Jeffrey L. Brown, DDS TMJ & Sleep Apnea Craig A. Smith, DDS General Dentistry
Frederick Flanagan, DDS Family Dentistry
Karl A. Smith, DDS, MS Periodontist
Sivakumar Sreenivasan, DMD Oral and Maxillofacial Surgeon
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Our patients mean the world to us, and many have trusted Dr. Smith for decades. Our team is always fully committed to making every visit comfortable, gentle, and pain-free. Our goal is to provide exceptional periodontal and implant care that has been the hallmark of Dr. Smith’s practice for many years.
You deserve the very best! Call today to secure your first visit on your journey to total health, wellness, and aging beautifully.
At the Minimally Invasive Vascular Center (also known as MIVC) we have long been committed to addressing the vascular devastation that is rampant in our community. Each year cardiovascular disease is the world’s largest killer; killing more Americans than cancer. If you have painful legs, wounds that won’t heal, varicose veins, leg swelling, history of smoking, or have a family history of vascular problems and/ or are over the age of 50, you may suffer from poor circulation. Poor circulation may be responsible for causing erectile dysfunction in as much as 50 to 70 percent of men who develop the condition. Now we are happy to add expanded services! Our goal is to extend the healthy lifespan of our patients by using a comprehensive, integrative approach to achieve the most effective results. We believe that Beauty Is a Reflection of Health and Wellness. We want you to be as beautiful on the outside as you are healthy on the inside.
Your Health Magazine is on a mission. There are far too many people, insured or not, who do not go to the doctor when they should, and in millions of cases, don’t know who they should go to, or why.
People are encouraged to buy a new house, car, cell phone or big screen TV, and those companies make themselves very visible and their products easily attainable.
Information about, and from, local healthcare providers is not easy to find, and many times those services are difficult to access.
Information and encouragement always lowers fear and trepidation about anything, and this is especially true in healthcare. While general information is available on web-sites, specific information from local providers is almost impossible for people to find. This is one of the key reasons chronic and episodic conditions are not cared for. It is our mission to:
Make A Difference By Empowering and Encouraging People To Live Healthier By Going To the Doctor When They Should.
There is a lot of evidence that the health professionals who participate in Your Health Magazine have helped many people over the years. We at Your Health Magazine salute you!
G. Scott Hunter, Editor-in-Chief
If you would like to find out how you can participate in one of our upcoming editions, please contact the office nearest you.
The content in Your Health Magazine and provided on yourhealthmagazine. net is for informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult
Understanding Kidney Stones Causes, Symptoms, and Treatment Options
By Mara Holton, MD Anne Arundel Urology
Kidney stones are a common and painful condition that affect millions of people worldwide. They occur when certain substances in urine— such as calcium, oxalate, and uric acid—crystallize and stick together, forming hard deposits. These stones can range in size from a grain of sand to a golf ball, and depending on their size, they may pass on their own or require medical or surgical treatment.
What Are Kidney Stones?
Kidney stones are solid pieces of material that form in the kidneys when the concentration of certain minerals in your urine becomes too high. The stones may stay in the kidney or travel through the urinary tract, which includes the ureters (the tubes that carry urine from the kidneys to the bladder), the bladder, and the urethra (the tube that carries urine out of the body).
Types Of Kidney Stones
There are several types of kidney stones, classified based on their
composition:
1. Calcium Stones: The most common type, typically made of calcium oxalate or calcium phosphate. Oxalate is a naturally occurring substance found in some foods.
2. Uric Acid Stones: More common in people who don’t drink enough fluids, have a high-protein diet, or have gout.
3. Struvite Stones : These can form after a urinary tract infection and grow quickly.
4. Cystine Stones: Rare, occurring in
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people with a hereditary disorder called cystinuria.
Causes Of Kidney Stones
Kidney stones form when your urine contains more crystal-forming substances than the fluid in your urine can dilute. Risk factors for developing kidney stones include:
• Dehydration: Not drinking enough water can lead to concentrated urine, making it easier for stones to form.
• Diet: A diet high in salt, protein, and sugar can increase your risk. Foods high in oxalates, such as spinach, nuts, and chocolate, can also contribute.
• Family Or Personal History : If someone in your family has had kidney stones, you’re more likely to develop them.
• Medical Conditions : Conditions like gout, hyperparathyroidism, and urinary tract infections can increase your risk.
• Medications: Certain medications, such as diuretics, antacids, or medications for seizures, may increase the likelihood of stone formation.
Symptoms Of Kidney Stones
Symptoms of kidney stones may not be noticeable until the stone begins to move within the kidney or into the ureter. When this happens, symptoms can include:
• Severe Pain: Often in the back or side, below the ribs. The pain may spread to the lower abdomen and groin.
• Painful Urination: You may feel discomfort or a burning sensation when urinating.
• Blood In the Urine: Your urine may appear pink, red, or brown.
• Cloudy or Foul-Smelling Urine: This could indicate an infection.
• Nausea and Vomiting : These symptoms often accompany the pain.
• Frequent Urination: You may feel an urgent need to urinate more often than usual.
• Fevers & Infection : In some cases, stones can be associated with bladder, kidney or even systemic infections such as sepsis.
To continue reading this article, please visit: https://yhm.news/AAUrology2
Mara Holton, MD
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DENTAL IMPLANTS & EXTRACTIONS
Restoring Health, Comfort, and Confidence in Your Smile
Tooth loss and severely damaged teeth are more common than many people realize. Whether caused by decay, trauma, gum disease, or infection, untreated dental problems can affect not only your smile—but also your overall health. Fortunately, modern dentistry offers advanced solutions to remove unhealthy teeth and restore your smile with long-lasting, natural-looking replacements.
Two of the most common procedures used to restore oral health are tooth extractions and dental implants. Together, they provide a pathway from pain or infection to renewed comfort, function, and confidence.
When Is a Tooth Extraction Necessary?
A tooth extraction is recommended when a tooth cannot be repaired with treatments such as fillings, crowns, or root canals. Removing the damaged tooth helps eliminate infection, relieve pain, and protect surrounding teeth. Common reasons a dentist may recommend an extraction include:
• Severe tooth decay or infection
• Advanced gum disease affecting tooth support
• Impacted wisdom teeth
• Broken or fractured teeth beyond repair
• Overcrowding before orthodontic treatment
• Preparation for dental implants or dentures
Modern extraction techniques focus on comfort, precision, and faster healing. With advanced imaging and gentle surgical methods, most patients experience minimal discomfort and a smooth recovery.
Your dentist will also provide detailed aftercare instructions to support healing and reduce the risk of complications.
The Importance Of Replacing Missing Teeth
After a tooth is removed, replacing it is often essential for maintaining long-term oral health. When a tooth is missing, the surrounding bone can begin to shrink over time, and neighboring teeth may shift out of position.
This can lead to:
• Bite problems
• Difficulty chewing
• Changes in facial structure
• Increased risk of additional tooth loss
One of the most effective and durable solutions for replacing missing teeth is a dental implant.
What Are Dental Implants?
Dental implants are widely considered the gold standard for tooth replacement. They are small titanium posts surgically placed into the jawbone where a tooth once existed. Over time, the implant fuses with the bone, creating a strong and stable foundation for a custom crown.
Once completed, the replacement tooth looks, feels, and functions much like a natural tooth.
Benefits of dental implants include:
• Natural appearance and comfortable fit
• Improved chewing and speaking ability
• Preservation of jawbone structure
• Long-lasting durability
• No impact on neighboring healthy teeth
With proper care and regular dental visits, implants can last many years—even a lifetime.
A Complete Path To a Healthy Smile
For many patients, treatment may involve extracting a damaged tooth and replacing it with a dental implant. This combination restores both function and aesthetics while protecting long-term oral health.
Your dental team will evaluate several factors before recommending treatment, including:
• Bone health and density
• Gum health
• Overall medical history
• The number of teeth needing replacement
In some cases, bone grafting or other preparatory procedures may be recommended to ensure the best possible implant results.
Take the First Step Toward a Healthier Smile
Advances in dental technology have made extractions and implants safer, more comfortable, and more predictable than ever before. If you are experiencing tooth pain, infection, or missing teeth, a consultation with an experienced dental professional can help determine the best treatment plan for your needs.
Restoring your smile is about more than appearance – it’s about improving comfort, confidence, and long-term health. 15% Discount For First Time New Patients Expires 9/30/26
UNLOCKING BETTER SLEEP
The Benefits of Dental Sleep Appliances Over CPAP
Dr. Larry Bryant
In the realm of sleep disorders, obstructive sleep apnea (OSA) stands out as a prevalent condition that affects millions worldwide. While Continuous Positive Airway Pressure (CPAP) therapy has long been considered the gold standard for treating OSA, dental sleep appliances have emerged as a promising alternative, offering unique benefits for dental health. Let’s delve into the advantages of these sleep appliances over CPAP and how they contribute to improved oral well-being.
Understanding Obstructive Sleep Apnea (OSA)
Before exploring the benefits of sleep appliances, it’s essential to grasp the nature of OSA. This sleep disorder involves the repeated obstruction of the upper airway during sleep, leading to fragmented sleep patterns, daytime fatigue, and potentially severe health complications. CPAP therapy mitigates OSA symptoms by delivering a continuous stream of air to keep the airway open. However, adherence to CPAP treatment can be challenging due to discomfort, noise, and inconvenience.
Embracing Dental Sleep Appliances
Dental sleep appliances, also known as mandibular advancement devices (MADs) or mandibular repositioning appliances (MRAs), offer a non-invasive and patient-friendly alternative to CPAP therapy. These custom-made oral devices resemble sports mouthguards and are worn during sleep to reposition the lower jaw and tongue, thereby preventing airway collapse and promoting unobstructed breathing.
Enhanced Comfort and Compliance
One of the primary advantages of dental sleep appliances is their superior comfort compared to CPAP masks and machines. Many individuals find CPAP therapy cumbersome and restrictive, leading to poor adherence and treatment discontinuation. In contrast, sleep appliances are discreet, lightweight, and do not require external power sources, fostering greater acceptance and compliance among patients.
Preservation of Oral Health
Unlike CPAP therapy, which may cause dry mouth, nasal congestion, and irritation, dental sleep appliances pose minimal risk to oral health. CPAP users often experience dryness and discomfort in the mouth and throat due to the forced air pressure delivered through a mask. In contrast, sleep appliances maintain natural breathing through the nose, reducing the likelihood of oral side effects such as xerostomia and dental decay.
Customized for Optimal Fit and Function
Dental sleep appliances are individually tailored to each patient’s unique oral anatomy, ensuring a precise fit and optimal therapeutic efficacy. Through digital impressions and advanced manufacturing techniques, dentists can design custom appliances that comfortably reposition the jaw without compromising dental occlusion or temporomandibular joint (TMJ) function. This personalized approach maximizes treatment outcomes while minimizing the risk of adverse effects.
Improved Quality of Life
By alleviating OSA symptoms and promoting restful sleep, dental sleep appliances contribute to a better quality of life for individuals affected by sleep disorders. Patients report enhanced daytime alertness, mood, and cognitive function following successful treatment with sleep appliances. Moreover, the non-invasive nature of these devices eliminates the need for surgery or invasive procedures, offering a safer and more accessible solution for managing OSA.
