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EXPERTS IN THE FIELD OF SPORTS MEDICINE

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EXPERTS IN THE FIELD OF SPORTS MEDICINE Powered By Docstoc
					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
                                                                                                                         Midfielder,
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
Professional and
                                  United & Washington Redskins       Neurosurgery Consultant,
Collegiate Affiliations
                                  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
Physician, Washington
                                  Founding Member, Sports                                                 During & After
                                  Science Committee, US              Christopher M. Walsh, MD
Redskins
                                  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
                                                                                          JAUTZ




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                                                                                                                                                      For more information
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                        Technology      CyberKnife®                     O-armTM                           Digital Mammography          Breast Magnetic Resonance
                                                                                                                                       Imaging (MRI)

                        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
2
 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.
                                                                                 Z
                                                                             JAUT
                                                                         RON




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
                                                                                                                                                                      3
                               Neuroscience

                        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.
4
          Urology
  MALE UROLOGY

                                                           ®
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


  FEMALE UROLOGY


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.

                                                                                                                                           5
                          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


6
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:




                                                                        92%
           ne in three Americans is considered obese.
 O         More than a cosmetic problem, excess weight
           can pose significant health risks by causing or
                                                                                              saw reduced
                                                                                              hypertension
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
                                                                                                 acid reflux



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
                                                                                                     or remission;




                                                                          73%
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

                                                                                                                                 7
                               Health Talks

                        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


                        Registration Required


                            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 healthtalks@virginiahospitalcenter.com.

8
        Cardiology&CardiacSurgery
                                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.
I
                                                                                            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
    HealthyDiningFinder.com.                                                                     cholesterol.
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,
I
                                                                                                    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
                                                                                                     members welcome.
    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.

                                                                                                                                            9
                              Oncology

                        WHEN CANCER
                        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

10
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
                                                                                                         Support Group
                                                                                                          Women share concerns and learn new
                                                                                                          coping techniques.
                                                                                                               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
                                                                                                                       Recurrent/Metastatic
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
                                                                                                                                 Reiki
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

                                                                                                                                                                  11
                                Women&InfantHealth

                          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
12
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)

                                                                                                                                                                         13
                                                                                                                              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.).
                        (H) $66
                                                                          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
                                                                          (H) $78
                        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
14
(H) = Virginia Hospital Center
(CS) = Carlin Springs Health
Pavilion at 601 S. Carlin                   SENIOR HEALTH PROGRAMS                                                                         For more information,
                                                                                                                                            call 703.558.6859.
Springs Road, Arlington


                                            Alzheimer’s Caregivers                                        HEALTHY AGING SERIES
                                            Support Group
                                             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.
                                                               lectures.                                  Lifeline
                                                                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.
Assessments
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
damage. $10
                                                                      Program Date                                       Amount Enclosed

Bone Density Screening
Osteoporosis risk assessment screening using p-dexa                    Name
scan of the forearm. $35
                                                                         Daytime Phone                                   Email Address
Metabolism Screening
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 #
                                                                                                                                                   Visa   Mastercard
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.

				
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