2010_02_THJ_P by The Health Journal

the

Health Journal

February 2010

Peninsula Edition

Vol. 5 No. 9

FITNESS

TRENDS

Remembering

Josephine

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PARTNERS IN PRACTICE

FREE

COVER PHOTO BY VICTORIA SUTHERLAND

AGE SPOTS?

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February Contents

2010

[ Features ] 6 Partners in Practice

Four local couples share their passion.

12 IPL for the Hands

Laser treatments have the upper hand on age spots.

17 Cross Over to the Cables

A step-by-step crossover cable workout.

32 The Heart of the Matter

Understanding congestive heart failure.

Remembering Josephine

42 Family Keeps Him Grounded Riverside Cardiologist Joseph Adinaro, IV.

[

In Every Issue

4 Editorâ&#x20AC;&#x2122;s Note 5 Inbox

]

17 Fitness

20 Second Opinion 34 Snapshots

35 Health Directory 40 Calendar

THE HEALTH JOURNAL

the

Health Journal

Editor’s

NOTE

The Health Journal is a free, monthly consumer health magazine distributed throughout Hampton Roads. Three editions are currently available: Williamsburg, Peninsula and Southside, with a combined circulation of over 78,000 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 David C. Kikoen

GRAPHIC DESIGNERS Natalie Monteith Jean Pokorny PHOTOGRAPHY Brian M. Freer Page Bishop-Freer

CONTRIBUTING WRITERS Sharon Miller Cindrich Bridgit Kin-Charlton, CPT Edwin Lampitt Loel Payne, MD Keith Schumann, MD Greg Tudor, CPT Joy Vann The Health Journal—Peninsula Edition is a monthly publication direct-mailed to homes and businesses in Newport News, Hampton, Poquoson and Yorktown. 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.

It’s true what they say about couples; opposites really do attract. In my marriage, for example, it’s those polar-opposite personality traits that interlock with surprising ease, complementing one another to form a whole. Brian is the classic “Type B” artist, dreamer, philosopher—unwilling to wear a watch much less conform to “the rules.” Then there’s me—the “Type A,” the natural-born planner. I manage our work and social calendars, pay our bills, keep a system of files for everything and remind Brian of what he’s most likely to forget. And like most moms, I stay on top of Cami’s bedtime, naptime, eating and childcare schedules and never, ever leave home without a diaper bag over-stocked with the essentials. It’s no coincidence, then, that an editor’s job is just as much about planning ahead as it is working with copy to correct grammar and refine language. At any given time, I could be working two, three, four or more months ahead, laying the foundation for upcoming issues. But every once in a while a story comes along that is so compelling that we follow our instincts and adjust our plans. Sometimes a story just has to be told. We’d originally planned to run a feature story this month on ways people can become more heart-healthy. I’d sought input from local cardiologists and searched for artwork that would best illustrate the story. That’s when I got the e-mail: a local father, Ed Lampitt, asked whether The Health Journal would consider publishing an essay he’d written chronicling his family’s recent emotional journey beginning with the shocking diagnosis of his daughter, Josephine Rose, and ending with her tragic death, at only 10 months of age. This Feb. 16 marks the one-year anniversary of Josephine’s death; at the same time, however, the Lampitts are anticipating the arrival of their second son, due early this March. They now wrestle with a question of great magnitude: how to celebrate the birth of one child while still grieving the loss of another. In “Remembering Josephine,” which begins on page 22, Lampitt shares insight into his family’s pain after Josephine was diagnosed with Gaucher disease Type II, an incurable and untreatable metabolic disorder, which began as a set of minor symptoms and progressed rapidly. Josephine’s struggle ended one year ago, but her family’s continues. Once rendered helpless by the disease, the Lampitts are now channeling their grief towards a larger cause: raising awareness about Gaucher Type II and helping a little-known charity in California raise money for research in hopes of one day having an effective treatment for the disorder. This story has found a special place in my heart, and I hope it will in yours, too. We thank the Lampitt family for allowing us to share with readers some of their most treasured photos. Many of these images (including this month’s cover photo of Josephine and her father) were captured by Josephine’s great aunt, who, last February, made an overnight drive from Georgia to give the Lampitts a precious gift—a series of photographs taken during Josephine’s last days. Though sections of it are extremely painful to read, Lampitt’s essay offers us a precious gift, too: A reminder to make the most of our time with loved ones, because we never know what tomorrow may hold. Plan as we might, he writes, we must learn to accept those things we cannot control.

Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements.

Page Bishop-Freer, Editor page@thehealthjournals.com

For Advertising and editorial Information, call or write: The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

4 THE HEALTH JOURNAL

CORRECTION “Local Gym Lineup” [January 2010, page 9]: The web site for the Peninsula Metropolitan YMCA was incorrectly listed. The correct Web site is www.peninsulaymca.org. Also, Phil Curtin’s name was spelled incorrectly.

page’s picks

February Favorites Chobani Greek Yogurt ($12 for a 12-pack, Costco) This smooth, creamy, fruit-on-the-bottom, Greek-style yogurt tastes too good to be fatfree—but it is! Each cup packs a whopping 14 grams of protein and only 140 calories. Other attributes: Gluten-free, Kosher, no preservatives, live and active cultures for digestive health. My new breakfast-on-the-go.

Skechers Shape-Ups ($110, www.skechers.com) After some hinting, Brian bought me these shoes for Christmas. I’ve been wearing them while running errands and pushing Cami around the block in her stroller. They’re designed to tone and firm, promote weight loss, strengthen the lower back and reduce ankle strain. I definitely feel the burn in my calves and glutes, a feeling similar to walking in wet sand. Skechers now carries these in all kinds of styles, not just tennis shoes (I’ve seen calf-high boots and Mary Janes)—plus famous athletic-wear brands like Avia and Reebok have followed suit with their own fitnesswalking shoes.

Hot Yoga (classes range from $10 to $15 each) Every winter I find myself returning to this great source of stressrelief. Warm, moist air makes muscles more flexible and forces your body to sweat out toxins—just be sure to drink plenty of water before, during and after a class. Most local studios offer an introductory trial week at a discounted rate (Body Balance in Williamsburg and Tidewater Hot Yoga in Yorktown both do), so check out our Health Directory in this issue for a hot yoga studio near you.

inbox

Kudos “I love your magazine! It’s one thing to always look forward to at my doctors’ offices.” —Lynne S., Williamsburg “Thank you for providing this resource to our community.” —Cynthia B., Virginia Beach “Thanks so much for the wonderful articles on ‘Caring For You, Caring For Me’ [Jan. 2010, p. 28, Williamsburg Edition only] and Faith Amoroso [January 2010, p. 38 all editions]. Your publication is a wonderful service to citizens of the Peninsula, and CEAGH is very proud to be a prominent part of this edition.” —Rick Jackson, executive director, The Center for Excellence in Aging and Geriatric Health Redesign “I just wanted to let you know that I received the newest copy of The Health Journal and love it! You all do such a wonderful job with this publication.” —Heather Cheek, graphic designer, Tidewater Physical Therapy, Inc. “I love the new look of The Health Journal. I was pleasantly surprised to see it in Harris Teeter. Thank you and your staff for the wonderful job you all do.” —Marie C., Virginia Beach Distribution “My family did not receive a copy of the January issue. What local business or hospital can I stop by to pick up a few copies? A location in Hampton, Newport News or York County would be best.” —Crystal P., Poquoson Ed.: Every hospital on the Peninsula carries The Health Journal; just look for one of our racks in the lobby or cafeteria. Also, the York County Public Library and Poquoson Library should have copies available.

TRX Training System (www.fitnessanywhere.com, starts at $189.95) I’ve started using the TRX regularly in my twiceweekly strength and conditioning sessions, and I can already see and feel the results in my back, shoulders and arms. On page 30, personal trainer and all-around-athlete Bridgit Kin-Charlton shows you how to use the TRX system for a total-body workout unlike any other.

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THE HEALTH JOURNAL

local beat

Partners in Practice WRITTEN BY JOY VANN

PHOTO COURTESY OF OPERATION SMILE

In the spirit of Valentine’s Day, The Health Journal brings you stories of local couples who share more than just a marriage—they both work in the medical field, often in the same office. Read what the following four couples have to say about the joys and challenges of being partners in practice…and in life.

Dr. William & Kathy Magee: Operation Smile

s founders of Norfolk-based Operation Smile, the world-renowned non-profit organization dedicated to treating children with cleft lips, cleft palates and other facial deformities, Bill and Kathy Magee work together tirelessly. Add five children of their own to the equation, and miraculously is more like it. The couple, married 42 years, started dating in their hometown of Fort Lee, N.J., while in high school. They married eight years later when Bill was still in dentistry school at the University of Maryland. Though the two didn’t work together until founding Operation Smile, they worked hard to take care of their children, starting with the first who was born 15 months after they married. Their dual career, which they describe as a “passion,” began when the Magees founded Operation Smile in 1982. Today Kathy is the full-time volunteer president and Bill is the chief executive officer. Taking advantage of unforeseen opportunities and chances has been the cornerstone of the Magee marriage. For instance, during one pregnancy when Kathy went into early labor, they went to the hospital where Bill’s father was a physician. It was there that an oral surgeon encouraged Bill to pursue medical school. Bill asked Kathy her opinion about con6 THE HEALTH JOURNAL

tinuing his education and becoming a craniofacial surgeon, along with the loans that went with such an endeavor. She didn’t hesitate and said, “If that’s what you want to do, do it.” While Bill attended George Washington University Medical School (while seeing dental patients for extra income), Kathy continued her nursing and social work education at night. With children, that required a lot of coordination and sacrifice on each spouse’s part. “We had three children under [the age of] three, and it was worth it for me to stay home, Kathy says. “At night, Bill took over. I saw the children to bed and then went to school for my master’s degree.” For instance, while in his last year of medical school, Bill had an opportunity to study in Switzerland with a leading oral surgeon. He’d saved enough money through his dental practice to take a leap of faith and bring his family to Europe. It was a worthwhile risk that led to a stint in Paris with world-renowned craniofacial physician Dr. Paul Tessier. Though the Magees then had four children under the age of five, they left for Paris, unknowingly planting the roots for Operation Smile. “One thing led to the next and the next, and our openness about not having money and worrying about the shoestrings and loans paid off,” Bill says. “Both of our personalities are very accepting of challenges.”

Kathy added: “People we met along the way all became part of Operation Smile—in Switzerland, France, New York. We began to gather people, seemingly in the short term, making friends along the way who became long-term friends.” Another opportunity presented itself when the Magees received an invitation to go to the Philippines on a medical mission. “The experience shocked all of us,” Bill says. “We treated 40 kids and watched as 250 were sent away. It’s one thing to watch it on TV, but to be in a small room and see what’s really going on, it’s an overwhelming experience.” That’s when Operation Smile was born. When the couple returned from that trip, they knew that they had to go back to continue the work. They enlisted the help of a few friends, who then enlisted the help of their friends. Since that inspired beginning, Operation Smile has provided free surgeries to more than 140,000 children in 50 countries. Today Bill maintains a private practice in Norfolk and is co-director of the Institute for Craniofacial and Plastic Surgery at Children’s Hospital of The King’s Daughters. (He is also an associate professor at Eastern Virginia Medical School.) Through their shared journey the Magees have learned to turn whatever stress they face in working so closely together into something positive and productive. “We’re two different individuals with two different approaches and skill sets,” Bill says. “Fortunately for us, they complement each other and that has become our advantage.” Having such passion for their work means that OpSmile talk is rarely off the table, though it doesn’t overwhelm their lives. Says Bill: “You talk about what’s important to you. We have a lot of other interests. Family is a very big interest, and our family is centered around one another. We take vacations, sometimes with 25 to 30 family members. We play a lot of sports and do a lot of things together. Whatever is dominant at that moment is what we talk about.” When asked what advice the Magees could offer to other couples embarking on a shared career, Bill says, “You have to be cognizant of what each other’s strengths are and celebrate those strengths and hope that your weakness will be their strength. You have to be respectful in the process and maintain your own independence. You have to know who you are to know who the other person is.” Kathy offers a pragmatic suggestion for couples who work together: Know when to turn the phone off. “Some calls can wait until morning,” she says. “You have to respect that. There’s a reason it’s called a ‘crackberry.’ You have to be able to say, ‘Put that crackberry down.’”

local beat Bon Secours Recognition Day Provides “Good Help”

PAGE BISHOP-FREER

In recognition of the 186 years that the Sisters of Bon Secours have been providing “Good Help to Those in Need,” employees and physicians associated with Bon Secours Hampton Roads will be collecting blankets, coats and food to donate local organizations. Donations can be made at the Oasis Homeless Shelter in Portsmouth, the East Ocean View Healthy Communities Initiative in Norfolk, the Newport News homeless shelter, Transitions Family Violence Services in Hampton and the Peninsula Food Bank.

Oncologists Elizabeth Harden & Richard Hoefer

“W

e fell in love in 1988 while serving in the Air Force in San Antonio,” says Elizabeth “Betsy” Harden. “It was 1989,” Rick gently corrects. They both laugh. Such is the give and take—and sense of humor— that these oncology professionals have employed to build their marriage of 23 years. Betsy is an oncologist with Virginia Oncology Associates, (VOA) and Rick is a surgical oncologist at the Dorothy G. Hoefer Comprehensive Breast Center in Newport News (his mother is the founding benefactor). “Though we’re not in the same practice, we see a lot of the same patients,” Betsy says. “Rick does surgeries and I do medical therapy and chemotherapy.” Rick, a member of Sentara Surgical Specialists, explains that his group has a joint venture with VOA to develop oncology programs throughout the region, which often leads to treating the same patients, particularly breast cancer patients. “We work closely together to decide on what’s best for the patient, along with mammographers and radiographers,” Betsy says. “It’s a very exciting multidisciplinary program that we have here.” The couple doesn’t allow the stress of working together and being in such a high-pressure profession to get to them. “We have a pretty good way of turning things off,” Betsy says. “We’ll talk shop over dinner and things like that. We have a pretty good way of communicating. We have a lot of fun. It’s very rewarding to be on the same wavelength about a lot of things.” Rick continues: “We each understand what the other’s career is like. I have a pretty good idea what

her day is like and what her stresses are like. It’s very helpful when a spouse understands what the other spouse does. I value her opinion and she values mine, which is always a good thing in a relationship.” While both work many hours and often don’t see each other at home, they also work hard to keep their romance alive. Says Betsy: “We try to reserve time for us. Friday night is our standing date night, and we make sure to have time with each other.” She adds that

“I value her opinion and she values mine, which is always a good thing in a relationship.” —Dr. Richard Hoefer carving out time together has become easier since she scaled back on her on-call duty to care for her ailing mother. Adds Rick: “There always has to be some give and take. We’ve really been blessed in that we love what we do, and that’s a big help. We each respect each other in terms of his or her own career and that’s played a big part as well.” While healing cancer patients is still the main goal for the couple, they now are willing to take a little more time for themselves. “We both love to work and hope to keep working a long time,” says Betsy. “But we’re hoping for more vacation time together as the years go on.”

Bon Secours Health System Responds to Haiti Crisis Bon Secours Health System Incorporated (BSHSI) is working with various Catholic health agencies to provide relief to survivors of the Haiti earthquake. BSHSI sent $50,000 to begin relief efforts. The Bon Secours Mission Fund (BSMF) is also accepting donations from employees to support relief efforts. BSHSl will match any employee donation up to $100,000.

Bon Secours Announces Director of Advocacy and Community Affairs Bon Secours Health System as appointed Thomas Prevette as Director of Advocacy and Community Affairs. Prevette will direct all legislative activities and initiatives for Bon Secours in Hampton Roads and will support state and federal legislative activities for Bon Secours Virginia.

