Conquering Cancer - MedStar Health...Geriatric Arthritis Conservative Approach Improves Quality of Life Outpatient Hip Replacement Surgery A Welcome Alternative to a Common Procedure

1 DESTINATION: Good Health | SUMMER 2018

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Effectively Managing Geriatric Arthritis Conservative Approach Improves Quality of Life

Outpatient Hip Replacement SurgeryA Welcome Alternative to a Common Procedure

D E S T I N AT I O N :

News from MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital

HEALTHY HABITSSummer Safety Tips for Seniors

Conquering CancerMaking Access to the Highest Quality Care Even Easier


LETTER FROM THE PRESIDENT

When you visit a hospital, there is so much that impacts your experience. Was parking easy? Did signs help you find your way around? Did you get what you needed from your doctor? Events like these influence your view of the care you receive.

That’s why at MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital, we have created five dedicated teams to focus on factors that impact a patient’s visit. These teams—Ancillary Support Services, Care Transitions, Nursing Communication, Pain Management, and Physician Communication—are examining common practices and looking for opportunities to enhance them, streamline them, or reinvent them.

The team members total more than 100 and include physicians, nurses, patient transport, housekeeping, finance, operations, and administrative roles, so we have a real cross section of employees involved in this work.

Your feedback on hospital surveys is important to these teams. These surveys are similar to ones you receive all the time. Everyone wants to be rated a 10. We want our hospitals to be rated a 10, too.

You can learn more about the work of one of these teams in this issue of Destination: Good Health. We also share stories about many of the other innovative services we provide to ensure you receive the highest quality and most compassionate care possible.

Our goal is to consistently deliver a great experience every time. We want to make you feel comfortable and secure in our care.

In good health,

Bradley S. Chambers President, MedStar Good Samaritan Hospital President, MedStar Union Memorial Hospital Senior Vice President, MedStar Health

MedStar Good Samaritan Hospital, located at the corner of Loch Raven Boulevard and Belvedere Avenue, is minutes from Towson and parking is free. Since 1968, MedStar Good Samaritan has provided compassionate, high-quality care to the community. Recognized as a specialty center for rehabilitation, our services also include geriatrics, diabetes care, cancer care, emergency medicine, orthopaedics, vascular care, wellness, and wound healing.

MedStar Union Memorial Hospital, located in northeast Baltimore City, is a regional specialty and teaching hospital. It is known for The Curtis National Hand Center, MedStar Heart & Vascular Institute, MedStar Orthopaedic Institute, and the development of the first hospital-based sports medicine program in the country.

Destination: Good Health is published by the Marketing and Communications department of MedStar Good Samaritan and MedStar Union Memorial hospitals. The information provided in this publication is intended to educate readers about subjects pertinent to their health and is not a substitute for consultation with a personal physician. For more information, call 855-212-8202. Printed in the U.S.A. Copyright 2018.

MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex.

On the cover: Patient Marcia Griffin prepares to take a tour of the new MedStar Franklin Square Cancer Center at Loch Raven Campus.

SUMMER 2018

FEATURES

4 Conquering Cancer Making Access to the Highest Quality Care Even Easier

8 Outpatient Hip Replacement Surgery A Welcome Alternative to a Common Procedure

10 Effectively Managing Geriatric Arthritis Conservative Approach Improves Quality of Life

14 Restoring Blood Flow to the Brain New Minimally Invasive Endovascular Procedure Reduces the Risk of Stroke

16 Treating Pain Customized Solutions Provide Needed Relief

DEPARTMENTS

3 WHAT’S NEW

7 HEALTHY HABITS

12 STAYING WELL

13 CARING FOR YOU

18 CLASSES AND EVENTS

[CONTENTS]

3MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital

Recognizing Excellence in Nursing

E ach year, Baltimore magazine recognizes 50 nurses for their extraordinary efforts.

These are nurses who go above and beyond the normal call of duty—who are known

within their organizations as true leaders, role models, team players, and above all

else, excellent care providers for the patients they encounter every day. This year, Vivien

Aligada, BSN, who cares for patients in the Intensive Care and Critical Care Units at MedStar

Good Samaritan Hospital, was recognized. Please join us in congratulating her!

To learn about the career opportunities that are available on our team, visit MedStarNursing.org/TopNurses2018.

Vivien Aligada, BSN

[WHAT’S new]

Making Your Health Our Priority

A t MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital, we

know that healthy communities produce the best health outcomes. So ensuring that

all area residents have access to the care they need, when they need it, is a priority.

To better understand the health needs of our communities, our hospitals conduct a

comprehensive Community Health Needs Assessment (CHNA) every three years. It’s a

collaborative process that brings together hospital representatives, area leaders, local

residents, and public health experts and engages members of the community in identifying

the most pressing healthcare issues they face.

“During our most recent CHNA, we identified an array of key health concerns, including

chronic disease management and behavioral health services. Access to care also plays a

vital role in improving health for our communities,” says Ryan Moran, director of Community

Health for MedStar Good Samaritan, MedStar Union Memorial and MedStar Harbor Hospital.

“This has helped us prioritize how to use our resources and develop the best solutions for

addressing those issues.”

As a result, there are a wide range of community-based initiatives in place that speak

specifically to these needs. Our hospitals also offer many health education programs and

classes, all designed to provide area residents with the resources they need to prevent and

manage chronic diseases and live healthier lives. We hope you take advantage of them.

