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Vol. 5 No. 2
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July 2009
A Sister’s
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Huntington’s Disease: A Genetic Roll of the Dice
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On the Cover
Huntington’s Disease: A Genetic Roll of the Dice
Huntington’s disease (HD) is a neurological disorder caused by a mutated gene. Children of parents diagnosed with HD have a 50-percent chance of inheriting the defective gene, making the disease “a genetic roll of the dice.” This month’s feature story starts on page 20.
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Inside
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JULY 2009
16
features
IN EVERY ISSUE
One Sister’s Gift | 6
Poolside Fitness | 16
In 2007, when 25-year-old Sarah Schultz was diagnosed with kidney failure, her sister Anna Parks didn’t have to think twice before making her decision: Giving up one of her kidneys would mean saving her sister from a lifetime of dialysis.
Don’t feel like working out in the summer heat? No sweat. When the outdoor temperature climbs, head to your community pool for full-body fitness.
Letter from the Editor | 4
High Blood Pressure: Viral? | 12
Snapshots | 8
Harvard researchers have zeroed in on a common virus that appears to create inflammation within blood vessels, causing blood pressure to spike. If their hunch is right, new treatments for hypertension, such as vaccine therapy, could soon make their way to market.
Fitness | 16
His Fire for Life Burns Strong | 38
Calendar | 36
Fact or Fiction? | 18 Ever wonder whether there’s an ounce of truth hiding behind some popular sayings? Do cell phones really interfere with hospital equipment? Are brown eggs better for you than white eggs? The Health Journal investigates.
Communication for Couples | 14 Dr. Sally Hartsfield discusses certain triggers that can create conflict in even the strongest marriages— children, chores, finances, and perhaps the biggest hot-button topic, sex.
Betsy Kainer is still learning how to survive without her husband and best friend John, who died in January after an 11-year battle with brain cancer. Through a fundraising effort called “Team Kainer,” Betsy, her children, and friends from the local running community are celebrating John’s “fire for life.”
Local Beat | 6
Feature | 20 Health Directory | 32
Profile | 38
THE HEALTH JOURNAL
JULY 2009
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Letter from the Editor the
Health Journal Peninsula Edition
photo by Brian M. Freer
“I can’t believe you’re a mom,” said my brother as we walked out of the chapel and into the midday sun. It had been nearly three years since we’d spoken, and while I was still rejoicing in the birth of my daughter, we’d both come to the church that day to mourn the loss of our grandmother. She’d died in her sleep in early June, just days before her 90th birthday. “Parenthood, it really changes you,” I said, attempting to put into words the six weeks that had passed since Camden was born. “I’m not the same person.” Sure, a lot had happened during those years of silence. Brian and I had gotten married. Our business had taken off. We’d said farewell to a few good friends while other, new friendships blossomed. And last fall we announced that we were expecting our first child. But for me, the biggest change of all transpired in that short time between Cami’s birth and my grandmother’s passing. It’s funny, even as I approached 30 this year, I had always thought of myself as the perennial child. Nothing had ever happened to persuade me otherwise. Simply getting older in years, it turns out, isn’t enough to make us grown-ups. Something profound has to happen to catapult us into the great realm of maturity. For me, realizing that I was no longer the child but the parent, that was the defining moment. Suddenly all the petty grievances I’d been holding onto seemed, well, silly. I was nervous about seeing my brother again after being estranged for so long. Would he understand that I had changed for the better, or were the wounds from our falling out still too fresh? There we sat at the funeral, side by side in the front pew, not a word passing between us. After brief exchanges with the few family members present, I found the courage to speak to him. “I am going to leave,” I said, staring at my feet. “Do you want to talk?” To my surprise, he said yes. Part of growing up, I think, is gaining the strength to make the first move, even if it means we risk rejection. We’re not kids anymore, either. Our parents are no longer there to take our hands and tell us to make up. I could have left the church that day and allowed another three, ten or twenty years to pass between us. That was a risk I wasn’t willing to take. My grandmother would have urged us to reconcile our differences. She always said to love the family you have, because, in the end, family is all we’ve got. Cami needs her uncle, and I need my brother, too. At times he’s been my worst adversary, at times my closest friend. Throughout it all, I’ve loved him as only a little sister could. We talked for a while after the service, sharing a long embrace and shedding a few tears. Then we left the church and headed towards our separate cars, pausing to say goodbye. “So, you’ve gained some weight,” he teased, eyeing my post-baby bulge. “So have you,” I retorted, motioning to his thickened waist. We looked at each other, two adult children, two very different people who, for better or for worse, share a common past. That’s the thing about family, and perhaps the closest of friends—no matter how much we grow as individuals, some things never change.
Page Bishop-Freer, Editor page@thehealthjournals.com
Publisher
Brian M. Freer Executive Director
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 Amy Schneider-Speth GRAPHIC DESIGNERs
Natalie Monteith Jean Pokorny Photography
Brian M. Freer Dawn Griffith Contributing Writers
Brandy Centolanza Anne Harding Sally Hartsfield, PhD Amy Johnson Amy Norton Gayle Pinn, CPT Julie Steenhuysen 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:
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THE HEALTH JOURNAL
JULY 2009
TM
THE HIDENWOOD RETIREMENT COMMUNITY
Newport News is a town where friendships last a lifetime, neighbors help each other, and families have roots. Chances are, if you’ve lived around here or the local area, you already know someone who lives at The Hidenwood.
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local beat
Dentist Thanks “Smiles for Life” Participants Dr. Lisa Marie Samaha of Port Warwick Dental Arts thanks those from the Hampton Roads community who came to her office for dental whitening as part of a fundraiser for Children’s Hospital of the King’s Daughters, through which her practice raised more than $9,000 for the hospital.
Celebrating Five Years Free of Hospital-Acquired Infection Sentara Williamsburg Regional Medical Center (SWRMC) recently marked five years with zero cases of ventilatorassociated pneumonia, a condition that often develops among patients who have been on mechanical ventilation for 48 hours or more. “Our team of physicians, nurses and respiratory therapists is always focused on delivering excellent patient care in the ICU and throughout the hospital,” says intensive care physician Dr. John Kaiser. “This milestone speaks to the superior outcomes enjoyed by some of the hospital’s frailest patients as well as patients with a wide range of medical needs and conditions.”
Watercolor on Display at Community Hospital The Visiting Artist Gallery at Sentara Williamsburg Regional Medical Center (SWRMC) is now featuring a display of works from local watercolor artist Karen Anderson Schwartz, whose work includes paintings of people, landscapes and architecture. Schwartz’s work has been displayed at public libraries in Poquoson and Williamsburg. This Century Art Gallery and the College of William and Mary, among other venues.
Correction: Last month’s Local Beat story, “New HU Institute to Expand Research on Conditions Affecting Skin of Color,” was written by Brandy Centolanza, not Brenda H. Welch as the byline stated.
Send Us Your Community News! info@thehealthjournals.com
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THE HEALTH JOURNAL
Woman’s Kidney Offers Sister A Life-Changing Gift Hampton Roads’ only adult transplant team joins a caring sister in saving a local woman from spending the rest of her life on kidney dialysis. Written By Brenda H. Welch Photography By Brian M. Freer
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a lot of anxiety,” Schultz s is often the case remembers. He ordered with sisters who tests to check my kidare close in age, ney function, and the Sarah Schultz, 25, and next day I got a call sayAnna Parks, 28, have ing it was kidney failure always been each other’s and [that I should] go to best friend. As children the hospital emergency growing up in Virginia room immediately.” Beach, they shared toys, Schultz remained in clothes and a silly secret the hospital for five days, or two. While it’s not surduring which time she prising that this dynamwas started on kidney ic of their relationship dialysis because her kidextended into adulthood, neys were functioning neither ever imagined at seven percent. While that their sisterly bond she was continuing to would land them both in produce urine, she felt the operating room. the need to urinate more On November 25, frequently in smaller 2008, Schultz and Parks amounts than normal. gave new meaning to “It’s not at all uncomthe concept of sharing mon that you have when a team of sursomeone in their 20s geons, nurses and other or 30s show up in health professionals at the emergency room Sentara Norfolk General because they are not Hospital conducted a feeling well, and then living donor kidney they are starting dialytransplant between the sis within a week or so,” sisters. says Dr. John Colonna, Their journey to the II, surgical director of operating room began in the kidney and pancreearly 2007, when Schultz, a as transplant program Virginia Beach high school at Sentara Norfolk tutor and director of her General. “It is a very church’s music program, Sisters Anna Parks (left) and Sarah Schultz share an uncommon began to feel that some- bond: Last November surgeons at Sentara Norfolk General Hospi- silent disease for the vast majority of people. thing was wrong. “I have tal removed one of Parks’ kidneys and implanted it into Schultz, They don’t really notice always been healthy and who learned in 2007 that her kidneys were failing. it is happening until it full of energy, but I started is pretty advanced. It noticing a lot of weird stuff going on that I couldn’t explain,” says as she was. “I was frustrated because doesn’t cause fevers or pain or jaunSchultz. “I felt very drained, and I was nobody knew what was happening to dice, so many things that [normally always tired. I never had any pain, but me,” says Schultz. “I’d leave appoint- would] be a sign of a problem aren’t my energy level got so bad that by the ments crying because I knew something really there.” time I stood up and walked to the other just wasn’t right.” The silent killer It became so difficult for her to side of a room I would be completely breathe in July 2008 that she made out of breath.” According to the National Kidney Over the next year and a half, Schultz another appointment with her family Foundation (NKF) located in New visited several different doctors and practitioner. “He told me there was a York, more than 26 million Americans specialists to determine what was hap- slight chance there was a problem with have kidney disease (or currently,one pening to her, but they were as baffled my kidneys, but he thought I just had in nine adults). Currently about
JULY 2009
local beat
A Life-Changing Gift Continued from previous page 72,000 patients in the United States require kidney dialysis. Like healthy kidneys, dialysis keeps the body in balance by: • Removing waste, salt and extra water to prevent them from building up in the body; • Keeping a safe level of certain minerals in the blood, such as potassium, sodium and bicarbonate; • Helping to control blood pressure Over 6,800 patients annually receive kidney transplants in the U.S., and success rates are steadily improving. Early diagnosis and effective therapy that is available for several forms of progressive kidney disease have prevented countless other patients from developing kidney failure. Despite these advances, kidney disease kills 12,000 Americans annually and results in a combined loss of earning power of more than $15 million and an accumulation of medical bills that now exceeds $2 billion per year
to pay for dialysis and transplantation treatments alone. Primary risk factors include diabetes, high blood pressure, cardiovascular disease, a family history of kidney disease and an age over 60. Secondary risk factors include obesity, autoimmune diseases, urinary tract infections, systemic infections and kidney loss, damage, injury or infection.
“Your sister is a match” For four months, Schultz received dialysis three times a week for threeand-a-half hours, and during that period doctors at the Transplant Center for Sentara Healthcare, located at Sentara Norfolk General Hospital, conducted testing to determine whether she was a candidate for a kidney transplant. After Schultz began dialysis, Parks as well as Schultz’s husband Adam immediately asked to be tested in the hopes that Schultz would be eligible for a transplant. “We were hoping so much that she wouldn’t have to go
Since 1972, more than 1,800 kidney transplants have been performed by surgeons at Sentara Norfolk General Hospital, which is ranked by U.S.
News & World Report among the nation’s top 50 hospitals for the care of patients with kidney disease.
Above: Dr. John Colonna, II, and his surgical team at Sentara Norfolk General Hospital specialize in kidney and pancreas transplants. Left: A living donor kidney is placed on ice as the recipient awaits transplant.
through something like 50 or more people before they found someone who was a good match who was seriously willing to do it,” says Parks. “And the fact that Adam and I were the first to test and both of us were matches was just really cool. It saved a lot of time and heartache. I think we are all really lucky.” Parks doesn’t recall Schultz ever asking her to get tested, nor does she remember having to put any thought into it. “After [the transplant center] realized I was the closest match, I had to go through a lot of counseling so they were sure that I was sure what I was signing up for,” says Parks. “If anything had come up at that point where I wasn’t comfortable doing it anymore, they explained that I could back out and Sarah would never know I changed my mind. They said they could communicate the message to her in a way that would avoid any friction between us, and I thought that was pretty great for those people who do change their minds.” On November 25, 2008, Schultz’ and Parks’ surgeries took place at separate times but were perfectly choreographed by the team at the transplant center for a smooth transition of the kidney. Parks’ surgery, as with most living donor kidney surgeries at Norfolk General, was done laparoscopically, sparing donors long hospital stays and even longer recoveries. Through tiny slits in the patient’s abdomen, surgeons carefully find their way to the donor’s kidney. Using laparoscopic instruments equipped with a small camera and light, the surgeon navigates each move with the images of the surgery projected on large computer screens in the dark operating room. At just the right time, a transplant surgeon like John O. Colonna, II, M.D., who is responsible for performing the recipient’s surgery, joins the surgeon conducting the donor surgery. Colonna receives the kidney just as it is removed and places it in a stainless steel bowl filled with ice. Under a spotlight illuminating a nearby work area in the still-dark OR, Colonna carefully sets
to work preparing the kidney for his patient. After covering it and briskly rolling the protected kidney to another OR, Colonna works under bright lights to connect the kidney to his patient. The transplanted kidney begins to function
Parks doesn’t recall Schultz ever asking her to get tested, nor does she remember having to put any thought into it.
even before the surgery is finished. “Even after almost 20 years of doing kidney transplants, I still get a thrill watching a kidney pink up and start producing urine,” says Colonna. “I know immediately that my patient has had their life transformed by the gift of a living donor transplant.” When Schultz woke up from the transplant surgery she was in pain but already felt different. “Once I got the pain medicine in me, I felt so much better,” she says. “Already my new kidney was filtering out toxins in my body, and by the next day, I could already feel my energy level change. It was amazing.” She was able to leave the hospital 10 days later, and each day after that was better than the day before. “I think it probably took three months total to feel as good as I did before I started experiencing any problems back in 2007. I’m as good as new!” Parks said it took a few weeks before she was completely free from the post-surgery pain, but after that, she felt the same as she did when she had two kidneys. “I was more tired than normal at first, which is to be expected after surgery, but that went away pretty quickly.” Schultz and Parks agree that because they already were so close as sisters, they don’t feel like the experience brought them closer. “Since we went through the experience together, it was something that we shared, but our relationship is really still the same as it was before,” says Parks. Adds Schultz: “I think it was neat for the whole family to come together and share this experience. It was just really cool.” HJ
THE HEALTH JOURNAL
JULY 2009
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SNAPSHOTS
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Registered Dietician Jim White, owner of Jim White Fitness Studios in Virginia Beach, was recently named “Young Dietician of the Year” by the Virginia Dietetic Association for his work with the Junior League and Radio Disney as “Jim White the Fitness Knight,” a character working to conquer childhood obesity. White, a national spokesperson for the American Dietetic Association, is a leading expert on men’s health and nutrition and has been featured in Men’s Health and US News and World Report as well as on WebMD. He is the author of Jim White’s Fit in 30 Plan, a workbook with simple exercises and meal plans to kick-start any fitness program. Visit www.jimwhitefit.com for more details.
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The Colonial Piecemakers Quilters Guild, led by Gail Conner and Roz Stearns, made lap quilts as a service project for Oncologist Dr. Laura Kerbin of Peninsula Cancer Institute. The quilts will be given to new patients who are starting cancer treatment with chemotherapy. From left to right: Conner, Kerbin and Stearns.
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Approximately 300 Sentara Healthcare employees and their loved ones participated in the Sentara 1K Run and Fun Walk held during the Prevention Garden Party thrown May 9 at Norfolk Botanical Garden. Event sponsor Optima Health provided free health screenings.
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“Cut for the Cure,” a fundraiser for the American Cancer Society, was held May 5 at Old Point National Bank in Newport News on behalf of Margaret Causby, an executive vice president at the branch and a 10-year cancer survivor. The event raised more than $3,000 for cancer research and education. Old Point Analyst Lisa Lyles and IT Specialist Marc Latou both got their heads shaved in support of Causby (center).
