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Spring2014SibleymemorialhoSpitalamemberofJohnShopkinSmedicineWeightlosssurgerychangedmylifeandSibleysprogrammadethedifference.GastricbypasssurgeryhelpsaSibleynurselose117poundsanddropfromasize20tosize6. inthiSiSSUeSblymoalhosalP.1-3WghlssSugyP.4-5bcknacnwhNwHpP.6-7ScmP.8-9NckShudamrfP.10WdtvCsGndoksHmP.11-12CmmunyHheducnCndP.14PhnhpyimpvshSuvvshpJunypsdsmssagournssncSkdNusngndrhnfcyhsndvestarsthehighestpossibleratingfromhCnfMdcndMdcdServices.Theratingreectsoverallqualityclinicalandphysicalqualitymeasuresandstafng.Only25percentofnursinghomeshvcvdhspng.thSyrnssncSkdNusngFcywsnmdnhUSNewsWorldReportsbsNusngHmsf2014.Theratingcoversnearly16000nusnghmsnnwd.twooagsfoSblyrassacAfteralongcoldwinterImsureyoulikemearereadyforspringandsummerWhmnhsfsvwhpsndchallengesitalsobroughtcountlessxmpsfhwuddcdSympusghfucmmuny.AsstormsapproachedmanystaffmembersspentthenightatSibleyworkedextendedhoursdrovefellowemployeestoworkandscrambledtondchildcarefortheirownfmsnsuhpncwouldnevermissabeat.Meanwhileourmnnncdpmnwkddyndnghkppkngsndsdwkssfndcfsnw.Attheheightofonestormapatientarrivedwitharupturedabdominalaorticaneurysm.Hesufferedmassiveinternalbleedingshockandtwocdcsssunssusny12pcnfpnssuvv.thnkspfcyxcudffyhmgncydepartmentsurgeonsanesthesiologistsnursesandothercriticalstaffthepnwssvdndumdcmcccmpshdnhmdsofablizzard.AllwinterlongIsawthatkindofpersonalcommitmentandcngdmnswhmksSysuchspcpc.ThiswinteralsobroughttoSibleyanewchiefoperatingofcerSanjayK.Sh.Hwspnsfhvpnsfhhspndwillserveasakeystrategicadvisortomeotherseniorexecutivesandphysicianleaders.SanjayjoinsusfromWakeForestBaptistMedicalCenterinWinstonSalemNCwhereheservedasexecutivevicepresidentofpns.iknwhssupckcdfmpyngspccsnpnxcncndcncucmsswspnssfcnwillmakeSanjayavaluableadditiontoourteamandourcommunity.AswetransitionintoanewseasonbeassuredatSibleytheveryhighestvfcsy-undcmmmn.RichardO.DavisPh.D.PsdnSyMmHsp ONHealthSpring2014P.1Mybestfriendhadthesameprocedureatanotherhospitalandwasburdenedwithndingherownpsychologisttraineranddieticianaswellasschedulingeveryappointment.Sibleyhandleditallformerighthere.Everyonehasbeenjustwonderful.AyearaftersurgeryIvelostawholepersoninweightIfeelgreat.Continuedonpage2IstruggledwithweightsinceIwasateen.DietplanshelpedbutthenIdgainitallback.Atthegymmylegsfeltliketheywereonrenotverymotivating.WhenmysonwasbornIweighed242poundsanddecidedIhadtotakeactionbeforeserioushealthproblemsdeveloped.AftercheckingoutSibleysinformationsessionsandsupportgroupsIdecidedtohaveweightlosssurgery.Workingwiththeirpsychologistdieticianandtrainerhelpedmeunderstandthatsurgeryalonewouldntstopmefromusingfoodasacrutch.WiththeirsupportImadeawholemindsetchangeandevenlost25poundsbeforemygastricbypasssurgery.WhenIweighed242poundsIcouldntkeepupwithmyson.Ididntwanttobemommyonthesidelinesanymore.JaimeMcCormickgastricbypasspatienttranSFormedgastricbypasssureryhelpsaSibleynurselose117poundsanddropfromasize20tosize6.keendsIcmmonSibleyWeightLossTeamLtoRJodieHofacreoutpatientclinicaldieticianShannonHurstbariatricschedulingcoordinatorBrianLongM.D.bariatricsurgeonanddirectorbariatricsurgeryBrianWallacedirectorbariatricprogramnotpicturedBuzzDuncanpersonaltrainer