ACHOOOOOO! - WakeMed · admire, but it punishes the allergy sufferers come springtime. Oak trees...

A P u b l i c a ti o n o f Wa ke M e d C h i l d r e n’s

S P R I N G 1 1

ACHOOOOOO!Happy Birthday

WakeMedGROWING GARDENS

FF spring 11_FF, fall 2005 4/12/11 8:49 AM

2 F A M I L I E S F I R S T s p r i n g 11

As the blustery breezes of March usher inwarmer weather, North Carolina’s beautifullandscapes begin to bud, flower – and pollinateeverything….including our nasal passages. Thatmeans allergy flare-ups. Did you know thatNorth Carolina is among the nations top 10states for allergy sufferers?

To find out more about how you can helpminimize symptoms, and gain more control ofannoying seasonal allergies – particularly foryour little ones, we caught up with Dr. MikeFerguson, Director of WakeMed FacultyPhysicians, ENT, Head and Neck SurgeryProgram. Here’s what he had to say:

What is an allergy or allergic reaction, and whathappens to the body when allergies come on?

Simply put, an allergy or allergic reaction is the body’sover-robust response to an otherwise harmlessenvironmental substance that the immune system thinks isharmful. The body produces chemicals designed to combatthe “offending” substance it perceives as a threat. Thisinternal combat results in all the symptoms we get whenwe are allergic to something, such as inflammation, a runny nose, a rash or hives.

What are common springtime allergens?

Typically, springtime allergies are the result of treepollination. Depending on where you live, springtimeallergies can start as early as January and can often runthrough April or early May.

Why is North Carolina such a hotbed of outdoorallergens?

North Carolina’s blessing is also its curse! Our beautifullandscape is filled with nearly every tree imaginable. Thatgives us an awful lot of wonderful natural landscapes toadmire, but it punishes the allergy sufferers comespringtime. Oak trees are one of the more severe allergens in the spring, and we all know Raleigh is the City of Oaks!

WHY DO MY EYES CRY WHEN THE WEATHER TURNS WARM?As warmer weather replaces winter, the trees and grasses are waking up from their longwinter’s nap, and sprouting new growth. This new growth produces tiny particles in the air youbreathe called pollen. Some people’s bodies do not like pollen, so their immune systems mount

L E T ’ S A S K T H ED O C T O RA


3A P U B L I C A T I O N O F W A K E M E D C H I L D R E N ’ S

Can parents prepare their children’s bodies for anticipated reactions?

Really the best method is avoidance of whatever it is thatyou are allergic to. Outside of allergy desensitizationtherapy (injections or treatments that are administeredthrough an ENT or allergist’s office), there isn’t anyhome remedy that has been proven to work.

Before resorting to medication, what “natural”things can parents try to help ease theirchildren’s symptoms?

Saline spray or saline irrigations, such as the Neti pot,are the best and safest natural methods to help dilute theallergens as they are trapped in the lining of the nasalcavity. Since allergens cause symptoms by attacking thelining of the nose or eyes, diluting them with a naturalsubstance like saline diminishes the symptoms.

Other methods are also critical to minimizingsymptoms. Change your air filters in a timely manner.Use the “best” air filters available (don’t’ go cheap, they

don’t work as well). Use allergen-repellent sheets andpillow cases. Vacuum carpeted areas frequently. Keepwindows and doors closed at all times during theheightened allergy period.

For children, I always recommend changing theirclothes when they come in from playing outside, andalways bathe and rinse their hair before they sleep tominimize contact with the allergens.

Are skin or blood tests more effective in testing for pollen-type allergens?

That is of great debate, and you can find evidence foreither method. Most doctors who skin test in theiroffices believe in skin testing. Those who don’t offeroffice allergy testing rely heavily on blood testing. Bothhave advantages and disadvantages, and both provide uswith important data.

If parents want to know more, what is a good“go to” reference?

The national ENT organization offers a website writtenjust for patients. It includes resources for allergies andmost other ENT-related issues www.entnet.org/HealthInformation/allergiesHayFever.cfm.

an attack against the pollen to try and get rid of it. Immune systems are like a little army inside your body, which protects you fromthings it thinks might harm you! Tears from pollen are your immune system’s way of “flushing out” the pollen from your eyes. Samewith mucus in your nose, or your chest. You can help your immune system flush out the tiny attackers by asking your mom or dad togive you eye drops for allergies, and saline spray or a Neti pot for your nose!


w H E A L T H

F E A T U R E


Asthma is a long-term disease of the airways in the lungs. Yet it ismanageable. While this disease tends to run in families, somechildren can be more vulnerable than others.