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During a ribbon cutting ceremony in April for a new CVS Pharmacy on Independence Boulevard, CVS Regional Manager Jack Schwartzbach presented a check for $10,000 to the group Families of Autistic Children of Tidewater to support “Camp Gonnawannagoagin,” a summer camp held annually in Virginia Beach for autistic children.
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The Lackey Free Clinic in Yorktown was one of 40 free clinics in the state to receive part of a $1-million donation from Dominion Resources, which owns Dominion Virginia Power. From left to right: Don Wiggins, vice chair of York County Board of Supervisers; Senator John Miller; Delegate Brenda Pogge; Dr. Jim Shaw, the clinic’s medical director; Cooka Shaw; Josh Bennett, director of Yorktown Power Station; Delegate Phil Hamilton; and Poquoson Mayor Gordon Helsel.
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City of Norfolk Mayor Paul Fraim as well as City Council members Daun Hester and Barclay Winn attended a ribbon cutting ceremony on June 23 for A. Reddix and Associates’ new office at Norfolk’s Central Business Park. A. Reddix and Associates is a Virginia-based corporation specializing in health care management consulting. “The city is delighted that A. Reddix and Associates has selected Norfolk as the site of its corporate headquarters,” said Mayor Fraim.
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This April, kids from across the region attended the annual “Camp Lighthouse” for grieving children, sponsored by Sentara Hospice and held at Triple-R Ranch in Chesapeake. The two-day camp was filled with team activities designed to help participants reflect on their loss while letting go of the pain. During a memorial service held on the last day, kids were invited to place a leaf with the name of their loved one on a special tree and then release a balloon into the air to symbolize their emotional release.
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We Want Your Snapshots!
Readers can 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
healthwire
Fewer Americans Following A Healthy Lifestyle
Written By Amy Norton NEW YORK (Reuters Health)
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he number of middle-aged and older Americans who eat right, exercise and keep their weight down has declined substantially in the past two decades, a new study finds. Using data from a large government health survey, researchers found that in 2006, only 26 percent of Americans ages 40 to 74 said they ate five or more servings of fruits and vegetables per day—down from 42 percent in 1988. When it came to exercise, 43 percent said they worked out at least 12 times per month, versus 53 percent in 1988. Perhaps not surprisingly, the rate of obesity went in the opposite direction, from 28 percent in 1988 to 36 percent in 2006, the researchers report in the June issue of the American Journal of Medicine. The decline in healthy lifestyle habits is disturbing because it may translate into higher rates of diseases like type 2 diabetes and heart disease, said lead researcher Dr. Dana E. King of the Medical University of South Carolina in Charleston. What’s more, he told Reuters Health, study participants who already had heart disease, high blood pressure or diabetes were no more likely to be adhering to a healthy lifestyle than those without the conditions. “This tells us that many patients are not following the recommended lifestyle changes,” King said, noting that this may be because many people instead rely on medication to control their health problems. The findings are based on data from the National Health and Nutrition Examination Survey, a regularly conducted government health survey. King’s team focused on surveys conducted between 1988 and 1994 and between 2001 and 2006, which together included more than 15,000 Americans between the ages of 40 and 74. The researchers looked at rates of five lifestyle factors involved in the risk of a range of health problems: maintaining a normal weight, getting regular exercise, eating enough fruits and vegetables, not smoking and drinking moderate amounts of alcohol. In 1988, just 15 percent of Americans in this age group adhered to all five recommendations. By 2006, that figure had dropped to eight
percent, the researchers found. While regular exercise and fruit and vegetable intake dropped over time, the rate of smoking remained steady, at about 26 percent. Moderate drinking—up to one drink per day for women, and two drinks per day for men—was the one lifestyle change Americans were willing to make, the study found. That rate increased from 40
“The decline in healthy lifestyle habits is disturbing because it may translate into higher rates of diseases like type 2 diabetes and heart disease.”
— Dr. Dana E. King, Medical University of South Carolina, Charleston
percent to 51 percent. The study cannot tell us why healthy lifestyle habits are on the decline, King said. “But one reason,” he said, “may be that these changes are just difficult to make.” People’s increasingly hectic lives may be making it hard to fit in regular exercise, or to sit down to healthier, home-cooked meals rather than eating take-out, King noted. However, he said, some simple steps can make a difference. “It’s not hard, for example, to take some fruit to work with you, instead of going to the vending machine,” he said. He also stressed that “it’s never too late” for middle-aged and older adults to make lifestyle changes for the better. In an earlier study, King and his colleagues found that when middle-aged adults adopted a healthier lifestyle—including regular exercise and eating more fruits and vegetables—their risk of developing cardiovascular disease or dying over the next several years fell by as much as 40 percent. HJ
THE HEALTH JOURNAL
JULY 2009
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HEALTH IN HISTORY
Mental Health:
Shifting Attitudes in Colonial Times WRITTEN By Brandy Centolanza
LEFT: A re-created cell, one of the many exhibits in the Public Hospital that document the treatment of mentally ill persons from 1773 through 1885.
BELOW: The Public Hospital in Colonial Williamsburg is open for tours.
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oday’s medical advances enable physicians to better diagnose and treat those who suffer from mental health conditions—a far cry from how such illnesses were handled during the Colonial era. Colonists were deemed mentally ill based “largely on their behavior,” explains Linda Rowe, a historian with Colonial Williamsburg. An insane person was described as someone “who was disruptive to society—perhaps was talking to himself or herself—was not responsive, was disoriented, or was possibly trying to harm himself or herself or harm others,” Rowe says. It was believed that Care for mentally ill individpatients chose to behave uals usually fell on family members or depended on assistance irrationally, and doctors from the parish church. But if a tried to help them adopt a person could not be controlled, he or she was housed in a jail or more normal manner. poorhouse. It was believed that people suffered from mental problems because society had triggered some disturbance in their brains, notes Jan K. Gilliam, manager of exhibit planning for the Colonial Williamsburg Foundation. It was obvious that the mentally ill were “outside of the norm,” she says. “It was understood that they were different somehow, but it wasn’t understood why, and they weren’t categorized [by the various mental health disorders, like today].” In the 18th century, medical doctors identified people with mental illness as exhibiting either mania (described as violent, restless behavior) or melancholia (in which an individual seemed listless and extremely grief-stricken). Governor Francis Fauquier (who served from 1758 to 1768) was instrumental in establishing a facility in
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Virginia specifically for those exhibiting symptoms of mental disorder. An Enlightenment man in the Age of Reason, Fauquier proposed in 1766 “a hospital for the scientific treatment of the insane,” explains Rowe. The Publick Hospital for Persons of Insane and Disordered Minds, which opened in October 1773, was the first facility in America dedicated solely to the care of the mentally ill. (It would later become Eastern State Hospital, which is still in operation in Williamsburg today). When it first opened, a “keeper,” or jailor with no medical training, ran the hospital. Patients were kept isolated, usually alone in a room or cell with just a mattress and shackles. Treatments included use of leeches (called “bloodletting,” a common medical practice) and use of a restraining chair prescribed by the visiting physician. The hospital had only eight beds. Patients stayed for a few weeks or sometimes months and then were released back to their families, depending upon when the doctor and board of directors determined they were ready to return to society. “The idea was that they could be cured, that [their condition] wasn’t a lifetime illness,” says Gilliam. At the time, it was believed that patients chose to behave irrationally, and doctors tried to help them adopt a more normal manner. HJ
SENIOR FOCUS
Keys to Staying Sharp in Old Age Revealed NEW YORK (Reuters Health)
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decline in thinking or “cognitive” function with age is not inevitable, according to a new study that showed that many adults maintain their cognitive function as they grow older and identified modifiable factors related to preserving brain function. “There are subgroups of the elderly population who maintain cognitive function in late life,” lead researcher Dr. Alexandra Fiocco of the University of California, San Francisco, told Reuters Health. “We can predict who will maintain cognitive function in late life and the majority of the predictive factors are modifiable in nature.” Briefly, the investigators found that adults who did not smoke, exercised once a week, were socially active, had at least a high school education and a ninth grade literacy level, were more likely to maintain cognitive skills through their 70s and 80s. “To this day, the majority of past research has focused on factors that put people at greater risk to lose their cognitive skills over time, but much less is known about what factors help people maintain their skills,” Fiocco noted in a statement. Fiocco’s team tracked the cognitive function of 2,509 well-functioning white and black adults who were between 70 and 78 years of age at the start of the study.
In one study, those who had at least a high school education were nearly three times as likely to stay sharp as those with less education.
During eight years of follow-up, 53 percent of the study subjects showed minor cognitive decline normally associated with aging and 16 percent showed major cognitive decline. However, 30 percent of the study subjects maintained cognitive function, the team reports in the journal Neurology. Further investigation revealed that people who exercised moderately to vigorously at least once a week were 30 percent more likely to maintain their cognitive function than those who did not exercise that often. Those who had at least a high school education were nearly three times as likely to stay sharp as those who with less education. Elderly with a ninth grade literacy level or higher were nearly five times as likely to stay sharp as those with lower literary levels and non-smokers were nearly twice as likely to stay sharp as those who smoked. People working or volunteering and those living with someone were also more likely to maintain cognitive function late in life. “Some of these factors such as exercise and smoking are behaviors that people can change,” Fiocco said. “Discovering factors associated with cognitive maintenance may be very useful in prevention strategies that guard against or slow the onset of dementia.” HJ
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11
breakthroughs
Common Virus May Cause High Blood Pressure Written By Julie Steenhuysen CHICAGO (Reuters)
A new study suggests that vaccines and antiviral drugs may offer a new approach to treating hypertension.
A
common virus may be a major cause of high blood pressure, researchers said last month when they released a finding that may bring a new approach to treating a condition that affects an estimated one billion people worldwide. Cytomegalovirus (CMV) is a virus that affects some 60 to 99 percent of adults globally and appears to increase inflammation in blood vessels, causing high blood pressure. And when combined with a fatty diet, CMV may also cause hardening of the arteries, a major risk factor for heart attacks, strokes and kidney disease, they said.
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“I think it could be very important,” said Dr. Clyde Crumpacker of Harvard Medical School and Beth Israel Deaconess Medical Center in Boston, who worked on the study in the Public Library of Science Journal PLoS Pathogens. “It may suggest a whole new way of looking at high blood pressure and vascular disease,” Crumpacker said in a telephone interview. He said the research offers the first direct proof that the virus causes persistent infection in blood vessels. Doctors typically use drugs such as beta blockers and ACE inhibitors to control blood pressure, a condition that affects one in every three adults in the United States. Crumpacker said the study suggests vaccines and antiviral drugs may offer a new approach for treating hypertension. Currently, there is no vaccine, but several companies, including Sanofi-Aventis, Novartis, GlaxoSmithKline PLC and Vical, are working on them. And Swiss drugmaker Roche Holding AG makes an antiviral drug called Valcyte to prevent CMV infections in transplant recipients. CMV and diet By age 40, most adults will have been exposed to CMV, although many never experience any symptoms. But the virus can cause harm in people with compromised immune systems, such as transplant recipients, and it is a major cause of birth defects in babies whose mothers were infected during pregnancy. In one experiment, Crumpacker and colleagues examined four groups of lab mice. Two were fed a standard diet and two were fed a high-fat diet. After four weeks, half of the mice from the standard and fatty diet groups were exposed to the virus. Six weeks later, mice in both infected groups had elevated blood pressure, but 30 percent of infected mice on high cholesterol diets also showed signs of atherosclerosis. “This strongly suggests that the CMV infection and the high cholesterol diet might be working together,” Crumpacker said. In another study of kidney cells in infected mice, the team found high levels of the enzyme renin, which is known to cause high blood pressure. They found the same high rates of the enzyme in human blood vessel cells infected with CMV. And they found that CMV infection increased markers for inflammation in blood vessels. More research is needed to look at the role of viruses in heart disease, but Crumpacker said the findings suggest new treatment possibilities. “Some cases of hypertension might be treated or prevented by antiviral therapy or a vaccine against CMV,” he said. HJ
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relationships
Communication for Couples:
Key to Marital Success
I
Written by Dr. Sally Hartsfield
f you live with someone—roommate, sweetheart or spouse—you are going to have disagreements, just as you do with anyone else you work or play with. The difference lies in the fact that deeper feelings are involved and that you can’t avoid confrontation by going home at night. What do couples argue about? Regardless of what you may read, the subjects haven’t changed since the first caveman brought the first cavewoman home. Marital therapists report that sex is still the most frequent topic of dissension, and the hot-button one. Each person assumes that the other should understand and meet his or her needs without being told what they are. In the early days men read “marriage manuals” in the hopes of satisfying their partner, though they lacked the necessary details; those books were little more than schematic diagrams of female anatomy. They did not address a woman’s needs or how to meet them. So men proceeded to do what they thought was the right thing, and women—sometimes thinking, “Just get it over with!”—remained unfulfilled, secretly angry and frustrated. A man’s pride is deeply involved in his sexual performance. No matter how much he loves his woman, if she isn’t receptive to sex when he approaches her, he takes it as a sign of rejection. He is likely to see it as rejection of him personally, despite what his brain tells him, i.e., that perhaps she is tired or just not in the mood. Marriage can be a fragile union, and the first place it comes apart is usually the bedroom. Why are women unable to talk about their sexual needs? Part of the problem is that there remains, despite explicit scenes in movies and on TV, a reluctance to put into words the necessary information. Almost all women have sexual fantasies in which they are aroused and satisfied in very specific ways, but to ask for 14
THE HEALTH JOURNAL
JULY 2009
these things from their real-life partner seems vaguely wrong. Chiefly, they fear that their man will withdraw in horror or disgust at their suggestions. In fact, most men would be more than happy to comply. There is also, on the part of women, a belief that if a man truly loves her he should know, without being told, what she desires. In fact, most men don’t intuitively know what their partner desires. They think they are doing the right thing, but they may be way off base, because there are nuances of the female anatomy about which they may know little or nothing. Most important for men, if they wish
Marriage can be a fragile union, and the first place it comes apart is usually the bedroom. to please their partner, is understanding that foreplay is more than a sexual act. It is a manner of behaving that begins in the morning with tenderness and true interest in their mate, and if it continues throughout the day into the evening hours, it can improve a man’s chances of satisfying his partner that night.
Beyond the bedroom The second most frequent area of dissension among couples is children. Raising children is complicated, and parents bring to it all the memories and emotions from their childhood—especially their vows that they would never do as their parents did. Parents must agree on what grades are acceptable and which behaviors need consequences. Again, one parent may assume that the other already knows his or her feelings and thoughts about these issues. It seems too com-
plicated to talk about, but that is just what has to happen, and not at the moment that your son or daughter is clamoring to be allowed to do something you are concerned about. Almost always a decision can be put off “until Mom and Dad have a chance to discuss it.” Parents should not blame each other for mistakes but rather try to understand what happened. In some families, parents alternate being “on-duty,” so that, for example, on Monday-Wednesday-Friday Dad handles questions and discipline, and on the intervening days Mom is in charge. It’s not so hard to deal with problems when you know you are “offduty” the next day. Another common topic of disagreement is household chores. No one wants to scrub bathrooms or empty the dishwasher, so it is best to divide up what needs to be done in a fair and workable manner. If you can’t easily talk it out and decide, write down the chores on bits of paper and put them in a bowl, with tasks to be drawn out at random on a weekly or monthly basis. It’s easier if you know beforehand what you are responsible for and that you won’t be responsible for it forever. There should be an understanding that no one will come in and rescue the other from having to do a chore. If it isn’t done, so be it, and the laundry will sit out until it is put away by the person responsible. This is the hardest part for women, for we are trained from birth to help others. Money is a hard thing to manage, and therefore talk about, and carries with it all kinds of emotions. If you were brought up to monitor your finances, it is going to upset you when your darling blows a wad on something you think isn’t necessary. Ideally a couple has three checking accounts: his, hers and theirs. Again, as with chores, no one should bail the other out. Talking about spending and saving Continued on page 37
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FITNESS
The Water Lover’s Workout Written By Gayle Pinn | Photography By Brian M. Freer
T
he pool is more than a place to beat the summer heat; with a few simple exercises and a little motivation, you can dive into a full-body workout that won’t compromise your splash time. Water exercises are suitable for almost all fitness levels because the intensity can be adjusted simply by moving faster or slower in the water. The water itself offers 12 times more resistance than air, and the faster you move in the water, the greater the resistance becomes. Water workouts are gentler on your joints than exercise machines, so many people choose to cross-train in the pool between their regular workouts. If you’re not a particularly good swimmer, don’t worry; you can do most exercises in the shallow end of the pool where the water ranges from waist-high to chest-deep. Standing next to the side of the pool may also be more comfortable for you if you can’t swim. Start with some basic moves such as marching in place, circling your arms, bending your knees, swinging your legs or just walking from one side of the pool to the other in waist-high water. Even if you’re a good swimmer, treading water for a few minutes offers a good aerobic challenge. Warm up with any of the above exercises before trying the moves below. HJ
POOL TIPS: Don’t forget to hydrate on the inside—drink plenty of water before, during and after your workout. Have a light snack one hour before your workout, as some water aerobic routines involve nonstop motion and can burn up to 500 calories per hour. Invest in a pair of water shoes to protect your feet from the pool bottom and gain support and traction. Seek out a warm-water pool if you have arthritis. Heat relaxes the muscles and eases joint stiffness. Don’t overdo it; exercising in the water may feel easy, but it can be a strenuous workout. Remember to stretch when you’re done, either in or out of the water.
