MED MATTERS A CAPE GAZETTE PUBLICATION 2024 BLUE ZONE JOURNEY Creating Healthier, Happier & Longer Lives. Sussex County's ❯
Insurance Made Simple! We are Medicare Consultants with over 50 years of combined experience. Our goal is to give you the information you need to understand the ever changing world of Medicare. WE DO NOT CHARGE FEES. • Annual Prescription Reviews • Supplement Reviews Anytime upon Request • Free Educational Seminars Community Seminars Medicare Options in Retirement • Bear Library, Bear • Brandywine Hundred Library, Wilmington • Hockessin Library, Hockessin • Lewes Public Library, Lewes • Lewes Senior Center, Lewes • OSHER, University of DE, Lewes • OSHER, University of DE, Wilmington • OSHER, University of DE, Dover • Rehoboth Beach Library, Rehoboth Beach • South Coastal Library, Bethany Beach • Selbyville Public Library, Selbyville New to Medicare? New to the Area? Have questions about your current coverage? Call Today! (302) 387-4268 w w w . c a i s e b e n e f i t s . c o m We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Joseph Cisco, President
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4 | MED MATTERS 2024 MED MATTERS For more information, including subscriptions & advertising, visit CapeGazette.com PUBLISHER Chris Rausch PRODUCTION MANAGER Tara Marks DESIGN Abby Workman ADVERTISING Kathy McGinty, Lauren Zaniewski COPY EDITOR Veronica Geyer PRODUCTION Mallery Galaska, Teresa Rodriguez, Kristin Sinnott, Elizabeth Tedley ON THE COVER: Regular exercise is paramount to healthy living and a core principle of the Blue Zones Project®. Canalfront Park in Lewes offers ample opportunities to get your body moving. Photo by: Heartbeat Branding Co. 50+? Enjoy the fellowship at your local activity center... LEWES 34211 Woods Edge Drive 302-645-9239 MILTON 24855 Broadkill Road 302-684-4819 OCEAN VIEW 30637 Cedar Neck Road 302-539-2671 ROXANA 34314 Pyle Center Road 302-732-3662 Enjoy exercise programs, support groups, health seminars, fitness centers, craft classes, concerts, games, trips, nutritious meals, and more. EOE Numerous opportunities for adults 50+ to stay healthy and active! For more information, go to www.cheerde.com Free Fitness Center membership included with CHEER membership (at participating centers).
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6 | MED MATTERS 2024 The State of Our Health Nurture Your Gut Cultivating a Culture of Wellness The Power of Social Connection Journal for Healthy Eating The Role of Sleep Heart Healthy Exercises Look for the Signs Staying Resilient 8 12 18 28 34 38 40 44 48 Contents MED MATTERS 2024 Find our 2024 HEALTHCARE SURVEY RESULTS throughout this publication! 17005 Old Orchard Road, Lewes, DE (302) 703-4025 · CapeMedicalDE.com • Accepting New Patients • ENT Facial Plastic Surgery Hearing Aids Audiology Allergy Testing & Treatment Serving the Cape Region since 2013
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8 | MED MATTERS 2024 MED MATTERS 2024 The state of our health I t was assumed as Covid-era protocols were lifted that Sussex County residents would find the availability and wait times for local healthcare return to normal. Unfortunately, the continued explosive growth and aging population within the county has changed the formula. While the expansion of our three local hospital systems proceeds at a rapid pace, the demand is still piling up faster than the supply. It’s not due to a lack of effort, as noted in Ron MacArthur’s Feb. 16 Cape Gazette column, “For the first time since data was collected, healthcare workers became the No. ❯❯ LOCAL HEALTH 1 job category in Sussex County, surpassing jobs in the tourism and service industries.” Despite this figure, getting a doctor's appointment or finding a specialist with availability still remains a struggle for many. The 2024 Cape Gazette local healthcare survey revealed that 80% of our readers do not believe that the local healthcare systems are adequately staffed with doctors and nurses. The staffing struggle is a driving force behind the frustration. When asked if they were pleased with the healthcare options available in Sussex County, only 34% of our 2024 survey respondents said, "yes". This figure is down 20% from the 2023 survey when 54% of respondents said, "yes". In this edition of Med Matters, we will share all the 2024 survey results and take a look at the Blue Zone initiative which could potentially provide relief by bringing together healthcare providers, government and other agencies to promote healthier lifestyles in the Cape Region and beyond. CHRIS RAUSCH, PUBLISHER
MED MATTERS 2024 | 9 What does it mean to have All-Inclusive Care? • Access to dedicated healthcare professionals providing personalized medical care designed for you. • Services that cover physical, recreational and occupational therapy, home care, transportation, medication management, labs and x-rays, and special and primary care. • Ability to remain independent in your home and in your community while improving and maintaining your health. To learn more visit paceyourlifemwv.com ▲ or call 302-865-3565. PACE Your LIFE is located at the Milford Wellness Village A Program of All-Inclusive Care for the Elderly is where you can get all the care you need. You can join PACE Your LIFE if you meet the following conditions: You are 55 or older; You live in the service area - 19958, 19968, 19941, 19933, 19950, 19960, 19963, 19954, 19952, 19962, 19979, 19946, 19943, 19934; you need assistance with one activity of daily living and one independent activity of daily living (The State of Delaware's criteria for nursing home level of care); and you are able to live safely in your home with the support of PACE Your LIFE Learn More Here ▲
10 | MED MATTERS 2024 SURVEY SAYS 1. Overall, are you pleased with the healthcare options available in Sussex County? 2. Did your confidence in our local healthcare systems increase or decrease in 2023? Increased Stayed the same Declined 50.9% 31.1% 18.0% 55.4% 10.7% 33.9% Yes No Undecided PROUD TO BE AFFILIATED WITH BEEBE HEALTHCARE FirstStateHealth.com Vacationers Welcome! Request an Appointment CHIROPRACTIC • ACUPUNCTURE MASSAGE • NUTRITION COLD LASER • SPINAL DECOMPRESSION REHOBOTH & LEWES DR. TRIP DELCAMPO • DR. AUDREY FARRELL DR. RYAN SOD • DR. ERIK CAMAC DR. KYLE DEPOLLAR REHOBOTH | 18585 Coastal Hwy., Unit 26 In the Midway Shopping Center (302) 645-6681 DR. ZACH TOMKO • DR. JESSICA BOHL DR. AUDREY FARRELL LEWES | 12100 Black Swan Drive, Suite 103 In the Cape Henlopen Medical Center (302) 644-5750 2 LOCATIONS, 1 TEAM
MED MATTERS 2024 | 11 Smiling... IS CONTAGIOUS! Ocean View 90 Atlantic Ave, Ocean View, DE 19970 302-616-4760 Milton 524 Union Street, Milton, DE 19968 302-684-1100 Dover 77 Saulsbury Road, Dover, DE 19904 302-678-2942 MERCER • SYDELL DENTAL
