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Volume 11, No. 2 • Summer 2007 W ellness matters CARING FOR OUR COMMUNITY On a Clear Day New Cataract Surgery Adult Onset Diabetes Men’s Health: Male Menopause The Bite of Summer

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Page 1: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

Volume 11, No. 2 • Summer 2007

Wellness matters

C A R I N G F O R O U R C O M M U N I T Y

On aClear DayNew CataractSurgery

Adult OnsetDiabetes

Men’s Health:MaleMenopause

The Bite ofSummer

Page 2: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL2

Dear Friends,It is an exciting time at Howard County General Hospital as we continue to

grow in order to provide you with the best, most comprehensive care possible.

If you have visited the hospital recently, you have noticed that our reconfigura-

tion of the main parking area continues. This reconfiguration is the first step in

the process which will lead to the construction of our new patient pavilion with

all-private rooms. To minimize your inconvenience, I encourage you to use our new complimentary

valet parking at the front entrance of the hospital, which is available from 8 a.m. to 4 p.m. We look

forward to breaking ground for our new patient pavilion later this year.

I am very pleased to announce that plans are currently underway to develop a comprehensive,

full-service Maternal Fetal Medicine Institute at Howard County General Hospital. This new, full-time

service for women with high-risk pregnancies is slated to open in July 2007. Board certified Maternal

Fetal Medicine physicians and specially trained ultrasound technologists will team up with genetic and

diabetic counselors, nutritionists and specialized obstetrical nurses to deliver this integrated service,

always working closely with your personal obstetrician to augment your care. The center will be led

by a Johns Hopkins Maternal Fetal Specialist, and will be a very significant addition to our current high

quality obstetrical services and Level IIIb Neonatal Intensive Care Unit. The program will provide

mothers and babies with comprehensive maternity care without having to leave our community.

This February marked the opening of the new Psychiatric Emergency Unit. Responding to the

unique needs of a growing number of patients with mental health conditions, the new unit provides a

separate, secure unit that is specially designed and staffed to treat up to 10 patients in need of emer-

gency psychiatric services, enhancing patient privacy, safety, and quality of care. The psychiatric

emergency unit is located in a newly constructed 1,920-square-foot addition to the hospital’s main

Emergency Department. The $775,000 project was funded in part by grants from the Maryland

Hospital Association Hospital Bond Project Review Program and the Horizon Foundation.

The hospital also provides inpatient psychiatric services in a 20-bed psychiatric unit.

In closing, I would like to invite you to attend Columbia’s 40th Birthday Party Family Day Health

Fair sponsored by Howard County General Hospital on Sunday, July 15 at Merriweather Post Pavilion.

Health screenings and information for all ages will be offered from noon until 5 p.m. I hope to see

all of you there!

Have a safe and healthy summer.Sincerely,

Victor A. BroccolinoPresident and CEOHoward County General Hospital

Letter from the President

Page 3: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3

summer 2007

Wellness

Wellness Matters • Volume 11, No. 2

Wellness Matters is published quarterly by Howard County General Hospital, a private, not-for-profit, health care provider, and a member of Johns Hopkins Medicine.Your physicianshould be consulted in regard to matters concerning the medical condition, treatment and needs of your family. Please direct questions and comments regarding Wellness Matters tothe Public Relations Department at 5755 Cedar Lane, Columbia, MD 21044-2912, 410-740-7810. Hospital Information: 410-740-7890;TDD: 410-740-7990; www.hcgh.org.

Public RelationsMary Patton, director

Writing/Editing Bonnie Heneson Communications

DesignFredlund & Company

Custom Photography Carl Caruso

Beverly J.White-Seals, ChairW. Brian McGowan, Vice Chair,

Interim TreasurerAnn B. Mech, J.D., R.N.,

SecretaryVivian C. Bailey**Evelyn T. BolducVictor A. Broccolino*Adinarayana Divakaruni, M.D.George L. Doetsch, Jr.

Howard County General Hospital, Inc.Victor A. Broccolino, president/CEO

Howard Hospital FoundationEvelyn T. Bolduc, chair

Howard County General Hospital Professional StaffMichael E. Silverman, M.D., president

Volunteer AuxiliaryAlicia Slahetka, president

Miriam F. DubinH. Elizabeth HorowitzEdward J. Lee, M.D.*Harry L. LundyRobert T. ManfusoRonald R. Peterson*Alton J. ScavoHenry M. Seidel, M.D.G. Daniel Shealer, Jr., Esq.Michael E. Silverman, M.D.*

BOARD OF TRUSTEES

Volume 11, No. 2 • Summer 2007

Wellness matters

C A R I N G F O R O U R C O M M U N I T Y

On aClear DayNew CataractSurgery

Adult OnsetDiabetes

Men’s Health:MaleMenopause

The Bite ofSummer

4

FOCUS THIS ISSUE

Seeing ClearlyNew cataract surgery gives a patient a clear view.

6 A Look at Men’s HealthWhat you need to know as you age.

7 Wellness ClassesClasses from Maybe Baby to Aging Well and everything in between to keep you healthy.

11 Adult Onset DiabetesDo you have it? Learn the risk factors and what you can do to prevent Type-2 diabetes.

12 The Bite of SummerFrom creepy, crawly bugs to four-legged animals,learn what to do if you are bitten this summer.

13 Hospital NewsDiscover what is new at HCGH.

14 Giving MattersRead how members of your community have made a difference.

16 Mark Your Calendars

On the front cover: HCGH cataract surgerypatient George Hunter is now seeing clearly.

*Ex-Officio Trustee **Trustee Emeritus

Page 4: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

George Hunter remembers the first time he saw Columbia’s Lake Kittamaqundi. It was 1971, and he had just decided to move toColumbia.Thirty six years later, George is still drawn to the lake’sbeauty. Unfortunately, in the fall of 2006, cataracts had caused the laketo begin to look fuzzy and cloudy in George’s eyes.Today, following newstate-of-the-art cataract surgery at Howard County General Hospital,George is able to enjoy a clear view of the lake once again.

Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL4

A NEW

George, who had worn glasses since high school, thought the time hadcome to have his eyeglass prescription changed. “The best the doctor could do was correct my vision in my left eye to 20/50, which is pretty limiting,”says George. “I was really having trouble reading my computer screens, which is essential in my profession.” His other option was cataract surgery.

