2010_04_THJ_W_ISSUU by The Health Journal

the

Health Journal April 2010

Vol. 5 No. 11

Williamsburg Edition

BALANCE BASICS

AUTHOR TONY WILLIAMS THE POX AND THE COVENANT

DIVINE INTERVENTION FREE

PHOTO BY PAUL HARRISON

PRODUCTS VS PROCEDURES

OSC Lecture Series ChooseCommunity Physical Therapy at OSC to Keep You Moving! Pre Improving Quality of Life - Interventional Pain Management Join Raj Sureja, M.D. for an evening of interactive discussion regarding the latest advancements in Chronic Pain Management. Understand how Interventional Medicine can provide relief for individuals who suffer with Chronic Pain. Educational literature and refreshments will be provided. We encourage you to bring a friend! When:

Tuesday,April 21st, at 7:00 Join OSC for the 2010 Arthritis Walk, pm Saturday, April–24th, 9:00 AM at Port Warwick To register callat757-596-1900 Experience Excellence at OSC

Where:

APRIL 4TH A

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OSC COMMUNITY LECTURE SERIES–APRIL 2010

Boyd W. Haynes, III, M.D. • Robert J. Snyder, M.D. Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D. Mark W. McFarland, D.O. • Raj N. Sureja, M.D. Jenny L. Andrus, M.D. Jamie McNeely, P.A. • Tonia Yocum, P.A. • Erin Padgett, P.A.

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Living Well With Arthritis:

Care & Clinical Treatment Options Join Dr. Boyd Haynes for an in-depth discussion about the latest non-surgical and surgical treatments for arthritis. From arthritis medication to exercise, joint replacement to physical therapy, Dr. Haynes will answer your questions. If you suffer from arthritis pain, learn how you can live an active and full life with the advanced treatments available. Educational literature & refreshments will be provided. Bring a friend!

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

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

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

Raj N. Sureja, M.D. • Tonia Yocum

Tuesday, April 20th, at 7:00 PM To register, call 1-877-202-9130

Boyd W. Haynes III, MD

Jamie McNeely, P.A.

Don’t miss Dr. Jeffrey Carlson’s appearance with Dr. Mehmet Oz at the Successful Aging Forum, May 14th, 2010 at the Hampton Roads Convention Center!

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AprilContents 2010

[ Features ]

6 Preaching the Word of Health Local churches aim to educate members about health issues such as chronic disease prevention.

9 It Takes Two

As a friendship blossoms, a business does too.

12 A Healthy Mouth Speaks Volumes

A dentist shares tips for a lifetime of good oral health.

19 Yoga & Mindful Eating

Lose weight, not your mind, with advice from Yoga Instructor Jennifer Daly.

31 Awareness: Autism

EVMS launches a program for adults; U.S. court rules vaccines are not to blame.

[ In Every Issue ] 4 Editorâ&#x20AC;&#x2122;s Note 5 Inbox

10 Snapshots 16 Fitness 22 Profile

28 Skin & Beauty

38 Health Directory 40 Calendar

Taking on the POX Profile of local author Tony Williams, plus an excerpt from his latest book.

fitness

the

Health Journal

The Health Journal is a free, monthly consumer health magazine distributed in a variety of ways throughout Hampton Roads and Richmond. Four editions are currently available: Williamsburg, Peninsula, Southside and Richmond.

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

Megan Brooks Jennifer Daly, PhD, RYT 500 Kathleen M. Cramer Stephen I. Deutsch, M.D., PhD Maggie Fox Anne Harding Allison Johnson Gayle Pinn, CPT Keith Schumann, MD Sebastiana G. Springmann, DDS Maria Urbano, M.D. Joy Vann

The Health Journal—Williamsburg Edition is directmailed to homes and businesses in Williamsburg, James City County and Northern York County. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address. The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements. For Advertising and editorial Information, call or write: The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

4 THE HEALTH JOURNAL

Editor’s

NOTE

April has a special place in my heart, and not just because my daughter, Cami, turns one year this month. It was at this time five years ago that my good friend Brian—who’s now my husband and copilot in life, business and first-time parenting—asked me to resign from my job and help him start up a health magazine. “It’s a crazy idea,” I thought. But with nothing to lose, I took the chance anyway. And here we are, five years later, and we’ve not only grown together as a family but have increased The Health Journal’s circulation and coverage area five-fold. This month marks yet another giant step for our business as we expand westward into Richmond with a fourth edition. This year has marked one of the biggest upgrades we’ve ever made to the look and feel of The Health Journal. Changing from a “loose” format to a stapled-and-trimmed one has allowed greater creative freedom in our layout and design. The past few issues have also featured cover stories that fall outside our traditional in-depth coverage of health and medical conditions. In February we ran as our cover story a heart-wrenching essay by a grieving father who had lost his infant daughter to a rare metabolic disorder. We’d published readers’ essays and commentaries before, but nothing to the depth and degree of “Remembering Josephine.” (As an update to the story, we’re proud to announce the family celebrated the birth of a son, Christopher Joseph Lampitt, born Feb. 26.) This month’s issue marks another editorial first: Following last year’s successful series on Colonialera health practices (read the series online at www.thehealthjournals.com), we’ve published a portion of local author Tony Williams’ latest book, The Pox and the Covenant: Mather, Franklin and the Epidemic that Changed America’s Destiny (Sourcebooks, April 2010). You’ll also find an in-depth interview with the veteran author and father of two, who’s already making special appearances at local book stores. Here’s the synopsis: When a British ship, fresh from the Caribbean, sails into Boston’s harbor in early April 1721, it carries upon it a deadly virus that sparks a series of dramatic events that ultimately wreak havoc upon the city. As more than half of Boston’s residents contract smallpox, Reverend Cotton Mather, the port city’s most popular Protestant minister, tries to convince local doctors and townspeople of the efficacy of inoculation, an early form of modern vaccination. “Surprisingly—no, almost shockingly,” says Williams, the doctors refuse to practice inoculation and vehemently attack those who tout its effectiveness. Mather recruits one physician, Dr. Zabdiel Boylston, and together they begin inoculating patients— with good results. Meanwhile, the city is racked with violence as tensions peak between the ministry and the town’s physicians. Mather is threatened on the street, publicly attacked in the newspapers (particularly by young Benjamin Franklin and his older brother James, another surprising twist to the story), and someone even launches a bomb through a window of Mather’s home in the middle of the night. (Sound strangely familiar? Think health care reform.) Inoculation is eventually accepted; later in that decade Boylston presents his findings to lead scientists at London’s Royal Society (similar experiments were being done in Europe), and by the turn of the 19th century smallpox vaccination (using the cowpox virus) was becoming common practice. Fastforward 200 years, and smallpox is globally eradicated. We’ve got to hand it to Mather and his contemporaries for, despite the fierce opposition, standing up for what they believed was morally right—a concept that, in the end, saved millions of lives and spared countless more from pain and suffering. Is there a modern lesson to be learned from this little-known slice of American history? Only time will tell.

HJ Readers’ Poll: What’s Page Bishop-Freer, Editor page@thehealthjournals.com

the best health advice your mother ever gave you, and did you follow it? E-mail your reply to page@thehealthjournals.com

April

inbox

page’s pics

KUDOS

Favorites

1. Vemma Liquid Vitamin Supplement ($60 for a 30-day supply; learn more at http://drinksome.vemma.com/) This great-tasting vitamin and mineral supplement is packed full of powerful antioxidants. Plus, it contains mangosteen— a fruit that’s high in antioxidants and believed to have been used by natural health providers for thousands of years.

“Thank you for sharing Claire and Ed Lampitt’s story [February 2010, p. 22] about the sad death of their daughter Josephine. Claire is a dear friend, and I am grateful you recognized the magnitude and tenderness of their life with and loss of Josephine.” —Kathy B., Boulder, Co.

INQUIRIES

2. Mrs. Meyer’s Clean Day Countertop Spray ($4.99 at Target stores) Get your spring cleaning on with this lemon-verbena scented spray made from essential oils and other natural ingredients. Just spray and wipe; safe for any non-porous surface. 3. Physician’s Formula Mineral Wear Correcting Powder ($13.95 at drugstores) This 3-in-1 corrector, primer and powder provides a polished finish by evening out skin tone and diminishing the look of imperfections. 4. Moisture Drops Rapid Replacement Formula ($115; available exclusively at Ageless Dermatology and Laser Center) Want baby soft skin? Apply a tiny dab on cleansed skin once or twice a day. Your skin will become smooth and hydrated with fine lines less apparent. Great as an every day moisturizer for normal, dry and sensitive skin types. Contains ceramides and sphingolipids, both natural components of the skin. 5. Groceries On-Demand ($4.95; www.harristeeter.com) Harris Teeter’s Express Lane online shopping is now available at four area stores (see website). This service is perfect for young professionals, working parents, caregivers—basically anyone short on time and energy. Plus, ordering online really helps you stick to your list. Oh, and don’t forget to pick up a copy of The Health Journal near the entrance—we’re now in every local Harris Teeter! 6. “The Natural” Eco-Friendly Umbrella ($32; www.greenhome.com) Each part of this umbrella is made from recycled materials, from its post-consumer plastic fabric to its handle made from 65 percent shredded wood. Available in green or black. The online store also features a golf-size umbrella for $52.

“The article on Child Development Resources [March 2010, Williamsburg Edition, p. 37] was beautiful. We truly appreciate everything you did to help increase awareness about CDR, our services and our annual auction.” —Sissy Allen, assistant director of development for CDR

“We have been receiving The Health Journal since you first started publishing. Thank you for a very enlightening and educational journal! In the October 2009 issue, you featured an article, “New Help for Hemorrhoids,” about infrared treatment. Are you aware of any other physicians on the Peninsula or Southside of Hampton Roads (or even the OBX!) who also use this treatment?” —Charles and Sally R., Newport News Ed.: According to Sentara Healthcare officials, Dr. Jared Brooks of Norfolk Surgical Group may be offering this method. “I have been told by all the nurses, my physician and the attending that my pregnancy mask is the worst they have ever seen. My son is now eight months old and my mask has been significantly diminished with creams. Any suggestions on removing the last of the pigment, which now is orange?” —Charity W., Alberta, Canada

Ed.: Here’s what our skin care expert had to say: “Melasma (known as the mask of pregnancy) often fades on its own but can also be treated with certain products and procedures as well as lifestyle changes. Pregnancy is not the only trigger: Birth control pills, hormone therapy, anti-seizure medications, and other medications can incite this condition. Our expert recommends consulting a board-certified dermatologist, who may prescribe Tri-luma cream (or other bleaching agent), kojic acid, azelaic acid or glycolic acids. Other treatments include gentle microdermabrasion, chemical peels, and laser surgery. No single treatment reliably works for every patient, and while melasma may disappear, it can return. It’s important that you avoid products that could irritate the skin as this could make the melasma worse.” Further information can be found at www.aad.org.

