Sandra Wilson-Hypes has joined the University of Maryland Shore Medical Center at Chestertown as Health Educator on the hospital’s Rural Health Care Transformation team.

The Health Educator provides leadership and collaboration with local community partners in developing and managing community health education programs and campaigns offered through the Chestertown hospital’s Aging and Wellness Center. Wilson-Hypes said the goal of these initiatives is to inform residents of Kent and northern Queen Anne’s counties of strategies for maintaining their best health and to promote appropriate use of local health resources.

“Teaching health education is not just about instilling knowledge, it’s about empowering individuals to take ownership of their own well-being and promoting positive change in their lives,” said Wilson-Hypes.

Prior to joining the Rural Health Care Transformation team, Wilson-Hypes worked as an educator for the state of Delaware for 25 years, most recently as an allied health instructor at McCullough Middle School. She also has served as a public health and safety instructor for the Delaware Academy of Public Safety and Security, teaching high school students; as a training administrator for the Division of Public Health, Office of EMS, where she helped plan, implement and evaluate the Delaware Paramedic Curriculum and National Registry Curriculum training programs; and as an administrator for the Delaware State Fire School’s Basic Life Support training programs.

“Sandy’s experience in public health settings and in adult, child and community education make her a valuable addition to our team,” said Lara Wilson, Director of Rural Health Care Transformation for UM Shore Regional Health. “We look forward to introducing her to our community partners in Kent and northern Queen Anne’s counties.”

Wilson-Hypes’ educational credentials include a Bachelor of Science in Education from Wilmington University and certification by the Albert Einstein Medical Center’s Emergency Medical Technician Paramedic Program. She served as a certified emergency medical technician from 1990 to 2013. Since 1990, Wilson-Hypes has also served the community as a member of the Wilmington Manor Volunteer Fire Company.

“The health educator plays a key role in the development and long-term sustainability of our various initiatives to advance health care accessibility and improve health outcomes in our region,” said Dennis Welsh, Vice President, Rural Health Care Transformation, UM SRH, and Executive Director, UM Shore Medical Center at Chestertown.

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

The Chester River Health Foundation will host its 29^th annual golf tournament at Chester River Yacht & Country Club on Friday, June 2. The fundraiser will benefit the creation of a state-of-the-art education center at UM Shore Medical Center at Chestertown.

Previously a conference room, the new education center will feature videoconferencing technology that allows for group education and also provides space for in-person education for staff and community. Classes will include CPR training, safe sitter classes, and health-related support groups.

The Chester River Hospital Center Auxiliary is once again the event’s presenting sponsor.

“The tournament allows for 32 foursomes, and numerous sponsorship opportunities,” said Debra Lauser, event coordinator. “We have amazing prizes that both the skilled and lucky golfer will have a chance to win, including tickets to the 2024 Super Bowl at the Allegiant Stadium in Las Vegas, three opportunities to win $10,000 at the holes-in-one, and a $10,000 putting contest.”

“Every dollar raised will play a significant role in the health and well-being of our community, as funds raised will help re-establish community education programs that went silent during COVID, as well as foster new ones presented through the Shore Community Outreach Team,” said Maryann Ruehrmund, the Foundation’s executive director.

The registration fee is $200, which includes greens and cart fees, buffet lunch, snacks and beverages on the course and a post-tournament awards reception and dinner buffet. To register, contact Deb Lauser at 410-810-5661. For sponsorship opportunities, visitumcrhf.org.

Because of the essential role this annual fundraiser plays in the Foundation’s ability to provide funding for the highest priority hospital equipment, the tournament will be held rain or shine. For more information, please contact Ruehrmund at 410-810-5660 or by email at [email protected].

About the Chester River Health Foundation

The Chester River Health Foundation is a 501(c)(3) not-for-profit Maryland corporation and the fiduciary responsible for soliciting, holding and disbursing charitable gifts that support excellence in patient care services exclusively at UM Shore Medical Center at Chestertown. It is governed by a volunteer Board of Directors. Contributions fund the purchase of new and replacement medical equipment and technology, capital projects and scholarships for advanced health care education. The Foundation offers a complete array of philanthropy programs, from soliciting annual gifts through assistance with estate and legacy gift planning.

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of 10 University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

“Mind, Body and Soul – Exploring Mental Health in the African American Community” is the focus of a half-day, free event scheduled for Saturday, April 29, 9 a.m. to 1 p.m., at Minary’s Dream Alliance in Chestertown

Sponsored by the African American Women’s Health Advisory Committee in collaboration with UM Shore Medical Center at Chestertown’s Shore Community Outreach Team (SCOT) and Minary’s Dream Alliance, the event will include informative presentations, mindfulness exercises and a luncheon.

