E X P E R T S I N T H E F I E L D O F S P O RT S M E D I C I N E
o one wants to be sidelined by a sports injury. And with the
N kick-off of the spring season, that includes professional soccer
players. As an official hospital partner of D.C. United, Virginia
Hospital Center is helping the team’s star athletes stay in shape and
minimize injuries. Complementing the physician expertise, sports medicine D.C. United
services provided by the Hospital include advanced musculoskeletal Ben Olsen
imaging, pre-participation physical exams and cardiac evaluations as well
as physical therapy and sports massage.
“D.C. United is a first-class organization and it’s an honor helping to keep
its players at the top of their game,” says orthopedic surgeon Christopher C.
Annunziata, MD of Commonwealth Orthopaedics who has been affiliated with
the team since 2001. He became official team physician in 2004 and provides
team care in partnership with internist Timothy D. Muir, MD. “With four MLS cups
under their belt, they are the most successful franchise in the history of U.S.
Major League Soccer. They are what every other team in the league aspires to be.”
Sports medicine services at Virginia Hospital Center carry an equally
impressive track record—and soccer isn’t the only game. In fact, several of the
Hospital’s doctors serve as team physicians or consulting specialists for other
professional sports teams, including the Washington Capitals and the Washington
Redskins. In addition, many of them are very involved with athletic programs at
more than 12 area high schools and local universities.
The Nirschl Orthopaedic Center runs the Washington metro area’s only sports
medicine fellowship at Virginia Hospital Center, which provides advanced training to
two orthopedic sports medicine fellows and two to four primary care sports medicine
fellows per year. Robert P. Nirschl, MD is the Director of the fellowship and Drs. Eric
J. Guidi, Frank A. Pettrone and Patrick St. Pierre are Co-Directors.
With some of the region’s most respected and published orthopedic surgeons at its
core, the Hospital utilizes state-of-the-art imaging equipment for the diagnosis of sports
injuries and musculoskeletal problems (see page 6). “MRI is a technology that we use
frequently for diagnosis and surgical planning,” says Dr. St. Pierre. “Many sports injuries
involve ligaments and tendons, which MRI allows us to see.” I
Sports Medicine M. Anthony Casolaro, MD Frank A. Pettrone, MD SPRING/SUMMER 2008
Head Team Physician, Internal Team Physician, George
at Virginia Medicine, Washington Redskins Mason University
2 The Speed of Technology
Hospital Center Jeffrey Lovallo, MD Athletics
Hand Surgery Consultant, D.C. Charles J. Riedel, MD 5 Male & Female Urology
United & Washington Redskins Neurosurgery Consultant,
Timothy D. Muir, MD Washington Redskins 7 Weight Loss Surgery
Christopher C. Annunziata, MD Internist, D.C. United Patrick St. Pierre, MD
Team Physician, D.C. United
Robert P. Nirschl, MD Team Physician, 12 Pregnancy–Before,
& Head Orthopedic Team Marymount University
Founding Member, Sports During & After
Science Committee, US Christopher M. Walsh, MD
Tennis Association Internist, Washington Capitals
MAIN TELEPHONE 703.558.5000 N WWW.VIRGINIAHOSPITALCENTER.COM
THE SPEED OF TECHNOLOGY
s a citizen of the 21st century, you may find it hard thanks to voice recognition software and an electronic
A to remember how you ever survived without a cell
phone or the Internet, what it was like to watch
patient records database, notes Dr. McWey. As a result,
diagnoses and treatment decisions are made much faster.
sports on analog TV, or how you ever reached your destination “Now a referring physician can log in and view the report
without a GPS navigation system in your car. sometimes even before the patient reaches his or her car in
Consumer gadgets are constantly evolving to make life easier the parking lot,” he says.
and better, but the right choices aren’t always clear. (Consider Technology is making the diagnostic process faster and more
the fabled product wars between VHS and Betamax, Microsoft accurate for patients, he says. With digital mammography,
and Apple.) The same holds true with advanced medical image capture is instantaneous and there are fewer call-backs
technologies. Except it’s the Hospital’s responsibility to separate for repeat studies. CT scans once took 45 minutes to capture
hype from fact and to make wise investments that offer 12-15 two-dimensional “slices” of the body. The Hospital’s new
long-term value for patients. scanner captures 128 slices in 10 seconds, using the results to
“We are constantly looking two or three years ahead to build 3-D models of the body’s internal structures. “With 3-D
evaluate the viability of new technologies in the pipeline,” says modeling, we can electronically ‘dissect’ a part of the body
Russell E. McWey, MD, Chief Medical Information Officer. requiring further investigation. If we want to see what’s going on
“Staying one step ahead of the curve means you really have to inside the hip, the computer can remove all the muscles to
upgrade every three to four years.” (For a snapshot of the provide a clearer picture of just the bone,” Dr. McWey explains.
Hospital’s most recent high-tech acquisitions, see grid below.) “Instead of just seeing that there is a fracture in the femur, we
Just as technology has revolutionized how we live, work, might see that it’s broken in eight places, ensuring better
shop and play, it has also dramatically changed how Virginia placement of screws in a hip replacement.”
Hospital Center fights illness. Ten years ago a radiologist’s report For more information on advanced technologies, visit
had to be dictated, transcribed, and then mailed or faxed www.virginiahospitalcenter.com/healthinformation and click on
(taking 3-4 days), whereas today’s reports are available instantly, HealthReach articles. I
For more information
Technology CyberKnife® O-armTM Digital Mammography Breast Magnetic Resonance
Uses Delivers high-dose Imaging system for spinal Screening for Detects breast cancer.
radiation to tumors in the surgery that provides breast cancer.
brain, spine, lung, liver, 360-degree, 3-D scans of
pancreas & prostate. patient anatomy.
Candidates Patients with tumors in Patients undergoing Women over 40 years, or High-risk patients due to family
hard-to-reach or delicate surgery for degenerated younger if they have a history or previous breast cancer.
locations. discs, spinal stenosis, family history of breast Patients requiring further investi-
spinal tumors & scoliosis. cancer or previous gation of breast abnormalities
H E A L T H R E A C H
diagnosis. detected by mammogram.
Benefits Destroys tumors without Allows surgeons to check Superior image quality. Detailed imaging can detect early
harming adjacent healthy accuracy of procedures Improved detection of growths or early tumors that may
tissue. Painless & non- before patients leave the early cancer in women not be picked up by first-line
invasive. Minimal to no operating room. Faster with dense breasts mammograms, particularly in
side effects. Shorter recovery & better & women under 50. women with dense breasts.
treatment schedule. outcomes.