THE HEALTH JOURNAL

local beat

Divine Intervention Faith-based wellness programs focus on disease prevention WRITTEN BY ALISON JOHNSON PHOTOGRAPHY BY BRIAN M. FREER

6 THE HEALTH JOURNAL

hen Pastor Walter Johnson delivered a recent Sunday sermon, he touched on a subject outside his traditional religious framework: the risk of vitamin D deficiency in African-Americans. The vitamin, found naturally in few foods, boosts bone strength and may lower the risk of certain cancers. The problem? Darker skin blocks more of the sunlight that helps the skin make vitamin D. After Johnson, pastor at Zion Prospect Baptist Church in Yorktown, learned at a doctor’s appointment that he had low levels of vitamin D, he was confident at least some of his church members did, too. Johnson’s sermon was just one example of how a growing number of local churches are diving into the field of health education. Zion Prospect Baptist also has taken part in an American Heart Association initiative called Power to End Stroke, a national campaign that includes an educational film on stroke risk factors and symptoms. In addition, the church has held workshops on heart disease, obesity, AIDS and senior health as well as prostate and breast cancer. Church officials schedule blood pressure checks once a month and organize a walking group during good weather. “The church is such a good place to disseminate this kind of information,” Johnson says. “You’re getting right at the people who live in the community. These are people who might not otherwise hear the things we’re saying. There’s not a doubt in my mind that it’s making a difference. People are much more aware of what they can do to be healthy.” Churches now touch on a wide variety of health topics, from prenatal care and childhood obesity to alcohol addiction and caring for Alzheimer’s patients. Some have replaced fatty, salty or sweet fare at celebrations with fruit, vegetables and nuts, and in addition have passed along healthy recipes. Church-run programs to help keep kids active include sports leagues and martial arts classes. Many also have hosted visits from public health representatives and mobile vans offering immunizations, blood pressure and cholesterol screenings and educational programs. “Churches are important centers of family and community life,” says Dr. David Trump, director of the Peninsula Health District. “They have the opportunity—and many churches definitely have taken on

the role—to share messages on healthy eating, physical activity and disease prevention and screening with the members of their congregations and within the community they serve.” In Newport News, for example, churches have been an important partner in the city health department’s “Heal-thy Generations: A Southeast Community Health Movement,” a program that works to reduce chronic diseases such as diabetes and asthma in high-risk communities. (Read The Health Journal’s July 2008 coverage of this program online at www.thehealthjournals.com.) African-American churches in particular have boosted their health care ministries to fight common risks within the population. For example, African-Americans are 1.5 times more likely to die from heart disease compared to Caucasians and 1.8 times more likely to have a fatal stroke, according to the American Heart Pastor Walter Johnson

Bon Secours Provides Earthquake Relief

David H. Trump, MD, MPH

“Promoting healing and good health is part of addressing the spiritual needs of our congregation.” — Priscilla Channel, health care ministry president, Bethel African Methodist Episcopal Church, Hampton Association. In response to these statistics, Bethel African Methodist Episcopal Church, an approximately 600-member congregation in Hampton, has organized presentations and public health fairs to provide information on diabetes, nutrition, weight control and high blood pressure. “We really think promoting healing and good health is part of addressing the spiritual needs of our congregation,” says Priscilla Channel, health care ministry president at the church. “We emphasize holistic care—a mind, body and spirit approach that we hope can empower our families.”

Studies have shown church programs can be powerful weapons. At an American Heart Association conference in March 2009, researchers reported that nearly half of overweight and obese African-Americans who completed a 12-week program called Fit Body & Soul at a church in Georgia lost five percent or more of their body weight. Nearly 70 percent had kept the weight off after six months. At Community United Methodist Church in Virginia Beach, registered nurses are available after two services every Sunday to take members’ blood pressure. “We get a chance to speak with our regulars and assess their wellbeing,” says Jim Hoffower, one of the nurses involved. “If they have had medication changes, we provide counsel on the effects and potential side effects they may encounter. It’s a great service to be providing as well as representing a ‘fellowship’ moment.” The church also will train members in CPR as requested, Hoffower adds. Betsy Davis, a member of Community United Methodist, says the church support can become like a second family. “This city is so transient, and people may not have family here who can accompany them to the doctor or hospital,” Davis says. “People need an advocate.” Church leaders also say they have the power—and the responsibility—to reach out beyond their congregations. Many host health support groups for people struggling with alcoholism, abusive relationships and a variety of health problems (find support groups near you on page 41 of this issue). Warwick United Church of Christ in Newport News, for example, provides a room for “Moms Helping Moms”, a group for family members of children fighting cancer. Linda Manning, a member of the church who lost a son to cancer, is one of its leaders. “The church just believes really strongly about having a strong presence in the community and reaching out when there’s a need,” Manning says. “This is a need. The church is a perfect, safe, peaceful place for people to come together. We can discuss our issues and concerns, educate each other and lean on each other.” That spirit of community is why leaders at Zion Prospect Baptist have screened the educational film on stroke for other congregations, not just their own. The presentation includes a pre- and post-film quiz on basic stroke facts, including how to live a healthier lifestyle and recognize early signs of heart disease and stroke. “You can really empower people,” Pastor Walter Johnson says, “and that is a way to make a great difference in their lives.”

Bon Secours Virginia Health System announced last month it would donate $25,000 for earthquake relief in Chile. Caritas Chile, a group similar to Catholic Charities in the United States, will receive the funds.

Homeless W-JCC Students Can Get Free Physicals The Student Services Department of Williamsburg-James City County Public Schools has obtained a grant through the American Recovery and Reinvestment Act of 2009 to provide staff training, develop a resource manual and reduce barriers to education for homeless students. The newest feature of the grant—a contract with New Town Urgent Care to provide free school entrance physicals to W-JCC students identified as homeless—has just been finalized. For more information about access to the service, contact Stephanie Leek at 220-5338, Stephanie Gallas at 220-5336, or the school nurse at any W-JCC school.

WCHF Awards Grants To Two Local Programs Williamsburg Community Health Foundation has announced $773,925 in grant funding for two programs that promote community wellness. SHIP, the School Health Initiative Program of Williamsburg-James City County Public Schools, will receive $553,996, and $179,929 will help fund the new Greater Williamsburg Child Assessment Center, administered by the Colonial Services Board.

SHIP Seeks W-JCC Students To Enter Video Contest The W-JCC Schools’ SHIP program has launched a video contest, seeking 30- to 60-second videos about healthy eating and/or physical activity. Completed videos are due by April 30 at 4 p.m. All W-JCC students are eligible to enter, working alone or in teams, and one first-place video will be chosen at each school level (elementary, middle and high school). Winning videos (and runners-up) will be broadcast on local cable TV channel 47. All contest information, rules and required forms can be found at www.wjcc.k12.va.us. On the right side of the division website, look under “Inside Schools,” then “Video Contest,” and click on “More,” or contact Susan Stewart at StewartS2@wjcc.k12.va.us or by calling (757) 220-5351.

THE HEALTH JOURNAL

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local beat

It Takes 2:

René Bowditch

WRITTEN BY JOY VANN PHOTOGRAPHY COURTESY OF BEYOND BOOBS, INC.

Mary Beth Gibson

his duo from Williamsburg met at a health retreat in 2006 Adds Gibson: “We try to bring out each other’s energy, when Gibson, then 41, had just been diagnosed with breast sparkle and sizzle. We work so closely, we’re like sisters. Our cancer. Bowditch, a breast cancer survivor, was appearing egos take a step back.” as her alter ego, the “Good Health Fairy,” for which she dons fairy As for running a business together, they both agree that honwings and funky high-top sneakers to remind people who are esty and openness are essential. Says Bowditch, “You have to struggling with illness about the importance of maintainbe as transparent and vulnerable as can be, and you have ing a sense of humor. to agree that if any issues come up, The two became fast friends and realyou will talk about them.” Welcome to one of the most exclusive clubs aroundized in talking that there was a need in But their commitment to Beyond and it's one nobody wants to join. the breast cancer support community Boobs hasn’t been all work and no for a stronger focus on premenopausal play. To keep themselves fresh, both LEARN MORE AT women. Gibson recalls that their early women make sure to create “just www.beyondboobsinc.org conversations centered on the isolation friends” time. younger women often feel, especially “We socialize,” Bowditch says. “We those with small children, when faced with a diagnosis. talk about our kids, marriages, everything. We’re our own little Remembers Bowditch: “It started with five of us for tea and support group. We really have fun together.” talk on Sunday afternoons, and the rest is history.” In addition to being business partners, breast cancer surviTheir group, Beyond Boobs, Inc.—a nod to the humor they vors and devoted mothers, the two share another commonality: use to grab attention—advocates for young women with breast “We also love food,” shares Bowditch. “Seriously, we can get a cancer and reminds all women that early detection is the best lot done at a restaurant.” weapon against the disease.  The group’s immediate success quickly affirmed Bowditch and Gibson’s belief that premenopausal women with breast cancer needed more support. Within one year of forming, Beyond Boobs, Inc., gained recognition as a non-profit organization and also produced a calendar featuring breast cancer survivors and breast health information. The group recently started a second chapter in Virginia Beach, and the goal now is to replicate their  success—throughout the country. For the first three years, Bowditch and Gibson worked mainly at  their dining room tables, and they are thrilled to finally have office space—generously donated by a supporter. Getting things started at their official headquarters has them even more excited about   the future.    Both agree that their friendship, like any other, requires  work. They attribute their success to the synergy of collaborating together—and the fact that they never take themselves too  seriously.   Bowditch asserts: “We’ve worked together for three years, and  I don’t remember a cross word. Our personalities meld [well].”

 

 

THE HEALTH JOURNAL

snapshots

Olde Towne Medical Center held a free children’s dental clinic Feb. 27. (1) Dr. Robert Morrison examines patient Colby Echols. (2) Mom Bethany Babb holds daughter Graycie as Dr. Jack Shepard and dental hygienist April Ozmore check Graycie’s teeth.

1, 2

“Emergency medical technician, Jennifer Cassee (right) and Captain Andy Fulton of the Princess Anne Courthouse Volunteer Rescue Squad (joined by Eden Jones, executive director of the Atlantic Shores senior community) accept a check for $21,695 in net proceeds from the sale of the 2010 “Pin-up Boys of Atlantic Shores” calendar. The event was held Feb. 25 in Virginia Beach.

(4) the Crown Council, an organization of elite dental practices, recognized Dr. Sebastiana G. Springmann (front row, right) and her team at New Town Dental Arts as one of the Top Team Practices for 2009 and as one of the top fundraisers for Smiles for Life. In addition, Dr. Sarah Allen of New Town Dental Arts (front row, left) visited local schools including the Goddard School (5) and Walsingham Academy (6) during March, which is Children’s Dental Health Month.

4, 5, 6

James River Elementary’s “Hearts for Haiti” fundraiser, founded by first-grader Ellie Bolio, raised $538 for Haiti’s earthquake victims. Here, James River Principal Lynn Turner, left, joins Bolio as she gives the funds raised to American Red Cross representative Heather Harmon.

As part of the Shamrock Marathon festivities held March 19 through 21 in Virginia Beach, nearly 7,000 runners completed the Shamrock 8K sponsored by Towne Bank. (The Health Journal Publisher Brian Freer crossed the finish line in 38:08 minutes—his first competitive running event. Congrats, Brian!) Photo courtesy of brightroom.com.

On March 23, the Colonial Services Board (CSB) hosted a grand opening and ribbon cutting ceremony for the Greater Williamsburg Child Assessment Center (GWCAC). The GWCAC is being administered by the CSB on behalf of the Williamsburg Community Health Foundation (WCHF) and provides behavioral health assessment and referral services to children, adolescents and their families. From left to right: CSB Executive Director David Coe, WCHF Board Member Jonathan Weiss, WCHF Co-Interim Executive Director Rene Cabral-Daniels, Delegate Brenda Pogge (R-96th), Williamsburg City Council Member Judy Knudson and CSB Board Chair John McDonald.

