the
Health Journal
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Williamsburg Edition
Vol. 5 No. 1
www.thehealthjournals.com
June 2009 4-Year Anniversary Issue
Low Libido? Solutions for Women Stay Fit this Summer Senior Center Offers Fun, Fellowship FREE
Solving the Nursing
Shortage
New Name. OSC uses the most advanced technologies Look. and New procedures to treat painful conditions. OSSMS of Hampton Roads is now... Meet Our New Physician! OSC is pleased to welcome Jenny L. Andrus, MD, a fellowship trained, board–eligible, interventional pain management physician who specializes in treating the full joint our practice will continue to incorporate To better represent all we have to spectrum offer you,of painful spine, Of course, and nerve will conditions, OSSMS now be including: known as Orthopaedic & Spine the latest medical innovations and techniques in Center. We are proud to be the region’s premier
• provider Neck, thoracic, and low back pain for Orthopaedics and Sports Medicine. • Upper and lower-extremity radicular pain (e.g., sciatica) Our group includes the only two fellowship trained • Sacroiliac joint pain, coccygeal pain Orthopaedic Spine Surgeons on the Peninsula. • Disc herniation, disc degeneration • Failed back and neck surgeries • Osteoarthritis, degenerative joint disease • Vertebral compression fracture Experience • Complex regional pain syndrome • Shingles, post-herpetic neuralgia • Neuropathic pain
both orthopaedic and spine surgery to improve the quality of life for our patients. Rest assured, we will continue to offer the same comprehensive, thorough and personal care you have come to expect from us, but with a new name and look.
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We invite you to visit our Orthopaedic & Pain Management facility, designed with our patients in mind. Our facility features ample parking, a drive-through window for convenience, Open MRI and Digital Imaging suite and complete Physical Therapy Department.
Join Dr. Robert Snyder for a detailed discussion of the latest innovations and treatment options for knee and hip pain. Learn how the development of advanced non-surgical therapies and surgical techniques can provide relief to your aching knees and hips. Educational literature and refreshments will be provided. We encourage you to bring a friend. Space is limited, so register now! Thursday, June 18, 7:00 PM To register, call: 877-202-9130
Boyd W. Haynes, III, M.D. • Robert J. Snyder, M.D. Robert J. Snyder, M.D. We provide complete orthopaedic care. Jeffrey R. Carlson, M.D. • Martin R. Coleman, M.D. “excelleNce iN orThopAedics” rAdio show oN wNis Am 790. Mark W. McFarland, D.O. • Edward P. Petrow, Jr., D.O. Martin R. Coleman, M.D. McFarland, D.O. Robert J. Snyder, M.D. Jeffrey R. Carlson, M.D. th 7-8am saturday,Mark June 6W. Raj N. Sureja, M.D. • Jenny L. Andrus, MD th saturday, June 20 7-8am Jamie McNeely, P.A. • Edward Tonia Yocum, P.A. P. Petrow, Jr., D.O. Boyd W. Haynes, III, M.D.
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On the Cover
As in much of the rest of America, a critical shortage of nurses is affecting Hampton Roads. Study after study cites reasons for the shortfall and suggests solutions, but the main challenge is to realize those goals. At nursing schools and health facilities across the region, cooperative efforts are underway to educate more nurses, attract nursing faculty and get nursing graduates out in the field to do what they can do best— make Hampton Roads feel better.
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Inside
JUNE 2009
38
18 18
5
features
IN EVERY ISSUE
Body, Mind and Spirit | 5
Protecting Skin in Summer | 18
Whether their thing is Tai Chi or bridge, line dancing or sewing, Williamsburg area seniors can find plenty to do at the Historical Triangle Senior Center.
Sun exposure can damage skin in multiple ways, but these simple steps can minimize those risks and allow you to enjoy the season.
Local Beat | 5 Snapshots | 8
Play Hard, but Play Safe | 10
Inhalant Abuse on the Rise | 30
Summer’s a blast, without a doubt, but these helpful hints—on food safety and fireworks, bug bites and jellyfish stings—will also keep it safe for you and your family.
In a follow-up to last month’s feature on teens and heroin use, Associate Editor Beth Shamaiengar reveals the dangers of huffing, a deadly trend seen increasing among adolescents.
Fitness Far Afield | 16
With Precision and Skill | 38
With a little planning and minimal equipment, it really is possible to keep up your fitness plan during summer travels.
Letter from the Editor | 4
Fitness | 16 Feature | 20 Health Directory | 34 Calendar | 36 Profile | 38
Whether playing ice hockey or performing a hip replacement, Dr. Anthony Carter, a Newport News orthopaedic surgeon, is in his element.