Six Surgeons Join Atlantic Orthopaedic Specialists Atlantic Orthopaedic Specialists welcomes new physicians Drs. Sheldon L. Cohn, Erin A Jerlin, Eric S. Neff, Robert S. Neff, Lawrence M. Shall and Paul D. Warren. The group, now comprised of 22 physicians and a medical director in seven offices throughout Hampton Roads, celebrated its 90th anniversary in 2009.

Continued on page 9

THE HEALTH JOURNAL

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Drs. Michelle & Scott Eichelberger: Chesapeake Pediatrics

PAGE BISHOP-FREER

rs. Michelle and Scott Eichelberger, pediatricians at CHKD’s Chesapeake Pediatrics, fell in love while attending James Madison University. At the time, neither imagined that in the future they might marry and work together. The two went on to Eastern Virginia Medical School and completed residency training at East Carolina University, marrying and having their first child along the way. When Scott changed his career path from internal medicine to pediatrics, the two began to interview together, hoping to be hired at the same practice. They were thrilled when they were both offered jobs at Chesapeake Pediatrics. “It was a very young practice and we had the opportunity to get in on the ground level and help to build it up,” Scott says. “And we’ve been here ever since.” The Eichelbergers have four children, ages 12 to 21, and they say that working at the same practice hasn’t hindered them from balancing their personal and professional lives. “Our practice is good about granting schedule requests, and that really helps us out,” Scott says. Michelle adds: “That helps because we can take care of the kids in shifts. One of the nice things about working together is that when he was on call and wanted to coach one of the children’s ball games, I’d hold the beeper for him. We could cover each other that way.” Being married and working together has also enhanced their professional life. As Scott says: “It’s been good to bounce medical issues off each other. If a patient comes in presenting with difficult issues, we’ll talk about it. It’s like having a built-in consult all the time.” When asked about the difficulty of ceasing talk about patients and their practice, they laugh. “Our children have a distinct answer to that,” says Michelle. Scott follows: “At the dinner table, they’ll say, ‘OK. No more shop talk.’” For young couples starting out, the Eichelbergers agree that having a foundation built on faith and trust is the most important thing for two people to share. “We feel like our Christian faith helped us through difficult times, Scott says. And you’ve got to have trust.” “If you’re on shaky ground to start with and you’re not solid going into [a marriage], you’re put in some jeopardy because [relationships are] hard. Our advantage was that we knew each other for several years before medical school. Sometimes couples who meet in med school or residency have difficulties as their relationship grows. We got to know each other without [the] stress of med school.” Having a married couple on the team also brings a lot of humor for the staff. “The nurses love to hear my stories about Scott,”

says Michelle, “so they can use them for ammunition [to tease him]. Nothing is secret around here.” That “everybody-knows-what-everybody-is-doing” element of the medical community is one that they’ve grown comfortable with over the years. Says Michelle, “When I got pregnant during residency, I had to call Scott and tell him on the phone because I knew that before I got back to the hospital, he’d hear it from someone other than me.” She continues: “Our lives are an open book, and we’re comfortable with that. Other people in relationships might not be as comfortable with that and prefer to be more private.” All and all, raising a family and working together has been a boon for the Eichelbergers. “It’s been a good ride,” says Scott. “I can’t imagine doing this without her. I can’t imagine not doing medicine, period—and I can’t imagine being in practice without her.” Continued on page 10

“One of the nice things about working together is that when he was on call and wanted to coach one of the children’s ball games, I’d hold the beeper for him. We could cover each other that way.” —Dr. Michelle Eichelberger

THE HEALTH JOURNAL

PHOTO COURTESY OF THE LACKEY FREE CLINIC

local beat

In an upcoming issue, The Health Journal will recognize a few more dynamic duos— friends committed to improving health in Hampton Roads—in “It Takes Two,” also written by Joy Vann.

Continued from page 9

Patricia “Cooka” & Dr. James “Jim” Shaw: Lackey Free Clinic

im and Cooka Shaw met in the eighth grade and married while Jim was a fourth-year medical student. When the Shaws’ first child arrived, Cooka, a nurse, became a stay-at-home mother. Though she worked part-time on and off through the years, the thought of working alongside Jim “never crossed the radar screen.” That changed when Jim, a pulmonologist, was still in full-time practice at Riverside Regional Medical Center. The couple felt a shared calling to serve the Peninsula’s growing number of uninsured people. In 1995, the Shaws and a friend from Rising Sun Baptist Church in Yorktown started offering free medical treatment one night per week at the church. Two years later, as patient numbers increased along with the number of volunteers to treat them, the clinic moved to the nearby Charles E. Brown Community Center. As word spread about the clinic, it increased its hours to be open two days a week, then three, and it is now open five days a week. In 2003, the Lackey Free Clinic opened on Old Williamsburg Road (in the Lackey area of Yorktown), providing a full range of medical services daily. Today, with more than 60 volunteer physicians, physician assistants, nurse practitioners, pharmacists and administrative staff, the Shaws have stepped back from day-to-day operations. Jim still sees patients, and Cooka works the front desk one day a week, but they now primarily enjoy watching their faith-based ministry thrive through dedicated volunteers.

10 THE HEALTH JOURNAL

“I was focused on medical issues because that’s the way I was trained and the way my brain works. Cooka has always focused on love and compassion.” —Dr. Jim Shaw Says Cooka: “When someone has to quit or others move to warmer weather during the winter, the phone will ring with someone who wants to do just that job of the person who left….We give the credit to God.” Working together has never been stressful for the Shaws, largely because of their calm demeanors and the fact that they kept operations manageable, growing gradually over the years. Jim says their strengths grew to complement one another, with him providing medical oversight and Cooka providing the warm embrace they wanted their patients to feel. “I was focused on medical issues because that’s the way I was trained and the way my brain works,” says Jim. “Cooka has always focused on love and compassion. Because these patients are turned away from so

many doctors’ offices, it was our vision that we make them feel welcome. They are so often pushed aside because they don’t have health insurance.” Cooka summarizes their shared vision and work by saying, “We care about the whole person, not just the medical problem.” Though the clinic has been prominent in the couple’s life, family, friends and outside interests have provided balance—though Cooka adds that maintaining balance takes some effort. “You have to understand each other’s strengths and weaknesses,” she says. “Through the years, we’ve gained an understanding. He’s the brains and I’m the hands, feet and heart. He keeps me in line, and I keep him in line.” After 44 years of marriage, the Shaws feel they can offer some solid advice to young couples considering marriage or shared careers: “Pray about it, and try to understand what each other’s position is going to be,” says Cooka. “So many people jump into marriage and don’t discuss the serious aspects. You have to ask, ‘What are your expectations of me? What do you need from me in this endeavor?’” Having created a successful free clinic that meets the needs of the medically disadvantaged, the Shaws are happy with its success. “We just put one foot in front of the other and went at it,” Cooka says. “It just took on a life of its own. We believe in God’s plan. We never imagined working as a team, but it’s been wonderful.”

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IPL: Bringing a Youthful Look Back to Your Hands WRITTEN BY DR. KEITH W. SCHUMANN

Keith W. Schumann, M.D., is a board-certified dermatologist with advanced training in lasers. The founder of Ageless Dermatology & Laser Center, he has practiced in Williamsburg for the last 10 years. He can be reached at info@agelessderm.com.

What am I looking at?

These two hands (at left) show the regenerative power of laser skin care treatments. The brown sun spots that many of us have on our hands can be removed with two 10-minute non-invasive IPL (intense pulsed light) treatments. On this patient, the treated hand is clear while the untreated hand remains spotted.

Why rejuvenate the hands? Your hands are often one of the first things people notice upon meeting you. Repairing sun damage to the hands with a series of IPL laser treatments can contribute to a more youthful look.

12 THE HEALTH JOURNAL

How does IPL work?

IPL systems are based on the same principles as lasers in that light energy is selectively absorbed by targeted cells. The light energy is converted to heat, which causes thermal damage to these cells, resulting in smooth, even skin color and tone.

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What’s Up, Doc? Talking with kids about the doctor WRITTEN BY SHARON MILLER CINDRICH

“Am I going to get a shot?” It is the most popular—and anxiety-laden—question kids ask when they hear they have an appointment at the doctor’s office. “Needles, shots and finger pricks are by far the greatest fear kids have when it comes to going to the doctor,” says Sam Fabian, parent educator with Children’s Hospital of the King’s Daughters in Norfolk. While it may be the most common reason for a child’s apprehension, getting a shot is not the only thing that causes a child’s nerves to fray when visiting a doctor. “The anxiety [also] stems from pain [and] fear of [the doctor] looking at their body and, more specifically, private parts,” explains Fabian, adding that generally kids between the ages of four and 12 experience the most anxiety. Parents may view their child’s occasional doctor visit as inconsequential, but the experiences can leave lasting impressions. “Each visit will bring a new experience, and the way the parent and doctor handle even the most distraught child can make a difference in future visits to the doctor,” says Fabian. Whether you’re taking your toddler in for the sniffles or your teen needs a flu shot, follow these tips to make the experience as painless as possible:

Avoid a surprise. “Often parents hold off in telling the child until the last minute about going to the doctor,” says Fabian. “Children are no different than adults. They like to know what to expect. When we are surprised or feel like we do not have enough information, we will react and panic.”

14 THE HEALTH JOURNAL

Manage expectations. “Parents should prepare the child, depending on their age, a day or two before and give them age-appropriate information that will help them understand what will happen,” says

Fabian. Talk about the waiting room, the sign-in desk and what happens once the nurse calls your child back to see the doctor. Details will help your child create a picture of the experience in his or her mind. Be honest. Protect the trust your child has in you by answering his or her questions honestly, even if there is a little pain in the picture. “If the child is getting a shot, never lie”, says Fabian. “Let them know it is to keep them from getting sick and that it may feel like a pinch, but it will be over in two seconds or less. Never tell them it won’t hurt.” Acknowledge anxiety. It is completely normal to be worried about getting blood drawn, a flu shot or a finger prick. Even children who are acting brave will benefit from a reminder that a little bit of worry is normal and that they aren’t alone in feeling anxious.

Remain calm. A toddler can throw a tantrum. Even an older child can be rude out of fear. As tensions get high, however, parents need to stay cool. “The more upset you get, the more the child will, too,” says Fabian. “The fear-anxiety response is something they cannot control, and it is OK.” He adds that pediatricians and their staff are well trained in working with children of every age and will not judge you if your toddler or teen gets upset.

Talk about the experience. No matter what happens in the doctor’s office, talk about it. Did the shot hurt as much as your child expected? Was the doctor nice? Did your child like the sticker he or she received? Giving children an opportunity to talk about their feelings will lay a foundation for their next visit and reassure them that you care about their experience.

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CROSSOVER CABLES WRITTEN BY GREG TUDOR, CPT PHOTOGRAPHY BY BRIAN M. FREER

n most gyms, the most versatile piece of equipment is the cable crossover—yet many people are intimidated by it. The cable crossover is nothing to fear—it’s simply a pulley system attached to a weight stack and is mounted on two towers. It can bring variety to any fitness routine and, if used correctly, can work every muscle group. Plus, the crossover’s attachments make it easy to transition from one exercise to another. Cable exercises provide a unique training stimulus. The crossover’s pulley system allows muscles to maintain constant tension, allowing for greater muscle isolation and contraction. In other words, it works your muscles in a completely different way than traditional free weights. The full-body workout on the following page uses only the cable crossover. The workout was designed to help you understand the machine while experiencing a radically different strength workout. I recommend that you aim for three sets of each exercise, 12 repetitions each. Try the entire routine, or add one or more of these exercises to your existing program. You will definitely feel the difference and see increased results. So, turn the page—and learn how the cable crossover can create a fitter, stronger you.

Continued on page 18

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Squat & Row ❙ Attach handles to low pulley cable.

❙ Stand facing the weight stack with feet shoulder-width apart. Grasp both handles, keeping the elbows bent, hands even with your waist.

❙ Slowly lower your body by bending at your hips and knees while allowing your arms to extend in front of you.

❙ When you are in a seated (squat) position, slowly reverse your movement and repeat.

Chest Squeeze

❙ Attach handles to each high pulley cable.

❙ Standing in the center of the machine, with your feet shoulder-width apart, grasp each handle with an overhand grip.

❙ With your arms out to the sides and elbows slightly bent, slowly pull each handle forward and meet them between your waist and chest. (Keep your back as straight as possible while performing this exercise.) Slowly return your arms to the starting position and repeat.

Pose Curls

❙ Attach handles to each high pulley cable.

❙ Standing in the center of the machine with your feet shoulder-width apart, grasp each handle with an underhand grip.

❙ Slowly bend at the elbows until you have formed an “L” with your arms. Squeeze and slowly return to starting position, then repeat.

30 MINUTES

Handle Pull-down

❙ Attach both handles to one high pulley cable.

❙ While seated on a fitness ball or bench, grasp each handle with palms facing each other and arms straight up.

❙ Slowly pull the handles down towards your chest and begin to separate them as you reach the bottom.

❙ Slowly return and repeat.

Tricep Rope Push-down ❙ Attach the rope to high pulley cable.

❙ Stand facing the weight stack with your feet shoulder width apart, grasping each end of the rope with arms bent, elbows toward the floor, and palms facing each other at chest level.

❙ Slowly pull down while keeping your elbows towards the floor and close to your sides. As you pull down, separate each handle until your arms are fully extended. Greg Tudor is a certified personal trainer and cofounder of Results Personal Training Studio, Inc. 18 THE HEALTH JOURNAL

❙ Slowly return and repeat.

Lateral Raise

❙ Attach handles to each low pulley cable. ❙ Standing in front of the weight stack with feet shoulder-width apart, grasp each handle with an overhand grip and cross the wrists. With your elbows slightly bent, slowly raise each handle to shoulder height at your sides. ❙ Slowly return and repeat.

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THE HEALTH JOURNAL

second opinion

Hampton Roads Embraces Medicine’s Ne

I injured my shoulder months ago ulder several sev and it is still painful. nful. What Wh could be wrong?

Loel Payne, M.D., is an orthopaedic surgeon with Tidewater Orthopaedic Associates Shoulder Specialists. He completed a fellowship in shoulder surgery and sports medicine at the Hospital for Special Surgery in New York. He has written multiple articles and book chapters and lectured nationally on shoulder conditions.

20 THE HEALTH JOURNAL

A: Each year an estimated four million people seek medical attention for shoulder injuries. As a shoulder surgeon, I frequently see patients with one of three main shoulder complaints: their shoulder is unstable after an injury or dislocation, their shoulder is stiff and they have limited movement, or they feel pain and weakness when trying to reach overhead—pain that often gets worse at night. Here’s a look at the three most common sources of shoulder pain: Shoulder instability is more prevalent in younger patients and often occurs after a fall when the ball (humeral head) of the shoulder joint is knocked out of the socket (glenoid). The cartilage (labrum) that supports the glenoid may tear, or the ligaments that connect the humeral head to the glenoid may stretch. This injury can lead to a continuing sensation that the shoulder is slipping out of its socket.

Shoulder stiffness, or “frozen shoulder,” is a condition where the shoulder spontaneously stiffens and becomes painful even though the patient has not experienced an injury. For reasons not well understood, the lining of the shoulder joint thickens and contracts, thus limiting movement. The condition is more common in middle-aged women and is particularly worse in diabetics. People often tolerate a stiff, painful shoulder for months until they can’t reach behind their back or out to the side. Arthritis of the shoulder causes similar symptoms but can be ruled out with X-ray imaging.

