MUSC Catalyst

April 5, 2013

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 31, No. 32

Alumni bring health care to remote village Inside

BY ASHLEY BARKER

SPECIAL-NEEDS CENTER

Public Relations Compassionate, competent and Christfocused care are the components that two MUSC alumni are focused on as they plan to open a health care center in a remote village in the Central African Republic.

Mike and Myra McKee Taylor, who met during a Baptist Student Union meeting at MUSC in 1979 and were married in 1981, have worked in CAR off and on for the past 24 years while raising four daughters in Winona Lake, Ind. “We have fallen in love with these wonderful people and feel privileged to be able to live and work among them,” Myra said.

They were first deployed to CAR through Grace Brethren International Missions in July 1989 to work in hospitals with a focus on family medicine, anesthesia, education, procurement of medications and supplies, and nutrition. They continued to travel between CAR and Indiana to host teams of medical workers and mission interns. Then, in 2009, more high-level surgical, medical and dental professionals began working in the capital of Bangui.

In order to fully understand the needs of CAR people, Mike, a 1981 MUSC physician assistant graduate, earned a certificate of tropical medicine studies in Lyon, France, as well as a master’s degree in intercultural studies from Grace College in Indiana. Myra and Mike also each earned certificates of study in two prominent CAR languages – French and Sango.

“We provide care for anyone, regardless of their ethnic group, religious affiliation or any other factor that could deter from care being given,” Mike said.

As a result of their trips and realizing that the needs of CAR citizens were greater than the Taylors’ short-term teams could meet, Mike and Myra, along with colleagues Dr. Russ and Melinda Woda, developed a nonprofit organization called Three Strands. The organization’s mission is to open a health care facility in CAR by January 2015.

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More help is needed for the Advanced Education in General Dentistry clinic.

GLOBAL HEALTH PROGRAM

Myra and Mike Taylor stand by as a surgery is performed in the Central African Republic. The MUSC alumni helped develop Three Strands in order to open a facility in CAR. Three Stands was named for a Bible verse that touched the hearts of the two families.

Ecclesiastes 4:12 reads, “Though one may be overpowered, two can defend themselves. A cord of three strands is not quickly broken.”

“Doctors without Borders reported that CAR is the second worst country in the world for health care,” Mike said. “This report only increased our desire to make Three Strands successful in giving desperately needed care.”

CAR is about the size of Texas and has a population of approximately 5.5 million.

Taylor said there is an incredible shortage of caregivers, and he quoted a 2004 report that said there were eight physicians per 100,000 people in the country.

Three Strands is currently looking at two options in order to open a medical facility. A $100,000 addition can be made to an existing facility, working with a national physician, or a $1 million new facility can be built. Three

“

We provide care for anyone, regardless of their ethnic group, religious affiliation or any other factor that could deter from care being given.

”

Mike Taylor

Strands leaders are working with the local government and CAR churches on each decision.

See REMOTE on page 7

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A new course offers students and health care professionals an opportunity to share knowledge.

2 Campus News 5 Meet Michelle 11 Classifieds T H E C ATA LY S T ONLINE http://www. musc.edu/ catalyst

2 THE CATALYST, April 5, 2013

PEOPLE

Around Campus

EVENTS

Mark Bowden

Purses needed

Mark Bowden, Ph.D., who has joint appointments with the Ralph H. Johnson VA Medical Center, the College of Health Professions Department of Health Science and Research and the Division of Physical Therapy, will receive the Eugene Michaels New Investigator Award in June from the American Physical Therapy Association. APTA’s board of directors will present a $1,500 award to Bowden at the association’s annual conference.

The MUSC’s March for Babies is collecting gently used purses for its Purses for Preemies campaign.

Donations will be accepted through April 11. Purses may be brought to the Children’s Hospital Volunteer Office, first floor of the Children’s Hospital, from 8 a.m. to 4:30 p.m. Monday through Friday. To schedule a pick up, call 792-4677. The sale of the donated purses will be held from 10:30 a.m. to 1:30 p.m., April 12 in the portico.

James A. Rivers James B. Edwards College of Dental Medicine Oral Rehabilitation Chairman James A. Rivers, DMD, received the Distinguished Dentist Citation from the South Carolina Section of the Pierre Fauchard Academy. The award commemorates Rivers’ contributions to the art and science of dentistry. Karen McPherson, DMD, an instructor in the Division of Restorative Dentistry at MUSC, was inducted into the academy.

