new same-day surgery center just for seniors. See page 6. 8 robotics Serving up a new JointS

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1 health today d hhhh holy Cross hospital. Experts in Medicine, Specialists in Caring. fall 2009 Serving up a new same-day surgery center just for seniors. See page new JointS New hips have gotten John euill going again. 8 robotics in the hands of our experts, robots enhance precision.

2 CEo update A MESSAGE from KEvin J. SEXton, PrESidEnt And CEo Building toward the future Holy Cross Hospital is committed to ensuring that health care is conveniently located for everyone in our community, that everyone has access to care, and that there will be enough health care workers in the future to care for an aging population. Statistics tell the story. According to a Montgomery County study, seniors will make up more than 14 percent of the population in 2020, compared with 8.7 percent in Furthermore, the Kevin J. Sexton, outer areas of Montgomery County, especially President and germantown and gaithersburg, are experiencing CEo significant population growth, especially among the elderly population. At the same time, the state of Maryland is facing a shortage of 10,000 nurses as half the nursing workforce nears retirement just when the health care needs of older adults will reach their peak. Holy Cross Hospital is at the forefront of addressing these issues today and tomorrow by enhancing our services at our Silver Spring site, partnering with Montgomery College to help train the next generation of nurses and working to build a new hospital on the college s germantown Campus. in this issue, you ll read about our new Seniors Ambulatory Surgery Center, located within Holy Cross Hospital. Like the Seniors emergency Center, the center, which provides same-day surgery, is totally devoted to the care of patients age 65 and older. Along with such new programs today, our proposal to build a new hospital in germantown on the Montgomery College campus is recognized by Montgomery County voters as a need for tomorrow. Fully two-thirds of those voters want a new hospital in the northern area of the county, according to a recent survey commissioned by Holy Cross Hospital. Additionally, survey respondents placed great importance on educating the next generation of health care workers to care for the growing population. Recognizing this need, Holy Cross Hospital and Montgomery College have made a commitment to double the number of nursing graduates from Montgomery College over the next five years. The college is the recent recipient of a $235,000 grant from the Maryland Hospital Association s Who Will Care? campaign to increase the number of nursing graduates. Holy Cross Hospital not only provided the funding for the grant but also will supplement it with other financial and in-kind assistance. in addition, our proposed new hospital, along with the existing Holy Cross Hospital in Silver Spring, will offer training opportunities for Montgomery College nursing and allied health students. Both today and tomorrow, Holy Cross Hospital stands ready to meet the needs of the communities we serve. to learn more about our plans, visit our website at holy CroSS hospital CArES: As part of its ongoing and expanding relationship with Montgomery College, holy Cross hospital pledged $250,000 to the Who Will Care? campaign, an initiative established by the Maryland hospital Association. Attending the press conference announcing the recipients of grant funding were (from left) Barbara nubile, associate dean, health Sciences, and director, nursing, Montgomery College; Angela Pickwick, instructional dean, health Sciences, Montgomery College; Brad Stewart, Phd, vice president and provost, takoma Park/Silver Spring Campus, Montgomery College; Kevin Sexton, president and CEo, holy Cross hospital; rose Garvin Aquilino, director, Corporate and foundation relations, Montgomery College; Manuel ocasio, vice president, human resources, holy Cross hospital. 2 Holy Cross Health Today

3 new & noteworthy 2009 gala and car raffle to support health centers for people without insurance Mark your calendar and plan to join us for the 2009 Holy Cross Hospital gala on Saturday, Sept. 26, at 6 p.m. at the Omni Shoreham Hotel in Washington, D.C. Proceeds from the event will benefit the Holy Cross Hospital health centers in Silver Spring and gaithersburg, which also are supported by Montgomery County government. Suburban Hospital provides additional support to the center in gaithersburg. These centers provide primary care to uninsured adults at a nominal fee. The evening includes dinner, dancing, silent and live auctions, and a car raffle for a Lexus Rx450h Hybrid. Tickets are $100 each. to reserve a seat or for car raffle tickets, call the holy Cross hospital foundation at , foundation@holycrosshealth.org or visit MAKinG A difference: We can prevent future health problems by providing primary health care today, says Elise C. riley, Md, medical director, holy Cross hospital health Center, Silver Spring. our outpatient settings serve people who may not otherwise have access to care. holy Cross hospital recognized for workplace excellence and visionary leadership Holy Cross Hospital again has won the Workplace excellence Award from the Alliance for Workplace excellence. We are the only hospital in the Washington, D.C., metropolitan area to win this award for 10 consecutive years. The Alliance supports companies in the Washington, D.C., area in their efforts to become excellent places to work. Holy Cross Hospital also received the Health and Wellness Trailblazer Award for the second year in a row. This award recognizes the hospital for supporting a healthy work environment. And, for the first time, we received the ecoleadership Award for demonstrating visionary leadership and an outstanding commitment to an environmentally sustainable workplace and efficient use of resources. looking for a career in health care? Check out the opportunities at holy Cross hospital. visit us at 3