12 | MED MATTERS 2024 ❯❯ YOUR HEALTH Your gut plays a pivotal role in your overall well-being; influencing digestion, nutrient absorption and immune function. By nurturing your gut through a balanced diet, probiotics and stress management, you can support your digestive health and your body’s ability to fend off illness. Remember that a healthy gut isn’t just about digestion — it’s about strengthening your body’s first line of defense against infections and maintaining vibrant health from the inside out. The National Institutes of Health (NIH) cite research saying the bacteria in your gut reduces your risk of diabetes, inflammatory bowel disease and psoriatic arthritis. Nurture Your Gut Your gut health is intricately linked to your overall well-being, affecting everything from digestion to immune function and even your mood. Gut Health Connection Your gastrointestinal (GI) tract, often referred to as your gut, is a complex system responsible for digesting food, absorbing nutrients and playing a crucial role in your immune response. It serves three primary roles: digestion, absorption and providing a microbiome. Your gut breaks down the food you eat into essential nutrients that nourish your body. Nutrients from digested food are absorbed into the bloodstream through the gut lining. The GI tract hosts trillions of microorganisms collectively known as the gut microbiome. These microbes aid digestion, synthesize vitamins and even influence your mood. Healthline explains each person has Continued on page 14 Ready to be a LOCAL? We make it easy. Thinking of Relocating? Think Delaware! • Sign-up For Our FREE Locals Now! Newsletter • Call (302) 424-1890 • Email [email protected] • Visit www.ActiveAdultsDelaware.com for a comprehensive review of local neighborhoods and informative blogs! Get Started Today Buying or Selling • New Construction or Quality Pre-owned Homes • We Have Answers! Active Adults Realty®| Office: (302) 424-1890 | 2 Locations: 1504 Savannah Road & 104 2nd St. Lewes, DE
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14 | MED MATTERS 2024 ❯❯ YOUR HEALTH more than 200 different species of bacteria, viruses and fungi in their digestive tract. They vary between those that are harmful, healthy and essential. Tips for a Healthy Gut Consume a variety of fruits, vegetables, whole grains and lean proteins. A diverse diet supports a diverse gut microbiome and a robust immune system. Fiber promotes regular bowel movements and feeds beneficial gut bacteria. Incorporate food like oats, beans and broccoli. Probiotics are live bacteria and yeasts found in yogurt, kefir and fermented foods like sauerkraut. They help maintain a balanced gut microbiome. Also helpful are prebiotic-rich foods such as garlic, onions and asparagus. Drink plenty of water. Being well hydrated is good for your health in many ways. Meanwhile, limit excessive sugar and processed food as they can disrupt the balance of healthy gut bacteria. Antibiotic use has also been linked to an unhealthy gut by researchers who published in “Nature”. Talk to your doctor about which antibiotics are essential and when alternatives might be possible. Chronic stress can negatively affect gut health. Practice relaxation techniques such as meditation or yoga. Get adequate sleep to allow your body’s immune cells to function optimally. Make it a priority to get enough sleep every night. Engage in regular exercise, as physical activity supports gut motility and a healthy gut microbiome. Continued on page 16 Personal Care • Meal Preparation Light Housekeeping • Laundry • Errands Medication Reminders • Appointments & Shopping Joyful Companionship • Family Respite Locally Owned & Operated Senior Care Angels by 302-329-9475 | Visitingangels.com/sussexde From a few hours to 24/7 care Stroke, Dementia, Alzheimer’s, Parkinson’s Specialists
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16 | MED MATTERS 2024 ❯❯ YOUR HEALTH Immune Function Your gut and immune system are deeply intertwined. About 70% of your immune cells reside in your gut-associated lymphoid tissue (GALT). The gut lining acts as a barrier preventing harmful substances and pathogens from entering the bloodstream. Beneficial bacteria help regulate the immune system and protect against harmful invaders. When the gut detects potential threats it triggers an immune response, releasing antibodies and immune cells to defend against infections. An unhealthy gut can lead to chronic inflammation, which is linked to various diseases including autoimmune conditions. • Medicare enrollment, Medicare Supplement plans • Prescription Rx plans • Medicare Advantage plans • Small Group Insurance Plans for Sole Proprietors and employers with 1-100 employees • Individual Health Insurance Clay A. Monroe, CLU, ChFC Susan M. Monroe, Broker WWW.CLAYAMONROE.COM No Cost - No Obligation Appointments Clay A. Monroe, Inc. 1143 SAVANNAH ROAD (PO BOX 12), LEWES, DE 19958 302-645-6565 [email protected] [email protected] COVID-conscious in-person appointments, phone appointments, electronic/contact-free enrollments Senior Health Market Advisors
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18 | MED MATTERS 2024 I n Sussex County, where community bonds run deep and a commitment to well-being is paramount, a trio of dedicated advocates – Rita Williams, Krista Griffin, and Kim Blanch – are spearheading a transformative movement. United in their mission to foster healthier lifestyles and promote longevity, they champion the Blue Zones Project®, an innovative community-by-community initiative poised to reshape the fabric of local life by prioritizing wellness and vitality. Together, they've founded Blue Project DE and are making significant progress on bringing the Blue Zones Project® to Delaware. But what exactly are Blue Zones? Originating from the pioneering work of Dan Buettner and his team, Blue Zones are regions around the world where people live remarkably longer, healthier lives compared to the global average. These areas have been identified through extensive research and observation, revealing common lifestyle and environmental factors that contribute to the exceptional longevity of their inhabitants. Implementation of the Blue Zones Project® would encompass a wide range of strategies aimed at optimizing various aspects of community life. From improving city streets with policies to discourage smoking and promoting bike lanes and sidewalks, to enhancing public spaces such as parks, lakes, and walking paths, the initiative seeks to create environments that encourage physical activity and social interaction. Schools would also play a crucial role in the implementation with efforts focused on improving cafeteria offerings and creating safe walking paths to encourage active transportation among students. Additionally, restaurants and grocery stores would be encouraged to provide healthier food options while employers would be urged ❯❯ LOCAL HEALTH Blue Zones AROUND THE WORLD Blue Zones are regions around the world where people live remarkably longer, healthier lives compared to the global average. Cultivating a Culture of Wellness: Sussex County's Journey with the Blue Zones Project®
MED MATTERS 2024 | 19 Rita Williams, Krista Griffin and Kim Blanch to create work environments that support employee well-being. Moreover, faith-based organizations would be engaged in promoting wellness within their communities, and active community involvement would be fostered to ensure the sustainability of the initiative. " It feels unanimous that initiatives such as this are needed now more than ever." - Rita Williams Continued on page 20 Experience Matters... When offering the “total” package in joint replacement! PENINSULA ORTHOPAEDIC OFFERS MyKA Kinematic Alignment Knee Replacement Mako Robotic Knee and Hip Replacements Partial Knee Replacement Total Ankle Replacement Reverse and Total Shoulder Replacement Complex Joint Revisions Berlin & Salisbury, MD | Millsboro & Seaford, DE Lewes & Milford, DE (Opening April 1st) (410) 749-4154 | www.PeninsulaOrtho.com Experience MWhen offering tpackage in joint rePENINSULA ORTHOPAMyKA Kinematic Alignment Mako Robotic Knee and HPartial Knee ReplaTotal Ankle ReplaReverse and Total ShouldComplex Joint ReBerlin & Salisbury, MD | MillsbLewes & Milford, DE (Op(410) 749-4www.PeninsulaO
