2010_01_WHJ by The Health Journal

the

Health Journal January 2010

Vol. 5 No. 8

Williamsburg Edition

WINTER

WHITES

TASTY, HEALTHY SEASONAL PRODUCE

Exploring

Medicineâ&#x20AC;&#x2122;s new frontiers

Local

Gym Review

3 steps to

LASTING

WEIGHT LOSS

6 resolutions

to make now

OSC Community Lecture Series Pre Knee Resurfacing: The Knee Replacement Alternative for Active Patients Improving Quality of LifeYounger, - Interventional

Pain Management

Do you suffer from debilitating knee pain, but are too young and active for a full knee replacement?

Join Raj Sureja, M.D. for an evening of interactive discussion regarding the latest advancements in Chronic Pain Management. Understand how Learn about knee Interventional resurfacing, treatment alternative for Medicine can provide reliefthefor individuals who suffer patients with severe knee pain with Chronic Pain. Educational literature and refreshments caused by arthritis. will be provided. We encourage you to bring a friend! The physicians at OSC can help you decide which treatment is right for you.

When:

Where:

Tuesday,April 21st, at 7:00 pm Experience Excellence at our Port Warwick location! To register – call 757-596-1900

Orthopaedic and Spine Center 250 Nat Turner Blvd. Newport News, VA 23606

Raj N.

CATCH OUR RADIO SHO

APRIL 4TH A

OSC COMMUNITY LECTURE SERIES – JANUARY 2010

P T

Better Quality of Life —

Interventional Pain Management We invite you to visit our Orthopaedic & Pain Management facility, designed with our patients in mind. Our facility features ample parking, a drive-through window for convenience, Open MRI and Digital Imaging suite and complete Physical Therapy Department. Boyd W. Haynes, III, M.D. • Robert J. Snyder, M.D. Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D. Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. Andrus, M.D. Jamie McNeely, P.A. • Tonia Yocum, P.A.

OSC

ORTHOPAEDIC & SPINE CENTER Open MRI Center

Join Dr. Sureja for an in-depth discussion of chronic pain, its causes and the latest medical options for treating it. Learn about pain intervention procedures that can be performed at OSC, providing relief while saving you time and money. Educational literature will be provided and delicious refreshments will be served. Tour our office and learn more about OSC after the lecture.

Boyd W. Haynes, III, M.D. • Robert J. Sn

Jeffrey R. Carlson, M.D. • Martin R. Cole

Mark W. McFarland, D.O. • Edward P. Pe

Raj N. Sureja, M.D. • Tonia Yocum

Tuesday, January 19th, 2010, 7:00 PM To register, please call Shannon Woods at 1-877-202-9130

Jamie McNeely, P.A. Raj Sureja, M.D.

Learn more about our full range of orthopaedic www.osc-ortho.com Learnservices moreatabout our full range

250 Nat Turner Blvd. Newport News, VA 23606

of orthopaedic services at www.osc-ortho.com 1-877-202-9130 Proudly Accepting Tri-Care!

250 Na Newpo

757

January Contents 2010

[ Features ]

7 Need a Gym? No Sweat. Find a local gym that’s fit for you.

10 Burden of Proof

New mammogram guidelines fall short.

12 Six Resolutions to Make Today Get our tips for a healthy 2010.

14 Cold-Weather Eats

These white delights add flavor to winter meals.

The Future is Here

18 Clean Out, Stock Up

Maintain your family’s medicine cabinet.

[

In Every Issue

4 Editor’s Note 17 Fitness

]

32 Second Opinion 33 Health Directory 35 Calendar 37 Snapshots

Helped by Faith THE HEALTH JOURNAL

Editor’s

Note

Notice anything new about this page? Or maybe this month’s cover caught your eye. Here at The Health Journal we’ve spent the last several weeks redesigning the magazine to better serve our readers and offer new advertising options to local businesses. And here it is—our first issue of 2010—ready for your review. But don’t worry: Your favorite departments are still here, from Snapshots—your community bulletin-board for health-related photos—to our monthly Profile, which this month features a widow who counsels local families affected by Alzheimer’s disease. The Health Journal is here to give your new year a shotgun start to better health. For example, this month’s Local Beat story (page 7) has tips for finding the gym that fits your needs as well as a mini-directory of leading local gyms and what they offer to their members. Starting a strength training routine is just one of the six resolutions local experts advise everyone to make this year, followed by living greener and being more optimistic. Find that article (written by Alison Johnson) starting on page 12. Most fitness experts agree that a successful program for sustained weight loss requires three core elements: cardiovascular activity, strength/resistance training and a carefully controlled diet. On page 17, Personal Trainer Gayle Pinn gives readers a refresher course on what it takes to lose weight and keep it off in “Back to the Basics.” What better time than the start of a new year to clean out and stock up your family’s medicine cabinet? Sharon Miller Cindrich shares why it’s important to have the right (and, preferably, unexpired) supplies on hand for any emergency. Locals like us know that Hampton Roads scores high in areas such as history and higher education—but what about health care? Starting on page 20, you’ll get a glimpse of medical marvels such as temporary hearts and scalpel-free surgery, all available within our region. We hope you enjoy this issue and the upgrades we’ve made with readers in mind. The evolution won’t end here, though. Our content is largely based on feedback from readers like you. Don’t hesitate to drop us a line by e-mail, telling us what types of articles you’d like to see in upcoming issues. We’ll also bring you new departments as the year continues, such as a triathlon training series (starting soon) and a new “Editor’s Picks” section that highlights my favorite trends in health foods, fitness gadgets, workout gear and more. If your business would like a product featured, send your samples to our office for consideration. Here’s to 2010—may it be your best year yet.

the

Health Journal

The Health Journal is a free, monthly consumer health magazine distributed throughout Hampton Roads via direct-mail, racks and handdelivery. Three editions are currently available: Williamsburg, Peninsula and Southside, with a combined circulation of over 80,000 copies.

Publisher Brian M. Freer

Executive Director Rita L. Kikoen Editor Page Bishop-Freer

Associate Editor Beth Shamaiengar

Medical Editor Ravi V. Shamaiengar, MD

Administrative assistant Danielle Di Salvo Sales Executives Jason Connor David C. Kikoen

GRAPHIC DESIGNERs Natalie Monteith Jean Pokorny PhotographY Brian M. Freer Page Bishop-Freer

Contributing Writers Sharon Miller Cindrich Gregory Epps G. Ted Hughes, MD Alison Johnson Gayle Pinn, CPT

The Health Journal—Williamsburg Edition is a monthly publication direct-mailed to homes and businesses in Williamsburg, James City County and Northern York County. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address. The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements.

For Advertising and editorial Information, call or write: The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188

Page Bishop-Freer, Editor page@thehealthjournals.com

4 THE HEALTH JOURNAL

(757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

WORLD’S LARGEST PROTON CANCER TREATMENT CENTER COMES TO HAMPTON ROADS

Law Office: 325 McLaws Circle | Suite 2 | Williamsburg, VA 23185 Phone: 757.259.9200 | Web: www.mellettepc.com

Mellette PC represents health care providers before both state and federal agencies and courts, and guides clients through complex state and federal health care regulations. Call Peter Mellette for a consultation today.

Free Educational Talk: “Newest Surgical Procedure for Weight Loss”

Hampton University Proton Therapy Institute

Opening August 2010 State-of-the-art Cancer Treatment Center 98,000 SF • 5 Treatment Rooms Will treat prostate, breast, lung, pediatric and other cancers

Precise Cancer Care

Obesity can affect all aspects of your life. Join us for a new monthly series and find out what you can do to combat the disease. Please call: 757-591-9572. Registration is appreciated but not required.

757.251.6800 40 Enterprise Parkway Hampton, VA 23666 www.hamptonproton.org

Destroying tumors with millimeter accuracy • Non-invasive • Minimal to no side effects • Healthy tissue spared

Thursday, January 14th 6:30 pm-7:30 pm William E. Wood and Associates, 2nd floor training room, 5208 Monticello Ave, New Town, Williamsburg

Presented by Dr. Thomas Clark and Dr. Anthony Terracina

“It’s amazing how far you can go” My husband and I celebrated our 20th wedding anniversary last May by taking a cruise. I’d always thought of myself as a “fit” person, but fell off the workout chart about four years ago. A friend referred me to Gina French at B-defined. Every workout was a challenge. She also encouraged me to make better food choices outside of the studio.

By the time we left for our cruise, I had met my weight-loss goal—a huge accomplishment. I have more energy, sleep better and just feel better overall. Making an investment in my health and personal fitness has been one of the most important choices I’ve ever made. —Jolynn Musel

Call (757) 345-6801

4801 Courthouse St., Suite 122 (located in the SunTrust Building of New Town)

For a full menu of services, visit B-defined.com

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Kudos

“Congratulations on an interesting and informative publication that does so much to advance public health awareness.” — Pam L., Williamsburg

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Health Journal

Care that’s about you. Care that’s about you.

If you need health care services at home, you want the best. Whether you need short-term

If you need health services atcare home, you want the best. youbest. needWhether short-term therapy, short-term skilled nursing If youcare need health services at home, youWhether want the you therapy, skilled nursing, or in-home personal care, our caregivers canneed provide you with the or in-home personal our nursing, caregiversorcan providepersonal you withcare, the peace of mind youcan deserve. therapy,care, skilled in-home our caregivers provide you with the

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peace of mind you deserve. • Skilled nursing—RNs • Skilled nursing—RNs • Skilled nursing—RNs • Therapies—PTs, OTs and STs& STs • Therapies—PTs, OTs, Therapies—PTs, OTs, & STs • Social •work—MSWs • Social work—MSWs • Social • Personal care work—MSWs and support—CNAs

• Personal care • Personal care&&support—CNAs support—CNAs

“The article [“The Spirit of Giving,” Dec. 2009] turned out really nice! Thank you for helping to bring awareness to childhood cancer and all the children who battle these horrible diseases. Merry Christmas!” — Jessica Oatman, Toano Oatman founded Images of HOPE, a free photography service for families dealing with serious childhood illnesses.

BayadaNurses; Nurses; size 09-132-0980-JCV Health Journal ad Bayada size4.75” 4.75”x x2.25”; 2.25”; 09-132-0980-JCV Health Journal ad

Holiday Wishes

“Thank you for adding our listing to your wonderful newspaper! Best to you this holiday season!” — Christine Ellis, Chesapeake Ellis is the program developer and inhome family therapist for Stepping Stone Family Services, Inc.

Health Directory “Is there a charge to be in your journal or is it free? We would like information regarding our practice being listed.” — Sarah L., Norfolk Ed.: The directory is free for health-related businesses within our service area. We do require a local address to be listed. Send your listing information to info@thehealthjournals.com.

CORRECTION On page 4 of the December issue, contributing writer Tanya Brown, DMD, was incorrectly listed as ‘Tanya Brown, DDS.’

CLARIFICATION Last month’s feature story included a recipe for eggplant pasta. When preparing the recipe, readers should add the yogurt along with the tomatoes as called for, raising the heat so the sauce thickens.

6 THE HEALTH JOURNAL

private insurance accepted private insurance accepted

re: “The Spirit of Giving”

“Hope you all have a joyous holiday season and a happy, healthy new year.” — William S., Williamsburg

• Accredited and& state • Accredited statelicensed licensed Accredited & state ••RN supervision on licensed all care • RN supervision on all care RN supervision on alland care ••Medicaid, Medicare •Medicaid, Medicaid, Medicare, & • private Medicare, & insurance accepted

Questionable Mammogram? Breast-Specific Gamma Imaging (BSGI) is the right next step.

This molecular breast imaging technique can reveal cancerous lesions, even in women with difficult-to-read breasts. BSGI now at two locations on the Peninsula: Riverside Diagnostic and Breast Imaging Center at Oyster Point, 757-595-6363 and the Dorothy G. Hoefer Comprehensive Breast Center at Sentara Port Warwick, 757-594-1899.

