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2 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
FEATURES 05 Editor’s Letter 07 Families Living Face-to-Face 08 Three Apps For Having Fun While Brushing 08 Turn down the Juice 09 Parker Place Is Not Your Average Doctor’s Office 10 April is National Autism Awareness Month 11 Feel Beautiful: Microdermabrasion 12 Team Autism, Team Isiah 13 Where to Turn for Child and Adolescent Mental Health Care 14 Dining out When Your Family Has Food Allergies 25 Essential Oil Safety 26 Viral Challenges Crazes 32 Getting to know your Family Health History
DIRECTORIES 17 Health Care Directory 29 Health support groups and rescources
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A
t every stage of your children’s life, you’ll inevitably encounter health problems that keep you up at night—whether they’re simple worries like your toddler’s toothbrushing habits (or lack thereof), or more
deep seated troubles like wondering whether your teenager is in need of mental health care. No matter what your child’s age, the worries will be there. The good news is most of the time there’s an answer out there. While we can’t solve every problem, in this year’s Big Book of Health, we do strive to assuage some of your middle-of-the-night fears with articles covering Autism awareness (page 10), family allergies and troubles dining out (page 16), the latest on kids and juice boxes (page 8), and teen topics like how to start getting your teen mental health treatment (page 14), and when to worry about the next viral challenge craze out there (and whether the challenge is as big a problem as you worry it is; page 26). We even touch on a few adult health issues like the use of essential oils in your home (page 25), what microderm abrasion can do for your complexion (page 11), and, most importantly, an article about the importance of learning your family’s health history (page 32). It can be a game changer knowing what your mothers, fathers and grandparents have contributed to your
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genetics, and how their health problems may contribute to detecting any you might have in store. Whatever is ailing your family, or keeping you up at night, we hope you find
Twitter.com/ChesFamily
answers or ideas for keeping your family healthy in this year’s Big Book of Health. Don’t forget to look for providers on page 17, and if you need handholding along the way, the support group directory on page 28.
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Stay Healthy,
Instagram.com/ Chesapeake_Family Ann Levelle
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 5
Fighting tooth decay, one smile at a time...
When Your Child is Hurting...
so are you.
Marla Kush Prokop, DMD PA 621 Ridgely Ave., Suite 202 Annapolis, MD ToothFairySmiles.com · 410.897.1931
Our new Child & Adolescent Team is here to help with diagnostic assessment and treatment for ages 5 and above.
OASIS: The Center for Mental Health
D. James Kalliongis, MD Samantha E. Hoffman, CPNP Jaime A. Schell, CPNP 165 Log Canoe Circle, Suite E Stevensville 410-643-1000 BayAreaPediatrics.net
175 Admiral Cochrane Drive Suite 110, Annapolis, MD
410.571.0888 www.oasismentalhealth.net
Better Wait Times Close to Home
Emergency Care
University of Maryland Bowie Health Center Our emergency care team includes emergency doctors, nurses, and a team of specialists who work with other providers throughout University of Maryland Capital Region Health to deliver complete care to our patients. We know you can’t always plan for the unexpected. But when you need us, we’ll be here. For more information, please visit www.umcapitalregion.org
6 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
O
Families Living Face-to-Face
ur daily lives are now so entwined with digital media that for many people communication via computer or cell phone has become more commonplace than face-to-face conversation. And it’s not limited to adults. According to a 2016 article by the American Academy of Pediatrics, 75 percent of teenagers have a smartphone and 25 percent of teens describe themselves as “constantly connected” to the internet. Digital technology has provided many obvious benefits for families. However, with the good comes some bad. The American Academy of Pediatrics states that overuse of digital media can lead to problems such as obesity, risky behaviors, cyber bullying, sleep issues, and when kids spend most of their free time online, they may show less interest in offline or “real-life” relationships.
If you are looking for ways to make sure your family facetime at the dinner table is not via Skype or want to connect with your teen without needing Wi-Fi or data, there are lots of apps out there to help. Moment Family (inthemoment.io) is an iOS app that tracks the amount of time each member in your family is spending on his or her device. OurPact allows parents to block access to certain apps or set daily screen time limits on iPhones. Parents can also preset times that their kids are allowed to use social media apps. The Freedom app (freedom.to) helps you to manage your child’s access to certain websites and apps across their desktops, laptops, tablets and smartphones. Many service providers also offer parental controls. Verizon Wireless Family Safeguards and Controls gives parents the option of
limiting texting to certain hours, blocking apps and setting content filters, whether on Wi-Fi or data. Comcast recently launched Xfinity xFi, allowing parents to personalize, monitor, and control their home Wi-Fi, including the ability to instantly pause Wi-Fi connectivity by user or device. Comcast said in a press release that the “pause device” feature is now the most popular xFi function, with users tapping “pause” about five million times since launch, most often between the hours of 6 and 9 p.m. For guidance about how to set up limits, the American Academy of Pediatrics offers an online resource to create your own Family Media Use Plan at healthychildren.org, helping parents set up screen-free times, such as dinner and bedtime, device curfews and screen-free zones. —Joyce Heid
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 7
Three Apps For Having Fun While Brushing
F
ebruary is National Children’s Dental Health Month (must be ’cause of all the candy) and to honor it, here are three apps to help your kids keep those pearly whites pearly. More good dental health practices for kids of all ages are available at ada.org.
Brush DJ
Brusheez
Chomper Chums
This app is simple, free of gimmicks and in-App purchases, and actually fun. It works because sometimes getting the kids to brush requires a dance party and this app brings the beats. You can play free music from the app, as well as tunes stored on your phone, your Spotify account, or Apple music. The Brush DJ will play a piece of the song or a playlist for two minutes (the recommended time you need to get your teeth properly clean). It also gives helpful reminders to clean all surfaces, and age-specific tips for brushing teeth.
First, pick a cute monster avatar (in-app purchases required for 3 of 5 characters. Though it is a small amount and going to an independent developer), as well as its hair, pajama and toothbrush colors. Pick the amount of teeth your monster has (you can deselect ones that say, your six-year-old might be missing), then set your timer and a cute little clock with barbershop singers sings a song while your monster brushes along, showing your little ones which teeth they should be brushing along the way.
Pick your avatar, either a cartoon crocodile, lion or horse, then get to brushing. As your child brushes, an on-screen toothbrush scrubs the four basic quadrants of your avatar’s mouth, so your child follows along. It prompts switching from side to side, and scrubs away green bacteria monsters. There’s also a floss timer, and the more you brush, the more coins you earn, which you can use to buy healthy foods. While we found that last function unnecessary, the rest of the app was cute enough to hold your little one’s attention span for at least a week or two.
Free, Available on the App Store and Google Play
Free, Available on the App Store
Free on Google Play
Turn down the Juice
J
uice boxes are a staple in children’s lunches and summer coolers. While they might seem like a healthy alternative to soda, the American Academy of Pediatrics disagrees. The study, “Sugar-Sweetened Beverages and Weight Gain in - to 5-Year-Old Children,” published by the American Academy of Pediatrics in 2013, found that fourand five-year-olds who drank one or more sugar-sweetened beverages a day were more likely to be overweight or obese. According to a study from the Rudd Center for Food Policy & Obesity at the University of Connecticut published in 2015, many parents mistakenly believe that some fruit drinks, sports drinks and flavored water are a healthy
8 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
option, basing their belief on the claims found on product packaging. About one-third of those surveyed reported that on-package claims were important in their purchase decisions, citing the influence of phrasing such as “real” or “natural.” Indicators that the product was low in calories or sodium often swayed their decision to purchase. This type of labeling can be misleading as many of these “healthy” options are often high in sugar and calories. So, how do you find a healthy alternative to a favorite sugary drink? The Better Beverage Finder, betterbeveragefinder.org, is here to help. The site was created by the grass roots organization, Better Choices
Coalition, which launched the site as part of its Howard County Unsweetened campaign. The Better Beverage Finder offers families the opportunity to browse drink options, find out what is unhealthy, and identifies over 300 healthy alternatives and where to find them. It lists everything from dairy drinks and fruit juices to flavored waters with a user-friendly search option and easy to understand ranking system. Childhood obesity puts children at risk for diabetes, high blood pressure, cardio-vascular disease, poor-self esteem and depression. Making smart choices for your child and teaching him how to make good choices can have a positive effect on his health now and through adulthood.
Accepting New Patients! Robert M. Daly D.D.S.
www.waughchapeldental.com 410-451-9600 | 2391 Brandermill Blvd #102 | Gambrills, MD 21054
Parker Place Is Not Your Average Doctor’s Office
D
r. Elizabeth Park, a pediatric endocrinologist, recently opened a medical practice in Annapolis that focuses on educating families on the importance of a healthy lifestyle for the treatment and prevention of medical problems in children and adolescents. In addition to the medical services that are traditionally offered by pediatric endocrinologists—including treatments for diabetes, pubertal and growth issues, and adrenal and thyroid gland disorders—Parker Place offers educational programs via a membership to build healthy habits as a family. Class offerings include children’s exercise classes like Zumba, yoga, hip hop, circuit training, strength training, Warrior Kids, freeform dance parties and more, as well as classes in cooking, nutrition, gardening, stress management, and parent/caregiver support. Families may be able to pay for a membership with their flex spending account, depending on their individual plan. Memberships are available both for an individual child and for a family starting at $99/month, following a complementary health consultation with Dr. Parker. According to Parker, “Our target audience is any family looking to optimize their kid’s health and wellness. Kids who may benefit include those with medical issues that may be improved or treated in part or as a whole with changes in lifestyle habits.” Medically, Parker is happy to see all patients who require the services of a pediatric endocrinologist, with the exception of those with Type 1 Diabetes. However, Parker Place can still help those families work on diet, exercise and blood sugar control, completing the treatment provided by their medical team. Parker Place accepts most insurance plans for medical services. For more information visit parkerplaceannapolis.com. —Joyce Heid
Offering Family Medicine Our dedicated staff Wayne Bierbaum, MD and Behavioral Health Jonathan Hennessee, DO Services to all ages Thomas Sheesley, DO ·Accepting New Patients ·Spanish Translators on Staff ·Accepts ALL Insurances ·No Insurance? We can help! ·Same Day Appointments ·Extended Hours Available at 2 Convenient Locations! West River
134 Owensville Road West River, MD 20778 Family Medicine:410-867-4700
Harvey Steinfeld, MD William Jones, MD Nancy Bryant, CRNP Rebecca Roth, CRNP Ann Hendon, PA-C Jana Raup, Ph.D., LCPC Joy Goodie, LCPC Barbara Ripani, LCSW-C Formerly Owensville Primary Care
Shady Side
6131 Shady Side Road Shady Side, MD 20764 Family Medicine:410-867-2200
Behavioral Health: 443-607-1432
baycommunityhealth.org ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 9
Celebrate Autism Awareness
W
hether you have a family member, friend or a neighbor with autism, knowing how it affects families is an important part of helping those with autism. To enhance your awareness of autism, we’ve highlighted a few places in the area that are enhancing the lives of those living on the spectrum.