20 | MED MATTERS 2024 ❯❯ LOCAL HEALTH The benefits of implementing the Blue Zones Project® are manifold. Lower healthcare costs, improved productivity, and reduced rates of obesity and smoking are just some of the positive outcomes that communities can expect. Furthermore, by prioritizing wellness and vitality, Sussex County has the opportunity to enhance its national recognition as a great place to live, work, and play. Williams, Griffin, and Blanch bring a wealth of experience and dedication to their roles as advocates for the Blue Zones Project®. With deep roots in Sussex County and a shared passion for population health, they embody the spirit of the initiative and are poised to lead their community towards a brighter, healthier future. BILL SHULL PHOTOS Nick Buettner Blue Zones Project® program director MIDDLETOWN 219 West Green St LEWES 116 West 3rd St NOW OPEN! L E A R N M O R E H E R E ❯ SPECIALIZING IN INJECTABLES W E L L N E S S & LASERS MINTANDNEEDLE .COM 302 -696- 2484
MED MATTERS 2024 | 21 Drawing inspiration from the successes of progressive cities like Beach Cities, California, Albert Lea, Minnesota, and Klamath Falls, Oregon, the Blue Zones Project® offers a proven blueprint for success. By implementing evidence-based solutions and fostering robust community engagement, Sussex County has the opportunity to emerge as a national leader in well-being and longevity. On November 8, 2023, the team hosted a Roundtable forum in Lewes with state, municipal, and healthcare leaders; community-based and not-for-profit organizations; business owners and potential funders. The Roundtable was followed by a well-attended Blue Zones Delaware Community Engagement Event where Blue Zones expert, Nick Buettner, presented research on the longest-lived and healthiest places in the world and the common lifestyle and cultural traits of those regions. Attendees learned how these traits have been implemented in communities throughout the United States to promote health and well-being and how they could benefit our communities. The robust discussions that followed demonstrated a strong interest and support from both community leaders and members. Their presentation to local stakeholders highlighted the transformative potential of the Blue Zones concept, which has already yielded positive results in 51 communities across the United States. Local stakeholders were part of the opening session of the Blue Zone presentation in Lewes Nov 8. Continued on page 22 484-832-9755 • 231 S Washington St., Millsboro, DE Skilled Nursing Rehabilitation & Memory Care Proud Member of Prestige Healthcare Administrative Services SOARING TO SUCCESS Paving the way for a luxurious and comfortable rehab stay. Atlantic Shores takes pride in providing a home-like setting for our residents. A successful outcome is our mission! Come Soar With Us! OUR COMMITMENT TO YOU! Atlantic Shores Rehabilitation and Healthcare Center has a commitment to providing high-quality care to our residents with an exceptional team of skilled professionals. We want Atlantic Shores to feel like home by making our residents feel as safe and comfortable as possible.
22 | MED MATTERS 2024 ❯❯ LOCAL HEALTH communities in a positive, sustainable way." Since then, Williams, Griffin, and Blanch presented to the Sussex County Association of Towns Steering Committee (SCAT) and at community events such as the Rehoboth VegFest ThanksLiving Dinner. They Dr. David Tam “We can build a new hospital or spend money to change lifestyles” - Dr. David Tam will participate in a variety of upcoming community events including the University of Delaware Osher Life-long Learning Program. At each event, the team will share information about the Blue Zones Project®and engage in open discussion about specific community needs and next steps for bringing the project to Delaware. In addition to the continued awareness effort, the team is in the planning stages for the next phase of the project: a feasibility study to identify key focus areas that will Enthusiasm for the Blue Zones Project® was palpable. Dr. David Tam, President, and CEO of Beebe Healthcare, emphasized the importance of preventive measures in promoting community health, echoing the sentiments of many stakeholders present. Mayor Andrew Williams of Lewes expressed confidence in the city's alignment with the Blue Zones principles, recognizing the potential for transformative change. "We are so grateful to the engaged community leaders and members with whom we've met for their expressed interest in the Blue Zones Project. This framework brings the opportunity to align, support, and coordinate work being done across the county by so many dedicated organizations," says Williams. "With this confirmed level of readiness, we can take the next step toward moving the needle on the health and wellbeing of our Continued on page 24 18947 John J. Williams Highway Medical Arts Building, Suite 212 Rehoboth Beach, DE 19971 302-645-8212 (phone) 302-645-2199 (fax) 32566 Docs Place Suite 1 Millville, DE 19967 302-537-0793 (phone) 302-537-0795 (fax) Jeffrey Boxer, MD, FAAP Erin Fletcher, DO, FAAP Stacey Fox, MD, FAAP Nancy Gideon, MD, FAAP Meredith Luckenbaugh, MD, FAAP Elizabeth Baldwin, CPNP Wendy Gatto, CPNP Lauren Kuebeck, CPNP Open 7 days a week TeleHealth Appointments Available KEEPING KIDS HEALTHY & ACTIVE IS WHAT WE DO BEST!! Accepting New Patients
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24 | MED MATTERS 2024 ❯❯ LOCAL HEALTH have the biggest impact on health and wellbeing improvements. Griffin adds, "Numerous towns across Sussex County have expressed a strong interest in participating. Collectively, the towns that will initially be selected to participate in the study strongly represent the diverse communities of our county and provide a comprehensive scope of places and policies. This phase will inform the implementation Blueprint for community transformation across our communities." However, the journey towards becoming a Blue Zone is not without its challenges. Implementing broad changes requires time, resources, and a steadfast commitment from all stakeholders involved. A multimillion-dollar investment is needed to kickstart the initiative, but the potential benefits – from improved health outcomes to significant cost savings – make the endeavor worthwhile. "The key aspect of the Blue Zones Project®is that it is a community-led initiative. The Blue Zones team does not determine or drive what we ultimately do here in Sussex County," Williams informs. "They provide guidance and expertise; this is not done 'for us' or 'to us' but through us." With strong leadership, unwavering community support, and a shared commitment to well-being, the vision of longer, healthier lives for all residents is within reach. As Sussex County embraces this journey towards connection and well-being, it sets a powerful example for communities everywhere, reaffirming that the time for change is now. To learn more about Blue Zones Project Delaware, visit www.bluezones.com. To learn more about how to be a part of this movement, please contact [email protected].