For more information about the many classes and events offered, see the calendar listing on pages 18 and 19 in this newsletter. To learn more about the Community

Health Needs Assessment, visit MedStarHealth.org/DestinationGoodHealth.

Ryan Moran


WHEN CANCER IS A CONCERN, you want the very best care possible. At MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital, we have long been committed to providing the highest quality cancer care. As part of MedStar Health Cancer Network, we are fortunate to have significant resources that we can tap into to effectively meet the unique needs of each patient.

Now, to make access to the region’s top cancer specialists and resources even more convenient, the oncology services at both hospitals have been brought together, with our providers relocating to a newly expanded and renovated 7,800-square-foot cancer center called MedStar Franklin Square Cancer Center at Loch Raven Campus. Located on the grounds of MedStar Good Samaritan, it’s a move that benefits patients and providers alike.

“Integrating our oncology services concentrates our clinical experts in one physical location, enhancing our multidisciplinary

care model and further ensuring that patients get the comprehensive and personalized care they need,” says Charles Padgett, MD, chief of Medical Oncology at the new cancer center.

“In addition, the new facility is larger than the spaces previously occupied by our providers,

Conquering Cancer Making Access to the Highest Quality Care Even Easier

creating a more efficient and effective environment. It’s a much better place for patients to receive care and for us to provide it,” he adds.

Marcia Griffin agrees. The 46-year-old started seeing her oncologist, Medical Director Mahsa Mohebtash, MD, at MedStar

Dr. Mohebtash and Dr. Padgett show Griffin some of the amenities of the new cancer center.


FAST FACT: MedStar Health Cancer Network brings together specialists from MedStar Franklin Square Medical Center, MedStar Good Samaritan Hospital, MedStar Harbor Hospital, and MedStar Union Memorial Hospital to deliver exceptional cancer care that is easily accessible to patients and their families.

Union Memorial late last year after her breast cancer, which had been in remission for seven years, returned when she got pregnant. She was treated there for several months before transitioning to the new cancer center.

“The new center is so much nicer and larger, and the amenities are wonderful. Everyone has their own space … it is very comfortable,” Griffin says. “The best part for me is that I am cared for by the same team that took care of me at MedStar Union Memorial. My nurses in the infusion center are wonderful and I feel like I have a relationship with each and every one of them.”

“Every member of our team understands that quality of life, emotional support, and treatment options are key to successfully treating cancer,” Dr. Mohebtash explains. “Our focus is on the individual needs of each patient

and making treatment as comfortable and stress-free as possible. All of our nurses are oncology-certified and play a proactive role in helping cancer patients avoid complications and discomfort from symptoms and the side effects of treatment.”

Also, coming in October of this year to the campus of MedStar Good Samaritan is the new Breast Center, dedicated to providing exceptional breast health services. Led by Maen Farha, MD, medical director, the new state-of-the-art facility will offer customized care from an expert team—all in one convenient location.

“We will provide a positive environment featuring the latest diagnostic technology and clinical services, as well as expedited appointments and results,” Dr. Farha notes.

“Our multidisciplinary approach to care gives patients access to their care team in one session, rather than having to go from one office to another getting confused. This team specializes in developing personalized treatment plans tailored to

FEATURES OF MEDSTAR FRANKLIN SQUARE CANCER CENTER AT LOCH RAVEN CAMPUS:• An infusion center with 22 treatment

chairs providing IV therapy of all types including, but not limited to, chemotherapy, immunotherapy, and iron infusion

• On-site CT, MRI, ultrasound, mammography, and breast biopsy

• On-site pharmacy

• Radiation therapy, including a linear accelerator

• Multidisciplinary teams of oncologists and surgeons

• Consultations and second opinions

• Genetic counseling

• Clinical trials program

• Support services, including financial counseling

• Patient and family support services

• Screening programs, including 3-D mammograms and lung CT scans

• Flexible scheduling

• A private and relaxing environment

• Free parking

• Free shuttle service to and from MedStar Union Memorial Hospital

Griffin pauses to enjoy the fountain in the healing garden of the new cancer center.


The oncology specialists from MedStar Good Samaritan and MedStar Union Memorial hospitals take a break for a team photo in the new cancer center.

For more information about our cancer services or a physician referral, visit MedStarCancer.org/CancerCenter or call 443-444-2273. Free screenings for breast, cervical, and colorectal cancers are

available for eligible individuals. Call 410-350-2001 to see if you qualify.

DID YOU KNOW?

MedStar Health Cancer Network continuously meets the rigorous standards that are required to earn recognition from some of the nation’s most highly regarded accrediting bodies. This includes:

• Accreditation with Commendation from the American College of Surgeons Committee on Cancer for more than 20 years

• Certification from the American Society of Clinical Oncology’s Quality Oncology Practice Initiative program

• Full Accreditation from the National Accreditation Program for Breast Centers

each patient’s specific situation. Not only do they understand the medical intricacies of effective treatment, they understand the importance of emotional and compassionate support,” he says.

“The most effective diagnosis and treatment plans require state-of-the-art, cancer-fighting resources,” adds Dr. Padgett.