George saw Howard County General Hospital ophthalmologist Dr. Dean Glaros and was scheduled for cataract surgery in March 2007, using the hospital’s new phacoemulsification technology.

According to Dr. Glaros, phacoemulsification surgery uses ultrasoundwaves to break up the cataract. The fragments of the cataract are carefullysuctioned from the eye, and a new artificial lens is then implanted in place of the cataract. The outpatient procedure typically takes no more than

30 minutes to complete. The new Infinity system allows the cataract to be removed moreefficiently and with less energydelivered to the inside of the eye. This results in a safer procedure andmore rapid return of vision.

“I have to admit the thought of eye surgery had me really worried,”

says George. “But, the staff at HCGH’s Center for AmbulatorySurgery were so good; they put me right at ease. Everything went seamlessly,

Cataract SurgeryHas Patients Seeing Clearly

Page 5: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

CARING FOR OUR COMMUNITY Wellness matters • summer 2007 5

Dr. Dean Glaros

Ophthalmologist

Dr. Malin Howard

Ophthalmologist

Dr. Jeffrey Wexler

Ophthalmologist

and I never had any discomfort. In fact, I felt good enough after the surgerythat my son and I stopped to eat on the way home.”

The day following the surgery, George saw Dr. Glaros to have the patchcovering his eye removed. “When I looked around I knew the operation hadbeen a success,” says George. “So successful that now I no longer wear glassesat all. Sometimes, out of habit, I find myself reaching for my glasses, and thenI realize I don’t really need them. I feel really blessed.”

“The Infinity phacoemulsification machine is amazing technology, making cataract surgery a painless, bloodless,sutureless procedure. Using this technology, we are able to more efficiently, and with less trauma to the patient,remove their cataract for faster and improved visual recovery. We also are able to implant new multifocal,intraocular lenses that now can correct for astigmatism as well as give patients the ability to see distance and near.”

Dr. Jeffrey Wexler, Chief of OphthalmologyHoward County General Hospital

"Howard County General Hospital has provided surgeons with thenewest technology in cataract removal. We are now more efficient atsafely removing the cataract and implanting a lens to restore sight."

Dr. Malin Howard Ophthalmologist

Page 6: Wellness - Johns Hopkins Hospital€¦ · CARING FOR OUR COMMUNITY Wellness matters • summer 2007 3 summer 2007 Wellness Wellness Matters• Volume 11,No.2 Wellness Matters is published

Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL6

Yes, men can have it, too. Known as andropause, this condition results from low testosterone.With age, almost all men experience a testosterone decrease. However, some men’s levels dip lower than otherscausing a lessening in libido; emotional, psychological, and behavioral changes; decreased muscle strength andmass; and increased body fat. Decreased testosterone also may raise your risk for heart disease and weak bones.

Are You Experiencing

Male Menopause?

For men in their 50s and 60s, having anannual physical, during which your doctorcan perform or recommend some simpletests, can help to slow or prevent manyage-related problems, or, if you currentlyhave a chronic disease or disability, improveyour quality of life.

Rectal ExamOver 50? You need one every year. Arectal exam and a fecal occult bloodtest can identify any masses or subtlebleeding that can’t be seen with thenaked eye.These tests can give cluesto treatable problems in your colonor prostate.

PSA-Prostate Exam This blood test, when combined witha rectal exam, can effectively detectprostate cancer in most men.According to Dr. Marc Applestein,a urologist on staff at HowardCounty General Hospital, at age 50you should start getting both testsevery year. If you have a family historyof prostate cancer or are an AfricanAmerican, screening may start asearly as age 40.

Colon Cancer Screening TestsA colonoscopy, which should be doneevery 10 years starting at age 50, is justone of several colon cancer tests.You mayneed to have them earlier and morefrequently if you have risk factors.

Weight As you age, your metabolism decreases andmuscle is replaced with fat, increasing yourlikelihood to pack on the pounds. Beingoverweight raises your risk for developing a

number of diseases-watch weight gain, eathealthier, and exercise.

Blood Pressure According to Dr. Gary Milles, an internist on staff at Howard County General Hospital,untreated high blood pressure can damage

your heart, arteries, brain,eyes, and kidneys. Millions ofAmericans have this conditionand don’t know it. Get yourblood pressure checked atleast once a year.

Cholesterol To reduce the chance ofheart attack or stroke,measure your total and HDL(good) cholesterol at leastonce every five years (moreoften if you’re at risk for aheart attack).

Blood SugarUntreated diabetes can causeheart disease, kidney failure,and blindness. Get a fastingblood sugar test at least onceevery three years to catchdiabetes early and manage it.

ImmunizationsOver 50-get a flu shot every year. Over 65-geta pneumococcal vaccine to protect againstpneumonia too.You also need a tetanusbooster shot every 10 years.

Remember to take care of your eyes,teeth, skin, bones, and hearing by regularlyseeing your doctor and seeking medicaladvice should you have a concern.

One of the tools used for screening for low testosterone isthe ADAM (Androgen Deficiency in Aging Men) questionnaire:

1. Is your libido decreased?2. Are your erections less strong?3. Are your strength and endurance

decreased?4. Do you lack energy?5. Are you falling asleep after dinner?6. Have you noticed a recent

deterioration in your ability to play sports?

7. Have you noticed a recent deterioration in your work performance?

8. Are you more sad and/or grumpy than usual?

9. Have you lost height?10. Have you noticed a

decreased enjoyment in life?

If you answered “yes” to either of the first two questions, or a total of three “yes” answers to any of the 10 questions it may indicate that youhave low testosterone. Talk to yourdoctor about checking your testos-terone levels. New blood testing methods are available that may helpdetermine if you are at risk. See page 7for information on HCGH’s MaleMenopause and Healthy Living program.

Aging Gracefully:What Men Need to Know About Their Health as They AgeAAnnddrrooppaauussaall

QQ&&AA

Dr. Gary Milles

Internist

Dr. Marc Applestein

Urologist

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summer 2007

7

Wellness

7CARING FOR OUR COMMUNITY Wellness matters • summer 2007

summer 2007

Wellness

eventsSpecialFOCUS ON MEN’S HEALTHJune 7, 8:30 a.m.–5 p.m. $50. Blood chemistry test including blood cell count,cholesterol (HDL, LDL, and triglyceride), thyroid test, and a measure of 15blood chemicals will be provided.This test also is appropriate for women.