Rotator cuff pain is the most common cause of shoulder pain. The rotator cuff is comprised of four muscles and their tendons that attach to the humeral head. Rotator cuff pain is usually caused by inflammation of the tendons, a condition called tendonitis or bursitis. The bursa is a small, fluid-filled sac that rests on top of the rotator cuff tendons and helps lubricate the tendons as they glide under the acromion, a bony ledge found on top of the shoulder. If a bone spur develops here, it pinches or rubs (impinges) on the tendons and bursa, causing bursitis. Repetitive overhead motion produces a similar type of pain. The outer portion of the upper arm hurts each time the arm is raised overhead (some people feel pain when lying on their side, which makes sleeping uncomfortable). The rotator cuff tendons can also tear as a result of repetitive rubbing, similar to how rubbing an old rope between your hands will cause it to tear, as a result of a traumatic injury such as a fall. The pain of a rotator cuff tear is similar to that caused by bursitis, but the night pain is worse and weakness in the shoulder and arm may develop.

Q: What are my treatment options for chronic shoulder pain? A: Exercises designed to strengthen the rotator cuff are often the best means of treating shoulder instability caused by stretched ligaments. A torn labrum, however—especially in younger patients—often requires a surgical repair to prevent further dislocation. If detected early, a frozen shoulder can be managed with non-surgical interventions such as anti-inflammatory medications (e.g., ibuprofen), physical therapy to stretch the shoulder and cortisone injections into the joint. Sometimes a patient will benefit from physical manipulation—stretching the shoulder while a patient is under anesthesia—to help regain mobility in the shoulder. If other measures fail, a surgeon can cut through the tight areas of the joint’s lining to improve movement. Bursitis pain usually resolves with rest, ice and occasional medication. Physical therapy or a cortisone injection may be needed if the pain persists. Arthroscopic surgery to remove the bone spur and inflamed bursa is recommended as a last resort treatment. Complete rotator cuff tears do not heal without surgery, though some patients choose to live with the condition. Q: Is shoulder surgery painful? How long is the recovery time?

A: Advancements in the understanding of shoulder injuries as well as newer treatment options are dramatically improving surgical outcomes with better results and reduced pain. For most patients, today’s surgeons can restore shoulder function to near normal. In the past, shoulder repairs were done through large, open incisions and required an overnight hospital stay. Modern arthroscopic techniques now allow surgeons to repair tears directly, without compromising other structures in the shoulder. Arthroscopic surgery works like this: A small camera is inserted into the shoulder joint to inspect the problem, and the tear is repaired through two or three additional quarterinch incisions. Anchors that are eventually absorbed by the body are inserted into the bone where the rotator cuff tendon or cartilage has torn, and sutures are passed through the torn tissue and tied to secure the repair. The surgery is performed in an outpatient setting and can be done without general anesthesia. There is still a lengthy three-to four-month recovery process involved, but sparing healthy tissues starts the patient on the right path toward full rehabilitation.

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feature

Remembering

PHOTO BY VICTORIA SUTHERLAND

Josephine WRITTEN BY JOSEPHINE’S FATHER

PHOTOS COURTESY OF THE LAMPITT FAMILY

This month, expectant parents Ed and Claire Lampitt of Williamsburg wrestle with a storm of conflicting emotions: While anticipating the birth of their second son, due in early March, the couple continues to mourn the loss of their daughter, Josephine Rose, who died Feb. 16, 2009, at just 10 months of age. Here, in a poignant narrative, Josephine’s father recounts the family’s emotional journey from Josephine’s initial diagnosis to how they are coping now as another chapter of their lives unfolds. 22 THE HEALTH JOURNAL

Until Josephine’s diagnosis, we naively believed that this was the type of tragedy that affected others, the proverbial “people down the street.” We could not have been more wrong.

ur story began in early December 2008. We were scheduled to bring our then eight-month-old daughter, Josephine Rose Lampitt, to Children’s Hospital of The King’s Daughters (CHKD) in Norfolk. She had been seen by other doctors before for what various specialists had repeatedly described as “severe reflux,” a relatively common and benign disorder that most children outgrow. We expected our visit to include a continuation of the reflux diagnosis but also a more detailed read-out on the cause for her newer symptoms, among them poor weight gain, unusual eye movements and persistent crankiness. The weight gain issue in particular was perplexing as we had tried for months to increase Josephine’s body weight with breast milk supplements, then formula, and eventually a high-calorie formula concentrate. Nevertheless, we’d been assured that there was no reason to worry. To our horror, we soon found ourselves confronting every parent’s worst nightmare: a diagnosis of an extremely rare and incurable disease that would take our infant daughter from us. The doctors explained that Josephine had a rare metabolic disease— specifically, a lysosomal storage disorder known as Gaucher (pronounced “go-shay”) disease. Of the three forms of the disease, only Type I has a sustainable treatment while Types II and III have a degenerative neurological component that is untreatable and incurable. Josephine had the rarest form, Type II, which affects approximately one in 100,000 live births. The average life span, we were told, was about nine months, though some children had lived as long as two to three years. Words fall short of capturing the emotions we felt then and have felt ever since, but shock, disbelief and horror are starting points. We had no known family history of that disease nor any disease for that matter. My wife and I had above-average health. We were both college-educated and from seemingly average American families. We were financially stable with a sound marriage and strong faith. We already had one healthy son. Until that time

we naively believed that this was the type of tragedy that affected others, the proverbial “people down the street.” We could not have been more wrong. We learned that Gaucher disease passes down via mutated recessive genes (present in approximately one in 400 people in the general population). Neither my wife nor I had ever displayed symptoms, nor had any of our relatives. For symptoms of Gaucher disease to manifest, both parents must have the recessive gene, and even then, the couple’s offspring have only a one in four chance of manifesting the disease (each child also has a 50-percent chance of carrying the disease with no symptoms and a 25-percent chance of having no trace of the disorder). We soon found ourselves looking back fondly on Josephine’s first six months when she behaved and appeared, for the most part, as a normal, healthy baby girl. She had been irritable at points, but that in itself had not alarmed us. Likewise, she had raspy breathing, but that had been attributed to the reflux. She made unusual facial expressions from time to time, but we (and her doctors) had reminded ourselves that every baby has his or her own ‘isms,’ quirks and silly expressions. She had made our family complete—a mom, a dad, a son and then sweet Josephine to balance the gender mix. We had all been thrilled when she was born, especially our son, who was eager to see his little sister grow up before his eyes. Now, my wife and I were faced with how to take care of a dying child, how to ensure Josephine had the best short little life possible with the best access to doctors, the most quality time with family possible and the most comfort science and faith could offer. We also had to consider our son’s emotional and mental health through her illness and, we feared, her impending death. My wife and I put our own needs—physical, mental, emotional—largely on hold, though we remained attuned to the fact that preserving our marriage during this time of chaos would be key to giving Josephine and our son the best support. Josephine’s doctors reminded us of the disease’s low incidence rate and admitted their lack of experience and comfort in treating children diagnosed with it. Dr. Virginia Proud, our pediatric genetic specialist at CHKD, admitted she had only seen one other case of Gaucher Type II in her ca-

PHOTO BY VICTORIA SUTHERLAND

Continued on page 25

THE HEALTH JOURNAL

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We went to bed each night not knowing whether Josephine would still be with us in the morning. It was terrifying.

Continued from page 23 reer; our local pediatrician, Dr. Jennifer Altman, had seen none. We scoured the Web for every morsel of information we could find on Gaucher disease, Type II. We found very little. We learned of a single organization dedicated specifically to Gaucher Type II and III—the Children’s Gaucher Disease Research Fund—through which we gained some insight but also fear and increased sadness. The group’s Website (www.childrensgaucher.org) conveyed the stories of children who had already succumbed to the disease. Each child’s story drilled home to us the reality of Josephine’s future. By mid-December 2008, Josephine started receiving all of her meals through a nasal-gastric tube inserted through her nose. This was the only means of increasing her caloric intake since the disease had begun to impair her ability to swallow and/or swallow without liquid entering her lungs. The lasting image in my mind of a tube protruding from our child’s nose is indescribable. Moreover, the mechanical and logistical challenges of administering meals and medications through the tube only added to our physical fatigue. On Dec. 23, Josephine had her first round of enzyme replacement therapy (ERT). The treatments, which she would need two to three times a month, helped to ease some of her non-neurological symptoms such as an enlarged spleen and liver. We undertook the lengthy, costly therapies to improve the quality of her life as no treatment can stop or even stall the neurological degeneration caused by Gaucher. In the end, the ERT treatments cost tens of thousands of dollars, but we never once hesitated to incur the cost for ourselves or our insurance provider. (Our provider, Anthem, did not balk at a single expense.) By January 2009 we decided to bring Josephine to

one of the world’s premier institutions for medical research—the U.S. National Institutes of Health (NIH) outside of Washington, D.C. We were reminded in advance that NIH’s mission is to research treatments, but that the dividends of the research process would be our (and future generations’) better understanding of the disease. Clearly, our goals for Josephine had changed. We continued to hope for a miracle, but we conceded that modern science could not save our child. We sought information from researchers to help us enhance Josephine’s quality of life and, ultimately, quality of death. Though our NIH doctors proved to be a tremendous resource as they interpreted a battery of tests, they couldn’t predict how Josephine’s specific gene mutations would manifest themselves in the coming weeks or months. We decided we’d keep Josephine at home as much as possible, out of arm’s reach of doctors who openly admitted they could not help us. This decision, in effect, removed the uncertainty over an extremely longshot, unproven option of a bone marrow transplant in North Carolina. An oxygen pump and pulse-oxygen monitoring machine soon arrived at our home. The monitoring device measured the oxygen level in Josephine’s blood at night while she slept (and eventually during the day as her disease progressed). With increasing frequency, the device would emit a piercing alarm—indicating that her ever-weakening lungs couldn’t meet her body’s demands for oxygen. The alarms became so frequent that (with approval from doctors) we gradually adjusted the device’s sensitivity to allow us to sleep through some of her less-serious spells. Other nights were so rough that we took shifts sleeping on her floor huddled in a blanket. Being closer to Josephine allowed us to

respond more quickly with a direct, focused administration of life-saving oxygen and, equally important, a warm, reassuring hug for our sick, panicked child. In short, we went to bed each night not knowing whether Josephine would still be with us in the morning. It was terrifying. Through all our hospital visits, and especially the home visits of our warm-hearted and gifted pediatric nurse, Mr. Jaime Budy, we became increasingly wellversed in terms and concepts we had never before grappled with. We learned what a palliative care expert was, and we learned the names of medicines such as Ativan (for anxiety), Robinul (an expectorant) and morphine (for pain) and the proper method for administering these potent drugs around the clock. We came to understand the nuances of a Do Not Resuscitate (DNR) order, a legal document designed to clarify to emergency responders whether to give life-saving resuscitation. On a more mundane level, we had to walk past the children’s spring clothing lines at stores, knowing Josephine would likely not need new outfits. We had to stop saying “It will be OK” in response to our daughter’s cries when we knew in our hearts that it would not. More disturbing, but necessary, we had to consider how, when and where Josephine might die. In the latter half of January, Josephine’s nasal-gastric tube was replaced with a tube that went directly to her stomach, giving her tender nose reprieve from the constant rubbing of the feeding tube and allowing her hands to swing more freely. Now that the feeding tube was hidden securely under her clothes, she could finally feel her face again without risk of pulling the tube out. Due to increasingly frequent and alarming sleep disturbances, we admitted Josephine to CHKD in early February 2009 so that doctors could conduct an overnight sleep study and hopefully determine the cause. The study revealed that the disease was causing severe sleep apnea (obstructive and central) and depriving her of “active sleep,” which is similar to REM in adults. [Ed.: Obstructive sleep apnea is the result of a collapsed or blocked airway while the central type is neurological, meaning the brain stops telling the body to breathe.] It was during that visit that CHKD Sleep Expert Dr. Michael Dubik noted the precious manner in which electrode-peppered Josephine caressed her mother’s face. His passing comment inspired me to snap a photo (above). That photo tells our story; it motivates me to this day. We had a serious scare on Feb. 15. Whereas previous apneic episodes had occurred at night, Josephine experienced one in the middle of the day during naptime. By chance—the monitor was not set up for daytime alerts—we discovered her mid-nap, a pronounced shade of blue. We quickly administered the oxygen pump and seconds later were relieved to have her back in our arms as a smiling child. Nonetheless, we were reminded that she was living on borrowed time. We called nearby relatives for moral support and were comforted by their visit. We sent our son home with his cousins for a sleepover out of fear that Josephine would not make it through the night. To our surprise, the night was uneventful. Josephine Continued on page 27

THE HEALTH JOURNAL

As we approach the one-year anniversary of Josephine’s death, we are confronted with an overlap of conflicting emotions.

Josephine licking an apple on the morning of Feb. 16. This is the last picture ever taken of her.

Continued from page 25 woke up the next morning looking and feeling great. We cut up an apple and let her taste it. This was consistent with doctors’ advice to allow Josephine to enjoy one of life’s most basic pleasures. As with lollipops a few days before, and decaffeinated coffee and tea before that, she lit up with excitement. Such tastes would probably excite any child, but they took on special meaning for Josephine. By this point, she was not tasting any food or liquids; her nutrients were delivered straight to her stomach via a gastrointestinal tube. After Shutterbug Dad snapped a few photos of Josephine licking the apple, we packed her up in the car and drove to pick up her brother at our relatives’ house. Since she was doing so well and we planned to return home shortly, we left her medicines and equipment at home. We had a good visit, and Josephine even had some pleasingly strong laughs and giggles as she tasted some tea from her mother’s mug. Monday, Feb. 16—President’s Day, I remember—was warm enough that the older children went outside to play. My wife laid Josephine down to change her diaper, and that’s when we noticed Josephine was getting short on breath. And then it happened. Despite weeks of nervous anticipation and inconsistent medical advice about how long she might live, Josephine was gone. We had known this moment would come, and had made various preparations, but nothing could prepare us for the shock. We were allowed privacy as we said goodbye to Josephine, holding her in our arms for an hour or so before we made the dreaded phone calls. She escaped this world in a natural state, free from tubes and machines and hospitals and doctors. She cutely circumvented every man-made device designed to hold on to her, undermined every plan we’d made for her last days and minutes. She reminded us of those things we cannot control. Josephine’s death marked an important crossroads in our struggle. Her weight shifted from our arms and into our hearts, where it has remained. But we view her death as a turning point, not an end. This is not to say we are not still grieving. Under any other circumstances we’d have an almost-two-year-old running around the house. We miss her giggles, her smiles and all her silly quirks. Thoughts of her fill our lives yet we feel her absence. In the months since Josephine’s death, bold acquaintances have asked if we feel her presence. Are there angels, and does she send us signs? Are there miracles? What else could explain the strong scent of flowers in the family van on the morning of her death and, in the months that followed, the mysterious workings of not one but two car radios, the inexplicable healing of my back pain after years of suffering, and too many rainbows over the house to count? It had always been our dream to have a larger family of three to four children. Doctors presented various means for us to have biological children with no risk of Gaucher disease, but those options were inconsistent with our beliefs. Likewise,

26 THE HEALTH JOURNAL

we knew we would not consider terminating a pregnancy if our child tested positive. After countless hours of weighing the considerations, we decided to let go and open our hearts to the possibility of conceiving again. Our conclusion rested somewhat on the realization that, had we known of the defects in our genes years ago, we might have scared ourselves out of having our healthy son and even Josephine—whose impact on the world and people who knew her will outlive even us. Some may wonder whether Josephine’s short life was somehow not worth the pain, that perhaps she, too, would have preferred to not have experienced it all. We remind everyone that she experienced laughter and love from the first day until her very last. How many of us can really expect to be that fortunate? Last July we learned that we would be parents once again—our son is due in early March. Many weeks were filled with uncertainty—but surprisingly, not fear—as we awaited the results of amniocentesis tests that would reveal whether our child in utero would display Gaucher disease. Last October we learned the results: negative. Like our older son, this child will not manifest symptoms. As we approach the one-year anniversary of Josephine’s death (or, her “Angel Day” as we like to call it), we are confronted with an overlap of conflicting emotions. We are joyful and thankful for the expected arrival of our next son, but his arrival cannot “replace” Josephine, nor will we “move on” or “let go.” She’s still a part of our family. We talk about her, and to her, on a regular basis. We visit her grave as well as her still-intact bedroom to feel close to her. Photos of her are prominently displayed in our home. And when videos of Josephine play on a digital picture frame, our son runs towards it just to catch a glimpse of her giggling again. At the same time, my wife must make snap decisions as to how much to tell strangers when they innocently ask about our baby-to-be, “Is this your second child?”, or comment, “Wouldn’t it be sweet to have a little girl?” While these remarks pierce our hearts, our hard-earned Ph.D. in life and death has made us largely unfazed by what others may consider important issues or major life stresses. We’ve lived through the worst hand life can deal, and we feel we can tackle anything new that comes our way. A year ago we felt utterly helpless; we feel invincible now. And that feeling of weathered strength allows us to leverage our suffering for a greater cause (see below, “How You Can Help”). To quote Greg Macres, founder of the Children’s Gaucher Disease Research Fund and father to the late Gregory Macres, lost 13 years ago to the disease: “We can accept our pain and do nothing, or we can channel it to make the world a better place.”