THE HEALTH JOURNAL
JUNE 2009
3
Letter from the Editor the
J
photo by Brian M. Freer
une is here—time for summer to hit in earnest—and it’s also time for all of us here at The Health Journal to look back on our first four years and look forward to our fifth. It has been a great journey, especially for all of us who are family at The Journal, since the days when our publisher Brian sold our first ads by selling merely an idea, when Page and Brian first produced The Journal out of their apartment, since the days when we had only the Williamsburg edition, and the prospect of having racks all the way to Virginia Beach was hard to imagine. Then we opened our office, hired our first salespeople and administrative staff, and launched first the Peninsula edition, then the Southside edition. And this year we changed our name to better reflect our broader distribution, and we redesigned our website. We’ve come a long way from the days when Page, as our editor, single-handedly wrote countless articles for each issue. Nowadays, we regularly receive queries from interested free-lancers, some from beyond Virginia and even outside the United States, who have often learned about us through our online edition. It has also been a great process of discovery as we have learned—along with you, our readers—about heartening new advances in health care, and physicians and researchers in our own backyard who are out on the frontier, seeking out new and better treatments. In our coverage we’ve kept up with treatment advances in some of the most common chronic illnesses, such as cancer and diabetes and Alzheimer’s disease, while also covering less well-known conditions such as gluten intolerance and rare brain tumors. Issue after issue, it’s been gratifying to be able to publicize worthwhile organizations as well as medical facilities that are doing amazing work to improve the health and well-being of Hampton Roads residents. I have often told Page that even though my husband Ravi (our medical editor) and I have lived in Williamsburg for nearly a decade, frequently through our work with The Journal we’ve discovered organizations just around the corner from our office that are making a positive impact on the health of our community. We’ve also been inspired, learning about individuals who face their health problems with courage and perseverance, and we’ve been reminded that there really is no more precious gift than good health. This month, as we do every month, we offer you articles that, we hope, will help you find ways to live healthier and happier. We write about substance abuse involving inhalants—ordinary household products that some teens are inhaling like a drug to get high, with potentially fatal consequences (page 30). There’s guidance for recent graduates who are about to purchase their first health insurance policy (page 14), and for area seniors who simply want to find new friends and experience some new challenges (page 5). And as you read our publication, this month or any month, I hope you will be inspired by the strength and brave spirit of the many people whose stories we tell, and by the countless medical professionals and health-related organizations striving to make Hampton Roads healthier. We can all be motivated by, and find hope in, their fine example.
Beth Shamaiengar, Associate Editor beth@thehealthjournals.com
Health Journal Williamsburg Edition
TM
Publisher
Brian M. Freer Executive Director
Rita L. Kikoen Editor
Page Bishop-Freer Associate Editor
Beth Shamaiengar Medical Editor
Ravi V. Shamaiengar, MD Assistant Editor
Brenda H. Welch Administrative assistant
Danielle Di Salvo Sales Executives
Will Berkovits Jason Connor David C. Kikoen Amy Schneider-Speth GRAPHIC DESIGNERs
Natalie Monteith Jean Pokorny PhotographY
Brian M. Freer Kelly Quave Inman Contributing Writers
Brandy Centolanza Sharon Miller Cindrich John DeGruttola Alison Johnson Gayle Pinn, 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.
For Advertising and editorial Information, call or write:
The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com
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THE HEALTH JOURNAL
JUNE 2009
local Beat
New State Plan Aimed at Reducing Adult Obesity Last month the Virginia Department of Health released CHAMPION—the Commonwealth’s Healthy Approach and Mobilization Plan for Inactivity, Obesity and Nutrition. The plan was developed to promote individual and community empowerment. Community groups statewide will be encouraged to implement programs based on CHAMPION recommendations and compete for grants from the Health Department to fund their programs. As many as 15 grants, for up to $10,000 apiece, will be awarded by late summer. For details about the plan, call the VDH at (804) 864-7008.
Jim White Named Young Dietitian of the Year Jim White, a registered dietitian and owner of Jim White Fitness Studios in Virginia Beach, was recently named Young Dietitian of the Year by the Virginia Dietetic Association at its annual conference in Charlottesville. He was recognized for fighting childhood obesity through his appearances with the Junior League and Radio Disney as “Jim White, the Fitness Knight.” White is a national spokesperson for the American Dietetic Association—a role in which he has established himself as an expert on men’s health and nutrition. He is also the author of Jim White’s “Fit in 30” Plan, a workbook with step-by-step instructions, exercises and daily menus aimed at achieving fitness.
National Trails Day June 6 The American Hiking Society will celebrate National Trails Day on June 6 as a celebration of America’s system of hiking trails. More than 1,500 events will take place around the country to commemorate the day. Check out the group’s website, www.americanhiking. org, for a hiking event near you.
Fund-Raising Bazaar to Benefit SMART-One SMART-One, Inc., located in Newport News, will host a fundraising bazaar from 9 a.m. to 2 p.m. at St. Lutheran’s Church in Hampton on Saturday, June 13. Tables are available for rent for $15, and food will be served at the event. To reserve a table, call Vee Silva at (757) 746-2103. All proceeds will support activities of SMARTOne, Inc., which offers a variety of activities for children and adults with special needs.