1
2
3
4
5
We Rock the Spectrum
AMC Movie Theaters
Maryland Theraputic Riding
Annapolis Music Therapy
Musical Autist Troupe
This gym facility uses a mix of classes and open gym time to ensure kids on the spectrum have a safe space to play and learn. According to its website, it’s a place that “provides children with a fun and motivational environment to help them in the areas of strength, movement, sensory processing, communication, positive behavior modification, social interactions, and self-care skills.” werockthespectrum severnapark.com
AMC Theaters offers a Sensory Friendly Films program on the second and fourth Saturday of each month. AMC Columbia, AMC Owings Mills and AMC White Marsh participate in the program. For sensory friendly films, the lights are turned slightly up and the sound is turned slightly down. Audience members are also welcome to get up and dance, walk, shout or sing. amctheatres.com/ programs/sensoryfriendly-films
According to Maryland Theraputic Riding's website, the organization “uses the healing and therapeutic power of horses to improve the balance, strength, muscle tone, self-image, self-confidence, and quality of life for individuals with special needs." One Facebook reviewer (who gave MTR 5 stars), says “This is a wonderful resource for kids and adults with special needs." horsesthatheal.org
Annapolis Music Therapy provides in-home and on-site music therapy services to "foster a theraputic environment that is welcoming, familiar, and comforting for each client we serve.” The group provides individual and group therapy sessions, plus Sensory Friendly Concerts, adapted music lessons for special needs students and more. annapolismusictherapy.com
Founder and music therapist CJ Shiloh says of this music program,“you don’t have to have musical talent to participate, only a love for music and a desire to listen and share in it with others.” The group meets at Maryland Hall for the Creative Arts on Wednesdays over six-week periods. Each session ends with a song that the group will perform together in a spring event. themusicalautist.org/troupes
10 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Microdermabrasion
A
s we get older, it can feel like our skin has become a road map of our life, with wrinkles and age spots, often from exposure to the sun. Microdermabrasion is
a popular skin resurfacing technique that uses tiny exfoliating crystals sprayed on the skin to bring forth a smoother, brighter layer of skin. It is most effective on common skin problems such as dull skin, brown spots, and age spots, working on all skin types and colors. The procedure does not work on stretch marks, deep scars and scars caused by severe acne.
We asked local practices offering the procedure...
What are your patients most eager to change?
what you need to know
Is it painful?
Most want a more youthful appearance, with the eyes and neck being the areas of most concern. — From our contributing doctor
There is no pain. How long does it take to see results? Sometimes immediately, but at most within 24 hours. How long does it last? Depends on the individual and their commitment to routine
Can I afford this?
maintenance. How often and how many
1
2
treatments are needed?
3
Monthly treatments are recommended, with a minimum of 3 treatments.
Is the procedure covered by
Can a health savings account
What is the average cost
insurance?
be used for payment?
range?
No
No
$100-$200 per treatment Each person is unique. The information provided here are averages and meant to be a starting point in your discussion with your specialist.
Thank you to Sandel Duggal Center for Plastic Surgery & Medical Spa and the Annapolis Aesthetic Surgery for contributing information for this article.
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 11
Left to right: Alicia, Isiah, Gene and Vincent Dodd
T
Team Autism, Team Isiah
he Dodd family, who lives in Church Hill, Md., has rallied around their second son, Isiah, his entire life. “When he was first diagnosed,” says his mother, Alicia, “[Gene] was . . . it was denial. He tried to make him be as normal as possible.” But when Isiah got to middle school and high school, Gene started going into the classroom on a regular basis, and he was around all the kids, he was amazed by them and how much they taught him. Isiah’s mom says they try to help people understand him . . . and autism. “We’ve had friends and they used to say ‘It’s probably pretty hard to take care of him, isn’t it?’,“ says Alicia. “But it’s not. It’s quite easy to take care of him. We’re lucky, he doesn’t have any behavior problems; he’s not on any medication. He cares more about you than what’s going on with him. If you’re having a rough day, he’s ready to give you a hug and say ‘it’s okay, you’ll have a better day tomorrow’.” “A lot of people said ‘Oh, don’t send
him to high school . . . they don’t do anything with them.” says Alicia. “But we wanted to give it a chance.” “When I was in Eighth grade,” says Isiah, “my parents decided I should go there [Queen Anne’s County High School] and see if I like it. And I really did.” “We were there at least once a week, stopping in and checking to see that he was getting taught what he needed,” says Alicia. “He had a great teacher, and she was like ‘he can do it. They can all do it’.” While at Queen Anne’s, Isiah and his classmates started participating in Unified Sports, which pairs Special Olympics athletes with non-disabled athletes. On picture day, says Gene, “Isiah came home and was upset because they got their pictures taken. He said ‘Dad, we don’t have any jerseys like you have for softball’.” So Gene talked to the school’s athletic director and said “Every other team has uniforms, why don’t they?” Gene ordered some that night, and when
12 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
they came in the next week, he asked to get the group’s pictures retaken. “Then we started raising money.” That was just the beginning of Team Autism. “It’s humbling,” says Gene. “We’ve been working hard for the last seven years.” Now Team Autism has products from leggings to hats, sweatshirts to jerseys, all available for sale through the group’s facebook page, @teamautismqa. The proceeds are donated to the special needs departments of Queen Anne’s, Kent Island, Kent County, and Caroline County high schools. Team Autism has been able to donate a new stove for one special needs program and a washer and dryer for another. Alicia Dodd says it’s “whatever we can do to help [the schools] out, because the kids need to know life skills. If they’re by themselves or go to a home, we want the kids to know how to take care of themselves. And it makes them feel independent.” Over the years the family has raised
money to fund Team Autism through everything from 5k races, fish and crabcake dinner sales, spaghetti dinners, Longaberger basket raffles, you name it. One of the first projects outside of the clothing that they raised money for was a customized golf cart that Isiah now rides in during parades. “Giving out candy is one of my favorites,” Isiah says. They’re also getting ready to buy a 24-foot concessions trailer. And all of it, says Gene Dodd, “stemmed from just one day when they didn’t have uniforms.” These days Isiah, now 22, works at a local movie theater. He continues his life-skills learning at Benedictine in Easton, a facility that helps people with disabilities find jobs, learn life skills, and prepare for interviews. He loves horseback riding, drawing, and pottery, “pottery is my favorite,” Isiah says. And, of course, he’s still competing in Special Olympics, playing tennis, soccer, softball and bowling, in which he recently won gold, scoring a 165 with his very own custom-made Team Autism bowling ball. Through it all, the Dodd family is there for Isiah. “We’re all there for him to cheer him on for everything,” says Alicia, adding
that Isiah “keeps us busy and young at heart.” And they’re happy to help the autism community. “It feels good to give back,” she says. “Especially when it helps the kids. Just
to see the smiles on their faces.” Find out more about Team Autism and support their cause at facebook.com/ teamautismqa.
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ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 13
Where to Turn for Child and Adolescent Mental Health Care
W
hen it comes to your children’s mental health, you can’t be too careful. Teens are living with a lot on their minds and can get bogged down easily. So what can you do when you suspect you need to get your child treatment? First, know that you are not alone. Awareness of mental health issues in children continues to improve, according to professional Kathy Miller, owner and founder of Oasis: the Center for Mental Health in Annapolis. Oasis is one of many private organizations providing behavioral health services to children and adolescents. It also recently developed a dedicated Child and Adolescent Team, which provides free screening and some walk-in appointment capability, as well as advocacy and school coordination services. Miller notes that requests for help, especially in screening for potential problems, are on the rise. The team is also aware that while a huge need exists, there is still a big gap in services, especially for children younger than five. Each age presents its own developmental challenges, and symptoms
14 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
may show themselves in many ways—including withdrawal, extreme sensitivity or fearfulness, and difficulties adjusting to school. Many factors may be related to a child’s distress, including grief, trauma, parental stress, neuropsychological issues and medical conditions. Screening is important to identify a course of action, especially to help parents differentiate problematic from normal developmental progress. So, where to turn? Resources for screening include pediatricians, who have access to a number of evidence-based screening tools, as well as knowledge of the child’s medical history. School guidance counselors are also knowledgeable about local resources and may have extra insight if they know your children well. Local health departments and each county’s mental health agency (also called community mental health centers or core service agencies) can provide referrals to various programs, such as Anne Arundel County’s Georgetown Project, which provides early intervention for kids five and younger, and a program for middle-school-age youngsters and
transition age youth (ages 16 to 25). If you have health insurance, it is also important to check with your insurance company for approved providers in your area. The core service agencies in most counties provide many kinds of help to those without insurance, including parent coaching, group therapy, medication, 24-hour hotlines, and mobile emergency treatment. (Below, you will find a county-by-county listing of Maryland core service agencies.) Statistics provided by the National Alliance on Mental Illness (NAMI), and the National Survey on Drug Use and Health from the Mental Health Services Administration show that 13 percent of children between 8 and 15 experience a severe mental disorder at some time in their lives, and 21 percent between ages 13 and 18. These illnesses profoundly influence the number of children who die by suicide or drug use. That said, early diagnosis and treatment are important. Some children and teens, however, resist treatment. As do some parents, who may think a child’s behavior or mood is just a phase and may resolve without treatment. Making a decision simply to obtain screening is a good first step. Contacting an organization to arrange an appointment is daunting, and sometimes parents simply don’t know whom to call. Or maybe therapy gets started, but your child doesn’t like the therapist. Either way these agencies and practices will work with you to find a good fit. In more urgent situations, a hotline call might be helpful as an initial screening step; and in crisis events, a hospital emergency department assessment may be needed. What’s important is to remember that no parent needs to be alone in determining a child’s needs and finding help.