See What Matters Learn more about BSGI at www.dilon.com

Ready to Get Fit? Find a gym that’s right for you Written by Joy Vann

Photography By Brian M. Freer

Scott Grafton, owner of Ironbound Gym, recommends that anyone shopping for a gym take a trial workout or two before committing to a full membership.

itness experts from across Hampton Roads agree that when it comes to selecting a gym, it’s important that you feel as comfortable there as you do in your sweats and sneakers. In addition to a comfortable atmosphere, other considerations include a convenient location, affordability and cleanliness as well as accessible, friendly staff who are on the floor to offer assistance or demonstrate equipment. “Convenience is the main thing to consider,” says Phil Curtain, co-owner of Inlet Fitness and Inlet

South in Virginia Beach. “It already takes effort just to go to the gym so if it’s out of the way it’s that much easier to blow off.” If your New Year’s resolutions include joining a fitness club, start by taking a tour of several gyms close to your home or work. Stacy Theodore, owner of Anytime Fitness in Virginia Beach, likens finding the right gym to choosing a college. “You take a tour and see if it feels good,” she says, noting that every gym has its own unique atmosphere. “Sometimes, it doesn’t work.” During your tours, be sure to ask about discounts. This time of year many gyms suspend their annual joining fee. Discounts are also often available for couples, families, seniors and the military. The most common bit of advice from gym managers is to take advantage of free trial offers. Scott Grafton, owner of Ironbound Gym in Williamsburg, suggests taking a trial workout before making a commitment. “Go to a cardio class, or have a one-on-one session with a personal trainer and see if you’re comfortable,” he says. “You’ll know pretty quickly if the place is right for you.” With H1NI and seasonal flu still threatening, enough can’t be said about the necessity of cleanliness in a fitness facility. Gyms should have numerous cleaning stations and encourage members to follow basic guidelines for sanitizing equipment after use. Check out the locker rooms to see if they meet your standards. Once you’ve found your gym home, the question remains—how do you meet your goals and stick with a program? Start by setting realistic expectations. “When I ask people how many days they plan to work out each week, many people say four or five,” Grafton says. “I say, ‘That’s a great goal, but why not commit to just three days a week and make days four and five bonus days?’ That way they don’t feel bad if they miss the fourth or fifth day and get discouraged.” Curtain suggests frequently changing routines to stay motivated. “You don’t want to get bored,” he emphasizes. “Try something new every 30 days to keep your workouts fresh. If your body gets bored, you get bored.” Ben Dickerson, a manager and personal trainer at Wareings Gym in Virginia Beach, agrees. “Your body gets acclimated to the routine and doesn’t benefit after a while,” he explains. “I recommend that people use multiple tools so that they don’t become bored and have a wide variety of activities that [complement] each other.” Continued on page 8

local beat

Foundation Approves $1 Million in Grants

The Williamsburg Community Health Foundation has approved $1 million in grant funding for the following healthrelated agencies: Child Development Resources (Early Intervention Program); Avalon (Self-Sufficiency Project for Women and Children); Senior Services Coalition (core support); Virginia Health Care Foundation (“A New Lease on Life: Health for Virginians with Mental Illness”); Williamsburg-area Meals on Wheels, Inc. (SafetyNet Nutrition for Low-Income Residents); Chronic Care Collaborative, Olde Towne Medical Center (core funding); Senior Services Coalition (implementation of the Community Action Plan on Aging).

Sample Local Farm Fare On Jan. 16, Providence Classical School (6000 Easter Circle) will host “A Brunch with Joy,” featuring Joy Alexander of Avery’s Branch Farm, who will speak to community members about her family farm and the products it provides, including raw (unpasteurized) milk, chicken fresh eggs and pork. The cost to attend is $5 per person and includes food samples. This event is sponsored by InJoy Whole Foods, a local education and training company that aims to teach people about the many benefits of eating fresh, whole, local foods. Visit www.injoybread. com to register.

Cardiology Practice Moves Peninsula Williamsburg Cardiology Associates has changed its name to TPMG (Tidewater Physicians Multispecialty Group) Williamsburg Diagnostic Cardiology and has moved to 4125 Ironbound Rd., Ste. 104.

TNCC Nursing Program to Triple Enrollment Thomas Nelson Community College (TNCC), will triple the size of its Nursing program at the Historic Triangle Campus by welcoming 30 students for the spring semester beginning Jan. 9. The Historic Triangle Campus, which reopened in July at 4601 Opportunity Way (next to Warhill High School), features state-of-the-art classrooms and health care training equipment.

Former Social Workers Now Serve Seniors’ Daily Needs Latarsha Harris and Teresa Bales, who share a combined 14 years of experience as social workers, have established At Home Senior Consultants, LLC. This organization will serve the senior and disabled populations of Williamsburg, Yorktown and the greater Peninsula, including Hampton and Newport News. THE HEALTH JOURNAL

local beat

Anytime Fitness

<www.anytimefitness.com>

Anytime Fitness is an international fitness club franchise with numerous locations throughout Hampton Roads. Each is independently owned so amenities vary. A Virginia Beach location features Nautilus equipment, free weights and a cardio theater (each machine has a TV). Group classes, which include ab work, aerobics, kickboxing and yoga, are included in the cost of membership. Owner Stacy Theodore notes that given the 24-hour access, there is also a state-of-the-art security system. Members have free access to the corporate Web site that features exercise videos, a diet tracker and personal program setter. New members receive one free personal training session. Members have access to all clubs in the franchise.

Bally Total Fitness

Local Gym Lineup

From big and bustling to small and service-based, here’s a look at some leading local gyms and what they have to offer their members.

K E E W E FRE

! L A I R T

<www.ballyfitness.com>

With clubs in Newport News, Chesapeake and Virginia Beach, Bally clubs feature cardiovascular equipment, indoor pools and aqua aerobics, indoor tracks, personal training, cycling, saunas, steam rooms, Whirlpools and play centers for children. Group fitness classes range from Pilates to martial arts. Childcare is included with membership and members have access to 300 locations nationwide. There are also Spanish-speaking staff members.

Inlet Fitness

<www.inletfitness.com>

Inlet Fitness has two locations in Virginia Beach, and membership buys privileges at both. Both feature ladies-only workout areas, resistance and cardio equipment, locker rooms with private steam units and free towel service. More than 55 fitness classes are offered weekly including step aerobics, kickboxing, spin, mat Pilates, chisel (a strength/resistance training program), boot camp, yoga, Zumba (a Latin dance class) and a variety of combination classes such as SAG (spin, abs and glutes). Hot yoga is offered at Inlet South. The Great Neck location also provides spectacular views of Long Creek—taking an outdoor abs class or yoga on the spacious deck offers a resort feel. Members receive three free training sessions monthly. Childcare is free at the Great Neck location and $5 per visit at Inlet South.

Ironbound Gym

<www.ironboundgym.com>

This locally owned club has been in Williamsburg since 1983. It offers full-service membership with no paid extras. Members have access to circuit training and cardiovascular training areas and free weights. More than 40 group fitness classes are offered weekly including aerobics, spin and yoga. The gym offers incentive programs such as “Around the Gym in 21 Days,” which encourages members to try new activities.

Onelife Fitness

<www.onelifefitness.com>

Onelife Fitness, formerly Gold’s Gym, has five locations in Hampton Roads—in Chesapeake, Newport News, Norfolk and Virginia Beach. Amenities include a women’s work-out area, cardio cinema, resistance and core training, locker rooms with saunas, a smoothie bar, Kids Club (up to age 13), youth fitness for ages seven to 13, and basketball, racquetball and volleyball courts. The club’s HealthFirst program includes chiropractic, rehab and massage therapy. Classes include aerobics, BodyPump and BodyFlow, cycling, kickboxing, strength and weight training, Pilates, yoga and Zumba. Three free personal training sessions are included with membership. Travel benefits are available at 3,000 locations worldwide.

Premier Fitness

<www.premierfitnessusa.com>

Established in 2007, this gym is located in the Harbor View area of Suffolk. Managers describe it as a private club with a public club cost. It features free weights, circuit training and cardiovascular training areas, cardio theater entertainment systems, personal training and nutrition specialists, locker rooms, towel service and free child care up to age 11. More than 35 classes are offered weekly including mat Pilates, yoga, BOSU, chisel, Zumba, H.E.A.T (high-energy athletic training), abs, step and interval training. Child care is free.

Don’t wait any longer to transform your life. Don’t wait another minute to join. 0

Expires 2/28/1

• Cardiovascular Fitness

• Free Weights

• Strength Training

• Fitness Classes

• Yoga

• Bike Classes

8 THE HEALTH JOURNAL

� � 229-5874 4325 New Town Ave.

Williamsburg

www.ironboundgym.com

GYM

Search our Health Directory in this issue for a complete list of gyms and personal training studios near you.

The Gym Downtown

Wareings Gym

<www.gymdowntown.com>

local beat

<www.wareingsgym.com>

Located in downtown Norfolk, this gym sports a unique entrance—through This family-owned and operated Beach fitness institution is celebrating its 50th a Subway shop and up an elevator to the second floor. It features five rooms year. It features cardio equipment, free weights and personal training. Group dedicated to different workouts including cardiovascular equipment, fitness classes include cross-training, stretching, core, drills, Pilates, yoga and general workouts with bands and balls, leg machines and cycling. Unlimited hot yoga, spin and Zumba. Wareing’s also offers the latest fitness innovation— classes include boot camp, step aerobics, cardio-kickboxing and mat Pilates. X-Spin with TRX machines. Developed by Navy SEALs, the program uses Combination classes include spoga (spin and yoga) and boxing circuit. In suspension training to build core strength. Childcare is free. addition to typical perks such as a free personal training session at sign-up, members can take advantage of discounts to area businesses and restaurants. YMCAs <Penninsula Metropolitan YMCA, www.penninsulaymca.org; Members also receive free parking in the garage atop The Marketplace grocery YMCA of South Hampton Roads, www.ymcashr.org> store, where grocery Wthey e can A drop r eoff a C o mlistfand o have r ttheirKgroceries e e pwaiting e r for s® This venerable institution of health has been in existence for 155 years. them after their workout. The groceries aren’t free, but the shopping service is. Membership includes unlimited use of any facility within a specified area, W e A r e C o m f o r t K e e p e r s ® access to cardiovascular equipment (many offering personal screens with TV Virginia Beach Recreation Centers <www.vbgov.com> and iPod/MP3 connectivity), basketball and (at some locations) racquetball There are six centers throughout the city including locations in Bayside, Bow courts and an Interactive Zone with video game fitness for youth, teens and Creek, Great Neck, Kempsville and Seatack. Each has an indoor swimming ® Comfort Keepers provides the adults. Unlimited group exercise classes include options such as yoga, Pilates, s e r v i C e s pool and gymnasium andsareas for group classes. While the cardio PowerCut and spin. Members can also take advantage of fitness evaluations ® provides Keepers e r v i kind C e fitness s ofComfort trusted, in-home carethe • Companionship and weight equipment is at a premium during busy times, such as when the and weight management guidance. Pools offer family swim time and lap lanes, kind of trusted, in-home care • Companionship that helps people maintain full • Cooking, Light after-work crowd arrives, many find waiting forthat a treadmill it versus and some locations offer access to indoor water slides or outdoor water parks. helps worth people maintain full • Cooking, Light Housekeeping the cost of membership at private gyms. full, annual adult membership is Membership includes free childcare. Housekeeping andTheindependent lives, right in and independent lives, right in • Errands, Shopping $280; however, City of Virginia Beach residents receive a substantial discount. • Errands, Shopping the comfort of theirof own home. the comfort their own home. • Incidental is $66, and the senior rate is $53. Personal Annual• Incidental adult resident membership training Transportation and classes cost Transportation extra; an unlimited 90-day fitness passKeepers® is $90, or are ourgroup Comfort our Comfort Keepers® are members can pay $2 for• Laundry each 30-minute class and $4 for each screened, hour class. • Laundry carefully trained, Cardiovascular equipment, • Recreation, Crafts carefullybonded, screened, trained, and insured. • Recreation, Crafts which gets your heart rate up, • Grooming, Dressing Guidance bonded, and insured. • Grooming, Dressing typically includes treadmills, Williamsburg, Guidance • Medication West Point and elliptical machines, stair Williamsburg, • Medication Reminders surrounding areas: climbers, stationary bikes and West Point and Reminders • Alzheimer's, 804-966-1997 Dementia Care surrounding areas: rowing machines.