4 Going strong After two successful hip replacement surgeries, John Euill s only regret is that he didn t have them sooner 4 Holy Cross Health Today

5 John Euill has rubbed elbows with distinguished people from all over the world. The retired U.S. Capitol police officer says, During my 34 years of service, I saw many impressive dignitaries, including the third president of Egypt, Anwar Sadat, and former president of South Africa Nelson Mandela. I also witnessed many frightening events, including riots, protests and bombings. While John has always faced the challenges of being a police officer with courage and fortitude, the idea of hip replacement surgery left him feeling a little uneasy. My sister-in-law had a rough time after having her hip replacement surgery seven years ago, and I chickened out the first time around, the 65-year-old says jokingly. I had never had any type of operation or any broken bones, and I was scared. It was during a trip to South Africa when John realized he could no longer put off the surgery. There was a lot of walking, and I barely made it through the trip, he says. My hip was basically bone rubbing on bone. In talking with his Kaiser-Permanente physician, Murali Balakrishnan, MD, orthopedic surgeon, John learned his surgery would be much different than his sister-in-law s. Because of advanced surgical technology, his surgery would be less invasive meaning a smaller incision with less blood loss and a faster recovery. In May 2008, John had a total right hip replacement. He was discharged after only three days and proudly reports, By mid-june, I was on my own. John s first hip replacement went so well that when his left hip started giving him problems a few months later, he didn t hesitate to have it replaced too. John had two surgeries in 10 months and is going about his business like nothing ever happened. Awilda euill, John euill s wife and recovery coach That surgery was in January 2009, and I ve had no problems since then, he says. If I had known hip replacement surgery was going to be this easy, I would have done it sooner. EXPEriEnCE CountS The Joint Center at Holy Cross Hospital features a specially trained, multidisciplinary team of physicians, nurses and therapists. Physicians at Holy Cross Hospital perform thousands of orthopedic procedures each year, including hundreds of joint replacement surgeries, says Antoni B. Goral, MD, medical director, Joint Center. The center s specialized program offers a continuum of care and support throughout the joint replacement process. Everything I needed was right there and set up just the way you d want it, John says. The physicians, nurses and physical therapists were very professional in their work and very accommodating. A CoACh S EnCourAGEMEnt Patients at the Joint Center are part of an intensive program built upon a series of milestones and achievement dates Preparing for joint replacement specific to each patient. From day one, patients are encouraged to facilitate their own healing by walking and moving about. In fact, patients are required to select a family member or friend who will act as a personal coach. The coaching system helps to ensure that patients are doing their exercises regularly, both in the hospital and at home. John s coach was his wife of 23 years, Awilda. I made sure he did all the exercises he was supposed to do and sometimes more, Awilda says. But I also made sure he didn t overdo it. After each surgery, a physical therapist from Holy Cross Home Care visited John twice a week for four weeks at his home. Awilda is thrilled with John s progress but also a little perplexed. I m still scratching my head, she says. John had two surgeries in 10 months and is going about his business like nothing ever happened. to find a holy Cross hospital physician specializing in orthopedics, call or visit To help patients know what to expect before, during and after surgery, Holy Cross Hospital offers a special two-hour educational session every other week. in addition to receiving practical information, patients tour the facility and meet some of the staff members who may be involved in their post-surgical care. Patients are encouraged to bring a family member, friend or other designated recovery coach to the session. To learn about the Joint Center or for more information about the educational session, call or visit 5