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425.

843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Ashley Barker, barkera@musc.edu

Taste the Nations 5!4$ 4'!0='=%6/64#% $##;"4%/6#; 3&/% ,/;97/00) 0=<6) /%" .4' 8+=:=;) implementation manager, sign a banner promoting the Partnership for Epic Preparedness. PEP is a clinical readiness program established to prepare for Epic’s centerwide rollout on July 1, 2014.

Jompobe Vuthiganon Jompobe “Joe” Vuthiganon, DMD, an instructor in the Department of Oral Rehabilitation in the James B. Edwards College of Dental Medicine, was named a 2013 American Dental Education Association Council of Students’ Residents and Fellows/Colgate Palmolive The Catalyst is published once a week.

Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.

Co. Junior Faculty Award recipient.

The national award recognizes junior faculty who demonstrate excellence in teaching, research and service.

Vuthiganon received a $2,500 stipend.

“I am proud of the faculty at my alma mater [Vuthiganon graduated from MUSC in 2009] and to work alongside the instructors who taught me how to be a dentist. I have found my calling in dental academia where I can not only serve my patients, but also be a part of the training of future dentists.”

MUSC’s International Bazaar will be held from 11 a.m. to 1:30 p.m., April 18 in the Horseshoe. Entertainment, consisting of dance, drums and music, will begin at noon. Vendors representing African, Chinese, French, Greek, Haitian and many others will be selling food. Call 792-2156.

MUSC commencement The 2013 MUSC commencement ceremony will begin at 9 a.m. May 17 at the McAlister Field House, The Citadel. Graduates should plan to arrive with all academic regalia at 7:30 a.m. Graduates will receive a line-up card at the candidate entrance to the McAlister Field House. For information, visit http://tinyurl.com/ c9owtev.

THE CATALYST, April 5, 2013 3

MUSC treats emphysema patient with lung coils C

harlie Strange, M.D., an MUSC professor, treated the first patient in the United States in the RENEW study, which is evaluating the use of PneumRx Inc.’s RePneu lung volume reduction coil in patients with severe emphysema.

The RePneu LVRC, a minimally invasive medical implant designed to treat the symptoms of severe emphysema, is intended to improve lung function, exercise ability and quality of life for patients.

“After learning the LVRC procedure in Europe, I am thrilled to offer this innovative treatment through our team at MUSC,” said Strange, MUSC professor of pulmonary and critical care, allergy and sleep medicine, and principal investigator for the RENEW study.

The coils are offered through a prospective, randomized research trial for patients with lung hyperinflation from emphysema. Ten coils are placed in one lung lobe with severe emphysema to reduce the size of the hyper-inflated lung and to give it more elastic recoil. The other lung is treated after four months.

The LVRC procedure remains investigational and can only be accessed in South Carolina through the MUSC trial. MUSC’s South Carolina Clinical and Translational Research Institute negotiated facility access and expedited the research timeline to make the study possible.

Although the LVRC is undergoing clinical evaluation in the United States, it has been used in Europe since 2008.

The RePneu lung volume reduction coil is implanted in a patient’s lung in order to treat the symptoms of severe emphysema. MUSC’s Dr. *7/;04= 26;/%:= 6;=/6=" 67= -;96 United States patient with the coils.

The technology is CE-mark [a mandatory conformity marking for products sold in the European Economic Area since 1993] approved in Europe and routinely available to treat patients in Germany.

It was the only emphysema treatment method selected in 2012 by the French Ministry of Health to undergo a multi-center cost-effectiveness study in France. Unlike other minimally invasive devices designed to treat emphysema, the RePneu LVRC is intended to treat a broad range of emphysema patients, including those with heterogeneous and homogeneous disease, in both upper and lower lobes. It also performs independently of collateral ventilation, a common condition in emphysema patients.

For information about MUSC’s SCTR Institute, email success@musc.edu or call 792-8300. To learn more about the LVRC and the study, visit www.pneumrx. com or http://tinyurl.com/d35ep5m.