Swimmer’s kicks
Face the side of the pool, holding on to the wall with both hands. Raise both legs off the pool floor, extending them behind you, and kick as hard and as fast as you can. You can also perform this exercise by doing laps with the help of a flotation device such as a kickboard.
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Straight-arm claps
Standing chest-deep in the water, with arms straight and palms facing in, raise both arms in front of you to shoulder height. Move your arms back and forth as if clapping your hands together. Squeeze your chest muscles as your hands meet, and try to bring your shoulder blades together as you push your arms back. Complete 12 to 20 claps. You can increase the intensity by using webbed gloves (available at most sporting goods stores) and/or moving your arms faster through the water.
Jumps
In waist- to chest-high water, squat as low as you can go, preferably underwater. With an explosive movement, jump up as high as you can. Exhale as you burst out of the water, and inhale before you go back under. Perform approximately 20 to 25 jumps or until you feel fatigued.
Side leg lifts
Standing waist-deep in the water, your right side against the wall, hold on to the wall for support. Raise your left leg out to the side and move it up and down, keeping your toes pointed slightly inward towards the wall. The faster you can move your leg, the higher the intensity will be. Perform 12 to 20 reps on one side, then switch.
Knee bends
Standing in chest-high water, extend your arms out to your sides at shoulder height, palms facing down. Using your arms to tread water and support your body, bend your knees into your chest, exhaling as you contract your abs. Hold for a one- to two-second count, then return your feet to the floor. Perform 12 to 20 reps or until you are fatigued.
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myth-busters
Fact or Fiction? Written by Brenda H. Welch
“Cracking your knuckles causes arthritis.”
“Thin people don’t get heart disease.”
Fiction. “No one has done a careful study to show that cracking knuckles does or doesn’t benefit you or cause you harm,” says John Hardin, M.D., a rheumatologist and chief scientific officer for the Arthritis Foundation. “It doesn’t benefit anything, so it’s probably not a great idea to do it.” Laughs Krista Lauro of Chesapeake: “I can’t believe this is a myth! My mother told my brother that all the time because he was constantly cracking his knuckles, and I believed it all these years!” Cracking knuckles is not for everyone, though—whether a person can crack them or not all depends on the amount of space between the joint bones and a person’s ability to relax them. The University of Alabama at Birmingham Health System reports that 25 percent of Americans habitually crack their knuckles.
Fiction. “I think people are often surprised when they are pretty lean and find out they have heart disease,” says Jennifer Chiusano, director of nursing for Sentara Heart Hospital in Norfolk. “They sometimes ask, ‘How can it happen to me?’, and the answer is, heart disease can take on many forms. Sometimes it can be congenital or an electrical [problem], which just confuses people who are thin.”
“Brown eggs are healthier to eat than white eggs.” Fiction. This is another medical myth that isn’t what it’s cracked up to be, according to Amy Batal, Ph.D., assistant professor of poultry nutrition at the University of Georgia. “While many people believe that brown eggs are healthier [to eat] than white eggs, the color of the shell has nothing to do with quality or nutritional value,” says Batal. “Egg color is determined by the breed of the hen. Breeds with white earlobes lay white eggs, while breeds with red earlobes lay brown eggs.”
“Cell phones interfere with hospital devices.” Fiction—at least in the digital age. Signs posted throughout hospitals warning visitors and patients to shut off their cell phones are not necessary, according to a study published in the March 2007 issue of Mayo Clinic Proceedings. The study’s researchers say normal use of cell phones results in no noticeable interference with patient care equipment. Virgil Smoot, director of Biomedical Services at Children’s Hospital of The King’s Daughters in Norfolk, says that although he still questions the safety of cell phones, his main concerns lie elsewhere. “There is a lot of speculation about [cell phones],” says Smoot. “The older analog units clearly created some interference throughout the industry with smoke alarms, infusion pumps, ventilators, etc., due to the power level they were operating at. The digital units are safer, but not foolproof. A much bigger threat, [however], are the walkie talkies that various departments utilize throughout the building. They operate at a higher power level than cell phones.” 18
Here, The Health Journal takes a close look at six popular health axioms and asked the experts whether they hold an ounce of truth or are mere myth.
THE HEALTH JOURNAL
JULY 2009
“If you go outside in cold weather with wet hair, you will catch a cold.” Fiction. MSN Health & Fitness (www.msn.health.com), a website dedicated to providing health news and resources, reports that the only way to catch a cold or the flu is by contracting a virus. Going out into the cold inadequately dressed, or with wet hair, does nothing to facilitate transmission. It’s true, though, that people are more prone to catching colds in the winter, and viruses are more easily shared when people are clustered together indoors.
“An apple a day keeps the doctor away.” Fiction—but they sure make for healthy eating. Who hasn’t heard this age-old adage? While there is no doubt about the health benefits of apples, which include antioxidants that help fight cancer, stroke and heart disease, a 2009 article published by Harvard Health Publications says recent studies show that apples are even more healthful than once thought. The authors cite a 2008 study published in the American Journal of Clinical Nutrition that links the high intake of flavonoids (plant-based nutrients found in apples, bran, pears, wine, grapefruit, strawberries and chocolate) with lower death rates among postmenopausal women with cardiovascular disease. The authors also cite a 2007 study in which researchers in the United Kingdom found that people who ate five apples a week had better lung function and a lower risk of asthma than people who did not eat apples. And according to a recent article on the Web site www.washingtonpost.com, the same goes for children born to mothers who ate apples throughout pregnancy. Two additional studies have linked apple intake with a lower risk of lung cancer. Many studies link the beneficial effects of apples to their high concentration of quercetin, a flavonoid. HJ
Red Yeast Rice Offers Cholesterol-Lowering Option new york (Reuters health)
T
ogether with lifestyle changes, red yeast rice can help reduce socalled “bad” cholesterol in people who cannot tolerate treatment with popular cholesterol-lowering drugs known as statins, according to a new study. Moreover, red yeast rice does not seem to have the side effects, including muscle pain, often experienced by those who cannot tolerate statin treatment, lead author Dr. David J. Becker, from the University of Pennsylvania School of Medicine, Philadelphia, and colleagues note in their report in the Annals of Internal Medicine. Red yeast rice is a dietary supplement that has been used for centuries in China as an herbal medication. Researchers knew that it lowered LDL cholesterol, but they had not determined whether it worked in people who could not take statins. Becker and his colleagues studied 62 patients with high cholesterol who had stopped taking statins because of muscle pain. The patients received either red yeast rice (1800 milligrams) or dummy pills twice per day for 24 weeks. All of the subjects also participated in a 12-week
therapeutic lifestyle change program, including visits with a cardiologist, dietician, exercise physiologist, and several experts in relaxation techniques. After 12 weeks and 24 weeks, those who received the red yeast rice saw their LDL levels, and their overall cholesterol levels, fall more than those who took the dummy pills. By contrast, levels of other forms of cholesterol and fats in the blood did not change. HJ
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FEATURE
Huntington’s Disease: Support groups in Virginia Beach and Newport News help local families find strength in numbers. Written By Brenda H. Welch Photography By Dawn Griffith
A
s a small group of people gathered around the dining room table in Marie Clay’s Virginia Beach home early one weekday morning, their eyes shifted from one person to another, periodically grazing past the spread of freshly baked cake and just-brewed coffee. While Clay’s home felt warm and inviting that morning, her guests seemed visibly distracted. One man tugged repeatedly at the front of his shirt; a woman chose to stand instead of sit, swaying slightly and clenching her fiancé’s hand for balance; and another woman had to keep herself from rudely staring at the base of Clay’s neck. It was jewelry that kept catching her eye. Clay wore two “The sense of community around simple necklaces, families facing Huntington’s is truly each drooping with unique….They are committed, a circular pendant. The onlooker’s curithey are driven, and they are osity got the better really, really strong.” of her, so she asked Clay what the circles —Louise Vetter, HDSA represented. “One circle has my kids’ and grandkids’ names on it,” said Clay. “The other one is pewter and represents a hope for a cure. I’ve worn it so much that it is tarnished, [and] my feeling is that I can get a new one and it will be all nice and shiny, but Huntington’s doesn’t get new or nice and shiny, so I’m keeping the tarnished one on.” Clay’s 38-year-old daughter Laurie nodded in agreement with her mother’s statement. In April 2000, Laurie was diagnosed with Huntington’s disease (HD), a progressively degenerative neurological disorder that she inherited from her father Phillip.
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What causes Huntington’s Disease? HD, which is also called Huntington’s chorea, is caused by a changed, or mutated, gene. Genes produce proteins that control brain development and function. For those with HD, the changed or mutated gene produces a defective protein that causes cell damage and destruction in the brain’s basal ganglia— structures deep within the brain that have many important functions, including coordinating movement—and the cortex, which controls thought, perception and memory. Though once considered a rare disease, HD is one of the more frequently encountered hereditary diseases. The Family Caregiver Alliance in San Francisco, Calif., estimates that 30,000 people nationwide have the disease, while another 200,000 are at risk of inheriting the disease. Those who have a parent with HD have a 50-percent chance of inheriting the defective gene, and which is passed randomly to children; some parents with HD may not pass the gene to any of their children, while some pass it to all of them. Also, HD does not skip generations, so if a child does not inherit the gene, he or she cannot pass it on to future generations. People who inherit the HD gene will eventually develop the disease if they don’t die of other causes (stroke, cancer, etc.) before HD progresses. HD affects both women and men and all ethnic groups, and anyone from two to 80-plus years of age can develop it. A person with the disease experiences a gradual decline over a period of 10 to 25 years, typically leading to the individual’s complete dependence on others. The affected person eventually dies from complications, such as heart failure or aspiration pneumonia, which is inflammation of the lungs and bronchial tubes from breathing in foreign material, usually food, liquids, vomit or saliva. Currently, no medications can halt or slow the progression of HD, but they can be effective in treating some of the common symptoms such as involuntary movements, depression and anxiety. Other interventions such as physical, occupational and speech therapy can help a person with HD maintain a high level of functioning.
FEATURE
A Roll of the Genetic Dice
“People kept telling me that I was tired and disorganized because I was a first-time mom, but I had a feeling there was more to it than that.” —Laurie Clay
In 1998 a genetic test confirmed suspicions that Laurie Clay, center, had inherited the HD gene from her father Phillip, who died from the disease in 2006. Surrounding Clay are her son MIchael, fiancee Michael Harris and mother Marie.
HD: Signs and symptoms According to the National Institute of Neurological Disorders and Stroke in Bethesda, Md., early signs of HD vary greatly from person to person. Typically, the earlier the symptoms emerge, the faster the disease evolves. Early symptoms include mood swings or uncharacteristic irritability, apathy, passiveness, depression or anger. These symptoms may lessen as the disease progresses or, in some individuals, may continue and include hostile outbursts or deep bouts of depression. HD may also affect an individual’s judgment, memory and other cognitive functions. Early signs may include difficulty with driving, learning new things, remembering a fact, answering a question or making a decision. Some people with early HD may even display changes in handwriting. As the disease progresses, concentration on intellectual tasks becomes increasingly difficult. In some individuals, the disease may begin with uncontrolled movements in the fingers, feet, face or trunk. These movements
are signs of chorea, an abnormal involuntary movement disorder that often intensifies when the person is anxious. HD can also begin with mild clumsiness or problems with balance. Some people develop choreic movements later, after the disease has progressed. They may stumble or appear uncoordinated. Chorea often creates serious problems with walking, increasing the likelihood of falls. The disease can reach the point where speech is slurred and vital functions, such as swallowing, eating, speaking and especially walking, continue to decline. Some individuals become unable to recognize other family members. Many, however, remain aware of their environment and are able to express emotions.
HD means major lifestyle shift for patients, families It’s been nine years since Laurie Clay’s diagnosis, and during that time the disease has extinguished many of her hopes—for a career in engineering, marriage to her fiancé Michael Harris, and active parenting of their
12-year-old son Michael. “In the early ’90s and throughout college, I had to repeat my courses because I started having organization and memory problems,” remembers Laurie, who worked in a chemical lab while in college but got fired because she was dropping things and miscalculating. “When we discovered in 1998 that my dad had it, I just needed [to get tested] to know,” she says. “Michael was three. People kept telling me that I was tired and disorganized because I was a first-time mom, but I had a feeling there was more to it than that.” Because Laurie’s cognitive and motor functions were already affected by the disease, she and her son Michael moved in with Marie Clay in 2001, while Harris, a security guard who worked two jobs, moved into a room at a Virginia Beach hotel where he was employed. Laurie and Michael decided not to marry because she was told she would lose her health benefits if Michael’s salary was factored in. When Laurie and her son moved in, Clay was already caring for her ex-husband Phillip, whose diagnosis of HD in 1998 occurred several years after their divorce. “I checked in on him many times for the sake of our children,” says Clay. After emergency room doctors discovered 32 blood clots on Phillip’s brain due to repeated falls, Clay decided to become his guardian. “But once Laurie was diagnosed, I could not handle the responsibility of caring for both of them, so I brought Phil to a nursing home in New York where our youngest daughter Kelly took over his care,” says Clay. In May 2006, Phillip Continued on page 23 THE HEALTH JOURNAL
JULY 2009
21
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FEATURE
Huntington’s Disease: A Roll of the Genetic Dice Continued from page 21
Marie Clay founded a Huntington’s disease support group in Virginia Beach last September.
“It’s like throwing a pebble in the pond,” a UVA geneticist says of testing for HD. “There are a lot of ripples that come out from this decision.”
made the decision to have his feeding tube removed. He died days later at the age of 57, surrounded by Clay, Laurie and Kelly. “We told him we would be OK, and it was OK for him to go into God’s arms,” says Clay, tearfully. “Moments later, he drew his last breath.” Since Laurie moved in with her mother in 2001, the disease has steadily robbed her of the ability to do the simplest tasks. She is unable to multi-task, has little short-term memory, and her speech is slurred and slow. She must drink from a straw at all times to prevent choking and is slowly losing control of her facial muscles, which makes it difficult for her to smile. Laurie also deals with constant neck pain, and it is uncomfortable for her to sit for any length of time or to lie down. When she lifts her arms and hands to wash her hair, she tends to lose her balance. Her motor skills have deteriorated so much that it is difficult for her to brush her teeth, stir cake batter or cut paper. Helping her son Michael with his fifth-grade homework is nearly impossible, and her lack of balance causes her to struggle with reaching into cabinets or taking laundry out of the washing machine or dryer. “[All parents] love their child,” says Clay, “but when you see your child’s personality change and [her] health go down the tubes, and [she] struggles with simple everyday things, you feel like someone sucked the air out of you. Laurie had such high aspirations for life with Michael and their son, like any young woman. I am trying to be the strong one for her, but there are days I just need to have a good cry.”
