Welcome to the 21st Century Mid-Shore ​Health Care with Dr. Marc Zubrow

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Approximately a year ago or so, there was a good bit of anxiety on the Mid-Shore about the plans of the region’s two major hospitals in Chestertown and Easton. In Chestertown, there was a growing fear that UM Regional Shore Health would eventually eliminate the existing hospital and replace it with an urgent/emergency care center. While in Easton there were increased concerns that Shore Health would abandon its plans for a new hospital.

Those community apprehensions turned out to be fortunately unfounded thanks to a combination of the politicians interceding to create a state study group on rural hospitals and a more stable economic climate which allowed for the advancement of a new hospital near the Easton Airport.

But one of the major takeaways of these two episodes was how profoundly attached communities are with their local hospitals. For a variety of reasons, including interest in patient comfort, proximity, and in some cases, mere nostalgia, residents were determined to fight to keep their local facilities alive and functioning.

The other takeaway, perhaps not as well noticed by many, was the increasing awareness that through advanced technology and efficiency, there is an emerging radically new way to provide health care in the 21st-century and is the growth of telemedicine.

The Spy, which has had an ongoing curiosity about the use of technology and how it may impact rural health delivery, was lucky enough to secure an interview with Marc Zubrow, Vice President, Telemedicine and Medical Director, eCare in charge of telemedicine for the entire University of Maryland Medical System. And in our interview, Dr. Zubrow makes a compelling case why this use of remote medical consultation will be dramatically improving patient care and outcomes regardless of location.

This video is approximately six minutes in length. For more information about UMMS and telemedicine please go here

Lost and Found by George Merrill

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I can’t find my cell phone. I misplace keys. I’ve often thought that glasses, wallets, pens, pencils, books, bills, shopping lists and magazines grow legs and wander off. Or are poltergeists and ghoulies responsible? No, this propensity is not spook-driven or even age-related. Losing things is normal. It’s just that in that regard, I’m particularly normal. I’m always losing things. I recently found bittersweet comfort in Kathryn Schulz’s searching essay called Losing Streak appearing recently in the New Yorker. She suffers from this maddening aberration or . . . is it an aberration?

One visit to the west coast was especially unsettling for Ms. Schulz. She left her car keys on a table following a visit to a coffee house. Leaving home the next day she’d left her house key in the front door. Leaving a café, she realizes on her way home that her long sleeve shirt was still on the back of a chair where she’d placed it. Returning to reclaim it she learns she also left her wallet at the same table. She parked her truck. When she went to get it she couldn’t find it for an hour or so. She assures us that this is a family trait and she’s inherited it. Writer Schulz’s sister is a cognitive scientist at M.I.T. Schulz describes her as “the most scatterbrained person I ever met.”

I cannot recall the passwords for computer sites that I have scrupulously fashioned from personal data that I am sure will make them easy for me to remember. I find Ms. Schulz sympathetic on this point. She likens computer passwords to the socks in a washing machine; when we go to retrieve them, they’re never there.

Being scatterbrained is often cited as the cause for misplacing things, like not paying adequate attention to what we’re about. I rate high on that score. Through my school years I was a notorious daydreamer and a lot of what people call the ‘real world’ slipped by me unnoticed. It’s terribly annoying to lose and misplace things, and I am twice bedeviled because what I’ve just lost is often right there in front of me. Ms. Schulz says there exists a rule that claims what you’ve lost is typically within an eighteen inch radius around you when you first become aware of the loss. For me, the rule has proved spot on.

Psychoanalysts have a field day with patients who misplace or lose things. They immediately want to examine such selective amnesia as they believe it may be informed by darker motives, some as simple as you don’t like what you’ve lost or have a conflicted feeling about it. My experience with that is different; those people whom I dislike or incidents in which I’d been involved that still make me cringe remain only too available to my recollection. I’d count it a blessing if I could just lose them.

I once had my mother’s old typewriter from secretarial school. Over successive moves it was lost. I was sentimentally attached to it and grieved the loss. But in this kind of loss there remained the possibility that, if not within an eighteen-inch radius, someday I might find it somewhere. The hope of reclaiming it never wholly went away and I lived in a vague hope of its return. I think antique shops and early attic stores appeal to this tendency.

But there are losses and there are losses.