MAMMOGRAMSHoward County General Hospital will provide $50 screening mammogramsin May for women without symptoms of breast disease. Remember, earlydetection saves lives.Availability is limited. Call 410-740-7900 to schedule anappointment. In addition, HCGH works in conjunction with the HowardCounty Health Department to provide free mammograms to qualifyingwomen.To determine eligibility and schedule an appointment, call theHoward County Health Department at 410-313-2333.

SKIN CANCER SCREENINGMay 15 or May 17, 5–7 p.m. Free. Due to time required to perform a full-body exam, the dermatologist will be able to examine one or two areasof concern. Central Maryland Rehabilitation Center.

pre-registration is required for all programs

Male Menopause and Healthy LivingJune 20, 7–8 p.m. Free.

Learn about the changes that occur during this stage and your options to promote your optimum health.

Presented by Gary Milles, M.D.

Transitioning Through MenopauseOctober 2, 7–9 p.m. Free.

Women experience a variety of changes during this timein their lives. Learn how to treat the symptoms as well asrecommended best practices and ways to take charge of

your life. Presented by Mary Hogan, M.D.

Attend one or both menopause lectures as a couple andreceive up to a $10 discount toward our

Well-being through Massage class. Limited offer.

Healthy Lifestyles

WOMEN’S SELF-DEFENSEWomen age 16 and up learnpractical, easy self-defensetechniques. Students will practicehighly effective and easy-to-learntechniques designed for adultsituations. June 30, 9 a.m.–noon.$45.

WELL-BEING THROUGH MASSAGEMassage promotes increasedcirculation and muscle relaxationthrough gentle touch. Learn howto use massage to promote ahealthier life and a sense ofwell-being. Taught by JanetConstantino, C.M.T., N.M.T.Techniques for head, neck, andshoulders: June 15 or October 12,7–9 p.m. Techniques for lowerback, lower extremities, and feet:June 29 or October 19, 7–9 p.m.$50 per couple for one class or $90 per couple for both classes.

Improving With Age

AGEWELLOngoing senior exercise program for people age 60 and older.Cosponsored with Howard CountyOffice on Aging. Available in fivelocations throughout HowardCounty. Call Barbara Miller at 410-313-7213 for class dates, times,and locations.

AARP DRIVER SAFETYPROGRAM American Association of RetiredPersons’(AARP) Driver SafetyProgram is a classroom refresher program designed to meet theneeds of older drivers. Participantsmust be age 50 or older. Someinsurance companies give adiscounted rate for completing thiscourse. Call for dates and times.$10.

BE SEATEDOngoing seated fitness programgeared to adults age 50 and older.Through gentle movements,increase your range of motion and build muscle strength.Cosponsored with the HowardCounty Department of Recreationand Parks. Tuesdays and Thursdays,

HEALING LAUGHTERLaughter and wellness go together.Learn how to lower your bloodpressure, promote emotionalhealing, and strengthen yourimmune system by participating inlaughter exercises. Presented byHeather Wandell, B.A., C.L.L.Registration is required. June 28 orOctober 17, 7–8:30 p.m. Free.

LIVING WELL...TAKE CHARGEOF YOUR HEALTH In this chronic disease self-management program, learntechniques to cope with feelings offrustration, fatigue, pain, andisolation; exercises for maintainingand improving strength, flexibility,and endurance; and skills tocommunicate more effectivelywith family, friends, and healthprofessionals. This class is for peopleliving with chronic conditions aswell as caregivers of those withchronic conditions. Tuesdays for six weeks beginning June 5,10 a.m.–12:30 p.m. To register, callMAP of Maryland, 410-313-5980.$25.

RELAXATION MASSAGEEnjoy the benefits of a relaxingmassage. Massage decreases muscletension and discomfort, increasesenergy, tissue elasticity andflexibility. May 17. Appointmentsscheduled between 12:30–4:30 p.m.$35 per half-hour massage. Toschedule an appointment, call 410-740-7601.

10–10:45 a.m. Roger CarterRecreation Center. (16 classesbeginning June 19–August 9 andSeptember 11–November 1). Toregister, call 410-740-7601. $24.

FITNESS FUN FOR SENIORSExercise to music at your own pacefor flexibility and fun. For age 60and older. Cosponsored withHoward County Department ofRecreation and Parks. Call 410-313-7275 for class dates and time. $36.

410-740-7601 (general information & registration) • www.hcgh.org

(online pre-registration) 410-740-7990 (TDD) • 800-850-3137(long distance only,

please)

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Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL8

pre-registration is required for all programs

DIETARY COUNSELINGNutritional counseling with aregistered dietitian to discuss your dietary concerns and goalsincluding dietary requirements for healthier bones, high bloodpressure, elevated cholesterol, or for those wanting to maintain avegetarian diet. Appointments arescheduled on Tuesdays andThursdays between 9:30 a.m. and 2 p.m. $25 for a half-hour visit.

INDIVIDUALIZED DIABETESMANAGEMENTLearn from a certified diabetes nurse educator how to manageyour diabetes. For information or an appointment, call 410-740-7695.

INDIVIDUALIZED WEIGHT LOSS COUNSELINGFor school-age children and adults,this program offers the participantand cook in the family individual-ized nutritional counseling with aregistered dietitian. Appointmentsare scheduled on Tuesdays andThursdays between 9:30 a.m. and 2 p.m. $25 for a half-hour visit.

NUTRITION AND CANCERIndividualized, three-sessioncounseling program with aregistered dietitian. Examines dietas part of wellness. For those whowish to modify their diets to helplower their risks of certain cancersand those who are undergoingtreatment for cancer. Call for datesand times. $90.

STRENGTHENING FAMILIESBY MOVING THROUGHANGERAnger affects your family, friends,and work relationships. Don’t letanger control you. Learn toidentify what triggers your angerand the techniques to manage it.Thursdays, May 24–June 28;Wednesdays, September 5–October 10. 7–8:30 p.m. $25.

