HRHJ_Aug_2009 by The Health Journal

the

Health Journal

Peninsula Edition

Vol. 5 No. 3

www.thehealthjournals.com

August 2009

Help for Adult Acne

pg. 39

! w e NHolistic Marketplace

pg. 32

Save Money on Health Care

pg. 36

Bioidenticals:

Are They Safe?

New Name. New Look.

Experience Excellence at the 2009 Workers’ Compensation Symposium

OSSMS of Hampton Roads is now...

August 10th and 11th, at the Marriott Hotel in City Center— Newport News Monday Evening – August 10, 2009 IME Panel & Dessert Reception

To better represent all we have to offer you, Of course, our practice will continue to incorporate Tuesday – August 11, 2009 OSSMS will now be known as Orthopaedic & Spine the latest medical innovations and techniques in A Full Day of Lectures on Orthopaedics & Interventional Center. We are proud to be the region’s premier both orthopaedic and spine surgery to improve the Pain Management provider for Orthopaedics and Sports Medicine. quality of life for our patients. Rest assured, we will This Workers’ Compensation Symposium will focus on Our group includes the only two fellowship trained continue to offer the same comprehensive, thorough the Mechanisms of Injury to Workers on the Job. Orthopaedic Spine Surgeons on the Peninsula. and personal care you have come to expect from us, The Symposium is a must for: but with a new name and look. · Case Managers · Rehabilitation Specialists · Business Owners · Claims Management · Health & Safety Personnel · Occupational Health Nurses · Attorneys · Risk Managers

Experience Excellence

This is a free symposium, and a complimentary dessert reception, breakfast and lunch will be served. Participants will earn CEUs while gaining valuable insight into the latest innovations in Orthopaedics and Interventional Pain Management. For registration and sponsorship opportunities, contact Shannon Woods, Physician Liaison, at 757-596-1444, ext. 368.

Experience Excellence at our Port Warwick location!

Meet Our New Physician! OSC is pleased to welcome Jenny L. Andrus, MD, a fellowship trained, board–eligible, interventional Boyd W. Haynes, III, M.D. • We Robertprovide J. Snyder, M.D. complete orthopaedic care. physician who pain management Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D. specializes in treating the full Mark W. McFarland, D.O. • Edward P. Petrow, Jr., D.O. Martin R. Coleman, M.D. spine, Mark joint W. McFarland, D.O. J. M.D. Snyder, M.D. Jeffrey R. Carlson, RajRobert N. Sureja, • Jenny L. Andrus, M.D. M.D. spectrum of painful Jamie McNeely, P.A. • Tonia Yocum, P.A. Edward P. Petrow, Jr., D.O. Boyd W. and nerve conditions. Haynes, III, M.D. Jenny L. Andrus, M.D.

�� Open MRI Center Experience Excellence

250 Nat Turner Blvd. Learn more about our full range of Newport News, VA 23606 orthopaedic www.osc-ortho.com 751 J. Clydeservices Morris at Blvd., Newport News, VA 23601

www.osc-ortho.com Proudly Accepting Tri-Care!

757-596-1900

877-202-9130

On the Cover

Bioidenticals:

Are They Safe?

As a treatment for symptoms of menopause, bioidentical hormones have been gaining popularity thanks, in part, to endorsements from celebrities like Suzanne Somers and Oprah Winfrey. But some experts worry about the lack of standardization and research surrounding these plant-based compounds. Get the whole story, starting on page 22.

Inside

august 2009

5 features

IN EVERY ISSUE

Paperless Progress | 5

There’s an App for That, Too! | 20

As the area’s leading health systems convert to electronic medical records (EMRs), The Health Journal looks at important factors such as patient security and cost.

Health and fitness tools are just a download away with the Apple iPhone and iPod Touch.

Letter from the Editor | 4

Avoiding the “Freshman 15” | 16

Embarrassing but Treatable | 31

Snapshots | 8

Local students, nutritionists and fitness experts give teens solid advice for preventing weight gain during their first year of college. (Parents: You should read this, too.)

Urinary incontinence affects millions of men and women. Dr. Jennifer Miles-Thomas discusses the various types of incontinence and treatment options.

Warm Up for a Better Workout | 18

Wherever the Wind Takes Him | 42

Never begin exercise without warming up first. Personal Trainer Greg Tudor shares his reasons why.

Local Beat | 5

Fitness | 18 Feature | 22

As president of Sentara’s Peninsula Region, Ken Krakaur is at the helm of local health care. Learn what principles steer him personally and professionally.

Health Directory | 33 Calendar | 40 Profile | 42

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THE HEALTH JOURNAL

August 2009

LETTER FROM THE EDITOR the

Health Journal photo by Brian M. Freer

Peninsula Edition

Publisher

Dear Readers,

Brian M. Freer Executive Director

In my last column I shared the story of how I struck a truce with my brother after three years’ distance. Since then we’ve stayed in touch, and he plans to pay us a visit and meet our baby early this month. The reunion sparked in me a desire to reach out to a few old friends as well, and those overtures seem promising so far. I owe a lot of this to Cami; she’s only three months old, but already she has taught me an important lesson: as humans, we are born to love and trust, but also to forgive. Once, when I was clipping her fingernails, I accidentally nicked her skin and she bled a little bit. She cried at the pain, but she eventually forgave me and trusted me to try again. She holds no grudges, and she is the happiest person I know. As for our newfound trio (party of five, if you count our pets, Darwin and Gable), things are going great. Cami is growing like a weed and discovering new wonders every day. Just last week she rolled herself over. (Now she has to decide what to do once she gets onto her stomach.) And, as our friends and family promised would happen, we’re almost to the point of getting a full night’s rest. And maybe someday soon I will make it out the door in the morning, baby in tow, in time to be at work by 9 a.m. Juggling a new baby, a career, a marriage and a household isn’t easy, and neither are the decisions I find myself wrestling with daily. Do I pay someone to help me keep the house clean, so I can enjoy my weekend without an endless to-do list, or would we be better off putting that money into a nest egg or college fund? When I am working from home, is it OK to split my attention between work and our daughter? Should I remind Brian again that his athletic socks are not floor decorations, or should I keep quiet to keep the peace? Women, it seems—as the glue that holds most families together—are constantly faced with hard decisions, and that especially goes for choices relating to our health. For years menopausal women took synthetic hormones, confident they would help quell the uncomfortable symptoms of menopause and perhaps stave off a number of health problems attributed to fluctuating hormones. But all that changed in 2002, when results from a largescale study tied hormone replacement therapy (HRT) to a greater risk for breast cancer, heart attack and stroke. Just last month a report linking HRT and ovarian cancer was published in the Journal of the American Medical Association. According to the article, in one study of nearly one million Danish women, those using synthetic hormones were 40 percent more likely to develop ovarian tumors than those who had not, regardless of the duration of time they had used such therapies. A lot of women must decide: Are the benefits of HRT worth the risks? Since 2002, millions have stopped hormone therapy altogether; but during that time another option has gained popularity: bioidentical hormones, plant-based substitutes designed to mimic the body’s natural hormones estrogen and progesterone. Patients and physicians are reporting remarkable results with bioidenticals, as they are called, but no large-scale safety studies have been done, so the therapies remain somewhat controversial. In “Bioidenticals: Are They Safe?”, starting on page 22, writer Alison Johnson queries local women and their doctors who say bioidenticals have worked for them. We hope their advice empowers female readers with information to make smart decisions about their health. As one Chesapeake woman states in the article, “All women should know their options.”

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Assistant Editor

Brenda H. Welch Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny Photography

Brian M. Freer Page Bishop-Freer Kelly Quave Inman Contributing Writers

Brandy Centolanza George Heuser, MD Amy Johnson Alison Johnson Jennifer Miles-Thomas, MD Greg Tudor, CPT

Circulation

Press Run: 28,526 Direct Mail: 23,526 Homeowners & Businesses in 23601, 23602, 23606, 23608, 23662, 23666, 23669, 23692 & 23693 zip codes. u.s. postal carrier The Health Journal is a monthly publication direct-mailed to homes and businesses in Hampton, Newport News, Yorktown and Poquoson. 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

Page Bishop-Freer, Editor page@thehealthjournals.com

THE HEALTH JOURNAL

August 2009

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LOCAL BEAT

Paperless Progress

Big Changes for Sentara School of Health Professions The Sentara School of Health Professions (based in Chesapeake) has changed its name to the Sentara College of Health Sciences to better reflect its academic offerings, which now include a Bachelor of Science in Nursing (BSN) degree. Applications for the BSN program—one of only five in the Hampton Roads area—are currently being accepted.

Injury Prevention Key for Female Athletes Research shows that with proper training female athletes can reduce their chances of suffering an anterior cruciate ligament (ACL) injury by up to 80 percent. Children’s Hospital of the King’s Daughters will offer a six-week ACL Injury Prevention Program starting August 17 at the Sports Medicine Gym located at the CHKD Health Center at Kempsville, 171 Kempsville Rd., Norfolk. Classes, led by a physical therapist, will be held on Mondays and Wednesdays, from 7 to 8 p.m., on the first floor of Building A. Visit www.chkd.org to download a registration form. Cost is $75 per participant.

“Charity House” Named for Chesapeake Girl The Tidewater Builder’s Association will name this year’s “Charity House”—one of 20 custom homes built and auctioned since 1988 to fund local children’s programs—in honor of five-year-old Sidney Lambert of Chesapeake, who has been receiving treatment for cancer at Children’s Hospital of the King’s Daughters since she was just nine months of age. The 2009 Charity House is one of 12 showcase homes under construction for the annual Homerama, to be held Oct. 3–18 in the Culpepper Landing neighborhood in Chesapeake. Chesapeake Mayor Alan Krasnoff and others will join Lambert and her family in a tree-planting ceremony on Friday, Oct. 2, at 6 p.m. Call (757) 420-2434 or visit www.tbaonline.org for more information.

Give Blood, Save Lives The Hampton Donation Center for the Hampton Roads Chapter of the American Red Cross holds blood drives every Wednesday and Thursday from 2 to 7 p.m. and the first Saturday of the month from 10 a.m. to 2 p.m. The Donation Center is located at 4915 W. Mercury Blvd., Newport News. Call (757) 838-7320 for more information. A complete list of Peninsula blood drives can be found online at www.hrreedcross.org.

Throughout Hampton Roads, hospitals and physicians’ offices are trading in paper medical records for high-tech sharing. Written By Brenda H. Welch

ouise Kaiser was never one to associate the phrase “health care” with the word “prompt.” For her, the term conjured up memories of seemingly endless waiting, whether in the emergency room, her doctor’s office or on the phone trying to get a prescription filled or a simple question answered. Now 83 years old, the Virginia Beach resident has changed her tune by reaching for her computer mouse and logging on to MyHealth MyChart, Sentara’s Web site for patients that provides Kaiser and thousands more with access to their personal electronic medical record (EMR). MyChart is part of Sentara’s eCare Health Network, a clinical system that uses technology to link patient medical information between Sentara hospitals, physician practices and other health care sites over a protected network, enabling the secure sharing of patient information. “I can’t believe how fast and easy it

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is to get my prescriptions filled now and schedule appointments,” says Kaiser, “but one of my favorite features is that I can send questions directly to my doctors through MyChart and receive a response from them within a few hours.” Kaiser first learned about MyChart when she The sharing of medical records saw an advertisement for begs the question—are EMRs it in an exam room. “I asked the nurse and safe when it comes to securing receptionist if they liked it, patient information? which they did, and then came home and tried it for myself,” she says. “I love it. I feel more protected from the chance of errors and have direct communication with my doctor. Best of all, no more waiting.” Adds Kaiser: “I cannot hear very well, so this line of communication goes far to help avoid any areas of miscommunication.” Continued on the next page

THE HEALTH JOURNAL

August 2009

LOCAL BEAT

Paperless Progress

Car Wash to Raise Funds for Leukemia & Lymphoma Society A car wash fundraiser will be held on Saturday, August 8, from 10 a.m. to 2 p.m. at Casey Toyota on Richmond Road. Proceeds will benefit the Hampton Roads Chapter of the Leukemia and Lymphoma Society, an organization dedicated to finding a cure for blood cancers.

First-Anniversary Milestone for Sentara BelleHarbour In the year since Sentara BelleHarbour opened in Suffolk, staff and partnering physicians (topping more than 100 individuals) have had over 27,500 outpatient visits from residents of Suffolk, Chesapeake and Western Branch. “Use of the services exceeded all our projections,” says Robert Firestone, director of the facility. “It has really taken off.”

Prepare Kids Now for Flu Season As back-to-school approaches, the Virginia Department of Health is urging parents of school-age children to prepare for increased flu activity this fall, especially the H1N1 strain of the virus. “We are continuing to see higher reports of influenza-like illness throughout the state than we normally would see for this time of the year,” State Health Commissioner Karen Remley, M.D., said in a statement. “The highest percentage of those reports is among children.” Remley advises parents to seek all recommended vaccinations for their children and to consider how they would manage a case of the flu in their home.

Open House at Sentara Leigh August 22 Visit Norfolk’s Sentara Leigh Hospital on Saturday, Aug. 22, between 9 a.m. and noon, and catch a glimpse of the Sentara Nightingale Air Ambulance while obtaining free health information and having access to free cholesterol and blood pressure screenings.

Maryview Ranked Top Hospital for Bariatrics Bon Secours Maryview Medical Center (Portsmouth) has received the 2009–10 Bariatric Surgery Excellence Award from HealthGrades, the nation’s leading independent health care ratings organization. Maryview was ranked among the nation’s top five percent of hospitals for its delivery of weight-loss surgery procedures.

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Continued from previous page Sentara, along with other health care systems located throughout Hampton Roads—including Riverside Health System and Bon Secours—is steadily phasing out the traditional method of health care communication, which was dominated by thick paper medical charts of which patients were typically only given a cursory peek over their doctor’s shoulder. The next chapter promises better health information access to all.