MAJOR AREA RESOURCES County Core Service Agencies Anne Arundel County Mental Health Agency, Annapolis. 410-222-7858; Crisis Warmline: 410-768-5522 aamentalhealth.org Baltimore Co. Department of Health, Bureau of Behavioral Health 410-887-3828 baltimorecountymd. gov/Agencies/health/ healthservices/mental/csa.html Howard County Mental Health Authority Columbia. 410-313-7350 hcmha.org Maryland Crisis Hotline Network: 211 Youth Crisis Hotline: 800-422-0009
National Alliance on Mental Illness: 410-884-8691; nami.org Prince George’s Co. Health Department Behavioral Health Services Local Behavioral Health Authority Clinton 301-856-9500 marylandbehavioralhealth.org/ prince-georges-county Maryland Coalition of Families for Children’s Mental Health: 410-730-8267; mdcoalition.org (For Baltimore City and all other Maryland counties, visit Maryland Association of Mental Health Authorities at marylandbehavioralhealth.org/ wp-content/uploads/2018/03/ DirectoryMABHAMarch2018.pdf
—Barbara Merke
SCHEDULE A COMPLIMENTARY CONSULTATION.
ROBERT S. MARTIN DMD,MDS, PA
ce in Pediatric Care for Over 40 Year n e l l e c s Ex
Open 6 Days a Week • Care Line Open at 6am Every Day Walk-In & Same-Day Sick Visits • ADD/ADHD • Mental Health Lactation Consultation • Nutrition Counseling
SpecialistsinOrthoMD.com | 410.721.3403
pediatricgroup.com • 410.721.2273 Crofton • Davidsonville • Severna Park
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 15
Dining out When Your Family Has Food Allergies
"F
or want of a nail, a shoe was lost.” For Paul Antico, the old proverb went the other way. For want of a restaurant with allergy-friendly options for his family, AllergyEats was born. Paul Antico is the father of five children, three of whom have food allergies. Twenty-year-old Tucker has a tree nut allergy; 16-year-old Keegan is allergic to tree nuts, sesame and dairy (and also has eosinophilic esophagitis, an autoimmune disease in which, as a reaction to certain foods or allergens or to acid reflux, a white blood cell known as eosinophil builds up in the lining of the esophagus and can inflame or injure the esophageal tissue); and eight-year-old Bree, Antico’s youngest child, is allergic to egg.“AllergyEats really came about from our own frustrations with dining out and, frankly, the time it would take to find restaurants that really understood food allergies,” says Antico, who lives in Cohasset, Mass. The scope of the situation started to sink in for Antico one
You can help! AllergyEats is always looking for restaurant reviews from families with food-allergies and sensitivities. If you would like to share a review about a restaurant you have visited— good experience or bad—go to AllergyEats.com or download the mobile app.
16 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
weekend in 2006 when his wife went away with their daughter Ashley on a trip, leaving him at home with Tucker and Keegan. “We went to eat out on Saturday night because my cooking is limited to breakfast,” Antico confesses. “All the places we usually [went to] that I knew we were comfortable with had long waits. We ended up driving around for two hours, the kids were so upset and hungry, and I’m frustrated because I just didn’t know where to go. We ended up at a small pizza joint that had egg-free pasta. I just kept thinking as I drove, ‘I wish there was a guide.’ ” For Antico, this was no idle wish. When he left his job as a financial analyst two years later, looking for a new direction and to de-stress, he began planning AllergyEats in earnest and, in early 2010, officially launched it. Today, AllergyEats is the largest online guide to allergy-friendly restaurants nationwide. The website and mobile app encompass large restaurant chains, small diners and everything in between. Users can search for restaurants by specific food allergy or intolerance and location; AllergyEats also provides live links to restaurant websites, online menus, restaurant ratings, a “Food for Thought” blog, and even a Disney World specific dining guide. “My goal is to alleviate a bit of the stress that often accompanies food allergies,” Antico writes on the site. “It will mean a lot to me if I can help a child enjoy a special birthday dinner in a restaurant, rather than just another hot dog somewhere easy.” —Joyce Heid
Health Care Directory W
hether seeking a pediatrician, dentist, orthodontist, dermatologist, urgent care center or other health care professional for your family, you’re sure to find one in our Health Care Directory. Also find parent-recommended doctors and health care practices in our annual Favorite Docs listing, available online at ChesapeakeFamily.com/Favorite-Docs. Descriptions for advertisers were taken from information provided by the practices.
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 17
ALLERGY AND ASTHMA Allergy and Asthma Associates Arnold, 410-647-2600 annapollendocsportal.com
Allergy and Asthma Center
Baltimore, Bowie, Rockville 410-638-1999 premierallergist.com
Rehabilitation Services, Inc
H E A LT H C A R E D I R E C T O R Y
Physical Therapy· Speech-Language Pathology Occupational Therapy
14409 Greenview Drive Suite 102 Laurel, MD 20708 Phone (301) 498-8100 FAX (301) 498-0009
• One-on-one therapy services • Evaluations and Assessments • Therapy and Rehabilitation • Appropriate Reporting for Insurance • Coordination of services • Flexible day, evening & weekend hours • Free screenings • We accept most insurance For more info: www.rsitherapy.net
Allergy and Asthma of Central Maryland Columbia, 410-730-6000 allergyasthmamaryland.com
Annapolis Allergy and Health Enhancement Center Annapolis, 410-224-5558 annapolisallergyandhealth.com
BIRTH CENTERS / MIDWIVES Anne Arundel Medical Center Women’s and Children’s Services Annapolis, 443-481-1000 aahs.org/women
Baltimore Washington Medical Center
Glen Burnie, 410-787-4000 bwhealthservices.org/ womenshealth
A Tradition of
Excellent Annapolis Dentistry Our Annapolis, MD dentists and team offer superior dental care for patients of all ages in a comfortable, modern office. With nearly two decades serving Annapolis dental patients, our history of excellence makes us a go to office for dental care in the area, and we’re proud to have the opportunity to serve multiple generations of families.