“That’s exactly what you’ll find at MedStar Franklin Square Cancer Center at Loch Raven Campus. We have some of the area’s finest minds in medicine, who, armed with state-of-the-art technology and access to the latest research and clinical trials, work together with patients and their families to ensure the best possible outcomes.”


[HEALTHY habits]

S ummer is here … time to get outdoors and enjoy the warm weather. But for seniors,

the heat and sun can be dangerous if the proper precautions aren’t taken.

“Hot weather is a serious health concern for seniors. As we age, our bodies are less efficient at sweating, which is the body’s way of cooling. Also, the sensation of thirst decreases,” says Elizabeth Richmond, CRNP, a nurse practitioner in the Center for Successful Aging at MedStar Good Samaritan Hospital.

“To further complicate matters, many older adults have heat-related problems caused by prescription medications that limit the amount of fluids they can safely drink, electrolyte imbalances due to a salt-restricted diet, and chronic diseases that can impact blood flow or increase the possibility of dehydration,” she notes.

Here are some tips that the elderly, as well as their caregivers, can use to make sure they have a safe summer:

DRINK LOTS OF WATER. The rule of thumb is to drink half your body weight in ounces. However, be sure to check with your doctor to make sure your fluids aren’t restricted. In addition to water, Richmond recommends that seniors drink sweat replacement products containing salt and potassium.

STAY IN AIR-CONDITIONED AREAS. If you don’t have air-conditioning, try to get to a public building such as a mall or library. During heat waves, many communities in our area set up cooling centers for seniors and other vulnerable populations.

DRESS FOR THE WEATHER. When it’s hot out, wear light-colored, loose-fitting clothes and a wide-brimmed hat. Put on sunglasses to protect your eyes from harmful UV rays and don’t forget the sunscreen.

KNOW THE RISKS OF HYPERTHERMIA. Be cautious about abnormally high body temperatures—a condition known as hyperthermia. Heat stroke is an advanced form of hyperthermia that can be life-threatening at any age, but more so in older adults. Know the warning signs and get medical attention immediately if you or anyone you know is experiencing these symptoms:

• Body temperature greater than 104 degrees• A change in behavior, such as acting

confused or agitated• Dry, flushed skin• Nausea and vomiting• Headache• Heavy breathing or a rapid pulse• Not sweating, even if it’s hot out• Fainting

“Elderly individuals are more prone to heat stroke,” adds Richmond. “If your neighbors or loved ones are elderly, check on them regularly to ask how they are doing. Even over the phone you can usually tell if there is something wrong.”

Elizabeth Richmond, CRNP

Summer Safety Tips for Seniors

For a free cool neck wrap and water bottle, visit MedStarHealth.org/DestinationGoodHealth or call 855-212-8202.


Outpatient Hip Replacement Surgery A Welcome Alternative to a Common Procedure

his expertise in treating patients with hip and knee conditions at MedStar Orthopaedic Institute. “Now, for the right patient, advances in orthopaedic medicine have made it possible for a person to forgo an overnight stay in the hospital after a hip or knee replacement.”

Outpatient joint replacement is the same as traditional joint replacement, but the patient is allowed to go home within the first 24 hours after the surgery. The best patients for an outpatient joint replacement are in good health with well-controlled or no major medical problems, are highly motivated for a same-day discharge, and have assistance at home.

Michael Simms, who had a total hip replacement as an outpatient earlier this year, represents the model candidate. “As a former marathon runner and triathlete with no serious medical issues, he was in good shape and he fit all the criteria for the type of patient that does well,” Dr. Boucher explains. “And, at 59 years old, he wanted his active life back.”

“I started experiencing pain in my hip three years ago and tried all sorts of non-surgical treatments to alleviate it … medication, physical therapy, dry needling, acupuncture, you name it,” Simms says. “I did a lot of research to explore my options and finally scheduled an appointment with Dr. Boucher.”

APPROXIMATELY 400,000 hip replacement surgeries are performed each year in the United States, making it one of the most common total joint replacement procedures. Total hip replacement surgery, also called total hip arthroplasty, is used to relieve pain and restore function to patients whose joints have been destroyed by diseases such as arthritis or trauma. It usually allows a return to daily living, walking, and life with no or minimal pain.

Yet some individuals who might benefit from a hip replacement don’t consider it because they want to avoid a lengthy recovery and the required post-surgical hospital stay. Now, there is another option—outpatient hip replacement surgery.

“Traditionally, joint replacement has been an inpatient surgical procedure,” says Henry Boucher, MD, an orthopaedic surgeon noted for

Simms, pictured with his wife on their farm, is now pain free and active again after outpatient hip replacement surgery.

FAST FACT: The physicians of MedStar Orthopaedic Institute are some of the busiest in Maryland; together they performed 1,449 hip replacements last year.


To learn more about the hip and knee specialists at MedStar Orthopaedic Institute or to schedule an appointment, visit MedStarOrtho.org or call 877-34-ORTHO (877-346-7846).

Henry Boucher, MD

In a total hip replacement surgery, the diseased parts of the hip joint are removed and replaced with new, artificial parts called a prosthesis. There are a variety of advanced techniques for total hip replacements. Dr. Boucher specializes in anterior hip replacement surgery, which differs from traditional surgery in that it involves inserting the prosthesis through an incision on the anterior, or front, of the hip. This makes it possible to reach the joint by separating rather than cutting the muscles or tendons.