Judith Viorst, in her book, Necessary Losses, writes: “For the road to human development is paved with renunciation. Throughout our life we grow by giving up.” It’s a hard saying, but one I know is true; that we lose is not an aberration, at all. It’s because we have things to lose. We were born to die, and whatever we have gained in the interim we will eventually have to surrender. It’s one of life’s realities we resist the most, usually by denial.

I recall vividly after my father’s death. I refused to accept it. He’d returned from the War in Europe in 1945 and suddenly died shortly thereafter. I remember feeling desolate and I began weaving a tale to myself. He was actually working for Army Intelligence, I told myself. In order to engage in a special mission he was ordered to feign his death to carry it out in secret. When he’d successfully accomplished the mission, he’d appear and things would return to what they had been before. I clung to that hope for a long time. I gave it up when I couldn’t fit into his old army jacket anymore.

As a hospice chaplain years ago the following was perhaps the most heartrending story of the many I heard from mourners suffering the loss of a spouse. It would go something like this: “I’d get home, open the door, walk into the kitchen and think of all the things I couldn’t wait to tell him. Then I’d remember he was not there any more.”
Photographs may be all that is left of lost loved on. They are often kept visible to see and also so that they can’t be lost. We don’t find what’s lost in a photograph, but we can take comfort in the stories they recall.

It is given to us as human beings to suffer losses. Is there any redeeming thought in all that? I think Ms. Schulz put it as well as anyone can. Our losses remain “a kind of external conscience, urging us to make better use of our finite days.” How then are we to live? The past is gone, the future uncertain. All we have for certain is now and our task is to live each and every now as consciously and fully as possible.

Columnist George Merrill is an Episcopal Church priest and pastoral psychotherapist. A writer and photographer, he’s authored two books on spirituality: Reflections: Psychological and Spiritual Images of the Heart and The Bay of the Mother of God: A Yankee Discovers the Chesapeake Bay. He is a native New Yorker, previously directing counseling services in Hartford, Connecticut, and in Baltimore. George’s essays, some award winning, have appeared in regional magazines and are broadcast twice monthly on Delmarva Public Radio.

Food Friday: The Siren Song of Seeds

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Seed packets are tiny perfect jewels of graphic design. On the front there is a romanticized illustration of a freakishly perfect tomato; it is round and looks sun-warmed. So unlike the cardboard tomatoes we have been buying all winter at the grocery store. On the back there are instructions about sowing the seeds after all danger of frost has passed. I can tell you that those frosts are still a danger. I have lost four geraniums to my misguided enthusiasm, and belief that spring is right around the corner. I am ready to hang up the turtlenecks, and get out in the garden.

I have been waiting all winter for this – I admit it. I have been thumbing through seed catalogues and feverishly imagining my new and improved sunny, raised garden bed, fecund and lush and spilling over with cukes, and beans, and sun-warmed tomatoes. I have been thinking about all those tender, fresh, aromatic herbs that I will manage to coax along this year. I have picturthe the extra little flourish and the modest bow I will take when I humbly present our salad greens at the Fourth of July picnic. Envisioning how I will please, delight, and amaze Mr. Friday when I whip out a fresh, homegrown shallot for the salad dressing. I am still considering how I will take revenge on the idiot neighbor who mows his lawn on Sunday mornings – zucchini is the perfect passive/aggressive payback.

So let’s get hopping! These tomatoes, zucchini, peppers, cabbage, beans, lettuce, beets, carrots, and radishes will not plant, water or weed themselves!

It’s time for a little elbow grease action – which is much more healthier than hot yoga. But don’t get so enchanted by the beauteousness of the seed packets to take on more than you can chew. Buy a few easy veggies, and a couple of happy flowers. Marigolds or nasturtiums go well in both a vegetable garden, and in the salad bowl.

I have learned over the years with my sandy back yard, and my short attention span, that I am easily distracted and disappointed. Now I keep my exposure to a minimum. I am happiest (and most successful) with a little container garden. I have fresh herbs and I do a couple of tomato plants every year. I am upping our game with a couple of blueberry bushes I have planted in the ground. We now have a blueberry farm. Maybe if I remember to water every day they will have a real shot at making it to the table.