A Valuable Option
In conclusion, dental sleep appliances represent a valuable alternative to CPAP therapy for individuals seeking effective treatment for obstructive sleep apnea. With their superior comfort, minimal oral side effects, and customizable design, sleep appliances offer a patient-centered approach to managing sleep disorders while prioritizing oral health. By embracing these innovative devices, patients can enjoy restorative sleep and improved well-being, heralding a brighter future for dental health and sleep medicine.
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Life After 70 Embracing Purpose, Peace, and New Possibilities
By Toni Greene, Owner Happy Hour Yoga on Zoom!
Reaching the age of 70 is not the end of life’s journey—it is the beginning of a season filled with wisdom, freedom, and opportunity. While society often focuses on youth, those who have lived seven decades possess something far more valuable: experience, resilience, and the ability to in-
spire others. Life after 70 can become one of the richest chapters when it is lived with purpose, gratitude, and an open heart.
Every person carries unique gifts that do not diminish with age. In fact, many gifts become stronger over time. Compassion deepens, patience grows, and life lessons become treasures that can be shared with family, friends, and the community. Whether it is mentoring younger generations, volunteering, creating art, teaching, or simply offering a listening ear, these gifts have the power to change lives. There is no retirement from kindness, wisdom, or love.
Finding direction after 70 often means asking a different question. Instead of asking, “What do I have left to do?” ask, “How can I best use the gifts I have today?” Purpose does not
Please see “Life After 70,” page 50
Cannabis and Sleep More Than Counting Sheep
By Sharron Sample, CEO Dispensary Works
Sleep challenges are a common concern for women at all stages of life. Stress, hormonal changes, and the pace of everyday responsibilities can leave many struggling to fall asleep, stay asleep, or feel rested the next day. In recent years, medical cannabis has gained attention as a possible aid for those seeking natural ways to improve sleep quality.
Cannabis contains compounds called cannabinoids, most notably THC and CBD, which interact with the body’s endocannabinoid system. This system plays a role in regulating mood, stress response, and sleep
cycles. Some research suggests that cannabinoids may help reduce the time it takes to fall asleep and increase the depth of rest. Women who report difficulty staying asleep often describe cannabis as providing a more continuous, restorative night of sleep. Different forms of cannabis can affect the experience. Edibles—such as gummies or chocolates—tend to take longer to work but often provide longer-lasting effects through the night. Vaporizing or smoking cannabis generally produces quicker results, which may be useful for women who have difficulty winding down at bedtime. Some strains, particularly those that are indica-dominant, are known for their calming and sedative qualities.
It is important to remember that the effects of cannabis vary widely depending on the strain, dosage, and individual tolerance. For those new to cannabis, experts recommend starting with a low dose and gradually adjusting. This cautious approach allows women to discover what works best for their needs without unwanted side effects.
Please see “Cannabis,” page 47
Breaking Through the Weight Loss Plateau
By Dr. Tiffany Daniel Live To Day Wellness
You’ve been eating better. You’re exercising regularly. The pounds were coming off, and then suddenly…nothing.
Sound familiar?
If so, don’t get discouraged. Hitting a weight loss plateau is a normal part of the journey, and it does not mean you have failed. In fact, it often means your body is adapting to the
healthy changes you have made.
Our bodies are designed to survive. As you lose weight, your body requires fewer calories to function than it did before. If you continue eating and exercising exactly the same way, your progress may begin to slow. This is why it’s important to reassess your routine instead of giving up.
The first place to look is your nutrition. Portion sizes have a way of gradually increasing without us realizing it. Healthy foods are still calories, so take a fresh look at your meals. Continue filling your plate with lean protein, colorful vegetables, whole grains, and healthy fats while limiting highly processed foods and sugary beverages.
Next, evaluate your protein intake. Protein helps preserve muscle during weight loss and keeps you
Please see “Weight Loss,” page 46
Healthy Hair Starts From Within How Nutrition Supports Strong, Beautiful Hair
Submitted by The Beauty Office & Co.
When it comes to healthy, beautiful hair, most people think about shampoos, conditioners, and styling products. While a good hair care routine is important, what you eat can have an even greater impact on the health of your hair. Just like your skin and nails, your hair depends on proper nutrition to grow strong, shiny, and resilient.
Hair is made primarily of a protein called keratin, making protein one of the most important nutrients for healthy hair growth. Without enough protein, hair may become weak, brittle, or grow more slowly. Lean meats, poultry, fish, eggs, beans, lentils, dairy products, nuts, and seeds are all excellent sources of protein that help nourish growing hair.
Iron also plays a vital role in
delivering oxygen to hair follicles. Low iron levels are one of the most common nutritional deficiencies linked to excessive hair shedding, particularly in women. Foods such as spinach, lean red meat, beans, fortified cereals, and pumpkin seeds can help maintain healthy iron levels. Pairing iron-rich foods with vitamin C-rich fruits and vegetables can improve iron absorption.
Healthy fats are another essential component of a hair-friendly diet. Omega-3 fatty acids help nourish the scalp, reduce dryness, and support shiny, healthy-looking hair. Salmon, sardines, walnuts, flaxseeds, and chia seeds are excellent sources of these beneficial fats.
Several vitamins and minerals also contribute to healthy hair. Biotin, zinc, vitamin D, and vitamins A, C, and E all
Please see “Healthy Hair,” page 46
ESCAPE to Great Hair
What is Temporomandibular Disorder (TMD)?
By Jeffrey L. Brown, DDS Sleep & TMJ Therapy
So what does it mean when a person says “I have TMJ”? Well, technically, it means that you have a temporomandibular joint. And technically, that’s all it means- you have a jaw joint. In reality, most people are
actually saying “I have TMD”- which more literally means they have TMJ disorder.
TMD refers to the displacement or actual slipping of the articular disc off of the condyle. In English, this means that the little cushioning disc on top of your jaw bone has slipped off the bone and is now rubbing around
in that little socket just in front of your ear. That slipped disc can and will pinch nerves and blood vessels and this can wreak havoc with your entire body.
The symptoms of TMD include head and neck pain, migraines, jaw clicking/popping/pain, facial tics or tremors, and various other body issues. There are many patients over the years
We Are NOT Your Typical Dental Office
Jeffrey L. Brown, DDS
who have presented with body tics ( and this is sometimes a Tourette’s situation) and the appliances used can help mitigate their symptoms. There was actually a study done in Osaka at the university that confirmed symptoms of Tourette’s were actually reduced greatly by wearing a TMD appliance! The understanding is that the nerve in the jaw joint- most likely the auriculotemporal nerve- is being pinched and this can cause the tics of Tourette’s. By decompressing the TMJ joint disc, this can alleviate those tics and Osaka university has confirmed the efficacy of the dental appliance used for Tourette’s.
Dr. Jeffrey Brown has limited his practice to focus only on TMJ Disorders, Craniofacial Pain Management and Sleep Apnea. By fixing slipped discs in the jaw joints, Dr. Brown can significantly reduce the pain patients experience in the head/neck region and other symptoms associated with jaw joint problems. Sleep & TMJ Therapy may be able to improve the quality of life for you or a loved one – we encourage you to contact us with any questions or concerns.
“Dr. Brown and his staff are absolutely wonderful. I was diagnosed with Dystonia. I could not turn my head and had a ton of pain. My doctors offered no help and no advice besides Meds and Botox. Since having the appliance I have NO pain and I can turn my head. I would highly recommend them to anyone. I feel Dr. Brown and his staff really care about their patients and helping them to get better. They do not just numb the symptoms but fix the problem. Thank you from the bottom of my heart. I feel like the old me again!”
- D. Thomas
“My daughter has been treated by Dr. Stack and Dr. Brown for the last 2 1/2 years, and we are very fortunate to have found them. Prior to that she was being treated by a neurologist at a Children’s hospital. She was on medications for tics and associated muscle pain, OCD/repetitive thoughts, sleeplessness and more (all possibly associated with Tourettes). Drs. Stack and Brown installed spacers to alleviate pressure on nerve bundles in the jaw, and subsequently braces to complete the process. Her symptoms have diminished significantly. She is off medication, her tics have all but disappeared, she can concentrate better in school, and she is once again cheerful and relaxed.”
- Susan
The bottom line here is that when the little disc is slipped off the condyle bone in the jaw socket, it can really hurt the body badly. Our office has become quite efficient at identifying the damaged disc through the use of a detailed MRI that looks directly at the discs and the radiologist we use is able to produce a very detailed report that can be used to diagnose the problem. From there, a treatment plan that includes wearing various devices can be developed.
You do not need to wear the device(s) forever. The good news is that after a year of treating the damaged joints, usually the patient feels so much better and we can then use orthodontic techniques to raise the teeth up to the right height to support the TM joints. It is quite a process and took years to develop, but nowadays we can use clear aligners in almost all cases and this makes the work so much easier for everyone.
It is rare, but sometimes we need to have surgery done for the discs when they are beyond repair. Years ago this was a difficult procedure, but today it has become much easier for both the patient and the doctor. We even have a technique called ‘arthrocentisis’ in which the joints are flushed out and cleaned to remove debris and bony pieces that can cause pain. This procedure has shown good promise. There are other techniques in treating TMD and those can be reviewed in the next article.
Jeffrey L. Brown, DDS
Back pain is the second most common reason people visit physicians in the US, with neck pain close behind. The spine and adjacent tissues are pivotal in nearly all major bodily movements.
Chiropractic services are used most often to treat neuromusculoskeletal complaints, including but no limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches.
Our Doctors are Nationally FMSCA Certified. Done by appointments only. Call today to schedule! Drug and Alcohol Testing also Available.
Since opening in 2003, Winters Chiropractic & Physical Therapy has remained dedicated to providing expert chiropractic, physical therapy, and DOT/CDL services. Our doctors provide tailored treatments that ensure you make the most gains at a comfortable, steady pace. The ultimate goal of any chiropractic or physical therapy program is to restore your physical health to its previous form. With our small practice, we have the advantage of maintaining personal relationships without compromising our ability to provide advance care.
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Your One-Stop Solution For a Healthy Smile
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Maintaining optimal dental health is crucial for overall well-being, and finding a dental office that offers comprehensive care under one roof is a game-changer. Total Dental Care is a well-established dental practice that takes pride in providing detailed and comprehensive services in various specialties, ensuring patients receive topnotch care for their unique dental needs.
General Dental Services: Total Dental Care excels in offering a wide array of general dental services, including routine check-ups, cleanings, and preventive care. Our experienced team focuses on early detection and intervention to prevent dental issues from escalating.
surgery, extractions, root canals and endodontic treatments, or restorative and cosmetic dentistry, Total Dental Care has you covered. Our specialists are experts in their respective fields, ensuring you receive tailored treatments for your specific dental concerns.
Cutting-Edge Technology: Total Dental Care stays at the forefront of dental technology, offering services such as digital intra-oral cameras, cone-beam CT scanners, and teethin-a-day. Our commitment to utilizing advanced techniques ensures effective and efficient treatments while minimizing complications.
Sedation Options: Understanding the anxiety some patients may feel, Total Dental Care offers laughing gas, oral sedation and IV general anesthesia options. Our goal is to create a comfortable and stress-free environment, catering to the individual
Please see “Healthy Smile,” page 46
Conventional and Integrative care to help YOU achieve your Optimal Health.
