HEALTHCARE&YOUAdventist

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CLASSES AND

EVENTSpage 12

Y O U R G U I D E T O H E A L T H Y L I V I N G • F A L L 2 0 1 4

Adventist HealthCare’s initiatives to keep the community healthy PAGE 6

Connected care

WellnessPathto

Help when you

need it

Improving health

Workplace well-being

MEMBERS OF ADVENTIST HEALTHCARE

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FeaturesOpening Thoughts

12 Living Healthy

Department

8 Oh, Baby!Shady Grove Adventist Hospital becomes fi rst in Maryland to be recog-nized for breastfeeding support.

9 Be Still My HeartA former triathlete’s atrial fi brilla-tion was no match for the experts at Washington Adventist Hospital.

Cover Story

Discovering New Directions in Health Care Explore Adventist HealthCare’s pathways to a healthier community. PAGE 6

Last spring, I took over the role of leading Adventist HealthCare into the changing health care landscape. It is rewarding and exciting to lead an outstanding organization and team of compassionate, skilled, expert care providers who focus each day on providing the very best care to those we serve.

Our health care system is shifting from healing the sick to keeping the healthy, healthy. For Adventist HealthCare, Montgomery County’s fi rst and largest health care provider, this changing approach to care brings us back to our roots and connects deeply with our mis-sion of improving the health of people and communities. What started at the Washington Sanitarium in Takoma Park (now Washington Adventist Hospital) in 1907 has continued over the past 107 years at Shady Grove Adventist Hospital, Adventist Rehabilitation Hospital of Maryland, Adventist Home Care, Adventist Behavioral Health and Adventist Medical Group. Today, technology and coordination connect Adventist HealthCare’s wide range of comprehensive services.

Whether you or a loved one needs urgent care at one of Adventist HealthCare’s centers opening this year, or you want to learn about your health through a screening at work, we will help to improve your health and develop your personal path to wellness. I hope you will see Adventist HealthCare as more than a provider of care to the sick, but instead as a catalyst to local wellness.

If you are interested in reading regular updates on health and wellness information, I encourage you to visit our health blog at blog.adventisthealthcare.com. Thank you for allowing me to be part of this community. I look forward to Adventist HealthCare providing quality and compassionate health care to you and your families.

Terry FordePresident and CEO, Adventist HealthCare

Leading the Way to Wellness

President and CEO, Adventist HealthCare Inc.:Terry Forde

Shady Grove Adventist Hospital9901 Medical Center DriveRockville, MD 20850www.shadygroveadventisthospital.comPresident: John Sackett

Washington Adventist Hospital7600 Carroll Ave.Takoma Park, MD 20912www.washingtonadventisthospital.comInterim president: Terry Forde

Editorial Team: Thomas Grant, Marisa Lavine

Writers: Susan Griffiths, Danielle Lewald, Shanna Muschik, Loren Nix, Lydia Parris, Clarencia Stephen, Diana Troese

Senior Content Editor: Matt Morgan

Production Technology Director: Mary Winters

Senior Production Manager: Laura Marlowe

Adventist HealthCare & You is published four times annually by McMurry/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 19, Number 4 © 2014 McMurry/TMG, LLC.

The material in Adventist HealthCare & You is not intended for diagnos ing or prescribing. Consult your physician before under taking any form of medical treatment or adopting any exercise program or dietary guidelines.

For permission to reprint any portion of this magazine, call 888-626-8779. If you wish to be removed from the mailing list, tear off the shipping label and mail it to Remove Me, PO Box 17910, Phoenix, AZ 85011, or go to www.acd.mcmurry.com.

This title is a component of the About Health product.

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Care in the AirFour nurses fly to the aid of a fellow passenger

During a recent trip to a training event in Texas, four Shady Grove Adventist Hospital clinical educa-tion specialists found themselves in the right place at the right time.

As they flew from Baltimore-Washington International Thurgood Marshall Airport on March 17, Patricia Bodine, RN, CPAN; Maria Gentry, RN, CMSRN; Jennifer Lewis, RN, MSN, CCRN; and Cindy Mohardt, RN, CMSRN, saw a woman sitting near them collapse in the aisle.

The nurses quickly jumped into action. They helped wake the woman, who was initially unresponsive. She was sweating and had a weak pulse. They helped her back to her seat, then checked her blood sugar and blood pressure levels. While the plane was still in flight, the

woman passed out again. The nurses gave her ginger ale and placed an oxygen mask on her.

Gentry, who was sitting next to the woman, remembers her saying, “I am so blessed that you ladies were on this flight. What are the chances I would be sitting right next to a nurse?”

The woman’s condition was stabilized, so the plane did not need to perform an emergency landing, avoiding delay and inconvenience for the passengers. The nurses worked with the flight staff to arrange for paramedics to meet the woman at the landing gate.

During the hectic activity to help the woman off the plane and into the hands of paramedics,

the nurses did not catch her name or contact information, so they could not follow up on her condition. They are hopeful, however, that she had a quick recovery. The nurses are also happy that they were able to use their skills to assist a passenger in need.

“As nurses,” Mohardt says, “when we see that someone needs assistance, it’s our instinct to jump in and help.”

Registered nurses (from left) Maria Gentry, Cindy Mohardt, Jennifer Lewis and Patricia Bodine rushed to the aid of a woman who passed out on their plane.

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School’s In! Let’s Take the Stress OutVideo� eries helps parents and kids manage this time of transition

Marissa Leslie, MD, uses play to encourage children to share their feelings during a therapy session at the Adventist Behavioral Health Outpatient Wellness Clinic in Rockville.

Starting school for the fi rst time or returning to the classroom is exciting and fun for some children. For others who might be struggling with attention defi cit hyperactivity disorder (ADHD), anxiety or depression, it can be frightening and stressful. It is important for parents and guardians to keep an eye out for com-

mon signs of these mental illnesses that can surface during this time of transition and prevent children from succeeding in their studies.