I had a successful little run with lettuce a couple of years ago. We had a few awfully fresh salads. I doubt if it was very cost effective to wrangle my own little Bibb lettuces, but it felt so good to wander outside with the kitchen shears, and judiciously snip a leaf here, another leaf there, and know the salad was good and fresh, and I was leaving modest carbon foot print. Obviously I do not factor in the air pollution generated from multiple trips to the garden center…

If you do not feel not up to the responsibilities of growing your own vegetable garden this season, now that the snow has melted, and the daffodils are popping up every where, please think about supporting your local farmers at farmers’ markets and farm stands and CSAs. They were cool (and essential) long before Brooklyn and all its mustachioed, plaid-sporting, artisan, organic, heirloom, microcosmically hip farmers, soap makers, tanners, butchers, chicken farmers, bakers and baristas. We like homemade and all the virtues associated with it.

It is oh, so very pleasant to wander outside in your jim-jams on a summer morning, pausing to watch the sun rise, while munching meditatively on a dewy green bean that you have just twisted off a vine, before you ever have a cup of coffee or read the newspaper. Instagram cannot replicate that real delight. Honest.

http://www.almanac.com/vegetable-garden-planning-for-beginners

https://www.wsj.com/articles/how-to-make-vinaigrette-1415996135

“From December to March,
there are for many of us three gardens:
the garden outdoors,
the garden of pots and bowls in the house,
and the garden of the mind’s eye.”
– Katharine S. White

Mid-Shore Arts: Kevin Garber and His Birds

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Kevin Garber’s road to the Eastern Shore, like many artists, was not a direct one. A native of Pennsylvania, Kevin headed west rather than stay on the East Coast to pursue his career in the fine arts, and eventually became a professor of printmaking and drawing at Washington University in St. Louis. And in that capacity, he was part of the famed Island Press, perhaps the most highly respected printmaking workshop in the country.

During that time, Garber was at the forefront of some of the innovative printing techniques that pushed printmaking into the high ranks of contemporary visual arts in the 1980s and 1990s. Working alongside such renowned American artists as Nick Cave, Tom Friedman, Willie Cole, and Ann Hamilton, Kevin devoted most of his energy to the workshop and his students and put on hold his lifelong passion for drawing and painting birds.

But after decades in St. Louis, Kevin, and his wife, Kathy Bosin, made the difficult decision to return to the Mid-Atlantic to be closer to aging parents in 2008. And with that move, Kevin finally returned to his first love of capturing birds on canvas.

The results of that return can now be seen at the Trippe-Hilderbrandt Gallery in Easton this month. From large scale watercolor monoprints to tiny renderings of birds from around the world, Garber practices his drawing skills and mark-making with these simple shapes to indicate a more complex view of the natural world.

The Spy spent a few minutes with Kevin at the Bullitt House last week to talk about his birds and his return to painting.

This video is approximately two minutes in length. There will be an opening reception on Friday April 7 from 5-8 during Easton’s First Friday Gallery Walk. The Trippe-Hilderbrandt is located at 23 N Harrison Street. For more information, please go here 

Mid-Shore Education: Chesapeake College’s Clay Railey

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Given Clay Railey’s resume, including a doctorate in English from Vanderbilt, a long teaching career at Chesapeake College, and more recently, being provost of Bucks County Community College, it was not a total surprise that he was appointed vice president of academic affairs of the Wye Mills community college in 2016.

But perhaps missing in that background was another experience that could be seen as a real asset for the job of stewarding the college’s educational goals. And that was the not too trivial fact that Dr. Railey had been a Jesuit priest for twenty years before his move into public education. And while the order’s renowned reputation for scholarship and intellectualism may have little day to day impact on Chesapeake College, there can be very little doubt the Railey remains true to the Jesuit mission of “cura personalis,” which is Latin for “care for the whole person.”

From students moving forward with workforce career training to those on a traditional liberal arts academic track, Clay Railey is redesigning Chesapeake College’s approach with that “whole person” in mind.

In our first Spy interview with Clay, he talks about some of those redesign plans and programs that significantly expand Chesapeake College’s special mission of training the Mid-Shore adults for 21st Century jobs and opportunities.

This video is approximately four minutes in length. For more information about Chesapeake College please go here

 

Mid-Shore Health Future: The Risks of Repealing the ACA on the Shore with Jeananne Sciabarra

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On Thursday, Jeananne Sciabarra, Executive Director of Consumer Health First spoke at the Democratic Club of Kent County about the implications of repealing the Patient Protection and Affordable Act (ACA), also known as “Obamacare.”