Cost $5 million $1.1 million $1.5 million $150,000
P U T T I N G T E C H N O L O G Y T O W O R K F O R P AT I E N T S A F E T Y
In 2009, Virginia Hospital Center will launch Sorian®, a cutting-edge and the right route. This entire process is automated, virtually
Hospital Information System, that will ensure faster, more efficient eliminating any chance of medication error.
treatment for patients and reduce the likelihood of medication Sorian’s enhanced internal communication systems will be
errors to almost zero. another plus for patients. Radio frequency identification (RFID)
Medication orders are just one aspect of care that will benefit tracking will keep track of where patients are within in the
from Sorian. For example, a patient’s prescription will be placed Hospital and which services they are receiving at any given
using a computerized physician order entry system, as opposed time. Critical equipment can also be located quickly anywhere
to being written on a pad and then transcribed. Sorian will within the facility using RFID. Digital archiving allows physicians
generate pop-up alerts for possible drug or food interactions. to access complete patient medical records and imaging
In some cases, the system may suggest an alternate medication studies from anywhere inside the Hospital, or remotely from
in light of the patient’s medical history. “The goal is to provide home or office.
doctors with a wealth of information at their fingertips to help Virginia Hospital Center’s investment in the new Hospital
them make the best decisions,” explains Chief Information Information System will cost about $10 - $12 million, but one
Officer David Crutchfield. that is well worth it. “It’s all about using technology to improve
In the pharmacy, robotic packaging of individual doses our ability to provide safe, high quality care for our patients from
for each patient’s medications will be bar coded, sealed and start to finish,” Crutchfield says. I
delivered to the patient’s room. Before the drug is adminis-
Special thanks to the Virginia Hospital Center physicians who contributed
tered, the medication’s bar code is matched to the patient’s
to the technology grid: James Duc, MD; Derick A. Hanlan, MD;
bar code. The system retrieves the original physician order Mohammad E. Hoque, MD; Diego I. Kuperschmit, MD; Russell E. McWey,
and checks for the “five rights” of medication use: the MD; Robert M. Mordkin, MD; Kathryn M. Palmer, MD; Haroon Rashid, MD;
right patient, the right drug, the right time, the right dose Charles J. Riedel, MD.
on advanced technologies at Virginia Hospital Center, visit www.virginiahospitalcenter.com/healthinformation and click on HealthReach articles.
SOMATOM® Definition Endoscopic Ultrasound da Vinci® S Robot Cardiac Catheter Ablation
CT Scanner for Atrial Fibrillation
Captures crystal-clear images of a Uses endoscopy combined Robotic-assisted Expanding treatment for atrial fibrillation
beating heart to pinpoint signs of with ultrasound to provide laparoscopic surgery. with catheter-based radiofrequency
heart disease. images of the digestive energy (heat), cryotherapy (freezing)
tract & surrounding organs. and laser energy (light).
Patients at risk for coronary illness Patients with suspected Patients with prostate, Patients with symptomatic
despite normal stress test & other tumors in the esophagus, adrenal, bladder & kidney atrial fibrillation and other arrhythmias
results. As follow-up for patients stomach, pancreas, cancer. Soon to be used for despite medical therapy.
with bypass grafts or stents who duodenum & rectum. hysterectomy & pelvic floor
H E A L T H R E A C H
have recurrent symptoms. reconstruction.
Detects hidden signs of heart Minimally invasive Less invasive procedure, Minimally invasive. Can
disease. Superior diagnosis in procedure. Superior resulting in decreased pain eliminate the need for
patients with rapid or irregular accuracy. Can determine & blood loss, a smaller scar drug therapy.
heart beats; 50% lower radiation. exact size & stage of & faster recovery.
Extremely fast diagnosis (minutes) tumor.
critical for emergency cases.
$1.5 million $550,000 $1.6 million $500,000
W H E N FA L L P R E V E N T I O N
M AT T E R S M O S T
arkinson’s disease is a progressive disorder affecting
P the part of the brain that controls muscle movement.
Problems such as hand tremors, limb stiffness or
mumbled speech usually begin as mild symptoms that worsen
over time. Parkinson’s affects more than one million Americans—
approximately 15 percent of whom are diagnosed before age 50.
Its exact cause is not known, although genetic predisposition
Guide to Neurological Disorders
may be a factor.
One of the most significant health threats posed by Parkinson’s
disease is not the disease itself, but rather falls resulting from a loss PARKINSON’S DISEASE
of balance, which can lead to fractures or brain injury. An estimated
38 percent of individuals with Parkinson’s experience falls, and 13 Symptoms: Trembling, muscle rigidity, difficulty
percent fall more than once a week. As such, treatment for this and walking, impaired balance, slowed movement,
similar balance-impairing conditions usually includes medication and/or muffled speech that worsen over time.
combined with physical therapy to improve muscle tone and equilibrium. Onset: Typically after age 60, but
A common treatment for Parkinson’s is a replacement of Dopamine sometimes earlier.
with medication called Sinemet (Carbidopa/Levodopa) to stimulate the Treatment options: Levodopa and carbidopa
nerves responsible for motor function. Other medications are also available. (which stimulate dopamine production)
Surgery is usually prescribed only when drug therapies are not working. are the two most commonly prescribed
In either case, physical therapy is an important part of the regimen. “With medications. When drugs no longer work,
Parkinson’s, patients lose their postural reflexes and have trouble catching surgery may involve a chest implant similar
themselves when they fall, so they feel like they can’t protect themselves,” to a pacemaker that transmits electrical
says neurologist Natalia Alexandrova, MD. “Physical therapy will not stop the impulses to tiny electrodes embedded
disease from progressing, but it can help build muscle strength and help deep in the brain. Physical therapy is a
patients feel more confident and capable.” component of any treatment plan.
Peripheral neuropathy (PN), a condition most often characterized by pain Advances in gene therapy and stem
and numbness in the hands and feet, can also result in impaired balance. As cell research could bring promising
its name suggests, PN affects the body’s peripheral nerves, including those that new treatments in the future.
detect heat, pain or touch, as well as those that control motor and automatic
functions such as blood pressure, heart rate and digestion. Peripheral neuropathy PERIPHERAL NEUROPATH Y
usually appears first in the longest nerves—those that extend all the way to the toes. Symptoms: Numbness or tingling in
About 60 to 70 percent of people with diabetes will eventually develop some feet or hands, possibly spreading to
type of neuropathy. PN can also result from traumatic injury, infection, tumors or legs and arms; burning or sharp
exposure to toxins. Risk factors include diabetes, alcohol abuse, B vitamin deficien- pain; extreme sensitivity to touch;
cies, immune system suppression, autoimmune disease and kidney, liver or thyroid lack of coordination; muscle
disorders. Because PN isn’t a single disease, but rather a symptom with many weakness or paralysis (if motor
possible causes, it can be difficult to diagnose. Screenings to test tendon reflexes, nerves are affected); bowel or
muscle strength/tone, posture, coordination, and the ability to feel certain sensations bladder problems (if autonomic
may be conducted to determine the type and cause of neuropathy. nerves are affected).
“Peripheral neuropathy isn’t life-threatening, but it can lead to balance problems Onset: Typically in adulthood,
that cause falls,” says Dr. Alexandrova. In addition to drugs for pain management, with problems increasing
H E A L T H R E A C H
and physical therapy to build muscle tone, certain preventive measures can help with age.
(see page 14, Adaptive Yoga). “Falls are more common at night because the eyes cannot
Treatment options: Pain
compensate for a loss of equilibrium when it’s dark, so I always tell my patients to turn
medication, topical pain
on a light before they get out of bed at night,” she explains. “Falls also happen when
patch (for areas where pain
people close their eyes while washing their hair. It’s a good idea
is worst), antidepressants
to have a bench you can sit on in the shower.” I
HEALTH TALK MAY 29 and physical therapy.
Meet neurologist Natalia Alexandrova, MD to ask questions about Parkinson’s disease and peripheral neuropathy.
HELP BEYOND VIAGRA
s men get older, erectile dysfunction (ED) is not to happen, it will continue to
A uncommon. A vascular problem similar to those
that can occur elsewhere in the body, the
occur on a consistent basis.