6 Seniors Ambulatory Surgery Center Taking surgical care to a new level Holy Cross Hospital has opened our unique and innovative Seniors Ambulatory Surgery Center for patients 65 and older who are having outpatient procedures or surgeries. Similar to our Seniors Emergency Center which opened in fall 2008 as the first of its kind in the nation our new Seniors Ambulatory Surgery Center provides care tailored to the specific needs of seniors. Our goal is to provide expert care while reducing anxiety and confusion in our patients. We achieve this by the attentive way our staff talks and listens; with the quiet, private atmosphere we provide; and by how closely we involve family and caregivers. We will continue to be a leader in caring for older adults, especially as more surgeries become outpatient procedures due to technological advances, says Judith Rogers, PhD, MSN, RN, chief nurse executive and vice president of Patient Care Services. Before, during and after surgery, We take time to talk to and listen to our patients, we offer them a quiet private atmosphere, and we welcome involvement from family and caregivers in the treatment process. Katharin Allard, RN, BSN, MSN, CNOR, perioperative clinical educator, Surgical Services we do things differently at Holy Cross Hospital. Read on to learn what puts our ambulatory surgery program above the rest. Before Surgery: Personal Attention to Get You Ready Our entire presurgical process for ambulatory surgery patients is now faster, easier and less confusing. Our new registration method gathers important information about patients and their upcoming procedures. To simplify the process further, patients or one of their loved ones can even register online. A few days before surgery, a phone call from a Holy Cross Hospital nurse will cover the details surrounding a patient s ambulatory surgery hospital visit, including the patient s existing 6 Holy Cross Health Today

7 health conditions, medications, spiritual needs, and how he or she will return home. The nurse also will use this time to determine the patient s awareness level and ability to care for him or herself upon leaving the hospital. If necessary, the nurse will review various follow-up services available at home or in the community through Holy Cross Hospital. during SurGEry: CArE that GivES you PEACE of Mind Operating room nurses at Holy Cross Hospital are trained to be advocates for senior patients. Nurses watch for correct positioning of the patient s body to protect fragile joints and bones, take special precautions to safeguard delicate skin, and use gel pads to properly protect and align the patient s body during the surgery. As we age we may experience a slower metabolism, become more sensitive to drug dosing, have multiple health issues and take a greater number of medications, says Welby Wu, MD, chair, Anesthesiology. All of these factors are accounted for during surgery. As changes occur in a patient s reaction to anesthesia, we respond with modifications of the anesthetic to ensure safety and comfort. We heard older patients say they felt rushed after surgery. We listened. And, as a result, we created the Seniors Ambulatory Surgery Center, where patients 65 and above are given extra time to more fully recover from surgery. Bonnie Mahon, RN, BSN, MSM, senior director, Office of Seniors and Medical/Surgical Services If the unexpected happens, our experienced team members are equipped with all of the amenities of a full-service hospital. With state-of-the-art equipment and experienced clinicians, Holy Cross Hospital offers peace of mind to our patients. AftEr SurGEry: EXtrA time to recover Patients 65 and older tend to recover more slowly, so we give them extra time to recuperate in a peaceful environment. Here they can regain their strength and confidence and make a seamless return to their home or other care setting. We heard older patients say they felt rushed after surgery, says Bonnie Mahon, RN, BSN, MSM, senior director, Office of Seniors and Medical/Surgical Services. We listened. And, as a result, we created the Seniors Ambulatory Surgery Center, where patients 65 and above are given extra time to more fully recover from surgery. The center features six bays containing recliners and stretchers with upgraded mattresses; soft lighting; noiseabsorbing materials; an inviting color scheme; nonglare, slip-proof floors; and convenient grab bars to prevent falls. Once patients leave the center, the personal attention doesn t end. As part of a continuum of care, all patients receive a follow-up phone call from a nurse to make sure each patient s needs are being met. Getting ready for surgery? read our Guide to Preparing for Surgery at surgeryguide. 7

8 transforming robots are revolutionizing surgical technique and speeding livespatient recovery PAin-frEE: for several years i experienced severe lower back pain that would come and go, says Adonye Chamberlain, of Silver Spring. Eddie E. Michli, Md, found a ureteropelvic junction obstruction and used robotic surgery to remove the kidney impediment. Adonye is now pain-free and enjoys spending time with 3-year-old ibi. 8 Holy Cross Health Today