Founded in 2006 as the Maryland Women’s Coalition for Health Care Reform, the organization transitioned into CHF in 2016 with the same mission: to work collaboratively to promote health equity through access to comprehensive, high-quality and affordable health care for all Marylanders.

While the impact of repealing and replacing ACA with the currently proposed American Health Care Act (ACHA) would cause profound changes to healthcare nationwide, Sciabarra focused on what Marylanders, and specifically Congressional District, 1 would lose.

Talking about the rollback of Medicaid expansion, Sciabarra said that “the bottom line is that will push back the matching (between state and federal) to 50-50 which is going to make it extremely expensive for Maryland to continue that provision.” She added that on top of that, a block grant per capita system for each person enrolled in Medicaid would force the state to decide who doesn’t get services.

Also, in regard to hospitals, Sciabarra noted that Maryland has a unique rate-setting system that provides services at the same rate anywhere in the state and that during the expansion of Medicaid, uninsured costs went down $311 million between 2013-2015, and that with set amounts or “global budgets” hospitals were incentivized to participate in wellness programs to help people stay healthy and out of the hospital. A rollback of those kinds of programs would have a “catastrophic” effect on people not covered in the health exchange, especially older people.

The district’s uninsured rate has gone from 8.3% to 4.1% since the ACA was implemented. This 4.2 percentage point drop in the uninsured rate could be reversed if the ACA is entirely or partially repealed.

401,400 individuals in the district who now have health insurance that covers preventative services like cancer screenings and flu shots without any co-pays, coinsurance, or deductibles stand to lose this access if the Republican Congress eliminates ACA provisions requiring health insurers to cover essential preventative services without cost-sharing.

445,400 individuals in the district with employer-sponsored health insurance are at risk of losing important consumer protections like the prohibition on annual and lifetime limits, protection against unfair policy recession, and coverage of pre-existing health conditions if the ACA is entirely or partially repealed.

15,800 individuals in the district who have purchased high-quality marketplace coverage now stand to lose their coverage if the Republican Congress dismantles the Marketplaces.

11,800 individuals in the district who received financial assistance to purchase Marketplace coverage in 2016 are now at risk of coverage becoming unaffordable if the Republican Congress eliminates the premium tax credits.

8400 individuals in the district who are receiving cost-sharing reductions to lower out-of-pocket costs such as deductibles, co-pays, and coinsurance, are now at risk of healthcare becoming unaffordable is the Republican Congress eliminates cost-sharing reductions.

32,900 individuals in the district who are covered by the ACA’s Medicaid expansion now stand to lose coverage if the Republican Congress eliminates the Medicaid expansion.

This video is approximately nine minutes in length. For more information about Consumer Health First please go here. Sources: US Department of Health and Human Services, Urban Institute, Families USA, The Commonwealth Fund, National Women’s Law Center.

Got A Attitude by George Merrill

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Some years ago my wife and returned from Baltimore after visiting children. The traffic downtown was stop and go. We’d frequently be stalled. We wound up next to a car in which two young people were arguing about something. Finally one turned to the other and yelled loudly enough for us to hear: “You know what your problem is? You got a attitude.”

I think of attitude as a kind of atmospheric mist. We exude it. It surrounds us in the way mists hover over tidewater on fall mornings. Some call it an aura, others a spirit and still others, attitude. Writers call it a voice. It influences how we do things, as we negotiate life’s challenges. The quality of the aura or attitude contributes to creating a tone. Attitudes encourage one mood or another, say, of antagonism or conciliation, sympathy or contempt. Attitudes can hinder or facilitate cooperation. As a result of the incident in Baltimore, my wife and I created a functional buzzword to use when we get testy with one another. Then, one of us is sure to say, “You got a attitude.”

I think of “a attitude” as something distinctively acerbic and hostile. There are, however, all kinds of attitudes. It’s worth noting that for airplane pilots, as well as for many people, having the right attitude is matter of life and death. An ADI, an airplane instrument, or ‘attitude directional indicator,’ communicates to the pilot whether his plane has the proper attitude i.e., its correct position with reference to the horizon. On that score, pilots learn not to trust their instincts where attitude is concerned. If they do, they’ll develop a bad attitude, never know it, and ditch the plane.