When medication therapy fails,
condition can be triggered or aggravated by diabetes, most men assume they are out
smoking, high cholesterol, high blood pressure or low of options, but they are not.
testosterone levels due to aging. Getting other health With the prosthesis, men have a
problems under control will not eliminate ED, but will reliable system in place that they
prevent further loss of sexual function. can use without any advanced
Treatment for ED begins with a urologist, and medications planning.” Prosthesis implant
such as Viagra® are typically the first line of defense. When surgery is not as rare as some
drug therapies no longer achieve the desired effect, a might think. Some 425,000 men
Ash V. Kshirsagar, MD
surgically implanted prosthesis is a secondary option. receive implant surgery each year.
The procedure takes about an hour and requires only an “ED is basically a circulatory problem similar to what’s
overnight hospital stay. Most patients are walking around happening in the coronary arteries, except it occurs in the
the next day, and satisfaction rates for both patients and male organ,” Dr. Kshirsagar adds. “That said, there is a
their partners are over 90 percent. known association between ED and coronary disease, so if
“Testosterone levels decline with age and ED can occur you have ED, it’s important to be checked out by an internist
more frequently,” explains Ash V. Kshirsagar, MD, a or cardiologist, as well as a urologist.”
urologist with advanced training in men’s health, including To schedule an appointment with Dr. Kshirsagar, contact
the medical and surgical treatment of ED. “Once it begins Washington Urology at 703.717.4200. I
RELIEF FOR INCONTINENCE
aria P. Canter, MD, MSc is one of only three one will know it’s there,”
M female urogynecologists in the Washington area
specializing in the Interstim® procedure for
says Dr. Canter.
Interstim is done in two
urinary incontinence. Signs of urinary incontinence in steps. First the device is
women include a frequent urge to urinate, an uncomfortable implanted (on an outpatient
sensation that the bladder is never empty (even after basis with no overnight stay)
urinating), and an urgency that doesn’t always leave enough and symptoms are tracked
time to make it to the bathroom. “Some women become for one to two weeks to gauge
afraid to leave the house, and they are exhausted because improvement. Once the
they are going to the bathroom every 20 minutes all night electrode has been properly
long,” notes Dr. Canter. calibrated, a five-year battery is
When remedies such as medication, biofeedback and implanted to keep the device
dietary changes fail to alleviate symptoms, InterStim can running.
Maria P. Canter, MD, MSc
be life-restoring. A small device, implanted in the lower “Results are usually evident
back, stimulates the sacral nerve, which controls the within 24 hours, and a 50 percent improvement in urgency
muscles of the pelvic floor and bladder. Functioning much and frequency is good,” says Dr. Canter, recalling one
H E A L T H R E A C H
like a “pacemaker for the bladder,” the electrode can be patient whose daily trips to the bathroom went from 25 on
turned on or off by the patient, and can be dialed up or average to six or eight.
down for maximum effectiveness. Once implanted, it is To schedule an appointment with Dr. Canter, contact
invisible and discreet. “You can shower and swim and no Urogynecology & Pelvic Surgery at 703.717.4000. I
Urogynecologist – A gynecologist specializing in the care of women with conditions such as incontinence, prolapse, emptying disorders,
pelvic pain and overactive bladder. Urogynecologist Maria Canter, MD received a research grant from the American Urogynecologic
Society to study urinary disorders and her findings will be published this year in the American Journal of Obstetrics & Gynecology.
Radiology & Diagnostic Imaging
F A C T S A B O U T CT A N D R A D I AT I O N
ecent news reports have raised concerns
R about radiation exposure from CT scans,
a technology that layers multiple x-ray
images to create 3-D pictures of the body.
While radiation exposure is a side effect of the
procedure, the benefits of CT scans often far outweigh
the risks. “For cancer survivors, we use CT as a follow-up
tool to confirm that there is no recurrence or residual
disease. CT is the most accurate way to detect early lung
cancer and is used to screen smokers and ex-smokers,”
says Chief of Diagnostic Radiology Claude G. Raphael, MD.
Another CT advantage is the speed of the procedure itself,
which takes only 10-30 seconds. Faster CT imaging reduces
radiation exposure and expedites accurate diagnosis when Large kidney stone only visible through CT technology.
time is of the essence, such as in trauma cases. CT scanning
can be an alternative to certain invasive diagnostic techniques, Radiation doses are adjusted in accordance with a child’s size
such as angiography and endoscopy. With the acquisition of to produce only the minimum required exposure. “There is
the SOMATOM® Definition CT scanner, the Hospital now no substitute for CT technology in the setting of trauma,”
offers the fastest and most detailed CT scanning available. says Dr. Raphael. “CT allows for very rapid diagnosis in
Children are 10 times more sensitive to radiation than subtle life-threatening injuries in a fraction of the time of
adults. For that reason, CT scans are typically only used as other imaging modalities. There is no watchful waiting when
a second line of study for critical pediatric conditions. a child may have an internal head injury.” I
J O I N T C O L L A B O R AT I O N
reatment for sports-related injuries, whether in Diagnostic radiologists specialize in diagnosis of disease
T the weekend warrior or professional athlete,
almost always begins with a preliminary interface
through medical imaging. Kimberlee H. Overdeck, MD is one
of only a handful of fellowship-trained musculoskeletal
between an orthopedic surgeon and diagnostic radiologist radiologists in the Metro DC area. Following completion of
to determine the appropriate imaging study to most clearly a standard five-year radiology residency at University of
define the problem. While X-rays and computed tomography Michigan, she went on to complete an additional year of
(CT) remain the mainstays in diagnosing fractures and other specialized training, or fellowship, in musculoskeletal radi-
primary bony abnormalities, magnetic resonance imaging ology at Massachusetts General Hospital. She now serves as
(MRI) is the gold standard of orthopedic imaging. It is head of Musculoskeletal MRI at Virginia Hospital Center.
superior in the diagnosis of soft tissue injuries, such as Among Dr. Overdeck’s preferred imaging techniques is
minuscule tears in ligaments, tendons and joint cartilages. MR arthrography, a procedure in which a dye is injected into
Once armed with a precise roadmap and accurate a joint, most commonly the shoulder or hip. “The dye helps
radiographic diagnosis, the orthopedist can decide on the us visualize structures that we might otherwise not detect,”
best course of treatment for the injury which could be she explains. “This method of imaging increases our ability
immobilization, surgery or other therapeutic approaches, to diagnose joint abnormalities, particularly of cartilage,
such as physical therapy. with 90 percent or greater accuracy.” I
H E A L T H R E A C H
This list includes a few of the many procedures N Bone Densitometry N PET Scan
offered in Radiology & Diagnostic Imaging. To schedule (DEXA Scan) N Radioactive Iodine Therapy
an appointment, call the Radiology Scheduling Center N Cardiac Nuclear Testing N Thyroid Scan & Uptake
at 703.558.8500. A physician order is required for N CT Scans N Ultrasound (Sonogram)
these procedures. X-ray walk-ins are welcome, however, N Mammography N Virtual Colonoscopy
a physician order is still necessary. N MRI
Surgery & Special Procedures
According to a recent study in the Journal of the American Medical
L A P -B A N D S U R G E RY Association, some obesity-related conditions appear to be
reversible with Lap-Band surgery. Among the patients sampled:
ne in three Americans is considered obese.
O More than a cosmetic problem, excess weight
can pose significant health risks by causing or
exacerbating conditions such as diabetes, high blood
pressure, heartburn, infertility and cancer. It can also
cause joint deterioration and low energy levels, making
exercise more difficult.