“While this approach may not help your new hip joint function better or last longer compared to traditional approaches, it is less invasive, so it can result in less pain, a faster recovery, and a quicker return to normal activity due to less muscular damage,” adds Dr. Boucher. “This makes it ideal as an outpatient procedure, given the right patient.”

In February, Simms had his hip replaced at MedStar Health at Timonium, a new comprehensive orthopaedic center that opened late last year. The facility features a state-of-the-art surgical center designed specifically for outpatient procedures.

“I was very impressed with the entire experience,” Simms notes. “Because it is a specialty center, I was the center of attention. The staff was focused on me and had no distractions.”

After the procedure, which took about an hour, Simms spent a few hours in recovery while the anesthesia wore off. Once he was fully awake, he got up for physical therapy to make sure he was capable of performing daily activities. He was discharged by 2 p.m. and was recuperating at home later that day with the assistance of his wife, Kimberly, who is an IV therapy nurse.

“I think my wife was more apprehensive about my coming home the same day of surgery than I was,” Simms says. “But we both had confidence in Dr. Boucher. He was very helpful and we were well prepared.”

After three days at home, Simms was walking without support. Though he’s not running marathons yet, he works out in the gym regularly and gets ample exercise tending to the miniature donkeys that he and his wife raise on their farm.

“Having a total joint replacement done as an outpatient can make for a much better patient experience,” Dr. Boucher says. “Patients can play a more proactive role in their recovery because there are not as many restrictions as in a hospital. It is more convenient and less stressful. With an aging but still active population, the demand for outpatient joint replacement surgeries is growing. As one of the busiest hip replacement programs in Maryland, the expertise of our surgeons and care providers is unmatched.”

Having hip replacement surgery as an outpatient enabled Simms to return home just hours after the procedure.


customized treatment plans that rely on non-surgical options for managing it.

“Many older individuals are not candidates for surgery and some individuals simply do not want surgery,” she explains. “There are numerous other treatment options that can provide them with relief from the pain and other symptoms they may be experiencing.”

Novella McLean, a patient of George Hennawi, MD, director of the Center for Successful Aging, is a good example. The 100-year-old had been experiencing a lot of pain in her knee as a result of osteoarthritis. “My mom is very independent … she wouldn’t even agree to move here from her home in North Carolina unless she could have her own apartment,” says Rev. Brenda Tuggle, her daughter. “But her knee pain was affecting her quality of life. She was not getting any relief taking medications and she didn’t like taking them. At her age, surgery was out of the question and, for a long time, she refused to consider any other options.”

Finally, she agreed to see Dr. Pichard-Encina. “The best treatment plan depends on the cause of the pain as well as any other issues that may be contributing factors. That’s why a team approach that ensures a complete understanding of each patient’s complex needs is so important,” she says.

Dr. Pichard-Encina notes that conservative measures play an important role in the management of osteoarthritis-related pain and disability in the geriatric population due to increased risk of other existing conditions, medication toxicity, and the use of multiple medications.

“In the elderly, treatment options like exercise, weight loss, physical therapy, bracing, and the use of assistive devices, such as canes and walkers, should be considered first to minimize the adverse effects of medication,” she says. “Unfortunately, these treatments aren’t effective for all individuals, so we rely on the use of non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids to treat

THE CENTER FOR SUCCESSFUL Aging at MedStar Good Samaritan Hospital continues to expand its services to address the needs of individuals experiencing age-related conditions. With the addition of a new program focused specifically on geriatric arthritis, older adults dealing with this often debilitating degenerative joint disease have easier access to specialized care.

“Osteoarthritis is the third most common diagnosis in the elderly and can cause significant pain leading to disability and decreased quality of life,” says Carmen Pichard-Encina, MD, the new chief of Geriatric Orthopaedics at MedStar Good Samaritan. “Unfortunately, many believe that the only treatments for this condition that provide real relief are surgical ones. That could not be farther from the truth.”

Working on-site with the geriatrics experts at the Center for Successful Aging, Dr. Pichard-Encina focuses on patients who may be suffering with arthritis and its symptoms. She emphasizes the importance of

Effectively Managing Geriatric Arthritis Conservative Approach Improves Quality of Life


DID YOU KNOW?

Osteoarthritis is the most common type of arthritis. It is associated with a breakdown of cartilage in joints and can occur in almost any joint in the body. It commonly occurs in the weight-bearing joints of the hips, knees, and spine.

osteoarthritis pain. Several other oral, injectable, and topical agents are available as well. We try to avoid the use of narcotics.”

To help alleviate McLean’s pain, Dr. Pichard-Encina recommended an intra- articular cortisone injection, a minimally invasive treatment for pain that involves injecting a corticosteroid medication into the joint to help decrease swelling and thus relieve the associated pain. Today,

McLean is feeling much better and is thriving.

“Most elderly patients are dealing with multiple health issues. We provide them with access to all the specialists they may need, all in one place, which promotes communication and collaboration. As a result, treatment plans address the needs of the whole person, not just one condition,” Dr. Pichard-Encina adds.

McLean, center, serves tea to Tierra Tuggle, her granddaughter, and Rev. Brenda Tuggle, her daughter.

George Hennawi, MD

Carmen Pichard-Encina, MD

FAST FACT: An estimated 27 million Americans are affected by osteoarthritis and the chance of developing the disease increases with age. Most people over age 60 have osteoarthritis to some degree.