A premature child is more likely to contract asthma. Tobacco smoke increases theseverity of symptoms in children with asthma. Moreover, children of all ages wholive with a smoker are 65 percent more likely to have asthma. These children willtend to develop more ear infections, pneumonia, and other upper respiratory tractinfections. There’s a very strong link to air pollution and asthmatics and otherchronic lung diseases.

As the obesity rate in North Carolina’s children has increased, so has the number ofasthmatics. Affecting nearly 84,000 children state-wide, asthma is the leadingchronic health condition reported by our schools. Nearly 60,000 children visitedemergency departments because of asthma, and about 3,000 were hospitalized.This leads to children falling behind academically.

SI G N S A N D SY M P TO M S

There’s much you can do as an advocate foryour child’s asthma. First, watch for signsand symptoms:

• Does your child cough often?

• Does your child have trouble sleeping atnight due to coughing, wheezing orother breathing problems?

• Do breathing problems seem worse afterphysical activity or during a particulartime of year? (Many asthma sufferers –80 percent – also have allergies.)

• Children who have asthma tend to bemore susceptible to the flu, pneumonia,and hold onto the common cold longer.

If you suspect asthma, take your child tothe pediatrician for a thorough exam. Thedoctor will refer you to an asthma specialistif necessary.

Resources for Parents • WakeMed Children’s

Asthma Programwww.wakemed.org

• North Carolina Asthma Programwww.asthma.ncdhhs.gov

• Allergy and AsthmaNetwork of Mothers with Asthmaticswww.aanma.org

• American LungAssociationwww.lungnc.org

• American Academy of Allergy, Asthma and Immunologywww.aaaai.org

B R E A T H E E A S YIf It’s Asthma, It Can Be Controlled


WakeMed is the first hospital in the area to offer asthma education. Classes are offered monthly for parents of childrenwith asthma. We also provide inpatient asthma education before discharge. The WakeMed Children's Asthma Program isoffered free to children ages 3 through 17, and their families. It focuses on improving asthma management throughcomprehensive education. If interested in attending a class, contact Ginny Kellum at 919-350-6895.


E A SI NG SY M P TO M S

• Keep your child away from knowntriggers such as tobacco smoke andanimal dander. If cold air is a trigger,for example, make sure she wraps ascarf around her nose, neck, andmouth when playing outside.

• If you have an inhaler prescribed byyour child’s physician, keep it withinreach at all times. When your child hasan asthma flare-up, have the child sitdown, remain calm, and breathe inthrough the nose and out through themouth until you can get his/her rescueinhaler.

WA K E M E D C H I L DR E N ’ SA ST H M A P R O G R A M

If your child does have asthma, WakeMedoffers a free program for children (ages 3 – 17) and their parents to educatethem about methods that help controland prevent attacks.

The overall goals of the Children'sAsthma Program are to:

• Decrease the need for hospitalizationsrelated to asthma

• Decrease the need for emergencydepartment visits related to asthma

• Decrease school absences

• Improve quality of life

Why did you become an ENT (ear, nose & throat) doctor? In medical school I struggled trying to decidewhat I wanted to be because I lovedeverything I did when I was rotating throughthe different specialties. I think that’s why Ifell in love with ENT. It has so manydifferent aspects to it. I get to take care ofbabies, small children, teenagers, grownupsand the elderly. Some need surgery, someneed medicine, and some just need me tolisten. Every day is a unique experience forme, and that makes coming to work fun.

What do you enjoy most about being an ENT physician?Being an ENT physician is everything I want in a job – it’s fun, it’schallenging and it allows me to spend every day learning new thingsand meeting new people. I get to help train and educate young doctorslearning to be ENT surgeons. One piece of wisdom I always remindthem of is one that we have all heard – Do unto others as you wantthem to do unto you. That means that I try to always remember thatthe patient I am seeing is somebody’s mother, or brother, or daughteror friend, and I need to treat them in the same way that I would wantsomeone to take care of me or my family and friends. I think thatallows me to listen more carefully and to remember that compassion iswhat patients want and deserve.

What’s the craziest job you've ever had?Probably the one I have now. You wouldn’t believe the stuff I see on aregular basis. There are a lot of interesting people in the world who doa lot of crazy things, and it seems like a fair amount of them havefound their way to my office!