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THE HEALTH JOURNAL

healthwire

Doctors say more evidence is needed

Burden of

aking drastic changes to U.S. breast cancer screening guidelines will take much stronger evidence than that offered by a federal advisory panel, U.S. doctors said in November. They said the U.S. Preventive Services Task Force recommendation advising against routine mammograms for women in their 40s was a gamble many doctors are not willing to take. The recommendations to scale back breast cancer screening created a fierce backlash from physicians and an outcry from women, forcing U.S. Health and Human Services Secretary Kathleen Sebelius to renounce the guidelines and assure women they did not reflect U.S. policy. Dr. Len Lichtenfeld, deputy chief medical officer of the American Cancer Society, rejects the notion offered by some Republicans that the new guidelines are motivated by a push to ration health care. But he said such decisions need to be based on strong evidence, especially when evidence is conflicting. “Here we have a strategy that has been in place for 20 years and it’s worked. The task force is coming in and saying, ‘Forget the fact that it worked. We think this is the right way.’ If the science was strong, we would agree with it,” Lichtenfeld said. “If they are right, no problem. But if they are wrong, we won’t find out for 20 years. That is the risk,” he added. Instead of an annual mammogram starting at 40, the new guidelines call for routine screening to start at age 50 for women of average risk, and say mammograms should be done every other year instead of yearly to balance the harms of false positive results with the benefits of saving lives. The guidelines also recommend against teaching women to do self breast exams, because they say the evidence is not strong enough to show the practice saves lives.

proof: Breast cancer changes fall short Written By Julie Steenhuysen CHICAGO (Reuters)

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10 THE HEALTH JOURNAL

One obvious concern is whether women might die of breast cancer because of the recommendations, said Dr. Thomas Herzog of Columbia University in New York, chairman of an American College of Obstetricians and Gynecologists subcommittee on gynecologic cancers. He and others also questioned the task force’s heavy reliance on computer models instead of real-life data. “I guess the problem, if anything, that people have is this is based on theory,” Herzog said in a telephone interview. “It may be excellent theory. It may be the best theory out there, but nonetheless, it’s not prospective data that says how these new guidelines are actually going to perform,” he added. “We will only know looking back if these guidelines did their job.” Both the American Cancer Society and the American College of Obstetricians and Gynecologists stand by their current recommendations for screening mammograms to start at age 40. Ironically, the American College of Obstetricians and Gynecologists have scaled back cervical cancer screening guidelines based on studies in women that show screening women under age 21 can result in overtreatment and difficulty carrying a child full term. Lichtenfeld said there is far more agreement on the decision to change cervical cancer screening guidelines. And he said new evidence on the harms of prostate cancer screening, which can cause overtreatment resulting in a lifetime of impotence and incontinence, is changing two decades of screening advice for men on that cancer. “Then you have breast cancer screening, where experts are looking at the same data and coming to markedly different conclusions,” he said. “That is the crux of the issue.”

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New Year’s Resolu Written By Alison Johnson

s the calendar flips to a new year, many people turn to an old tradition—deciding what they’d like to change in their lives. To help narrow down the list of choices for 2010, local health experts offer these six New Year’s resolutions they say everyone should make:

Help combat germs. The H1N1 virus has made

this flu season scarier than usual, but everyone has the power to slow the spread of disease, says Dr. S. William Berg, director of the Hampton Health District. Washing hands frequently, sneezing or coughing into tissues and staying home until a fever has been gone at least 24 hours are smart strategies. So is getting vaccinated for both seasonal and H1N1 viruses. And January is by no means too late: Flu season in Hampton Roads typically doesn’t peak until January or February and continues through March or April, and this year may be more unpredictable. “Your personal flu shot also protects many other people—your family, friends, co-workers,” Berg says. “If you don’t get sick, you can’t make other people sick. These might include people who have other health problems and who might get a lot sicker from the flu virus than you would.”

Take control of your health. For starters, go back

to that old motherly mantra: get a good night’s sleep, eat plenty of fruits and vegetables and play outside, says Dr. Phillip Snider, a family practitioner with Bon Secours Medical Associates in Virginia Beach. “Despite overwhelming evidence showing how important a good diet, exercise and adequate sleep are, Americans as a group do a poor job in following through,” he says. Snider also recommends researching family medical histories, getting all recommended preventive screenings and having regular physical exams to stay on top of suspicious skin changes and often-symptomless problems such as high blood pressure and pre-diabetes. Give the doctor lists of all prescription and over-the-counter medications you are taking (including herbals or other supplements) as well as any allergies, past health conditions, surgeries and major injuries. “It is very important that this information is in one place in case you get sick and can’t communicate for yourself,” Snider says.

Start strength training. Even many regular exercisers

12 THE HEALTH JOURNAL

haven’t grasped that working out with weights is critical to weight loss, flexibility, balance, bone strength, energy level and mood, says Kelly Cox, director of operations at the Riverside Wellness & Fitness Center in Newport News. “People may think that strength training is only for guys or athletes, but it’s important to know that it has benefits for all ages,” Cox says. “A regular program will allow a reduction of body fat and an increase of lean muscle mass, which will allow more calories to burn more efficiently.”

resolutions

utions You Owe Yourself Lifts with exercise bands and dumbbells—or common household objects such as water bottles— and push-ups, squats and lunges all count. With weights, Cox recommends beginning with a resistance level that will tire muscles after about 12 repetitions. Also be sure to stretch out and give each muscle group a day of rest between sessions. (For more advice on starting a strength-training routine, turn to page 17.)

Get to a healthy weight. This is the most common

resolution every year—and many people make it repeatedly with little success. “Making a change in your lifestyle for permanent weight control and optimal health can be very challenging,” says Holly Hicks, a registered dietitian and wellness programming coordinator at the Riverside Wellness & Fitness Center. What might make the difference this year? Lining up more support, research suggests; for example, people are 50 percent more likely to start exercising if their spouse or partner joins them, according to a Duke University study. Some ideas: team up with family, friends, co-workers or neighbors for a weight-loss challenge; make an appointment with a nutritionist or personal trainer; or find a support group locally or online.

Become more optimistic. During tough times, reduce your exposure to bad news (or go to www.goodnewsnetwork. org for an alternate take on the news), stay active, socialize with positive people and make a conscious choice to see the best side of situations, says Terilyn J. Goins, a Yorktownbased motivational speaker and trainer. “What I think dictates how I feel, and how I feel dictates how I act,” Goins says.

“For example, if I send an e-mail to someone and get no response, I can automatically assume that the person received the e-mail and is simply ignoring me, or I can figure they must not have received my e-mail and follow up with a telephone call….Every moment we spend focusing on the negative requires valuable energy that could be directed toward something more productive. If you want to accomplish a goal, tell yourself you can do it, act as if you believe what you’ve said, and you will make it happen!”

Live more greenly. The average person generates a

whopping 4.6 pounds of trash a day, according to the Environmental Protection Agency. A bit more daily reflection can do a lot to decrease trash loads as well as unnecessary car trips and wasted water, says Tammy Rojek, recycling and water conservation specialist for the City of Williamsburg. “[Terms like] ‘global warming’ and ‘carbon footprint’ sound so daunting—so ‘where-the-polar-bears-live’— but it doesn’t begin in the land of icebergs and snow,” Rojek says. “It begins in our own backyard. We each play a part in the big picture.” So, seek out recycling containers rather than trash cans. Fix leaky faucets, take shorter showers—each minute can eat up seven gallons of water, turn off tap water while brushing teeth, don’t run a dishwasher or laundry machine without a full load and use old pet water to water plants. Bike, carpool and consolidate errands into single trips. And shop for local produce at farmers’ markets. For more ideas, visit www.planetgreen.discovery.com/go-green.

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nutrition

Wonderful in White: Winter Veggies Healthy, flavorful and delicious food for thought Written By Sharon Miller Cindrich

hen it comes to the healthy benefits of vegetables, we’ve been taught to eat our greens—and reds, purples, oranges and yellows, too. But don’t forget the whites! Even though they might be lacking a splash of color, these winter whites contain important nutrients like vitamins, minerals, fiber and antioxidants. So, delight in white this season by incorporating these vegetables into your diet.

Garlic

Cauliflower

Legendary for its anti-vampire charms, this truly amazing vegetable has many therapeutic and nutritious qualities. Garlic has been shown to decrease the risk of some cancers, lower cholesterol and help prevent heart disease. A flavorful ingredient in many recipes, garlic has also been shown to boost the body’s immune system and act as an anti-inflammatory.

A cousin of broccoli and kale, cauliflower is high in vitamin C and contains compounds that reduce the risk of cancers, especially lung, colon, breast, ovarian and bladder cancer. To appease picky eaters, keep cauliflower at its whitest by cooking it in a stainless steel pot with a tablespoon of milk or lemon juice.

Enjoy garlic sprinkled on your favorite meat or fish, roasted and spread on wholegrain bread or diced and baked into your favorite casserole.

Enjoy cauliflower steamed until tender or dipped raw into low-fat ranch dressing.

Jicama

Navy beans

White radish

Onions

Potatoes

Related to the turnip, this large vegetable is a popular staple in Latin America and sometimes called the Mexican potato. Jicamas contain vitamin C, are low in sodium and fat-free, and have a very mild, sweet flavor. These crunchy veggies are perfect for a vegetable platter because cut jicama won’t brown when exposed to air.

These small, creamy white beans got their name from the United States Navy, which used them as a main source of food in the early 20th century. Navy beans are a member of the legume family, packed with potassium and cholesterol-lowering fiber, and may protect against high blood pressure and atherosclerosis. One cup of navy beans also provides 24.7 percent of the daily requirements of thiamin, which is critical for brain function.

A close relative to the turnip, this crunchy vegetable adds nutrition and a unique flavor to recipes. At just 10 calories each, this fat-free veggie contains vitamin C, folic acid and potassium.

While they might bring a tear to the eye when they’re cut, onions will bring smiles to health-conscious folks who don’t mind a little bad breath. Onions can lower blood sugar, reduce the risk of colon cancer and help build healthy bones. Whether they are Spanish onions, pearl onions or shallots, these bulb veggies have antiinflammatory qualities and are rich in vitamin C.

While they are most often seen in less healthy forms, like french fries and potato chips, potatoes—the world’s most prolific food crop—are a low-fat, high-fiber food that contains good amounts of vitamin C and potassium. Potato skins are packed with health benefits, too, including flavonoids that may protect against cardiovascular disease and certain cancers.

Enjoy jicama in a stir-fry recipe or drizzled with a low-fat dressing.

14 THE HEALTH JOURNAL

Enjoy navy beans cooked in stews and soups.

Enjoy white radishes raw with a dash of salt or sliced in your favorite salad.

Enjoy onions sliced and eaten raw on a sandwich or burger, diced in a salad or grilled with other veggies as a side.

Enjoy potatoes mashed or baked and eaten with the skins on.

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Back to the Basics 3 Steps to Lasting Weight Loss

WRITTEN BY GAYLE PINN

f your holiday indulgences are now appearing on the scale, or if years of gradual weight gain have finally caught up with you, then perhaps it’s time to get back to the basics. Weight loss is simple: burn more calories than you eat. Yes, I know that’s easy for me to say; but, if you can stay focused and follow this three-part plan, you’ll find that lasting weight loss is not so difficult to achieve. The three basic principles of weight loss are cardiovascular exercise, strength/resistance training and a healthy diet/lifestyle. Combine that formula with motivation and commitment, and soon you’ll be laughing your way to the scale. Continued on page 18

Gayle Pinn is the owner of Results Personal Training Studio. She’s a certified personal trainer and spinning instructor with 12 years of experience in the fitness industry. She specializes in one-on-one personal training for all fitness levels. She can be reached at resultsstudio@gmail.com. THE HEALTH JOURNAL

While it is possible to lose weight through diet alone, you’ll risk hitting a plateau. But when you combine a reduced-calorie diet with a cardio program and resistance/strength training, you’ll not only achieve your goal—you’ll find that it is easier to maintain your results.

Resistance/strength training is often the missing link in Part II a weight-loss program, but without it, you won’t see lasting results. The more lean body mass (muscle) you have, the more calories you burn at rest. If you allow your muscles to atrophy (either through inactivity or by not challenging your muscles), your metabolism will decrease, which will cause weight gain. Cardiovascular workouts are effective and necessary but only raise your metabolism temporarily. For example, after an hour of running your metabolism will return to normal within the following hour. On the other hand, resistance training will permanently raise your metabolism because it requires first breaking down muscle tissue and then rebuilding it—only stronger, firmer and with more tone. This process takes time and energy (i.e., calories). Muscles need energy, so the more muscle tone you have, the higher your metabolism will consistently be. In addition, research shows that those who follow a strength-training program for two months burn, on average, about 200 calories more per workout than those whose exercise regimen does not include strength training.

Resistance/ strength training

FYI: 1 pound of muscle burns about 50 calories a day, while 1 pound of fat burns about 4 calories a day.