9 The robotic surgery team at Holy Cross Hospital is using the state-of-the-art da Vinci Surgical System to perform minimally invasive procedures to treat gynecologic, gynecologic oncology and urologic conditions. Robotic surgery uses small instruments and a camera in much the same way as traditional minimally invasive surgery except that instead of the surgeon holding the instruments, a robot does. The robot uses the instruments to cut and sew just as a human surgeon would but with greater precision. This incredible treatment option is available to more patients than ever before and demonstrates Holy Cross Hospital s commitment to excellence and high-quality health care, says Blair Eig, MD, senior vice president and chief medical officer, Medical Affairs. Using the da Vinci system, the surgeon remains in complete control of the procedure without ever touching the patient s body. The robot seamlessly translates the surgeon s hand, wrist and finger movements into precise real-time movements of surgical instruments inside the patient. Robotic surgeons at Holy Cross Hospital use the da Vinci system to perform a wide variety of gynecologic procedures, such as hysterectomy and fibroid and ovarian cyst removal, and to treat urologic conditions of the prostate gland and kidneys. Here s a look at what our advanced surgical team has to say about the benefits of robotic surgery. Q: Why is it BEttEr? A: The precision, dexterity and 3-D image with magnification is what makes robotic surgery better than traditional minimally invasive surgery, says Randolph D. Lizardo, MD, OB/GYN. Q: is recovery faster? A: Research shows robotic surgery reduces pain and trauma to the body, allowing people to recover more quickly and return to their normal activities faster than with traditional surgery, says Eric M. Ashkin, MD, OB/GYN. Patients can often be out of the hospital the very same day. Q: ArE the results BEttEr? A: The robot s ability to filter out routine hand tremors and scale down movements when tinier cuts are needed means more precision and optimal results, says James F. Barter, MD, medical coordinator, Gynecologic Oncology Research. Q: WhErE ArE SurGEonS trained? A: The GATE Institute at Holy Cross Hospital is a teaching center for minimally invasive gynecologic surgery, says Albert J. Steren, MD, medical director, Gynecologic Oncology, and director of the GATE Institute. Surgeons from around the country come into our operating room to watch our team do robotic procedures. learn more about robotic surgery at the PEoPlE BEhind the MAChinE: the robotics team consists of (from left) Eric M. Ashkin, Md, ob/gyn; Albert J. Steren, Md, medical director, Gynecologic oncology; randolph d. lizardo, Md, ob/gyn; Ann B. Burke, Md, medical director, obstetrics and Gynecology; and Eddie E. Michli, Md, urologist. not pictured is James f. Barter, Md, medical coordinator, Gynecologic oncology research. 9

10 A GrEAt WAy to heal Peggy spent four days at Holy Cross Hospital and four weeks at the Sanctuary at Holy Cross a Trinity Health rehabilitation and nursing center affiliated with Holy Cross Hospital. She then completed eight weeks of physical therapy at home. The physical therapist provided top- there s no place like home for health care House calls are alive and well, and they are making a big difference in people s lives. It s a wonderful service, says 78- year-old Peggy Isaacs, of Silver Spring. I don t know how else I would have gotten physical therapy. When Peggy broke her right ankle in several places, she was unable to drive. A physical therapist came to my home twice a week for 45 minutes, she says. I couldn t have been happier with my progress. While Peggy was using home care for physical therapy, you may be interested in home-based care if you or a loved one is a senior, a new or expectant mother, recovering from surgery, or in need of long-term care for a chronic illness. Registered nurses, licensed practical nurses, home health aides, social workers, physical therapists, occupational therapists and speech therapists can assess and treat your illness at home under the direction of your physician. We have been providing caring and compassionate home health services for more than 40 years, says Margaret Hadley, RN, director, Holy Cross Home Care and Hospice. CArE you CAn trust Peggy s injury occurred in March when she slipped on the snow in her backyard while getting firewood. She was rushed to Holy Cross Hospital, where Clifford Hinkes, MD, orthopedic surgeon, repaired her fractured fibula and tibia. The severity of the fracture required surgical repair using metal plates and 10 Holy Cross Health Today BACK on her feet: Peggy isaacs recovery from a broken right ankle included extensive physical therapy. twice a week i worked with a physical therapist in my home, she says. on the other five days, i did exercises on my own. to speak to a holy Cross home Care aide, call screws, he says. While it will take Ms. Isaacs several months to recover, her long-term prognosis is very good. of-the-line care, Peggy says. Holy Cross Home Care is available to any person who cannot get to a doctor s office and needs ongoing care. The staff also can provide laboratory services, administer special treatments, help with daily living needs and assist with obtaining special medical equipment. Home health aides are available through Holy Cross Private Home Services to provide personal-care services to patients in the comfort of their homes. to speak to a holy Cross home Care aide, call to learn more about holy Cross Private home Services, call