Our daughter’s adolescence was prickly. She appeared one day in the living room looking especially defiant. She sported a T-shirt with “I Love My Attitude” prominently inscribed on it. She was making her point with what I would describe as “a attitude.” If only there had been ADI for teens. After a number of near crashes, in a year or so, she lost it; her attitude I mean.

Author and business consultant Steven Corey wrote a book. He noticed the habits of especially effective people. In particular, he identified attitudes, if you will, by which you and I approach our tasks. He calls one attitude, the scarcity mentality, the other, the abundance mentality. They shape personal inclinations and determine the actions that proceed from the mindset.

Covey believes most of us operate from a scarcity mentality. It’s an attitude toward life that insists there is only so much to go around. What you gain will necessarily deprive others. The scarcity mindset believes there will never be enough. Whether it’s money, food, emotions or something else entirely there’s always too little. We look at life from what we lack rather than what we have. It’s an anxious attitude that sees others as adversaries. The mindset breeds a climate of mistrust and it’s difficult to achieve cooperation.

An abundance mentality, on the other hand, flows out of a deep inner feeling of personal worth and security. It cultivates the sense that affirms the plenty available, how there’s enough to spare for everybody if we pull together. This attitude results in sharing of resources, prestige, recognition, profits, and decision-making. It opens up new possibilities while taking pleasure in the successes of others.

There are two highly visible world leaders today. They’re intent on addressing current inequities and deprivations – although not exactly the same ones. These men are regarded as rebels by their constituencies and both boldly challenge the status quo of their respective historic institutions. Donald Trump, a political rebel, addresses his tasks from a scarcity mentality. Pope Francis, a spiritual rebel, proceeds from a mentality of abundance. The former betrays “a attitude,” that there’s not enough and winners must grab what they can. The latter’s attitude is one of hope; there’s plenty, but we must learn to share it with others.

Trump’s public declarations are typically ominous and reflect his scarcity mentality. He scolds, warns and reminds us of the failure of our institutions, the catastrophes wrought by the previous administration, our ineffective policies and the inept public officials serving the country before his tenure. There are Muslims behind every tree ready to take what’s ours. In short, his pitch is that it’s a disgraceful country in a dog-eat-dog world but he’ll fix it.

In a striking move that was no less radical than John XXIII’s encyclical, Pacem in Terris, Pope Francis went over the heads of church traditionalists, when be began carrying out an inclusive agenda on migration, climate change and poverty. It made him a figure of unmatched global popularity. It touched the hearts of many, but offended others.

Pope’s vision of sharing abundance, caring for the earth, and bringing justice the poor, is considered by some Catholics (both lay and cleric) to be a betrayal of the West’s traditional Judeo-Christian values. There are politicians that believe that the pope is “seriously misguided” and is a “socialist.” It’s odd that informed people might regard Francis’ teaching as misguided. It’s the essence of Judeo Christian spirituality – although admittedly not always its practice. From the beginning, compassion and generosity have been a hard sell but thankfully never wholly forgotten.

What are we to make of it?

It’s about attitude. To approach the needs of our world with “a attitude,” polarizes and limits possibilities. We become mostly fearful and defensive. If we can alter our present course and its attitude of scarcity to one of abundance, new possibilities will open up naturally.

Columnist George Merrill is an Episcopal Church priest and pastoral psychotherapist.  A writer and photographer, he’s authored two books on spirituality: Reflections: Psychological and Spiritual Images of the Heart and The Bay of the Mother of God: A Yankee Discovers the Chesapeake Bay. He is a native New Yorker, previously directing counseling services in Hartford, Connecticut, and in Baltimore. George’s essays, some award winning, have appeared in regional magazines and are broadcast twice monthly on Delmarva Public Radio.

Food Friday: A Flock of Muffins

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Sitting in a corner of the living room is a large cardboard box from Burpee Gardens, which contains elements of my fantasy summer life: two hydrangea plants, two wisteria plants, and two teeny, tiny blueberry bushes. They arrived last week, back when we thought we were hurtling into spring, flip flops and lemonade on the porch. Brrr.

It’s too early to set them outside right now. I hope next week, when I feel pretty sure that the danger of frost has passed, I’ll unpack them. In the meantime I murmur warm assurances to them as I pass by. “Soon! Soon you will all be knee-deep in rich soil, reaching up to the warm sun, burgeoning with fruit and blooms galore!”

The blueberries are the real experiment. I have never tried to grow berries before. I think it is too early to worry about rabbits and deer, but our back yard is a veritable United Nations of birds.