Q: A:

30 MINUTES

If you’re trying to lose weight, cardio exercise is key because it burns calories. The best activity is the one Part I Cardio you’ll do on a regular basis. So, finding a physical activity you like is critical to reaching your weight-loss goals. That said, different activities have different intensity levels. For example, a person weighing 150 pounds would burn a different amount of calories depending on the exercise. Walking at 4 mph: 170 calories Mowing the lawn with a push mower: 200 calories Stationary bike: 238 calories Spinning (at moderate intensity): 239 calories Running at 5 mph: 270 calories Swimming: 270 calories

FYI: 1 pound of body fat = 3,500 calories

Q: A:

How Much Cardio Do I Need? The American College of Sports Medicine and the American Heart Association each recommend about 60 minutes of moderate-tovigorous-intensity exercise on most days. If you’re a beginner, start with 30 minutes of moderate-intensity cardio three to four days a week and work up to 45 to 60 minutes, five to six days a week. Bottom line? Cardio will help you lose weight, but it is most effective when combined with strength training and a healthy, low-calorie diet.

18 THE HEALTH JOURNAL

How Much Resistance Training Should You Do? Lift two or three days a week, performing three sets of 10 to 12 repetitions with weights heavy enough to fatigue your muscles by the end of each set.

Technically, there is no magic number of calories to eat to lose weight. While some people can lose weight Part III Diet by eating around 1,500 calories a day, with a little math you can assess your own personal caloric needs: To lose one pound of fat, you must burn approximately 3,500 calories over and above what you already burn through normal daily activities. That sounds like a lot of calories, and you certainly wouldn’t want to try to burn 3,500 calories in one day. However, you can determine what it would take to burn or cut enough calories to result in healthy weight-loss. Here’s how :

Calculate your BMR (basal metabolic rate). This is the minimum number of calories you need to eat each day just to survive. To find out your BMR, go to this Web site: http://exercise.about.com/cs/fitnesstools/g/ BMR.htm. (Keep in mind that no calculator will be fully accurate, so you may need to adjust these numbers as you go along.)

Calculate how many calories you burn through exercise. For example, try http://exercise.about.com/cs/fitnesstools/l/blcalorieburn. htm. Or, even better, you could wear a heart rate monitor during your workout to calculate the number of calories burned.

Calculate your average daily caloric intake. You may need to keep a food journal to help with this. (Try the online food journal at www. thecaloriecounter.com.)

Now, use the following formula to figure out how many calories you need to burn daily: Take your BMR, add your activity calories and then subtract your food calories from that total. If you’re eating more than you’re burning (i.e., your BMR + activity burn is 2,000, and you’re eating 2,400 calories a day), you’ll gain weight. If you’re burning more than you eat, you’ll lose weight.

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Fast Forward

Hampton Roads Embraces Medicine’s Ne

In a scene from Star Trek, Dr. Leonard H. McCoy time-travels back to present day, and he’s horrified by the primitive practice of doctors cutting into their patients with scalpels and performing archaic treatments like chemotherapy. Just as life ever imitates art, medical technology ever imitates science fiction. Today’s patients are now benefitting from robotic surgery and chemotherapy alternatives, while doctors are being trained in virtual-reality environments. At the forefront of modern innovation, Hampton Roads is home to many a medical marvel, from bloodless surgery to 3-D imaging to replacement organs. Here are just a few examples of what our region’s health care leaders have to offer.

Written by Gregory Epps

1. ROBOTIC SURGERY

20 THE HEALTH JOURNAL

Until recently, minimally invasive surgery was limited to simple procedures. The rule seemed to be: The more complex the operation, the bigger the incision. But experts now have the da Vinci Surgical System, and both internal abdominal exams (laparoscopy) and many types of major surgery can be performed through the smallest of incisions. With four black robotic arms built to “hold” scalpels, cutters, cauterizers and cameras, the da Vinci operating table only looks intimidating. Named for the Italian inventor who conceived the first robot, the da Vinci system doesn’t eliminate the human factor altogether: It takes a skilled surgeon to operate its controls. Dr. Michael Fabrizio of Sentara Norfolk General Hospital participated in the U.S. Food and Drug Administration’s clinical trials for the first generation of robotic surgical systems, and he has been operating a da Vinci machine since 2004. Twenty da Vinci surgical systems are now located across the state of Virginia, including three in Hampton Roads: at Sentara Norfolk, Riverside Regional Medical

feature

ew Frontiers

2. “CAVE” SIMULATOR

“Are you a Star Trek fan?” asks Dr. Leonard Weireter, Jr., responding to a query about the workings of the Cave Automatic Virtual Environment (CAVE) simulator. Weireter likens the device to the Star Fleet’s “holodeck,” saying it creates an immersive virtual reality environment for the purposes of medical training, evaluation and research. The Virginia Modeling, Analysis and Simulation Center (VMASC)—a non-profit enterprise located in Norfolk and supported by Old Dominion University’s Research Foundation—is home to a CAVE prototype that serves as a training ground for students at Eastern Virginia Medical School. Weireter, a professor of surgery at EVMS and medical director of the Shock Trauma Center at Sentara Norfolk General Hospital, has taken students out of the classroom and put them inside the CAVE’s 10-foot cube, where they are surrounded by projection walls that create a virtual environment. Once inside, an electronic wand controls a virtually unlimited range of 3-D objects that are used to practice procedures and gain skills—all before putting on a white coat. “We’re not at a holodeck level yet,” says Weireter, “but the realism is good.”

Dr. Leonard Weireter, Jr., compares the 3-D virtual environment of the CAVE simulator to the holodeck aboard starships in the fictional world of Star Trek.

PHOTO COURTESY OF EASTERN VIRGINIA MEDICAL SCHOOL

3. STEREOTACTIC RADIOSURGERY

Center in Newport News, and Bon Secours Maryview Medical Center in Portsmouth. “The system is very ergonomic,” Fabrizio says. “The visualization and technology are amazing. It’s a 3-D view with 10x magnification.” Da Vinci’s system design allows surgeons to operate the controls from a seated position, manipulating the robotic arms to guide tiny instruments with precision and dexterity. The system is used locally to perform minimally invasive abdominal, urologic, gynecologic, cardiothoracic and general surgeries. (Read The Health Journal’s coverage of Riverside’s da Vinci robot [November 2006] online at www.thehealthjournals.com.) The da Vinci’s cost to hospitals and outcome reliability are similar to that of other minimally invasive surgical methods, and its value is largely measured in post-operation patient comfort, with less blood loss and a shorter recovery period. “Patients have been pleased with the outcomes,” Fabrizio says. “I believe the da Vinci system is here to stay and has growing applications in other specialties.”

Radiation has long been a chief weapon against cancer, but never before have oncologists had such a wide array of tools in their arsenal. Surgical tools that use stereotactic radiation offer a non-invasive (read: no cutting) method of treating tumors by delivering a focused beam of gamma radiation directly to a cancerous mass. Housed at Sentara Norfolk, the Cyberknife System utilizes robotics and X-ray image guidance to precisely target tumors of all kinds while the patient remains at ease, feeling no pain. Cyberknife’s software—adapted from missile-guiding technology—tracks subtle movements, even the motion of a patient’s lungs breathing. Dr. Scott Williams, medical director of Sentara’s Advanced Radiosurgery Center, says “sub-millimeter accuracy” has earned the Cyberknife its 90-percent success rate in reducing lung tumors. “It’s declassified military software that really makes this thing go,” he adds. In fact, Cyberknife’s adapted X-ray guidance system was once used to examine ships’ welds, whereas its robotic arm technology was pioneered on the auto assembly line. Williams first trained on the Cyberknife seven years ago at Stanford University, where the technology was invented. Sentara now uses the Cyberknife on cancers of the brain, spine, lungs and liver, reports Williams, who hopes they’ll start treating prostate cancer this year. It’s another tool in our toolbox [for treating

Continued on page 23 THE HEALTH JOURNAL

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cancer],” says Williams, “and it’s an important one…. Cyberknife is opening new doors for patients.” Before Cyberknife, Riverside Regional Medical Center was the first provider in Hampton Roads (and still the only one on the Peninsula) to offer radiosurgery via the Gamma Knife, as well as its next evolution, the Synergy S, which offers a 3-D display and improved accuracy. (To read more about the Gamma Knife and Synergy S, download the April 2007 edition of The Health Journal online at www.thehealthjournals.com.)

PHOTO COURTESY OF HUPTI

feature

>>| According to the National Cancer Institute, more than 41,000 patients worldwide have been treated with proton cancer therapy.

4. PROTON CANCER THERAPY

Another type of radiosurgery is also on the rise, and it’s all about the protons. Scientist Robert R. Wilson first suggested using protons to treat cancer in 1946, and the first treatments were performed using particle accelerators built for nuclear physics research. Today there are five proton therapy centers in the United States and eight more on the way. Of these, Hampton University’s Proton Therapy Institute (HUPTI)—once it is completed this fall—will be the nation’s largest at a roomy 98,000 square feet. Traditional radiation treatments shoot gamma radiation through a tumor, with the excess dissipating in the patient’s body. Proton radiation, on the other hand, can be delivered to the exact depth of a tumor while conforming to its shape—resulting in a more concentrated, effective dose. Proton therapy is especially important for treating childhood cancer, because it offers minimal side effects and spares surrounding tissues.

HUPTI will open this fall, becoming the nation’s largest freestanding proton therapy center.

Stephen M. Smith

Continued Founder, Brain Injury Law Center on page 25

Your attorney should be as qualified and specialized as should be as qualified Your attorney your physician. and specialized as your physician.

The Best Lawyers in America ~ 2009 Super Lawyers ~ 2009

President of the Brain Injury Association of Virginia Internationally recognized expert in traumatic brain injury litigation Only attorney from Virginia to ever be awarded Diplomate status by the American Board of Trial Advocates.

Stephen M. Smith

of the Traumatic Brain Injury “The Brain“The Injury Law Center is Center the onlyis law firm law firm in theChairman Brain Injury Law the only United States dedicated Litigation Group of the American in the United States dedicated exclusively in Association Justicefamilies. exclusively representing brainand injury and oftheir representing brain injuryinvictims, survivors theirvictims, survivors I have dedicated my personal life to tohelping practice inbrain Virginia, New York families. I have dedicated bothboth my personal andand professional Licensed and the District of Columbia professional life injury to helping braintheir injury survivors survivors, families, andand other victims of states catastrophic events.”and all other by permission. their families and other victims of catastrophic events.”

Founder, Brain Injury Law Center The Best Lawyers in America ~ 2010 Super Lawyers ~ 2010 President of the Brain Injury Association of Virginia Internationally recognized expert in traumatic brain injury litigation Super Lawyers ~ 2010 Only attorney in Virginia to ever be awarded Diplomate status by the American Board of Trial Advocates. Chairman of the Traumatic Brain Injury Litigation Group of the American Association of Justice Licensed to practice in Virginia, New York and the District of Columbia and all other states by permission Won the largest mild traumatic brain injury verdict ever awarded in the world Won the largest personal injury verdict ever awarded in Virginia Public Justice national board member Belli Society national board member Multi-Million Dollar Advocates Forum member Listed in “Who’s Who in American Law” Law Dragon ~ 500 Leading Lawyers in America Washington Post “DC’s Best Lawyers” 2010 Graduate of Marquette University, College of Health Sciences, in Neuro Anatomical Dissection of the Human Brain and Spinal Cord

Won the largest mild traumatic brain injury verdict awarded in the Brain injuries are devastating and life-changing not only forever the victim, butworld for their loved Brain injuries are devastating and life changing not only for the ones as well. Stephen M. Smith, Esq., is an internationally recognized expert in traumatic Won the largest personal injury verdict victim, but for their loved ones as well. Stephen M. Smith, Esq., ever awarded in Virginia injury recognized litigationexpert whoinhandles andinjury assists with lawsuits worldwide. If you or a loved is anbrain internationally traumatic brain litigation handlesinjury and assists lawsuits one and hassettlements sufferedwho a head andwith are experiencing Public cognitive Justicedifficulties, national board member across the United States and the world. If you or a loved one has contact Stephen M. Smith to learn your rights. Belli Society national board member suffered a head injury and are experiencing difficulties, contact him to learn about your rights.

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Medical Negligence THE HEALTH JOURNAL

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Continued from page 23

5. PARP INHIBITORS

>>| The PARP trial will continue for another few months, and Danso urges women with triple-negative breast cancer to contact Virginia Oncology Associates at 757-466-8683.