11 Senior Source To register, call , visit or complete the form on page 13. All classes are located at Holy Cross Hospital Senior Source, 8580 Second Ave., in Silver Spring, unless otherwise noted. Special Event Flu Shot And Immunization Clinic Saturday, Oct a.m. to noon Free with Medicare card; without Medicare card: $10 for flu vaccine (if available), $20 for pneumonia vaccine Holy Cross Hospital staff will be on hand to provide flu and pneumonia vaccinations free of charge for Medicare members. Vaccinations are available by appointment only. Please be prepared to provide your Medicare number at registration. Free screenings Osteoporosis Tuesdays, Sept. 22, Nov to 3 p.m. Free A free bone scan and evaluation will help determine your risk. Please note that this test is a screening and is not for the purpose of diagnosis. Space is limited. Chronic Disease Management COPING: A JOURNEY TO LIVING WELL Fridays, Oct. 2-Nov a.m. to noon Free A self-management workshop for anyone living with a long-term health condition. Family members, friends and caregivers are welcome. Diabetes Education program Thursdays Sept. 17, 24, Oct. 1, 8 Oct. 22, 29, Nov. 5, 12 Nov. 19, Dec. 3, 10, 17 9:30 a.m. to 12:30 p.m. Receive education on a full range of lifestyle and clinical issues related to diabetes. The program is staffed by a certified diabetes nurse educator, a registered dietitian, and a board-certified endocrinologist experienced in the care and treatment of diabetes. Medicare covers diabetes education. Pre-DIABETES PREVENTION PROGRAM Wednesdays, Oct. 7-Dec a.m. to 1 p.m. A free opportunity to have nutritional guidance, exercise, classes and ongoing support to help prevent or delay diabetes. If you have pre-diabetes or have higher-than-normal blood sugars, you may qualify to attend. Call , option 3. Active aging week 2oo9 Choose an Active Life Free Sept The Holy Cross Hospital Senior Source, in partnership with the International Council on Active Aging, recognizes Active Aging Week in a weeklong celebration filled with health education, fun and fitness. Register for one, or all, of the following events and activities: Active Aging Week Kick-Off: Group Fitness Stroll/Walk Monday, Sept :30 to 11:30 a.m. Jazz Dance Demonstration Tuesday, Sept to 2 p.m. Better Bones Exercise Demonstration Tuesday, Sept. 22, and Thursday, Sept. 24 2:30 to 3:30 p.m. Zumba Gold Fitness Demonstration Wednesday, Sept. 23 3:15 to 4 p.m. Yoga Demonstration Thursday, Sept :30 a.m. to 12:30 p.m. 11