PRE-DIABETES: WHAT IS ITAND WHAT CAN YOU DOABOUT IT?If you have been told you havepre-diabetes or abnormal bloodsugar, you are at risk fordeveloping diabetes. This classwill help you to understand whatpre-diabetes is and how to makechanges to prevent or delaydeveloping actual diabetes. June13 or September 5, 7–9 p.m.Ambulatory Care Center. $15.

LIVING WITH DIABETESJohns Hopkins Education atHoward County GeneralHospital. A two-day programrecognized by the AmericanDiabetes Association anddesigned for people of all ageswith diabetes. Become an expertat managing your own diabetesfrom presentations by anendocrinologist, podiatrist,psychologist, diabetes nurseeducator, and dietitian. May becovered by your medicalinsurance. May 18 & 19, June 15& 16, July 6 & 7, July 27 & 28,8:30 a.m.–3 p.m. AmbulatoryCare Center. Call 410-740-7695for information.

DIETARY COUNSELING FORPEOPLE WITH DIABETESPresented by a registereddietitian, this individualizedcounseling program focuses onthe dietary requirements ofdiabetes. Call 410-740-7695 forinformation.

PULMONARY REHABILITATIONAn eight- to 12-week programdesigned to decrease the debilitatingsymptoms of Chronic ObstructivePulmonary Disease throughexercise therapy, education, andemotional support. HCGHRehabilitation Services Dept. Call410-740-7970 for information andappointment.

CARDIAC REHABILITATIONPhase IIA four- to 12-week program toassist cardiac patients in the earlyrecovery phase following a heartattack, angioplasty, or cardiacsurgery. Provides exercise,education, and emotional support.HCGH Rehabilitation ServicesDept. Call 410-740-7869 forinformation and appointment.

Cardiac Rehabilitation Phase III/IVFor information, call 410-740-7601.

COMPLEMENTARY THERAPYAND FITNESS PROGRAMSExercise in a comfortable, relaxedatmosphere with friendly,knowledgeable exercisephysiologists who also can provide

Improving Your Health

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ADULT, CHILD, May 24, June 13, June 25, July 11, July 25,AND INFANT CPR or August 9

5:30–9 p.m. $48.

ADULT AND June 21 or August 15CHILD CPR 6–9 p.m. $35.

CPR FOR TEENS June 16 or September 151:30–4 p.m. $30.

American Heart Association CPR

Health ScreeningsTo register, call 410-740-7601 or online at www.hcgh.org.

Osteoporosis ScreeningMay 15, 6–8:30 p.m. $35.

Oral Cancer ScreeningJune 5, 9–11 a.m. Free.

Diabetes ScreeningJune 26, 9–11 a.m. Free.

Family Vision andHearing ScreeningFor those 7 years to adult.Does not include screening forglaucoma. September 12,9:30–11:30 a.m. Free.

personal training. Take advantageof one-on-one sessions with ourgolf physical therapists to improveyour golf body, making your gamepowerful, efficient, and consistent.Eliminate injuries with our“wHole-In-One” Golf BodyEnhancement Program. Also, enjoythe many benefits of massagetherapy and acupuncture. Forprogram details, contact CentralMaryland Rehabilitation Center at410-312-9000.

BLOOD PRESSURE SCREENINGAND MONITORINGHoward County General HospitalWellness Center: Wednesdays,3–6 p.m. Ellicott City Senior Center:Tuesdays, 9:30 a.m.–12:30 p.m.Kiwanis-Wallas Recreation Center:First Wednesday and third Fridayof each month, 9:15–10:45 a.m.The Mall in Columbia: SecondTuesday of each month, 8–10 a.m.Western Howard County SeniorCenter: Second and fourth Tuesdayof each month, 9–11 a.m.Glenwood Library: First and thirdMonday of the month, 3:30–5:30p.m. Florence Bain Senior Center:Every other Thursday of eachmonth, 10:30 a.m.–noon. Free.

THE MALL MILERSWalking for health program at The Mall in Columbia.Cosponsored by Howard CountyGeneral Hospital, area agencies,and local businesses. Bloodpressure screenings available thesecond Tuesday of each month.Call 410-730-3300 for details. Free.

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CARING FOR OUR COMMUNITY Wellness matters • summer 2007 9

DROP-IN KNITTING AND CROCHETING SUPPORT GROUP FOR CANCER PATIENTS AND SURVIVORSJoin in fellowship and fun with other patients and survivors as we learnto knit and crochet. Bring your own supplies or borrow ours. Beginnerswelcome. First and third Wednesdays each month, 10:30 a.m. Free.

DROP-IN CARDS AND GAMES SUPPORT GROUP FOR CANCER PATIENTS AND SURVIVORSJoin fellow cancer patients and survivors for a game of cards or scrabble.Second and fourth Wednesdays in May, 10:30 a.m. Free.

LUNCH AND LEARNBring a bag lunch on the fourth Friday of May. Topic will be The Role ofAcupuncture in Cancer Treatment and Recovery. Reservations required.Free.

CAREGIVERS SUPPORT GROUPA support group for caregivers, family and friends to address issues andstrategies for providing care to patientsand themselves. Group meets everyWednesday from 6:30- 7:30 pm. Fordetails and to register contact JeanneM. Trask, MSW at 410-740-5858.Free.

CANCER SUPPORTPROGRAMS are held at theClaudia Mayer Cancer ResourceCenter. For more information,visit www.hcgh.org and click onClaudia Mayer Cancer ResourceCenter or call 410-740-5858.

Cancer Support Programs

summer 2007

WellnessWellness

pre-registration is required for all programs

program registrationsummer 2007

Howard County General Hospital • Wellness

410-740-7601 (general information & registration)

410-740-7990 (TDD)

Unless otherwise noted, classes will be held at HCGH Wellness Center. For more information about courseslisted, call Howard County General Hospital Wellness Center unless another number is listed. Advanceregistration is required for all classes and programs. MasterCard and VISA are accepted for payment.Make checks payable to HCGH. If a refund is requested, a $25 processing fee will be charged.There is a $25charge for all returned checks. Please note that classes may be cancelled due to low enrollment.

R E G I S T E R O N L I N E F O R YO U R P R O G R A M N OW !

