Free Seminar on Tax Strategies for 2017.

Fred Hopkins

University of Maryland Memorial Hospital Foundation will host a free seminar, “Tax Strategies for 2017” on Saturday, November 18 from 10 a.m. to 12 p.m. at the Talbot Country Free Library in Easton. Guest speakers for the seminar will include Fred Hopkins, JD, CFA, managing director of Wealth and Fiduciary Planning and national director of Business Owner Planning, Wilmington Trust; Darian L. Sump, CPA, owner of Sump & Associates, PC; and Deborah Walsworth, CPA, CFP, CPC, managing director and tax practice leader, CBIZ MHM LLC & Mayer Hoffman McCann, PC.

At Wilmington Trust, Hopkins oversees the delivery of comprehensive wealth advisory services to individuals and families in several different regions of the country. He holds a Juris Doctorate from the University of Maryland School of Law and is a CFA® Charterholder and a member of the CFA Institute, the Baltimore CFA Society, the Maryland State Bar Association, and the Baltimore Estate Planning Council. He currently serves as chairman of the Investment Committee for the Episcopal Diocese of Maryland and serves on the Board of Trustees of Friends of Clifton Mansion.

 

Darian Sump

 

Sump’s firm, Sump & Associates, PC, in Easton, provides tax and accounting services to individual, small businesses and non-profits. Sump is currently serving as a Court Appointed Special Advocate in Talbot County and has previously served on the board of directors for that organization. A graduate of Shore Leadership and LEAD Maryland, Sump is a member of the American Institute of Certified Public Accountants and the Maryland Association of Certified Public Accountants.

 

 

 

 

Deborah Walsworth

During her nearly three decades in public accounting, Walsworth has developed a diverse client base that includes individuals, businesses, trusts, estates and retirement plans. She provides tax compliance and consulting services, including financial and retirement benefit planning. She presently serves on the Board of Directors for the Talbot County Chamber of Commerce and For All Seasons, Inc.

 

To register for the seminar or for more information, please contact Janet Andrews at the UM Memorial Hospital Foundation (410) 822-1000, extension 5792 or by email at janet@umm.edu. This event is free to all attendees; seating is limited and pre-registration is required.  Light refreshments will be served.

November is National Hospice & Palliative Care Month

In recognition of National Hospice & Palliative Care Month in November, Talbot Hospice will offer two Lunch & Learns at the Easton and St. Michaels locations of the Talbot County Free Library. Presentations will be held Monday, November 13, 12 p.m. at the St. Michaels branch and Wednesday, November 15, 12 p.m. in Easton.

The educational presentations – Hospice 101: Debunking the Myths – will dovetail with this year’s NHPC Month theme “It’s about how you live.” According to Talbot Hospice Executive Director Vivian Dodge, hospice is about how you want to live the last chapter of life. “Our goal is to educate the community that hospice is not just for the last days or week of life,” said Dodge. “Hospice is a system of care and support for both the patient and the family. It’s not a place or our building on Cynwood Drive. In fact, most of the patients we serve are in their homes. I hope individuals will put aside their preconceived ideas about hospice and their reluctance to talk about death and dying and come hear about the uplifting and important work we do.”

For more information, or to register call Talbot Hospice at 410-822-6681.

Official of International Myeloma Foundation at Local Multiple Myeloma Group’s Meeting

Robin Tuohy, National Director of Support Groups for the International Myeloma Foundation (IMF) and her husband, Michael, a long-term multiple myeloma survivor,will speak at the quarterly meeting of the Chesapeake Multiple Myeloma Network (CMMN) on Saturday, November 4, at 4:00 PM in the Large Conference Room of the Eastern Shore Conservation Center (114 S. Washington St., Easton). The talk, Caring for the Care Givers of Multiple Myeloma Patients, is free and open to the public.