National initiatives In Washington, President Barack Obama and his administration have recognized the importance of EMRs by allocating $19 billion in the American Recovery and Reinvestment Act of 2009 (i.e., the U.S. Stimulus Pack-

EMRs show promising results In March, Sentara Norfolk General Hospital became the fourth hospital in the Sentara system to toot the paperless horn and go live with eCare since its implementation began in the Sentara network in 2004. Other hospitals—Sentara Leigh in Norfolk, Sentara Bayside in Virginia Beach and Sentara Virginia Beach General Hospital—have reported increased patient safety, enhanced physician-patient relationships and better physician-to-physician communication, according to Bert Reese, Sentara’s senior vice president and chief information officer. “Sentara’s system works because there is one electronic record—only one—between the patients at home, the primary care physician, the specialist, the EDs, the ICUs and all the other departments,” says Reese. “This guarantees that all lab results, prescriptions, referrals, diagnoses, notes and office visits are documented and everyone knows what everyone else has done, and it is all stored in one database.” Recent statistics reported by Sentara show strong results since implementing eCare. • Physician order entry for prescriptions is 85 percent or better in Sentara hospitals using eCare. • Prior to implementing eCare, hospitals across the system averaged a time of about 132 minutes between a drug being ordered and a drug being given to the patient. After introducing Sentara eCare, that average shrank to 35 minutes. Now Sentara has become engaged in the challenge facing medical communities both locally and nationally: How do health systems and hospitals interface with each other to create a broader safety net?

age) to hasten the use of computerized medical records in doctors’ offices and hospitals. The incentives primarily benefit hospitals and office-based physicians. Each office-based physician who meaningfully uses a certified EMR could receive up to $44,000 (Medicare) or $64,000 (Medicaid) in government funding. (The Department of Health and Human Services will be defining the clear definition of “meaningful use” in the year ahead.) Office-based physicians practicing in rural or underserved areas are eligible for up to $48,400 in Medicare incentives. These figures represent the maximum allowable incentives under the Medicare and Medicaid programs, and physicians may qualify for either source of funding but cannot qualify for both. Physicians who have not implemented an EMR by 2015 will be penalized with up to three-percent decreases in Medicare/ Medicaid reimbursements. While the stimulus money provides the incentives for health care providers to adopt an EMR system, the issue of sharing patient information across various software programs is one of concern. Currently, the flow of communication between health systems depends

August 2009

“If you take the necessary precautions and build systems appropriately, and most of all, honor a patient’s privacy and confidentiality rights, you are going to be good.” — John Stanley, Riverside Health System

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LOCAL BEAT on their choice of EMR software. Sentara and Bon Secours have both contracted with Epic, a software company based in Verona, Wis., which means the health systems will be able to communicate with one another in sharing patient information. Riverside, however, uses a General Electric product called Centricity for its ambulatory EMR and Siemens’ Sorian for its inpatient EMR. Lack of interface between different EMR systems presents a glitch in the push for high-tech communication. “For Bon Secours, Epic made the most sense and fits our needs,” says Eric Dalton, project director for Bon Secours’ EMR, ConnectCare. “We liked that it is not an off-the-shelf product. We spent almost two years prior to going live working with physicians from our local market, both [in] Hampton Roads and Richmond, where they were brought in the room and participated actively in determining how the electronic medical record would look and what we could do to achieve the highest level of patient care throughout our system.” The result of these efforts is ConnectCare, which first went live in March 2009 at Bon Secours St. Francis Hospital in Greenville, S.C., and the system is projected to be live in Hampton Roads’ physician practices by September and all hospitals by 2010. Dalton says that the cross-sharing of records electronically with all health care providers is a critical piece of the puzzle. “You can see that the government understands the benefit of that now with the money that is being earmarked for electronic medical records throughout the U.S., not only with all of the hospitals but also with all physicians,” says Dalton. “There is a benefit of knowledge transfer for patient care, and access to timely records is really how we are going to reduce duplication and errors within the health care system.” As it stands, if people receive care primarily through Bon Secours but find themselves at a Riverside emergency room, they may grant access to their ConnectCare account by sharing their login information with their Riverside doctor. While only those working within Bon Secours’ EMR system may add directly to a patient’s chart, sharing access in this way ensures accurate and up-to-date information for the Riverside doctor as well.

Riverside

Behavioral Health Center Outpatient Services

The sharing of medical records begs the question—are EMRs safe when it comes to securing patient information?

EMRs less risky than paper records Since 1998, Hospitals and Health Networks, the journal of the American Hospital Association, has named the nation’s 100 Most Wired hospitals and health systems; results are based on the Most Wired Survey and Benchmarking Study in which hospitals report on how they use information technology in the areas of safety and quality, customer service and business processes. In 2007, Riverside was the only hospital in Virginia to be recognized with the Most Wired award. John Stanley is Riverside’s senior vice president and chief information officer and has been involved with integrating the EMR system throughout the health system to include physician offices since they began the process in 1996. Stanley says that while there are risks in the electronic world when it comes to patient confidentiality and security of information, they do not come close to those associated with paper records. “Electronic information is more secure versus all the pieces of paper that get floated around and left in fax and copy machines,” says Stanley. “If you take the necessary precautions and build systems appropriately, and most of all, honor a patient’s privacy and confidentiality rights, you are going to be good.” Ultimately, it is the sharing of medical records that makes EMRs so appealing to patients. Yvonne Pike is a breast cancer patient navigator with Riverside, and her job is to provide resources to cancer patients that help them through diagnosis, treatment and beyond. She says that because her patients see many doctors at various locations, they often express concern about how to keep it all straight. “They want to know how their primary care physician, oncologist, surgeon, radiologist and other specialists keep track of test results and medications that have been prescribed and why,” says Pike. “Often through the old system, precious time and resources were wasted because of that lack of continuity of care,” she notes. “Now, because of the EMR system, all of their information is tied together under one record and one resource, and that is incredibly reassuring to them.” HJ

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ATTENTION PHOTOGRAPHERS! We are looking for a freelance photographer to join the Health Journal Team!

please send resume to brian@thehealthjournals.com

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Dr. Nordlund is a former University of Virginia Medical School faculty member with fellowship training in retina at the Mayo Clinic and glaucoma at Johns Hopkins.

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THE HEALTH JOURNAL

August 2009

SNAPSHOTS

The “Operation Smile” Club at Lafayette High School donated $1,000 to the Norfolk headquarters of Operation Smile, an organization dedicated to treating children born with cleft lips, cleft palates and other facial deformities. Here, Instructor Suzan McCorry (fourth from left) and club members present a check to Operation Smile.

Riverside’s Doctors Surgery Center, which opened in 2004, donated more than $26,000 to four Williamsburg-based charities: Hospice House of Williamsburg, Olde Towne Medical Center, the Lackey Free Clinic and Project Care. The donations were made to recognize these charitable organizations that contribute to the health and welfare of the local community. From left to right: Robert Bradley, executive director of Lackey Free Clinic; Linda Taylor, director of Hospice House; Susan McAndrews, vice president of Riverside Ambulatory Surgery Services; Jeffrey Moore, M.D., president of Doctors Surgery Center; Jayne Darnell, surgical tech at Doctors Surgery Center; Susan Salva, director of development for Lackey Free Clinic; Ron Lodzieski, board chair for Olde Towne Medical Center; and David Pribble, executive director of Olde Towne Medical Center.

Now through Sept. 11, Chesapeake Regional Medical Center will be accepting entries for the 2009 “Bra-ha-ha” art contest to raise breast cancer awareness. Participants are asked to decorate a size 36-C underwire bra using nonperishable materials. The entry fee is $25, which includes one ticket to the hospital’s annual gala to be held on Sunday, Oct. 4, from 7 to 9 p.m. The creator of the winning bra will receive $500. Shown here is one of 145 embellished bras entered in last year’s contest. Visit www.brahaha.org for more information.

Board-certified pediatric surgeon Dr. Frazier Frantz has joined Children’s Hospital of the King’s Daughters’ Pediatric Surgical Group, the region’s only general surgical practice dedicated exclusively to children. Prior to joining the CHKD surgical team, Frantz served as head of the pediatric surgery division at Portsmouth’s Naval Medical Center.

Potomac Hospital, located in Woodbridge, Va., has chosen to merge with Sentara Healthcare, which is based in Norfolk.

The Road Soldiers, a local motorcycle association open to all Fort Eustis and Fort Story employees, raised over $2,000 for the Lackey Free Clinic through a charity ride held June 27 in Yorktown.

Chesapeake Regional Medical Center staff members gathered in July for a celebration following a report that revealed job satisfaction among employees has reached an all-time high.

7 8

The Virginia Beach-based health care consulting firm A. Reddix and Associates hosted a Health Care Academy at the Family Investment Center on July 22. The event focused on rising obesity rates among children and teens. From left to right: Health Care Academy facilitators Jasmine Young, Elif Bower, Marcy McDevitt, Carl Reddix, Stephanie Kipnis, Maerine Mitchell, Courtney Barbero, Megan Carpenter, Andolyn Medina, Susie Evans and Marcus Calabrese. A picnic was held at Great Neck Park on July 25 to bring attention to the Huntington’s Disease Parity Act of 2009, a bill that has been introduced to Congress to assist families affected by Huntington’s disease (HD). Congressman Glen Nye was in attendance and took time to speak with local HD support group leader Marie Clay, who was featured in last month’s edition of The Health Journal (page 20).

Quality Care and Peace of Mind Agape is committed to helping you or your loved one remain independent in the safety of your own home. Personal Care Services: • Private Duty • Long-Term Care Insurances • Medicaid • Bathing • Meal Preparation • Light Housekeeping & Laundry • Medication Reminders Relief for caregivers for those with: Alzheimer’s • Dementia • Stroke

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We Want Your Snapshots! Readers may submit pictures of health-related happenings throughout Hampton Roads. Please remember to include a brief description of the photo as well as the full names of individuals featured. Send Your Health Snapshots to: page@thehealthjournals.com

August 2009

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At Sentara, You Get More Than Just A Mammogram.

N O W N AT I O N A L LY ACCREDITED

entara breast care patients benefit from the Peninsula’s only radiologists with fellowship training in breast imaging. Along with this unrivaled expertise, our convenient, comprehensive breast centers provide thorough and coordinated follow-up care. These measures of quality are why Sentara has just been accredited by the National

sentara.com/cancer

Accreditation Program for Breast Centers (NAPBC), a prestigious program that sets rigorous standards for breast care. In this region, only Sentara has this distinction. When you call to schedule a mammogram, we’ll help you transfer any relevant records to our office, then coordinate with your physician. For measurably superior breast care, choose Sentara.

Your community, not-for-profit health partner

Dorothy G. Hoefer Comprehensive Breast Center Sentara Port Warwick (757) 594-1899 Comprehensive Breast Center Sentara Williamsburg Regional Medical Center Women’s Imaging Pavilion (757) 345-4000

HEALTH IN HISTORY

Illustration courtesy of The Colonial Williamsburg Foundation

Colonial Docs Didn’t Focus on Childhood Disease

While up to 75 percent of free Virginians lived to age 21, enslaved children had a 50-percent chance of dying before age 15.

An illustration from the rare text, Elementarwerke fur die Juguned und ihre Freunde, by Johann Bernhard Basedow (Berlin & Dessau, 1774), depicts a physician examining a boy's ear. WRITTEN BY Brandy Centolanza

hile today there is an abundance of pediatricians, whose focus is treating ill children (some even specialize in specific conditions among children, such as pediatric cardiology or oncology), doctors in the Colonial period weren’t aware that a child’s physiology differed greatly from an adult’s. Therefore, doctors then didn’t devote much of their time to children’s health issues. In fact, it wasn’t until the early 1900s that doctors started focusing exclusively on pediatric care. Today, the American Academy of Pediatrics has 60,000 members. Like adult Colonists, most children during that time period (1740 to 1775) saw a physician only in case of illness or injury, and not for regular preventative checkups. “How often a child saw a doctor depended on the severity of the illness, the proximity of a doctor and, in some cases, affordability was a factor as well,” says Robin Kipps, supervisor at Pasteur & Galt Apothecary in Colonial Williamsburg. Children in the 18th century were plagued by a number of diseases, among them pertussis (whooping cough), mumps, measles and chicken pox. Vaccinations for these illnesses were developed after Colonial times, though inoculation for the fatal childhood disease smallpox did start in the Colonies in the 1720s.

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According to Kipps, “Many parents resorted to the advice of home medical guides such as Dr. William Buchan’s book Domestic Medicine [first published in 1769] to treat a variety of issues, such as measles, whooping cough, worms and smallpox, as well as [for] advice on diet, clothing and exercise for children.” Most of the medicines back then “were more effective in treating symptoms than treating the causes of the diseases,” explains Kipps. While up to 75 percent of free Virginians lived to age 21, enslaved children had a 50-percent chance of dying before age 15. Colonial doctors encouraged proper nourishment for children (especially breast milk for infants) as well as daily exercise as soon as a toddler could walk. In his book, Dr. Buchan suggested that overcrowded schools were not healthy for children because of the ease with which an infection could spread. Buchan also believed that hospitals were not safe places for babies and children because of the poor air quality surrounding sick patients. He asserted that breathing in hospital air was “a poison to infants.” Buchan recommended bathing children daily with cold water as a precaution against disease. Says Kipps, “He felt that cold bathing braced the body and aided circulation and, if it [was] done properly, that many diseases could be prevented.” HJ

August 2009

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“I didn’t feel a thing.” 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.

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Natural Sweetener May Prevent Cavities in Toddlers NEW YORK (Reuters Health)

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oung children given syrup containing the naturally occurring sweetener xylitol may be less likely to develop decay in their baby teeth, results of a study hint. Early childhood cavities, also called “baby bottle tooth decay” or “nursing cavities,” are characterized by severe tooth decay early in life and remain a problem, Dr. Peter Milgrom from the University of Washington in Seattle and colleagues note in a report published last month in the Archives of Pediatrics and Adolescent Medicine. Xylitol, approved in the United States for use in food since 1963, has been shown to effectively prevent tooth decay by inhibiting the growth of bacteria that cause cavities. These previous studies have primarily involved chewing gum or lozenges used in school-age children with permanent teeth. Milgrom’s team evaluated the effectiveness of using xylitol-containing syrup among 94 children, nine to 15 months old, from the Republic of the Marshall Islands, where early childhood tooth decay is a serious health care problem. According to the investigators, “Our results suggest that exposure to xylitol [eight grams per day] in a twicedaily topical oral syrup during primary tooth eruption could prevent up to 70 percent of decayed teeth.” HJ

LOCAL BEAT

New Campus Designed ‘With Allied Health in Mind’ TNCC’s new Historic Triangle campus opened to the public on July 6. Written By Alex Guillén Photography By Kelly Quave Inman

Harold Marioneaux, director of TNCC’s new dental hygiene program (slated to open in 2010), says the program will reflect the hightech future of dentistry.

