WHJ_Aug_2009 by The Health Journal

the

Health Journal

Williamsburg Edition

Vol. 5 No. 3

www.thehealthjournals.com

August 2009

Help for Adult Acne

pg. 30

! w e NHolistic Marketplace

pg. 37

Save Money on Health Care

pg. 34

Bioidenticals:

Are They Safe?

New Name. New Look.

Experience Excellence at the 2009 Workers’ Compensation Symposium

OSSMS of Hampton Roads is now...

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

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

Experience Excellence

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

Experience Excellence at our Port Warwick location!

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

�� Open MRI Center Experience Excellence

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

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

757-596-1900

877-202-9130

On the Cover

Bioidenticals:

Are They Safe?

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

Inside

august 2009

5 features

IN EVERY ISSUE

Paperless Progress | 5

There’s an App for That, Too! | 20

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

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

Letter from the Editor | 4

Avoiding the “Freshman 15” | 16

Embarrassing but Treatable | 33

Snapshots | 8

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

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

Warm Up for a Better Workout | 18

Wherever the Wind Takes Him | 42

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

Local Beat | 5

Fitness | 18 Feature | 22

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

Health Directory | 38 Calendar | 40 Profile | 42

To advertise, call 757-645-4475

THE HEALTH JOURNAL

August 2009

LETTER FROM THE EDITOR the

Health Journal Williamsburg Edition

photo by Brian M. Freer

Publisher

Brian M. Freer

Dear Readers,

Executive Director

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

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Assistant Editor

Brenda H. Welch Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny PhotographY

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

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

Circulation

Press Run: 19,560 Direct Mail: 15,560 Homeowners & Businesses in 23168, 23185 & 23188 zip codes. u.s. postal carrier The Health Journal—Williamsburg edition is a monthly publication directmailed to homes and businesses in Williamsburg, James City County and Northern York County in the 23185 and 23188 zip codes. 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. Please notify us of any change in address. The editorial content of The Health Journal is produced under 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. The Health Journal reserves the right to edit for clarity, house style and length. Send your manuscript via e-mail to the e-mail address below.

Page Bishop-Freer, Editor

For Advertising and editorial Information, call or write:

page@thehealthjournals.com

THE HEALTH JOURNAL

August 2009

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

www.thehealthjournals.com

LOCAL BEAT

Paperless Progress

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

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

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

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

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

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

To advertise, call 757-645-4475

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

THE HEALTH JOURNAL

August 2009

LOCAL BEAT

Paperless Progress

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

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

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

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

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

THE HEALTH JOURNAL

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

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

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

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

August 2009

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

www.thehealthjournals.com

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

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

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

Reminders • Alzheimer's, Dementia Care • Alzheimer's, Dementia Care

804-966-1997 surrounding areas:

804-966-1997 W e A r e

Paid Advertisement

C o m f o r

Comforting Home Care s e r v i C e s

Comfort K kind of tru that helps and indepe K e e p e r s® the comfort

• Companionship • Cooking, Light Housekeeping Over 550 independently owned W e A r e C o m f o r t • Errands, Shopping and operated offices worldwide. • Incidental ® W W W . C o m f o r t Transportation K e e p e r s . C o m our Com Presented by Ed Golden, President • Laundry carefully ® provides the hatindependently do you lookowned for when you COMFORT great pride inKeepers the Comfort s eKEEPERS r v i C e takes s Over 550 • Recreation, Crafts and operated offices worldwide. of trusted, in-home and care seek non-medical in-home care? high level• Companionship of compassionate and kind professional care bonded, that helps maintain full • Cooking, Light To begin with, caregivers must we provide. We tailor • Grooming, Dressing our services to meet yourpeople Housekeeping independent in WandWspecially W. C o m f o r t K Call e e(757) pGuidance e r and s /. (804) C o m lives, right be highly skilled trained. specific needs. 229-2777 966-1997 Willia • Errands, Shopping • Medication the comfort of their own home. Also, you’ll want those who are by nature for an appointment information. Our nonWest P • Incidental or more Reminders24/7. Comforting Transportation helpful, personable, and friendly. They medical care services are available surroun our Comfort Keepers® are must be carefully screened and have Solutions • Laundry for In-Home• Alzheimer's, Care. We carefully employ only the screened, trained, 804-96 Dementia Care • Recreation, Crafts submitted to a criminal background check. most dependable, caring, and friendly staff. We ®

SELECTING A HOME CARE AGENCY

They must be bonded and insured. These invaluable helpers can assist with cooking and meal preparation, light housekeeping, shopping, laundry, companion services, transportation and numerous other tasks. Whether they are needed for just a few hours or around the clock, professional caregivers provide the kind of quality and responsive care that lets seniors truly enjoy living independently at home.

• Grooming, Dressing

bonded, and insured.

are an affordable alternative that allows people to Guidance Williamsburg, remain in• Medication their own home. West Point and Reminders surrounding areas: P.S. A professional home care agency will strive to • Alzheimer's,

Dementia Care match the right caregiver with you or 804-966-1997 your loved one based on personality types.

www.comfortkeepers.com Over® 550 independently owned and operated offices worldwide. Over 550 independently owned and operated offices worldwide.

W W W. C o m f o r t K e

W W W. C o m f o r t K e e p e r s . C o m

Law Office: 325 McLaws Circle | Suite 2 | Williamsburg, VA 23185 Phone: 757.259.9200 | Web: www.mellettepc.com

Mellette PC represents health care providers before both state and federal agencies and courts, and guides clients through complex state and federal health care regulations. Call Peter Mellette for a consultation today.

          

               

 

  



 

SNAPSHOTS

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

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

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

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

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

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

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

7 8

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

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

Call (757) 229-6115 354 McLaws Circle, Suite 1 Williamsburg, VA 23185 www.agapehomecareva.com

THE HEALTH JOURNAL

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

August 2009

www.thehealthjournals.com

sen-6717 Upper Pen Vas_webcast_WHJ:Layout 1

7/6/09

10:53 AM

Page 1

I wanted a vascular expert in Williamsburg with access to the latest clinical trials and research.

I chose Sentara Vascular Specialists.

INTRODUCING ADVANCED VASCULAR SERVICES TO WILLIAMSBURG

ith a new office on the campus of Sentara Williamsburg Regional Medical Center, Vascular & Transplant Specialists offers convenient access to high-quality vascular care for area residents. The advanced vascular program provides state-of-the-art diagnosis and treatment of blockages, clots, abnormal

narrowing and other disorders of the veins and arteries. The board-certified and fellowship-trained Sentara vascular specialists have expertise in the latest minimally invasive techniques and access to the most recent clinical trials and research. For an appointment, please call (757) 345-4467.

Vascular & Transplant Specialists

sentara.com/vascularspecialists

See a minimally invasive procedure at sentara.com/ vascularspecialists

400 Sentara Circle, Suite 350, Williamsburg, 757-345-4467

Your community, not-for-profit health partner

HEALTH IN HISTORY

Illustration courtesy of The Colonial Williamsburg Foundation

Colonial Docs Didn’t Focus on Childhood Disease

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

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

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

THE HEALTH JOURNAL

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

August 2009

www.thehealthjournals.com

Riverside

We’ve earned this lifestyle...

How about you?

Behavioral Health Center Outpatient Services Call today to schedule your

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

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

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

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

Appointments:

(757) 827-3670

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

(800) 759-1001

2244 Executive Drive, Hampton

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

www.riversideonline.com/rbhc

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

We accept most insurance providers.

Celebrating 25 Years of Excellence in Behavioral Health

That’s why we’ve chosen to live in a great retirement community, where we have the time and opportunity to enjoy life to the fullest. From great meals to great times, we’re more active and more engaged in life than ever. We think you’d love it here, too. There’s everything here that you could want or need today, tomorrow and always. So don’t miss an opportunity to visit - even if it’s just to see what you’re missing. For a first-hand look at the lifestyle you’ve earned, call or visit our community today.

Independent Living PERSONALized Assisted Living 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-RES01-0309

Exceptional Experiences Every DaySM

757-599-4145

LOCAL BEAT

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

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

THE HEALTH JOURNAL

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

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

August 2009

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

www.thehealthjournals.com

When I needed a hearing evaluation, I consulted an audiologist. “An audiologist is the most qualified person to evaluate and interpret the results of your hearing tests. In addition, he or she may find problems or syndromes that have been overlooked by hearing aid specialists.”

Rebuild • Repair • Reach

30 PEOPLE WANTED...

...to try the absolute latest wave in Digital Hearing Aid Technology—RISK FREE!

Dr. Jude Liptak will perform comprehensive hearing evaluations AT NO CHARGE for the first 30 qualified callers to determine if you are a candidate for this program. Applicants selected will be asked to evaluate the latest Hearing Aid Technology for 30 days. Participants who wish to keep the instruments after their clinical field demonstration can do so at a tremendous savings due to their participation. Candidates will be selected by August 31st. Those interested need to Call for an Appointment.

(757) 229-4004

Physical Therapy Shiela M. Robison, M.S.P.T. & Anna Dube, D.P.T. PERSONAL TRAINING AND “REACH FOR HEALTH” FITNESS CLASSES AVAILABLE. YOGA CLASSES NOW AVAILABLE Call for more details

757-258-1221 www.reachforperformance.com

HEALTHWIRE

Celiac Disease May Strike Elderly, Too

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

Now accepting patients!