P.2SibleyMeMorialHoSPitalTransformedcontinued1.icnkpupwhm5--dzmngundnhsk.2.idncdkczwhmfndpndnvfsf-cnscus.3.idngdwknghnghshf.4.ihvmspnpnss.5.ihvsmuchmngZumcss.reaSonSJaimeSgladShediditbeforeApril2013-Jaimeatthehospitalrightaftersurgery.6.iwnmhghschunnndhcnswpcss.7.Pnsihvnsnnwsdncgnzm.8.Icanshopanywherenotjustatplus-sizess.9.idngv-hd.10.MysonthinksImgettingyounger10afterApril2014-JaimeandhersonatWheatonRegionalPark. ONHealthSpring2014P.3Q.hwdssugiswka.Themostcommonproceduregastricbypassdividesthestomachleavingaverysmallpouch.Thatnewstomachonlyholdssmallamountsoffoodsopatientseatless.Wealsoreroutepartofthesmallintestinessonotallfoodisabsorbedanddigested.Thesleevegastrectomyprocedureremoves80to90percentofthestomachleavinganarrowsleeve-shapedstomach.Theseproceduresalsoseemtohaveahormonaleffectthatsignicantlyreducesappetite.Weselecttherightsurgeryforeachpatientbymatchingtheirgoalsandmedicalneedstotheprocedurethatwillmostsuccessfullyandsafelyhelpthemmeetthoseobjectives.Q.Whydidyouchoosethiseldofmedicinea.Aveteransurgeononcetoldmethatbariatricsurgeryisthemostrehabilitativetreatmentinmedicine.Itssorewardingtoseehowoneprocedureandthesupportthatgoeswithitcancompletelychangesomeoneshealthoutlookandlife.csidigigvigwigsssugyciisssisugu.lwww.SibyWiglss.gtsisivgs.Ourprocedurestaketheweightoffbutthegoalisokeepioff.thaswhyweprovidediearycounselingpsychologicalsupportexercisetrainingandongoingsupporgroupsaeamapproachcrucialolongermsuccess.Weightlosssurgerycanaddhealthyactiveyearstopeopleslives.Resultsaretrulydramatic.BrianM.LongM.D.directorofbariatricsurgeryQ.Wisdida.PatientsmusteitherhaveaBodyMassIndexBMIofgreaterthan40oraBMIof35to40withsignicantweight-relatedproblemssuchasdiabeteshypertensionandsleepapnea.Wehelppatientsmakedietaryandexercisechangesbeforesurgerytoensuretheyarereadyfortheirprocedure.Q.WkscWiglssSugydia.Wereaone-stopshopprovidingpre-operativecaresurgerysupportandlife-longfollow-upcarerighthere.Atmanyotherhospitalspatientshavetogoallovertownputtingthepiecestogetherontheirown.Hereourteamschedulesallyourappointmentsandevenhasaninsurancespecialist.Wealsospendagreatdealofone-on-onetimewithpatientsbeforeandaftersurgery.Q.hwvdusivda.Todayweperformallweightlosssurgerieslaparoscopicallymakingverysmallincisionssopatientsrecovermuchfasterwithfewercomplications.Thesesurgeriesarebyfarthemostpowerfultoolwehavefortreatingsevereobesity.anSWerSfromoUreXpertBrianM.LongM.D.directorofbariatricsurgery P.4SibleyMeMorialHoSPitalDavidMcClainpatientindoorrockclimbingatEarthTreksClimbingCentersRockvilleMDafterhavinghipreplacementsurgery.Activewouldbeputtingitmildly.FordecadesDavidMcClainhaslovedrockandiceclimbingmountainandroadbikingrigorousaerobicandweighttrainingevenvolunteeringtomanageastretchofwildernesstrailwhichentailssawingandmovinghugefallentrees.Whenarthritisinhishipbecametoopainfultoignorehetriedphysicaltherapymedicationsandsteroidinjections.Eachbroughttemporaryreliefbutthepainalwaysreturned.IlivedwithitforthreeyearsbutanMRInallyshowedmyrighthiphadvirtuallynocartilageleftherecalls.McClainandorthopedicsurgeonPhilipBobrowM.D.decideditwastimeforahipreplacement.WhenIwokeupaftersurgerymypainwasgoneanditsstayedgonehereports.WithinhourshewasmovingalongSibleycorridorswithawalker.Thenextdayhewenthome.Thedayafterthathemovedfromthewalkertoacane.McClainwasdiligentaboutphysicaltherapygraduallyincreasingstrengtheningexercisestorebuildmuscles.MypatientswanttogetbacktohikingskiingbikingswimmingtennisyogaclimbingPilatesandtheycan.Thatsthewholepointgettingyourlifeback.PhilipD.BobrowM.D.orthopedicsurgeonBackinactionwithaneWHiP