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Passing down gift of good health to next generation W

hen thinking about In the clinic, I worked with health and nutrition, clients from all walks of it is easy to consider life, ranging from teenage the immediate personal mothers to women in their outcomes: eating well will 40s. There were fathers, make me healthy, give me toddlers and infants, too. energy, and allow me to While each client’s story maintain a good weight. was different, all had What we often fail to one thing in common: recognize is that how we The client’s food intake Jillian Morgan choose to take care of impacted their child’s Dietetic Intern ourselves influences those health. around us. As a person It was eye opening to living with Type 1 diabetes for the past discuss health and nutrition with many 12 years, I have seen the whole array of of these clients. The most interesting health care providers. I know what it is were often the pregnant women. Their like to be a patient. Physicians, dietitians, babies rely solely on what they consume nurses and educators tell you what to do each day. However, that did not always to manage your disease and make sure resonate with them. you are healthy.

It was important to explain to the When you hear it all the time, you mother-to-be that proper prenatal know what you are supposed to do, but nutrition results in a fully developed not necessarily why you should. Why are child. Observing the mothers on WIC they telling me to take my medication as they discussed food consumption and to eat right? If I don’t care about during pregnancy made me consider how my health, does it matter? It does to the maintaining your health through good people around you. nutrition impacts both an unborn child Training to become a health and any living children. professional has given me a new Behaviors carry from family member perspective. I have had the opportunity to family member. If a child watches his to observe and recognize how proper or her parents eat fruits, vegetables, and nutrition can impact not only a person’s whole grains, the child also will eat those life, but also the lives of those around the foods. Children learn healthy habits by person. example. Therefore, it is essential that we As part of my community nutrition recognize what a gift good health is and rotation, I worked at the North Area take care of ourselves in order to pass it Women, Infants and Children clinic. down from generation to generation.

Nutrition matters

Center for Academic Excellence-Writing Center’s Dr. Tom Smith reviews information on his smartphone with colleagues Dr. Jennie Ariail, center, and Christine Huggins.

Board review improvements discussed The staff at the Center for Academic Excellence-Writing Center held a national training program for medical educators from around the country.

The conference showcased CAE-WC’s collaboration with the College of Medicine to create and refine a Step 1 Board Review program.

The motivation for the conference was concern expressed by medical educators about resources offered to students preparing for Step 1 of the United States Medical Licensing Exam or COMLEX, the national certifying exam for students seeking degrees in osteopathic medicine.

CAE-WC faculty designed an interactive conference as national participants and one from Israel worked in groups through four phases of the program, which was led by Tom Smith, Ph.D., associate director of CAE-WC. Other faculty participants included Jennie Ariail, Ph.D., program director;

Shannon Richards Slaughter, Ph.D.; Lisa Kerr, Ph.D.; and Joe Adams, M.D. John Freedy, M.D., associate dean for student affairs, College of Medicine, gave the keynote address, “Building Cathedrals.”

A highlight of the conference was the medical student panel featuring Kyle Radack, Simon Brown, Krupa Desai and Matt Bradshaw — all experienced Step 1 exam students by this time in their careers — along with Natalie Christian, a second-year COM student who is trying to learn all she can about ways to be successful on her upcoming Step 1.

CAE first offered its Step 1 program to interested students in 1999, and the program has been so successful that all second-year COM students now participate. In addition, this model has been adapted and some iteration of it is offered to all university students who are required to sit for national board/ certifying exams.

MUSC Foundation accepting 2013 Outstanding Clinician Awards nominations The vice president for academic affairs and provost invites nominations for the MUSC Foundation 2013 Outstanding Clinician Awards.

The Outstanding Clinician Award honors fulltime faculty of any duration of service who have made outstanding contributions to patient care at MUSC. Currently, active clinicians who commit a significant proportion of their time caring for patients in ambulatory or inpatient settings are eligible for this award. Awardees will have demonstrated a high level of professionalism, integrity and devotion to patient care. They will have gained recognition as dedicated,

compassionate and highly effective clinicians. Their clinical excellence and service commitment identify them as role models for residents, students and their faculty colleagues. An additional consideration will be their abilities to collaborate in an effective interprofessional manner.

Eligibility: 1. Appointment to the full-time faculty of MUSC. There is no age or length of service requirement.

2. There shall be no more than three awards given in a single year. The monetary reward of $3,000 will be used

at the discretion of the awardees.