For more information, visit MedStarHealth.org/DestinationGoodHealth or call 855-212-8202.


[STAYING well]

D id you know that Maryland ranks among the states with the highest number of

confirmed cases of Lyme disease? The most common infectious disease spread

by the bite of ticks, Lyme disease is also more likely to be contracted in late spring

through early fall. So if you live here, it’s important to take precautions against Lyme disease,

particularly in the summer months.

The risk of exposure to ticks is greatest in the woods and in the edge area between lawns and woods. However, ticks can also be carried by animals onto lawns and gardens and into houses by pets.

Steps to prevent Lyme disease include using insect repellent, applying pesticides, reducing tick habitat, and wearing long pants and sleeves to keep ticks off the body when outdoors. If a tick is found, it should be removed as soon as possible using fine-tipped tweezers.

Lyme disease was first recognized in 1975 after an unusual outbreak of arthritis near Lyme, Connecticut. Today, over 30,000 cases of Lyme disease are reported to the Centers for Disease Control and Prevention each year, though the true number of infections is thought to be much higher.

“Untreated Lyme disease can be very serious,” Dr. Williams adds. “If you develop any of the symptoms associated with Lyme disease after a tick bite or being in a tick habitat, contact your healthcare provider.”

Dr. Williams is board certified in Internal Medicine and Infectious Diseases. He specializes in the evaluation, diagnosis, and management of patients with acute and chronic infections including HIV/AIDS, hepatitis C, sexually transmitted diseases, and skin and soft tissue infections.

“Lyme disease is caused by bacteria that is transmitted to humans through the bite of infected black-legged ticks, sometimes called deer ticks,” explains Calvin Williams, Jr., MD, PhD, a specialist in Infectious Diseases at MedStar Union Memorial Hospital. “Typical symptoms include fever, headache, fatigue, and a ‘bulls-eye’ shaped skin rash. If left untreated, the infection can spread to joints, the heart, and the nervous system.”

Most cases of Lyme disease can be cured with a few weeks of antibiotics, especially when treatment is started early. However, many cases of Lyme disease are misdiagnosed, often resulting in debilitating symptoms that can last for years.

“Lyme disease is difficult to identify because it mimics many other disorders. Laboratory testing is helpful if done correctly, but not all providers are familiar with the methodology, which can lead to false positives,” says Dr. Williams. “As a result, some individuals end up being treated for Lyme disease rather than the condition that is the source of their symptoms. In addition, providers in geographical areas where Lyme disease is not prevalent may not think to test for the infection.”

Calvin Williams, Jr., MD, PhD

For a physician referral, visit MedStarHealth.org/DestinationGoodHealth or call 855-212-8202.

LYME Disease: What YouNeed to Know


[CARING for you]

For more information go to myMedStar.org or send an email to [email protected]. You can also speak

to one of our representatives by calling 877-745-5656.

W e know how challenging it can be to keep track of your health records and

appointments. That’s why we developed myMedStar—a free and secure online patient

portal where you can conveniently manage your health information anytime, anywhere.

“Many patients, especially those with complex medical histories, have found myMedStar to be an invaluable tool for helping to take charge of their health,” says Herbert Friedman, MD, MBA, chief medical information officer at MedStar Good Samaritan Hospital. “Because the portal is fully integrated with our electronic medical record system, patient information is available in real time, within one system. That means only one myMedStar account is needed to communicate with all participating facilities,” he notes.

With myMedStar, you can:

• Review most laboratory test results, after provider review

• View a summary of your hospital stay or office visit

• Send your medical information securely to other healthcare providers

• Exchange email messages securely with your MedStar healthcare providers

• Pay your physician or hospital bill• Request prescription refills, request

appointments and request referrals from your MedStar healthcare providers

“In addition, we continue to enhance the portal through the addition of many of the health management resources that are now available,” he explains. “For example, we now offer the ability for you to securely connect some apps, such as fitness trackers, dietary trackers, and more, to your health record.”

Plus, it’s easy to enroll. When you register at a MedStar Health hospital or one of our physician offices, our associates will ask for your email address. We will then email you a Personal Identification Number (PIN) and a link to our website. Click on the link and follow the instructions.

Or you can self-enroll by going to myMedStar.org. You will be asked to agree to our Terms of Use. All portal enrollments require your unique MedStar Health patient ID, which can be found on the visit or discharge summary you received during your last visit. If you cannot locate it, please ask an associate or click the link at myMedStar.org to submit a secure request.

Self-enrollment is available for MedStar Health patients who are age 18 or older.Parents and guardians must request access to the accounts of individuals they care for on-site from one of our associates.

“To protect the privacy and confidentiality of any personal information that is transmitted, the myMedStar patient portal uses highly secure encryption technology,” adds Dr. Friedman. “This ensures that messages cannot be intercepted, deleted, copied, or altered in any way.”

Herbert Friedman, MD, MBA

LYME Disease: Managing Your Health with myMedStar


Then, late last year during a routine follow-up scan, his doctor discovered that he was experiencing a rapid recurrence of the condition. Once again, he was taken by surprise. “It had been nine years since my first surgery and I thought I was in good health,” says McDermott, who had just celebrated his 75th birthday.

