiation therapy

(IORT) being conducted at

MedStar Union Memorial. Dr. Farha

performed a

lumpectomy to

remove Graf’s

tumor and

placed the IORT

device in the

lumpectomy

cavity. Paul

Fowler, MD,

chief, Radiation

Oncology, then

delivered lowerdose

radiation

directly to

that area.

“There are many

patient benefits

to IORT,” says

Dr. Farha. “The

treatment is

Kathleen is feeling

strong and enjoys walks

with her husband

Chuck at Hopewell

Cancer Support.

performed

once during

surgery,

whereas

external

radiation

requires six

weeks of daily

treatment. It

also prevents

Maen Farha, MD

radiation of

other healthy tissue in the breast,

chest wall and lungs.”

As part of the study, Graf will be

followed closely, a big plus in

her book. “It makes me feel more

confident knowing that I’ll get

regular follow-up as part of the

study. If there is a problem, it’s

more likely to be caught sooner.”

Another resource Graf values is the

binder the team put together that

contains all the information about

her surgery and radiation, the

medication she’s taking to lower

the risk of the cancer returning,

contact information for every

member of the team, and resources

like MedStar Union Memorial’s

Journey to Wellness program.

“It’s my second bible,” she says.

“Everything is right at my fingertips.

Throughout the whole process,

everyone on the team and the

staff at the hospital have been

wonderful. People were always

happy to answer my questions

and calm my fears. I feel good

now and I’m back to walking

and hiking with my husband.”

To schedule an appointment

with a specialist at MedStar Union

Memorial’s Breast Cancer Center,

call 877-715-HOPE (4673).

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 11


For a

Healthier You

Community Events and Class Schedules

At MedStar Union Memorial Hospital, we care about the health and wellness of our community. One of the ways we try to keep you

healthy and active is by offering special classes, events and screenings. Join us and learn how you can stay healthy for life.

EXERCISE

Chair Exercise

An exercise program

consisting of aerobics,

strength training and

flexibility done while

sitting in a chair.

Every Friday, 10 to 11a.m.

St. Mary’s Roland

View Towers

3939 Roland Ave.,

Baltimore

Fitness for 50s

A one-hour, low-impact

aerobics and strength

training exercise class.

Every Tuesday,

11 a.m. to Noon

Hampden Family Center

1104 West 36th St.,

Baltimore

HAND CARE

Musician’s Clinic

The Musician’s Clinic

at The Curtis National

Hand Center is open to

professional, amateur and

recreational performing

artists. Over 85 percent of

musicians will experience

some kind of performancerelated

musculoskeletal

problem during their

lifetime. Don’t let it stop you

from doing what you love.

Clinics are held Tuesdays,

June 28, July 26

and Aug. 23, 5 to 6 p.m.

Bring your instrument.

Call 410-235-5405 for

an appointment.

Congenital Hand Clinic

The Curtis National Hand

Center offers a free clinic

each month for children

and adults with congenital

hand and arm differences.

Congenital differences

are issues that are present

at birth such as problems

with the formation of

the entire arm or hand,

failure of parts of the

hand to separate, extra

fingers or thumb, or other

developmental issues.

Clinics will be held

on Thursdays starting

in September.

5 to 6 p.m.

Call 410-235-5405 for

an appointment.

CANCER CARE

Colon Cancer Screening

Colon cancer is highly

treatable when diagnosed

early. Starting at age 50,

ask your primary care

physician if you should

have a screening. If you

are 50 or older, under 50

with symptoms or family

history of colon cancer,

live in Baltimore City or

Anne Arundel County, and

have a limited income,

you may qualify for a free

colonoscopy. Having

insurance may not affect

eligibility.

Call 410-350-8216

to see if you qualify.

Breast and Cervical

Cancer Screening

Free mammograms, breast

exams and pap tests

are available for women

age 50 and older who

live in Baltimore City or

County, are uninsured

or underinsured, and

meet certain income

requirements. Early

detection saves lives.

Call 410-350-2066

to see if you qualify.

Genetic Counseling

MedStar Health has

a genetic counselor

available to guide you

and your family, as well as

answer any questions you

may have. Please ask your

primary care doctor if this

is appropriate for you.

To schedule an

appointment with

the counselor, call

443-777-7656.