THE HEALTH JOURNAL

t may be two years late and several buildings short, but Thomas Nelson Community College will finally open a permanent campus in the Williamsburg area this fall. The new $28.7-million Historic Triangle campus, located next to Warhill High School and across the street from the Williamsburg Outlet Mall, is a 120,000-square-foot building—in stark contrast with TNCC’s former Williamsburg campus, a temporary area in the Busch Corporate Center that had been overcrowded with students for 10 years. The old campus was so small that its entirety would have fit within the new campus’s library. “This is a very exciting opportunity for us,” TNCC Interim President Alvin Shexnider says. “We’ve been looking forward to this thing for a very long time, and I think you’ll be very impressed with the facility and even more impressed with the people who are going to occupy it.” William Travis, the school’s former dean of business and public services, will oversee dayto-day operations at the new campus as provost. “This is not something new,” Travis says. “This is an expansion.” The Historic Triangle campus will offer several allied health degrees including dental hygiene, nursing and emergency medical services information technology. Students can also get career studies certification in emergency medical services, pre-nursing and phlebotomy. “When this campus was envisioned, we had allied health in mind,” Shexnider explains. Despite the campus’s scheduled opening this fall, the dental hygiene program is running behind and will not begin until the fall of 2010. But never fear—the program’s director, Harold Marioneaux, promises its premiere will be impressive. “I want you to envision that you are on the Starship Enterprise,” Marioneaux says of the dental hygiene

suite, which will feature 11 dental chairs and the latest technology, including electronic recordkeeping. “It’s state-of-the-art equipment,” he insists. “You’re going to see where dentistry is headed for the future.” In fact, TNCC’s technology will be so advanced that area dentists are already requesting to use the equipment. “One of the issues that we’re going to have to deal with is [that] we’re going to teach students the latest in technology, but we also have to show them the old methods of doing things because we’ve got to address what the community needs are,” Marioneaux says. The school’s nursing program will begin in January in a new, larger space that allows for 30 students, an increase from the current class size of 10. Outside of health care, the new campus will offer programs in business administration, paralegal studies, information technology, computer drafting and design, mathematics and writing. Travis notes that as the campus expands, TNCC will expand its program offerings. “This is not a done list,” he says. “An institution is responsive. We respond to what the community wants, and if there are other things the community wants to do, we are going to do that,” he says. “We [plan to] offer the programs the students and the community want, rather than coming to the community and saying, ‘This is what you’re going to get.’” The new campus also includes three science labs, a bookstore, a library, 17 study lounges, a weight-training room and several computer classrooms. Construction of the new campus was delayed multiple times over the last few years due to mounting construction costs and funding problems. In time, the college hopes to expand into new adjacent buildings. “This is not the culmination or end of anything,” Travis says. “This is the College’s first step of moving into the greater Williamsburg area.” HJ

August 2009

TNCC’s main campus is located in Hampton. Between the two campuses, the college teaches some 15,000 students.

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HEALTHWIRE

Celiac Disease May Strike Elderly, Too Gluten intolerance among older adults may go undiagnosed for decades. NEW YORK (Reuters Health)

eliac disease doesn’t only affect the young, new research from Finland confirms, but can strike a person for the first time in later life. In people with celiac disease, eating gluten—a protein found in many types of grain—causes the immune system to launch an attack on the small intestine. This can eventually damage the organ and lead to poor absorption of nutrients, especially fat. But people with celiac disease who cut gluten out of their diet can avoid symptoms and complications. It’s now possible to use blood tests to determine whether or not a person has celiac disease, which affects over one percent of Western populations, Dr. Anitta Vilppula of Päijät-Häme Central Hospital in Lahti and her colleagues note. In the United States, celiac disease is four times more common now than it was in the 1950s. While people may think of the condition as a problem for children

Past research has shown that undetected celiac disease can lead to significant health problems in older people.

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THE HEALTH JOURNAL

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and young adults, they add, Vilppula and her team recently identified cases of celiac disease in elderly people. In some individuals, the condition had not been detected. In the current study, the researchers investigated whether some older people had actually developed celiac disease later in their lives, or the disease had simply gone undetected. They looked at 2,815 people over 55 who had undergone blood tests for celiac disease in 2002, 2,216 of whom were screened again in 2005. The researchers also did biopsies of patients’ small intestines to confirm the blood test findings. In 2002, 2.13 percent of the study participants had biopsyconfirmed celiac disease, while 2.34 percent did in 2005. There were five new cases among people whose blood tests had initially been negative for the disease, and only two of these individuals had symptoms. That led the researchers to conclude that the elderly could develop the disease late in life. Past research has shown that undetected celiac disease can lead to significant health problems in older people, the researchers note; in one study including 35 people 60 and older, 15 had been seeing their doctor for 28 years, on average, with symptoms without being diagnosed. Doctors should be aware of the possibility that their older patients may have or develop celiac disease, Vilppula and colleagues say, and they should use blood tests to confirm the diagnosis—even though a negative test doesn’t mean a person won’t develop the condition later on. HJ

August 2009

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TEEN FOCUS

Tips for Avoiding the ‘Freshman 15’ Written By Brandy Centolanza

ollege freshmen gain plenty during their first year away from home: new friends, different experiences, a sense of independence, and for some, a few extra pounds to boot. Though the dreaded “Freshman 15” may be a bit of an exaggeration when it comes to the average amount of pounds first-year students gain, a recent study at Washington University in St. Louis found that 70 percent of students gained an average of nine pounds between the start of college and the end of their sophomore year. Another study at Cornell University revealed that students added on roughly four pounds, while other studies show evidence of an average weight increase of seven pounds for students during their first semester. And all students are susceptible. “Everyone seems to be at risk,” notes Jessica McDaniel, a nutrition intern with Sentara Williamsburg Regional Medical Center. “However, those who are determined to make healthy choices and know what is in the food they are eating are most likely to gain less, or no, weight.” There are many reasons for freshman weight gain, including buffet-style dining halls, readily accessible vending machines, skipping meals or eating at odd hours, and drinking too much alcohol. “Overeating, especially in combination with drinking, like when students come home after a party at 3 a.m. and order a pizza, is a big factor,” says Jenny Fisher, assistant director of Recreational Sports for Fitness and Wellness at the College of

William & Mary. Adjusting to a new routine can also play a role, Fisher adds. “Balancing academics with extracurricular activities and finding time to take care of yourself can be difficult,” says Fisher, who admits to gaining a few pounds while she was in college. “It is overwhelming your freshman year. It’s also very common for stress to lead to other behaviors like overeating, drinking or smoking.” Kate Wrightson, a W&M senior and a fitness instructor and personal trainer, agrees. “You see it all over campus,” she says. “During my freshman year, my friends were always partying. Students usually woke up right before class, so they definitely didn’t eat breakfast. Being starved usually makes you just eat more during your next meal.” Ali Cano, a junior at W&M and also a fitness instructor, recalls the temptations she faced during her first year: “When you live in the dorms, every week it is someone’s birthday, so there is cake all the time,” she says. “It’s hard not to snack whenever you see everyone else snacking.” Freshmen can make better diet choices, though—if they are proactive about it. Little things like adding low-fat or skim milk to coffee instead of half-and-half, using a low-calorie dressing on salad and eating in moderation can make a difference. “Keep healthy snacks in your room to decrease the urge to purchase unhealthy vending machine snacks,” suggests McDaniel. Low-fat popcorn, pretzels, dried fruit, nuts, granola bars, trail mix, crackers, and peanut butter are good choices.

College students and health experts share their advice for preventing unwanted weight gain.

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College freshmen gain weight for many reasons, including buffet-style dining halls, readily accessible vending machines, skipping meals or eating at odd hours, and drinking too much alcohol.

Daily exercise is also essential to prevent unwanted pounds. Riding a bike, taking the stairs instead of an elevator, stretching or flexing and releasing muscles during class, doing jumping jacks, sit-ups, or push-ups during study breaks, or simply walking to class can help. “Don’t take the bus when class is only five minutes away,” urges Cano, who also encourages freshmen to find an activity they like to do, and try to do it every day. “It’s important to find something that works for you, something that you enjoy; that way you are more likely to stick with it,” Cano says. “Find a gym buddy. It’s easier to do something when you have someone to do it with.” For those who aren’t fond of exercising in public, there are other options. “YouTube has some great fitness videos you can do right in your room,” shares Wrightson. “You don’t have to go to the gym. You can try dance, hip-hop, kickboxing, Zumba.” No matter how freshmen decide to stay fit, what they shouldn’t do is focus too much on numbers or be too hard on themselves should they gain a pound or two. “Throw away your scale,” says Wrightson. Adds Fisher: “Don’t get too obsessed over any weight gained or lost. Obsessing over the weight may actually deter healthy behaviors. It’s more important to eat and to exercise for the mental and physical health benefits.” HJ For more information on nutrition and exercise guidelines, visit the Web sites of the United States Department of Agriculture (www.mypyramid.gov) or the American College of Sports Medicine (www.acsm.org).

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August 2009

FITNESS

Warm Up for a More Efficient Workout Written By Greg Tudor

e all have busy schedules. But squeezing in exercise when we’re constantly on the go means we often overlook an important part of working out: a proper warm-up. When you skip a warm-up, you not only put your body at greater risk for injury but also make your workout more difficult and less effective. To get the most out of each fitness session, it is essential to take time to warm up before you get started. As you begin any physical activity, several changes take place in the body—respiration and blood flow increase, delivering more oxygen and nutrients to cells. A warm-up allows this increase to occur steadily and gradually prepares the body for the physical stress of exercise. If not properly warmed up, the body will function less efficiently and you’ll see fewer results for your efforts. There are many good reasons to warm up (see sidebar at right), the most important being to prepare your body and mind for the more strenuous work to come. A warm-up can be quick: Five minutes is all you need, and any type of cardio is OK. Just remember to mix it up each time. Hop on the treadmill, spin bike, elliptical or stair machine for a few minutes, or take a brisk walk. Allowing your body to ease into the activity ahead will ensure a better performance while decreasing the potential for injury. You may find each workout to be more productive, efficient, and best of all, enjoyable. Next month, I’ll talk about the importance of cooling down after exercise. HJ

Why Warm Up? • A good warm-up helps to break down the chemical complex of oxygen and hemoglobin in the blood, enhancing the delivery of oxygen to your muscles. • As your body temperature rises, your potential for muscle and connective tissue injuries lowers. • Increasing blood flow to the heart reduces the risk for exercise-induced cardiac problems, as the heart and blood vessels have time to adjust to more demands for oxygen. • Motor skills get a boost as neural pathways open up. • Muscles are suppler after a good warm-up session, enhancing their power and efficiency. • A good sweat helps to reduce stored body heat, allowing you to have a safer and more comfortable workout for longer.

THE HEALTH JOURNAL

August 2009

Greg Tudor is a certified personal trainer and co-owner of Results Personal Training Studio in Williamsburg.

www.thehealthjournals.com

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Medical Spanish ($6.99) Physicians and other care providers can learn to better communicate with their Spanish-speaking patients using this app created by health care pros. Contains commonly used phrases in just about every medical specialty from cardiology to psychiatry to obstetrics and gynecology.

ast year, when my husband surprised me with the news that we were getting matching iPhones, I was thrilled. Phone, Web, e-mail, music, videos, camera—all my favorite techno-gadgets wrapped up in one slim package. Finally, I told him, my childhood dream of having a computer book just like Penny from “Inspector Gadget” was coming true. (If you watched cartoons in the early to mid-80s, then you probably know what I am talking about.) And the iPhone’s built-in features were only the beginning. Soon I found myself ordering left and right what Apple ingeniously calls “apps,” or applications. As the company’s commercials indicate, if you can think of it, then there’s probably an app for it—news, weather, games, banking tools, e-books and, to my surprise, health and fitness tools. There are even apps designed specifically for health care providers who want to work more efficiently.

Pedometer ($2.99) Carry your device in your hand or pocket or attach it to your belt or arm, and this app from Luminant Software will track your steps whether walking, jogging or sprinting. Smart software keeps a history of your progress from calories burned to distance to speed. “Quit Smoking Now” with Max Kirsten ($7.99) New York Times columnist and clinical hypnotherapist Max Kirsten has helped thousands break the habit and now offers self-help sessions via this handy download.

Here are a few health-related apps worth checking out, available for the iPhone and iPod Touch:

The Women’s Wisdom Perpetual Calendar ($3.99) Women’s health expert Christiane Northrup, M.D., offers daily inspiration through quotes, exercises and bits of scientific research. Experience 365 daily entries designed to help women improve their health physically and emotionally.

Allergy Alert (Free) This four-in-one tool is a must for allergy sufferers everywhere. Get up-to-the-minute allergy, asthma, cold-and-cough and UV index levels for anywhere in the U.S. as well as four-day allergy forecasts. Clinical Trials ($24.99) Get the scoop on current clinical trials and tips on how to join a study, brought to you straight from the experts at the National Institutes of Health. iFitness ($1.99) This complete exercise database provides detailed pictures and step-by-step instructions for over 230 exercises, sorted by body region or muscle group. Includes 10 custom fitness routines with goals ranging from weight-loss to strength-building and more. Users can e-mail themselves exercise logs and graph their workout results.

WebMD Mobile (Free) Look up symptoms, find drug information or learn basic first-aid techniques using this mobile portal to the WebMD site. Livestrong.com Calorie Tracker ($2.99) This app works seamlessly with the MyPlate feature popularized on www.livestrong.com. Site members can use the mobile app to update their daily food log or fitness profile as well as search a database for nutritional information on any food item.