6. VAD Think of it as a temporary heart—a portable generator that could power an entire house during an electrical outage. Ventricular Assistance Devices (VADs) are mechanized circulatory pumps that keep blood flowing through a person’s body when the heart is failing. Weighing less than a pound, a VAD (for example, Thoratec’s “Heartmate II”) resembles a four-inch-long plumbing fixture that’s surgically implanted just beneath the heart. Shoulder holsters contain a pair of batteries, and a system controller is attached to the user’s waistband. Inside the chest, the VAD is attached to the heart’s left ventricle and ascending aorta. Outside the body, a single-wire lead penetrates the patient’s skin at the abdomen. For years, VADs were used for either short-term (postop) recovery or as a “bridge device” for those awaiting heart transplant. Today VADs are used more often as a “destination therapy” but mostly for patients with endstage heart failure and others who are ineligible for heart transplant due to age or illness. Dr. John Herre, a cardiologist and scientific director of Sentara Cardiovascular Research Institute in Norfolk, has

7. BIPLANE IMAGING

A tool worthy of Dr. McCoy’s ship’s medical bay, biplane imaging requires patients to lie on a full-body-length imaging platform where they are scanned from head to toe, allowing the doctor to analyze their lateral and frontal anatomy on a live 3-D display. Operated by Riverside Health System on the Peninsula, the Siemens Artis Zee biplane imaging platform is a powerful diagnostic and procedural tool that can be used for cardiovascular, trauma, neurovascular and orthopedic procedures. This robotic, multi-axis system provides unprecedented positioning flexibility as it quickly rotates two image planes to give cardiologists and neuroradiologists a detailed, live, high-definition display, allowing the physician to see contrast-enhanced blood vessels and even the heart’s four chambers from every angle. Treating aneurysms once required penetrating the skull, but biplane imaging technology allows surgeons to observe vivid, cross-sectional internal images on a live flat-screen display while they move a catheter through the leg’s femoral artery and guide it all the way up to the brain, where they can embolize (neutralize) an aneurysm on the spot. Leading the current trend toward hybrid operating rooms that support multiple specialists, the Artis Zee allows a clinical team to shift from common diagnostic procedures to open surgery without delay. Essentially, a scanning bed can become an operating table in a moment’s notice. Neuroradiologist Dr. Frank Sanderson has been using the Artis imager since it came to Riverside Regional Medical Center over a year ago and points to the speed of the biplane imager as its greatest asset, noting that less time on the table means less radiation exposure for the patient.

>>| Riverside’s biplane imager really sets the benchmark for today’s diagnostic-surgical tools.

Today’s medical technology may not be ready for Star Fleet just yet. Kidney disease can’t be cured with a pill, and doctors can’t diagnose any disease with a handheld scanner. But every decade yields new advances, and the ongoing process of bold discoveries and innovation continues to pave the way for a healthier next generation.

One to

feature

watch PHOTO COURTESY OF EASTERN VIRGINIA MEDICAL SCHOOL

What if all that stood between patients and cancer survival was a single protein? For women with advanced breast cancer, that very well may be the case. Poly ADP Ribose Polymerase (PARP) is a protein that repairs damage to our DNA. Healthy cells use PARP to repair themselves, but cancer cells do, too—harnessing the power of PARP to further their uncontrolled growth. So it was immediately clear, upon discovery of this protein, that inhibiting its function could be of great advantage to cancer patients. Initial clinical trials revealed that PARP inhibitors dramatically increased the effectiveness of radiation and chemotherapy treatments. Currently, 400 breast cancer patients are enrolled in PARP-related clinical trials at the Norfolk offices of Virginia Oncology Associates. There, Dr. Michael Danso serves as principal investigator in a Phase III trial studying women with triple-negative breast cancer, an aggressive level of cancer that can often spread through the body and is treatable only with chemotherapy. Danso confirms that previous trials have already yielded encouraging results. Patients who have received the intravenous PARP inhibitor with chemotherapy have displayed almost a doubling of the median survival rate. Trial participant Sharon Price encountered no additional side effects while taking PARP inhibitors, which sent her cancer into retreat within a year. “I was very lucky,” says Price, 39, crediting the combination of chemotherapy and PARP inhibitors with shrinking her lung tumors. “I’m lucky that I was selected [for this trial], and lucky that I live in an area where the study is taking place.”

been using the Heartmate II unit for both short- and longterm care as well as cardiac repairs following the stress of cancer therapy. “There’s a lot of interest in this sort of artificial heart,” says Herre, “because there simply aren’t enough real hearts to go around for transplanting. But we can make as many VADs as we want, and they can last years longer than fully artificial hearts [which replace the failing heart entirely but are not a long-term solution for most patients]. We now have rechargeable batteries that can last 12 to 18 hours, and you can plug your VAD into the lighter socket of your car to [recharge] batteries on long trips.” Though Herre and colleagues are pleased with the improved survival rate VADs supply, they look to the future, another five years down the road, when they expect to see variable speed VADs that are completely concealed within the chest and can be recharged through the skin. Says Herre: “That will be the next big leap.”

Scientists at Eastern Virginia Medical School’s Strelitz Diabetes Center are closing in on a potential treatment for Type I diabetes, often called juvenile diabetes. The body needs insulin to convert sugar into energy. When a specific enzyme—lipoxygenase, or “12LO”—is present, it releases proinflammatory lipids within insulinproducing beta cells. The body’s immune system then sends out special-agent cells to target and destroy the source of inflammation (i.e., beta cells). When too many cells are destroyed, a person must self-administer insulin. Dr. Jerry Nadler (above), professor and chair of internal medicine at EVMS and director of the Strelitz Center, and colleagues have identified the 12-LO enzyme in human beta cells. His team believes that blocking 12-LO can prevent or stop the progression of Type I diabetes and possibly reverse it by allowing beta cells to regenerate. In animal studies, Nadler and his team have seen a nearly 100-percent success rate at preventing Type I diabetes when the gene responsible for producing 12-LO was deleted. “We have successfully identified a vital step in the development of Type I diabetes, and we are hopeful that blocking this enzyme could hold the key to engineering breakthrough new treatments,” Nadler said in a statement. Stay tuned for The Health Journal’s further coverage of Nadler’s ongoing research—which could be yet another medical “first” for Hampton Roads— as well as other exciting discoveries being made at EVMS.

THE HEALTH JOURNAL

home health

Make sure you have the right—and unexpired—supplies on hand to survive this year’s cold and flu season.

Medicine Cabinet

Makeover

WRITTEN BY SHARON MILLER CINDRICH

eadache? Sniffles? Full-fledged stomach flu? When you’re feeling ill, the first reaction may be to reach into your medicine cabinet to find something to make you feel better. But while worrying about taking care of our family’s health, many of us don’t know whether our medicine cabinet is healthy or not. The Food and Drug Administration recommends giving your medicine cabinet an annual checkup. The start of a new year is a great time to clean out that cabinet, restock expired supplies and check the batteries in the digital thermometer.

Have Flu Remedies Ready

26 THE HEALTH JOURNAL

As far as medicines go, pharmacist David Kuzma recommends having a fresh supply of ibuprofen or acetaminophen on hand, most often prescribed along with fluids and rest to fight off the flu. “Have these [items] in appropriate doses for all age groups in your household,” he says. “If you have children, you’ll want liquid dose forms, and for adults, tablets or capsules.”

While you may have bottles of these types of medicines left over from your most recent headaches, Kuzma reminds folks that expiration dates are different for every medication, and checking those should be first on your list when cleaning out your medicine cabinet. “Once you open a bottle of hydrogen peroxide, it deteriorates quickly,” says Kuzma, who adds that even first-aid staples such as rubbing alcohol have expiration dates. “These products are very inexpensive” but nonetheless important, he says. And while your bathroom medicine cabinet may be a great place to store your contact lenses, bandages and toothpaste, it is not the best place to store your medications. “The worst place to store medicine is your bathroom,” Kuzma says. “Humidity breaks down products rapidly, especially tablet forms.” Instead, he suggests finding a cool, dry, dark place where prescription and over-the-counter medications can be kept safely out of the reach of children.

Clean out, stock up and be prepared by following these basic tips when giving your medicine cabinet an annual makeover:

Move your medicine. Store first-aid supplies, gauze pads, bandages and everyday hygiene products in your bathroom medicine cabinet. Move prescription drugs and over-the-counter medicines to a cool, dry place, out of the reach of children and preferably in a childproof box.

Keep medication packaging and information. Store medication in its original packaging to easily reference expiration dates, dosage information and drug interactions. Keep a file of extra paperwork you might receive with a prescription, even if you’ve been taking the same medication for years. You never know when you’ll need to check on side effects or drug interactions.

Stick with one pharmacy. It’s best to fill all your prescriptions and overthe-counter needs at one pharmacy so the pharmacists will have a complete record of your medication history and can screen for potentially hazardous drug interactions. Some pharmacies will even honor competitors’ coupons to keep you as a customer.

Throw out dusty bottles. If alcohol, hydrogen peroxide and even antacid bottles are dusty or don’t display expiration dates, assume they have expired. Similarly, if medicine labels are missing or unreadable, safely discard them.

Restock first-aid supplies. Open bandage boxes to make sure you have plenty, check lotions to make sure they aren’t dried up, stock up on cotton balls and swabs, and find the tweezers and scissors that may have been misplaced.

Watch a video on making over your family medicine cabinet at www.webmd.com/video/medicine-cabinet-makeover.

Your well-being is always at the center of our attention.

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757.220.8552 THE HEALTH JOURNAL

Lending Seniors A Helping Hand

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s a caregiver, you need time for yourself and your family. You work hard every day to care for and nurture your loved one. However, sometimes you need someone to help you, so you can take a vacation, or just rejuvenate. But it’s hard to imagine others filling your shoes. After all, who would care as much as you do? We do. Morningside of Williamsburg offers: Assisted Living Beautiful courtyards, libraries and big screen T.V.’s An award winning Alzheimer’s Beauty/Barbershop services and Memory Care Program on site (Best of the Best ALFA 2008) Flexible stays available from All utilities except cable 1 week to several weeks. Emergency pull cords in 24-hour nursing care bedrooms and bathrooms Restaurant-style dining Housekeeping and laundry

“Life shouldn’t be a pain in the neck...or back.” “Since 1992, my number one focus has been helping people who suffer with severe and chronic back pain, neck pain, spinal stenosis and degenerative disc disease. I’ve dedicated my life to it. Today, chiropractic offers a wide range of therapies, and the treatment we provide does not require ‘popping or cracking.’ We have very affordable fees at our office and we accept most insurance plans...including Medicare and Anthem. If you would like to find out if our office is the right choice for you, just give us a call. We have a terrific staff, and we’ll do our very best to help you.” Sincerely,

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in the neck…or back.”

“Since 1992, I've been dedicated to one thing...Helping people with chronic spinal pain. I strive to use only gentle methods to rehabilitate the spine. That means NO popping or cracking. We accept most insurance plans including Anthem and Medicare. If you'd like to find out if my office is right for you...call me. I'd be glad to speak with you over the phone and answer any questions you may have. If you'd like to come in as a new patient, we can get you in today.” Sincerely, Mark Croucher Doctor of Chiropractic

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December

local beat

An Event to ‘Care’ About “Caring for You, Caring for Me” returns with three winter course options, this time for just $10 each.

hat does it mean to be a caregiver? How can caregivers care for themselves, too? And, finally, how can they tap into community resources? These are just a few of the questions that certified instructors will address in “Caring for You, Caring for Me,” a five-week course designed for family, professional and volunteer caregivers—essentially anyone caring for a person with a long-term illness or disability. “Caring for You, Caring for Me” participants will: >> Learn methods of coping with stress >> Learn about resources available to caregivers

>> Share common concerns/frustrations

This course, created by the Rosalynn Carter Institute for Caregiving (located in Georgia) and sponsored by the Center for Excellence in Aging and Geriatric Health (CEAGH), was offered last fall and, due to its popularity, will be offered again this winter (see course offerings below) with a reduced registration fee of only $10. Dr. Christine J. Jensen, director of CEAGH’s Department of Community and Health Services Research, brought the program to the Williamsburg community with hopes of connecting local caregivers and providing them with the tools needed to better care for themselves emotionally and physically. “We get so focused on the care recipient that, sometimes, the caregiver’s needs get overlooked,” says Jensen. “This program fits in well with CEAGH’s mission to improve the quality of life for older adults,” she added.

A Tradition of For more than

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“Caring for You, Caring for Me” Winter Offerings

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Course II Mondays, Jan. 25 to Feb. 22 2 to 4:15 p.m. Chambrel at Williamsburg, 3800 Treyburn Dr.

these traditions which makes us distinct. We are proud to be your choice for over 45 years. Celebrating people. Improving lives. One person at a time.

Course III Thursdays, Feb. 4 to March 4 4 to 6:15 p.m. James City/Williamsburg Community Recreation Center, 5301 Longhill Rd.