Adventist Behavioral Health recently released videos to provide edu-cational resources to parents and caregivers about how to recognize and handle ADHD, anxiety and depression in children. The videos feature Marissa Leslie, MD, Adventist Behavioral Health’s medical director of outpatient services and a child and adolescent psychiatrist at Adventist Behavioral Health’s Outpatient Wellness Clinic.

“The videos provide an overview of the causes and signs of the mental ill-ness and o� er easy tips on preventing stress and juggling the demands of

work and school schedules—factors that often lead to depression and anxiety if not properly managed,” Dr. Leslie says. “The ADHD video is also a valuable aid for parents who are looking for help in supporting and engaging a child with ADHD.”

ADHDAccording to the Centers for Disease Control and Prevention (CDC), approxi-mately 11 percent of children ages 4 to 17 (6.4 million) have been diagnosed with ADHD as of 2011. The ADHD video explains how the condition a� ects young children and their development in school and at home. Dr. Leslie o� ers tips for parents to help children who have ADHD focus on completing tasks, staying organized at home and being more successful at school.

ANXIETYA National Institute of Mental Health survey estimates that anxiety disorders a� ect 8 percent of teens ages 13 to 18. In the anxiety video, Dr. Leslie discusses the di� erent symptoms of the condition, including excessive worry or fear, trauma-based anxiety disorders and ritualized behaviors (also known as obsessive-compulsive disorders). Dr. Leslie also helps di� erentiate normal anxiety behaviors from excessive and destruc-tive anxiety behaviors.

DEPRESSIONThe National Institute of Mental Health estimates that 11 percent of adolescents have a depressive disorder by age 18. In this video, Dr. Leslie explains the warning signs of depression and how individuals can help prevent the onset of depression, particularly during stressful times of year, like the back-to-school season, through practical stress management and self-care tips. Says Dr. Leslie, “A good night’s rest, exercise, eating a well-balanced diet and ensuring you have time to relax can help tremendously in staying mentally healthy.”

CONCERNED ABOUT YOUR

CHILD’S MENTAL HEALTH?

Visit www.adventistbehavioralhealth.com/owc

to watch videos about ADHD, anxiety and depres-sion, or to learn more about Adventist Behavioral Health’s Outpatient Wellness Clinic.

CONCERNED

Video

1 in 3 Number of children ages 8 to 17 who said they experienced a physical symptom of stress (headache, stomachache, sleeplessness) in the last month.

Source: American Psychology Association

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Leading byExample

Physicians follow their own advice for getting and staying healthy

In November 2010, Thu Tran, MD, Ob-Gyn at Shady Grove Adventist Hospital, and six other physicians decided to go beyond advising people on how to be healthy. They decided to lead by example and show them.

They formed a “boot camp,” meeting weekly with a trainer for cardiovascular and strength-training exercises.

What began as a physical workout soon grew into a social and mental outlet for the busy group of physicians, moms and friends. The women followed each session with homemade healthy food and personal discussions.

“The essence of our boot camp has been the personal interactions that occur between the members along with the physical fi tness activi-ties,” Dr. Tran says.

TAKING IT ONLINEAs the group grew, the members recognized that their breadth of knowledge and hunger to promote health went beyond their boot camp and social discussions.

“We realized that there is so much mislead-ing health information out there,” Dr. Tran says. “We wanted to use our combined knowledge and expertise to help other women be healthy.”

In June 2013, they started a blog: www.ladydocscornercafe.com.

Featuring exercise and nutrition advice, a mental health section, a recipe log and other personal updates, the blog is a community resource. The online outlet, which includes contributions from dietitians, cardiologists and other medical experts, covers a broad range of health information and advice related to each member’s expertise.

“We pick topics that are relevant to peo-ple’s lives, so when people read the blog, they know more about everyday health issues,” Dr. Tran says. “We try and write in a way that you would address your family members or

friends, so the reader feels a connection. When they feel that connection, they tend to listen to us better.”

STRENGTH IN SUPPORTSince its start three and a half years ago, the boot camp has grown to more than 40 women, many of whom are physicians working at Shady Grove Adventist and Washington Adventist Hospitals.

In addition to working out and writing for the blog, the group mem-bers enjoy spending rec-reational time together.

“We have become the best sisters,” Dr. Tran says. “We used to pass by and say hello politely, and now it’s amazing how much we know about each other.”

Learning from her own experience, Dr. Tran encourages her patients to create a support network when try-ing to achieve goals.

“If you gather with your friends whose careers or personal lives have many things in common with you,” she says, “you never know how pow-erful your group can turn out.”

What started out in 2010 as a group of seven physicians meeting weekly for workouts has grown into a support network of more than 40 members.

PLENTY OF GREAT HEALTH

ADVICE

Visit Thu Tran’s blog at www.ladydocscornercafe.com and Adventist HealthCare’s blog at blog.adventisthealthcare.com for the latest health information.

Website

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Over the last few years, reform to the U.S. health care system has brought about many dramatic changes to hospitals and the care they deliver. Instead of just providing high-quality care to the sick within a hospital, today’s health care professionals are focusing more on preventing disease and

maintaining health among the entire population, while reducing costs. For Gaithersburg-based Adventist HealthCare, Montgomery County’s fi rst and

largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.

DiscoveringAdventist HealthCare is helping create a healthier community. Learn about four paths to wellness

Centra Care, Adventist HealthCare Urgent Care centers will open in Germantown and Rockville by the end of 2014 and in Laurel in early 2015.

CONVENIENT, QUALITY URGENT CARE As the health care system focuses on reducing costs, urgent care centers have grown in popularity. They o� er an a� ordable alter-native to emergency room visits for non-life-threatening injuries and illnesses.