The nomination packet should consist of the full curriculum vitae of the nominee with an expanded description of the section of clinical activity; three letters of support, with at least one from a peer; and a statement from the nominator (not to exceed 1,000 words) outlining the candidate's qualifications for the award.

The deadline for nominations is Monday, April 22.

Nominations may be submitted to Mark Sothmann, Ph.D., 179 Ashley Ave., Colcock Hall, MSC 002, MUSC.

THE CATALYST, April 5, 2013 5

MEET MICHELLE

Michelle Hawk, R.N.

Department Ambulatory Care, Adult Pulmonary Clinic How long at MUSC One year How are you changing whatâ&#x20AC;&#x2122;s possible at MUSC Since becoming the manager of the adult pulmonary clinic, I have improved the orientation of our RNs by creating a clinic>!B$9-$ #@9B%;1;9#% @B>#8@$B 0##5) 2*7B 13># created, with the input of my physicians, an #@"B@> A17#@9;B A#@ :=2,) Unique talent I have played the harp for the past 18 years, 1%" 2 <17B 1 $#%$B@; ?@1%" <1@!)

Dream job /#@59%? 1; 4#00& .#00& !1@; ;9'B (<B% 2*' #3" 1%" @B;9@B" A@#' %8@>9%? ># ;<1; 2 can get their employee discount Meal you love to cook White chili with cheddar biscuits How you would spend $1 million 2*" 08& 1 <#'B+ 0893" 8! 1 >179%?> 1$$#8%;+ >;1@; 9%7B>;9%? 1%" ?97B ;<B @B>; 1(1&) Favorite quote or words of advice /<B% &#8 $1%*; >BB 6#"*> <1%"+ ;@8>; 49> <B1@;)

6 THE CATALYST, April 5, 2013

Residents work closely with special-needs patients

BY ASHLEY BARKER Public Relations Vietnam veteran Centry Prince, 69, has had his share of medical problems. After doctors determined that his optic nerve was damaged and lesions had grown on his spine, Prince was pronounced legally blind and was told he’d spend the rest of his life in a wheelchair.

He’s also HIV positive, a part of his life that he preaches regularly about as a minister at Community Prayer Baptized Believers Apostolic Church in North Charleston. He receives medical assistance and is able to get dental work done at MUSC through the Ryan White Program.

“They want to keep you healthy, fit and not at risk for developing AIDS,” Prince said.

Prince is a patient of the Advanced Education in General Dentistry clinic in the James B. Edwards College of Dental Medicine. He is taken care of by residents who are spending a post-graduate year learning new techniques and improving their existing general dentistry skills.

“I’ve never had dental work that was done with such accuracy,” Prince said. “The residents are professional.

They have great chairside manners.”

The four AEGD residents are supervised and instructed by the clinic’s director, Michelle Ziegler, DDS, who joined MUSC in July 2012. She is the reason that special-needs patients are becoming more of a priority in the program.

“When we think about special-needs patients, we probably think about autism, cerebral palsy or other physical or mental handicaps that are more difficult for a private practitioner to treat, but many patients have special needs,” she said. “We need to teach our students

AEGD residents, supervised by Dr. Michelle Ziegler, right, let Daverton Britt, 23, shoot the water or work the suction in order to keep him calm during his treatment. His mother drives from Orangeburg County to MUSC for Daverton’s dental work.

Residents in the Advanced Education in General Dentistry clinic at MUSC use a lift to maneuver 69-year-old Centry Prince into position so that he doesn’t have to get out of his wheelchair for dental work. ‘specialty’ that requires extra training. You just have to and residents how to accommodate these patients.

These patients have a real difficult time accessing dental be patient and willing to do it.”

The AEGD program doesn’t only focus on specialcare. Some of that difficulty comes from a lack of experience and lack of confidence on the dentists’ part. needs patients, though. The residents treat a wide range of patients of all ages. Routine cleanings, fillings, Oftentimes those patients can be treated in the regular crowns, bridges and dentures are available, as well as dental setting. They just require a little bit more time and a lot of patience and compassion on the part of the surgeries and more complex procedures such as veneers for esthetics and dental implants. treating dentist.”