Those interested in attending a five-week course who are limited by caregiving duties may inquire about free respite services.

In the care of people you know.

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What: “Caring for You, Caring for Me” Who: Caregivers of all types—family, professional and volunteer Cost: $10 for entire course (scholarships are available, too) How to register: Call Dr. Christine Jensen at (757) 220-4751, or download a brochure/registration form at www.excellenceinaging.org.

Newport News • Hampton • Yorktown • Gloucester • Kilmarnock Virginia Health Services is proud to offer an array of senior care services to our community. This continuum of care offers choices from independent retirement living to skilled nursing and rehabilitation. If you want to know more about us, ask your friends and neighbors, as they are our best references. THE HEALTH JOURNAL

healthwire

U.S. Diabetes Cases To Double, Costs Triple By 2034

Diabetes costs could further strain nation’s health system. Written By Julie Steenhuysen CHICAGO (Reuters)

y 2034, nearly twice as many Americans will have diabetes and spending on the disease will triple, further straining the nation’s health system and testing the viability of Medicare and other government health insurance programs, U.S. researchers said last month. “We forecast that in the next 25 years, the population size of people with diabetes—both diagnosed and undiagnosed—will rise from approximately 24 million people to 44 million people,” said Dr. Elbert Huang of the University of Chicago, whose study appears in the journal Diabetes Care. “We anticipate that the cost of taking care of those people—and these are direct medical costs—will triple over the same period of time, going from $113 billion today to $336 billion [per year],” Huang said in a telephone interview. Huang said the burden of treating so many people with diabetes will strain the viability of Medicare, the U.S. health insurance program for the elderly and disabled. Huang projects that the number of people covered by Medicare will rise from 8.2 million to 14.6 million, and annual Medicare spending on diabetes will jump from $45 billion to $171 billion. In the United States, about 11 percent of adults have diabetes. Most have type 2 diabetes, the kind closely linked to obesity. The rising diabetes burden could further complicate efforts to rein in U.S. health care spending in the coming decades. Congress is currently grappling with legislation to extend health coverage to millions of uninsured people, control health care spending and bar insurance industry practices such as denying coverage to people with pre-existing medical conditions. “Diabetes is a major public health problem right now, but it’s important for the country and for policymakers to have an idea of what will happen in the next couple of decades,” Huang said. “We already have a financial crisis at hand in health care, and we need to plan for how we can deal with those costs in the future.”

30 THE HEALTH JOURNAL

In the United States, about 11 percent of adults have diabetes. Most have type 2 diabetes, the kind closely linked to obesity. For the study, Huang and fellow researchers built a model of diabetes population costs that can forecast how many people will develop diabetes over the next decades and how much it will cost. The model accounts for the size of different generations that will be entering the diabetes population. “That is important to account for, because we know that age itself is a major predictor of diabetes, and we know that the baby boomer generation is entering an age where there’s a high risk of developing diabetes,” Huang said. The model also assumes that no progress is made in terms of rates of obesity, diabetes prevention and diabetes care. If obesity levels rise, Huang said, the model may actually underestimate the problem. The report emphasizes the importance of public health efforts already underway aimed at reducing the number of people who have diabetes. Says Huang: “We know from a recent trial—the Diabetes Prevention Program— [that] we can prevent diabetes through diet and exercise.” In that 10-year study, overweight people with elevated blood sugar levels who lost a modest amount of weight lowered their risk of developing diabetes by at least a third. People over age 60 got even more dramatic results, cutting their risk of diabetes during the study period by about half. According to Huang, “Preventing diabetes is the first step.”

PERFORMANCE TRAINING CENTER

 Are you completely satisfied with your health and fitness level?  Do you look and feel the better than you ever have before? Do you want to be healthier and feel more confident?   Come find out how CORE FITNESS is revolutionizing the way Williamsburg does fitness!  Find the Instruction, Atmosphere and Motivation You have Been Missing:  • Now offering Open Gym Memberships!  • Every member receives expert coaching and program design!  • Certified coaches implement every training session!   • Results are Not Optional!

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

   Williamsburg Dialysis 



Dr. Shuping Wang, MD, Medical Director Nicole Lee, RN, Administrator

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 (757) 206-1408 500 Sentara Circle, Suite 103 | Williamsburg, VA 23188

In-center hemodialysis, peritoneal dialysis, and home hemodialysis. Visiting dialysis patients also welcome.

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Comprehensive cardiac care for kids is just a heartbeat away. Children’s Hospital of The King’s Daughters is proud to welcome Dr. Ali Mumtaz as director of cardiac surgery. Prior to joining CHKD, Dr. Mumtaz was with the Cleveland Clinic, one of the nation’s top cardiac programs. His special interests include aortic valve repair for anomalous coronary arteries, minimallyinvasive cardiac surgery, neonatal heart surgery, arterial switch operation, anomalies of the pulmonary veins and adults with Dr. Ali Mumtaz congenital heart disease. Dr. Mumtaz works closely with CHKD’s cardiologists to offer a full spectrum of care – from diagnosis to treatment to long-term management – to children with congenital heart disease. CHKD’s cardiologists see patients at the main hospital in Norfolk and the CHKD Health Centers in Virginia Beach and Newport News. For more information, please call the numbers below. We’ll do all we can to keep your little hearts as close to home as possible.

601 Children’s Lane, Norfolk, Virginia

Located in New Town across from the theater parking lot.

CHKD Cardiology 757-668-7213 CHKD Cardiac Surgery 757-668-8850

second opinion

Midwives

G. Theodore Hughes, M.D., is the director of obstetrics for Bon Secours Hampton Roads and an OB/GYN practicing with the WomanCare Center at DePaul Medical Center in Norfolk.

32 THE HEALTH JOURNAL

How is a midwife different from an obstetrician in the type of care each provides?

Certified nurse-midwives are a very important part of my medical practice. They are nurses with advanced degrees who specialize in normal, natural childbirth and gynecological care of healthy women throughout their life cycle. Midwives and doctors share common goals: to provide excellent care for mother and baby, to create a positive birth experience for the parents and, of course, to deliver a healthy baby. Obstetricians and nurse-midwives work together to provide a rich experience for birthing women and their families. Both the midwife and physician use their professional knowledge to provide for the physical and emotional needs of each patient, but the midwife is often more in tune with the personal and spiritual changes that birth brings. Women know themselves well and are most likely to choose the kind of birth attendant and birth experience that meet their needs. Both physicians and midwives provide the full array of pain management options to women. Midwives, however, are skilled at assisting women who seek a more natural birthing experience. Women who choose a physician/midwife team benefit from the skills and perspectives of both professions. Obstetrician/gynecologists provide care that is focused on the female reproductive system. We are surgeons and primary care providers to women throughout their lives, in times of health and illness. Certified nursemidwives also care for women throughout their lives providing primary care and family planning services

with a specialty in the transformative process of the childbearing years. While obstetricians and midwives have a common goal of ensuring a safe birth and a healthy mother and baby, complications that require an obstetricianâ&#x20AC;&#x2122;s intervention can arise during pregnancy, labor or birth. Obstetricians are educated to solve complex medical problems. We provide emergency and surgical care when medical intervention is needed to protect the health of the mother and the baby. (About 20 percent of women will have a complicated pregnancy or birth requiring specialized care.) In my practice, midwives spend more time with their patients during routine appointments. This provides time for discussion of personal goals and educational needs in order to prepare the family for the kind of birth experience they want. During labor, the midwife closely oversees the laboring mother to promote an optimal labor and birth. If a woman appears to be at risk for complications, the doctor must intervene; but the midwife remains part of the womanâ&#x20AC;&#x2122;s care team to provide emotional support and continuity of care. As a physician, I love that my patients can choose between a midwife and an obstetrician. The midwives in my practice care for mothers who are likely to have a normal, healthy birth. This allows our doctors to care for high-risk patients and those with which we have a longstanding doctor-patient relationship. I must admit that I enjoy delivering second, third and fourth babies. No doubt our midwives do too. Blair Conger, CNMW, contributed to this article.

the

Health Journal Williamsburg Edition

Health Directory Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222

Allergists & ENT Allergy & Asthma of Oyster PointWilliamsburg 217 McLaws Cir., Suite 5 Williamsburg (757) 873-3882 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 345-2600 VA Adult & Pediatric Allergy & Asthma PC 1144 Professional Drive Williamsburg (757) 259-0443 Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Assisted Care & Senior Living At Home Senior Consultants 213-A Quarter Trail Newport News (757) 528-0552 Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839 Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721 Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991 Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444 Heritage Commons 236 Commons Way Williamsburg (888) 711-6775 Madison Retirement Center 251 Patriotâ&#x20AC;&#x2122;s Lane Williamsburg (757) 220-4014 Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018 Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000 Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Ste. 1-A Williamsburg (757) 565-5305 Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121 Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583 Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517 WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615

Cardiology Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440 Cardiovascular Health, PLLC 117 Bulifants Blvd., Ste. B Williamsburg (757) 259-9540 TPMG Williamsburg Diagnostic Cardiology 4125 Ironbound Rd., Ste. 201 Williamsburg (757) 565-0600

Chiro Care Plus, PC 3204-A Ironbound Rd. Williamsburg (757) 565-6464

Thomas J. Morris, DDS 491 McLaws Cir., Suite 1 Williamsburg (757) 253-0598

Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670

Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Ira Goldstein, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS 1131 Professional Drive Williamsburg (757) 220-0330 7151 Richmond Rd., Ste. 305 Williamsburg (757) 258-7778

Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060 Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258 Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900 Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 5408 Discover Park Blvd., Ste. 200 Williamsburg (757) 645-9299 Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069 Tai Acupuncture 362 McLaws Cir., Ste. 2 Williamsburg (757) 565-9611 The Spine Center of Williamsburg 219 McLaws Circle Daniel S. Carlson, DC Williamsburg (757) 259-0077 Mark Croucher, DC Williamsburg (757) 259-1122 Walsh Family Chiropractic, PC 1309 Jamestown Rd. Williamsburg (757) 220-4917 Williamsburg Chiropractic Clinic 5252-A Olde Towne Rd. Williamsburg (757) 220-0060

Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050 Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741 Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804 Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414 Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521 Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920 Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703 Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900

Dentistry & Oral Health

Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620

Boxx, Blaney Lachine & Bowe 1118-A Professional Drive Williamsburg (757) 229-5570

K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913

D. W. Cherry, DDS 2225 S Henry St. Williamsburg (757) 253-2500

David G. Walker, DDS 813 Richmond Rd. Williamsburg (757) 229-6278

Michael J. Coleman, DDS 6969 Richmond Rd. Williamsburg (757) 564-0041

Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692

Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450

Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200

Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492

Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099

John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181 Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042 Peter S. Evans, DDS 120 Kings Way, Ste. 1300 Williamsburg (757) 220-1999 Gisela K. Fashing, DDS 325 McLaws Circle, Suite 1 Williamsburg (757) 229-8991 Gilbert J. Frey, DDS Lawrence R. Samiere, DDS 1161 Professional Dr. Williamsburg (757) 253-0400 Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115 Hampton Roads Neuromuscular & Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052 Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913 Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393

Chiropractic & Acupuncture

Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737

Acupuncture Works, Inc. 362 McLaws Circle, Suite 2 Williamsburg (757) 565-9611

Lifetime Family Dental 7349 Richmond Rd. Williamsburg (757) 564-8942

Beverly E. Boone, DC 213 McLaws Circle, Ste. 1 Williamsburg (757) 596-7605

Carol F. Morgan, DDS 1130 Old Colony Ln. Williamsburg (757) 220-6727

Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500 Williamsburg Periodontics & Implants 200 Packets Court Williamsburg (757) 221-0249 Walter G. Winneberger, DDS 104 Bypass Rd., Suite 202 Williamsburg (757) 229-6960 Wyatt Orthodontics 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737

Dermatology Agless Dermatology & Laser Center 5309 Discovery Park Blvd. Williamsburg (757) 564-1200 Dermatology Center of Williamsburg 5335-A Discovery Park Blvd. Williamsburg (757) 645-3787 Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466 Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220 Joseph W. Musgrave, MD 1139 Professional Dr. Williamsburg (757) 220-2266 Pariser Dermatology Specialists 207 Bulifants Blvd., Suite C Williamsburg (757) 564-8535

Diagnostic Imaging Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714

Weâ&#x20AC;&#x2122;ve done our best to include every health-related practice or service in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Riverside Diagnostic Center 120 Kings Way, Suite 1200 Williamsburg (757) 345-6700

Ladies Workout Express 3709-B Strawberry Plains Rd. Williamsburg (757) 220-2992

Hampton Roads Ear, Nose and Throat 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338

Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000

The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002

Hearing Evaluation & Noise Protection Assoc., Inc 1321 Jamestown Rd., Suite 104 Williamsburg (757) 229-4335

Women's Imaging Center 100 Sentara Circle Williamsburg (757) 984-6000

Pilates With Cindy 6580 Wiltshire Road Williamsburg (757) 645-2542

Endocrinology

Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770

Riverside Williamsburg ENT & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832

Williamsburg Endocrinology, Inc. 207 Bulifants Blvd., Ste. D Williamsburg (757) 565-9586

Family Practice Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440 Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259 Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045 New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795 Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300

R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221 Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000 Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314 Tidewater Systema Russian Martial Art Williamsburg (757) 810-8104 Transitions Lifestyle 3244 Windsor Ridge S. Williamsburg (757) 645-5737 Williamsburg Indoor Sports Complex (WISC) 5700 Warhill Trail Williamsburg (757) 253-1947 WJCC Recreation Center 5301 Longhill Road Williamsburg (757) 259-4200

Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Hearing Aids Beltone/Ledford Audiology & Hearing Aid Center 1303 N. Mount Vernon Ave. Williamsburg (757) 220-8975 Bowers Assistive Hearing Service 113-L Palace Lane Williamsburg (757) 220-3674 Moran Hearing Aid Center 1158-C Professional Dr. Williamsburg (757) 564-5902

Hospice & Home Care Agape Home Care 354 McLaws Circle, Suite 1 Williamsburg (757) 229-6115 At-Home Care 366 McLaws Circle, Suite 2 Williamsburg (757) 220-2112 Bayada Nurses 7151 Richmond Rd., Suite 201 Williamsburg (757) 565-5400

Gastroenterology

Brookside Home Health 460 McLaws Circle, Ste. 250 Williamsburg (800) 296-2536

TPMG Norge Family Practice 7151 Richmond Road., Suite 405 Williamsburg (757) 564-3700

Colonial Gastroenterology 400 Sentara Circle, Suite 350 Williamsburg (757) 253-5771

Comfort Keepers 15441-A Pocahontas Trail, Lanexa (757) 229-2777

Williamsburg Family Physicians 227 McLaws Circle Williamsburg (757) 564-8182

Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411

Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930

Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 345-4600

TPMG Specialist Center 4125 Ironbound Rd. Williamsburg (757) 903-4807

Hand 'N' Heart 461 McLaws Circle, Ste. 3 Williamsburg (757) 565-0216

Williamsburg Gastroenterology 457 McLaws Circle, Suite 103 Williamsburg (757) 221-0750

Harmony Care 106 Queen Anne Dr. Williamsburg (757) 784-7650

General Surgery

Hope In-Home Care 4512 John Tyler Hwy., Ste. G Williamsburg (757) 220-1500

TPMG Family Medicine 132 Professional Circle Williamsburg (757) 645-2981

Fitness & Weight Management Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080

Baeplex Family Martial Arts Center 3435-A John Tyler Highway Williamsburg (757) 229-2237 B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801 Body Balance Studio 370 McLaws Cir. Williamsburg (757) 221-0774 Bodyfit 5251 John Tyler Hwy. Williamsburg (757) 221-6688 CORE FITNESS Performance Training Center 344 McLaws Circle Williamsburg (757) 564-7311 Curves For Women 4511-B John Tyler Hwy. Williamsburg (757) 221-0330 107-A Bulifants Blvd. Williamsburg (757) 565-5655 Equilibrium Exercise Gallery 7880 Richmond Rd. Toano (757) 566-0077

FT - Fitness Together 4854 Longhill Rd., Ste. 1-A Williamsburg (757) 345-2246

Hampton Roads Surgical Specialists 120 Kings Way, Ste. 2800 Williamsburg (757) 345-0141 TPMG Specialist Center 4125 Ironbound Rd. Williamsburg (757) 345-2071 Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850

Hand Surgery Robert A. Campolattaro, MD Nicholas Smerlis, MD 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

Health Products & Equipment

Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451 Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220 Intrepid USA 212 Packets CT., Williamsburg (757) 220-9331 Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411 Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455 Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251

Bike Beat 4640 Monticello Ave., Ste. 9-B Williamsburg (757) 229-0096

Riverside Home Care 856 J. Clyde Morris Blvd., Ste. C Newport News (757) 594-5600

Bikesmith of Williamsburg 515 York Street Williamsburg (757) 229-9858

Riverside Hospice 12420 Warwick Blvd., Ste. 7-D Newport News (757) 594-2745

Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620

Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757) 645-2926

Healthy Equation 701 Merrimac Trail, Ste. K Williamsburg (757) 200-5838

Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009

Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874

Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225

Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020

General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100

Knee Pond Yoga, LLC 3356 Ironbound Rd., Bldg. 2, Ste. 202B Williamsburg (888) 524-4985

Hearing & Audiology Colonial Center For Hearing 337 McLaws Circle, Suite 3 Williamsburg (757) 229-4004

Hospitals & Clinics Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700 Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450 First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141

THE HEALTH JOURNAL

Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608

Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362

Eye 2 Eye 1147-A Professional Dr. Williamsburg (757) 259-2300

MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627

Bike Walk Virginia P.O. Box 203 Williamsburg (757) 229-0507

Eyewear Plus Optometric Center 101 Tewning Rd. Williamsburg (757) 229-1131

New Town Urgent Care 4374 New Town Ave., Ste. 100 Williamsburg (757) 259-1900

Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300

Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3004

Olde Towne Medical Center 5249 Olde Towne Rd. Williamsburg (757) 259-3258

DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775

Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300

Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890

Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907

Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900 Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000 Travel Health of Williamsburg 287 McLaws Cir., Suite 2 Williamsburg (757) 220-9008

Hypnosis Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590 Linda Pincus, RN, CH 240 Patrick's Crossing Williamsburg (757) 565-6156 Williamsburg Healthy Hypnosis 1769-107 Jamestown Rd. Williamsburg (757) 254-1104

Internal Medicine Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246 Greensprings Physicians 2000 Easter Circle Williamsburg (757) 564-5540 Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182 Kingsmill Internal Medicine 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0010 The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919 New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770

FISH 312 Waller Mill Road Williamsburg (757)220-9379 Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070 La Leche League of Virginia Williamsburg (757) 220-9187 Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250 National Alliance on Mental Illness Williamsburg Area Williamsburg (757) 220-8535

Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 645-3150

The Nutrition and Wellness Center 151 Kristiansand Dr., Suite 101 Williamsburg (757) 221-7074

Medical Transportation

Obstetrics & Gynecology

Lifeline Ambulance 24-Hour Service/ Emergency & Non-Emergency Transportation Toll-Free: (800) 476-5433

TPMG Williamsburg OBGYN 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

LogistiCare Toll-Free: (866) 386-8311

Wetchler and Dineen Gynecology 217 McLaws Cir., Suite 5 Williamsburg (757) 229-3254

RIDES (Non-Emergency) 7239 Pocahontas Trail Williamsburg (757) 345-6166

Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg (757) 253-5653

Nephrology & Renal Health

Womancare Of Williamsburg 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600

DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408 Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890 Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700 TPMG Williamsburg Nephrology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

Neurology & Neurosurgery Hampton Roads Neurosurgical & Spine Specialists 120 King's Way, Suite 3500 Williamsburg (757) 220-6823 Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Oncology Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 873-6434 Peninsula Cancer Institute 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724

Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687

34 THE HEALTH JOURNAL

Virginia Orthopedics & Sports Medicine 5335-B Discovery Park Blvd. Williamsburg (757) 253-0603

Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Optometry Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996 Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637

Prosthetics & Orthotics Certified Prosthetic & Orthotic Specialists 156-D Strawberry Plains Rd. Williamsburg (757) 833-0911

Psychiatry & Mental Health

Pain Management

ADR Clinical Associates 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-8800

Tushar U. Gajjar, MD 400 Sentara Circle Williamsburg (757) 345-4400

Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200

Tidewater Pain Management 4125 Ironbound Rd. Williamsburg (757) 258-2561

Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645

Pediatrics

Eastern State Hospital 4601 Ironbound Rd. Williamsburg (757) 253-5161

Pediatric Associates of Williamsburg 119 Bulifants Blvd. Williamsburg (757) 564-7337 Williamsburg Pediatric, Adolescent & Sports Medicine 4374 New Town Ave., Ste. 202 Williamsburg (757) 253-5757 400 Sentara Circle, Ste. 310 Williamsburg (757) 253-5757 Williamsburg Teen Center 4374 New Town Ave., Ste. 202 Williamsburg (757) 259-5133

Physical Therapy BonSecours In Motion Physical Therapy & Sports Performance 5700 Warhill Trail Williamsburg (757) 221-0101 Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230 Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628 Norge & The Lymphedema Treatment Center 7151 Richmond Rd., Ste. 191 Williamsburg (757) 345-0753

Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795

Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500

American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228

Spas & Massage

Ophthalmology

Non-Profit Organizations Alzheimerâ&#x20AC;&#x2122;s Association 213-B McLaws Circle Williamsburg (757) 221-7272

Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064

Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907

Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221

Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 223-5321

Sleep Disorders

Preventative Medicine

Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Sentara Neurology Specialists 400 Sentara Circle, Suite 305 Williamsburg (757) 388-6105

Arthritis & Rheumatic Diseases, PC 329 McLaws Circle Williamsburg (757) 220-8579

Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020

PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381

Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001

William A. Diog Health Club & Spa 3000 The Mall Williamsburg (757) 565-6545

Sleep Disorders Center at Williamsburg Neurology 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900

Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000

Rheumatology

Williamsburg Foot & Ankle Specialists 453 McLaws Circle, Suite 1 Williamsburg (757) 220-3311

TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-5870

Nutrition

Tranquil Reflections Massage Therapy & Spa at King's Creek Plantation Resort 111-B Petersburg Circle Williamsburg (757) 345-6789

Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222

Senior Services Coalition 161-A John Jefferson Sq. Williamsburg (757) 220-3480

Williamsburg AIDS Network 479 McLaws Circle, Suite 2 Williamsburg (757) 220-4606

Podiatry

Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853

Lightfoot Podiatry Center 213 Bulifants Blvd., Suite A Williamsburg (757) 345-3679

Tidewater Orthopaedic & Spine Specialists 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004

United Way 312 Waller Mill Rd., Suite 100 Williamsburg (757) 253-2264 Help Line: (757) 229-2222

Plastic Surgery Center of Hampton Roads 4374 New Town Ave., Ste. 205 Williamsburg (757) 873-3500

Transformative Energy Work 7151 Richmond Rd., Ste. 302 Williamsburg (757) 229-7819

Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020

Peninsula Health District 1126 Professional Drive Williamsburg (757) 253-4813

The Center for Excellence in Aging and Geriatric Health 3901 Treyburn Dr., Ste. 100 Williamsburg (757) 220-4751

Peninsula Plastic Surgery Center 324 Monticello Ave. Williamsburg (757) 229-5200

Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651

Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022

Orthopedics & Sports Medicine

The ARC of Greater Williamsburg 202-D Packets Ct. Williamsburg (757) 229-3535

Aesthetic Center for Cosmetic & Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg (757) 345-2275

Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660

National Federation of the Blind Williamsburg (757) 565-1185

SpiritWorks Foundation 5800 Mooretown Rd. Williamsburg (757) 564-0001

Plastic & Cosmetic Surgery

Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286 Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927 Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802 Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693 New Horizons Family Counseling Center 205 Jones Hall Williamsburg (757) 221-2363 Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522 Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462 Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691 Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 West Williamsburg (757) 220-2669 Anne K. Sullivan, EdD, LCP 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371

Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050

All of You Salon & Day Spa 511 York Street Williamsburg (757) 784-1869 Blue Sky Wellness - Reiki & Reflexology 5008 Liza Lane Williamsburg (757) 876-6185 Nicole Carson, NCTMB 1769-210 Jamestown Rd. Williamsburg (757) 561-9591 Elements Spa at Great Wolf Lodge Resort 559 E. Rochambeau Dr. Williamsburg (757) 229-9700 European Beauty Concepts 1248 Richmond Rd. Williamsburg (757) 229-2440

Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109 Williamsburg (757) 869-1936 Williamsburg Salt Spa 1111 Old Colony Lane Williamsburg (757) 229-1022

Substance Abuse & Addiction 24-Hr. Addictions Referral Network Toll-Free: (800) 511-9225 Al-Anon Toll-Free: (888) 425-2666 Alcohol-Drug Treatment Referral Toll-Free (800) 662-4357 Alcoholics Anonymous (757) 253-1234 Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111 Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061 Families Anonymous Toll-Free: (800) 736-9805 Narcotics Anonymous (757) 875-9314 Opiate Addiction Specialists Williamsburg (757) 229-4141