▼800-850-3137 (long distance only, please)

www.hcgh.org (online registration)

410-740-7750 (physician referral)

410-740-7601 (general information & registration) • www.hcgh.org

(online pre-registration) • 410-740-7990 (TDD) • 800-850-3137(long distance only,

please)

For Children and Teens

NEW: CPR FOR TEENSThis American Heart Associationcourse prepares teens, ages 11–17,to perform CPR on an adult,child, and infant in a safe, timely,and effective manner. Other topicsinclude choking as well as how tocall 911 and answer dispatcherquestions. Brief overview of anAED also will be covered. Co-sponsored with Health Quest, Inc.June 16 or September 15,1:30–4 p.m. $30.

ESSENTIALS IN BABYSITTINGLearn how to effectively manage children, create a safeenvironment, and applyemergency techniques. Certificateof attendance provided.Cosponsored with Health Quest,Inc. June 16, July 14, August 18, orSeptember 15, 9 a.m.–1 p.m. $46(includes lunch).

Developing ChildAwareness

PEDIATRIC PREOPERATIVETOURFor children scheduled foroutpatient surgery and theirfamilies. Tours offeredMonday–Friday, 4–6:30 p.m.and Saturdays, 9 a.m.–noon.Call 410-884-4500 forinformation. Free.

PEDIATRIC UNIT TOURFor children ages 3 to 12 and theirparents. Visit the Children’s CareCenter and meet the staff. Space is limited; early registration isadvised. Call 410-884-4848 fordates and times. Free.

SIBLING PREPARATION TOURHelp siblings-to-be prepare forbaby’s arrival. Children ages 4 to12 can tour the hospital. Earlyregistration is advised. Call fordates and times. Howard CountyGeneral Hospital. Free.

SELF-DEFENSE FOR YOUNGWOMENAge-appropriate self-defense foryoung women ages 12–15. Learnphysical and psychologicalstrategies of self-defense. Alsodiscusses concepts of self-image,self-esteem, and assertive behavior.September 8, 9–11 a.m. $30.

KIDS SELF-DEFENSEChildren ages 8 to 12 will learnbasic principles of safety awarenessand age-appropriate self-defensetechniques. Program includesdiscussion, role-playing, andpractice. Saturday, June 23 orOctober 27, 9–11 a.m. $25.

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Wellness matters • summer 200710

Alcoholics AnonymousSundays, 2 p.m. and 7 p.m. 410-663-1912.

Al-AnonFor families and friends of alcoholics. Sundays,7 p.m. 410-832-7094.

AlateenFor the teenager who has an alcoholic friend or family member. Sundays, 7 p.m.1-888-4AL-ANON.

Alzheimer’s Caregivers Support GroupsFor caregivers and spouse caregivers.Caregivers: First Friday of each month, 11 a.m.Spouse caregivers: Second Tuesday of each month,10:30 a.m. 410-313-9744.

Better Breathing ClubIn conjunction with the American Lung Association.Meets monthly. 410-740-7803.

Breast Cancer Support GroupThird Wednesday of each month, 7–9 p.m. andfourth Tuesday of each month,10:30 a.m.–12:30 p.m. 410-884-4650.

Crohn’s and Colitis Foundationof America Support GroupFor those with inflammatory bowel disease andtheir friends. Meets fourth Tuesday of each month,7–8:30 p.m. 1-800-618-5583.

Hospice Services of Howard CountySupport for the terminally ill, their families,and the bereaved. 410-730-5072.

Howard County Diabetes Education and Support GroupFirst Tuesday of each month, 7:30–9 p.m.Florence Bain Senior Center. For information,call 410-740-7695.

I Can CopeFor those with cancer and their families.1-888-535-4555, x908.

Look Good Feel BetterThird Monday of each month. Claudia Mayer Cancer Resource Center.410-781-4316.

Man-to-Man Prostate Cancer Support GroupCosponsored with the American Cancer Society.Third Thursday of each month, 7–9:30 p.m.410-461-3459.

Maryland Apraxia of SpeechSecond Sunday of each month, 2–5 p.m.410-480-0745.

Narcotics Anonymous1-800-317-3222.

Nicotine Anonymous410-964-2180.

Overeaters AnonymousFridays, 10:30–11:30 a.m. 410-963-2102.

Rising Hope Support GroupFor parents who have lost a baby to miscarriage,stillbirth, or newborn death. HCGH. First Mondayof each month, 7:30 p.m. 410-740-7845.

WomenHeart, the National Coalition of Women with Heart DiseaseThird Wednesday of each month,7:30–9:30 p.m. 301-776-3057.

Support group information is subject to change.Before attending a meeting, verify informationby calling the contact number listed.

Cosponsored by Howard County General Hospital

Ongoing Support GroupsHeld at the Wellness Center unless otherwise noted.

MAYBE BABY?Starting a family involves preparation andplanning. Our program assists you inlearning about your important choices toconsider. Topics include lifestyle, parentwellness, and health care matters.Presented by obstetrician Kimberly Turner,M.D. June 6, 7–8:30 p.m. Free.

MAYBE BABY?Financial Planning Issues for Prospective ParentsMay 23, 7–8:30 p.m. Free.

BABY SIGNINGLearn basic sign language skills to help your babycommunicate. In this class, you will learn 100basic signs. For parents, grandparents, caregivers,and babies up to 12 months old. A review DVD isincluded in the price. September 8 & 15, 10:30a.m.–noon; October 6, 9 a.m.–noon; or November3 & 10, 10:30 a.m.–noon. $40 per person or $75 per couple.

PRENATAL CLASS FOR YOUR EARLYPREGNANCYFor parents-to-be in the first three months ofpregnancy. Learn about the early stages ofpregnancy and understand the physical changes,your baby’s growth, and easy ways you cansupport your pregnancy. October 3, 7–9 p.m. Free.

HAPPIEST BABY ON THE BLOCKLearn successful techniques that can quicklysoothe your crying newborn baby and promote amore restful sleep for your infant. Endorsed bythe American Academy of Pediatrics. Parent kitsare included. July 18 or September 13, 7–9 p.m.$50 per couple.

PREPARED CHILDBIRTH PROGRAMFive-part program to prepare for the birth of yourbaby. Call or go to www.hcgh.org for moreinformation.