He was then referred to Raghuveer Vallabhaneni, MD, FACS, director of Vascular Surgery, Baltimore Region at MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital. After further evaluation, Dr. Vallabhaneni suggested a new method of carotid stenting as the most appropriate means of treatment.

“A second conventional open carotid artery endarterectomy would have put Kevin at greater risk for nerve damage and stroke, given the likely presence of scar tissue from the earlier procedure,” Dr. Vallabhaneni says.

“Carotid artery stenting is a less invasive approach for re-opening blocked arteries that is a good option for patients who are high-risk candidates for

Restoring Blood Flow to the Brain

WHEN KEVIN MCDERMOTT was diagnosed with carotid artery stenosis nine years ago, he was stunned. “I felt perfectly fine,” he says. “I had no symptoms and absolutely no idea that I had such a serious condition.”

Carotid artery stenosis is a narrowing of the large arteries on either side of the neck that

carry blood to the brain. Usually the result of a build-up of plaque within the arteries, a condition called atherosclerosis, stenosis can

worsen over time to completely block the artery. Blockages of carotid arteries in the neck are responsible for a large percentage of strokes.

McDermott’s doctors performed a carotid endarterectomy, a procedure that involves the surgical removal of the plaque. The surgery was a success and McDermott resumed his normal activities, adding twice-yearly checkups with his doctor to his schedule.

New Minimally Invasive Endovascular Procedure Reduces the Risk of Stroke

surgery. However, the traditional transfemoral approach from the groin also has its risks and can result in complications,” he notes.

Dr. Vallabhaneni recommended a stent procedure he believed was a more suitable option for McDermott—a minimally invasive transcarotid artery revascularization (TCAR).

“During TCAR, blood flow is temporarily directed away from the brain, protecting it from any embolic debris that might be created during the procedure,” explains Dr. Vallabhaneni, one of only a handful of surgeons in Maryland performing TCAR, which was approved by the FDA just two years ago. “This reduces the risk of stroke by preventing particles that may come loose from reaching the brain.”

A CT scan confirmed that McDermott was a good candidate for the TCAR stent procedure. He was advised of the benefits and risks and decided to move forward with the procedure. The TCAR was performed under general anesthesia through a small incision at his neckline just above his clavicle. No problems or

Raghuveer Vallabhaneni, MD


He continues to undergo routine monitoring.

“TCAR offers tremendous promise for the treatment of carotid artery stenosis as an alternative to conventional carotid endarterectomy and stenting procedures,” Dr. Vallabhaneni adds. “Indeed, it has the potential to become a primary therapy for carotid artery stenosis, a trend that will benefit both patients and surgeons.”

For more information or to make an appointment with a specialist at MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital, call 877-74-HEART (877-744-3278).

unexpected conditions were encountered, and McDermott was discharged the day after surgery. A follow-up scan verified that the stent was performing as expected, with no recurrence of stenosis.

McDermott considers himself extremely fortunate that the blockage was found … both times. “The fact that you can feel perfectly fine yet be a prime candidate for a stroke is scary.”

Restoring Blood Flow to the Brain

FAST FACT: Dr. Vallabhaneni is one of only a handful of surgeons in Maryland performing the transcarotid artery revascularization procedure, and has been doing so since 2016.

MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital was the second site in the state to perform the procedure.

McDermott is back on the golf course after having a successful procedure to re-open his blocked carotid artery.


“Physical therapy wasn’t helping, and I couldn’t take pain medication because of other health issues. Surgery wasn’t an option either.”

Wright-El’s doctor referred her to Dr. Mathur, who recommended electrodiagnostic testing, which measures the electrical activity of muscles and nerves to determine if there is nerve injury or damage.

“She had what is called low back radicular pain, a type of pain that is caused by compression, inflammation, or injury to a spinal

Treating Pain

PAIN IS OUR BODY’S WAY of telling us there’s something wrong. If it’s long lasting, it can have a profound impact on an individual’s quality of life.

“If pain is affecting your everyday activities, your personal life, or your ability to work, you should seek help from a specialist,” says Rajat Mathur, MD, a MedStar National Rehabilitation Network physiatrist and pain management specialist who sees patients at MedStar Good Samaritan Hospital. “Understanding the pain—how and when it started, where it occurs, what makes it better or worse, and whether it’s constant or occasional—is key to determining the most effective treatment. There are so many ways to treat pain that there is no reason for anyone to live with it.”

With every new patient Dr. Mathur performs a thorough physical exam and may order x-rays, an MRI, a CT scan, or other tests to check for nerve damage. Depending on the diagnosis, the source of pain, and its severity, treatments are customized for each patient.

This approach to pain management is why 69-year-old Joyceann Wright-El is now pain free. “I had lower back pain that was so bad I could barely stand,” she says.

Customized Solutions Provide Needed Relief

nerve root. She had experienced a lot of trauma over the years and had severe arthritis of the spine, all contributing to her condition,” Dr. Mathur explains. “This led to a series of spinal interventions to try to control, and hopefully, eliminate the pain.”

The first step was an epidural injection to decrease the swelling in her lower back and the pain associated with it. This was followed by a medial branch nerve block, a primarily diagnostic procedure in which an

Wright-El is now pain free and able to stand after the customized treatments provided by Dr. Mathur.