(757) 206-1408

500 Sentara Circle, Suite 103 | Williamsburg, VA 23188

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

Gluten intolerance among older adults may go undiagnosed for decades. NEW YORK (Reuters Health)

Giselle sees an allergist. Tom does not. Why suffer any longer? Allergists can help you feel healthy all the time.

. If you suffer from allergies or asthma, learn what an allergist can do for you. Allergists have training and experience that allow them to identify the source of your suffering. Contact our office to schedule an appointment today.

1144 Professional Dr.

Williamsburg, VA 757-259-0443 www.vaallergy.com

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

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

Office hours: Monday-Friday 8:30-5:00 www.rgava.com

John R. Nordlund, MD, PhD Member, American Society of Retina Specialists Member, American Glaucoma Society

Most insurance plans accepted

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

THE HEALTH JOURNAL

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

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

August 2009

www.thehealthjournals.com

Volunteering May Increase Retirees’ Lifespan Written By Megan Rauscher NEW YORK (Reuters Health)

esults of new study provide more evidence that participating in volunteer activities may add years to an older person’s life. In a study of U.S. retirees, researchers found that volunteering significantly reduced the chances of dying over a four-year period. Volunteering, the investigators say, may improve health outcomes by expanding retirees’ social networks, increasing their access to resources and improving their sense of self-worth. In the study, Dr. Sei J. Lee and colleagues from the VA Medical Center and University of California, San Francisco, examined 6,360 retirees older than age 65 who enrolled in the Health and Retirement Study in 2002. As part of the study, the men and women, whose average age was 78 years, were asked: “Have you spent any time in the past 12 months doing volunteer work for a religious, educational, health-related, or other charitable organization?” Lee and colleagues found that volunteering was strongly associated with lower death rates, with 12 percent of 1,766 volunteers dying by 2006 compared to 26 percent of 4,594 non-volunteers. Even after adjusting for numerous factors that could influence the results, such as the seniors’ socioeconomic status, chronic illnesses, and functional limitations, volunteering remained strongly correlated with lower death rates. HJ

We will keep you going strong. Providing cardiac consultative services in a warm, friendly setting. • Board-Certified in Cardiovascular Diseases

• Certified by National Board of Echocardiography

• Fellow of American College of Cardiology

• Testamur NASPE examination for pacing and defibrillation

• Certified by Board of Nuclear Cardiology

• Medicare and most insurances accepted

Riverside Cardiovascular Health Vasudev G. Ananthram, MD, FACC

Board-Certified Cardiologist Joseph T. Adinaro IV, MD

Board-Certified Cardiologist Darlene Hinojosa, MSN, FN-P, CS

Nurse Practitioner

A Division of Riverside Medical Group

• New patients welcome • Office hours by appointment 117 Bulifants Blvd., Suite B | Williamsburg, VA 23188

757-259-9540

Living Your Life

Shouldn’t Cost Your Life Savings

There are lots of places to live. Some are inexpensive, but short on comfort, services or amenities. Others charge “community” fees on top of the already high rent. Verena Senior Lifestyle Residences are different. We offer a superior, active lifestyle at surprisingly reasonable prices and we won’t ever charge you additional fees for the “privilege” of living here.

One bedroom from $1,880/mo. includes: • Two chef-prepared meals daily

• Twice-monthly housekeeping

• Elegant amenity-rich clubhouse

• Private transportation

• Finely appointed apartments

• Full calendar of social, recreational, and cultural events

• Upgraded kitchens, washer/ dryer, and paid utilities* 121 Reserve Way at 4300 Mooretown Road Williamsburg, VA

OPENING FALL 2009 To learn more, call today! 757-912-2012

*Utilities do not include phone. Verena at The Reserve is for residents age 62+. Prices, availability and amenities are subject to change without notice.

www.VerenaAtTheReserve.com 15891_VerenaRes_healthj_080109.indd 1

7/28/09 1:26:50 PM

TEEN FOCUS

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

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

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

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

Have Back Pain? Leave it behind with the Experts of PEAK PT! Having back pain can make the simplest tasks in life intolerable. The physical therapists of PEAK PT take a unique approach to treating back pain. Our gentle and comprehensive approach will have you feeling, moving, and most importantly, living better as therapy progresses. Whether your back pain is new or a long-standing condition, our sole mission is for you to regain your life. PEAK PT’s unique approach has brought success to individuals with varying levels of pain and limitations. Don’t be held back... start enjoying life once again. Schedule your physical therapy with the experts at PEAK Physical Therapy and LIVE BETTER!

It’s Your Health...It’s Your Choice…Ask for PEAK Physical Therapy! 16

THE HEALTH JOURNAL

August 2009

344 McLaws Circle • Williamsburg, VA 23185

To Learn More Call 757-564-7381 www.INEEDPEAKPT.com

Sasha Digges, Jr. • Senior Physical Therapist

www.thehealthjournals.com

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

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

JUST TALK...

For more information, visit:

www.HTSAC.org

Youth who used inhalants in the past year were about three times more likely to use marijuana, four times more likely to use prescription drugs non-medically, and seven times more likely to use hallucinogens than those who had not used inhalants in the past year.

or call (757) 476-5070

KNOW YOUR FACTS. KNOW WHAT TO ASK, WHEN TO ASK, & HOW TO ASK.

A message from the Friends Reaching Every End Youth Leadership Program.

Casey BMW

www.caseybmw.com (757) 989-1300

The Ultimate Driving Machine®

www.caseybmw.com (757) 989-1300

The Ultimate Driving Machine®

Lured by their low sticker price or suspiciously low monthly payment? Don’t be. Instead, see the unrivaled value of a BMW. With our no-cost maintenance that can save you thousands, our fuel efficient Valvetronic engines, and

Well equipped models + No-cost maintenance + Fuel efficient engines + Special lease and financing

our special lease and financing terms, it’s value no other brand can offer.

Lured by Casey their lowBMW sticker price or suspiciously low monthly payment?

12861 Jefferson Ave. Newport News, VA 23608-3030 (757) 989-1300 www.caseybmw.com

Don’t be. Instead, see the unrivaled value of a BMW.

To advertise, call 757-645-4475

With our no-cost maintenance that can save you

thousands, our fuel efficient Valvetronic engines, and

Well equipped models THE HEALTH JOURNAL August 2009 + No-cost maintenance + Fuel efficient engines + Special lease and financing

FITNESS

Warm Up for a More Efficient Workout Written By Greg Tudor

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

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

THE HEALTH JOURNAL

August 2009

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

www.thehealthjournals.com

“Life shouldn’t be a pain in the neck...or back.” “Since 1992, my number one focus has been helping people who suffer with severe and chronic back and neck pain. I’ve dedicated my life to it. Today, chiropractic offers a wide range of therapies, and the treatment we provide does not require ‘popping or cracking.’ We have very affordable fees at our office and we accept most insurance plans...including Medicare and Anthem. If you would like to find out if our office is the right choice for you, just give us a call. We have a terrific staff and we’ll do our very best to help you.”

• Accredited Ambulatory Surgery Center • Friendly Staff • Private and Confidential • Numerous Financing Options

Sincerely,

Mark D. Croucher, DC

The Spine Center

Serving two locations Mind.

of Williamsburg

“Life shouldn’t be a pain in the neck…or back.”

WILLIAMSBURG 324 Monticello Ave.

A Modern Chiropractic Practice

“Since 1992, I've been dedicated to one thing...Helping people with chronic spinal pain. I strive to use only gentle methods to rehabilitate the spine. That means NO popping or cracking. We accept most insurance plans including Anthem and Medicare. If you'd like to find out if my office is right for you...call me. I'd be glad to speak with you over the phone and answer any questions you may have. If you'd like to come in as a new patient, we can get you in today.” Sincerely, Mark Croucher Doctor of Chiropractic

“

NEWPORT NEWS 703 Thimble Shoals Blvd., Suite 5-C

Body. 757 / 229-5200 Fax: 757-229-2692

259-1122

www.ppsc4u.com

106305X

“My goal

Busch Corporate Center 219 McLaws Circle, Williamsburg

Most insurance accepted.

was to strengthen my injured shoulder so I could kayak again pain free.”

John M. Pitman III, MD, FACS Lt. Col., U.S. Army Medical Corps

Plastic & Reconstructive Surgery

Beauty.

- Chris, client since 2008

What’s Your Goal? We can help you achieve your personal goal.

As s e e n I wa n t a o n MT V Famo us F ac e !

Personal training and group sessions for all fitness levels. Also offering spinning, boot camp, core classes and much more...

Personal Training Studio Inc.

Call 565-5000 www.resultstrainingstudio.com Bring this ad with you and receive a FREE personal training session. New customers only please. Located off Ironbound Road near the Five Forks intersection in the Powhatan Park Center

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

Plastic & Reconstructive Surgery John M. Pitman III, MD, FACS Henry B. Wilson, MD, FACS Krystal Paez, PA-C

• Accredited Ambulatory Surgery Center • Friendly Staff • Private and Confidential • Numerous Financing Options

For consultations, call 757-229-5200 Williamsburg | 324 Monticello Ave.

www.ppsc4u.com

160301X

Mind. Body. Beauty.

