HRHJ_WEB_2009_11 by The Health Journal

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Health Journal

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Vol. 5 No. 6

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November 2009

and how to avoid them

Beauty and the Budget Public Option 101

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cover photo by Brian M. Freer

Also Inside

New Name. New Look. OSC – Your Choice For

OSSMS of Hampton Roads is now... Hip Replacement

Because every patient is different, Orthopaedic & Spine Center offers a variety of options for your total hipToreplacement. better represent all we have to offer you, Of course, our practice will continue to incorporate OSSMS will now be known as Orthopaedic & Spine

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We are proud to be the region’s premier OurCenter. skilled physicians can discuss with you allboth orthopaedic and spine surgery to improve the provider for Orthopaedics and Sports Medicine. quality of life for our patients. Rest assured, we will appropriate surgical approaches (Anterior, Posterior Our group includes the only two fellowship trained continue to offer the same comprehensive, thorough Orthopaedic Spine on the Peninsula. and personal or Lateral) and theSurgeons joint implant system best suited to care you have come to expect from us, but with a new name and look. your specific needs.

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Not ready for hip replacement? Ask our specialists about the range of non-surgical treatments for effective hip pain relief.

Meet the OSC Physician Team

OSC COMMUNITY LECTURE SERIES – NOVEMBER 2009

Your Knee or Hip Replacement –

Traditional Procedures Versus New Approaches Join Dr. Mark McFarland for an informative talk about the latest orthopaedic procedures. From Custom Match Knee Replacement to Anterior Approach Hip Replacement, Dr. McFarland will compare these procedures to more traditional orthopaedic treatments. Educational literature will be provided, as well Robert J. Snyder, M.D. as delicious refreshments. Bring a friend! Martin R. Coleman,complete M.D. We provide orthopaedic care.

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

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On the Cover Medical errors occur more often than most people realize—approximately 15 million per year, say some estimates—and range from minor to mortal. Being well-informed and proactive about your care can help prevent mix-ups.

Inside NOVEMBER 2009

6 features

IN EVERY ISSUE

Tomorrow’s Physical Therapists | 6

Home for the Holidays | 30

Almost cut due to poor passage rates on the national exam, the Physical Therapy program at Hampton University is excelling today in all areas. Students, professors and graduates share their praise for the culturally diverse program.

Why do we go home for the holidays? Is it for the merriment, or is it just plain masochism? Dr. Sally Hartsfield talks family dynamics and offers tips on surviving the annual family gathering.

Public Option 101 | 38 Favorite Fitness Tools | 18 Personal Trainer Gayle Pinn reveals her three favorite pieces of fitness equipment and how to use them for a more dynamic workout.

A New Flu Season | 28 News about the H1N1 flu strain and the seasonal flu virus seems to change daily. Get updated with these solid facts about this year’s flu season.

Confused about health care reform? You're not alone. Locals offer their opinions on the public option.

What is Healthy Weight Loss? | 42 Bariatric physician Dr. Lisa Harris of the Chase Wellness Center discusses the medical community’s changing views on obesity and divulges her passion for singing.

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009

LETTER FROM THE EDITOR the

Health Journal Peninsula Edition

Publisher

very day I pause to remind myself of how fortunate Brian and I are to be surrounded by family and friends, whose love and support guide us through this new phase of life known as parenthood. We’ve found comfort in a circle of fellow first-timers who, from the trenches, offer their advice and reassurance. One such couple lives just three doors down from us. At first glance, our lives seem on a parallel track. Four busy, thirty-something professionals, all first-time parents with like interests. Jen and I learned last winter that we were both expecting. Coincidentally, we had been given the same due date. Last spring we both delivered healthy babies— they had a boy and we had a girl—two days apart. But as far as our pregnancies go, the differences were more than just pink versus blue. Jen could pinpoint the exact day she conceived, while I had more of a “guesstimate.” I hid the scale; she kept a spreadsheet of her weight gain and charted the results on a graph. Our nursery was ready by Christmas; until last month they had another family living in what is now the nursery. I carried pepper spray in my purse (to quell Brian’s anxiety), while Jen and her husband, on weekends, continued to help Newport News’ homeless through their church’s ministry. Jen asked guests to bring secondhand gifts to her baby shower, whereas I registered at a baby superstore for new, expensive items, many of which now seem superfluous. Other differences lay in our decisions about prenatal care. Jen chose a midwifery center; I chose an obstetrician. She took an active role in her care, seeking second opinions whenever possible and weighing the benefits and risks of every test or treatment. I didn’t follow up on one important test result—assuming all was clear— only to learn that I had been diagnosed with a common bacterium, one that’s harmless to adults but can pose serious risks to an infant during delivery. After arriving at the hospital in labor, I was ordered two doses of intravenous antibiotics right away and advised to stay one extra night for observation. (Following up on test results is just one wise practice that can prevent medical mishaps, as you’ll read in this month’s feature story on page 22.) Jen also shopped around for the best price on prenatal care. Her consumer-driven health plan (also known as a health care savings account) rewards members for frugality. It provides, as she says, an incentive to conserve health care dollars, whereas many of us who have health insurance seldom question the cost unless it comes directly out of our pockets. As our adventures in parenthood continue, Jen and I can laugh about our domestic differences—a pet rabbit roams her house; we have a German shepherd. They drive a compact car; our station wagon seats seven. But what keeps us coming back to each other’s door, besides the proximity, is the comfort we find in knowing we are on the same path, experiencing the joys, struggles and milestones, tiny and big, that each new day of parenting brings. I’ve even taken a few cues from Jen’s modus vivendi, checking out consignment sales and yard sales for good baby buys. She reminds me of the importance of opening up our hearts, and our minds, and of not becoming consumed by “stuff.” Certainly when it comes to the important things in life, we both have more than enough. photo by Brian M. Freer

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 Page Bishop-Freer Contributing Writers

Brandy Centolanza Sharon Miller Cindrich Sally Hartsfield, PhD Alison Johnson Bridgit Kin-Charlton, MS, CPT Kathy McVey Gayle Pinn, CPT Tha Thomas U, MD, MPH 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. For Advertising and editorial Information, call or write:

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THE HEALTH JOURNAL November 2009

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INBOX The Scoop on Antioxidants The October edition of The Health Journal was, in my opinion, the best so far. The information included [last] month [was] very timely. I would like to commend [features writer] Brenda Welch on her antioxidant piece that was extremely thorough and well thought-out. I am biased but would like to congratulate her on using a registered dietitian as a source. Additionally, the color and layout were attractive. I look forward to future issues, and especially those with timely nutrition-related articles. Debra A. Indorato, R.D., Virginia Beach

Kudos The Health Journal is always interesting. Every issue has something different and useful. Thanks for what you do. Gert B., Williamsburg

Recipe Contest I just read with great delight your article [Letter from the Editor, Oct. 2009] about family and recipes. As a grandparent of four wonderful little ones, I especially enjoyed your fond memories of your grandmother and her scrumptious CranberryApple Casserole. I’m looking forward to reading some of the recipes your readers send in. God Bless! Roy Huber, Chesapeake

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LOCAL BEAT Mary Immaculate Gets Five Stars for Joint Replacement Mary Immaculate Hospital in Newport News, an affiliate of Bon Secours Hampton Roads, has received a five-star rating for joint replacement from HealthGrades, an independent healthcare ratings organization. The HealthGrades study, the largest of its kind, analyzed patient outcomes in nearly 40 million Medicare hospitalization records from 5,000 hospitals between 2006 and 2008.

Today’s Students, Tomorrow’s Healers Hampton University’s physical therapy program attracts top students, fills niche to increase minority physical therapists Joi Freeman is completing her doctorate in physical therapy at Hampton University. She enjoys the smaller class size and student diversity that the graduate program offers.

Nov. 17 is National Memory Screening Day The Center for Excellence in Aging and Geriatric Health (CEAGH, located at 3901 Treyburn Dr.) will offer free, confidential memory screenings from 9 a.m. to 5 p.m. Call (757) 220-4751 for more information.

Send a Little Sweetness Overseas Bring excess, uneaten and unopened Halloween candy to New Town Dental Arts (4939 Courthouse St.) Nov. 2 through 6, from 3 to 5 p.m., for a chance to win a Sonicare “Flex Care” toothbrush (valued at $160). Each pound of candy donated buys one entry. All the candy collected will be donated to U.S. troops in Afghanistan and Iraq.

Health Foundation Honors Two Local Programs At its annual Healthcare Heroes event held Oct. 22, the Williamsburg Community Health Foundation (WCHF) presented Ann Tramer, program manager for the Psychological and Substance Abuse Services (PSAS) Program of York County Division of Juvenile Services, with a $5,000 grant for the PSAS program, which provides early intervention mental health and substance abuse services to youth. Dr. Jim Shaw also accepted a $5,000 WCHF grant on behalf of Lackey Free Clinic’s Volunteer Medical Practitioner Recruitment Program. These grants will be used to strengthen initiatives that deliver a significant level of health care and health-related services to the uninsured, patients on Medicaid, and other vulnerable populations.

Bon Secours Names New Head of Oncology Leeanne Dalton has been promoted to administrative director of oncology services for Bon Secours Hampton Roads. She previously directed oncology services at Maryview Medical Center and DePaul Medical Center.

Written By Joy Vann Photography By Brian M. Freer

hen Joi Freeman toured Hampton University (HU) as a prospective student, she immediately liked what she saw. Practical and ambitious, she knew that she wanted to pursue a physical therapy career and wanted a “fluid transition” from bachelor’s degree to doctorate, without having to move. Four years later and two weeks into her first semester in Hampton University’s doctorate of physical therapy program, Freeman is happy with her decision. “I like the small-group feeling already,” she says. “I also like the diversity of our class and the family-oriented setting. It may not be the biggest program, but I think it’s great.”

THE HEALTH JOURNAL November 2009

HU’s Department of Physical Therapy was established in 1999 and, after experiencing some early growing pains and more recent fine-tuning, the program is producing successful graduates to help fill the ranks of the high-demand field of physical therapy, which nationwide has been shown to be underrepresented by minorities. Dr. Bernadette Williams was recruited from the University of North Carolina at Chapel Hill in early 2009 to help HU’s physical therapy department achieve even greater success. And her efforts have worked so far: The last two graduating classes have achieved a 100-percent passage rate on the National Physical Therapy Examination (NPTE). “As a result of the 100-[percent] board passage rate in 2007 and 2008, we were able to draw a lot of high-quality

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LOCAL BEAT

Dr. Bernadette Williams was recruited last January to help push HU's Physical Therapy program to new heights. Williams wants to see more minorities in the field of PT.

students,” Williams says. “The GRE scores and GPAs of this class are higher than they’ve ever been. It’s the most academically prepared class we’ve had, and that’s a credit to those here who put a lot of time and energy to increasing the board passage rate.” This year’s class of 20 students is the largest yet—a result of more qualified applicants. In addition to being the most academically prepared class to come through HU’s PT program, it is also the most diverse. “HU’s is one of only eight PT programs housed in historically black colleges,” says Williams. “Only five percent of practicing physical therapists are minority, so there is a real need to draw more minorities to the field.” Williams views the physical therapy program as parallel with HU’s mission to increase its environment of multiculturalism, noting that the current class is represented by every major ethnic group with the exception of Native