At Annapolis Integrative Medicine, Dr. Alan Weiss combines the best of conventional treatments, natural approaches, and alternative strategies to effectively improve and maintain your well being.
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Are You Trying, and Failing, To Lose Weight?
Many people struggle with weight issues. But what is important to know is that it is not your fault, it is not a sign of moral failing or weakness. Ultimately it is simply a matter of inherited biochemistry, lifestyle and living in the modern world where what is available to us when it comes to food is a novel experiment for humanity. An excellent resource that explains this
is “Nature Wants you to be Fat” by Richard Johnson MD that I encourage many of my patients to read, and be freed of blaming themselves for their predicament.
Per recently published data, the U.S. adult obesity rate stands at 42.4%, the first time the national rate has passed the 40% mark. The national adult obesity rate has increased by 26% since 2008.
In my view, for each person there is a safe way to lose weight and to keep it off. In order to do so there are a few issues that must be addressed
First, are there underlying medical issues which make it difficult to lose weight? Examples of this are undiagnosed sleep apnea, hypothyroidism, anemia, and other nutritional deficiencies. Without a thorough evaluation to reveal these issues attempts to lose weight are almost
Please see “Lose Weight,” page 47
Chiropractic and Exercise For Optimal Health
By Alicia Kovach, DC Kovach Chiropractic
If
When it comes to low back pain management, cardiovascular and strengthening exercises are key. However, it’s essential for individuals with a history of heart problems to consult both their chiropractor and primary care physician to ensure they can safely engage in cardiovascular fitness-promoting activities.
Before embarking on any exercise program, patients should receive specific instructions from their primary care physician and chiropractor regarding the appropriate exercises for their condition. This personalized approach ensures a safe and effective exercise routine.
By focusing on strengthening exercises that target the core musculature, individuals can fortify their back muscles and reduce the frequency of back pain episodes. Fortunately, there is a wide range of core-
Foot and Ankle Injuries
By Howard Horowitz, DPM Bowie Foot & Ankle
Broken bones, dislocations, sprains, contusions, infections, and other serious injuries can occur at any time. Early attention is vitally important. Whenever you sustain a foot or ankle injury, you should seek immediate treatment from a podiatric physician.
There are lots of myths about foot and ankle injuries. Some of them follow:
Myths
• “It can’t be broken, because I can move it.” False; this widespread
idea has kept many fractures from receiving proper treatment. The truth is that often you can walk with certain kinds of fractures.
• “If you break a toe, immediate care isn’t necessary.” False; a toe fracture needs prompt attention. If X-rays reveal it to be a simple, displaced fracture, care by your podiatric physician usually can produce rapid relief. However, X-rays might identify a displaced or angulated break. In such cases, prompt realignment of the fracture by your podiatric physician will help prevent improper or incomplete healing. Often, fractures do not show up in the initial X-ray. It may be necessary to X-ray the foot a second time, seven to ten days later.
• “If you have a foot or ankle injury, soak it in hot water immediately.” False; don’t use heat or hot water on an area suspect for fracture, sprain, or dislocation. Heat promotes blood flow, causing greater swelling. An ice bag
Please see “Foot Injuries,” page 46
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How the Hospice Team Can Help Physicians and Specialists Guide Their Patients
By Patrice Richardson, CRNP MSN, ACHPN, Palliative Practice Manager, Hospice of the Chesapeake
End-of-life conversations are among the most meaningful and often the most difficult in healthcare. Not because physicians lack expertise or compassion, but
because every patient’s journey is unique and knowing when to introduce hospice isn’t always clear. Many providers have cared for families who later wished they had learned about hospice sooner. The good news is that you don’t have to make those decisions alone.
A Partner Before a Referral Hospice is available long before a
patient is enrolled. If you’re wondering whether hospice may be appropriate, our team can review the patient’s condition with you, discuss disease-specific changes and help determine where they may be in their illness.
These consultations can offer reassurance when the path forward feels uncertain. Sometimes, a conversation today can
help prevent a crisis tomorrow.
Looking At the Whole Picture
Serious illnesses often progress gradually. Small changes—less strength, more time resting, another hospitalization, a declining appetite or increased dependence—may seem subtle on their own. Looking back over the past six to 12 months often reveals a clearer picture of a patient’s overall decline.
One question many providers find helpful is: “Would I be surprised if this patient experienced significant decline or died within the next six to twelve months?” If the answer is no, it may be time to start a conversation about hospice care.
Waiting For Permission
Patients and families often look to the healthcare professionals they trust for guidance. When hospice hasn’t been discussed, they may not realize it is an option until the final days of life.
Hospice isn’t about giving up. It’s about shifting the focus to comfort, dignity and quality of life while honoring what matters most to the patient. Our team is available to join these conversations, answer questions and help families feel informed and supported as they make decisions together.
The Gift Of Time
One of the greatest benefits of an earlier hospice referral is time. Time to build trusting relationships with the hospice care team. Time for patients to focus on comfort and meaningful moments. Time for families to prepare, ask questions and simply be together.
When hospice begins earlier, patients often experience greater comfort and families feel more supported throughout the journey. Caregivers also receive education, emotional support and bereavement services after their loved one’s passing.
It Is Not Saying Goodbye
Referring a patient to hospice does not mean they are saying goodbye to the physician who has cared for them throughout their illness. Instead, hospice works with the primary care provider, ensuring patients continue to benefit from the trusted relationship and continuity of care they have come to rely on.
Hospice is here to partner with you in providing compassionate, patient-centered care. By starting the conversation earlier, together we can help patients and families experience greater comfort, support and peace during one of life’s most important transitions.
Partnering with hospice
If you’d like support discussing hospice and palliative options, or navigating complex caregiver needs, call 877-462-1101.
Weight Loss With Semaglutide
Submitted by New Day Vitality Hormone Center
Semaglutide injections are part of a prescription-based, medically supervised weight loss program which also incorporates healthy eating and exercise.
Originally prescribed for patients with type 2 diabetes, semaglutide is used to help with weight loss in those who are overweight or obese and also suffer from high blood pressure, high cholesterol or type 2 diabetes.
Semaglutide (known under the brand names Ozempec and Wegovy) targets areas of the brain that regulate appetite and food intake. It also helps the pancreas release the right amount of insulin when blood sugar levels are high, smoothing out the extreme highs and lows that negatively impact hunger and metabolism.
Sixty to 70 percent of midlife
women experience weight gain as they approach menopause. Unfortunately, throughout perimenopause, the rate of fat gain doubles and lean mass declines. In addition, fat distribution shifts and body composition changes, leading to an increased risk of cardio-metabolic disorders, including high blood pressure and obesity.
According to a large doubleblind, placebo-controlled study of semaglutide effectiveness published in New England Journal of Medicine, adults who received semaglutide injections lost an average of 12.4% of their initial body weight compared to individuals who received placebo. Losing 5% to 10% of body weight has been associated with a reduced risk of cardiovascular disease in adult patients with obesity or those who are overweight.
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If your weight loss efforts need a boost, consider weekly semaglutide injection therapy.
Gastric Sleeve Offers Safe Weight Loss
By Etwar McBean, MD, FACS
The Bariatric & Hernia Institute, PC
Obesity has been a growing problem affecting children and adults alike. Obesity is important because of the associated health problems. Many people have conditions that require lifelong medications and treatments. For example, obesity predisposes to diabetes, hypertension and sleep apnea and for effective treatment these conditions require lifelong prescription medications such as insulin, or devices such as the CPAP machine.
Weight loss is a difficult task for anyone trying to lose weight. The core of any weight loss effort depends on daily lifestyle choices.
There are several choices for weight loss including diet programs, medications, and surgery.
For patients needing to lose 100 pounds or more, surgery has been proven to be the most effective method for weight loss and keeping the weight off.
Of the many weight loss procedures, the sleeve gastrectomy (or gastric sleeve) has been increasing in popularity primarily because of its safety profile when compared to procedures such as the gastric bypass or gastric band.
What Is the Gastric Sleeve?
The gastric sleeve is a surgical procedure that is performed using minimally invasive techniques with small incisions on the abdomen. The stomach is divided with a stapler to remove more than half of the stomach. The stomach is then shaped like the
Please see “Gastric Sleeve,” page 46
ADVENTIST MEDICAL GROUP
PRIMARY CARE SERVICES FOR YOU
Choose Adventist Medical Group Primary Care in Fort Washington, Maryland, to provide a full range of primary care services for adults.
Learn to better manage your health and prevent illnesses with personalized care from our experienced, primary care providers. Our specialists in family medicine and internal medicine work as a team to deliver expert care when you need:
• Same-day Sick Visits
• Women’s and Men’s Health and Wellness Exams
• Health Physicals, Health Maintenance and Preventive Care
• Geriatric (Senior) Wellness Exams
• Vaccinations and Immunizations, including Flu Shots
• Health Management for:
• Asthma and Allergies
• High Blood Pressure
• High Cholesterol
• Diabetes
• Heart Disease
You also benefit from coordinated care that helps you effectively handle all aspects of your health—from preventive medicine and preoperative appointments to management of chronic health conditions.
To schedule an appointment, please call 240-724-6018
10709 Indian Head Highway, Suite D1 Fort Washington, Maryland 20744 AdventistMedicalGroup.org
Submitted By Sivakumar Sreenivasan, DMD, MDS Dental Implant Center of Rockville
Can just four implants replace all of the teeth on the top or the bottom of your mouth? Thanks to advances in
dental implant technology, that answer is a resounding yes.
Tooth loss is extremely common among adults, especially as we age. Rather than living with the discomfort and hassles of dentures, many people are opting for what is called “all-on-
Services We Offer:
Outpatient Substance Use Treatment
Outpatient Mental Health Treatment
Primary Care
Behavioral Health Shelters
Residential Substance Use Treatment
Supported Employment Services
four” dental implant restoration.
An implant is a small titanium screw that fits inside your jawbone and replaces the root-part of a missing tooth. Minor surgery is required to insert the implants. Once the implant is in place, a crown is attached to give you a highly realistic-looking and functional prosthetic tooth.
You do not need a dental implant for each and every one of your missing teeth. All you need is four precisely placed implants on the top of your mouth, and four on the bottom, to restore your full smile. That’s the beauty of the all-on-four. And because the implant is made of titanium, it has the unique ability to fuse to living bone and function as part of it. So eventually, the dental implant becomes part of the jawbone and serves as a strong, longlasting foundation for your new teeth.
Besides ensuring that your implants are permanently fixed in place, this bone fusion has another important benefit: it prevents future bone loss in the jaw. This helps to maintain a more youthful facial structure – and better oral health. But perhaps the biggest surprise about the all-on-four is how quickly it can transform your life.
Sivakumar Sreenivasan, DMD, MDS
What’s The All-On-Four Dental Implant Procedure Like?
First, either local or general anesthesia will be administered.
Second, the dentist or surgeon will prepare your mouth for the implants, which involves removing your remaining teeth that are failing. They will then remove any diseased or infected tissue from your jaw and gums.
Next, they will insert the titanium screws into your jawbone. Most likely, they will place two implants toward the front of your mouth and two towards the back of your mouth so the “anchors” can evenly bare the force of the denture.