HEALTH-TECH

Better Health—

There’s an App for That, Too

article and photo By Page Bishop-Freer

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

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

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

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

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

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

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

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

Wealth Management Solutions for Financial Conﬁdence

Stephen Shonka

Family Retirement Planning & Wealth Management 115 Bulifants Blvd., Suite B, Williamsburg, Virginia 23188 757-258-1063 phone ◆ 757-258-0423 fax

www.StephenShonka.com Securities offered through LPL Financial, Member FINRA/SIPC

THE HEALTH JOURNAL

August 2009

www.thehealthjournals.com

SMILE sense

What Are Dental Sealants, And How Do They Help Prevent Decay?

The sealant bonds into the grooves (or pits and fissures) acting as a barrier to protect the enamel from dental plaque, food debris and acids. Sealants can be white or clear so that they are camouflaged into the tooth and are hardly visible. Applying sealants usually does not require drilling or removing tooth structure, though the dentist may “roughen” the tooth surface to provide a better bond to the tooth. When the sealant is painted on the tooth a curing light is then shined on the tooth to harden the sealant within seconds. As long as the sealant remains intact, the tooth will be protected from decay. During your dental visits, the condition of the sealants will be examined. If necessary, the sealants can be reapplied. Brushing and flossing helps to remove food and plaque from smooth tooth surfaces, yet toothbrush bristles cannot reach into the grooves of posterior teeth to thoroughly remove the debris. Sealants protect these vulnerable areas by inhibiting the plaque and food from penetrating these grooves, working as an adjunct in cavity prevention. Sealants do not replace fluoride for cavity protection. Sealants and fluorides work together along with good oral hygiene and nutrition for total preventive care.

A sealant is a plastic or resin material that is applied to the grooves of the back teeth. Permanent molars are most likely to benefit from sealants. The first molars usually erupt when a child is six years old, and second molars appear around the age of twelve. It is best to apply sealants soon after these teeth have erupted since the likelihood of developing decay in these grooves begins early in life. Although sealants are more common in children, adults can benefit from sealants as well. This can only be done if their permanent molars do not have an existing filling or sealant in place.

Ask Julia Your questions—answered. Dental Hygienist, Julia Wrenn, BSDH, has the answers to your dental questions.

Julia Holcomb Wrenn, BSDH, is a registered dental hygienist, graduating magna cum laude in dental hygiene in 2001 from Virginia Commonwealth University-Medical College of Virginia. She has eight years of experience and practices with Dr. Nancy Schumann in New Town of Williamsburg.

m tea uch. l a t o den ntle t l a e n ssio ith a g e f ro w d p care n a dly est of ! n e i b r cial f e e r h p t Ou vers er S Exam, d m i l an t e d Sum atien -rays X al P Initi uding 4 ing incl ic clean bas

r! 9 e m 99 m u s st $39 o t in nt for ju

res xpi 31st e r offe GUST 99.99 1 AU Value $ ular Reg ®

0.00 $65 alue V r ula Reg

me lable! t a re ai ng T tes Av i n ite ca Wh ertifi tC Gif Located in New Town 5309 Discovery Park Boulevard Williamsburg, Virginia 23188

Schedule Your Appointment Today: 757-564-0900 Ask about CARECREDIT® Patient Payment Plans / Now Accepting Most Insurances.

Be Sure To Check Out Our New Website! www.DentistWilliamsburg.com

FEATURE

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

THE HEALTH JOURNAL

August 2009

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

www.thehealthjournals.com

FEATURE

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

Menopause and hormone replacement therapy

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

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

Menopause sets in by age 50. In 2006, the average age for female menopause to begin was 51 or 52, but some women experience it as young as 40 (and in some rare cases even earlier). It’s a signal that the end of life is fast approaching. Today the average female life expectancy in the U.S. is nearly 81 years, making menopause more a sign of mid-life than old age. Hormone Replacement Therapy (HRT) is needed to help prevent osteoporosis and other diseases. According to the Mayo Clinic, hormone therapy can be a short-term solution to quell the not-so-pretty symptoms of menopause such as hot flashes, sleep problems and vaginal dryness, but it should not be used long-term due to recent data that suggests it could increase a woman’s risk for blood clots, heart disease, cancer, stroke and dementia. All women experience uncomfortable symptoms during menopause. It’s estimated that as many as 15 percent of menopausal women experience only one symptom: loss of menstruation. Menopause affects only women. Sorry, Charlie. Andropause, known as “male menopause,” is marked by fluctuating hormones and decreased sex drive.

When you lose your menses, you lose your mind. Due to falling levels of the sex horWhile changes in hormones can affect concentration, forgetfulness mones estrogen and progesterone leadis more a sign of aging or stress than menopause. ing up to and after menopause, women Menopause is brief; it only lasts a few months or a year. can suffer from problems that include While menopause is officially reached after 12 months without hot flashes, night sweats, insomnia, vagmenstruation, the process can take several years. inal dryness, loss of libido, concentration Continued on page 25 To advertise, call 757-645-4475 THE HEALTH JOURNAL

August 2009

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

YourYour attorney should Your attorney should attorney should beas asbe qualifi edand and be qualifi ed as qualifi ed andshould Your attorney specialized as as specialized as specialized be as qualified and youryour physician. physician. your physician. specialized as “The Brain“The Injury attorney Law Center is Center the onlyis law firm thefishould only “TheYour Brain InjuryBrain Law Injury CenterLaw is the onlyphysician. law rm law firm your in the United States dedicated exclusively in in States the United States exclusively dedicated exclusively in in the United dedicated in