12 Holy Cross Hospital Senior Source, in partnership with the Housing Opportunities Commission of Montgomery County, Md.; the Maryland Department of Aging; and the Montgomery County Department of Health and Human Services, offers health education and wellness classes, health screenings, and intellectually stimulating programs and events for people 55 and older. Our programs are developed to meet the physical, emotional, mental and spiritual needs of seniors. Free Part I: Falls When, Why and Where Monday, Sept. 14, 10 a.m. to 2 p.m. Learn why seniors are at risk for falls and ways to prevent them. Then, have your risk for falls assessed. This assessment covers gait and balance using the state-of-the-art Biodex Balance System. A hearing assessment also is offered. Part II: Fall-Proofing Your Home Wednesday, Sept. 16, 10 a.m. to noon Learn about measures you can take to reduce your risk of falling. Part III: Better Balance Exercise Class Mondays and Wednesdays, Sept. 21-Nov :45 a.m. to 12:45 p.m. Instructor: Judy Cooper This program uses resistance training and balance-specific exercises that increase muscle strength and improve balance. The program also helps increase the ability to prevent and manage falls. Prerequisite: participation in parts I and II of the Falls Prevention Program. 12 Holy Cross Health Today Falls Prevention Program Free Heart Success: A Workshop for Heart Failure Prevention and Recovery Wednesdays, Sept. 30, Oct. 21, Nov. 11, Dec a.m. to 2 p.m. Learn about the early signs and symptoms of heart failure, heart-healthy nutrition, and medication and weight management. Have your medication reviewed and your blood pressure checked. Enjoy a heart-healthy lunch with a cooking demonstration. Lectures and Seminars Memory Academy Holy Cross Hospital Senior Source, 8580 Second Ave., Silver Spring Thursdays, Oct a.m. to noon Tuesdays, Nov. 10- Dec a.m. to noon Holy Cross Hospital Resource Center, 9805 Dameron Drive, Silver Spring Mondays, Sept. 14-Oct a.m. to noon Long Branch Senior Center, 8700 Piney Branch Road, Silver Spring Fridays, Oct :30 a.m. to 12:30 p.m. $15 This five-week memory training course teaches practical techniques for enhancing memory ability. It is designed for people with age-related memory concerns and is not intended for people with Alzheimer s disease. Nixing Nicotine: Smoking Cessation for Seniors Wednesdays, Sept. 16-Oct to 11:30 a.m. Free; includes quit-smoking aids Learn to stay tobacco-free with a personalized treatment plan. NEW Wellness One-Stop Tuesdays, Oct. 6-Nov to 10 a.m. $40 per eight-week session Learn about nutrition, exercise and behavior modification. Each class includes 30 minutes of movement. Free Relax and Release: Breathing techniques for stress management Thursday, Sept :30 a.m. to 12:30 p.m. Instructor: Jessica Weiss Learn how focused breathing techniques can reduce stress and improve your health. Holistic Living NEW Series Part I: Holistic Lifestyle: An Overview Tuesday, Oct. 6 Part II: Holistic Eating and Cooking Tuesday, Nov. 3 Part III: Holistic Approaches to Managing Chronic Conditions Tuesday, Dec. 1 11:30 a.m. to 1 p.m. $15 for series Instructor: Cindy Klein Mann, Holistic Health Coordinator What exactly does it mean to live holistically? In this threepart series, you will learn the basics of living a holistic lifestyle and discover how small changes can yield big results in your overall health. Spine and Free Joint Health Lecture series Tuesday, Nov. 3 Minimally Invasive Procedures of the Spine

13 Noon to 1:30 p.m. Philip L. Schneider, MD, medical director, Spine Center, will share how technology and science work together to improve spinal surgery techniques. Thursday, Nov. 5 Spinal Stenosis 12:30 to 2 p.m. Amin Amini, MD, medical director, Neurosurgery, will discuss the symptoms, causes and treatment of this degenerative condition of the spine. Friday, Nov. 6 Joint Health 9:30 to 11 a.m. Antoni B. Goral, MD, medical director, Joint Center, will share the latest information about joint health, treatments and surgical options. Art appreciation & creative arts The World of Art Mondays Oct. 26 Mary Cassat: Family and Friends Nov. 30 Norman Rockwell: From The Saturday Evening Post to the Four Freedoms Dec. 21 Degas in New Orleans: An Impressionist in America 1:30 to 3 p.m. $15 for the series Discover the world of art with Joan Hart, of Museum One Inc. Light refreshments provided. Register today! You also may register for classes by credit card at or by calling Please mail this form with payment (no cash, please) to: Holy Cross Hospital Senior Source 8580 Second Ave. Silver Spring, MD Name Date of birth Address Apt. No. City/State/ZIP Telephone (Daytime) (Evening) (Optional) Payment method (circle one): Visa MasterCard American Express Discover Money order Check (to Holy Cross Hospital) Card number Exp. date Signature Contemporary Issues for Seniors AARP Driver Safety Program Mondays, Sept. 21, Oct. 19 Wednesdays, Nov. 18, Dec a.m. to 2 p.m. $12 for AARP members; $14 for nonmembers Drivers age 50 or older sharpen their driving skills and develop new defensive driving techniques. Free Contemporary Issues Discussion Group Wednesdays, Sept. 23, Oct. 14, 28, Nov. 11, 18, Dec. 9 1:30 to 3:30 p.m. Facilitator: Arlen Blechman Join this dynamic group, where participants exchange ideas in lively discussions on a variety of topical issues. Free Investing Outlook and Opportunities Tuesday, Oct a.m. to noon This educational program is geared toward people who have diverse experience in investing and gives a balanced perspective of the economy today. Program date Fee! Holy Cross Hospital reserves the right to cancel classes due to insufficient enrollment. In inclement weather, call for class cancellations. Refund policy If you cancel within 72 hours of the first class, you will be given a refund minus a 10 percent processing fee. A full refund will be given for medical reasons with a physician s note. A full refund will be given if the class is cancelled due to insufficient enrollment. A full refund will be given if the class is full at the time your registration is received. 13