MED MATTERS 2024 | 25 NOW ACCEPTING PATIENTS Christopher Pellegrino, MD 18947 John J. Williams Hwy Unit 215 Rehoboth Beach, DE 302-643-2900 pellegrinoplasticsurgery.com LEARN MORE
26 | MED MATTERS 2024 There’s one fundamental pillar that often gets overlooked in the hustle of our daily lives — the importance of establishing a relationship with a trusted primary care provider. In the realm of self-care, this step proves to be not just essential but transformative, offering a foundation for proactive healthcare that goes beyond treating ailments to promoting holistic well-being. The cornerstone of proactive healthcare lies in regular check-ups and preventative care. TidalHealth Primary Care providers are equipped to catch potential health issues in their infancy, allowing for timely intervention and significantly improving health outcomes. It’s The vital role of trusted primary care not merely about addressing illnesses when they arise but creating a shield of prevention, fortifying against diseases before they can take root. “Primary care providers are trained in health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and treatment of acute and chronic illnesses in various health care settings,” said Dr. Joseph Kim of TidalHealth Primary Care. “Primary care providers also collaborate with other health professionals and utilize consultation or referral as appropriate.” At TidalHealth, our team of experienced, patient-focused providers are committed to giving you the comprehensive individualized healthcare you deserve. We specialize in preventative visits, chronic illness management, and a wide range of medical services tailored to fit your specific needs. Come experience the difference at TidalHealth. We believe in delivering quality medical care backed by personalized attention and trust. Accepting new patients now. While the TidalHealth office closest to you may not appear on this list, there still may be availability. Please call your practice of choice or visit tidalhealth.org/ primarycare.
MED MATTERS 2024 | 27 Delaware Delmar 38552 Sussex Highway Unit 101 Delmar, DE 302-297-2583 Khalil Gorgui, MD (ages 18+) Faith Lauer, NP (ages 12+) Georgetown 503 W. Market St. Georgetown, DE 302-297-2587 Kathy Melvin, NP (ages 0+) Audrey Ormberg, MD (ages 0+) Maritza Parreno, MD (ages 18+) Laurel 30549 Sussex Highway Laurel, DE 302-297-2585 Mary Beth Dickerson, NP (ages 16+) Conor McLaughlin, NP (ages 12+) Millsboro 30265 Commerce Drive Suite 206 & 207 Millsboro, DE 302-732-8400 Lisa Hohl, NP (ages 0+) Alexandra McDermott, NP (ages 0+) Maryland Berlin 9950 Main St. Berlin, MD 410-912-6710 Megan Karin Tyndall, NP (ages 5+) Crisfield 201 Hall Highway Crisfield, MD 410-968-1801 Michael Atkins, MD (ages 17+) Federalsburg 3304 Hayman Drive Federalsburg, MD 410-754-2440 Tiarra Jones-Bbosa, NP (ages 13+) Ocean Pines 11101 Cathage Road Suite 102 Berlin, MD 410-912-6104 Kristen Abbott, NP (ages 0+) Pocomoke 305 10TH St. Pocomoke City, MD 410-912-6167 Natalie Parks, NP (ages 5+) Salisbury 1639 Woodbrooke Drive Salisbury, MD 410-912-5785 Neil Basumallik, MD (ages 18+) Kirsten Bowie, NP (pediatrics) Jason Coleman, MD (pediatrics) Deepa Manimegalan, MD (pediatrics) TidalHealth Community Clinic 145 E. Carroll St. Salisbury, MD 410-543-7717 (ages 18+) TidalHealth Primary Care locations Providers at the following locations have appointments available in the next four weeks:
28 | MED MATTERS 2024 ❯❯ YOUR HEALTH Social connections are fundamental to human existence, enriching our lives, providing support during challenges, and instilling a profound sense of belonging. In our rapidly evolving digital world, it's imperative to strike a balance between online and offline engagements. Nurturing Meaningful Connections Nurturing meaningful connections is not a destination but an ongoing journey. It demands active listening, vulnerability, and a sincere effort to foster genuine bonds. A socially vibrant life doesn't just enhance mental and emotional well-being but also positively impacts physical health, making it a cornerstone of a fulfilling existence. The Benefits of Social Connections Research consistently demonstrates the profound impact of social connections on our well-being. Strong social ties have been linked to improved mental health, with The Power of Social Connections Nurturing meaningful relationships leads to healthier lives. interactions boosting happiness and reducing stress. According to studies, individuals with robust social connections are less likely to experience depression and anxiety. Moreover, social support serves as a buffer against life's inevitable adversities, enhancing emotional resilience and aiding in coping mechanisms. Research indicates that having a strong support network can reduce the risk of mortality by up to 50%, highlighting the life-saving potential of meaningful relationships. Physiologically, the benefits of social connections extend beyond mental well-being. Studies suggest that individuals with strong social ties exhibit stronger immune systems, Having a strong support network can reduce the risk of mortality by up to 50% Continued on page 30 OUR SERVICES • Brazilian Lymphatic Drainage Treatment • Wellness Pod Session • Red Light therapy • Blue Light Therapy • Environmental Toxin Coaching • Dolce Glow Spray Tan 17577 Nassau Commons Blvd. Suite 201 Lewes, DE [email protected] (302) 866-WELL (9355) naturallywellbystacey.com Discover natural ways to detoxify your body and improve your health and wellness with our expert guidance and services.