Americans and Alaskans. That, she says, adds an important element to the education the students receive. “In addition to the professional training we give our students, they learn how to work with people from diverse backgrounds. Our country is becoming increasingly diverse, and we want our students to serve the needs of everyone,” Williams says. For Dr. David Conti, a 2007 HU physical therapy graduate now specializing in neurology in New York, the program’s success is a tribute to the faculty who saw it through early growing pains—just a few years after the program began, low passage rates for the NPTE led university administrators to consider cutting the program altogether. “When we were told that the program was being phased out, the thought of being without an alma mater was upsetting,” says Conti. “I remember the meeting between my classmates and the assistant to the provost, as the fate of the program was described as inevitable. You can imagine just how excited and relieved I was to later hear that not only was the program being spared, but that it was in direct response to the 100-percent pass rate on the national boards that my classmates and I achieved [in 2007].” Faculty member Dr. Anand Shetty, who’s been involved with the program since its inception, says the program’s recent successes are putting many of its early “hiccups” to rest. The first obstacle was not receiving state licensing accreditation as expected because the requirements changed over the course of two years, Shetty says. When the program didn’t receive accreditation, students from the charter class had to transfer to other schools to complete their degrees. It was disappointing, but within three months the program received accreditation and was back on track. Poor NPTE passage rates were a more challenging issue. First, faculty had to figure out why students weren’t passing the board exam. After analysis and talking with students, they pinpointed the problem as a lack of preparation for standardized tests. The faculty revamped the curriculum to include an intensive board preparation course that covers academic content, review of test-taking skills and practice exams. Professors and students agree that, in addition to amenities such as an Olympic-size pool for aquatic physical therapy and a state-of-the-art biomechanics lab, the most important asset of HU’s PT department is its commitment to giving each student individual attention, with a “the door is always open” atmosphere. “We emphasize the importance of communication with our students, and they are comfortable coming to the office to seek help,” Shetty says. Dr. Leah Frazier graduated from the program in 2006 and is now director of rehabilitation services at Riverside Convalescent Center. She says the chance to work with HU faculty members in specialties such as neurology and geriatrics was a valuable supplement to the core curriculum. “There were a lot of professors who specialized in certain areas, so I felt like the program was well-rounded,” she says. “If we had questions, we knew who to go to for the answers. When I graduated, I felt prepared to go out and do what [we] had to do as clinicians. Having a degree from Hampton University opened up a lot of opportunities for me. The exposure that I got while I was there to different aspects of the field played a role in my success and contributed to my leadership skills even after I graduated.” HJ

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009

SNAPSHOTS

1, 2, 3

On Oct. 4, Sentara Healthcare and Optima Health donated $100,000 to support the JT Walk to Benefit ALS and Grommet Island Park, which will be the first handicapped-accessible beach park in the nation. The walk, held at the Virginia Beach Oceanfront, was named after Josh Thompson, a local resident who was stricken with ALS, also known as “Lou Gehrig’s disease.” (1) Team Carol Via Flynn gathers for a group shot. (2) A groundbreaking ceremony was held for Grommet Island Park, on which completion is expected in Spring 2010. (3) An arial view of walkers on the Virginia Beach Boardwalk (Sentara Healthcare and Optima Health employees wore yellow shirts). Ratoshia Coles, a teacher in Child Development Resources’ Early Head Start program, reads The Very Hungry Caterpillar by Eric Carle to students during the Oct. 8 national “Read for the Record” day, which promoted early childhood literacy by asking teachers across the country to read the same book to children. CDR’s early literacy program, “1-2-3 READ!” encourages children, families and caregivers to develop the foundation for a lifelong love of reading and provides training to professionals throughout Virginia.

Last month, Susan Chrissley, director of Province Place of Maryview in Portsmouth (a Bon Secours assisted living facility), accepted the D. A. “Woody” Brown Community Involvement Award from the Virginia Health Care Association and Virginia Center for Assisted Living.

6, 7, 8

On Oct. 22, over 500 people gathered at Norfolk’s Waterside Marriott for the 14th Annual L. D. Britt, M.D., Scholarship Fund Dinner. The event raised $131,000 for the scholarship, which supports minority students at Eastern Virginia Medical School. This year’s Britt Scholar is Hampton Roads native Lia Nicole Whatley. Also at the event, three community leaders—Cathy Lewis, host of “HearSay with Cathy Lewis” on WHRO; Gary McCollum, senior vice president and general manager of Cox Communications; and Rabbi Michael Panitz of Temple Israel in Norfolk—received the scholarship’s Community Service Awards. (6) Left to right: Keynote speaker Rubens J. Pamies, M.D., scholarship recipient Nicole Whatley and award winner Cathy Lewis join dinner host L. D. Britt, M.D., M.P.H. (7) Pamies and Britt share an earnest conversation (8) Pamies and Britt chat briefly with Norfolk Mayor Paul D. Fraim.

Dr. Lisa Marie Samaha and her team at Port Warwick Dental Arts (PWDA) in Newport News raised $6,000 for Children’s Hospital of The King’s Daughters (CHKD). They have chosen the Child Abuse Program at CHKD as the recipient of their donation. Artwork from the Upper Gallery, Dr. Samaha’s art studio/gallery above her office, will also be donated to help decorate the child abuse treatment center. Dr. Lisa Marie Samaha (right) presents a check to Sharon Claassen of CHKD during PWDA’s recent Open House fundraiser for CHKD.

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 8

THE HEALTH JOURNAL November 2009

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LOCAL BEAT

In Wake of Flu Scare, 18 Area Hospitals Enact Visiting Policy Change for Children

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

2009 H1N1 flu virus continues to spread across nation and within region

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.

n an effort to protect hospital patients from the spread of 2009 H1N1 and seasonal flu, 18 Hampton Roads hospitals will prohibit minors from entering their facilities unless the children require medical care. Limited exceptions may be made for expectant and new fathers under the age of 18 and children visiting patients who have a limited life expectancy. Exceptions will be allowed at the discretion of a patient’s attending physician and hospital leadership. This visiting policy change will remain in effect during the regular flu season and so long as the prevalence of flu in the region is extraordinarily high. This age restriction reflects the higher prevalence of 2009 H1N1 among children and adolescents, putting them at greater risk of carrying the virus into health care settings. Medical evidence suggests infected individuals can transmit the virus as much as 24 hours before displaying symptoms. The 2009 H1N1 virus began spreading throughout the region before seasonal flu cases typically arise. State Health Commissioner Karen Remley, M.D., responded to the new policy by saying: “I applaud this regional approach to community safety and infection prevention. Every Virginian wants to maximize safety for hospitalized patients.” Any individuals displaying symptoms of influenza-like illness should not enter area hospitals. Symptoms of flu include: fever, cough, sore throat, runny or stuffy nose, muscle aches, chills, and sometimes vomiting and diarrhea. Hospital leaders say they understand the inconvenience this policy change may cause families. However, they ask the community to understand the critical need to control the spread of the H1N1 flu virus. Until further notice, the following Hampton Roads hospitals will not permit visitors under the age of 18 unless special circumstances warrant an exception: Bon Secours DePaul Medical Center Bon Secours Mary Immaculate Hospital Bon Secours Maryview Medical Center Chesapeake Regional Medical Center Children’s Hospital of The King’s Daughters Naval Medical Center Portsmouth Riverside Regional Medical Center Riverside Shore Memorial Hospital Riverside Tappahannock Hospital Riverside Walter Reed Hospital Sentara Bayside Hospital Sentara CarePlex Hospital Sentara Heart Hospital Sentara Leigh Hospital Sentara Norfolk General Hospital Sentara Obici Hospital Sentara Virginia Beach General Hospital Sentara Williamsburg Regional Medical Center HJ

Office hours: Monday-Friday 8:30-5:00 John R. Nordlund, MD, PhD

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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

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009

HEALTH IN HISTORY

Then and Now: A Look Back at Health Practices of Eighteenth-Century Virginia Written By Brandy Centolanza Photography Courtesy of The Colonial Williamsburg Foundation

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

ver the last year, historians from Colonial Williamsburg have shared their knowledge about many of the health problems that affected residents of Colonial Virginia. The Health Journal’s “Health in History” series covered topics such as dental health, mental health, women’s and children’s health, and finally, cancer. Comparisons between the health care practices of the 18th and 21st centuries illustrated how dramatically health care has improved. Among the greatest differences revealed was the use of technology in patient care. “The knowledge of the causes of diseases is significantly more advanced, and that has resulted in more focused treatment and prevention,” notes Robin Kipps, supervisor at Pasteur & Galt Apothecary in Colonial Williamsburg. “Modern practitioners have an amazing array of technology to diagnose conditions. There are conditions today that can be diagnosed and treated in the early stages. This was not always possible in the 18th century.” Medical technology has not only made it easier for physicians to care for patients, but it has also made it easier for emergency personnel to reach someone in need of medical attention. “The technology to notify first responders has saved many lives,” Kipps says. “Eighteenth-century carriages did not come with On-Star. 10

If you were on board a Colonial vessel, [you] could not call for assistance [and expect] a medical evacuation.” In addition, says Kipps, “the [development] of antibiotics gave us the ability to cure some bacterial diseases.” Thanks to antibiotics and life-saving vaccines, some diseases that were prevalent during the Colonial era, such as smallpox, aren’t as common today. Despite the many advances, what remains unchanged is the value placed on regular exercise and a nutritious diet. CW historian Lorena Walsh agrees: “A key similarity would be the emphasis on…good diet as important to recovery from any ailment or condition.” Here are some of the highlights from previous articles in the “Health in History” series. (Find the entire series online at www.thehealthjournals.com.) The Colonial Diet—Corn was the staple food for early Virginians because wheat didn’t grow well in the New World. Colonists also grew or picked fruits, vegetables, grains and nuts— depending on what was in season—while pigs, cows and sheep were primary meat sources. Most of what Colonists knew about growing corn and hunting was learned from the Native Americans. Obesity was seldom a problem as most Colonists were manual laborers and quickly burned off any calories they

Colonists relied on natural remedies to cure most ailments, but they also knew the importance of a healthy diet and exercise.

consumed. Walking was then, and still is, considered a healthy form of exercise. Common Diseases—Serious health threats included mosquito-contracted diseases such as encephalitis and malaria, as well as digestive disorders like dysentery and typhoid fever, which were often contracted through contaminated food and water. Most conditions were treated with natural remedies (ginger for gas, prunes for constipation, opium for pain), though bloodletting—releasing blood through a punctured vein or applying leeches to the skin—was a common practice. Physician Education—Eighteenthcentury physicians were not required to undergo any formal medical

THE HEALTH JOURNAL November 2009

instruction like they are today, though most did receive training through apprenticeships and university studies abroad. Eighteenth-century health care practitioners typically held one of four titles: physician, surgeon, druggist or apothecary. However, there were few formal standards for patient care. Surgery—The most common medical procedures were dental extractions, bloodletting and amputations. Colonial surgeons, who ordered their tools from Europe, used many of the same types of tools as modern physicians (e.g., lancets, tooth extractors, probes, needles, knives and bone saws), though the handles of medical instruments are no longer made from wood and ivory. Opium was often given to patients

Continued on page 12 www.thehealthjournals.com

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HEALTH IN HISTORY

mental health issues were either cared for by family members or, in severe cases, confined to the local jail or poorhouse. Colonial doctors could identify mental disorders based on a person’s behavior, noted historian Linda Rowe, though in most cases they could not explain the reasons for such behavior. Physicians commonly believed that patients “chose” to behave irrationally and therefore could be cured.

An array of surgical instruments on display in Colonial Williamsburg.