Improving communication about pain between caregivers and patients is the focus of a new initiative of MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital. Led by Karen Droter, MSN, RN, performance improvement manager at MedStar Good Samaritan, the Patient Experience Pain Management Team is working

to ensure that the needs of every patient are anticipated and addressed when dealing with pain. The ultimate goal is increased patient satisfaction.

anesthetic is injected into the spine to identify the specific nerve involved.

“Based on this, we determined she was a candidate for a procedure for longer term pain relief called radiofrequency rhizotomy or ablation,” says Dr. Mathur. “This involves destroying the nerves causing the pain with highly localized heat generated with radiofrequency. By destroying these nerves, pain signals are prevented from being transmitted from the spine to the brain. A successful procedure reduces pain without reducing nerve function.”

Today, Wright-El is pain free. She is extremely happy with the care she

For a physician referral, visit MedStarHealth.org/DestinationGoodHealth or call 855-212-8202.

SPEAKING OF PAIN

Rajat Mathur, MD

To that end, the team, representing a cross section of employees and caregivers, meets monthly to review what is currently being done to promote effective communication about pain and identify ways to augment and enhance those efforts. Their work to date has resulted in:

• The use of a pain tool guide to assist providers in better assessing pain

• The increased use of white boards in patient rooms to post pain scores and inform patients about daily pain control plans

received and the outcome. “Dr. Mathur really took the time to talk to me and was able to keep me focused. His team worked so well together and made me feel so comfortable,” she says. “They straightened me up!”

“Pain can be very complex and may require a combination of therapies,” Dr. Mathur notes. “Building rapport with a patient is essential to understanding the pain so that the best treatment plan can be developed for that individual.”

• The adoption of a comfort brochure to educate patients and families about non-pharmacological therapies for treating pain and improving comfort

• More frequent use of the C.A.R.E. (Continuous Ambient Relaxation Environment) Channel in patient rooms to create a relaxing environment that reduces anxiety and alleviates pain

• Pain champions are also being identified, who will be trained in pain management to serve as resources to patients, family members, and providers.

Karen Droter, MSN, RN


COMMUNITY LECTURES AND CLASS SCHEDULESAt MedStar Good Samaritan Hospital and MedStar Union Memorial Hospital, we care about the health and wellness of our community. One of the ways we try to keep you healthy and active is by offering special classes, events, and screenings. Join us, and learn how you can stay healthy for life.

HEART HEALTHCardiac Rehabilitation Program/Phase II This is an individualized, carefully monitored combination of exercise therapy and education for those recovering from a heart attack, coronary artery bypass graft, angioplasty or coronary stenting, heart valve replacement/repair, or heart or heart-lung transplant. Monday through Friday 8 a.m. to 3 p.m. MedStar Union Memorial Hospital Call 410-554-2167 for details.

Three hourly sessions per week, Mondays, Wednesdays, and Fridays 9 or 11 a.m. MedStar Good Samaritan Hospital Good Health Center

Call 443-444-3874 to register.

LUNG CAREPulmonary Rehabilitation A monitored exercise program to help if you have lung diseases, such as COPD, asthma, and chronic bronchitis. MedStar Good Samaritan Hospital Good Health Center

For details, call 443-444-3397.

JOINT AND SPINE CARE When You and Pain are Joined at the Hip (or Knee) Learn if arthritis is causing your hip or knee pain, and how to find relief. The discussion will include treatments from non-surgical options through the latest robotic surgery. Get personalized answers to your specific questions.

Get Your Spine in Line Eight out of 10 people will experience back pain at some point in their lives. Get answers to questions about your neck or back problems and treatment options.

Tools for Shoulder Pain Learn about the latest treatments, ranging from medication and physical therapy to outpatient and minimally invasive surgery. Topics include shoulder pain, common diagnoses, and treatments.

All classes are free. Call 877-34-ORTHO (877-346-7846) to register for a class near you.

EXERCISE AND FITNESS Yoga Improve your flexibility and reduce stress. Beginners to advanced participants welcome.

Mondays, July 9 to Sept. 24 6 to 7:15 p.m.MedStar Good Samaritan HospitalParker Center


Fee: $80 for 11-week session

Gentle YogaA gentler yoga class to improve balance and strength, mostly done in a chair, standing, or with a mat (optional).

Wednesdays, June 13 to Aug. 8 2:30 to 3:30 p.m.MedStar Good Samaritan HospitalGood Health Center, Room A

Call 855-212-8202 to register.Fee: $60 for eight-week session Phase III Exercise Program This is for patients with arthritis, diabetes, high blood pressure, and other chronic illnesses and includes access to an onsite fitness center (physician referral required). Monday through Thursday 7 a.m. to 4:30 p.m. Fridays 7 a.m. to 4 p.m. MedStar Good Samaritan Hospital Good Health Center

To register call 443-444-3881.

Fee: $20 per month or $90 for six months

Regular Tai Chi This ancient form of exercise can help lower blood pressure, ease stress, and improve sleep.

Tuesdays, July 3 to Aug. 7Thursdays, Oct. 11 to Dec. 6 5:30 to 6:30 p.m.MedStar Good Samaritan HospitalGood Health Center, Room A


Fee: $25 for the six Tuesday sessions; $35 for the eight Thursday sessions

Gentle Tai Chi Smooth, gentle movements can help lower blood pressure, ease stress, and improve sleep.