A ribbon-cutting ceremony was held March 16 for the new Sentara PACE site in the Churchland Shopping Center in Portsmouth. PACE is a day program (supported by Medicare and Medicaid) for seniors who live with their families. PACE provides transportation, medical care, meals, activities and socialization during the day as a less expensive alternative to institutional care. Left to right: Colette Ashuira, PACE analyst; Jose Rodriguez, M.D., Portsmouth Public Health Director; Bruce Robertson, vice president of Sentara Life Care; Alverta Robinson, R.N., director of clinical operations for Sentara Life Care; and Michael Gentry, corporate vice president for Sentara Healthcare.

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the specialist

A Healthy Mouth Helps Ensure A Lifetime of Health

WRITTEN BY DR. SEBASTIANA GAGLIANO SPRINGMANN

ccording to the American Dental Association, most Americans enjoy excellent oral health and keep their natural teeth throughout their lives. But beyond the benefits of an attractive smile, does oral health really matter? You’ve probably heard the phrase “the oral–systemic link.” There is an important correlation between L A oral health and overall health. In other words, T DEN H healthy mouth = healthy body. The same culprits LT HEA AGE, behind gum disease, tooth decay and oral cancer VERY GE are linked to heart disease, diabetes, obesity and AT E A Y ST other diseases. EVER Regular dental examinations and good oral hygiene at home can prevent most dental disease. What should good oral hygiene include? Here’s a look at what you can do at various life stages to maintain a healthy mouth and, ultimately, a healthy body.

Sebastiana Gagliano Springmann, DDS, has practiced dentistry in Williamsburg since 1992. She attended New York University, the College of William and Mary and VCU Medical Center, formerly known as the Medical College of Virginia (MCV). Her volunteer work includes Smiles for Life, Donated Dental Services and Smiles for Success. She is an active supporter of William and Mary Athletics and the Heritage Humane Society.

12 THE HEALTH JOURNAL

AGE 0 TO 12 MONTHS A baby’s first tooth erupts between zero to 12 months of age, and he should have his first visit to the dentist by the first birthday. (Easy to remember: all firsts!) Parents should clean Baby’s gums with a wet washcloth after feedings (nursing or bottle) and begin brushing once any teeth have grown in. Avoid bedtime bottles (other than water), which can lead to baby-bottle tooth decay or “nursing cavities.” Tooth decay is always about the bacteria, and bacteria feed on sugars.

1 TO 3

AGE YEARS From age one to three years, more primary (baby) teeth come in. Parents should brush their child’s teeth at least twice daily, limit juice and provide a frozen teething ring to help ease teething pain. Children can start learning to brush on their own around age two, but parents still need to supervise and/ or do a second sweep of brushing themselves. Every six-month checkup with the child’s dentist is important. If any cavities are detected, removing the decay and placing fillings is important to keep the toddler’s mouth developing properly. You’ve all heard people say, “Oh, they’re only baby teeth.” Not so—they perform an important function, so keeping them is key.

3 TO 7

AGE YEARS Somewhere between three to seven years of age, a child begins to lose baby teeth and the first permanent molars begin to erupt. Thumb-sucking and other related habits can cause bite problems that will require correction with surgery or braces. Your child’s dentist will take radiographs to determine any areas of decay and evaluate whether the teeth and bones are forming properly. Sealants should also be placed on any teeth with deep grooves to help prevent chewing-surface cavities.

A HEALTHY MOUTH Depends on What You Put in It To help prevent tooth decay and gum disease, eat a well-balanced diet based on the USDA food pyramid (www.mypyramid.gov), take dietary supplements as directed by your physician, and drink lots of water. These practices will also reduce your risk for heart disease, diabetes and obesity.

to t n a u! We w o y om r f r a he

7 TO 13

AGE YEARS A child will lose all his baby teeth between seven and 13 years of age. Regular brushing, dental checkups, fluoride treatments (as recommended by a dentist) plus daily flossing are part of a healthy routine. It may be time for a visit to the orthodontist for braces. If the child is active in any contact sports, a sports mouth guard should be used to prevent tooth breakage or loosening as well as trauma to the jaw or concussions.

13 TO 25

Here’s a look at some of the

ORAL HEALTH ISSUES that affect men and women disproportionately: WOMEN Eating disorders—bulimia can destroy tooth enamel, while anorexia can deplete the body of vital nutrients and affect the health of teeth and gums.

Oral contraceptives—progesterone-containing birth control pills can inflame gum tissue by elevating the body’s reaction to the toxins that dental plaque creates. Pregnancy—increases risk for gingivitis and pregnancy tumors in the mouth.

Menopause—hormone changes and certain medications can cause dry mouth.

MEN Tooth loss—Men are more likely than women to experience tooth loss. The average male will lose 5.4 teeth by age 72. Smoking—Men who smoke will lose an average of 12 teeth by age 72!

Gum disease—Men are more likely than women to develop gum (periodontal) disease and oral cancer.

AGE YEARS Adolescents and young adults need to brush and floss twice daily and also use a daily fluoride rinse. It’s a good idea to keep travel toothbrushes in backpacks, purses or briefcases for use at or after school and work. Limit sugary or starchy foods and soft drinks. Don’t smoke, and beware of oral piercing. Bacteria tend to cluster around metal piercings, not to mention that biting on metal can crack the back teeth. During this time, an oral surgeon should be consulted for the removal of wisdom teeth.

ADULTS

SPECIAL CONCERNS OF Along with all the other health concerns adults face, oral health needs, too, may become more complex. Cavities can form around existing fillings, and root decay is common. Tooth and gum sensitivity may develop, crowns may be needed to strengthen damaged teeth, and gum disease—a major cause of tooth loss—may require treatment. Ninety-five percent of oral cancers occur in people over age 40, so be sure to have a thorough oral cancer screening at each six-month dental checkup.

70s, 80s, 90s AND BEYOND

People in this age group may need replacement fillings and crowns as teeth break or wear. Implants can replace missing teeth, and much like a new knee or hip, implants can let you function normally again without relying on dentures. Many seniors suffer from dry mouth, whether caused by age or medications like decongestants, antidepressants and blood pressure medicines. Saliva rinses away food particles and neutralizes harmful acids, therefore playing a major role in cavity prevention. Your dentist can help you select special products to help alleviate dry mouth symptoms. Drink lots of water and avoid sweets, tobacco, alcohol and caffeine to fight gum disease, dry mouth and decay. (Sugar-free chewing gum and some other products that your dentist can recommend may help.) Those in this age category should use a topical fluoride as directed by their dentist, and dental tools such as rotary brushes (as they have large handles) and irrigators (such as Water-Piks™) if arthritis makes handling a toothbrush or floss difficult. More frequent visits to the dentist may be needed to combat gum disease and root decay.

the

Health Journal’s First-Ever

READERS’ CHOICE AWARDS Vote for your favorites in more than 30 categories, from health care providers to fitness centers to local running events. The Health Journal will run a series of profiles on selected winners in our summer 2010 issues.

Nom in favor ate your ite do ctors ! Vote online at: http://www.surveymonkey.com/s/ hjreaderschoice2010 To request a printable ballot to provide to your patients or clients: info@thehealthjournals.com Deadline for entries is May 15, 2010

ONLINE RESOURCES www.knowyourteeth.com — View the visual timeline “The Life of a Tooth,” courtesy of the Academy of General Dentistry. Also worth checking out is the Dental Diary widget.

www.ada.org — The American Dental Association’s website has an easy-to-use database, Oral Health Topics A-Z.

www.crowncouncil.com — Quick, easy-to-read information about the links between oral health and overall health. THE HEALTH JOURNAL

money matters

Health Savings Accounts Provide Tax Savings Learn How HSAs Can Reduce Your Healthcare Expenses WRITTEN BY KATHLEEN M. CRAMER

pril 15 is a day etched into the minds of Americans as the day that our state and federal taxes are due. Are you ready? Have you done everything you can to reduce the taxes you owe? As the economic downturn has influenced much of our spending, we’re now looking for other ways to save money. One way to reduce health care costs is by opening a health savings account (HSA) in conjunction with your health plan. An HSA is a savings and spending account that offers health plan members a way to pay for qualified medical expenses with tax-free dollars, as well as a tax-advantaged way to save for future medical and retirement expenses. HSAs were originally created by an expanded Medicare bill and approved by Congress in 2003 to help individuals save for the future on a tax-free basis. Individuals must first be covered through a government-approved highdeductible health plan (HDHP) structure when making HSA contributions. With more and more companies moving to higher deductible plans, HSAs are becoming a popular alternative for controlling health care spending. enrolled in high-deductible health plans that also offer HSAs and Health HDHPs can be thought of as “low-cost” plans with lower premiums and highReimbursement Arrangements, up from four percent in 2006. Additionaler deductibles. With an HDHP, a member is responsible for satisfying a dely, 12 percent of firms offered such plans to their workers last year, comductible and paying for initial health pared to only seven percent in 2006. care expenses. The HSA may be used A survey of health insurers performed to cover those expenses. Also, with by America’s Health Insurance Plans most HDHP plans, preventive care is (AHIP) found that 6.1 million Amerioffered pre-deductible with little or cans were covered by HSA-qualified HSAs Can TRIPLE Your Tax Savings no member cost to encourage health health plans as of January 2008. maintenance. An HSA is like your own private bank 1. tax deductions when you contribute to your account HSAs can be funded by you, your account: it’s used to pay for current employer or a third party and still 2. tax-free interest or investment earnings health care expenses or to save money 3. tax-free withdrawals for qualified medical expenses be tax-free to you. In 2010, the for future expenses. HSAs are accounts maximum individual contribution that are owned by the health plan amount is $3,050 and the family member, regardless of who contributes maximum is $6,150. Additional catch-up contributions can be made by funds and the money earns interest and other potential returns over time. individuals after age 55. These contribution limits may be subject to change Individuals on Medicare cannot continue to contribute to HSAs; however, you every year by the IRS. can keep the existing money in your account and use it for medical expenses So, what types of expenses are considered “qualified medical expenses” tax-free. The beauty of HSAs is that it’s your money—even if you leave an emfor which you can use your HSA funds? Some examples are: doctor’s visits, ployer, the funds stay with you. Individuals may choose to invest their HSA hospital expenses, lab work, diagnostic services, prescription drugs, dental dollars in stocks, bonds, mutual funds or other eligible savings vehicles. care and vision care. For a complete list, visit the IRS website and reference Publication 502, “Medical and Dental Expenses” (http://www.irs.gov/ The Bottom Line pub/irs-pdf/p502.pdf). Funds used for other purposes are regarded by the HSAs are a great option for paying for medical expenses now as well government as taxable income, with an additional 10-percent penalty for as saving for retirement. So, consider choosing a qualified plan and open non-qualified expenditures. an HSA today.

3 WAYS

So, Who’s Using HSAs?

A survey of employers published by the Kaiser Family Foundation in September 2009 found that eight percent of covered workers were 14 THE HEALTH JOURNAL

Kathleen M. Cramer is the manager of product development for Optima Health, a Virginia-based health plan with more than 440,000 members, nationallyrecognized for its quality, service and innovative programs.

Sources: U.S. Department of the Treasury, www.ustreas.gov; Kaiser Family Foundation, www.kff.org.

