Earth Day FAQ & Tips!


Each year, Earth Day—April 22—marks the anniversary of the birth of the modern environmental movement in 1970. That very first Earth Day is widely credited with launching the modern environmental movement! The passage of the landmark Clean Air ActClean Water ActEndangered Species Act and many other groundbreaking environmental laws soon followed. 


Over twenty years later, Earth Day has gone global, mobilizing 200 million people in more than 190 countries and lifting environmental issues onto the world stage. Earth Day had reached into its current status as the largest secular observance in the world, celebrated by more than a billion people every year, and a day of action that changes human behavior and provokes policy changes.


35 Ways to Make a Difference on Earth Day!

Thanks to, here are some simple and easy tips to help you go green, protect the earth, save money and make every day Earth Day. You can make a difference!

  • Plant a tree or donate a tree through our Canopy Project.

  • Join a local park, river or beach clean-up.

  • Use environmentally-friendly, non-toxic cleaning products.

  • Replace inefficient incandescent light bulbs with efficient CFLs or LEDs. Reduce your carbon footprint by 450 pounds a year.

  • Carpool, ride your bike, use public transportation or drive an electric or hybrid car. Reduce your carbon footprint by one pound for every mile you do not drive.

  • Keep your tires properly inflated and get better gas mileage. Reduce your carbon footprint 20 pounds for each gallon of gas saved.

  • Stop using disposable plastics, especially single-use plastics like bottles, bags and straws.

  • Recycle paper, plastic and glass. Reduce your garbage by 10% and your carbon footprint by 1,200 pounds a year.

  • Donate your old clothes and home goods instead of throwing them out. When you need something, consider buying used items.

  • Use cloth towels instead of paper ones.

  • Change your paper bills to online billing. You’ll be saving trees and the fuel it takes to deliver your bills by truck.

  • Read documents online instead of printing them.

  • Set your office printer to print two-sided.

  • Collect used printer, fax, and copier cartridges to recycle.

  • Convince your school district or office building to choose reusable utensils, trays, and dishes in the cafeteria.

  • Use reusable bottles for water, and reusable mugs for coffee.

  • Bring reusable bags when you shop.

  • Pack your lunch in a reusable bag.

  • Buy local food to reduce the distance from farm to fork. Buy straight from the farm, frequent your local farmers’ market, or join a local food co-op.

  • Buy organic food to keep your body and the environment free of toxic pesticides. Support farmers and companies who use organic ingredients.

  • Grow your own organic garden, or join a farm-share group.

  • Reduce your meat consumption to curb carbon emissions from the livestock industry.

  • Take a shorter shower and use a water-saving shower head.

  • Fix leaky faucets and shower-heads.

  • Run your dishwasher only when it’s full to save water and energy.

  • Conserve water outdoors by only watering your lawn in the early morning or late at night.

  • Wash your clothes only when necessary, use cold water and line dry.

  • Pull out invasive plants in your yard or garden and replace them with native ones.

  • Turn off and unplug electronics you’re not using. This includes turning off your computer at night.

  • Turn off lights when you leave a room.

  • Install solar panels on your roof.

  • Take the stairs instead of the elevator to save energy (and get exercise!).

  • Move your heater thermostat down two degrees in winter and up two degrees in the summer to reduce your carbon footprint by 2,000 pounds.

  • Contact your utility company and find out about renewable energy options.

  • Use energy-efficient appliances and electronics.

Happy Earth Day!

Headache Management


Today we are talking about headaches.


Gone are the days where patients had to ride out migraines, take tons of Motrin, and wait to become functional again. Abortive therapies knock out migraines quickly, and if that doesn't work, preventative medications can reduce frequency and duration.

As you see below, there are many types of headaches, and each have different characteristics. Some produce pain around the temples or ears, some are described as a squeezing around the head, some even cause visual changes.

Botox provides a good option for prevention of chronic migraines. This FDA-approved therapy is administered in our office every 3 months, and has been shown to reduce chronic migraine frequency by half.

The newest class of preventative medications for chronic migraines involves CGRP (calcitonin gene-related peptide) inhibitors. These medications (such as Aimovig and Emgality) target the CGRP hormone, which rises during migraines and falls after the attack. These medications are administered as injections in the office on a monthly basis.


Please contact our providers if you are interested in learning more about these therapies!

Kastle Donovan, CRNP

#familymedicine #primarycare #wellness #annapolis  #westannapolis  #conciergemedicine #nursepractitioner #headaches #TMJ #Cluster #Tension #Migraine #botox #aimovig #emgality


Let's talk about Botox...

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In addition to treating several different medical diagnoses (chronic migraine, hyperhydrosis or "sweaty underarms", and TMJ), Botox is one of the most popular ways to treat facial wrinkles! This cosmetic benefit was discovered incidentally decades ago when scientists were administering the botulinum toxin on monkeys while looking to treat strabismus, or "crossed eyes". They noticed the wrinkles in between the animals' eyebrows diminished when the medication was injected. The rest is history!

Botox is not the only way to treat cosmetic wrinkles. We now have multiple options for treatment, like Dysport and Xeomin. Xeomin is the same medication as Botox, but it kicks in quicker (one day as opposed to 3-5 days with Botox) and is "preservative free"... this is the option I recommend for patients who tend to have higher levels of sensitivity or reactivity to medications.

Botox and Xeomin last several months (10-12 weeks) and is typically very well tolerated. It's hard not to notice how well this works- patients have described their Botox and Xeomin treatments as "life changing"!

Both Kastle Donovan, CRNP and Catherine Wilson, CRNP are certified in cosmetic and medical Botox and Xeomin administration.

Please call us to schedule your appointment today!

Kastle Donovan, CRNP


Welcome to the new and improved Annapolis Family Medicine Blog!

We look forward to being able to share updated information with you all! Follow us for the most recent news out of our practice. Lets get right to it!


Catherine Wilson, CRNP, just obtained her cosmetic Botox certification! Congrats Catherine! She is looking forward to helping you achieve a rested and more youthful appearance with the techniques she is now trained in. 

Kastle Donovan, CRNP, is also available for patients for cosmetic Botox and Xeomin, and has been a certified injector for over a year now.  She's also trained in Botox for chronic migraines and hyperhydrosis (underarm sweating).  

Casey Lehner, RD is accepting new patients and is up to date on all the latest dietary trends- the good, the bad, and the ugly.  The Keto diet, Paleo, Whole 30 and intermittent fasting... if you need an expert opinion on improving your nutritional habits, call and schedule with her on Wednesdays!

Amy Ricker, CRNP and Kastle Donovan, CRNP continue to be active in the state medical cannabis community.  These two are well-versed on the pro's and con's of medical cannabis and CBD use. Questions? look no further!  Amy and Kastle certify patients for medical cannabis during Saturday clinics, and we have a full-spectrum CBD oil on site available for purchase.

We are always happy to answer any questions you may have! Comment, like and share below!

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