Important progress has been made in the treatment of multiple myeloma, a bone marrow and blood cancer, in the last decade and a half improving the longevity and quality of life for many myeloma patients.Even so, the new treatments are not always effective and those that are often become ineffective in a year or two. Challenges for patients and care givers include the management of side effects from treatment, the high cost of treatment, managing appointments and billing involving multiple health care providers, adhering to treatment regimens for long periods of time, lost work and recreational time, and emotional stress, to name a few. In these matters, care givers are critical to the successful treatment of myeloma and care giving is demanding,complex, and loving work for the family and friends who do it. Robin Tuohy, a long-time professional and leader in the field of multiple myeloma services, and her husband Michael, a long-term myeloma survivor, will explore the needs of myeloma patients and the needs of their care givers, and strategies for adapting creatively to these demands. There will be a general introduction session and then an opportunity for break-out groups of patients and care givers. The session also should be of value to patients and care givers experiencing treatment for other cancers.

The Chesapeake Multiple Myeloma Network (CMMN) is an informal Eastern Shore group of individuals affected by multiple myeloma.  Its mission is “to provide ongoing resources of education, support, shared experiences, and hope for persons with multiple myeloma, their families, and friends.” CMMN partners with the University of Maryland’s Shore Regional Health Cancer Center’s Outpatient Oncology Support Program and is an affiliate of the International Myeloma Foundation. CMMN’s meetings are informal and last about an hour and a half.

Parking is available in the Conservation Center’s Washington St. lot and on Washington St. itself. The Center is handicapped accessible. For further information about CMMN, contact Bob Kelly at 410-226-5345 or kellyrf@lemoyne.edu  or visit http://chesapeake.support.myeloma.org/

Haven Ministries “Beef, Bonfires and Cigars – A ‘Spirited’ Event”

A new event, “Beef, Bonfires and Cigars,” to benefit Haven Ministries, will be held on November 8 from 5:30 to 9 p.m. at the Aspen Institute, Wye River Conference Center, 201 Wye Woods Way in Queenstown. The event will offer men a night out to sample food and spirit tastings from multiple restaurants and caterers in the region. Food tastings will be provided by Capriotti’s, Krave Catering, Range and Reef, Harris Crab House, Tamara’s Desserts, Café Sado, and a fresh oyster vendor. The spirit tastings will be offered by Lyon’s Distillery, The Winery, and Rise Up Coffee Roasters.  There will also be live music and multiple vendors showcasing their goods, including cigars to smoke. BMW of Annapolis, one of the event sponsors, will also be onsite with the newest models of BMWs.

Aspen Institute

Mia Cranford, Director of Marketing and Fundraising Coordinator at Haven Ministries, comments, “We wanted to create a new event that was out of the box – including old world charm and where men could come and just have a good time.”

Women are invited to this event, as well, and there will be wine and food tasting for them with a cost of $20 per person. Haven Ministries is planning a separate “Women’s Weekend Away” on February 23 – 25, 2018, at Aspen Institute, including what many women enjoy – shopping, eating, and spa treatments.

What’s Up Media is the media partner for the event and The Aspen Institute is the host of the event and a new business partner. Haven Ministries other business partners to date, which are supporting the event, include Benson and Mangold/Chuck Mangold Jr., Chesapeake Hearing Centers, McCrone, Increte. Bay Times, Miltec, Lundberg Builders, Freestate and Son Insurance, Hemingways, Prospect Bay, Salon Atelier, Maid Healthy, Safe at Home Senior Care, ArtCademy, Construction Services and Supplies, Inc., Bayview Portraits by Cindy Williams Sigmon, Railway Title, The Narrows, Riley Custom Homes, Roof Center, Holiday Inn Express, PENFED Credit Union/Kara.Plummer@pedfed.org, Harris Crab House, Island Furniture Studios, Kate Spade, and Cargo Direct.

According to Krista Pettit, Executive Director of Haven Ministries, the new event benefits Haven Ministries as it continues with its fundraising efforts to help sustain its important programs and to move the ministry forward in purchasing property for a housing assistance program.

Tickets to the “Beef, Bonfires and Cigars – A “Spirited” Event” cost $50 per person and are available at haven-ministries.org.

Love shapes the ministry, love transforms people, and hope prevails at Haven Ministries.  Haven Ministries operates a Resource Center at St. Paul’s Episcopal Church in Centreville, Monday through Friday, from 8:30 a.m. to 4:30 p.m. with job training, educational programming, and case management services.  The Haven Ministries Food Pantry is held on the third Friday monthly at Safe Harbor Presbyterian Church in Stevensville from 5:30 to 7 p.m.  Our Daily Thread Thrift Store is open Monday through Saturday from 10 a.m. to 4 p.m. For further information about Haven Ministries, visit haven-ministries.org or call 410-739-4363.