621 Ridgely Ave, #206 Annapolis, MD 21401
410-267-3993
chambersfamilydentistry.com 18 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Bay Area Midwifery
Annapolis, 410-573-1094 myaamg.org/bay-area-midwifery
Special Beginnings Birth and Women’s Center Arnold, 410-626-8982 specialbeginnings.com
DENTISTRY – GENERAL About Smiles Dentistry
Annapolis, 410-990-4700 aboutsmilesdentistry.com
Annapolis Comprehensive Dentistry
Annapolis, 410-266-6366 annapoliscompdentistry.com Using a comprehensive patientfocused approach, our doctors thoroughly examine every patient, screening for oral cancer, analyzing the teeth, gums and jaw to evaluate and assess long-term oral care. A whole health treatment plan is customized for each patient. See our ad on page 22
Chambers Family Dentistry
Annapolis, 443-214-3119 chambersfamilydentistry.com You can trust the team of experienced dentists at Chambers Family Dentistry to provide skilled and gentle dental care for patients at every stage of dental development, from pediatric to geriatric. With highly trained dentists, we’re able to provide a wider array of dental treatments in one convenient location. See our ad on page 18
Chesapeake Dental Arts
Arnold, 410-757-6200 chesdentalarts.com
Dr. Brian Valle P.A. Millersville, 410-987-9100 drbrianvalle.com
Dr. John D. Ritter DMD and Dr. Jason Lee DDS Annapolis, 410-267-7901 johndritterdmd.com
Eastern Shore Dental Care
Chester, 443-249-8881 easternshoredentalcare.com Award-winning family dental practice located just over the Bay Bridge. Offering a multitude of general and cosmetic dental services for the entire family. Ask us about Invisalign Teen. New patients always welcome. 7am-7pm. See our ad on page 21
Edgewater Dental Arts
Edgewater, 410-956-3525 edgewaterdentalarts.com
Kathryn Ehmann and Associates Annapolis, 410-224-1105 ehmanndds.com
Kent Island Dentistry Stevensville, 410-643-5100 kentislanddentistry.com
Mitchell Dental Care Edgewater, 410-956-8380 mitchelldentalcare.com
Scott Finlay DDS and Associates Arnold, 443-276-4094 annapolissmiles.com
Kent Island, 410-643-4499 drbenkovich.com
Berkinshaw Orthodontics
Annapolis, 410-266-8880 berkinshaworthodontics.com
Crofton Orthodontic Associates Gambrills, 410-721-3403 docrsmartin.com
Labbe Family Orthodontics
Annapolis, Bowie, Crofton, Greenbelt, 410-267-7300 labbefamilyortho.com
Main Street Children’s Dentistry and Orthodontics
We offer patients state-of the-art, comprehensive orthodontic care in a professional, family-oriented environment. With over 25 years of success, as well as being a top 1% Invisalign Provider in the nation, you will be in good hands. See our ad on page 13
See our ad on page 23
Specialists in Orthodontics Maryland
Stevensville, 410-604-2211 kipediatricdentistry.com Kent Island Pediatric Dentistry is committed to providing patients with experienced dental care in a fun, comfortable setting. We believe a partnership with parents encourages our patients to maintain an overall healthy and happy smile. See our ad on page 20
Gambrills, 410-721-3403 specialistsinorthomd.com We provide a professional and caring environment outfitted with the latest innovations in orthodontics, permitting us to offer the highest quality of care to our patients. See our ad on page 15
Strong Smiles Dental Care
Mairead O’Reilly and Associates
Millersville, 410-987-2273 arundelpediatricdentalcare.com
Edgewater, 410-956-4608 strongsmilesdental.com
Waugh Chapel Dental
Gambrills, 410-451-9600 waughchapeldental.com We are proud to provide a state-of-the-art facility for the highest quality dental care available. We welcome all patients as if they were family. Same-day emergency and convenient morning and evening appointments available. See our ad on page 9
DENTISTRY – ORTHODONTISTS All Smiles Orthodontics
Crofton, Edgewater, Severna Park, 855-862-5472 allsmilesorthodontics.com
Benkovich Orthondontics
Annapolis, 410-268-1700
Annapolis, 410-266-0025 annapolisortho.com Dr. O’Reilly is a trusted, boardcertified professional with years of experience. She and her staff are committed to providing you with the highest quality orthodontic care in a warm and welcoming state-of-the-art facility. See our ad on page 22
Orthodontists of Maryland
Glen Burnie, 410-761-6960 Reisterstown, 410-833-9330 orthodontistsofmaryland.com As orthodontic specialists, we are dedicated to helping you or members of your family understand how this special care can improve the way you look and feel about yourself. See our ad on page 23
Philbin and Reinheimer Orthodontics
Annapolis, Stevensville 410-774-5829 marylandbraces.com
Arundel Pediatric Dental Care
Berry Children’s Dental
Bowie, 301-383-0959 berrychildrendental.com Providing specialized pediatric and orthodontic dentistry for children and adolescents in a “child-friendly” environment. As pediatric and orthodontic dentists, we focus on preventive care to help each child have a healthy smile that will last a lifetime. See our ad on page 21
Chesapeake Pediatric Dental Group
Abingdon/Bel Air 410-569-4300, Hanover, 410-799-0780 Perry Hall, 410-248-3384 chesapeakepediatricdental.com Our group helps address the special needs children have when it comes to compassionate, quality children’s dentistry. We try to give positive dental experiences and provide a loving, caring atmosphere where children are treated as individuals.
Annapolis, 410-224-0018 drcollinsandassociates.com
Kent Island Pediatric Dentistry
Main Street Children’s Dentistry and Orthodontics
Elkton, Forest Hill, Glen Burnie, Havre de Grace, Parkville 855-979-3366 mainstreetsmiles.com At Main Street, we make dental check-ups fun. Our doctors are all specialists and provide exceptional care while keeping your child happy. We make it affordable too by offering a variety payment options and accept most insurance plans. From first check-ups to braces, we make sure every experience results in a beautiful smile. See our ad on page 2
The Pediatric Dental Specialists Bowie, 301-262-0242 blwpds.com
Tooth Fairy Smiles
Annapolis, 410-897-1931 toothfairysmiles.com We care about children and appreciate the opportunity to apply our care, skills and years of professional experience. We offer a full array of pediatric dental services. See our ad on page 6
Tull, Behling, Decere Pediatric Dentistry Arnold, 410-757-5437 757kids.com
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 19
H E A LT H C A R E D I R E C T O R Y
DENTISTRY – PEDIATRIC
Annapolis, 410-626-9680 scottmsmithdds.com
Elkton, Forest Hill, Glen Burnie, Havre de Grace, Parkville 855-979-3366 mainstreetsmiles.com See our ad on page 2
Scott M. Smith DDS Family Dentistry
Collins, Bross & Associates Pediatric Dentistry
Why put off
feeling good?
• Medically supervised weight loss program • 30 years experience in family practiceboard certified MD
Dr. Stephan C. Kurylas MD Family Medical & Wellness Center 2191 Defense Highway, Suite 104 Crofton, Maryland
410-721-2422
Vernon Pediatric Dentistry
Severna Park, 410-544-4888 vernonpediatricdentistry.com
DERMATOLOGY
H E A LT H C A R E D I R E C T O R Y
www.parkerplaceannapolis.com Elizabeth A. Parker, MD, Board-Certified Endocrinologist
Annapolis Dermatology Center
Johns Hopkins Community Physicians
Annapolis, 410-224-2260 annapolisdermatology.com
Annapolis, Easton, Glen Burnie, Hagerstown, Kent Island, Leonardtown, Prince Frederick, 443-351-3376 aadermatology.com
MD Dermatology of Maryland Edgewater, 410-956-7777 mddermatology.com
FAMILY PRACTICE / INTERNAL MEDICINE Annapolis Family Medicine
Annapolis, 410-280-9500 annapolisfamilymedicine.org
Annapolis Integrative Medicine Annapolis, 410-266-3613 annapolisintegrativemedicine.com
Bay Crossing Family Medicine Arnold, 410-518-9808 baycrossingfamilymedicine.com
Bay Community Health
West River, 410-867-4700 owensvillepc.com We offer Family and Internal Medicine and Behavioral Health Services. We accept Medicare, Medicaid, and most commercial insurance and health insurance eligibility and enrollment services available on-site. Spanish
20 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Prince Frederick, 410-535-4488 calvertfamilypractice.com
Crofton Internal Medicine
Anne Arundel Dermatology
Collaborative, unhurried appointments Wellness programs and resources for the whole family
Calvert Family Practice Associates
Annapolis Dermatology Associates
Annapolis, 410-268-3887 adcdermdocs.com
Turning medical care into mindful care
translator on staff. See our ad on page 9
Gambrills, 410-451-7214 aahs.org
Annapolis, Glen Burnie and Odenton, 1-833-GET-JHCP hopkinsmedicine.org/jhcp
Kent Island Primary Care
Chester, 410-604-6560 aaphysicians.com
Maryland Primary Care Physicians Annapolis, Arnold, Bowie, Columbia, Pasadena, 410-255-2700 mpcp.com
Severna Park Medical Associates Severna Park, 410-544-5900 severnaparkdoc.com
South River Family Medicine Edgewater, 410-956-4911 southriverfm.com
HOSPITALS / MEDICAL CENTERS AAMC - Anne Arundel Medical Center
Annapolis, 443-481-1000 aahs.org
BWMC - Baltimore Washington Medical Center Glen Burnie, 410-787-4000 mybwmc.org
Calvert Memorial Hospital
Prince Frederick, 410-535-4000 calverthospital.org
Children’s National Health Center
Annapolis, 410-266-6582 Laurel, 240-568-7000 Upper Marlboro, 301-297-4000 childrensnational.org
University of Maryland Bowie Health Center
University of Maryland Shore Medical Center at Easton Easton, 410-822-1000 umem.org
LEARNING SPECIALIST The Summit School
Edgewater, 410-798-0005 thesummitschool.org Bright students with dyslexia and learning differences experience individualized instruction and a curriculum that allows them to succeed. An evidence-based, well-rounded curriculum taught by skilled and trained educators makes the program strong and unique. For families not enrolled at The Summit School, the Summit Resource Center offers diagnostic testing services, individual tutoring, summer programs, consultations and free workshops and seminars.
Amber Lassally LCSW-C LLC Arnold, 410-919-4904 amberlassally.com
Anchored Hope Therapy
Annapolis, 443-291-8090 anchoredhopetherapy.com Anchored Hope Therapy, LLC supports children, families, individual and couples in managing anxiety and depression, coping with traumatic events and utilizing evidence supported therapies to meet the needs of each individual. Our clinicians are highly trained with a specialty area of focus to support clients. In-network with Blue Cross Blue Shield Plans. See our ad on page 2
Edgewater Psychotherapy
Edgewater, 410-970-4917 edgewaterpsychotherapy.com
Oasis - The Center for Mental Health Annapolis, 410-571-0888 oasismentalhealth.net Oasis provides timely access to mental health for children, adolescents, adults and families in a private, comfortable setting. Our focus is accurately assessing the client’s needs and providing professional, quality care for individuals and families in crisis. See our ad on page 6
General Dentistry • Cosmtetic Dentistry • Restorative Dentistry
Award winning care in a comfortable and welcoming environment.
Serving patients ages 3 & up! Newly renovated, state-of-the-art spa-like facility Internet Bar with Free WiFi & Charging Station Children’s books & activities in reception area
410-643-5500
www.EasternShoreDentalCare.com
Maintaining Berry Healthy Smiles!