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30 | MED MATTERS 2024 ❯❯ YOUR HEALTH lower blood pressure, and overall better cardiovascular health. The sense of purpose derived from meaningful relationships can even extend one's lifespan, with research indicating that socially connected individuals tend to live longer lives. Fostering Connections Fostering connections requires intentionality and effort. It involves genuine engagement, active listening, and a willingness to be vulnerable. Rather than chasing a high quantity of connections, investing in a few close relationships yields more significant benefits. Participating in shared activities and hobbies can be instrumental in forging bonds with like-minded individuals. Navigating the Digital Landscape In today's digital landscape, technology has revolutionized how we connect, offering both opportunities and challenges. Excessive screen time and superficial online interactions can lead to feelings of loneliness and isolation. It's crucial to prioritize quality over quantity in digital interactions, setting boundaries, and disconnecting when necessary. Moving Forward While technology has provided new avenues for connection, the essence of meaningful relationships remains unchanged. Cultivating genuine connections, both online and offline, is paramount for our overall well-being. By prioritizing quality interactions and nurturing genuine bonds, we can navigate the complexities of the digital age while fostering a fulfilling and balanced life. Outloud Sports Rehoboth, with GM Jerry DeLair (2nd from left), promotes inclusion and fun in social sports. Learn more here ˃˃˃ Meaningful relationships can even extend one's lifespan, with research indicating that socially connected individuals tend to live longer lives.
MED MATTERS 2024 | 31 IT’S NOT TOO LATE TO SET YOUR INTENTIONS FOR THE New Year The Holistic Coach LLC mind . body . spirit Discover The Healer Within DEBBIE BALICK Certified Holistic Life Coach 113 Union Street, Suite B-7, Milton, DE (302) 643-9118 [email protected] debbiebalickcoach.com We all start the new year with the best of intentions: be healthier, lose weight, get a new job, find a soulmate... Sound Familiar? As a Holistic Coach, I can guide you in the right direction. Check out my website and let’s talk. Together, we can truly make this a Happy New Year! Contact me today to save $50 OFF your first 3 sessions!
32 | MED MATTERS 2024 SURVEY SAYS 3. Wait times to see a specialist can be very long. Would you accept a telehealth consultation to see a specialty provider sooner? Yes No Undecided 50.4% 16.1% 33.5% 200+ MEMBERS AND GROWING Join us for our Educational Expo! S AT U R D AY, M AY 4 T H , 2 0 2 4 REHOBOTH CONVENTION CENTER 11 AM - 3PM EDUCATION SUPPORT Monthly group meetings, informal check-ins, group speech therapy Informational seminars and sponsored events with PD experts PD-focused certifi ed trainers and group fi tness classes EXERCISE Improving the lives of those with Parkinson’s disease through Donate today! SUPPORT OUR GROUP The Expo promises to be fi lled with educational mini sessions, live guest speakers, invigorating exercise and wellness classes, and exhibits showcasing organizations and companies that provide vital support to those aff ected by Parkinson’s disease. VISIT sussexcountyparkinsons.com EMAIL [email protected] FOLLOW facebook.com/ParkinsonsEducationDE
MED MATTERS 2024 | 33 Meet Dr. Adams Dr. Ashley Adams, our acupuncturist, was in a devastating head-on collision ending her nearly 19 year long career in our U.S. Army. After 21 back surgeries and being told she would never walk again, she’s defeated all odds and decided the treatments that helped her so much couldn’t be hidden any longer! Being able to help her community and the ones that feel like they have no option for relief anymore, that’s her real motive! Dr. Adams specializes in treating neuropathy, arthritis, fibromyalgia, and chronic pain. But that doesn’t mean that her treatments for everything else doesn’t work! Chronic migraines, new injuries, and so much more can still be helped. Meet René Angela “René” Toney has been in healthcare for 40+ years! While serving our U.S. Army for 13+ years, René spent most of that time as an orthopedic specialist and medic. Learning she loved helping people, lead her to become the amazing nurse practitioner she is today. After surviving her battle with breast cancer, René has been able to provide the compassionate care she longed for in that time of need! René is also bringing a new and improved aspect to medically assisted weight loss programs. She’ll coach you through your program and help you make better choices along side keeping an eye on your health while medications are given to you. A trusting medical professional, here when you need her! Conveniently Located in Milford DE, One Stop Shop for your health and wellness! Call Us for a Consultation at (302) 265-2751
34 | MED MATTERS 2024 ❯❯ YOUR HEALTH This simple yet effective practice offers valuable insights into your eating habits, helps you make more informed choices and sets the stage for long-lasting dietary improvements. A food journal is not a tool for judgment or restriction, but a guide toward healthier choices and a better understanding of your relationship with food. It empowers you to make informed decisions, identify triggers for unhealthy eating and celebrate your successes along the way. Remember, the goal is progress, not perfection. By regularly reviewing what you eat, setting achievable goals and seeking support when needed, you’ll pave the way to a healthier, more balanced diet. Embrace the journey and let your food journal be your trusted companion on your path to better eating and improved well-being. In the quest for a healthier lifestyle, keeping a food journal can be a game-changer. Journal for Healthy Eating BONUS TIP: Visit local farmers markets for fresh, nutritious ingredients Historic Lewes Farmers Market RON MACARTHUR PHOTO DELAWARE RESORTS EXPOS update 26th Anniversary cape henlopen high school MARCH 9TH HEALTH FITNESS & LEISURE EXPO APRIL 6TH & 7TH SPRING HOME EXPO SEPTEMBER 21ST & 22ND FALL HOME EXPO NOVEMBER 2ND 55+ EXPO 2024 WWW.DEEXPOS.COM • [email protected]
MED MATTERS 2024 | 35 ˃ Reasons to Keep a Food Journal: • Raises awareness about eating patterns and portion sizes • Holds you accountable for food choices • Identifies emotional or environmental triggers for unhealthy eating • Tracks progress towards dietary goals ˃ Getting Started: • Choose a journal format that suits your lifestyle • Record everything consumed, including portion sizes and emotions • Use contextual information like time and location to reveal patterns ˃ Using Your Journal: • Regularly review entries for patterns and triggers • Celebrate successes and set achievable goals • Plan meals and snacks in advance to reduce impulsive choices • Share your journal with a trusted individual for support and guidance • Be open to adjustments and refine your approach over time Medical Alert Systems LOCALLY OWNED AND OPERATED 302-567-8500 Because We Care [email protected] seacuresolution.com Because... Life can be Unpredictable Dennis & Gayle Jones, Medical Alert Specialists