Sentara Heart Hospital Doctors Have Crossed The Water.

op-tier cardiac care is closer than you may think. The same highly skilled cardiologists working at Sentara Heart Hospital – ranked 26th in the nation for cardiac care in 2009 by U.S.News & World Report – now also practice on the Peninsula.

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You’ll find them offering their expertise at both Sentara Williamsburg Regional Medical Center and Sentara CarePlex Hospital. Should you need cardiac care on the Peninsula, it’s nice to know that you couldn’t be in better hands.

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ould you place a full glass of water on a table with wobbly legs? Of course not—because the glass might fall, spill or break. The same principle applies to your body. Your body needs a strong foundation to maintain balance well into your later years. Good balance is important at any stage of life, but especially among the elderly. Balance worsens as we age, and falling becomes a major concern. According to the U.S. Centers for Disease Control and Prevention (CDC), one out of every three Americans over the age of 65 will fall each year, and among individuals 65 to 84, falls account for 87 percent of all bone fractures and are the second leading cause of spinal cord and brain injury. The most common types of injuries sustained during a fall include fractures of the hip, spine and wrist as well as head trauma.

BALANCE EXERCISES FOR EVERY DAY: BASIC MOVES Research shows that muscle strengthening and balance retraining exercises can reduce the risk of fallrelated injuries by as much as 45 percent. Nevertheless, balance exercises are often overlooked as part of a total body workout. I recommend incorporating specific balance exercises, like the ones below, into your current workout or daily routine. (If you have severe balance problems or an orthopedic condition, consult your doctor before performing these exercises.)

“I didn’t feel a thing.”

• Balance on one foot while waiting in line at the grocery store, talking on the telephone or brushing your teeth. • Stand up and sit down without using your hands. • Sit on a stability ball while working at your desk or watching TV.

One-leg stands 1) First, clear your environment of any obstacles that

may interfere with your balance training. (Note: Any person whose balance is severely diminished should not perform these exercises alone.) Begin by standing on one foot. Time yourself for 10 to 30 seconds, then switch standing legs. If you are a novice, hold onto something sturdy, like a wall or table, with both hands. As you progress, and your balance improves, you can decrease the amount of support by using one hand for stability, then one finger, then no hands. Even as you progress and become more comfortable with this routine, always do these exercises near a wall or a sturdy object that can provide support if needed.

2) Once you’ve mastered standing on one leg without support for more than 30 seconds, try the first training exercise again but with your eyes closed.

Tandem walk Place one foot directly in front of the other and walk a straight line (as if you were taking a sobriety test). Once you can do this, strive to comfortably do the same in reverse. Those at a more advanced level can perform the tandem walk with their eyes closed.

ADVANCED TRAINING Once you’ve mastered the basic balance exercises above, consider using some balance tools such as a BOSU, balance board, foam roller or stability discs. A certified personal trainer can show you how to use these tools for maximum benefit.

Try this move: Stand on a BOSU or two balance discs. Have someone gently push you while you try to keep your balance. Then, play catch with a lightweight medicine ball (if you don’t have a medicine ball, a basketball will work). You can also slowly lower into and out of a squatting position while catching the ball and returning it to your partner. Don’t be surprised if you initially have trouble just standing on a BOSU or the balance discs. It’s unlikely that your balance will improve after a few short sessions. Aim for 15 minutes of balance training daily, but know that it will take time and commitment to achieve better balance.

At the office of Dr. J. Stuart Oglesby we understand that, for some people, visiting the dentist can be a stressful event. We also understand that the health of your mouth is something that shouldn’t be ignored. Are you or someone close to you apprehensive, nervous, or maybe even fearful of visiting the dentist? Their long-term health may be at risk. Tell them about Sedation Dentistry performed at the office of J. Stuart Oglesby, D.D.S. Sedation Dentistry is a procedure that can ensure a beautiful, healthy smile, without the pain and with little to no memory of the visit. It's safe, effective, and easy! Call to learn more today.

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

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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 survivors, their families, and other victims of catastrophic events.” and the District of Columbia and all other professional life to helping brain injury survivors and their families and other victims of catastrophic events.”

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food & nutrition

MINDFUL EATING: Part of the

Yoga Way of Life WRITTEN BY DR. JENNIFER DALY

e all lose our minds from time to time. We forget our car keys or misplace an important file. We lose track of a thought or go blank when trying to recall a person’s name. We get caught up in daydreaming and miss our exit on the highway. We may even discover a bruise and have no recollection of the injury. Such mindlessness is all too familiar. It occurs when our minds go on autopilot and we stop paying attention to the present moment. Mindfulness, on the other hand, is a much different state of mind that brings a deliberate awareness of whatever is happening right now in our mind, body, emotions and environment. It is a quality of mind that we all inherently possess. We tap into our innate mindfulness when we simply witness, without judgment or criticism, the various sensations, thoughts and emotions that arise as we move through our lives. With increased mindfulness, we become more attuned to habitual patterns of thinking, feeling and reacting that cause us problems. We begin to recognize how our own mindless reactions have a profound effect on not only our physical health but also our emotional and psychological well-being. With mindfulness, we use kind and compassionate awareness to slow down these reactions, disengage our autopilot and guide ourselves toward better choices.

Mindfulness allows us to recognize that food is just food, and is not our enemy, even if we’re struggling with our weight.

A healthy relationship with food must come

from within

Practicing Mindfulness at Mealtimes Mindful eating brings this mindful attention to our responses to food and its preparation. We pay close and careful attention to our inner experiences of eating so that we can respect our body’s cues and inner wisdom. This mindfulness allows us to recognize that food is just food, and is not our enemy, even if we’re struggling with our weight. We begin to realize that it is our habitual reactions to food—when we’re on autopilot—that cause us problems with eating and weight. Through mindfulness we discover how stress and self-criticism interfere with our ability to be fully present in our lives. Many of us have a ceaseless preoccupation with our weight and appearance. We’re dissatisfied with our bodies. We chronically restrict our diets and berate ourselves for overeating or gaining weight. We are always focused on some better future in which we imagine ourselves to be thinner, happier, calmer and more satisfied. Trouble is, this future never seems to arrive. It’s as though we get caught up with daydreaming and miss our proverbial exit to a healthier and happier life. Mindfulness brings us back to today so that we can cultivate our full potential. Our physical and psychological survival depends on a regular intake of food, water, light, sound, love and other things from our environment. How well or poorly we relate to these things determines how happy or unhappy our lives will be. Mindful eating helps us to let go of unhealthy responses to food and eating and replace them with healthy alternatives. With mindful attention to our eating habits, we can break our dissatisfaction with food, ourselves and our bodies and begin to cultivate the pleasure and satisfaction that we need. We learn to be present while eating. Continued on page 20 THE HEALTH JOURNAL

food & nutrition Continued from page 19

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We see, touch, smell and fully experience food and don’t miss these opportunities to find satisfaction and enjoyment. We replace habits that cause food to go into our bodies without thought—like eating while watching TV, driving a car or even standing in front of the refrigerator—with a focus on the colors, textures, smells, tastes and sounds that food and its preparation comprise. As we become more mindful of our moment-to-moment experiences, we discover the satisfaction that comes from appreciating all that the preparation, sharing and celebration of food represents. We go away from meals feeling full and satisfied. So, pay attention to how, what and when you eat. Do you eat while you are talking, driving, working or watching television? Do you limit food during the day only to gorge at night? Do you chew your food thoroughly and appreciate its smell before you begin? All ✽ Always eat in a clean and quiet place of these things can affect how either alone or with people you like. your body responds to eating. ✽ Look at your food and appreciate its But that’s not all. If you cook

Tips for Mindful Eating

appearance and smell before you eat. and eat when you are angry or frustrated, then these emo✽ Chew your food slowly and attentively, tions may become associated concentrating on and appreciating its subtle qualities. with food and mealtimes. You may begin to experience ✽ Eat without distractions such as meals as stressful and irritattelevision, radio or other media. ing. These feelings will then ✽ Only eat when you are truly hungry. interfere with your satisfaction and fullness. Remember ✽ Do not eat within 2 hours of bedtime. that we are most deeply satis✽ After exercise wait a while before fied by food that is prepared eating to get an accurate gauge of with love and genuine care. your hunger level. That is why nothing compares to home cooking. ✽ Walk about 100 steps after a meal to aid digestion. Yoga is an excellent way to cultivate mindfulness and im✽ Do not eat when you are angry, prove your relationship with depressed, bored or otherwise food. It is a well-established emotionally unstable. Instead, try to mind-body exercise that puts resolve these feelings first through stress management tools such as you in touch with your body exercise (including yoga), meditation, in ways that few activities can. or seeking the support of friends, Practicing yoga poses helps family, a spiritual adviser or a mental you become more aware of health professional. how your body and mind work together to develop strength and stability. Yoga encourages you to sharpen your awareness of yourself and your body to increase mindfulness. Off the yoga mat, you become more mindful of what you eat, how much you eat and how it feels to be full. Yoga and mindful eating can teach you that your body is your ally and, like food, is not your enemy. You’ll become more aware of your body and you’ll gain better appetite control. Through the quiet and calm of your yoga practice, you’ll learn to listen to and trust your body—accepting its needs while gently encouraging change. You may also become more open to making important changes in yourself and your body. If you want to change destructive eating patterns or thoughts, yoga is the place to start. Yoga can help you cultivate an open, accepting relationship with yourself and your body that allows you to start—and maintain—the realistic changes you need to lose weight and keep it off.

Jennifer Daly, Ph.D., is the founder of Anahata Yoga Center of Williamsburg. She is a licensed clinical psychologist (with Clinical Associates of Tidewater in Newport News) who specializes in mindfulness and holistic psychotherapy for adults and seniors. She's an advanced registered yoga teacher (RYT500) with National Yoga Alliance and has over 18 years of yoga experience.

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Spring on In Open House Week

Saturday, April 10th through Friday, April 16th 10:00am – 2:00pm

or 20 years I taught aerobics classes and lifted weights at the gym I owned, Aerobics Plus. When I introduced pilates reformer workouts in 1997 members noticed a change in my shape. I knew then that pilates was different! If you are tired of the same old exercises (pilates exercises are unique and done on special equipment, not typical weight room equipment), want to streamline your muscles, strengthen your spine area and balance muscles to avoid injury and reduce pain, you need to come visit our beautiful facility conveniently located near 199 and Jamestown Rd.