HOW YOU CAN HELP 1. Share this story with a friend. 2. Visit www.childrensgaucher.org to learn more. 3. Make a donation. • Donate directly to the Children’s Gaucher Disease Research Fund (PO Box 2123, Granite Bay, CA 95746). One hundred percent of funds raised through this organization goes to medical research. • Federal employees may consider a donation via payroll deduction through the 2010 Combined Federal Campaign(CFC). Search the CFC catalog to get the code for the Children’s Gaucher Disease Research Fund. (Thanks in part to Josephine’s parents, this is the first year that this charity will be listed in the CFC catalog.)

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Mayo Clinic Diet Book Promotes

Healthy Weight Loss

WRITTEN BY PATRICIA REANEY

NEW YORK (Reuters Life!)

Confused by the myriad of diet books that promise to help you melt away those excess pounds and produce the body of a supermodel? Scientists at the Mayo Clinic in Rochester, Minn., have produced a weightloss program based on clinical research and experience that they say will help people lose weight and keep it off permanently. Dr. Donald Hensrud, a diet expert at the clinic and a co-author of The Mayo Clinic Diet, spoke about why the program is so effective, the research it is based on and what sets it apart from most other diet books.

Q: Why has the Mayo Clinic decided to publish a diet book? A: For a number of reasons. The first and most obvious one is that weight and obesity has become more of a problem in this country and around the world over the past decades. So, there is a need. Secondly, many other people have been promoting so-called Mayo Clinic diets over the years but there has never been an official Mayo Clinic diet book before. Thirdly, we think the timing is good right now. There is a lot of scientific evidence for the things we have put in the book based on research and evidence that we have accumulated here. We think we have a program that is effective, healthy, enjoyable and sustainable long-term. Q: What is it about the Mayo diet that sets it apart from others? A: There are some unique features about the Mayo Clinic diet. It is more than a diet. It is a lifestyle change program. It is divided up into two phases. The ‘lose it’ phase lasts two weeks, and we think this is the healthiest way to lose weight quickly….That transitions into the ‘live it’ phase. Once people see what they are capable of doing, they change those habits into a long-term lifestyle change. Another unique feature is the Mayo Clinic healthy weight-eating pyramid based on energy density.

Q: Why do people have such a hard time losing weight? A: It starts with the approach and we try to address that. This is one of the biggest paradoxes I know—eat right, exercise more. It sounds so simple but yet it is such a complex statement. The mindset that goes along with this [equation] is negative and restrictive, and therefore it is going to be temporary and not enjoyable. So what we do is to try to help people have realistic goals and to change their attitudes so [dieting] doesn’t have to be deprivation. Q: How big a component is exercise in your program? A: It is a big component, as it should be. That seemingly simple equation gets down to calories in versus calories burned. And energy expenditure, exercise, is very important. Exercise is the most important way to burn calories.

Q: Is the program applicable for children and adults? A: In the ‘lose it’ phase, it is based on sudden changes and habits but there isn’t anything in there that is unhealthy or unsafe—eating breakfast, eating more vegetables and fruit. What we are trying to do is take all the knowledge and the clinical experience and put it all together in one package that people can use to come up with a program for them that is effective, safe, healthy, enjoyable and sustainable.

Q: Is the book effective for someone who wants to lose 20 pounds or 200 pounds? A: Yes. It is. The principles of it apply to everyone. Admittedly, and this is in the medical literature, the greater the starting weight, the more people can lose initially, but they have a longer way to go. So, the greater the starting weight the more challenging it is to lose it and keep it off.

28 THE HEALTH JOURNAL

Q: What advice would you give to people who want to lose weight but don’t know how to get started, who find it just so daunting? A: That is exactly what we are trying to do with the book. I’d say pick up the book and read the first few chapters.

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WHY USE THE TRX SYSTEM? It’s portable > While TRX Suspension classes are offered at gyms around the country, various attachments enable you to fasten the system to doors or walls at home, in hotel rooms or just about anywhere. It’s adaptable to every fitness level > Because the TRX uses your own body weight, you can change the difficulty of any exercise by changing the length of the straps and your body position. Transitions are easy > The system allows you to change exercises in less than 15 seconds. This means that you can make the most of your training with fast-paced, circuit-style workouts. Strengthens core muscles > Works the body across different planes and directions, mimicking real-life movement. Perfects your posture by strengthening the stabilizer muscles in your back. Improves flexibility > Your body is forced to stretch and flex in new ways and directions.

WRITTEN BY BRIDGIT KIN-CHARLTON | PHOTOGRAPHY BY BRIAN M. FREER

he TRX (Total Resistance eXercise) suspension training system is new, but it looks and feels old. A simple, lowtech exercise modality—all substance and no flash—it uses straps, a central pivot point and your own body weight to transform the way you work out. Celebrities, professional athletes, U.S. Marines, Navy Seals, Ultimate Fighting Champs and NFL teams use this system. It’ll work you harder than any other gym session, and you’ll feel the benefits immediately. Best of all, it’s portable. You can use it at home, in a hotel room or even in your office.

30 THE HEALTH JOURNAL

To understand the strengths of this system, you need to know its origins. While serving in the U.S. Military, Navy Seal Randy Hetrick (now retired) often did body weight exercises like push-ups and pull-ups, but he found that he couldn’t work the muscles of his back and legs effectively. So, in 1996, he created his own suspension system from extra parachute harnesses. Once it became popular, he started manufacturing the TRX system on a commercial scale. Since then, it has become widely used throughout the U.S. and the world.

Bridgit KinCharlton is the founder of B-defined Innovative Personal Training and Wellness, located in Williamsburg.

ALL THE RIGHT MOVES

Here is a circuit of six exercises designed to rebuild your body from head to toe. Perform each exercise for 60 seconds, moving quickly between each one. Work your way up to completing three sets of the entire circuit, for a total of 20 minutes.

1. CHEST PRESS works: chest, shoulders and triceps With back to the TRX, stand with feet hip-width apart, holding handles with arms extended forward and parallel to floor, palms down. Lean forward onto balls of feet. Bend elbows and lean body further forward, lifting one leg behind you (as shown). Return to start position and repeat with opposite leg.

2. SINGLE-LEG SQUAT works: glutes, legs and core Convert straps to the single-handle position. With back to TRX, place right toes into handle and hop left foot forward, hands on hips. Bend left knee, lowering to a lunge, keeping knee over ankle (as shown). Rise to standing position and repeat for 30 seconds. Switch legs. 3. SQUAT TO ROW works: glutes, shoulders, back and legs Facing the TRX, hold one handle in each hand. Squat (as shown). As you return to standing position, pull elbows back until the wrists are at your hips. Repeat. 4. MOUNTAIN CLIMBERS works: chest, shoulders and core Kneel, facing away from the TRX, and hook toes into handles. Walk hands forward until legs and back are straight (plank position). Bring one knee to chest (as shown) and continue to alternate. 5. HAMSTRING CURL足 works: hamstrings, glutes and low back Lie on your back and place heels in the TRX handles, legs extended, arms at sides. Lift hips until torso aligns with the legs and body forms a straight line. Bend knees, bringing heels toward glutes (as shown). Return to starting position and repeat. 6. SINGLE-LEG PUSH-UP TO PIKE works: entire body Kneel, facing away from the TRX, and hook right toes into handles. Walk hands forward until legs and back are straight (body is in a push-up position) and cross left foot over right. Lower into a push-up, keeping body in a straight line. Push your body up and lift glutes to ceiling, keeping legs straight and shoulders over hands (as shown). Extend body back to start position and repeat.

5 6

THE HEALTH JOURNAL

heart health

GETTING TO THE HEART OF THE MATTER:

Congestive Heart Failure WRITTEN BY DR. VASUDEV ANANTHRAM

n a normal, healthy heart, blood vessels called veins deliver impure (oxygen-deficient) blood to the right upper and lower chambers of the heart. This blood is then pumped into the lungs by the right lower chamber of the heart. Once in the lungs, the blood is enriched with oxygen and then poured into the heart’s left upper and lower chambers. From there it is pumped by the strong muscle of the left lower chamber to the rest of the body to keep it well nourished and energized. Valves guard each of the exit points of the heart’s chambers to prevent the blood from flowing backwards.

What is Congestive Heart Failure?

Dr. Vasudev Ananthram is a board-certified cardiologist and founder of Cardiovascular Health, a member of Riverside Medical Group.

Congestive heart failure, simply put, is an inability of the heart to pump enough blood. This, in most cases, is a result of malfunction in the heart’s mechanics. If the heart cannot pump adequate amounts of blood, the blood backs up from the left side of the heart into the lungs and then through the right side of the heart, leaking into the lungs, the gastrointestinal tract (gut) and the legs. The most common symptom of congestive heart failure is shortness of breath initially noted with low levels of exertion. Symptoms then progress to shortness of breath at rest and then result in an inability to lie down or even sleep. Sometimes the breathing difficulty may come on so suddenly and severely that an individual finds himself or herself gasping for air. Other symptoms may include cough (typically worsening at night or with exercise), chest discomfort, fatigue or lethargy, loss of appetite, leg swelling and a bloating sensation in the abdomen.

Why Does the Heart Fail?

While congestive heart failure is nearly always caused by mechanical failings of the heart, there are several reasons why the heart might fail: 1. Rhythm disturbances of the heart. If the heart rate is too fast, irregular or too slow, the heart pumps less efficiently.

2. Weakness in the heart muscle. Heart muscle weakness can be caused by a heart attack, multiple blockages in the blood vessels of the heart, certain viral infections, diabetes and/or uncontrolled high blood pressure, excessive alcohol use or illicit drug use.

3. Heart valve abnormalities. Leakage of heart valves, especially in the left side of the heart, results in a back flow of blood. The heart must then pump harder to maintain adequate forward blood flow. This ultimately enlarges and weakens the heart muscle, leading to progressive congestive heart failure. If the leakage occurs suddenly, the heart has no time to compensate, and the individual immediately enters a state of congestive heart failure and may begin gasping for air. Sometimes age or conditions such as high blood pressure, high cholesterol or structural abnormalities may cause the heart muscle to thicken or become too rigid. As a result, the valves do not open freely. As the valve openings narrow, the heart must work harder to push the blood through them. This process can also ultimately cause congestive heart failure. 32 THE HEALTH JOURNAL

4. Abnormal relaxation of the heart muscle. When the heart muscle is unable to relax adequately, blood does not flow freely into the heart’s left lower chamber. This can result in congestive heart failure. The two most common causes of abnormal relaxation are uncontrolled high blood pressure and advanced age. Much less frequently, congestive heart failure can occur in a normal, otherwise healthy heart—when the body develops an abnormally high demand for blood. This can be due to: • Severe anemia (low red blood cell count) • Severe and abnormally high activity of the thyroid gland, causing a very high metabolism • Extremely strenuous exercise to unaccus tomed levels • Very high fever and/or severe infections Any of the above causes of congestive heart failure can coexist. For instance, a valve leakage and a rhythm abnormality can develop in an already weak heart and result in congestive heart failure. Also, if a heart is weak but still functioning adequately, even a modest degree of increase in the demands of the body can cause congestive heart failure.

How is CHF Treated?

The goal of treatment is to improve quality and quantity of life for patients. Several medications are available which can prevent deterioration or even improve the heart’s ability to pump blood. Under appropriate circumstances, surgery can be recommended to improve blood flow to the heart and also to correct valve abnormalities. In some patients, certain types of pacemakers and implantable cardiac defibrillators* (ICDs) can also be useful. Lifestyle modification is an integral part of treating congestive heart failure. Here are some take-away tips to live by if you are showing early signs of this disease or may be at risk: • Limit salt intake to less than two grams (2,000 mg) a day. • Start a regular exercise program under the guidance of a physician. • Avoid strenuous exercise that your body is not accustomed to. (In other words, don’t be a weekend warrior!) • Eat sensible, moderately portioned meals. • Strive to achieve your ideal body weight— this reduces the demands on the heart. (Visit www.cdc.gov/healthyweight/index.html to calculate your current body mass index versus where you need to be.) • Quit smoking.

*An implantable cardiac defibrillator recognizes and corrects abnormal heart rhythms (arrhythmias). The device is surgically implanted within the chest wall. The ICD can prevent sudden cardiac arrest/death while a pacemaker is generally used to correct an unusually slow heartbeat.

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snapshots

Chesapeake native and New York Mets third baseman David Wright recently visited patients and families at Children’s Hospital of The King’s Daughters. Wright recorded a special message of encouragement for CHKD’s pediatric patients to hear when they call the hospital operator to order movies and games to their rooms.

Dr. Richard Harris, chairperson of The Consortium for Infant and Child Health, presented Lisa Wright-Martin the Hampton Roads Child Health Advocate Award in the category of Faith-Based Advocate at the organization’s annual conference in Virginia Beach on Dec. 11.

Board-certified family physicians Drs. Dena Hall (3), Scott Fowler (4) and Attiyah Ismaeli-Campbell (5) are now seeing patients at the new Riverfront Family Medicine and Specialty Care, located in the Konikoff Building at Harbour View. The new facility will provide the Suffolk community with specialty care services in a convenient location and reflects Suffolk’s mission to attract quality health care providers.

3, 4, 5

On Dec. 17, city officials, volunteers and senior leaders at Chesapeake Regional Medical Center held a ribbon-cutting ceremony opening the newly expanded Emergency Department. The $6.5-million expansion/renovation project almost doubled the Emergency Department.

Students at Star of the Sea Elementary School in Virginia Beach participated in “A Wave of Exercise,” a national program that encouraged students to exercise for a total of 10 hours in a row. (7) Star of the Sea principal Dr. Cathryn Whisman (left), with physical education teacher Louise O’Konek (right), took part in the effort. (8) Students, led by Louise O’Konek, marched in place during the event.

7, 8

The Peninsula Women’s Network held its annual Holiday Social at Heritage Commons, an active adult community in Williamsburg. The gathering was a celebration among PWN friends, members, spouses and guests.

Marking the start of construction on Bon Secours’ DePaul Medical Center, work crews demolished the hospital’s old School of Nursing dormitory/clinic.