36 | MED MATTERS 2024 SURVEY SAYS 4. How important is it to the area to have adequate mental health services? 6. Do you find it easy to locate and understand the pricing for healthcare services in the area? Yes No I did not know this was provided 5. Have you encountered a medication shortage/delay at the pharmacy? 45.3% 51.9% 2.8% Yes No I haven’t used a pharmacy in the past year 25.7% 32.8% 41.6% Not Important 100% 75% 50% 25% 0% Very Important AVERAGE RATING: 8.8 INTEGRATING PSYCHOTHERAPY AND SPIRITUALITY Peace & Happiness to You Today ! MY MISSION is to assist and empower individuals in their healing process so that they can experience peace, manifest goals, and 302-260-0605 • WWW.TRINITYHEALINGWELLNESSCENTER.COM maintain optimal health. DR. TONI HEMMERICH, LPCMH, LPC
MED MATTERS 2024 | 37 Comprehensive care State of the art facilities Medicare accepted All ages OUR SERVICES 17644 Coastal Hwy Lewes, DE 19958 (877) 425-7756 www.clearsolutionsderm.com WE CARE FOR YOUR SKIN! Unlock the beauty of healthy, glowing skin with Clearsolutions Dermatology. Our expert team is dedicated to providing cutting edge solutions for all your skin care needs. Say goodbye to skin troubles and hello to a more confident you. Experience the clear difference today! WHY CHOOSE US? • acne • dermatitus • eczema • hair disorders • moles • psoriasis • skin cancer • sun damage • warts SCAN HERE TO MAKE AN APPOINTMENT ➤
38 | MED MATTERS 2024 The Role of Sleep Not getting enough shut-eye might have wider implications. Anyone can struggle with a bout of poor sleep or even occasional insomnia. Stress, the inability to wind down, and eating or drinking too late at night will sometimes get in the way. But regularly missing out on the required amount of rest, or suffering from sleep apnea, has been linked to significant implications for your heart by the National Institutes of Health. Sleep can have a huge impact on your heart health. WHY IT’S IMPORTANT Quality sleep is a key element of general physical and mental health, according to the National Heart, Lung and Blood Institute. Deficient sleep patterns have obvious and immediate impacts, including attention problems, headaches and drowsiness. Your risk of accidents jumps, as does an eventual development of chronic illness. The institute recommends at least 7-8 hours of uninterrupted sleep per day. Regularly getting less can lead to high blood pressure and other potentially serious heart issues. ❯❯ HEART HEALTH RECOGNIZING THE PROBLEM There’s nothing to worry about if you have a restless night here or there. But experts point to several warning signs if there is a larger problem with your sleep patterns. The American Academy of Sleep Medicine has outlined the most urgent issues. Talk to your doctor if you’re experiencing unusual fatigue physician will do a physical examination and blood tests, but also discuss your work and life. In some cases, lifestyle choices may be recommended. If the problem persists, you may be enrolled in a sleep study. COMMON SLEEP ISSUE Many people unknowingly suffer from sleep apnea, a condition that prevents us from entering the deep periods of rest that are essential for brain and body health, including the heart. In fact, the interruptions associated with sleep apnea have been directly linked to the development of cardiovascular issues. The National Institutes of Health reported that men who’ve been diagnosed with obstructive sleep apnea are 58% more likely to eventually develop potentially deadly coronary heart disease. The institute recommends at least 7-8 hours of uninterrupted sleep per day. or sleepiness during daytime hours, consistently interrupted sleep or chronic snoring, consistent difficulty in concentration, irritability or headaches, and memory loss. A Pam Kline, CPT, PWR Certified Personal Trainer 570-470-8176 ❁ [email protected] Call or text for get-in-shape introductory offers! FIT2U in your home! Personal training
MED MATTERS 2024 | 39 TRUSTED KNOWLEDGE. PROVEN EXPERIENCE. 302-736-1320 A six-physician practice offering comprehensive care in Sussex & Kent Counties. Ocean Medical Imaging Building 611 Federal Street, Suite 5 Milton, DE 19968 Eden Hill Medical Center 200 Banning Street, Suite 250 Dover, DE 19904
40 | MED MATTERS 2024 ❯❯ HEART HEALTH The U.S. Centers for Disease Control and Prevention recommends engaging in aerobic exercises and breaking them into 10-minute intervals or more to enhance heart health. Here are key areas to focus on: Aerobic Exercises: Engage in moderate-intensity activities such as brisk walking, biking, gardening, swimming, and dancing to lower blood pressure, control blood sugar, and improve circulation. For those with tight schedules, opt for shorter but more intense routines like jogging, swimming laps, biking fast, hiking uphill, or playing soccer. One minute of vigorous activity equals approximately two minutes of moderate-intensity exercise. Consult your healthcare provider before starting any new exercise routine. Strength Training: Incorporate lower-intensity resistance training exercises like pushups, squats, sit-ups, and lifting weights to lower bad cholesterol levels and reduce the risk of stroke or heart attack. Aim for strength or resistance training at least twice a week, targeting major muscle groups such as shoulders, chest, legs, hips, back, and abs. Perform 8-12 repetitions in sets. Flexibility Routines: Include stretching exercises such as yoga, Pilates, or tai chi to improve balance, flexibility, and prevent cramps, muscle pain, and joint aches. Whether through formal classes or home routines, aim for 3-5 stretches per session, holding each stretch for about 30 seconds. Focus on smooth, pain-free motion and avoid jerky movements to prevent injury. Remember to breathe normally during stretches. Heart-Healthy Exercises Adults should get at least two and a half hours of aerobic exercise each week Want to give a helping hand? Volunteers will Feel the Joy of Helping Others Meet Great Folks in Your Community Select Services They Want to Provide Choose Their Own Hours Looking for a helping hand? Members need Local Transportation Minor Home Maintenance Technology Assistance Friendly Visits Village Volunteers 302-703-2568 [email protected] villagevolunteer.org Service Area: Lewes, Milton, Rehoboth Beach South Coastal Village Volunteers 302-500-1281 [email protected] southcoastalvillagevolunteers.org Service Area: Bethany Beach, Millville, Ocean View, South Bethany Helping older adults live independently.