Reaching out for support To try to cope with her emotions, Clay began attending an HD support group once a month at Mary Immaculate Hospital in Newport News, but she found it difficult to make the meetings because of her schedule and the distance. Clay organized a support group in Virginia Beach, which began meeting last September. Currently, 24 people attend the group’s monthly meeting (see our Community Calendar for more information). Emery O’Connor of Virginia Beach also had difficulty making it to the meetings in Newport News, and she now attends Clay’s Virginia Beach support group. Her grandmother died from complications of the disease, and her father and four of his 11 siblings have it as well. “[It] always weighed on me that I had a 50-percent chance of having this, and when I experienced common things that everyone [with HD] experiences like anxiety, restless legs or the occasional loss of balance, I would automatically assume it was because I was in the early stages of Huntington’s,” says O’Connor, who is 38. “From 1995 to
2005, I cancelled at least three tests to see if I had the gene because I was scared. When I finally got the test, it came back negative, but I did it very wrong. I never had the counseling you are supposed to have.”
The HD gene and genetic testing In 1993, the discovery of the gene that causes HD led to the development of a genetic test for the disease. This blood test cannot indicate when symptoms will appear; it only indicates if the person carries the abnormal HD gene and will someday develop the disease. The decision to have the testing or not is a difficult one, according to Louise Vetter, chief executive officer of the Huntington’s Disease Society of America (HDSA), a national non-profit health agency based in New York that is dedicated to finding a cure for HD. “The disease has so many layers of implications [for] the family, because it is not just the person with the disease, it is the risk it places on other members of the family,” says Vetter. “That decision—do you get tested? don’t you get tested?—what does that mean? If you do test positive, is there going to be a meaningful treatment or cure in time for the person waiting for the disease to become symptomatic? It is all so difficult.” The HDSA recommends that at-risk individuals who are considering genetic testing do so at a testing center that follows HDSA guidelines. These centers require the at-risk person to meet with professionals who are knowledgeable about HD for one session devoted to each of the following: genetic counseling, a neurological exam, a psychological interview, discussion of the results and follow-up. The genetic test itself takes several weeks and is performed on a blood sample. Genetic testing for children is typically prohibited before age 18, as a child may not understand the full implications of testing and may be vulnerable to pressure from others. However, after a thorough neurological exam, a child under the age of 18 may be tested to confirm a diagnosis of juvenile-onset HD. (Fewer than 10 percent of individuals with HD develop symptoms before age 20.) In accordance with this recommendation, Laurie and Michael have decided that when their son Michael is 18 years old, they will allow him to decide whether or not to be tested for HD.
Virginia home to “Center of Excellence” In March 2000, the HDSA named the University of Virginia (UVA) Health System a “Center of Excellence” for the care of patients with HD and their families. The Huntington’s disease program at UVA became one of the first 10 HDSA Centers of Excellence in the nation and is still the only one in Virginia.
Continued on page 24 THE HEALTH JOURNAL
JULY 2009
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FEATURE Continued from page 23 HDSA Centers of Excellence serve as a focal point for care of people and families affected by HD. Their mission is to provide expert care, participate in research initiatives for the care and cure of HD and educate the community and medical providers. Patricia Allinson, genetic counselor and program coordinator at the UVA HD program, says getting tested for HD requires more than having blood drawn. “Before the person gets the test, we try to get the person to think about how a positive test result will affect their career, marriage plans, childbearing plans, their finances—it’s like throwing a pebble in the pond,” says Allinson. “There are a lot of ripples that come out from this decision, and we feel that [anybody who is considering testing needs to be thinking and role-playing] about what it will be like at the end to hear that yes, you did inherit the gene. We hope that they’ve done the work and we’ve done our jobs to help them be as prepared as they can be to hear that information.”
The realities of testing positive for HD Warren Keith of Virginia Beach learned in 1990 that he was at risk for the disease after receiving a phone call from his father saying he had been diagnosed with HD. At that time, Keith and his wife, Sherry Hoback, had just entered into their fifth year of marriage and were living in Alaska, where Keith was an aviation technician with the Coast Guard. Shortly after Keith’s father was diagnosed, his health insurance company dropped him because of the diagnosis, which made Keith and Hoback afraid for their own future. “We figured the only way we would be able to maintain any benefits would be to not get tested—to keep his father’s diagnosis quiet and try to make it through the 20 years in the military,” says Hoback. “Every day since then, I’ve been watching [Keith]. Sometimes I’d find myself just staring at him, waiting to see some type of sign that he had it, too.” After his retirement in 2003, Keith had the test done and was officially diagnosed with HD. “We already knew in our hearts at that point that he had it,” says Hoback. “He had already begun with the nervous ticks and issues with his speech. It’s been a long, hard road filled with secrets and fear to try and protect our family.” Dr. Karen Thomas, a neurologist with Sentara Neurology Specialists in Virginia Beach who underwent fellowship training in movement disorders, says the couple’s story is all too familiar. “It’s a very unfortunate situation, but it exists—that’s the way our system is,” says Thomas. “People with this disease will have their insurance taken
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Laurie’s son Michael has a 50-50 chance of developing HD; Laurie and her fiancee Michael Harris say they will encourage young Michael to get tested for HD when he turns 18.
away from them. It affects their potential for employment or their current employment. There are a lot of serious ramifications for just getting tested—so much so that many pay out of pocket to get it done.” Despite all the negatives that come along with an HD diagnosis, for both the individual and that person’s family, Louise Vetter of HDSA says there is a distinct feeling of optimism and hope among many in the HD community. “I am overwhelmed by the strength that I see in the individuals who are living with HD, by the caregivers taking care of a spouse or parent or a child and their perseverance to move forward, and by the strength and hope that if we just keep moving forward there is going to be meaningful treatment and a cure closer than you think. That is just incredibly heartwarming. Unlike any health issue that I am familiar with or have been involved with, the sense of community around families facing Huntington’s is truly unique. It is a relatively small community, and they are constantly working together to support research, to make sure that the best access to clinical care is out there, and there are very active online groups. It is just a family in a very different way. They are committed, they are driven, and they are really, really strong.” Another person encouraged by the progress made with HD is local neurologist Dr. Thomas Pellegrino, who was Laurie Clay’s doctor before becoming a full-time faculty member at Eastern Virginia Medical School in 2006. “There is much more information available than when I began practicing in this field 30 years ago,” says Pellegrino. “I think with advocacy groups like HDSA making the dis-
ease much more widely known, the number of resources available to people with the disease is much greater than it used to be, so people are much more aware of it than 25 to 30 years ago. For years and years, it was a frustrating field to work in. Research money is partially conditioned by how common the disease is, but it is also in part conditioned by how much progress is being made. Once you start to learn something and feel like you are getting somewhere, it is easier to start getting people interested in it. Public awareness is key.” Increasing public awareness of HD is something that Marie Clay and her family are committed to until there is a cure. Clay, along with the other members of the Virginia Beach Huntington’s Disease Support Group, raise money for research and for the UVA HD clinic through Green Planet Fundraising, an organization dedicated to improving the planet one tree at a time. Says Clay: “They are providing us with an environmentally responsible opportunity to raise money for research.” For every $10 donation toward sponsoring a tree, HDSA receives $5. The money raised by this effort will go directly to UVA and will be used to help fund continued research to find a cure for Huntington’s disease. Green Planet Fundraising will use its half of the donation to purchase, plant and maintain a tree. As for Clay and her daughter, they will continue to deal with the disease as best they can and continue fighting to be heard, not just for themselves but for everyone who either has HD or tests positive for the HD gene. HJ
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parenting
Many Teens Wired, Caffeinated Well Past Bedtime Written By Anne Harding NEW YORK (Reuters Health)
“Parents need to take steps to keep their children’s nighttime technology use under control.” — Dr. Christina J. Calamaro, Drexel University, Philadelphia
C
affeine-fueled teens are texting, Web-surfing and gaming for hours into the night, which is affecting their alertness and ability to function during the day, a new study in Pediatrics shows. “They’re up at night and they’re doing a lot less homework than we thought and a lot more multitasking,” Dr. Christina J. Calamaro of Drexel University in Philadelphia, the lead researcher on the study, told Reuters Health. She and her colleagues found that the more multitasking a teen did, the more likely he or she was to be dozing off during the day, while the kids who nodded off were also the heaviest caffeine consumers. Experts believe that teenagers need at least nine hours of sleep every night, Calamaro and her team note in their report, but the average sleep time for U.S. adolescents is seven hours. By surveying 100 12- to 18-yearolds, the researchers investigated whether teens’ use of technology and caffeinated beverages might affect how much sleep they got at night and how tired they felt during the day. To gauge how heavily the study participants used technology at night, Calamaro and her colleagues developed a measure they dubbed the “multitasking index”: the total number of hours a child spent doing each of nine different activities (watching TV, listening to MP3s, doing homework, and watching DVDs or videos, etc.) divided by nine—the number of hours from 9 p.m. to 6 a.m. Kids’ average multitasking index was about .6, meaning they were engaged in the equivalent of one of the nine activities for 5.3 hours
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A message from the Friends Reaching Every End Youth Leadership Program.
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or four activities for 80 minutes each. Just one in five of the study participants said they got eight to ten hours of sleep a night, and these teens had an average multitasking index of 0.39. One third of the study participants said they fell asleep in school, and these teens dozed off an average of twice a day, although some said they fell asleep as many as eight times a day. The higher a child’s multitasking index, the more likely he or she was to fall asleep in school. The teens’ average caffeine consumption was 215 milligrams (mg) daily, or the equivalent of a couple of espressos. Nearly three-quarters of the study participants were drinking more than 100 mg of caffeine a day, and there were a few with very heavy consumption, the researchers found; 11.2 percent drank over 400 mg of caffeine daily. One student reported drinking over 1,400 mg of caffeine every day. Fourteen of the study participants had their licenses, and half of them said they felt sleepy while driving; one of them admitted to falling asleep behind the wheel. “These adolescents who multitask the most are at risk for changes in school performance, difficulties with executive function, and degradation of neurobehavioral function,” Calamaro and her team warn. The researcher said that while the current study was small, she expects the findings accurately reflect teen behavior. “I won’t be surprised if and when we replicate this that we’ll get similar results, because this is what adolescents are doing.” Parents need to take steps to keep their children’s nighttime technology use under control, Calamaro said in an interview. It’s crucial to keep TVs, computers and especially cell phones out of kids’ bedrooms, she said. “The texting is a huge issue. I think we’ll find it to be a greater issue.” Parents should also discourage teens from drinking caffeinated beverages after noon, the researcher added. While teens’ body clocks may force them to stay up somewhat later than adults, and wake up later too, it’s still important for adults to convey the message that night is time to start slowing down, Calamaro added. “Even though we know adolescents are on a different time schedule, we can still get them less wired at night.” HJ
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environment
Bug-Borne Ills, Killer Heat How global warming affects human health Written By Deborah Zabarenko WASHINGTON (Reuters)
increasing the risk of diseases like cholera. Respiratory problems may be aggravated by warming-induced increases in smog. Other less obvious dangers are also potentially devastating. Pine bark beetles, which devour trees in western North America, will be able to produce more generations each year, instead of subsiding during winter months. They leave standing dead timber, ideal fuel for wildfires from Arizona to Alaska, said Paul Epstein of the Center for Health and the Global Environment at Harvard University.
“Tremendous” health costs Other insects are spreading in the United States, and while immediate protection is possible, the only real solution is to curb climate change, Epstein said in a telephone interview. “You can tuck your pants into your socks and be very vigilant, but ultimately, if we don’t stabilize the climate, it’s going to continue to increase... infectious diseases,” he said. Carbon dioxide emissions, from coal-fired power plants, steel mills and petroleum-fueled cars, trucks and boats, among
T
ree-munching beetles, malaria-carrying mosquitoes and deer ticks that spread Lyme disease are three living signs that climate change is likely to exact a heavy toll on human health. These pests and others are expanding their ranges in a warming world, which means people who never had to worry about them will have to start. And they are hardly the only health threats from global warming. The Lancet medical journal declared in a May 16 commentary: “Climate change is the biggest global health threat of the 21st century.” Individual threats range from the simple to the very complex, the Lancet said, reporting on a year-long study conducted with University College London. As the global mean temperature rises, expect more heat waves. The United Nations Intergovernmental Panel on Climate Change projects 25 percent more heat waves in Chicago by the year 2100; Los Angeles will likely have a four- to eight-fold increase in the number of heat-wave days by century’s end. These “direct temperature effects” will hit the most vulnerable people hardest, according to the U.S. Environmental Protection Agency, especially those with heart problems and asthma, the elderly, the very young and the homeless. The EPA has declared that carbon dioxide, a powerful greenhouse gas, is a danger to human health and welfare, clearing the way for possible regulation of emissions. At the same time, the U.S. Congress is working on a bill that would cap emissions and issue permits that could be traded between companies that spew more than the limit and those that emit less.
Rising seas, sultry air
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People who live within 60 miles of a shoreline, or about onethird of the world’s population, could be affected if sea levels rise as expected over the coming decades, possibly more than three feet (1 meter) by 2100. Flooded homes and crops could make environmental refugees of a billion people. As it becomes hotter, the air can hold more moisture, helping certain disease-carriers, such as the ticks that spread Lyme disease, thrive, the EPA said. A changing climate could also increase the risk of mosquito-borne diseases like malaria, dengue fever, yellow fever and various viral causes of encephalitis. Algae blooms in water could be more frequent, THE HEALTH JOURNAL
JULY 2009
“Climate change is the biggest global health threat of the 21st century.” other sources, do more than modify climate, Epstein said. They also stimulate ragweed, some pollen-bearing trees and fungi, extending the spring and fall allergy and asthma seasons. It is hard to quantify the potential financial cost of U.S. climatechange-related health problems, said Dr. Chris Portlier of the U.S. National Institute of Environmental Health Sciences. Some costs might actually decline if programs are put in place to cut greenhouse emissions from fossil fuels, which would also reduce some types of toxic air and water pollution. Without cuts in carbon dioxide emissions, that pollution will remain, and the other unhealthy effects of climate change will continue, including more severe floods, droughts, heat waves and storms. “You’ll get more extreme weather events that will occur more frequently...and so it just piles on in terms of the human health effects,” Portlier said. “And the cost will be tremendous, there’s little doubt of that.” HJ
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The best just got better Bon Secours is proud of our tradition of caring for families. We provide the highest level of care by continually improving and expanding the services and programs we offer. We welcome Dr. Thomas Peng as he joins Dr. Ronald Ramus and Dr. Robert Fuller in the Bon Secours Perinatal Center. He brings a wealth of knowledge and experience to o u r p e r i n a to l o g y team, with expertise in diagnosing and treating high risk and complicated pregnancies. Dr. Peng was formerly the Director of the Maternal-Fetal Medicine section of the VCU Health System. He attended medical school at University of Connecticut and completed his residency in internal medicine at Northwestern University Medical School and his OB/GYN residency at Johns Hopkins University. He is board certified by the American Board of Obstetrics and Gynecology for Obstetrics and Gynecology and Maternal-Fetal Medicine, and by the American Board of Internal Medicine.