After the implants have been placed, they will thoroughly clean the
Under New Ownership
Frederick Flanagan, DDS
Saving People. Saving Teeth.
Dr. Flanagan is passionate about helping patients achieve healthy, confident smiles that can truly make a difference in their lives. Through his work as a pastor and involvement with local nonprofit organizations, he received numerous community referrals during dental school, giving him the opportunity to perform a broader range of procedures than many of his classmates. He was also selected for the prestigious Oral Surgery Clerkship, where he gained advanced surgical training and hands-on experience. While completing the Prep program at UCLA under the guidance of Dr. Linda Baum, he received extensive training in pediatric dentistry as well. Recognized as one of the top students in his class, Dr. Flanagan earned a reputation for his compassion, clinical excellence, and dedication to patient care. He graduated from the University of Maryland School of Dentistry with multiple honors and awards recognizing his outstanding commitment to the profession. If treatment is recommended, Dr. Flanagan is happy to provide your care, or you may choose to schedule with one of our other experienced dentists. We wish all of our patient families a wonderful summer filled with health, happiness, and plenty of reasons to smile.
Schedule your appointment with Dr. Flanagan today!
Phone: 410-324-7287
Address: 37 Old Solomons Island Road, Suite 1 Annapolis, MD 21401
Also visit Dr. Flanagan at Brooklyn Park Dental: Phone: 443-437-1160
Address: 4801 Ritchie Hwy Baltimore, MD 21225
LighthouseFamilyDentistry.com
Meet Periodontist, Karl A. Smith, DDS, MS
Dr. Smith is a dentist who also specializes in treatment of gum disease, cosmetic smile enhancement procedures, and dental implants to replace teeth that are missing. Although no one likes to go to the dentist, he strives to make your visits as comfortable and pleasant as possible. He strongly believes that value and comfort is an important part of quality dental care.
The right to choose a dentist and provider of care is an important freedom. Referrals from patients and friends of the practice are welcome. We also work closely on referral from your family dentist, but a referral is not required to visit our office. Everyone that is interested in keeping their teeth for a lifetime should see a periodontist for screening.
Dr. Smith’s colleagues describe him as a gentle, easy-going person that provides expert care to patients. People come from near and far to experience the comfort of his office and patient-oriented team. He has been consistently voted by his peers a Top Dentist in Washingtonian Magazine , and Northern Virginia Magazine
WHAT TO EXPECT ON A VISIT
WITH DR. SMITH:
Dr. Smith says that “From the first phone call you will be treated with care and concern for your unique dental condition. Every question you have ever had about your dental health will be covered as well as any financial considerations you may have. It is my goal to care for each and every person that comes through my doors and to exceed your expectations from a dental office. I promise to always give you honesty and accuracy when it comes to your treatment. I will never start treatment without your full knowledge, understanding, and acceptance of your condition.”
Degrees, Training and Certificates:
Doctor of Dental Surgery Degree from the University of California, Los Angeles 1981. General Practice in the U.S. Air Force Dental Corps.. Successfully completed three additional years of advanced training in the specialty of Periodontics, Dental Anesthesia and Implants in 1992 at the University of Texas Health Science Center, San Antonio and Wilford Hall USAF Medical Center. Retired from the U.S. Air Force as a Lieutenant Colonel in 1996. Fellowship in the Academy of General Dentistry and in DOCS, a sedation organization for dentists.
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Dr. Sreeni came to the United States as an Oral and Maxillofacial Surgeon in the year 1990 and put himself through dental school again at Boston University and Oral and Maxillofacial Surgery residency at University of Medicine and Dentistry of New Jersey.
As an Oral and Maxillofacial Surgeon, Dr. Sreeni manages a wide variety of problems relating to the Mouth, Teeth and Facial Regions. He practices a full scope of Oral and Maxillofacial Surgery with expertise ranging from Corrective Jaw Surgery to Wisdom Teeth Removal. His passion is in implant surgery and he is well known for same day placement of implants following teeth removal be it for single teeth or a complete “makeover” (Smile in a day). He can also diagnose and treat Facial Pain, Facial Injuries and TMJ disorders and perform Bone Grafting and Sinus lift procedures.
Dr. Sreeni completed a residency in Anesthesiology at Mount Sinai Hospital, New York in 1994 and has worked as an Attending providing anesthesia services for children and adults in the ambulatory outpatient center of the hospital.
Dr. Sreeni is an Advanced Cardiac Life Support instructor with the Adventist group. He is also certified in Pediatric advanced life support and is very capable of handling emergencies that could possibly arise in the office. Dr. Sreeni’s staff are trained in assisting with IV Sedation/ General Anesthesia within our state of the art office setting. Patients are continuously monitored during and after surgery. The goal of our office is to provide professional service with compassion and an understanding of the patients’ perspective.
20680 Seneca Meadows Parkway, Suite #218
Meet Mary B. Alexander
Dr. Mary Alexander, periodontist, obtained a Bachelor of Science degree in Biology from the University of South Carolina and continued her education in dentistry at the University of Maryland School of Dental Surgery where she received her DDS degree. Prior to and during her dental studies, Dr. Alexander received funding and support from the National Institutes of Dental Research for her involvement in the periodontal research.
After obtaining her DDS degree Dr. Alexander spent one year at the Veteran’s Administration Hospital, in general practice residency focusing her training in the area of anxiety patient management. She then attended Harvard University and earned her clinical specialty in periodontics and a doctorate in medical science. Her doctoral research was focused in the study of bone function and metabolic disease of the bone.
Dr. Alexander received extensive training in dental implantology, periodontal plastic surgery, bone regenerative procedures and sedation dentistry. All aspects of Dr. Alexander’s training are incorporated in her periodontal practice assuring patient’s thorough and comprehensive periodontal treatment.
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Jeffrey L. Brown, DDS
TMJ & Sleep Apnea Treatment
Meet Jeffrey L. Brown
Dr. Brown’s practice focuses on TMJ, sleep apnea and orthodontics. This allows Dr. Brown and his team to provide individualized, focused care for patients dealing with these specific issues. Every day, his practice helps patients of all ages with facial development, sleep issues, chronic headaches, migraines, neck pain, movement disorders, and much more. His training also includes multiple disciplines involving the cranial bones in the skull, and the discs in the jaw joints. Through treatment, Dr. Brown is able to reduce these symptoms, align cranial bones, avoid extractions, and greatly reduce the need for traditional braces. His expertise allows him to identify issues early on which promotes proper facial development using dental appliances. If there is an internal imbalance, whether an adult or child, the body does not develop or function properly. When the cranial bones are lined up correctly, patients are able to function, sleep and generally live better.
With that in mind, the team at Sleep & TMJ Therapy takes a whole-body approach when treatment planning. They work hand in hand with physical therapists and osteopathic doctors for a better success rate. Dr. Brown is devoted to helping patients of all ages live a symptom free life.
Degrees & Certifications
Dr. Brown earned his degree from Georgetown Dental School and completed residencies with Emory University Hospital for Dental Sleep Medicine and the ALF Appliance Therapy Institute.
Outside the Office
When not seeing patients, Dr. Brown is a sought-after speaker. He has lectured all over the world, including D.C., Dubai, Seoul, London, Norway and Toronto. He has also been featured on Channel 9’s Good Morning Washington, several podcasts, and numerous magazines and journals.
Professional Affiliations
Dr. Brown is a diplomate of the American Academy of Craniofacial Pain, a member of the American Academy of Dental Sleep Medicine, American Academy of Gnathological Orthopedic, Academy of Integrative Pain Management American Dental Association, a Fellow of the American Academy of Craniofacial Pain, and Legacy Provider for the ALF Interface Academy.
Do you have TMD or Sleep Apnea?
TMD Symptoms: Noise in the jaw joints when opening and closing your mouth, difficulty chewing, limited opening, tender facial muscles, ear ringing, uncomfortable bite, jaw locking, headaches, migraines, dizziness, vision issues as well as pain in the jaw area which can radiate to the ears, head, neck, shoulders, and back.
Sleep Apnea Symptoms: Snoring, waking up gasping for air, feeling tired and irritable in the morning, difficulty controlling weight, concentration problems, morning headaches, episodes of not breathing, waking with a sore throat, forgetfulness and mood changes.
If you believe you may be suffering from TMD or Sleep Apnea, don't wait... Call today to schedule a consultation with Dr. Brown: 703-821-1103.
Craig A. Smith, DDS
General Dentistry/ Family Dentist
Meet Craig A. Smith
Dr. Craig Smith is committed to health through dentistry, ensuring you have optimal oral health which contributes to your overall health and well-being.
Quality service, advanced technology and a passionate commitment to education means patients receive the best that dentistry has to offer.
Dr. Smith’s Philosophy: Always listen to the patient and in turn respond in an educational manner so that the patient will understand.
Degrees, Training, and Certificates: Doctor of Dental Surgery (D.D.S.) - Howard University College of Dentistry; 2 Year General Practice Residency; Chief Resident - Harlem Hospital Center (Affiliate of Columbia University); Certified Invisalign Provider
Professional Memberships: National Dental Association
Areas of Interest: All phases of dentistry - cosmetic, implant, crowns and bridges, root canals, veneers, preventive care, Invisalign and whitening.
Hobbies: Mountain biking, racquetball, golfing, and boating. My interests are to continue to deliver quality dentistry and to further reach out to the community to help to increase the peace.
Additional: Many patients do not understand the importance of a healthy mouth, as health problems could arise. I want to educate all of my patients on health through dentistry.
Local Professionals Empowering and Encouraging People To Live Healthier
www.AccessDentalCare.com
Mujtaba Yahya, DDS
. Dr. Yahya is a proud graduate of Laurel High School, UMBC, and the University of Maryland School of Dentistry. For more than 25 years, he has been dedicated to serving the community through his private dental practice, providing compassionate, high-quality care to generations of families.
His extensive experience in all aspects of dentistry, combined with a commitment to continuing education and the latest advancements in dental care, allows him to provide personalized treatment plans tailored to each patient’s unique needs. Whether it’s preventive care, restorative dentistry, or cosmetic enhancements, Dr. Yahya is committed to helping every patient achieve optimal oral health and a confident, healthy smile in a comfortable and welcoming environment. This fall marks a very special milestone as our practice proudly celebrates 25 years of serving our community. We are incredibly grateful for the trust and loyalty of our patients, many of whom have been with us since the very beginning. We look forward to continuing our tradition of exceptional care for many years to come.
Outside the office, Dr. Yahya enjoys spending quality time with his family, whether they’re traveling together or exploring new places. An avid reader with a lifelong love of learning, he appreciates discovering new ideas and experiences that enrich both his personal life and his approach to caring for his patients.
Welcome Dr. Sheharyar Awan
Helping Patients Smile, Eat, Speak & Live with Confidence!
From wisdom teeth removal and dental implants to TMJ treatment, bone grafting, corrective jaw surgery, and facial rejuvenation procedures, Dr. Larry Bryant helps patients restore their comfort, confidence, and quality of life.
For more than 30 years, Dr. Bryant has earned a reputation for making even the most nervous patients feel at ease through his calm demeanor, surgical expertise, and caring approach.