Ziegler’s goal is to open a special-needs clinic in Ziegler is teaching her residents to spend the extra the near future. She is hoping that grant funding and time it takes with patients like Prince, who has to be alumni support will help get the clinic off the ground. lifted on a wheelchair ramp, and 23-year-old Daverton “Through the generous support of alumna Dr. Britt, an autistic AEGD patient who enjoys the clinic Pamela Kaminski and the S.C. Dental Association's because the residents let him help.

Member Benefits Group, we already have a clinic in “The residents were so patient and made him feel the building with three chairs and a wheelchair lift,” comfortable,” said Pamela Britt-Jones, Daverton’s she said. “However, more funding is needed to get the mother. “They explain everything, and they let him clinic staffed and stocked to be ready for use.” assist. He shoots the water or works the suction. He Ziegler said the new clinic would probably start off feels like he is a part of it.” as a part-time facility and include AEGD residents and The family lives in Orangeburg County and drives to dental students.

Charleston for dental work.

“I think the more special-needs patients we see, the “We drive about an hour to MUSC, but it’s so worth it,” Britt-Jones said. “Daverton actually looks forward to more word will get out and even more patients will be coming to us for care. This is a great opportunity for us going and loves the people.” to train our future dentists to be prepared to treat these Ziegler finds that working with the special-needs special patients,” she said. population is humbling and rewarding.

With four residents already working, the plan is to “Finding dental work shouldn’t be another problem for these parents who have so many other difficulties to See Special Needs on page 8 overcome,” Ziegler said. “Special-care dentistry is not a

THE CATALYST, April 5, 2013 7

LIGHT IT UP BLUE SUPPORTS RESEARCH FOR AUTISM

For the second year, MUSC’s North Tower was lit in blue lights and joined other businesses in support of autism awareness. April 2 is designated as World Autism Awareness Month. A special lighting occurred April 2 in celebration of the annual United Nations World

REMOTE Continued from Page One Much of the money that is needed for the project will come from private donations and grants, according to Mike.

“Despite the difficulties, the people of CAR are hard-working and gentle people,” Myra said. “They are appreciative of the help that we are able to offer them.”

The people of CAR inspired Mike, Myra and their four daughters to continue their ministry and medical work.

Rachel, 28, is an emergency room nurse at her local hospital, and 26-yearold Rebekah spent time as a missionary in France. Kristen, 22, and Joanna, 17, were both born in CAR while their parents were doing work in the communities of Bangui and Yaloke, respectively.

Once Joanna goes to college, Mike and Myra are planning to move back to

Africa to focus fully on their missionary work.

Volunteers are always needed to work in CAR, ranging from physicians and physician assistants to nurses, EMTs, pastors, counselors, dentists and assistants, medical students and support staff. The new facility will provide care and train local residents for both preventative and acute care.

“We hope to train village health care workers to be sent out into rural and more unreached areas where care is not available,” Mike said. “We also plan to continue to host teams of expats to do surgical, medical and dental clinics, as well as training of nationals to carry on this work.”

Mike, the chief executive officer for Three Strands, said “our desire is that the facility will someday become a world-class surgical facility that becomes a beacon of hope for suffering people in the Central African region.”

Autism Awareness Day. The campaign, which supports children and adults with complex development brain disorders, was organized by Autism Speaks and the Lowcountry Autism Consortium. Visit http:// academicdepartments.musc.edu/pr/newscenter/2013/blueautism.html.

The Taylor family, from left: Paul Dreisbach, Rebekah Taylor Dreisbach, Kristen Taylor, Myra McKee Taylor, Michael Taylor, Joanna Taylor, Rachel Taylor Stangland, John Strangland and Sophia Strangland. To volunteer, join a team or support Three Strands, visit three-strands.org.

8 THE CATALYST, April 5, 2013

DUNKIN’ DONUTS SUPPORTS CHILDREN Dunkin’ Donuts’ George Ross, Southeast franchising chapter foundation manager, left, joins Dr. Rita Ryan, chair of pediatrics, center, along with store managers in a $15,500 check presentation to the Children’s Hospital. The money was raised from $1 donations collected at area stores during 67= -;96 6(# (==19 #< December 2012.

SPECIAL NEEDS Continued from Page Six expand to five residents next year and six the following year. Ziegler’s goal is to get the special-needs clinic operational and incorporated into the undergraduate curriculum next fall.