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eye health
Age-Related Vision Loss: Four Common Causes Written By Amy Johnson
A
ccording to the American Association for the Blind, approximately 6.5 million Americans over the age of 65 are currently experiencing some sort of vision loss. In coming years, as the country’s population ages, experts believe that number could potentially double. The keys to preventing or delaying vision loss are proper screening and knowledge of family history. Doctors recommend regular eye examinations starting at age 40 even if you don’t have any vision problems. Comprehensive dilated eye exams are also recommended every two years after the age of 60. Dr. John Nordlund of Retina and Glaucoma Associates in Williamsburg says vision loss can occur slowly and that in many cases, people don’t realize that damage is occuring in their eyes until it’s too late. “A lot of eye diseases are controllable but not curable,” Nordlund explains. “It’s important to catch problems early on to prevent the most damage to your vision.” A 2004 study by the National Eye Institute identified the four most common age-related eye diseases as glaucoma, cataracts, diabetic retinopathy and age-related macular degeneration, or AMD. The following is a brief course in these causes of age-related vision loss: Age-related Macular Degeneration is the leading cause of blindness among adults age 50 and older. It occurs when the retina and its lower layers become damaged, resulting in distorted and blurred central vision. AMD is labeled as dry or wet; dry AMD can be diagnosed based on the presence of drusen—yellow and “A lot of eye white deposits in the eye—during a dilated diseases are retinal examination. controllable but Wet AMD, the less common form of the not curable” disease, is characterized by the growth of — Dr. John Nordlund, new blood vessels on Retina & Glaucoma the retina. Associates Prevention: While Nordlund says there is no exact way to prevent age-related macular degeneration, studies have pinpointed several risk factors such as smoking, obesity, high blood pressure, and a diet high in saturated fats and low in fruits and vegetables. Treatment: According to Nordlund, while vitamins and zinc are used to treat dry AMD, wet AMD is treated with a series of injections behind the eye that block the growth of new blood vessels. Glaucoma is a chronic eye disease that damages the optic nerve. Symptoms include
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loss of peripheral vision, sensitivity to light and poor night vision. African-Americans are at increased risk of developing glaucoma, as are those with a family history of the disease. Prevention: Glaucoma causes permanent damage to the eye, but early detection and treatment can minimize vision loss. Those with a family history of glaucoma or who have other risk factors should receive frequent eye examinations. During a routine eye exam, a tonometer is used to measure the pressure within the eye. The higher the pressure reading, the more likely the patient is to develop glaucoma. Treatment: All glaucoma treatments are aimed at lowering the intraocular pressure. Medications in the form of eye drops, along with laser procedures and surgery, can help minimize vision loss from glaucoma. Cataracts are caused by excess pigment in the lens of the eye, resulting in cloudy vision. “Most people [will] have cataracts by the time they are 80 years old,” says Nordlund. Symptoms can include poor night vision, sensitivity to light, and seeing distorted colors or halos around lights. Prevention: Studies have suggested that in addition to age, exposure to sunlight and cigarette smoking can increase one’s risk of developing cataracts. Researchers also believe that a healthy diet including fruits as well as green, leafy vegetables and other antioxidant-rich foods
can offer protective benefits. Treatment: Unlike most causes of vision loss, cataracts can be easily treated with lens replacement surgery. “Think of it as changing a lens in a camera,” Nordlund explains. Though cataracts can be corrected with surgery, vision loss resulting from them is more significant, particularly after the age of 60, without proper screenings and routine visits to an eye doctor. Diabetic retinopathy is the most common diabetic eye disease and a leading cause of blindness in American adults. It is caused by changes in the blood vessels and may take years to fully develop. In some patients, blood vessels in the eye will swell and leak fluid. Common symptoms are “spiders” or “cobwebs” or tiny specks floating in the visual field, as well as blurred vision and poor night vision, among other symptoms. Prevention: Adults with diabetes should have an annual dilated retinal exam. Early detection of retinal damage allows effective treatment with lasers or eye medications before vision loss occurs. Those with a family history of adult-onset diabetes (also known as Type 2 diabetes) should be screened regularly. Maintaining a healthy weight can also help prevent the disease. Treatment: Laser therapy, used to seal leaking blood vessels, and steroid injections behind the eye can help prevent diabetes-related vision loss. HJ
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July and August are Back to School Vision Months at N2 Eyes Comprehensive Optometry. As you make back to school preparations for your children, don’t forget to schedule an appointment for a full eye exam with Dr. Nathalie Cassis. Your child’s vision is essential to learning and many vision problems can go undetected without proper vision assessment. During these months, receive a $20 savings on your child’s frames and lenses with our Kid’s Protection Plan, which includes scratch-resistant lenses, tough frames and a 2-year warranty on frames and lenses. Stop in or call today for an appointment.
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Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222
Allergists & ENT Allergy & Asthma Specialists, Ltd. 2101 Executive Drive Hampton (757) 827-6298 12695 McManus Blvd., Ste. 1-C Newport News (757) 877-4101 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
Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032
Denbigh Chiropractic 13784-B Warwick Blvd. Newport News (757) 877-3770
Michael Covaney, DDS 760-E Pilot House Dr. Newport News (757) 596-6850
Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881
Egan Family Chiropractic 1078 Big Bethel Road Hampton (757) 838-2500
Ray A. Dail, DDS 716 Denbigh Blvd., Ste. A-4 Newport News (757) 872-7777
Venisse Georgalas, DC 702-A Middle Ground Blvd. Newport News (757) 591-9390
G. Curtis Dailey, DDS 534 Wythe Creek Rd. Poquoson (757) 868-6091 2118 Executive Dr. Hampton (757) 826-5075
Riverside PACE (Program of All-Inclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977 St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500 Sentara Nursing & Rehabilitation Center 2230 Executive Dr. Hampton (757) 224-2230 Shelton on the Bay 1300 N. Mallory St. Hampton (757) 723-6669 York Convalescent and Rehabilitation Center 113 Battle Road Yorktown (757) 898-1491 Zion Baptist Home for the Elderly 611 19th St. Newport News (757) 244-7171
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
Agape Home for Adults 1112 29th St. Newport News (757) 928-1999
Allen B. Nichols, MD 12720 McManus Blvd., Ste. 201 Newport News (757) 875-5332
Bayside Convalescent Center 1 Vantage Dr. Poquoson (757) 868-9960
Tidewater Heart Institute 2115 Executive Dr., Ste. 1-B Hampton (757) 825-4260
The Chesapeake 955 Harpersville Road Newport News (757) 223-1600
Riverside Heart Specialists 2112-B Hartford Rd. Hampton (757) 827-7754
Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953
Cardiovascular & Thoracic Surgeons
Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305 The Devonshire 2220 Executive Dr. Hampton (757) 827-7100
Tidewater Thoracic and Cardiovascular Surgery 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511
Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335
childbirth resources
Eden Court 1034 Topping Lane Hampton (757) 826-5415 Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701 Hidenwood Retirement Community 50 Wellesley Dr. Newport News (757) 930-1075 Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010 James River Convalescent and 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
Gunderman Chiropractic & Wellness Center 5701 Geo. Washington Mem. Hwy. Yorktown (757) 874-5666 Japhet D. LeGrant, DC 950 Big Bethel Rd. Hampton (757) 825-8010 Manadero Chiropractic 727 J. Clyde Morris Blvd., Ste. B Newport News (757) 595-8433 Nimmo Chiropractic Clinic M.T. Nimmo, DC, PC 718 J. Clyde Morris Blvd. Newport News (757) 595-8077 Scott E. Olney, DC 1056 Harpersville Rd. Newport News (757) 596-9696 Optimum Chiropractic, PC 610 Thimble Shoals Blvd., Ste 202-A Newport News (757) 594-9412 Pahnke Chiropractic and Wellness Care 755-A Thimble Shoals Blvd. Newport News (757) 873-2225 Poquoson Chiropractic Clinic 370-A Wythe Creek Rd. Poquoson (757) 868-7709
David L. Forrest, DDS 729 Thimble Shoals Blvd., Bldg. 7-A Newport News (757) 873-8800 Geary Family Dentistry, PLLC 105 Terrabonne Rd. Yorktown (757) 898-4661 Gentle Caring Dentistry 703 Thimble Shoals Blvd., Ste. C-3 Newport News (757) 594-9005
Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182
Spine Care of Tidewater, PC 2204-A Executive Dr. Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483
Clifford T. Goodwin, DDS 12610 Patrick Henry Dr., Ste. G Newport News (757) 930-3744
Kevin S. Steele, DC 183 Woodland Rd. Hampton (757) 723-1899 Svhila Chiropractic Clinic 200-A City Hall Ave. Poquoson (757) 868-9499 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
Barry Lee Green, DMD 716 Denbigh Blvd., Ste. C-2 Newport News (757) 874-5455
Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304
Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155
Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300
Walton L. Bolger, DMD 12695 McManus Blvd., Bldg. 4/Ste. A Newport News (757) 877-1999
Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800
Kevin L. Conover, DC 10866 Warwick Blvd. Newport News (757) 591-8834
City Center Dental Care 709 Mobjack Place Newport News (757) 873-3001
JULY 2009
Jeffrey G. Sotack, DDS 2111 Hartford Rd. Hampton (757) 826-9595
Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233 TPMG Imaging Center 860 Omni Blvd., Ste. 102 Newport News (757) 873-0848
Family Practice
Jeff W. Bass, DDS 4410 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788
Henry A. Cathey 710 Denbigh Blvd., Ste. 1-C Newport News (757) 874-5511
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
Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511
Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667
A Family Chiropractic Center 121 Hampton Hwy. Yorktown (757) 867-7787
Christopher Connolly, DC 11832 Fishing Pt. Dr., Ste. 200 Newport News (757) 246-7246
John Shepherd Jr., DDS Scott J. Golrich, DMD 4030 Geo. Wash. Mem. Hwy. Yorktown (757) 898-4646
Riverside Endocrinology, Diabetes & Metabolism Center 11844-B Rock Landing Drive Newport News (757) 534-5050
Guy G. Levy, DDS Mayer G. Levy, DDS 367 Denbigh Blvd. Newport News (757) 877-9281
Northampton Convalescent and Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922
Jon L. Scott, DDS 1186 Big Bethel Rd. Hampton (757) 825-6280
Riverside Diagnostic and Breast Center 895 Middle Ground Blvd., Ste. 104 Newport News (757) 594-3900 850 Enterprise Pkwy., Ste. 1500 Hampton (757) 251-7800
Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334
D. Mark Babcock, DMD 640 Denbigh Blvd., Ste. 1 Newport News (757) 874-4420
Caring for Kids and Parents 901 Enterprise Pkwy., Ste. 500 Newport News (757) 249-4500
Loretta Rubenstein, DDS 12725 McManus Blvd. Newport News (757) 874-0990
Oyster Point Radiology, Inc. 11835 Fishing Point Dr., Ste. 201 Newport News (757) 873-8823
HELP Free Dental Clinic 1310 Todds Lane Hampton (757) 848-5396
Abbott Family Chiropractic 2021-A Cunningham Dr., Ste. 3 Hampton (757) 838-8820
Chiropractic Wellness & Rehabilitation 716-A Thimble Shoals Blvd. Newport News (757) 873-4131
Gary A. Riggs, Jr., DMD 1610-B Aberdeen Rd. Hampton (757) 838-3830
Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444
Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300
Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530
Beverly E. Boon, DC 813 Forrest Drive, Ste. 4 Newport News (757) 596-7605
Port Warwick Dental Arts 251 Nat Turner Blvd. Newport News (757) 223-9270
Open Multi-positional MRI Center 730 Thimble Shoals Blvd., Ste. 120 Newport News (757) 926-4351
DonnaMaria Tapp-Reid, DDS 2202-E Executive Drive Hampton (757) 838-8855
Mitchell A. Avent, DDS Mark A. Huie, DDS 12725 McManus Blvd., Bldg. 1, Ste. A Newport News (757) 874-0660
Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765
Jon E. Piche, DDS 4310 Geo. Washington Mem. Hwy. Yorktown (757) 874-1777
Mid-Atlantic Imaging Centers 750 McGuire Place, Ste. A Newport News (757) 223-5059
William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152
Chiropractic & Acupuncture
Bayview Chiropractic Clinic 1204 E. Pembroke Ave. Hampton (757) 723-1496
Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711
Roslind McCoy-Sibley 2204-C Executive Dr. Hampton (757) 838-1100
Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259
Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651
Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919
Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810
Dorothy Hoefer Breast Imaging Center 1031 Loftis Blvd. Newport News (757) 595-5474
Endocrinology
Robert M. Alexander, DDS 105 Terrabonne Rd. Yorktown (757) 898-4625
Back in Action 11830-C Canon Blvd. Newport News (757) 873-7786
William Pearlman, DDS 1959 E. Pembroke Ave. Hampton (757) 723-6565
Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714
Tabb Family Denistry 106 Yorktown Road Yorktown (757) 867-9000
Christine Morales, CD (DONA) 125 Hildago Dr. Hampton (757) 303-5775
Atlas Specific Chiropractic 640 Denbigh Blvd., Suite 4 Newport News (757) 283-6929
Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921
Breast Diagnostic Center 704 Thimble Shoals Blvd., Ste. 600 Newport News (757) 595-8650
W. Mark Stall, DDS 223 Fox Hill Rd. Hampton (757) 851-5939
Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577
Almloff Acupuncture 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 596-8451
Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655
Diagnostic Imaging
Hampton Roads Oral & Maxillofacial Surgery 901 Enterprise Dr., Ste. 100 Hampton (757) 825-8355 716 Denbigh Blvd., Ste. C-1 Newport News (757) 874-6501
David J. Alexander, DDS 2019 Cunningham Dr., Ste. 314 Hampton (757) 838-2201
Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880
HEALTH JOURNAL
Family Care 802 Old Oyster Point Rd. Newport News (757) 595-2510
Burt H. Rubin, DC 183 Woodland Road Hampton (757) 723-3893
The Newport 11141 Warwick Blvd. Newport News (757) 595-3733
Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890
Rebound Chiropractic 11790 Jefferson Ave., Ste. 205 Newport News (757) 873-8701
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
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Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366
Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530
Charney Chiropractic Back Rehabilitation & Wellness 11842 Rock Landing Dr., Ste. 110 Newport News (757) 873-9580
Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675
James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712
Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200
John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210
Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322
Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102
Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200
Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979
J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407
Nancy Ayers, MD 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-4441
Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990
Tammy Beavers, MD 1405-K Kiln Creek Pkwy. Newport News (757) 872-7200 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588
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
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
Pariser Dermatology Specialists 11842 Rock Landing Dr., Ste. 120 Newport News (757) 595-8816
Harold E. Cloud Jr., MD 2726 W. Mercury Blvd. Hampton (757) 825-1500
Quarles Dermatology 304-A Marcella Rd. Hampton (757) 827-3046
Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420
Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975
Schumann Dermatology Group One Park Place 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091
Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411
William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320
George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617
Ken J. Tomkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440
K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832
Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626
Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979
Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Doctors’ Clinic, LTD 7320 Warwick Blvd. Newport News (757) 244-7901 Elizabeth Lakes Family Practice 191-D Fox Hill Road Hampton (757) 850-1311
Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822
Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880
Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717
Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273
Peninsula Surgical & Trauma Services 500 J. Clyde Morris Blvd., Ste. 601 Newport News (757) 534-5300
C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066
Curves for Women 5336 Geo. Washington Mem. Hwy. Grafton (757) 898-8300 3835 Kecoughtan Rd. Hampton (757) 723-3600 1814-A Todds Lane Hampton (757) 265-9200 Willow Oaks Village Square 227 Fox Hill Rd. Hampton (757) 851-5800 555 Denbigh Blvd. Newport News (757) 872-8720 328 Oyster Point Plaza Newport News (757) 249-9300 10860 Warwick Center Newport News (757) 596-2121 477-C Wythe Creek Rd. Poquoson (757) 868-1488 3301 Hampton Hwy. Yorktown (757) 867-7150
Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335
Fitbody/Strongbody 735 Thimble Shoals Blvd., Ste. 120 Newport News (757) 874-3488
Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572
J. Matthew Halverson, DO, FAAFP 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588
Fyzique Fitness Center 8100-F Geo. Washington Mem. Hwy. Yorktown (757) 283-5303
Hand Surgery
Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602