Sheppard Pratt Health System 410-938-3000 sheppardpratt.org
OBSTERICS AND GYNECOLOGY
LLC
Annapolis OB-GYN Associates Annapolis, 410-573-9530 annapolisobgyn.com
Berry’s Children Dental L.L.C
• Pediatric Dentistry from infancy through adolescent • Hospital Dentistry • Sedation Dentistry • Nitrous Oxide • Laser Dentistry • Orthodontics (Braces)
As pediatric and orthodontic dentists, we focus on preventive care to help each child have a healthy smile that will last a lifetime.
www.berrychildrendental.com
4449 Mitchellville Road | Bowie, MD 20716 | 301 383-0959
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 21
H E A LT H C A R E D I R E C T O R Y
Bowie, 301-262-5511 bowiehealthcampus.org Bowie Health Campus is a 50-acre property that provides for the health care needs of all ages, from newborns to the elderly. Comprehensive facilities include the Bowie Health Center, Dimensions Surgery Center, Mullikin Medical Center, and Larkin Chase Care and Rehabilitation Center. See our ad on page 6
MENTAL HEALTH
Baltimore Washington Medical Center Women’s Health Associates
ll�e� DENTISTRY Drs. Grimm & Mankiewicz ■
Preventive ■ Cosmetic ■ Implants ■ Extractions ■ Root Canals■ Dentures
COMPREHENSIVE DENTAL CARE
PATIENT-FIRST APPROACH
Our doctors utilize the most current technology and latest techniques to enhance and ensure your comfortable dental experience.
NEW I PATIENTS ARE l WELCOME
H E A LT H C A R E D I R E C T O R Y
410-266-6366 132 Holiday Court, Suite 202 Annapolis Please callfor your appointment today and let us make you SMILE!
Visit us on Facebook or on line at AnnapolisCompDentistry.com
Exceptional Care, Beyond Compare
Hanover, 410-553-8260 bwhealthservices.com/ womenshealth
Calvert OB/GYN
Prince Frederick, 410-535-5610
Chesapeake Women’s Care
Kalyani Eye Care
Comprehensive Gynecology Center
kalyanieye.com
Premier Ob/Gyn
Arnold, 410- 757-2778 annapoliseyecare.com
Gambrills, 410-451-0076 compgyncenter.com
Odenton, 301-352-4007 premierobgynllc.com
Womankind OB/GYN Associates Columbia, 410-997-6464 womankindobgyn.com
410-266-0025 ︱ www.annapolisortho.com
888 Bestgate Rd., Suite 301︱Annapolis, MD 21401
22 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Solomon Eye Associates
Bowie, Greenbelt, McLean, 877-750-6474 solomoneyeassociates.com
Blossom Pediatric Occupational Therapy
Annapolis, Crofton, Edgewater, Kent Island, Severna Park, 410263-6363 annapolispediatrics.com At Annapolis Pediatrics we commonly care for several generations within one family and are proud of the outstanding level of continuity of care Annapolis Pediatrics provides. See our ad on page 18
Edgewater, 410-956-7868 Severna Park, 410-544-2500 cypresscreektherapy.com
Severna Park, 410-421-8920 ots4children.com
Practicing in Annapolis since 1989
Ophthalmology Associates of Greater Annapolis
PEDIATRICIANS
Therapy Solutions for Children
Orthodontics
Hanover, 410-782-3233
OCCUPATIONAL THERAPY
Cypress Creek Therapy
Mairead M. O’Reilly, DDS, MS, PA
Annapolis, 877-374-2020 chesapeakeeyecare.com We offer the latest procedures using advanced technology to leading edge surgical techniques in a state-of-the-art surgical center. Our doctors combine exceptional medicine with personal, hands-on patient care. See our ad on page 24
Annapolis, 410-571-9700 chesapeakewomenscare.com
Davidsonville, 240-421-3154 blossomOT.com
Call to schedule your complimentary consultation today!
Chesapeake Eye Care and Laser Center
OPHTHALMOLOGISTS / OPTOMETRISTS
Anne Arundel Eye Center Annapolis, 410-224-2010 annearundeleyecenter.com
Annapolis Pediatrics
Arundel Pediatrics
Arnold, Linthicum, 410-789-7337 arundelpediatrics.com
Bay Area Pediatrics
Stevensville, 410-643-1000 bayareapediatrics.net We pledge our assistance to you in promoting healthy children and a healthy parent-child relationship. Providing great pediatric care is the standard and we do it “one patient at a time.” See our ad on page 9
Bayside Pediatrics Annapolis, 410-224-7667 mybaysidepeds.com
BelliAcres Pediatrics Davidsonville, 410-721-0800 drschniedermd.com
Chesapeake Pediatrics
Annapolis, 410-224-3663 chesapeakepediatrics.com
The Pediatric Group
Pediatric Place
Pasadena, 410-360-4446 pedsplace.com
Annapolis, 410-295-0001 doyleandtaylorpt.com
RADIOLOGY Advanced Radiology
Annapolis, Glen Burnie, Millersville Severna Park, 888-972-9700 advanceradiology.com Advanced Radiology is the largest imaging provider in the state, serving 7 hospitals and 30 outpatient centers in 5 counties. Imaging services include Digital and 3D Mammography, X-Ray, MRI, CT, PET/CT, Nuclear Medicine, Ultrasound, DEXA and more. As Maryland’s premier imaging provider we deliver the highest quality patient care and most accurate and precise imaging results. See our ad on page 2
American Radiology Services Waldorf, 410-298-0454 americanradiology.com
Primary Pediatrics
SPEECH AND LANGUAGE THERAPY
Severna Park Doctors
Chesapeake Speech and Language Associates
Bowie, 301-464-2300 primarypedsmd.com
Severna Park, 410-647-8300 spdocs.net
South River Pediatrics Edgewater, Dunkirk, Kent Island, 410-956-6302 southriverpediatrics.com
PHYSICAL THERAPY Annapolis Family Physical Therapy Annapolis, 410-266-6626 annapolispt.com
Bayside Physical Therapy
Centreville, Edgewater, Gambrills, Glen Burnie, Millersville, Stevensville baysidephysicaltherapy.com
Annapolis, 410-280-9788 chesapeakespeechlanguage.com
RSI - Rehabilitation Services Inc.
Laurel, 301-498-8100 rsitherapy.net RSI-Rehabilitation Services, Inc. has provided Physical Therapy, Speech-Language Pathology and Occupational Therapy services since 1983. We offer 1:1 service for babies through geriatrics. Our team of over 15 clinicians allows us to deliver the best care for each client’s unique needs. See our ad on page 18
Voted Top Pediatric Dentist
All Our Dentists are Board Certified: Hakan O. Koymen, DDS, MS Luz M. Tennassee DDS Marta Jolesz, DDS Hyejin Esther Cho, DMD Sylvia Yen, MPH, DMD Myrnelle Damas, DDS
-Baltimore Magazine
2010 - 2018
You Can Choose a Pediatric Dentist for Your Child! Find us on
Facebook ARUNDEL MILLS AREA: 7556 Teague Road Suite 110 Hanover, MD 21076 410.799.0780
ABINGDON/BEL AIR 3400 Box Hill Corporate Center Drive, Suite 120 Abingdon, MD 21009 410.569.4300 WHITE MARSH AREA: 5009 Honeygo Center Dr. Suite 228 Perry Hall, MD 21128 410.248.3384
CHESAPEAKEPEDIATRICDENTAL.COM
STEVEN SIEGEL, DMD SARA BATOULI, DDS, MS
Specializing in Braces, Ceramic Braces &
Invisalign
Glen Burnie 410.761.6960 Reisterstown 410.833.9330 10% Courtesy Discount for Active Military Personnel & Their Families
OrthodontistsofMaryland.com
Now using the iTero Light Scanner. The iTero Scanner eliminates the mess and gagging of traditional impressions
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 23
H E A LT H C A R E D I R E C T O R Y
Crofton, Davidsonville, Severna Park, 410-721-2273 pediatricgroup.com The Pediatric Group is committed to developing a compassionate and trusted relationship with you and your children. Open six days a week, with day and evening hours. We offer specialty care in ADD/ADHD management, lactation consultation and nutrition counseling. See our ad on page 15
Doyle & Taylor Physical Therapy
Speech Matters
Annapolis, 443-822-0817 speechmatterstherapy.com Speech Matters is committed to providing state-of-the-art evaluations and therapy services for clients of all ages who are experiencing difficulties in speech, language, learning and/or swallowing. Services are provided in a knowledgeable, supportive and compassionate manner.
URGENT CARE
H E A LT H C A R E D I R E C T O R Y
AFC Urgent Care
Edgewater, 410-921-3835 afcurgentcareedgewater.com AFC Urgent Care is a walk-in urgent care center providing medical treatment for adults and children over 6 months. The center is open 7 days a week from 8am-8pm Monday-Friday and 8am-6pm Saturday and Sunday. No appointment is necessary. Labs and x-ray services on site. Most insurances accepted. See our ad on page 9
Kinder Mender Walkin Pediatric Center
West Street Medical Annapolis, 410-268-3627 midmdhealth.com
Columbia, Glen Burnie, Laurel, 443-492-4000 kindermender.com
WELLNESS CENTERS
PM Pediatrics
Brighter Hope Wellness Center
Annapolis pmpediatrics.com PM Pediatrics specializes in treating patients from the cradle to college. We are staffed by pediatric emergency specialists, including pediatric emergency physicians and board-certified pediatricians, who are specially trained in treating children in urgent care situations while minimizing pain and unnecessary tests. See our ad on back cover
Clarksville, 410-531-8100 brighterhopewellness.com Providing evidence-based and multidisciplinary treatment for children, teens, adults, and families. Whether you are seeking care for a loved one who has special needs or for yourself, Brighter Hope Wellness Center brings a full range of services to you under one roof.
