HRHJ_Sept2009

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the

Health Journal

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Peninsula Edition

Vol. 5 No. 4

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September 2009

Special Concerns of Teen Athletes Where to Seek Care: ER or Urgent Care? Headaches? Try This First

Caring for an aging parent

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New Name. OSC — New Keeping You In The Game! Look. At Orthopaedic & Spine Center, we know how important the game is to you. That’s why we treat a variety of sports-related injuries, including:

OSSMS of Hampton Roads is now...

• ACL tears of the knee • meniscal tears of the knee • patella dislocations in the knee • shoulder dislocations To • betterrotator cuff tears of the shoulder represent all we have to offer you, Of course, our practice will continue to incorporate OSSMS will now be known as Orthopaedic & Spine the latest medical innovations and techniques in • AC joint sprains of the shoulder Center. We are proud to be the region’s premier both orthopaedic and spine surgery to improve the • bicep tears (SLAP Tears) provider for Orthopaedics and Sports Medicine. quality of life for our patients. Rest assured, we will • ankle sprains Our group includes the only two fellowship trained continue to offer the same comprehensive, thorough • ankle fractures Orthopaedic Spine Surgeons on the Peninsula. and personal care you have come to expect from us, • wrist fractures but with a new name and look. • wrist sprains Experience Excellence • hip sprains—torn labrums

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Boyd W. Haynes, III, M.D. • We Robert J. Snyder, complete M.D. provide orthopaedic care. Tuesday, September 15, 7:00 PM Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D. Mark W. McFarland, D.O. • Edward P. Petrow, Jr., D.O. Edward P. Petrow, Jr., D.O. To register, call: 1-877-202-9130 Snyder, M.D. Jeffrey Carlson, Raj N.Robert Sureja,J. M.D. • Jenny L. R. Andrus, M.D.M.D. Martin R. Coleman, M.D. Mark W. McFarland, D.O. Jamie McNeely, P.A. •Edward Tonia P. Yocum, P.A. Jr., D.O. Boyd W. Haynes, III, M.D. Petrow,

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On the Cover

As more and more baby boomers find themselves in the caregiver’s role for an elderly parent, it comes as a reminder that one day their own children will take the reins. Families who plan ahead and talk openly about medical, legal and financial matters stand to benefit.

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Inside

SEPTEMBER 2009

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6 features

IN EVERY ISSUE

For Better or For…Surgery? | 6

Make Time to Cool Down | 18

Letter from the Editor | 4

A Newport News couple shows solidarity by going “under the knife” on the same day, for the same procedure, with the same surgeon.

Personal Trainer Greg Tudor returns with more tips for a safe and effective workout.

Inbox | 5

Where to Seek Care | 14

The Truth About Long-term Care | 28

Which injuries warrant a trip to the emergency room, and which can be safely treated with urgent care? Experts from both sides weigh in.

The Newest Anti-aging Trend | 16 A new crop of hair care products promises to turn back the hands of time.

Local Beat | 6 New York Life agent David Kikoen dispels seven common misconceptions about long-term care coverage.

Snapshots | 8 Fitness | 18

He’s Got a Lot to Smile About | 42

Feature | 22

John Cranham, D.D.S., shares the details on his new teaching facility for dentists and reveals his greatest source of inspiration.

Health Directory | 33 Calendar | 40 Profile | 42

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September 2009

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LETTER FROM THE EDITOR the

Health Journal Peninsula Edition

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Publisher

e may be in the midst of hurricane season here in Hampton Roads, but this month’s cover story reflects a much different type of storm. Chances are you’ve heard the phrase “silver tsunami.” The baby boom generation (those born between 1946 and 1964) has, over recent decades, affected nearly every corner of American society. Now this enormous flock is poised to overwhelm yet another major social system—and no, I am not talking about Facebook. Medicare, the government-run health insurance program that currently insures about 40 million Americans, most of them seniors, faces a perilous future. Today, those 65-and-olders make up about 12 percent of the U.S. population; in just 20 years a whopping 20 percent of Americans will be of Medicare age. By some estimates, the system will be insolvent in as soon as eight years, meaning it will dish out more in payments than it collects through taxes. My father has already crossed that threshold into the land of Medicare and Social Security benefits. My mom, on the other hand, in just a few short years will join the first ripple of boomers to turn 65. She’s expressed to me her concerns that those very two systems—to which, throughout her working life, she watched a portion of her paycheck go each month—may go broke soon after she can finally tap into them. These are just some of the issues on the table as Congress resumes this month to further debate (and hopefully, come to a decision on) health care reform. Right now, some 20 million boomers are caring for their elderly parents. As society grays, and resources dwindle, the responsibility of caring for the nation’s seniors will likely fall on the next generation. As author Joy Vann points out in “Caring for an Aging Parent,” starting on page 22, families who plan ahead—not just financially, but also by securing important documents and talking openly about difficult topics—stand to benefit greatly. In this month’s cover story you’ll find tips about securing legal documents that address end-of-life wishes, safeguarding the home so seniors who want to stay put can do so worry-free, as well as locating local resources, like your Area Agency on Aging, that can help navigate the many options available to seniors. You’ll also find tips for initiating conversation about tough topics, as so many families simply don’t want to talk about the “what ifs.” I’ve been fortunate to have had “the talk” with both of my parents. We’ve discussed their wishes, and they have written their advance directives. Luckily, they are both in good health. They’re active and independent, and chances are they won’t need my help any time soon. But they both know that when the time comes they won’t have to go it alone. So in the meantime, Mom, welcome to Facebook. It’s just another way for us to stay in touch. photo by Brian M. Freer

TM

Brian M. Freer Executive Director

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny Photography

Brian M. Freer Kelly Quave Inman Contributing Writers

Joel Brenner, MD Brandy Centolanza Amy Johnson Alison Johnson David Kikoen Daniel Shaye, DC Greg Tudor, CPT Joy Vann Brenda H. Welch 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.

Page Bishop-Freer, Editor

For Advertising and editorial Information, call or write:

The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

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September 2009

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Kudos “My husband’s cousin was touched by the story about the young woman who had to undergo a kidney transplant in her 20s [July 2009]. He had his first one at age 20 and often felt so alone, as though he was the only young person dealing with this health issue.” —Marianne M. “I talked with a member of your staff at a recent health fair. She urged me to call or e-mail you with my compliments on your publication. The Health Journal contains news, features and even advertisements that inform and delight. Thank you to you, your staff, and your contributing writers.” —Mary Ann B.

INBOX Health Directory (Cont.) “Does anyone check the validity of the doctors’ information that is listed [in the Southside Health Directory]? I have been a nurse for 30 years and have worked in this area, so it is easy for me to see some mistakes.” —Joan G. Ed: Over the past three months we've called each listing in the Southside directory to obtain the most current information. Our hope is for our Health Directory to be the best possible resource for our readers. As a reminder, businesses listed in the directory are encouraged to call when they move or close a location.

Bioidenticals: Are They Safe? “The August issue looks great. This cover and inside art (and Alison Johnson’s article) really capture a reader’s attention.” —Greg L.

Circulation “How can I be added to your mailing list? I have found the Journal to be informative and would like to receive a copy by mail.” —Grace L. Ed: For those who don’t already receive The Health Journal by mail as part of our direct-mail program, subscriptions are available for $24 per year.

“I just recently started reading your publication. I must say I truly enjoy the entire paper.” —Susan D.

“It takes a lot of effort and determination to produce a quality product and I believe you have accomplished your goals. As my boss would say, ‘Keep doing good things for good people.’ Great job!” —Joy F. “Congressman [Glenn] Nye has decided to support the Huntington’s Disease Parity Act of 2009. We have worked very hard to bring awareness to HD, and we owe a lot [of our success] to The Health Journal. [Nye] is the 27th congressman, and one of six from our state, to support the bill. I am on cloud nine!” —Marie Clay Ed: Clay and her daughter were featured in our July cover story, “Huntington’s Disease: A Genetic Roll of the Dice.”

Health Directory “I enjoy reading The Health Journal but have realized that our dermatology practice is not listed. How can I correct this? —Tim J.

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

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

See What Matters

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Learn more about BSGI at www.dilon.com

Ed: Health-related business based in our circulation area are eligible to be included in our Health Directory for free. Send listing requests to info@thehealthjournals.com   To advertise, call 757-645-4475

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September 2009

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LOCAL BEAT Walk for a Good Cause Teams are forming now for The National Kidney Foundation’s Kidney Walk, to be held Sun., Oct. 18, in Port Warwick. Call (757) 825-5450 for more information or send e-mail to paula.bazemore@ kidney.org.

Center Specializes in DrugFree Allergy Treatment The AllergiCare Relief Center—specializing in drug-free treatment of seasonal allergies—has opened on First Colonial Road in Virginia Beach.

New Medical Staff for CRMC Local OB/GYN Dr. Matthew Whitted has been elected medical staff president at Chesapeake Regional Medical Center. (Read The Health Journal’s profile of Dr. Whitted [February 2009, Southside Edition] online at www.thehealthjournals. com.) In addition, Dr. Joseph “Chip” Cunningham was named medical staff president-elect, and Dr. Nathan Riles was named secretary and treasurer.

Back-to-Back Knee Operations Help Couple Land on their Feet As Robert and Thelma Spotts (center, right) recuperated from their surgeries at a rehab facility, their daughter and caregiver Cathy White (left) finally got a chance to visit other family members.

“Healthy You” Back by Popular Demand This month, Children’s Hospital of the King’s Daughters will again offer its 10-week “Healthy You” course that helps overweight children adopt healthy eating and exercise habits. A youth class (ages 8 to 11) will begin Sept. 28 and meet weekly from 6:30 to 8 p.m. at the Norfolk Health Department. A teen class (ages 12 and up) will begin Sept. 22 and meet weekly from 6:30 to 8 p.m. at the CHKD Health and Surgery Center at Oyster Point in Newport News. Call (757) 668-7035 to register for either class. (Find more events on our Health Calendar, pg. 40.)

Sentara Hospitals Ranked Among “Best” in Annual Report Two Sentara hospitals (and five service lines) were ranked among the top 50 in U.S. News & World Report’s annual “America’s Best Hospitals” edition, which surveyed nearly 5,000 U.S. hospitals. Sentara Norfolk General Hospital was listed among the best facilities for Heart & Heart Surgery (Sentara Heart Hospital), Diabetes and Endocrine Disorders, Kidney Disorders and Geriatric Care. Sentara Leigh Hospital was ranked among the top 50 hospitals for Orthopaedics.

HU Nursing School Awarded $3.2 Million The Department of Health and Human Services has awarded the Hampton University School of Nursing $3.2 million in grants to help retain students and prepare them for the workforce as well as enhance the school’s doctoral nursing program.