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two Lynne; e f i W : Family d6 ges 8 an a , l u a P N.J. nsack, e k c a H wn: , Va. Hometo msburg a i l l i W s: story llege hi y reside l o t c n t e h r g r Cu r; tau e autho m i t l l u tion: F ears Occupa ther, for 10 y e r u t a ant: Ma r n e t e i v l o d C an erica’s nd the ged Am he Pox a n T a : h s C k o t ed bo ic tha ne of Publish Epidem Hurrica e ; ) h t 0 1 d 0 n torm in a , April 2 eadly S s D k e Frankl o o h t b e f tory o ution (Sourc n Revol ntold S a U Destiny c i e r h e T m : the A dence d for ment of ks slate Indepen o o o M b o g w n t atic ecidi 2008); e Dram t s h u T at the D : g s u g ial innin books, A r (Colon a’s Beg e c t i (Source c r e a r m a ); The n’s Ch tion—A ll 2010 a Natio a publica d F e , p d a l h e the fi that S tory of n Little S a e l m b Events w a o k that emar sburg/R Results t: The R d n e e t William c m e i p r x e he Une wn Exp y and t Jamesto ) n o l o C s, 2011 ng i k s o i o r b p e r c e r Ent se a (Sou Syracu Americ , d y e r p o a t s h i hio S tory, O rts in h s i A h f o n r a o c chel meri ion: Ba rts in A A f o Educat r e t s ity; Ma Univers y t niversi State U

INTERVIEW BY PAGE BISHOP-FREER PHOTOGRAPHY BY BRIAN FREER

ast month major health agencies investigated reports of a suspected smallpox outbreak in eastern Uganda. Though it turned out to be a false alarm, the world sat up and took notice. One of the most virulent diseases the world has ever seen, smallpox has seldom made headlines since 1979, when the World Health Organization, which had launched an attack on the disease decades earlier, declared it eradicated. According to the U.S. Centers for Disease Control and Prevention, “a single, confirmed case of smallpox would be considered an emergency.” What many people don’t know, though, is that Colonial America, particularly Boston, served as a testing ground for smallpox inoculation well before it gained approval from London’s Royal Society, a premier institute for scientific research and discovery. In The Pox and the Covenant: Mather, Franklin and the Epidemic that Changed America’s Destiny (Sourcebooks, April 2010), local author Tony Williams reveals how the smallpox epidemic of 1721 and the ensuing debate over inoculation changed America forever, depleting the authority of the Protestant ministry and shifting societal attitudes towards a more secular view of liberty and self-governance. Williams says the most startling finding in his research lay not in the 1721 smallpox epidemic itself, which began with the arrival of the HMS Seahorse in Boston’s harbor early that April. Rather, Williams became fascinated with the fierce debate over smallpox inoculation that arose between the minis-

22 THE HEALTH JOURNAL

Tony

ters (including Reverend Cotton Mather) and the physicians of Boston. Who sided with science and who attacked inoculation using spiritual evidence may surprise you, Williams says. What’s more, Benjamin Franklin, a key figure in the American Enlightenment, in his younger days publicly attacks inoculation to disparage the ministry and, as Williams puts it, “really knock them down a notch in society,” a little known fact that inevitably places Franklin “on the wrong side of history.” In the following interview, Williams—whose East Coast book tour began April 1—shares details from his new book, and he has allowed us to share with you an excerpt (starting at right).

What sparked the idea for his book: I was working on a piece on Benjamin Franklin, and I’d read a number of biographies and kept coming upon the mention of this 1721 smallpox epidemic in which Franklin plays a role as a very young man. But it was frustrating, because there’d be only a few pages on it and then they’d move on to his later career. I was just fascinated with it. My editor and I were going around on book ideas, and I just kind of threw the idea out there. They said: “That’s it! That’s the one we want to publish.”

Why smallpox was so horrific: First, it was so deadly. Death rates for seasoned populations [those who had some exposure to the virus from previous epidemics] ran as high as 15 to 30 percent. Second, it was highly communicable. In 1721, most of the people who did not have immunity caught the disease. Eventually 6,000 people got smallpox in Boston—a city of 11,000. So it spread very quickly. The other 5,000 probably had immunity from a previous epidemic. Why things get hot in Boston: As more and more people seek inoculation, it sets off a huge firestorm of protest. Not only from the people in town, but more surprisingly—almost shockingly—from the doctors. They argue that it’s untested, but they also make religious arguments. They argue that if people are predestined or fated to get sick, then that is the will of God and you cannot intervene. Because if you do, God, who is already punishing us with this epidemic, will unleash further plagues against us in different forms than this disease and ruin the town.

Williams takes on

What surprised him most in his research: While the doctors make scriptural arguments against inoculations, for the most part the ministers do not. In fact it was Cotton Mather who acts very scientifically to test inoculation. It’s the opposite of what you would expect.

Where Benjamin Franklin comes in: Brothers James and Benjamin Franklin are 21 and 17 respectively during the debate over inoculation. James opens a newspaper [the New England Courant] that summer to, well, sell newspapers. He really focuses exclusively on inoculation and serves as a mouthpiece for the opposition. He uses the paper to attack the power of the ministry and gives the doctors a platform to say whatever they want. James was so impetuous he was jailed, and Benjamin takes over the paper, continuing the attack against the authorities. He later comes to support inoculation when his own four-year-old son dies of smallpox. He even writes his regret in the pages of his autobiography, in which he urges parents to get their children inoculated, even though there was still opposition to it up through the time of the Revolution. People still felt like they were introducing smallpox to people through the practice of inoculation. How the debate changed Puritan society: Neither the covenant to form a city upon a hill nor the authority of the ministers could survive such withering attacks that were, for the most part, unprecedented. This epidemic shatters the covenant. Authority declines. There remains a general respect for ministers as men and women of God, much like today, but not reverence. The covenant becomes more secularized, focused on natural rights, self-government and liberty. The idea of the covenant survived, but it changed as a result of this epidemic and debate over inoculation.

Challenges of writing and researching this book: The research process was actually quite easy because I had access to every document right here in Colonial Williamsburg. I wanted to go to Boston, but I had no excuse to. I found every pamphlet, diary, autobiography, newspaper and letter right here. I read every book on medical history, disease, Puritan society and Colonial history that I could find to learn both the medical side of things as well as the historical side. It was compelling as an author to read the sources and Interview continued on page 24

From Chapter 15: “Cotton Mather, You Dog, Damn You!” [As the year 1721 comes to a close, the smallpox epidemic is waning but has left nearly 1,000 Bostonians dead and the covenant in tatters. Reverend Cotton Mather and Dr. Zabdiel Boylston had continued to inoculate patients well into the fall despite repeated warnings from the Selectmen—a group of local representatives who’d sided with the physicians—and ongoing attacks published in the Franklin brothers’ New England Courant.]

Cotton Mather felt chronically hassled throughout the late autumn as hundreds perished in Boston and thousands lay sick. The freeholders had decided against him and Boylston by voting against inoculated persons coming to town. Meanwhile, the interminable animosity against the procedure was expressed in sustained attacks upon him and Boylston. The divisions in the town persisted. The dispute, however, was not one that could be confined to the pages of a newspaper or pamphlet any longer. Mather passionately confronted James Franklin in the street. More ominously, there was a plot afoot to assassinate the Puritan minister. Mather found the opposition to the inoculation experiment unintelligible. It had worked successfully scores of times while those who caught the disease in the common way had an atrocious death rate. Still, he would attempt to reason with the ignorant and persuade them to accept the plain truth: “The sottish Excerpt continued on page 27 THE HEALTH JOURNAL

SMALLPOX: A SHORT HISTORY 1350 BC

First recorded smallpox epidemic

1157 BC Mummified head of Egyptian pharaoh Ramses V bears first physical evidence of smallpox. From there the disease is carried by traders to India and China.

1012-1063 AD

Written accounts of inoculation are found in ancient Buddhist texts.

Middle Ages Smallpox epidemics happen frequently throughout Europe.

1500s

European explorers bring smallpox to the Americas, decimating native populations.

1670

Inoculation is practiced in the Turkish Empire. It’s already common practice in China and India.

1714-1716

Europeans visit Istanbul and write letters to London’s Royal Society describing the technique; British physicians show little interest.

1721-1722

1754

1796

While Reverend Cotton Mather and Dr. Zabdiel Boylston inoculate people in Boston, Lady Mary Wortley Montague of England (after suffering an episode of smallpox in 1715) inoculates her four-year-old daughter in front of physicians in the Royal Court. Inoculation is being tested “simultaneously yet independently” in Britain and the Colonies, notes Williams. The French-Indian War marks the first use of smallpox as biological warfare, as it is used to wipe out the Native American population. English Physician Edward Jenner coins term “vaccine” after discovering that the milder cowpox virus can help prevent smallpox; by turn of the century, 100,000 people worldwide are vaccinated using Jenner’s method.

1949

Last smallpox outbreak in U.S. reported in Texas; one person dies.

1959-1967

Global health agencies launch attack on smallpox, hoping to eradicate it.

1972

Routine smallpox vaccination ends in U.S.

1979

World Health Organization declares smallpox cured; inoculation ceases worldwide.

24 THE HEALTH JOURNAL

Continued from page 23 put all the facts together in a dramatic way, as dramatic as possible for a nonfiction work. I like to say that it’s nonfiction that reads like a novel. I hope readers will agree with that. The role of women in the epidemic: The women of Boston obviously played an extremely important role in this story. They took care of their families, used their herbal medicine books that had been passed down from earlier generations. You can just imagine them by the fireside, caring for their child who might be dying of smallpox. You imagine the agony they would have felt when burying that child. There were no sources for those stories, though, so I relied on facts of how women of the time lived. What about Native Americans? In 1620, the first Puritans, the Pilgrims, were expecting to find a lot of Native Americans, and they were just gone. There’d been an epidemic a year before [the Pilgrims’ arrival] and the death rate among Native Americans was 80 to 90 percent because they had never been exposed to the virus.

What he hopes readers will take away: This story is not really about the smallpox virus; it’s about human beings. I wanted to show how the people of Boston would generally react during an epidemic. Would you flee? Would you stay? Would you go into church and pray? How would you react to your neighbors if someone next door were getting inoculated? Would you be willing to do it yourself? Mather has to face his own son wanting to get inoculated. Would you have the courage to let your son do that, and if not, would he defy his father and do it anyway to survive? These are all very human stories, and that is ultimately what the book is about.

His favorite books: 1776, David McCullough; The Devil in the White City, Erik Larson; In the Heart of the Sea, Nathaniel Philbrick; Krakatoa, Simon Winchester; Will in the World: A Biography of Shakespeare, Stephen Greenblatt; Lord of the Rings, J.R.R. Tolkien; Iliad and The Odyssey, Homer; Aeneid, Virgil; and Beowulf. If not an author, what he’d be: If I were not a teacher or author (and if I weren’t married!), I might be a Roman Catholic priest.

His heroes include: Firefighters, police officers, health-care professionals, soldiers, priests and ministers—those who live their lives to serve others day in and day out. Some of my favorite heroes from history are Winston Churchill, Abraham Lincoln, the 300 Spartan soldiers who stood at Thermoplyae [during the Greco-Persia War, 480 BC], and George Washington and the Revolutionary patriots who sacrificed so much that we might have liberty. How he handles the stress of a looming deadline: By sitting in my library and writing to meet the deadline. There is no substitute for hard work and perseverance in any job. Favorite quote? Read the classics and great biographies and you’ll find my favorite quotes in there.