Yoga STRETCH ($0.99) This app provides instruction on over 60 yoga moves that can be customized into sessions up to an hour long. Opt for an audio instructor or enjoy relaxing music. Each pose has a detailed description and a list of physical and mental benefits. HJ

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THE HEALTH JOURNAL

August 2009

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FEATURE

Bioidenticals: Are They Safe? Menopausal women and their doctors are reporting good results with bioidentical hormones, but use of these plant-based substances is unregulated, leaving some experts worried. Written By Alison Johnson

THE HEALTH JOURNAL

August 2009

my Dodd understands some people see her as a guinea pig—in fact, she uses that term herself. The hormones that Dodd, 57, has taken for about a year to fight hot flashes and falling energy levels aren’t backed by comprehensive or longterm safety studies. While doctors who prescribe them say small studies and patient evidence suggest they’re no riskier than standard synthetic hormone replacement therapy—and perhaps less so—others aren’t convinced they’re the right answer for women dealing with symptoms of menopause and aging. But Dodd—along with her older sister and several of her friends—have embraced the medications, known as compounded bioidentical hormones. They and their doctors believe the plantbased hormones, mixed by pharmacists to mimic the natural hormones that are in a woman’s body before menopause, are a reliable addition to the list of treatment options for women who are suffering through menopause. “My quality of life is just so good right now that I don’t think about it,” says Dodd, who lives in Chesapeake. “I have had tremendous results. I feel better overall, I’m not as foggy and I have more stamina and energy. The hot flashes, which I’d had every day, went away.” Asked how long she’d stay on bioidenticals, Dodd responds: “I will take them as long as my doctor recommends it. I feel very confident with her guiding me because she is really monitoring me. She has spent a lot of time with me right from the beginning and has tailored this treatment to me.” Bioidentical hormones recently have grabbed headlines thanks to attention from celebrity fitness guru Suzanne Somers, a strong proponent, and Oprah Winfrey. Local women and doctors who use and prescribe the pills, gels and creams say they’ve had remarkable results with the products, which aren’t regulated by the Food and Drug Administration. But many in the medical community are wary of that growing popularity, worrying about the lack of quality control and standardization of ingredients and doses, which the FDA requires for medications it approves. The American Medical Association recently stressed that there is no credible evidence that bioidenticals are safer than traditional estrogen and progesterone treatments. The group also

www.thehealthjournals.com

FEATURE

is concerned about for-profit businesses making unproven claims and possibly selling unsafe products. Compounded bioidenticals—which are different from hormones that are approved by the FDA—rely on an individual pharmacist’s work, rather than on set guidelines for production as based on rigorous clinical trials, says Dr. David Archer, a professor of obstetrics and gynecology at Eastern Virginia Medical School in Norfolk and a past president of the North American Menopause Society. “I’m not knocking the compounding pharmacists,” says Archer, also director of EVMS’ Clinical Research Center. “I’m just saying that there is a greater variability involved that has never been tested or assessed.” Patients also shouldn’t believe there are no risks of serious problems with bioidenticals, just as there are with synthetic hormones, Archer adds. Those dangers include a higher risk of stroke and blood clots. “The implication that if you get something ‘tailor-made’ for you and ‘exactly like your body makes,’ then you’ll have no side effects—that really is not accurate,” he says. Doctors who prescribe bioidenticals say women are getting significant relief and, in their experience, not dealing with side effects. In some cases, patients feel so much better that they can wean off antidepressants prescribed for post-menopausal mood swings. Some of the doctors are so confident about the treatment that they take compounded hormones themselves. “I can’t tell you how many women have walked through my door and just said, ‘Thank you,’” says Dr. Linda Long, a gynecologist and co-owner of Synergy, an integrative medical center in Chesapeake that specializes in bioidentical hormones. “Maybe 20 years from now we’ll realize this was not the right thing to do, and [today] we have conversations with every patient about the possible risks. But I have people telling me they have a new life. I see women who are no longer willing to put up with these problems and suffer in silence.”

Menopause and hormone replacement therapy Due to falling levels of the sex hormones estrogen and progesterone leading up to and after menopause, women can suffer from problems that include hot flashes, night sweats, insomnia, vaginal dryness, loss of libido, concentration

10 Menopause Myths Debunked Menopause is a disease. No, it’s a natural, universal part of life. During menopause, the body stops producing hormones. The ovaries stop releasing eggs, not hormones. Production of estrogen and progesterone slows, but it doesn’t stop. As a woman’s estrogen and progesterone levels decline, so does her interest in sex. Women of all ages can experience low libido for a variety of reasons, but sex during and after menopause can be just as, if not more, satisfying and fulfilling as it was before. Many menopausal women experience vaginal dryness and pain during intercourse, but these symptoms can often be treated successfully.

“My goal is to educate women about the difference between the treatments, but it’s really about what the woman wants,” says Dr. Paykel.

Menopause sets in by age 50. In 2006, the average age for female menopause to begin was 51 or 52, but some women experience it as young as 40 (and in some rare cases even earlier). It’s a signal that the end of life is fast approaching. Today the average female life expectancy in the U.S. is nearly 81 years, making menopause more a sign of mid-life than old age. Hormone Replacement Therapy (HRT) is needed to help prevent osteoporosis and other diseases. According to the Mayo Clinic, hormone therapy can be a short-term solution to quell the not-so-pretty symptoms of menopause such as hot flashes, sleep problems and vaginal dryness, but it should not be used long-term due to recent data that suggests it could increase a woman’s risk for blood clots, heart disease, cancer, stroke and dementia. All women experience uncomfortable symptoms during menopause. It’s estimated that as many as 15 percent of menopausal women experience only one symptom: loss of menstruation. Menopause affects only women. Sorry, Charlie. Andropause, known as “male menopause,” is marked by fluctuating hormones and decreased sex drive. When you lose your menses, you lose your mind. While changes in hormones can affect concentration, forgetfulness is more a sign of aging or stress than menopause. Menopause is brief; it only lasts a few months or a year. While menopause is officially reached after 12 months without menstruation, the process can take several years.

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THE HEALTH JOURNAL

August 2009

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FEATURE

Bioidenticals: ARE THEY SAFE? Continued from page 23 problems and increased anxiety and irritability. “These are huge quality-of-life issues,” says Dr. Jennifer Krup, a physician and co-owner of the RejuvinAge center in Virginia Beach. The majority of women who look into hormone replacement therapy, also known as HRT, are 40 and older. For many years, doctors prescribed the medicines Premarin or Prempro, both synthetic hormones, without worry and often with good results. Premarin is a mixture of estrogens made from the urine of pregnant horses, while Prempro is a combination of horse estrogens and synthetic progesterone. Doctors believed that the drugs, in addition to easing menopausal symptoms, also helped protect women against heart disease, osteoporosis, dementia and skin wrinkling. The picture changed in 2002 with the release of data from a large federal study called the Women’s Health Initiative. It showed that the common combination of estrogen and progesterone in HRT actually didn’t guard against heart disease and in fact raised the risk of breast cancer, stroke and blood clots. Later research indicated HRT patients who develop certain types of cancer are more likely to die than cancer patients not on the therapy. Alarmed, about 85 percent of women on treatment stopped it within a month. Synthetic hormones have hardly disappeared. For some patients, the symptoms of menopause are so debilitating that HRT seems well worth the risk. And depending on an individual woman’s medical history, that risk actually can be very low (or may not apply at all, since most women now taking HRT use hormones in different combinations and for shorter lengths of time than in the past). Doctors today do follow one general guideline: Use the lowest dose of medication for the shortest possible period.

Many doctors also encourage women to try lifestyle changes before considering any form of HRT. Eating plenty of fruits and vegetables, limiting sweets and exercising regularly can make an enormous difference, says Dr. Jacquelyn Paykel, an OB/ GYN with WomanCare of Williamsburg. Paykel has all of her patients keep detailed food diaries, for example. “I believe 26

THE HEALTH JOURNAL

we’ve got to take a multi-faceted approach to wellness in women,” she says.

The rise of bioidentical hormones Over the past decade or so, an alternative—bioidentical hormones—began spreading through Europe and the West Coast of the United States. The medications have the same molecular structure as hormones produced by a woman’s body before the hormonal fluctuations leading to menopause. The Food and Drug Administration has approved some bioidentical-based therapies, including estradiol products (estrogen) and Prometrium (progesterone). Most of Dr. Paykel’s patients are on those pills rather than compounded products, largely because insurance generally covers them. She follows the lowest-dosepossible approach but overall prefers them to Premarin and Prempro: “Why wouldn’t you? You’re replacing something that was already in your body.” Pharmacies also can blend bioidenticals based on prescriptions written to match an individual patient’s exact hormonal needs. Doctors determine those with regular blood work and by taking a woman’s age and medical history into account. Dosages aren’t limited; a woman who needs more progesterone to sleep better, for example, may be prescribed a higher dose of that hormone than a woman suffering hot flashes due to a lack of estrogen. “Each treatment is as unique as the person,” Dr. Long notes. “It’s never cookie-cutter. Compliance is really high because they know it’s making them feel better. These are ladies who are suffering, whose relationships are suffering, and this is improving their lives. It’s hard to argue with those results.” The main side effects she has seen are water retention, bloating, breast tenderness and acne. Those usually resolve in four to six weeks after her team has determined ideal dosages, Long says. Small studies from Europe show the hormones don’t appear to carry the same risk as older forms of HRT, Long says. So do doctors’ experiences on the West Coast, where bioidenticals have been in use for more than 10 years, Krup adds. Still, patients who choose the therapy should be sure the pharmacy they use is accredited through the Pharmacy Compounding Accreditation Board, a national nonprofit that has set safety standards (compounding pharmacies also are regulated by states). “If I hear someone has placed an Internet

August 2009

order, I cringe,” Krup says. Patients also should be prepared to pay out of pocket for much or all of what can be a pricey treatment—an average of about $150 a month, according to Krup’s office. The American Medical Association adds that women should be wary of anyone who promotes bioidenticals as weight loss or “anti-aging” pills. Local doctors generally avoid the “anti-aging” term altogether. But, they add, many patients do feel younger—and even look younger—once they’re more rested, have energy to exercise and don’t feel as stressed. “So then the question becomes: what does ‘anti-aging’ mean?” Dr. Krup asks.

Making a choice With so many complex options, how does a woman know what to do? Dr. Paykel simply likes the idea that there are more treatment choices—and that menopausal symptoms, once frequently swept under the rug, are getting more attention. “My goal is to educate women about the difference between the treatments, but it’s really about what the woman — Madelyn Reass, Norfolk wants,” she says. “Knowledge is power.” Dr. Krup, who is on bioidenticals herself and has about 350 patients on them at any given time, says finding the best treatment takes research and sometimes a see-how-it-goes approach. “I don’t like the term ‘better,’” she says. “I like, ‘More helpful for some people.’ If you’re on traditional medical treatment and feel fabulous, why change? But if not, we offer an alternative that for me and many of my patients has worked wonders.” As for safety research, all doctors do wish there was more. They argue that there isn’t because pharmaceutical com-

“I think all women should know what their options are.”

www.thehealthjournals.com

FEATURE panies don’t sell compounded bioidenticals, can’t patent them and thus have no financial incentives to fund large-scale studies. Krup recognizes they’re not a “risk-free treatment”—nothing is, she says—but she believes they are “generally less of a risk, because you’re not putting foreign substances into your body. I just have no scientific proof.” For Madelyn Reass of Norfolk, the “proof” is the simple fact that she feels much better on her current regimen of bioidenticals. Reass, 62, started going into menopause in her early 40s. She tried standard HRT but gained weight and felt sluggish and bloated. In recent years, since starting bioidenticals, she has dropped 50 pounds and seen her energy skyrocket (she has combined the therapy with regular exercise and a diet low in unhealthy carbohydrates.). She has had no noticeable side effects. “You could speak to 100 different doctors and get 100 different opinions,” says Reass. “I’ve learned in my life that I have to do my own research and make up my own mind about what’s best for me. I think all women should know what their options are. It may not be for you, but it may be just what you’re looking for.”

Into the future Large-scale testing of compounding bioidenticals is unlikely to come anytime soon due to the cost of funding a clinical trial, Dr. Archer believes. “I just don’t see anyone going out of their way to do one,” he says. “Unless there is scientific data, the medical community can’t really judge this.” For women who want treatment for menopausal symptoms, he generally would recommend an FDAapproved estrogen; he also suggests trying deep breathing at the start of a hot flash, wearing loose clothing and avoiding triggers such as alcohol and caffeine. Acupuncture and herbs also have worked for some people, although study results have been mixed. “There are so many factors involved with individual patients,” Dr. Archer says. Dr. Krup believes bioidenticals will spread and gradually gain greater acceptance. “It will take time, but I really do foresee it coming,” she says. Dr. Paykel predicts an overall greater emphasis on body-mind-spirit health that includes bioidenticals. And Dr. Long thinks Oprah Winfrey and Suzanne Somers “struck a real chord” that won’t soon fade away because the boomer population isn’t willing to suffer symptoms in silence. In the meantime, many women aren’t waiting for an official verdict. Amy Dodd’s sister, 65-year-old Susan Goode of Chesapeake, started on bioidenticals

in March after consulting Dr. Linda Long. Goode had been on standard HRT for at least 15 years in the past— she went through abrupt menopause at age 49—before the Women’s Health Initiative data scared her off. Now each night, she applies an estrogen gel and testosterone cream and takes a progesterone pill prescribed by Dr. Long. Goode’s goals are to feel better overall, protect her bone strength and increase her libido. She already has noticed a difference with the latter. “That’s a huge thing for women,

although it’s a topic that’s in the closet,” she says. “You want to feel that same drive as when you were younger.” Her regular doctor, Goode says, is OK with the approach. “I’m not sure he thinks it’s better than what he’d do, but he respects me being on it as long as I

feel well,” she says. The lack of long-term safety studies doesn’t bother her. “I’m not afraid of this,” she states. Neither is Amy Dodd. “I have a lot of confidence in my doctor,” she says, “and I have a lot of confidence in what I am doing for myself.” HJ

Krup recognizes bioidenticals are not a “risk-free” treatment—nothing is, she says—but she believes they are “generally less of a risk, because you’re not putting foreign substances into your body.”

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BREAKTHROUGHS

Higher Folate Levels Linked to Lower Allergy Risk Folic acid may influence development of allergy and asthma NEW YORK (Reuters Health)

Researchers say the findings are in line with other research that has linked low levels of folate to a greater risk of inflammatory conditions such as heart disease and rheumatoid arthritis.