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Written By Alison Johnson Photography By Brian M. Freer

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fter 55 years of marriage, Robert and Thelma Spotts still love spending time together. They just never thought the togetherness would extend to an operating room at Sentara CarePlex Hospital in Hampton, where both landed on the same day—for the same surgery by the same surgeon. At 3 p.m. on April 14, Thelma, 73, was rolled in to have her failing right knee replaced. About three hours later, after she had moved into a recovery room, doctors brought in their next patient—her 80-year-old husband—and replaced his left knee. As the Newport News

September 2009

couple recuperated over the next weeks and months, they supported each other and, as they often do, playfully competed. “I whipped her real bad at rehab,” Robert jokes. Thelma quickly counters that her husband had more experience with the therapy regimen: he’d had his other knee replaced four years earlier. “The therapists would tell me, ‘Oh, ignore him, he’s done this before,’” she says. “They’d say, ‘You just don’t pay any attention to him.’” Robert and Thelma turned to joint replacement surgery after their respective knees deteriorated to a point that

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LOCAL BEAT walking short distances was very painful. Robert, who retired from the civil service after 31 years as a mechanical engineering technician, had loved bowling and softball in his younger days, but in the six months before his surgery he found himself unable even to go on his regular walks. During the year prior to her surgery, Thelma, a mother

weeks of rehabilitation at a Hampton facility, their rooms were just across the hall from one another, and they visited regularly and met for dinner dates. “It was definitely a reason to get up and move around,” Thelma says. When they went on to outpatient physical therapy, Robert was by Thelma’s side as they completed an hour of exercises—starting with simple bends and gradually adding weights, biking and running—three times a week. Thelma also needed time on a stretching Robert had loved bowling and softball in machine because she had trouble his younger days, but prior to surgery found bending her new knee. After Robert finished therapy in June, he became himself unable even to go on his regular walks. his wife’s coach. Robert also liked to pull pranks Before her surgery, Thelma had to ride a to make Thelma smile. One day, he motorized cart to do her grocery shopping. swiped her slipper-shoes while she was exercising and folded them up, tucked them in his back pocket and of four and former assistant manager and cashier at a car covered them with his long shirttail. Thelma couldn’t unwash, could no longer stand in line at stores and had to derstand why they weren’t under the bench where she always left them. “She was looking all around, real confused,” ride a motorized cart to do her grocery shopping. The couple considered surgery, but Robert, Thelma and Robert laughs. “She never would have found them, but then their daughter Cathy White, who lives at home and helps that therapist rat-finked on me.” The couple’s sense of humor helped them through the care for her parents, understood each likely would need three months of recovery time. So if one had surgery and toughest times after surgery. “You are in pain at the beginthe other waited, they’d be out of commission a total of ning, and it’s a lot easier to joke around,” Thelma says. “You six months. But if they went in together, they’d only be can either laugh or cry, and we like to laugh.” Robert concurs: “Our doctor was right when he told us talking about half that time. Furthermore, if Robert and Thelma stayed in an inpatient facility for two weeks of that we’d hate him a lot for the first month after surgery, post-surgical rehabilitation, Cathy would have a chance hate him a little the second month and love him by the sixth to visit her own children and a new grandchild in New month,” he says. “We both understood exactly what the Jersey (Cathy’s siblings also live out-of-state). “[Having other one was going through.” surgery at the same time] just made sense,” says Robert, who also served active duty in the Air Force and in the ac- All in all, it was a gamble worth taking tive reserves for the Air Force and Navy. “We’d be getting Today, Robert and Thelma say their new knees are it out of the way much faster.” working well despite a little lingering pain. Robert is Plus, they’d be together—as they have been since Thel- back to walking, and Thelma doesn’t use the motorized ma was in high school and met her future husband, a fel- grocery store cart anymore (meaning Robert no longer low Philadelphia native, at a wedding. Robert later took her to her senior prom. “We each have our separate interests, [but] we As they considered surgery, it was clear are just part of one another,” Robert says. “We don’t always agree on things, but I that each likely would need three months think we have a good sense of humor and of recovery time. So if one had surgery we use it to end arguments. We never go to bed angry with each other.” and the other waited, they’d be out of

Solidarity made recovery easier for both Robert laughs that on the day of their surgeries, he checked with their doctor, Colin Kingston of Tidewater Orthopaedic Associates, to make sure he wasn’t tired. Dr. Kingston had added Robert’s procedure as an extra surgery that day, giving him a total of five operations to do. That afternoon was stressful for Cathy, especially since her mother had suffered respiratory failure following a previous neck surgery. “I turned a little grayer,” Cathy says. “When my mom came out, it was such a relief—but then my father was just going in.” Tending to both parents in the hospital also wasn’t easy: “I was trying to give them equal time, plus I was balancing a part-time job,” she says. “I probably was bugging the nurses a lot. But there were no problems at all this time.” Robert and Thelma agree that having each other nearby was a huge motivator during their recovery. During two

commission a total of six months. struggles to keep up with his wife, whom he jokingly calls “that maniac,” because she used to speed off and “ditch” him in the aisles). Thelma also is able to bend her knee enough to get into a car comfortably again, and the two casino lovers have traveled to Dover Downs in Delaware and Atlantic City since their surgery. They even hope to get back to Las Vegas in the future. The Spottses say they’d recommend knee replacement surgery to anyone experiencing the kind of discomfort they were—even if the person considering it doesn’t have a spouse who would go through it at the same time. “It’s well worth it,” Robert says. “It’s not always easy, but there’s a big payoff.” Just like a long, happy marriage. HJ

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CHKD to Host “Children and Anxiety” Series Children’s Hospital of the King’s Daughters will host two free lectures on the topic of children and anxiety. On Sept. 5, professionals are invited to attend “The Many Faces of Anxiety in Children and Adolescents,” from 9 a.m. to noon at the Virginia Beach Central Library (in the auditorium). Parents and other family members are invited to attend “Helping Children Cope with Anxiety,” which will be held Sept. 24, from 7 to 9 p.m., at 601 Children’s Lane in Norfolk. Attendees will learn about early warning signs of anxiety disorders as well as parenting strategies to use at home and at school. Register online at www.chkd.org/classes or call (757) 668-7500. (Find more events on our Health Calendar, pg. 40.)

New Women’s Health Practice Opens in Norfolk Hampton Roads OB/GYN Center, a Bon Secours practice, has opened at 150 Kingsley Lane in Norfolk. Services include pre- and post-natal care as well as gynecological services for women including Pap smears, annual physicals, management of ongoing medical conditions, and wellness screenings.

Southeastern Physical Therapy Opens Chesapeake Clinic Southeastern Physical Therapy has opened its seventh clinic in Hampton Roads at 801 Poindexter St., in the South Norfolk area of Chesapeake.

Lifestyle Center to Host Open House Sept. 10 The Lifestyle Center, a wellness facility located at 800 Battlefield Blvd. North in Chesapeake, will host a fall Open House on Thurs., Sept. 10, from 4 to 7 p.m., featuring tours, chair massages, fitness demonstrations, nutrition displays and refreshments. (Find more events on our Health Calendar, pg. 40.)

Think Pink About Weight Management “Totally Pink for Life,” a 12-week, twice-weekly exercise program funded by the Tidewater Affiliate of Susan G. Komen for the Cure, will begin Sept. 15. he program is open to women receiving treatment for breast cancer or those who have received treatment within the past 12 months. Every Tuesday and Thursday session, held from 1 to 2:30 p.m. at Chesapeake Regional Medical Center, includes 30 minutes of education and 60 minutes of exercise. Call Tiffany Markun at (757) 312-6132 for more details.

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SNAPSHOTS

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The annual Vineyards 5K to benefit Child Development Resources, an agency that provides services to young children with special needs in Greater Williamsburg, was held in The Vineyards neighborhood of Williamsburg in August. The Plumley family, at right, raised over $1,000 for CDR. Naomi Plumley (front row, second from left), has been receiving services at CDR (such as speech therapy for her hearing loss) for three years, since she was four weeks of age.

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Jessica Colwill, M.D., has joined Portsmouth OB/GYN, a Bon Secours Medical Group practice. Board-certified in obstetrics and gynecology, Colwill holds a bachelor of arts (BA) in biologygenetics and development from Cornell University in Ithaca, N.Y. She earned her doctorate from the University of Pittsburgh School of Medicine in Pittsburgh, Pa., and completed an internship, as well as her residency, in obstetrics and gynecology at the Naval Medical Center-San Diego in California.

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The Sixth Annual “Ducktape Regatta” was held at Norfolk’s Willoughby Harbor Marina on August 22. Contestants were given four hours to create a “boat” out of plywood, wooden planks, duct tape and screws. All proceeds benefited Children’s Hospital of the King’s Daughters.

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They’re bold and mischievous, lighthearted and energetic, spry and 60 (and some 70, 80 and 90) years old—they’re the PinUp Boys of Atlantic Shores. This group of gregarious gentlemen bared it all (behind strategically placed props) for a 2010 “nearly nude” calendar, with sales benefiting the Princess Anne Courthouse Volunteer Rescue Squad. These calendar guys, ranging in age from 69 to 90, are residents at the Atlantic Shores Retirement Community in Virginia Beach. Taking time off from hobbies, traveling and late-life careers, these 14 active seniors (and one dog) shed their inhibitions to take a stab at modeling—starring in the inaugural, 15-month “Pin-Up Boys of Atlantic Shores” calendar.

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The Sentara CarePlex Hospital Auxiliary now offers a free shuttle service on weekdays from 7:30 a.m. to 4:30 p.m. Volunteers Carol Johnson (left) and Betsy Bocklet cruise through the hospital parking lot offering rides to patients and visitors.

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Senior Services of Southeastern Virginia (SSSEVA) was honored for its Center for Aging Affiliates Program during the Aging Innovations and Achievement Awards ceremony held in Minneapolis, Minn., in July. The ceremony was part of the annual conference of the National Association of Area Agencies on Aging, (which represents 650 a3gencies, including the nonprofit SSSEVA). The Affiliates Program was created in May 2008 to foster neighborhood-based outreach through churches and other community organizations throughout the cities of Chesapeake, Norfolk, Portsmouth and Virginia Beach. From left to right: Sandy Markwood, chief executive officer of the National Association of Area Agencies on Aging; Cathy M. Spriggs, affiliates program developer for SSSEVA; and Maurice Biggs, Jr., SSSEVA board member and board secretary.

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

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In the next twenty-four hours, 15,006 teens will use drugs for the first time.

Help is at St. Brendan’s Harbor. Located at The Barry Robinson Center, St. Brendan’s Harbor offers a small, close-knit treatment community where adolescents participate in an intensive and comprehensive substance abuse treatment program. Situated on a beautiful, 28-acre campus on the border of Virginia Beach and Norfolk, St. Brendan’s Harbor provides a wholesome environment for recovery. To begin the admission process or to learn more about St. Brendan’s Harbor at The Barry Robinson Center, please call 1-888-556-8892 or visit www.barryrobinson.org The Barry Robinson Center, 443 Kempsville Road, Norfolk, Virginia, 23502

Retina & Glaucoma Associates specializes in the diagnosis and treatment of retinal diseases and glaucoma.

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

Office hours: Monday-Friday 8:30-5:00 John R. Nordlund, MD, PhD Member, American Society of Retina Specialists Member, American Glaucoma Society

www.rgava.com Most insurance plans accepted

113 Bulifants Boulevard, Suite A | Williamsburg, VA 23188 | 757-220-3375

You’re Just One Click Away From Finding Health Care in Hampton Roads. www.thehealthjournals.com


HEALTH IN HISTORY

Master shoemaker D. A. Saguto in the Shoemaker Shop of Colonial Williamsburg.

The Colonial Williamsburg Foundation

Colonists’ Foot Woes Not So Different from Today Written By Brandy Centolanza

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esidents of 18th-century Williamsburg spent a majority of their day on foot, which would often lead to foot problems that are still common today, with bunions and corns being the most prevalent. Wearing ill-fitting shoes only increased the risk of foot troubles.