“We all fi nd ourselves in pressing situations when we need care at a specifi c time and in a specifi c location. However, these are often situations that don’t require the expertise and resources of a hospital emergency room,” says Terry Forde, president and CEO of Adventist HealthCare. “Urgent care centers o� er that alternative and ultimately are more cost-e� ective for both the consumer and the provider.”

Later this year, Adventist HealthCare will open urgent care centers in partnership with Florida-based Centra Care, which operates 24 cen-ters in central Florida. Centra Care, Adventist HealthCare Urgent Care centers will open in Germantown and Rockville by the end of 2014 and in Laurel in early 2015. Additional locations are planned for the future.

Each Centra Care location will feature walk-in appointments as well as online reservations. The facilities also will feature on-site lab work, pharmacy, X-rays, EKGs, physicals and immunizations.

Explore: www.adventisturgentcare.com

largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.health care with a focus on creating a healthier community.

PROMOTING COMMUNITY WELLNESS Adventist HealthCare’s rich history in community wellness is the per-fect match to today’s changing health care system. In fact, Adventist HealthCare’s Center for Health Equity and Wellness works aggressively to raise awareness of community health needs and local disparities, improve access to culturally appropriate care and provide community wellness outreach and education.

“Our mission is focused on supporting Adventist HealthCare in implementing health equity and community wellness approaches that improve population health,” says Marcos Pesquera, executive director of the center. “By partnering with other organizations that share our mission, we are able to address social issues that impact health, extend the reach of quality health care services to our most vulnerable communities and provide the necessary resources to keep them healthy and well.”

The center’s array of health and wellness programs, and free com-munity events and screenings, help expand access to valuable health care services reaching more than 60,000 residents each year.

Explore: www.adventisthealthcare.com/health/equity-and-wellness

PROMOTING HEALTH AT WORKMost people spend 40 hours per week—or a third of each weekday—at work. By improving health for employees while they are at work, businesses can save money and boost the population’s overall good health. To support this e� ort locally, Adventist HealthCare’s work-place wellness a� liate, LifeWork Strategies, has partnered with more than 300 businesses to provide education and wellness programs to employees.

Reducing the rates of chronic diseases, such as diabetes and hyper-tension, can help people live healthier and ultimately reduce overall health care costs for businesses.

“A healthier workforce lowers costs on health insurance premiums and lowers absenteeism and increases productivity,” says Mindy Pierce, director of LifeWork Strategies. LifeWork Strategies is a member of Adventist HealthCare and delivers integrated wellness and behavioral health programs to a wide range of businesses.

Explore: www.lifeworkstrategies.com

Adventist HealthCare aims to improve health for employees while they are at work, ultimately boosting the population’s overall good health.

New Directions

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Over the last few years, reform to the U.S. health care system has brought about many dramatic changes to hospitals and the care they deliver. Instead of just providing high-quality care to the sick within a hospital, today’s health care professionals are focusing more on preventing disease and

maintaining health among the entire population, while reducing costs. For Gaithersburg-based Adventist HealthCare, Montgomery County’s fi rst and

largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.

largest provider of health care services, this change fi ts well into a focus on largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.health care with a focus on creating a healthier community.

largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.

largest provider of health care services, this change fi ts well into a focus on largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.health care with a focus on creating a healthier community.

largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.

largest provider of health care services, this change fi ts well into a focus on largest provider of health care services, this change fi ts well into a focus on community wellness, which began 107 years ago.

Adventist HealthCare hosts thousands of community screening and education events each year and is integrating physicians and the larger health care system through modern technology. Here’s more on how health care system through modern technology. Here’s more on how Adventist HealthCare’s services are already addressing the changes in health care with a focus on creating a healthier community.health care with a focus on creating a healthier community.

PROMOTING COMMUNITY WELLNESS Adventist HealthCare’s rich history in community wellness is the per-fect match to today’s changing health care system. In fact, Adventist HealthCare’s Center for Health Equity and Wellness works aggressively to raise awareness of community health needs and local disparities, improve access to culturally appropriate care and provide community wellness outreach and education.

“Our mission is focused on supporting Adventist HealthCare in implementing health equity and community wellness approaches that improve population health,” says Marcos Pesquera, executive director of the center. “By partnering with other organizations that share our mission, we are able to address social issues that impact health, extend the reach of quality health care services to our most vulnerable communities and provide the necessary resources to keep them healthy and well.”

The center’s array of health and wellness programs, and free com-munity events and screenings, help expand access to valuable health care services reaching more than 60,000 residents each year.

Explore: www.adventisthealthcare.com/health/equity-and-wellness

Programs, events and screenings help expand access to valuable health care services.

COORDINATING CAREAn accountable care organization (ACO) is a group of doctors and other health care providers who work together to coordinate inte-grated care for a population of people. The Mid-Atlantic Primary Care ACO LLC, managed by Adventist HealthCare, launched in January as one of the largest ACOs in the region. The physician-led partnership includes more than 1,000 health care providers who care for more than 14,000 Medicare patients.

“ACOs are at the center of care delivery, because they create more e� cient and coordinated care, improving the total quality of care and lowering health care costs,” says Patrick Garrett, MD, senior vice president of physician integration, innovation and population-based care, and president of Adventist Medical Group.

Dr. Garrett is the chief administrator of the Mid-Atlantic ACO, whose participating providers are Adventist Medical Group, MedPeds LLC, Comprehensive Women’s Health, Doctors First, Wayne Meyer, MD, and George Washington Medical Faculty Associates Inc.

“Patients whose providers have chosen to participate with the Mid-Atlantic ACO benefi t from improved care coordination, because up-to-date health information is shared across the continuum,” Dr. Garrett says. “This communication among health care service providers sup-ports the physician in making sure patients receive high-quality care.”

Explore: 800-642-0101, www.adventisthealthcare.com/doctors

Health care providers are teaming up to enhance the patient experience, improve the total quality of care and lower health care costs.