Dr. Stephan Kurylas, Family Medical and Wellness Center
Righttime Medical Care
Crofton, 410-721-2422 Dr. Kurylas is a practicing family practitioner, board certified Diplomat and Fellow in the American Academy of Family Physicians. Dr. Kurylas has been practicing for 33 years and has
Annapolis, Arundel Mills, Columbia, Crofton, Pasadena, Waugh Chapel 888-808-6483, myrighttime.com
received the Patients Choice Award. He is affiliated with AAMC and BWMC. See our ad on page 24
Parker Place
Annapolis, 410-844-8998 parkerplaceannapolis.com Dr. Parker is a board-certified pediatric endocrinologist providing collaborative, unhurried patient care that empowers kids and teens with resources for lifelong health. Our wellness center offers programs and support for the whole family. See our ad on page 20
Waypoint Wellness Center Linthicum, 410-684-3806 waypointwellnesscenter.com
For even more health care services listings please visit our healthcare and favorite doctors directories online at ChesapeakeFamily.com/ directories.
Why Choose Chesapeake Eye Care and Laser Center? Since 1993, Chesapeake Eye Care and Laser Center’s Medical Director Dr. Maria Scott and our team of nationally known vision specialists have been the trusted choice of patients across the Mid-Atlantic. Our state-of-the-art practice offers the latest technologies and surgical techniques including: ■ ■ ■ ■
Comprehensive eye exams for adults and children LASIK vision correction Cosmetic eye procedures, Botox®, fillers and peels Laser Cataract Surgery
Schedule your consultation today! 877-DR4-2020
2002 Medical Parkway
■
Sajak Pavilion, Suite 300
24 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
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Annapolis, MD 21401
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Essential Oil Safety
P
eppermint for headaches and nausea, lavender and chamomile to help with sleep issues, eucalyptus for cough and cold symptoms—essential oils have become increasingly popular in recent years as many people look for more natural or holistic remedies to either complement traditional medicine or to use as an alternative. Essential oils are so popular that the industry earned just under $6 billion dollars in 2016. Essential oils are plant-based concentrated liquids that contain the fragrance of the plant. Some are used topically, some ingested and others are added to a diffuser for aromatherapy. Frequently they are mixed with lotions or added to bathwater. But before you start to use essential oils for all the members of your family, know that they can be dangerous, especially for children. As essential oils are derived from plants, many people are under the misconception that they are harmless. Not so. In 2016 the Maryland Poison Control managed over 300 cases involving an essential oil or a product containing an essential oil. Did you know that tea tree oil can cause vomiting and diarrhea? Or that oil of wintergreen can be deadly if it is swallowed directly from the bottle, the equivalent to swallowing a large number of adult aspirin? Even nutmeg, a commonplace spice in most kitchens, when concentrated in an oil and used improperly can cause hallucinations or result in a coma. However, if you have become attached to your essential oils, don’t fret. Angel Bivens, public education coordinator for the Maryland Poison Control says they can be used safely, “if you follow the label.” One of the most common mistakes parents make is using too much. “A lot is not always better,” says Bivens. Other mistakes include using the oils orally instead of topically. MPC advises that oils should only be swallowed if you are directed to do so by a trained and qualified specialist. Finally, most essential oils are sold in concentrated form. They should be diluted before use. Because children's skin is thinner, particularly in infants, excessive absorption of the oils can happen fast, causing babies and young children to receive dangerous amounts. Bivens suggests parents always speak to their child’s pediatrician before using an essential oil on their child. In addition, to keep children and pets safe, store essential oils out of reach, ideally in a locked container. If someone swallows an essential oil, or a product containing essential oils, call the poison center immediately at 800222-1222. Trained nurses and pharmacists will help you determine if the situation is dangerous and tell you exactly what to do. For more information, visit mdpoison.com.
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 25
A
s the father of a teenager and
“When it was hot and heavy (a few years
Interviews with adolescent health experts
as executive director of the
ago), we had more calls from the media
across the region reveal agreement that the
Maryland Poison Center, Bruce
about the cinnamon challenge than we did
often-alarming media reports about the teen
Anderson knows about the
people actually doing it,” says Anderson,
crazes might suggest that they are far more
bizarre, potentially dangerous teen fads of
who teaches at the University of Maryland
popular than they really are.
the past few years—fads like swallowing
School of Pharmacy.
laundry pods, snorting condoms and swallowing spoonfuls of cinnamon.
“I don’t know that it’s any different from
“Most kids are not doing this,” says Kathryn Mattison, manager of the
what kids have done in years past—like
Adolescent and Family Services Program
car-surfing 10 or 15 years ago,” he
of the Anne Arundel County Department
crazes are potentially dangerous, they are
adds. “They’re just being egged on by
of Health. Mattison, after being asked
not as widespread as some media reports
a much larger audience now because of
about the trends, polled her therapists
suggest—and not unlike the teen fads of
social media.”
and concluding there was “not much
But Anderson also knows that while these
bygone days.
Anderson’s perspective is not unique.
26 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
happening here.”
“I won’t say these things don’t exist,” she
Those numbers suggest that the condom-
“From a parent’s perspective, you want
says, noting the department might not hear
snorting challenge, at the very least,
to be aware of your child’s online life,”
about some instances. “But I will say it’s rare
has been exaggerated in media reports,
Mattison says.
that kids actually act on these challenges.
according to association spokesman Edward
And, [the popularity] is usually brief.”
Walrod. However, he notes, the numbers
should be curious rather than reactive.
Dr. Jacqueline Dougé, child health medical
Conversations with your child, she adds,
also show that “teens and those under
“You might ask if they’ve seen any of
director at the Howard County Health
the age of 13 have a risk of exposure to
these challenges online, or what types of
Department, echoed that assessment. “I’m
potentially toxic substances, and they’re
challenges are currently popular,” she says.
not aware of these being a major concern in
not always thinking all the way through
“That way, you’re asking teens to educate
Howard County,” she says. “That’s not to say
when they decide to intentionally expose
you, so it sets the stage for a discussion
this doesn’t occur, we just haven’t heard of it.”
themselves to these substances.”
without the defensive barriers that can go up
Long List of Crazes
when teens are expecting a lecture.”
Similarly, Calvert County health officials say that their Behavioral Health Division’s prevention unit gathers information about risky behaviors and has therapists in all of the schools, but these crazes have not popped up on their radar screen. “We are not hearing about any of these behaviors occurring,” according to Doris McDonald, Calvert County’s director of behavioral health. From available evidence, the local scene mirrors the national scene where these teen fads are concerned. Snopes.com, the factchecking website, investigated the condomsnorting “craze” and, in an April 2018 posting, declared it “mostly false.” While reliable local statistics on these fads are impossible to come by, the American Association of Poison Control Centers does keep national figures on some of them.
Among Their Findings: • From 2013 through the first few months of
The list of teen crazes drawing attention
Health Issues Worth the Worry
over the last several years is lengthy. Besides
While the experts agree a conversation on
condom snorting, cinnamon swallowing and
the social media challenges is worthwhile,
detergent swallowing (often called the “Tide
they also agree that parents of adolescents
pod challenge”), it includes the Salt and Ice
have more pressing issues to worry about—
Challenge, in which teens douse their skin
such health challenges as e-cigarettes,
with salt and then apply ice; the Hot Pepper
marijuana, alcohol, mental health problems
Challenge, which involves downing red hot
and sexually transmitted diseases.
chili peppers; and the Fire Spray Challenge,
“We know that adolescents, especially
in which participants exhale a combustible
early adolescents, are prone to trying
substance and light it on fire.
something we might consider a little bit
As the names imply, most of these take the
wacky,” says Dr. Krishna Upadhya, an
form of social media challenges: Someone
adolescent medicine specialist at Children’s
acts out the behavior in a video and posts it
National Health System in Washington, D.C.
online for others to see. And that is what sets
“But I think there are other health risks that
these crazes apart from the risky adolescent
as a parent and as a pediatrician I am more
fads of years past.
concerned about.”
“Adolescent challenges have been
For instance, Upadhya says new studies
around for a very, very long time, and
show that marijuana use is growing among
YouTube has just expanded the audience
adolescents. Also, in her own practice she
exponentially,” says Mattison. “You have
has noted that teens are often repulsed
2018, one intentional condom inhalation
this global audience that is very seductive
by traditional cigarettes but show a keen
was reported nationwide among the 0–19
to adolescents. The audience is big, but the
interest in e-cigarettes, especially flavored
age group. It happened in 2013 and no
people doing the behaviors is small.”
e-cigarettes. “As a pediatrician who takes
“major effect” was reported. • For the same time period and the same
A 2017 blog post on teensafe.com, a teen-
care of adolescents, these types of substance
monitoring service, wrote that the “reckless
abuse are something we definitely need to
age group, 203 intentional cinnamon-
stupidity of teens has been exasperating
be more concerned about and talking to kids
swallowing cases were reported. Only
parents since the beginning of time” and that
about,” Upadhya says.
one of them resulted in a major effect (not
social media “only enhances it.“
a death), and the number of incidents has
While reports of full-blown crazes are
Perhaps the most sensible take on these bizarre challenges is Snopes.com’s comment
dropped dramatically
almost unanimously pooh-poohed by local
on condom-snorting: “Let the record show
since 2014.
health experts, those same experts agree that
that while we pooh-pooh the media’s claims
• As for laundry-detergent-swallowing, about
parents should discuss the online challenges
that condom snorting rises to the level of a
57,000 cases were reported to
with their teens. “I think most kids don’t do
‘trend,’ we urge anyone tempted to try it to
the association during the same time
these things, but you don’t know unless you
think hard about the possible consequences,
period. But that figure includes both
ask,” Howard County’s Dougé says. “This is
which could, in fact, be dire.”
intentional and accidental ingestion,
an opportunity to talk to kids about what they
and the organization believes most
know, and then talk about ways to mitigate
friends or parents who witness the attempt,
reported cases involved toddlers or young
and prevent their exposure to those things.”
are urged to call the national Poison Help
children who swallowed the detergent pods accidentally.
The challenges also offer an opportunity to delve into your child’s social media life.