Favorite hobby?My FAVORITE hobby is playing with my two beautiful daughters,Ellery and Baker. I am also trying to learn to play tennis again, and Iplay keyboards and sing backup in a band called the Balsa Gliders. It’stons of fun, it keeps me young, and we even have an album on iTunes!

Any advice to kids who want to become an ENT doctor?If you really want to be an ENT doctor, make sure snot doesn’t grossyou out. If it does, ENT is the wrong place for you. If you’re OK withsnot, work hard not just in the classroom, but at everything you do.You can’t just be a bookworm. Studying is obviously super important,but you have to find balance in your life – get involved in groupactivities, volunteer, be active, and find something that you really loveto do.

E N T D O C T O RMeet Dr. Michael Ferguson

s o m e d a y I ’ d l i k e t o b e a n . . .


z


Here’s a quick, kid-friendly way to get “greenophobic” kids to eat fresh, greenleafy lettuce (locally-grown in abundance during spring and fall).

T U R K EY R O L L - U P S( O R H A M , C H I C K E N , T UNA … . E TC . )

2 slices of turkey or your child’s favorite sandwich meat

2 lettuce leaves, washed and patted dry (Use lettuces that are easy to roll upinto a cigar shape, such as romaine, green and red leaf, butter lettuce, Bostonlettuce, or the more pliable outside leaves of iceburg lettuce).

2 red or yellow bell peppers sliced lengthwise

Cilantro mayo (see below for recipe)

Place 1 slice of meat on a lettuce leaf spread with cilantro mayo. Add 1 pepperstrip (and/or any other raw veggie your child enjoys). Fold into a tight cigar-like roll.

C L I N T R O M AYO¾ cup mayo¾ cup fresh cilantro leaves (washed)1 tablespoon fresh lime juice1 teaspoon low sodium soy sauce1 clove garlic

Place ingredients in blender or small food processor and blend until smooth.Also makes a delicious veggie dip.

This recipe was adapted from The South Beach Diet by Arthur Agatston, MD

The American Academy of Pediatrics (AAP) announcednew guidelines advising parents to keep their toddlers inrear-facing car seats until age 2, or until they reach themaximum height and weight for their seat. It also advisesthat most children will need to ride in a belt-positioningbooster seat (in the correct form and fit) until they are 4 feet 9 inches tall and are between 8 and 12 years old.

The previous policy advised that infants and toddlers riderear-facing up to the limits of the car seat, but it also citedage 12 months and 20 pounds as a minimum.

Rosy Rosenthal, child safety seat technician with theWakeMed Women’s Pavilion & Birthplace - Raleigh, saysthere are great benefits to parents keeping their child in arear-facing car seat as long as possible. “In case of a panicstop or crash, a rear-facing car seat reduces the pressureon a child to 40 lbs. from 260 lbs. in a forward-facing carseat. In addition, the rear-facing seat equally distributesthe pressure on the child’s head, neck and back, reducing

the chance of whiplash or a muscle-type of injury by 75percent. These guidelines will help to keep children out ofthe emergency department and pediatrician offices, whichis the main goal.”

Children should transition from a rear-facing seat to aforward-facing seat with a harness when they reach themaximum weight or height for that seat. Then a boosterwill make sure the vehicle’s lap-and-shoulder belt fitproperly. The shoulder belt should lie across the middleof the chest and shoulder, not near the neck or face. Thelap belt should fit low and snug on the hips and upperthighs, not across the belly.

Children should ride in the rear of a vehicle until they are13 years old.

A car seat guide for parents is available atwww.healthychildren.org/carseatguide

Reprinted from the American Academy of Pediatrics website, www.aap.org

New Car Seat Policies Change How Your Child Rides

T Y K E

B I T E SkFRESH – THE MOVIE This 72-minute documentary celebrates farmers, thinkers, andbusiness people across America who are regaining control of our country’s food system – one farm andgarden at a time. These folks are saying “No” to large corporate agribusiness and “Yes” to local, sustainablygrown agriculture. They offer a practical vision to help consumers make informed choices about the foodthey buy and ultimately feed their families. www.freshthemovie.com



K I D S

F I R S Ttwinkle timesa r t i c l e s , g a m e s , p u z z l e s a n d a c t i v i t i e s j u s t f o r k i d s !

y

Celebrating 50 years of care and caringThis is a special year for WakeMed as we celebrate 50years of care and caring. During this time, one of ourfocuses has been our smallest patients with dedicatedpediatric services, a women’s pavilion that has deliverednearly 200,000 babies, and the Neonatal Intensive CareUnit that cares for our tiniest patients. During the next 50 years, we will continue to build on that foundation.