Founder, Brain Injury Law Center

Stephen M. Smith

The Best Lawyers in America ~ 2009 The Best Lawyers America The in Best Lawyers~ in2009 America ~ 2009 Founder, Brain Injury Law Center Super Lawyers ~ 2009 Super LawyersSuper ~ 2009 Lawyers ~ 2009 President of the Brain Injury Association President of the Brain Injury President of theAssociation Brain InjuryLawyers Association of Virginia The Best in America ~ 2009 of Virginia of Virginia Internationally recognized expert SuperinLawyers ~ 2009 Internationally recognized expert in expert in Internationally recognized traumatic brain injury litigation President of the Brain Injury Association traumatic braintraumatic injury litigation brain injury litigation Founder, Brain Injury Law Center Virginia Only attorney from Virginia toofever Only attorney from Virginia to ever Only attorney from Virginia to ever be awarded Diplomate status by the Internationally expert in be awarded Diplomate the beAmerican awarded Board Diplomate status by thestatus byrecognized of Trial Advocates. traumatic brain injury litigation American of Trial Advocates. American Board of Trial Board Advocates. Chairman of the Traumatic Brain Injury TheBrain Best Lawyers in America ~ 2009 Only attorney from Virginia to ever Chairman of the Traumatic Injury Chairman the Traumatic Brain Injury LitigationofGroup of the American bethe awarded Diplomate status by the Litigation Group of American Litigation Group of the American Association of Justice Super Lawyers ~ 2009 American Board of Trial Advocates. representing brain injury victims, survivors and theirand their Association ofAssociation Justice of Justice injury victims, and survivors representingrepresenting brain injurybrain victims, survivors their Licensed practice in New York families. I families. have dedicated both Injury my personal and is the Chairman of the Traumatic Licensed to Virginia, practice in Virginia, New York Brain Injury Brain Law firmtotopractice I“The haveboth dedicated both myCenter personal andonly law Licensed in Virginia, New York families. I have dedicated my personal and President of the Brain Injury Association and the District of Columbia and all other Litigation Group of the American and the District of Columbia and all other professional life to helping brain injury survivors and in the United States dedicated exclusively in professional life to helping brain injury survivors and and the District of Columbia and all other professional life to helping brain injury survivors and states by permission. of Virginia Association of Justice states by permission. their families and other victims ofvictims catastrophic events.”survivors representing brain injury victims, and their families and other of catastrophic events. ” statestheir by permission. their families and other victims of catastrophic events.” traumatic brain injury Licensed to practice in Virginia, New York Won mild the largest mild traumatic brain injury families. I have dedicated both my personal Won andthe largest Internationally recognized expert in Won the largest mild traumatic brain injury verdict ever awarded in the world and the District of Columbia and all other verdict ever awarded in the world professional life to helping brain injury survivors and verdict ever awarded in the world states traumatic by permission.brain injury litigation Brain injuries areBrain devastating anddevastating life changing the injuries are andnot life only changing not only for the theirare families and other victims offorfor catastrophic events. ” Won the largest personal injury verdict Brain injuries devastating and life changing not only the Won the largest personal injury verdict victim, but ones for their lovedStephen ones as well. Stephen M. Smith, Esq., victim, but for their loved as well. M. Smith, Esq., Won the largest personal injury verdict Won the largest mild traumatic brain injury ever awarded in Virginia victim, but for their loved ones as well. Stephen M. Smith, Esq., ever awarded in Virginia is an recognized internationally recognized expertbrain in traumatic is an internationally expert in traumatic injury brain injuryever awarded in Virginia Only attorney from Virginia to ever verdict ever awarded in the world is litigation an internationally recognized expert in traumatic brain injury litigation and settlements who handles and assists with lawsuits and settlements who handles and assists with lawsuits Public Justice national board member Diplomate status by the Justice Brainand injuries are with devastating and life changingPublic not only for thenational board member be awarded litigation andUnited settlements handles across thewho United theorworld. Iflawsuits you a loved one has Public Justice national board member across the States and the States world.and If assists you a loved oneorhas Won the largest personal injury verdict victim,If but for their loved ones as well. Stephen M. Smith,Belli Esq.,Society national board member across the United States and the world. you or a loved one has American Board of Trial Advocates. suffered a head injury and are experiencing diffi culties, contact Belli Society national board member suffered a head injury and are experiencing difficulties, contact expert in traumatic brain injury ever awarded in Virginia is an internationally recognized Belli Society national board member suffered a head injury and are experiencing diffi culties, contact him to learn about your rights. him to learn about your rights. Multi-Million Dollar Advocates with lawsuits Multi-Million Dollar Advocates Forum Public Justice Forum national board member him to learn about your rights. litigation and settlements who handles and assists Chairman of the Traumatic Brain Injury Dollar Advocates Forum member across the United States and the world. If youMulti-Million or a loved one has member LAW CENTER - Advocates for Brain Injury Survivors Belli Society nationalGroup board member sufferedInjury a head injury and are experiencing diffi culties, contact member Litigation of the American BRAIN INJURYBRAIN LAWINJURY CENTER - Advocates for Brain Survivors Listed in Who’s Who in American Law Band RAIN INJURY and L AWtheir C ENTER - Advocates for Brain Injury Survivors him to learn about yourand rights.the World. Listed in Who’s Who in American Law Families Throughout the United States of Justice their Families Throughout the United States and the World. Multi-Million Dollar Advocates Forum Listed in Who’s Who in American LawAssociation and their Families Throughout the United States and the World. Law Dragon ~ 500 Leading Lawyers in member Acquired Brain Injury Law Dragon ~ 500 Leading Lawyers in Acquired Brainfor InjuryBrain Injury BRAIN INJURY LAW CENTER - Advocates Survivors Dragon ~America 500 Leading LawyersLicensed in Auto and Motorcycle Law to practice in Virginia, New York America Acquired Brain Injury Listed in Who’s Who in American Law Auto and Motorcycle Accidents America and their Families Throughout the United States and the World. Leaders in the Law ~ 2008 Accidents Auto and Motorcycle and the District of Columbia and all othe Brain Injury Litigation Leaders in the Law ~ 2008 Accidents Law Dragon ~ 500 Leading Lawyers in (877) Brain Injury Litigation Leaders in the Law ~ 2008 Acquired Brain Injury Railroad Accidents Washington Post America “DC’s states Best Lawyers” by permission. Brain Injury Litigation Railroad Accidents Washington Post “DC’s Best Lawyers” and Motorcycle Maritime Injuries Auto 2009 Railroad Accidents Washington Post “DC’s Best Lawyers” Accidents (757) Maritime InjuriesPlane Crashes 2009 Leaders in thethe Law ~ 2008 Maritime Injuries Brain Injury Litigation 2009 Direct Dial Graduate of Marquette Won University, largest mild traumatic brain inju Plane Crashes Tractor Trailer/Truck (877) Direct Dial Plane Crashes Railroad Accidents Graduate ofCollege Marquette University, Crashes “DC’sawarded Best Lawyers” Washington of Health Sciences, in Post Neuro verdict ever in the world Tractor Trailer/Truck Direct Dial Graduate of University, Crashes Tractor Trailer/TruckCerebral Palsy Maritime Injuries College of Marquette Health Sciences, in Neuro 2009 Anatomical Dissection of the Human Brain (757) Brain injuries are devastating only the Crashes and life changing not College offor Health Sciences, in Neuro Plane Crashes Cerebral Palsy Wrongful Death Anatomical Dissection of the Human Brain and Spinal Cord Won the largest personal injury verdict Direct Dial Cerebral Palsy LAWvictim, CENTER™ Graduate of Marquette University, Anatomical Dissection of the Human Brain but for their loved ones as well. Stephen M. Smith, Esq., Wrongful DeathMedical Negligence Tractor andTrailer/Truck Spinal Cord Crashes Wrongful Death Collegeever of Health Sciences,ininVirginia Neuro and Spinal Cord awarded Medical Negligence is an internationally recognized expert in traumatic brain Cerebral Palsyinjury Anatomical Dissection of the Human Brain Medical Negligence Wrongful and Spinal Cord litigation and settlements who handles and assists withDeath lawsuits ssmith@braininjurylawcenter.com | www.braininjurylawcenter.com

Stephen M. Smith

be as qualified and specialized as your physician.

“The Brain Injury Law Center is the only law firm in the United States dedicated exclusively in representing brain injury victims, survivors and their families. I have dedicated both my personal and Stephen M. Smith Stephen M. Smith Stephen M.helping Smithbrain injury survivors and professional life to 840-3431 (877) 840-3431 their families and other Stephen victims of M. catastrophic (877) 840-3431 Smith events.”

650-9818 (757) 650-9818 (757) 650-9818 840-3431

BRAIN INJURY 650-9818 BRAIN INJURY BRAIN INJURY LAW CENTER™ LAW CENTER™ BRAIN INJURY LAW CENTER™

Negligence across the United States and the world. If you or aMedical loved one has suffered a head injury and are experiencing difficulties, contact

Public Justice national board member Belli Society national board member

FEATURE

Bioidenticals: ARE THEY SAFE? Continued from page 23 problems and increased anxiety and irritability. “These are huge quality-of-life issues,” says Dr. Jennifer Krup, a physician and co-owner of the RejuvinAge center in Virginia Beach. The majority of women who look into hormone replacement therapy, also known as HRT, are 40 and older. For many years, doctors prescribed the medicines Premarin or Prempro, both synthetic hormones, without worry and often with good results. Premarin is a mixture of estrogens made from the urine of pregnant horses, while Prempro is a combination of horse estrogens and synthetic progesterone. Doctors believed that the drugs, in addition to easing menopausal symptoms, also helped protect women against heart disease, osteoporosis, dementia and skin wrinkling. The picture changed in 2002 with the release of data from a large federal study called the Women’s Health Initiative. It showed that the common combination of estrogen and progesterone in HRT actually didn’t guard against heart disease and in fact raised the risk

of breast cancer, stroke and blood clots. Later research indicated HRT patients who develop certain types of cancer are more likely to die than cancer patients not on the therapy. Alarmed, about 85 percent of women on treatment stopped it within a month. Synthetic hormones have hardly disappeared. For some patients, the symptoms of menopause are so debilitating that HRT seems well worth the risk. And depending on an individual woman’s medical history, that risk actually can be very low (or may not apply at all, since most women now taking HRT use hormones in different combinations and for shorter lengths of time than in the past). Doctors today do follow one general guideline: Use the lowest dose of medication for the shortest possible period. Many doctors also encourage women to try lifestyle changes before considering any form of HRT. Eating plenty of fruits and vegetables, limiting sweets and exercising regularly can make an enormous difference, says Dr. Jacquelyn Paykel, an OB/ GYN with WomanCare of Williamsburg. Paykel has all of her patients keep detailed

To advertise, call 757-645-4475

food diaries, for example. “I believe we’ve got to take a multi-faceted approach to wellness in women,” she says.

The rise of bioidentical hormones Over the past decade or so, an alternative—bioidentical hormones—began spreading through Europe and the West Coast of the United States. The medications have the same molecular structure as hormones produced by a woman’s body before the hormonal fluctuations leading to menopause. Continued on page 26

THE HEALTH JOURNAL

August 2009

FEATURE

Bioidenticals Continued from page 25 The Food and Drug Administration has approved some bioidentical-based therapies, including estradiol products (estrogen) and Prometrium (progesterone). Most of Dr. Paykel’s patients are on those pills rather than compounded products, largely because insurance generally covers them. She follows the lowest-dosepossible approach but overall prefers them to Premarin and Prempro: “Why wouldn’t you? You’re replacing something that was already in your body.” Pharmacies also can blend bioidenticals based on prescriptions written to match an individual patient’s exact hormonal needs. Doctors determine those with regular blood work and by taking a woman’s age and medical history into account. Dosages aren’t limited; a woman who needs more progesterone to sleep better, for example, may be prescribed a higher dose of that hormone than a woman suffering hot flashes due to a lack of estrogen. “Each treatment is as unique as the person,” Dr. Long notes. “It’s never cookie-cutter. Compliance is really high because they know it’s making them feel better. These are ladies who are suffering, whose relationships are suffering, and this is improving their lives. It’s hard to argue with those results.” The main side effects she has seen are water retention, bloating, breast tenderness and acne. Those usually resolve in four to six weeks after her team has determined ideal dosages, Long says.