SUPPORT GROUPS

Arm-in-Arm

A support group open to

breast cancer survivors and

those newly diagnosed.

Light refreshments served.

Fourth Tuesday of

each month

4:30 to 6 p.m.

Johnston Meeting Room

Suite 114

Call 410-554-6505

for more information,

or simply walk in.

One-on-One

Oncology social worker

Jessica Fox, LCSW-C, helps

guide patients and families

through all aspects of

cancer care.

For an appointment,

call 410-554-6587.

DIABETES

Diabetes Education

and Support

Services include: education

in glucose monitoring,

medication/insulin

instruction, nutrition/meal

planning, weight loss,

exercise, foot care, acute

and chronic complications,

preventive care, coping

skills, strategies to manage

diabetes, medical nutrition

therapy, and wellness

for all ages, for many

conditions including

high cholesterol and

kidney disease. Patients

do not have to see an

endocrinologist for

education or nutrition.

Call 410-554-4511

to register.

Covered by most

insurance companies.

12 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


Type 2 Diabetes

Support Group

Learn how to live

successfully with Type 2

diabetes using practical

tips, shared ideas

and discussions with

others facing similar

circumstances.

Wednesday, Aug. 10

Noon to 1 p.m.

33rd Street Professional

Building, Room 511

RSVP at 855-546-2105.

HEALTH AND WELLNESS

Cardiac Rehabilitation

If you’ve had a heartrelated

illness or

procedure, you can

lower your risk of

future heart problems

if you make changes to

improve your health.

Cardiac Rehabilitation

is a clinically based,

outpatient exercise and

risk-factor management

program that addresses

both the physical and

mental aspects of recovery.

We provide medical

supervision including EKG

monitoring. Physician

referral required.

Mondays, Tuesdays and

Thursdays, 8 to 9:30 a.m.,

9:30 to 11 a.m., 11 a.m. to

12:30 p.m., 1:30 to 3 p.m.

Call 410-554-2167 for

more information

or to register.

Medicare covers

80 percent of this service.

Life Balance/Weight

Management Program

This 16-week program

is designed to help you

make real lifestyle changes,

such as eating healthier,

starting a daily exercise

routine, losing weight, and

improving problem-solving

and coping skills. The

information for this series

comes from the “National

Diabetes Prevention

Program” and aims to

reverse pre-diabetes.

Tuesdays,

June 21 to Oct. 4

1 to 2 p.m.

Keswick Multi-Care Center

700 W. 40th Street,

Baltimore

Medical Fitness

Professionally trained staff

will provide a supervised

exercise program to

reduce risk factors

based on your health,

fitness level, goals, and

desires. You will receive

education and strategies,

a personal fitness report

and consultation. Physician

referral required.

Mondays, 1 to 3 p.m.;

Wednesdays and Fridays,

8 to 11:30 a.m., 1 to 3 p.m.

33rd Street Professional

Building, Second Floor

Call 410-554-2167

for more information

or to register.

Fee: $30 (includes

a $3 parking pass)

Stop Smoking Today

This four-week course is

taught by an experienced

certified tobacco treatment

specialist with a proven

approach to smoking

cessation.

Call 877-715-HOPE

(4673) for more

information and class

schedules.

Don’t Wait! Schedule

Your Mammogram Today

Digital mammography

appointments five days

a week, with same-day

appointments available.

Call 410-554-2728

for an appointment.

To register, visit MedStarUnionMemorial.org/Destinations or call 855-546-2105.

All classes are free unless noted otherwise.

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 13


News from Around MedStar Health

CANCER

Knowing Your ABCDEs Can Help You Catch

Melanoma Early

CHECKING YOUR SKIN FROM

head to toe each month can help

you spot changes that could be

symptoms of skin cancer. When

looking for signs of melanoma—

the most serious type of skin

cancer—it helps to know your

ABCDEs.

Here’s what you should check for:

• Asymmetrical shape: Check

for moles where the shape or

appearance of one half doesn’t

match the other.

• Border irregularity: Moles

affected by melanoma have

irregular borders that are ragged,

notched or uneven.

• Color: Non-cancerous moles are

usually a single shade of brown

or tan. Moles with more than one

color or an uneven distribution

of color could be melanoma.

• Diameter: In melanoma, moles

are usually one-quarter inch

or larger in diameter.