We invite you to join us as wecelebrate this exciting time in the history of WakeMed. Visitwww.wakemed.org to learn moreabout upcoming events that will be held throughout Wake County, and see how you and your family can join the celebration!


F A M I L I E S F I R S T s p r i n g 11

K I D S F I R S T

8

leaf rubbingsSupplies

Different sizes and shapes of tree leaves (maple, oak,hackberry, mulberry, ginkgo)

Colored paper

Crayons

• Put a leaf upside down on the table.• Place a piece of paper over the leaf.• While holding the paper and leaf in place, use

the side of a crayon to rub across the leaf.• Make sure that you color over the entire leaf.

Rubbing firmly all over the leaf will show theveins and the outline of the leaf

• A dark crayon will produce a clearer print of the leaf.

• Do another leaf with a different color crayon.

• Be creative.

gardenscavenger

huntThis is a fun activity to help you become more familiarwith your outdoor garden area. Do not collect theseitems, just check them off your list as you find them.Add up the points when you are done. Please do notdamage or injure any of the plants or insects on yourlist. Have fun and good luck!!

ITEM POINT(S)

❑ Bird feather 2

❑ Pine cone 1

❑ Moth or butterfly 3

❑ Caterpillar 2

❑ Largest leaf you can find, 6 inches or bigger 1

❑ Flower – what kind is it? 1

❑ Earthworm 1

❑ Insect feeding on a plant –Can you identify it? 2

❑ Slug 2

❑ Grasshopper 3

❑ Rabbit 4

❑ Hand gardening tool 1

❑ Plant with disease or spots on the leaves 3

❑ Snake skin 5

❑ Seeds from a vegetable or flower 2

❑ Something you could put in a compost pile 1

❑ Weed – what kind is it? 3

❑ Lady bug 1

❑ A plant with fuzzy or hairy leaves 4

❑ Vegetable – what kind is it? 1

Have fun coloring our garden scene!

GOURD BIRDHOUSES Try growing your own birdhouses this year. Bottle gourds can begreat homes for a variety of birds, including wrens, purple martins and chickadees. Besidesbringing their happy song to your yard they can eat thousands of insects a day. Bottle gourds areeasy to grow and seeds are available at garden centers or garden seed catalogs.

tt


A P U B L I C A T I O N O F W A K E M E D C H I L D R E N ’ S 9

ANSWERS: Across: 1. Rain; 3. Vegetables; 5 Flowers; 9. Salad; 11.

Wheelbarrow; 12. Sun; 13. Dig; Down: 1. Rake; 2. Plow; 4. Fields; 6. Soil;

7. Shovel; 8. Spring; 9. Spots; 10. Plants; 11. Weeds

Bean

Bug

Corn

Flower

Hoe

Leaves

Lettuce

Onion

Pea

Plant

Rake

Root

Row

Seeds

Shovel

Thin

Tomato

Worm

Weeds

Salad

Rain

Plants

Spring

Plow

Spots

Wheelbarrow

Flowers

Dig

Vegetables

Soil

Rake

Fields

Shovel

Sun

Across

1 Water drops needed for thirstyplants

3 Healthy food grown in the soil

5 These smell good growing in thegarden

9 Bunch of vegetables served inone dish

11 Used to move items around

12 Needed for plant growth andwarmth

13 To make a hole in the ground

Down

1 Sharp pronged tool dragged to make lines in dirt

2 To till or turn over earth to plant

4 Where you plant rows of crops like wheat

6 Another name for dirt

7 Tool to make a hole

8 Season Easter usually occurs

9 A ladybug has these on

10 Leafy items you grow

11 Chokes plant growth

word sear ch

1

3

5

2

4

98

10

6

7

11

13

12

Plant the gourd seeds in late May. Make sure you have plenty of room for the vines to grow. Let the gourds mature on the vine and pickbefore a hard frost. Bring the bottle gourds inside and allow them to cure for several months in a cool, dry place until you heseeds rattle inside as you shake the gourd. Drill a small front door on the middle side of the gourd. Also drill two or three small holes inthe bottom of the gourd for drainage. Drill two more holes in the top of the gourd and thread a piece of wire through these holes to hangthe birdhouse. Hang your new gourd birdhouse in a tree on a sturdy branch.