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

Making a choice With so many complex options, how does a woman know what to do? Dr. Paykel simply likes the idea that there are more treatment choices—and that menopausal symptoms, once frequently swept under the rug, are getting more attention. “My goal is to educate women about the difference between the treatments, but it’s really about what the woman wants,” she says. “Knowledge is power.” Dr. Krup, who is on bioidenticals herself and has about 350 patients on them at any given time, says finding the best treatment takes research and sometimes a see-how-it-goes approach. “I don’t like

Krup recognizes bioidenticals are not a “risk-free” treatment—nothing is, she says—but she believes they are “generally less of a risk, because you’re not putting foreign substances into your body.” Small studies from Europe show the hormones don’t appear to carry the same risk as older forms of HRT, Long says. So do doctors’ experiences on the West Coast, where bioidenticals have been in use for more than 10 years, Krup adds. Still, patients who choose the therapy should be sure the pharmacy they use is accredited through the Pharmacy Compounding Accreditation Board, a national nonprofit that has set safety standards (compounding pharmacies also are regulated by states). “If I hear someone has placed an Internet order, 26

THE HEALTH JOURNAL

the term ‘better,’” she says. “I like, ‘More helpful for some people.’ If you’re on traditional medical treatment and feel fabulous, why change? But if not, we offer an alternative that for me and many of my patients has worked wonders.” As for safety research, all doctors do wish there was more. They argue that there isn’t because pharmaceutical companies don’t sell compounded bioidenticals, can’t patent them and thus have no financial incentives to fund large-scale studies. Krup recognizes they’re not a “risk-free treatment”—nothing is, she

August 2009

says—but she believes they are “generally less of a risk, because you’re not putting foreign substances into your body. I just have no scientific proof.” For Madelyn Reass of Norfolk, the “proof” is the simple fact that she feels much better on her current regimen of bioidenticals. Reass, 62, started going into menopause in her early 40s. She tried standard HRT but gained weight and felt sluggish and bloated. In recent years, since starting bioidenticals, she has dropped 50 pounds and seen her energy skyrocket (she has combined the therapy with regular exercise and a diet low in unhealthy carbohydrates.). She has had no noticeable side effects. “You could speak to 100 different doctors and get 100 different opinions,” says Reass. “I’ve learned in my life that I have to do my own research and make up my own mind about what’s best for me. I think all women should know what their options are. It may not be for you, but it may be just what you’re looking for.”

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

www.thehealthjournals.com

In the meantime, many women aren’t waiting for an official verdict. Amy Dodd’s sister, 65-year-old Susan Goode of Chesapeake, started on bioidenticals in March after consulting Dr. Linda Long. Goode had been on standard HRT for at least 15 years in the past—she went through abrupt menopause at age 49—before the Women’s Health Initiative data scared her off. Now each night, she applies an estrogen gel and testosterone cream and takes a progesterone pill prescribed by Dr. Long. Goode’s goals are to feel better overall, protect her bone strength and increase her libido. She already

has noticed a difference with the latter. “That’s a huge thing for women, although it’s a topic that’s in the closet,” she says. “You want to feel that same drive as when you were younger.” Her regular doctor, Goode says, is OK with the approach. “I’m not sure he thinks it’s better than what he’d do, but he respects me being on it as long as I feel well,” she says. The lack of longterm safety studies doesn’t bother her. “I’m not afraid of this,” she states. Neither is Amy Dodd. “I have a lot of confidence in my doctor,” she says, “and I have a lot of confidence in what I am doing for myself.” HJ

FEATURE

“I think all women should know what their options are.” — Madelyn Reass, Norfolk

A clinically proven, safe, effective, natural product for losing FAT and INCHES! BALANCES

blood sugar

LOWERS cholesterol

RiveRside Hampton Roads URology

INCREASES

We’ve Done it Again.

REDUCES

energy

appetite and cravings

Ask about our preferred

customer discount!

757-903-8194

Learn about our full range of health products.

Now offering massage!

Several years ago we successfully recruited Dr. Scott Burgess to help us build our robotic surgery program, the only one on the Peninsula. We now offer this

state-of-the-art procedure

for prostate cancer along with other minimally invasive, laparoscopic surgeries for major

The First Salt Spa on the East Coast Improve your health during 45-minute Salt Therapy sessions.

urologic problems. We’ve done it again. With the addition of Dr. Jennifer Miles-Thomas, we are now able to offer the community

the first female urologist in our area. Dr. Miles-Thomas trained

at The Johns Hopkins University, continuing on to complete a fellowship there in the treatment of urinary incontinence and bladder/pelvic problems in women. Hampton Roads Urology remains committed to bringing

world class trained physi-

cians and the latest technology to Williamsburg. We have served the area for over three decades and take pride in treating every patient with sensitivity and respect. You have a choice when you need a specialist. Choose Hampton Roads Urology when you need top trained physicians who can provide their expertise close to home.

Salt Spa sessions are extremely effective in alleviating a wide variety of health problems for people of all ages, such as: • allergies • asthma • bronchitis • chronic respiratory tract illnesses • cardiovascular diseases • hypertension • depression • thyroid gland disorders • skin conditions • weakened immune system

Hampton Roads Urology Trusted to Provide Truly Expert Care

Hampton Roads URology

Scott V. Burgess, M.D. • Jennifer Miles-Thomas, M.D. • Roger E. Schultz, M.D. Anthony Y. Taylor, M.D. • Lawrence R.Volz, M.D. • Emily Chaikin, PA

120 Kings Way, Suite 3200 • Williamsburg,VA 23185

(757) 253-0051

1111 Old Colony Lane • Williamsburg 757-229-1022 SaltSpa@gmail.com • www.WilliamsburgSaltSpa.com

*In cases where individuals have special health needs such as hyperthyroidism, tuberculosis and claustrophobia, a physician should be consulted.

BREAKTHROUGHS

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

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

The service you

Deserve

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

649 Fairfax Way Kingsmill

4327 Lydias Drive Newtown

1749 Captain Cove Lane Gloucester

5,500 sq ft of living space in this stately brick home on the golf course. Beautifully maintained with large dining room and living room. Eat-in kitchen with granite counter tops, Viking range, Sub-zero fridge and custom cabinets. First and second floor master suites. Showcases custom detailing. Screened-in back porch. This place is a must-see!

Luxury brick townhome with 4 bedrooms and 4 baths, has all the space you need and more. First- and second-floor master bedrooms and a private guest suite with a full bath over the garage. Hardwood floors,& crown molding in the living room, dining room, and kitchen. Lots of closets & good storage.

Located at the confluence of the York River and Chesapeake Bay. 2-3 Ft. MLW. 330 feet of shoreline on 2.6 acres. Waterfront! Waterfront! Direct bay and river access from dock. Incredible views from most rooms of home. Makes a perfect 2nd home. 10 minutes to Coleman Bridge. Comes with a starter boat!

$1,155,000

$445,000

$369,999

A professional you can

Depend On Whether you are selling your home or looking to buy, Amy will help you with all of your real-estate needs.

Amy McCarthy

4808 Courthouse Street, Suite 104 Williamsburg, VA 23188

757.220.4663 office 757.784.2404 cell amy@twiddyrealty.com

Do you wish your doctor really understood you? Dr. Sarah E. Forbes, MD, FACOG Uncompromised, comprehensive, health care. Delivering expert, personalized care with the convenience that our patients deserve. Annual examinations are a vital part of preventative health care for everyone. Dr. Sarah Forbes provides these routine services for people of all ages, from puberty through the senior years. Primary Care and Specialized Services include: Fertility Counseling; Early Cancer Detection; and Treatment for Hypertension, High Cholesterol and Heart Disease.

ACCEPTING NEW PATIENTS! Insurances accepted. Payment plans are available for self-pay patients.

Sarah E. Forbes, MD, FACOG

Conveniently located in the Warwick Medical Center, Bldg. 5, 12420 Warwick Blvd., Newport News, VA 23606

Call Today: 757-596-6369

Complete Health Care, LLC Board-Certified Physicians & Nurse Practitioners

Welcomes Fernando Estrella, MD

Preventative health care is important for everyone. We offer specialized services in early detection and treatment for hypertension, high cholesterol and heart disease and general medical conditions. Fertility counseling also available. ACCEPTING NEW PATIENTS! Most Insurance Plans Welcomed.

12420 Warwick Blvd., Bldg. 5, Newport News, VA 23606 Call Today: 757-596-6369

SKIN CARE

Keys to Managing Adult Acne:

Healthy Lifestyle, Right Products

Written By Amy Johnson

THE HEALTH JOURNAL

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

August 2009

www.thehealthjournals.com

Platelet Regeneration Therapy – PRP A NEW NON-SURGICAL TREATMENT OPTION FOR ORTHOPAEDIC PAIN, TENDONITIS AND ARTHRITIS

Please join us for one of these FREE seminars! Learn about one of the latest in-office procedures to stimulate healing using your own platelets.

Wednesday, August 12, 2009 • 6:30 pm The Williamsburg Library

515 Scotland St., Williamsburg, VA 23188

  

   

      



Presented by: Michael B. Potter, MD (TPMG Sports Medicine) and Evie Burnet, DPT, PhD (In Motion Physical Therapy and Sports Performance)

Tuesday, August 18, 2009 • 7:00 pm In Motion at the Victory Family YMCA



101-A Long Green Blvd., Yorktown, VA 23693 Presented by: Dan Elliott, DO (TPMG Sports Medicine) and Mike Pishioneri, DPT, CSCS (In Motion Physical Therapy and Sports Performance)

Call (757)

886-6708 for reservations or more information.



 

 

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

please send resume to brian@thehealthjournals.com

Caring for the women of Williamsburg for over 27 years

R IVERSIDE F AMILY M EDICINE

AND

U RGEN

is pleased to welcome Jay W. Floyd, M.D.

Board-Certified in Family Medicine Sport-specific strength and flexibility training are vital to improving performance and preventing injury.