“Our objective is to provide the African-American community with the opportunity and skills to advance their mental, physical and spiritual health in these challenging times,” said Serenity Kelly, CCHW, Community Health Advocate for Shore Community Outreach Partners.

The first presentation, The Impact of Cortisol, Exercise and the Sun on Mental Health, will be given by Lorri King, PMHNP, FNP, CRNP. King has 24 years of nursing experience and psychiatric mental health experience working with diverse populations. She earned Bachelor of Science and Master of Science degrees in Nursing from the University of Kentucky and the University of Louisville, respectively, and worked for Health Care for the Homeless in Louisville, Ky., providing both medical and mental health care services for homeless citizens. In 2019, she completed the Psychiatric Mental Health Nurse Practitioner Program at Frontier Nursing University and established a private practice in Easton, where she works collaboratively with patients to help them reach their mental health goals and live their best lives.

Clinical mental health provider Michelle Boulden Hammond, MS, CLC, Reiki Level 1, will follow with a presentation entitled Healing Through Sound. Born and raised on the Eastern Shore, Hammond earned her Bachelor of Science in Interdisciplinary Studies and Master of Science in Human Services Counseling from Liberty University in Lynchburg, Va., and a Master of Science in Mental Health Counseling from Walden University in Minneapolis, Minn. In addition to serving as a Safe Care Coordinator in Addictions Counseling for the Caroline County Health Department, Hammond operates her private practice, Healing Sounds for You, LLC, providing Reiki, guided imaging, pulsed electromagnetic field (PEMF) and sound therapies.

Morning and afternoon interactive mindfulness session will be led by Stacy Davis Malone of Tree of Lyfe Fitness, LLC, and Fletcher Johnson, MS, of Elevate Your Health, LLC, respectively.

Pre-registration for the event is required by Monday, April 24, and seating is limited. Pre-registration may be completed online this link: https://bit.ly/3JoqzMg, or by calling Serenity Kelly, 410-778-3300, ext. 5647.

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of 10 University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Shore Community Outreach Team (SCOT) will offer a free program, “Organizing Your Health,” on Thursday, April 20, 2023, 1 to 2 p.m. at the Kent County Library, 408 High Street in Chestertown.

“Our goal is to provide education, tips, and tricks for staying organized when managing your own health or a loved one’s health,” said Emily Welsh, MSN, RN, Nurse Coordinator for SCOT.

Topics of the workshop will include communicating effectively with providers, what preventive care and screenings should be done and when, health journaling, advance directives, medication management, and use of health care technology.

Advance registration is required and seating is limited. To register, visit https://kent-md.libcal.com/event/10454616?hs=a. For more information, contact Emily Welsh, 410-778-3300, ext. 5644, [email protected].

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of 10 University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

“Shore to Shore,” an afternoon featuring free health care screenings for marine industry workers, is planned for Thursday, March 16, 12 noon to 4 p.m. in Rock Hall.

Provided by UM Shore Medical Center’s Rural Health Care Transformation Team and the Shore Community Outreach Team (formerly known as the Mobile Wellness Team) in partnership with Choptank Community Health Services, the “Shore to Shore” event will take place at the American Legion Post 228, 21423 East Sharp Street in Rock Hall. Screenings offered include blood pressure checks, hearing tests, skin checks for signs of melanoma and A1C measurement for diabetes.

As an incentive to participate in the event, the first 40 participants to undergo all four screenings will receive a $100 gas card. No appointment is needed; screenings will be conducted on a first-come, first-served basis.

“We know that watermen, boat builders, marina workers and others in the marine industry work long hours that can make it hard to get to their primary care providers and various medical specialists for evaluation of possible health issues,” said Lara Wilson, Director, Rural Health Care Transformation, UM Shore Medical Center at Chestertown. “We are excited to offer a convenient, one-stop opportunity to get key screenings done all at once, including free refreshments and the gas card opportunity as a bonus.”

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

When Chestertown native Rick Miller began exhibiting puzzling and severe symptoms — fainting spells, changes in his speech and behavior, trouble walking, migraines and periods of confusion — he and his wife, Diana Miller, knew that he would likely require highly specialized care. The 61-year-old was ultimately diagnosed with aggressive brain cancer and received a combination of surgery and cancer treatments, thanks to the coordinated efforts of physicians within the University of Maryland Medical System (UMMS).