R L S R P N W S W L E A V E S

O T E E N U E I R N R U O O O

O E H R N T O E O O E R A I O

T O O T R H S W V W A E M N C

M C E E O I O B L K U M O A B

N T O L A N E U E E T M W N E

T N N P K T K G N F E R O W O

E R K L D U U T S T E E U W H

E A T A O A U P C R O E K N O

R O N N T R P E A R L M S B R

S S I T M A R M I S L H A A E

E A N A R A W R E B T N O T W

E O A T O S H O V E L R S O O

D S E S W T E E N E V T O H L

S L B E N E A O N I O N I O F


ar the

its back


You can't go a day without hearing or reading about the benefits of eating local produce. And, that’sbecoming easier than ever with community gardenspopping up everywhere.

What is a community garden? It’s a plot of land of anysize where groups of any size get together to grow food.You can grow one with your neighbor or your entireneighborhood. Community gardens can be found in avariety of places such as churches, schools, businesses,neighborhoods, and yes, even urban dwellings.

“We know of at least 27 community gardens in WakeCounty, and more and more are cropping up eachseason,” said Laura Aiken, director, Advocates forHealth in Action (AHA) and Community Outreach,WakeMed Health & Hospitals. Laura and the team atAHA have been tireless in getting the word out tocommunities and organizations about the benefits ofcommunity gardens, which include:

• significant grocery bill savings as aresult of decreased cost of produce

• increased health benefits from adding more veggies to your diet

• fresher, better tasting veggies

• land stewardship lessons – a more personalconnection to where your food comes from

• benefits to our environment and local foodmovement, since food travels only from ground tokitchen vs transcontinental travel

“There is also some indication that community gardenscan increase property values,” Laura adds. “As a matterof fact, many of our local municipalities are working tochange zoning ordinances so the communities are more‘garden friendly."’

The best benefits, however, are the budding friendshipsand quality family time that will blossom.

How can families start a community garden?

• Decide where your garden will be located (church,neighborhood, school, etc.) and how big it will be.

• Form a group and determine a work schedule forkeeping the garden maintained.

• Plan the garden: decide what plants you want to plant,and make sure you have a water source close-by towater the garden.

• Purchase equipment (rakes, shovels, etc.)

• Plant everything, watch it grow, and enjoy!

You can also visit the AHA website atwww.advocatesforhealthinaction.com.

A G R O W I N G M O V E M E N T

Community Gardens

Willow Springs Elementary School is leading the way with their garden, Grow Zone. Many Wake county schools, like WillowSprings, are planting gardens to be used as outdoor classrooms where children can learn everything from history, to languagearts, to science, to math. Many schools are incorporating gardening into the standard course of study. School gardens can be aseasy as container gardens or expansive raised beds. For a peek at how this garden grows, visit www.wsesgarden.webs.com.

JOIN NORTH CAROLINA’S 10% CAMPAIGNThe 10% Campaign is an effort to encourage North Carolina consumers to spend 10 percent of theirfood dollars on local foods. We spend about $35 billion a year on food in North Carolina. If eachperson spent only 10 percent on local foods, then we’d add roughly $3.5 billion to our state’seconomy! Visit www.nc10percent.com to take the 10 percent pledge.

FF spring 11_FF, fall 2005 4/12/11 1:21 PM

S A F E K I D SC O R N E R W

As your kids anticipate another season of splashing happily inNorth Carolina’s many pools, lakes, rivers, and coastal waters,be sure to familiarize yourself with summer safety tips for aninjury-free summer. Dr. Courtney Mann, MD, an emergencyroom physician at WakeMed Children’s EmergencyDepartment, talks about swimming safety tips in the abbreviatedexcerpt from the WakeMed Voices blog – wakemedvoices.org.

The dangers of a pool cannot be underestimated for children.And, this danger necessitates a whole new level of adultsupervision, because a child can drown in the pool as quickly asthey can dart out in front of a car at a busy intersection. Workingin the Children’s Emergency Department for so many years hasclued me into a few issues that, if avoided, could greatly decreasethe number of families impacted by drowning or close-calls.

• Watching Multiple Children

• Overestimating Your Child’s Ability to Swim

• Who is Watching the Children?