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Health Journal Peninsula Edition

Health Directory EMERGENCY NUMBERS National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hot-line Toll-Free: (800) 784-2433 National Suicide Prevention Hot-line Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222

ALLERGISTS & ENT Allergy & Asthma of Oyster Point 11835 Fishing Point Dr., Ste. 107 Newport News (757) 873-3882 Leo R. Carter, MD 2115 Executive Drive, Ste. 2-D Hampton (757) 827-1351 ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505 Hampton Roads ENT-Allergy 901 Enterprise Pkwy., Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Virginia Adult & Pediatric Allergy & Asthma 11747 Jefferson Ave., Ste. 6-C Newport News (757) 596-8025

ASSISTED CARE & SENIOR LIVING Agape Home for Adults 1112 29th St. Newport News (757) 928-1999 The Chesapeake 955 Harpersville Road Newport News (757) 223-1600 Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953 Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305 The Devonshire 2220 Executive Dr. Hampton (757) 827-7100 Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335 Eden Court 1034 Topping Lane Hampton (757) 826-5415 Golden Living Center/Bayside of Poquoson 1 Vantage Dr. Poquoson (757) 868-9960 Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701 Heritage Commons 236 Commons Way Williamsburg (888) 711-6775 Hidenwood Retirement Community 50 Wellesley Rd. Newport News (757) 930-1075 Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010 James River Convalescent & Rehabilitation Center 540 Aberthaw Ave. Newport News (757) 595-2273 Keswick Place at Warwick Forest 866 Denbigh Blvd. Newport News (757) 886-2000 Mayfair House 1030 Topping Lane Hampton (757) 826-3728 Mennowood Retirement Community 13030 Warwick Blvd. Newport News (757) 249-0355 Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905

Northampton Convalescent & Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922 Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675 Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032 Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881 Riverside PACE (Program of AllInclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977 St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500 Sturdevant Lodge Elite Elder Care 11 San Jose Drive Newport News (757) 660-7703 Sentara Nursing & Rehabilitation Center 2230 Executive Dr. Hampton (757) 224-2230

Denbigh Chiropractic 13784-B Warwick Blvd. Newport News (757) 877-3770

City Center Dental Care 709 Mobjack Place Newport News (757) 873-3001

Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411

Bruce E. Fuller, MD 12695 McManus Blvd., Ste. 3-B Newport News (757) 872-7787

Egan Family Chiropractic 1078 Big Bethel Road Hampton (757) 838-2500

Michael Covaney, DDS 760-E Pilot House Dr. Newport News (757) 596-6850

George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617

Venisse Georgalas, DC 702-A Middle Ground Blvd. Newport News (757) 591-9390

Ray A. Dail, DDS 716 Denbigh Blvd., Ste. A-4 Newport News (757) 872-7777

Gunderman Chiropractic & Wellness Center 5701 Geo. Washington Mem. Hwy. Yorktown (757) 874-5666

G. Curtis Dailey, DDS 534 Wythe Creek Rd. Poquoson (757) 868-6091 2118 Executive Dr. Hampton (757) 826-5075

K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832

Oyster Point Dermatology 895 Middle Ground Blvd., Ste. 302 Newport News (757) 873-0161

Japhet D. LeGrant, DC 950 Big Bethel Rd. Hampton (757) 825-8010 Manadero Chiropractic 727 J. Clyde Morris Blvd., Ste. B Newport News (757) 595-8433 Scott E. Olney, DC 1056 Harpersville Rd. Newport News (757) 596-9696 Optimum Chiropractic, PC 610 Thimble Shoals Blvd., Ste 202-A Newport News (757) 594-9412 Pahnke Chiropractic & Wellness Care 755-A Thimble Shoals Blvd. Newport News (757) 873-2225

Shelton on the Bay 1300 N. Mallory St. Hampton (757) 723-6669

Rebound Chiropractic 11790 Jefferson Ave., Ste. 205 Newport News (757) 873-8701

CARDIOLOGY

Burt H. Rubin, DC 183 Woodland Road Hampton (757) 723-3893

Cardiovascular Center of Hampton Roads 11803 Jefferson Ave., Ste. 110 Newport News (757) 873-0360 500 J. Clyde Morris Blvd. Newport News (757) 594-2074 12720 McManus Blvd., Ste. 307 Newport News (757) 872-0186 4000 Coliseum Dr., Ste. 210 Hampton (757) 827-2490

Spine Care of Tidewater, PC 7216 Executive Dr., Ste. A Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483 Kevin S. Steele, DC 183 Woodland Rd. Hampton (757) 723-1899

Hampton Roads Cardiology 4000 Coliseum Drive, Ste. 100 Hampton (757) 827-2200

Tidewater Clinic of Chiropractic 12715 Warwick Blvd., Ste. 1 Newport News (757) 890-2030

Allen B. Nichols, MD 12720 McManus Blvd., Ste. 201 Newport News (757) 875-5332

Wright Spine & Sports Health, PC 2360 Hampton Highway Yorktown (757) 223-5444

Tidewater Heart Institute 2115 Executive Dr., Ste. 1-B Hampton (757) 825-4260

York County Chiropractic 121-G Grafton Station Lane Yorktown (757) 989-5393

Riverside Heart Specialists 2112-B Hartford Rd. Hampton (757) 827-7754

DENTISTRY & ORAL HEALTH

CARDIOVASCULAR & THORACIC SURGEONS

David J. Alexander, DDS 2019 Cunningham Dr., Ste. 314 Hampton (757) 838-2201

Tidewater Thoracic & Cardiovascular Surgery 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511

Robert M. Alexander, DDS 105 Terrabonne Rd. Yorktown (757) 898-4625

CHIROPRACTIC & ACUPUNCTURE

Allen, McCormick & Wexel 901 Enterprise Pkwy., Ste. 500 Hampton (757) 896-4900

Abbott Family Chiropractic 2021-A Cunningham Dr., Ste. 3 Hampton (757) 838-8820

Mitchell A. Avent, DDS Mark A. Huie, DDS 12725 McManus Blvd., Bldg. 1, Ste. A Newport News (757) 874-0660

A Family Chiropractic Center 121 Hampton Hwy. Yorktown (757) 867-7787

D. Mark Babcock, DMD 640 Denbigh Blvd., Ste. 1 Newport News (757) 874-4420

Almloff Acupuncture 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 596-8451

Jeff W. Bass, DDS 4326 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788

Atlas Specific Chiropractic 640 Denbigh Blvd., Suite 4 Newport News (757) 283-6929

Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155

Back in Action 11830-C Canon Blvd. Newport News (757) 873-7786

Walton L. Bolger, DMD 12695 McManus Blvd., Bldg. 4/ Ste. A Newport News (757) 877-1999

Bayview Chiropractic Clinic 1204 E. Pembroke Ave. Hampton (757) 723-1496 Charney Chiropractic Back Rehabilitation & Wellness 11842 Rock Landing Dr., Ste. 110 Newport News (757) 873-9580

We’ve done our best to include every health-related practice or service in the Lower Peninsula. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919 Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765

The Newport 11141 Warwick Blvd. Newport News (757) 595-3733

Chiropractic Wellness & Rehabilitation 716-A Thimble Shoals Blvd. Newport News (757) 873-4131

Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880

Christopher Connolly, DC 370 Wythe Creek Rd., Ste. A Poquoson (757) 868-3407

Thomas W. Butterfoss, DMD, PC Jennifer L. Barton Butterfoss, DDS, MS 2111 Hartford Rd. Hampton (757) 838-3400 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-5448

Kevin L. Conover, DC 10866 Warwick Blvd. Newport News (757) 591-8834

Henry A. Cathey 710 Denbigh Blvd., Ste. 1-C Newport News (757) 874-5511

James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712 Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366 Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890 Family Care 802 Old Oyster Point Rd. Newport News (757) 595-2510 David L. Forrest, DDS 729 Thimble Shoals Blvd., Bldg. 7-A Newport News (757) 873-8800 Geary Family Dentistry, PLLC 105 Terrabonne Rd. Yorktown (757) 898-4661 Gentle Caring Dentistry 703 Thimble Shoals Blvd., Ste. C-3 Newport News (757) 594-9005 J.F. Foretich, Jr, DDS, PC 12715 Warwick Blvd., Ste. C Newport News (757) 930-3365 Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530 Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182 Clifford T. Goodwin, DDS 12610 Patrick Henry Dr., Ste. G Newport News (757) 930-3744 Barry Lee Green, DMD 716 Denbigh Blvd., Ste. C-2 Newport News (757) 874-5455 Hampton Roads Oral & Maxillofacial Surgery 901 Enterprise Pkwy., Ste. 100 Hampton (757) 825-8355 716 Denbigh Blvd., Ste. C-1 Newport News (757) 874-6501

Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200

Quarles Dermatology 304-A Marcella Rd. Hampton (757) 827-3046

Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655

Schumann Dermatology Group One Park Place 5309 Discovery Park Blvd. Williamsburg (757) 564-1200

Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921 William Pearlman, DDS 1959 E. Pembroke Ave. Hampton (757) 723-6565 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810 Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711

Gary A. Riggs, Jr., DMD 1610-B Aberdeen Rd. Hampton (757) 838-3830

Dorothy Hoefer Breast Imaging Center 1031 Loftis Blvd. Newport News (757) 595-5474

Loretta Rubenstein, DDS 12725 McManus Blvd. Newport News (757) 874-0990

Roslind McCoy-Sibley 2204-C Executive Dr. Hampton (757) 838-1100

Jon L. Scott, DDS 1186 Big Bethel Rd. Hampton (757) 825-6280

Mid-Atlantic Imaging Centers 750 McGuire Place, Ste. A Newport News (757) 223-5059

John Shepherd Jr., DDS Scott J. Golrich, DMD 4030 Geo. Wash. Mem. Hwy. Yorktown (757) 898-4646

Open Multi-positional MRI Center 730 Thimble Shoals Blvd., Ste. 120 Newport News (757) 926-4351

Perry L. Showalter, DDS 5324 Geo. Washington Mem. Hwy. Grafton (757) 898-0822 Jeffrey G. Sotack, DDS 2111 Hartford Rd. Hampton (757) 826-9595 W. Mark Stall, DDS 211 Hartford Rd. Hampton (757) 851-5939

Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577

Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334

Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300 Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800 John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210 Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979 Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975

DIAGNOSTIC IMAGING

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

DonnaMaria Tapp-Reid, DDS 2202-E Executive Drive Hampton (757) 838-8855

Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304

Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626

Port Warwick Dental Arts 251 Nat Turner Blvd. Newport News (757) 223-9270

Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667

Levy & Hoffman Family Dentistry 3120 Kiln Creek Blvd. Yorktown (757) 877-9281

Ken J. Tompkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440

Breast Diagnostic Center 704 Thimble Shoals Blvd., Ste. 600 Newport News (757) 595-8650

Tabb Family Denistry 106 Yorktown Road Yorktown (757) 867-9000

Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530

William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320

Jon E. Piche, DDS 4310 Geo. Washington Mem. Hwy. Yorktown (757) 874-1777

William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152

Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651

Pariser Dermatology Specialists 11842 Rock Landing Dr., Ste. 120 Newport News (757) 595-8816

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444 Oyster Point Radiology, Inc. 11835 Fishing Point Dr., Ste. 201 Newport News (757) 873-8823 Riverside Diagnostic & Breast Center 895 Middle Ground Blvd., Ste. 104 Newport News (757) 594-3900 850 Enterprise Pkwy., Ste. 1500 Hampton (757) 251-7800 Tidewater Diagnostic Imaging 3000 Coliseum Drive Hampton (757) 873-0848 11803 Jefferson Ave. Newport News (757) 594-1803 3630 Geo. Wash. Mem. Hwy. Yorktown (757) 867-6101 Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233

Tidewater Family Dentistry 559 Denbigh Blvd. Newport News (757) 877-6787

TPMG Imaging Center 860 Omni Blvd., Ste. 102 Newport News (757) 873-0848

Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511

Unique Imaging Solutions, Inc. 2113 Hartford Rd., Ste. B Hampton (757) 722-0223

Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322

ENDOCRINOLOGY

Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200 J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407 Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990

DERMATOLOGY Ageless Dermatology & Laser Center 5309 Discovery Park Blvd. Williamsburg (757) 564-1200 Associates in Dermatology 17 Manhattan Sq. Hampton (757) 838-8030

Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259 Endocrine & Diabetes Center 12200 Warwick Blvd., Ste. 590 Newport News (757) 534-5909 Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300 Riverside Diabetes Education 12200 Warwick Blvd., Ste. 590A Newport News (757) 534-5918

FAMILY PRACTICE Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102 Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979 THE HEALTH JOURNAL

Nancy Ayers, MD 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-4441

TPMG of Yorktown 307 Cook Road Yorktown (757) 898-7261

Leo C. Bowers, MD 26 Wine Street Hampton (757) 728-1100

Victoria Family Practice 3212-B Hampton Hwy. Yorktown (757) 867-6160

Bruton Avenue Family Practice 12 Bruton Avenue Newport News (757) 594-4111

The Village Doctor 10222 Warwick Blvd. Newport News (757) 223-0124

Alvin Bryant, MD 2000 Kecoughtan Rd. Hampton (757) 380-8603

Warwick Primary Care 4032-A Campbell Road Newport News (757) 534-5600

Harold E. Cloud Jr., MD 2726 W. Mercury Blvd. Hampton (757) 825-1500

FITNESS & WEIGHT MANAGEMENT

Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420 Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091 Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822 Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273 Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001 48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709 Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141 C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066 Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335 J. Matthew Halverson, DO, FAAFP Tammy J. Beavers, MD 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588 Healthy Family Partnerships 100 Old Hampton Ln. Hampton (757) 727-1300 Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602 Lawrence C. Hyman, MD 2114-A Hartford Rd. Hampton (757) 826-3460 Daniel Lee Medical Group, PC 716 Denbigh Blvd., Ste. C-3 Newport News (757) 243-2377

Bally Total Fitness 12555 Hornsby Lane Newport News (757) 249-1315 Body-in-Balance 12482-A Warwick Blvd. Newport News (757) 715-6906 Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880

GASTROENTEROLOGY Colonial Gastroenterology 11803 Jefferson Ave., Ste. 230 Newport News (757) 534-7701 Gastroenterology Specialists 410-A Marcella Rd. Hampton (757) 826-6539 Hampton Roads Gastroenterology 501 Medical Drive Hampton (757) 826-3434 Peninsula Gastroenterology 101 Philip Roth Street, Ste. 5-A Newport News (757) 599-6333 Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1803 TPMG Gastroenterology 860 Omni Blvd., Ste. 301-A Newport News (757) 240-2700

GENERAL SURGERY Dominion Surgical 4000 Coliseum Dr. Ste. 320 Hampton (757) 827-2202

Curves for Women 5336 Geo. Washington Mem. Hwy. Grafton (757) 898-8300 3835 Kecoughtan Rd. Hampton (757) 723-3600 1814-A Todds Lane Hampton (757) 265-9200 Willow Oaks Village Square 227 Fox Hill Rd. Hampton (757) 851-5800 555 Denbigh Blvd. Newport News (757) 872-8720 328 Oyster Point Plaza Newport News (757) 249-9300 10860 Warwick Center Newport News (757) 596-2121 477-C Wythe Creek Rd. Poquoson (757) 868-1488 3301 Hampton Hwy. Yorktown (757) 867-7150

Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434

Fitbody/Strongbody 735 Thimble Shoals Blvd., Ste. 120 Newport News (757) 874-3488

Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572

Flair for Fitness Personal Training (757) 286-4195

HAND SURGERY

Fyzique Fitness Center 8100-F Geo. Washington Mem. Hwy.Yorktown (757) 283-5303

Robert M. Campolattaro, MD Nicholas A. Smerlis, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 637-7016