European Day Spa 3206 Ironbound Rd., Ste. A Williamsburg (757) 220-4959

Williamsburg Place & The Farley Center 5477 Mooretown Rd. Toll-Free: (800) 582-6066

Illusions by Marcus 374 McLaws Circle, Ste. 1 Williamsburg (757) 253-7790

Urology

Jamestown Therapeutic Massage 4608 Yeardley Loop Williamsburg (757) 784-8093 Jana Roselynn Laird, NCTMB 4939 Courthouse Road Williamsburg (757) 846-5707 Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020 Refresh! Center for Massage & Healing 7151 Richmond Rd., Ste. 302 Williamsburg (757) 345-2457 The Right Touch 5252 Olde Towne Rd. Williamsburg (757) 229-1866

Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051 TPMG Williamsburg Urology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

Vascular Surgery Peninsula Vascular Surgery 156-A Strawberry Plains Rd. Williamsburg (757) 229-7939 Pitman Surgical Associates 326 Monticello Ave. Williamsburg (757) 229-4958

Positive Energy Massage, LLC 1769 Jamestown Rd. Williamsburg (757) 810-4482 Saving Face Day Spa 7151 Richmond Rd., Suite 301 Williamsburg (757) 221-0490 Serenity Nail & Spa Studio 1781 Jamestown Rd. Williamsburg (757) 220-8510 Serenity Place Spa & American Spirit Institute 360 McLaws Circle, Ste. 1 Williamsburg (757) 220-8000 The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-SKIN The Spa of Colonial Williamsburg 307 S. England St. Williamsburg (757) 220-7720 The Spa at Kingsmill 1010 Kingsmill Rd. Williamsburg (757) 253-8230 The Spa at Manor Club 101 St. Andrews Dr. Williamsburg (757) 258-1120

Sentara Pediatric Rehabilitation Services 5301 Longhill Road Williamsburg (757) 984-9900 Sentara Rehabilitation Services 301 Sentara Circle Williamsburg (757) 984-9900 Anne K. Sullivan, Ed 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400 Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383

Turn Your Dial to 102.5 fm!

January Calendar

5 th 14 th

Not-So-Hot Yoga

For those interested in trying hot yoga but wary of the heat, Body Balance Studio (370 McLaws Circle, Williamsburg) will offer four free “Not-So-Hot Yoga” classes Jan. 5–14, on Tuesdays and Thursdays, from noon to 1 p.m. The classes will proceed at a slower pace and feature a lower room temperature than most hot yoga classes. Call 221-0774.

12 16

Positive Discipline

Learn ways to discipline your child without yelling, arguing or spanking in the free class, “Positive Discipline,” to be held from 7 to 9 p.m. at the CHKD Health and Surgery Center at Oyster Point (11783 Rock Landing Dr., Newport News). Register online at www.chkd.org/classes.

Soothe Your Infant

New and expectant parents are invited to learn ways to navigate the first months of Baby’s life and how to soothe fussy infants during “Happiest Baby on the Block,” a class based on the same-titled best-selling book by Dr. Harvey Karp. This free seminar will be held from 10 a.m. to noon in the 6th Floor Conference Room at Children’s Hospital of The King’s Daughters (601 Children’s Lane, Norfolk). To register, call Sam Fabian at (757) 668-7402.

19 th 26 th

28& th 29

Jewish Family Services of Tidewater will offer a bereavement support group from 12:30 to 2 p.m. at 260 Grayson Rd. in Virginia Beach. This meeting is free, confidential and open to the public. Registration is required; call Clare Krell at (757) 321-2222.

An open meeting for Buy Fresh, Buy Local Hampton Roads will be held from 1 to 3 p.m. at the Indian River Library (2320 Old Greenbrier Rd., Chesapeake). Get more details at www. buylocalhamptonroads.org.

Bereavement Support

Buy Local

2010

Live Well, Stay Young

Total Health Center’s free monthly dinner and talk, titled “How to Stay Young the First 100 Years,” will begin at 6:30 p.m. at Aberdeen Barn (5805 Northampton Blvd., Virginia Beach). Call (757) 363-8571 to register for this event.

Cancer Discussion

At 6 p.m., Sentara Cancer Network’s “Path to Survivorship” free cancer lecture series continues with a special presentation, “Long-term Effects from Treatment,” at Sentara Leigh Hospital in Norfolk. Refreshments will be provided. Call 1-800-SENTARA to register.

Parenting Seminar

Children’s Hospital of The King’s Daughters (601 Children’s Lane, Norfolk) will offer a free series for parents and professionals, “Parenting Challenges and Practical Solutions.” The first discussion, for parents, will be held Jan. 28, from 7 to 9 p.m. in the Brickhouse Auditorium. It will cover a broad range of topics from tantrums and sass to peer pressure and bullying. A professionals’ workshop (“The B’s of Adolescence—Belonging, Bodies Becoming and Breaking Away” presented by Dr. Ann Corwin) will be held Jan. 29 from 9 a.m. to noon. Register online at www.chkd.org/classes.

Turn to the next page for a complete list of local support groups.

THE HEALTH JOURNAL

Support Groups Abortion Recovery Group “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 p.m. (757) 886-6364 Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813 Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362 ADDiction Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700 Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com Aids

Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606

Alcohol & Drug Recovery SAARA Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395 Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480 Kids’ Group Spirit Works 5800 Mooretown Rd. (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Alzheimer’s Disease Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541 Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444

36 THE HEALTH JOURNAL

Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 Second Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tuesday, 10 a.m. (757) 599-6847 or (757) 930-0002

Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society King of Glory Lutheran Church Last Thursday, 7:30 p.m. (757) 259-0710 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370 Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595 "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287 Child Loss “The Compassionate Friends” Williamsburg Hospice House 2nd Monday (757) 645-2192

Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791

Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974

Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060

York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883

Young Widow/Widower Williamsburg Hospice House 1st Monday (757) 645-2192 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234 Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438 The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438

St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948

Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218

Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215

Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., call for dates. (757) 827-2438

Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com

Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700

Celiac Disease Monticello Ukrop’s Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050 Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050 Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m.; Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725 Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795 Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wed., 6 to 7:30 p.m. (757) 244-3923

Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862

Lou GeHrig's disease (ALS) St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 500-C Medical Drive Wed., 6 to 7:30 p.m. (757) 503-0743

Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971 Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 898-6674

Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279

Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880

St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 p.m. to 9:30 p.m. (757) 827-1001 Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902 African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393 Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033 ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847 Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051 St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945

Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381 PMS

Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902

Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 vasculitis Mary Immaculate Hospital 1st Sat., 10 a.m. to noon (928) 380-0319 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994 Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994 Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994 Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

snapshots

On Dec. 13, Kinks, Quirks and Caffeine hosted a fundraiser and 2010 calendar signing event for local breast health organization/support network “Beyond Boobs.” (1) Shop owner Jennifer Raines strikes a pose with the calendar models. (2) Raines and Beyond Boobs co-founder Rene Bowditch at the evening gala.

1,2

The Sentara Sleighbell 5K Run/Walk, held Dec. 12 at Sentara Williamsburg Regional Medical Center’s Geddy Outpatient Center, was a family affair for Philip Sabo and daughter Madison, a student at Stonehouse Elementary. More than 500 people braved the cold to attend the race, a fundraiser for schools in the greater Williamsburg area.

CORE Fitness Performance Training Center raised nearly $600 for Williamsburgarea Meals on Wheels during its fourth annual “Calorie Gobbler” classes held in November.

Board-certified thoracic surgeon Dr. Kevin G. Shortt has joined Bon Secours Heart and Vascular Institute, located in Portsmouth.

Tidewater Physical Therapy, Inc., held an open house to celebrate the opening of its new Kempsville Clinic, located at 6161 Kempsville Circle, Ste. 250, in Norfolk. (6) Left to right: TPT Regional Director Brian Beaulie; Dr. and Mrs. Michael Moro; Company President Wayne MacMasters. (7) Kempsville Clinic staff members Jenna Davis, Anita Jarnagin and Kitara McMoore.

6,7

Chesapeake Regional Medical Center presented employees with its first CEO Innovation Award for developing two new programs “Service Recovery” and “Chesapeake Cares.” Here, the award winners gather with Chesapeake Regional President and Chief Executive Officer Chris Mosley (second from left).

Eighth graders at Berkeley Middle School got a fast start at the 12th Annual Turkey Trot held Nov. 23. Over 900 students and teachers completed the one-mile run that raised $4,000 for their school.

Podiatrist Dr. Patrick Agnew (fourth from left) spoke at the second meeting of the Charcot-Marie-Tooth (CMT) Support Group held last November at Williamsburg Regional Library.

Norfolk’s Lake Taylor Transitional Care Hospital recently held a formal groundbreaking ceremony in to mark the beginning of a three-year upgrade and modernization project. The hospital’s President and CEO Thomas Orsini (far right) and several board members are joined by City of Norfolk Mayor Paul Fraim (second from right).

11 THE HEALTH JOURNAL

profile

Faith Amoroso Interview By Sharon Miller Cindrich

Photography By Page Bishop-Freer

efore her husband’s diagnosis, Faith Amoroso says, her life was practically perfect. Happily married, Amoroso and her husband Larry lived in New Jersey where she worked as a nurse in a surgical practice. Larry was an executive officer for an insurance and investment firm, managing four offices in the New York and New Jersey area. “He was a brilliant businessman, a Duke University graduate and at the height of his career when he started having symptoms of dementia,” explains Amoroso. Larry was diagnosed with early-onset Alzheimer’s disease in 1998, and the couple spent the next 10 years dealing with the condition, Faith being Larry’s primary caregiver. After Larry died from Alzheimer’s in December 2008, Amoroso began volunteering as a geriatric assessment nurse at Williamsburg’s Center for Excellence in Aging and Geriatric Health (CEAGH). If an individual had been diagnosed with Alzheimer’s disease, she would help them locate and navigate various medical and community resources. Three months later, a formal position was created and she was offered the job. Amoroso’s journey as an Alzheimer’s caregiver was long and difficult, but she has since applied her experience to a larger cause: This year she will take on a new challenge as chair of the Williamsburg Memory Walk, an annual event sponsored by the Alzheimer’s Association to generate funding for community programs as well as raise awareness about this disease. The walk, slated for next November, is expected to draw hundreds of participants. “Last

38 THE HEALTH JOURNAL

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November we had 400 walkers, so the bar has been set high,” she says. In her interview with The Health Journal, Amoroso explains why it’s important to play the hand we’re dealt.

What she gives and gets: I spent a decade of my life as a caregiver for an Alzheimer’s patient. I saw a unique opportunity to share my experience with other families in the community. Who she helps: At CEAGH, our focus is on older adults. But the face of Alzheimer’s is changing to include the caregivers—which can mean spouses, children and even grandchildren. The support that needs to go out [to caregivers] is really to all ages. This disease affects such a broad part of our population. Why talk openly about Alzheimer’s? Alzheimer’s is an illness that, in the early years, people tend to keep ‘in the closet.’ I like to tell people that it was when we came out of the closet that life became easier. We could reach out to friends and family and not hide behind closed doors, which I think so many people do. What she talks about: The conversation is often less about the person who is suffering from dementia and more about the caregivers—their stress and their needs. Anxiety and depression are common factors associated with caregiving. The caregiver becomes very isolated and feels very alone. I tell people that Alzheimer’s is not an illness that you can plan your life around. You have to live in the moment and meet the affected person at his or her own level, because they can’t meet you at yours. I think I really accepted the illness and moved

forward only when I realized that this was what we had to deal with. There was only one possible ending, and we were going to have the best life that we could. Acceptance was very important. Her biggest professional challenge: Sometimes it’s a bit emotionally draining. I can see and feel the emotional struggles of families, and I know what they are facing. Her role models: Most importantly, my mother, who is 90 and has always been and continues to be very positive and optimistic about life. She lives with me now. Beyond her, the people who have been given much in life and, in turn, give back to others who are less fortunate. What makes her laugh: Lighthearted people who love life. Sometimes I laugh at myself. Sometimes I actually look back and laugh. I like to tell the story about Larry taking the dog for a walk and coming back with just a leash and him wondering what was wrong with that. You have to take those stories and find some humor in them. What qualities do you value most in others: Honesty and openness, and not being afraid to take chances. What surprises you about life: How little control we have, how quickly things can change. One of my favorite expressions is, ‘We don’t get to choose what comes into our life.’ Our job is to reach a point of acceptance and find joy in things that matter. Favorite motto: Yes, it’s from Matthew 17:20: ‘If you have faith as small as a mustard seed, nothing will be impossible for you.

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