According to D. A. Saguto, master boot and shoemaker for Colonial Williamsburg, Colonists of the 1700s wore a variety of shoes depending on the occasion. Among these were “everyday ‘common’ shoes; slippers for indoors; ‘strong shoes’ for laborers; ‘pumps’ for dancing; several sorts of

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boots for riding or hunting on foot; and gout, while corns were usually leggings and gaiters; galoshes and removed. Though surgery was limitovershoes of several sorts; theatried during this time period, prosthetic cal and fancy-dress styles; and sports devices, leg braces and splints were shoes for running, fencing, tennis used to treat severe foot ailments. and other lively and active exercises.” In larger Colonial cities, shoemakers Like today, styles differed for men prepared shoes to order (especially and women, and for those with foot shoes were often deformities) by “What we think of worn based on what casting the peras personal foot care son’s feet in plaswas fashionable rather than what ter of Paris. today was simply was comfortable. While today’s non-existent for “Materials ranged podiatrists treat widely, too,” Saguto various foot aches most people during says. “But generally and pains, Colospeaking, men wore nists often simply Colonial times.” all-leather shoes, had to endure their —D. A. Saguto, where women wore foot ailments. Colonial Williamsburg shoes with textile up“Except perhaps shoemaker pers and higher carved for [the wealthy] wooden heels.” who may have Typical foot conditions that plagued luxuriated at ‘spas’ and ‘baths’—enthe Colonists included bunions (a joying the level of personal hygiene bump on the big toe that is more comand pampering their status allowed— mon in women due to poor footwear), what we think of as personal foot corns (a thickened patch of skin on care today was simply non-existent the sole of the foot), gout (a form of for most people then, outside of arthritis that affects the toe joints) soaking tired feet in hot water and and hammertoe (a deformity caused (we can hope) trimming toenails,” by wearing too-small shoes, in which says Saguto. “If your shoe pinched, one of the toes resembles a hammer) you made a few cuts in the upper; as well as arch and heel problems if your corns were an issue, you had caused by an abnormal gait. someone cut them off; if you suffered Shoes were adjusted or customfrom gout, you merely donned softer, made to relieve the pain of bunions looser shoes.” HJ

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

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FAMILY FOCUS

Build a Healthy Family Workstation Start the new school year off right with a family computing area that’s fit for all. Written By Sharon Miller Cindrich

I

f the family computer is crammed in a corner of your kitchen, the keyboard is precariously balanced on a TV tray or the kids are pulling up an old kitchen chair when they work in front of the monitor, you’re not alone. Thanks to the increasing popularity of the home computer, families are spending more time in a desk environment than they did 10 years ago, and many are trying to squeeze a home workstation into their living room, extra bedroom or kitchen corner. “Computers for work and recreation have grown exponentially,” says Dr. Phyllis M. King, program director of occupational therapy at the University of Wisconsin-Milwaukee. While many families pour cash into a computer system that meets the needs of all its users, they spend little or no time creating a healthy working environment. Well over half of American households have a computer at home, and creating a working environment that meets a family’s ergonomic needs has become a common challenge. “Home office environments have gotten less attention in the past than workplace offices,” says King. “However, we are seeing an increase in time spent on home computers,” she notes, adding that even recreational computer use, like video gaming and inSince a family’s stant messaging, can cause health problems over time. members are The height of the monitor, the supcontinually growing, port of the desk chair and the source of light can all create physical problems if choosing a chair they aren’t properly tailored to the user. that can adjust in “Symptoms [such as] pain in [the] muscles of the back, neck and forearms may height, arm position be experienced from extended periods of and lumbar support improper or unsupported postures,” King says. And, she adds, “eye problems may for each user is occur due to poor or improper lighting.” important. Without investing a fortune, families can improve the ergonomics of their home office by following these simple tips: Find a family-friendly seat. For a home office space that can be customized for each family member’s unique size, King recommends starting with the seat. “A good chair goes a long way!” she says. “An adjustable chair with good lumbar support is very important in order to accommodate different family members using the same computer station.” Most office chairs are made for adults five feet tall and over. Since a family’s members are continually growing, choosing a chair that can adjust in height, arm position and lumbar support for each user is important. If your current office chair does not have these adjustable features, use pillows for supporting a child’s back and arms. Secure good footing. When sitting at the family desk, feet should be resting on the floor. If kids’ feet dangle, use a small stool, box or even a stack of books to create a foot support. Be direct. Encourage family members to sit tall in their chair, shoulders squared up to the computer monitor with their keyboard directly in front of them. Arms should be bent at the elbow at a 90-degree angle when working with a mouse or keyboard. 12

THE HEALTH JOURNAL

Make sure the computer monitor is level with the user’s field of vision. Consider purchasing a monitor that adjusts in height and angle, or give the monitor a lift with a homemade prop for height. Remember that it’s all in the wrist. “A keyboard tray can allow for adjustment of the height of the keyboard,” says King. To cushion wrists, special wrist rests that fit along the edge of a keyboard or mouse pad are available from office supply stores. Or, create a homemade version by using a potholder, washcloth or piece of foam. See the light. Work in a well-lit room, and encourage users to look away from the monitor every 15 minutes to avoid straining the eyes. “A natural source of lighting and/or indirect sources of lighting are better than overhead sources,” says King. Encourage gentle touches. Family members can get pretty intense with those keystrokes when playing, typing and instant messaging. Punching the keyboard too hard or gripping the mouse with a killer clutch can put stress on fingers and wrists. Teach kids to type lightly and maneuver the mouse gently to take the wear off muscles and tendons. Take frequent breaks. “Stress builds up in muscles if movement does not occur,” says King, who recommends regular breaks and stretching to keep muscles from tightening. For children, set a timer for 15- or 20-minute breaks, and require them to get out of their seat and walk away from the computer. For more information on computer ergonomics for the whole family, visit this Web site: www.healthycomputing.com. HJ

September 2009

www.thehealthjournals.com


RiveRside Warwick OB/GYN Coming Together to Care for Women at Every Stage of Life. effective August 25, 2009, the physicians and associates of Riverside Lockhart and Yeatts and Riverside Warwick Denbigh OB/GYN will join forces under a new name and at a new location.

At Riverside Warwick OB/GYN the skilled and compassionate staff is dedicated to providing care for women. Obstetric care is provided at Riverside Regional Medical Center, with the only Level III Neonatal Intensive Care Unit on the Peninsula.

As a team, they will continue to provide a wide array of services including: Normal and High Risk Obstetrics • Gynecology Infertility • Adolescent Care • Menopausal Management Preventative Care/Wellness Care • Minimally Invasive and Robotic Surgery.

Riverside Warwick OB/GYN

John L. Lockhart, M.d. • stanley d.Yeatts ii, M.d. Joseph Keith King, M.d. • Jawwad J. Khan, M.d. Michael d. McMullin, M.d. • darlene ewton, N.P. Cheryl sharp, N.P. • Kelly Murrer, N.P.

Riverside Medical Office Building (On the campus of Riverside Regional Medical Center) 12200 Warwick Blvd., suite 510 • Newport News,vA 23601 We welcome new patients and accept most insurances. For more information, call (757) 534-5700.

If you are currently a patient at either Riverside Lockhart and Yeatts or Riverside Warwick/Denbigh OB/GYN, unless notified otherwise, your medical records will be transferred to the new location.

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HEALTH CARE DECISIONS

Where to Seek Care Urgent Care EMERGENCY ROOM

Some injuries can be treated at your neighborhood urgent care clinic, while some require a trip to the ER—here’s how to tell the difference.

A

Written By Brandy Centolanza

stomach ache, a broken bone, an earache, chest pains, a laceration that won’t stop bleeding—what types of ailments are suitable for treatment at an urgent care facility, and when should a person go directly to an emergency room? Local urgent care clinics have gained popularity in recent years, especially among tourists and other out-of-town visitors as well as those who lack a primary care physician or find themselves in need of services when their regular doctor is unavailable. “One of the big reasons they come to see us is the convenience,” says Dr. Michael Rogowski, a former emergency room physician who co-founded MedExpress, which has locations in Williamsburg, Yorktown and Newport News. Emergency rooms often tend to have longer wait times and more stressful environments. “Cost is also an issue,” Rogowski adds. “Urgent care is a [less costly] alternative than the ER.” Most urgent care facilities are equipped to handle conditions such as minor cuts, burns, bruises, breaks, sprains, fractures and rashes, and symptoms associated with colds, allergies, sinus conditions, upset stomachs, and the flu, as well as seasonal issues such as insect bites and heat-related illnesses in the summer or frostbite in winter. “We really see everything,” says Rogowski, adding, “Some of the things we see are appropriate for us, and some are more appropriate for the emergency room.” Dr. Clarice Moussalli, a physician with Sentara Urgent Care in Williamsburg, says she sometimes sees patients who really should have gone immediately to an emergency room. “Some people either don’t know, or some people do know and are in denial [about the severity of their condition],” she says, though for the most part, “People usually know when something is serious. If they feel something is really wrong, then they should go directly to the emergency room. If they are having troubles with major parts of their body, such as the heart or the head, if they can’t walk or are having troubles forming a sentence, then that is not something for urgent care.” Health care providers in emergency rooms have more elaborate testing methods and machinery at their immediate disposal, such as computerized axial tomography (CAT-scans), 14

THE HEALTH JOURNAL

magnetic resonance imaging (MRI), and cardiac and resuscitative equipment, enabling them to treat patients with serious medical problems quicker than at urgent care facilities. “The big difference between us and the ER is the quick accessibility they have to the specialized testing, as well as the ability to admit patients to the hospital,” says Rogowski. Physicians advise patients to head to the ER instead of urgent care if they experience symptoms for any life-threatening condition, such as: Heart Attack—symptoms can include chest pain, shortness of breath, nausea, lightheadedness and sometimes back or jaw pain Stroke—often marked by slurred speech, difficulty walking, impaired vision or numbness on one side of the body. “If [individuals] think they are having a stroke, they should come immediately to the hospital,” says Dr. Gary Kavit, medical director for trauma and emergency services at Riverside Regional Medical Center. “They need to come here as soon as possible. There is intervention, but it is a time-sensitive intervention.” Head trauma—including any situation in which a person is rendered unconscious Problems with pregnancy—may include bleeding, cramping, decreased fetal movement Doctors also suggest turning to the ER for cases of broken bones in which the bone is protruding from the skin; chronic medical problems such as, or risk factors associated with, asthma, diabetes, high blood pressure or high cholesterol; accidental poisonings; continuous bleeding from any part of the body; or gunshot wounds. Kavit notes that a patient’s age may also determine whether an ER or urgent care facility is preferable. Infants, toddlers and senior citizens, for example, may be better served by an ER physician, but what option is best depends on the person and the condition. When in doubt, head straight to the ER. “Time is of the essence,” Moussalli says. “The quicker [patients] are treated, the greater the chance of a better outcome.” HJ

September 2009

www.thehealthjournals.com


The world is theirs to explore. Make sure they can see every bit of it. September is Back-to-School Vision Month 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 Kids’ Protection Plan, which includes scratch-resistant lenses, tough frames and a 2-year warranty on frames and lenses. Drop in or call today for an appointment.

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TRENDS

Anti-aging Products: Good for Skin—

But Also For Hair? Here is a look at some of the antiaging hair care lines and products out there: Dove Pro-Age—Products promise to help maintain volume and improve the appearance of thinning hair. Gentle enough to use on color-treated or processed hair. Jonathan Purifier Anti-Aging Restorative Shampoo—This 100percent vegan shampoo, infused with rosemary and sage extracts, vows to invigorate and restore the head and scalp while sweet almond oil, rice and soy smooth and strengthen damaged cuticles. Claims to restore gray hair to its original color by boosting melanin production. Written By Amy Johnson

A

fter being neglected by the antiaging market for so many years, hair is finally getting the attention it deserves. Though we can already cleanse, condition, color and style it, now at last we may be able to turn back the hands of time with new anti-aging, or restorative, hair care products. These products, which all boast complex formulations of enzymes, botanicals, amino acids and natural ingredients, promise to put life back into hair that is dry, brittle, gray or thinning due to age. Though these products are typically aimed at women in their 40s and older, hair that has been exposed to years of chemical processes and environmental factors could benefit from the anti-aging properties found in the shampoos and conditioners. Jill Butchello, assistant manager and stylist at Bubbles Salon in Williamsburg’s Windsor Meade Marketplace, says the salon has carried anti-aging

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THE HEALTH JOURNAL

hair products since it opened over three years ago, and that the products’ popularity has kept them on the shelves. “We carry Alterna’s ‘Caviar’ line of anti-aging hair care,” Butchello says. “It’s a great product, and people really like it.” She adds that taking care of your hair is important because “it’s basically an extension of your skin.” Hair care is rapidly becoming a part of the burgeoning anti-aging phenomenon as scientists race to include sun protection (SPF) and a host of restorative ingredients in shampoos, conditioners and styling products. Studies indicate that this year demand for anti-aging products in general should increase by 10 percent. Hair care companies haven’t wasted any time in taking advantage of this trend, as more and more age-fighting products are popping up on shelves. Even skin care companies that offer anti-aging products are crossing over into hair care.