Continued from page 10 following an operation, but no anesthetic was available to sedate patients during surgery. Dental Health—Though Colonists did not visit a dentist for regular checkups (the first dental school would not open for another century), they did recognize the importance of good dental hygiene, and toothbrushes—often made from dried licorice roots or boar bristles—were widely available, though flossing “was a product of the 19th century,” noted Kipps. The lack of today’s medical technology, however— particularly X-rays—made it difficult to pinpoint problems below the gumline. Poor dental hygiene, often compounded by diet and disease, often called for tooth extraction. In such cases, false teeth and dental implants (carved from ivory) were available. Personal Hygiene—Though germs were not yet identified as carriers of disease—medical texts used the word “contagion”—Colonists nevertheless believed hand washing and personal hygiene were important for preventing illness. Castile soap, made from olive oil, was a popular skin cleanser, while cornmeal was often used as a dry shampoo. Generally, only the wealthiest bathed in a tub—a service provided by local wigmakers—while most Colonists simply washed their faces and hands (and other areas that required cleaning) in a basin with a rag and soap. In the area of wound care, cobwebs were frequently applied to cuts and scrapes to stop bleeding. Elder Care—Though most Colonists did not live long enough to contract age-related diseases of the modern era (such as heart disease, dementia and Alzheimer’s disease), those who did reach old age were prone to arthritis, broken bones, the flu and 12

intestinal diseases like dysentery. Families cared for their elders, and local churches also helped to place poor elderly people with caregivers. According to historian Lorena Walsh, retirement was not an option. “Basically, people expected to work until they died or became physically incapable of working,” she

Pediatrics—Colonial doctors didn’t devote a lot of time to studying children’s health issues (pediatric care was not a specific area of study until the 1900s). Like their parents, children living in Colonial Williamsburg only visited a doctor when absolutely necessary—never for preventative checkups. Most childhood ailments, among them pertussis (whooping cough), mumps, measles and chickenpox, were treated with home remedies as most vaccines (the exception being the smallpox vaccine, developed in 1720) were not yet available. Kipps said that families consulted home medical guides such as Dr. William Buchan’s Domestic Medicine, first published in 1769.

The average resident of Colonial Williamsburg could expect to live to their mid- to late-40s, noted Walsh, though life expectancy was higher in some other Colonies, such as in New England. said. The average resident of Colonial Williamsburg could expect to live to their mid- to late-40s, noted Walsh, though life expectancy was higher in some other Colonies, such as in New England. Women’s Health—Colonial women suffered from many of the same ills that affect women today, such as those related to menstruation (e.g., breast swelling, headaches, nausea, cramps, backaches, exhaustion) and reproduction (sterility, ulcers, tumors), noted medical historian Sharon Cotner, whose realm of expertise includes health issues of Colonial women. Irregular menstrual cycles, menopausal symptoms, breast cancer, yeast infections and anemia were also special health concerns of women. Free women, as opposed to slaves, had an average of about 10 pregnancies (six to eight live births), and midwives attended to most births. Mental Health—Prior to the 1773 opening of The Publik Hospital in Williamsburg (later to become Eastern State Hospital), the nation’s first mental hospital for the insane, Colonists who suffered with

THE HEALTH JOURNAL November 2009

Foot Care—Like many of us today, the Colonists chose shoes for fashion over comfort—a problem since they spent most of their day on foot. As a result, Colonists (especially women) frequently suffered from foot woes such as bunions, corns, gout and hammertoes. While today’s podiatrists treat these and other foot problems, Colonists simply had to endure them. “What we think of as personal foot care today was simply non-existent for most people then, outside soaking tired feet in hot water and, we can hope, of trimming toenails,” said Master Shoemaker D. A. Saguto, who works in the Shoemaker Shop of Colonial Williamsburg. Cancer—Cancer was deadly in Colonial times, and for many people, remains so. Colonists often tried home remedies, including herbal ones, before consulting a physician. Treatments have changed for the better, though: Eighteenth-century doctors often used mercury, arsenic, poisonous hemlock and lizards to “cure” a person of their cancer. If all else failed, doctors would surgically remove the diseased body part. HJ

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HEALTHWIRE

Study Indicates More Kids Have Autism than Once Thought Written By Megan Brooks NEW YORK (Reuters Health)

ou may have heard the oftquoted statistic that autism affects one in 150 children in the United States. Turns out it’s more like one in 91 overall—and about one in 58 boys, according to new figures. That’s an estimated 673,000 U.S. children—or approximately one percent of all U.S. kids, researchers from the U.S. Centers for Disease Control and Prevention in Atlanta and Harvard Medical School in Boston report in the journal Pediatrics. Bob Wright, co-founder of the autism advocacy group Autism Speaks, told Reuters Health he’s not at all surprised by the new figures. “We’ve been screaming about the numbers going up; now there is a relatively complete recognition of it.” “The statistical aspect of autism is just staggering,” he said, and not enough is being done about it. “If we had one in 58 boys getting swine flu, the country would be crazy.” Autism is a brain disorder characterized by problems with social interaction, repetitive behavior and other symptoms. People with a mild version called Asperg-

er’s syndrome usually function relatively well in society, although they have problems relating to others. People with the most extreme symptoms may be unable to speak and may also suffer severe mental illness and retardation. No one knows what causes autism— it’s generally thought to have genetic and environmental triggers—and there is currently no good treatment. Autism is “an urgent public health concern,” Dr. Ileana Arias, deputy director of CDC, told reporters on a conference call before the data was released to the public in October. The new data, she said, “confirm that a concerted effort and a substantial national response is warranted in addressing the issue.” On Sept. 30, President Barack Obama promised a large infusion of funds into autism research, as part of plans to spend $5 billion on medical and scientific research, medical supplies and upgrading laboratory capacity. The new figures on autism cases stem from a 2007 telephone survey conducted jointly by the Health Resources and Services Administration (HRSA) and CDC. More than 78,000 parents of children between the ages of three and 17 were asked whether they had ever been told

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by a health care provider that their child order but that their child did not curhad autism, Asperger’s syndrome, or an- rently have the condition. It’s possible, other “autism spectrum disorder” (ASD). the researchers say, that autism was Based on these parent reports, the initially suspected but subsequently prevalence of ASD in 2007 was one in ruled out and never truly diagnosed. 91. The new estimates are far higher The high rate of “lost” cases of autism among very young children (ages 3 to than previous estimates of one in 150. “We are extremely concerned about 5) supports this theory. It’s also possible that some children the apparent increase,” Dr. Arias said, but she urged caution in interpreting it. with developmental issues and learn“Unfortunately, the information that we ing disabilities may have been initially currently have doesn’t allow us to give diagnosed with autism to help the fama true account of whether the apparent increase is an actual increase or the result Autism’s Genetic Link of changes in the way we After studying genetic markers in describe or diagnose ASD,” more than 1,000 families, researchers at Massachusetts she explained. General Hospital have discovMore inclusive survey ered several DNA variations that questions, increased public may be linked to autism, including awareness, and improved those affecting chromosomes 6 and 20. They screening and diagnosis of expect to find a long list of genes involved in the autism are all possible readevelopment of autism spectrum disorder. sons for the higher numbers, Dr. Michael D. Kogan of HRSA ily qualify for special education and and colleagues report in Pediatrics. other services. Children who had “lost” their autism They also report that boys were much more likely than girls to have autism, were more likely to be diagnosed with which has been shown previously, and other developmental or mental health white children were more likely than conditions, such as attention-deficit/ black children or multiracial children hyperactivity disorder, anxiety problems or behavioral issues. to have the disorder. “We are hopeful,” Arias said, “that Half of the parents polled who had children with autism described their the new data will raise awareness about child’s condition as mild. Another third [autism], will help improve early idendescribed their child’s condition as tification and intervention, will promoderate, and the remaining parents vide information for policy and service planning, and most importantly, help described it as severe. Approximately 38 percent of chil- us meet the growing needs of individdren seemed to have “lost” their autism ual families and communities who are —their parents said they had once been affected by autism and other developtold that their child had an autistic dis- mental disorders.” HJ

THE HEALTH JOURNAL November 2009

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Isn’t it time you discovered the remarkable feeling a beautiful, healthy smile can give you? “Seeing Dr. Lisa Marie Samaha’s artistry and passionate dedication to perfection when she was a student in my watercolor painting class convinced me that I had to have her as my dentist. In the years that I’ve been her patient I’ve seen so many examples of her skill, her precision, and her ability to combine balance and beauty with the most advanced levels of dentistry. As an artist myself I expect a lot, and my expectations have been exceeded year after year. I cherish my relationship with her and appreciate her professional, dedicated team.” Jan Ledbetter, Kingsmill, Williamsburg, VA “I’ve always dreaded going to the dentist but I knew my experience would be different with Dr. Samaha when she took the time to explain all the options for the major dental work that I needed. My confidence grew when I saw the state-of-the-art technology throughout her office and learned that she is a nationally recognized lecturer on advanced dental techniques. She knew the best way to get my extensive treatment done a lot faster and more comfortably than I expected, and the results were just great. Dr. Samaha and her team are friendly, enthusiastic and obviously dedicated to giving their patients the best care with the most comfort. She did a wonderful job for me! The positive results were, without question, totally worthwhile!”

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HEALTHWIRE

Maximizing Your Medicare Advantage Plan Medicare Advantage Enrollment Season is Nov. 15 through Dec. 31 Written By Kathy McVey

f you are one of the seven million Americans on a Medicare Advantage (MA) plan, it’s time to prepare for the coming enrollment season, which will last from Nov. 15 through Dec. 31. Medicare Advantage plans are health plan options offered by private insurance companies and approved by Medicare. Medicare itself is government-regulated health insurance for people age 65 or older, those under age 65 with certain disabilities and anyone with end-stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant). Most people automatically receive Medicare benefits upon turning 65; forty-three million Americans are now on Medicare. Medicare Advantage (MA) plans often offer all the coverage of original Medicare and more, with valueadded benefits such as vision, hearing, fitness and/or health and wellness programs. Many MA plans offer lower copayments and cover additional benefits and services not covered by original Medicare. Additionally, some plans include prescription drug coverage. Being familiar with your MA plan helps you maximize your benefits. Each year, the six weeks between

Nov. 15 and Dec. 31 comprise Medicare’s Annual Enrollment Period. This is the time of year when seniors can elect to stay with their existing MA plan or enroll with another plan. In addition to this enrollment period, there are other opportunities throughout the year (such as initial enrollment, when a person turns 65; or various other opportunities) in which you can join, switch or drop an MA plan. Savvy MA plan shoppers should carefully consider their own situation and needs as well as know the rules of the MA system. Once you’re enrolled, your coverage begins on Jan. 1 of the following year. The MA Annual Enrollment Period is a six-week period in which you must make a decision that will ultimately affect you the entire following year. So, how do you evaluate an MA plan? There are five key areas to consider. First is the monthly premium. Many MA plans require low premiums or none at all, but remember, premium isn’t everything. You want value for your dollar. Second is the network of physicians and hospitals. Does the plan offer a strong network of providers? Are the doctors you need in the health plan’s network? Third is the cost for a physi-

cian visit or other medical services. What will your out-of-pocket expenses be each month? Can you afford these costs? Fourth is pharmacy coverage. If you are looking for an MA plan with this coverage, what drugs are covered that you currently take? Make sure you’re getting the coverage that you need. And finally, the fifth area to consider is the wellness and preventive services programs that an MA plan offers. These value-added benefits can really add up. Does the plan offer immunizations, such as flu and pneumonia shots, annual physicals, mammogram and prostate exams, discounts on health clubs and gyms, etc.? These added benefits can truly be a deal breaker as you evaluate various plans. Ultimately, selecting an MA plan is a personal choice that should be made with careful consideration. Always work with reputable agents with established insurance companies to ensure you don’t get duped. They will help you understand all the choices available to you and help you pick the choice that best fits your needs. HJ Kathy McVey is the manager of Medicare sales at Optima Health, a Virginia-based health plan with more than 415,000 members, nationally-recognized for its quality, service and innovative programs.

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FITNESS

My Favorite Fitness Tools Written By Gayle Pinn

Photography By Brian M. Freer

The following fitness tools are some of my personal favorites because they are effective, versatile and easy to use. These items are generally available for use at your local fitness facility or can be purchased at a sporting goods store. Try the exercises below for a more dynamic workout. HJ

Gayle Pinn is the owner of Results Personal Training Studio. She’s a certified personal trainer and spinning instructor with 12 years of experience in the fitness industry. She specializes in oneon-one personal training for all fitness levels. She can be reached at resultsstudio@gmail.com.

Body Bar

A body bar is a long metal bar covered in rubber; they come in various weights from three to 36 lbs. Using the body bar allows you to perform traditional barbell exercises such as the chest press and bicep curl. Personal trainers may also use body bars vertically (like a hiking stick) to aid people who have difficulty balancing while squatting or lunging. Body bars can also be used in group fitness classes because they are versatile and come in a wide range of weights.

Try this move: One-legged lunge

Use the body bar vertically like a hiking stick by placing one end of the bar on the ground and then grasping the other end. Then, with your right foot on the floor and the left foot behind you on a bench, bend your right knee and lower your body toward the floor. All of your body weight should be pressed into your right heel. Keep your right knee over your right ankle (i.e., don’t let the knee extend beyond your toes). Return to starting position. Perform 10 to 15 repetitions on each leg.

Medicine Ball

A medicine ball is a weighted ball usually made of leather, rubber or vinyl and filled with either gel or sand. These balls range in weight from two to 25 lbs. Athletes use medicine balls to achieve higher fitness levels, and you can use them in your strength-training program, too. These simple tools can help increase your range of motion while improving your core strength and coordination. An added bonus is that you can use them with a workout partner.

Try this move: Explosive throw-downs

This move can be performed while kneeling, seated or standing. Choose a ball that’s about eight to 12 lbs. and filled with gel (so it’ll bounce). Hold the medicine ball in both hands above your head and then throw the ball downwards using as much force as you can, contracting your abdominals continuously. Catch the ball as it bounces back and repeat. Or, if working with a partner, allow him or her to catch the ball, and repeat the exercise. Perform about 15 to 20 reps or until fatigued.

THE HEALTH JOURNAL November 2009

BOSU

Personal trainers and physical therapists use the BOSU as a balance-training tool. It resembles a large plastic ball cut in half. Both sides can be used for exercise, but the easiest and most versatile side is the one that looks like a half-ball. Take most any typical exercise—such as bicep curls or bicycle abs—and either sit or stand on the BOSU and voila—you’ve got a core-challenging exercise. When you’re standing on an unstable surface, your core muscles must continuously contract to maintain your balance. This is a great fitness tool if your goal is to improve your balance, strengthen your core or just add a new and interesting element to your training. You can use one or even two BOSUs at a time (e.g., place one foot on each BOSU) depending on the exercise.

Try this move: Balance squat and jumps

Place each foot squarely on top of a BOSU and squat as if you were on level ground. Perform 15 to 20 reps or until fatigued. Once you have mastered the squat, try jumping. Start in a squatting position and jump as high as you feel comfortable before landing back in a squat. Work up to jumping a few inches off each BOSU. If you lose your balance at any time, just step back on the BOSUs and try again. Perform 10 to 20 jumps or until fatigued.

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WEIGHT MANAGEMENT

Settling the Calorie Score How much would it take to burn off the typical holiday meal? 1 slice

Written By Bridgit Kin-Charlton

he holiday season, ever inching its way closer, is a time of celebration that leads many to overindulge. Teeming with tasty temptations, the holidays can present challenges for those of us trying to maintain healthy habits. Brimming buffets, baked goods, and bottomless punch bowls can create anxiety for the calorie-conscious struggling to either stay at their current weight or slim down. But joining in on the celebration doesn’t have to spell dietary disaster. If you can’t resist Mom’s Famous Pumpkin Pie or Uncle Pete’s Spiced Eggnog, you can stop the scale from budging by upping the exercise ante. Here are a few favorite holiday treats matched with how much of a particular exercise it would take to offset the calories you’d consume. The following calculations are based on an individual weighing 150 pounds. HJ

1 slice

1 slice pumpkin pie = 280cal/ 1 hour of golf, walking the course and pulling clubs

nc 6 ou es Bridgit Kin-Charlton, M.S. Ed., is a certified personal trainer and the founder of B-defined Innovative Personal Training and Wellness in Williamsburg. She can be reached at bridgit@bdefined. hrcoxmail.com.

½ cu p

nc 8 ou es

45 minutes

80 minutes

8 oz. eggnog = 400cal/80 min. on a stationary bike

Ave ra

hanksgivin

3 hours

eal

1 hour

T ge

1 hour

½ c. stuffing = 410cal /1 hour of swimming at a moderate pace

1 c. mashed potatoes and gravy = 226cal/1 hour of ballroom dancing

45 minutes

1 slice corn bread = 250cal/45 min. tennis

1 cup

1 hour

6 oz. mixed drink = 250cal /1 hour of walking at 3.5 mph

1 slice pecan pie = 500cal/45 min. of running at 5 mph

1 slice

1 hour

Average Thanksgiving meal, with all the usual trimmings = 2,000cal/3 hours on an elliptical trainer

THE HEALTH JOURNAL November 2009

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“Dr. Cranham gave me a smile that I can be proud of.” Virginia Marsh

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FEATURE Written By Alison Johnson PHOTOGRAPHY BY BRIAN M. FREER

ere’s a scary statistic: Preventable medical errors occur roughly 15 million times a year, according to the Institute for Healthcare Improvement. That includes mistakes with prescription medications and in doctors’ offices and hospitals, which can range from minor to deadly. Luckily, doctors say patients have more control over their safety than they might think. People who educate themselves on the medicines, tests and procedures they need—and ask lots of questions—do better than passive types. “Most doctors appreciate patients who take some responsibility for keeping up with their own health care,” says Dr. Jim Schmidt, a pediatric emergency specialist in Norfolk. Here are five major mix-ups that occur, and some steps patients can take to protect themselves:

1. MISSING TEST RESULTS

Medical Mix-Ups

and how to avoid them

The results of screening and laboratory tests don’t always make it to patients. A Weill Cornell Medical College study published earlier this year found that about seven percent of abnormal results never get to patients in primary care practices. Paperwork may get lost in busy labs and offices or mistakenly filed before a doctor sees it. Medical practices also may not have systems to record which patients have gotten their results. Patients should never assume “no news is good news” but should always call to check, Schmidt urges. “Until medicine progresses to a more integrated medical record [system], a system of many standalone symptoms makes following results a real challenge,” he says. “I recommend that each patient clearly ask their doctor how or if they should expect to get their results. Patients should not make assumptions but instead ask their doctor after each test if they are uncertain about how results will be shared. In some medical systems, no news is good news; in others, no news means a potential oversight. Some systems ask patients to call for results; others will send them automatically.”

2. PRESCRIPTION DRUG ERRORS More than 3,000 medications have similar names to other drugs on the market, according to a 2008 report by U.S. Pharmacopeia, a nonprofit that promotes patient safety. There’s Klonopin for seizures and Clonidine for high blood pressure, for example, and Zyrtec for allergies and Zantac for acid reflux. Errors can stem from a doctor’s bad handwriting,

THE HEALTH JOURNAL November 2009

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Where medical errors can happen • • • • • • •

Hospitals and clinics Outpatient surgery centers Your doctor’s office Nursing homes Pharmacies Laboratories At home

a busy pharmacist grabbing the wrong pills or a patient mispronouncing a needed medication. Patients should know how to say and spell the name of a drug they’ve been prescribed, as well as the dosage and the reason they’re taking it. They also can talk to a pharmacist when picking up a medication, says Dave Merryfield, director of clinical pharmacy programs for Sentara Healthcare. “Sometimes consumers feel like they’re in too big a hurry,” Merryfield says. “But there’s real value in those conversations, and a lot of mistakes can be caught during them.” It’s also wise for the doctor

two of the biggest concerns for hospitalized patients. Electronic medical records and bar-coded bracelets— which caregivers must match with medications—are making a big difference, but patients still need to be assertive, says Dr. Gene Burke, vice president and executive medical director for clinical effectiveness at Sentara Healthcare. That includes asking doctors, nurses and visitors if they’ve washed their hands and questioning medications and tests not discussed previously with a doctor. “Don’t feel in the least bit timid,” Burke advises. “A responsible caregiver won’t take it as insulting. They will welcome having a partner in the process.” Patients and family members also should repeat back instructions from doctors and medical staff to ensure they’re clearly understood. In addition, patients should know the basics of how medical monitors work and, if they have a catheter, intravenous line or ventilator, have a daily conversation with a doctor about the need for that device. Catheters, IVs and ventilators raise the risk of, respectively, urinary tract infections, bloodstream infections and pneumonia. Patients with an IV in their hand or arm should expect to have it changed every two or three days, Burke adds, and catheter bags should never be raised above a patient’s bladder (otherwise, urine can run back

“For a long time, hospital-acquired infections were taken as a cost of doing business. Now we see that if we create an atmosphere of awareness and accountability, most of them are preventable.”— Dr. Gene Burke to write what a medication is for on a prescription—“for arthritis,” next to Celebrex, say—and for the consumer to ask questions if a refilled medication looks different. “It may simply be a new generic product,” Merryfield notes, “but it’s always smart to check.”

3. NEGATIVE DRUG INTERACTIONS Every medication has the potential to do harm in combination with another drug, whether by reducing effectiveness or doing dangerous damage. The blood thinner Coumadin, taken with certain overthe-counter painkillers such as Aleve and Motrin, for example, can lead to serious gastrointestinal bleeding. Patients need to make sure their pharmacist and all of their doctors have a written list of every medication they take, Merryfield says—not just prescriptions but also over-the-counter pills, vitamins, supplements and herbals. Filling prescriptions at a single pharmacy helps, Merryfield adds. Pharmacies keep detailed records on each customer and can double-check for potential interactions. “If you go to too many places, sometimes the right hand may not know what the left hand is doing,” he warns. Patients also should read labels carefully to learn about proper dosing, common side effects and instructions on when and how to take a medicine, including the time of day and whether to take it with or without food.

4. IN-HOSPITAL ERRORS Preventable infections and medication mistakes are

into the body). “For a long time, these infections were taken as a cost of doing business,” he says. “Now we see that if we create an atmosphere of awareness and accountability, most of them are preventable.”

5. SURGICAL ERRORS Patients who know their medical history— medications, allergies and previous surgeries—are great allies for surgeons, says Dr. Marshall Cross, a general surgeon with Riverside Medical Group. He recommends that everyone keep a card with a detailed, up-to-date history in their wallet. “Somebody might say to me, ‘I don’t know, they worked on my stomach,’ ” Cross says. “That could mean so many things. If I’m going back into that abdominal area, [the patient’s accurate knowledge of previous surgeries] could make a difference as to how I approach it.” Similarly, a patient who doesn’t report a history of heart problems is more likely to get into trouble during surgery. Following preoperative instructions is crucial to avoiding surgical problems. And if an operation is on a body part of which there’s more than one, such as an arm or leg, patients should be awake and aware to ensure the surgeon marks the correct body part with a permanent marker. Patients also can ask if there’s a “time-out” procedure once they’re on the operating table—a moment when the operating team pauses to confirm they have the right patient and are about to do the right procedure. “If patients aren’t sure about what’s going to happen,” Cross says, “absolutely they should ask questions.” HJ

FEATURE To Help Prevent Medical Errors, Take an Active Role in Your Health Care Keep a list of current medications (including over-the-counter meds) and any dietary or herbal supplements (including the dosage of each) and share it with your physician.

Never take a medication without first discussing with your provider the possible side effects (including allergic reactions) or interactions with other medications, food or alcohol. Know the name of each medication prescribed and its intended effect.

Pay attention to warning signs on the labels of prescription and over-thecounter medications.

To reduce pharmacy error, make sure your doctor’s handwriting is legible on any written prescription.

Research the hospital or clinic where you’ll be having a procedure performed and compare its quality of service to other facilities in your area. Visit the facility ahead of time. If having surgery, request to have the surgical site marked on your body with permanent marker.

Appoint a family member or friend to serve as your advocate if you are hospitalized. He or she can take notes, ask questions and alert the staff quickly if you have a reaction to a medication.

Follow up on test results; don’t assume that no news is good news.

Have a solid understanding of any medical conditions you may have as well as of any procedure you may be having.