REFRESHER CHILDBIRTH PROGRAMFor couples who have attended a previouschildbirth program. Breathing and relaxationexercises are practiced. Call or go towww.hcgh.org for more information.

CHILDBIRTH WEEKENDExpectant couples will learn about childbirthpreparation over a two-day period during thisweekend program. Call or go to www.hcgh.org formore information.

BIRTHING CENTER TOURA preview of maternal-child services availablefor expectant couples. Call at least eight weeksprior to due date to schedule a tour. Free.

LACTATION CLINICPrenatal breast assessment and lactation clinicvisits after discharge are available byappointment with a certified lactationconsultant. Call 410-740-7830 for information.

BREASTFEEDINGLearn advantages, preparation techniques, andways to prevent and manage feeding problems.Practical tips for successfully combining careerand breastfeeding will be discussed. Taught by anurse lactation consultant. Newborns welcome.For prenatal and postnatal couples. Call or go towww.hcgh.org for more information.

INFANT CARETwo-part course designed to prepare parents,grandparents, and caregivers for the care of aninfant. Lecture, group discussion, and hands-onpractice are used to enhance learning. Topicsinclude newborn appearance, feeding, sleeping,crying, signs of illness, care of the newborn, andparenting roles. Newborns welcome. Call or goto www.hcgh.org for more information. $50 perperson/$75 per couple.

Healthy Families

MATERNAL CHILD CLASSESclass information and registration forms are

available by calling410-740-7601 or online at

www.hcgh.org.

pre-registration is required for all programs

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Type

-2

CARING FOR OUR COMMUNITY Wellness matters • summer 2007 11

Type-2 diabetes is a condition caused when the pancreas has gradually lost its ability to produce insulin and your body has become resistant to insulin.It can cause serious complications if undiagnosed or not managed properly, according to HCGH endocrinologist, Dr. Lynn Gaynes. “Diagnosis is the first step to controlling your diabetes and living a healthy life,” says Dr. Gaynes. “For people with diabetes risk factors, proper monitoring and regularcheck-ups are essential for early diagnosis. With type-2 diabetes, thecondition can present itself so slowly that many people don’t see anysymptoms. The sooner type-2 diabetes is diagnosed, the sooner yourdoctor can help get your diabetes under control and preventcomplications.”

For people who control their type-2 diabetes, there is a greaterlikelihood of preventing complications. However if you do notmonitor or treat your diabetes, over time high blood glucose levelscan cause damage to your eyes, kidneys, nerves, heart, and bloodvessels, which could result in heart disease or stroke.

“Type-2 diabetes is not like type-1, which requires pumped orinjected insulin,” says Dr. Gaynes. “Treating type-2 diabetes andpreventing dangerous complications can be as simple as following ahealthy meal plan and exercise program, losing excessive weight,and taking oral medications.”

For a referral to an endocrinologist on staff at Howard CountyGeneral Hospital, call 410-740-7750 or visit www.hcgh.org.

Do you have it?More than 6 million Americans have type-2, or adult-onset,diabetes, and don’t know it.

Insulin is a hormonethat is necessary for thebody to be able to usesugar. Sugar is the basicfuel for the cells in thebody, and insulin takesthe sugar from theblood into the cells.If the body’s tissues become resistant to insulin and the pancreasdoes not produceenough insulin, yourbody’s tissues cannottake in sugar normally,causing your blood sugar to rise.

❏ Genetics—a family history of diabetes❏ Obesity❏ Over age 45❏ Sedentary lifestyle—lack of exercise❏ Ethnicity—African Americans,Asian

Americans and Hispanic Americans have an increased risk

❏ Gestational diabetes—diabetes during pregnancy

❏ High blood pressure❏ High triglyceride levels❏ High cholesterol levels

For people with these risk factors,Dr. Gaynes suggests periodic monitoring for symptoms that indicate high blood glucose levels, such as:

❏ Increased thirst❏ Increased urination❏ Increased appetite❏ Fatigue❏ Blurred vision❏ Slow-healing infections❏ Impotence in men

Dr. Lynn Gaynes

What is Insulin?

HCGHEndocrinologist

SOME OF THE RISK FACTORS FOR DIABETES INCLUDE:

June 26, 9-11 a.m. Free.Howard County General Hospital

Wellness Center

Howard County General Hospital offers many programs to support

you in your efforts to live ahealthy life as a person with

diabetes. See page 8 for a complete list

of classes.

DiabetesScreening

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12 Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL

TickRemove the tick as soon as you find it by grasping the mouth

parts of the tick with tweezers close to the head and pulling withslow steady pressure. Do not twist. Remove the entire tick andmouth parts. Wash the bite site, and monitor for signs of illness,such as fever, headache, muscle and joint aches, or a ring-shapedspreading rash. Symptoms may develop one day to three weeks afterthe bite. Ticks are capable of transmitting several illnesses. The abovesymptoms are often seen in Lyme Disease, which can be transmittedby deer ticks in Maryland and several other states in the Northeast.

MosquitoTypically, when you are bitten a red, itchy welt forms as a result of

an allergic reaction. Clean the area with soap and water and refrainfrom scratching. Oral benadryl can be taken to help with itching. To prevent a bite, avoid going outside from dusk to dawn which arepeak mosquito biting hours. Apply insect repellent containingDEET to exposed skin when you go outdoors. DEET is safe forpregnant and breastfeeding women and—in concentrations of 10 percent or less—in children. Limit the number of places around your home for mosquitoes to breed by getting rid of itemsthat hold standing water.

Snake Following a snakebite, wash the wound with large amounts of

soap and water. Remove constricting items such as jewelry in case thebite area swells. Do NOT use tourniquets (constrictive bands). Elevate the affected limb and use the affected limb as little as possibleto delay any venom absorption. Unless the snake has been positivelyidentified as non-venomous, safely and rapidly transport the victimto the hospital. You will need a tetanus shot if you haven’t had onewithin five years.

Four-legged Animal Thoroughly wash the wound with soap and water. After

cleansing, apply a topical antibiotic ointment three times per day.Put a clean, dry bandage over the area. Immobilize and elevate yourwound, and see a doctor. You may need oral antibiotics and, possibly, a tetanus booster. Rabies has been detected in wild animalssuch as raccoons, bats, skunks, and woodchucks. If there is any question of rabies, further treatment will be required.