September 2009

Alterna Caviar—The “Caviar AntiAging” line is made for hair damaged by daily stress, environmental factors, chemical services and premature aging. Products pledge to stop the aging process at the cellular level by infusing hair with caviar extract and other topshelf ingredients. Pantene Pro-V Restoratives Time Renewal Shampoo—This vitamin-rich formula gently cleanses the hair and contains special detanglers that prevent friction. Promises to smooth the hair’s cuticles and undo up to two years of damage. Phytodensium Shampoo—Pledges to protect against further damage by injecting strength and vitality into aging hair. Its key ingredient is gatuline, derived from a walnut extract, which is said to shield the hair from damaging free radicals and other environmental factors. Black currant seed oil, naturally rich in Omega-3 and Omega-6 fatty acids, regenerates hair while marshmallow root extract is said to hydrate strands. HJ

www.thehealthjournals.com


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

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FITNESS

Make Time to Cool Down Written By Greg Tudor

What Can A Cool-Down Do for You? • Help dissipate waste prod ucts in muscles, including lactic acid • Prevent muscle soreness • Reduce the chances of dizziness or fainting after strenuous exercise • Lower adrenaline levels in the blood • Help the heart return to its normal, resting rate

Replenishing your body is just as important as your actual workout.

W

e are all guilty of it—squeezing in bursts of exercise before rushing back to our busy day. In our hurry we forget one of the most important parts of our workout: the cool-down. You may think cooling down is a waste of time or unnecessary. But in reality, it’s essential for maximizing your workout and preventing injury. During any type of strength-training activity, the body is subject to many processes. Small tears appear in muscle fibers, tendons and ligaments can incur damage and waste products can build up. A proper cool-down promotes muscle recovery and helps return the body to its normal state. An effective cool-down consists of three key elements: light cardio, stretching and replenishment: • Slow the pace. Get three to five minutes of gentle exercise in an activity similar to your workout. For example, if you did an aerobics class, cool down with a light jog or walk.

• Stretch out. You’ll want to stretch the same muscles that were engaged during your workout.

Center for Metabolic Health®

• Re-fuel. Food and water are both important in replenishing your tired body. Drink at least 16 ounces of water post-workout, and have a protein-rich snack (aim for at least 10 grams).

Weight Management Solutions

18

Even when you’re in a time crunch, don’t be tempted to skip your cool-down. The benefits of adding an extra five to 10 minutes to the end of your workout are well worth the wait. Your body will safely return to its normal state, reducing the risk of injury and preventing the next-day soreness we can all live without. HJ THE HEALTH JOURNAL

September 2009

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

www.thehealthjournals.com


Do you wish your doctor really understood you? Dr. Sarah E. Forbes, MD, FACOG Uncompromised, comprehensive health care. Delivering expert, personalized care with the convenience that our patients deserve.

Annual examinations are a vital part of preventative health care for everyone. Dr. Sarah Forbes provides these routine services for people of all ages, from puberty through the senior years. Primary Care and Specialized Services include: Fertility Counseling; Early Cancer Detection; and Treatment for Hypertension, High Cholesterol and Heart Disease.

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Health Alert

Medicines Cause Most Accidental Poisonings in Kids Young children, teens at greatest risk for accidental overdose Written By Anne Harding NEW YORK (Reuters Health)

M

edication overdoses send one in every 180 U.S. twoyear-olds to the emergency department each year, researchers from the Centers for Disease Control and Prevention report. Such overdoses are responsible for more than twothirds of all childhood poisonings. Most of the time, these cases occur when a child finds a medicine and eats or drinks it without adult supervision, said Dr. Daniel S. Budnitz, director of the Medication Safety Program at the CDC’s Division of Healthcare Quality and Promotion and leader of the study. “Although there have been some great strides in preventing deaths from overdoses with the traditional child-resistant caps...it might be time to kind of take the next step,” Budnitz said. He stated the CDC is working with manufacturers and other agencies to come up with innovative packaging that reduces the likelihood that a child can take too much of a medication. While the number of calls to poison control centers nationwide is declining, Budnitz and his team note in the American Journal of Preventive Medicine, the percentage of those calls that involve medicines rather than household products such as cleaners and pesticides jumped 10 percent from 2002 to 2006. It’s

not clear why, Budnitz said in an interview, but the fact that people are simply taking more medicines these days could be a factor. To better understand how to prevent unintentional medication overdoses in children, the researchers looked at data from the National Electronic Injury Surveillance System for 2004 to 2005 on visits to emergency departments for unintentional poisoning in patients 18 years of age and under. Medication accounted for 68.9 percent of these visits, or an estimated 71,224 visits every year, Budnitz and his team found. Over-the-counter products were responsible for a third of the medication-related poisonings. The most common medications involved were acetaminophen (Tylenol), representing 9.3 percent of cases; cough and cold medicines, 7.3 percent; antidepressants, 6.1 percent; and non-steroidal antiinflammatory drugs such as ibuprofen (Advil), 5.3 percent. Four out of five visits were due to children ingesting medications on their own, while 14.3 percent involved misuse of medications—for example, a child being given too large a dose by an adult, or being dosed too frequently. The youngest children were most

According to 2005 data on emergency room visits by minors, over-the-counter products— like Tylenol, Advil and cough and cold medicines—were responsible for a third of the unintentional medication-related poisonings. at risk, with kids age five and under accounting for 81.3 percent of the medication-related poisonings. As children got older their likelihood of unintentional medication overdose decreased, but rose again during adolescence, possibly because parents were allowing them to take medications on their own, Budnitz and his team note. “These are not teens who are trying to get high or kill themselves,” Budnitz noted, but who simply may not understand how to use medicines. “Really, you can only

take medicines as directed. If the bottle says take two for pain, it doesn’t mean that taking eight will be even better.” Parents should know, he added, that teens may still need guidance in using medications properly. And it’s also crucial for parents to tightly close the caps of medicine bottles and put them up out of the reach of children. Putting medicines in a place that’s “convenient” for parents, he said, may also mean that it’s easy for kids to reach them, too. HJ

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THE HEALTH JOURNAL

September 2009

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FEATURE

Caring for an Aging Parent: Consider All Options, Plan Ahead Written By Joy Vann

C

aring for an aging parent is one of those universal life experiences that brings with it many joys but also challenges. Getting older (and dare we say, dying) are the “great inevitables” that most families prefer not to discuss. Those who do talk about it, though, and plan ahead for the possibility that independent living may not be an option, stand to benefit; those who don’t will likely face challenging medical and financial repercussions. You can help your parents prepare for the best future possible by tapping into the many local and national resources available.

Local agencies offer guidance to seniors and their families

Topics for discussion: >> Advance directives/living wills >> Appointing a family caregiver >> Housing preferences: home vs. senior living facilities >> Financial matters, including long-term care insurance >> Where to find important documents regarding care >> End-of-life wishes/spiritual beliefs

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THE HEALTH JOURNAL

September 2009

When it became clear to Morgaine Beck of Falmouth, Mass., that her parents—octogenarians Agnes and Harley Beck—needed more help than she could provide, Beck spent five months trying to sort things out. For years the elder Becks had lived in a two-story townhouse in Williamsburg, but as medical issues mounted—Agnes needed surgery for an intestinal blockage, and Harley fractured his hand and developed bruises after falling several times—“it just became too much,” Beck recalls. She considered moving her parents into a senior living facility, but her dad, an Air Force retiree, was reluctant to give up his independence and leave a home full of happy memories. He’d always vehemently said that he “didn’t want to live in a nursing home,” reflecting a common misconception among older Americans that all senior living communities are sterile, institutional-like places where the sick are sent to die. After consulting Kathy Hoyle, a registered nurse and case manager at Peninsula Agency on Aging (PAA) in Newport News, the family was able to reach a happy medium. With Hoyle’s help, they decided on assisted living, a level of care that offers some independence while professional caregivers assist with health and nutritional needs. (See our sidebar at right for more on the levels of care.) But while her parents had a will (though an outdated one), Beck didn’t have financial or medical power of attorney, which would allow her to assist in her parents’ transition. After five months, Beck finally secured the legal documents she needed. According to Beck, discovering the resources available to her parents through PAA was nothing short of “a miracle.” The PAA is one of about 650

www.thehealthjournals.com


FEATURE

Levels of Care Companion Services—Non-medical personal care provided in your home by an individual or home health agency. Services may include help with light housekeeping, errands, cooking and other tasks. Area Agencies on Aging in the United States that offer assistance to seniors and their families in the form of information, care coordination, meal delivery and transportation. In Hampton Roads, help can also be found through Senior Services of Southeastern Virginia (SSSEVA), based in Norfolk. John Skirven, executive director of SSSEVA, calls such agencies “one-stop shops for services and opportunities for older people,” adding that getting the word out about senior resources is vital. “The United States has not done a good job of teaching people to prepare for old age,” asserts Skirven, “and we’ve not done a good job of building a coherent long-term health program. It’s very fragmented. [Fortunately] now there is a lot more attention [paid] to those issues.” Beck sympathizes with other adult children entrusted with the task of caring for their parents, especially those who try to navigate the system without help: “It’s sad, because there are so many resources out there— much more than anyone realizes.” Beck’s parents now live in a two-room unit at the Madison Retirement Center in Williamsburg. Through PAA, the senior Becks also learned about a veterans’ aid program that supplements their Social Security income, making it affordable to live in the assisted living community where they receive meals, medications and housekeeping/laundry service and participate in social activities. “They were very isolated before and didn’t have a support network—and now they are part of a community,” says Beck. “I say it’s a happy ending and [a new] beginning. They are happier and healthier than they have been in years.”

Right documents can aid in decision-making, planning ahead Like a lot of seniors, until medical problems made a lifestyle change more urgent, Beck’s parents hadn’t signed legal documents to allow their daughter to make key decisions regarding their care. In fact, it’s estimated that 70 percent of older Americans don’t have the paperwork in place to make their wishes known, often forcing children or other relatives to make gut-wrenching decisions in crisis mode, rather than being able to calmly make proactive plans. One of the most important documents any adult can have in place is an advance directive—a written or oral statement, made while a person is competent, that

Home Care—Provided by home health care agencies, these services can range from nursing care (provided by certified nursing assistants or home health aides) to medication management to physical therapy. Adult Day Care—Meals, medications and social activities are provided to the elderly outside of the home at a designated site. Transportation is usually provided. At local PACE centers, for example, a medical team coordinates doctor’s appointments for each individual. Independent Senior Living Communities— Often called “retirement homes,” these facilities are ideal for seniors who are in good health but would like to live in a community with people their own age with similar interests. Some communities offer dining, social activities and transportation. expresses one’s health care wishes. There are two types: the living will, which provides directions for end-of-life care, and a durable power of attorney for health care (or medical power of attorney) which designates a particular individual to make health care decisions for a person in the event he or she cannot make them for him or herself (this pertains only to medical treatment and is separate from a legal power of attorney, which covers legal and financial issues.) Asking parents about their long-term care wishes and housing preferences can be difficult, if not daunting. Experts recommend taking a low-key approach. Sue Cunningham, a certified senior advisor and aging-in-place specialist in Virginia Beach, says, “I hear from a lot of adult children who don’t want to bring these topics up because they [fear their parents will think] they just want their inheritance or money, when really all they want to do is what’s right by their parents.” She advises having the conversation before it becomes necessary, because if you wait until a crisis, you may then have to make decisions that would be contrary to their wishes. Cunningham also suggests broaching the subject of care plans with something topical, such as the recent Oprah show about the possibility of living to be 150 years old. Finding an article on the subject can open dialogue, too.

Home safe home Two years ago, an estimated 20 million Americans were caring for an elderly parent while caring for their own family—a figure predicted to nearly double in coming years as the eldest of the baby boomers Continued on page 26

To advertise, call 757-645-4475

Assisted Living Facilities—Live-in facilities where seniors receive help with the tasks of daily living such as bathing, dressing and preparing meals but do not require round-the-clock care. Home care and skilled nursing services are usually provided by an outside agency. Many such facilities offer special Alzheimer’s/ Dementia wings. Nursing Homes—Offer round-the-clock convalescent care for individuals who cannot care for themselves. Medical and non-medical staff members manage medications, help with feeding and provide housekeeping services. Continuing Care Communities—May offer independent and assisted living, usually in the same campus or setting, as well as nursing care and/or hospice. An entry fee may be required. Hospice/Palliative Care—Can be provided in the individual’s home, at any senior care facility or designated hospice centers. Hospice caregivers focus on pain management and spiritual issues. This level of care is often reserved for those with a life expectancy of six months or less.