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009 23

WHO WOULD YOU TRUST WITH YOUR HANDS? 4

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SECOND OPINION

Q. I get frequent, painful headaches. How do I know if they are migraines?

Nearly all of us have the occasional headache, but most of us believe we can handle them. We take an overthe-counter pain medication and before we know it, the headache disappears. As universal as headaches are, though, the symptoms are more complicated and unique than you might realize. What hurts when you have a headache? The bones of the skull and tissues of the brain don’t because they lack pain-sensitive nerve fibers. Several areas of the head can hurt, however, including the network of nerves that extend over the scalp as well as certain nerves in the face, mouth and throat. Also sensitive to pain, because they contain delicate nerve fibers, are the muscles of the head and neck as well as

If you think you or someone around you is having a stroke, act

FACE:

Ask the person to smile. Does one side of the face droop?

ARMS: Ask the person to raise both arms. Does one arm drift downward? SPEECH: Ask the person to repeat a simple sentence. Are the words slurred? Can he/she repeat the sentence correctly? TIME: If the person shows any of these symptoms, time is important. Call 911 or get to the hospital fast. Brain cells are dying. Source: National Stroke Association

hold for a few hours to several days. In the United States, the annual direct cost of treating migraine is estimated at more than $1 billion, and Cluster headaches, which are more the indirect costs are even greater—including the agprevalent in the spring and fall, can be gregate effects of migraine mistaken for seasonal allergies. on productivity at work, at home and in other roles. The total cost of lost problood vessels found along the surface duction time in the U.S. workforce due to migraine is $20 billion per year. and at the base of the brain. Women experience migraine at Types of headaches least three times more often than Headache types range from tension men, suggesting hormones are inheadaches to early symptoms of seri- volved. Since migraine is most prevalent in women 25 to 55 years of age, ous neurological conditions: • Episodic tension-type headaches the condition can disrupt family life, occur randomly and are often the result including relationships with spouses, of temporary stress, anxiety, fatigue children and friends. or anger. They can resemble vice-like aches in your temples, head and neck. • Chronic tension headaches are those that occur just about every day. The frequency of this type of headache distinguishes it from the episodic one, though each will send you in search of aspirin or other non-prescription medications. A long walk, a good night’s sleep and relaxation methods may also bring relief. • Migraine headaches cause biochemical changes in the brain, prompting blood flow to shift and thus triggering pain signals within the head and neck. This prevalent headache disorder has a substantial impact on the individual, the family and society. It can put your life on

F.A.S.T:

• Cluster headaches are a rare form of headache notable for their extreme pain and pattern of occurring in “clusters,” usually at the same time or times of day for several weeks. Their onset is swift, usually accompanied by excruciating pain on one side of the head, often behind or around the eye. The pain usually peaks over a period of five to 10 minutes and continues at the same intensity for up to an hour or two before disappearing. Most affected individuals experience one to three episodes a day and two cluster periods a year separated by symptom-free periods. Cluster headaches usually occur during spring and/ or autumn and thus are often incorrectly associated with allergies.

THE HEALTH JOURNAL November 2009

More than just a headache? A sudden, severe headache with no known cause can be an early sign or symptom of stroke. Mild to moderate headaches are associated with transient ischemic attacks (TIAs), sometimes called “mini-stroke,” which result from a temporary lack of blood supply to the brain. (Symptoms may include temporary weakness, tingling, numbness or paralysis on one side of the body and or impaired speech, vision, cognition or walking.) The head pain occurs near the clot or lesion that is blocking blood flow. Careful management of stroke risks—such as high blood pressure, high cholesterol and diabetes—through diet, exercise and medication can prevent many strokerelated headaches. Headaches caused by hunger or occasional muscle tension are easily remedied. But like other types of pain, a headache may signal a more serious underlying disorder. Seek medical care if: • The headache is severe and unlike any other headache you’ve had; • The headache is sudden, severe and accompanied by fever or convulsion; • You feel confused or lose consciousness; • The headache produces pain in the eyes and ears; • You feel a persistent headache yet have no history of headaches. HJ

Tha Thomas U, MD, MPH, is a board-certified neurologist with Sentara Neurology Specialists. He practices in Suffolk.

www.thehealthjournals.com

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PREVENTION

A New Flu Season Widespread cases of H1N1 in Hampton Roads inject new fear into this year’s flu season Written By Sharon Cindrich

ore throat, muscle aches, fever, coughs and sneezes. It’s flu season again, and while each year brings a variety of strains and flu outbreaks, the prevalence of new H1N1 flu is making this year’s flu season even trickier—and more treacherous—than usual. Many people do not have immunities to the 2009 H1N1 “swine flu” virus, which has spread so fast that the World Health Organization has declared it the first pandemic in almost 40 years. Unlike most flu viruses, which peak in January and February, the H1N1 virus caused illness throughout the summer months (when flu viruses are rare) and is now running rampant through our region. It’s not too late to get vaccinated. Local health departments are offering free H1N1 vaccine clinics, though supplies wax and wane. The state is expecting additional shipments this month, but it is not clear how many of the estimated 6.8 million doses made available in the U.S. will be allocated to Hampton

Roads. The CDC has designated Dec. 6–12 National Influenza Vaccination Week to emphasize the importance of continuing flu vaccinations through the months of December and January. As flu season progresses, review these general facts about the flu as well as specific recommendations relating to the novel H1N1 strain:

1) What are the symptoms of the flu? Cough, sore throat, body aches, headache, chills and fatigue are the most common flu symptoms. H1N1 Update—While diarrhea and vomiting can be associated with the general flu, these symptoms may be more common in individuals with the H1N1 flu virus.

2) Who is most at risk? Anyone can get the flu. Traditionally, however, infants, pregnant women, the elderly and those with

underlying medical conditions are more at risk of serious complications or death. H1N1 Update—This year’s H1N1 flu has been more prevalent than other flu types among five to 24-year-olds, making this population first in line (behind health care workers, some infants, and pregnant women) to get the vaccine. Unlike with the seasonal flu, those 65 and older are not considered highrisk. It is suspected that older individuals may have developed some immunity to the H1N1 flu strain if they were alive during the 1950s swine flu outbreak.

3) Should I get vaccinated? Each year the CDC recommends that seasonal flu vaccines are the best way to protect against anticipated flu strains. H1N1 Update—The seasonal flu vaccine does not protect individuals against the H1N1 flu strain, so a second vaccine specific to the H1N1 flu has

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PREVENTION

been developed and is being offered in clinics across the country. There are two forms of vaccine: a shot and a nasal mist. Ask your doctor which form of the vaccine is right for you, as the mist is not recommended for everyone. Those who do get the H1N1 vaccine should remember that it takes two weeks to become effective.

4) What do I do if I get the flu? The seasonal flu can be treated with any one of four antiviral medications. These prescription medications are sometimes used to prevent the flu in cases where a high-risk individual has been in close contact with someone who has the flu. These drugs, if taken early, may lessen the symptoms associated with the flu or possibly prevent serious complications.

H1N1 Update—Due to the concerns about H1N1, websites have cropped up to publicize flu news and reported cases. For instance, the Department of Health and Human Services has set up www.flu.gov for this purpose.

Additional Tips Proper hand-washing and vaccines may be a familiar routine for preventing the flu, but this year extra caution is being taken to educate the public and encourage preventative measures. People carrying the H1N1 virus may be contagious even before they show symptoms. Follow these tips to protect yourself and others from this year’s flu strains.

• Get a seasonal flu vaccine.

H1N1 Update—Of the four antiviral medications, only two appear to be effective against the H1N1 flu virus—Oseltamivir (TAMIFLU®) and Zanamivir (RELENZA®). An antiviral should be administered within 48 hours of the first symptoms for maximum effectiveness.

Talk to your family doctor about the flu vaccine. Certain individuals, such as pregnant women, infants, the elderly and people with underlying medical problems, are more susceptible to seasonal flu and complications from it. The CDC recommends the seasonal flu vaccine as one of the best measures to help people stay healthy.

5) How can I follow news about the flu?

• Get an H1N1 flu vaccine.

When serious flu outbreaks occur, local health departments may issue warnings or recommendations to the public. School districts may also inform parents of local outbreaks.

While the vaccine may be difficult to get in some areas, those at high risk for infection should get the vaccine as soon as possible. Call your health department, school district or family doctor for updates

“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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about when and where clinics are being held in your community.

• Remember hygiene. Hand-washing remains one of the most effective ways to prevent the spread of influenza. Use soap and water to frequently wash your hands, or use hand sanitizers that contain at least 60 percent alcohol. Keep hands away from your eyes, mouth and nose and cover your mouth and nose with your arm when you sneeze.

• Stay home if you are sick. Aside from a visit to the doctor, the CDC recommends that if you do get the flu, stay home for at least 24 hours after your fever is gone (without the use of fever-reducing medicines) before returning to work, school or social gatherings. HJ

For updates about H1N1 and the seasonal flu virus as well as a list of vaccination sites in your area, visit www.flu.gov.

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To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009 29

RELATIONSHIPS

Why We Go Home for the Holidays

Written By Dr. Sally Hartsfield

hy do we leave our homes, our jobs and our friends to spend money and time on an exhausting trip, sometimes hundreds of miles, to spend a day or so in a town where we may not have lived for 20 or more years? College students, obviously, go home for Thanksgiving and Christmas to eat, sleep and get their laundry done. But what about the rest of us? Given a choice, wouldn’t we rather be in Vegas or Key West? The answer lies in our deep need to belong—to be part of some larger group. Wild animals travel in packs, birds in flocks and fish in schools. Regardless of what we may say, we do not want to be left alone, or at least not all the time. Humans do not thrive in isolation, and those who spend a great deal of time alone are prone to anxiety, depression and loneliness. Today nearly one-third of American adults live alone, and the need for contact can be seen in online methods of communication like MySpace and FaceBook. There may even be a physiological need to be connected

to others. Recent research indicates that physical pain travels the same neural pathways that are stimulated when a person experiences rejection. It does hurt to be left out. And when we are asked to join a group, to participate in a conversation or to visit someone in their home, the brain responds by producing natural opiates, the same “high” we experience with physical pleasures. But why go home for the holidays instead of a popular vacation spot? Because “home” will never reject us. Our family members know us, and we know them—skeletons, warts and all. We share a common history that makes it possible to link up without having to explain too much background. And our relatives’ actions are to a degree predictable, even if not always Our family members pleasant. We know that cousin Jimmy will get way too drunk and try to put the moves know us, and we on anything female. Our parents will make know them— a fuss over us, especially if our siblings still skeletons, warts live nearby, because the out-of-town child is always the favorite. The food and the conand all. We share a versation are at least predictable, if not accommon history that tually enjoyable, as is the fact that the television will broadcast football all day even if no makes it possible one’s watching. In brief, we will be accepted to link up without to a greater or lesser degree without having having to explain too to introduce or prove ourselves. The Thanksgiving holidays are the most much background. traveled time of the year, Christmas a very close second. Our culture dictates that these be times for celebration—evident in the expectations to purchase a lot of gifts and bake or buy tons of food. In Colonial days people came together for these holidays, too, but they also gathered year-round to share news and strengthen relationships. Of course nowadays you can e-mail, send photos and get your gifts there by UPS. You can telephone and wish everyone a happy holiday. But you won’t get the satisfying experience you would have if you were actually there in person. Nor is it the same to spend the holidays with groups other than family, if you have the choice. So, you might as well give in. Make the plane reservations. Or get the car inspected and filled with gas. Squash all those beautifully wrapped presents in plastic bags, pack a lunch and check that you haven’t left a stove burner or the coffee pot on. The travel is tiring and the trip expensive. You may gain a few pounds and lose track of some of your home or work projects while you are gone. And there is always a good chance that you will get your feelings hurt (or hurt someone else’s). But perhaps you’ll get lucky and have a visit that leaves you with many wonderful memories. And if not, you can return home and chuckle with relief in splendid isolation. HJ Dr. Sally Hartsfield is a retired clinical psychologist who specialized in working with women and children. She can be reached at sallyjo@visi.net.