Free Events Set to Mark National Diabetes Awareness Month

In observance of National Diabetes Awareness Month, University of Maryland Center for Diabetes and Endocrinology is offering free educational events in both Talbot and Kent counties for those interested in learning more about diabetes and prediabetes risk factors, treatment and disease management.

Recent public health statistics indicate that diabetes rates for Maryland’s Eastern Shore counties are approaching — and in some cases, exceeding — 10 percent. According to Trish Rosenberry, regional director, UM Shore Regional Health Specialty Clinics, this high prevalence is made more dangerous due lack of public awareness of the disease and its potential consequences. “More than 25 percent of people who have diabetes are undiagnosed and asymptomatic, and therefore are unaware that they have the disease and may be experiencing damage to their heart, eyes, kidneys and limbs,” Rosenberry says.

The Center for Diabetes and Endocrinology’s annual Diabetes Awareness Open House is scheduled for Friday, November 17, 1 to 4 p.m. in UM Shore Medical Center at Easton’s Freeman Outpatient Center. The Open House enables individuals with diabetes or pre-diabetes, and their family members or caregivers, to meet and talk with diabetes care providers, educators and also vendors offering diabetes care products.

The open house will feature special presentations, as follows: at 1 p.m., “Cooking for Better Health,”demonstrated by Ryan and Emily Groll of Eat Sprout, a local small business enterprise that provides nutritionist-designed, chef-crafted, organic and GMO-free meals.; at 2 p.m., “Medicare Assistance for Persons with Diabetes,” by Pam Limberry from Talbot County’s State Health Insurance Program (SHIP); and at 3 p.m., “Navigating Pharmacy Plans and Controlling Costs,” by KristanTallent, Pharm.D., and pharmacy team members from Hill’s Drug Store. Also offered will be information on maintaining your best health with diabetes, preventing diabetes and managing pre-diabetes.

In Chestertown, the public is invited to a free seminar “You Can East and Still Lose Weight” set for Wednesday, November 8, 1:30-2:30 p.m. at UM Shore Medical Center at Chestertown’s Education Center. Local dietitians Mary King and CheyrleBorneman will offer tips on how to achieve your desired weight without severe dieting.

Also in Kent County, Mt. Olive AME Church in Worton will host a Diabetes Health Fair on November 4, 10 a.m. to 2 p.m. The fair will feature dietitians from UM Shore Medical Center at Chestertown, fitness/wellness personnel from Kent Athletic Center as well as local providers of natural/organic foods and nutrition products from Seedhouse and Chestertown Natural Foods who will offer guidance for persons with diabetes or pre-diabetes on dietary, exercise and other lifestyle choices that promote good health. Those who attend the fair also will be treated to a free lunch and gifts.

“Food Shopping for Health” grocery store tours, designed to teach those with diabetes or pre-diabetes how to shop and plan for meals that will promote optimal health, will be offered in Chestertown and Easton. The Chestertown tour, led by Mary King, will take place on Thursday, November 9, 1 to 3 p.m., at Redner’s Market, 17 Washington Avenue. The Easton tour, led by Karen Hollis, is set for Tuesday, November 14, at Giant Food, 8993 Elliott Road.

“These tours help people learn how to ‘shop smart’ and select foods that will help them avoid complications,” says King. “A diabetes diagnosis can seem overwhelming, but there are shopping strategies to help you plan menus and fill up your cart with the right foods to maintain your best health.”To RSVP for the Redner’s tour in Chestertown, call 410-778-3300, ext. 2295; for Giant in Easton, call 410-822-1000, ext. 5757.

Interested community members also are welcome to attend Diabetes Support Group meetings held monthly in Cambridge, Chestertown, Denton and Easton. For meeting schedules and locations please call the UM Center for Diabetes and Endocrinology, 410-822-1000, ext. 5757.