Gold’s Gym 815 Middle Ground Blvd. Newport News (757) 599-4653

HEALTH CAREERS

Hampton Senior Center 3501 Kecoughtan Rd. Hampton (757) 727-1601 HeartSenter Yoga 111 Manassas Loop Yorktown (757) 236-5603 Jazzercise Oyster Point Center 882 J. Clyde Morris Blvd. Newport News (757) 594-9266

Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717 Port Warwick Surgery 11803 Jefferson Ave., Ste. 250 Newport News (757) 873-0050 Riverside Hampton Surgery Center 850 Enterprise Pkwy., Ste. 100 Hampton (757) 251-1077 TPMG - General Surgery 860 Omni Blvd., Ste. 204 Newport News (757) 874-1077

Riverside School of Health Careers 316 Main Street Newport News (757) 240-2200 Maxim Healthcare 739 Thimble Shoals Blvd., Ste. 503 Newport News (757) 595-8822

HEALTH DEPARTMENTS

Riverside Lifeline 5033-B Geo. Wash. Mem. Hwy., Ste. C Yorktown (757) 856-7030

Hope in Home Care Skilled Care Division 11835 Rock Landing Dr. Newport News (757) 873-3410

Smoothie King 2040 Coliseum Dr., Ste. 13-A Hampton (757) 262-1588

Hope in Home Care 11828 Canon Blvd. Newport News (757) 873-0030

Virginia Home Medical 11842 Canon Blvd. Newport News (757) 873-1700

Hospice Community Care 1064 Loftis Blvd., Suite C-2 Newport News (757) 594-0288

The Vitamin Shoppe 12266 Jefferson Ave. Newport News (757) 249-3697

Hospice of Virginia Hampton Roads (800) 501-0451

HEARING & AUDIOLOGY

Immediate Care Assisted Living 66 West Mercury Blvd. Hampton (757) 838-0900

Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505 Hampton Roads ENT-Allergy 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665 Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794 Sentara Careplex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528

Hampton University Hampton (757) 727-5328

Amedisys Home Health Services 1 Enterprise Pkwy., Ste. 120 Hampton (757) 223-5424

Magruder Primary Care 850 Enterprise Pkwy. Hampton (757) 637-7600 John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969

Northampton Community Center 1435-A Todds Ln. Hampton (757) 825-4805

Medical Careers Institute 100 Omni Blvd., Ste. 200 Newport News (866) 708-6174

Mercury West Medical Center 2148 W. Mercury Blvd. Hampton (757) 827-1940

North Phoebus Community Ctr. 249 West Chamberlin Ave. Hampton (757) 727-1160

Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300

Old Hampton Family Practice 200 Eaton Street Hampton (757) 726-5000

Old Hampton Community Center 201 Lincoln St. Hampton (757) 727-1123

Thomas Nelson Community College 99 Thomas Nelson Dr. Hampton (757) 825-2700

Oyster Point Family Practice 704 Thimble Shoals Blvd., Ste. 700 Newport News (757) 873-2000

Peninsula Boxing Academy 467-D Denbigh Blvd. Newport News (757) 872 -9832

Patriot Primary Care 2855 Denbigh Blvd. Grafton (757) 968-5700

Internal Medicine 716 Denbigh Blvd., Ste. C-4 Newport News (757) 872-9808

Nurses 4 You, Inc. 4112 Geo. Washington Mem. Hwy. Ste. 3 Yorktown (757) 833-3200

Melvin R. Johnson, MD 3451 Victoria Blvd. Hampton (757) 723-9380

Peninsula Pharmacy Home Infustion Services 11833 Canon Blvd., Ste. 114 Newport News (757) 594-3944

Robert N. Lowe, MD 2501-A Marshall Ave. Newport News (757) 247-3910

Personal Touch Home Care & Hospice of Va., Inc. 733 Thimble Shoals Blvd., Ste. 150 Newport News (757) 869-9635

Riverside Lifeline 5033 Geo. Washington Mem. Hwy. Ste. C Yorktown (757) 856-7030

HOSPICE & HOME CARE

Amour Home Care, Inc. 3114 Chestnut Ave. Newport News (757) 245-5100 Bayada Nurses 7151 Richmond Rd. Williamsburg (757) 565-5400

Sentara Home Care Services 2713-G Magruder Blvd. Hampton (757) 766-2600 Tama Home Health Care Services 600 Thimble Shoals Blvd., Ste. 350 Newport News (757) 873-3315 Visiting Angels Tidewater 12388-203 Warwick Blvd. Newport News (757) 599-4145

HOSPITALS & CLINICS BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000 Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000 I & O Medical Center 530 Aberdeen Road Hampton (757) 825-1100 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608

Beacon Health Care 710 Denbigh Blvd., Bldg. 7, Ste. A Newport News (757) 833-0430

HEALTH PRODUCTS & EQUIPMENT

MedExpress Urgent Care 4740-A Geo. Washington Mem. Hwy. Yorktown (757) 890-6339 12997 Warwick Blvd. Newport News (757) 369-9446

Personal Training Associates On the Square (Port Warwick) Newport News (757) 599-5999

Bon Secours Home Care & Hospice 2 Bernadine Drive Newport News (757) 886-6000

Patient First 611 Denbigh Blvd. Newport News (757) 283-8300

Bike Beat 120 Ottis Street, Ste. 118 Newport News (757) 833-0096

Port Warwick Medical Assoc. 11803 Jefferson Ave., Ste. 100 Newport News (757) 594-1870

Piyo Pilates Studio 101 Nat Turner Blvd.

Care Advantage 12528 Warwick Blvd., Unit E Newport News (757) 595-9676

Newport News (757) 218-5505

Conte’s Bicycle & Fitness 9913 Warwick Blvd. Newport News (757) 595-1333

Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073

Riverside Wellness & Fitness Centers 12650 Jefferson Ave. Newport News (757) 875-7525

Comfort Keepers 11847 Canon Blvd., Ste. 3 Newport News (757) 766-2311

Peninsula Institute for Community Health 4714 Marshall Ave. Newport News (757) 380-8709 15425 Warwick Blvd., Ste. H Newport News (757) 874-8400

Food Herbs & More 2821 Denbigh Blvd. Yorktown (757) 898-0100

Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800

Riverside Kettlebells Yorktown (757) 645-7586

Concordia Private Care 729 Thimble Shoals Blvd. Newport News (757) 873-1966

Freewheel Bicycle Shop 12440 Warwick Blvd. Newport News (757) 596-6320

Elite Healthcare 12388 Warwick Blvd., Ste. 306-C Newport News (757) 926-4641

General Nutrition Center 605 Newmarket Dr. Hampton (757) 838-5930 23 Town Center Way Newport News (757) 896-3794

Family Centered Resources 11847 Canon Blvd., Ste. 12 Newport News (757) 596-3941

Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012 Suburban Family Practice 858 J. Clyde Morris Blvd. Newport News (757) 594-4343 TPMG/Denbigh Family Medicine 13347 Warwick Blvd. Newport News (757) 877-0214 TPMG of Grafton 101-A York Crossing Grafton (757) 898-7737 TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992 TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880 TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755 36 THE HEALTH JOURNAL

Sentara Center for Health & Fitness 4001 Coliseum Drive Hampton (866) 760-2658 Total Fitness 6120 Jefferson Ave. Newport News (757) 827-0629 Traveling Fitness for Women Hampton - Newport News (757) 593-5912 West Hampton Community Center 1638 Briarfield Rd. Hampton (757) 896-4687 YMCA 7827 Warwick Blvd. Newport News (757) 245-0047 101 Long Green Blvd. Yorktown (757) 867-3300 1800 W. Mercury Blvd. Hampton (757) 826-6018 1322 LaSalle Ave. Hampton (757) 722-9044

Granma T’s 4161 William Styron Square N. Newport News (757) 594-9868 Health Haven 12452 Warwick Blvd. Newport News (757) 595-6634 Health Trail Natural Foods 10848 Warwick Blvd. Newport News (757) 596-8018 The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404 Med Emporium 629 Pilot House Dr. Newport News (757) 434-5777

Gentle Care, Inc. 751 Thimble Shoals Blvd., Ste. J Newport News (757) 873-4555

Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000 Sentara Careplex Hospital 3000 Coliseum Drive Hampton (757) 736-1000 Sentara Port Warwick Medical Arts 1031 Loftis Blvd. Newport News (757) 736-9810 Sentara Urgent Care 747 J. Clyde Morris Blvd. Newport News (757) 599-6117

HYPNOSIS

Heartland Hospice 11835 Fishing Point Dr., Ste. 101 Newport News (757) 594-8215

Ageless Balance Hypnotherapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838

Home Care Alternatives 12388 Warwick Blvd., Ste. 301-D Newport News (757) 236-5062

Elise Fee 11847 Canon Blvd., Ste. 8 Newport News (757) 812-1653 100 Bridge St., Ste. D Hampton (757) 812-1653

Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090 Home Instead Senior Care 555 Denbigh Blvd., Ste. B Newport News (757) 886-1230

INTERNAL MEDICINE

Maxim Healthcare Services 739 Thimble Shoals Blvd., Suite 503 Newport News (757) 595-8822

Beach Hearing Aid Centers 11745 Jefferson Ave., Ste. 7 Newport News (757) 595-2005

Hampton Health District 3130 Victoria Blvd. Hampton (757) 727-1172

Metabolic Balance Hilltop Medical Center 1788 Republic Rd., Ste. 202 Virginia Beach (757) 228-1241

Riverside Medical Specialists 12200 Warwick Blvd., Ste. 490B Newport News (757) 534-6109

Hannibal E. Howell, MD 55 E. Tyler St. Hampton (757) 723-2674

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

Miracle Ear 100 Newmarket Fair Newport News (757) 825-9477

Oyster Point Medical Specialists 11747 Jefferson Ave., Ste. 4-C Newport News (757) 596-7115

Lillies in the Valley Private Duty 11747 Jefferson Ave.. Ste. 6-B Newport News (757) 873-0711

Audibel Hearing Aid Center 11747 Jefferson Ave., Ste. 6-A Newport News (757) 595-2005

Hearing Health Care Center 111 Cybernetics Way, Ste. 220 Yorktown (757) 206-1900

Stephen L. Green, MD 2112 Executive Dr. Hampton (757) 838-8677

Melvin G. J. Green, MD 4001 Coliseum Dr., Ste. 300. Hampton (757) 827-2030

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

Costco Hearing Aid Center 12121 Jefferson Ave. Newport News (757) 746-2031

INFECTIOUS DISEASE

Interim Healthcare 610 Thimble Shoals Blvd., Ste. 303-B Newport News (757) 873-3313

HEARING AIDS

Beltone-Ledford Audiology & Hearing Aid Center 727-F J. Clyde Morris Blvd. Newport News (757) 596-2113 2115 Executive Dr., Ste. 2-B Hampton (757) 896-3989

Susan C. Nicholson, PhD, LCSW Newport News (757) 873-2307

Hampton Roads Hypnosis & Meditation 100 Bridge Street, Ste. D Hampton (757) 968-7365 Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450

Frank E. Medford, MD 11030 Warwick Blvd. Newport News (757) 595-0908 Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800 Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891 Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431 Riverside Internal Medicine of Denbigh 12695 McManus Blvd., Ste. 1-A Newport News (757) 874-1337 Riverside Lifelong Health & Aging Services 1000 Old Denbigh Blvd. Newport News (757) 875-2000 Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794

NEPHROLOGY & RENAL HEALTH DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585 Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090 Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125 Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469 Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090 Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009

NEUROPSYCHOLOGY Terry J. Gingras, PhD 710 Denbigh Blvd., Ste. 6-B Newport News (757) 833-7107 Hampton Roads Neuropsychology 739 Diligence Drive, Ste. 704 Newport News (757) 498-9585 Marsha Lewis, PhD Lisa Newman, PsyD Mona L. Tiernan, PsyD 245 Chesapeake Ave. Newport News (757) 928-8340 Neuropsychology Associates of Hampton Roads 708 Mobjack Place Newport News (757) 873-1958

NEUROLOGY & NEUROSURGERY Hampton Roads Neurology 12200 Warwick Blvd., Ste. 110 Newport News (757) 534-5100

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

Stephen M. Smith Founder, Brain Injury Law Center

Stephen M. Smith 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

Your attorney should be as qualified 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.

Brain Injury Law Center theonly onlylaw law fifirm Chairmandedicated of the Traumatic Brain Injury “The“The Brain Injury Law Center is isthe rm in the United States Litigation Group of the American in the United in States dedicated exclusively in survivors and their families. exclusively representing brain injury victims, Association of Justice representing brain injury victims, survivors and their I have dedicated both my personal and professional life to helping brain Licensed to practice in Virginia, New York families. I have dedicated both my personal and injury families, other victims events.” and the District of Columbia and all other professional life survivors, to helpingtheir brain injuryand survivors and of catastrophic their families and other victims of catastrophic events.”

states by permission.

Won the largest mild traumatic brain injury

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verdict awarded in the world Brain injuries are devastating and life-changing not only forever the victim, but for Brain injuries are devastating and life changing not only for the the largest personal injury verdict their ones asones well. Stephen Smith, Esq., is anWon internationally recognized victim,loved but for their loved as well. Stephen M. M. Smith, Esq., ever awarded in Virginia is an internationally recognized expert in traumatic brain injury expert in traumatic brain injury litigation who handles and assists with lawsuits litigation and settlements who handles and assists with lawsuits Public Justice national board member worldwide. IfStates you and or the a loved suffered across the United world. Ifone you orhas a loved one has a head injury and are experiencing Belliyour Societyrights. national board member suffered a head injury and arecontact experiencing difficulties, M. contact cognitive difficulties, Stephen Smith to learn him to learn about your rights.

Multi-Million Dollar Advocates Forum member

BRAIN INJURY LAW Injury CENTER - law Advocates for Brain Injury Survivors Brain Center - Advocates for Brain Injury Survivors and their Families Throughout the United States and the World.

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and their families throughout the United States and the world. Law Dragon ~ 500 Leading Lawyers in Acquired Brain Injury

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BRAIN INJURY M. Smith Stephen LAW CENTER™ “The Brain Injury Law Center is the only law firm Cerebral Palsy

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(877) 840-3431 (757) 650-9818 in the United States dedicated exclusively(direct) in representing brain injury victims, survivors and their Acquired Brain Injury • Auto and Motorcycle Accidents • Brain Injury Litigation • Railroad Accidents • Maritime Injuries Plane Crashes • Tractor Trailer / Truck Crashes • Cerebral Palsyboth • Wrongful Death • Medical Negligence families. I have dedicated my personal and professional life to helping brain injury survivors and E-mail: ssmith@braininjurylawcenter.com | Website: of www.braininjurylawcenter.com their families and other victims catastrophic events.”