Miller’s journey began in 2019 in the Emergency Department of University of Maryland Shore Medical Center at Chestertown, where his wife had formerly worked as a critical care nurse. After undergoing emergency brain surgery at UM Shore Medical Center at Easton, Miller was treated in an innovative clinical trial at the University of Maryland Medical Center in Baltimore, led by Graeme Woodworth, MD, FACS. Nearly four years later, Miller remains cancer-free.

Through its affiliation as a member organization hospital of UMMS, UM Shore Regional Health physicians benefit from the academic health System’s focus and pursuit of innovation and discovery-based medicine.

On that night in March 2019, during the initial trip to the hospital in Chestertown, Miller couldn’t have known where his journey back to health would take him. After quickly ruling out a cardiac issue, the emergency care team rushed him in for a cranial CT scan, where they discovered a 5-centimeter lesion on the right side of his brain.

Emergency Department physician Steven Lucas, MD, sent Miller’s CT slides to UM SRH neurosurgeon Khalid Kurtom, MD, FAANS, FACS, for review. Dr. Kurtom is on-call 24/7/365 for neurological and spinal consultations requested by UM SRH emergency departments in Cambridge, Chestertown, Easton and Queenstown. He quickly recognized the source of Miller’s symptoms: a glioblastoma, which is a malignant or cancerous tumor affecting the brain or spine, and directed Miller to be transferred to UM Shore Medical Center at Easton for emergency surgery.

“You could see the tumor pushing and crowding Rick’s brain,” Diana Miller said.

Once Miller arrived, Dr. Kurtom needed to make sure some of the swelling in Miller’s brain was reduced before he could safely perform the surgery. Three days later, Dr. Kurtom performed a craniotomy mass resection, a surgical procedure in which part of the skull is removed in order to view the brain, and also a gross total resection to remove the tumor.

“The main goals of this type of surgery are to obtain tissue for diagnosis, remove pressure from the brain and to improve the patient’s prognosis,” said Dr. Kurtom, who joined UM Shore Regional Health in 2010 and now serves as Medical Director, UM Shore Medical Group – Neurosurgery, Chair of the UM SRH Surgical Department, Adjunct Associate Professor with the University of Maryland School of Medicine (UMSOM), and the Regional Chief of the University of Maryland Neuroscience Network.

The surgery was performed with minimal tissue disruption through a small opening in the brain. Miller was in the Intensive Care Unit at UM Shore Medical Center at Easton for only one day and was discharged within two days of his operation.

“An MRI scan after the surgery confirmed that the entirety of the tumor had been removed,” Dr. Kurtom said.

“To this day, when my doctors review my post-op scans, they remark on how clear the margins are from my surgery with Dr. Kurtom,” Miller said.

According to Dr. Kurtom, glioblastomas are typically recurring, very aggressive and generally fast-growing, so despite removal of the tumor, Miller still faced months of uncertain cancer treatment.

Because of this, following her husband’s surgery, Diana Miller wanted to pursue clinical study options in order to hopefully improve his chances for a positive outcome.

“A series of conversations led him to the right clinical trial,” Diana Miller said. “It was Dr. Haroon Ahmad, our medical oncologist at UMMC, who first presented the trial to us after we questioned what was available. That got the ball rolling. Dr. Ahmad contacted Dr. Mark Mishra, Rick’s radiation oncologist, and that’s how Dr. Woodworth, who at the time was looking for participants in a new clinical study, became aware of Rick. If not for the communication between these physicians, he would not have made it into the trial. This is all because of the great collaboration between Rick’s physicians and Dr. Kurtom.”

At a weekly conference called the Tumor Board that enables doctors across UMMS to discuss their patients’ tumors, Dr. Kurtom presented Miller’s case to a team of specialists involved in cancer care, including surgeons, radiologists, hematologists/oncologists and radiation oncologists.

“This is one of the tools we have because of our relationship with UMMS, and our unified cancer program. We discuss each case at length and review the options each patient has for treatment,” Dr. Kurtom said.

During this conference, Dr. Kurtom and Dr. Woodworth, Chair of the Department of Neurosurgery and Director of the Brain Tumor Program at University of Maryland School of Medicine, and Chief of Neurosurgery at University of Maryland Medical Center, discussed Miller’s case. The team offered him a new type of treatment in a clinical trial in which patients would receive targeted focused ultrasound to open the blood-brain barrier, the brain’s protective layer, to allow chemotherapy drugs to reach the affected area.