• Avoid Alcohol and Sleep Deprivation

Drowning is the leading cause of unintentional death in children1-4 and is listed among the top three leading causes of death in children up to 18 years of age. Be safe this summer by swimming smart.

For the entire article, visit: http://wakemedvoices.org/2010/06/parents-top-5-swimming-safety-mistakes/

In addition to the information from Dr. Mann, remember thesetips while your child is enjoying the summer days.

• Make sure kids wear a properly fitted helmet when riding a bike,

scooter, or skateboard.

• Inspect bicycles to make sure reflectors are secure, brakes are

working, and tires are inflated properly.

• Teach children four and older how to swim.

• Make sure children never swim alone.

• Don’t let kids dive into water that is less than nine feet deep.

• Put a life jacket on kids when on a boat or when participating

in water sports.

• Make sure kids drink adequate liquids prior to, during, and

following athletic activities.

• Make sure your child has a screening physical before playing

sports.

• On both sunny and cloudy days, use a sunscreen with an SPF

of 15 or greater that protects against UVB and UVA rays.

• Encourage children to stay in the shade

whenever possible, and limit sun

exposure during peak intensity

hours of 10 a.m. and

4 p.m. Be sure to reapply

sunscreen every two hours and

after swimming or sweating.

• Do not use insect repellents

containing over 30% DEET

on any child.

Safe Summer Fun

11A P U B L I C A T I O N O F W A K E M E D C H I L D R E N ’ S 2

ADVISORY PANEL

Jerry Bernstein, M.D., Raleigh Pediatric Associates, PA

Janice Frohman, R.N., Administrative Director, WakeMed Emergency Services

Melissa Johnson, Ph.D., Pediatric Psychologist, WakeMed Faculty Physicians, Pediatrics/Neonatology

Courtney Mann, M.D., Wake Emergency Physicians

Elizabeth Rice, R.N., Director, Women's and Children's Services

Debra Z. Laughery, Vice President of Public Relations

Michele Jonczak, Editor

Leesa Brinkley, Design

Published by the WakeMed Public Relations Department. Call 350-8120 with comments or suggestions.

WakeMed Health & Hospitals3000 New Bern Avenue Raleigh, North Carolina 27610

© WakeMed, 2011 Children’s


S A T U R D AY, A P R I L 3 0

Spring Daze Arts and Crafts Festival9 am to 5 pmFred G. Bond Metro Park, Carytownofcary.orgEnjoy arts, crafts, food andentertainment, and participate inWakeMed’s Passport to Fitness.

S A T U R D AY, M AY 7

Apex Peak Fest9 am to 5 pmDowntown Apexapexpeakfest.org

Meet in the Street10 am to 4 pmDowntown Wake Forestwww.wakeforestchamber.orgBring the whole family and enjoy theseFREE spring events! Enjoy food, games,local vendors, arts and crafts, and liveentertainment.

M AY 1 4 & 1 5

WRAL Wellness Weekend 10 am to 5 pmNC State FairgroundsFree health tests and screenings, healthinformation, and interactive sports andfitness activities for the family.

M AY 2 1 & 2 2

Artsplosure – The Raleigh Arts Festival Moore Square/City MarketDowntown Raleighwww.artsplosure.orgThis year’s festival will feature more than 170 artists, local and nationallyrecognized musicians on two stages, and interactive art and activities for theentire family.

S A T U R D AY, J U N E 4

Celebrate Fuquay-Varina10 am to 4 pmDowntown Fuquay-Varinawww.celebratefv.comActivities for the family including theWakeMed Kid’s Zone.

C A L E N D A RO F E V E N T SA

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NonprofitOrganizationU.S. PostageP A I DRaleigh, NCPermit NO. 1307

A P u b l i c a ti o n o f Wa ke M e d C h i l d r e n’s Wa k e M e d 3 0 0 0 N e w B e r n A v e n u e R a l e i g h NC 27 610

A D D R E S S S E R V I C E R E Q U E S T E D

Families First is publishedperiodically for members of theFamilies First Club. Reproduction oruse, without permission, of editorialor graphic content in any manner isprohibited. Information in thispublication is not a substitute formedical advice or treatment. Pleasesee your doctor if you have anyquestions about your medical care.

Comments or request for removalfrom the mailing list may be sent to:WakeMed Public Relations3000 New Bern Ave.Raleigh, NC 27610or email [email protected]

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ACHOOOOOO! - WakeMed · admire, but it punishes the allergy sufferers come springtime. Oak trees...

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