Bariatric surgery may be recommended for patients with a
body mass index above 40, or for some individuals with a lower
94% saw a reduction in
body mass index but who develop significant obesity-related
health problems. “Most patients we see have tried diet plans
and weight loss medications repeatedly,” explains J.R. Salameh,
MD, FACS, a bariatric surgeon and Medical Director of the
90% with Type II diabetes
saw a major improvement
Weight Loss Surgery Center at Virginia Hospital Center. “When were in complete
their health is deteriorating, surgery becomes a last resort.” remission for Type II
Lap-Band®, a surgical implant that reduces stomach capacity, diabetes after 2 years
requires no stapling or gastrointestinal rerouting to bypass normal
digestion. An adjustable silicon ring is placed around the upper The study also noted reductions in sleep apnea,
portion of the stomach, filled with saline, and cinched like a belt. depression and infertility among Lap-Band patients.
As a result, the size of the stomach’s upper chamber is reduced,
and patients begin to feel full faster. The procedure is performed
laparoscopically with only a few tiny incisions, meaning recovery is IS LAP-B AN D R IG HT FO R YOU?
speedy and seldom requires more than a one-night hospital stay.
In follow-up visits, the physician may adjust the saline levels in Meet Dr. Salameh at a free seminar
the Lap-Band (via an access port fixed beneath the abdominal skin) and ask him your questions.
to achieve weight loss targets. “We like to see patients losing 1.5 Saturdays 10:00 – 11:30 am: 5/3, 6/7, 8/2
to 2 pounds per week, and not feeling hungry,” Dr. Salameh says. Evenings 5:30 – 7:00 pm: 5/20, 6/19, 7/17, 8/14
While patients end up losing on average 55 to 60 percent of their To register, call Surgical Associates at
excess weight by three years, dietary compliance is critical for Virginia Hospital Center at 703.717.4250.
long-term maintenance. Lap-Band is covered by most insurers. I
H E A RT B U R N R E L I E F T H AT ’ S P E R M A N E N T
igestive enzymes that travel back up into the Laparoscopic surgical treatment allows a return to normal
D esophagus can cause symptoms such as a
burning chest pain or pressure, cough, hoarse-
life without food restrictions. In the Nissen fundoplication,
a minimally invasive surgery, a portion of the stomach is
ness, asthma, regurgitation or a constant lump-in-the-throat wrapped around the bottom of the esophagus, creating a valve
sensation. The new Heartburn Center at Virginia Hospital that stops the backflow of acid into the throat. If a hiatal
Center offers two studies to assess gastroesophageal reflux hernia (a protrusion of the stomach into the chest is exacer-
disease (GERD) and optimal courses of treatment. One test bating reflux, the hernia can be repaired simultaneously.
measures swallowing and valve function in the esophagus, For years, Brenda Walls popped antacids and propped
while the other records the frequency and nature of reflux herself up with pillows at night before ultimately undergoing
H E A L T H R E A C H
episodes over a 24-hour period. the anti-reflux surgery. “I was expecting a lot of pain
Most patients with acid reflux can be, and are, treated afterward, but I was up and walking around the same day,”
successfully with medication and minor behavioral says the Bryantown, Maryland, resident, 60, who returned
modifications. When these measures don’t work, many to bowling and jazzercise six weeks after surgery.
patients assume their reflux is untreatable, notes G. Kevin The minimally invasive procedure, which boasts a 95
Gillian, MD, a surgeon and Director of the new Heartburn percent long-term success rate, requires only an overnight
Center. “They believe it’s caused by what they are eating, hospital stay. Patients typically return to work within a week
when in fact it’s a plumbing issue.” and can discontinue their heartburn medications. I
M E E T T H E D O C T O R – G E T T H E FA C T S
These free Health Talks and screenings are led by the
I Located in the John T. Hazel, MD Conference Center
region’s top doctors, specialists and health professionals.
I Free parking in BLUE parking
Come and enjoy lively and informative discussions on I Take elevator to the LOBBY and check in at the
health issues that affect you. Space is limited, so please round information desk
visit www.virginiahospitalcenter.com or call I Complimentary hors d’oeuvres following the
703.558.0877 to register. Health Talk
What Keeps You Up at Night? Are you able to get a full eight hours of uninterrupted
sleep? Must you lie with your head elevated or avoid
Heartburn or Snoring? eating before bedtime? Do you wake up choking or
gasping for breath, with chest pain or a sour taste in
Sleepless in Virginia? your mouth? Or are you unable to sleep through the night
Two experts team up (or banished to a separate bedroom) because of your
to address conditions that spouse’s snoring? If you answered yes to any of these
questions, don’t miss this informative session with two of
can interfere with a good
the region’s top experts. G. Kevin Gillian, MD, Director
night’s rest – whether the of the Heartburn Center, will discuss treatments for
problem is you or your reflux beyond antacids that can lead to better rest.
spouse. Lawrence Stein, MD, Director of the Sleep Center, will
address the different types of sleep disorders, including
Thursday, May 15
sleep apnea, restless leg syndrome and medical
6:30 – 7:30 pm
problems that affect sleep.
Parkinson’s Disease Osteoarthritis Treatment –
& Peripheral Neuropathy What Works
Answering the community’s call for information A discussion of non-operative vs.
about these neurological disorders surgical remedies for joint pain
Thursday, May 29, 6:30 – 7:30 pm Thursday, June 5, 6:30 – 7:30 pm
Parkinson’s disease and peripheral neuropathy affect the Roughly 40 million Americans live with osteoarthritis, and
body differently, but both neurological disorders can cause that number is expected to double with the aging of the
a loss of balance. If you are living with or caring for a loved Baby Boomer generation. If severe joint pain is compromising
one with one of these chronic conditions, join neurologist your daily life, there is no need to suffer. Join orthopedic
H E A L T H R E A C H
Natalia Alexandrova, MD for an overview of symptoms (such surgeon David W. Romness, MD to learn more about
as tremors, limb stiffness, pain and numbness), preferred non-operative therapies such as medication, physical
treatments and strategies for preventing injuries due to therapy, injections, nutraceuticals (glucoasmine and
falls. The interactive discussion will address the benefits of chondroitin) and home remedies, as well as the latest
medication and physical therapy, and will include an surgical treatments, some of which are minimally invasive
opportunity to have your specific questions answered. and promise shorter recovery times.
Would you like to receive an electronic invitation to future Health Talks? Email firstname.lastname@example.org.
To register for these FREE discussions, visit www.virginiahospitalcenter.com or call 703.558.6271.
L O V E Y O U R H E A RT, Heart & Lung Fitness
Classes are held in the Cardiopulmonary Conference Room
E AT S M A RT at 1625 N. George Mason Drive, First Floor (unless otherwise
noted). Please use Blue Parking. Pre-registration is
Heart-healthy eating isn’t recommended as classes are subject to cancellation.
difficult, but it does require
diligence. “It’s not so much Overview of Congestive Heart Failure
about following a super strict Find out the warning signs of heart failure and which
diet as it is about finding medications are most effective.
Thursday, 5/8, 1:30 – 3:00 pm
healthy foods you like to eat
on a regular basis,” says
registered dietitian Lise Stress Management
Gloede. Try these tips: Learn to manage stress through relaxation,
I Eat five servings (4-5 cups
imagery and breathing techniques.
Thursday, 5/15, 1:30 – 3:00 pm
or handfuls) of fruits and
vegetables per day. Fiber Techniques for Managing
lowers cholesterol and aids Shortness of Breath
digestion. “Your diet should Pursed lip breathing and paced breathing are
include colors other than just just a few techniques that can help control
white or brown,” she says. shortness of breath.