14 Use these symbols to find a class for your fitness level. = easy = moderate = challenging Free Preparing Your Estate Plan Tuesday, Dec a.m. to noon Class difficulty levels Designed to help people better understand the basics of estate planning so they can choose the options that make the most sense for their specific situations. An estate planning attorney will be available at the seminar to address specific questions. MOVEMENT AND BODYWORK CLASSES Belly Dancing Fridays, Oct. 2-Nov. 20 $36 10:30 to 11:30 a.m. Instructor: Laurel Victoria Gray Learn basic techniques and positions. No prior experience necessary. BETTER BONES For seniors 55 and older, this free program focuses on maintaining bone density while improving strength, flexibility and balance. Some exercises are done seated. 14 Holy Cross Health Today Gentle Yoga Mondays Session I: Oct. 5-Nov. 2 $22.50 Session II: Nov. 16-Dec. 21 $27 10:30 to 11:30 a.m. This class combines warmups, gentle and restorative postures, breathing, and relaxation to reduce stress and increase movement. Ideal for people experiencing illness, injury or chronic pain. Jazz Dance Tuesdays Session I: Sept. 22-Oct. 27 (Free demo Sept. 22!) $22.50 Session II: Nov. 10-Dec. 15 $27 1 to 2 p.m. Instructor: Tyrone Murray Smooth jazz warm-ups and simple jazz dance steps and routines set to a variety of music and styles. Karl s Fitness Class for Seniors Tuesdays and Thursdays Session I: Sept. 15-Oct. 22 $54 Session II: Nov. 3-Dec. 17 (no class Nov. 26) $ to 6:45 p.m. Instructor: Karl Haddad Come to this fitness class to receive a total workout. Perfect for working older adults. Mat Pilates Tuesdays Session I: Sept. 15-Oct. 20 Session II: Nov. 10-Dec. 15 $27 11:30 a.m. to 12:30 p.m. Instructor: Jessica Weiss Strengthen, tone and lengthen your core muscles to balance the strength of your abdominal and back muscles while improving posture and flexibility. PACE: People with Arthritis Can Exercise Mondays and Wednesdays Session I: Sept. 16-Oct. 28 Session II: Nov t0 2 p.m. Free Instructor: Judy Cooper Using safe and simple exercises designed by the Arthritis Foundation, this program will help you increase your level of endurance, boost your energy and improve your range of motion. Parkinson s Exercise Class Mondays and Wednesdays Session I: Sept. 14-Oct. 28 $63 Session II: Nov. 9-Dec. 16 $54 10:30 to 11:15 a.m. Instructor: Judy Cooper For people who have been diagnosed with Parkinson s disease, this class is designed to increase range of motion, enhance conditioning and endurance, and strengthen muscles. Senior fit This free, 45-minute, multicomponent exercise program is for people 55 and older. Ongoing classes are offered at 19 locations. Tai Chi Fridays, Sept. 25- Dec. 18 (no class Nov. 27) 11:45 a.m. to 12:45 p.m., basic 1 to 2 p.m., continuing $54 Instructor: C. K. Chen Learn basic postures, principal health benefits and methods of meditation. Tai Chi is an integrated system of health, self-defense and meditation. Tai Chi Club Friday, Sept :45 a.m. to 12:45 p.m. Free Instructor: C. K. Chen Receive a taste of the Tai Chi experience. This special class will allow you to brush up on your current skills or introduce Tai Chi to those new to the art. Yoga Thursdays Session I: Sept. 24-Oct. 22 (Free demo on Sept. 24!) $18 Session II: Nov. 12-Dec. 17 (no class Nov. 26) $ :30 a.m. to 12:30 p.m. This class comprises postures, breathing exercises and meditation that stretch, tone and strengthen muscles and joints. Zumba Gold fitness Wednesdays Session I: Sept. 23-Oct. 28 (FREE demo Sept. 23!) Session II: Nov. 11-Dec. 16 (no class Nov. 25) 3:15 to 4 p.m. $22.50 Instructor: Inger Hogan Inspired by Latin dance, Zumba combines Latin rhythms with cardiovascular exercise to create a fun, easy-to-follow, aerobic workout. For more information or to register, call (unless otherwise noted) or go to health.org.