Dr. Shehar Yar Awan earned his DDS from the University of Maryland School of Dentistry after completing his undergraduate studies at the University of Maryland, Baltimore County (UMBC). He enjoys all aspects of general dentistry, with special interests in biomimetic restorative dentistry, crowns and bridges, dental implants, oral surgery, and emergency dental care. Dr. Awan is committed to providing evidence-based, personalized treatment that promotes lasting oral health, function, and aesthetics while staying current through continuing education. Outside the office, he enjoys spending time with his wife and three children, traveling, tackling home improvement projects, and cherishing faith, family, and friendships.
Patient Praise... “I have dental anxiety and was very nervous. This was the best experience I’ve ever had with dental work in my life.”
Why Patients Choose Dr. Bryant
• Advanced Surgical Training
• Dental Implants & Bone Grafting
• Wisdom Teeth & Extractions
• TMJ & Facial Pain Treatment
• Family-Centered Care
• Trusted Throughout Prince George’s County
• Dental Implants & Reconstructive Surgery
• General Anesthesia & Sedation
• Extractions & Wisdom Teeth
• Facial Injuries
• Orthodontic & Orthognathic Surgery
• Comprehensive TMJ Therapy
ORTHODONTIC TREATMENT
Meet Dr. Harmon
Degrees, Training and Certificates: Master of Science in Dentistry in Orthodontics; DDS and BS from Case Western Reserve University in Cleveland, OH
Professional Memberships/Associations: Assistant Clinical Professor at the University of Maryland, Department of Orthodontics; Adjunct Assistant Professor at Case Western Reserve University, Department of Orthodontics, Cleveland OH; American Association of Orthodontists; President Mid-Atlantic Society of Orthodontists; Past President of the Maryland Society of Orthodontics; Alpha Phi Alpha Fraternity, Inc.; Former Member of Bishop McNamara High School’s Board of Directors; Former member Prince George’s County Community Education Foundation Board of Directors.
Areas of Interest: Building and
and football
Family/Hobbies/Interests: Children, Kennedy and David III; Wife: Shonda W. Harmon, MBA, MPA
• Natural, safe, laser light energy is pulsed and absorbed by the subcutaneous tissue.
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• Waste products are expelled from the body via sweat, urine and respiratory exhaustion.
• The body continues to burn fat for up to 4 hours after treatment.
• Collagen and elastin production is increased within the skin layers to rejuvenate and repair skin cells addressing cellulite, skin laxity and stretch-marks.
Featured Health Professionals
Alicia Kovach, DC
Dr. Alicia Kovach, DC is a graduate of Palmer College of Chiropractic with advanced training in DRX Spinal Decompression, the Activator Method, Myofascial Release, Board-Certified Physical Therapy, the Webster Technique, and the Thompson Technique. She remains committed to continuing education and utilizes the latest evidence-based chiropractic treatments for pediatric and pregnancy care.
Dr. Kovach is an active member of the Maryland Chiropractic Association and the International Chiropractic Pediatric Association. Her clinical interests include maternity and pediatric chiropractic care, workers’ compensation and personal injury cases, and spinal decompression therapy for herniated discs. She is passionate about helping patients restore their health naturally and finds great satisfaction in seeing individuals recover from chronic pain and injuries, regain mobility, and return to their normal daily activities.
Dr. Kovach encourages patients to listen to their bodies and address discomfort early, believing that prompt treatment can speed recovery and prevent more serious conditions. She also recognizes the supportive role chiropractic care can play for individuals undergoing cancer treatment by helping relieve joint and muscle pain or stiffness associated with surgery, chemotherapy, or radiation therapy, improving overall comfort and quality of life. Outside the office, she enjoys swimming, running, following sports, and spending time with her family.
Kristina Anderson, DC
Dr. Kristina Anderson was born and raised in northern New Jersey and has always been passionate about health, movement, and helping others live active, pain-free lives. She earned her Bachelor’s degree in Kinesiology from the University of Maryland, College Park, before completing her Doctor of Chiropractic degree and Master’s degree in Applied Clinical Nutrition at New York Chiropractic College. Dedicated to continuing education, Dr. Anderson has earned certifications in RockTape, Dry Needling, Active Release Technique (ART), FAKTR (Functional and Kinetic Treatment with Rehab), and the Webster Technique. After experiencing quadriceps tendinitis that sidelined her from high school track and field, she gained a firsthand appreciation for quality rehabilitation and personalized care. Dr. Anderson has experience treating a wide range of patients, including athletes, pregnant and postpartum women, adolescents, seniors, and individuals recovering from personal injuries. She develops individualized treatment plans focused on relieving pain, restoring function, and improving overall wellness.
Outside the office, Dr. Anderson enjoys reading, attending musicals, watching stand-up comedy, and traveling with her husband. She is committed to helping every patient achieve lasting health and return to the activities they enjoy most.
Aric Adlam, DC
Dr. Aric Adlam discovered the benefits of chiropractic care early in life, beginning treatment at just two years old. After a serious football injury at age 16 threatened his athletic future, he chose chiropractic care over spinal surgery. Recovering in only half a season instead of the expected two years, he returned to the field and found his calling to become a chiropractor.
Dr. Adlam earned his Bachelor of Science degree with an emphasis in Biological Sciences before receiving his Doctor of Chiropractic degree from Life University College of Chiropractic in Marietta, Georgia.
He specializes in diagnosing and treating soft tissue and spinal injuries, including chronic neck and back pain, headaches, whiplash, and bulging discs. Utilizing advanced rehabilitation technology and state-of-the-art diagnostic techniques, Dr. Adlam develops personalized treatment plans to help patients reduce pain, restore function, and improve mobility.
With a lifelong background in competitive sports, Dr. Adlam has a special interest in caring for athletes of all levels– from elite competitors to weekend warriors – helping them recover safely and return to the activities they enjoy. He is committed to providing compassionate, evidence-based chiropractic care and is proud to serve patients at Kovach Chiropractic and Wellness Center, helping them achieve healthier, more active lives.
Felicia Schumacher, DC
Welcome Our Newest Team Member Kovach Chiropractic & Wellness Center is proud to welcome Dr. Felicia Schumacher to our team. Born and raised in Central New Jersey, Dr. Schumacher has always been passionate about health, fitness, and helping others achieve their wellness goals.
She earned her Bachelor’s degree in Exercise Science from Towson University before receiving her Doctor of Chiropractic degree from Sherman College of Chiropractic in Spartanburg, South Carolina, in 2024. She is certified in Dry Needling and the Webster Technique and is committed to providing personalized, evidence-based chiropractic care.
Dr. Schumacher enjoys treating a diverse range of patients, including expectant mothers, adolescents, seniors, athletes, and individuals recovering from personal injuries. As a former competitive softball player, she has a special interest in helping athletes recover from injuries, improve performance, and return safely to the activities they enjoy.
Outside the office, Dr. Schumacher enjoys spending time with family and friends, relaxing at the beach, and playing with her beloved fur babies. She is excited to serve the community and looks forward to helping patients relieve pain, restore function, and live healthier, more active lives.
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Local Professionals Empowering and Encouraging People To Live Healthier
Mara Holton, MD
Dr. Mara Holton grew up in Maryland and has practiced with AA Urology for more than a decade since completing her residency.
Dr. Holton earned her undergraduate degree from The University of Vermont before attending medical school at Temple University in Philadelphia. She then completed her general surgery internship and urologic surgery residency at University of Maryland Medical System. While in residency, Dr. Holton practiced the full breadth of urologic training and surgery. Additionally, while there, she spent a year doing research dedicated to interstitial cystitis / pelvic pain alongside leaders in the field.
In clinical practice, Dr. Holton treats all urologic conditions but has a special interest in female incontinence and pelvic floor dysfunction along with the noninvasive treatment of kidney stones. She is trained in the all of the most current and minimally invasive options to facilitate patients ability to recover from procedures quickly so that they can get back to their lives and families.
As the managing partner of her group, Dr. Holton has overseen the expansion of AA Urology over the past several years and is excited by the growing presence of the group while maintaining the practice ethos of compassionate care in our communities. She is also very involved in the advancement of independent physician practices as a critical resource for patients and participates in advocacy as a board member of national organizations, including the Large Urology Group Practice Association.
In her free time, Dr Holton enjoys traveling, hiking and spending time with her family and dogs.
Washington-Plaskett completed her medical school training at Meharry Medical College in Nashville, TN. She completed her Internal Medicine training at Morehouse School of Medicine in Atlanta, GA. She went on to pursue her Cardiology training at Boston Medical Center in Boston, MA where she also decided to stay and complete an additional year of training in Interventional Cardiology. She is a native of Fort Washington, MD and was eager to come back to familiar roots to start her career as a Cardiologist.
Dr. Washington’s interest in medicine started early as both her parents were in the medical field. Her inspiration is derived from the sacrifice of her parents as well as countless other health care workers that dedicate their careers in service to others.
Her specific interests in Cardiology include coronary artery disease and prevention, women’s cardiovascular health, and health disparities. Coronary heart disease or disease of the arteries that supply the heart is highly prevalent in the US with an estimated 20.5 million Americans with the diagnosis 2. Among women, it is often difficult to recognize the signs and symptoms of a heart attack and can often get overlooked1
Dr. Washington looks forward to working with and delivering care to the patients within the southern Maryland area. She truly believes knowledge is power and arming patients with the knowledge and tools necessary to guide them through their journey to better cardiovascular health.
Dr.
Featured Health Professionals
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Renee Bovelle, MD Ophthalmology Meet Dr. Bovelle
Naima Jacobs-El, MD Ophthalmology
Board Certified, Ophthalmology by the American Board of Ophthalmology
Degrees, Training and Certificates: UCLA Medical School;
Yale University Hospital for Residency; Louisiana State University for Cornea and Refractive Fellowship
Professional Memberships/Associations: American
Academy of Ophthalmology; American Society of Cataract and Refractive Surgery; International Society of Refractive Surgery
Areas of Interest: All laser custom LASIK; Cataract Surgery; Botox; Dermal Fillers; Cornea Comprehensive Ophthalmology
Practice Philosophy: Envision Eye and Laser is committed to delivering superior ophthalmic care with state-of-the-art technology and patient education in a caring, compassionate environment. We cater to a diverse population of adults and work with your primary care physician to improve the quality of your overall health and life. Your best vision is our focus.
301-805-4664
12200 Annapolis Road Suite #116
Glenn Dale, MD 20769
EnvisionEyeandLaser.com
Dr. Jacobs-El
Board Certified, Ophthalmology by the American Board of Ophthalmology
Dr. Jacobs-El is a dedicated ophthalmologist committed to delivering compassionate, patient-centered eye care. With a strong foundation in medical ophthalmology, Dr. Jacobs-El brings extensive training and experience in diagnosing and managing a wide range of eye conditions, from routine vision concerns to complex ocular diseases.
Known for her gentle approach, Dr. Jacobs-El prioritizes making each patient feel comfortable, informed, and confident in their care. She believes that building trust is essential to achieving the best outcomes and strives to create a welcoming environment where patients feel heard and respected.
Dr. Jacobs-El earned her medical degree from Howard University School of Medicine and completed her residency training in ophthalmology at Howard University Hospital, followed by dual fellowship training in medical retina and uveitis at the National Institutes of Health National Eye Institute. She has also contributed to advancing medical research at the National Institutes of Health and proudly served veterans for several years within the U.S. Department of Veterans Affair. She remains dedicated to staying at the forefront of advancements in eye care and incorporates the latest evidence-based practices into her work.