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eople with higher levels of the B-vitamin folate in their blood are less likely to have certain symptoms of allergic disease, a new analysis of U.S. data shows. “These findings suggest that dietary folic acid and factors affecting its metabolism might play an important role in the development and perpetuation of allergy and asthma,” write the study’s authors, Drs. Elizabeth C. Matsui and William Matsui of the Johns Hopkins School of Medicine in Baltimore. There has been a sharp increase in the percentage of people in the developed world with allergies and asthma over the past couple of decades, the researchers note in the Journal of Allergy and Clinical Immunology. And in recent years, they add, levels of blood folate among U.S. citizens have been rising due to fortification of grain products with the vitamin, a practice initiated in 1998 to help prevent birth defects. To investigate the possible role of blood folate levels in allergy, the researchers looked at 8,083 people two years of age and older participating in the 2005–06 National Health and Nutrition Examination Survey. The higher a person’s folate levels, the researchers found, the lower their levels of immunoglobulin E, the antibody responsible for allergic reactions. People with higher folate levels also were less likely to have wheezing and atopy (hypersensitivity), or the tendency to develop allergies. While there also was a link between higher folate levels and a lower likelihood of having an asthma diagnosis, this relationship wasn’t statistically significant. Because the study was cross-sectional, meaning it only looked at a single point in time, the findings can’t show whether high folate levels might prevent a person from becoming sensitized to allergens, prevent the development of allergy in alreadysensitized individuals, or whether levels of the nutrient have any sort of causal relationship to allergy symptoms at all, the researchers say. But the findings are in line with other research that has linked low levels of folate to a greater risk of inflammatory conditions such as heart disease and rheumatoid arthritis, they add. “Additional prospective studies will be required to lend insight to the potential role of folic acid supplementation in the primary prevention, treatment, or both of allergic diseases,” the researchers conclude. HJ

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SECOND OPINION

Urinary Incontinence: Embarrassing and Inconvenient, But Treatable Written By Dr. Jennifer Miles-Thomas

re you familiar with every rest stop on I-64? When you go out to dinner, do you request the table closest to the bathroom? Urinary incontinence, or poor bladder control, affects nearly 25 million people each year. There are several different types of incontinence, including stress, urge and overflow. Stress incontinence is the leakage of small amounts of urine while sneezing, coughing or performing any physical activity. Childbirth and some surgeries are the most common causes of stress incontinence. Urge incontinence is the unexpected, sudden urge to urinate and can be caused by infections that irritate the bladder. Constipation and nervous system disorders (i.e., stroke) as well as certain medications may also cause urge incontinence. Overflow incontinence is the inability to empty the bladder completely, resulting in frequent or constant leaking. Women over the age of 40 are three times more likely to suffer from urinary incontinence than men of the same age. Childbirth can injure the pelvic floor muscles supporting the bladder, causing the involuntary loss of urine. Men, on the other hand, often develop incontinence as a result of prostatic disease. The removal of the prostate gland or damage to nerves can lead to stress incontinence, while an enlarged prostate gland can cause blockage in the urethra and create overflow incontinence. Men over 50 years of age are at higher risk of developing incontinence than younger men. Risk factors for urinary incontinence for both men and women include obesity, smoking, vascular disease, kidney disease and diabetes. If not treated, urinary incon-

tinence can lead to complications such as bladder infections, skin ulcers and an overall decline in quality of life. Treating urinary incontinence can be as simple as making lifestyle changes or taking oral medication. Anticholinergic drugs are prescription medications that calm the overactive bladder, while antibiotics may be prescribed for incontinence caused by an infection. Pelvic floor exercises, bladder training, scheduled toilet trips (timed voiding) and weight-loss can help control the symptoms of incontinence. Severe incontinence, however, may require a more invasive intervention such as surgery. In some cases, urinary incontinence can actually be prevented. Simple lifestyle choices including not smoking, reducing body weight, eating foods high in fiber and maintaining an overall healthy lifestyle can help to prevent symptoms associated with urinary incontinence. If you or someone you know is suffering from the inconvenient and often embarrassing symptoms of urinary incontinence, see a doctor. On average, women live with symptoms unnecessarily for six years before seeking treatmentâ&#x20AC;&#x201D;and men, an average of four years. Eighty percent of people who seek treatment for urinary incontinence either see a drastic reduction in symptoms or experience no symptoms at all. HJ

â&#x20AC;&#x2C6; To advertise, call 757-645-4475

Jennifer Miles-Thomas, M.D., a urologist with Riverside Hampton Roads Urology, is the only female urologist on the Peninsula specializing in treating adult incontinence.

THE HEALTH JOURNAL

August 2009

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the

Health Journal

Peninsula Edition

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

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

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

Assisted Care & Senior Living Agape Home for Adults 1112 29th St. Newport News (757) 928-1999 The Chesapeake 955 Harpersville Road Newport News (757) 223-1600 Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953 Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305 The Devonshire 2220 Executive Dr. Hampton (757) 827-7100 Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335 Eden Court 1034 Topping Lane Hampton (757) 826-5415 Golden Living Center/Bayside of Poquoson 1 Vantage Dr. Poquoson (757) 868-9960 Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701 Hidenwood Retirement Community 50 Wellesley Rd. Newport News (757) 930-1075 Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010 James River Convalescent & Rehabilitation Center 540 Aberthaw Ave. Newport News (757) 595-2273 Keswick Place at Warwick Forest 866 Denbigh Blvd. Newport News (757) 886-2000 Mayfair House 1030 Topping Lane Hampton (757) 826-3728 Mennowood Retirement Community 13030 Warwick Blvd. Newport News (757) 249-0355 Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905 The Newport 11141 Warwick Blvd. Newport News (757) 595-3733 Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880 Northampton Convalescent & Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922 Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675 Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032

Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881 Riverside PACE (Program of All-Inclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977

Gentle Caring Dentistry 703 Thimble Shoals Blvd., Ste. C-3 Newport News (757) 594-9005

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

Optimum Chiropractic, PC 610 Thimble Shoals Blvd., Ste 202-A Newport News (757) 594-9412

Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530

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

Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182

Perry L. Showalter, DDS 5324 Geo. Washington Mem. Hwy. Grafton (757) 898-0822

Tidewater Diagnostic Imaging 3000 Coliseum Drive Hampton (757) 873-0848 11803 Jefferson Ave. Newport News (757) 594-1803 3630 Geo. Wash. Mem. Hwy. Yorktown (757) 867-6101

Clifford T. Goodwin, DDS 12610 Patrick Henry Dr., Ste. G Newport News (757) 930-3744

Jeffrey G. Sotack, DDS 2111 Hartford Rd. Hampton (757) 826-9595

Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233

Barry Lee Green, DMD 716 Denbigh Blvd., Ste. C-2 Newport News (757) 874-5455

W. Mark Stall, DDS 211 Hartford Rd. Hampton (757) 851-5939

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

Hampton Roads Oral & Maxillofacial Surgery 901 Enterprise Pkwy., Ste. 100 Hampton (757) 825-8355 716 Denbigh Blvd., Ste. C-1 Newport News (757) 874-6501

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

Endocrinology

Pahnke Chiropractic and Wellness Care 755-A Thimble Shoals Blvd. Newport News (757) 873-2225

St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500

Poquoson Chiropractic Clinic 370-A Wythe Creek Rd. Poquoson (757) 868-7709

Sentara Nursing & Rehabilitation Center 2230 Executive Dr. Hampton (757) 224-2230

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

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

Cardiology Cardiovascular Center of Hampton Roads 11803 Jefferson Ave., Ste. 110 Newport News (757) 873-0360 500 J. Clyde Morris Blvd. Newport News (757) 594-2074 12720 McManus Blvd., Ste. 307 Newport News (757) 872-0186 4000 Coliseum Dr., Ste. 210 Hampton (757) 827-2490 Hampton Roads Cardiology 4000 Coliseum Drive, Ste. 100 Hampton (757) 827-2200 Allen B. Nichols, MD 12720 McManus Blvd., Ste. 201 Newport News (757) 875-5332 Tidewater Heart Institute 2115 Executive Dr., Ste. 1-B Hampton (757) 825-4260 Riverside Heart Specialists 2112-B Hartford Rd. Hampton (757) 827-7754

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

Chiropractic & Acupuncture Abbott Family Chiropractic 2021-A Cunningham Dr., Ste. 3 Hampton (757) 838-8820 A Family Chiropractic Center 121 Hampton Hwy. Yorktown (757) 867-7787 Almloff Acupuncture 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 596-8451 Atlas Specific Chiropractic 640 Denbigh Blvd., Suite 4 Newport News (757) 283-6929 Back in Action 11830-C Canon Blvd. Newport News (757) 873-7786 Bayview Chiropractic Clinic 1204 E. Pembroke Ave. Hampton (757) 723-1496 Charney Chiropractic Back Rehabilitation & Wellness 11842 Rock Landing Dr., Ste. 110 Newport News (757) 873-9580 Chiropractic Wellness & Rehabilitation 716-A Thimble Shoals Blvd. Newport News (757) 873-4131 Christopher Connolly, DC 370 Wythe Creek Rd., Ste. A Poquoson (757) 868-3407 Kevin L. Conover, DC 10866 Warwick Blvd. Newport News (757) 591-8834

Riverside Diagnostic & Breast Center 895 Middle Ground Blvd., Ste. 104 Newport News (757) 594-3900 850 Enterprise Pkwy., Ste. 1500 Hampton (757) 251-7800

Scott E. Olney, DC 1056 Harpersville Rd. Newport News (757) 596-9696

Burt H. Rubin, DC 183 Woodland Road Hampton (757) 723-3893 Spine Care of Tidewater, PC 7216 Executive Dr., Ste. A Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483 Kevin S. Steele, DC 183 Woodland Rd. Hampton (757) 723-1899 Tidewater Clinic of Chiropractic 12715 Warwick Blvd., Ste. 1 Newport News (757) 890-2030 York County Chiropractic 121-G Grafton Station Lane Yorktown (757) 989-5393

Dentistry & Oral Health David J. Alexander, DDS 2019 Cunningham Dr., Ste. 314 Hampton (757) 838-2201 Robert M. Alexander, DDS 105 Terrabonne Rd. Yorktown (757) 898-4625 Mitchell A. Avent, DDS Mark A. Huie, DDS 12725 McManus Blvd., Bldg. 1, Ste. A Newport News (757) 874-0660 Jeff W. Bass, DDS 4326 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788 Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155 Walton L. Bolger, DMD 12695 McManus Blvd., Bldg. 4/Ste. A Newport News (757) 877-1999 Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919 Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765 Thomas W. Butterfoss, DMD, PC Jennifer L. Barton Butterfoss, DDS, MS 2111 Hartford Rd. Hampton (757) 838-3400 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-5448 Henry A. Cathey 710 Denbigh Blvd., Ste. 1-C Newport News (757) 874-5511 City Center Dental Care 709 Mobjack Place Newport News (757) 873-3001 Michael Covaney, DDS 760-E Pilot House Dr. Newport News (757) 596-6850 Ray A. Dail, DDS 716 Denbigh Blvd., Ste. A-4 Newport News (757) 872-7777 G. Curtis Dailey, DDS 534 Wythe Creek Rd. Poquoson (757) 868-6091 2118 Executive Dr. Hampton (757) 826-5075

William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152 Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667 Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577 Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651 Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530 Guy G. Levy, DDS Mayer G. Levy, DDS 3120 Kiln Creek Blvd. Yorktown (757) 877-9281 Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304 Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300 Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800 John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210 Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979 Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975 Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411 George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617 K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832 Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200

DonnaMaria Tapp-Reid, DDS 2202-E Executive Drive Hampton (757) 838-8855 Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334 Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511 Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322 Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200 J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407 Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990

Dermatology Associates in Dermatology 17 Manhattan Sq. Hampton (757) 838-8030 Bruce E. Fuller, MD 12695 McManus Blvd., Ste. 3-B Newport News (757) 872-7787 Oyster Point Dermatology 895 Middle Ground Blvd., Ste. 302 Newport News (757) 873-0161 Pariser Dermatology Specialists 11842 Rock Landing Dr., Ste. 120 Newport News (757) 595-8816 Quarles Dermatology 304-A Marcella Rd. Hampton (757) 827-3046 Schumann Dermatology Group One Park Place 5309 Discovery Park Blvd. Williamsburg (757) 564-1200 William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320 Ken J. Tomkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440 Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626

Diagnostic Imaging

Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300 Riverside Endocrinology, Diabetes & Metabolism Center 11844-B Rock Landing Drive Newport News (757) 534-5050

Family Practice Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102 Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979 Nancy Ayers, MD 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-4441 Tammy Beavers, MD 1405-K Kiln Creek Pkwy. Newport News (757) 872-7200 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588 Leo C. Bowers, MD 26 Wine Street Hampton (757) 728-1100 Bruton Avenue Family Practice 12 Bruton Avenue Newport News (757) 594-4111 Alvin Bryant, MD 2000 Kecoughtan Rd. Hampton (757) 380-8603 Harold E. Cloud Jr., MD 2726 W. Mercury Blvd. Hampton (757) 825-1500 Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420 Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091 Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822 Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273

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

Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001

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

48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709

William Pearlman, DDS 1959 E. Pembroke Ave. Hampton (757) 723-6565

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

Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141

Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655 Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921

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

James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810

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

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

Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366

Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711

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

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

Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890

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

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

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

Family Care 802 Old Oyster Point Rd. Newport News (757) 595-2510

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

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444

Japhet D. LeGrant, DC 950 Big Bethel Rd. Hampton (757) 825-8010

David L. Forrest, DDS 729 Thimble Shoals Blvd., Bldg. 7-A Newport News (757) 873-8800

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

Oyster Point Radiology, Inc. 11835 Fishing Point Dr., Ste. 201 Newport News (757) 873-8823

Manadero Chiropractic 727 J. Clyde Morris Blvd., Ste. B Newport News (757) 595-8433

Geary Family Dentistry, PLLC 105 Terrabonne Rd. Yorktown (757) 898-4661

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

To advertise, call 757-645-4475

Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259

C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066 Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335 J. Matthew Halverson, DO, FAAFP 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588 Healthy Family Partnerships 100 Old Hampton Ln. Hampton (757) 727-1300 Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602 James River Family Practice 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588

THE HEALTH JOURNAL

August 2009

Health Careers

Lawrence C. Hyman, MD 2114-A Hartford Rd. Hampton (757) 826-3460

HeartSenter Yoga 111 Manassas Loop Yorktown (757) 236-5603

Daniel Lee Medical Group, PC 716 Denbigh Blvd., Ste. C-3 Newport News (757) 243-2377

It Figures! 119-B Village Ave. Yorktown (757) 420-8777

Magruder Primary Care 850 Enterprise Pkwy. Hampton (757) 637-7600

Jazzercise Oyster Point Center 882 J. Clyde Morris Blvd. Newport News (757) 594-9266