TheBite of SummerAs the weatherwarms and you startspending more timeoutside, yourchances of comingface to face with acreepy crawly insector animal that canbite increase.“Beprepared,” says Dr. Jackson Tsai, apediatric emergency physician on staff at Howard CountyGeneral Hospital.“Know when youneed to seek medical attention.”

Dr. Jackson Tsai

EmergencyPhysician

If you are bitten by a …..

Clothing Can Help Reduce Mosquito and Tick BitesWhen possible, wear light colored longsleeves, long pants, and socks when outdoors.

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CARING FOR OUR COMMUNITY Wellness matters • summer 2007 13

New 2007 Physicians Directory Coming Soon

The new 2007 HCGHPhysicians Directory is beingprepared for distribution.This year's directory liststhe more than 700 skilledphysicians that practice atHCGH in more than 70specialties and subspecialties.Copies will be distributed tothe community throughPatuxent Publishing in theJune 7, Columbia Flier,Howard County Times, andLaurel Leader. If you do notreceive a copy by June 21,call 410-740-7810.

CCaanncceerr NNaavviiggaattoorr PPrrooggrraamm

Howard County General Hospital recently launched a newCancer Navigator Program.The Oncology Navigator willprovide a vital link to services and supports for cancerpatients and their caregivers. They will assist with schedulingappointments, provide information on support services suchas nutrition counseling, physical therapy, and social work; assistin connecting patients with financial resources, and locate themany other available services that may help patients andfamilies deal with the stress of a cancer diagnosis.

The Cancer Navigator Program was developed by theAmerican Cancer Society (ACS).The Howard County CancerNavigator Program is sponsored through a collaboration ofthe ACS, the Horizon Foundation, and the Howard HospitalFoundation.

updatehcgh doctors

serving youThese HCGH physicians have recently relocated orestablished new offices in Howard County.

Howard County General Hospital

2007 Directory of Physicians

C A R I N G F O R O U R C O M M U N I T Y

doctorsfamilycare

for yours.of

Let our

Family PracticeJacqueline Christina Shepard-Lewis, M.D.Kaiser Permanente 7070 Samuel Morse DriveColumbia, MD 21046 410-309-4600

Karen E. Konkel, M.D.Chase Brexton Health Services 5500 Knoll North Drive #370Columbia, MD 21045 410-884-7831

Internal MedicineKumni O. Majekodunmi, M.D.7206 Torpoint CourtHanover, MD 21076443-430-2525

Neurology Diane F.Thomas, M.D.Sara E. Benjamin, M.D.Maryland Neurological Center 11085 Little Patuxent Pkwy #212Columbia, MD 21044410-730-1212

Orthopaedic Surgery Ricardo L. Cook, M.D.Potomac Valley Ortho Assoc.3414 Olandwood CourtOlney, MD 20832301-774-0500

Pediatrics Joshua Z. Rosenthal, M.D.10632 Little Patuxent Pkwy Bldg. 2000 Suite 330Columbia, MD 21044410-740-4344

Karen R. Kingry, M.D.Robert G. Graw, Jr., M.D.Nighttime Pediatrics & AdultCare Too6334 Cedar LaneColumbia, MD 21044301-596-6483

Plastic SurgeryGary A.Vela, M.D.8600 Snowden River Pkwy #308Columbia, MD 21045410-290-1696

““LLiillllyy OOnnccoollooggyy”” oonn CCaannvvaass AArrtt EExxhhiibbiittiioonn

“Lilly Oncology” on Canvas is an exhibition drawn from aninternational art competition, sponsored by Eli Lilly andCompany, open to anyone whose life has been touched bycancer to express their cancer journey through art.Thecompetition drew 2,151 entries from 43 countries.A selection of 50 of these works will be on exhibit at theHoward County Conservancy on Thursday, May 17, 7–9 p.m.This exhibition is sponsored by Lilly Oncology, HowardCounty General Hospital, Chesapeake OncologyHematology, Maryland Oncology Hematology, and Universityof Maryland Radiation Oncology. Additional support isprovided by the Howard County Conservancy and theHoward County Arts Council.The evening will includecommentary by cancer survivors.Tickets are $20 per person.Light refreshments will be served.To RSVP, call 410-740-7601 or register online at www.hcgh.org.

FREE exhibitions of these works, open to the public,will be held on:• Friday, May 18, 10 a.m. to 5 p.m. at the Howard County

Conservancy.• Sunday, May 20, 11 a.m. to 6 p.m. at the Columbia Mall.• Limited selections will be shown Monday, May 21–

Wednesday, May 23 at the sponsoring oncology practices and the Howard County Department of Health.

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For morethan 20 years

TransformingHow We Care for Youwith All Private Rooms

Imagine recovering in a hospital room. Peacefully.No roommate. Privately. Discuss your health withyour physician. Confidentially. Visit with your family.Comfortably. A nurses’ station just outside your door.Safely. Howard County General Hospital’s futurepatient pavilion with all private rooms will offer youjust that. And more.

The benefit of a private room is to promote healing.HCGH conducted extensive research on healingenvironments before deciding on structural details,even constructing a mock private room to try outproposed colors, safety features and logistics to maximize patient comfort. Special attention is paid tothe color palette and lighting of each room, to evokea sense of warmth and comfort. Each room comesequipped with a pullout couch so family can stay withyou. Large windows allow natural light to spill into

every room. Each and every detail isfocused on caring for you, the patient.

To support our transformation in howwe care for you, contact the HowardHospital Foundation at 410-740-7840.

Wellness matters • summer 2007 HOWARD HOSPITAL FOUNDATION14

Giving BackFor more than 20 years, Charles H. Miller has been givingback to Howard County General Hospital.

With Howard County General Hospital’s new CampusDevelopment Plan underway, Mr. Miller has already pledgedto support the significant expansion. “As the communitygrows so, too, must the hospital. It is apparent that the needis there.To the extent that they are able, members of thecommunity must support the hospital’s future growth.”