Gold’s Gym 815 Middle Ground Blvd. Newport News (757) 599-4653
James River Family Practice 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588
Hampton Senior Center 3501 Kecoughtan Rd. Hampton (757) 727-1601
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
John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969
Northampton Community Center 1435-A Todds Ln. Hampton (757) 825-4805
Mercury West Medical Center 2148 W. Mercury Blvd. Hampton (757) 827-1940
North Phoebus Community Ctr. 249 West Chamberlin Ave. Hampton (757) 727-1160
Health Products & Equipment
Old Hampton Family Practice 200 Eaton Street Hampton (757) 726-5000
Old Hampton Community Center 201 Lincoln St. Hampton (757) 727-1123
Advanced Nutrition 209 Village Ave. Yorktown (757) 872-8865
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
Bike Beat 120 Ottis Street, Ste. 118 Newport News (757) 833-0096
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
Conte's Bicycle & Fitness 9913 Warwick Blvd. Newport News (757) 595-1333
Patriot Primary Care 2855 Denbigh Blvd. Grafton (757) 968-5700
Piyo Pilates Studio 101 Nat Turner Blvd. Newport News (757) 218-5505
Food Herbs & More 2821 Denbigh Blvd. Yorktown (757) 898-0100
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
Freewheel Bicycle Shop 12440 Warwick Blvd. Newport News (757) 596-6320
Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073
Riverside Kettlebells Yorktown (757) 645-7586
General Nutrition Center 605 Newmarket Dr. Hampton (757) 838-5930 23 Town Center Way Newport News (757) 896-3794
Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001 48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709 Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141
Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800
Sentara Center for Health & Fitness 4001 Coliseum Drive Hampton (866) 760-2658
Linda Schneider, MD 2019 Cunningham Dr., Ste. 202 Hampton (757) 827-0767
Total Fitness 6120 Jefferson Ave. Newport News (757) 827-0629
Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012
Traveling Fitness for Women Hampton - Newport News (757) 593-5912
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
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
TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992
Gastroenterology
TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880
Colonial Gastroenterology 11803 Jefferson Ave., Ste. 230 Newport News (757) 534-7701
TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755
Gastroenterology Specialists 410-A Marcella Rd. Hampton (757) 826-6539
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
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
Bally Total Fitness 12555 Hornsby Lane Newport News (757) 249-1315
Dominion Surgical 4000 Coliseum Dr. Ste. 320 Hampton (757) 827-2202
Body-in-Balance 12482-A Warwick Blvd. Newport News (757) 715-6906
Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434
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
Robert M. Campolattaro, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 827-2480
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 Miracle Ear 100 Newmarket Fair Newport News (757) 825-9477
Hospice & Home Care
Health Careers
Amedisys Home Health Services 804 Omni Blvd., Ste. 102 Newport News (757) 223-5424
Riverside School of Health Careers 316 Main Street Newport News (757) 240-2200
Amour Home Care, Inc. 3114 Chestnut Ave. Newport News (757) 245-5100
Health Departments
Bayada Nurses 7151 Richmond Rd. Williamsburg (757) 565-5400
Hampton Health District 3130 Victoria Blvd. Hampton (757) 727-1172 Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300
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 Care Advantage 12528 Warwick Blvd. Toll-Free: (877) 595-9676 Comfort Keepers 11847 Canon Blvd., Ste. 3 Newport News (757) 766-2311 Concordia Private Care 729 Thimble Shoals Blvd. Newport News (757) 873-1966 Elite Healthcare 12388 Warwick Blvd., Ste. 306-C Newport News (757) 926-4641 Family Centered Resources 11847 Canon Blvd., Ste. 12 Newport News (757) 596-3941
Tama Home Health Care Services 600 Thimble Shoals Blvd., Ste. 350 Newport News (757) 873-3315 Visiting Angels Tidewater 12388-203 Warwick Blvd. Newport News (757) 599-4145
TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794
BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000
Medical Transportation
Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000
Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090
HELP Free Clinic 317 Rip Rap Rd. Hampton (757) 723-0648
LogisiCare Toll-Free (866) 386-8331
I & O Medical Center 530 Aberdeen Road Hampton (757) 825-1100 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 MedExpress Urgent Care 4740-A Geo. Washington Mem. Hwy. Yorktown (757) 890-6339 Patient First 611 Denbigh Blvd. Newport News (757) 283-8300 Peninsula Institute for Community Health 4714 Marshall Ave. Newport News (757) 380-8709 15425 Warwick Blvd., Ste. H Newport News (757) 874-8400 Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000
Peninsula Agency on Aging Newport News (757) 873-0541 Pittman’s Medical Transport 164 Winchester Dr. Hampton (757) 825-2605 Toll-Free (800) 322-3451 Riverside Goldencare 5033 Geo. Washington Mem. Hwy., Ste. B Yorktown (757) 856-7030
Nephrology & Renal Health DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585 Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090
Sentara Careplex Hospital 3000 Coliseum Drive Hampton (757) 736-1000
Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125
Sentara Port Warwick Medical Arts 1031 Loftis Blvd. Newport News (757) 736-9810
Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469
Sentara Urgent Care 747 J. Clyde Morris Blvd. Newport News (757) 599-6117
Hypnosis Ageless Balance Hypnotherapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838
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 and Meditation 100 Bridge Street, Ste. D Hampton (757) 968-7365
Home Care Alternatives 12388 Warwick Blvd., Ste. 301-D Newport News (757) 236-5062
Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450
Granma T’s 4161 William Styron Square N. Newport News (757) 594-9868
Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090
Susan C. Nicholson, PhD, LCSW Newport News (757) 873-2307
Health Haven 12452 Warwick Blvd. Newport News (757) 595-6634
Home Instead Senior Care 555 Denbigh Blvd., Ste. B Newport News (757) 886-1230
Health Trail Natural Foods 10848 Warwick Blvd. Newport News (757) 596-8018
Hope in Home Care Skilled Care Division 11835 Rock Landing Dr. Newport News (757) 873-3410 Hope in Home Care 11828 Canon Blvd. Newport News (757) 873-0030
Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011
Hospitals & Clinics
Elise Fee 11847 Canon Blvd., Ste. 8 Newport News (757) 812-1653 100 Bridge St., Ste. D Hampton (757) 812-1653
The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404
Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920
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 Riverside Medical Specialists 12420 Warwick Blvd., Bldg. 3, Ste. B Newport News (757) 594-2081
Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090 Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009
Neuropsychology Terry J. Gingras, PhD 710 Denbigh Blvd., Ste. 6-B Newport News (757) 833-7107 Hampton Roads Neuropsychology 739 Diligence Drive, Ste. 704 Newport News (757) 498-9585 Marsha Lewis, PhD Lisa Newman, PsyD Mona L. Tiernan, PsyD 245 Chesapeake Ave. Newport News (757) 928-8340 Neuropsychology Associates of Hampton Roads 708 Mobjack Place Newport News (757) 873-1958
Neurology & Neurosurgery Hampton Roads Neurology 500 J. Clyde Morris Blvd. Newport News (757) 594-2767 850 Enterprise Pkwy., Ste. 1400 Hampton (757) 637-7500
Hospice Community Care 1064 Loftis Blvd., Suite C-2 Newport News (757) 594-0288
Internal Medicine
Hampton Roads Neurosurgical & Spine Specialists 730 Thimble Shoals Blvd., Ste. 110 Newport News (757) 595-7608
Immediate Care Assisted Living 2019 Cunningham Dr., Ste. 312 Hampton (757) 838-0900
Denbigh Internal Medicine 1000 Old Denbigh Blvd. Newport News (757) 872-7003
Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797
Interim Healthcare 610 Thimble Shoals Blvd., Ste. 303-B Newport News (757) 873-3313
Melvin G. J. Green, MD 4001 Coliseum Dr., Ste. 300. Hampton (757) 827-2030
Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266
Lillies in the Valley Private Duty 11747 Jefferson Ave.. Ste. 6-B Newport News (757) 873-0711
Hannibal E. Howell, MD 55 E. Tyler St. Hampton (757) 723-2674
Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180
Hearing & Audiology
Maxim Healthcare Services 739 Thimble Shoals Blvd., Suite 503 Newport News (757) 595-8822
Internal Medicine 716 Denbigh Blvd., Ste. C-4 Newport News (757) 872-9808
Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932
Nurses 4 You, Inc. 4112 Geo. Washington Mem. Hwy., Ste. 3 Yorktown (757) 833-3200
Melvin R. Johnson, MD 3451 Victoria Blvd. Hampton (757) 723-9380
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
ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505
Peninsula Pharmacy Home Infustion Services 11833 Canon Blvd., Ste. 114 Newport News (757) 594-3944
Robert N. Lowe, MD 2501-A Marshall Ave. Newport News (757) 247-3910
Non-Profit Organizations
Hampton Roads ENT-Allergy 901 Enterprise Parkway, Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338
Personal Touch Home Care & Hospice of Va., Inc. 732 Thimble Shoals Blvd., Ste. 203 Newport News (757) 595-8005
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 Lifeline 5033-B Geo. Wash. Mem. Hwy., Ste. C Yorktown (757) 856-7030 Smoothie King 2040 Coliseum Dr., Ste. 13-A Hampton (757) 262-1588 Virginia Home Medical 11842 Canon Blvd. Newport News (757) 873-1700 The Vitamin Shoppe 12266 Jefferson Ave. Newport News (757) 249-3697
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
Riverside Home Care 856 J. Clyde Morris Blvd., Ste. C Newport News (757) 594-5600 Riverside Hospice 12420 Warwick Blvd., Ste. 7-D Newport News (757) 594-2745
Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800
Riverside Lifeline 5033 Geo. Washington Mem. Hwy., Ste. C Yorktown (757) 856-7030
Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891
Sentara Home Care Services 2713-G Magruder Blvd. Hampton (757) 766-2600
Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431
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
THE HEALTH JOURNAL
JULY 2009
33
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 Center for Child & Family Services 2021 Cunningham Drive, Ste. 400 Hampton (757) 838-1960 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd., Ste. 2E Newport News(757) 833-7845 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) 930-1422 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 Protect our Kids P.O. Box 561 Hampton (757) 727-0651 RSVP-VP (Retired/Senior Volunteers) 12388 Warwick Blvd., Ste. 201 Newport News (757) 595-9037 The Salvation Army 1033 Big Bethel Rd. Hampton (757) 838-4875 The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757 SEDONA (Sending Equipment & Drugs Overseas to Non-Governmental Agencies) 2112 Executive Dr. Hampton (757) 826-3748 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 Colonial OB/GYN Associates 716 Denbigh Blvd., Ste. E-2 Newport News (757) 874-2790 Wetchler & Dineen GYN 12700 McManus Blvd., Ste. 102-A Newport News (757) 874-8696 Norman R. Edwards, MD 610 Thimble Shoals Blvd., Ste. 404 Newport News (757) 873-0712 Charlie M. Faulk, MD 704 Gum Rock Court, Ste. 300 Newport News (757) 873-3808 Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369 Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900 Debra L. Hall, MD 11745 Jefferson Ave., Ste. 10-A Newport News (757) 596-6300 Drs. Lockart, Yeatts 827 Diligence Dr., Ste. 210 Newport News (757) 873-0551
34
HEALTH JOURNAL
Maternal-Fetal Medicine 500 J. Clyde Morris, Bldg. G, Ste. 200 Newport News (757) 594-3636
Dr. Peter L. Guhl, PLC & Associates 4102 Geo. Washington Mem. Hwy. Yorktown (757) 890-2020
Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334
OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900
OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979
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
Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846
Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453
Dr. John Kauffman & Associates 2157 Cunningham Dr. Hampton (757) 826-3937
Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661
Lenscrafters 1800 W. Mercury Blvd. Hampton (757) 825-3044 12300 Jefferson Ave. Newport News (757) 249-3091
Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166
Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709 Peninsula Medical Center for Women 10758-A Jefferson Ave. Newport News (757) 599-6389 Peninsula WomanCare 11842 Rock Landing Dr., Ste. 115 Newport News (757) 595-9905 Planned Parenthood 910 W. Mercury Blvd. Hampton (757) 826-2079
N2 eyes Comprehensive Optometry 11045 Warwick Blvd. Newport News (757) 594-4018
Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555
Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655
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 Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Cancer Institute 12100 Warwick Blvd., Ste. 201 Newport News (757) 534-5555 Radiation Oncology Specialists 12100 Warwick Blvd., Ste. 102 Newport News (757) 594-2644 Sentara Cancer Institute 3000 Coliseum Dr., Ste. 100 Hampton (757) 827-2430 Surgical Oncological Associates 11803 Jefferson Ave., Ste. 235 Newport News (757) 594-1806 Virginia Oncology Associates 1051 Loftis Blvd., Ste. 100 Newport News (757) 873-9400 3000 Coliseum Drive, Ste. 104 Hampton (757) 827-9400
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 TPMG Ophthalmology 860 Omni Blvd., Ste. 201 Newport News (757) 223-5321 Virginia Eye Consultants 2101 Executive Drive Hampton (757) 826-4702 Wagner Macula & Retina Ctr. 300 Marcella Rd. Hampton (757) 481-4400
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
Pain Management Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Pain Management Center 4000 Coliseum Dr., Ste. 340 Hampton (757) 827-2230 Pain Management & Rehabilitation Specialists 245 Chesapeake Ave. Newport News (757) 928-8040 Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291 PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229 Riverside Pain Management & Infusion Center 12420 Warwick Blvd., Ste. 3-C Newport News (757) 534-5055
Pediatrics Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111 The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070 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
Optometry
Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910
Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009
Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889
Natalie Cassis, OD, FAAO 11045 Warwick Blvd. Newport News (757) 594-4018
Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188
Clearvision Optometry Kenneth L. Arndt, OD 422 Oriana Road Newport News (757) 875-0675
Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160
JULY 2009
George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400
York Pediatrics 5033-B Geo. Washington Mem. Hwy. Yorktown (757) 969-1500
Pharmacies Costco Wholesale 1212 Jefferson Ave. Newport News (757) 746-2002 Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253 East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554 Glendale Pharmacy 12444 Warwick Blvd. Newport News (757) 595-3355 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 Medicap Pharmacy 956 J. Clyde Morris Blvd. Newport News (757) 599-9643 Mercury West Discount Pharmacy 2148 W. Mercury Blvd. Hampton (757) 827-1938 Poquoson Pharmacy 498 Wythe Creek Rd. Poquoson (757) 868-7114
Physical Therapy NOW 704 Thimble Shoals Blvd., Ste. 400-A Newport News (757) 591-2668 Pinnacle Hand Therapy 11712-D Jefferson Ave. Newport News (757) 595-4880 Riverside Rehabilitation Institute - Inpatient Services 245 Chesapeake Avenue Newport News (757) 928-8000 Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097 Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090 Sentara CarePlex Therapy Center 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2070 Summit Rehab 101 Eaton St., Ste. 101 Hampton (757) 722-1210 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 Tidewater Lymphedema Treatment Center 12655-B Warwick Blvd. Newport News (757) 599-5551 Virginia Health Rehab 204 Nat Turner Blvd. Newport News (757) 594-0330
Plastic & Cosmetic Surgery Carney Center for Cosmetic & Plastic Surgery 716-C Denbigh Blvd. Newport News (757) 886-9197 Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700 Peninsula Cosmetic & Reconstructive Surgery 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486
Prosthetics & Orthotics 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 Associated Counselors of Tidewater 2019 Cunningham Dr., Ste. 220 Hampton (757) 825-9181 Associates of Hampton Roads 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-2307 Associates of York 205 Hampton Highway Yorktown (757) 865-1843 Behavioral Medicine Institute 606 Denbigh Blvd., Ste. 100 Newport News (757) 872-8303 Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060 Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900 Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144 Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735 Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700 Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958 Community Services Board - Adult and General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200
Plastic Surgery Center of Hampton Roads 895 Middle Ground Blvd., Ste. 300 Newport News (757) 873-3500
Community Services Board - Child and Adolescent Psychiatry 600 Medical Drive Hampton (757) 788-0600
Rite Aid Pharmacy Visit www.riteaid.com for local listings.
John M. Pitman III, MD 11803 Jefferson Ave. Newport News (757) 223-5861
Connected Counseling Services 780 Pilot House Dr., Ste. 100-A Newport News (757) 223-7821
Sam’s Club Pharmacy 12407 Jefferson Ave. Newport News (757) 874-2096
Podiatry
Betty Eastman, LCSW and Associates, Inc. 200 City Hall Ave., Ste. E Poquoson (757) 868-0072
A to Z Family Footcare 12695 McManus Blvd., Ste. 1D Newport News (757) 561-8671
F. Lanier Fly, LPC St. George T. Lee, MDMA 718 J. Clyde Morris Blvd. Newport News (757) 873-8566
Portside Pharmacy 1101 William Styron Square S. Newport News (757) 327-0780
Target Pharmacy 1911 Saville Row Hampton (757) 827-8024 12130 Jefferson Ave. Newport News (757) 881-9371 Walgreen Drug Stores Visit www.walgreens.com for local listings. Wal-Mart Pharmacy Visit www.walmartpharmacies.com for local listings.