Health Departments

John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969

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

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

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

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

Hampton University Hampton (757) 727-5328

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

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

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

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

Louis D. Parham Jr., MD 2115 Executive Dr., Ste. 4-C Hampton (757) 826-6700

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

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

Piyo Pilates Studio 101 Nat Turner Blvd. Newport News (757) 218-5505

Health Products & Equipment

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

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

Advanced Nutrition 209 Village Ave. Yorktown (757) 872-8865

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

Riverside Kettlebells Yorktown (757) 645-7586

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

Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800 Linda Schneider, MD 2019 Cunningham Dr., Ste. 202 Hampton (757) 827-0767 Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012 Suburban Family Practice 858 J. Clyde Morris Blvd. Newport News (757) 594-4343 TPMG/Denbigh Family Medicine 13347 Warwick Blvd. Newport News (757) 877-0214 TPMG of Grafton 101-A York Crossing Grafton (757) 898-7737 TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992 TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880 TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755 TPMG of Yorktown 307 Cook Road Yorktown (757) 898-7261 Victoria Family Practice 3212-B Hampton Hwy. Yorktown (757) 867-6160 The Village Doctor 10222 Warwick Blvd. Newport News (757) 223-0124 Warwick Primary Care 4032-A Campbell Road Newport News (757) 534-5600

Fitness & Weight Management Bally Total Fitness 12555 Hornsby Lane Newport News (757) 249-1315 Body-in-Balance 12482-A Warwick Blvd. Newport News (757) 715-6906 Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880 Curves for Women 5336 Geo. Washington Mem. Hwy. Grafton (757) 898-8300 3835 Kecoughtan Rd. Hampton (757) 723-3600 1814-A Todds Lane Hampton (757) 265-9200 Willow Oaks Village Square 227 Fox Hill Rd. Hampton (757) 851-5800 555 Denbigh Blvd. Newport News (757) 872-8720 328 Oyster Point Plaza Newport News (757) 249-9300 10860 Warwick Center Newport News (757) 596-2121 477-C Wythe Creek Rd. Poquoson (757) 868-1488 3301 Hampton Hwy. Yorktown (757) 867-7150 Fitbody/Strongbody 735 Thimble Shoals Blvd., Ste. 120 Newport News (757) 874-3488

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

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

General Surgery Jacobus Budding, MD 640 Denbigh Blvd., Ste. 2 Newport News (757) 890-6121 Dominion Surgical 4000 Coliseum Dr. Ste. 320 Hampton (757) 827-2202 Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717 Peninsula Surgical & Trauma Services 500 J. Clyde Morris Blvd., Ste. 601 Newport News (757) 534-5300 Port Warwick Surgery 11803 Jefferson Ave., Ste. 250 Newport News (757) 873-0050 Giacomo A. Ricciarelli, MD 3000 Coliseum Dr., Ste. 203 Hampton (757) 827-5700 Riverside Hampton Surgery Center 850 Enterprise Pkwy., Ste. 100 Hampton (757) 251-7700 TPMG - General Surgery 860 Omni Blvd., Ste. 204 Newport News (757) 874-1077 Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572

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

Hand Surgery

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

Robert M. Campolattaro, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 827-2480

Hampton Senior Center 3501 Kecoughtan Rd. Hampton (757) 727-1601

THE HEALTH JOURNAL

Riverside School of Health Careers 316 Main Street Newport News (757) 240-2200

Medical Careers Institute 100 Omni Blvd., Ste. 200 Newport News (866) 708-6174 Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300 Thomas Nelson Community College 99 Thomas Nelson Dr. Hampton (757) 825-2700

Conte's Bicycle & Fitness 9913 Warwick Blvd. Newport News (757) 595-1333 Food Herbs & More 2821 Denbigh Blvd. Yorktown (757) 898-0100 Freewheel Bicycle Shop 12440 Warwick Blvd. Newport News (757) 596-6320 General Nutrition Center 605 Newmarket Dr. Hampton (757) 838-5930 23 Town Center Way Newport News (757) 896-3794

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

I & O Medical Center 530 Aberdeen Road Hampton (757) 825-1100

Hospice & Home Care

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

Amedisys Home Health Services 804 Omni Blvd., Ste. 102 Newport News (757) 223-5424

MedExpress Urgent Care 4740-A Geo. Washington Mem. Hwy. Yorktown (757) 890-6339

Amour Home Care, Inc. 3114 Chestnut Ave. Newport News (757) 245-5100

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

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

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

Beacon Health Care 710 Denbigh Blvd., Bldg. 7, Ste. A Newport News (757) 833-0430 Bon Secours Home Care & Hospice 2 Bernadine Drive Newport News (757) 886-6000

Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505 Hampton Roads ENT-Allergy 901 Enterprise Parkway, Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665 Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794 Sentara Careplex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528

Hearing Aids Audibel Hearing Aid Center 11747 Jefferson Ave., Ste. 6-A Newport News (757) 595-2005 Beach Hearing Aid Centers 11745 Jefferson Ave., Ste. 7 Newport News (757) 595-2005 Beltone-Ledford Audiology & Hearing Aid Center 727-F J. Clyde Morris Blvd. Newport News (757) 596-2113 2115 Executive Dr., Ste. 2-B Hampton (757) 896-3989 Costco Hearing Aid Center 12121 Jefferson Ave. Newport News (757) 746-2031 Hearing Health Care Center 111 Cybernetics Way, Ste. 220 Yorktown (757) 206-1900

Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090 Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125

Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090

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

Hypnosis

Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009

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

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

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

Gentle Care, Inc. 751 Thimble Shoals Blvd., Ste. J Newport News (757) 873-4555 Heartland Hospice 11835 Fishing Point Dr., Ste. 101 Newport News (757) 594-8215

Hampton Roads Hypnosis & Meditation 100 Bridge Street, Ste. D Hampton (757) 968-7365

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

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

Hearing & Audiology

DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585

Sentara Urgent Care 747 J. Clyde Morris Blvd. Newport News (757) 599-6117

Health Trail Natural Foods 10848 Warwick Blvd. Newport News (757) 596-8018

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

Nephrology & Renal Health

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

Health Haven 12452 Warwick Blvd. Newport News (757) 595-6634

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

Riverside Goldencare 5033 Geo. Washington Mem. Hwy., Ste. B Yorktown (757) 856-7030

Sentara Port Warwick Medical Arts 1031 Loftis Blvd. Newport News (757) 736-9810

Home Instead Senior Care 555 Denbigh Blvd., Ste. B Newport News (757) 886-1230

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

Pittman’s Medical Transport 164 Winchester Dr. Hampton (757) 825-2605 Toll-Free (800) 322-3451

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

Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090

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

Sentara Careplex Hospital 3000 Coliseum Drive Hampton (757) 736-1000

Care Advantage 12528 Warwick Blvd. Toll-Free: (877) 595-9676

Granma T’s 4161 William Styron Square N. Newport News (757) 594-9868

The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404

Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000

Peninsula Agency on Aging Newport News (757) 873-0541

Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450 Susan C. Nicholson, PhD, LCSW Newport News (757) 873-2307

Infectious Disease Stephen L. Green, MD 2112 Executive Dr. Hampton (757) 838-8677 Oyster Point Medical Specialists 11747 Jefferson Ave., Ste. 4-C Newport News (757) 596-7115

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

Riverside Medical Specialists 12420 Warwick Blvd., Bldg. 3, Ste. B Newport News (757) 594-2081

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

Internal Medicine

Hospice of Virginia Hampton Roads (800) 501-0451

Denbigh Internal Medicine 1000 Old Denbigh Blvd. Newport News (757) 872-7003

Immediate Care Assisted Living 2019 Cunningham Dr., Ste. 312 Hampton (757) 838-0900

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

Interim Healthcare 610 Thimble Shoals Blvd., Ste. 303-B Newport News (757) 873-3313 Lillies in the Valley Private Duty 11747 Jefferson Ave.. Ste. 6-B Newport News (757) 873-0711 Maxim Healthcare Services 739 Thimble Shoals Blvd., Suite 503 Newport News (757) 595-8822

Peninsula Pharmacy Home Infustion Services 11833 Canon Blvd., Ste. 114 Newport News (757) 594-3944 Personal Touch Home Care & Hospice of Va., Inc. 732 Thimble Shoals Blvd., Ste. 203 Newport News (757) 595-8005

Hampton Roads Neurology 500 J. Clyde Morris Blvd. Newport News (757) 594-2767 850 Enterprise Pkwy., Ste. 1400 Hampton (757) 637-7500 Hampton Roads Neurosurgical & Spine Specialists 730 Thimble Shoals Blvd., Ste. 110 Newport News (757) 595-7608 Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797 Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266

Frank E. Medford, MD 11030 Warwick Blvd. Newport News (757) 595-0908

Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511

Hoskote S. Nagraj, MD 12695 McManus Blvd., Ste. 1-A Newport News (757) 874-1337

Alzheimer’s Association Southeastern VA Chapter 213 McLaws Circle, Ste. 2-B Williamsburg (757) 221-7272

Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431 Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794

Hospitals & Clinics

Medical Transportation

August 2009

Neurology & Neurosurgery

Non-Profit Organizations

Visiting Angels Tidewater 12388-203 Warwick Blvd. Newport News (757) 599-4145

Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000

Neuropsychology Associates of Hampton Roads 708 Mobjack Place Newport News (757) 873-1958

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

Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891

BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000

Marsha Lewis, PhD Lisa Newman, PsyD Mona L. Tiernan, PsyD 245 Chesapeake Ave. Newport News (757) 928-8340

Tidewater Neurologists & Sleep Disorder Specialists 2115 Executive Drive Ste. 5-D Hampton (757) 262-0390 606 Denbigh Blvd., Ste. 105 Newport News (757) 989-8942

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

Tama Home Health Care Services 600 Thimble Shoals Blvd., Ste. 350 Newport News (757) 873-3315

Hampton Roads Neuropsychology 739 Diligence Drive, Ste. 704 Newport News (757) 498-9585

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

Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800

Sentara Home Care Services 2713-G Magruder Blvd. Hampton (757) 766-2600

Terry J. Gingras, PhD 710 Denbigh Blvd., Ste. 6-B Newport News (757) 833-7107

Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180

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

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

Neuropsychology

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

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

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

Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469

American Cancer Society 11835 Canon Blvd., Ste. A-102 Newport News (757) 591-8330 American Heart Association Toll-Free: (800) 242-8721 American Red Cross Hampton Roads Chapter 4915 W. Mercury Blvd. Hampton (757) 838-7320 American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090 The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461 Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060

Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090

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

LogisiCare Toll-Free (866) 386-8331

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

www.thehealthjournals.com

Faith in Action Hampton (757) 245-3550 Family Learning & Enrichment Center 1904 Jefferson Ave. Newport News (757) 247-7863 Food Bank of Va. Peninsula 9912 Hosier St. Newport News (757) 596-7188 Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Habitat for Humanity 809 Main St. Newport News (757) 596-5553 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635 Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450 Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676 The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600 Patient Advocate Foundation 700 Thimble Shoals Blvd., Ste. 200 Newport News (757) 873-6668 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 591-0643

Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555 Riverside OB/GYN & Family Care 10510-D Jefferson Ave. Newport News (757) 594-4720 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794 Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945 Warwick Denbigh OB/GYN 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891 Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000

Occupational Health Services I&O Medical Centers 593 Aberdeen Road Hampton (757) 825-1100 704 Thimble Shoals Blvd., Ste. 200 Newport News (757) 240-5580 Riverside Business Health 608 Denbigh Blvd., Ste. 500 Newport News (757) 856-7000

Oncology

Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655 William R. Waldron, OD 1215-V Geo. Wash. Mem. Hwy. Yorktown (757) 596-5666

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

Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253

Sentara CarePlex Therapy Center 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2070

Associates of York 205 Hampton Highway Yorktown (757) 865-1843

East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554

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

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

Glendale Pharmacy 12444 Warwick Blvd. Newport News (757) 595-3355

Tidewater Physical Therapy, Inc. 771 Pilot House Drive Newport News (757) 873-2302 2115 Executive Dr., Ste. 10-D Hampton (757) 838-6678 12695 McManus Blvd., Ste. 6-B Newport News (757) 874-0032 860 Omni Blvd., Ste. 202 Newport News (757) 327-0196 12655-B Warwick Blvd. Newport News (757) 599-5551 9 Manhattan Square, Ste. B Hampton (757) 825-3400

Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650

Harris Teeter Pharmacy 12404 Warwick Blvd. Newport News (757) 595-3524 Hidenwood Pharmacy 35 Hidenwood Shopping Center Newport News (757) 595-1151 K-Mart Pharmacy 210 W. Mercury Blvd. Hampton (757) 722-2823 401 Oriana Rd. Newport News (757) 874-0892 5007 Victory Blvd. Newport News (757) 874-1245 Kroger Pharmacy 14346 Warwick Blvd. Newport News (757) 877-7963 101 Village Ave. Yorktown (757) 833-0406

Mercury West Discount Pharmacy 2148 W. Mercury Blvd. Hampton (757) 827-1938

Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700

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

Peninsula Cosmetic & Reconstructive Surgery 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486

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

Plastic Surgery Center of Hampton Roads 895 Middle Ground Blvd., Ste. 300 Newport News (757) 873-3500 John M. Pitman III, MD 11803 Jefferson Ave. Newport News (757) 223-5861

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

Rite Aid Pharmacy Visit www.riteaid.com for local listings.