ONHealthSpring2014P.5Impainfree.TheresultsaresoremarkableIwishIdhadthissurgeryyearsago.DavidMcClainhipreplacementpatientFiveweeksaftersurgeryhewasbackonhisroadbikewithinfourmonthshehittheclimbingwallagainandafterafewmonthsmorehefoundhimselfscalingtallicecolumnsinWyoming.IhavemuchmoreexibilityinmynewhipthanIdidevenyearsbeforesurgery.Dr.Bobrowisveryactivehimselfsoheimmediatelyunderstoodmyeagernesstogetbacktosportsandexercise.AndIwasblownawaybySibleysefciency.Theiradvancedtechniquesandextremelyfriendlycaremademefeeltotallyatease.Icantimagineabettercombinationofdoctorandhospitalorabetteroutcomenewadvaces.provetechique..OurpatientsorthopedicsurgeonDr.PhilipBobrowshareshisexperienceandperspective.Myhipreplacementpatientshaveusuallytriedeveryotheroptionbutarestillindisablingpain.Theyreoftensuchactivepeople60goingon30butwithahipthatmakesthemfeel90.Iprefertheposteriorsurgicalapproachwhichreplacesthehipbyenteringfromtheback.Withthistechniqueyoucanxanythingandeverythingnocaseistoocomplicated.Ifyoureoverweightmuscularorhaveacomplexproblemtheposteriorapproachcarrieslessriskfornerveinjurybleedingorfracture.Allmypatientsarewalkingthedaytheyhavesurgery.Manygohomethenextdayandarebacktosportsandexerciseveryquickly.TheposteriorreplacementsIperformtodayarenotthesameonesIdidevenveyearsago.NowIuseaminimallyinvasivetechniquecoupledwithSibleysadvancedapproachtopainmanagementand95percentoftheseprocedurestakeawayallpain.Everypatientisunique.Youngerhealthierpeoplegohomethenextday.Butifyoureolderhaveotherhealthproblemslivealoneandhavestairstoclimbgoingdirectlyhomecouldbedifcult.Atmostotherhospitalsthatmeansgoingtoanursinghometorecover.ButSibleyhasitsowngreatrehabilitationunitTheRenaissance.Icanwalkrightovertocheckonmypatients.Otherplacesdontgiveyouthatoption.learmoreatwww.Sibey.orgorthoedicsDr.BobrowandhishipreplacementteamLtoRLeeAnnGreerR.N.CNORteamleaderAutumnHardingR.N.MonicaWilliamsCSTElizabethRiggsPA-CPhilipBobrowM.D.NicoleKingO.R.T.RicardoGulinaoS.S.A.KarlaChangR.N.andJillKalarisR.N.TheteammemberswithhoodsscrubintoassistDr.Bobrowduringtheprocedureandtheothersarecirculatingnurses. P.6SibleyMeMorialHoSPitalPeoplecomefromacrossthenationandaroundtheworldtoseemedicaloncologistKatherineThorntonM.D.Theyvebeendiagnosedwithararecanceroustumorcalledsarcomasomesubtypessouncommonmanyoncologistswillneverencounterone.Dr.Thorntonseessarcomaseveryday.ItishersolespecialtyandthroughtheJohnsHopkinsSidneyKimmelCancerCenteratSibleythatdepthofexperienceandexpertiseishereforourcommunity.Sarcomatumorsarisefromconnectivetissuesuchasbonecartilagefatmuscleandjoints.ThemyriadsubtypesofthediseasemakeitespeciallychallengingmanysarcomaswillonlybediagnosedinafewhundredAmericanseachyear.Thatswhysarcomaspecialistsaresuchaclose-knitcommunitysaysDr.Thornton.Wemeettosharenewsaboutadvancesdatafromtrialsthelatestdrugsnewtargetedtherapiesandbringwhatsworkingbesthometoourpatients.AsasarcomacenterSidneyKimmelhasateamofoncologistswithuniquespecialtyskillsinsarcomasurgeryradiationandchemotherapy.ImhereatSibleybutImalsoabridgetoprovidepatientsthebestofbothworldsinWashingtonandBaltimorenotesDr.Thornton.Sarcomaoftenaffectsayoungpopulation.Manyofmypatientsareintheir20s30sand40swereallybecomefriendsinmanyways.Oftentheyarereferredbydoctorswhodonthavein-depthknowledgeofsarcoma.Theyresorelievedtondsomeonewhoswell-versedinthediseasehereintheircommunityitsverygratifying.giaanicosiasStoryIgetsuchawarmfeelingfromallthewonderfulpeopleatSibleyespeciallyDr.Thornton.Ifeelcomfortabletalkingtoheraboutanything.Shedneverbeendiagnosedwithanythingworsethanacold.High-energyGiannawasbusywithcollegeclassesajobasofcemanagerforadogwalkingcompanyandexercise.Thenalumpaboveheranklewasdiagnosedassarcoma.Shehadchemotherapysurgerytoremovethetumorandthenmorechemo.Itsaverypotent48-weekchemotherapyregimenwithagoaltocureDr.Thorntonreports.GiannaisbacktoworkZumbaclassesyogaandhikeswithherdog.Imalittleslowerbutitsimportanttostaystrong.SarComaRaretumors.Rareexpertise.aeopecomefracroseemedicaloncologisttreNotonlyarethesetumorsraretherearearound75differentsubtypes.IstrivetoknoweverythingIcanaboutthebestnewtreatmentsforeachofthem.KatherineThorntonM.D.medicaldirectoroftheJohnsHopkinsSidneyKimmelCancerCenteratSibleyJenRiskuspatienteThorntonM.D.medicaloncologistnKatheriandGiannaNicosiapatient. ONHealthSpring2014P.7JenriskusSoyIwanttobeoutlivinglife.Havingadoctorwhoreallyunderstandsthatandstaysonthecuspofeverynewtreatmentoptionishugelyimportant.Jenthrivedoncompetitivebiking.Whendiagnosedfouryearsagohersarcomawasadvancedandspreadingrequiringabelowthekneeamputation.Afterchemotherapyandaclinicaltrialdrugthecancerstillprogressed.ShedstayedsopositivebutwasstartingtolosehopesaysDr.Thornton.Thenforthersttimein30yearsanewdrugtoghtsofttissuesarcomawasapprovedandJenrespondedwell.WereworkingtostabilizeherdiseasethewayyouwouldcontrolaconditionlikehypertensionordiabetesDr.Thorntonexplains.Sheworksfulltimetravelsandinherminiskirtandstockingsyoudneverknowsheswearingaprosthesis.leanmoeawww.siey.ogcancebeasomosynhesis3dimagingeecseascanceeaieBreasttomosynthesisalsoknownas3Dmammographyisscreeningnddignsicldesignedfrerlydeecinofbreastcancer.Itcanbeperformedinconjunctionwithardiinl2Ddigilmmmgrm.tmsynhesisprduceshree-dimensinlimgefhebresbyusingseverllwdseX-rysbineddifferenngles.theX-rydseissimilrhfregulrmmmgrmndimgeimekeslesshn10secnds.Insteadofviewingthebreasttissueinaat2Dimage3Dmammographyallowsourdedicatedbreastrdilgissexmineissuenemillimeerlyertime.Finedetailsaremorevisiblenolongerhiddenbytissueoverlapandimagequalityismorehighlydened.thisllwsfrerlierdeecinfsublenderlybrescncerbeerchrcerizinndlclizinfamammographicndingandfewercallbacksforpatientshveddiinless.Yourhealthcareprovidercanrequestthetestoryoucanrequestityourself.PounehRazaviM.D.SullivanBreastCentersdirectorofbreastimaginganddedicatedbreastradiologistsSusanHarveyM.D.SandraJooM.D.andDaveSchlesingerM.D.receivedspecializedFDAtraininginordertoqualifytoreadtomosynthesisimages.toscheueyoumammogampeaseca202-537-4545.RIDETOVICTORY.ORG855.822.RIDE7433EPICRIDE.EPICIMPACT.2days.150miles.Impact1000soflives.Allyouneedisabikeahelmetandacommitmenttomakeadifference.REGISTERTODAYSieycancepogameanshigheseveofacceiaiontheCmmissinnCncerfheamericnCllegefSurgensgrnedhree-yerccrediinwihcmmendinhecncerprgrmSibley.Aprogrammustmeetorexceed34qualitycaresndrdsernhedisincin.only25percenfU.S.cancerprogramsreceivethisaccreditationandevenfewerexceedallstandardrequirementstoreachhehigheslevelfccrediincmmendin.thedesignationreectsSibleyscommitmenttoexcellenceinprovidingcomprehensivepatient-centeredcancercare. P.8SibleyMeMorialHoSPitalInthestandardfusionprocedureapieceofboneorothersolidgraftmaterialisinsertedinthediscspacetofuseandbecomeonesolidpieceatechniquecalledcervicaldiscectomyandfusion.Morerecentlyanotheroptionwasdevelopedthatreplacesthediseaseddiscwithaprostheticonethatpreservesmotion.Bothproceduresrelieveneckandarmpain.Sincecervicaldiscreplacementdoesnotfusethespinemotionismaintainedallowingthenecktoex.Withnoneedtowaitforbonestofusepatientsoftenreturntoworksooner.AssoonasthearticialdiscisinsertedneckmovementisrestoredreportsneurosurgeonJoshuaJ.WindM.D.Anotheradvantagecouldbemorelongterm.Theoreticallybymaintainingmotionthroughdiscreplacementextrastresswontbeplacedonotherlevelsofthespineovertime.Whenpaincausedbyproblemswithdiscsintheneckcantberelievedbyphysicaltherapyandothernon-operativemeasurespatientshavetwoeffectivesurgicaloptions.Bothproceduresremovetheproblemdisc.Thedifferenceliesinwhatsurgeonsplaceinthespacethatsleft.Itsincrediblygratifyingtohelprelievesomeonesunrelentingpainandrestorefunction.JoshuaJ.WindM.D.neurosurgeonneCKSHoulderarmrelieFinnovatvedscproceduresrelevepanpreservemoton.hcWheproblebereledhaltherapymeasvetwinovaeeproceduresremovetheproblemdswitandtivtvepaidbycausJoshuaJ.WindM.D.neurosurgeon