About UM Shore Regional Health: As part of the University of Maryland Medical System (UMMS), University of Maryland Shore Regional Health is the principal provider of comprehensive health care services for more than 170,000 residents of Caroline, Dorchester, Kent, Queen Anne’s and Talbot counties on Maryland’s Eastern Shore. UM Shore Regional Health’s team of more than 2,600 employees, medical staff, board members and volunteers work with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

Easton Hospital Auxiliary Volunteers Honored for Service Milestones

Members of the Auxiliary of Memorial Hospital at Easton were honored for their service milestones at the Auxiliary’s annual volunteer luncheon. Held on October 10, 2017 at the Tred Avon Yacht Club in Oxford, Md., the occasion celebrated 79 volunteers whose combined total hours in the service of the Auxiliary exceeded 224,000 as of May 31, 2017.

“The thousands of hours dedicated by Easton Auxiliary volunteers every year are a major force in the enhancement of patient care in our community,” says Ken Kozel, president and chief executive officer, UM Shore Regional Health. “Whether raising funds, answering phones, conducting screenings or helping patients find their way, our volunteers are key partners our mission of Creating Healthier Communities Together.”

The Auxiliary raises funds through its management of Maggie’s Gift Shop in UM Shore Medical Center at Easton, the Bazaar at 121 Federal Street and various special vendor sales. Funds raised help pay for new technology, facility upgrades and educational needs for the hospital and local outpatient facilities, including the Clarke Comprehensive Breast Center and the Cancer Center. Auxiliary volunteers also assist with services such as wheelchair and patient escorts, blood pressure screenings and front desk reception in the hospital and in various outpatient locations.

According to Art Cecil, Auxiliary president, during the past year (June 1, 2016 – May 31, 2017), 171 volunteers committed more than 34,400 hours to Auxiliary projects. Volunteers honored at the luncheon were those who had achieved service milestones, as follows:

18,000 hours: Pauline Lane. 15,000 hours: 13,500 hours: Joe Schultz. 11,000 hours: Debbie Hayes and Elva Pierce. Margaret Blair. 9,000 hours: Neal O’Shea and Terry Stephan. 8,500 hours: Gail Jenkins. 8,000 hours: Sabine Simonson. 7,000 hours: Carolyn Behr. 6,000 hours: Joyce Kent and Bertha Wilson. 5,500 hours: Celia Bodmer and Janet Granger.

5,000 hours: Barbara Brown, Edith Hayman and Brenda Prettyman. 4,500 hours: Camille Kneale. 4,000 hours: Anita Rowan. 3,500 hours: Doralice Cassidy, Art Cecil and Regina Holland. 3,000 hours: Rosalie Bryan and Nancy Espenhorst. 2,500 hours: Emilie Joshi and Elmer Parkerson. 2,000 hours: Liz Hannegan, Annabel Lesher, Gary Nickerson, Dorothy Palmer, Patricia Reynolds and Sue Shortall. 1,500 hours: Judith Dickhart, Audrey Luetters, Carole O’Malley, Robert Savoy and Gervais Wooters.

1,000 hours: Patricia Collins, Virginia Ann Harvey, Jean Hobbs, Sharron Lee Jamarik and Noel Slattery;  750 hours: Myrna Darragh, Bill Eyring, Barbara Gardella, Adrianna Lee, JoAnn Martin, Barbara Nickerson, Maggie Schabdach and Ronald Weber. 500 hours: Peggy Bardelman, Richard Douma, Richard Hill, Phyllis Matthai, Janet Pfeffer, George Shoener, Marianne Strother, Val Tate, Nancy Williams and Mary Young. 250 hours: Karen Collins, Gloria Douma, Bea Juliano, Thomas Keepers, Bonnie Messix, Carl Ortman and Elaine Rippel. 100 hours: Karen Fink,  Betty Hartmeyer, Jane Holly, Tina Hyde, Midge Kroll, Pat O’Shea, Frederica Shirey, Sherry Spencer, Barbara Watters and Kathryn Yeager.

As part of University of Maryland Medical System (UMMS), University of Maryland Shore Regional Health is the principal provider of comprehensive health care services for more than 170,000 residents of Caroline, Dorchester, Kent, Queen Anne’s and Talbot counties on Maryland’s Eastern Shore. UM Shore Regional Health’s team of more than 2,500 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

Bountiful and Talbot Hospice Team up for 14th Annual Holiday Kickoff

Bountiful Interiors, Talbot County’s award-winning home furnishings store and design firm, will host its 14th Annual Holiday Kickoff Thursday, November 2nd from 6 – 9 p.m., at the store, located in the Talbot Town Shopping Center at 218 N. Washington Street. The Holiday Kickoff, a Talbot County tradition, is free, open to the public and includes music, food and a cash bar. Twenty percent of proceeds from the evening’s sales will be donated to Talbot Hospice to honor and recognize their important work with patients and families facing the end of life.