Fridays, Sept. 28 to Nov. 16 1:30 to 2:30 p.m.MedStar Good Samaritan HospitalGood Health Center, Room A


Fee: $30 for eight-week session

SUPPORT GROUPS Amputee Support Group Share experiences and resources to live independently.Fourth Wednesday of each month 1:30 to 3 p.m. MedStar Good Samaritan Hospital Good Health Center, Room B


[CLASSES and events]


Aphasia Support GroupLanguage support for those recovering from stroke and other conditions.

Second and fourth Mondays of each month 1 to 2 p.m. MedStar Good Samaritan Hospital Good Health Center, Room B


Caregiver Support GroupFree support for those caring for an aging adult, hosted by the Center for Successful Aging.

Thursdays, Aug. 9 and Sept. 133:30 to 5 p.m.MedStar Good Samaritan HospitalRussell Morgan Building, Suite 502

Register online or call 443-444-4720.

MedStar Stroke Support GroupMeet with stroke survivors and caregivers to help one another.

First Thursdays 1 to 2:30 p.m. Call 855-212-8202 for locations and to register.

Diabetes Support Group Talk with others about how to manage your diabetes.

Third Monday of each month2:30 to 4 p.m.MedStar Good Samaritan HospitalGood Health Center Call 855-212-8202 for locations and to register.

To register, visit MedStarHealth.org/DestinationGoodHealth or call toll-free 855-212-8202. All classes are free unless noted otherwise.

WELLNESS AND PREVENTION Massage Therapy or Integrative ReflexologyProvided by licensed massage therapists at the Good Health Center. Day and evening appointments are available.

Call 443-444-GOOD (4663) for details.

Fee: $30 for 30 minutes, $60 for 60 minutes, or $90 for 90 minutes

Freshstart® Smoking Cessation ProgramThis program is designed to help smokers quit by providing information, skills for coping with cravings, and group support.

Thursdays, June 7 to 28 2 to 3:30 p.m. Joy Wellness Center 2800 Kirk Ave., Baltimore

Thursdays, July 12 to Aug. 2 5:15 to 6:30 p.m. MedStar Good Samaritan Hospital Good Health Center

Thursdays, Aug. 23 to Sept. 13 2:30 to 4 p.m. Stadium Place 1030 E. 33rd St., Venable II Apartments, Baltimore


Life Balance Weight Management A free, 16-week program designed to help you eat healthier, exercise daily, lose weight, and improve problem-solving and coping skills. The curriculum is from the National Diabetes Prevention Program and is targeted at those who have prediabetes.

Tuesdays, Sept. 25 to Jan. 29 5 to 6 p.m. MedStar Good Samaritan Hospital Good Health Center


Living Well: Pain ManagementThis seven-week self-management program is designed for people who are experiencing chronic pain due to injury, fibromyalgia, post-stroke pain, neuropathic pain, and other causes. The program, in partnership with Keswick Multi-Care Center, provides tools needed to meet your health-related goals and manage your pain.

Tuesdays, June 12 to July 241:30 to 4 p.m.Joy Wellness Center 2800 Kirk Ave., Baltimore


Living Well with Hypertension This workshop is for people who have been diagnosed with high blood pressure and want to learn how to better manage their condition.

Tuesday, June 19 2 to 4:30 p.m.Stadium Place Weinberg Court Apartments 1030 E. 33rd St., Baltimore

Call 855-218-2435 to register. Living Well with Chronic DiseaseThis six-week chronic disease management program is designed for people living with one or more on-going conditions such as arthritis, heart disease, stroke, kidney disease, lung disease, depression, and others.

Tuesdays, June 26 to July 31 2 to 4:30 p.m.Stadium Place Weinberg Court Apartments, 1030 E. 33rd. St., Baltimore Call 855-218-2435 to register.

JUST FOR YOU Better Health by the Book Join our social book club for lively discussions and expert advice that can make a positive impact on your well-being.

Tuesdays, Sept. 11 and Nov. 13 7 to 8:15 p.m.Greetings & Readings Hunt Valley Towne Centre

Register online or call 855-212-8202.

[CLASSES and events]

Cardiac cath patients never recovered like this before.At MedStar Union Memorial Hospital, cardiac catheterization isn’t just easier—

it’s less stressful too. Using the radial artery in the wrist is both safer and more

convenient in selected patients, and is more comfortable than going through

the leg. Plus, you can sit up and move around much faster. And afterward, you

can relax in our new, one-of-a-kind Radial Lounge—offering snacks, beverages,

TV, internet access, charging stations and more. You can even rest easy, knowing

no one in the Baltimore region has more radial catheterization experience.

Nonprofit Org. U.S. Postage

PAID Baltimore, MD

Permit No. 5941

PO Box 43595 • Baltimore, MD 21236-9841MedStarHealth.org/DestinationGoodHealth855-212-8202

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Don’t miss our cardiovascular webcast on Wednesday, June 27 from 7 to 8 p.m. Follow us on Facebook for details.

To learn more or schedule an appointment, visit MedStarHeartInstitute.org/Recover

or call 855-210-7209.

Documents

Conquering Cancer - MedStar Health...Geriatric Arthritis Conservative Approach Improves Quality of Life Outpatient Hip Replacement Surgery A Welcome Alternative to a Common Procedure