Teens trying any of these challenges, or
Hotline at 800-222-1222 or text POISON to 797979 to save the number in their phone.
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 27
28 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Health Support Groups & Resources BREASTFEEDING SUPPORT Anne Arundel Medical Center
443-481-5555, aahs.org/events Breastfeeding basics class in Annapolis for a fee. Register online. Also offers breastfeeding support group.
Back to Work/Breast Feeding Support Group
443-481-6985, aahs.org/events/ pdfs/support_groups.pdf Meets monthly at Big Vanilla in Pasadena; affiliated with AAMC.
Breastfeeding Works
410-533-5343, breastfeedingworks.com Certified lactation consultant leads support groups and provides instruction.
La Leche League of MD-DE-DC
lllofmd-de-dc.org/Groups.html Groups meet in Annapolis, northern Anne Arundel County, Columbia and other areas.
Lactation Support Group at BWMC
410-595-1782, mybwmc.org/ lactation-support-group Mothers share breastfeeding successes and challenges. Led by certified lactation consultant. Meets in Glen Burnie.
Family Birth Center at Calvert Memorial Hospital
410-414-4819, 410-414-5414, calverthospital.org Lactation consultation, including telephone assistance, and breastfeeding support group.
Special Beginnings Birth and Women’s Center
410-626-8982, specialbeginnings. com/breastfeeding Lactation education and consultation in Arnold.
CRISIS HOTLINES 2-1-1 Maryland
211, 211md.org Information and referrals for a variety of health and human service issues.
Anne Arundel County Crisis Warmline
410-768-5522, aamentalhealth. org/pr_warmline.cfm A 24/7 number to reach resources for support and services for Anne Arundel County residents, through the county Mental Health Agency.
Calvert County Crisis Helpline
410-535-1121, 301-855-1075 Teen Helpline: 410-257-2216 Crisis hotline available through the Calvert County Health Department Crisis Intervention Center.
Howard County Grassroots Crisis Intervention
410-531-6677, 410-531-6006 Open 24/7 for crisis services for adults and youth. Also helps operate the Mobile Crisis Team that responds to behavioral health crises in Howard County.
Howard County Domestic Violence Hotline
410-997-2272, 800-752-0191 A 24-hour sexual, dating and domestic violence helpline.
Maryland Poison Center
800-222-1222, mdpoison.com Expert advice on treating and preventing poisonings and overdoses.
Maryland Youth Crisis Hotline
800-422-0009, help4mdyouth.org One number accesses a crisis center hotline 24/7 in any Maryland region. Also offers online crisis chat services MondayFriday, 4-9 p.m.
Parenting HelpLine
800-243-7337, familytreemd.org/ programs/24-hour-helpline Confidential information, referral and support 24/7 for parents and caregivers to prevent child abuse. Staffed by The Family Tree and trained volunteers.
Prince George’s County Crisis Response Center
301-429-2185 Crisis services for those ages 4 and older who need a counselor in Prince George’s County.
Sexual Assault Crisis Center and Hotline
410-222-7273, aahealth.org/ programs/behav-hlth/sexualassault A 24/7 hotline for victims of rape, sexual assault and sexual abuse with victim advocates and short-term professional counseling available. Operated by the YWCA of Annapolis and Anne Arundel County.
YWCA Domestic Violence Hotline
HOSPITAL RESOURCES Anne Arundel Medical Center Support Groups
aahs.org/wellness, aahs.org/ events/pdfs/support_groups.pdf Support groups covering perinatal loss, postpartum depression, diabetes, Down syndrome, Lyme disease and other health concerns.
Ask-A-Nurse
800-MD-NURSE, 443-481-4000, aahs.org/askaamc Anne Arundel Medical Center free nurse advice line.
BaltimoreWashington Medical Center Support Groups
mybwmc.org/calendar-date Support groups for different health challenges including diabetes and stroke and mental health issues.
Dimensions Healthcare Support Groups
dimensionshealth.org/index.php/ calendar-of-events Laurel Regional Hospital’s free public support groups include Alcoholics Anonymous, Al-Anon, Bipolar, Nar-Anon and Narcotics Anonymous. Prince George’s Hospital Center support groups include Alcoholics Anonymous, Preemie Support and Survivors of Rape and Sexual Abuse.
Isabel’s Gift
443-510-2673, 443-562-6303, Isabelsgift.org Support for parents with babies in or just out of the NICU.
410-222-6800 Number to call for a safe, secure connection to a trained advocate in Anne Arundel County.
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 29
Looking for a new Doctor?
Johns Hopkins Medicine Support Groups
hopkinsmedicine.org/howard_ county_general_hospital/classes_ events/ongoing_support_groups_ hcgh.html Health care support groups, cosponsored by Howard County General Hospital, including substance abuse, Alzheimer’s caregivers, asthma, depression, loss of a baby and others.
Shore Regional Health Support Groups
umshoreregional.org/news-andevents/shore-regional-health-eventscalendar Various health support groups including cancer, diabetes and stroke.
Wellness House of Annapolis Support Groups
Check out our online directory of
Favorite Docs Voted for by readers like you!
410-990-0941, annapoliswellnesshouse.org/ programs Support groups for caregivers of those with cancer, survivors, and children with family members who have cancer.
410-987-2003, 877-462-1101, hospicechesapeake.org Support and guidance for families in Anne Arundel and Prince George’s counties coping with a life-limiting illness in a child or other family member and counseling for children grieving a loss.
University of Maryland Center for Infant and Child Loss 410-706-5062, infantandchildloss.org Grief support, counseling, workshops and special events for families who have experienced infant and child loss.
PARENTING/FAMILY SUPPORT Changing Focus
BEREAVEMENT/ HOSPICE Chesapeake Life Center
relationships. Meets in Crofton and Columbia/Ellicott City.
410-987-2129, 888-501-7077, chesapeakelifecenter.org Support groups and counseling for adults and children who have experienced loss, including infant
Calvert Hospice
410-535-0892, calverthospice.org Support programs for family members, including children, grieving the death of a loved one and care for those living with a serious, life-threatening illness.
30 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
Hospice of the Chesapeake
410-721-0992, changingfocus.org Professionally led groups for adults experiencing marital separation or divorce, death of a spouse or looking to build healthier
loss, late-term pregnancy loss.
chesapeakefamily.com/ health/favorite-docs
a loss. Also offers perinatal and infant loss support services with Chesapeake Life Center in Baltimore and Howard counties.
Gilchrist Hospice
443-849-8200, gilchristhospice.org Grief support and counseling services in Central Maryland for families who have suffered
Family Support Centers
410-269-4478, 410-659-7701, marylandfamilynetwork.org State network of centers providing free, comprehensive services for parents and children birth to age 3, including health education and referral, peer support and parent education.
Kinship Care
dhr.maryland.gov/foster-care/ kinship-care State support and information for caregivers of grandchildren, siblings and others who are related but not a biological child.
National Family Resiliency Center
410-740-9553, divorceabc.com Support for families going through changes such as marriage, separation, divorce or remarriage. Parenting seminars in Howard and Prince George’s counties, programs for co-parenting parents and to help children and teens. Other services available.
Parenting Helpline
800-243-7337, 410-889-2300, familytreemd.org A toll-free hotline for resources and referrals from The Family Tree, which offers free parenting and family programs and services in Maryland to help prevent child abuse and neglect.
PFLAG of Annapolis/ Anne Arundel County
pflagannapolis.org Support and resources for the lesbian, gay, bisexual, transgender and queer community, their families, friends, and allies. Includes support groups for teens and friends/family, events, legal and health resources.
PFLAG of Columbia/ Howard County
443-718-0474, pflagmd.org General meetings, trans-parent support, play groups for trans and gender creative kids, and other gatherings for families and allies of the lesbian, gay, bisexual and transgender community.
Systems of Care
410-222-7423, 800-485-0041, aacounty.org/Partnership/index. cfm Connects children, youth and their families to appropriate community resources. A program of the Anne Arundel County Partnership for Children, Youth and Families and Anne Arundel County Public Schools.
YWCA
Annapolis and Anne Arundel County: 410-626-7800; hotline 410-222-6800, annapolisywca.org Greater Baltimore: 888-978-5393,
ywcagreaterbaltimore.org Programs, services and support to help empower women and eliminate racism.
SPECIAL NEEDS Anne Arundel County Asperger Support Group 410-647-9502, aacaps.org Monthly meetings in Severna Park and advocacy for children diagnosed with Asperger Syndrome.
The Arc of Central Chesapeake
410-268-8085, thearcccr.org Family and children’s services include Life Transition Series, educational advocacy and resource guides. Also applies for grants for funding for families.
Autism-Asperger Association of Calvert County 410-326-5050, autismspeaks. org/resource/autism-aspergersassociation-calvert-county-aaacc Parent advocacy group to help families cope with the challenges of raising a child with an autism spectrum disorder. Educational meetings during the school year.
Autism Society of America
Baltimore-Chesapeake: 410-655-7933, bcc-asa.org Support group meetings and other social and educational events. Howard County: 410-290-3466, howard-autism.org Online social network, phone resource and referral, parent education and support groups.
Autism Spectrum Support Group of Southern Maryland autismsupport-somd.org Events, workshops, forums and meetings in St. Mary’s, Charles and Calvert counties.
Children and Adults With AttentionDeficit/Hyperactivity Disorder
800-233-4050 Anne Arundel County CHADD: aacochadd.org Monthly meetings with speakers plus a social skills support group for middle school children. Greater Baltimore CHADD: chadd-mc.org/greater-baltimore Support groups for adults and parents in Baltimore and Howard counties; parent-to- parent training. Virtual CHADD: chadd.org/ Support/Virtual-Chapter.aspx Online forum to share information.