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

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

Sam’s Club Pharmacy 12407 Jefferson Ave. Newport News (757) 874-2096

The Salvation Army 1033 Big Bethel Rd. Hampton (757) 838-4875

Sentara Cancer Institute 3000 Coliseum Dr., Ste. 100 Hampton (757) 827-2430

The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757

Surgical Oncological Associates 11803 Jefferson Ave., Ste. 235 Newport News (757) 594-1806

Pain Management & Rehabilitation Specialists 245 Chesapeake Ave. Newport News (757) 928-8040

Target Pharmacy 1911 Saville Row Hampton (757) 827-8024 12130 Jefferson Ave. Newport News (757) 881-9371

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

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

Senior Center of York 5414 Geo. Washington Mem. Hwy. Yorktown (757) 898-3807 Taksha Institute School of Integrative Medicine 15 Research Drive Hampton (757) 766-5831 United Way of Virginia Peninsula 739 Thimble Shoals Blvd., Ste. 400 Newport News (757) 873-9328

Obstetrics & Gynecology Center for Women’s Health 12706 McManus Blvd. Newport News (757) 874-2229 101 Eaton St., Ste. 300 Hampton (757) 851-7601

Ophthalmology Advanced Vision Institute 3000 Coliseum Dr., Ste. 201 Hampton (757) 826-9291 Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757) 643-8800 850 Enterprise Pkwy., Ste. 1200 Hampton (757) 838-4500 12420 Warwick Blvd., Ste. 1-D Newport News (757) 596-3806 James River Eye Physicians 704 Thimble Shoals Blvd., Ste.100 Newport News (757) 595-8404 Kaz Vision & Laser Center 12690 McManus Blvd. Newport News (757) 875-7700

Colonial OB/GYN Associates 716 Denbigh Blvd., Ste. E-2 Newport News (757) 874-2790

TPMG Ophthalmology 860 Omni Blvd., Ste. 201 Newport News (757) 223-5321

Wetchler & Dineen GYN 12700 McManus Blvd., Ste. 102-A Newport News (757) 874-8696

Virginia Eye Consultants 2101 Executive Drive Hampton (757) 826-4702

Norman R. Edwards, MD 610 Thimble Shoals Blvd., Ste. 404 Newport News (757) 873-0712

Wagner Macula & Retina Ctr. 300 Marcella Rd. Hampton (757) 481-4400

Charlie M. Faulk, MD 704 Gum Rock Court, Ste. 300 Newport News (757) 873-3808

Optometry

Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369 Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900

Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009 Natalie Cassis, OD, FAAO 11045 Warwick Blvd. Newport News (757) 594-4018

Debra L. Hall, MD 11745 Jefferson Ave., Ste. 10-A Newport News (757) 596-6300

Clearvision Optometry Kenneth L. Arndt, OD 422 Oriana Road Newport News (757) 875-0675

Drs. Lockart & Yeatts 827 Diligence Dr., Ste. 210 Newport News (757) 873-0551

Dr. Peter L. Guhl, PLC & Associates 4102 Geo. Washington Mem. Hwy. Yorktown (757) 890-2020

Maternal-Fetal Medicine 500 J. Clyde Morris, Bldg. G, Ste. 200 Newport News (757) 594-3636

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

OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979 Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709

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

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

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

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

N2 eyes Comprehensive Optometry 11045 Warwick Blvd. Newport News (757) 594-4018

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

Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291 PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229

Walgreen Drug Stores Visit www.walgreens.com for local listings. Wal-Mart Pharmacy Visit www.walmartpharmacies.com for local listings.

Riverside Pain Management & Infusion Center 12420 Warwick Blvd., Ste. 3-C Newport News (757) 534-5055

Physical Therapy & Rehabilitation

Pediatrics

Aquatic Therapy of Virginia 525-E Oyster Point Rd. Newport News (757) 269-0430

Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111 The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070 CHKD - Newport News Pediatrics 11783 Rock Landing Dr., Ste. 202 Newport News (757) 668-6300 Rose J. Cloud, MD 1295 McManus Blvd., Ste. 1-C Newport News (757) 988-0085 Hampton Roads Pediatrics 23 Manhattan Square Hampton (757) 224-1600 Mark E. Holman, MD 2115 Executive Dr., Ste. 10-A Hampton (757) 826-5437 Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910 Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889 Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160 Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846

Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220

Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700 Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958 Community Services Board - Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200 Community Services Board - Child & Adolescent Psychiatry 600 Medical Drive Hampton (757) 788-0600 Connected Counseling Services 780 Pilot House Dr., Ste. 100-A Newport News (757) 223-7821 Betty Eastman, LCSW & Associates, Inc. 200 City Hall Ave., Ste. E Poquoson (757) 868-0072 F. Lanier Fly, LPC St. George T. Lee, MDMA 718 J. Clyde Morris Blvd. Newport News (757) 873-8566

A to Z Family Footcare 12695 McManus Blvd., Ste. 1D Newport News (757) 561-8671

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

Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800

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

Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170 American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101 Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425

Hampton Roads Behavioral Health 304 Marcella Road, Ste. B Hampton (757) 827-7350 Hampton Roads Counseling Center 6515 Geo. Washington Mem. Hwy. Grafton (757) 877-9140 Holistic Mental Health, Inc. Hampton (757) 826-2514 Insight Nuerofeedback & Counseling P.O. Box 6378 Newport News (757) 345-5802 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635

Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240

TPMG Podiatry 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657

Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120

Hampton Physical Therapy 2107 Hartford Rd. Hampton (757) 825-1700

Womick Podiatry Clinic 704 Thimble Shoals Blvd., Ste. 300-B Newport News (757) 595-7634

Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701

Hand Rehabilitation of Virginia 11848 Rock Landing Dr., Ste. 303 Newport News (757) 873-8839

Preventative Medicine

Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273

Mary Immaculate Outpatient Physical Therapy - Denbigh 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230

Healthspan of Hampton Roads 11747 Jefferson Ave., Ste. 1A Newport News (757) 969-3876

Mary Immaculate Outpatient Physical Therapy - Victory YMCA 101-A Long Green Blvd. Yorktown (757) 952-1900

Longevity Center of Va. 11000 Jefferson Ave. Newport News (757) 599-7899

Mary Immaculate Outpatient Phsyical Therapy, Occupational Therapy & Speech Therapy 2 Bernadine Drive Newport News (757) 886-6480

Prosthetics & Orthotics

OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900 Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453

Pinnacle Hand Therapy 11712-D Jefferson Ave. Newport News (757) 595-4880

Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166

Riverside Rehabilitation Institute - Inpatient Services 245 Chesapeake Avenue Newport News (757) 928-8000

To advertise, call 757-645-4475

Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735

Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111 5659 Parkway Dr., Ste. 200 Gloucester (757) 249-0450

Dominion Physical Therapy 466 Denbigh Blvd. Newport News (757) 875-0861 11848 Rock Landing Dr., Ste. 302 Newport News (757) 591-2022 304-E Marcella Rd. Hampton (757) 825-9446 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932

Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661

Costco Wholesale 1212 Jefferson Ave. Newport News (757) 746-2002

Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144

Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972

Physical Therapy NOW 704 Thimble Shoals Blvd., Ste. 400-A Newport News (757) 591-2668

Pharmacies

Podiatry

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

David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424

Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470

George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400

York Pediatrics 5033-B Geo. Washington Mem. Hwy. Yorktown (757) 969-1500

Plastic & Cosmetic Surgery Carney Center for Cosmetic & Plastic Surgery 716-C Denbigh Blvd. Newport News (757) 886-9197

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

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

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

Medicap Pharmacy 956 J. Clyde Morris Blvd. Newport News (757) 599-9643

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

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

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

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

Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097 Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090

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

Psychiatry & Mental Health

Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852

Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353 Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025 Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938 Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336 Dawn R. Reese, PhD 705-C Mobjack Place Newport News (757) 591-2300 Riverside Behavioral Health Center 2244 Executive Drive Hampton (757) 827-1001 Rock Landing Psychological Group 11825 Rock Landing Drive Newport News (757) 873-1736 Tipton K. Sheets, LPC, LMFT Yorktown (757) 898-9022 Sara E. Sutton, PhD 753-D Thimble Shoals Blvd. Newport News (757) 599-6470

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

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

Associates of Hampton Roads 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-2307

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

THE HEALTH JOURNAL

August 2009

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

Salon Vivace Commerce Place Shopping Ctr. Newport News (757) 873-1775

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

Salters Creek Retreat 100 Bridge St., Ste. D Hampton (757) 723-1934

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

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

Pulmonology & Sleep Disorders

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

George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032 Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350 Phillip Dennis, MD 2021-A Cunningham Drive Hampton (757) 262-0544 Peninsula Pulmonary Associates 500 J. Clyde Morris Blvd. Newport News (757) 594-2732 Riverside Sleep Disorders Center 12420 Warwick Blvd., Ste. 7-A Newport News (757) 594-2012 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 Sleep Disorders Center at Sentara CarePlex 4000 Coliseum Drive, Ste. 350 Hampton (757) 827-2180

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

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

Sona Medspa 827 Diligence Dr., Ste. 206 Newport News (757) 599-9600 Soothing Moments Massage Therapy 11747 Jefferson Ave. Newport News (757) 595-2209 Spa Botanica at Embassy Suites Hotel 1700 Coliseum Dr., 2nd Floor Hampton (757) 213-8510 Sunset Spa 3301-E Hampton Hwy. Yorktown (757) 867-9480

Victoria’s Day Spa 6515 Geo. Washington Mem. Hwy. Yorktown (757) 890-9700 Zenya Yoga & Massage 101 Herman Melville Ave. Newport News (757) 643-6900

Substance Abuse & Addiction Addiction Recovery Helpline Toll-Free (800) 582-6066

Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774 American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924 Balance & Harmony Spa 415 Jan Mar Drive Newport News (757) 246-4800 Balanced Body Co. 705 Mobjack Place Newport News (757) 873-5755 Center 4 Massage Therapy 66 W. Mercury Blvd., Ste. 5 Hampton (757) 723-3829 11010 Warwick Blvd. Newport News (757) 723-3829 Completely U Day Spa & Salon 10524 Jefferson Ave. Newport News (757) 595-2711 De-Stress Express 11835 Canon Blvd., Ste. B-103 Newport News (757) 873-8968 Healthy Touch 11830-C Canon Blvd. Newport News (757) 595-0029 Institute of Health & Healing Life Enrichment Center, Inc. 11847 Canon Blvd., Ste. 8 Newport News (757) 873-3900 JonBre European Spa 3630-H Geo. Washington Mem. Hwy. Yorktown (757) 867-1190

ave you ever gone to a hospital emergency department for care only to find out when you received your bill that a portion, or all, of the charges weren’t covered? These surprise expenses can throw any budget out of whack. How can you avoid these unexpected costs? By knowing your health plan benefits and using participating providers for care. If you’re like most people, health care costs are a major concern. You may be looking for ways to keep those costs to a minimum. Review your plan now so that you know what to expect when you need medical care. You’ll want to know your co-pay and deductible amounts as well as your participating providers. You will always incur increased costs when you seek care from non-participating providers, as your insurer may not have a negotiated contract with those providers.

Alcoholics Anonymous (757) 595-1212 Alcohol-Drug Treatment Referral Toll-Free (800) 622-4357 Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900

Families Anonymous Toll-Free (800) 736-9805

Absolutely Slender, Inc. 2206-B Executive Dr. Hampton (757) 826-0990

Written By Dr. George Heuser

Al-Anon Toll-Free (888) 425-2666

A Day Spa Massage Therapy 2206 Executive Dr. Hampton (727) 826-7616

A Therapeutic Massage by Darryl 2019 Cunningham Dr. Hampton (757) 826-7266

Using Participating Providers Reduces Health Care Costs on Many Fronts

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

Bacon Street Youth Counseling Center 3804 Geo. Washington Mem. Hwy. Yorktown (757) 253-0111

A Healing Touch Massage 15525 Warwick Blvd. Newport News (757) 969-5094

Feel Don’t Break Your Arm lost and Your Wallet in the crowd?

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

Spas & Massage Ageless Massage Therapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838

HEALTH CARE COSTS

Narcotics Anonymous (757) 875-9314 Riverside Behavioral Health Center 2244 Executive Dr. Hampton (757) 827-1001 24-Hr. Addictions Referral Network Toll-Free (800) 577-4393

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

In case of emergency... When you experience an illness, how do you seek care? Your first line of care should always be your primary care physician, someone familiar with your unique health issues. Many physician offices have after-hours services through which you can connect to an on-call physician or nurse after the office has closed for the day. And, most health plans today offer an advice or information line that you can contact for medical advice based on your symptoms. These advice lines are typically managed by registered nurses and offer suggestions on what to do and where to go for additional care. If you can’t reach your physician and your illness persists, consider visiting an urgent care facility. Always, if your health problem is severe, seek immediate care at a participating hospital emergency department. However, in a dire emergency (such as a car accident), an ambulance would transport you directly to the nearest hospital regardless of whether it is a participating provider in your health plan. In this case, your health plan would pay for the services because of the urgency of the situation. To keep your out-of-pocket costs low, try to seek care from participating providers. If you have employer-sponsored health insurance, your employer could be subject to higher insurance premiums when you use nonparticipating emergency departments and urgent care centers. And when employers’ insurance premiums rise, they often pass those increases on to their employees. HJ

Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374 Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430 Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100 TPMG Urology Geoffrey B. Kostiner, MD Eric C. Darby, MD 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562

Vascular Surgery Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340 PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080 Charles E. Umstott, MD 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511 Vascular & Transplant Specialists 4000 Coliseum Dr., Ste. 310 Hampton (757) 262-1110

The Michael Hickman Salon 5328 Geo.Washington Mem. Hwy. Yorktown (757) 898-4772 Nail Hair & Massage 3016 W. Mercury Blvd. Hampton (757) 262-0555 Natural Nail Care Clinic & Spa 815 Middle Ground Blvd. Newport News (757) 873-6840

George Heuser, M.D., is vice president and senior medical director at Optima Health, a Virginia-based health plan with more than 410,000 members.

Ohm Spa Sanctuary 707 Mariners Row, Ste. 103 Newport News (757) 271-8813 Oyster Point Massage Therapy 815-C Blue Crab Rd. Newport News (757) 873-0075

For advertising, call:

Ritz Internationale Hair Design 36 Coliseum Crossing Hampton (757) 838-4247

757-645-4475

THE HEALTH JOURNAL

August 2009

www.thehealthjournals.com

StephenM. M.Smith Smith Stephen Stephen Smith Founder, Brain Injury LawM. Center Founder, Brain Injury Law Center

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be as qualified and specialized as your physician.

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For prostate care, we wanted access on the Peninsula to the latest clinical trials and research.

We chose Sentara Urology Specialists.

SENTARA ADVANCED UROLOGY CENTER

INTRODUCING SENTARA ADVANCED UROLOGY CENTER

entara urology care is advanced, comprehensive and convenient from anywhere on the Peninsula. Located on the campus of Sentara CarePlex Hospital, the new Sentara Advanced Urology Center offers expert diagnosis and care for prostate cancer, incontinence and other urological conditions. The Center’s board-certified urologists,

part of Urology of Virginia – the same experts who brought minimally invasive procedures and the use of robotics in prostate cancer surgery to the region – are now available on the Peninsula, helping patients take full advantage of national clinical trials and leading-edge research. To learn more or schedule an appointment, visit sentara.com/urologyspecialists.

Sentara Advanced Urology Center 4000 Coliseum Drive, Suite 300, Hampton, (757) 736-8500 Urology Of Virginia 400 Sentara Circle, Suite 320, Williamsburg, (757) 345-4700

sentara.com/urologyspecialists

Your community, not-for-profit health partner

Offering advanced urology care for the diagnosis and treatment of: • Prostate Cancer • Incontinence and additional expertise in: • General Urology • Female Urology • Kidney Stone Disease • Non-Cancerous Prostate Disease • Urologic Cancer

For an appointment, call (757) 736-8500 today.