Turn to our Health Directory in this issue for a complete list of home care agencies and senior living options near you.

THE HEALTH JOURNAL

September 2009 23


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FEATURE

Caring for an Aging Parent

Continued from page 23 (those born between 1946 and 1964) approach 65 (the first boomers will turn 65 in 2011). By 2030, nearly one in five Americans will be over age 65, straining (or some say, breaking) the U.S. health care system. Right now, the fastest growing segment of the U.S. senior population is individuals 85 years and older, the majority of whom want nothing more than to stay where they feel most at ease: in their own home. Aging in place—a phrase that defines a movement to help seniors live independent, healthy lives at home—is a worthy goal, and some seniors can achieve it. For example, simple changes and additions to homes can allow seniors, even those with health concerns, to stay in their homes as long as Family caregivers must make time possible. Dr. Jeffrey Carlson for themselves, too. Try these tips of Orthopaedic and Spine taken from articles found on the Center in Newport News Web site www.WebMD.com: notes that the most common >> Make time to prepare healthy meals injuries among the elderly and snacks, and try to get at least 7 come from impaired vision hours of sleep each night. and poor balance. “With falls, >> Carve out a few minutes each day for we see patients who’ve gotten activities you enjoy. tangled up in something or missed a step,” he says. “So it’s >> Don’t neglect your own health care, including regular dental check-ups. important to make clear pathways in the home. Flooring is >> Know the signs of depression. Seniors one of the big issues. Throw are not the only population at risk. rugs that slip can be one of >> Keep your stress levels in check. the most dangerous [hazards] >> Resist the tendency to do everything in a home.” yourself. More significant chang>> Hire respite care—whether from es, such as selling the famanother family member, friend, a ily home and downsizing, home health agency or adult day care may take more discussion, program—so you can get out of the money and time. “Living in a house by yourself for a few hours a 6,000-square-foot house can week. be difficult,” Carlson says, >> Find a support group for family noting that many seniors opt caregivers like you. to move to a one-level home for safety reasons. And what about seniors who want to remain in their home but need help beyond what family members can provide? Home care, of course, is an option; but round-the-clock care isn’t in the budget of most families. One solution is to send seniors to a day program such as PACE (Program of All-Inclusive Care for the Elderly, operated independently by Riverside Health System in Hampton and by Sentara Healthcare in Virginia Beach and soon in Portsmouth.) At PACE centers, eligible seniors receive care from an interdisciplinary team that provides primary health care, nursing, rehabilitation therapies, meals, psycho-social support and recreational activities. Transportation is provided to and from the sites, relieving family caregivers of daily drop-off and pick-up duties. Laura Gadsby, Sentara’s PACE site manager, says working families find relief in having all of those services covered—as well as medical care and coordination provided—all at one place. Seniors tend to thrive

Caring for the Caregiver

26

THE HEALTH JOURNAL

Online Resources American Association of Retired Persons (AARP.org) Family Caregiver Alliance (www.caregiver.org) Peninsula Agency on Aging (www.paainc.org) Senior Services of Southeastern Virginia (ssseva.org) The American Health Assistance Foundation (www.ahaf.org) Virginia Easy Access (Va.easyaccess.virginia.gov) Virginia Department for the Aging (www.vda.va.gov) in the program: daily interaction with a medical team helps to prevent or catch conditions that could cause further debilitation. Another important benefit for PACE seniors, says Gadsby, is that the daily social interaction, coupled with the ability to either live at home or with family, can help ward off depression—a condition to which the elderly are especially prone.

Help is out there, if you know where to look Kathy Sexton of Norfolk wonders why no one on the extensive medical teams of her parents, Thelma and Fred Sexton, told her about the resources and care options available to local seniors during her seven years as a caregiver. She assumes it’s because she attended the hundreds of medical appointments, always asking questions. And she was always the one to drive them home from the hospital. Looking back, Sexton surmises that because so many seniors don’t have family members to advocate for their care, the doctors who witnessed her attentiveness simply “didn’t worry about who would care for [my parents].” But things got hairy when Thelma’s diabetes and congestive heart failure progressed. Sexton hired a certified nursing assistant to care for her parents during the day but found the care “merely adequate.” Sexton began taking on more and more caregiving responsibilities, including attending to their needs at night. “It was hard being up every night for eight to 10 hours, changing diapers and giving medications and then going to work in the morning,” she says. As Sexton’s mother’s health failed, so did her father’s. Bills mounted, and after a while, Sexton found herself paying for most of them out of pocket. “I began to feel like an ATM machine,” she remembers. “Every time I turned around there was a new bill for something I hadn’t anticipated, like $800 for a mechanical chair or $10 an hour for a neighbor to sit with Dad.” Managing her parents’ medical needs and maintaining their household eventually took its toll on Sexton, who, even two years after her mother’s death and seven months after her father’s passing, says she can “still hear my parents calling my name” in the middle of the night. “My parents relied on me, the single daughter without children,” she says. “I wish I’d known about the resources that are out there.” HJ

September 2009

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September 2009 27


HEALTH CARE DECISIONS

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Continued on page 36 28

THE HEALTH JOURNAL

September 2009

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sen-6797 usnewz_HRHJ:Layout 1

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Ranked In 5 Specialties, Sentara Is Among The Nation’s Best Hospitals.

ld News & Wor © 2009 U.S.

ion. ith permiss Reprinted w Report. L.P.

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F

or the past decade, Sentara has become a regular on the U.S.News & World Report annual list of America’s top hospitals. This year, 4,861 hospitals across the country were surveyed. The magazine ranks only the “Top 50” hospitals in each specialty. Sentara was recognized in five specialties – Sentara Norfolk General Hospital was ranked for Heart and Heart Surgery (Sentara Heart Hospital - 26), Kidney Disorders (42),

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Geriatric Care (45), and Diabetes and Endocrine Disorders (45). Sentara Leigh Hospital made the 'Top 50' in Orthopedics (38) for the first time. Sentara's exceptional physicians, nurses and clinical teams are to be commended for their expertise in achieving these rankings. This type of clinical excellence should be a major source of comfort and pride for our community. For a copy of the rankings, please call 1-800-SENTARA.

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SOLUTIONS

Natural Solutions For Managing Headache and Stress Written By Dr. Daniel A. Shaye

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here are few human ailments that can ruin your day like a headache and stress. Whether you suffer constant, low-level worries about the economy, relationships or life’s other challenges—or more direct and throbbing pain in the head that leaves you wanting to just curl up in a ball—you probably are tempted to do just about anything to feel better. Fortunately, there are some steps you can take to safely and effectively manage and limit both headaches and stress.

Connect with your body. When we experience stress, we tend to tighten certain areas. One way to self-manage stress and pain is to normalize your breathing. First, take a moment to become aware of your body. Where’s the tension? Is it in your face? Your scalp? The base of your head? Your shoulders? Your chest or abdomen? Consciously connect to those areas of your body, and then gently let the stress go. Visualize breathing out the stress and tension, breathing in nurturing life and oxygen. Does this sound too “New-Agey” for your tastes? If it works, what have you to lose? Rethink the pills. One of the major problems with pills for headaches is that they carry a risk of “medication-induced” or “rebound” headaches. It’s OK to take a Tylenol or aspirin for the occasional head-pounding migraine, and every year or three I have a crushing headache that responds almost miraculously to a single half-aspirin; yet long-term use of these pills not only can increase headache incidence and severity, but also

damage the liver, kidney and gastrointestinal tract. Few people find their stress levels plummet at the news that they need dialysis. Watch what you eat. Food has a very real effect on our moods, and our pain. If you doubt this, then you’ve never seen a child after a sugar binge. In addition to affecting mood, some plants and other foods are natural anti-inflammatory agents (in fact, Hippocrates, father of modern medicine, knew aspirin as willow tree bark). It’s also known that certain foods can “trigger” headaches. Caffeine (whether from a beverage or chocolate), tyramines (common in cheeses) and alcohol (due to both sulfites in wine and alcohol’s dehydrating effects) are common headache triggers. Pay attention to what causes your headaches. Question whether it’s truly a good idea to seek “death” via a confection, despite the catchy name.

activates your body’s internal pharmacy, moderating both your mood and pain levels. In addition, exercise can help build a sense of selfworth, of accomplishment. Studies have shown so consistently that exercise is a valid way to

If your doctor has a suspicion of a serious headache cause, he or she will order tests to rule these causes in, or out. modify mood and psychological state that it is a component of depression management programs. So take a walk. Or shoot some hoops.

Seek the cause. If your marital situation or job is causing you tremendous stress, a few breathing exercises and some ginger won’t solve your problems. Sure, you can use some of the methods in this article to cope; but I’d suggest you either change your perspective on the world, or change the world around you. Consider career or relationship counseling, prayer, some soul-searching, or talk therapy with a trained counselor.

Seek a diagnosis. Perhaps I should have listed this first: Some headaches are of serious, ominous cause. Infections, tumors and aneurysms do bring about some headaches, but fortunately these are rarely the cause. There are many “benign” causes of headache that are nevertheless so painful that they cause my patients to ask me to simply remove their heads. If your doctor has a suspicion of an ominous (secondary) headache cause, he or she will order tests to rule these causes in, or out.

Exercise. Though some headaches are made worse by exercise, for most aches and pains and stress, exercise is the “magic pill.” Exercise

Laugh. Laughter isn’t a good way to address a migraine; but it’s a fantastic way to address stress. Laughter provides a release valve to life’s pres-

To advertise, call 757-645-4475

Continued on page 32

THE HEALTH JOURNAL

September 2009 31


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Continued from page 31 sure-cooker. Make humor a regular part of your life, and you’ll reap rewards. See a chiropractor. Chiropractic spinal manipulation has fared well in peer-reviewed studies as a form of headache management and treatment. In fact, some studies have shown its effects to be superior to common medications, and with longer-lasting results and fewer side effects. Don’t be surprised if you notice your M.D. waiting in your chiropractor’s reception area. Try acupuncture. This ancient system of healing has the drawback of some language that sounds very, very foreign to our Western ears. What’s this “Chi?” Who says my “Yin” is deficient? Yet despite acupuncture’s roots in a foreign culture, it has caught on in the Western world for one simple reason: Its benefits are real. Modern acupuncture uses sterile devices, and it’s only performed by licensed practitioners. Look for letters like FIAMA, DIAMA, or LAc after the provider’s name. Though my patients 32

THE HEALTH JOURNAL

have found acupuncture to be a very powerful method of pain control, many of them have also discovered its calming powers. It appears that certain forms of acupuncture tap into the parasympathetic (calming) portion of the nervous system, modifying the body along the lines of the famous music that soothes the savage beast. I’ve even had patients come to me after a serious life stress (death of a loved one, for example) for acupuncture’s powerful calming effects. Though I don’t hold acupuncture out as a cureall or substitute for psychological interventions, I can’t dispute my patients’ experiences with its profound effects on mood. Perhaps one day Western medicine will have a better grip on the whys and hows of these effects; but then again, are you completely sure why hitting CTRL-ALTDEL on your computer allows you to shut down a dysfunctional program? The procedure works, so we use it. There’s a lesson there. Cultivate your human network. A support network of positive interpersonal relationships

September 2009

is crucial to mental health and to stress management. In fact, a lack of such connections has been shown to correlate to physical illness and earlier death. Join a book or garden club. Get involved in your church or synagogue or mosque. Cultivate your friendships—and not just when you think you need them. And, if you can, just phone Mom, Dad, Uncle Fred or a sibling now and again. Though family provides its own unique challenges, for many people family members are important anchors in an uncertain world. HJ Dr. Daniel Shaye is a doctor of chiropractic with Performance Chiropractic. He is a fellow of the International Academy of Medical Acupuncture, a certified chiropractic sports physician and a certified chiropractic rehabilitation doctor. The third chiropractor in his family, he practices what he preaches— his lifetime pill total includes zero ibuprofen, two Tylenols and less than a dozen aspirins to date.