Now proudly serving the Envision Eye & Laser Center community, Dr. Jacobs-El is passionate about helping our patients preserve and improve their vision while enhancing their overall quality of life.
Featured Health Professionals
Local Professionals Empowering and Encouraging People To Live Healthier
Voted “Best Pet Food Store” by Washingtonian, What’s Up? Magazines, Bay Weekly’s Best of the Bay, the Capital Gazette, and the Bowie Blade, this trusted neighborhood pet store has earned a reputation for exceptional products, knowledgeable service, and a genuine passion for animal wellness. Their experienced team understands that every pet is unique and provides personalized recommendations based on your pet’s age, breed, weight, activity level, and individual health concerns.
With more than 30 premium brands of natural pet foods and wholesome treats, pet owners can find high-quality nutrition tailored to dogs and cats of every life stage. Beyond nutrition, the store offers a carefully selected assortment of vitamins and supplements, toys, comfortable beds, grooming products, natural flea and tick repellents, collars, leashes, and other everyday essentials.
Their philosophy is simple: good nutrition is the foundation of lifelong health. By helping pet owners make informed choices about the foods and products they use, they strive to give every pet the opportunity to enjoy a longer, healthier, and happier life. Whether you have a playful puppy, an active adult dog, a senior cat, or a pet with special dietary needs, their friendly staff is dedicated to providing expert guidance and personalized care for every member of your furry family.
Featured Health Professionals
Janice Trent, AuD
10111 Martin Luther King Jr. Highway, Suite #102 Bowie, MD 6196 Oxon Hill Road Suite #240, Oxon Hill, MD
Meet Janice Trent
Dr. Trent has a passion for helping people. She has practiced Audiology since 1984, in a number of clinical settings. Her diverse career has included 16 years of teaching and clinical supervision at Howard University, Washington, DC and Temple University, Philadelphia, PA. Dr. Trent has also worked as a clinical audiologist in hospital settings and private ENT practices.
Education:
Clinical Doctoral Degree – Audiology-University of Florida, Gainesville, FL
Master of Education – Audiology- Northeastern University, Boston, MA
Bachelor of Science – Communication Sciences and Disorders – Hampton University, Hampton, VA
Dr. Trent holds her Maryland State Licensure in Audiology. She is a Certified Clinical Audiologist (CCC-A) through the American Speech-Language-Hearing Association (ASHA). Presently, she serves on the Board of Directors for ASHA as Vice President for Audiology Practice.
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By Quansheng Lu, CMD, PhD, LAc
Wholelife Chinese Medicine & Acupuncture Center
More than 3,000 years ago, the origins of Chinese acupuncture took
Chinese Acupuncture For Shoulder Pain
root, becoming an integral aspect of traditional Chinese medicine (TCM). This therapeutic practice involves the insertion of fine needles into specific points on the skin to promote healing. By targeting these points, acupuncture aims to restore the flow of energy along the body’s meridians, which, according to theory, becomes obstructed, leading to discomfort.
Guest professor, Henan University of Traditional Chinese Medicine (TCM) Chief TCM Physician, WFCMS; M.S. in TCM, Beijing University of TCM PhD in integrated medicine, China Academy of Chinese Medical Sciences Fellowship, Georgetown University & Children’s National Medical Center 3 patents, 8 books of TCM, 30 papers, 30+ years of experience in TCM
Low back pain • eczema • arthritis • allergies • cough • insomnia • paralysis obesity • nephritis • hepatitis • infertility • PMS • side effects of cancer treatment 416 Hungerford Drive, #300 Rockville, MD 20850 5022 Dorsey Hall Drive, #101 Ellicott City, MD 21042
Doesn't Your Child
Loving Care Pediatrics Janet V. Johnson, MD
with the practice of
most prevalent symptoms, stemming from various common causes such as tendon inflammation, adhesive capsulitis, instability, arthritis, and fractures. While less frequent, shoulder pain can also result from tumors, infections, or nerve-related issues.
Does Acupuncture Alleviate Shoulder Pain?
Research from June 2009, conducted at Johns Hopkins Bayview Medical Center, examined the efficacy of acupuncture in managing shoulder pain. In a single-blind randomized trial, adults experiencing shoulder pain for at least eight weeks due to osteoarthritis or rotator cuff tendonitis were assessed. Thirty-one participants were divided into three treatment groups: individualized acupuncture based on TCM principles, standardized acupuncture targeting typical shoulder pain points, and sham acupuncture without needle penetration.
Following six weeks of treatment, improvements in the total Shoulder Pain and Disability Index (SPADI)
scores were observed across all groups. However, clinically significant changes were only evident in the first two groups. Consequently, acupuncture emerges as a potentially effective therapy for chronic shoulder pain.
Why Does Acupuncture Sometimes Fail To Yield Results?
The practice of traditional Chinese medicine, encompassing acupuncture and herbal remedies, is intricate and requires extensive training. Optimal treatment outcomes hinge on identifying the correct acupuncture point formula and precise point locations. Without this precision, acupuncture may not deliver desired results.
Is Acupuncture Safe?
Overall, acupuncture is considered a safe treatment option. Potential side effects include dizziness, localized bleeding, dermatitis, nerve injury, or increased pain, particularly in cases where practitioners lack adequate training. Therefore, the expertise of a welltrained and experienced acupuncturist is crucial for both efficacy and safety.
Your Child’s First Dental Visit
By Janet V. Johnson, MD Loving Care Pediatrics
“First visit by first birthday.” This is the view of the American Academy of Pediatric Dentistry. Pediatricians agree. The American Academy of Pediatrics suggests that children who are at risk of early childhood cavities visit a pediatric dentist by age one.
National studies have shown that preschool-aged children are getting more cavities. More than one in four children in the United States has had at least one cavity by the age of one. Many kids get cavities as early as age two.
To prevent early childhood cavities, parents first have to find out their child’s risk of developing cavities. They also need to learn how to manage diet, hygiene and fluoride to prevent problems.
But cavities aren’t all that parents need to learn about their child’s dental health. The age one dental visit lets parents discuss the following important facts.
How to care for an infant’s or toddler’s mouth
1. Proper use of fluoride
2. Oral habits, including finger and thumb sucking
3. Ways to prevent accidents that could damage the face and teeth
4. Teething and milestones of development
5. The link between diet and oral health
After this first visit, the pediatric dentist will suggest a schedule of follow-up visits. In the past, dentists typically called for visits every six months. However, this schedule may vary ac-
Please see “Dental Visit,” page 46
• CHRONIC FATIGUE
Now acceptiNg aetNa, aNd Blue cross/care First. practiciNg iN MarylaNd siNce 2004. 703 GiddinGs Avenue suite u3-G, AnnApolis, Md 21401 treat health coNcerNs with acupuNture
• DEPRESSION • BACK PAIN • JOINT PAIN BrittNey de Vicq, Mac, lac www.westaNNapolisacupuNcture.coM 410-375-9716
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offering Dr. Remedy
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Acupuncture: A Promising Approach For Dental Pain Relief
MAc, LAc
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Most Insurance Plans Accepted • Visa, Mastercard and Most Cards Accepted Out Patient Surgery, Ambulatory Surgical Center and Hospital Surgery Evening Appointments Available
Dental pain can range from mild discomfort to severe agony, often requiring immediate attention and relief. While traditional dental interventions are effective, some individuals seek alternative methods to manage pain. Acupuncture, a practice rooted in ancient Chinese medicine, has gained recognition as a complementary therapy for dental pain. By understanding its principles
and applications, individuals can make informed decisions regarding pain management options.
Understanding Acupuncture: Acupuncture involves the insertion of fine needles into specific points on the body to stimulate the flow of energy, known as Qi, along meridians. In dental pain management, acupuncturists focus on acupoints located around the face, jaw, and head region. By stimulating these points, acupuncture aims to rebalance the body’s energy and promote pain relief.
Dental Pain Relief Mechanisms: Acupuncture’s pain-relieving effects in dental procedures can be attributed to several mechanisms. Firstly, acupuncture stimulates the release of endorphins, natural painkillers that provide a sense of wellbeing. Secondly, it influences the autonomic nervous system, reduc-
Please see “Dental Pain,” page 47
What Is Gout?
By Ademuyiwa Adetunji, DPM Largo Foot & Ankle Health
Gout is a kind of arthritis that occurs when uric acid builds up in blood and causes joint inflammation. An estimated 5.1 million people in the United States live with gout.
Gout is the most common form of inflammatory arthritis that affects approximately three times as many men as women. The number of newly diagnosed cases has increased over the past 40 years.
• Acute gout is a painful condition that typically affects one joint.
• Chronic gout is repeated episodes of pain and inflammation, which may involve more than one joint.
Causes, Incidence and Risk Factors
Gout is caused by having higher-than-normal levels of uric acid in your body. This may occur if:
• Your body makes too much uric acid
• Your body has a hard time getting rid of uric acid
If too much uric acid builds up in the fluid around the joints (synovial fluid/connective tissue), uric acid crystals form. These crystals are mainly formed as a result of a break down of purines found in the human tissue and many foods that we eat. These crystals cause the joint to swell up and become inflamed.
The exact cause is unknown. Gout may run in families. It is more common in men, in women after menopause, and those who drink alcohol. People who take certain medicines, such as hydrochlorothiazide and other water pills, may have higher levels of uric acid in the blood. Most uric acid is carried through the bloodstream to the kidneys, which eliminate it from the body in the urine.
Please see “Gout,” page 47
By Brittney de Vicq,
West Annapolis Acupuncture
Depression and Aging Adults
By Joyce Abramson, RNMS Charles County Freedom Landing
Depression is a major health concern in our country and discriminates against no particular group. The disease affects all races, ages and has no regard for income. The focus of this article, however, is the expanding number of older folks who may experience depression.
Although adults 60 years and older compose 13% of the U.S. population, the use of mental health services is below the expected limit of use. Older Americans are disproportionately likely to commit suicide.
Individuals over 65 account for 20% of all suicide deaths, with white males being particularly susceptible.
Up to 5% of those persons over 65 suffer from some form of depression. This does not include the normal experiences of sadness, loss, or grief that all people feel as part of living. Major depression is persistent and can interrupt people’s ability to function. Depression should not be considered a normal phenomenon of growing older.
Both health care providers and the patient may have difficulty recognizing the signs of depression.
The National Institute of Mental Health has listed a few questions to consider when discussing general health concerns and the possibility of depression.
If some of these feelings or symptoms are persistent, lasting more than several weeks, and occur more often than not, talk about them with your healthcare provider. This may provide the best way to properly diagnose the problem and have a positive result ––feeling better.
Please see “Depression,” page 47
Please see “Disabilities,” page 61
Coping With Nasal Allergies
Submitted by Kensington Pharmacy
Do you have a nasal allergy?
Nasal allergies cause the lining of your nose to become swollen and inflamed. Do you have:
• A runny nose with a thin, watery discharge?
• Nasal itching and congestion?
• Red, itching eyes?
• Sneezing?
• Drainage from your nose down the back of your throat?
If so, you may be a nasal allergy sufferer. Your pharmacist can help you decide whether to see a doctor or whether to treat your symptoms yourself.