I Cook with canola or olive oil. Opt for oil-based vinaigrettes Thursday, 5/22, 1:30 – 3:00 pm
instead of creamy salad dressings.
I Cut back on saturated fats. Avoid butter and fried foods (grilling or Heart Disease & Circulation
broiling are better food prep options). Buy low-fat cheese. Check Problems in the Legs
food labels for hidden sources of saturated fat, such as coconut or If you have angina or had heart surgery,
palm-kernel oil. Note that foods containing “zero trans fats” may still you should know risk factors and
have a high saturated fat content. treatments for circulation problems.
Thursday, 5/29, 1:30 – 3:00 pm
Choose whole grain breads and high fiber cereals. Look for labels that
specifically say, “whole grain” and not just “wheat” or “grain”. Low Fat Diet for Cholesterol
I Reduce your portion sizes. If you are dining out, share an entrée or ask Reduction & Weight Loss
for a “to go” bag and cut the portion in half before you dig in. To find Discover the effects of diet, exercise
local restaurants offering low-calorie and low-fat menu options, visit and medications on lowering
I Indulge but be reasonable. Buy 100-calorie bags of cookies or chips so you Thursday, 6/5, 1:30 – 3:00 pm
know how much you are consuming.
I Eat at least two servings per week of foods that are rich in omega-3 fatty Short of Breath Club
acids. Salmon, tuna and sardines are good choices. If you suffer from emphysema,
bronchitis, asthma or any
Consult a registered dietitian and develop a personal action plan. This service
breathing disorder, join our free,
may be covered by insurance, particularly if you have high cholesterol, high informative lunchtime discussion
blood pressure or diabetes. group. Bring lunch with you or
H E A L T H R E A C H
buy it in the Food Court. Family
AR E YO U AT RISK FOR CO RON ARY DISEASE? Monday, 5/19, 12:00 – 2:00 pm
John T. Hazel, MD Conference Center
Finding out is easy with Virginia Hospital Center’s “Heart Health” package. Room C
The 30-minute, all-in-one screening includes body fat, blood pressure and
cholesterol analyses, along with a questionnaire to factor in personal and family
history. Each patient receives a report assessing risks and areas for improvement.
The cost is $50. Call 703.558.6740 to schedule your appointment today.
R U N S I N T H E F A M I LY
When a close relative is diagnosed breast cancer may still run
with cancer, family members often in the family. This could
fear they may be genetically predis- be due to another gene that
posed to the same disease. However, we haven’t identified yet,”
cancer in one relative does not Dr. Feigert says.
necessarily imply a genetic connec- Ashkenazi Jews have an
tion, and some cancers are more likely above average risk for the
to be hereditary than others. Knowing BRCA gene, but for those
your true risk and being vigilant about with no family history of breast KNOW YOUR HISTORY
routine screenings can alleviate cancer, there is no need for
unnecessary anxiety. blood testing. A man who
develops breast cancer at any If you aren’t sure which diseases run in
BREAST CANCER age should undergo genetic your family, use the next family gathering
testing for BRCA. to initiate a conversation about health
Scientists now know that possession
history. “Going back two or three
of the BRCA gene increases the risk
OVARIAN CANCER generations will help identify familial
of breast cancer to 50 percent. Blood
risks for a variety of cancers, as well
tests can reveal whether or not the The presence of the BRCA gene
as heart disease,” Dr. Feigert
gene is present. “If a family member also raises the risk of ovarian
recommends. “It’s better to know
is diagnosed with cancer, the first per- cancer to 50 percent. Frequent
than not know.”
son to be tested for the gene should exams and ultrasounds can promote
be that person…to determine whether early detection. Testing at regular
the cancer has a genetic basis that intervals is recommended for women
may apply to other family members,” with the gene, as well as for those PROSTATE CANCER
says medical oncologist John M. with a previous history of breast or There is no genetic test for prostate
Feigert, MD. The blood test for BRCA ovarian cancer, or with a family cancer (the gene has yet to be
costs $3,000 and is usually covered history of ovarian cancer. Prophylatic identified), but the disease has been
by insurance. If the gene is present, removal of the ovaries may be pre- shown to run in families. Prostate
subsequent tests for other family scribed for women at increased risk cancer screenings should begin at
members are $300 each. who are finished having children. age 50 for men with no risk. African-
For individuals who do not have Americans and men with a family
cancer but are known to have the COLON CANCER history of prostate cancer should
BRCA gene, mammograms or breast A blood test to indicate genetic begin screenings at age 40. I
MRI may be recommended at markers for colon cancer is available,
increased frequency. In some cases, although the results are less clear.
elective mastectomy may be Individuals with multiple polyps, FREE SCREENING
performed as a preventive measure. HNPCC (hereditary nonpolyposis
Genetics are a likely factor in women colorectal cancer), or a family history C E RV I C A L C A N C E R
who develop breast cancer before age of colon cancer are candidates for
H E A L T H R E A C H
OB/GYN’s perform free PAP
50, those who have more than one testing. For those with a family history smears. To register, call
first-degree relative with breast of the disease, routine screenings 703.558.0957.
cancer, or women who develop should begin earlier than age 50— July 12, 9:00 am – 12:00 pm
multiple breast cancers in their life- ideally 10 years before the age the Rose Benté Lee Ostapenko Outpatient
time. “Most people with breast cancer family member was when first Oncology Center
do not have the BRCA gene, but diagnosed.
Be proactive with your health. Need a doctor? Call 703.342.5842
All programs and support groups are held in the Cancer Resource Center
in the Rose Benté Lee Ostapenko Outpatient Oncology Center unless
otherwise noted. Please use Green Parking. To register for these free programs, SUPPORT GROUPS
visit www.virginiahospitalcenter.com or call the number indicated.
For more information, call 703.558.5555.
Early Stage Breast Cancer
Women share concerns and learn new
1st & 3rd Tuesday / 5:00 – 6:30 pm
Spring/Summer Cancer & the Spouse:
Being a Caregiver
Lectures & Events Write Away Group
Bruce Lugn, author of From the
Aspiring writers with cancer share
Heart: A Wife’s Struggle with Cancer,
what they have written about diagnosis,
Creating a Healing Garden A Husband’s Journey of Love, shares
treatment and survivorship. Call
Whether your garden is on a condo his experiences and facilitates a
703.558.6913 for dates and times.
balcony or in a suburban retreat, Pauline discussion about the challenge of being
Flynn of Maryland Public TV gives the spouse and caregiver of a woman
with breast cancer. To register, call Healing Through Art
simple tips for creating your own sacred
703.558.0910. Participants learn how to use art media
space. To register, call 703.558.0924.
Thursday, 5/15, 7:00 – 8:00 pm Thursday, 7/10, 7:00 – 8:00 pm to cope with a cancer diagnosis. To
register, call 703.558.5555.
Lymphedema Awareness 3rd Wednesday / 7:00 – 8:30 pm
Learn about lymphedema caused by Complementary
cancer treatment from certified
lymphedema specialists. To register,
Lecture Series Cancer Support Group
call 703.558.0911. For those with any type of cancer
Tuesday, 5/20 or 7/15, 7:00 – 8:00 pm or Guided Imagery & Relaxation diagnosis. To register, call
Friday, 6/13 or 8/8, 11:00 am – 12:00 pm Sandra K. Brody, MSEd shows how powerful 703.558.5555.
mind-body techniques can transform worry 2nd & 4th Wednesday / 1:00 – 2:30 pm
Palliative Care & Quality of Life into healing images and relaxation. To register,
Jean-Paul Pinzon, DO and Johanna call 703.558.0916. Us Too/Man to Man:
Braden, RN, CHPN discuss how palliative Monday, 6/16, 7:00 – 8:00 pm Prostate Cancer
care can improve quality of life with Support Group
expert pain and symptom management. Hawaiian Hula
Discussion group for men and
To register, call 703.558.0902. Dance your troubles away! Judy Leioni Titus, their spouses or significant
Thursday, 5/29, 7:00 – 8:00 pm Hawaiian dance instructor, teaches basic hula steps. others.