PROMOTING HEALTH AT WORKMost people spend 40 hours per week—or a third of each weekday—at work. By improving health for employees while they are at work, businesses can save money and boost the population’s overall good health. To support this e� ort locally, Adventist HealthCare’s work-place wellness a� liate, LifeWork Strategies, has partnered with more than 300 businesses to provide education and wellness programs to employees.

Reducing the rates of chronic diseases, such as diabetes and hyper-tension, can help people live healthier and ultimately reduce overall health care costs for businesses.

“A healthier workforce lowers costs on health insurance premiums and lowers absenteeism and increases productivity,” says Mindy Pierce, director of LifeWork Strategies. LifeWork Strategies is a member of Adventist HealthCare and delivers integrated wellness and behavioral health programs to a wide range of businesses.

Explore: www.lifeworkstrategies.com

Adventist HealthCare aims to improve health for employees while they are at work, ultimately boosting the population’s overall good health.

in Health Care

New Directions

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Shady Grove Adventist Hospital is the fi rst in Maryland to earn an international designation for breastfeeding support

Breastfeeding has many benefi ts for both moms and babies, research has shown. However, support and guid-ance during the fi rst days following birth are critical to begin and continue

with breastfeeding long-term.Earlier this year, Shady Grove Adventist

Hospital became the fi rst hospital in Maryland and one of only 179 in the U.S. to achieve Baby-Friendly designation through the World Health Organization and the United Nations Children’s Fund. The Baby-Friendly Hospital Initiative is a global program that encourages and recognizes hospitals that o� er an optimal level of care for infant feeding. Only 7.2 percent of babies in the U.S. are born in a Baby-Friendly desig-nated facility.

For new and expectant moms, this means extra levels of support and education when they deliver at Shady Grove Adventist Hospital.

“Breastfeeding has numerous benefi ts for babies, including a lower risk of sudden infant death syndrome, diabetes, respiratory and ear infections, skin allergies and obesity later in life,” says Carol Chornock, RN, IBCLC, lactation coor-dinator at Shady Grove Adventist Hospital. “Our physicians and sta� are trained and educated in helping new mothers get o� to the best start for breastfeeding.”

All of Shady Grove Adventist Hospital’s breast-feeding classes are sta� ed by certifi ed lactation consultants who specialize in the clinical man-agement of breastfeeding.

Shady Grove Adventist Hospital o� ers extra support to help mothers initiate breastfeeding

After Charis and Peter Mbugua toured Shady Grove Adventist Hospital, recipient of the World Health Organization’s Baby-Friendly designation, they knew right away they would deliver their child there.

THE MBUGUAS SHARE THEIR

BIRTH EXPERIENCE

Visit blog.adventisthealthcare.com to read about Charis and Peter Mbugua’s birth experience and learn more about Shady Grove Adventist Hospital’s Baby-Friendly designation.

within one hour of birth. The hospital also has a standard practice of “rooming-in,” which allows mothers and infants to stay together 24 hours a day.

“Baby-Friendly truly empowers the mother to be the best mother she can be, regardless of her choice in feeding,” Chornock says.

MAKING THE GRADEFor Prince George’s County High School English teacher Charis Mbugua of Clarksburg and her husband, Peter, manager of planning and mar-ket analysis for Adventist HealthCare, Shady Grove Adventist Hospital “made the grade” when they were deciding where to deliver their fi rst child.

“I loved the atmosphere,” Mbugua says. “As soon as we fi nished the tour, I knew this was where we wanted to deliver.”

With daily breastfeeding classes for moth-ers in the hospital, weekday phone support and a free weekly support group, new par-ents like the Mbuguas have help every step of the way.

“I think new mothers are so overwhelmed with all the do’s and don’ts of parenting that it is so helpful to know you will have profession-als guiding you and providing support before, during and after the birth,” Mbugua says.

In addition to being Baby-Friendly, Shady Grove Adventist Hospital has obtained gold-level Breastfeeding-Friendly Workplace recognition from the Maryland Breastfeeding Coalition, as well as the International Board of Lactation Consultants Care Award.

SUPPORT ACROSS THE SYSTEMFor moms in southern and eastern Montgomery County, Washington Adventist Hospital in Takoma Park, also a member of Adventist HealthCare, o� ers comprehensive breastfeeding classes and support at the hospital for new parents.

“Breast milk is the optimal food for infants, because it has the correct amount of protein and other nutrients to promote infant growth and development,” says Stacy Andrews, MD, Ob-Gyn at Washington Adventist Hospital. “While breastfeeding is linked to benefi ts for babies, it is also associated with a decreased risk of breast and ovarian cancers for mothers.”

Both hospitals o� er a full range of child care classes for expecting and new parents, including classes on childbirth, infant CPR and fatherhood.

Oh, Baby!

Website

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Be Still

Atrial fi brillation threatened to slow down this former triathlete—that is, until the Washington Adventist Hospital experts� estored his� hythm

As a former triathlete and husband to a profes-sional runner, 61-year-old Thomas Scott of Rockville wasn’t used

to taking things slow. That changed when heart problems struck.

Since 2012, Scott experienced what he later learned was intermittent atrial fi brillation (a-fi b), the most com-mon type of arrhythmia, or abnormal heart rhythm. “All of a sudden, my heart would begin to race,” Scott says.

The condition is related to an issue with the heart’s electrical system that causes the two upper parts of the heart, also known as the atria, to quiver, or fi brillate. For Scott, these symptoms would usually last less than three hours and then disappear.

WORSENING CONDITIONAfter further a-fi b episodes resulted in multiple trips to the Shady Grove Adventist Hospital emergency room, Scott knew he needed to fi nd a solution. Concerned, Marnie Bernard, PA-C, certifi ed physician assistant working in the o� ce of Jonathan Plotsky, MD, in Rockville, referred him to Sean Beinart, MD, electrophysiologist with Washington Adventist and Shady Grove Adventist Hospitals.