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Excerpt continued from page 23 errors and cursed clamors that fill the town and country, raging against the astonishing success of the smallpox inoculated,” he wrote, “makes it seasonable for me to state the case and exhibit that which may silence the unreasonable people….”434 The Selectmen knew that there were people from Roxbury in Cotton Mather’s home to receive inoculations. The officials had had enough of Zabdiel Boylston’s risky procedure and Mather’s collaboration in it. They certainly did not want to encourage people to come from all over the countryside as if under Indian attack, rushing to Boston to receive inoculations and possibly rekindle a diminishing epidemic. The Selectmen stated that they were “credibly informed that many persons belonging to other towns are already come into this town, and have taken the infection of the smallpox, in the way of inoculation, but that as yet the infection has not operated upon them yet expect that in a few days it will.” Moreover, the officials were concerned that “many others belonging to other towns intend to come to this town for the purpose aforesaid, and that they know how to come in and where, and what houses to use in spite of the town.” The Selectmen empowered the justices of the peace and constables with warrants to search the town diligently, apprehend the outsiders, and “carry them to the respective towns to which they belong or to the province hospital” at Spectacle Island. The measures were an attempt to “keep them from infecting others.”437 Boylston apparently did not heed the word of the Selectmen. He performed more than a hundred inoculations during the month, including several prominent individuals, including ministers, a Harvard professor, and Samuel Sewall’s grandson, Samuel Hirst.438 Even on November 29 Mather related to his diary that “several persons at this time under the smallpox inoculated. I must look on as my patients, and so, my relatives.”439 The Selectmen called several ministers to appear at a meeting and answer accusations that they were encouraging country people to come to Boston to be inoculated in violation of the law. “After some hot discourse on both sides,” the ministers denied it with barefaced lies, knowing full well that they were continuing.440 One thing the public authorities failed to do was to arrest the inoculator who continually defied the law. Boylston and Mather broke the law, perhaps believing they had a higher law to obey. If they did, they helped undermine the covenantal basis of Puritan

society that respected the voluntary submission to law and authority. They were breaking the law in tandem: Boylston performing inoculations in Mather’s home and certainly with his support elsewhere. Others were similarly preparing to violate the civil law as well as God’s commandment against murder. There was a complete breakdown of law and order in Boston.

One person in Boston had had enough of the high and mighty Cotton Mather. He lorded his position over everyone, thinking he was better than everyone else. He was filled with rage that the fool minister was in league with the quack Boylston giving people smallpox. What they were doing just did not make sense. The resentment boiled for weeks, if not months, and was now about to explode....

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Products vs. Procedures

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While many topical products can treat the signs of aging, none can deliver the results of non-invasive or minimally invasive cosmetic procedures. Creams that claim they are â&#x20AC;&#x153;better than Botoxâ&#x20AC;? do not even come close to matching the results of botulinum injections, the most performed cosmetic procedure in the United States. Skin lightening lotions can diminish the appearance of brown spots, but laser procedures often eliminate them. Calming masks may decrease facial redness, but light-based treatments produce far more dramatic results. Americans spend almost $10 billion on topical skin care products each year, and itâ&#x20AC;&#x2122;s easy to wish that the right cream would work wonders. In the last few years, developers of topical products have made great strides, and some positive results can be expected when using certain products. But with the right combination of cosmetic procedures, something closer to magic can happen.

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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.

After only a few quick, no-downtime, high-intensity light treatments, dull, weathered skin now has a bright, healthy glow. Color, texture, fine lines and tone have all been improved dramatically.

28 THE HEALTH JOURNAL

Which procedure will help me obtain comparable results?

There is no single optimal procedure for any individual, and often the right combination of procedures yields the best results. For this patient we used a high-intensity pulsed light device. Skin color, depth of damage and age are a few of the many variables considered when choosing the dermatologic tools that will produce the best results for each patient. Your dermatologist can advise you about the procedures that would be most appropriate for your skin.

If I opt for a cosmetic procedure, should I be using topical products as well?

The right topical products are indispensable as part of a daily routine and before and after cosmetic procedures. Sunblocks and antioxidant creams can defend your skin against the elements. A good moisturizer reduces fine lines and helps your skin look brighter, and an age-fighting topical product with a proven active ingredient can produce modest improvements. Other products can assist in preparing the skin for cosmetic procedures, minimize the chance of complications and often help maintain the results after treatment. It is best to use a limited number of topical products, especially anti-aging ones, because the skin can get easily irritated from overuse. When this happens, signs of aging such as fine lines and roughened texture become more apparent, not less.

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awareness: autism

APRIL is National

AUTISM

Awareness

EVMS Program Focuses on Autism’s

“TRANSITION AGE”

Month

WRITTEN BY DRS. STEPHEN I. DEUTSCH AND MARIA URBANO

Autism Spectrum Disorders (ASD) refers to a range of neurodevelopmental conditions that include: AUTISTIC DISORDER—often diagnosed in infancy or very early toddlerhood. These people might show certain physical characteristics such as repetitive movements—like hand flapping—or they may have a very restricted area of interest, e.g. computer games, etc. People with autistic disorder typically have trouble socializing and communicating, which causes problems in many aspects of daily life—including forming friendships, finding a job and living independently. ASPERGER’S SYNDROME— might be recognized later in childhood and is associated with normal or above-normal intelligence and relatively good language skills, although people with Asperger’s have problems with some aspects of communication. For instance, they might miss the punchline of jokes and focus on the concrete meaning of words. PERVASIVE DEVELOPMENTAL DISORDER/NOT OTHERWISE SPECIFIED (PDD-NOS)—a general description for conditions that fit on the autism spectrum but do not match fully with either autistic disorder or Asperger’s syndrome.

pril is Autism Awareness Month—a chance to look at how far the medical community has come in the diagnosis and treatment of people with autism spectrum disorders (ASD) while also reflecting on the challenges still ahead. The past decade brought significant progress. Doctors can identify a child’s autistic characteristics much earlier, and the number of services and programs available to help those children develop more fully has grown substantially. However, FOR MORE INFORMATION services to help adolescents and young adults with ASD on the EVMS Autism flourish aren’t as abundant as are those for young chilSpectrum Disorders Prodren. gram for Older Adolescents Late adolescence and early adulthood is and Young Adults, go to normally a time of significant changes as www.evms.edu/psychiatry adolescents and young adults make the transition from the family home to living or call (757) 446-5888. independently. For those with autism, these changes can be particularly difficult and disruptive. People with ASD have problems socializing and communicating, which can make these individuals feel isolated and misunderstood. They have an especially difficult time when major life changes occur such as graduating from high school or changes in daily schedules or routines. Resources that can provide support begin to dwindle once a person with autism graduates from the public or private education system. That’s why Eastern Virginia Medical School’s Department of Psychiatry and Behavioral Sciences has launched the Autism Spectrum Disorders Program for Adolescents and Young Adults. The program aims to address the relative lack of services for the “transitional” age group of ASD patients. Here are a few of the program’s goals: • Offer clinical assessments for young adults with ASD.

• Identify resources that can help during this time of transition, such as social-skills training, driver education and services that can help with independent living. • Increase the number of clinicians qualified to care for the growing ASD population by encouraging medical students, residents and others to participate in the program.

• Provide an interdisciplinary approach to addressing the complex clinical and social problems of autism. • Aggressively seek funding for research programs that could ultimately improve quality of life for people with ASD.

Dr. Stephen I. Deutsch is a professor and chair of the Department of Psychiatry and Behavioral Sciences at Eastern Virginia Medical School. Dr. Maria Urbano is an associate professor of clinical psychiatry and behavioral sciences and is director of the EVMS Autism Spectrum Disorders Program for Adolescents and Young Adults. THE HEALTH JOURNAL

awareness: autism

APRIL is National

AUTISM

Federal Court Rules AGAIN

Awareness Month

Against Vaccine-Autism Claims Court says mercury preservative doesn’t cause autism WRITTEN BY MAGGIE FOX, HEALTH AND SCIENCE EDITOR

WASHINGTON (REUTERS LIFE!)

accines that contain a mercury-based preservative called thimerosal cannot cause autism on their own, a special U.S. court ruled last month, dealing one more blow to parents seeking to blame vaccines for their children’s autism. The special U.S. Court of Federal Claims ruled that vaccines could not have caused the autism of an Oregon boy, William Mead, ending his family’s quest for reimbursement. “The Meads believe that thimerosalcontaining vaccines caused William’s regressive autism. As explained below, the undersigned finds that the Meads have not presented a scientifically sound theory,” Special Master George Hastings, a former tax claims expert at the Department of Justice, wrote in his ruling. The Meads had filed a civil lawsuit in Oregon state court against a number of pharmaceutical companies alleging that the thimerosal additive in many pediatric vaccines significantly contributed to the development of William’s autism, Hastings wrote.

While the state court determined the autism was vaccine-related, Hastings said overwhelming medical evidence showed otherwise. The theory presented by the Meads and experts who testified on their behalf “was biologically implausible and scientifically unsupported,” Hastings noted. In February 2009, the court ruled against three families who claimed vaccines caused their children’s autism, saying they had been “misled by physicians who are guilty, in my view, of gross medical misjudgment.” The families sought payment under the National Vaccine Injury Compensation Program, a no-fault system that has a $2.5-billion fund built up from a 75-cent-perdose tax on vaccines. Instead of judges, three “special masters” heard the three test cases representing thousands of other petitioners. They asked whether a combination vaccine for measles, mumps and rubella, or MMR, plus a mercury-containing preservative called thimero-

Autism is a mysterious condition that affects as many as

one in 110 U.S. children.

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sal, caused the children’s symptoms. More than 5,300 claims were filed by parents who believed vaccines may have caused autism in their children. The no-fault payout system is meant to protect vaccine makers from costly lawsuits that drove many out of the vaccine-making business. Autism is a mysterious condition that affects as many as one in 110 U.S. children. The so-called spectrum ranges from mild Asperger’s syndrome to severe mental retardation and social disability, and there is no cure or good treatment. The U.S. Institute of Medicine has reported several times that no link can be found between vaccines and autism. In a separate matter, the U.S. Supreme Court said earlier this month it would decide whether a federal law protects vaccine manufacturers from lawsuits in state court seeking damages for alleged design defects. The high court agreed to hear a Pennsylvania case involving a lawsuit by the parents of a child who suffered seizures after her third dose of a diphtheria-tetanus-pertussis vaccine. They sued the vaccine manufacturer, Wyeth, which Pfizer Inc. purchased last year.

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32 THE HEALTH JOURNAL

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healthwire

Medication Fears May Lead to Worse Side Effects

In one study, patients with rheumatoid arthritis who expected medication side effects were more likely to experience them. WRITTEN BY ANNE HARDING NEW YORK (REUTERS HEALTH)

t may not be surprising, but a new study offers some proof that patients who are worried about their medications are more likely to have side effects from them. The study involved patients with a particular kind of arthritis. While more research has to be done in patients with other illnesses to know for sure, “my guess would be that this is happening across a wide range of drugs,” Dr. Yvonne Nestoriuc of Philipps-University Marburg in Germany, the study’s lead author, told Reuters Health. “This is really something that happens in a lot of patient populations.” While most medication side effects are not life-threatening or seriously harmful, she and her colleagues note in the journal Arthritis Care & Research, they can still be “frightening and distressing” to patients, and can also lead to patients not taking drugs as recommended. People with a variety of illnesses who don’t feel their medications are necessary and are concerned about their side effects are known to be less likely to take these drugs as directed, the researchers add. To investigate whether these beliefs might be related to experiencing side effects as well, Nestoriuc and her team had 100 rheumatoid arthritis patients complete the “Beliefs about Medicines Questionnaire,” which explores general

and specific beliefs about the necessity and risks of medication. Patients also reported any side effects related to their rheumatoid arthritis medication and how much they were bothered by these symptoms. Rheumatoid arthritis is an autoimmune disease characterized by inflammation that leads to stiff, swollen and painful joints. It affects some 20 million people, according to the National Rheumatoid Arthritis Society. At the study’s outset, 77 of the patients reported having been bothered by side effects. Eighty-seven of the original 100 study participants were followed up with at six months; 45 of these patients, or 52 percent, reported being bothered by side effects at this point. The patients who had concerns about their medications— for example, agreeing with the statement that “having to take arthritis medications worries me”—were more likely to have reported having side effects, both at the study’s outset and if they started a new drug during the six-month study period. Side effects typically included rashes, gastrointestinal discomfort and headaches. These patients were also more likely to report these side effects to their doctors, take non-prescription medications to deal with them, and change their medication dosages on Continued on page 34

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Dr. Toby Isbell

Williamsburg Obstetrics & Gynecology Proudly welcomes

Continued from page 33

Dr. Benjamin T. “Toby” Isbell

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(757) 253-5653 







“Starting a new drug is a specifically risky time because people tend to misattribute pre-existing bothersome but [benign] symptoms as side effects of the new drug,” — Dr. Yvonne Nestoriuc their own. The only other factor that influenced the likelihood of reporting side effects was age. Patients with rheumatoid arthritis “who are especially concerned about their arthritis medications, or who expect side effects, are at greater risk of experiencing them,” the researchers say. “Starting a new drug is a specifically risky time because people tend to misattribute pre-existing bothersome but [benign] symptoms as side effects of the new drug,” Nestoriuc said. Doctors may be able to help their patients avoid side effects by talking with them about their concerns before prescribing a new medication, she added, and helping them to get a more “realistic view about the drugs.”