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

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NUTRITION

Eating for Energy Dieticians share their best tips for maintaining your energy level throughout the day Written By Brandy Centolanza

s tempting as it is to grab a chocolate bar or a cup of coffee just to stay awake on these late fall afternoons when night falls so early, are those choices the best? When in need of a mid-afternoon pickme-up, what types of foods and drinks are beneficial for a boost, and which should you avoid? Healthy suggestions for an energy jolt include green and black tea, dark chocolate, ginseng, red peppers, whole grains and other high-fiber foods, nuts, salmon, leafy greens and citrus fruits. “It’s also important that you don’t fall victim to the low-carb craze,” cautions Kathryn McAdoo, a clinical dietician with Riverside Regional Medical Center’s Nutrition Services. “Complex carbohydrates, like those found in breads, pastas and potatoes, are a vital part of a healthy diet when eaten in moderation and [should be] our body’s main energy source.” For sustained energy, McAdoo advises eating five to six small meals a day. “If you are feeling sluggish,” she says, “try snacking on some fruits and veggies. Pack some healthy snacks to keep your energy levels high before and after lunch. This is a great way to not only stay awake during the day but to ensure

that you get all your recommended servings of fruits and vegetables.” Though energy bars and drinks may promise an energy boost, the excessive levels of caffeine and sugar typically found in these products may do more harm than good. Too much caffeine may cause an increased heart rate and high blood pressure, while the extra sugar could contribute to weight gain. Though convenient, “[Energy bars and drinks] are not a necessary part of a healthy diet,” McAdoo warns. “In this budget-conscious economy, they may be nothing more than an added expense.”

Joan Sechrist, a registered dietician and a health educator for Sentara’s Health and Preventative Services, agrees. “Energy drinks can be counterproductive to physical fitness,” she says. “If you consume these drinks before and during exercise, the caffeine may make you nervous, lightheaded or nauseous. Also, caffeine is a diuretic, making it a poor choice as a fluid replacement.” Drinking water, instead, is vital for optimal energy. “Make sure to drink plenty of water throughout the day to keep your body hydrated,” McAdoo says. “Dehydration can make you feel fatigued and weak.” Most important when choosing snacks for energy, she says, is to remember that “there is no one food that is going to contain a secret ingredient aimed at keeping you awake and energized during the day.” Conversely, eating a “rainbow” of foods throughout the day—such as a wide variety of fruits and vegetables in small meals—will sustain energy and provide all the essential vitamins and minerals you need. Like McAdoo, Sechrist promotes a well-rounded diet: “Good nutrition, combined with daily physical activity, is a vital factor in increased energy.” HJ

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t 800-501-0451 • www.hospiceva.com • Physicians and • Certified hospice aides • Symptom control

Richmond: 804-281-0451 t Farmville: 888-330-8560 t Tappahannock: 800-387-7010 www.SeniorsGuideOnline.com

THE HEALTH JOURNAL November 2009

Let our Advertisers know “I found you in the Seniors Guide!”

registered nurses

• Medical social workers

• Trained volunteers • Spiritual care www.thehealthjournals.com • Pain management • Bereavement services

Richmond: 804-281-0451 t Farmville: 888-330-8560 t Tappahannock: 800-387-7010

the

Health Journal

Peninsula Edition

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

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

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

Assisted Care & Senior Living Agape Home for Adults 1112 29th St. Newport News (757) 928-1999 The Chesapeake 955 Harpersville Road Newport News (757) 223-1600 Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953 Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305 The Devonshire 2220 Executive Dr. Hampton (757) 827-7100 Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335 Eden Court 1034 Topping Lane Hampton (757) 826-5415 Golden Living Center/Bayside of Poquoson 1 Vantage Dr. Poquoson (757) 868-9960

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 PACE (Program of All-Inclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977 St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500

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

Sturdevant Lodge Elite Elder Care 11 San Jose Drive Newport News (757) 660-7703

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

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

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

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

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

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

Cardiovascular & Thoracic Surgeons

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

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

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

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

Heritage Commons 236 Commons Way Williamsburg (888) 711-6775

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

Hidenwood Retirement Community 50 Wellesley Rd. Newport News (757) 930-1075

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

Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010

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

James River Convalescent & Rehabilitation Center 540 Aberthaw Ave. Newport News (757) 595-2273

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

Mayfair House 1030 Topping Lane Hampton (757) 826-3728

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

Mennowood Retirement Community 13030 Warwick Blvd. Newport News (757) 249-0355

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

Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905

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

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

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

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

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

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

Spine Care of Tidewater, PC 7216 Executive Dr., Ste. A Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483

Dentistry & Oral Health

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

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

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

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

Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701

Keswick Place at Warwick Forest 866 Denbigh Blvd. Newport News (757) 886-2000

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

Venisse Georgalas, DC 702-A Middle Ground Blvd. Newport News (757) 591-9390 Gunderman Chiropractic & Wellness Center 5701 Geo. Washington Mem. Hwy. Yorktown (757) 874-5666

Jeff W. Bass, DDS 4326 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788 Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155

Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530 Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182

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

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

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

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

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

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

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

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 Levy & Hoffman Family Dentistry 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

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

John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210

Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919

Alan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979

Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765

Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975

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 James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712 Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366 Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890

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

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

Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334 Tidewater Family Dentistry 559 Denbigh Blvd. Newport News (757) 877-6787 Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511 Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322

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

Endocrinology Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259 Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300 Riverside Endocrinology, Diabetes & Metabolism Center 11844-B Rock Landing Drive Newport News (757) 534-5050

Family Practice

Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200

Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102

J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407

Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979

Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990

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

Dermatology

Tammy Beavers, MD 1405-K Kiln Creek Pkwy. Newport News (757) 872-7200 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588

Associates in Dermatology 17 Manhattan Sq. Hampton (757) 838-8030 Bruce E. Fuller, MD 12695 McManus Blvd., Ste. 3-B Newport News (757) 872-7787 Oyster Point Dermatology 895 Middle Ground Blvd., Ste. 302 Newport News (757) 873-0161

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

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

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

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

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

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

Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420

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

Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091 Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822

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

Diagnostic Imaging

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

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

Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921

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

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

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

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

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

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

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

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

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

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

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810 Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711 Jon E. Piche, DDS 4310 Geo. Washington Mem. Hwy. Yorktown (757) 874-1777 Port Warwick Dental Arts 251 Nat Turner Blvd. Newport News (757) 223-9270

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

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009

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

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

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

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

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

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

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

Health Departments

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

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

Daniel Lee Medical Group, PC 716 Denbigh Blvd., Ste. C-3 Newport News (757) 243-2377 Magruder Primary Care 850 Enterprise Pkwy. Hampton (757) 637-7600 John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969 Mercury West Medical Center 2148 W. Mercury Blvd. Hampton (757) 827-1940 Old Hampton Family Practice 200 Eaton Street Hampton (757) 726-5000

Northampton Community Center 1435-A Todds Ln. Hampton (757) 825-4805 North Phoebus Community Ctr. 249 West Chamberlin Ave. Hampton (757) 727-1160 Old Hampton Community Center 201 Lincoln St. Hampton (757) 727-1123 Peninsula Boxing Academy 467-D Denbigh Blvd. Newport News (757) 872 -9832

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

Hampton University Hampton (757) 727-5328

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

Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300 Thomas Nelson Community College 99 Thomas Nelson Dr. Hampton (757) 825-2700

Health Products & Equipment

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Pittman’s Medical Transport 164 Winchester Dr. Hampton (757) 825-2605 Toll-Free (800) 322-3451 Riverside Goldencare 5033 Geo. Washington Mem. Hwy., Ste. B Yorktown (757) 856-7030

Nephrology & Renal Health DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585 Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090 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

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

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

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

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

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

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

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

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

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

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

Riverside Kettlebells Yorktown (757) 645-7586

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

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

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

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

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

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

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

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

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

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

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

Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012

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

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

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

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

West Hampton Community Center 1638 Briarfield Rd. Hampton (757) 896-4687

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

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

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

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

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

Oyster Point Family Practice 704 Thimble Shoals Blvd., Ste. 700 Newport News (757) 873-2000 Patriot Primary Care 2855 Denbigh Blvd. Grafton (757) 968-5700

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

The Healthy Connection 2007 N. Armistead Blvd. Hampton (757) 826-6404 Med Emporium 629 Pilot House Dr. Newport News (757) 434-5777

TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992

Gastroenterology

TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880

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

TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755

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

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

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

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

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

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

Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1803

Hearing & Audiology

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

TPMG Gastroenterology 860 Omni Blvd., Ste. 301-A Newport News (757) 240-2700

Dominion Pediatric Therapy 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932

Fitness & Weight Management

General Surgery

ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505

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

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

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

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

Riverside Lifeline 5033-B Geo. Wash. Mem. Hwy., Ste. C Yorktown (757) 856-7030 Smoothie King 2040 Coliseum Dr., Ste. 13-A Hampton (757) 262-1588 Virginia Home Medical 11842 Canon Blvd. Newport News (757) 873-1700 The Vitamin Shoppe 12266 Jefferson Ave. Newport News (757) 249-3697

Hampton Roads ENT-Allergy 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665 Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794 Sentara Careplex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528

Oyster Point Medical Specialists 11747 Jefferson Ave., Ste. 4-C Newport News (757) 596-7115 Riverside Medical Specialists 12420 Warwick Blvd., Bldg. 3, Ste. B Newport News (757) 594-2081

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

Internal Medicine

Hospice of Virginia Hampton Roads (800) 501-0451

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

Immediate Care Assisted Living 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

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

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

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

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

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

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

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

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

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

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

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

Infectious Disease

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

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

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

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

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

Hearing Aids

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

Hypnosis

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

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

Hospitals & Clinics BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000 Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000 I & O Medical Center 530 Aberdeen Road Hampton (757) 825-1100

THE HEALTH JOURNAL November 2009

Medical Transportation Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090 LogisiCare Toll-Free (866) 386-8331 Peninsula Agency on Aging Newport News (757) 873-0541

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

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 American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090 The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461 Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060 Center for Child & Family Services 2021 Cunningham Drive, Ste. 400 Hampton (757) 838-1960 Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd., Ste. 2E Newport News(757) 833-7845 Faith in Action Hampton (757) 245-3550

www.thehealthjournals.com

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

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

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

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

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

Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655

Riverside Warwick OB/GYN 12200 Warwick Blvd., Ste. 510 Newport News (757)534-5700

William R. Waldron, OD 1215-V Geo. Wash. Mem. Hwy. Yorktown (757) 596-5666

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

Orthopedics & Sports Medicine

Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Girl Scout Council of Colonial Coast 813 Forrest Drive, Ste. B Newport News (757) 595-9802 Habitat for Humanity 809 Main St. Newport News (757) 596-5553 Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635 Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450 Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676 The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600 Patient Advocate Foundation 700 Thimble Shoals Blvd., Ste. 200 Newport News (757) 873-6668 Peninsula Agency on Aging 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 591-0643 Protect our Kids P.O. Box 561 Hampton (757) 727-0651

Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945 Warwick Denbigh OB/GYN 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891 Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000

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

Oncology

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

Pharmacies Costco Wholesale 1212 Jefferson Ave. Newport News (757) 746-2002 Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253 East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554

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

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

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

Harris Teeter Pharmacy 12404 Warwick Blvd. Newport News (757) 595-3524

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

Hidenwood Pharmacy 35 Hidenwood Shopping Center Newport News (757) 595-1151

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

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

Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Tidewater Orthopaedic Associates & Imaging Center 901 Enterprise Pkwy., Suite 900 Hampton (757) 827-2480 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657

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

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

Psychiatry & Mental Health

Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090

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

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

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

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

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

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 9 Manhattan Square, Ste. B Hampton (757) 825-3400

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

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

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

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

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

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

Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700 Peninsula Cosmetic & Reconstructive Surgery 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486

Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650 Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060

Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144 Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735 Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700 Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958 Community Services Board Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200

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

Pain Management

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Podiatry

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

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

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

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

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

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

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

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

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

Taksha Institute School of Integrative Medicine 15 Research Drive Hampton (757) 766-5831 United Way of Virginia Peninsula 739 Thimble Shoals Blvd., Ste. 400 Newport News (757) 873-9328

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

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

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

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

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

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

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

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

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

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

Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369

Optometry

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

Pediatrics Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111 The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070 Children's Specialty Group, PLCC 111783 Rock Landing Dr., Ste. 202 Newport News (757) 668-7500 601 Children's Lane Norfolk (757) 668-7500 2021 Concert Drive Virginia Beach (757) 668-7500 733 Volvo Parkway Chesapeake (757) 668-7500

Target Pharmacy 1911 Saville Row Hampton (757) 827-8024 12130 Jefferson Ave. Newport News (757) 881-9371 Walgreen Drug Stores Visit www.walgreens.com for local listings. Wal-Mart Pharmacy Visit www.walmartpharmacies.com for local listings.