SKIN CARE

Keys to Managing Adult Acne:

Healthy Lifestyle, Right Products

Written By Amy Johnson

pregnancy and menopause. In women over 35, hormonal fluctuations become more dramatic and unpredictable [as] they enter peri-menopause.” Other contributing factors include side effects from certain medications, pore-clogging cosmetics and mental stress—all of which can trigger more oil production, adds Robinson. “Acne is mostly associated with adolescence,” Robinson continues. “Rarely is it looked at as an adult problem.” Over the years, Robinson has seen many adult clients with acne. As a master aesthetician, she works with patients to teach them about skin conditions and how to take care of their skin. “I think education is very important,” Robinson says. “I think most people don’t know a lot about their skin and often choose the wrong products.” That was true in Janet Minor’s case. As a teenager and an adult, Minor tried everything to combat her acne. She went to the dermatologist, tried different oral antibiotics and prescription creams as well as over-thecounter products. “I tried anything and everything to get rid of [my acne], but I always ended up with no long-term management of it,” she shares. s a teenager, I struggled with acne. When other girls Tired of her discolored skin and frustrated with continmy age were walking around fresh-faced, I only felt at ued flare-ups, Minor had considered plastic surgery before a ease when my makeup was caked on in layers to hide friend pointed her to Robinson. what I saw as mountainous pimples on my chin, forehead and During a consultation, Minor learned from Robinson that nose. As I struggled through junior high, I thought about how her hormones, as well as diet and stress, were exacerbating great it would be if I were all grown up and didn’t have to her acne and that the over-the-counter products she was worry about acne and the insecurities it caused. I just knew choosing were too harsh and were stripping her skin—causthat by the time I was an adult, acne would be a thing of the ing more breakouts. Minor got started on a regimen of proper past. Boy, was I mistaken. skin care products, regular facials More than a nuisance of adoand microdermabrasion (an exfolescence, acne affects millions of Recent studies suggest that liator) to even out her skin tone. adults as well. In fact, a 1999 study Impressed with how much her one-fourth of all men and revealed that the median age of acne skin improved, Minor took a job patients had increased to 26 years first as receptionist at The Skin half of all women suffer of age. Recent studies suggest that Clinic and has since become an from acne breakouts. one-fourth of all men and half of all aesthetician herself. women suffer from acne breakouts “I wanted to be an aesthetician at least once in their adult lives. and [now] enjoy seeing my clients Janet Minor of Williamsburg has suffered with acne since come in pleased, not frustrated with their skin,” Minor says she was a teenager. Cystic acne—a severe form that develops of her new career. “It is very rewarding to have the ability to into small cysts—had left Minor with scarring and lingering help people.” dark spots, called hyperpigmentation. Even into adulthood, While there is no magic pill to make acne disappear, it Minor still struggled with breakouts. can be managed. The key to controlling acne, says Robin“It makes you very self-conscious,” says Minor, now 51. “I son, is knowledge. would not look people in the eye, or I would turn [my face] Here are a few tips: to the side that [had less acne] to prevent people from star• Consult a dermatologist or aesthetician to determine the ing at me. I didn’t want to go places because of a huge cystic right products for your skin type. nodule on my chin—it was embarrassing.” • Avoid pore-clogging makeup. So, what causes adult acne? • Reduce your stress level. “The precise reason for adult acne remains unknown,” • Wash off sweat quickly after exercise. says Ruth Robinson of The Skin Clinic in Williamsburg. • Avoid foods high in iodine, which can be an acne trigger. “It is most often caused by genetic and hormonal changes • Try treatments such as light therapy, chemical peels and to include—but not limited to—birth control pills, PMS, oxygenating facials. HJ

To advertise, call 757-645-4475

THE HEALTH JOURNAL

August 2009

Fri

Family Focus, a program of the Colonial Services Board, will hold the first session of “Parenting Hot Topics,” a four-week course that will offer parents new approaches to coping with everyday challenges. Topics will include stress and anger management, finding personal time, communication and romance, and developing a support system. Classes will be held Wednesdays through August 26, from 9:30 to 11:30 a.m., at York River Baptist Church. Cost is $20. Childcare is available for $5. Call (757) 898-2945 to register.

Thursday

Friday

21 "The Doctor Is In!"

THE HEALTH JOURNAL

Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813

ADDiction Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700 Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606 Alcohol & Drug Recovery SAARA-Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395 Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480

20 Thursday

Kids' Group Spirit Works 5800 Mooretown Rd. (757) 564-0001

Drive up to the Emergency Department at Riverside Regional Medical Center (located on J. Clyde Morris Boulevard in Newport News) for a free child safety seat check between 8 and 11 a.m. or between 5 and 8 p.m. Appointments required. Call (757) 875-7880.

Interested in learning how Medicare works? Join Kathy McVey of Optima Health at Sentara Williamsburg Regional Medical Center (Williamsburg Conference Room) at 10 a.m. for the free informational session, “Retire Smart.” Call 1-800-SENTARA or visit www.sentara.com to register.

Join the specialists of Riverside Medical Group for “The Doctor is In,” a free health lecture series for community members who want to learn about health topics of special interest to seniors and women. Lectures are held at 9 a.m. on the last Wednesday of each month in the Food Court at Patrick Henry Mall. For a preview of this month’s talk, visit www.riversideonline.com. For more information, call (757) 875-7880.

Abortion “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 a.m. (757) 886-6364

Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

Sentara Living, a program for adults age 50-plus, will hold its monthly meeting from 10 a.m. to noon at Sentara Williamsburg Regional Medical Center (in the Yorktown Conference Room). Guest speaker Eric Thomas will discuss how seniors can prevent falls in the home. Meetings are free and open to the public. Refreshments are provided.

Parents are invited to a FREE infant massage class where they’ll gain hands-on experience with their infant while learning about the benefits of massage. Class begins at 5:30 p.m. at Pediatric Associates of Williamsburg, 119 Bulifants Blvd. Call (757) 564-7337 to register.

SUPPORT GROUPS

Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022

Orthopaedic and Spine Center will host a free Workers’ Compensation Symposium on Monday and Tuesday, August 10–11, at the MarRiott at City Center. Earn CEUs (continuing education units) while gaining valuable insight into the latest innovations in orthopaedics and interventional pain management. To register, contact Shannon Woods at (757) 596-1444, ext. 368.

Riverside Hospice will hold a volunteer training workshop from 9 a.m. to 5 p.m. at its Newport News office, located at 12420 Warwick Blvd., Ste. 6-E. Volunteers will serve hospice patients in their homes and cover the areas of Williamsburg, Smithfield and the Peninsula. Call Kim Parker at (757) 594-2745 to sign up or get more details.

10-11

Wednesday

CALENDAR

26 Wednesday

August 2009

Parents Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541

Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 2nd Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tues., 10 a.m. (757) 599-6847 or (757) 930-0002 Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society Kings Way Church Last Thursday, 7 to 9 p.m. (757) 220-1137 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370 Mary Immaculate Hospital 1st & 3rd Thurs., 7 p.m. (757) 886-6595 "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287

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CALENDAR Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948 Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774

The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., Call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700 Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974 York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883 Celiac Disease Monticello Ukrop’s Meetings resume in Sept. Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107

Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725 Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795 Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923 Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743

Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160

Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540

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

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

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

Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234

Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050

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

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

Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050

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

To advertise, call 757-645-4475

Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902 African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library 4th Sat., 1 p.m. (757) 810-1393 Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033 ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847 Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051 St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945 Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862

PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. (Take Off Pounds Sensibly) 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

Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

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

HEALTH RESOURCES

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

Lackey Free Clinic Walk-in eligibility screenings held Mon., 5:30 to 8 p.m. Regular hours are: Mon.-Thurs., 8:30 to 5 p.m., and Fridays 8:30 to noon (757) 886-0608 Lamaze Classes Call for information. (757) 565-6156 Planetree Health Resource Library Sentara Williamsburg Regional Medical Center Open 24 hrs/day. (800) SENTARA Prenatal Yoga Zenya Yoga Studio Sat., 12:15 to 1:15 p.m. (757) 886-6700 Sentara Living for adults 50-plus Sentara Williamsburg Regional Medical Center 3rd Thurs., 10 a.m. to noon (800) SENTARA Sentara CarePlex Hospital 3rd Wed., 10 a.m. to noon (800) SENTARA Singles Dance 128 Deep Creek Rd. 2nd & 4th Saturday 7:30 to 10:30 p.m. (757) 247-1338 Student Physicals For students 14 years of age and older. Riverside Occupational Health Clinic (757) 886-7811 Walk-in Immunization Clinic Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. (757) 259-3258 Yoga for Diabetics Free and open to the public. Angels of Mercy Clinic Tuesdays, 3 p.m. (757) 565-1700

Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994

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

Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627

New Town Urgent Care Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. (757) 259-1900

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

Blood Pressure ScreeningS - Free Senior Center of York Every Wednesday Walk-ins welcome. (757) 898-3807

THE HEALTH JOURNAL

August 2009

PROFILE

Setting His Sights On New Horizons Interview By Brenda H. Welch Photography By Brian M. Freer

few years ago, 56-year-old Ken Krakaur got a wake-up call: He was in a meeting listening to a speaker talk about finding the “personal message” in the mission of your company. As the senior vice president of Sentara Healthcare and president of Sentara’s Peninsula Region, Krakaur knew the company’s mission by heart—“to improve health care every day.” With an education and background in finance, Krakaur had blazed his career path with numbers. But that meeting and the speaker’s idea gave him a new perspective on coming to work every day. “I realized that [what’s important for me at work now],” says Krakaur, “is to make sure that mothers stay mothers and dads stay dads for as long as possible.”

Ken Krakaur

“Sailing is not about the destination; it’s about that feeling of surrendering yourself to Mother Nature.” Since then, Krakaur has been a strong proponent of developing two cutting-edge comprehensive breast care centers: The Women’s Imaging Pavilion at Sentara Williamsburg Regional Medical Center and the Dorothy G. Hoefer Comprehensive Breast Center in Newport News. In June, both centers were among the nation’s first breast care programs to gain full, three-year accreditation by the National Accreditation Program for Breast Centers (NAPBC). Recently, Krakaur spoke with The Health Journal about his short-term goals for Sentara, his love of sailing and how he has found the time to author four books. HJ: What are Sentara’s main goals for the next five to 10 years? KK: We are pushing very hard to place within the national top 10 percent in a variety of measures— most of which have to do with clinical outcomes and customer service. If I can reach my early 60s knowing that we delivered on that promise, for me, that would be extremely fulfilling career-wise. HJ: What was the motivation behind authoring four books? KK: The writing of the first two books [Last Call: A Sailor’s Diary, released in 1996, and A Sailor’s Diary: The Book of Lessons, released in 2001 with a planned re-release this year] was more about

wanting to document the six years of my life living in Virginia, sailing and working in the health care industry. I did it as something to leave behind for my children and grandchildren and so that people in the future would know what I did and who I was. Those books were just kind of personal and not widely distributed. Beyond the Shore [2008] came about because I met an extraordinary young woman when I was sailing who displayed incredible courage at a young age. When she was in her early 20s, she joined a delivery crew and delivered a 40-foot boat from South Africa to Italy. I was so taken by this young girl’s courage that I thought it would be an inspiration for writing a story. The people who read Beyond the Shore seemed to have been taken by [both] the female and male characters. In the Blink of an Eye [2009] is a prequel that gets more into the male character of the story. HJ: What draws you to sailing? KK: There are two types of sailing—racing and cruising. As for racing, I enjoy the competition, the adrenaline and the excitement that you get with any

Age: 56 Hometown: North Belmar, N.Y. Family: Wife, Priscilla; daughters: Allison, 28, and Rachel, 26 Education: Quinnipiac University in Hampden, Conn. Professional affiliations: The American Society of CPAs and the New York Society of CPAs; serves on the board of directors of the following organizations: Patient First Corporation; Bay Primex (a division of Sentara Healthcare); Virginia Beach Ambulatory Surgery Center; Virginia Peninsula Chamber of Commerce; and the Center for Excellence in Aging and Geriatric Health. Local volunteer activities: FoodBank of the Virginia Peninsula, Hampton Arts Foundation (oversees the American Theatre), Young Audiences of Virginia

Continued on the next page 42

THE HEALTH JOURNAL

August 2009

www.thehealthjournals.com

Suggest a Profile! Whether you know a special person who has stood up for an important cause, faced incredible odds or is just all-around interesting, we want your opinion on whose personal/professional story is worth sharing with our readers. Nominees don’t have to work in the health care industry, but the story must have a health-related angle. Send your recommendations to page@thehealthjournals.com

PROFILE competitive sport. With cruising, the appeal is getting those sails up and allowing Mother Nature to blow you around in the islands or on the river. People who join me on the boat often ask me where we are going, and I tell them, “Wherever the winds take us.” Sailing is not about the destination; it’s about that feeling of surrendering yourself to Mother Nature. HJ: You’re very involved with the American Theatre in Hampton. What has been your favorite performance? KK: There are probably two I’ve most enjoyed. One was a dance group called Momix, and they were on tour doing a show called “Momix in Baseball.” It was modern dance, but with a baseball theme. They did a tribute to Mickey Mantle that was just fantastic. My other favorite performer has been [sitar player] Anoushka Shankar. HJ: We hear that you carry a vial of sand in your pocket. What is the meaning behind that? KK: A couple of years ago, some Tibetan monks were at the American Theatre giving lectures. The monks were building a sand mandala, [or painting], and the director of the theatre gave me a small packet of sand from their painting. He said that the sand represented two very important things: wisdom and compassion. He told me that what the monks teach is that, on the wisdom side, you should make your decisions very carefully, more based on logic than on emotion. On the compassion side, [they say to] always consider the impact those decisions will have on others. The director suggested that I carry the sand with me in my wallet, and when I am confused about what to do, to just remember that wisdom and compassion are the keys to living a good life. I think they are very good rules to live by. HJ

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THE HEALTH JOURNAL

August 2009

PC I

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

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

eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment in the beautiful Riverside Cancer Care Center located on the campus of Riverside Regional Medical Center. All PCI doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected Physicians are also

Board-Certified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient according to need and desire: patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services, massage therapy, pet therapy, music therapy, patient/family education, and

cutting-edge clinical research trials. PCI is a member of the Cancer Trials Support Unit (CTSU) as an independent clinical research site. CTSU is a project sponsored by the National Cancer Institute. Riverside Cancer Care Center also offers a resource center and library for community use as well as a conference center for cancer community events including support groups.

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