Pronunciation: nO-sE-bO  



        

THE “NOCEBO EFFECT”

The “nocebo” effect occurs when patients taking medications experience adverse side effects unrelated to the specific pharmacological action of the drug. The “nocebo” effect is associated with the person’s prior expectations of adverse effects from treatment as well as the conditioning in which the person learns from prior experiences to associate a medication with certain somatic symptoms. Source: medterms.com

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healthwire

Wine May Help Women Keep Weight in Check

New research suggests moderate alcohol consumption, particularly wine, could stave off obesity. WRITTEN BY MEGAN BROOKS NEW YORK (REUTERS HEALTH)

ight to moderate alcohol consumption, especially red wine, is not only good for a woman’s heart, it’s also good for her waistline, according to a study reported in March. The study started out with nearly 20,000 trim, middle-aged and older women. Over time, women who drank alcohol in moderation put on less weight and were less apt to become overweight compared to non-drinkers. This was true even after taking into account various lifestyle and dietary factors that might influence a woman’s weight. Red wine seemed best at keeping weight in check, but white wine, beer and spirits also had some benefit. “Our study results showed that middle-aged and older women who have normal body weight initially and consume light-to-moderate amounts of alcohol could maintain their drinking habits without gaining more weight compared with similar women who did not drink any alcohol,” Dr. Lu Wang from the division of preventive medicine, Brigham and Women’s Hospital, Boston, noted in an e-mail to Reuters Health.

36 THE HEALTH JOURNAL

Many prior studies have suggested that moderate drinking—usually defined as a drink or two a day—can be a healthy habit, particularly with regard to heart health, while heavy drinking can harm health. The new study, published in the March 8 issue of Archives of Internal Medicine, is the first to examine ties between alcohol consumption by a normalweight individual and the risk of becoming overweight or obese. The women were all at least 39 years old when the study began. About 38 percent said they did not drink alcohol; 33 percent said they drank less than five grams daily (a standard drink has about 10 grams of alcohol); 20 percent drank from five to under 15 grams daily; six percent drank 15 to less than 30 grams daily; and three percent downed 30 grams of alcohol or more daily (about two to three drinks per day or more). Over an average of about 13 years, the women generally gained weight. However, the teetotalers gained the most weight, with weight gain decreasing

with increasing amount of alcohol consumed. Women who did not drink gained an average of 3.63 kilograms (eight pounds) compared with 1.55 kilograms (3.4 pounds) for those who consumed 30 grams of alcohol or more each day. During the 13 years the initially normal-weight women were followed, 41 percent became overweight or obese. Women who drank 15 to less than 30 grams per day had the lowest risk of becoming overweight or obese, which was 30 percent less than that of non-drinkers. Put another way, Wang said, an initially trim woman who did not drink alcohol had about a 43 percent chance of becoming overweight or obese over 13 years. Her risk fell to 33 percent if she drank 15 to 30 grams of alcohol a day. Women who drank higher amounts of alcohol were generally more physically active, weighed slightly less at the outset and were more apt to be smokers, than other women. However, the association between drinking and a reduced risk of becoming overweight or obese remained strong after ac-

counting for these factors. This suggests that alcohol may independently affect body weight beyond its relationship with diet and lifestyle factors. There are several reasons why alcohol might help women stay trim, Wang told Reuters Health. In the current study, women consuming more alcohol ate less, particularly carbohydrates—a finding seen in other studies. Moreover, it’s been shown that women tend to expend more calories after drinking alcohol—more so than those contained in the alcohol. “Taken together, regular alcohol consumption in light-to-moderate amount may lead to a net energy loss among women,” Wang said.

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the

Health Journal Williamsburg Edition

Health Directory ALLERGISTS & ENT PHYSICIANS

CARDIOLOGY

Allergy & Asthma of Oyster Point-Williamsburg 217 McLaws Cir., Suite 5 Williamsburg (757) 873-3882

Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440

Hampton Roads Ear, Nose and Throat 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 345-2600 VA Adult & Pediatric Allergy & Asthma PC 1144 Professional Drive Williamsburg (757) 259-0443 Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

ASSISTED LIVING, NURSING HOMES & ADULT DAY CARE Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839 Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721 Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991 Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444 Heritage Commons 236 Commons Way Williamsburg (888) 711-6775 Madison Retirement Center 251 Patriot’s Lane Williamsburg (757) 220-4014 Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018 Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000 Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Ste. 1-A Williamsburg (757) 565-5305 Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121 Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583 Verena At The Reserve 121 Reserve Way Williamsburg, VA 23185 757-345-2995 Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517 WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615

AUDIOLOGISTS Beltone/Ledford Audiology & Hearing Aid Center 1303 N. Mount Vernon Ave. Williamsburg (757) 220-8975

Cardiovascular Health 117 Bulifants Blvd., Ste. B Williamsburg (757) 259-9540 Sentara Cardiology Specialists 500 Sentara Cir., Ste. 100 Williamsburg (757) 984-9800 TPMG Williamsburg Diagnostic Cardiology 4125 Ironbound Rd., Ste. 201 Williamsburg (757) 565-0600

CHIROPRACTIC & ACUPUNCTURE Acupuncture Works, Inc. 362 McLaws Circle, Suite 2 Williamsburg (757) 565-9611 Beverly E. Boone, DC 213 McLaws Circle, Ste. 1 Williamsburg (757) 596-7605

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

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

Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913

Daniel Carlson, DC 219 McLaws Cir. Williamsburg (757) 259-0077

Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393

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

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

Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060

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

Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258

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

Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900

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

Terry Lieber, DC, CST 489 McLaws Cir., Ste. 1 Williamsburg (757) 565-6363 Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 5408 Discovery Park Blvd., Ste. 200 Williamsburg (757) 645-9299 Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069 Tai Acupuncture 362 McLaws Cir., Ste. 2 Williamsburg (757) 565-9611 The Spine Center of Williamsburg 219 McLaws Cir. Williamsburg (757) 259-1122 Walsh Family Chiropractic, PC 1309 Jamestown Rd. Williamsburg (757) 220-4917 Williamsburg Chiropractic Clinic 5252-A Olde Towne Rd. Williamsburg (757) 220-0060

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

Bowers Assistive Hearing Service 113-L Palace Lane Williamsburg (757) 220-3674

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

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

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

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

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

38 THE HEALTH JOURNAL

John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181

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

Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Ira Goldstein, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS 1131 Professional Drive Williamsburg (757) 220-0330 7151 Richmond Rd., Ste. 305 Williamsburg (757) 258-7778 Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050 Sebastiana Springmann, DDS Maria Freyfogle, DMD, MAGD, ABGD Sarah Allen, DDS Sonia Tao-Yi, DDS 4939 Courthouse Street Williamsburg (757) 259-0741 Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804 Edward A. Owens, DMD 211 Bulifants Blvd.,Ste. 14-A Williamsburg (757) 229-6414

We’ve done our best to include every health care service provider in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692 Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200 Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099 Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500

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

Intrepid USA 212 Packets CT., Williamsburg (757) 220-9331

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

Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411

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

Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455

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

Walter G. Winneberger, DDS 104 Bypass Rd., Suite 202 Williamsburg (757) 229-6960

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

Wyatt Orthodontics 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737

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

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

DIAGNOSTIC IMAGING

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

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

HEALTH DEPARTMENTS

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

James City County Health Department 101 Mounts Bay Road, Williamsburg (757) 253-4740

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

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

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

HOSPICE & HOME CARE

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

Agape Home Care 354 McLaws Circle, Suite 1 Williamsburg (757) 229-6115

Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251 Riverside Home Care 856 J. Clyde Morris Blvd., Ste. C Newport News (757) 594-5600 Riverside Hospice 12420 Warwick Blvd., Ste. 7-D Newport News (757) 594-2745 Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757) 645-2926

HOSPITALS & CLINICS Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700 Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450 First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627 New Town Urgent Care 4374 New Town Ave., Ste. 100 Williamsburg (757) 259-1900 Olde Towne Medical Center 5249 Olde Towne Rd. Williamsburg (757) 259-3258 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300 Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900

ENDOCRINOLOGY

At-Home Care 366 McLaws Circle, Suite 2 Williamsburg (757) 220-2112

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

Bayada Nurses 7151 Richmond Rd., Suite 201 Williamsburg (757) 565-5400

Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000

Riverside Diabetes Education 120 Kings Way Williamsburg (757) 534-5918

Brightstar Healthcare 161A John Jefferson Rd., Ste. 4 Williamsburg (757) 206-1167

Travel Health of Williamsburg 287 McLaws Cir., Suite 2 Williamsburg (757) 220-9008

FAMILY PRACTICE

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

INTERNAL MEDICINE

Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440

Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920

Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259

Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703

Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045

Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900

New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795

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

Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555

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

Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220

Williamsburg Periodontics & Implants 200 Packets Court Williamsburg (757) 221-0249

Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521

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

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

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

Comfort Keepers 15441-A Pocahontas Trail Lanexa (757) 229-2777 Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930

Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246 Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182

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

Sentara Internal Medicine Physicians-Kingsmill 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0005

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

The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919

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

New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770

Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451

Riverside Norge Internal Medicine & Pediatrics 7364 Richmond Rd. Williamsburg (757) 345-0011

Riverside Williamsburg Primary Care 5231 John Tyler Hwy. Williamsburg (757) 220-8300

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

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

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

Williamsburg Personalized Medicine 332 North Henry St. Williamsburg (757) 984-1275

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

NEPHROLOGY & RENAL HEALTH

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

DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408 Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890

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

OBSTETRICS & GYNECOLOGY

Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700

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

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

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

NEUROLOGY & NEUROSURGERY Hampton Roads Neurosurgical & Spine Specialists 120 King's Way, Suite 3500 Williamsburg (757) 220-6823 Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110 Sentara Neurology Specialists 400 Sentara Circle, Suite 305 Williamsburg (757) 388-6105

NON-PROFIT ORGANIZATIONS Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272 American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228 Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687 Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362 Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300 DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775 Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890 Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070 La Leche League of Virginia Williamsburg (757) 220-9187 National Alliance on Mental Health Williamsburg Area P.O. Box 89 Williamsburg (757) 220-8535 National Federation of the Blind Williamsburg (757) 565-1185 Senior Services Coalition 161-A John Jefferson Sq. Williamsburg (757) 220-3480

Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg (757) 253-5653 Womancare Of Williamsburg 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600

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

Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907 Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660 Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020 Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222 Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020 Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907

ORTHOPEDICS & SPORTS MEDICINE Riverside Orthopedics & Sports Medicine 120 Kings Way, Ste. 3500 Williamsburg (757) 838-5055

Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230 Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628 Norge & The Lymphedema Treatment Center 7151 Richmond Rd., Ste. 191 Williamsburg (757) 345-0753 PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221 Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795

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

Sentara Pediatric Rehabilitation Services 5301 Longhill Road Williamsburg (757) 984-9900

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

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

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

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

OPHTHALMOLOGY

PEDIATRICS

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

Pediatric Associates of Williamsburg 119 Bulifants Blvd. Williamsburg (757) 564-7337

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

Riverside Norge Internal Medicine & Pediatrics 7364 Richmond Rd. Williamsburg (757) 345-0011

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

BonSecours In Motion Physical Therapy & Sports Performance 5700 Warhill Trail Williamsburg (757) 221-0101

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

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

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

PHYSICAL THERAPY & REHABILITATION

Williamsburg Pediatric, Adolescent & Sports Medicine 4374 New Town Ave., Ste. 202 Williamsburg (757) 253-5757 400 Sentara Circle, Ste. 310 Williamsburg (757) 253-5757

Sentara Rehabilitation Services 301 Sentara Circle Williamsburg (757) 984-9900 Anne K. Sullivan, Ed 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 TPMG iSTRIVE Personal Training 5400 Discovery Park Blvd. Williamsburg (757) 345-2512 TPMG Virginia Center for Physical Therapy 5400 Discovery Park Blvd., Ste. 301 Williamsburg (757) 345-2512 Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400 Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383

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

Williamsburg Foot & Ankle Specialists 453 McLaws Cir., Ste. 1 Williamsburg (757) 220-3311

PREVENTATIVE MEDICINE Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064 Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996 Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637

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

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

UROLOGY

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

VASCULAR SURGERY

Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286 Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927

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

Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802 Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693 New Horizons Family Counseling Center 205 Jones Hall Williamsburg (757) 221-2363 Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522 Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462 Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691 Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 Williamsburg (757) 220-2669

OPTOMETRY

Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371

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

Professional Pharmacy 11302 Mount Vernon Dr. Williamsburg (757) 229-3560

PODIATRY

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

Williamsburg Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041

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

RHEUMATOLOGY

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

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

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

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

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

Olde Towne Pharmacy 4854 Longhill Rd. Williamsburg (757) 220-8764

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

Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050

Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

Anne K. Sullivan, EdD, LCP 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002

PHARMACIES

Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460

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

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

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

PULMONOLOGY & SLEEP DISORDERS

Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651 Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853

TPMG Podiatry 4125 Ironbound Rd., Ste. 200 Williamsburg (757) 345-5870

Come Home to Kingsmill

The service you

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138 Wareham’s Point

505 Thomas Bransby

Privacy, quality, and openness abound in this 4-bedroom brick home nestled in the woods on a quiet cul-de-sac. Large rooms, lots of windows, 2 fireplaces, hardwood floors, and a new deck. Family room, breakfast area and kitchen all open to a sunroom. Master suite has an adjacent office / sitting area.

Lovely and gracious 4 bedroom, 4.5 bath home with bonus room on a rare corner lot in Wareham’s Point. Revitalized kitchen, new HVAC, roof, high output water heater, and low maintenance deck. Additional enhancements include energy efficient and moisture resistant crawl space, gorgeous screened porch, whole house water filter, surge protector, & so much more.

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A professional you can

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757.229.0850 fax amy@twiddyrealty.com

THE HEALTH JOURNAL

April Calendar 8

2010

“Your Aging Bladder”

Join Sentara Healthcare’s finest urological specialists for a free presentation, “Your Aging Bladder,” from 10 a.m. to noon at Sentara Williamsburg Regional Medical Center, Williamsburg Conference Room. James Regan, M.D., will discuss common urological concerns. Call 1-800-SENTARA to register for this event.

Need a Pede?

Join Pediatric Associates of Williamsburg (119 Bulifants Blvd.) at 5:30 p.m. for a complimentary open house for new and expectant parents seeking a pediatrician. Call (757) 564-7337, option 8, to register.

15 th 15 th 17 th 28

Infant Massage

Learn the benefits of infant massage in a free class held from 5:30 to 6:30 p.m. at Pediatric Associates of Williamsburg (119 Bulifants Blvd.). Call (757) 564-7337, option 8, to register.

“Baby Care 101”

New and expectant parents are invited to learn how to care for a newborn during a free class held from 7 to 9 p.m. at Pediatric Associates of Williamsburg (119 Bulifants Blvd.). Call (757) 564-7337, option 8, to register.

D.O.G. Street Challenge

The first annual “Run the D.O.G. Street” 5K challenge will start at 8 a.m. on Duke of Gloucester Street in Colonial Williamsburg, with registration/packet pickup starting at 6:30 a.m. The race, hosted by Colonial Sports, will benefit Avalon, a local shelter for women and children affected by domestic violence. Visit http://events.colonialhcd.com to register or for more information.

Incontinence Screenings

Specialists at Urology of Virginia (400 Sentara Circle, Ste. 320) will offer free incontinence screenings for men between 5:30 and 7:30 p.m. Call 1-800-SENTARA to register.

Find more calendar events on page 42.

40 THE HEALTH JOURNAL

ABORTION RECOVERY

Mary Immaculate Hospital Tuesdays, 7 p.m. (757) 886-6364

ABUSE Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813 Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

ADDICTION & RECOVERY Gambling Gamblers Anonymous Maryview Medical Center Tuesdays, 7 p.m. (757) 889-CARE Sex Addiction Sexaholics Anonymous Call or e-mail for dates/locations. (757) 872-6537 hrsa@hotmail.com Smoking Cessation “Stay Smokeless” Program (800) SENTARA Substance Abuse/Treatment Ala-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org.

Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 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 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 3rd Thursday, 1:30 p.m. (757) 596-3941 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

Bethel Restoration Center Mondays, 7 p.m. (757) 220-5480

Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700

Colonial Chapter Meets monthly. (757) 253-4395

AUTISM

Kids’ Group Spirit Works (757) 564-0001 Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Women’s Group Spirit Works Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001

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

Young Widow/Widower Williamsburg Hospice House 1st Monday (757) 645-2192

CHARCOT-MARIE-TOOTH (CMT)

BREASTFEEDING

La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399

CANCER Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 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

Young Adult Group Call for information. (800) 766-0797

Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287

"Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438

Riverside Hospice 2nd & 4th Thurs., 7 p.m. (757) 594-2745

ALZHEIMER’S DISEASE

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

York Presbyterian Church Covenant Hall 4th Tues., 6 p.m. (757) 886-1230 (Hollie)

Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595

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

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

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

Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370

Child Loss Williamsburg Hospice House 2nd Monday (757) 645-2192

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

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

Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438

AIDS

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

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

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

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

Williamsburg Regional Library Sat., 2:30 to 4:30 p.m. Every other month (757) 220-3578 (804) 693-5806

CHRONIC FATIGUE SYNDROME Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700

CROHN’S DISEASE/COLITIS Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234

DIABETES

Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 2 Diabetes Riverside Regional Medical Center 3rd Tuesday, 11 a.m. (757) 534-5918 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

MENTAL ILLNESS

NAMI Williamsburg Area St. Stephens Lutheran Church Tuesdays, 7 p.m. (757) 220-8535

Support Groups

H/NN CSB 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 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 p.m. to 9:30 p.m. (757) 827-1001

MULTIPLE SCLEROSIS

JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902 African-Americans Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627

MYASTHENIA GRAVIS

Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880 Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381

PMS

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

POLIO

Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029

STROKE/BRAIN INJURY

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

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

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

PARENTING

JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777

Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com

HUNTINGTON’S DISEASE

New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051

Sentara CarePlex Hospital 1st Wed., 6 to 7:30 p.m. (757) 244-3923

St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945

LOU GEHRIG'S DISEASE (ALS)

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

St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org

Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 898-6674

OSTOMY

Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777

KIDNEY DISEASE

Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170

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

Riverside Regional Medical Center Call for dates/times. (757) 875-7880

Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700

PARKINSON’S DISEASE

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

Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847

HEART DISEASE

Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971

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

VASCULITIS

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

VISION LOSS

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

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

WOMEN'S ISSUES Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

THE HEALTH JOURNAL

BONHR8603 April_10_HealthJournal_1/2pgVert_4c:Layout 1

3/16/10

10:24 AM

April 2010 events continued from page 40

Got Boomeritis?

Tidewater Physicians Multispecialty Group, PC, will host the first of a free lecture series, “The Aging Joint: Boomeritis,” starting at 6:30 p.m. in the auditorium at Williamsburg Public Library. Dr. Michael Potter will discuss conservative treatment for joint pain, followed by a presentation by Ann deGruy Scanlon, M.S.P.T., on physical therapy modalities. (Two additional lectures will be held May 12 and 26; see next month’s calendar for details.) For more information, or to RSVP, Call (757) 345-2512.

Breastfeeding Tips

A lactation specialist will provide breastfeeding advice to expecting parents from 6:30 to 7:30 p.m. at Pediatric Associates of Williamsburg (119 Bulifants Blvd.). Call (757) 5647337, option 8, for more information.

May

2010

events

We deliver small miracles. Bon Secours has a proud heritage of providing the highest level of care to expectant parents and their newborns. • Dedicated physicians and nurse-midwives supported by an experienced staff committed to caring for new families • State-of-the-art facilities • All private rooms providing a quiet, calm setting • Bon Secours’ tradition of providing personalized, compassionate care

Walk for a Cure

The Williamsburg Arthritis Walk, sponsored by the Arthritis Foundation, will begin at 9 a.m. in Sullivan Square (behind Legacy Hall) in New Town. Registration opens at 8 a.m. Activities will include an exhibitors’ expo, kid zone, dog walk, silent auction, raffle, line dance presentation and free food from Chick-fil-A, Harbor Coffee, Pretzel Place and more. Sign up as a team or an individual either online at www.arthritiswalkwilliamsburg.kintera.org or by calling Karen Constantine at (757) 565-4503.

Ride for Cancer DePaul Medical Center I

Maryview Medical Center

Mary Immaculate Hospital

www.bshr.com/pregnancy • 889-BABY (2229)

The fifth annual “Cyclists Against Cancer” bike ride to benefit Relay For Life and the American Cancer Society begins at 8:30 a.m. with rides starting every half hour through 10 a.m. Riders meet at New Quarter Park, rain or shine. Registration fee is $35 before April 28 and $45 after that date. Lunch and raffle drawings to follow rides. E-mail Elaine Cardwell at elainecardwell@cox.net for a registration form or pick one up at your local bike shop.

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:

(757) 637-7016

Hampton office: 901 Enterprise Parkway, Suite 900 Hampton, VA 23666

PCI

PENINSULA CANCER INSTITUTE In the Riverside Healthcare Center | 120 Kings Way, Suite 3100, Williamsburg, VA 23185

Mark E. Ellis, MD; Laura D. Kerbin, MD; Nancy F. McKinny, MD; Lynn B. Ellis, CFNP; Holly Chesebrough, CFNP; and staff at the Williamsburg Location.

eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment right here in Williamsburg. All PCI Doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected physicians are also BoardCertified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient

NEWPORT NEWS

according to need and desire: patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services, massage therapy, pet therapy, music therapy, patient/family education, and cuttingedge 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.

WILLIAMSBURG

GLOUCESTER

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

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

Middle Peninsula Cancer Center 7544 Medical Drive, Gloucester, VA 23061

757-534-5555

757-345-5724

804-693-9037

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