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Peninsula Edition

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

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

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

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

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

Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032

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

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

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

Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881

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

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

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

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

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

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

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

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

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

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

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

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

Endocrinology

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

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

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

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

Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300

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

Riverside Endocrinology, Diabetes & Metabolism Center 11844-B Rock Landing Drive Newport News (757) 534-5050

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

Family Practice

Riverside PACE (Program of All-Inclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977

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

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

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

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

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

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

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

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

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

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

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

William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152 Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667 Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577 Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651 Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530 Guy G. Levy, DDS Mayer G. Levy, DDS 3120 Kiln Creek Blvd. Yorktown (757) 877-9281 Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304 Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300 Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800 John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210 Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979 Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975 Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411 George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617 K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832 Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200 Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655 Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921

Tidewater Diagnostic Imaging 3000 Coliseum Drive Hampton (757) 873-0848 11803 Jefferson Ave. Newport News (757) 594-1803 3630 Geo. Wash. Mem. Hwy. Yorktown (757) 867-6101 Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233 TPMG Imaging Center 860 Omni Blvd., Ste. 102 Newport News (757) 873-0848

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

Leo C. Bowers, MD 26 Wine Street Hampton (757) 728-1100 Bruton Avenue Family Practice 12 Bruton Avenue Newport News (757) 594-4111

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

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

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

William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320 Ken J. Tompkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440 Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626

Diagnostic Imaging Breast Diagnostic Center 704 Thimble Shoals Blvd., Ste. 600 Newport News (757) 595-8650 Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714

Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822 Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273 Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001 48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709 Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141

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

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

C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066

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

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

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

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

Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335

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

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

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

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

J. Matthew Halverson, DO, FAAFP 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588

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

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

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

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

Healthy Family Partnerships 100 Old Hampton Ln. Hampton (757) 727-1300

Northampton Convalescent & Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922

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

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

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

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

Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602

Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675

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

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

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

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

James River Family Practice 12420 Warwick Blvd., Ste. 7B Newport News (757) 599-5588

Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905 The Newport 11141 Warwick Blvd. Newport News (757) 595-3733 Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880

To advertise, call 757-645-4475

THE HEALTH JOURNAL

September 2009

33


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

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

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

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

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

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

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

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

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

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

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

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

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

Health Products & Equipment

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

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

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

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

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

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

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

Riverside Kettlebells Yorktown (757) 645-7586

Port Warwick Medical Assoc. 11803 Jefferson Ave., Ste. 100 Newport News (757) 594-1870 Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073 Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800 Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012 Suburban Family Practice 858 J. Clyde Morris Blvd. Newport News (757) 594-4343 TPMG/Denbigh Family Medicine 13347 Warwick Blvd. Newport News (757) 877-0214 TPMG of Grafton 101-A York Crossing Grafton (757) 898-7737 TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992 TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880 TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755 TPMG of Yorktown 307 Cook Road Yorktown (757) 898-7261 Victoria Family Practice 3212-B Hampton Hwy. Yorktown (757) 867-6160 The Village Doctor 10222 Warwick Blvd. Newport News (757) 223-0124 Warwick Primary Care 4032-A Campbell Road Newport News (757) 534-5600

Fitness & Weight Management Bally Total Fitness 12555 Hornsby Lane Newport News (757) 249-1315 Body-in-Balance 12482-A Warwick Blvd. Newport News (757) 715-6906 Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880 Curves for Women 5336 Geo. Washington Mem. Hwy. Grafton (757) 898-8300 3835 Kecoughtan Rd. Hampton (757) 723-3600 1814-A Todds Lane Hampton (757) 265-9200 Willow Oaks Village Square 227 Fox Hill Rd. Hampton (757) 851-5800 555 Denbigh Blvd. Newport News (757) 872-8720 328 Oyster Point Plaza Newport News (757) 249-9300 10860 Warwick Center Newport News (757) 596-2121 477-C Wythe Creek Rd. Poquoson (757) 868-1488 3301 Hampton Hwy. Yorktown (757) 867-7150 Fitbody/Strongbody 735 Thimble Shoals Blvd., Ste. 120 Newport News (757) 874-3488 Fyzique Fitness Center 8100-F Geo. Washington Mem. Hwy. Yorktown (757) 283-5303

Bike Beat 120 Ottis Street, Ste. 118 Newport News (757) 833-0096 Conte's Bicycle & Fitness 9913 Warwick Blvd. Newport News (757) 595-1333 Food Herbs & More 2821 Denbigh Blvd. Yorktown (757) 898-0100 Freewheel Bicycle Shop 12440 Warwick Blvd. Newport News (757) 596-6320

Sentara Center for Health & Fitness 4001 Coliseum Drive Hampton (866) 760-2658

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

Total Fitness 6120 Jefferson Ave. Newport News (757) 827-0629

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

Traveling Fitness for Women Hampton - Newport News (757) 593-5912

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

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

Health Trail Natural Foods 10848 Warwick Blvd. Newport News (757) 596-8018 The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404 Med Emporium 629 Pilot House Dr. Newport News (757) 434-5777

Gastroenterology

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

Colonial Gastroenterology 11803 Jefferson Ave., Ste. 230 Newport News (757) 534-7701

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

Gastroenterology Specialists 410-A Marcella Rd. Hampton (757) 826-6539

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

Hampton Roads Gastroenterology 501 Medical Drive Hampton (757) 826-3434

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

Peninsula Gastroenterology 101 Philip Roth Street, Ste. 5-A Newport News (757) 599-6333

Hearing & Audiology

Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1803 TPMG Gastroenterology 860 Omni Blvd., Ste. 301-A Newport News (757) 240-2700

General Surgery

Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932 ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505

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

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

Hospice & Home Care

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

Health Departments

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

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

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

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

Hampton University Hampton (757) 727-5328

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

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

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

34

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

Hospice of Virginia Hampton Roads (800) 501-0451

Internal Medicine

THE HEALTH JOURNAL

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Hearing Aids

Health Careers

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

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

Infectious Disease

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

Sentara Careplex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528

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

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

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

Peninsula Surgical & Trauma Services 500 J. Clyde Morris Blvd., Ste. 601 Newport News (757) 534-5300

Nicholas A. Smerlis, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 827-2480

Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450

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

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

Hand Surgery

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

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

Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794

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

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

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

Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717

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

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

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

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

TPMG - General Surgery 860 Omni Blvd., Ste. 204 Newport News (757) 874-1077

Hypnosis

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

Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665

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

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

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

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

Riverside Hampton Surgery Center 850 Enterprise Pkwy., Ste. 100 Hampton (757) 251-1077

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

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

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

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

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

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

Hampton Roads ENT-Allergy 901 Enterprise Parkway, Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338

Port Warwick Surgery 11803 Jefferson Ave., Ste. 250 Newport News (757) 873-0050

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

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

Personal Touch Home Care & Hospice of Va., Inc. 732 Thimble Shoals Blvd., Ste. 203 Newport News (757) 595-8005

Hoskote S. Nagraj, MD 12695 McManus Blvd., Ste. 1-A Newport News (757) 874-1337 Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800 Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891 Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431

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

Hospitals & Clinics BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000 Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000

Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090 Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125 Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469 Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090 Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009

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

Neurology & Neurosurgery Hampton Roads Neurology 500 J. Clyde Morris Blvd. Newport News (757) 594-2767 850 Enterprise Pkwy., Ste. 1400 Hampton (757) 637-7500 Hampton Roads Neurosurgical & Spine Specialists 730 Thimble Shoals Blvd., Ste. 110 Newport News (757) 595-7608 Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797 Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266 Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180 Tidewater Neurologists & Sleep Disorder Specialists 2115 Executive Drive Ste. 5-D Hampton (757) 262-0390 606 Denbigh Blvd., Ste. 105 Newport News (757) 989-8942

Non-Profit Organizations Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511 Alzheimer’s Association Southeastern VA Chapter 213 McLaws Circle, Ste. 2-B Williamsburg (757) 221-7272 American Cancer Society 11835 Canon Blvd., Ste. A-102 Newport News (757) 591-8330 American Heart Association Toll-Free: (800) 242-8721 American Red Cross Hampton Roads Chapter 4915 W. Mercury Blvd. Hampton (757) 838-7320

Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920

American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090

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

The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461

TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794

Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204

Medical Transportation

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

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

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

LogisiCare Toll-Free (866) 386-8331

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

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

Faith in Action Hampton (757) 245-3550

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

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

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

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

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

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

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

September 2009

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

Food Bank of Va. Peninsula 9912 Hosier St. Newport News (757) 596-7188 Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Habitat for Humanity 809 Main St. Newport News (757) 596-5553 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635

www.thehealthjournals.com


Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450

Warwick Denbigh OB/GYN 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891

Denbigh Orthopedic & Sports Medicine 12720 McManus Blvd., Ste. 311 Newport News (757) 872-0548

Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676

Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000

Hampton Roads Orthopedic & Sports Medicine 730 Thimble Shoals Blvd., Ste. 130 Newport News (757) 873-1554

The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600

Occupational Health Services

Orthopedic & Musculoskeletal Center of Hampton Roads 850 Enterprise Pkwy., Ste. 2000 Hampton (757) 838-5055

I&O Medical Centers 593 Aberdeen Road Hampton (757) 825-1100 704 Thimble Shoals Blvd., Ste. 200 Newport News (757) 240-5580

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

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

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

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

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

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

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

Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291

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

PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229

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

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

Rose J. Cloud, MD 1295 McManus Blvd., Ste. 1-C Newport News (757) 988-0085

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

Hampton Roads Pediatrics 23 Manhattan Square Hampton (757) 224-1600

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

Mark E. Holman, MD 2115 Executive Dr., Ste. 10-A Hampton (757) 826-5437

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

Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910

Optometry

Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889 Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160 Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846 George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400

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

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

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

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

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

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

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

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

Planned Parenthood 910 W. Mercury Blvd. Hampton (757) 826-2079 Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555 Riverside OB/GYN & Family Care 10510-D Jefferson Ave. Newport News (757) 594-4720 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891 Riverside Warwick OB/GYN 12200 Warwick Blvd., Ste. 510 Newport News (757)534-5700 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794 Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945

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

Orthopedics & Sports Medicine Children's Orthopedic & Sports Medicine 11783 Rock Landing Drive Newport News (757) 668-6550

Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700

Kroger Pharmacy 14346 Warwick Blvd. Newport News (757) 877-7963 101 Village Ave. Yorktown (757) 833-0406

Plastic & Cosmetic Surgery

Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958

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 Portside Pharmacy 1101 William Styron Square S. Newport News (757) 327-0780 Rite Aid Pharmacy Visit www.riteaid.com for local listings. Sam’s Club Pharmacy 12407 Jefferson Ave. Newport News (757) 874-2096 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.

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

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

OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979

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

Pediatrics

Kaz Vision & Laser Center 12690 McManus Blvd. Newport News (757) 875-7700

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

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

Physical Therapy & Rehabilitation

CHKD - Newport News Pediatrics 11783 Rock Landing Dr., Ste. 202 Newport News (757) 668-6300

Natalie Cassis, OD, FAAO 11045 Warwick Blvd. Newport News (757) 594-4018

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

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

James River Eye Physicians 704 Thimble Shoals Blvd., Ste.100 Newport News (757) 595-8404

Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009

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

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

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

To advertise, call 757-645-4475

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

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

Community Services Board - Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200

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

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

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

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

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

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

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

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

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

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

Prosthetics & Orthotics

OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900

Certified Prosthetic & Orthotic Specialists Barry K. Kelly, CPO, C ped 802 Lockwood Ave., Ste. B Newport News (757) 833-0911

Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453

Foot Solutions 2643 Geo. Washington Mem. Hwy., Unit 3 Yorktown (757) 867-8111

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

Fully Confident Restwear, Inc. 603 J. Clyde Morris Blvd., Ste. 4 Newport News (757) 595-3488

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

Hanger Orthotics & Prosthetics 2713 Magruder Blvd., Ste. 1 Hampton (757) 766-8047

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

Psychiatry & Mental Health

Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097

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

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

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

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 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635 Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972 Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240 Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852 Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120 Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701 Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353 Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025 Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938 Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336 Dawn R. Reese, PhD 705-C Mobjack Place Newport News (757) 591-2300 Riverside Behavioral Health Center 2244 Executive Drive Hampton (757) 827-1001 Rock Landing Psychological Group 11825 Rock Landing Drive Newport News (757) 873-1736 Tipton K. Sheets, LPC, LMFT Yorktown (757) 898-9022 Sara E. Sutton, PhD 753-D Thimble Shoals Blvd. Newport News (757) 599-6470 Thimble Shoals Counseling & 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

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

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

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

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

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

Pulmonology & Sleep Disorders

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

THE HEALTH JOURNAL

George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032

September 2009

35


Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350

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

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

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

Peninsula Pulmonary Associates 500 J. Clyde Morris Blvd. Newport News (757) 594-2732

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

Riverside Sleep Disorders Center 12420 Warwick Blvd., Ste. 7-A Newport News (757) 594-2012

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

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

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

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

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

Reproductive Medicine

Soothing Moments Massage Therapy 11747 Jefferson Ave. Newport News (757) 595-2209 Spa Botanica at Embassy Suites Hotel 1700 Coliseum Dr., 2nd Floor Hampton (757) 213-8510

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

Sunset Spa 3301-E Hampton Hwy. Yorktown (757) 867-9480 Therapeutic Massage Center 704 Middle Ground Blvd. Newport News (757) 599-3384 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

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

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

Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774

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

American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924

Families Anonymous Toll-Free (800) 736-9805

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

HEALTH CARE DECISIONS Continued from page 28 Myth #6:

Myth #4:

“My family will take care of me.”