Hampton Roads Neurosurgical & Spine Specialists 12200 Warwick Blvd., Ste. 410 Newport News (757) 534-5200 Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797 Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266 Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180 Tidewater Neurologists & Sleep Disorder Specialists 2115 Executive Drive Ste. 5-D Hampton (757) 262-0390 606 Denbigh Blvd., Ste. 105 Newport News (757) 989-8942

NON-PROFIT ORGANIZATIONS Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 Alzheimer’s Association Southeastern VA Chapter 213 McLaws Circle, Ste. 2-B Williamsburg (757) 221-7272 American Cancer Society 11835 Canon Blvd., Ste. A-102 Newport News (757) 591-8330 American Heart Association Toll-Free: (800) 242-8721 American Red Cross Hampton Roads Chapter 4915 W. Mercury Blvd. Hampton (757) 838-7320 American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090 The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461 Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204

SEDONA (Sending Equipment & Drugs Overseas to Non-Governmental Agencies) 2112 Executive Dr. Hampton (757) 826-3748

Virginia Oncology Associates 1051 Loftis Blvd., Ste. 100 Newport News (757) 873-9400 3000 Coliseum Drive, Ste. 104 Hampton (757) 827-9400

PAIN MANAGEMENT

Senior Center of York 5414 Geo. Washington Mem. Hwy. Yorktown (757) 898-3807

OPHTHALMOLOGY

Pain Management Center 4000 Coliseum Dr., Ste. 340 Hampton (757) 827-2230

United Way of Virginia Peninsula 739 Thimble Shoals Blvd., Ste. 400 Newport News (757) 873-9328

OBSTETRICS & GYNECOLOGY Center for Women’s Health 12706 McManus Blvd. Newport News (757) 874-2229 101 Eaton St., Ste. 300 Hampton (757) 851-7601 Colonial OB/GYN Associates 716 Denbigh Blvd., Ste. E-2 Newport News (757) 874-2790 Wetchler & Dineen GYN 12700 McManus Blvd., Ste. 102-A Newport News (757) 874-8696 Norman R. Edwards, MD 610 Thimble Shoals Blvd., Ste. 404 Newport News (757) 873-0712 Charlie M. Faulk, MD 704 Gum Rock Court, Ste. 300 Newport News (757) 873-3808 Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369 Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900 Debra L. Hall, MD 11745 Jefferson Ave., Ste. 10-A Newport News (757) 596-6300 Maternal-Fetal Medicine 500 J. Clyde Morris, Bldg. G, Ste. 200 Newport News (757) 594-3636 OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979

Advanced Vision Institute 3000 Coliseum Dr., Ste. 201 Hampton (757) 826-9291 Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757) 643-8800 850 Enterprise Pkwy., Ste. 1200 Hampton (757) 838-4500 12420 Warwick Blvd., Ste. 1-D Newport News (757) 596-3806 James River Eye Physicians 704 Thimble Shoals Blvd., Ste.100 Newport News (757) 595-8404 Kaz Vision & Laser Center 12690 McManus Blvd. Newport News (757) 875-7700 TPMG Ophthalmology 860 Omni Blvd., Ste. 201 Newport News (757) 223-5321 Virginia Eye Consultants 2101 Executive Drive Hampton (757) 826-4702 Wagner Macula & Retina Ctr. 300 Marcella Rd. Hampton (757) 481-4400

OPTOMETRY Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009 Clearvision Optometry Kenneth L. Arndt, OD 422 Oriana Road Newport News (757) 875-0675 J.F. Foretich, Jr., DDS PC 12715 Warwick Blvd., Ste. C Newport News (757) 930-3365 Dr. Peter L. Guhl, PLC & Associates 4102 Geo. Washington Mem. Hwy. Yorktown (757) 890-2020

Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060

Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709

Center for Child & Family Services 2021 Cunningham Drive, Ste. 400 Hampton (757) 838-1960

Peninsula Medical Center for Women 10758-A Jefferson Ave. Newport News (757) 599-6389

Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757)643-8800 2400 Cunningham Dr., Ste. 900 Hampton (757) 838-4500 4032 Campbell Rd., Ste. B Newport News (757) 877-3956

Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd., Ste. 2E Newport News(757) 833-7845

Peninsula WomanCare 11842 Rock Landing Dr., Ste. 115 Newport News (757) 595-9905

Dr. John Kauffman & Associates 2157 Cunningham Dr. Hampton (757) 826-3937

Faith in Action Hampton (757) 245-3550

Planned Parenthood 910 W. Mercury Blvd. Hampton (757) 826-2079

Family Learning & Enrichment Center 1904 Jefferson Ave. Newport News (757) 247-7863

Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555

Lenscrafters 1800 W. Mercury Blvd. Hampton (757) 825-3044 12300 Jefferson Ave. Newport News (757) 249-3091

Food Bank of Va. Peninsula 9912 Hosier St. Newport News (757) 596-7188

Riverside OB/GYN & Family Care 10510-D Jefferson Ave. Newport News (757) 594-4720 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891

Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Girl Scout Council of Colonial Coast 813 Forrest Drive, Ste. B Newport News (757) 595-9802 Habitat for Humanity 809 Main St. Newport News (757) 596-5553 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635 Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450 Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676 The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600 Patient Advocate Foundation 700 Thimble Shoals Blvd., Ste. 200 Newport News (757) 873-6668 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541

Riverside Warwick OB/GYN 12200 Warwick Blvd., Ste. 510 Newport News (757)534-5700 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794 Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945 Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000

OCCUPATIONAL HEALTH SERVICES I&O Medical Centers 593 Aberdeen Road Hampton (757) 825-1100 704 Thimble Shoals Blvd., Ste. 200 Newport News (757) 240-5580 Riverside Business Health 500 J. Clyde Morris Blvd. Newport New (757) 534-6060

ONCOLOGY

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 591-0643

Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434

Protect our Kids P.O. Box 561 Hampton (757) 727-0651

Peninsula Cancer Institute 12100 Warwick Blvd., Ste. 201 Newport News (757) 534-5555

RSVP-VP (Retired/Senior Volunteers) 12388 Warwick Blvd., Ste. 201 Newport News (757) 595-9037

Radiation Oncology Specialists 12100 Warwick Blvd., Ste. 102 Newport News (757) 594-2644

The Salvation Army 1033 Big Bethel Rd. Hampton (757) 838-4875 The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757 38 THE HEALTH JOURNAL

Sentara Cancer Institute 3000 Coliseum Dr., Ste. 100 Hampton (757) 827-2430 Surgical Oncological Associates 11803 Jefferson Ave., Ste. 235 Newport News (757) 594-1806

Dr. Kent McQuain 5220 George Washington Hwy. Grafton (757) 898-1000 N2 eyes Comprehensive Optometry 11045 Warwick Blvd. Newport News (757) 594-4018 Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655 William R. Waldron, OD 1215-V Geo. Wash. Mem. Hwy. Yorktown (757) 596-5666

ORTHOPEDICS & SPORTS MEDICINE Children’s Orthopedic & Sports Medicine 11783 Rock Landing Drive Newport News (757) 668-6550 Denbigh Orthopedic & Sports Medicine 12720 McManus Blvd., Ste. 311 Newport News (757) 872-0548 Hampton Roads Orthopedic & Sports Medicine 730 Thimble Shoals Blvd., Ste. 130 Newport News (757) 873-1554 The Orthopaedic Center for Foot & Ankle Reconstruction 12720 McManus Blvd., Ste. 203 Newport News (757) 889-6580 Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Orthopedic & Musculoskeletal Center of Hampton Roads 850 Enterprise Pkwy., Ste. 2000 Hampton (757) 838-5055 Tidewater Orthopaedic Associates & Imaging Center 901 Enterprise Pkwy., Suite 900 Hampton (757) 827-2480 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900

Pain Management & Rehabilitation Specialists 245 Chesapeake Ave. Newport News (757) 928-8040 Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291 PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229 Riverside Pain Management & Infusion Center 12420 Warwick Blvd., Ste. 3-C Newport News (757) 534-5055

PEDIATRICS Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111 The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070 Children’s Specialty Group, PLCC 111783 Rock Landing Dr., Ste. 202 Newport News (757) 668-7500 601 Children’s Lane Norfolk (757) 668-7500 2021 Concert Drive Virginia Beach (757) 668-7500 733 Volvo Parkway Chesapeake (757) 668-7500 Rose J. Cloud, MD 1295 McManus Blvd., Ste. 1-C Newport News (757) 988-0085 Hampton Roads Pediatrics 23 Manhattan Square Hampton (757) 224-1600 Mark E. Holman, MD 2115 Executive Dr., Ste. 10-A Hampton (757) 826-5437 Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910 Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889 Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160 Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846 George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400 Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661 Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166 York Pediatrics 5033-B Geo. Washington Mem. Hwy. Yorktown (757) 969-1500

PHARMACIES Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253 East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554 Glendale Pharmacy 12444 Warwick Blvd. Newport News (757) 595-3355 Hidenwood Pharmacy 35 Hidenwood Shopping Center Newport News (757) 595-1151 Medicap Pharmacy 956 J. Clyde Morris Blvd. Newport News (757) 599-9643 Mercury West Discount Pharmacy 2148 W. Mercury Blvd. Hampton (757) 827-1938

PHYSICAL THERAPY & REHABILITATION Bon Secours In Motion 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 101-A Long Green Blvd. Yorktown (757) 952-1900 5 Armistead Pointe Pkwy. Hampton (757) 224-4601 Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220 Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470 Dominion Physical Therapy 466 Denbigh Blvd. Newport News (757) 875-0861 11848 Rock Landing Dr., Ste. 302 Newport News (757) 591-2022 304-E Marcella Rd. Hampton (757) 825-9446 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 Hampton Physical Therapy 2107 Hartford Rd. Hampton (757) 825-1700 Hand Rehabilitation of Virginia 11848 Rock Landing Dr., Ste. 303 Newport News (757) 873-8839 Mary Immaculate Outpatient Phsyical Therapy, Occupational Therapy & Speech Therapy 2 Bernadine Drive Newport News (757) 886-6480 OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900 Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453 Physical Therapy NOW 704 Thimble Shoals Blvd., Ste. 400-A Newport News (757) 591-2668 Pinnacle Hand Therapy 11712-D Jefferson Ave. Newport News (757) 595-4880 704 Middle Ground Blvd., Ste. D Newport News (757) 595-4880 Riverside Rehabilitation Institute - Inpatient Services 245 Chesapeake Avenue Newport News (757) 928-8000 Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097 Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090 850 Enterprise Pkwy., Ste. 2100 Hampton (757) 251-2190 Sentara CarePlex Therapy Center 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2070

PODIATRY A to Z Family Footcare 12695 McManus Blvd., Ste. 1D Newport News (757) 561-8671 Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800 Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170 American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101 Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425 David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424 Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111 5659 Parkway Dr., Ste. 200 Gloucester (757) 249-0450 TPMG Podiatry 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657 Womick Podiatry Clinic 704 Thimble Shoals Blvd., Ste. 300-B Newport News (757) 595-7634

PREVENTATIVE MEDICINE Healthspan of Hampton Roads 11747 Jefferson Ave., Ste. 1A Newport News (757) 969-3876 Longevity Center of Va. 11000 Jefferson Ave. Newport News (757) 599-7899

PROSTHETICS & ORTHOTICS Certified Prosthetic & Orthotic Specialists Barry K. Kelly, CPO, C ped 802 Lockwood Ave., Ste. B Newport News (757) 833-0911 Foot Solutions 2643 Geo. Washington Mem. Hwy. Unit 3 Yorktown (757) 867-8111 Fully Confident Restwear, Inc. 603 J. Clyde Morris Blvd., Ste. 4 Newport News (757) 595-3488 Hanger Orthotics & Prosthetics 2713 Magruder Blvd., Ste. 1 Hampton (757) 766-8047

Summit Rehab 101 Eaton St., Ste. 101 Hampton (757) 722-1210

Reach Orthotics & Prosthetic Services, Inc. 11747 Jefferson Ave., Ste. 5A Newport News (757) 595-9800

Tidewater Aquatic Therapy Center 525 Oyster Point Rd. Newport News (757) 269-0430

PSYCHIATRY & MENTAL HEALTH

Tidewater Physical Therapy 771 Pilot House Drive Newport News (757) 873-2302 2115 Executive Dr., Ste. 10-D Hampton (757) 838-6678 12695 McManus Blvd., Ste. 6-B Newport News (757) 874-0032 860 Omni Blvd., Ste. 202 Newport News (757) 327-0196 9 Manhattan Square, Ste. B Hampton (757) 825-3400

Associated Counselors of Tidewater 2019 Cunningham Dr., Ste. 220 Hampton (757) 825-9181

Tidewater Lymphedema Treatment Center 12655-B Warwick Blvd. Newport News (757) 599-5551

Behavioral Medicine Institute 606 Denbigh Blvd., Ste. 100 Newport News (757) 872-8303

Virginia Health Rehab 204 Nat Turner Blvd. Newport News (757) 594-0330

PLASTIC & COSMETIC SURGERY Carney Center for Cosmetic & Plastic Surgery 716-C Denbigh Blvd. Newport News (757) 886-9197 Mark J. Kanter, MD 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486 Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700

Poquoson Pharmacy 498 Wythe Creek Rd. Poquoson (757) 868-7114

Plastic Surgery Center of Hampton Roads 895 Middle Ground Blvd., Ste. 300 Newport News (757) 873-3500

Portside Pharmacy 1101 William Styron Square S. Newport News (757) 327-0780

John M. Pitman III, MD 11803 Jefferson Ave. Newport News (757) 223-5861

Associates of Hampton Roads 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-2307 Associates of York 205 Hampton Highway Yorktown (757) 865-1843

Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060 Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900 Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144 Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735 Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700 Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958 Community Services Board Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200

Community Services Board - Child & Adolescent Psychiatry 600 Medical Drive Hampton (757) 788-0600

Phillip Dennis, MD 2021-A Cunningham Drive Hampton (757) 262-0544

Shane’s Salon & Day Spa 101 York Crossing Rd. Yorktown (757) 898-1299

Connected Counseling Services 780 Pilot House Dr., Ste. 100-A Newport News (757) 223-7821

Riverside Peninsula Pulmonary & Sleep Associates 12200 Warwick Blvd., Ste. 290 Newport News (757) 534-5454

Shear Touch Salon & Spa 1700 Geo. Washington Mem. Hwy., Ste. H Yorktown (757) 246-3010

Betty Eastman, LCSW & Associates, Inc. 200 City Hall Ave., Ste. E Poquoson (757) 868-0072

Riverside Sleep Disorders Center 12200 Warwick Blvd., Ste. 210 Newport News (757) 534-5850

Sona Medspa 827 Diligence Dr., Ste. 206 Newport News (757) 599-9600

F. Lanier Fly, LPC St. George T. Lee, MDMA 718 J. Clyde Morris Blvd. Newport News (757) 873-8566

Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011

Soothing Moments Massage Therapy 11747 Jefferson Ave. Newport News (757) 595-2209

Genesis Counseling Center 2202 Executive Dr., Ste. C Hampton (757) 827-7707

Sleep Disorders Center Sentara CarePlex 4000 Coliseum Drive, Ste. 350 Hampton (757) 827-2180

Spa Botanica at Embassy Suites Hotel 1700 Coliseum Dr., 2nd Floor Hampton (757) 213-8510

Hampton Mental Health Assoc. 2208-A Executive Dr. Hampton (757) 826-7516

REPRODUCTIVE MEDICINE

Sunset Spa 3301-E Hampton Hwy. Yorktown (757) 867-9480

Hampton Roads Behavioral Health 304 Marcella Road, Ste. B Hampton (757) 827-7350 Hampton Roads Counseling Center 6515 Geo. Washington Mem. Hwy. Grafton (757) 877-9140 Holistic Mental Health, Inc. Hampton (757) 826-2514 Insight Nuerofeedback & Counseling P.O. Box 6378 Newport News (757) 345-5802

Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972 Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240 Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852 Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120 Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701 Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353 Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025 Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938 Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336 Dawn R. Reese, PhD 705-C Mobjack Place Newport News (757) 591-2300 Riverside Behavioral Health Center 2244 Executive Drive Hampton (757) 827-1001 Rock Landing Psychological Group 11825 Rock Landing Drive Newport News (757) 873-1736 Tipton K. Sheets, LPC, LMFT Yorktown (757) 898-9022

RHEUMATOLOGY Arthritis Center of Hampton Roads 2115 Executive Dr., Ste. 6-C Hampton (757) 874-7246 David B. Maxwell, MD 11747 Jefferson Ave., Ste. 4-E Newport News (757) 595-2040 H. Alexander Wilson, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300