For seven years, Mr. Miller also gave back by serving on theHoward Hospital Foundation Board. In addition to his workwith the foundation, Mr. Miller serves on the Board of theHoward County Conservancy and volunteers for theConservancy by taking children on nature walks. He is alsoon the Board of The Odyssey School in Baltimore thatserves children with dyslexia. Prior to his retirement, he wasa teacher and headmaster of Glenelg Country School.

ImagineHCGH Project Manager Mike Millerexplains construction to Howard HospitalFoundation supporter Charles H. Miller.

[I“I am happy to support the hospital every year through

my annual gift. Any organization that provides a vitalcommunity service such as HCGH does need to be

supported by community donations. Because the hospitalserves us so well, we must return the favor.”

Charles H. MillerHoward Hospital Foundation Board Member

foundation news giving matters

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Local Bank Invests inYour Health“If you are a corporation that has employees who live inHoward County, don’t you want your employees to havethe best health care they can?” asks Glenn Wilson, chairman,president and CEO of Citizens National Bank.

With that sense of corporate and community responsibilitytaken to heart, Citizens National Bank has continuouslysupported Howard County General Hospital through theHoward Hospital Foundation. Over the years, the bank hasmade donations to the hospital’s Symphony of Lights, AnnualBenefit Golf Classic, and other major capital campaigns.

Just as important as the donation of dollars, Mr.Wilsonnotes, is the donation of hours. Many of the bank’sexecutives volunteer and serve in leadership positions onlocal community boards. Mr.Wilson is a board member ofthe Howard Hospital Foundation and the incoming chair ofthe foundation’s finance committee.

In addition to the hospital, Citizens National Bank providesvolunteer and/or philanthropic support to the HowardCounty Chamber, United Way Partnership Board forHoward County, Prince George’s Community College Board,Howard County BRAC Commission, Leadership HowardCounty, and Columbia Foundation to name but a few.

GIVING MATTERS Wellness matters • summer 2007 15

Members of the Citizens National Bank team pictured from left to right: Lola Kayler, seniorvice president; Bill Chalfant, senior vice president; Glenn Wilson, chairman, president andCEO; Rich Ohnmacht, executive vice president; and Annie Geiermann, senior vice president.

[W“With bank branches located primarily in Howard County and a history of more than 117 years as a

community bank, one of the things that we hold strong isthat we will do better if our community does better.

So, we do our best to support the missions oforganizations such as the Howard Hospital Foundation.”

Glenn WilsonChairman, President and CEO of Citizens National Bank

foundation news

This year’s Dazzle Dashbroke all attendance andincome records, boastingmore than 3,500 runnersand walkers and raisingnearly $40,000. More than85,000 people drovethrough the Symphony ofLights this year—a 12percent increase in ticketssold. Combined, DazzleDash and the Symphony ofLights produced abenchmark net income of$166,329. All proceeds fromthe two events benefitedHoward County GeneralHospital’s Maternal-Childservices.

Thanks to our sponsorswho helped make theseevents a great success:

Presenting Sponsor:

Illuminating Sponsors:ComcastFox 45 WBFF-TVPatuxent PublishingWLIF Baltimore – CBS Radio

Sparkling Sponsors:Constellation Energy Kaiser PermanentePennysaverWells Fargo Bank

Glowing Sponsors:EggspectationSafeway Food & DrugSodexho, Inc.

Twinkling Sponsors:Creig Northrop & The Northrop

TeamEddy’s WeldingFederal Business CouncilKimco Realty CorporationM&T BankMackenzie Commercial

Real EstateMoney MailerNighttime Pediatrics &

Adult Care Too!Sandy Spring BankThe Business MonthlyThe Columbia BankWinchester Homes

Great Events Mark Banner Yearfor Howard Hospital Foundation

Join us for the 17th Annual Benefit Golf Classic To be held on Friday, June 8 at Waverly Woods Golf Club in Marriottsville, Md., the Golf Classic will offermorning and afternoon tee times. Eggspectation hasgenerously donated breakfast, lunch, and dinner for golfers and volunteers. Proceeds will support HowardCounty General Hospital’s greatest needs.

Space is limited. For more information on registration,sponsorships, underwriting opportunities, or foursomes,call Susan Boyd at 410-740-7570. Visit www.hcgh.org for a downloadable registration brochure.

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june

july

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200

7

Wellness matters • summer 2007 HOWARD COUNTY GENERAL HOSPITAL16

“Lilly Oncology” on Canvas Art Exhibition• Thursday, May 17, 7 to 9 p.m.

at the Howard County Conservancy (ticket required)

• Friday, May 18, 10 a.m. to 5 p.m.at the Howard County Conservancy

• Sunday, May 20 11 a.m. to 6 p.m.at the Columbia Mall

For details, see article on page 13 of this issue of Wellness Matters.

Howard County Relay For Life6:30 p.m. Friday, June 1 to 8 a.m. Saturday, June 2, 2007Hammond High SchoolFor more information, call 410-781-4316 or visitwww.acsevents.org/relay/howard.

Western Howard County Relay For Life 6:30 p.m. Friday, June 22 to 7:30 a.m. Saturday, June 23, 2007Western Regional ParkThe Relay for Life events benefit the American Cancer Society.For more information, call 410-781-4316 or visitwww.acsevents.org/relay/westernhoward.

17th Annual HowardCounty GeneralHospital Benefit Golf ClassicFriday, June 8, 2007The annual tournament at WaverlyWoods Golf Club in Marriottsville

includes morning and afternoon rounds. Proceeds benefit Howard County General Hospital. For more information, call theHoward Hospital Foundation at 410-740-7570.

Howard County GeneralHospital Health Fair In Celebration ofColumbia’s 40th BirthdaySunday, July 15, 2007To culminate Columbia’s 40th BirthdayCelebration, Howard County GeneralHospital will host a health fair atMerriweather Post Pavilion.Visit www.hcgh.org for additional detailson screenings and a list of participants.

Non-ProfitOrganizationU.S. Postage

PAIDBalto., MD

Permit No. 1608

5755 Cedar LaneColumbia, MD 21044

mayWhen life

calls for diversity.

EOE

Apply online at www.hcgh.orgfax 410-740-7542

C A R I N G F O R O U R C O M M U N I T Y

Join our mix.

Work for us.