In patients with glioblastoma, even after maximal, safe surgical removal, there are invading tumor cells within the surrounding functional brain regions. These invading tumors cells are shielded from most treatments, like chemotherapies, by the blood-brain barrier. During the trial, patients received an infusion of bioinert microbubbles (also used as ultrasound contrast agents in radiology). The microbubbles become activated in the ultrasound field, producing temporary openings in the barrier, increasing the delivery and effectiveness of chemotherapy drugs to these regions.

Miller was one of 15 patients accepted into the worldwide study, which is now closed and not accepting new patients, and Dr. Woodworth and the multi-institutional team working on the trial will be publishing the results of the first safety and feasibility trial soon. With this study complete, they are working to begin the next phase of investigation into this promising new therapeutic strategy for glioblastoma and other brain diseases.

During the clinical trial, Miller also received seven weeks of radiation therapy five days a week, along with seven weeks of chemotherapy. This treatment was provided at University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center (UMGCCC), located at UMMC in downtown Baltimore. His last day of radiation treatment was June 4, 2019, and his last day of chemotherapy also happened to take place during the last day of his participation in the clinical trial, November 21, 2019.

Almost four years later, Miller is cancer free, according to his radiation oncologist, Mark Mishra, MD, Associate Professor of Radiation Oncology at UM School of Medicine, Director of Clinical Research for the Department of Radiation Oncology and Associate Director of the University of Maryland Cancer Network. Dr. Mishra recently saw Miller for a follow-up MRI.

“His last scan showed no evidence of any cancer recurrence and he does not need to be seen again for another six months, at which time he will get another MRI at the Maryland Proton Treatment Center in Baltimore,” said Dr. Mishra. “We are all pleased and encouraged with Mr. Miller’s response to treatment. In addition to his good MRI scans, it is especially encouraging to see that he has been able to maintain a high quality of life for years after completing treatment. We hope to further study this novel treatment approach to see if this approach can be further explored to help other patients with a glioblastoma.”

Miller credits his endurance during the past three years to the strength, perseverance and guidance of his wife, who never left his side.

“He told me from the beginning that he didn’t want to die, so I set about making sure that didn’t happen,” Diana Miller said.

“What Mr. Miller went through — from being seen in the Chestertown emergency department, to my review of his scans and his transfer to Easton for emergency surgery, to his trips across the Bridge for advanced cancer treatment — this is a common path for our patients who need highly specialized care. The tools are in place, the relationship with UMMS is in place. We are well-equipped to deliver high-quality care to each and every patient that comes through our doors on the Eastern Shore,” Dr. Kurtom said.

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Thanks to the generosity of local residents, the courtyard at University of Maryland Shore Medical Center at Chestertown has undergone a much-needed refresh. The courtyard is a secure outdoor space used by patient and team members for meals, relaxation and occasional meetings.

“The old pavilion has been removed and a new one installed,” said Maryann Ruehrmund, Executive Director, UM Chester River Health Foundation.  “We’ve also purchased new furniture, and fresh landscaping in the spring will complete the project.”

“We can’t wait to enjoy our lunch under the new pavilion,” said Sherrie Hill, Clinical Coordinator, Cardio pulmonary Rehabilitation. “We are grateful to have this beautiful space for team members and patients and family members to enjoy.”

The project was funded primarily by Chestertown residents Wendy Sand Eckel and her husband, Robert Roth, who is a member of the UM Shore Regional Health Board of Directors.

Construction and walkway repair was completed by KRM Construction Company LLC; tree removal was performed by Sharp Lawn and Tree; and Lywood Electric Company provided electrical services.

Additional funds are being raised through donations to the Foundation’s annual appeal. To make a donation, visit umcrhf.org/donate.

About University of Maryland 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 2,200 employees, medical staff, board members and volunteers works with various community partners to fulfill the organization’s mission of Creating Healthier Communities Together.

About the University of Maryland Medical System

The University of Maryland Medical System (UMMS) is a university-based regional health care system focused on serving the health care needs of Maryland, bringing innovation, discovery and research to the care we provide and educating the state’s future physician and health care professionals through our partnership with the University of Maryland School of Medicine and University of Maryland, Baltimore professional schools (Nursing, Pharmacy, Social Work and Dentistry) in Baltimore. As one of the largest private employers in the State, the health system’s more than 29,500 employees and 4,000 affiliated physicians provide primary and specialty care in more than 150 locations, including 13 hospitals and 9 University of Maryland Urgent Care centers. The UMMS flagship academic campus, the University of Maryland Medical Center in downtown Baltimore, is recognized regionally and nationally for excellence and innovation in specialized care. Our acute care and specialty rehabilitation hospitals serve urban, suburban and rural communities and are located in 13 counties across the State. For more information, visit www.umms.org.