SPAS & MASSAGE A Day Spa Massage Therapy 2206 Executive Dr. Hampton (727) 826-7616 Ageless Massage Therapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838 A Healing Touch Massage 15525 Warwick Blvd. Newport News (757) 969-5094 A Therapeutic Massage by Darryl 2019 Cunningham Dr. Hampton (757) 826-7266 Absolutely Slender, Inc. 2206-B Executive Dr. Hampton (757) 826-0990 Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774 American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924

PULMONOLOGY & SLEEP DISORDERS George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032 Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350

Addiction Recovery Helpline Toll-Free (800) 582-6066 Al-Anon Toll-Free (888) 425-2666 Alcoholics Anonymous (757) 595-1212

Alcohol-Drug Treatment Referral Toll-Free (800) 622-4357

Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900

Bacon Street Youth Counseling Center 3804 Geo. Washington Mem. Hwy. Yorktown (757) 253-0111 Families Anonymous Toll-Free (800) 736-9805 Narcotics Anonymous (757) 875-9314

Center 4 Massage Therapy 66 W. Mercury Blvd., Ste. 5 Hampton (757) 723-3829 11010 Warwick Blvd. Newport News (757) 723-3829

UROLOGY

Completely U Day Spa & Salon 10524 Jefferson Ave. Newport News (757) 595-2711

Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374

Healing & Wellness Sanctuary 12829 Jefferson Ave., Ste. 106 Newport News (757) 803-9876 Healthy Touch 11830-C Canon Blvd. Newport News (757) 595-0029

JonBre European Spa 3630-H Geo. Washington Mem. Hwy. Yorktown (757) 867-1190

Elaine S. Whitaker, LCSW 2101 Executive Drive Hampton (757) 838-4144

Addiction Medicine Specialists 703 Thimble Shoals Blvd., Ste. C-5 Newport News (757) 508-2386

24-Hr. Addictions Referral Network Toll-Free (800) 577-4393

Thimble Shoals Counseling & Therapy Center 703 Thimble Shoals Blvd., Ste. A-3 Newport News (757) 873-3401

Virginia Psychological Services 732 Thimble Shoals Blvd., Ste. 705-K Newport News (757) 873-4744

SUBSTANCE ABUSE & ADDICTION

Balanced Body Co. 705 Mobjack Place Newport News (757) 873-5755

Institute of Health & Healing Life Enrichment Center, Inc. 11847 Canon Blvd., Ste. 8 Newport News (757) 873-3900

Viola Vaughan-Eden, PhD, LCSW 610 Thimble Shoals Blvd., Ste. 301-D Newport News (757) 594-6011

Zenya Yoga & Massage 101 Herman Melville Ave. Newport News (757) 643-6900

Riverside Behavioral Health Center 2244 Executive Dr. Hampton (757) 827-1001

Sara E. Sutton, PhD 753-D Thimble Shoals Blvd. Newport News (757) 599-6470

Therapy Associates of Denbigh 12725 McManus Blvd., Ste. 2-G Newport News (757) 874-1676

Victoria’s Day Spa 6515 Geo. Washington Mem. Hwy. Yorktown (757) 890-9700

Balance & Harmony Spa 415 Jan Mar Drive Newport News (757) 246-4800

De-Stress Express 11835 Canon Blvd., Ste. B-103 Newport News (757) 873-8968

The Michael Hickman Salon 5328 Geo.Washington Mem. Hwy. Yorktown (757) 898-4772 Nail Hair & Massage 3016 W. Mercury Blvd. Hampton (757) 262-0555 Natural Nail Care Clinic & Spa 815 Middle Ground Blvd. Newport News (757) 873-6840 Ohm Spa Sanctuary 707 Mariners Row, Ste. 103 Newport News (757) 271-8813 Oyster Point Massage Therapy 815-C Blue Crab Rd. Newport News (757) 873-0075 Ritz Internationale Hair Design 36 Coliseum Crossing Hampton (757) 838-4247 Salon Vivace Commerce Place Shopping Ctr. Newport News (757) 873-1775 Salters Creek Retreat 100 Bridge St., Ste. D Hampton (757) 723-1934

COMING SOON!

Therapeutic Massage Center 704 Middle Ground Blvd. Newport News (757) 599-3384

The Health Journal’s First-Ever

READERS’ CHOICE AWARDS

}}

Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635

The Jones Institute 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 599-9893

David P. Bayne, MD 2204-E Executive Dr. Hampton (757) 838-8836

Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430

Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100

TPMG Urology Geoffrey B. Kostiner, MD Eric C. Darby, MD 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562

VASCULAR SURGERY

Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340 PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080

Choose your favorites from among more than 25 categories, including best: Audiologist •

Big Gym/Small Gym •

Boot Camp •

Cardiologist •

Chiropractor •

Family Physician •

General or Cosmetic Dentist •

Health Food Store •

Home Health Agency •

Obstetrician/Gynecologist •

Orthodontist •

Pediatrician •

Spin Class •

Senior Community •

Skin Specialist •

Spine Specialist •

Charles E. Umstott, MD 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511

Urgent Care Facility

Vascular & Transplant Specialists 4000 Coliseum Dr., Ste. 310 Hampton (757) 262-1110

Yoga/Pilates Studio

• •

and many more

Cast Your Vote! Pick up a copy of the March issue of The Health Journal for your survey form or instructions for online voting.

February Calendar 7

Pilates Demo

Stop by Body Balance (370 McLaws Circle, Williamsburg) with a friend between noon and 3 p.m. to learn about classes offered and see yoga and Pilates demonstrations. New clients will receive a free class pass, and current clients who bring a friend will get a discount on any purchases made that day. Cailin Yates, independent consultant with Arbonne International, will provide samples of Arbonne’s Sea Source Spa Detox Set. For more information, call (757) 221-0774

18 th 20 th

Meet and Greet

Join Pediatric Associates of Williamsburg (119 Bulifants Blvd.) at 5:30 p.m. for an open house. If you are a new parent, new to the area, or simply looking for a pediatrician, you’ll enjoy meeting their physicians and nurse practitioners as well as receive a tour of the facility. Call (757) 564-7337, option 3, to register.

Baby Care 101

New and expectant parents are invited to learn ways to provide a safe and secure environment for their infant during a free class offered at Pediatric Associates of Williamsburg (119 Bulifants Blvd.) from 7 to 9 p.m. Topics will include soothing your baby, belly button and diaper care, how to position your baby for sleep and general household and car seat safety tips. Call (757) 564-7337, option 3, to register.

Health & Wellness Expo

Meet The Health Journal staff during a free health and wellness expo, to be held from 10 a.m. to 2 p.m. at the offices of Maidstone Dental and Chickahominy Family Physicians Maidstone in New Kent. Contact Lisa Robertson at Lisa_Robertson28@ msn.com for more information.

20 th 24 th 28

40 THE HEALTH JOURNAL

2010

Youth Athletics & Camp Registration

From 9 a.m. to 1 p.m., James City County residents are invited to the James City/Williamsburg Community Center to learn about the recreational programs and services available through James City County Parks and Recreation. Parents can opt for early enrollment in summer camps, and all local athletic leagues will be providing information.

“The Doctor Is In”

After a brief hiatus during the holidays, Riverside’s free monthly health lecture series, “The Doctor is In,” resumes with a fresh lineup of Riverside Medical Group’s physicians eager to share information on health topics related to aging. Each month’s talk begins at 9 a.m. in the Food Court at Patrick Henry Mall (near the fireplace). Chick-fil-A provides complimentary coffee at each meeting.

31st Annual Colonial Half Marathon

Head to William and Mary Hall for the 31st Annual Colonial Half Marathon, hosted by the college’s Department of Track and Field. Registration will be held from 10 a.m. to noon, with a half marathon (13.1 miles) beginning at 1 p.m. and a 5K (3.1 miles) starting at 1:10 p.m. Both events are open to the public. Cost to register is $55 for the half marathon and $30 for the 5K. Apply online at www.tribeclub.com or www.active.com. For more information, call William and Mary Special Events at (757) 221-1599.

Support Groups ABORTION RECOVERY GROUP 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

Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 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

ADDICTION

The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658

Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700

Family Centered Resources 3rd Thursday, 1:30 p.m. (757) 596-3941

Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com

AIDS

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

ALCOHOL & DRUG RECOVERY Colonial Chapter Meets monthly. (757) 253-4395

Bethel Restoration Center Mondays, 7 p.m. (757) 220-5480 Kids’ Group Spirit Works (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works 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

Warwick Forest 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 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 Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287 Child Loss Williamsburg Hospice House 2nd Monday (757) 645-2192 St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948

Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541

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

Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018

Riverside Hospice 2nd Thursday, 7 p.m. (757) 594-2745

Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444

Suicide Catholic Charities 3rd Tues., 7 p.m. (757) 875-0060 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

CELIAC DISEASE

St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535

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

CHRONIC FATIGUE SYNDROME

Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871

PMS

CROHN’S DISEASE/COLITIS

Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 p.m. to 9:30 p.m. (757) 827-1001

Monticello Ukrop’s Call (757) 564-0229 Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700

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

Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229

Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700

Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328

Type 2 Riverside Regional Medical Center 3rd Tuesday, 11 a.m. (757) 534-5918

Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 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 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., call for dates. (757) 827-2438 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

JCC/W Community Center 1st Tues., 7:30 to 8:30 a.m. (757) 253-1220 or allysimone@hotmail.com

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

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

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

Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5918

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

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

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

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

MULTIPLE SCLEROSIS

STROKE/BRAIN INJURY

JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900

African-Americans Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627

Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327

MYASTHENIA GRAVIS

Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327

James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393

OSTOMY

Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050

Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033

VASCULITIS

PARENTING

VISION LOSS

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 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 1st Sat., 10 a.m. to noon (928) 380-0319

1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185

WEIGHT MANAGEMENT Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 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

Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862 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 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880

THE HEALTH JOURNAL

profile Why he chose cardiology: Cardiology became an interest during my medical training. I was looking for something that had continuity. I wanted a relationship with my patients. It is a very research-driven field. It’s very mechanical—fairly complicated, but simple in my mind. You can really wrap your mind around it. On his training in Iraq and Afghanistan: I spent one month in Afghanistan and three months in Iraq. I found it fantastically rewarding. My job in Iraq was critical care. I was flying with an intensive care unit and transporting critically injured soldiers. Within 20 minutes they were in a chopper, in an hour they were in surgery in an operating room to get stabilized, then they could be flying to Germany by the end of the night. Who he helps now: College students. Middleaged people. Seniors. There is a wide range in age, but I see many more 80- and 90-year-olds than any other type of patient.

Joseph T. Adinaro, IV, M.D.

INTERVIEW BY SHARON MILLER CINDRICH PHOTOGRAPHY BY BRIAN M. FREER

oseph Adinaro showed an interest in medicine at an extremely early age. In fourth grade, when a fellow classmate fell and hurt his head, Adinaro pushed through the crowd of children gathered around to assess the scene. “I said, ‘Let me have a look at him.’ My teacher turned to me and said, ‘Where’s your doctor’s license?’” The rest is now history. After receiving his undergraduate degree from George Mason University, Adinaro earned his medical degree from Eastern Virginia Medical School in 2000. During his residency, he spent several months as an Air Force doctor, serving in Afghanistan and Iraq. “We had 600 pounds of equipment that could turn any airplane into an emergency room,” he says. While he admits it was sometimes lonely as the only doctor at 30,000 feet, these days Adinaro has his feet planted firmly on the ground. He practices with Cardiovascular Health in Williamsburg and is an active medical staff member at Riverside Regional Medical Center in Newport News and Sentara Williamsburg Regional Medical Center. As a busy father of five young children, his plate is quite full—literally. Finding time for some of his favorite sports—golf and volleyball—can be difficult amid long work hours and taking care of family, so Adinaro has turned to another favorite activity. “I also enjoy cooking,” he says. “When I was young, my grandmother would host dinner for the extended family on Sunday afternoons. I have resumed the tradition and enjoy hosting dinners for family and friends.” Recently, The Health Journal asked Adinaro to offer his top tips for heart health and more. Here are excerpts from our interview:

The biggest myth about heart health: I think there’s a general misunderstanding about how heart disease really works. We used to believe that blockages would progress over time and eventually close the artery, but we have discovered that mild blockages can break open and the artery can suddenly close with a clot. Inflammation and the endothelium [a thin lining of blood vessels in the arteries] are big players. Treating risk factors—like high blood pressure, high cholesterol, diabetes and smoking—is what makes a difference.

What people can do to keep their heart healthy: Exercise, aerobic exercise specifically, actually keeps your heart in better shape, as does modifying your risk factors. Smoking is the single worst thing you can do for your heart. The nicotine paralyzes the lining of the blood vessels. When that happens, you’re at higher risk for heart disease.

Biggest professional challenge: Trying to get through to patients who have their mind set against making a positive change, like quitting smoking. Or they don’t want to take medications. Also, keeping people from being their own doctor. The patient that frustrates me the most says, “This is what I believe, and that’s the way it is.” Who he admires: The folks who trained me—I’ve trained with some amazing physicians. Their work ethic, tenacity and brilliance are inspiring. I do my best to come close to that. Everyone has their own thing—some docs have great bedside skills, other folks have the science down pat. You take pieces from everyone and try to be the best you can. What surprises him most in his practice: Everybody’s different. I see everyone from the teen with palpitations and it’s nothing, to the 40-year-old who has horrible cancer and will die soon, to the 80-year-old who’s out on the golf course. The most beautiful thing about the human heart: The heart is fascinating and elegant in its design and function with its own mechanical, plumbing and electrical systems. Many animals have the same design—including pigs and cows—which is useful when you need to exchange a part. Honestly, the most beautiful thing about the human heart, which is unique to the species, is its metaphorical exploration by artists, poets, songwriters and philosophers. The fleshy pump keeping us all going is quite humble compared to the lofty poetic heart.

he just got a joint replacement at tideWater ortho...she didnâ&#x20AC;&#x2122;t.

Who Would you trust With your joint replacement? If painful joints are keeping you from enjoying life, please call the specialists of Tidewater Ortho. Our dedicated team of physicians, physical therapists, and health professionals will get you back to conquering the hills again. u James L. Phillips, MD

u Colin Kingston, MD

u Michael Higgins, MD

u Loel Payne, MD

u Paul Savas, MD

u John J. McCarthy III, MD

u Robert Campolattaro, MD

u Nicholas Smerlis, MD

u Sara Bouraee, DPM

u Jenell Eddins, PA-C

www.tidewaterortHo.com williamsburg office: 5208 Monticello Avenue, Suite 180 Williamsburg, VA 23188

To schedule an appointment, please call:

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PCI

PENINSULA CANCER INSTITUTE In the Riverside Cancer Care Center | 12100 Warwick Blvd., Suite 201, Newport News, VA 23601

Guy Tillinghast, MD; Mashour Yousef, MD; Mark Ellis, MD; Kimberly Schlesinger, MD and staff at the Newport News location of PCI.

eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment in the beautiful Riverside Cancer Care Center located on the campus of Riverside Regional Medical Center. All PCI doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected Physicians are also Board-Certified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient according to need and desire:

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patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services, massage therapy, pet therapy, music therapy, patient/family education, and cutting-edge clinical research trials. PCI is a member of the Cancer Trials Support Unit (CTSU) as an independent clinical research site. CTSU is a project sponsored by the National Cancer Institute. Riverside Cancer Care Center also offers a resource center and library for community use as well as a conference center for cancer community events including support groups.

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Riverside Cancer Care Center 12100 Warwick Blvd., Suite 201, Newport News, VA 23601

Riverside Healthcare Center 120 Kings Way, Suite 3100, Williamsburg, VA 23185

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757-534-5555

757-345-5724

804-693-9037

For more information, please visit our website: www.peninsulacancerinstitute.com