Physical Therapy & Rehabilitation Aquatic Therapy of Virginia 525-E Oyster Point Rd. Newport News (757) 269-0430 Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220 Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470 Dominion Physical Therapy 466 Denbigh Blvd. Newport News (757) 875-0861 11848 Rock Landing Dr., Ste. 302 Newport News (757) 591-2022 304-E Marcella Rd. Hampton (757) 825-9446 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 Hampton Physical Therapy 2107 Hartford Rd. Hampton (757) 825-1700 Hand Rehabilitation of Virginia 11848 Rock Landing Dr., Ste. 303 Newport News (757) 873-8839 Mary Immaculate Outpatient Physical Therapy - Denbigh 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 Mary Immaculate Outpatient Physical Therapy - Victory YMCA 101-A Long Green Blvd. Yorktown (757) 952-1900 Mary Immaculate Outpatient Phsyical Therapy, Occupational Therapy & Speech Therapy 2 Bernadine Drive Newport News (757) 886-6480
Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800 Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170 American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101 Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425 David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424 Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111
Genesis Counseling Center 2202 Executive Dr., Ste. C Hampton (757) 827-7707 Hampton Mental Health Assoc. 2208-A Executive Dr. Hampton (757) 826-7516 Hampton Roads Behavioral Health 304 Marcella Road, Ste. B Hampton (757) 827-7350 Hampton Roads Counseling Center 6515 Geo. Washington Mem. Hwy. Grafton (757) 877-9140 Holistic Mental Health, Inc. Hampton (757) 826-2514 Insight Nuerofeedback & Counseling P.O. Box 6378 Newport News (757) 345-5802 Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972 Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240
TPMG Podiatry 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657
Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852
Womick Podiatry Clinic 704 Thimble Shoals Blvd., Ste. 300-B Newport News (757) 595-7634
Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120
Preventative Medicine
Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701
Healthspan of Hampton Roads 11747 Jefferson Ave., Ste. 1A Newport News (757) 969-3876 Longevity Center of Va. 11000 Jefferson Ave. Newport News (757) 599-7899
Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353 Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025
Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938
Healthy Touch 11830-C Canon Blvd. Newport News (757) 595-0029
PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080
Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336
Institute of Health & Healing Life Enrichment Center, Inc. 11847 Canon Blvd., Ste. 8 Newport News (757) 873-3900
Charles E. Umstott, MD 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511
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 Thimble Shoals Counseling and Therapy Center 703 Thimble Shoals Blvd., Ste. A-3 Newport News (757) 873-3401 Therapy Associates of Denbigh 12725 McManus Blvd., Ste. 2-G Newport News (757) 874-1676 Viola Vaughan-Eden, PhD, LCSW 610 Thimble Shoals Blvd., Ste. 301-D Newport News (757) 594-6011 Virginia Psychological Services 732 Thimble Shoals Blvd., Ste. 705-K Newport News (757) 873-4744 Elaine S. Whitaker, LCSW 2101 Executive Drive Hampton (757) 838-4144
Pulmonology & Sleep Disorders
JonBre European Spa 3630-H Geo. Washington Mem. Hwy. Yorktown (757) 867-1190 The Michael Hickman Salon 5328 Geo.Washington Mem. Hwy. Yorktown (757) 898-4772 Nail Hair & Massage 3016 W. Mercury Blvd. Hampton (757) 262-0555 Natural Nail Care Clinic & Spa 815 Middle Ground Blvd. Newport News (757) 873-6840 Ohm Spa Sanctuary 707 Mariners Row, Ste. 103 Newport News (757) 271-8813 Oyster Point Massage Therapy 815-C Blue Crab Rd. Newport News (757) 873-0075 Ritz Internationale Hair Design 36 Coliseum Crossing Hampton (757) 838-4247 Salon Vivace Commerce Place Shopping Ctr. Newport News (757) 873-1775
Shane’s Salon & Day Spa 101 York Crossing Rd. Yorktown (757) 898-1299 Shear Touch Salon & Spa 1700 Geo. Washington Mem. Hwy., Ste. H Yorktown (757) 246-3010 Sona Medspa 827 Diligence Dr., Ste. 206 Newport News (757) 599-9600
Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350
Soothing Moments Massage Therapy 11747 Jefferson Ave. Newport News (757) 595-2209
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
Spas & Massage A Day Spa Massage Therapy 2206 Executive Dr. Hampton (727) 826-7616 Ageless Massage Therapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838 A Healing Touch Massage 15525 Warwick Blvd. Newport News (757) 969-5094 A Therapeutic Massage by Darryl 2019 Cunningham Dr. Hampton (757) 826-7266
Feel lost in the crowd?
Salters Creek Retreat 100 Bridge St., Ste. D Hampton (757) 723-1934
George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032
Phillip Dennis, MD 2021-A Cunningham Drive Hampton (757) 262-0544
Vascular & Transplant Specialists 4000 Coliseum Dr., Ste. 310 Hampton (757) 262-1110
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 Medicine Specialists 703 Thimble Shoals Blvd., Ste. C-5 Newport News (757) 508-2386 Addiction Recovery Helpline Toll-Free (800) 582-6066 Al-Anon Toll-Free (888) 425-2666 Alcoholics Anonymous (757) 595-1212 Alcohol-Drug Treatment Referral Toll-Free (800) 622-4357 Chesson and Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900 Bacon Street Youth Counseling Center 3804 Geo. Washington Mem. Hwy. Yorktown (757) 253-0111 Families Anonymous Toll-Free (800) 736-9805 Narcotics Anonymous (757) 875-9314 Riverside Behavioral Health Center 2244 Executive Dr. Hampton (757) 827-1001 24-Hr. Addictions Referral Network Toll-Free (800) 577-4393
Urology
Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774
David P. Bayne, MD 2204-E Executive Dr. Hampton (757) 838-8836
American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924
Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374
Balance & Harmony Spa 415 Jan Mar Drive Newport News (757) 246-4800
Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430
For advertising, call:
Balanced Body Co. 705 Mobjack Place Newport News (757) 873-5755
Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100
757-645-4475
TPMG Urology Geoffrey B. Kostiner, MD Eric C. Darby, MD 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562
Completely U Day Spa & Salon 10524 Jefferson Ave. Newport News (757) 595-2711
Vascular Surgery
De-Stress Express 11835 Canon Blvd., Ste. B-103 Newport News (757) 873-8968
Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340
Certain Foods May Thwart Age-Related Vision Loss Written By Amy Norton NEW YORK (Reuters Health)
A
new study suggests that older adults who eat diets rich in citrus fruits, leafy greens and fish oil, but low in “glycemic index,” may have a lower risk of age-related macular degeneration— the leading cause of vision loss among older U.S. adults. AMD, also known as “age-related macular degeneration,” refers to gradual damage to the macula, a structure in the retina that allows for seeing fine detail. The condition affects more than one million Americans, usually after the age of 65. A number of studies have suggested that individual nutrients, including the antioxidants lutein, vitamin C and vitamin E, can help protect against AMD. This latest study, published in the journal Ophthalmology, looked at the overall diet patterns of 4,000 older adults and the links to AMD risk.
A number of studies have suggested that individual nutrients, including the antioxidants lutein, vitamin C and vitamin E, can help protect against AMD.
Therapeutic Massage Center 704 Middle Ground Blvd. Newport News (757) 599-3384
Absolutely Slender, Inc. 2206-B Executive Dr. Hampton (757) 826-0990
Center 4 Massage Therapy 66 W. Mercury Blvd., Ste. 5 Hampton (757) 723-3829 11010 Warwick Blvd. Newport News (757) 723-3829
eye health
Researchers found that participants who tended to eat fish rich in omega-3 fatty acids, or foods high in vitamin C, vitamin E, zinc, lutein and zeaxanthin, had a relatively lower risk of AMD. Lutein and zeaxanthin are plant pigments that act as antioxidants; the nutrients are found in broccoli, spinach and other leafy green vegetables, as well as egg yolks. The study also found that diets containing foods with a low glycemic index also appeared protective against AMD. Not surprisingly, older adults who combined all three dietary patterns showed a decreased AMD risk as well. Glycemic index (GI) refers to how rapidly a food causes blood sugar to rise. High-GI foods, like white bread and potatoes, tend to spur a quick elevation in blood sugar, while low-GI foods, such as lentils, soybeans, yogurt and many high-fiber grains, create a more gradual increase in blood sugar. The blood-sugar surges associated with high-GI diets may eventually damage the macula, explained lead researcher Dr. Chung-Jung Chiu, an assistant professor at Tufts University School of Medicine in Boston. That’s because excess blood sugar interacts with other molecules, like fats and proteins, to form what are called glycated molecules, he told Reuters Health. This process, in turn, can put the body under more oxidative stress, which over time damages cells and may lead to various diseases, including AMD. Foods rich in nutrients that may ward off AMD—including citrus fruits, leafy greens, oily fish like salmon and mackerel, and vegetable oils—are also seen as beneficial for overall health. So it’s a good idea to try to eat more of them, Chiu said. This is especially true for older adults, the researcher noted, since the body’s “self-defense systems” generally decline with age. HJ THE HEALTH JOURNAL JULY 2009 35
JUly 2009 COMMUNITY CALENDAR
Support Groups Abortion NN “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 a.m. Call for location: 886-6364 After-Abortion Help Line: 886-6364 Alanon Williamsburg United w Methodist Church Mondays, 8 p.m. Baptist Church w Williamsburg Saturdays, 8 p.m.
(888) 425-2666
Williamsburg United
w Methodist Church
Tues. & Thurs., 2-3 p.m. Thurs. 8-10 p.m. 229-1771
of the New Frontier w Women Williamsburg United Methodist Church Thursdays, 2 p.m. 253-8764 or 872-6740
and Pre-Ala-teen w Ala-teen Williamsburg Presbyterian Church, 1st Floor Tuesdays, 8 p.m. 229-6493
Alcohol & Drug Recovery Bethel Restoration Center w Mondays, 7 p.m. 220-5480 Children of Alcoholics w Adult Williamsburg United Methodist Church Wednesdays, 8 p.m. 565-1839 Women’s Discovery Group
Special Events H Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. 826-5415
Breast Cancer Riverside Cancer Care Center NN 2nd Thursday, 7 to 8:30 p.m. 594-4229
Endometriosis Immaculate Hospital NN Mary 3rd Wednesday, 7 p.m. 886-6700
Presbyterian Church NN 2nd 1st Tuesday, 7 p.m. 833-5298
Immaculate Hospital NN Mary 3rd Wednesday, 7:30 p.m. 874-8328
Assisted Living NN Morningside Call for dates/times:
H Sentara Careplex Hospital
Fibromyalgia Library w Williamsburg 2nd Tuesday, 1 p.m. 879-4725
James River Convalescent
Works w Spirit 5800 Mooretown Rd. Thursdays, 2:30 to 4 p.m. 564-0001 of Families at Risk w Children Spirit Works 5800 Mooretown Rd. Call for day and time: 564-0001 Parent Support Group
w Bacon Street
Mondays, 6 to 7:30 p.m. 253-0111
Alcoholics Anonymous Meetings daily w Call for times/locations 253-1234 Behavioral Health H Riverside Fridays, 8 to 9 p.m. Sundays, 10 to 11 a.m. 827-1001
Mary Immaculate Hospital
NN Sundays, 9 a.m.
Tuesdays, 7 a.m. Wednesdays, 5:30 p.m. 886-6700
Alzheimer’s Disease Conception H Immaculate Church 2nd Monday, 1 p.m. 873-0541 Morningside Assisted Living w 3rd Wednesday, 2 p.m. 345-6977 Dominion Village at w Williamsburg 3rd Thursday, 2 p.m. 258-3444 Immaculate Hospital NN Mary 4th Tues., 10:30 a.m. to noon 886-6700
w Call for location
2nd Friday, 10 a.m. 595-2273
258-4540
Breastfeeding Leche League of Va. H La Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. 766-1632 or 224-8879
Chesapeake NN The 3rd Tuesday, 1 p.m.
223-1695
Family Centered Resources
NN 3rd Thursday, 1:30 p.m. 596-3941
Sentara Williamsburg RMC w Yorktown Room M., W., Thurs., 10 a.m. 984-7299
Warwick Forest
NN 2nd Thursday, 7 p.m. 867-9618
Family Connections w 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. 221-7272
Arthritis Immaculate Hospital NN Mary 4th Tuesday, 10:30 to noon 886-6700
Last Thursday, 7 to 9 p.m. 220-1137
Cancer Careplex Hospital H Sentara Call for time/day: 827-2438
Crohn’s Disease and Colitis H Sentara Careplex Hospital 1st Floor, Conf. Rm. A 1st Saturday 736-1234
Jamestown Rd., w 1769 Ste. 212 221-0505
Depression/Bipolar Disorder H St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. 247-0871
Hospice House
w 2nd Monday, 7 p.m.
258-5166 or 229-4370
NN Mary Immaculate Hospital 1st & 3rd Thurs., 7 p.m. 886-6700
Immaculate Hospital NN Mary Mondays, 7 p.m.
Child loss St. Luke’s United Methodist Church 1st Mondays, 7:30 p.m. 886-0948 or 930-1636
886-6700
Diabetes Immaculate Hospital NN Mary 2nd & 4th Tuesday, 1 p.m. 886-6700
Hospice NN Heartland Mondays, 10 a.m. to noon 594-8215
w Sentara Williamsburg RMC
Hospice NN Riverside 12420 Warwick Blvd.
H Sentara Center for Health and Fitness 3rd Wed., 4 to 5 p.m. 827-2160
Beyond Boobs! young women with breast w For cancer 566-1774
w For post-menopausal women
Immaculate Hospital NN Mary 3rd Tues., 1 p.m.
886-6700
1 Group/ Riverside NN Type Regional Medical Center 4th Tues., 2 p.m. Alternate months. Feb.–Oct., 534-5050
1st Mon., 1:30 p.m. Call for location: 258-4540
Brain Injury Rehabilitation Institute NN Riverside Wednesdays, 3:30 p.m. 928-8327
NN Type 2 Group/ Riverside Re-
Communication Group NN Cognitive Riverside Rehabilitation Institute
Diabetes-Insulin Pump NN Riverside Regional Medical Center 4th Tuesday, 7 p.m. 534-5050
THE HEALTH JOURNAL
JULY 2009
NN
H TOPS
(Take Off Pounds Sensibly) Hope Lutheran Church Fellowship Hall 1112 Todds Lane Mondays, 5:45 p.m.
H TOPS
(Take Off Pounds Sensibly) First Christian Church 1458 Todds Lane Thursdays, 6:00 p.m.
gional Medical Center 3rd Tues., 2 p.m. 534-5050
Newport News
P
6 Monday NN A four-part Infant Massage class will be held weekly from 1 to 2 p.m. through August 3 at Mary Immaculate Hospital. Parents of infants age six weeks to one year will learn relaxing and soothing techniques that will reduce stress, deepen bonding and help baby sleep better. Cost is $25 per person; Newport News residents get in free. Call (757) 889-CARE for more information.
H TOPS
(Take Off Pounds Sensibly) Fox Hill Road Baptist Church Fellowship Hall 335 Fox Hill Road Mondays, 6:30 p.m.
w TOPS
(Take Off Pounds Sensibly) Olive Branch Christian Church Fellowship Hall 7643 Richmond Road Tuesdays, 9:45 a.m.
8 Wednesday NN A four-part Infant Massage class will be held weekly from 5:30 to 6:30 p.m. through August 5 at Mary Immaculate Hospital. Parents of infants age six weeks to one year will learn relaxing and soothing techniques that will reduce stress, deepen bonding and help baby sleep better. Cost is $25 per person; Newport News residents get in free. Call (757) 889-CARE for more information.
Gluten Intolerance Monticello Ukrop’s w (Meetings resume in September) 564-0229 Hearing Loss Loss Association w Hearing Meets Bi-monthly, Sept.-June 564-3795 Heart Disease Regional NN Riverside Medical Center Call for dates/times: 875-7880
9 Thursday w Sentara Living, a free program for adults age 50 and older, will hold its regular meeting from 10 a.m. to noon in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center. Participants will enjoy refreshments while learning about w the health benefits of journal writing from professional writing coaches. Bring a covered dish to share. Call (757) 552-7599 for more information.