T-shirts and bare feet required. To register, call 4th Tuesday / 7:00 – 8:30 pm
Man to Man/Us Too Prostate 703.558.0918.
Cancer Open Forum Thursday, 6/19, 7:00 – 8:00 pm
Urologist Robert M. Mordkin, MD Enjoy a free half-hour
conducts an open forum session to Tai Chi Workshop of Reiki, a gentle, non-
answer questions from prostate cancer Maiky Tran, Tai Chi head instructor, presents six Tai Chi invasive form of healing.
survivors and family members. To classes for cancer patients. To register, call 703.558.0908. By appointment only.
register, call 703.558.0912. Mondays, 6/23, 6/30, 7/7, 7/14, 7/21 & 7/28, 7:00 – 8:00 pm Call 703.558.6284.
Tuesday, 5/27, 7:00 – 8:00 pm
Hazel Conference Center Basic Training – Fun with Exercise Lymphoma
Join Nancy Branberg, PT for three weeks of exercise and Support Group
Look Good, Feel Better fun. Bring a mat for floor exercises. To register, call
Learn makeup and hair styling techniques For persons diagnosed
703.558.0919. with Hodgkin’s disease
to help manage changes in your appear- Thursdays, 7/17, 7/24 & 7/31, 6:00 – 7:00 pm
ance that may occur during cancer or non-Hodgkin’s
treatment. To register, call 703.558.5555. lymphoma.
Self-Massage for Peripheral Neuropathy 4th Wednesday
Monday, 6/2 or 8/4, 2:00 – 4:00 pm
Lauren Muser Cates and Lucille Eddy, oncology massage 4:00 – 5:30 pm
H E A L T H R E A C H
therapists, demonstrate simple and effective massage to
Cultivating Your Spirit: reverse the effects of chemotherapy-induced peripheral
Coping with Cancer neuropathy. To register, call 703.558.0901.
Everyone has spiritual resources, Wednesday, 7/28, 7:00 – 8:00 pm
whether religious or not, to meet life’s
challenges. Graham Bardsley, D Min, Healing & Renewal through Centering Prayer
Director of Pastoral Care, explains how Edward Bauman, PhD, chaplain, TV and radio personality,
you can learn to cultivate and use these shows how contemplative prayer can be a source of healing and
resources. To register, call 703.558.0909. renewal. To register, call 703.558.0925.
Thursday, 6/26, 7:00 – 8:00 pm Wednesday, 8/20, 7:00 – 8:00 pm
PREGNANCY – BEFORE, DURING & AFTER
Having a baby involves far more than simply arriving at the Women & Infant Health Center offers scores of programs to
hospital when it’s time to give birth. Virginia Hospital Center keep moms, dads, babies and siblings healthy and happy.
supports new parents every step of the way, combining “I have the option of sending my patients elsewhere, but
cutting-edge medical skills and equipment with the Virginia Hospital Center has been my first and only choice
comforts of home. In addition to its state-of-the-art NICU, for 26 years,” says OB/GYN J. Jeffrey Elliott, MD. “Combining
superior imaging technologies, and all-private rooms the sophistication of a teaching hospital with compassionate,
(complete with luxuries such as in-room massage), the personalized care, this is the ideal place to have a baby.”
PREPARING FOR BABY
N Preparation for Childbirth
N Saturday Preparation for Childbirth
We support parents-to-be N Cesarean Delivery Preparation Class
every step of the way: N Preparation for Breastfeeding
N Perinatology N Infant Care Skills
Services/High-Risk N Sibling Class
Pregnancy N Hospital Tour for Expectant Parents
N Genetic Testing N Prenatal Yoga
N Prenatal Testing N Prenatal Exercise
N State-of-the-Art N Prenatal Partner Yoga
Ultrasound N CPR
HAVING YOUR BABY
Giving birth at Virginia Hospital Center
is a very special experience:
N Spacious All-Private Rooms with Daybeds
N All-Private Suite Neonatal Intensive Care Unit
N Board-Certified Neonatologists In-House 24 Hours/Day
N In-Room Massage
N Lactation Consultants
N Celebration Meal for Mom & Dad
N Discharge Preparation Meeting with Nurse
BRINGING UP BABY
H E A L T H R E A C H
Keeping moms, dads & babies healthy:
N Postpartum Pilates
N Infant Massage
N Itsy Bitsy Yoga® for Babies
N Breastfeeding Support Group
N New Parents Support Group
N Postpartum Support Group
N Itsy Bitsy Yoga® for Tots
N Itsy Bitsy Yoga® for Tykes
Sign up for Childbirth Classes in your first through fourth month of pregnancy. Virginia Hospital Center
Classes are scheduled continually throughout the year. To register, visit offers Itsy Bitsy Yoga®
classes for babies, tots
www.virginiahospitalcenter.com or call 703.558.2468.
& tykes. See page 14
Class locations: (C) = John T. Hazel, MD Conference Center for class schedules.
(L) = Women & Infant Health Lobby Classroom, 1701 N. George Mason Drive
Childbirth Education Classes
Preparation for Childbirth Infant Care Skills
(Six-Week Class) Expectant and adoptive parents learn how
This six-session class for expectant to hold, diaper, burp and bathe a newborn.
parents covers pregnancy through the Nursery needs, infant safety and growth
postpartum period, including nutritional and development are discussed as well as
needs; breathing and relaxation tech- routine procedures in the Hospital’s nursery.
niques; Cesarean deliveries; medication A lecture by a pediatrician is included.
during labor; signs of labor; postpartum
physical and emotional changes.
6/26 or 8/28
7:00 – 9:30 pm / Cost: $50 (C) CITIZEN SAFETY
Includes preparation for breastfeeding,
infant care skills and a tour of the Sibling Class
Women & Infant Health Center. The sibling class helps children, ages 2-6, Classes are held at the John T. Hazel,
Tuesdays, 5/27 – 7/1, 7/15 – 8/19 or adjust to their mothers’ stay in the Hospital MD Conference Center. Class size is
Wednesdays, 5/21 – 6/25, 8/27 – 10/1 and the addition of a new sibling. Each child has limited. Advance registration with
7:30 – 9:30 pm / Cost: $160 (C) an opportunity to properly hold and diaper a payment is required. To register,
life-like doll. Children are given a tour of the visit www.virginiahospitalcenter.com
Saturday Preparation Postpartum Unit and Nursery. Classes are divided or call 703.558.6970.
for Childbirth Class according to age.
This one-day class for expectant parents 6/14 or 8/9 CPR
covers pregnancy through the postpartum 9:30 am for 2-3 years or 10:30 am for 4-6 years / Cost $20 (L)
The American Heart
period, including nutritional needs; Association Heart Saver
breathing and relaxation techniques; Hospital Tour for Expectant Parents Course is designed to prepare
Cesarean deliveries; medication during Tours of Labor, Delivery and Recovery, Nursery and a wide variety of people who
labor, signs of labor; postpartum physical Postpartum Units are offered for adults only. Free of need a course completion
and emotional changes. Includes a tour charge, but registration is required. card, or, as first responders,
of the Women & Infant Health Center. 5/18, 6/1, 6/8, 6/22, 6/29, 7/6, 7/13, 7/20, 8/3, 8/10, 8/24 may need to perform CPR
5/17, 6/28, 7/12, 7/26 or 8/23 Sundays at 2:00 pm (L)
or help someone who is
9:00 am – 5:30 pm / Cost: $140 (C) choking. Includes
Breastfeeding Support Group information needed to
Cesarean Delivery A weekly support group to provide encouragement and give CPR in a safe, timely
Preparation Class education to the newly breastfeeding mom. Receive and effective manner
Tailored to meet the needs of the support from other breastfeeding moms. Share questions to an adult, child or
scheduled Cesarean delivery mother, and concerns with a registered nurse who has experience infant.
this class covers the policies and with breastfeeding. An infant scale is available each week Saturday: 6/7 or 8/2
procedures up to and including the for weight checks. Free of charge, but registration is required. 9:00 am – 1:00 pm
delivery of your baby, as well as Wednesdays, 12:00 – 1:00 pm (L) Monday: 6/16, 7/21 or 8/11
6:00 pm – 10:00 pm
anesthesia, pain management and
New Parents Support Group Cost: $50 per person (C)
recovery in the Postpartum Unit.
Includes a tour of the Women & Infant Join other new parents two mornings a month to share your
Health Center. birth and parenting experiences. Babies are included! Free
6/9 or 8/11 of charge, but registration is required.
7:00 – 9:30 pm / Cost: $70 (L) 5/7, 5/21, 6/4, 6/18 10:30 am – 12:00 pm (L)
H E A L T H R E A C H
Preparation for Breastfeeding Postpartum Support Group
Achieve a satisfying breastfeeding Come meet and talk with other new mothers who are
experience. Learn about nipple and finding the postpartum weeks difficult and/or overwhelming.
breast care, sleep and awake states of If you find yourself feeling sad, anxious, angry or irritable, group
the baby, breastfeeding for working support can help. Babies are welcome. Free of charge, but
mothers, and how to use breast pumps. registration is required.
Coaches are welcome. 5/14, 5/28, 6/11, 6/25, 7/9, 7/23
5/22 or 7/24 10:30 am – 12:00 pm (L)
7:00 – 9:30 pm / Cost: $40 (C)
To register, please fill out the registration
form or visit www.virginiahospitalcenter.com
HealthPromotion and click on “Programs & Classes”.
ALL SESSIONS ARE 6 WEEKS UNLESS OTHERWISE NOTED. For more information on Health Promotion classes, call 703.558.6740.
Body Sculpting Prenatal Exercise Pilates
Tone your upper & lower body using Safely maintain your fitness level & Mon 7:30 – 8:30 pm begins 5/19 & 7/14 (CS)
resistance bands, bars & tubing. prepare for childbirth. Wed 7:30 – 8:30 am begins 5/21 & 7/16 (H)
Mon 6:00 – 6:45 pm begins 5/19 & 7/14 (H) Thurs 10:45 – 11:45 am begins 5/22 & 7/17 (H) $78 $78
Wed 6:00 – 6:45 pm begins 5/21 & 7/16 (H)
Sat 11:00 – 11:45 am begins 5/24 & 7/19 (CS) Intro to Nordic Walking Pilates II
$42 Previous experience required.
Adding poles burns 20% more calories
without added exertion & takes stress Mon 6:15 – 7:15 pm begins 5/19 & 7/14 (CS) $78
Yoga for Everybody off the joints. Poles provided. For all
This gentle approach to yoga reduces fitness levels. 4-week session. Pi-Yo
stress & increases strength & flexibility. Wed 7:15 – 8:15 pm begins 7/2 Tone with this blend of Pilates
Wed 6:30 – 8:00 pm begins 5/21 & 7/16 (CS) $66 Thurs 7:30 – 8:30 am begins 6/19 strengthening & Yoga movement.
(CS) $50 Tues 7:30 – 8:30 pm begins 5/20 & 7/15 (CS)
Gentle Yoga Thurs 7:30 – 8:30 pm begins 5/22 & 7/17 (H)
Restore flexibility, regain strength & Itsy Bitsy Yoga® for Babies $78
ease tensions. For all levels & abilities. Learn yoga postures to support baby’s
Tues 9:30 – 11:00 am begins 5/20 & 7/15 developing body (6 weeks to almost Postpartum Pilates
Thurs 9:30 – 11:00 am begins 5/22 & 7/17 crawling). Strengthen arms & legs.
(CS) $66 Wed 9:15 – 10:00 am begins 5/21 & 7/16 Sat 11:00 am – 12:00 pm begins 5/24 & 7/19 (H)
Fri 10:00 – 10:45 am begins 5/23 & 7/18 $78
Hatha Yoga Sat 2:30 – 3:15 pm begins 5/24 & 7/19
Tues 12:00 – 1:00 pm begins 5/20 & 7/15 (H) $78 Tai Chi
Wed 6:30 – 7:30 am begins 5/21 & 7/16 Improve balance, strength & calmness.
Thurs 12:00 – 1:00 pm begins 5/22 & 7/17 Itsy Bitsy Yoga® for Tots 10-week session.
Thurs 6:00 – 7:15 pm begins 5/22 & 7/17 Fun-loving yoga class for parent & Thurs 6:00 – 7:15 pm begins 5/22 (CS) $90
Sun 9:30 – 10:45 am begins 5/25 & 7/20
toddler (active crawling to 24 months.).
Mon 9:45 – 10:30 am begins 5/19 & 7/14 Cardio for All Sizes
Sat 3:30 – 4:15 pm begins 5/24 & 7/19
Hatha Yoga II Get fit with this low-impact, healthy
Prerequisite: previous yoga class. exercise class.
Thurs 7:30 – 8:15 pm begins 5/22 & 7/17 (CS) $42
Tues 7:15 – 8:30 pm begins 5/20 & 7/15. (H) $66 Itsy Bitsy Yoga® for Tykes
Enjoy poses, songs & games to enhance
Prenatal Yoga Seated Gentle Workout
parent/child bond (21 months to 4 years).
Stretch muscle groups essential for Mon 10:45 – 11:30 am begins 5/19 & 7/14 (H) $78
Strength training & low-impact move-
efficient labor & delivery. Physician ment appropriate for all sizes & ages.
Sat 10:00 – 10:45 pm begins 5/24 & 7/19 (CS) $42
approval required. Infant Massage
Mon 7:00 – 8:00 pm begins 5/19 & 7/14 (H) Learn gentle massage techniques for
Tues 10:45 – 11:45 am begins 5/20 & 7/15 (H) “Quit for Good”
your infant (newborn to pre-crawling).
Tues 6:15 – 7:15 pm begins 5/20 & 7/15 (CS)
4-week session. Smoking Cessation
Wed 7:00 – 8:00 pm begins 5/21 & 7/16 (H) Conquer the 3 aspects of smoking:
Tues 1:00 – 2:30 pm begins 5/20 (H) $125
Sat 10:00 – 11:00 am begins 5/24 & 7/19 (H)
addiction, habit & psychological
Sun 11:00 am – 12:00 pm begins 5/25 & 7/20 (H)
$78 Zumba dependency. 5 sessions meet twice weekly
A dynamic mix of body sculpting & easy with a follow-up class.