Standing: Jamie Merida and Talbot Hospice Executive Director Vivian Dodge
Seated (l-r): Talbot Hospice Board Vice President Emilie Joshi, Director of Development Kate Cox, and Board President Diane Rohman

Each year, Bountiful’s owner Jamie Merida and his staff transform the store into a holiday wonderland with an extravagant display of sparkling holiday decor, exquisite home accessories, unique toys, and elegant gifts. The selection is vast, creative, and provides area residents a head start on their shopping while helping to support the mission of a local nonprofit organization. According to Merida, this year’s theme – “A Very Viennese Christmas” – will replicate the glamor and opulence of fin-de-sielce Vienna.

Talbot Hospice Executive Director Vivian Dodge, said “We are so pleased and fortunate to have been designated as the beneficiary of Bountiful’s Holiday Kickoff again this year.  Over the past four years this event has raised close to $10,000 for our services and programs. We are beyond grateful for all that we are able to provide patients and their families, thanks to the generosity of Jamie and our community members.”

Previous Bountiful Holiday Kickoff events have benefitted the Women & Girls Fund of the Mid-Shore, the Humane Society of Talbot County, Mid-Shore Council on Family Violence, the Mental Heath Association of Talbot County, and the Community Alliance for the Performing Arts.  “My staff and I feel privileged to be able to provide an opportunity each year for the community to come out and support the work of these very important non-profit organizations,” said Merida.

For additional information about the party, call 410-763-8500 or visit Bountiful’s website, BountifulDecor.com. For additional information about Talbot Hospice, visit TalbotHospice.org.

Bullying of Individuals with Special Needs and Disabilities Workshop October 25

Partners for Success and SECAC (Special Education Citizens Advisory Committee) will host Maureen van Stone, Esq., M.S., Associate Director of MCDD (Maryland Center for Developmental Disabilities) at Kennedy Krieger Institute and Founding Director of Project HEAL, who will present “Bullying of Individuals with Special Needs and Disabilities” workshop on Wednesday, October 25, 6:00 p.m. to 8:00 p.m., at the Queen Anne’s County Library, Centreville Branch.

Maureen van Stone’s presentation will include an overview of the issues of bullying, harassment, and intimidation of students with special needs and disabilities. She will also provide an analysis of evidence-informed prevention strategies, along with an overview of federal guidance, state laws and policies. Additionally, she will share a case law summary and best practices to address the issues of bullying. A question and answer period will immediately follow the presentation. This session is appropriate for parents, caregivers, providers/therapists and educators of children with special needs, disabilities, autism and other disorders.

Maureen is the associate director of the Maryland Center for Developmental Disabilities (MCDD) at Kennedy Krieger Institute (KKI) and the founding director of Project HEAL (Health, Education, Advocacy, and Law), a MCDD community-based program. Project HEAL is Maryland’s only comprehensive medical-legal partnership, which provides advocacy and legal services to low- and moderate-income families and children with disabilities who receive services at KKI.

Maureen has a bachelor’s degree in psychology from the University of Southern California, a master’s degree in developmental psychology from The Johns Hopkins University, and a Juris Doctor at Whittier Law School, with a concentration on children’s legal issues. Prior to law school, Maureen worked as a clinician on the Neurobehavioral Unit in the Department of Behavioral Psychology at Kennedy Krieger Institute for six years.

The program will take place on Wednesday, October 25 from 6:00 p.m. to 8:00 p.m. at the Queen Anne’s County Library’s Centreville Branch, 121 S. Commerce Street, Centreville, Maryland 21617. The program is free, and includes food and refreshments. Registration is required and space is limited. For more information about this program and to register, please Jennifer Doege, Parent Coordinator – Partners for Success: jennifer.doege@qacps.org or 410-758-3693.