Physical Therapy & Rehabilitation Aquatic Therapy of Virginia 525-E Oyster Point Rd. Newport News (757) 269-0430 Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220 Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470

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

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

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

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

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

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

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

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

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

Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889

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

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

J.F. Foretich, Jr., DDS PC 12715 Warwick Blvd., Ste. C Newport News (757) 930-3365

Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188

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

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

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

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

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

Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900

Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709 Peninsula Medical Center for Women 10758-A Jefferson Ave. Newport News (757) 599-6389

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

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

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

Dr. Kent McQuain 5220 George Washington Hwy. Grafton (757) 898-1000

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

Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160 Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846 George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400 Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661 Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166

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

Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800 Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170 American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101 Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425 David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424 Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111 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

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

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

Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444

Prosthetics & Orthotics

Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353

Certified Prosthetic & Orthotic Specialists Barry K. Kelly, CPO, C ped 802 Lockwood Ave., Ste. B Newport News (757) 833-0911 Foot Solutions 2643 Geo. Washington Mem. Hwy., Unit 3 Yorktown (757) 867-8111

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

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

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

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

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

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

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

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

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

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

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009

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

Ohm Spa Sanctuary 707 Mariners Row, Ste. 103 Newport News (757) 271-8813

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

Oyster Point Massage Therapy 815-C Blue Crab Rd. Newport News (757) 873-0075

Viola Vaughan-Eden, PhD, LCSW 610 Thimble Shoals Blvd., Ste. 301-D Newport News (757) 594-6011 Virginia Psychological Services 732 Thimble Shoals Blvd., Ste. 705-K Newport News (757) 873-4744 Elaine S. Whitaker, LCSW 2101 Executive Drive Hampton (757) 838-4144

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

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

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

Spas & Massage

Ritz Internationale Hair Design 36 Coliseum Crossing Hampton (757) 838-4247 Salon Vivace Commerce Place Shopping Ctr. Newport News (757) 873-1775 Salters Creek Retreat 100 Bridge St., Ste. D Hampton (757) 723-1934 Shane’s Salon & Day Spa 101 York Crossing Rd. Yorktown (757) 898-1299 Shear Touch Salon & Spa 1700 Geo. Washington Mem. Hwy., Ste. H Yorktown (757) 246-3010 Sona Medspa 827 Diligence Dr., Ste. 206 Newport News (757) 599-9600

We’ve earned this lifestyle...

How about you?

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

Maintenance-Free Living - Recreation Chef-Prepared Meals - Clubs and Activities

Addiction Medicine Specialists 703 Thimble Shoals Blvd., Ste. C-5 Newport News (757) 508-2386 Addiction Recovery Helpline Toll-Free (800) 582-6066

We’ve served our country, raised our family and worked

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

hard to be where we are today. We’ve earned every minute of

Alcoholics Anonymous (757) 595-1212 Alcohol-Drug Treatment Referral Toll-Free (800) 622-4357

our retirement - and we’re not about to slow down now.

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

That’s why we’ve chosen to live in a great retirement

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

community, where we have the time and opportunity to

Families Anonymous Toll-Free (800) 736-9805

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

Narcotics Anonymous (757) 875-9314

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

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

more active and more engaged in life than ever. We think

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

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

you’d love it here, too.

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

Urology

Absolutely Slender, Inc. 2206-B Executive Dr. Hampton (757) 826-0990 Advanced Therapeutic Solutions 732 Thimble Shoals Blvd., Ste. 906 Newport News (757) 873-0774 American Laser Centers 640 Denbigh Blvd. Newport News (757) 833-5924 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

enjoy life to the fullest. From great meals to great times, we’re

There’s everything here that you could want or need today,

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

tomorrow and always. So don’t miss an opportunity to visit

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

- even if it’s just to see what you’re missing. For a first-hand

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

look at the lifestyle you’ve earned, call or visit our

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

community today.

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

Vascular Surgery

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

Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340

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

PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080

Healing & Wellness Sanctuary 12829 Jefferson Ave., Ste. 106 Newport News (757) 803-9876

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

Healthy Touch 11830-C Canon Blvd. Newport News (757) 595-0029

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

Independent Living Personalized Assisted Living

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

Exceptional Experiences Every DaySM

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

For advertising, call:

757-645-4475

3800 Treyburn Dr., Williamsburg, VA 23185 www.brookdaleliving.com

(757) 220-1839 Exceptional Experiences Every Day is a Service Mark of Brookdale Senior Living Inc., Nashville, TN, USA

00753-RES01-1009

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

Feel lost in the crowd?

Enter The Health Journal’s

HEALTH & BEAUTY

Beauty and the Budget The Health Journal’s female staffers and editors share their best recession-friendly health and beauty tips.

Food and fellowship are the hallmarks of every holiday. But what about those who are watching their waistline, or those who have special dietary needs? Tell us how you trim your holiday trimmings in The Health Journal’s First Ever “Healthy Holiday Recipe Contest.” Remake a classic dish or submit an original recipe. If there’s a special story behind your unique culinary creation, please include that, too.

CONTEST RULES: 1. How To Enter: Contest extended to Nov. 13th, 2009. To enter, e-mail or mail your recipe, and if possible, a photograph of the recipe fully prepared. Please include your full name, address, telephone number and valid e-mail address. E-mail your recipe to info@thehealthjournals. com or send via mail to The Health Journal, 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188. 2. Photo Requirements: Electronic photos must be 300 dpi at a minimum size of 3 x 5 inches (900 x 1,500 pixels). To be safe, use a 3.2 megapixel camera (at minimum) set at its highest quality. 3. Copyright: The Submission must be the original work of entrant and not previously published. Submission must not infringe on the copyright, trademark, privacy, publicity or other intellectual property rights of any person or entity. All entries become the property of the publisher and will not be returned. We reserve the right to use your entry in all print and electronic media, and to edit it for brevity and clarity. 4. Judging: The winner of the contest will be determined by judging all the entrants’ submissions based on the following criteria: healthfulness, originality, presentation and personal story. The Health Journal editors and nutrition experts will judge recipes. One Grand Prize winner will be selected. 5. Prizes: The Grand Prize winner will receive $100 and will be featured in the December issue of The Health Journal. All prizes will be awarded in full. Staff members and their relatives are not eligible. 6. Selection of Winner: Winners will be selected on or about Nov. 13th and notified by phone and/or e-mail.

E-mail your submission to: info@thehealthjournals.com Or mail your recipe submission to: The Health Journal C/O Holiday Recipe Contest 4808 Courthouse Street, Suite 204, Williamsburg, VA 23188 Any questions, call 757-645-4475

Page Bishop-Freer, Editor I buy store-brand hair conditioner in bulk sizes, preferably in a rich, moisturizing formula—I like Kirkland’s brand, available in a two-pack at Costco— and use it in place of shaving cream. This keeps my skin hydrated—especially my legs, which are prone to dryness—eliminating the need for lotion, even in winter months. Plus, a large bottle of conditioner lasts for several months, while a can of shaving cream is empty after a few uses. Danielle DiSalvo, Administrative Assistant I used to buy a $50 organic shea butter body lotion from L’Occitane. I would use it throughout the cold winter months for dry skin and after sun exposure in the summer. I wanted to stick with organics to avoid harmful chemicals such as polyethylene glycol and petrolatum, two common ingredients in most store-bought brands, but I wanted to find a less expensive option. I began purchasing shea butter and cocoa butter in bulk online, along with essential oils and vitamin E capsules from a local health store, and started making my own lotion. Here’s how: I melt equal parts of shea and cocoa butter in the microwave, puncture two vitamin E capsules and add a few drops of an essential oil (lavender is good for eczema). This recipe also doubles as an overnight deep conditioning treatment for dry, damaged hair. Natalie Montieth, Graphic Designer I have super-sensitive eyes; if a certain eye makeup irritates them, they water profusely. I always used Christian Dior’s Dior Show mascara, but the $25 price tag became too much. I discovered that Cover Girl’s new line of Lash Blast mascara is identical to my pricey favorite—and at only $6 a pop, my wallet is much happier (so is my husband). Come to find out, Lash Blast is hypoallergenic and suitable for contact lenses. I’m sold. Beth Shamaiengar, Associate Editor These days my purchasing is guided as much by the environment as by the recession, and so when I’m buying cosmetics or other personal hygiene items, I try to read ingredient labels carefully and buy more natural products (such as Burt’s Bees face creams). Some organic products can be a bit expensive, but on the flip side, when I consider the potentially harmful effects of various synthetic products (such as nail polish), it’s easier than ever to decide I can do without them, which helps to save money. Now seems like a better time than ever to go with a natural approach, minimizing cosmetic purchases and instead, trying other strategies to look my best, like maintaining a healthy diet, exercising regularly, managing stress, and getting enough rest. HJ

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009 37

THE REFORM ISSUE

Understanding the Public Option This month both the House and Senate will debate individual versions of sweeping health care reform legislation aimed at reducing costs, expanding coverage for Americans and regulating the private insurance market. President Barack Obama, who has made health reform his number-one domestic priority, has set a yearend deadline for enacting a bill. Here, The Health Journal provides a brief guide to understanding a pivotal piece of the puzzle—the public option. The public option—what is it? The public option, more recently dubbed the “consumer option,” refers to a governmentrun health insurance program that would be made available to those not already insured through an employer-sponsored health plan or Medicaid. Those who support a public option argue it would increase competition among private insurers (who are currently exempt from anti-trust laws) and drive costs down, while opponents say it would drive insurers out of business.

Where does it stand in the House and Senate? The public option will be at the heart of the Senate and House debates. At press time, the House had merged several preliminary bills into one and expected it to reach the chamber’s floor for debate by the first week of this month. The Senate was to go through the same process with its bill (see box at right). After each bill is debated on its respective floor—a process that could result in a Republican filibuster, a tactic used to kill legislation via unlimited debate—each chamber must vote on its bill. If each chamber passes a bill, both versions will be reconciled into one comprehensive bill and then sent back to each chamber for final vote before the bill is placed on the president’s desk.

one million Virginians) and help them pay for it via government subsidies. The caveat? The proposed legislation must not cost more than $900 billion upfront, remain budget-neutral (i.e., not add to the federal budget deficit) after 10 years and not further tax the middle class. The proposed cost-saving and revenue-generating practices such as taxing top-tier health plans, increasing efficiencies, and establishing malpractice caps (i.e., tort reform) will only offset so much of the cost of insuring millions. Some lawmakers note that the $894-billion price tag on the House’s current bill hinges on an estimated 21 percent cut (due in 2010) to alreadytoo-low Medicare reimbursements to physicians, which in some parts of the country are forcing physicians to limit new Medicare patients. The American Medical Association is asking Congress to postpone these cuts yet another year, but a motion to end the cuts is an entirely unique bill outside of the scope of reform. HJ

How will the public option be funded? The devil is in the details. President Obama expects any health reform legislation to provide access to care for a majority of the currently 46.3 million uninsured Americans (including

“I am afraid of public-run health care [because it will come] between doctor and patient. I do not see why the government cannot establish a framework of laws to increase competition in the private insurance market..” —Joseph S., construction company president

“The only people benefiting from the existing health care system are insurance companies and their stockholders. —Susan B., non-profit director “We have a free-market system now. Can the government do a better job than the insurance industry? I don’t know. I fear the government will become a middleman, creating too much red tape.” —Jennifer I., NASA physicist

I believe that every person deserves the right to health care. —Kendra C., 2009 Virginia Tech graduate, currently unemployed “I don’t want the government to run my life any more than [it does] now.” —Cindy S., office administrator “I think the public option is a distraction from the goal of insuring everyone so that there are fewer “free riders” in the health care system. The entire payment structure for health care is based on an inflated set of charges for goods and services that are intended to cover the costs of those who do not pay, and those who do not pay enough to cover their costs.” —Peter M., health care attorney

What is the “trigger”? Some lawmakers (including Republican Senator Olympia Snowe of Maine, whose vote against party lines allowed a reform bill to pass through the Senate Finance Committee) support a “trigger,” or a clause in legislation that would activate the public option only if the insurance market fails to regulate itself. Democrats say a trigger would only delay or kill real reform; Republicans believe a public option would only pave the way for a single-payer system, or a biggovernment takeover.