15 Programs for caregivers All programs are at the Holy Cross Hospital Resource Center, 9805 Dameron Drive, Silver Spring. Registration is required; call Care in the home Thursday, Sept. 24, 2:30 to 4 p.m. Kathy Pavan, RN, manager, Holy Cross Private Home Services, will talk about people who, because of illness or aging, need help in their homes to remain as independent as possible while achieving a maximum level of wellness. Understanding Alzheimer s Thursday, Jan. 7, 2010, 2:30 to 4 p.m. The video The Family Guide to Alzheimer s Disease: Understanding Alzheimer s will be followed by a facilitated discussion. Medicare and Medicaid 2010 Monday, Nov. 16, 2:30 to 4 p.m. With a representative from the State Health Insurance Assistance Program. Proper Body Mechanics and Transferring Skills Thursday, Dec. 3, 2:30 to 4 p.m. With a representative from Bright Star Health Care. Seniors and Medication Thursday, Sept. 10, 2:30 to 4 p.m. Heightening awareness with a representative of the Aynsley Group, LTD. Shingles Awareness Thursday, Sept. 17, 2:30 to 4 p.m. A presentation from the National Council on Aging. Validating Your Loved Ones Thursday, Oct. 29, 2:30 to 4 p.m. A representative from House Calls, LLC, will teach caregivers how to use reflective techniques for guidance, emotional support and resources to validate the people for whom they are caring. support groups To learn more or to register, call the numbers listed below. Free For a full listing of support groups that meet at Holy Cross Hospital, visit adult caregiver support groups For more information, call Sister Kathy Weber at Adult diabetes support group living With diabetes For more information, call Linda Henderson, RN, at Bariatric Program online support group For more information, visit Bereavement support groups For more information, call Franca Posner, MSW, at Breast Cancer Support Group For more information, call Jackie Diehl at Caregivers of Cancer patients For more information, call Patricia Malik at HEMATOLOGY SUPPORT GROUP For more information, call the Leukemia & Lymphoma Society at Living With Diabetes Adult Support Group For more information, call Linda Henderson at Look Good Feel Better For more information, call Jackie Diehl at Neonatal Intensive Care Unit (NICU) Support Group For more information, call Kathleen Velte-Lee at Nixing Nicotine: Staying Quit Support Groups For more information, call Ryan Coffman at OVARIAN and GYNECOLOGICAL CANCER SUPPORT GROUP For more information, call Jackie Diehl at Parkinson s Disease Caregiver Support Group For more information, call Mary Bulla Sanchez at Perinatal Loss Support Group For more information, call the Spiritual Care department at Stroke Support Group For more information about the Montgomery County Stroke Association support group, call Surgical weight loss post-op support group For more information, call THYCA: Thyroid Cancer Support Group For more information, call

16 health HOLY CROSS today HOLY CROSS HOSPiTAL 1500 Forest glen Road Silver Spring, MD Nonprofit Org. u.s. Postage PAid Lebanon, OH Permit No. 158 HOLY CROSS HeALTH is published for friends and patients of HOLY CROSS HOSPiTAL, 1500 Forest glen Road, Silver Spring, MD To be added or removed from this mailing list or if you have comments about this publication, please call HOLY CROSS HeALTH is not meant to replace professional medical advice or service. Personal health problems should be brought to the attention of the appropriate health professionals. 2 Kevin J. Sexton President and CeO Wendy friar vice President, Community Health diane Meyers vice President, Communications and Marketing Elizabeth dooley Director, Marketing nancy Graham editor Where to find us Copyright 2009 Holy Cross Hospital and Coffey Communications, inc. CuM23917h tty We re home to the nation s first Seniors Emergency Center Holy Cross Hospital is the first hospital in the nation to open an emergency room specifically tailored to serve patients 65 and older. The Seniors emergency Center was designed to provide expert care in an environment that reduces anxiety and confusion. it is located within the emergency Center at Holy Cross Hospital. Our expert care team is specially trained to provide senior-focused emergency care. The team assesses each patient s physical, cognitive and functional status and applies the appropriate level of care. Some unique upgrades in our Seniors emergency Center include hand rails, special flooring that reflects light in a way that makes missteps less likely, thicker mattresses, a blanket warmer, noise abatement features and more. With your health and safety in mind, Holy Cross Hospital has created Just in Case Medical information Cards to save valuable time during an emergency. The cards offer a convenient place to store accurate health information. to order your cards, go to justincase or call