“I researched several area hospitals’ cardiac programs to compare my options,” Scott says. A radio ad on WTOP persuaded him to visit Washington Adventist Hospital’s website, which at the time featured Guillaume Marçais, a local rock climber whom Dr. Beinart treated with an ablation procedure to correct his a-fi b.

“I was immediately impressed by Dr. Beinart,” Scott says. “I knew he could fi x me like he fi xed the rock climber.”

THE FIXAblation uses a thin wire called a catheter to deliver heat energy to specifi c areas of the heart in a safe, precise manner and can help eliminate the faulty electrical signals that trig-ger a-fi b.

“Cardiac ablation is often the best course of action for a-fi b patients who are younger and physically active,”

Dr. Beinart says. “We agreed this was the best option to help Tom maintain a high-quality,

Former triathlete Thomas Scott quickly got back to biking and other enjoyable activities—like keeping up with his wife, Patty, a professional runner—after treatment for an abnormal heart rhythm.

Sean Beinart, MD

SEE HEART PATIENTS BACK

AT WHAT THEY ENJOY

Visit blog.adventisthealthcare.com to watch a video

of former heart surgery patient Chris Barritt com-

plete his fi rst triathlon and see how others treated

at Washington Adventist Hospital are fl ourishing.

Website

active lifestyle without the negative side e� ects that can develop from medication.”

Since his successful ablation procedure at Washington Adventist Hospital in November, Scott has been back to enjoying mountain bik-ing, weight lifting and cycling.

“I was back to working out within a few weeks!” says Scott, who has a lot to keep him going. “I’m married to an elite athlete, so I bet-ter stay in shape.”

My Heart

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The Once-a-Year Test That Can

Save Your LifeIf scheduling your yearly mammogram tends to slip o� your to-do list, you’re

certainly not alone. But the fact remains, you should make this invaluable exam a priority. According to the government’s O� ce on Women’s Health, a high-quality mammogram plus a clinical breast exam performed by a doctor is the most e� ective way to detect breast cancer early.

Research shows that early detection saves lives. Women diagnosed with breast cancer at stage 1 (a low severity) have a nearly 90 percent survival rate, according to the American Cancer Society; women with stage 4 breast cancer (the highest severity), however, have a 15 percent chance of living another fi ve years.

WHO NEEDS A MAMMOGRAM?The American Cancer Society recommends annual mammograms for women start-ing at age 40. In addition, a clinical breast exam should be given about every three years for women in their 20s and 30s and every year for women age 40 and older. Starting in their 20s, women should also conduct breast self-exams. Doctors may recommend some women with a family history of breast cancer, a genetic ten-dency or other factor be screened with MRI in addition to a mammogram.

“I believe every woman needs a screening protocol tailored to her individual health needs,” says Sonya Kella, MD, breast radiologist and medical director of the Shady Grove Breast Center. “Risk assessment and breast density evaluation play key roles in establishing a new standard of care. Women should talk to their doc-tors about risk factors and the right tests.”

WHAT’S ALL THIS TALK ABOUT ‘DIGITAL’?Mammograms can detect changes in the breast that may be early signs of can-cer but are too small or subtle to be felt. State-of-the-art digital mammography equipment uses high-resolution computers and specially designed digital detectors to produce the highest-quality images.

“With digital mammography, doctors can adjust the brightness, change contrast and zoom in for close-ups of specifi c areas of interest,” says Kristine Dettlo� , MD, breast radiologist at the Shady Grove Breast Center. “Compared to older fi lm-based systems, digital mammography can greatly reduce the need for image retakes, which potentially saves patients additional time in the exam room and reduces exposure to X-rays.”

COMING SOONAdventist HealthCare will expand services in the community with the opening of the Adventist HealthCare White Oak Breast Center this fall under the leadership of Sonya Kella, MD, and Kristine Dettlo� , MD. This full-service facility integrates screenings, diagnosis and treatment into one convenient location for our community. It’s just one more reason to choose Adventist HealthCare to help you live life well. Visit www.washingtonadventisthospital.com/breastcenter to learn more.

SCHEDULE YOUR MAMMOGRAM

TODAY

Shady Grove Breast Center: 301-590-8999

Washington Adventist Hospital: 301-891-5053

Call

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Cancer Care, ContinuedAquilino Cancer Center’s healing touch extends with specialized therapy

Barbara Homon, 71, of Derwood, Md., is an inspiration to those she meets. After undergoing treatment for breast cancer in 2009, she developed lymphedema, a common side e� ect for cancer patients who have lymph nodes removed. She now works diligently to keep her lymphedema well-controlled by

receiving regular therapy at the Shady Grove Adventist Aquilino Cancer Center. After experiencing many aspects of cancer care, she gives the rehabilitation services at the cancer center, which opened in November 2013, two thumbs up.

“The setting at the Aquilino Cancer Center promotes community among patients and their families,” Homon says. “I’ve been able to establish relationships with others who share a similar journey, and my husband loves the peaceful and inviting waiting area.”

A team from Adventist Rehabilitation Hospital of Maryland provides expert care to patients in the Aquilino Cancer Center. The specialized therapy can alleviate side e� ects from cancer treatment, like fatigue, pain, fi brosis and lymphedema.

“Cancer and its treatments, such as chemotherapy and radia-tion, can a� ect speech, occupational or physical abilities,” explains Jennifer Nulton, OTR/L, CHT, CLT, Homon’s lymphedema therapist. “Rehabilitation helps minimize symptoms and improve quality of life.”

Quality of life is important to Homon, whose cheerful, upbeat nature is contagious. She says the Aquilino Cancer Center’s private rooms and dedicated therapists allow patients to comfortably talk about sensitive topics, like weight gain and how the lymphedema garments make them feel. Services and support groups are also avail-able within the center to meet the emotional and spiritual needs of patients.