On July 1, 2007, Dr. Jay Floyd joined the team at Riverside Family Medicine and Urgent Care. Relocating from Monroe, North Carolina, Dr. Floyd brings over 14 years of experience in family medicine. He earned his medical degree at the University of Maryland in Baltimore and completed residency training at Naval Hospital in Charleston, South Carolina.

Wiliamsburg Physical Therapy & Sports Therapy Center and Williamsburg Hand Therapy Center Rehabilitating Williamsburg’s finest athletes since 1986.

Dr. Floyd look forwards to serving the healthcare Camilla Buchanan, MD, MPH, FACOG needs of this community.

24 Locations, Including: Norge Williamsburg Physical Therapy Williamsburg Hand Ginger Ogren, MS, PT, & Sports Therapy Center Therapy Center OCS John Mitrovic, PT, SCS, ATC, Marcia Miller, MS, PT, CHT 345-0753 CSCS 565-3400 220-8383 Job Opportunities at www.tpti.com

Beth Scharlop, MD, FACOG Susan Lontkowski, MD, FACOG For more information on Dr. Floyd or Riverside Family Medicine Kristy Keller, MD and Urgent Care, please call MD, (757)FACOG 220-8300 Jacquelyn Paykel, Alison Butler, RN, CFNP Visit them at www.womancareofwilliamsburg.com or call 757-253-5600 to schedule an appointment for the many health needs of females. R IVERSIDEconcerns F AMILY Mand EDICINE AND U RGENT C ARE 5231 John Tyler Highway • Williamsburg, VA 23185

120 Kings Way, Suite 3400, Williamsburg, VA 23185

W Let us help you get back to

what you

Love the most.

Specializing in short- and long-term rehabilitation after hospitalization.

Call one of our beautiful facilities for a tour today!

Consulate Health Care of Williamsburg 1811 Jamestown Road • Williamsburg, VA 23185 • 757.229.9991

Newport News Nursing and Rehabilitation 12997 Nettles Road • Newport News, VA 23602 • 757.249.8880

Consulate of Norfolk 3900 Llewellyn Ave • Norfolk, VA 23504 • 757.625.5363

Consulate of Windsor

HEN YOU

NEED A VACATION…

s a caregiver, you work hard every day to care for and nurture your loved one. However, sometimes you need a break, whether it’s a vacation or some much needed time for yourself. Let Dominion Village at Williamsburg help you plan a short-term respite stay for your loved one.

ET US HELP YOU PLAN A RESPITE STAY FOR YOUR LOVED ONE!

ASSISTED LIVING AND ALZHEIMER’S/MEMORY CARE

...W HERE H OSPITALITY AND C ARE G O H AND -I N -H AND !

4132 Longhill Road Williamsburg, VA 23188

757-258-3444

R E C E I V E 1 F R E E D AY

We offer: • Flexible respite stays available from five days to several weeks • Supportive, caring help with daily needs • Spacious, private accommodations • Restaurant-style dining • Engaging social & recreational activities • Inviting outdoor patio areas Call today to schedule your complimentary lunch and visit. We look forward to caring for your loved one!

FOR

E V E R Y 7-D AY S T AY !

HELP. HOPE.

110

Help. Hope.

23352 Courthouse Highway • Windsor, VA 23487 • 757.242.4770

Feeling

HOSPICE. Hospice. Complete resources Complete services, services, resources andand support for the ones youfor love, 24 hours a day, 7 days a week. support the ones you love, • Physicians registered 24 hoursand a day, 7 daysnurses a week. • Pain management

We are the only clinic in Hampton Roads that uses the latest, most advanced VNG (Videonystagmography) equipment in the world to diagnose and treat vertigo. Please call for more information and to schedule an appointment.

• Medical social workers • Symptom control • Certified hospice aides • Spiritual care • Physicians and • Certified hospice aides • Symptom control nursesvolunteers • Trained volunteers • Spiritual care • Bereavement services •registered Trained • Medical social workers • Pain management • Bereavement services Job#: DVWIL090701 • Dedicated hospice inpatient unit

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

Size: 4.75”w X800-387-7010 4.75”t Richmond: 804-281-0451 t Farmville: 888-330-8560 t Tappahannock: www.SeniorsGuideOnline.com

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

registered nurses • Trained volunteers 1017 Turnpike Street • Canton, MA 02021 Client: Village social workersDominion • Pain management 781.828.9290 • 781.828.9419 Fax • Medical

Turn Your Dial to 102.5 fm!

Jude Liptak, Au.D. | Michael Jacobson, M.D. 337 McLaws Circle, Suite 3, Williamsburg, VA 23185

(757) 476-6628 www.vertigotesting.com

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

102.5 fm

Ae: Date:

• Spiritual care • Bereavement services Rnd~Ver:

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

De:

SECOND OPINION

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

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

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

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

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

THE HEALTH JOURNAL

August 2009

Our clients are enjoying the benefits...

HEALTH CARE COSTS

Don’t Break Your Arm and Your Wallet

“Working out with Bridgit has been a phenomenal experience.”

As someone who lived on burgers and fries for most of her life, I knew I needed to adjust my diet but worried that drastic changes would be hard to live with. Appreciating my concerns, Bridgit provided nutritional guidance with a well-balanced diet plan that was easy to incorporate into my daily routine but still left room for the occasional treat. She also customized an in-studio workout to fit my needs and gave me an exercise routine to do at home. Two short months later, thanks to Bridgit’s support and encouragement, I’ve lost a total of 25.5 pounds and trimmed four-and-a-half inches off my waist and four inches off my abdomen. My body fat is now 17 percent—in the “excellent” range for women my age. I have actually surpassed my initial weight loss and fitness goals. What’s even better is the way I feel! I enjoy my new, fit lifestyle. Thank you, Bridgit!

Using Participating Providers Reduces Health Care Costs on Many Fronts Written By Dr. George Heuser

4801 Courthouse St., Suite 122 (located in the SunTrust Building of New Town)

Call (757) 345-6801

For a full menu of services, visit B-defined.com

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

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

In case of emergency... When you experience an illness, how do you seek care? Your first line of care should always be your primary care physician, someone familiar with your unique health issues. Many physician offices have after-hours services through which you can connect to an on-call physician or nurse after the office has closed for the day. And, most health plans today offer an advice or information line that you can contact for medical advice based on your symptoms. These advice lines are typically managed by registered nurses and offer suggestions on what to do and where to go for additional care. If you can’t reach your physician and your illness persists, consider visiting an urgent care facility. Always, if your health problem is severe, seek immediate care at a participating hospital emergency department. However, in a dire emergency (such as a car accident), an ambulance would transport you directly to the nearest hospital regardless of whether it is a participating provider in your health plan. In this case, your health plan would pay for the services because of the urgency of the situation. To keep your out-of-pocket costs low, try to seek care from participating providers. If you have employer-sponsored health insurance, your employer could be subject to higher insurance premiums when you use nonparticipating emergency departments and urgent care centers. And when employers’ insurance premiums rise, they often pass those increases on to their employees. HJ George Heuser, M.D., is vice president and senior medical director at Optima Health, a Virginia-based health plan with more than 410,000 members.

Regina_rehab_WHJ

7/15/09

10:13 AM

Page 1

Patient: Regina Clark Home: Williamsburg

“The Sentara rehab team gave me the tools I need to maintain mobility in my hands.”

Catina J. Clevinger, R.N. Daniel G. Kean II, M.D. Kelly Fleming, M.S., OTR/L

hen Regina Clark experienced a flare-up of symptoms associated with her multiple sclerosis, she relied on the experts at the only inpatient rehabilitation unit in the area to help her recover as fully as possible. The Inpatient Rehab Unit, located

sentara.com/williamsburg

within Sentara Williamsburg Regional Medical Center, comprises physical, occupational, recreational and speech therapists, board-certified physicians, nurses and social workers – all working together as a team to help patients like Regina regain the

Your community, not-for-profit health partner

skills they need to live a normal life. As Regina put it, “It’s comforting to know that professionals with their level of skill, commitment and compassion are available should I ever need them again.”

BONHS7881 HR Health Journal 1/2Pg_B&W:Layout 1

7/17/09

11:49 AM

“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.

(757) 229-3052

J. Stuart Oglesby, D.D.S. 1313 Jamestown Road, Suite 205 Williamsburg, VA 23185

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

Fitness Fitness Boot Camp Indoor / Outdoor All Summer Long!

JOIN NOW!! • Area’s top fitness specialists • New personal training rates • Athletic performance training

• Free-weight area • 12,000+ sq. ft. facility • State-of-the-art cardio & circuit strength equipment

We deliver small miracles. Bon Secours has a proud heritage of providing compassionate care. From our state-of-the-art facilities to our physicians and nursing staff, everything we do is dedicated to expectant parents and their newborns. • Personalized, compassionate care for which Bon Secours is known • Loyal, experienced staff committed to families and to our communities • Dedicated physicians, nurse-midwives and staff, passionate about caring for new families • All private rooms providing a quiet, calm setting For more information about OB services at our facilities, visit www.bshr.com or call 889-BABY (2229).

Summer “Speed, Strength & Power” Programs for Athletes

Get Started Your Training Today!! 5700 Warhill Trail Williamsburg, VA 23188 757-253-1947

Tina Keasey, tkeasey@thewisc.com David Marmon, dmarmon@thewisc.com www.thewisc.com

DePaul Medical Center Maryview Medical Center

Page 1

Weight Management

University

Onl

ine

or o

Join

n-s

ite

Tod a

pro

gra

ava

ilab

le!