MED MATTERS 2024 | 41 Delaware Bike Month is May, and to promote biking to work, Lewes Mayor and City Council proclaimed May 19 as Bike to Work Day. AARON MUSHRUSH PHOTO Accepting New Patients Sports Injuries Foot and Ankle Surgery Radial Shockwave Therapy Laser Treatments Geriatric Foot Care Diabetic Foot Care Custom Orthotics and Braces Wound Care Skin and Nail Diseases Fractures and Sprains Phone: 302-297-8431 Fax: 302-433-6547 [email protected] www.DTFAC.com Dr. Joe Wendolowski Dr. Brendan Kane 17425 Ocean One Plz Unit 1 Lewes, DE 19958
42 | MED MATTERS 2024 8. Are you currently using a concierge practice for your primary healthcare? SURVEY SAYS 7. Do you feel our local healthcare systems are adequately staffed with doctors and nurses? Yes Yes No I don’t know what that is No Not Sure 9.9% 80.0% 10.9% 84.8% 4.3% 10.1% TREATMENT FOR: Medicare and all Medicare supplements accepted. skin cancer pre-cancers sun damage skin diseases B. Lazzaro, M.D. DERMATOLOGY & DERMATOLOGIC SURGERY 302.888.0213 • 117 W. NORTH ST., GEORGETOWN • 819 S. GOVERNORS AVE., DOVER
MED MATTERS 2024 | 43
44 | MED MATTERS 2024 ❯❯ HEART HEALTH Look for the Signs SAVING A LIFE As many as one in five heart attacks are considered “silent,” meaning they happen without much or any notice. But the other 80% are accompanied by signs that should set off alarm bells. If you notice them, be ready to leap into action. Transport the person to the hospital or call for medical assistance. The sooner help arrives, the more likely they are to survive. WATCH FOR THIS The U.S. Department of Health and Human Services reports that the most crucial warning sign is chest pain, usually on the left side or center. Heart attacks are usually associated with a feeling of squeezing, pressure or fullness. Pain might also radiate to other areas like the back, shoulders, arms, jaw, neck or upper torso. Be aware of any trouble breathing or shortness of breath, particularly when the person is not active. Nausea or vomiting may occur, along with a stomachache or heartburn. Another worry is persistent dizziness, or feeling lightheaded and fatigued. Some heart attacks are accompanied by a feeling of feverishness like a cold sweat. The chances of dying of a heart attack have soared over the last few years, an especially troubling fact considering that heart disease was already a leading cause of death for Americans. That’s why it’s never been more important to be aware of the signs associated with a heart attack. Acting fast could save a life. Lightheaded Shortness Of Breath Chest Discomfort And Pain Upper Body Pain (Left Arm, Stomach, Neck, Jaw, Upper Back) Cold Sweats Nausea /Vomiting ❯ ❯ Heart Attack Symptoms in Men & Women 16394 Samuel Paynter Blvd Suite 201 Paynter’s Mill Milton, DE 19968 Sheri Jones, LMT CMLDT Massage and Wellness Massage and Wellness Sheri Jones, LMT CMLDT (302) 740-1348 Sheri Jones, LMT CMLDT (302) 740-1348 Manual Lymphatic Drainage-Vodder Spurgeon Breast MassageTM
MED MATTERS 2024 | 45 WHAT TO DO Of course, many of these symptoms point to other, less urgent issues. That’s why it’s so crucial to understand and share your family history with a doctor. They’ll also perform regular physical examinations to track your heart health journey. You may want to seek medical care even if you’re experiencing new pain, having trouble breathing or feeling unusually tired. Be particularly cautious if more than one of these symptoms is experienced. Call 911 right away in the event of an emergency. EMTs will begin treatment right away. Those who’ve had previous heart attacks are also reminded that they are not all the same. Symptoms may present quite differently the next time. Flu-Like Symptoms Fatigue Insomnia Heartburn /Indigestion Symptoms Last For Days ❯ ❯ Heart Attack Symptoms in Women Planning today to protect your family’s tomorrow. WE HELP FAMILIES: Shelter assets from long term care costs Apply for Medicaid & VA long term care benefits Create Wills and Powers of Attorney Utilize Trusts for probate avoidance Preserve public benefits for persons with special needs Administer their loved ones’ estates •••••••••••••••••••••••••• www.pwwlaw.com Serving Delaware Families 1519 Savannah Road, Lewes 225 High Street, Seaford Tel. 302.628.4140
46 | MED MATTERS 2024 SURVEY SAYS 9. Local officials are considering adopting a project, called Blue Zone, aimed at changing lifestyles so people are healthier, happier and live longer which results in significantly lower healthcare costs over time. Are you in favor of this initiative? 44.4% 13.3% 42.3% Yes, I believe in infrastructure that supports healthier living No, what we need is more healthcare I don’t know enough about the Blue Zone project Bring Your Health Are you ready to transform your life? Holistic Modalities Nutrition Herbal Medicine Mind-Body Medicine Functional Medicine Testing Sustainable Habits Goal Setting Positive Mindset Personalized Guidance Ongoing Support Dr. Furtado, Katy Pugh, and Sydney Dawson collaborate to empower naturopathic clients. Say goodbye to stress, embrace positivity, and achieve a healthier lifestyle. With the help of our committed coaching program, create a happy, healthier you! Contact us today to enroll in the Full Circle Program! www.DrKimFurtado.com 302-945-2107 FULL CIRCLE. 4 Naturopathic Consultations 6 Health + Coaching Sessions
MED MATTERS 2024 | 47 For more information, contact South Shore Marina at [email protected] or (443) 614-2442. www.SouthShoreMarina-IR.com DON’T MISS YOUR CHANCE Purchase a boat slip in South Shore Marina, and stop worrying about where to dock every season, then watch your investment grow! C-1 C-3 C-5 C-7 C-9 C-11 C-13 C-15 C-17 C-19 C-21 C-23 D-1 D-3 D-5 D-7 D-9 D-11 D-13 D-15 D-17 D-19 E-1 E-2 E-3 SOLD SOLD E-4 E-5 E-6 E-7 E-8 E-9 E-10 E-11 E-12 B-1 B-3 B-5 B-7 B-9 B-11 B-13 B-15 B-17 B-19 C-2 C-4 C-6 C-8 C-10 C-12 C-14 C-16 C-18 C-20 C-22 C-24 D-2 D-4 D-6 D-8 D-10 D-12 D-14 D-16 D-18 D-20 B-2 B-4 B-6 B-8 B-10 B-12 B-14 B-16 B-18 B-20 A-2 A-4 A-6 A-8 A-10 A-12 A-14 A-16 A-1 A-3 A-5 A-7 A-9 A-11 A-13 A-15 S O L D O U T SOLD FOR SALE FOR SALE FOR SALE FOR SALE FOR SALE FOR SALE FOR SALE FOR SALE FOR SALE IMMEDIATE ACCESS TO THE ATLANTIC LIMITED NUMBER OF SLIPS FOR SALE NEW DEEP-WATER ENTRANCE UNDERWAY READY FOR 2024 SEASON SECURE GATED 3 Deep-water access COMMUNITY means no waiting for high tides 3 70+ slips already sold, only a limited number are now available 3 No more waitlists 3 Slip values are on the rise