Homon’s latest round of therapy proved especially challenging, lasting fi ve months. Yet, through it all, the Aquilino Cancer Center team provided the physical and mental support she needed. “Jennifer kept me settled when I thought we were out of options,” Homon says.

Barbara Homon visits the Shady Grove Adventist Aquilino Cancer Center to receive treatment for lymphedema from Jennifer Nulton, OTR/L, CHT, CLT.

COMPLETE CANCER CARE

Visit www.yourcancerteam.com for more

information on the Shady Grove Adventist Aquilino Cancer Center.

Cancer Care, Website

TREATING LYMPHEDEMALymphedema is a condition where lymph nodes are blocked or damaged, causing arms, legs or other body parts to swell. Some people are born with abnormali-ties of their lymphatic system. Others may develop lymphedema due to cancer treatment, injury, compli-cations from obesity, circulatory problems or a parasite known as fi lariasis. There is no cure for lymphedema.

The most e� ective treatment, complete decon-gestive therapy (CDT), is o� ered in the Shady Grove Adventist Aquilino Cancer Center. CDT involves a com-bination of manual lymph drainage massage, short-stretch compression bandaging, exercise and skin care. During phase one, CDT is performed daily until the reduction of fl uid reaches a plateau. Phase two, the maintenance phase, involves self-management and compression garments.

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HEART HEALTH

Heart-Health Screenings with Medical ConsultationOur comprehensive screenings and private, two- to four-minute personal consulta-tions with licensed medical professionals are designed to help you understand and manage your specifi c health risks for heart disease and related conditions. Please note that some screenings require a fee and fast-ing, but please be sure to drink water to remain hydrated.When: Wednesdays, Sept. 17 and Nov. 19, 8–10 a.m.Where: SGAH, Birch Room

When: Fridays, Sept. 26 and Nov. 14, 10 a.m.–noonWhere: Rockville Senior Center, Health Room, 1150 Carnation Drive, Rockville

When: Wednesday, Oct. 8, 10 a.m.–noonWhere: Gaithersburg Upcounty Senior Center, 80 A Bureau Drive, Gaithersburg

When: Thursday, Oct. 23, 8–10 a.m.Where: WAH, Cafeteria Conference Rooms A&B

When: Tuesday, Oct. 28, 10 a.m.–noonWhere: Mid County Senior Center, 2004 Queensguard Road, Silver Spring (new location)

Info: Call 800-542-5096; registration required; event subject to cancellation due to low registration

Living Healthy

CLASS LOCATIONSThe Adventist HealthCare Center for Health Equity and Wellness o� ers classes at numerous locations within the community, including the following. Visit www.adventisthealthcare.com/calendar for additional class/event locations.

SGAHShady Grove Adventist Hospital9901 Medical Center Drive, RockvillePaid parking

ACCAquilino Cancer Center9905 Medical Center Drive, RockvillePaid parking

WAHWashington Adventist Hospital7600 Carroll Ave., Takoma Park

AHCAdventist HealthCare820 W. Diamond Ave., Gaithersburg

ARHMAdventist Rehabilitation Hospital of Maryland9909 Medical Center Drive, RockvillePaid parking

Health and wellness classes, programs and activities for a healthy mind, body and spirit, brought to you by the Adventist HealthCare Center for Health Equity and Wellness.

September-November 2014 FREE, MONTHLY BLOOD PRESSURE

TESTINGAvailable at multiple locations throughout Montgomery County.Info: Visit www.adventisthealthcare.com/calendar or call 800-542-5096

Visit www.helpstopthefl u.com for community fl u shot clinic dates and times.

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Screening Description and FeesLipid profi le: Basic cholesterol test, total cholesterol, HDL, LDL, VLDL, triglycerides, cholesterol/HDL ratio (12 hours of fast-ing recommended); $35, $31 for seniors (55-plus); only order this or the expanded cholesterol testExpanded cholesterol test: This VAP (ver-tical auto profi le) includes all of the lipid profi le plus information that can help iden-tify inherited and hidden heart disease risks; $65, $61 for seniors (55-plus); only order this or the lipid profi leHomocysteine: Vascular fi tness test; $95HsCRP: Tests high-sensitivity C-reactive protein for cardiovascular risk; $45Blood pressure monitoring: FREEGlucose: Basic screening for diabetes (12 hours of fasting recommended); $8A1c: Blood sugar test for known diabetics or those at high risk; $40PSA (prostate-specifi c antigen): Prostate cancer screening test for men; $40Body-fat analysis: Tests percentage of body fat; $10

Heart Screening PackagesSweetheart: Lipid profi le and glucose; $38Heart smart: Expanded cholesterol test (VAP) and glucose; $69Heart risk special: Expanded cholesterol test (VAP), homocysteine and HsCRP; $199Diabetes check: Glucose and A1c; $42

Navigating Your Vascular HealthJoin us for free health screenings and more.When: Sunday, Oct. 12, 1–4 p.m.Where: WAH

Introduction to Cardiac Rehabilitation and EECP Treatment for Chest PainInfo: For an appointment, call the Center for Fitness and Health at Shady Grove Adventist Hospital at 240-826-6662 or Washington Adventist Hospital Cardiac Rehab at 301-891-6016Cost: FREE

Heart to Heart Support GroupFor patients and families.When: Thursdays, Sept. 18, Oct. 16 and Nov. 20, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, Rockville

Women and Heart Disease Support GroupFor patients and families.When: Thursdays, Sept. 18, Oct. 16 and Nov. 20, 11:30 a.m.–1 p.m.Where: WAH, Cafeteria Conference Rooms A&B

REGISTER TODAY

Online registration and pay-ment options are now avail-

able for some programs. Visit www.adventist

healthcare.com/calendar or call 800-542-5096

for more information or to register.