The next question to ask yourself is if your allergies are perennial, seasonal, or both?
Many different triggers can cause nasal allergies.
Perennial Triggers
• Dust mites
• Animal hair or dander
• Indoor mold
Because these triggers are pres-
ent all the time, these allergies are said to be perennial.
Seasonal Triggers
• Pollen from trees
• Ragweed
• Grass
• Weeds
Because these triggers are around only during certain times of the year, these allergies are said to be seasonal. Some people suffer from both perennial and seasonal allergies. They may have symptoms all year round, but they tend to be worse during certain seasons.
How Do I Avoid the Triggers That Cause My Nasal Allergies?
Avoiding triggers entirely probably is not possible. But you can do a number of things to minimize them. Talk to your doctor or pharmacist about specific products – such as filters and bedding covers – that can help you clear your environment of triggers. How Can I Control My Symptoms?
Seasonal and perennial nasal al-
Please see “Nasal Allergies,” page 47
At Kensington Pharmacy, in addition to having your prescriptions filled with speed and accuracy, you will experience one of the best services and notice the difference.
With 14 employees, Kensington Pharmacy gives a special attention to each customer that they deserve. Stop by and experience the difference.
• Prescription Refills via On-line or Phone 24 hours a day
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• Compounding Specialists
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• Greeting Cards, Select Books and Gifts
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Legsupport, Arthritis and Sport Aids, Bath Aids
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• And More
Studio 5 Hair Gallery Specializing in Restoring & Enhancing
Your Hair’s Natural Beauty
Located in scenic Southern Maryland, Studio 5 Hair Gallery is well known in the medical community for customized solutions for hair loss. We provide the finest synthetic and human hair wigs, hair extensions, and top-of-the-head hairpieces. For over 12 years, Studio 5 Hair Gallery has served its clients with compassion and excellence. call 301.884.3553 for your appointment today! Please mention this Flier when setting up your appointment. Whether your hair loss is temporary, due to
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Studio 5 Hair Gallery hair replacement specialists are empathetic to your needs at this difficult time and will do everything possible to make you feel comfortable.
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Holistic Wellness Center
(located inside of Hol-Body Yoga Studio)
Family Wellness Services
• Natural and Herbal Remedy Consults
• Family Planning
• Childbirth Education
• Natural Healing Education
Women’s Health/Womb Wellness
• Birth/Postpartum Doula Services
• Fertility Support
• Womb Meditation
• Womb Massage
• Yoni Steams
Spiritual and Mental Wellness
• Etheric Touch Sessions
• Reiki Sessions
Coming Soon:
• House Blessings
• Divinations
• Doula Training starts November 2026 for in person and virtual classes, call for registration information
Shirleta Henson McKann 443-265-9393
319 Crain Highway S. Glen Burnie, MD 21061
Appointment Only Visits, please call to schedule Facebook: DReM’s Legacy Holistic Wellness
How Sleep Affects Weight Control The Overlooked Factor In Healthy Living
Annapolis Asthma, Pulmonary & Sleep Specialists
Sleep and weight control are deeply connected — yet many people overlook this relationship when trying to manage their weight. While diet and exercise rightly receive much attention, poor sleep can undermine even the best efforts at healthy living.
One key reason sleep matters is its effect on appetite-regulating hormones. When sleep is restricted, levels of ghrelin, the “hunger hormone,” rise, while levels of leptin, the hormone that signals fullness, decline. This imbalance can lead to increased cravings, overeating, and poor food choices, especially a preference for calorie-dense and carbohydrate-rich foods.
Inadequate sleep also affects metabolism. Studies have shown that even a few nights of poor sleep can
impair insulin sensitivity, making it harder for the body to regulate blood sugar levels. Over time, this increases the risk of weight gain and type 2 diabetes. Chronic sleep deprivation may also slow metabolism overall, reducing the number of calories burned at rest.
Beyond hormones and metabolism, fatigue itself can reduce the likelihood of engaging in physical activity. When people feel tired, they may be less motivated to exercise or may cut workouts short, further contributing to weight gain over time.
Sleep disorders such as obstructive sleep apnea (OSA) are particularly relevant. OSA is more common in individuals with excess weight, but it also contributes to difficulty losing weight by fragmenting sleep, lowering
Please see “Healthy Living,” page 50
Over 70 million Americans suffer from sleep disorders. Sleep problems affect both sexes, all races and all age groups.
Left untreated, sleep disorders can pose serious threats to your health. Heart attack, heart failure, irregular heartbeats, stroke, diabetes, hypertension, acid reflux, attention deficit disorder and depression are conditions associated with sleep problems.
At Annapolis Asthma, Pulmonary & Sleep Specialists, we provide expert diagnosis and treatment to help you achieve restful, healthy sleep.
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LASER TREATMENT
• Hair Removal
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WELLNESS SERVICES
• Bioidentical Hormones (BHRT)
• ED Treatment for Men
• Medical Weight Loss
Chase, MD 20815 (Across from the Friendship Heights Metro)
H
y sm I le
needs of each patient. Whether you’re undergoing a complex procedure or a routine dental treatment, your peace of mind is our priority.
Patient-Centric Approach:
At Total Dental Care, we prioritize your comfort with a patient-focused approach, offering amenities such as heated chairs with massage features, ensuring a relaxed experience. Our team is dedicated to fostering a positive dental experience, emphasizing
WeIgHt loss
feeling satisfied longer. Maintaining muscle is important because muscle burns more calories than fat, even while your body is at rest.
Now let’s talk about exercise. If you’ve been walking the same route every day for months, your body has likely become efficient at that activity. Try adding strength training two or three times each week, increase the intensity of your walks, or incorporate intervals that alternate faster and slower paces. Small changes often produce big results.
Just as important is recovery. Many people believe exercising more is always better, but the body also needs adequate sleep, hydration, and rest to repair itself. Chronic stress and lack of sleep can increase hormones that make weight loss more difficult while increasing cravings for unhealthy foods.
Don’t overlook the importance
HFrom page 17
communication and education to empower patients in making informed decisions about their oral health.
Total Dental Care stands as a beacon of excellence in dental health, providing total solutions for patients seeking comprehensive, detail-oriented care. Experience the difference with our wide range of services and patient-focused approach, ensuring your journey to a healthy smile is seamless and satisfying.
From page 13
of your mindset. Too often we allow the number on the scale to determine our success. Instead, celebrate the non-scale victories. Maybe your clothes fit better. Perhaps you have more energy, sleep more soundly, or can complete workouts that once seemed impossible. Those are victories worth celebrating.
Finally, remember that weight loss is not a race. It is a lifestyle. Plateaus provide an opportunity to reflect, make adjustments, and recommit to your goals rather than abandon them. Stay focused. Stay patient. Trust the process.
Success doesn’t come from being perfect every day. It comes from consistently making healthy choices, even when the scale refuses to move.
Keep moving forward. Your body is changing, even when you can’t yet see it.
ealtH y H a I r
support normal hair growth and scalp health. A colorful diet filled with fruits, vegetables, whole grains, nuts, seeds, and healthy fats typically provides many of these nutrients naturally. While supplements are widely marketed for hair growth, they are not always necessary and should only be taken under the guidance of a healthcare professional if a deficiency is identified.
Hydration is equally important. Hair can become dry and more prone to breakage when the body is dehydrated. Drinking plenty of water throughout the day helps support healthy circulation and keeps the scalp hydrated.
It’s also important to recognize
strengthening activities that can be performed in a gym or even at home without significant equipment costs.
To find core stabilization exercises tailored to your needs, consult your chiropractor. Additionally, incorporating cardiovascular activities into your routine offers additional benefits. These activities promote proper digestion, maintain muscle tone, and enhance circulation. For instance, a brisk walk around the block, regardless of your fitness level, is a convenient and popular cardiovascular activity.
If you’re seeking guidance on initiating an exercise routine to alleviate back pain, look no further than your local chiropractor. They possess the expertise to help you get started and provide personalized recommendations based on your specific needs and goals.
Unlock the power of chiropractic care and exercise in tandem to improve your overall health, reduce back pain, and embark on a journey towards a more vibrant and active lifestyle. Take the first step and consult your chiropractor today.
Foot I njur I es
wrapped in a towel has a contracting effect on blood vessels, produces a numbing effect, and prevents swelling and pain.
• “Applying an elastic bandage to a severely sprained ankle is adequate treatment.” False; ankle sprains often mean torn or severely overstretched ligaments, and they should receive immediate care.
• “The terms ‘fracture,’ ‘break,’ and ‘crack’ are all different.” False; all of those words are proper in describing a broken bone.
Before Seeing the Podiatrist If an injury or accident does occur, the steps you can take to help
yourself until you can reach your podiatric physician are easy to remember if you can recall the word “rice.”
• Rest. Restrict your activity and get off your foot/ankle.
• Ice. Gently place a plastic bag of ice wrapped in a towel on the injured area in a 20-minute-on, 40-minute-off cycle.
• Compression. Lightly wrap an Ace bandage around the area, taking care not to pull it too tight.
• Elevation. To reduce swelling and pain, sit in a position that allows you to elevate the foot/ankle higher than your waist.
gastr Ic sleeV e
From page 13
that sudden hair loss can sometimes signal an underlying health condition, hormonal imbalance, thyroid disorder, chronic stress, or nutritional deficiency. If you notice significant thinning or persistent shedding, it’s wise to consult your healthcare provider or dermatologist for a proper evaluation.
Healthy hair begins with healthy habits. Eating a balanced, nutrientrich diet, staying hydrated, managing stress, and maintaining a gentle hair care routine all work together to support stronger, healthier hair. While no single food can guarantee perfect hair, nourishing your body from the inside out provides the foundation for hair that looks and feels its best.
From page 24
sleeve of a typical shirt. Patients will have smaller meals and the appetite is reduced because the hormone for appetite is removed with the stomach. Patients are in the hospital for two nights and can resume activities within 1-2 weeks of the procedure.
The procedure can produce 60-70 pounds of weight loss for every 100 pounds that a person is overweight.
Compared to other weight loss procedures it is much safer, and it compares in safety to most common surgeries today, for example, gallbladder surgery.
Who Should Consider the Gastric Sleeve?
From page 21
The gastric sleeve is intended for people that are suffering from the effects of obesity or people that want to prevent the bad effects of obesity.
The typical patient that gets the procedure is at least 100 pounds overweight and often has conditions such as diabetes, hypertension, sleep apnea and arthritis.
The benefits are that patients get to lose the excess weight, they improve their health, they get rid of medications, and they enjoy a better quality of life with more activities and better social relationships.
3. Follow-up care by the dentist
surgical sites and suturing all the incisions. Then you’ll be taken to a recovery room where you can relax and take time to wake up from the anesthesia.
Schedule a consultation with an All-On-Four provider. It’s the best way to find out how dental implants can change your life. a ll- on-Four
cording to each child’s needs and risks. As the child grows, the dental team can help you, the parent, learn how to prevent common oral problems. Before leaving the office, you should have a clear idea about 1. Your child’s development 2. Your responsibilities
4. Your child’s likelihood of having problems with cavities or bite You should have your questions answered. You also should know what you and the dentist can do together to make sure your child has excellent oral health.
guaranteed to fail. As well menopause and other hormonal issues in men and women can interfere with metabolism. Also many common medications such as antidepressants and proton pump inhibitors (acid reducers) can make it hard to lose weight.