“Medicare will cover my long-term care expenses.” Medicare does pay for nursing home care, but only for a maximum of 100 days and only if the three-day qualifying hospital stay requirement has been met. In addition, Medicare will only pay as long as you are showing progress towards recovery. Once your condition becomes stable—regardless of whether you’re fully well—Medicare rules indicate that benefits will stop. Also, Medicare does not pay for individuals to attend an adult day care program or for the room and board expenses at an assisted living facility. Myth #5:

Myth #7:

“Medicaid will cover my long-term care expenses.” Medicaid was developed partially to cover long-term care costs for Americans of any age who need help paying for those services. Medicaid is currently the largest payer of long-term care costs in the U.S., primarily for care in nursing homes. However, Medicaid helps people with limited or minimal income and assets, and in order to qualify for benefits, you have to demonstrate a financial need for help. Qualifying means spending nearly all of your own money on your care before the government will step in to help.

Narcotics Anonymous (757) 875-9314

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

David P. Bayne, MD 2204-E Executive Dr. Hampton (757) 838-8836 Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374 Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430

Vascular Surgery

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

David C. Kikoen is an agent with New York Life. He can be reached by e-mail at dckikoen@newyorklife.com.

was to strengthen my injured shoulder so I could kayak again pain free.” - Chris, client since 2008

What’s Your Goal?

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

Nearly everyone who needs long-term care wants to stay at home. Long-term care insurance can offer valuable benefits that may keep you at home for as long as possible. Long-term care insurance can also help cover the cost of care in other locations, such as adult day care centers, assisted living facilities and hospice care. HJ

“My goal

Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100 TPMG Urology Geoffrey B. Kostiner, MD Eric C. Darby, MD 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562

“Long-term care insurance covers only nursing homes.”

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

Urology

The financial, physical and emotional stress that full-time caregiving may place on families can be overwhelming. Many families have struggled to provide care for parents or siblings only to eventually realize that the care required is more than they can provide. The truth is, sometimes the best way for a family to take care of a loved one needing long-term care is to make sure that a person has access to professional care. With the advances in home care services, many people needing long-term care are actually able to stay at home, with or near their families, and still get the professional care they need.

We can help you achieve your personal goal. Personal training and group sessions for all fitness levels. Also offering spinning, boot camp, core classes and much more...

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

Personal Training Studio Inc.

Call 565-5000 www.resultstrainingstudio.com

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

Bring this ad with you and receive a FREE personal training session.

Now accepting patients!

(757) 206-1408

500 Sentara Circle, Suite 103 | Williamsburg, VA 23188

36

THE HEALTH JOURNAL

Now accepting patients for in-center hemodialysis, peritoneal dialysis, and home hemodialysis. Visiting dialysis patients welcome.

New customers only please. Located off Ironbound Road near the Five Forks intersection in the Powhatan Park Center

September 2009

www.thehealthjournals.com


NUTRITION

Eat Healthy When You’re on the Go Try these simple, smart fast-food swaps when eating on the fly

N

othing signals summer’s end quite like the change in a family’s eating habits. As school days resume—days also crowded with club meetings, music lessons and sports practices—little time is left for preparing and eating healthy dinners. Soon, crisp salads and fresh fruit—the delectable abundance of summer produce—give way to convenience foods like burgers and fries. Neon restaurant and drive-thru signs call like beacons on busy nights: “Fast, hot, cheap.” But you can make better choices when eating on the run. Knowing which menu items at your favorite pit stop are diet-friendly can take you a long way toward your fitness goals. Here are some suggestions:

YOU WANT

YOU WANT

GET INSTEAD

Small Turkey Bacon Guacamole (530 calories,

Small Honey Bourbon Chicken on Wheat Bread

27 grams of fat)

(380 calories, 4 grams of fat)

Market Fresh Pecan Chicken Salad Sandwich

Ham and Swiss Melt (280 calories, 6 grams of fat)

(870 calories, 47 grams of fat)

GET INSTEAD Half Smoked Turkey Breast on Sourdough & an 8-oz. cup of Low-Fat Garden Vegetable Soup (310 calories, 9.5 grams of fat)

Sausage Egg and Cheese Biscuit (560 calories, 37 grams of fat)

(290 calories, 12 grams of fat)

6-inch “6 Grams of Fat or Less” Roast Beef Sub

Original Chicken Sandwich (430 calories,

(310 calories, 4.5 grams of fat)

17 grams of fat)

Chargrilled Chicken Sandwich (260 calories,

3 Steak Soft Tacos

3 Veggie Tacos

Chicken Club Sandwich

Grilled Chicken Go Wrap

(1,028 calories, 46.5 grams of fat)

(510 calories, 18 grams of fat)

(550 calories, 26 grams of fat)

(250 calories, 10 grams of fat)

Frontega Chicken Sandwich (860 calories, 39 grams of fat)

6-inch Cold Cut Combo (410 calories, 16 grams of fat)

Ham Omelet Sandwich

3 grams of fat)

An Investment in Your Smile is An Investment in Your Success “Thanks to Dr. Samaha’s incredible talent and expertise, I now have a really beautiful, bright, engaging smile. And I am so relieved to know that my teeth are once again strong and healthy, ready to last me the rest of my life! As a Long-Term Insurance Professional, I believe in investing in security. Having Dr. Samaha repair and restore my teeth has given me so much peace of mind, knowing my teeth are strong and healthy while others my age are moving toward the pain and aggravation of dentures—a reality I can’t even imagine! Additionally, my refreshed smile has boosted my appearance! It is so important in helping me present myself with polish and credibility to my colleagues in the professional world and most importantly, my prospective clients. A quality product is always worth searching for, and I am glad I did my homework. Having my dental health restored and renewed by Dr. Samaha was an investment in my professional life as well as my personal health. I give her, without question, my highest recommendation.” - Paula Wallace, Carrolton

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Before

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THE HEALTH JOURNAL

September 2009 37


SECOND OPINION

Not Children, But Not Yet Adults:

Special Concerns of Teen Athletes Written By Dr. Joel Brenner

T

he dividing line between childhood and adulthood can be foggy during adolescence. Teens who look and feel “grown-up” often feel out of place in a pediatric waiting room filled with children playing with wooden puzzles and coloring books. But adolescents, especially those who are athletes, face heightened health risks unique to their age. Because they are still growing, teens who are active in sports risk injuring their bones, ligaments and tendons—injuries best treated by pediatric sports medicine specialists. The following are some conditions that occur at a higher rate among adolescents than children and are seen more often in gifted athletes who spend especially long spells on the playing field.

“Little League” Shoulder and Elbow Many a pitching career has been derailed by injuries that result from throwing too many balls without using the proper mechanics. These injuries are especially common when a talented pitcher spends too much time on the mound. Pitchers who specialize in curve

Any athlete whose sport requires rapid, repeated overhead arm movement should consult a specialist at the first sign of tenderness.

balls and sliders are at greatest risk. Little league shoulder—normally defined as a strain in the rotator cuff (a network of muscles and tendons that connects the upper arm to the shoulder joint)—can also cause a tear in the labrum (a ring of cartilage in the shoulder joint) as well as damage to the growth plate (a piece of cartilage found at the ends of long bones during the

developmental years). As the athlete’s shoulder begins to hurt, his or her athletic performance will decline and he or she may feel a need to push harder, making the injury worse. Little league elbow is also caused by overuse and poor mechanics, placing enormous stress on the elbow joint and forearm. It’s an injury that can cause chronic, debilitating pain. Any pitcher, quarterback or other athlete whose sport requires rapid, repeated overhead arm movement (this includes swimmers) should consult a specialist in adolescent sports medicine at the first sign of tenderness. Among other things, the sports medicine specialist can help correct mechanical errors to reduce stress on the elbow and shoulder joints. An adolescent sports medicine physician can also design a plan to help the athlete build up certain muscles to support the affected joint and prevent future injuries.

Athlete’s Knee While any adolescent athlete can suffer a knee injury, female athletes face special risk as their hips widen during adolescence, causing skeletal imbalance that can lead to a catastrophic tear in the ligaments that hold the knee joints together. Again, these injuries are more common among the most talented athletes who may be asked to spend more time on the field or court. In far too many cases, athletes can 38

THE HEALTH JOURNAL

September 2009

rupture or snap the anterior cruciate ligament or ACL. The ACL crisscrosses inside the knee and surgery to repair it can sideline an athlete for months. After surgery, there is no guarantee that an athlete with such an injury will fully return to his or her previous level of activity. Teen athletes, especially females, should consult a sports medicine specialist to learn exercises that can help increase the stability in the knee joints to prevent ACL tears or other knee injuries. At Children’s Hospital of the King’s Daughters, for example, sports physical therapists regularly offer classes that may reduce the risk of ACL injuries in female athletes by as much as 80 percent by teaching strengthening, stretching and balance techniques as well as core stabilization exercises. The classes also provide guidance on specific moves used in various sports, including proper jumping and landing.

Spondylolysis Spondylolysis, or stress fracture of the spine, is the most frequent injury among teen athletes who suffer from lower back pain. While the condition can be treated without surgery, if ignored it can grow worse with each growth spurt. This condition rarely occurs in adults. As a general rule, young athletes should consult a physician—preferably one certified in both sports medicine and pediatrics or adolescent medicine—at the earliest sign of muscle tenderness. Treating injuries early can allow children and teens to further develop their sports abilities and enjoy long, healthy and pain-free athletic careers. HJ Editor’s Note: See our Health Directory in this issue for pediatric sports medicine practitioners and physical therapy offices near you.

Dr. Joel Brenner, medical director of CHKD’s sports medicine program, is certified in sports medicine, pediatrics and adolescent medicine. www.thehealthjournals.com


Art #09036:Layout 1

Riverside

Behavioral Health Center Outpatient Services Call today to schedule your

appointment. We offer assessments to help you determine the appropriate treatment for your child or teenager. Our licensed professionals are skilled experts, working together to provide family-focused care.

RIVERSIDE B E H AV I O R A L H E A LT H Outpatient Services

Medication Evaluations and Management • Individual and Family Therapy • Substance Abuse Services • Psychiatric Evaluations

Appointments:

(757) 827-3670 (800) 759-1001

2244 Executive Drive, Hampton

www.riversideonline.com/rbhc We accept most insurance providers.

Celebrating 25 Years of Excellence in Behavioral Health

8/26/09

12:06 PM

Page 1

UPCOMING PARENTING CLASSES

Start the school year off on the right foot FREE

Join us for parenting programs for families with school-aged children.

!