REGISTER TODAY

ClassesInternal Cardiac Defi brillator and Pacemaker Discussion GroupGroup discussion for patients and the families of patients with these devices.When: Mondays, Sept. 8 and Nov. 10, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, RockvilleInfo: Call 240-826-6662

Congestive Heart Failure Class and Discussion GroupFor patients and families.When: Monday, Oct. 13, 7–8 p.m.Where: SGAH Center for Fitness and Health, 9715 Medical Center Drive, Suite 130, RockvilleInfo: Call 240-826-6662

Deep Vein Thrombosis and Pulmonary Embolism Support GroupFor patients and families.When: Tuesday, Sept. 23, 6–7 p.m.Where: SGAH, Willow RoomInfo: Call 240-826-6177 or email dvtpeinfo@ahm.com

For additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealthcare.com/calendar or call 800-542-5096.

PRENATAL, FAMILY AND WOMEN’S HEALTH

Prenatal Classes for Expecting Couples and FamiliesA wide variety of maternal and child health classes is available through Shady Grove Adventist and Washington Adventist Hospitals. Expecting families will receive expert advice, support and education before and after the birth of their babies. Classes include Childbirth, Breastfeeding, Grandparent, Fatherhood, and more. Online registration now available!Info: Detailed descriptions and listings for locations are available by visiting www.adventisthealthcare.com/calendar or calling 800-542-5096

Lactation ServicesLactation classes, consultation, breast-pump sales and rentals, and breastfeeding support groups.Info: Call 240-826-MOMS (6667) for SGAH or 800-542-5096 for WAH

Infant Safety and CPRA Family & Friends class that covers safety, CPR skills and choking management for newborns to 1-year-olds.When: Sundays, Sept. 7 and 21; Oct. 5 and 19; Nov. 9 and 23, 10 a.m.–noonWhen: Wednesdays, Sept. 10 and 17; Oct. 8, 15, 22 and 29; Nov. 12 and 19, 6–8 p.m.Where: SGAH

Cost: $40 per person, $55 per couple

Private Infant Safety and CPRInfo: Call 800-642-0101 for details

SUPPORT GROUPS• BEST breastfeeding• Discovering motherhood

• The Latch Clinic: TLC for breastfeeding moms

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Living Healthy

JOINT HEALTH

Joint Replacement ClassLearn about the total hip or knee replace-ment procedure, hospital stay and rehabilitation program at Shady Grove Adventist Hospital.When: First Wednesday of each month, 1:30–3 p.m.Where: SGAHCost: FREEInfo: www.adventisthealthcare.com/calendar

YOUTH HEALTH

Interested in Infant Safety and CPR?Multiple classes available, including Baby-Sitting, CPR Companion to Baby-Sitting, Home Alone (prepares 8- to 11-year-olds and their parents for times when children will spend brief periods alone at home), and more.Info: Visit www.adventisthealthcare.com/calendar or call 800-542-5096

CANCER PROGRAMS

At Shady Grove Adventist and Washington Adventist Hospitals, cancer care navigation teams assist people living with cancer, their families and friends, and caregivers. The navigation teams consist of professionals who can provide guidance through diagno-sis, treatment and survivorship.Info: Call 240-826-6297 (SGAH) or 301-891-5559 (WAH) to speak to a member of the cancer care navigation team

Look Good ... Feel BetterMeet with other women living with cancer and a professional esthetician to learn makeup tips so you can put your “best face forward” during and after treatment for cancer. You’ll have fun and receive a “per-sonal tool kit” to take home.When: Wednesdays, Sept. 10 and Nov. 5, 6–8 p.m.Where: ACCInfo: Call 240-826-6297

When: Monday, Sept. 8, 10 a.m.–noonWhere: WAH, Radiation OncologyInfo: Call 301-891-5559

Colorectal Cancer Screening ProgramAdventist HealthCare partners with the Montgomery County Health Department to o� er this FREE, life saving screening.Info: Call 301-315-3507 or 301-315-3147 to see whether you are eligible

Montgomery County Cancer Crusade CoalitionMonthly meeting to discuss community needs for cancer screenings.Info: Call 301-315-3507 or 301-315-3147 for meeting dates and times

SUPPORT GROUPS• All cancers (ACC)• Breast cancer (ACC)

• Caregivers (ACC)• Thyroid cancer (ACC)• Women’s lifestyle (WAH)For dates, times and locations, call 240-826-6297 (ACC) or 301-891-5559 (WAH).

NEUROSCIENCES

Community Aphasia GroupA support group for those with aphasia.Cost: $140 for six-week seriesInfo: Contact Sandi Lancaster at 240-864-6033 or slancas2@adventisthealthcare.com

SUPPORT GROUPS• Brain injury• Stroke

• Spinal cord injuryFor additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealthcare.com/calendar or call 800-542-5096.

HEALTH MAINTENANCE

Diabetes Outpatient Education ProgramsThis comprehensive, three-class series will help you learn how to better manage your diabetes with tips on self-care, eating right and more. Covered by most health insur-ances. Call your carrier to verify your cover-age. A physician’s referral is required.When: Monthly on consecutive Tuesdays, 6–9 p.m.Where: SGAHInfo: 301-315-3129

When: Day and evening classes availableWhere: Professional building next to WAH, Suite 350Info: 301-891-6105

Prediabetes ClassLearn how to manage prediabetes and pre-vent type 2 diabetes in this two-class series.When: Alternate months at each location, Thursdays, 9:30–11:30 a.m.Where: SGAH and WAHInfo: Visit www.adventisthealthcare.com/calendar to register for these FREE classes

Nutrition CounselingIndividual appointments and group ses-sions with a registered dietitian for man-agement of high blood pressure, unhealthy cholesterol levels, diabetes and prediabe-tes, digestive problems, food allergies and other diagnoses. Nutrition counseling, or medical nutrition therapy, is a benefi t cov-ered by many health insurances. We will

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verify that your insurance plan covers the cost of nutrition counseling prior to your initial appointment.When: By appointment, Mondays through FridaysWhere: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350Info: Call 301-891-6105 to schedule an appointment

When: First Monday of each month in the eveningWhere: AHCCost: $85Info: Call 800-542-5096 to register

Support GroupFree group sessions open to anyone with diabetes or prediabetes.