• Evolution: Be on the lookout for

changes in the size, shape or

color of any moles. Moles that

bleed, itch, become tender or

crust over are suspect.

“If you discover any of these

changes, see your doctor or a

dermatologist right away,” says

Vinay Gupta, MD,

surgical oncologist

at MedStar Union

Memorial Hospital.

“In addition to

standard sun

Vinay Gupta, MD

protection,

bi-yearly skin exams

with your doctor will help find new

and changing moles. Finding and

treating melanoma at its earliest

stage offers the best opportunity

for a cure.”

Call 877-715-HOPE (4673) for

more information or assistance

with making an appointment.

HEART

Clinical Trial Gives More Patients Access

to Minimally Invasive Valve Replacement

USUALLY, WHEN YOU NEED

aortic valve replacement due

to aortic stenosis, you undergo

open-heart surgery. But, for people

who are too ill or weak for openheart

surgery, a minimally invasive

procedure called transcatheter

aortic valve replacement (TAVR) has

been available for several years.

In TAVR, a very small catheter is

inserted into the femoral artery.

The physician then positions the

new heart valve, which is mounted

on a stent, into the location of the

damaged valve. Once the stent

that contains the new heart valve

is expanded, it pushes the old

valve out of the way and the new

one starts working immediately,

restoring normal blood flow to

the body.

Now, through a clinical trial at

MedStar Heart & Vascular Institute

at MedStar Union Memorial

Hospital, lower-risk, healthier

patients have an opportunity to

undergo TAVR. MedStar Union

Memorial is one of a select

few hospitals in the Baltimore

metropolitan region participating

in this trial, which is being

conducted at 80 centers around

the world.

“There are many benefits to TAVR,

including a much quicker recovery

John Chung-Yee

Wang, MD

and no need for

major open-heart

surgery,” explains

John Chung-Yee

Wang, MD, chief

of the Cardiac

Catheterization

Laboratory at

MedStar Union

Memorial and scientific director for

MedStar Baltimore Cardiovascular

Research. “For this trial, there is

no upper or lower age limit to

participate.”

To see if you may be a candidate

for the trial, contact Judith

Raqueno, TAVR coordinator,

at 443-278-9170, ext. 1.

14 Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016


ORTHOPAEDICS

You Don’t Have to Be an Athlete to Benefit

From Sports Medicine

JUST BECAUSE

you’ve never

run a marathon or

made a touchdown

doesn’t mean

you don’t need a

Richard G. Levine, MD

sports medicine

specialist. If you

have a problem with your muscles,

ligaments, joints, or tendons, a

physician who's fellowship-trained

in sports medicine can evaluate

your condition and suggest

treatment, from physical therapy

to surgical repairs.

These physicians treat patients

of all ages and activity levels and

care for injuries of your:

• Shoulder

• Knee

• Ankle

• Foot

• Hand and wrist

• Elbow

• Back

• Hip

“It doesn’t matter how your injury

happened or if you’re an athlete or

not,” says Richard G. Levine, MD,

director of clinical services, Sports

Medicine, and an expert sports

medicine and arthroscopy-trained

surgeon who performs shoulder

and knee surgery at MedStar

Union Memorial Hospital. “We

take care of people who’ve been

hurt at work or in a car accident,

people who have joint pain from an

injury or arthritis, as well as people

who've been injured playing a

sport for fun or competitively. Our

interdisciplinary team offers the

latest treatment options, including

minimally invasive surgical repairs,

so that you can get back to the

activities you want to do.”

To make an appointment,

please call 877-34-ORTHO

(877-346-7846).

We Now Offer Voucher-Free Wi-Fi

Access for Patients and Visitors

While on any MedStar hospital campus,

simply select “MedStarGuest” under

your Wi-Fi settings to get started.

Destinations MEDSTAR UNION MEMORIAL HOSPITAL Summer 2016 15


201 E. University Pkwy., Baltimore, MD 21218

MedStarUnionMemorial.org/Destinations

855-546-2105

Nonprofit Org.

U.S. Postage

PAID

Baltimore, MD

Permit No.

6011

More

Extraordinary Care.

Extraordinarily Close.

The MedStar Health

Bel Air Medical Campus is

NOW OPEN

MedStar Health Bel Air Medical Campus

12 MedStar Blvd. • 410-877-8088 PHONE

MedStarHealth.org/HarfordCare

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