ONHealthSpring2014P.9lwww.Sib.gusugFromthemomentIcameoutofsurgeryIfeltbetterthanIhadinmonthsreportsRand.Iwasupandwalkingwithinhoursandhomethenextday.Hewasabletostartworkingagainafterseveralweeksandbeganrebuildinghisarmstrength.BeforesurgeryIwasinconstantagonyIcouldntevenliftanailgunovermyhead.NowIfeelsomuchbetter.Thepainnumbnessinmyrightarmandrangeofmotionhasimprovedalotasaresultofthesurgery.IwouldrecommendDr.WindandSibleytoanyone.yourspinescervicalsectionincludesseventopvertebraesupportingtheneckandskull.Discsarecushionsbetweenbonvertebraeandactasshockabsorbers.Nerveroutesthatstartatyourneckcarrypaintinglingandnumbnessdowntoourarms.Whenarthritisorherniationpinchesanerveinyourneckyourarmsandhandsfeelit.anatomy101Dr.Windnotesthatcervicaldiscreplacementisntforeveryone.Foranolderpatientwithsignicantarthritisatmanylevelsintheirneckthetriedandtruefusionsurgeryisoftenbest.Butforyoungerpatientswhohaveonlyonebaddiscandwanttopreservemotionthiscanbeagoodoption.BothproceduresreectSibleysemphasisonadvancinginnovativespinecare.discrcapisexicCharlesRandloveshisjob.Hesspent27yearsclimbingtheconstructionindustryladdertobecomeself-employedfull-timeandin-demandontopresidentialandcommercialprojects.ThenlastyearanaccidentresultedinaherniateddiscinRandsneck.Hisnonstoppainwaslikeanicepickstabbingmefrommyneckallthewaydownmyarmtomyngertipsbuthewasdeterminedtotrytotoughitoutandlivewithit.AftersixmonthstheneckpainwassosevereandhisarmwassoweakhediscussedsurgicaloptionswithDr.Wind.IwantedtokeepasmuchmobilityinmyneckaspossibleexplainsRand.HisMRIshowedhewasagoodcandidatefordiscreplacementsaysDr.Wind.Fusionsurgerywouldmeannoheavyliftingfortwomonthsandhedlosesomerangeofmotion.Withdiscreplacementhecouldgetbacktoworkinshortorder.ThepainwassoagonizingIthoughtmycareerwasover.CharlesRandcervicaldiscreplacementpatientCharlesRandpatientbacktoworkafterdiscreplacementsurgery. P.10SibleyMeMorialHoSPitalThesamedayshegraduatedfromcollegeLouiseMarthensreceivedherpilotslicenseandtookhergrandmotherupforaight.AsshebreezedinforaperfectlandinghergrandmotherdecidedLouisedeservedherownplane.SoonshewastheproudownerofaBeechcraftBonanzadubbedTheFlyingElephant.Louiseusedittoyherparentstopoliticaleventsherfathera30-yearcongressmanfromTennesseehadjustbeenmadechairmanoftheRepublicanNationalCommittee.AftermarriageandmotherhoodLouisesimplyputherhusbandintheplanespassengerseatnestledher6-week-olddaughterinaCarnationmilkboxandheadedintothesky.Mywholefamilyhasalwaysbeenveryadventuroussheexplains.In1958LouiseandherhusbandmovedtoWashingtonwheresheraisedfourchildren.ThecouplelovedtotakecruisesandafterhisdeathshecontinuedvacationingatseawithherdaughteralsonamedLouise.ShehasseentheAmazonRussiaEuropeJapantheSuezandPanamaCanalsAustraliatheSouthPacicandotherexoticlocales.LuckilyIdontgetseasickRecuperationfromsurgerybroughtLouisetoGrandOaksin2012.IlikeditsomuchIsoldmycondoanddecidedtostay.Ienjoyhavinggoodconversationsgoodmealsandtheyreallykeepmeentertained.Ilikethemovienightsandtaichiexerciseclasses.IthoughtIdbedoingalotofknittingbutIjustdonthavetimeHerdaughternotesthatLouisestaystoobusytoeventurnonherTV.BeingconnectedtothehospitalgivesmerealpeaceofmindandtheresanurseonstaffhereatGrandOaks.EverysinglepersonhereissoniceandpleasantsaysLouise.Andveryresponsiveaddsherdaughter.Ithinkanyonewouldbehappyhere.IthoroughlyenjoyitGrandOaksistheplacetobe.LouiseandherfatheracongressmanfromTennesseein1948withtheplaneshelovedtopilot.Thelevelofqualityhereistopnotch.Imextremelyhappy.LouiseMarthensGrandOaksresidentTheytakeverygoodcareofmomandtheyregreataboutkeepingfamiliesintheloop.LouiseMarthensdaughterWorldtraVelerlearnmreatwww.granoaksdc.roshegraredpilotslicreezedieservedherproudownerofaBeduatenseaforiht.AsshedahesaicallsGrandOakshomeGrandOaksresidentLoseMarthensinamedLouiseMarthens.anderdaughteraleseachyear.sShlltakestocruiesti CommunityHealtHeduCationCalendarSSu201420CommunityHealtHeduCationCalendarSpringSUmmer2014avssqusssssss.cuswww.S.s.ONHealthSpring2014P.11cpsyWcSuvvsMondays7815p.m.SibleyMemorialHospitalMedicalBuildingConferenceRoom2AmyDaraHochbergteachesweeklymeditativegentleandrestorativeyogausingmindfulmovement.7perclassscholarshipsavailable.Walk-inswelcomewithcashcheckifspacepermits.Registeratwww.Sibley.orgorcall202-243-2320.mmusstsavSsspscdssThursdays78p.m.SibleyMemorialHospitalMedicalBuildingConferenceRoom4Joinothercancersurvivorstolearnaboutandpracticearelaxationtechniquethatfocusesonbreathing.Registeratwww.Sibley.orgorcall202-243-2320.gucnutuWfsTuesdayAugust192330p.m.LyndaMcIntyreR.D.L.D.oncologydieticianspecialistwillleadaguidedsupermarkettourfocusingonfoodsthatarebenecialduringandaftercancertreatment.Registrationrequired.Call202-537-4842formoreinformation.kwspwghWednesdaySeptember10630830p.m.SibleyMemorialHospitalMedicalBuildingConferenceRoom2SpeakerswillincludeMildredR.ChernofskyM.D.MarilynJeromeFoustM.D.andJeffreyY.LinM.D.directorofSibleysCenterforGynecologicOncologyandAdvancedPelvicSurgery.ModeratedbyBruceR.KresselM.D.FormoreinformationcallPamGoetzat202-243-2320orvisitwww.Sibley.orgcancersupport.9aupscSsukwspwnwfuubUtsspscMondaySeptember22Reception630p.m.Presentation7830p.m.SuburbanHospital8600OldGeorgetownRdBethesdaMDGuestspeakerDr.AlanW.PartintheDavidHallMcConnellProfessoranddirectorandurologist-in-chiefattheBradyUrologicalInstituteofJohnsHopkinsUniversity.Registrationisrequiredandspaceislimited.Registeronlineatevents.suburbanhospital.orgorcall301-896-3939.SponsoredbyTheOttensteinCenterforProstateCareatSuburbanHospital.cSugusbscSuSupportservicesforbreastcancerpatientssurvivorsandfamilies.CopingSkillsGroupAfterTreatmentTransitionMensSupportGroupPartneringProgramCall202-537-4277forinformationdatesandtimes.goSuguMeets2ndTuesdayofeachmonth2330p.m.SibleysSullivanBreastCenterConferenceRoomDoesnotmeetinJulyandAugust.InformalmonthlygynecologiconcologysupportgroupdesignedforanyGYNOnccancersurvivor.FacilitatedbyLizCarrino-TamasiM.S.W.FormoreinformationandtoregistercontactLizat202-243-2274.lgfbMeetseveryothermonthonMondays11a.m.1p.m.Forwomanreceivingcancertreatment.Learnhowtolookhealthyandstylish.Call202-537-4277forinformation.mUipsctMondayJune167830p.m.SuburbanHospitalAuditorium8600OldGeorgetownRdBethesdaMDB.J.ReidCzarapataANP-BCCUPNPcertiedurologynursepractitionerUrologyWellnessCenterwilldiscussurinaryincontinenceaftertreatmentforprostatecancer.RegistrationnotrequiredforinformationcallSusanJacobsteinat301-896-6837.S-tcusForindividualcancerpatientsandtheirfamiliesatnocost.Call202-243-2274foranappointment.WtWednesdaysJuly9August13andSeptember1068p.m.SibleyRenaissanceBuildingPatientServicesConferenceRoomThisongoingmonthlysupportgroupforwomenintreatmentforbreastcancerincludeslearningrelaxationtechniquesimageryandcognitivecopingskillstoenhancestressmanagement.ToregisterorformoreinformationcontactMargieStohnerLICSWat202-686-6335oratmstohverizon.net.yuauswcSuguMeets4thTuesdayofeachmonth45p.m.SibleysSullivanBreastCenterConferenceRoomDoesnotmeetinJulyandAugust.Informalgroupdesignedforcancersurvivorsintheir20sor30stoprovideaplacetomeetothersgoingthroughsimilarexperiencesandgainsupportandfriendship.FacilitatedbyLizCarrino-TamasiMSW.FormoreinformationandtoregistercontactLizat202-243-2274. yuWsbscSuCall202-537-4277forinformation.hSs2auiaSrSaturdayJune21doorsopenat1030a.m.frstspeakerstartsat11a.m.SibleyMemorialHospitalMedicalBuildingConferenceRoom2AmyMironCharlesMironandDr.SusanMilsteincertiededucatorswillspeakonthetopicsKeepingPassionAliveinanAgingRelationshipandDatingover50.Costoftheseminaris15includingalightlunchandparkingfeesinthegarage.Registrationisrequired.Call202-364-7602.nuWmdsS-mcssSponsoredbyOutpatientDiabetesEducationProgramForadultswithtype1andtype2diabetes.Costvarieswithinsurance.Call202-537-4145forinformation.fW-lssSuiSsFreeseminarsareofferedonaregularbasis.Call202-370-6565formoreinformationorregisteronlineatwww.Sibley.org.fhSsTuesdays2330p.m.Ascreeningisashortassessmenttoletyouknowiffurtherevaluationisrecommended.Itisnotasubstituteforacomprehensiveevaluation.AhearingscreenerfromWashingtonHearingandSpeechwilladministeranabbreviatedhearingtesttodetermineifyouhaveaproblem.Thisscreeningisnotforpeoplewhoalreadyhavehearingaids.exsfssmvlcadcssDesignedforpersonswithvaryingabilitiesincludingpersonswithmovementdifculties.Nopreviousdanceexperiencenecessary.bitccubawkfksawsstumvgylucmmussQSStSbtbWkutWkcuTuesdaysandThursdaysongoing830930a.m.atMazzaGallerie.Freebloodpressurechecksandfreeparkingarealsoprovided.aquexspsW-WtupCall202-243-5265forprogramavailabilityandfees.IndependentWalkingSessionsSelf-directedwalkorlightexerciseinthepoolBionicsClassPre-andpost-ophipandkneejointreplacementprogramgroupclassrequiresamedicalprescriptionLowIntensityWaterAerobicsBuildsmuscularstrengthandcardiovasculartnesswithwarm-upexercisesstretchingandcool-downHighIntensityWaterAerobicsMorestrenuousactivitywithcardiovascularandmuscularbenetsgexspsCallthetrainerat202-243-2250formoreinformationaboutprivatetrainingandgymprograms.OpenGymSupervisedwithapersonaltrainermonthlyfeePrivateTrainingSessionsByappointmentone-on-onehourlongsessionsMaintenanceProgramByappointmentone-on-one45minutesessionsSugusmcviwazsSuasbvcumdsldsspkssSuosSuSkSuguMeetsthirdWednesdayofeachmonth.1230p.m.MedicalBuildingConferenceRoom5Ifyouorsomeoneyoucareforhashadastrokejoinustolearnandshareexperiences.JasonFreemanM.D.medicaldirectorSibleyStrokeProgramwillleadthediscussion.PleasecontactJenniferKnittigstrokecoordinatoratjknitti1jhmi.eduor202-660-7413withquestions.cpcsssForinformationontimesdateslocationsandfeesgotowww.Sibley.orgorcall202-537-4076.Registrationrequiredforallclasses.Baby-CareSkillsBabyandMeAfreeinformalsharingsessionfornewparentsandtheirbabies.BreastfeedingTheNextTimeAroundArefresherbreastfeedingclass.Comfortbreathingandrelaxationforlaborandbirth.One-NightRefresherCourseAthree-hourclassforfamilieswhohaveexperiencedlaborbirthandparentingandwhomeetotherprerequisites.PreparingforCesareanBirthPreparingtoBreastfeedPreparingforLaborandBirthOne-DayIntensiveorEveningSeriesPreparingforNaturalLaborandBirthSeriesSiblingTourTwoadultsperfamilymayaccompanychildchildren.bsSuguMondaysfrom11a.m.NoonMedicalBuildingConferenceRoom5Freeweeklysupportgroupforbreastfeedingmothersandtheirbabies.Advancesign-upisencouragedbutnotrequired.Formoreinformationcontact202-243-2321orsibleylactationjhmi.edu.CommunityHealtHeduCationCalendarSSu2014P.12SibleyMeMorialHoSPitalCommunityCalendarcontinuedSsSSass.rswww.S.202-364-7602. conStrUctionUpdatenwemdmxsummf2015.themgncDpmneDhNwSwxndndnhncusuccssfuffspvdpn-cndcwhmpvdsvcmndow.NewprocesseswillbeintroducedtoshaveminutesffwmshcnssnhvndSseDPssGnpnssfcnngsnh99hpcn.ounwspcwncudAdedicatedFastTrackforminoremergenciesMoretreatmentroomsexpandingfrom18to27ncudngwsuscnmsACTscannerandX-rayequipmenteliminatingthendsndpnsusdfheDfsudsUpgradedtechnologysopatientsandvisitorscanstayconnectedwithWi-FimobiledevicesandTVSibleysRadiationOncologyCenterjustmadeWashingtonhistoryastherstD.C.hsuleedlsheevmdsGoldlevelcertication.LEEDveriesthatabuildingwasdesignedandbuiltusingstrategiestoachievesustainablesitedevelopmentwatersavingsenergyefciencyhealthyindoorenvironmentalqualityandsafehigh-performingmaterials.The37000square-footbuildingincludesoneofthelargestvegetativeroofsinD.C.afeaturewhichwilllowerenergyuseandreducestormwaterrunoff.Energy-efcientlightingandlow-owplumbingxturesalsohelpcnsvsucs.annncudpvdspvvwsnundskghsngdghnexamareas.Mostconstructionmaterialsweremadeinourregioncontainahighlevelofrecycledcontentandwmunsfhmfuchmcshcnsdnhmsph.Dswsccdhughutheconstructionprocess.InsideandouttoptobottomourGoldcerticationprovesthisnewbuildingisgnfmhgundup.SibleySgreenbUildingearnSgoldtHeDoWNloaDchuu5yutuvsnuSuNusugnsxpnkhughsnsug.bsctmexpsshhsdvncsnscncmn.krmwhssmAnorthopedicsurgeonanesthesiologistpatientndwfdscf-chngngsug.csufhnwSHwhourseniorV.P.ofrealestateandconstructionsayshcmmuncnxpchNwS.ldvSSwhmksdvnguSsuchspcxpnc.54321Wvuvwhsvsm.ONHealthSpring2014P.13Susuyutuhyutu.mSvsWhusuhnwSwm.s. WhetherwomenareseekingaccesstoascreeningmammogramgettingdiagnosticimagingareinthemiddleoftreatmentormakingthetransitiontolifeaftercancerSibleyprovidesseamlesssupporttobreastcancerpatients.WithagenerousgrantfromtheNationalBreastCancerFoundationNBCFSibleyHospitalhasexpandeditsbreastcancernavigationteamtoincludePamGoetzsurvivorshipnavigator.SinceFebruary2013Pamhashelpedbroadenthehospitalsabilitytooffernavigationsupporteducationandadvocacytobreastcancerpatientsatallstagesoftreatment.Pamnavigatesbreastcancersurvivorstondresourcestomanagelateandlongtermeffectslocateservicesthatmayreducetheirriskofrecurrenceandtoaddresspsychosocialissues.Survivorshipnavigationforbreastcancersurvivorsisrarelyprovidedinhealthcare.saysSibleybreastsurgeonanddirectoroftheSullivanBreastCenterColetteM.MagnantM.D.WiththesupportofNBCFPamplaysavitalroleinourpatientsbreastcancerjourneyandhelpsSibleycontinueasaleaderinbreastcancercare.tlphonNumbs202MnNumb537-4000admssons537-4190emgncyDpmn537-4080Foundon537-4257Pninfomon537-4195Physcnrfl1-855-JHM-39391-855-546-3939SblyMmolHospl5255LoughboroRoadN.W.WashingtonD.C.20016www.Sible.orgSubscribeoouryoutubechannelyoutube.comSiblevideosSibleysnavigationteamincludesLtoRbreastnavigatorJennieTaricaR.N.B.S.N.imagingnavigatorPamelaBrooksR.T.R.M.B.D.CBPN-IsurvivorshipnavigatorPamGoetzandimagingnavigatorSharonHarperR.T.R.M.CBPN-I.ThankstothegenerousphilanthropicgiftfromNBCFsurvivorshipnavigationhasimprovedthequalityoflifeofourpatients.IfyouareinterestedinsurvivorshipnavigationservicescontactPamat202-243-2320.TosupportSibleysbreastcancernavigationteamandmakeagiftcontactArleneSnyderat202-537-4257orasnyderjhmi.edu.PHilantHroPyimpvesheSuvvshpJue