Support group for women
w with heart disease
Sentara Williamsburg RMC Williamsburg Room 1st Monday womenheart@aol.com
Call for day and time: 984-7106 or 984-7107
2nd Thursday, 7p.m. 594-2745
Hampton
(Take Off Pounds Sensibly) St. Mark’s Methodist Church 99 East Mercury Blvd. Thursdays, 8:30 a.m.
Adult Cancer Y Young Survivors Group
Colorectal Cancer Careplex Hospital H Sentara 3rd Wed., 1 to 2:30 p.m. 736-1234
Bereavement H Sentara Careplex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. 736-3628
4th Wednesday, 4:30 p.m. 928-8050
H TOPS
Chronic Fatigue Syndrome NN Mary Immaculate Hospital 1st Thursday, 7 p.m. 886-6700
w Kings Way Church
Y
FITNESS & WEIGHT MANAGEMENT NN TOPS (Take Off Pounds Sensibly) Warwick Memorial United Methodist 38 Hoopes Rd. Wednesdays, 9 a.m. 850-0994
Riverside Regional Medical NN Center 1st & 3rd Thursday, 6 p.m. 594-2624
Call for times and locations: (800) 866-4483
Autism NN Christ United Methodist Church 2nd Monday, 7 to 9 p.m. 713-1148
H
36
1st Monday, 1:30 p.m.
NN Center
w Spirit Works
5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. 564-0001
3rd Tuesday, 7 to 8:30 p.m. 594-1939
890-0905
21 Tuesday NN Join Dr. Jeffrey Carlson of Orthopaedic and Spine Center for a free Community Lecture on “Successful Treatments for Pinched Nerves,” starting at 7 p.m. at OSC, located in Port Warwick at 250 Nat Turner Blvd. Topics will include the latest innovations in treatment options for pinched nerves caused by spinal conditions such as slipped or herniated discs. Educational literature and refreshments will be provided. You are encouraged to bring a friend. Call (757) 596-1900 to register.
Huntington’s Disease Mary Immaculate Hospital NN 3rd Friday, 7 p.m. 886-6700
16 Thursday w A free infant massage class for parents of w infants six months of age and younger will be held from 5:30 to 6:30 p.m. at Pediatric Associates of Williamsburg, located at 119 Bulifants Blvd. Register online at www. chkd.org/classes, or call (757) 564-7337 to register.
Kidney disease H Sentara Careplex Hospital, Conference Room B 1st Wednesday, 6 to 7:30 p.m. 244-3923 Leukemia/Lymphoma H Sentara Careplex Hospital 1st Tuesday, 7 to 8:30 p.m. 827-2438
w Sentara Living, a free program for adults age w 50 and older, will host a special seminar on “The Aging Bladder,” featuring a rehabilitation therapist, from 10 a.m. to 11:30 a.m. in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center. Call 1-800-SENTARA to register.
Lou GeHrig's disease w For patients, family members and friends. (804) 363-5099 or www.alsinfo.org Lupus w James City County Library Last Wednesday, 6:30 p.m. 566-1768
Poquoson
w
Williamsburg
Y
Yorktown
JUly 2009 COMMUNITY CALENDAR
Support Groups
Special Events
Mental Illness – Support Stephen Lutheran Church w St. 1st Tuesday, 7 p.m. 220-8535
21 Tuesday NN “What’s New for Grandparents” is a free class for “expectant” grandparents, to be held from 6:30 to 7:30 p.m. at Mary Immaculate Hospital. Topics will include the changing role of grandparents, newborn care, safety issues, car seat laws, use of toys and baby equipment, and feeding and nutrition. Visit www.bonsecoursloveandlearn.com/ hamptonroads to register.
H 500-C Medical Drive
Wednesdays, 6-7:30 p.m. 503-0743
Mental Illness – Recovery w St. Stephen Lutheran Church 1st Tuesday, 7 p.m. 220-8535
H Riverside Behavioral
Health Pile Conference Room Wednesdays, 6-7:30 p.m. 224-3104
w Sentara Living, a free program for adults age 50 and older, will host a First Aid Course on medical and environmental emergencies, starting at 9:30 a.m. in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center. Call 1-800-SENTARA to register.
H Denbigh Church of Christ 1st & 3rd Thurs., Call for time: 850-2279
Multiple Sclerosis w JCC/W Community Center 2nd & 4th Wednesday 5:30 to 7 p.m., 220-0902
24 Wednesday H Sentara Living, a free program for adults age 50 and older, will host a First Aid Course on medical and environmental emergencies, starting at 9:30 a.m. in Conference Room D at Sentara CarePlex Hospital. Call 1-800-SENTARA to register.
H African-American Group
Hampton Public Library 1st Thursday, 10:30 a.m. 490-9627
H Sentara Careplex Hospital Conference Room 3 2nd Thurs., 5:30 p.m. 736-1000
27 Monday NN Parents of infants are invited to attend “Happiest Baby on the Block,” a two-hour course based on the techniques used by renowned pediatrician and best-selling author Dr. Harvey Karp. Topics will include dealing with colic, crying and moms’ post-partum depression. All participants will receive Karp’s “Happiest Baby” DVD or CD. Cost to attend is $50 per couple. Visit www.bonsecoursloveandlearn.com/hamptonroads to register.
H Riverside Behavioral Health Call for dates/times: 827-1001 New Mothers Williamsburg RMC w Sentara Family Maternity Center Thursdays, 10 to 11:30 a.m. 984-7255 Mark Lutheran Church Y St. Thursdays, 10 to 11:15 a.m.
898-2945
Obsessive/ Compulsive Disorder H Riverside Behavioral Health Pile Conference Room 3rd Thurs., 7:30 to 9:30 p.m. 827-1001 Ostomy w Sentara Williamsburg RMC Meets quarterly. 259-6033 Overeaters Anonymous Memorial Church NN Chestnut Mondays, 7 p.m. Thursdays, 11 a.m. 898-3455 Parents of Children w/ Disabilities w St. Martin’s Episcopal Church 2nd Thursdays, 6:30 p.m. 258-0125
NN Parents and caregivers can register for the free course, “Life with a Strong-Willed Child,” to be held from 7 to 9 p.m. at the w CHKD Health and Surgery Center at Oyster Point, 11783 Rock Landing Drive. Topics will include understanding “acting-out” behaviors and how temperament affects behavior. Register online at www.chkd.org/ classes, or call (757) 564-7337 to register.
James City/Williamsburg
w Community Center
1st Tuesdays, 12 to 1 p.m. 221-9659 or e-mail stuarts@wjcc.k12.va.us
Parents Supporting Parents JCC/W Community Center w Thursdays, 6 to 7:30 p.m. 229-7940
w
Parkinson’s Disease H Sentara Careplex Hospital 1st Tuesday, 3 p.m. 827-2170
Y
H
Hampton
NN
Newport News
P
Immaculate Hospital NN Mary 3rd Wednesday, 1 p.m. 886-6381
Prenatal Yoga NN Mary Immaculate Hospital Saturdays, 2:15 to 4 p.m. 886-6700
220-2627
4th Wednesday, 7 p.m. 875-7880
PMS
Historic Triangle Senior Center
w 2nd & 4th Wed., 5:30 p.m. 220-0902
Polio H Sentara Careplex Hospital 3rd Saturday, 2 to 4 p.m. 596-0029 Prostate Cancer H Sentara Careplex Hospital 2nd Tuesday, 7 to 8:30 p.m. 827-2438 Sexaholics Anonymous E-mail for dates/locations: hrsa@hotmail.com SIDS w St. Martin’s Episcopal Church 2nd Wed., 7 to 8:30 p.m. 865-2561
NN Va. Peninsula Stroke Club
H Riverside Behavioral Health Call for dates/times: 827-1001
29 Wednesday NN Riverside Medical Group presents “The Doctor is In,” a free health lecture series for community members who want to learn about health topics of special interest to w seniors and women. As part of the ongoing series, 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.
Regional NN Riverside Medical Center
Planetree Health Resource Library Williamsburg RMC w Sentara Open 24 hrs/day. 1-800-SENTARA
Stroke w R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. 229-9622
Narcotics Anonymous w Williamsburg Place Saturdays, 7:30 p.m. (800) 582-6066
28 Tuesday H Dr. Paul Conkling of Virginia Oncology Associates will cover “New Trends in Cancer Diagnostics and Treatment” from 6 to 7:30 p.m. at Sentara CarePlex Hospital. This free event is part of the ongoing “Path to Survivorship” lecture series offered at Sentara hospitals throughout Hampton Roads. Call 1-800-SENTARA to register.
Landing w Williamsburg 2nd Monday, 1:30 p.m.
Riverside Rehab. Institute 1st Wednesday, 10 a.m. 928-8327
Suicide NN Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. 875-0060
Health Resources Dads Make a Difference w For dads with children age seven and under York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. 566-9777 Free Blood Pressure Screenings Y Senior Center of York Wed., 12:30 to 1:30 p.m. 898-3807
w New Town Urgent Care
Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. 259-1900
Free Yoga for Kids (8-13) Sacred Grounds w Mon., Tues., Wed., 4:30 to 5:30 p.m. 220-8494 Hispanic ParenTs Playgroup Wellspring United w Methodist Church 1st & 3rd Fridays 10 a.m. to noon (Transportation available upon request) 566-9777 Lackey Free Clinic Y Mondays, 9 to 11 a.m. Thursdays, 5:30 to 8 p.m. 886-0608 Lamaze Classes w Call for dates/times/location: 565-6156
Sentara Living for adults 50-plus w Sentara Williamsburg RMC 10 a.m. to noon 1-800-SENTARA Singles Dance NN 128 Deep Creek Rd. 2nd & 4th Sat. 7:30 to 10:30 p.m. 247-1338
w
Williamsburg
Walk-in Immunization Clinic w Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. 259-3258 Yoga for Diabetics of Mercy Clinic w Angels Tuesdays, 3 p.m. 565-1700 If you and/or your organization would like to list a health-related event in the Community Calendar, please e-mail information to info@thehealthjournals.com.
Marital Success Continued from page 14 money is vital. Americans save so little compared to people in other countries, and we tend to rack up huge credit card debts. Being in debt is frightening to some of us, but it bothers others not at all. When one partner obtains new credit cards or abuses them without telling the other, it may be seen as an act of deception and betrayal and can ruin any relationship. Discuss with your partner use of joint accounts, and keep good records. As simple as it sounds, open communication about finances helps keep the peace. Perhaps most important on the financial front is for two people to agree on or negotiate their financial objectives. Do they want to save to buy a house or spend that money on vacations? Finally, disagreements can arise about how free time is spent. The spouse who spends every weekend on the golf course can expect to encounter trouble at home. While some time apart is good, the two of you should make a point of scheduling a regular date night and, periodically, a weekend away. Particularly if there are children involved, it is too easy to allow them to eat up all your time so that those long-ago days of romantic evenings together are just that—a distant memory. The familiar “mid-life crisis” can lead to a divorce, because leaving a marriage is far easier than trying to change oneself to improve it. Protect your relationship by putting it first. When discussing difficult topics with your partner, avoid statements like “You always...” and “You never….” What is needed is compromise. Spend time periodically talking to each other about these potential problem areas, and you will reap the reward of a loving and lasting life together. And remember, in an argument with one’s beloved, no one ever wins. You can stop any argument instantly by saying, “You’re right.” Try it—if nothing else, it’s worth it to see the look on your partner’s face. HJ Dr. Sally Hartsfield is a retired clinical psychologist who specialized in working with women and children. She can be reached at sallyjo@visi.net.
Mall Walking Club NN Meets at Patrick Henry Mall Call for date/time: 249-4301
Poquoson
Sports Injury Clinic Y Victory YMCA Tuesdays, 5 to 6 p.m. 867-3300
Y
Yorktown
THE HEALTH JOURNAL
JULY 2009
37
profile
Learning to Let Go A Virginia Beach widow and her children begin putting the pieces of their lives back together after loss. Interview By Brenda H. Welch Photography By Brian M. Freer
T
his past May, Betsy Kainer found herself in a great deal of pain, and the sting of the tattoo needle that permanently emblazoned the letter “K” on her left hip was the least of it. Instead of celebrating her 10-year wedding anniversary with her husband John in Monterey, Calif., as they had planned, she was a widow, living in Virginia Beach with their three children, all under the age of seven. John, a former Navy SEAL and triathlete, battled a malignant brain tumor for 11 years before succumbing in January 2009. Betsy’s “K” tattoo is formed by two flames rising toward the heavens—the symbol pays homage to John’s fire for life and is also the logo for Team Kainer, which was established in John’s honor 2008 by local running and triathlon coaches Jerry and Amy Frostick of J&A Racing. The Frosticks, who started the “Virginia is for Lovers” 14K held in Virginia
13 pages of journal entries filled with stories, prayers and hopes for a better tomorrow for Betsy and her children. But for now, Betsy is putting all her energy into today: parenting her children, taking care of her home and betsy trying to regain her footing after the devastating kainer loss of her best friend. In an interview with The Health Journal, she shares what life looks like for her and her family after John’s death.
HJ: What or who was your greatest resource during John’s illness? BK: Friends in the area were and still are my biggest support. I always say my friends are my family. I have several good friends who are there to listen if I need to let emotions out. I talk to myself, too, and that helps. I also talk to John. My outlet was running, playing John’s family and friends want his tennis or working out. It always story to inspire others: even during has been. Running helps me the most with the emotional side of his illness, John completed several it. I am able to think or not think. marathons and two Ironman triathlons. Once in a while I might stop because I hyperventilate. It’s tough Beach over Valentine’s Day weekend, and to cry and run at the same time. who coordinate the annual Shamrock Marathon held at the Oceanfront, created Team HJ: On the CaringBridge website, Kainer to help the family financially during you write that your children have John’s struggle with cancer. John’s family been attending a grief support group. and friends want his story to inspire others: What are they taking away from Even during his illness, John completed sev- each meeting? eral marathons and two Ironman triathlons. BK: The program, through Edmarc [HosMoney raised through Team Kainer will pice for Children], is called “Peace by Piece.” help build a college fund for the Kainer chil- I thought we would give it a try and am glad dren, and Betsy hopes to provide financial as- we did. It is confidential as to what they say sistance to other families devastated by brain in their groups, but I can ask them quescancer. Several hundred runners have been tions and they can share what they want— turning out for Team Kainer at local races, and so far they have shared very little. I just and a list of upcoming events can be found at want a place where they can be probed for questions or thoughts about Daddy and talk the team’s website, www.teamkainer.com. Betsy has also created a website on Car- about him if they want to. I also encourage ingBridge (www.caringbridge.org/visit/ talking about John at home. johnkainer), a free, nonprofit Web service that connects family and friends to share HJ: Death and dying are difficult information, love and support when an in- concepts to explain to children and dividual is diagnosed with and treated for a ones that adults struggle with as serious medical condition. To date, the web- well. How did you and John prepare site has logged 25,035 visitors and contains the children for his death? 38
THE HEALTH JOURNAL
JULY 2009
BK: Throughout John’s sickness, especially when he was receiving hospice care at home, I decided to not hide anything from them. They were curious. They observed, watched and walked away when they wanted. When John did pass away, we had all the kids gather in a room, and we spoke about how Daddy had been sick and that God was taking him but leaving his spirit here with us, that he would be our angel. He looked so peaceful, no longer in the pain he once was. He even wore his cute little “Kainer smirk” as I like to say. HJ: In the midst of darkness, where do you find hope? BK: The kids are keeping me going, keeping the days busy. I encourage a positive environment. I keep John around with many pictures. Nothing has changed in the house for now. It will be gradual. We are going about life as normally as possible, but we don’t hold back on keeping John’s spirit present. We miss him so much. Times will be hard, especially this first year. John would only want me and the kids to move forward—to miss him, but to let him go. HJ
Age: 40 Hometown: Asheville, N.C. Family: Jack, 7; Gini, 6; Maddie, 3 Education: Bachelor of Arts degree from the University of North Carolina at Chapel Hill Volunteer activities: Co-Chair, Kingston PTA Committee
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