When: First Tuesday of each month, 6–7 p.m.Where: WAH, Outpatient Nutrition and Diabetes Education Office, Suite 350Info: Call 301-891-6105 to RSVP

t’ai Chi Ch’uanT’ai chi ch’uan is a set of naturally flow-ing movements performed slowly in a sequence with a spirit of calmness, balance and awareness. It teaches ways of relax-ation and is excellent for stress reduction and developing strength and flexibility. Come to class with an empty stom-ach. Wear sneakers and loose clothing. Beginner and advanced levels available.

Beginner LevelWhen: Wednesdays, Sept. 17–Nov. 5, 7–8 p.m.

Advanced LevelWhen: Wednesdays, Sept. 17–Nov. 5, 8–9 p.m.

Cost: $80Info: Call 800-542-5096 for location infor-mation and to register

Adventist HealthCare Walking ClubIncludes free blood pressure screenings.When: Tuesdays, 8–9:30 a.m.Where: Westfield Montgomery Mall Food CourtInfo: Visit www.adventisthealthcare.com/walkingclub

Weight-Loss Surgery Informational SeminarsWhen: Monthly on the first Thursday, 6:30–8:30 p.m.; second and fourth Wednesdays, 6–8 p.m.; and fourth Sunday, 5–7 p.m.Where: SGAHCost: FREEInfo: Open to all; contact Latasha Baxter at 240-826-5278 or lbaxter@adventisthealth care.com for room location and to register

SeniorS’ health

Adventist HealthCare recognizes the spe-cialized health needs of our community’s senior population. FREE monthly lectures cover a wide variety of timely health topics for seniors, in addition to health screenings and personal consultations. For additional information, dates, locations and times, call 240-777-4999.

Holiday park Multipurpose Senior Center3950 Ferrara Drive, WheatonHealthy Living Lecture Series• 2014 Diabetes updateWhen: Tuesday, Oct. 14, 1:15–2:15 p.m.Info: 240-777-4999

Support GroupS

GriefAdventist HealthCare’s Pastoral Care Services offers compassionate help and hope to the community with FREE, specialized grief support groups held in a safe, nurtur-ing environment.

Where: SGAHInfo: Call the Pastoral Care Department at 240-826-6112 or email jmufuh@adventist healthcare.com for more information and to register

Where: WAHInfo: Call the Pastoral Care Department at 301-891-5265 for more information

Weight-Loss SurgeryWhen: First four Thursdays of each month, 7–8:30 p.m.Where: SGAH, Sycamore Conference RoomCost: FREEInfo: Open to all; registration not required; contact Latasha Baxter at 240-826-5278 or lbaxter@adventisthealthcare.com for addi-tional information

othersAdventist HealthCare offers many FREE support groups for patients and their loved ones. Ongoing support groups are currently available on the following health topics.• Alcoholics Anonymous• Amputee• Diabetes• Narcotics• Sickle cell anemiaFor additional information about these groups, including a schedule of meetings and locations, visit www.adventisthealth care.com/calendar or call 800-542-5096.

Cpr & FirSt aid ClaSSeS

The Center of Resuscitation Excellence offers convenient CPR and first aid courses at various times and locations. For course schedules, locations and registration, visit www.adventistlifesupport.com or call 240-826-CORE (2673).

HeartSaver Cpr and AEDThis American Health & Safety Institute CPR and AED program is designed for anyone in the community who wants to learn how to perform CPR on all ages. Book is included, along with two-year certification card.When: Saturdays, Sept. 27, Oct. 25, Nov. 15, 9 a.m.–noonWhere: SGAHInfo: For additional information, dates, locations and times, visit www.adventist healthcare.com/calendar or call 800-542-5096

American Safety & Health Institute (ASHI): Basic First Aid ClassOSHA-approved first aid certification for construction workers, teachers, scout leaders, security guards, lifeguards and those who want to help in the community with emergencies and disasters. Three-year certification.When: Sept. 9, Oct. 8, Nov. 12, Dec. 8, 5:30–8 p.m.Where: SGAH

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Adventist HealthCare, Inc.820 W. Diamond Ave., Suite 600Gaithersburg, MD 20878

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Silver Spring

TakomaPark

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White Oak

Greenbelt

SuitlandCamp Springs

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Shady Grove Adventist Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240-826-6000

Washington Adventist Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-891-7600

Shady Grove Adventist Emergency Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-444-8000

Shady Grove Adventist Hospital Prenatal Program . . . . . . . . . . . . . . . . . . . . . . . 301-444-8350

Shady Grove Adventist Radiation Oncology Center - Germantown . .301-795-0064

Shady Grove Adventist Radiation Oncology Center - Rockville . . . . . . 301-309-6765

Adventist Behavioral Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-251-4500

Adventist Rehabilitation Hospital of Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240-864-6000

The Reginald S. Lourie Center for Infants and Young Children . . . . . . . . .301-984-4444

Adventist Home Care Services O�ces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301-592-4400

Adventist Behavioral Health - Eastern Shore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410-221-0288

Adventist Medical Group Primary Care & Specialty O�ces

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

Find a Physician byphone or online:Call 1-800-642-0101 or visit AdventistHealthCare.com/FindADoc

SHADY GROVEADVENTIST HOSPITAL

WASHINGTONADVENTIST HOSPITAL

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