“The residents that I’ve trained over the years, I’m happy to say, continue to treat the special-needs patient population,” Ziegler said. “The residents are very nervous and hesitant at first, of course, but it’s very

gratifying to see how excited and proud they are of themselves when they’re able to manage these patients and actually accomplish the treatment.”

To contribute to the clinic financially, contact Stephanie Oberempt, director of development and alumni relations for the James B. Edwards College of Dental Medicine, at oberempt@musc.edu or 792-6933.

To make an appointment at the clinic, call 792-1904.

THE CATALYST, April 5, 2013 9

10 THE CATALYST, April 5, 2013

Program a gateway to global health understanding

BY CINDY ABOLE Public Relations Students, health care professionals and faculty are opening the door to new experiences regarding the medical needs of others in developing countries through a Global Health program offered at MUSC. The program has been in the making for more than a year and is offered through the institution’s Center for Global Health.

About 15 students are participating in the Global Health introductory course (Topics in Global Health) this spring. This is the first of four courses offered for the certificate program, which is taught by co-directors Andrea Summer, M.D., associate professor in the Department of Pediatrics, and Kenton R. Holden, M.D., professor of neurosciences and pediatrics.

Summer is no stranger to global outreach work. She previously taught an interdisciplinary global health education and tropical medicine elective course on campus. She also has taught a clinical

elective for medical students and pediatric residents at Selian Lutheran Hospital, Tanzania. She continues to volunteer there today.

“It’s exciting to see the campus’ growing interest in global health and how it impacts local health care practices and other issues so that we can find ways to solve them. This program provides a resource to educate and inspire future practitioners and active volunteers to share their knowledge and skills both locally and abroad,” said Summer.

The program provides knowledge and skills to address health challenges of underserved, multi-cultural and foreignborn populations while gaining global health field experience.

Participants must complete two to three elective courses and conduct a global health field experience in a local, national or international setting.

Other courses in the curriculum address an introduction to tropical diseases and their significance, global health epidemiology and policy.

Goose Creek native Thomas Larrew is

“It’s exciting to see the campus’ growing interest in global health and how it impacts local health care practices and other issues so that we can find ways to solve them.”

Dr. Andrea Summer a first-year medical student enrolled in this spring’s Global Health introductory course. The course covers childhood immunizations, HIV/AIDS, tropical diseases, nutrition, water and sanitation, infant mortality and tobacco control. In 2010, Larrew lived in Bogota, Colombia,

as part of a Clemson University summer abroad experience. While there, he volunteered at an academic hospital.

The experience inspired him to pursue a career in medicine. So when he learned about the new interdisciplinary certificate program offered through the Center for Global Health, he was thrilled.

“Everyone has a place in the conversation of global health issues.

So far the class and discussions have been great at letting us learn how health care is managed locally and around the world. I’m interested to see how this program will help me and complement my international health experiences in the long term,” said Larrew.

Larrew hopes to work alongside Holden to participate in a mission trip and conduct research in Honduras.

The young student hopes to establish a screening lab for developmental disorders in newborn babies.

For information, visit http:// globalhealth.musc.edu/certificateprogram-global-health.

THE CATALYST, April 5, 2013 11

Homes For Sale

Misc. Services

Rental Properties

The Cottages, Johns Island.

Built 2011, 1700sf,3BR/2.5BA $210,000, 843-478-4730 or vanlaera@musc.edu

Basic Lawn Care Reasonable Rates Greg 843 303-2615

Downtown 3BR/2BA apt. avail.

6/1/13. W/D, D/W incl. HW flrs, central heat/air. No pets. $2100/mo+dep. 843-723-6581

For Sale 4br/3ba home in Avondale area, West Ashley.

Completely renovated $369,999. Contact Tim maddux@musc.edu or 843-4692721

Items for Sale IOP Annual Yard sale #24 28th Ave. Isle of Palms Saturday, April 20 8:00am- until (Rain or Shine) Over 50 Vendors

Piano Camp in Charleston! pianocamp2013@gmail.com https://eszterstudio.musicteach ershelper.com

Pets and Supplies Pet Sitting & Dog Walking Call Tricia at 460-7048 or visit charlestonshappiestpets.com

1429 Swamp Fox Lane on James Island. 3BR/2.5BA home avail 7/1/13. $1600/mo + sec dep. Pets neg. w/$350 dep.

Large fenced backyard. Kris 843.568.9714 for more info.

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