48 | MED MATTERS 2024 ❯❯ MENTAL HEALTH Mental Health America recommends 10 tips for staying resilient — common sense activities that are practical, doable and can make a real difference in whether you will be able to roll with the inevitable punches that life throws. Staying Resilient Taking care of one’s mental health is important for everyone 1Connect with others Connections can help you with specific tasks, emotional support, providing perspective, giving advice and offering validation. Ways to form connections with others include enrolling in classes, joining clubs, volunteering and reaching out to others. Strengthen the relationships that you do have by scheduling time for them and doing what you can to enrich them. Consider joining a support group. 2Stay positive Cultivating optimism is good for both your mental and physical health. Stay optimistic by tracking your gratitude, writing about a positive future, looking for silver linings and avoiding negative thinking. 3Get physically active Exercise is not only good for you Delaware’s largest provider of advocacy, support, and services for people on the spectrum and their families. Helping People and Families Affected by Autism Since 1998 Whether you have one question or a million, WE’RE HERE TO HELP. CONTACT US AUTISM SUPPORT (302) 224-6020 Extension 219 17517 Nassau Commons Blvd, Unit 1 Lewes 924 Old Harmony Rd, Suite 201 support@autism Newark delaware.org FAMILY SERVICES autismdelaware.org FAMILY NAVIGATION | AUTISM CARE TEAM GROUP LEARNING AND SUPPORTS • Understand autism spectrum disorder • Build advocacy skills • Find services and treatment options • Navigate state service systems like special education and Medicaid Our credentialed providers offer individualized parent-to-parent support focusing on autism to help parents and guardians:
MED MATTERS 2024 | 49 physically, but can boost your mood by decreasing stress, reducing anxiety and offering a greater sense of well-being. The American Heart Association recommends at least 30 minutes of moderate aerobic activity five days a week plus strength training twice a week. 4Help others According to research, people who consistently help others experience less depression, better health and greater calm. Helping can range from volunteering for a charitable organization to calling a friend to smiling at a stranger in the street. Look for a way to volunteer that matches your interests and values. 5Get enough sleep People who don’t get enough sleep suffer from higher anxiety, impaired memory and a greater risk of depression. Try setting a regular bedtime with a healthy sleep routine. Drink less caffeine, especially in the hours before you sleep. Give yourself an hour before your bedtime to de-stress. 6Create joy and satisfaction Laughing can reduce pain and anxiety, and positive emotions can reduce stress hormones. Add humor to your life by reading joke books, collecting sayings that make you smile, listening to comedy podcasts or just finding things in your life to laugh about. Engage in leisure activities that you enjoy, especially if they involve spending time with others. 7Eat well Having a good diet can boost your energy, lessen the effects of stress and bolster mood-related body chemicals. Plan healthy foods, don’t skip meals, snack well and don’t over-diet. Limit alcohol and cut We Accept • Most Major Medical Insurance • Medicare • Workers Comp • Auto Insurance We Treat • Neck Pain • Headaches • Back Pain • Sciatica • Work Injuries • Auto Accidents • Sports Injuries 302-644-1420 Vacationers Welcome! Continued on page 50
50 | MED MATTERS 2024 ❯❯ MENTAL HEALTH back on caffeine. There is some evidence that you can fight depression by eating foods rich in Vitamin B-12, folate and Omega-3 fatty acids. 8Take care of your spirit Spirituality can contribute to your resiliency. It can take the form of participating in organized religion, meditating or connecting with your deeper self. 9Deal better with hard times Developing coping mechanisms can help you stay resilient. Some coping tools can include writing, problem-solving, shifting your thinking and getting support. 10 Get professional help when you need it One in four adults in the U.S. will have a mental health problem in any given year. Professionals can help — whether you turn to your primary care doctor, a therapist or a crisis hot line. It may take a few tries to get the right match for the person who can most help you. Set goals and keep an open mind. Adults in the U.S. will have a mental health problem in any given year. 1 in 4 Some of your most important connections can be found close to home We’re proud to put Sussex County, Delaware first for 28 years, and we’re committed to helping you build on your success with a financial strategy that’s just for you. , Fenner & Smith Incorporated (also referred to as “MLPF&S” or “Merrill”) makes available certain investment products sponsored, managed, distributed or provided re affiliates of Bank of America Corporation (“BofA Corp.”). MLPF&S is a registered broker-dealer, registered investment adviser, Member SIPC and a wholly owned orp. s: Are Not FDIC Insured Are Not Bank Guaranteed May Lose Value d Merrill are registered trademarks of Bank of America Corporation. erica Corporation. All rights reserved. MAP5479735 | MLWM-245-AD | 470950PM-0223 | 02/2023 Donald R. McLamb, Jr. Senior Financial Advisor 302.571.5179 [email protected] Merrill Lynch Wealth Management 2951 CENTERVILLE RD, STE 300 STE 300 Wilmington, Delaware 19808 302.468.9169 e of your most important connections be found close to home d to put Sussex County, Delaware first for 28 years, and we’re committed to helping you build on your success with a rategy that’s just for you. Merrill Lynch, Pierce, Fenner & Smith Incorporated (also referred to as “MLPF&S” or “Merrill”) makes available certain investment products sponsored, managed, distributed or provided by companies that are affiliates of Bank of America Corporation (“BofA Corp.”). MLPF&S is a registered broker-dealer, registered investment adviser, Member SIPC and a wholly owned subsidiary of BofA Corp. Investment products: Are Not FDIC Insured Are Not Bank Guaranteed May Lose Value The Bull Symbol and Merrill are registered trademarks of Bank of America Corporation. © 2023 Bank of America Corporation. All rights reserved. MAP5479735 | MLWM-245-AD | 470950PM-0223 | 02/2023 Donald R. McLamb, Jr. Senior Financial Advisor 302.571.5179 [email protected] Merrill Lynch Wealth Management 2951 CENTERVILLE RD, STE 300 STE 300 Wilmington, Delaware 19808 302.468.9169 Some of your most important connections can be found close to home We’re proud to put Sussex County, Delaware first for 28 years, and we’re committed to helping you build on your success with a financial strategy that’s just for you. Merrill Lynch, Pierce, Fenner & Smith Incorporated (also referred to as “MLPF&S” or “Merrill”) makes available certain investment products sponsored, managed, distributed or provided by companies that are affiliates of Bank of America Corporation (“BofA Corp.”). MLPF&S is a registered broker-dealer, registered investment adviser, Member SIPC and a wholly owned subsidiary of BofA Corp. The Bull Symbol and Merrill are registered trademarks of Bank of America Corporation. © 2023 Bank of America Corporation. All rights reserved. MAP5479735 | MLWM-245-AD | 470950PM-0223 | 02/2023 Investment products: Donald R. McLamb, Jr. Senior Financial Advisor 302.571.5179 [email protected] Merrill Lynch Wealth Management 2951 CENTERVILLE RD, STE 300 Wilmington, Delaware 19808 302.468.9169