Are you exercising? Typically, exercise is 20-30% of the equation when it comes to weight loss. Remember, muscle burns calories much more than fat. For every extra pound of muscle you put on, your body uses around 50 extra calories a day. If you have lost muscle mass from not exercising or from medical reasons (like chronic steroid use) it may take very few calories to maintain your body weight. This is why some people claim, truthfully, that they hardly eat, but can’t lose weight.
Once these issues are looked at, for the vast majority of people with weight issues, weight gain is a function of excess calories, simple carbohydrates and insulin resistance. Insulin is a hormone in our body that converts sugars into fat (triglycerides), and drives that fat into fat cells and blocks the exit of fat from fat cells. Countless patients with a lifetime of
DepressIon
Ask yourself if you are feeling nervous or “empty”, guilty or worthless, very tired or slowed down, don’t enjoy things the way you used to, restless or irritable, as if no one loves you, life is not worth living. Are you sleeping more or less than usual, eating more or less than usual, having persistent headaches, stomach aches or chronic pain?
Some of these symptoms may be present with other illnesses as well, however, the possibility of depression should not be overlooked.
New technologies reveal that in depression neural circuits in the brain
The condition may also develop in people with diabetes, kidney disease, obesity, sickle cell anemia and other anemias, leukemia and other blood cancers.
Symptoms Of Acute Gout
• Symptoms usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.
• The pain starts suddenly, often during the night and is often described as throbbing, crushing, or excruciating.
• The joint appears warm and red. It
page 18
weight struggles, or new issues as they age, who get these issues addressed find that weight loss becomes much easier.
Be aware of and reduce the carbohydrates and sugars in your diet. As well intermittent fasting can augment this process by reducing the period of time when people eat during the day. And then finally using supplements and medications to reduce insulin resistance will help. This includes a new class of medications called Glucagon-like peptide-1 receptor agonists, also known as GLP-1 receptor agonists, can make a remarkable difference in getting weight off. Medications that recieved much publicity such as Ozempic and Mounjaro can address the underlying biochemistry and “food noise”—the obsession with food that haunts many people. Also the complex biochemistry of hunger and feeling full that are mostly a function of our brain chemisty can be adressed with these medications
So the critical hing to know is that there are answers to getting the weight off. Even if this has been a long-term struggle, you should not give up and find a doctor who can help you.
From page 39
that control mood, thinking, sleep, etc. can fail to function properly and that the chemicals used by the brain to communicate are out of balance.
Antidepressant medications and psychotherapy are effective treatment for depression. More than 80% of people with depression improve when they receive appropriate treatment. This includes the older population.
Your primary care provider, local office on aging or local mental health providers are resources where additional information may be gathered on available services.
is usually very tender (it hurts to lay a sheet or blanket over it).
• There may be a fever.
The attack may go away in a few days, but may return from time to time. Additional attacks often last longer. After a first gouty attack, people will have no symptoms. Half of patients have another attack.
Some people may develop chronic gout. Those with chronic arthritis develop joint damage and loss of motion in the joints. They will have joint pain and other symptoms most of the time.
Dental pa I n
ing inflammation and promoting relaxation, which can alleviate dental pain. Lastly, acupuncture may help modulate pain signals within the central nervous system, effectively reducing the perception of pain.
Clinical Applications: Acupuncture has shown promise in various dental conditions, including toothaches, temporomandibular joint (TMJ) disorders, post-operative pain, and dental anxiety. For toothaches, acupuncture can provide temporary relief by reducing inflammation and desensitizing the affected area. In TMJ disorders, acupuncture can help alleviate muscle tension and promote relaxation, reducing pain and improving jaw function. Additionally, acupuncture has been used as an adjunct therapy to manage post-operative dental pain and as a calming technique for patients experiencing dental anxiety.
Individualized Treatment:
Acupuncture treatment for dental pain is highly individualized. Acupuncturists consider the patient’s specific dental condition, pain severity, and medical history to develop a personalized treatment plan. The number of sessions required may vary, depending on the individual’s response and the nature of the dental issue being addressed.
Acupuncture presents a promising alternative for dental pain relief, offering a holistic approach that complements traditional dental interventions. By stimulating the body’s natural healing mechanisms, acupuncture can effectively reduce dental pain, improve oral health, and enhance overall well-being. Individuals seeking additional pain management options can consider acupuncture as a complementary therapy in consultation with their dental healthcare providers.
nasal a llergI es
lergies can be treated effectively using medications. Many are available without a prescription. Talk to your doctor or pharmacist to determine which one of these is best for you.
Antihistamines:
• Oral medications (taken by mouth)
• Nasal sprays
How it might help:
• Reduces itching, sneezing, eye irritation, and runny nose.
What to keep in mind:
• Not effective for nasal congestion.
• May cause drowsiness.
• Antihistamine nasal sprays may leave a bad taste in the mouth.
Decongestants:
• Oral medications (taken by mouth)
• Nasal sprays
How it might help: Reduces nasal congestion.
What to keep in mind:
• Can cause difficulty sleeping, loss of appetite, or excessive nervousness.
• Decongestant nasal sprays may tem-
cannabIs
While many find cannabis helpful for sleep, it is not a cure-all. Good sleep hygiene—such as maintaining a consistent bedtime, limiting caffeine late in the day, and creating a calm sleep environment—remains essential. Cannabis may serve as a supportive tool when these measures alone are not enough.
As research continues, more is being learned about how cannabinoids
From page 39
porarily reduce nasal congestion but can cause even more severe congestion if used for more than 3-5 days or more often than recommended.
Cromolyn Sodium Nasal Spray:
How it might help: Effective in some people for controlling symptoms of nasal allergies.
What to keep in mind:
• Works only if used before nasal symptoms appear.
• Won’t work during an active allergy attack
Corticosteroid Nasal Spray:
How it might help:
• Highly effective treatment of nasal allergies.
• Used as the primary preventive treatment for patients with moderate to severe allergies.
What to keep in mind:
• May cause nasal dryness.
• As an oral medication, can be taken over the short term (3-7 days) for treatment of severe symptoms.
From page 12
affect the body and mind. Early findings are promising, but larger studies are needed to fully understand longterm effects and optimal usage. In the meantime, knowledgeable dispensary staff can guide patients toward products tailored for sleep support.
For women seeking natural relief from restless nights, medical cannabis may offer a gentle and holistic option worth considering.
HEALTH DIRECTORY
ACUPUNCTURE
Eastern Medical Holistic Healing Center – Angel Wood – 240-755-5925 –www.Acupuncture4Wellness.Webs.com.
West Annapolis Acupuncture – Brittney de Vicq, LAc, MAc – 410-375-9716 – BrittneyAcupuncture.com – Annapolis, MD.
CHINESE MEDICINE & ACUPUNCTURE
Quansheng Lu, CMD, PhD, LAc – www.WholelifeHerb. com – 301-340-1066.
CHIROPRACTIC
Kovach Chiropractic & Wellness Center – Alicia Kovach, DC – 410-697-3566.
Metro Prosthetics – 301-4590999 – www.MetroProsthetics.com
RETIREMENT VILLAGE
Brooke Grove Retirement Village – 18100 Slade School Road, Sandy Spring, MD 20860 – 301-260-2320 – www.bgf.org.
SENIOR CARE
Chevy Chase Home Care. Help at a time you need it most. Any Ages. Any situations. Any shifts. MD, DC, VA – www.CHCHHomeCare. com – 202-374-1240.
St. Mary’s Nursing & Rehabilitation Center – 301-475-8000 – Leonardtown, MD – www. StMarysNursingCenter.com.
UROLOGY
AA Urology – IR Center , 600 Ridgely Avenue, Suite #120, Annapolis, MD – Annapolis , 600 Ridgely Avenue, Suites #222-223, Annapolis, MD – East Campus Surgery Center, 600 Ridgely Avenue, Suite #130, Annapolis, MD – AA Urology – Odenton, 1106 Annapolis Road, Suite #250, Odenton, MD.
UROLOGY
Glen Burnie , 305 Hospital Drive, Suite #303, Glen Burnie, MD – Bowie, 4201 Northview Drive, Suite #201, Bowie, MD – West Campus Surgery Center, 7855 Walker Drive, Suite #102, Greenbelt, MD –Greenbelt, 7855 Walker Drive, Suite #100, Greenbelt, MD. VETERANS
Charlotte Hall Veterans Home – 301-884-8171 – Waldorf, MD. WEIGHT LOSS
The Bariatric and Hernia Institute – Dr. Etwar McBean – 240-206-8506 – www.TBHInstitute.com.
YOGA
Toni’s Happy Hour Yoga and Holistic Wellness Center –Toni Greene, Owner – 301449-8664.
1) Call 301-805-6805 with your
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Health Magazine 4201 Northview Dr. Suite 102 Bowie, MD • 20716
EQUITY FOR ALL
depend on age. It grows from serving others, continuing to learn, and living each day intentionally. New hobbies, travel, writing, gardening, or starting a community group can all become meaningful paths forward. Every sunrise offers another opportunity to make a positive difference.
Yoga is a beautiful practice for this stage of life. Gentle yoga improves flexibility, balance, strength, and posture while helping reduce stress and stiffness. More importantly, yoga reminds us to breathe deeply and move with awareness. It teaches us that every movement can become an expression of gratitude for the body that has carried us through life’s many seasons.
Meditation complements yoga by nourishing the mind and spirit. Even a few minutes of quiet breathing each day can calm anxiety, improve focus, and create a sense of inner peace. Meditation encourages us to let go of worries about the past or future and to appreciate the present moment. In stillness, we often discover clarity,
joy, and a deeper connection to ourselves and to something greater than ourselves.
Life after 70 is also a time to recognize our blessings. Gratitude has the remarkable ability to transform ordinary days into extraordinary ones. Appreciating good health, meaningful relationships, cherished memories, and even small moments of beauty brings hope and contentment. A grateful heart sees abundance where others see limitation.
Growing older is not about slowing down; it is about living more intentionally. It is a season to celebrate life’s blessings, share your gifts generously, care for your body through yoga, quiet your mind through meditation, and continue walking with purpose. Peace comes not from having a perfect life but from embracing each day with hope, love, and gratitude. At 70 and beyond, life still holds countless opportunities to grow, to serve, and to thrive. The best chapters may still be waiting to be written.
H ealtH y lIVI ng
oxygen levels, and increasing fatigue. This creates a cycle: poor sleep can contribute to weight gain, and weight gain can worsen sleep apnea.
Improving sleep quality is an important and often overlooked part of a successful weight control plan. Prioritizing consistent bedtimes, limiting caffeine and alcohol in the evening, creating a restful sleep environment, and addressing underlying sleep disorders can all help.
From page 42
For individuals struggling with both sleep problems and weight management, it’s important to recognize that treating one may help improve the other. If symptoms such as snoring, daytime sleepiness, or frequent awakenings are present, evaluation for conditions like sleep apnea should be considered.
Good sleep is more than rest — it’s a foundational pillar of overall health, supporting appetite control, metabolism, energy levels, and ultimately, success in maintaining a healthy weight.
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