HFP offers: • Classes for parents with children ages infant through the teens • Trained facilitators • State of the art facility with 4 parenting rooms, art room, infant room, play room and teen room • Snacks and childcare provided • Help with transportation (call for details) Nurturing Program for Parents and Their Children One to Four Years – Starts October 5 Topics include: Normal childhood development Appropriate discipline Ways to encourage acceptable behaviors Stress management techniques

Nurturing Program for Parents and Their Children Five to Eleven Years – Starts October 5 Topics include: New ways to deal with misbehavior Ways to help your children make better choices in school, at home and in play

Nurturing Program for Parents & Adolescents Twelve to Nineteen – Starts October 5

Dynamic Dads – Starts October 6

Class for fathers only that provides a supportive environment to discuss parenting. Topics include: Enhancing communication Anger management Decision-making Responsible fatherhood Male-female relationships

Parents of Special Needs – Starts October 6

Topics include: Being an advocate for your child Discipline and structure Helping your child reach their full potential Community resources

Topics include: Developing a healthy relationship through communication How to handle anger Managing stress Communication and negotiation

Win Without Fighting – Starts October 8

Parents will learn to analyze their own responses to anger and how it impacts the family environment. Strategies for implementing positive responses to anger with children of different ages will be discussed.

Call 727--1300 to register

Building Better Relationships – Starts October 6

Sport-specific strength and flexibility training are vital to improving performance and preventing injury.

Designed for couples that are engaged, married, or in a committed relationship. Topics include: Conflict resolution Establishing priorities Examining values within a relationship

Tidewater Physical Therapy, Inc. Rehabilitating Virginia’s finest athletes since 1986.

25 Locations Throughout Southeastern Virginia, Including: Newport News: Hampton: Denbigh: 874-0032 Executive Drive: 838-6678 Oyster Point: 873-2123 Magruder: 825-3400 Hidenwood: 599-5551 Gloucester Tidewater Medical Center: 327-0196 Courthouse: (804) 694-8111 Point: (804) 642-3028 Smithfield: 357-7762 Job Opportunities at www.tpti.com

Hampton’s Healthy Families Partnership is conveniently located in downtown Hampton at 100 Old Hampton Lane. Free parking.

www.hampton.gov/healthyfamilies


CALENDAR

12

th

SUPPORT GROUPS

Visit downtown Hampton at 8 a.m. for the first-ever Phoebus Family Fun Run 5K that will coincide with the Hampton Bay Days celebration. Participants will meet prior to the race (registration begins at 6:30 a.m.) at the Virginia Air and Space Center, 600 Settlers Landing Road. This event is open to people of all ages and abilities. Race entry fee is $25. Call (757) 784-0960 for more information.

Join Dr. Colin Kingston of Virginia Orthopedics & Sports Medicine for a special discussion during the monthly meeting of Sentara Living, a free program for adults age 50 and older. The meeting will be held from 10 a.m. to noon in Conference Rooms B and C at Sentara CarePlex Hospital in Hampton. No registration required. Participate in a “Diabetes Conversation” at 4 p.m. at Sentara Center for Health and Fitness in Hampton. Call (757) 827-2160 for more information about this free event.

16

th

Sentara’s Obici Outpatient Care Center in Smithfield will offer free foot screenings from 5:30 to 7:30 p.m. Register for this event by calling 1-800-SENTARA.

17

th

2 3

Dr. John Lasater will present “Incontinence Screening for Women” from 5:30 to 7:30 p.m. at Sentara’s Advanced Urology Center, 4000 Coliseum Drive, Hampton. Call 1-800-SENTARA to sign up for this free event.

29

Join Dr. Mark Fleming of Virginia Oncology Associates for a special luncheon, “Men and Cancer: Answers You Need to Questions You are Afraid to Ask,” from noon to 2 p.m. at Carrabba’s Italian Grill in Newport News. Call 1-800-766-0797, ext. 17, to register for this free seminar. Join the specialists of Riverside Medical Group for “The Doctor is In,” a free lecture series about health topics of special interest to seniors and women. Lectures are held at 9 a.m. on the last Wednesday of each month in the Food Court at Patrick Henry Mall. For a preview of this month’s talk, visit www.riversideonline.com. For more information, call (757) 875-7880.

THE HEALTH JOURNAL

24

th

Head to York AMF Lanes, located at 4200 George Washington Memorial Hwy., at 1 p.m. for the Second Annual “Rally at the Alley” to benefit the Alzheimer’s Association. Cost to bowl is $20 per person, which includes two games and shoe rental. To RSVP, call (757) 886-1230 or send e-mail to hollie.krance@homeinstead.com (include number of attendees). Please register by Sept. 22, 2009.

th

30

th

Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362

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

Attention athletes! A free “Weekend Warrior Workshop” will begin at 6:30 p.m. at Sentara CarePlex Hospital in Hampton, in Conference Rooms B and C. Colin Kingston, M.D., of Tidewater Orthopedic Associates will discuss “Sports Medicine and Orthopedics,” and Karen Stadler of Sentara Center for Health and Fitness will present “Taking Care of Business After a Hard Day’s Play.” Certified athletic trainers and physical therapists will provide information about preventing sports injuries, and nutrition experts will have healthy snacks on hand. Call 1-800-SENTARA to register.

A free seminar for family caregivers, led by hospital chaplain Willnette Y. James, will begin at 10 a.m. in Conference Rooms D and E at Sentara CarePlex Hospital in Hampton. Topics will include dealing with the stress and daily demands of caring for a loved one. Call 1-800-SENTARA to register.

40

22

nd

From 6:30 to 8 p.m., CHKD Health and Surgery Center at Oyster Point, located at 11783 Rock Landing Drive in Newport News, will hold a free “Sibshop” for kids ages 9 to 14 whose siblings have special health or developmental needs. Call (757) 668-7646 to register your child.

rd

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

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

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

Help your local chapter of the American Red Cross by donating blood between 1 and 4 p.m. at Riverside Wellness and Fitness Center in Newport News. Call (757) 875-7525 to make an appointment; walk-ins welcome, too.

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

29

th

Parents can learn ways to discipline their child without yelling or spanking in this free class, “Positive Discipline,” offered from 9:30 to 11 a.m. at CHKD Health and Surgery Center at Oyster Point, located at 11783 Rock Landing Drive in Newport News. Call (757) 668-7500 to register.

September 2009

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

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

www.thehealthjournals.com


CALENDAR Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948 Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234 Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438

The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., Call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700 Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974 York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883 Celiac Disease Monticello Ukrop’s Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050 Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050

Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725 Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795 Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923 Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743 Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279

Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902 African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393 Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033 ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125

Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050

Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777

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

Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051

T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994

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

Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994

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

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

St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871

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

To advertise, call 757-645-4475

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

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

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

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

PMS

JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us

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

Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880

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

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

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

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

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

THE HEALTH JOURNAL

September 2009 41


PROFILE

Improving Dentistry Here And Around the World Interview By Brenda H. Welch Photography By Brian M. Freer

W

hen Dr. John Cranham worked summers as a sailing instructor at a Michigan yacht club during his late teens, he considered it a fun way to earn money doing something he loved. Little did he know that the job would power his own sails, propelling him toward a career in dentistry. Cranham remembers meeting many interesting people during those summers at the yacht club, but it was the dentists and their families who stood out above the rest. “A lot of the families that I really liked were the ones where the dad was a dentist,” says Cranham. “They seemed to have such a nice life. They were balanced—they really enjoyed what they did professionally, but they also had time to do the fun stuff with their families.” Through his practice in the Western Branch area of Chesapeake, Cranham, now 48, has spent the past two decades bringing healthier and happier smiles to the faces of thousands of Hampton Roads residents. His expertise lies in cosmetic and restorative dentistry, and he is an internationally recognized speaker on the aesthetic principles of “smile design” and many other topics in his specialty. He founded Cranham Dental Seminars, which provides lectures, mobile programs and intensive hands-on experiences to dentists around the world. In 2008, Cranham Dental Seminars merged with The Dawson Academy, a world-famous continuing education facility for dentists that is based in St. Petersburg, Fla. As The Dawson Academy’s acting clinical director, Cranham is involved with many of the courses and provides continuing education to dental professionals across the globe. His new office location, which opens Sept. 14 in the Greenbrier area of Chesapeake, will be both a dental practice and a teaching facility, allowing local dentists to train in Chesapeake as opposed to traveling to Florida. A third training site has been established in England, and Cranham estimates that 2,200 dentists are trained each year through the program. Cranham spends approximately two-thirds of his time in private practice and the other third as an educator. He believes this balance keeps him on the leading edge of both disciplines. The Health Journal recently spoke with Cranham about his role as an educator, his greatest source of inspiration and the everevolving field of dentistry.

John Cranham, DDS

42

HJ: Has life as a dentist turned out as you imagined it would? JC: Absolutely. My life has been unbelievable in that it is what I wanted to create for my family. Despite some of the traveling I’ve had to do teaching-wise—which is also why I’m excited to be able to teach the courses at home at our new office location—I’ve managed to be a very present dad and husband. I also wanted to be able to offer [my family] a nice lifestyle, be able to provide for them and have the time to be with the people I care about. From that standpoint, dentistry has given me what I hoped for and more. HJ: What has been the biggest surprise in your career? JC: It is how rapidly the technology is advancing. There really isn’t a single procedure I learned in dental school that I am doing the same way. I don’t know if 20 years ago I would have thought that would have been a good thing, but I think it is also one of the things I enjoy about dentistry—

“There really isn’t a single procedure I learned in dental school that I am doing the same way now.” Age: 48 Hometown: Brantford, Ontario, Canada Family: Wife, Kim; son, Cornell; two daughters, Kaitlyn and Kristen Education: Honors graduate of the Medical College of Virginia (now Virginia Commonwealth University Medical Center) in Richmond Professional affiliations: American Dental Association, American Academy of Cosmetic Dentistry, American Academy of Fixed Prosthodontics, American Equilibrium Society

Continued on the next page THE HEALTH JOURNAL

September 2009

www.thehealthjournals.com


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

HAHR-019.ICHOSESRECUIT_1_7.25X9.5.pdf

PROFILE it is impossible to get bored. [Dentistry] is changing so rapidly in terms of the materials and technologies we have at our fingertips. As an educator as well as a dentist, I’m forced to keep up, and I like that part of it.

8/26/09

2:40:55 PM

I chose Bon Secours Penny Collins Registered Nurse

HJ: Who do you look to for inspiration? JC: My adopted son, Cornell. He was one of my wife’s patients when she was a pediatric occupational therapist at Children’s Hospital of the King’s Daughters. He was a one-pound, nineounce “premie” who was abandoned over there [by his birth mother who was addicted to crack cocaine]. He was on a ventilator for six months and spent almost one-and-a-half years of his life at the hospital. He didn’t walk until he was four and had multiple surgeries to reconstruct his trachea. He’s a fighter. We brought him home initially as a foster child and ended up adopting him. He’s probably had the most impact on me out of everybody. He’s had more issues to deal with in his short life than most of us will have in all of our life, but he has a big smile on his face and just goes at it every day and never complains. He’s touched a lot of hearts. HJ: What is the best dental advice you can offer? JC: Make sure that you catch problems when they are small by seeing your dentist regularly. Dental problems never get better over time. HJ: What is your favorite motto?

“I chose Bon Secours because it’s like a family. I have been a nurse at Mary Immaculate Hospital for 24 years and have worked with some of the same people for over 20 years. When I go to work, I know everyone. We're like a family and it's very fulfilling. You have to love what you do and I love what I do.”

good career • Workplace flexibility • Tuition assistance • The state’s only non-profit, faith-based healthcare organization • Outstanding culture • Great benefits and perks — among the best in the industry

To apply, visit bshr.com

I chose Bon Secours because it’s like a family. - Penny Collins, Registered Nurse

JC: I remember hearing that Tiger Woods’ father raised him with the motto, “Share and care.” That would be my favorite. HJ

®

BON SECOURS HAMPTON ROADS HEALTH SYSTEM

To advertise, call 757-645-4475

Good Help to Those in Need® THE HEALTH JOURNAL

September 2009 43


PC I

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

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

P

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

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

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

NEWPORT NEWS

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

Middle Peninsula Cancer Center 7544 Medical Drive Gloucester, VA 23061

757-534-5555

757-345-5724

804-693-9037

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

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

GLOUCESTER


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