The Queen Anne’s County (QAC) Special Education Citizens Advisory Committee (SECAC) is committed to ensuring the provision of quality services to students with disabilities ages birth to 21 by working collaboratively with families, community, school staff and other professionals to provide a forum to discuss issues related to and advocate for positive changes in special education in Queen Anne’s County Public Schools. SECAC hosts a monthly meeting and new members are always welcome. For more information, please email: secac.qac@gmail.com or visit www.qacps.org/Page/209.

UM Memorial Hospital Foundation to Host Women’s Seminar

University of Maryland Memorial Hospital Foundation will host its annual women’s seminar, “From a Woman’s Point of View: Nurturing Your Physical and Financial Well Being” on Thursday, October 26 from 9:30 to 11:30 a.m. at the Tidewater Inn in Easton.

Presentations will include:”Evaluation and Treatment of Urinary Incontinence,” presented by R. Duane Cespedes, MD, UM Shore Comprehensive Urology, and “Women and Wealth,” presented by Stephanie L. Saunders, first vice president, The Hill Group at Morgan Stanley.

R. Duane Cespedes, MD (right) and Stephanie Saunders, The Hill Group at Morgan Stanley

Specializing in female urology, incontinence and vaginal prolapse, Dr. Cespedes sees patients in offices at UM Shore Medical Pavilions in Easton and Chestertown. He served previously as the co-director for the Center for Pelvic Health at Johns Hopkins Bayview Medical Center and is the former chairman and program director of the Urology Department at Wilford Hall Medical Center in San Antonio, Texas.

Stephanie Saunders has been part of The Hill Group for 20 years. A graduate of University of Maryland’s Smith School of Business, she also has achieved the professional designations of Senior Investment Management Consultant and Senior Portfolio Manager.

To register for the seminar or for more information, please contact Janet Andrews at the UM Memorial Hospital Foundation (410) 822-1000, extension 5792 or by email at janet@umm.edu. This event is free to all attendees; seating is limited and pre-registration is required.  Light refreshments will be served.

About UM Shore Regional Health: As part of the University of Maryland Medical System (UMMS), University of Maryland Shore Regional Health is the principal provider of comprehensive health care services for more than 170,000 residents of Caroline, Dorchester, Kent, Queen Anne’s and Talbot counties on Maryland’s Eastern Shore. UM Shore Regional Health’s team of more than 2,600 employees, medical staff, board members and volunteers work with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

Dr. Walid Kamsheh Leads UM SRH Primary Stroke Center

Walid Kamsheh, MD has assumed the position of medical director of the Primary Stroke Center at UM Shore Medical Center at Easton. The announcement of Dr. Kamsheh’s appointment followed the departure of Terry P. Detrick, MD, the Center’s medical director, in late September.

A member of the UM Shore Regional Health (UM SRH) Medical Staff since 1989, Dr. Kamsheh practices neurology and sleep medicine, and has been an innovator in meeting the neurological care needs of patients in the five-county region served by UM SRH.

“I am very excited to lead the continued outstanding care and treatment offered in our Primary Stroke Center,” Dr. Kamsheh says. “In the Center’s recent recognition from the American Stroke Association (ASA), we learned that in terms of meeting and exceeding the benchmarks for the Association’s ‘Gold Plus’ designation and its ‘Target: Stroke Honor Roll Elite Plus,’ we are way ahead of stroke centers in many large, metropolitan hospitals. Our community is very fortunate that Shore Regional Health’s Stroke Center has an outstanding team of physicians, nurses, therapists and techs who achieved this level of excellence and who work so well with our hospitalists and our ED physicians and staff.”

According to the ASA, hospitals earning the Gold Plus Quality Achievement Award have reached an aggressive goal of treating patients with 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and have achieved 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures. Hospital stroke centers achieving the Target Stroke: Honor Roll Elite Plus designation have demonstrated success in meeting quality measures to reduce the time between the patient’s arrival at the hospital and treatment with the drug, Alteplase.

In addition to maintaining the ASA’s Gold Plus designation, Kamsheh hopes to provide more community education about the risks and signs of stroke, and the life-saving services and recovery resources offered by the Stroke Center. “We have an older population here on the Shore, and stroke risks increase with age, so it is very important that we get information out as widely as possible,” Dr. Kamsheh notes.