Gain the knowledge to lose the weight. Educational program combined with one-onone counseling will help you finally understand how to lose weight and end your love-hate relationship with the scale.

Weight Loss

• Understand your underlying metabolic health • Overcome your weight-loss barriers • Experience weight-loss success

Fall in love with your scale.

Center for Metabolic Health® Weight Management Solutions

757-873-1880 Call 757-873-1880

www.centerformetabolichealth.com Thomas W. Clark, MS, MD, FACS – Medical Director www.CenterForMetabolicHealth.com

Your well-being is always at the center of our attention. Dr. Dan Roth, Dr. Travis Wilson Dr. Robert Pinto Dr. Anne Pinto

Now offering massage!

The First Salt Spa on the East Coast

Aesthetician Concepts for healthy skin a high level of non-invasive skin care services

757-229-1022

757-564-7546

SaltSpa@gmail.com • www.WilliamsburgSaltSpa.com

Call to schedule your appointment.

www.theskinclinic.net 4125 Ironbound Road, Suite 201 Williamsburg, VA 23188

Is someone you love suffering from seasonal allergies? Geoffrey W. Bacon, MD • Ryan P. Hester, MD • Michael J. Jacobson, MD • Timothy A. Queen, MD • Kathryn L. Wyatt, NP

If someone in your family is suffering from seasonal allergies or your child needs a tonsillectomy, Hampton Roads Ear, Nose and Throat is here for you. With the expertise and compassion to provide the personal care your family deserves, our physicians, audiologist and support staff work together to bring you the highest level of care.

Williamsburg

400 Sentara Circle, Suite 300 Williamsburg, VA 23188 757-253-8722

www.HamptonRoadsENT.com

Newport News

11842 Rock Landing Dr., Suite 100 Newport News, VA 23606 757-873-0338

Hampton

901 Enterprise Pkwy., Suite 300 Hampton, VA 23666 757-825-2500

757.645.9353 www.pintochiro.com

the

Health Journal Williamsburg Edition

Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255

Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670 Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060 Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258

Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Ira Goldstein, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS 1131 Professional Drive Williamsburg (757) 220-0330 7151 Richmond Rd., Ste. 305 Williamsburg (757) 258-7778

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

Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050

Family Practice

Poison Control Center Toll-Free: (800) 222-1222

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

Allergists & ENT

Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161

Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741

Pinto Chiropractic & Rehabilitation 4125 Ironbound Rd. Suite 201 Williamsburg (757) 645-9353

Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804

Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069

Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414

The Spine Center of Williamsburg 219 McLaws Circle Daniel S. Carlson, DC Williamsburg (757) 259-0077 Mark Croucher, DC Williamsburg (757) 259-1122

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

Allergy & Asthma of Oyster Point-Williamsburg 217 McLaws Cir., Suite 5 Williamsburg (757) 873-3882 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 345-2600 VA Adult & Pediatric Allergy & Asthma PC 1144 Professional Drive Williamsburg (757) 259-0443 Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Assisted Care & Senior Living Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839 Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721 Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991 Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444 Heritage Commons 236 Commons Way Williamsburg (888) 711-6775 Madison Retirement Center 251 Patriotâ&#x20AC;&#x2122;s Lane Williamsburg (757) 220-4014 Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018 Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000 Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Suite 1-A Williamsburg (757) 565-5305 Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121 Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583 Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517 WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615

Cardiology Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440 Cardiovascular Health, PLLC 117 Bulifants Blvd., Ste. B Williamsburg (757) 259-9540 Peninsula Williamsburg Cardiology Associates 120 Kings Way, Suite 2500 Williamsburg (757) 565-0600

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

Walsh Family Chiropractic, PC 1309 Jamestown Rd. Williamsburg (757) 220-4917 Williamsburg Chiropractic Clinic 5252-A Olde Towne Rd. Williamsburg (757) 220-0060

Dentistry & Oral Health

Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900 Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620 K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913

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

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

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

Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692

Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450 Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492 John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181 Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042

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

Peter S. Evans, DDS 120 Kings Way, Ste. 1300 Williamsburg (757) 220-1999

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

Gisela K. Fashing, DDS 325 McLaws Circle, Suite 1 Williamsburg (757) 229-8991

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

Gilbert J. Frey, DDS Lawrence R. Samiere, DDS 1161 Professional Dr. Williamsburg (757) 253-0400

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

Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115 Hampton Roads Neuromuscular and Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052 Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913

Dermatology Dermatology Center of Williamsburg 5335-A Discovery Park Blvd. Williamsburg (757) 645-3787 Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466

Endocrinology

Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314

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

Tidewater Systema Russian Martial Art Williamsburg (757) 810-8104 Transitions Lifestyle 3244 Windsor Ridge S. Williamsburg (757) 645-5737

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

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

Gastroenterology

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

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

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

Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411

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

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

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

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

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

General Surgery

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

Hampton Roads Surgical Specialists 120 Kings Way, Ste. 2800 Williamsburg (757) 345-0141

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

TPMG Colonial Surgery 105 Bulifants Blvd., Suite B Williamsburg (757) 345-2071

Fitness & Weight Management

Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850

Hand Surgery

Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080

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

B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801 Body Balance Studio 370 McLaws Circle Williamsburg (757) 221-0774

Health Products & Equipment

Bodyfit 5251 John Tyler Hwy. Williamsburg (757) 221-6688

Bike Beat 4640 Monticello Ave., Ste. 9-B Williamsburg (757) 229-0096

CORE FITNESS Performance Training Center 344 McLaws Circle Williamsburg (757) 564-7311

Bikesmith of Williamsburg 515 York Street Williamsburg (757) 229-9858

Curves For Women 4511-B John Tyler Hwy. Williamsburg (757) 221-0330 107-A Bulifants Blvd. Williamsburg (757) 565-5655 Equilibrium Exercise Gallery 7880 Richmond Rd. Toano (757) 566-0077 FT - Fitness Together 4854 Longhill Rd., Ste. 1-A Williamsburg (757) 345-2246 Hatha Yoga Classes 5800 Mooretown Rd. Williamsburg (757) 564-0001

Pariser Dermatology Specialists 207 Bulifants Blvd., Suite C Williamsburg (757) 564-8535

Knee Pond Yoga, LLC 3356 Ironbound Rd., Bldg. 2, Ste. 202-B Williamsburg (888) 524-4985

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

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

Ladies Workout Express 3709-B Strawberry Plains Rd. Williamsburg (757) 220-2992

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

Diagnostic Imaging

The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002 Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770 R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221

August 2009

At-Home Care 366 McLaws Circle, Suite 2 Williamsburg (757) 220-2112 Bayada Nurses 7151 Richmond Rd., Suite 201 Williamsburg (757) 565-5400 Brookside Home Health 460 McLaws Circle, Ste. 250 Williamsburg (800) 296-2536 Comfort Keepers 15441-A Pocahontas Trail Lanexa (757) 229-2777 / (804) 966-1997 Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930 Hand 'N' Heart 461 McLaws Circle, Ste. 3 Williamsburg (757) 565-0216 Harmony Care 106 Queen Anne Dr. Williamsburg (757) 784-7650 Hope In-Home Care 4512 John Tyler Hwy., Ste. G Williamsburg (757) 220-1500 Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451 Hospice of Virginia Hampton Roads (800) 501-0451 Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220 Intrepid USA 212 Packets Court Williamsburg (757) 220-9331 Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411

Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620

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

Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009

Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251

Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225

Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757)645-2926

The Daily Shake 6576 Richmond Rd. Williamsburg (757) 221-0228

Hospitals & Clinics

General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100

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

THE HEALTH JOURNAL

Moran Hearing Aid Center 1158-C Professional Dr. Williamsburg (757) 564-5902

Hospice & Home Care

Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020

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

Hearing Health Care Centers of Williamsburg 5107-B Center St. Williamsburg (757) 206-1900

WJCC Recreation Center 5301 Longhill Road Williamsburg (757) 259-4200

Joseph W. Musgrave, MD 1139 Professional Dr. Williamsburg (757) 220-2266

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

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

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

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

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

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

Williamsburg Indoor Sports Complex (WISC) 5700 Warhill Trail Williamsburg (757) 253-1947

Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874

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

Hearing Aids

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

Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220

Colonial Chiropractic, PC 120 Kings Way, Suite 2100 Williamsburg (757) 258-4500

â&#x20AC;&#x2C6;

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

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

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

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

Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000

Hospital-grade Breast Pumps and Supplies Williamsburg (757) 565-6156

Hearing & Audiology

Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700 Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450 First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141

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

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

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

MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627

Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832 Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

New Town Urgent Care 4374 New Town Ave., Ste. 100 Williamsburg (757) 259-1900 Olde Towne Medical Center 5249 Olde Towne Rd. Williamsburg (757) 259-3258 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300

www.thehealthjournals.com

Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900

Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890

Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660

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

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

FISH 312 Waller Mill Road Williamsburg (757)220-9379

Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020

Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400

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

Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070

Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222

Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383

Hypnosis

La Leche League of Virginia Williamsburg (757) 220-9187

Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020

Williamsburg Physical Therapy of Norge 7191-A Richmond Rd. Williamsburg (757) 345-0753

Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590

Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250

Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907

Linda Pincus, RN, CH 240 Patrick's Crossing Williamsburg (757) 565-6156

National Alliance on Mental Illness Williamsburg Area Williamsburg (757) 220-8535

Williamsburg Healthy Hypnosis 1769-107 Jamestown Rd. Williamsburg (757) 254-1104

National Federation of the Blind Williamsburg (757) 565-1185

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

Internal Medicine

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

Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246

Senior Services Coalition 161-A John Jefferson Sq. Williamsburg (757) 220-3480

Greensprings Physicians 2000 Easter Circle Williamsburg (757) 564-5540

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

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

Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182

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

Pain Management

Kingsmill Internal Medicine 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0010

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

The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919 New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770 Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 645-3150

Medical Transportation

United Way 312 Waller Mill Rd., Suite 100 Williamsburg (757) 253-2264 Help Line: (757) 229-2222 Williamsburg AIDS Network 479 McLaws Circle, Suite 2 Williamsburg (757) 220-4606

Nutrition The Nutrition and Wellness Center 151 Kristiansand Dr., Suite 101 Williamsburg (757) 221-7074

Lifeline Ambulance 24-Hour Service/ Emergency & Non-Emergency Transportation Toll-Free: (800) 476-5433

Obstetrics & Gynecology

LogistiCare Medicaid Transportation Toll-Free: (866) 386-8311

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

RIDES Non-Emergency Transportation 7239 Pocahontas Trail Williamsburg (757) 345-6166

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

Nephrology & Renal Health DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408 Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890 Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700 TPMG Williamsburg Nephrology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

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

Non-Profit Organizations

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

Oncology Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 873-6434 Peninsula Cancer Institute 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724 Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900 Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Ophthalmology Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000 Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001 Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 229-1331 Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500 Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272

Optometry

American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228

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

Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687

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

Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362 BikeWalk Virginia P.O. Box 203 Williamsburg (757) 229-0507 Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300 DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775

Eyewear Plus Optometric Center 101 Tewning Rd. Williamsburg (757) 229-1131 Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3004 Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907

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

Tushar U. Gajjar, MD 400 Sentara Circle Williamsburg (757) 345-4400 Tidewater Pain Management 4125 Ironbound Rd. Williamsburg (757) 258-2561

Pediatrics Pediatric Associates of Williamsburg 119 Bulifants Blvd. Williamsburg (757) 564-7337 Williamsburg Pediatric, Adolescent & Sports Medicine 4374 New Town Ave., Ste. 202 Williamsburg (757) 253-5757 400 Sentara Circle, Ste. 310 Williamsburg (757) 253-5757 Williamsburg Teen Center 4374 New Town Ave., Ste. 202 Williamsburg (757) 259-5133

Pharmacies CVS Pharmacy Visit www.CVS.com for local listings. Farm Fresh Pharmacy Visit www.farmfreshsupermarkets.com for local listings. K Mart Pharmacy 118 Waller Mill Road Williamsburg (757) 220-2393 Olde Towne Pharmacy 4854 Longhill Rd. Williamsburg (757) 220-8764 Professional Pharmacy 11302 Mount Vernon Dr. Williamsburg (757) 229-3560 Rite Aid Pharmacies Visit www.riteaid.com for local listings. Target Pharmacy 4630 Monticello Ave. Williamsburg (757) 564-9835 Ukrop’s Pharmacy 4660 Monticello Ave. Williamsburg (757) 564-0471 6610 Mooretown Rd. Williamsburg (757) 564-9315 Walgreens Pharmacy 1309 Richmond Rd. Williamsburg (757) 229-0962 Wal-Mart Visit www.walmartpharmacies.com for local listings. Williamsburg Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041

Physical Therapy & Rehabilitation Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230 Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628 PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221 Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795 Sentara Pediatric Rehabilitation Services 5301 Longhill Road Williamsburg (757) 984-9900 Sentara Rehabilitation Services 301 Sentara Circle Williamsburg (757) 984-9900

To advertise, call 757-645-4475

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

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

Plastic & Cosmetic Surgery

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

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

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

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

Spas & Massage

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

Podiatry Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022 Lightfoot Podiatry Center 213 Bulifants Blvd., Suite A Williamsburg (757) 345-3679 Williamsburg Foot & Ankle Specialists 453 McLaws Circle, Suite 1 Williamsburg (757) 220-3311

Preventative Medicine

All of You Salon & Day Spa 511 York Street Williamsburg (757) 784-1869 Blue Sky Wellness Reiki & Reflexology 5008 Liza Lane Williamsburg (757) 876-6185 Nicole Carson, NCTMB 1769-210 Jamestown Rd. Williamsburg (757) 561-9591 Elements Spa at Great Wolf Lodge Resort 559 E. Rochambeau Dr. Williamsburg (757) 229-9700 European Beauty Concepts 1248 Richmond Rd. Williamsburg (757) 229-2440 European Day Spa 3206 Ironbound Rd., Ste. A Williamsburg (757) 220-4959

Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061 Families Anonymous Toll-Free: (800) 736-9805 Narcotics Anonymous (757) 875-9314 Opiate Addiction Specialists Williamsburg (757) 229-4141 Williamsburg Place & The Farley Center 5477 Mooretown Rd. Toll-Free: (800) 582-6066

Urology Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051 TPMG Williamsburg Urology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807

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

Feel lost in the crowd?

Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064

Illusions by Marcus 374 McLaws Circle, Ste. 1 Williamsburg (757) 253-7790

Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996

Jamestown Therapeutic Massage 4608 Yeardley Loop Williamsburg (757) 784-8093

Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637

Jana Roselynn Laird, NCTMB 120 Kings Way, Ste. 2100 Williamsburg (757) 846-5707

Prosthetics & Orthotics

Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020

For advertising, call:

Refresh! Center for Massage & Healing 7151 Richmond Rd., Ste. 302 Williamsburg (757) 345-2457

757-645-4475

Certified Prosthetic & Orthotic Specialists 156-D Strawberry Plains Rd. Williamsburg (757) 833-0911

Psychiatry & Mental Health ADR Clinical Associates 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-8800 Ali Aziz, MD 481 McLaws Cir., Ste. 1 Williamsburg (757) 229-9286 Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200 Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645 Eastern State Hospital 4601 Ironbound Rd. Williamsburg (757) 253-5161 Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286 Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927 Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802 Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693 Let’s Talk 1312 Mount Vernon Ave., Suite 1312 Williamsburg (757) 221-0091 Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522 Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462 Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691 Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 West Williamsburg (757) 220-2669 Anne K. Sullivan, EdD, LCP 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371 Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651 Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853

The Right Touch 5252 Olde Towne Rd. Williamsburg (757) 229-1866 Positive Energy Massage, LLC 1769 Jamestown Rd. Williamsburg (757) 810-4482 Saving Face Day Spa 7151 Richmond Rd., Suite 301 Williamsburg (757) 221-0490 Serenity Nail & Spa Studio 1781 Jamestown Rd. Williamsburg (757) 220-8510 Serenity Place Spa & American Spirit Institute 360 McLaws Circle, Ste. 1 Williamsburg (757) 220-8000 The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-SKIN The Spa of Colonial Williamsburg 307 S. England St. Williamsburg (757) 220-7720 The Spa at Kingsmill 1010 Kingsmill Rd. Williamsburg (757) 253-8230 The Spa at Manor Club 101 St. Andrews Dr. Williamsburg (757) 258-1120 Transformative Energy Work 7151 Richmond Rd., Ste. 302 Williamsburg (757) 229-7819 Tranquil Reflections Massage Therapy & Spa at King's Creek Plantation Resort 111-B Petersburg Circle Williamsburg (757) 345-6789 William A. Diog Health Club & Spa 3000 The Mall Williamsburg (757) 565-6545 Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109 Williamsburg (757) 869-1936 Williamsburg Salt Spa 1111 Old Colony Lane Williamsburg (757) 229-1022

Substance Abuse & Addiction 24-Hr. Addictions Referral Network Toll-Free: (800) 511-9225 Al-Anon Toll-Free: (888) 425-2666 Alcohol-Drug Treatment Referral Toll-Free (800) 662-4357 Alcoholics Anonymous (757) 253-1234 Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111

THE HEALTH JOURNAL

August 2009

Fri

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

Thursday

Friday

21 "The Doctor Is In!"

THE HEALTH JOURNAL

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

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

20 Thursday

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

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

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

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

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

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

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

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

SUPPORT GROUPS

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

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

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

10-11

Wednesday

CALENDAR

26 Wednesday

August 2009

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

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

www.thehealthjournals.com

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

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

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

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

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

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

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

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

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

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

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

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

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

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

To advertise, call 757-645-4475

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

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

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

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

HEALTH RESOURCES

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

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

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

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

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

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

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

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

THE HEALTH JOURNAL

August 2009

PROFILE

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

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

Ken Krakaur

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

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

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

Continued on the next page 42

THE HEALTH JOURNAL

August 2009

www.thehealthjournals.com

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

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

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

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

See What Matters

Learn more about BSGI at www.dilon.com

To advertise, call 757-645-4475

THE HEALTH JOURNAL

August 2009

PC I

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

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

eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment right here in Williamsburg. All PCI Doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected physicians are

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

757-534-5555

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.

WILLIAMSBURG

GLOUCESTER

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

Middle Peninsula Cancer Center 7544 Medical Drive Gloucester, VA 23061

757-345-5724

804-693-9037

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