Cisco Center
410-647-1503, ciscocenter.org Support groups, services and information for children and families with special needs.
The Parents’ Place of Maryland
410-768-9100, ppmd.org Workshops, links to resources and other special education and health information for parents of children with special needs.
Pathfinders for Autism
443-330-5341, pathfindersforautism.org Free programs and services plus resource referrals to help improve the lives of people with autism and their caregivers.
SUBSTANCE ABUSE Al-Anon/Alateen
410-766-1984, md-al-anon.org Support groups throughout Anne Arundel County for family and friends of alcoholics.
Anne Arundel County Substance Abuse Treatment Referral 410-222-0117, aahealth.org Referrals available weekdays, 8:30 a.m.-5 p.m.
Families Anonymous Annapolis
443-520-0268, faannapolis. weebly.com Supports families and friends concerned about addictive behavior of those they are close to.
HC DrugFree
443-325-0040, hcdrugfree.org Support and resources for parents and teens in Howard County to combat use of illegal substances.
Narcotics Anonymous NA.org All ages meet in different locations on different days to help each other stay clean.
Nar-Anon Family Groups
410-709-8715, area14naranon.com Support groups for family and friends of drug abusers meet in various locations and days throughout Maryland.
COUNTY HEALTH DEPARTMENTS Looking for more health-related resources and services? Contact your local health department. • Anne Arundel County Health Department: 410-222-7095 • Calvert County Health Department: 410-535-5400 • Howard County Health Department: 866-313-6300 • Prince George’s County Health Department: 301- 883-7879 • Queen Anne’s County Health Department: 410-758-0720 ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 31
By Ann Levelle
W
hen Odenton mom
any family history of blood clots. Emily
chance of developing abnormal blood
of four Michelle*
remembered her maternal grandmother
clots, most commonly in your legs or lungs.
got a Facebook
mentioning that she’d had some issue with
While the disorder isn’t terribly serious, it
message from her
blood clots while she was pregnant, and
significantly predisposes those who have it
niece Emily* early this spring, she was
at a few other times during her life. So
to clotting, and can be especially women
pleased but surprised it come up on her
Emily’s doctor suggested she get tested for
dangerous to women who are on hormonal
phone. Emily, in her early 20s and recently
a genetic blood clotting disorder called
birth control, and during pregnancy. It’s
engaged, was writing with not-so-great
Factor V Leiden.
also an issue to monitor closely when
news. She had been to see her OB/ GYN for a routine checkup and to get on birth control. Her doctor, while helping
She did, and turned out to test positive for the condition. According to the Mayo Clinic, Factor V
undergoing any major surgeries. Emily thought, quite wisely, that she should contact her cousins—Michelle’s
determine which birth control method
Leiden, is a mutation of one of the clotting
four children and two other cousins.
would be best for Emily, asked if she had
factors in the blood that can increase your
Two of Michelle’s three girls are already
32 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
in college, and her oldest, Taylor,* was
medical history is key to understanding
“40’s”). Gallegos adds, “When
already on hormonal birth control. After
and protecting your own health. The more
you’re gathering information, try to
checking in with the girls’ doctor, who
you know about your history the easier you
get as specific as you can, while also
ordered the simple blood test at their next
can assess your risks for genetic conditions
recognizing that people don’t always
visits, it was confirmed that all three were
and health problems like heart disease and
remember the specific language. But
Factor V positive (their brother hasn’t
diabetes, blood disorders and cancers.
been tested yet). “[My eldest’s] doctor
Beyond knowing your obvious risks such
they remember concerns.” 2. “Ask about the age at which they
called and said “Yeah, she’s got it, she’s
as a family member having breast or
were diagnosed. That’s also very
positive, so she should stop the birth control
ovarian cancers, or conditions like heart
important,” says Gallegos. “When
immediately.”
disease or high blood pressure, it’s also
we’re thinking about hereditary
important to know what sets of disorders are
components or genetic predispositions,
family is two-fold. First, Factor V Leiden
prevalent in your family and even who they
the earlier onset something is, the
thrombophilia is not a severe genetic
don’t affect. Because the more information
more concerning it is for a genetic
condition. Between three and eight percent
you can collect, the better, as “most
predisposition. For example, in the
of Caucasian and one to two percent of
common familial disorders like diabetes
cancer field, we use 50 sort of as the
African American and Hispanic people
or auto-immune disorders or hematologic
cutoff for what is considered early or
have the disorder, and many of them
diseases are what we call multifactorial,”
late onset. Unfortunately everyone
are none the wiser. According to
says Gallegos. Which basically means the
has a risk of developing cancer in
genome.gov, “There are some individuals
combination between genetics, environment
their lifetime, but most of the time the
who have the F5 gene and who never
and lifestyle can impact your chances of
cancer occurs later in life. If something
develop thrombosis, while others have
getting something that runs in families.
happens earlier
The good news for Michelle and her
recurring thrombosis before the age of 30.” But for Michelle and her family, that didn’t
in life that is more concerning for a
Getting Started
genetic family.”
matter. She’s just happy to know what the
When you’re ready to start collecting data
kids are up against and thankful that her
on your family health history, it might be
Family Tree
niece gave them the heads-up.
daunting. But the good news is, you don’t
Once you’ve started collecting your family’s
“That’s what we call cascade testing,”
have to call all of your second cousins and
history, you might be looking for a good
says Margo Gallegos, MS, CGC, a genetic
your great aunt (though maybe you should,
way to organize it that will be helpful
counselor at Anne Arundel Medical Center.
she’d probably love a call). Instead, focus
to you, your family members, and your
“It’s the lingo for when someone discovers
on your immediate family and your first and
doctors. The National Society of Genetic
that they have a genetic predisposition or
second degrees of relation.
Counselors suggests making a Family
genetic mutation, and then they report it to
First-degree family members include your
Pedigree, which is essentially a family tree
their family members, and it basically sets
parents, siblings, and children. Second-
with a bit of medical history mixed in. You
off a cascade of family members being
degree relatives are your grandparents
can find an example here: ncbi.nlm.nih.
tested for that known familial mutation.”
(or grandchildren), aunts, uncles, nieces,
gov/books/NBK115557/ or on page
According to Amy Curry Sturm, on a
nephews and half-siblings. Third-degree
19. The organization suggests collecting
National Society of Genetic Counselors
family members include first cousins, and
as much data as you can, including family
blog, “Cascade genetic testing is one of
great aunts or uncles. “Anything beyond
histories of cancer, heart disease, diabetes,
the most effective and cost-efficient ways to
three degrees of relation is considered to
asthma, mental illness, high blood pressure,
identify individuals who are known to be
be general population,” says Gallegos,
stroke, kidney disease and alcoholism.
at risk for an inherited condition such as
“meaning that there’s enough genetic
heart disease and cancer. It’s the process
distance from that person that it’s not
of testing through a family in a specific
considered to be high risk.”
order to identify all of the relatives who
Once you’ve determined whose health
What if you don’t have access to your history? Perhaps you were adopted, or your
did, or did not, inherit a genetic mutation
to consider, genetic counselors suggest
parents are already gone and you have
that is causing the condition of concern in
collecting the following information for
no information on their families, don’t
the family.”
each person that you can that’s of a first- or
dismay. Gallegos says it’s fairly common
second-degree relation to you:
for people to not know their family
1. Age or date of birth (and, for all family
histories. She suggests in the absence of a
Learning About Your Family Michelle’s family situation is not a warning
members who have passed on, age
complete history: “maintaining a healthy
to go out and have you and your family
at death and cause of death). When
lifestyle, reducing your risk factors as much
tested for FVL. But it is an important
the information is unavailable, write
as possible, asking your doctor about
reminder that knowing your own family’s
down your best guess (for example,
medical management, following general
ChesapeakeFamily.com • BIG BOOK OF HEALTH 2019 • 33
population screening guidelines like getting
about, and make any lifestyle changes
National Society of Genetic Counselors
your mammograms at 40, getting your
that can keep your chances at getting
at nsgc.org.
colonoscopies at 50,” etc.
sick too. That can include keeping up
For Michelle’s family, the news of her
with regular screenings such as blood
kids (and likely her husband, he hasn’t
Now That You Know
tests, mammograms, yearly checkups, or
been tested yet) having FVL was concerning
Unless you’ve had a bombshell in
colonoscopies, and staying healthy by eating
at first, but she’s glad they know and
investigating your familial health, you’ll
well and exercising.
are tackling the prognosis one step at a
likely need to do nothing except keep the
If you did happen to have a bombshell,
time. Recently Taylor, her oldest, had a
information on file and bring it along to any
say by finding out that your grandmother
consultation to get her wisdom teeth out.
doctor’s appointments you have coming up.
had ovarian cancer early in life or that
“We told the doctor and he recommended
And don’t forget to share your findings with
your mother had three miscarriages that
we check with our hematologist first to see
your family. Your sister may have thought you
you never knew about, it might be time
if there were any precautions needed,” she
were nuts to ask if Grandma’s diabetes was
to make an appointment with a genetic
says. “But her hematologist actually wanted
early or late onset, but she’ll thank you later
counselor. A genetic counselor can help you
the blood to clot in her mouth, and since it
if it turns out to be a factor that affects her.
decide whether you need genetic testing,
wasn’t a major surgery, no precautions were
Until the information you learn becomes an
find a specialist to help with your condition,
needed.” It’s reassuring, she says, to have
issue, your best bet is to keep the information
and help you manage your illness if you
that backup, and to know that they have
in your back pocket, educate yourself on
indeed have what you suspect. You can
a specialist who understands the
find a counselor near you through the
condition best.
any conditions that you may have learned
Photo by ncbi.nlm.nih.gov
34 • BIG BOOK OF HEALTH 2019 • ChesapeakeFamily.com
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