The round of robins enjoy some crazy rain dances in and around the holly bushes. I have watched the many robins sitting on branches that are already heavy with holly berries and rain, unconcerned that they are the only birds outside in a deluge, as they drunkenly nosh on the gleaming red berries. Sometimes I have watched the birds fall to the ground, only to see them then spring straight up in the air to grab at some more berries from the low hanging branches. Awkwardness and determination have never been so adorable.

An echo of scolding mockingbirds also spends time in the holly bushes. Luke the wonder dog does not avail himself of those bushes. He doesn’t like to getting dive-bombed as he patrols on his doggie missions. Although there are some squirrelly boys who like to hang around an nearby oak tree, tempting him with their rodent wiles…

In the back corner of the yard, tucked up in ivy trailing along a brick wall, a jar of nuthatches call out with their raspy, click-click-clicking sound of veiled threats. I’m sure if Luke ever saw how tiny they were he wouldn’t give them a second glance, but they sound like large machinery ratcheting back before a putsch. They might even have their beady little eyes on our blueberry potential.

Along the neighbor’s wall we have seen a few berry-eating birds: thrushes, cedar waxwings, blue jays, woodpeckers, catbirds, bluebirds, and doves. While they wait for me to plant the blueberries they have finished harvesting the dogwood and the juniper berries. No wonder they are impatient for spring to begin.

Mr. Friday likes berries on his bowl of cereal most mornings. I doubt if we will be saving any money by planting our own blueberry bushes, but as part of my summer fantasy, I will wander out into the back yard, with a little basket in hand, and I will pick some blueberries for his breakfast. Just imagine me bathed in Disney-diffused light, with the friendly birds singing sweetly; me with flowing tresses and a trailing gown instead of my usual Andy Warhol-hair and comfy yoga pants glory.

I prefer my blueberries in muffins or pancakes, which are serious weekend food, because, as you know, Gentle Reader, I am not very likely to get up early to bake. But this could be my fantasy summer vacation, where I would be wont to trail around the kitchen in a leisurely, and dream-like, un-rushed fashion; lovingly cracking organic free-range eggs and sifting dry artisanal ingredients. Instead of the real-life workday, when I am grouchy and harried, and gnawing on a frozen bagel and swigging Diet Coke. No, the Fantasy Me will sip fragrant Lapsang souchong tea from a precious antique bone-china cup, while I peruse the Times of London, and I complete the crossword without a single tempting, cheating, go-ahead-and-look-it-up-on-Google thought – in ink.

The heat just roared on again. It’s time to get cracking. Bake some muffins this weekend, and let me know how your spring garden plans are shaping up!

https://cooking.nytimes.com/recipes/2868-jordan-marshs-blueberry-muffins

http://www.mercurynews.com/2017/03/05/build-a-better-blueberry-muffin/

“Better than any argument is to rise at dawn and pick dew-wet red berries in a cup.”
-Wendell Berry

Maryland 3.0: Sprouts Starts to Take Over the Eastern Shore

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Just so you know….perhaps one of the most significant “foodie” experiments in the country is taking place on the Mid-Shore.

A young couple, primarily trained in nutritional science and fitness, decide to escape the rat race of the Western Shore and relocate to Trappe to start a food delivery business dedicated to high quality prepared meals with locally sourced produce and meat.

The concept was simple. Rather than send clients the raw materials to make a nutritious meal (think Blue Apron), Sprout owners Ryan and Emily Groll would take it to the next level and actually cook the meals for its customers.

Sprout would do all the work. Whether it be breakfast, lunch, dinner, or even a snack, Ryan and Emily identify local farmers within a 200-mile range that produce some of the most exquisite examples of fruit, vegetables, chicken, pork, or beef in the region to produce meals that could be left at your doorstep twice a week.

Fast-forward one year later Sprouts has become an increasingly important provider on the entire Eastern Shore as well is in Annapolis. With Ryan’s mother in Chestertown, the couple continues to seek a local partner to help as a delivery station, which they call a “Sproutlet,” but they hope to cover the entire Mid-Shore within the next two years.

The Spy spent some quality time with Ryan in his portable kitchen in Trappe to discuss the couple’s courage and conviction it took to start a business of this kind and their aspirations over the next few years.

This video is approximately four minutes in length. For more information about Sprouts please go here