Mon & Wed 7:15 – 8:15 pm begins 6/2 (H) $50
Adaptive Yoga to follow Latin-style dance steps.
For those dealing with MS, neuropathy Wed 12:00 – 12:40 pm 5/21 & 7/16 (H) $48
Massage for Couples
& other conditions, gentle yoga postures
H E A L T H R E A C H
& relaxation can ease pain & improve Intro to Belly Dancing Learn the benefits & techniques of
well-being. 4-week session. This fun, low-cardio movement class massage in this hands-on workshop.
Tues 11:30 am – 12:45 pm begins 5/20 & 7/15 tones & conditions. No experience 1 session.
(CS) $44 necessary. For all ages. Sat 9:30 am – 12:00 pm 6/14 (CS) $45
Tues 6:00 – 7:00 pm begins 5/20 & 7/15 (H) $60
Prenatal Partner Yoga Mindful Meditation
Learn support techniques & restorative Gentle Pilates Simple meditation practice can lead to
postures designed to help with the Start with this class to learn proper feeling clarity of mind & inner peace.
discomforts of pregnancy & labor. Pilates form. 2-week workshop.
Sun 1:30 – 3:00 pm, 6/8 or 6/29 (H) $45 Sat 9:00 – 10:00 am begins 5/24 & 7/19 (H) $78 Wed 6:30 – 7:45 pm begins 7/2 (CS) $40
(H) = Virginia Hospital Center
(CS) = Carlin Springs Health
Pavilion at 601 S. Carlin SENIOR HEALTH PROGRAMS For more information,
Springs Road, Arlington
Alzheimer’s Caregivers HEALTHY AGING SERIES
3rd Tues of every month Maintaining Brain Health
10:30 – 11:30 am (CS) The health of your brain is critical.
The Great Learn how to keep your brain healthier
Arthritis Support Group as you age & reduce risk of Alzheimer’s
Weight Debate 3rd Wed of every month disease. Led by the Alzheimer’s
Learn how to really take it off 11:00 am – 12:00 pm (CS) Association.
& keep it off. 1 session. Wed 11:00 am – 12:00 pm 5/28 (CS)
Wed 7:30 – 8:30 pm 6/18 (CS) $20 Strength Training for Seniors
Improve range of motion, muscle Nutrition & Strength Training
Stress Reduction strength & bone health. 7-week sessions. Cathy Turner, Director of Health
Learn strategies to promote Mon 1:00 – 1:45 pm begins 5/19 & 7/14 (H) $42 Promotion & Senior Services, will
healing & improve learning capacity. discuss proper nutrition & exercise for
1 session. Seniorcise seniors. Learn how simple lifestyle
Wed 7:30 – 8:30 pm 6/25 (CS) $20 Maintain & regain strength & changes can help you maintain your
flexibility. 10-week sessions. health & independence.
Pre-Diabetes Education Mon/Wed/Fri, 9:15 – 10:15 am Wed 11:00 am – 12:00 pm 6/25 (CS)
A fasting blood sugar between 100 Arlington Forest Methodist Church or
& 126 mg/dl is considered pre-diabetes. McLean Baptist Church. $70 Medication Management
Learn how to improve your health. Mon/Wed, 10:30 – 11:30 am
Calvary Methodist Church, Crystal City. $47
The challenges of managing
1 session. medications can be overwhelming.
Classes start Mon 6/23
Wed 2:00 – 4:30 pm, 6/4 (CS) $80 Learn about drug interactions & safety.
Walk on the Mild Side Led by a pharmacist from Virginia
HealthWorks Hospital Center.
Our Commonwalk program
Bring customized health promotion Wed 11:00 am – 12:00 pm 7/30 (CS)
features exercise, free blood
programs, health fairs & wellness classes
pressure screenings & health
on-site to your business.
Tues/Thurs 8:00 – 9:00 am At the touch of a button, our 24-hour
Ballston Common Mall emergency response service alerts a
One on One Lifeline operator when you need help.
Body Fat Analysis
Using high-tech equipment, we assess your
Health Promotion & Senior Health Registration Form
percentage of fat, muscle & water. Learn how many Complete this form and mail to Health Promotion Department, Virginia Hospital Center,
calories you burn doing various activities. $15 1701 N. George Mason Drive, Arlington, VA 22205-3698; or fax to 703.558.2456.
Checks should be made payable to Virginia Hospital Center. You will receive a confirmation
Dermascan with directions. Parking tokens provided. For more details, call 703.558.6740.
Non-invasive black-light scanning device which Program Name
examines head & neck for potential or existing sun
Program Date Amount Enclosed
Bone Density Screening
Osteoporosis risk assessment screening using p-dexa Name
scan of the forearm. $35
Daytime Phone Email Address
Determine your resting metabolic rate using the MedGem®
indirect calorimeter. This is an important measure in Address
assessing nutritional needs & helping you achieve weight
management goals. $55
Fingerstick Cholesterol Screening
Total Cholesterol & HDL $18 Credit Card #
Total Cholesterol, HDL, LDL & Lipids $22 Amex Discover
Total Cholesterol, HDL, LDL, Lipids & Glucose $24 Exp. Date Signature
M E A S U R I N G T H E P AT I E N T E X P E R I E N C E
Recently, a national research firm ranked
Virginia Hospital Center in the top 9% of
hospitals nationwide for patient satisfaction.
of Patient Relations. “Were you treated
with respect? Were your post-op and
medication questions answered? Did
you get help quickly when you asked for
it?” The standardized survey questions—
distilled down from some 20,000
possible topics—reflect the questions
that patients care about most when
choosing a hospital. And results allow
for apples to apples comparisons of
competitive hospitals at the local, state
and national level.
Peer review is a powerful tool (for evidence, Sponsored by the Center for Medicare “Virginia Hospital Center really
look no further than user ratings on and Medicaid Services, the survey is embraces this opportunity because it
Amazon.com and eBay), and in a health- composed of 18 patient ratings and provides yet another feedback tool to
care setting, previous patients’ experiences perspectives on seven key topics: commu- help us continually improve quality of
say a lot about a hospital’s quality of care. nication with doctors, communication care,” McCosh says. “Everything starts
Now there’s a new way for patients to with nurses, responsiveness of hospital with the patient experience. That’s the
weigh in on how their hospital experience staff, cleanliness and quietness of the pillar that guides us in making this a
measures up. hospital environment, pain management, place where employees want to work,
In keeping with its mission “to be the communication about medicines and where physicians want to practice
best hospital” Virginia Hospital Center discharge information. Surveys are mailed medicine, and where future patients
has been participating in the Hospital to inpatients (upon discharge) and want to receive care.” I
Consumer Assessment of Healthcare returned on a voluntary basis.
Providers and Systems (HCAHPS), a “Instead of just asking patients Virginia Hospital Center has a dedicated,
government-sponsored patient satisfaction whether or not they were satisfied, this 24-hour, in-house Patient Hotline to
survey designed to help patients make survey asks more qualitative questions,” immediately address any concerns
more informed choices in healthcare. says Carolyn McCosh, RN, MSN, Director during a patient's stay.
Arlington Health System
1701 N. George Mason Drive
Arlington, VA 22205-3610
James B. Cole / President & CEO
R. Michael Amedeo, MD / President, Medical Staff
HealthReach is produced by the Division of Public
Affairs & Marketing for the communities served by
Virginia Hospital Center.
703.558.6595 / www.virginiahospitalcenter.com
Each person’s health status is unique.
The information offered in HealthReach is general
in nature. Your personal healthcare provider is
your best source of medical advice.