“[My husband] and I both feel strongly in favor of a public option. After all, it’s only an option—folks will still have other choices. —Patty A., home health company director

A tale of two bills House—The current bill would offer coverage to 36 million American citizens by 2019 and reduce the budget deficit in 10 years. It would require the government to negotiate payment rates with care providers and all but the smallest companies to offer health benefits. Private insurers would not be allowed to deny or quit coverage based on pre-existing health conditions. The bill calls for an insurance mandate, meaning all citizens would be required to obtain coverage either through their employer or independently. Senate—A bill is still under development and has been sent to the Congressional Budget Office for a cost estimate before it hits the Senate floor. The original bill introduced by the Senate Finance Committee (i.e., the “Baucus Bill,” named for committee leader Max Baucus, [D-Mont.]) lacked a public option, but recently Senate Majority Leader Harry Reid (D-Nev.) included it in the final version, but states may have the ability to “opt out.” The final bill may call for an individual mandate, similar to how people are required to purchase car insurance or face a penalty.

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

ADULT & SENIOR CARE SERVICES • Personal Care

• Grab Bars

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• Stair lifts, Ramps, Elevators

• Companions

• Recliner Lift Chairs

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Maximize athletic performance, Recover from musculoskeletal disease or injury, Return safely to the workplace, or Achieve the simple joys of an active life.

Choose the professionals at Tidewater Physical Therapy Immediate Scheduling Available

CALENDAR

SUPPORT GROUPS

A free, five-week program for family, professional and volunteer caregivers, “Caring for You, Caring for Me,” will be held Tuesdays through Dec. 1, from 1 to 3:15 p.m. at Hidenwood Presbyterian Church, 4141 Hiden Boulevard in Newport News. Early registration is recommended. For more information, call (757) 220-4751 or e-mail cjensen@excellenceinaging.org.

“Veterans Benefits: What you need to know,” will begin at 10 a.m. at Sentara CarePlex Hospital in Hampton. Register online at www.sentara.com.

Starting at 5:30 p.m., Bon Secours heart surgeon Dr. Robert Dunton will explain the special risks women face when it comes to heart health in this free seminar held in the Health Resource Center at Mary Immaculate Hospital. Participants will get a free cardiovascular screening and will enjoy refreshments. Call (757) 889-2273 to register.

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

18 19

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

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

Kids’ Group Spirit Works 5800 Mooretown Rd. (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111

From 6:30 to 8 p.m., Children’s Hospital of The King’s Daughters (CHKD) Health and Surgery Center at Oyster Point (11783 Rock Landing Dr.) will offer a free “Sibshops for Siblings” recreational workshop for children ages 9 to 14 years who have a sibling with special health needs. Call Gail Cervarich at (757) 668-7646 for more information or send e-mail to cervargs@chkd.org. Riverside Regional Medical Center’s Emergency Department will offer free child seat safety checks and installations between 8 and 11 a.m. and again between 5 and 8 p.m. Call 875-7880 to schedule an appointment.

Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606

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.

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

Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001

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

Celebrate World Diabetes Day during a special event filled with fun, educational activities focused on diabetes care and prevention. “Diabetes Care Day” will be held from 9 a.m. to noon at New Hope Baptist Church (1415 Big Bethel Road, Hampton) and will feature keynote speaker Dr. Carl Gibson of Endocrinology and Diabetes Center, a practice of Riverside Medical Group. Foot and blood pressure screenings will be offered on site. Enjoy refreshments, activities for children and door prizes. Sentara Cancer Network’s “Path to Survivorship” cancer lecture series continues with a special talk on “Stress Management: Learning to Relax and Experience the Present Moment,” to be held at Sentara CarePlex Hospital in Hampton. Sessions are free and last from 6 to 7:30 p.m. Refreshments are provided. Call 1-800-SENTARA to register.

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

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

The Yorktown Battlefield Runs, organized by the Peninsula Track Club, will begin at 8:45 a.m. (5K) and 10 a.m. (10-mile) at York High School. Call (757) 886-1302 for more information.

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

Abortion Recovery Group “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 p.m. (757) 887-6364

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

Send your calendar items to info@thehealthjournals.com

Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541

THE HEALTH JOURNAL November 2009

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 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

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

Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795

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

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

ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940

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

Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847

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

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

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

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

500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743

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

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

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

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 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 to 9:30 p.m. (757) 827-1001 Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971 Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880 Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381

PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994 Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994

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

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

Find More Events Online Go To: www.thehealthjournals.com Browse our online calendar of monthly events and support groups.

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

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 2009 41

PROFILE

Changing Lives, One Pound at a Time Written by Brenda H. Welch Photography By Page Bishop-Freer

hanksgiving is a special time of year, especially for people who enjoy eating—and really, who doesn’t? For some, the traditional holiday fare—mashed potatoes and gravy, buttered dinner rolls, stuffing and turkey, not to mention the array of desserts—is an appetizing treat. But for others, the delectable spread isn’t just food; it’s a feast made for self-loathing. For those with a compulsion to overeat, no matter the time of year, food can seem like both their greatest friend and their worst enemy. Dr. Lisa Harris understands what it means to have this sort of relationship with food. As a weight-loss physician, she’s counseled thousands of patients and helped to guide them toward a more balanced life, both physically and emotionally. Harris gained her experience academically at Hahnemann Medical School (now Drexel University College of Medicine) in Philadelphia, Pa., and personally from her own struggle with the scale. Since opening the Chase Wellness and Research Center in Virginia Beach (www.chasewellnesscenter.com) in 1994, where she and her team of experts treat patients, Harris has seen the medical community as a whole begin to accept the idea that obesity is a complex yet treatable medical condition. The Health Journal recently spoke with Harris about what it takes to lose weight, how she and her son stay fit together, and what she’d likely sing if handed a microphone.

HJ: What are your views on weight-loss surgery (liposuction, Lap Band, gastric bypass, etc.)? LH: I don’t do any type of weight-loss surgery personally, but I have suggested the idea to some of my patients because I believe it is an option for some people. HJ: Have you had any personal experience with struggling to lose weight? LH: I’ve had problems managing my weight since I was in the third grade. I think I initially gained weight because that was at a time when my older sister left home and went away to college. I was very close to her, so eating became

Lisa Harris, M.D.

HJ: What recent advancements in bariatric medicine are you most excited about? LH: When I started in bariatric medicine, obesity was not really considered a medical disease. It was more the belief that people just had to have some willpower to stop eating, or maybe it was a character issue—like they were lazy. Now, especially in the medical community, obesity is seen as a medical disease that needs to be treated. If someone is overweight or obese, it is not just a cosmetic issue. It’s actually a medical problem that can bring about other medical problems.

a way to comfort myself. That was the start of a pattern. In my early adult life, I was focused on my appearance. When I got married in 1989, I was the smallest I have ever been—a size four. I lost the weight by carefully watching everything I ate, keeping a food journal and exercising daily. Over the next year and a half I slowly gained some of the weight back and then leveled off. Today, I am focused on my health. Obesity has a far more broad impact than just on how we look. I try to stress this to all of my patients. HJ: Consumers are cautioned that weight-loss medications and supplements can sometimes do more harm than good. What is your opinion? LH: I never suggest over-the-counter weight-loss aids because they are not regulated. I do, for some patients, prescribe medication because I believe it is a useful tool—just like food diaries and exercise—but not a magic pill. I explain to them that they won’t be taking it every day for the rest of their lives but that it will get their cravings and eating under control. HJ: How does your business compete with the many other weight-loss options out there? LH: I’m always cost-conscious, so I really worked hard to have programs that fit everyone’s budget. I always

Age: 49 Hometown: Connelly, N.Y. Family: Son, 14; divorced Education: Bachelor’s degree from Utica College of Syracuse University, Utica, N.Y. ; Medical degree from Hahnemann Medical School (now Drexel University College of Medicine) in Philadelphia, Pa. Professional affiliations: American Medical Association, American Society of Bariatric Physicians, American Obesity Association Volunteer activities: FoodBank of Southeastern Va., The Dwelling Place (an emergency family shelter), Norfolk Academy Always in her refrigerator: Good cheese and sparkling water

THE HEALTH JOURNAL November 2009

www.thehealthjournals.com

PROFILE remind people that being obese or overweight is expensive. Food costs money. You may have medical problems that have come from being overweight, and it costs money to see physicians and purchase the medications to manage those conditions. If you are gaining weight, then that costs money because you have to buy all new clothes. HJ: What book is currently on your nightstand? LH: I am always reading parenting books. I am currently reading A Good Son—it’s all about how to raise boys. The second one I am reading is Lord of the Flies. My son is reading it in school, so I thought maybe I’d read it, too, so that we could have discussions.

Suggest a Profile!

“Obesity has a far more broad impact than just on how we look. I try to stress this to all of my patients.”

Whether you know a special person who has stood up for an important cause, faced incredible odds or is just allaround 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.

What does it mean to be ageless?

HJ: Who are your role models? LH: Some of my patients who have lost a tremendous amount of weight. They just never gave up, even though it took them a while to do it. That’s the one quality that I admire in people the most—persistence. HJ: Childhood obesity is a hotbutton issue. Do you talk about weight with your son? LH: I stress healthy eating both at home and when we go out to dinner. I try to get him involved in lacrosse and other sports. So far he has not had an issue with his weight, and I hope he won’t. I think that it really helps when kids cook, because they are more likely to eat what they cook, so I’ve tried to do that with him, too. We also play games on the Wii Fit together, which is a ton of fun, and we both get a good workout. HJ: Do you have a favorite quote? LH: Yes, it’s by Henry Wadsworth Longfellow: “The heights by great men reached and kept were not obtained by sudden flight, but they, while their companions slept, were toiling upward in the night.” HJ: Do you have any hidden talents or hobbies that your patients would be surprised to know about? LH: I like to sing, although I can’t sing—so I don’t consider that a talent. I love to sing karaoke at home. If I go out of town, I will karaoke, but I don’t want anyone that knows me to see me. I usually like to sing something by Aretha Franklin—she’s spunky and lively. HJ

Find out on Saturday, Nov. 21st. Ageless Dermatology and Laser Center will unveil its exclusive line of custom skin care products. Join us for Product Giveaways, Free Consultations (by appointment), and Hourly Demonstrations. Enter to win free Botox or Microdermabrasion with the purchase of any Ageless skin care product. TM

Call 757.564.1200 for your personalized invitation to this special event.

Dermatology & Laser Center

Keith W. Schumann, M.D. 5309 Discovery Park Boulevard, Williamsburg, Virginia 23188

To advertise, call 757-645-4475 THE HEALTH JOURNAL November 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.

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