At the Historic Triangle Senior Center, Bill Hansell instructs a Tai Chi class, one of many Center offerings that can help area seniors stay active as well as healthy.
Historic Triangle Senior Center Offers Camaraderie, New Challenges Broad range of activities helps participants stay strong in body, mind and spirit Written By Alison Johnson Photography By Brian M. Freer and kelly quave inman
W
hen Georgia Thompson retired in 2007 after working 36 years for Colonial Williamsburg, it didn’t take her long to realize something important about herself: she likes, and even needs, to be around other people. And while she is a longtime fan of gardening and crafts, she also isn’t afraid to try new activities.
ing to drive herself, which she doesn’t like—and she has enjoyed lunches with her peers and volunteered as a receptionist. “I love the interaction,” she says. “For me, being around people is a joy. I learn so much from them, and I enjoy listening.” The center helps her stay active, too: “When you work, you have a routine that gets you up and going every day,” she says. “I don’t
“It’s a warm and supportive place from the moment you walk in.” –Georgia Thompson Thompson, a 69-year-old resident of upper York County, found a missing piece of her retirement life at the Historic Triangle Senior Center, a nonprofit based at the James City/ Williamsburg Community Center on Longhill Road. Incorporated in 1996, the organization has created an extensive list of recreational and social programs for older adults, aiming to help them stay strong physically, intellectually and emotionally. Thompson has participated in groups and classes on sewing, making rain barrels, gardening techniques and Tai Chi, a Chinese martial art. She has gone on trips to Richmond, Norfolk and Washington, D.C.—without hav-
want to just be a couch potato now.” Each year, the senior center serves about 700 people ages 55 and older from James City County, Williamsburg and the Bruton area of York County, says Executive Director Lisa Gibson. The center aims to be a community focal point for a growing population of seniors and has embraced a nationwide trend in the programming at such centers: Instead of limited offerings such as Bingo games and meals, more centers now strive to have a great variety of options and serve a diverse group of ages and backgrounds. The Historic Triangle Senior Center’s long list of free or low-cost programs includes Spanish lessons,
line dancing, arthritis exercise classes, a book club, a choir, a folk music band, a bridge group, video bowling games and non-intimidating computer training that starts with the basics—how to turn on a machine. Center staff also coordinate monthly outings (financial help is available for anyone who needs it), annual health fairs and rides to medical appointments for people who don’t have other transportation. And many seniors just like to gather in the lounge to drink coffee and chat. A variety of studies show such efforts can make a real difference in a senior’s health and ability to live independently, Gibson notes. People who stay physically active are less likely to suffer a fall, for example, while those who tackle new skills and challenge their minds can fend off dementia and depression. Seniors with an active social life tend to have stronger immune systems and recover faster from illnesses, Gibson says; isolation, on the other hand, can be dangerous and even life-threatening. “I look at this place as a first defense against premature institutionalization, and a link in the continuum of healthy aging,” she says. “For some people, this is the only opportunity they have to get out and enjoy themselves. We want to help people find meaning in their lives, enrich their lives and enjoy the next Continued on page 6
THE HEALTH JOURNAL
JUNE 2009
5
local Beat
Physicians for Peace Collecting Prostheses and Braces Physicians for Peace hosted a Prosthetic Limb and Brace Drive last month in Norfolk to collect outgrown or unwanted prostheses or braces. The group is continuing to collect the devices, which will be broken down into their components, shipped worldwide and rebuilt into functioning prosthetic devices by Physicians for Peace medical experts. Headquartered in Norfolk, Physicians for Peace aims to promote world peace and goodwill by providing quality medical education and care to people in need. For more information about the effort or to make a contribution, contact Ken Hudson at (757) 227-4920.
On a busy Friday at the Center, these seniors were among a roomful who came to play bridge.
Continued from page 5
Boat Safety Course Required for Some in July Starting in July, personal watercraft operators 20 years old or younger will be required to take safety courses in order to operate a motorboat or personal water craft in Virginia waters. The General Assembly passed a law in 2007 that will make boating safety classes a requirement for all boaters by 2016. The Virginia Department of Game and Inland Fisheries has approved boating courses that comply with the new law. For information on a classroom course near you, call the DGIF at 800-245-2628 or the BoatU.S. Locator line at 800-336-2628.
Send Us Your Community News! info@thehealthjournals.com
chapter of their lives—which can be the best one. We’re all about the positive aspects of aging.” The center has the equivalent of three full-time staff members and about 50 volunteers. Major funders are the Williamsburg Community Health Foundation, the United Way and the Riverside Health System Foundation. The center’s leaders currently are working to earn a prestigious accreditation from the National Association of Senior Centers; the only two other accredited senior centers in Virginia are in Arlington and Charlottesville. Making new friends is a simple but important perk of the center, according to Anne Fenton, a Williamsburg resident who preferred not to give her age. Fenton and her husband, Ben, have gone on trips with the center to the
Colonial Downs racetrack in New Kent County and to the Cherry Blossom Festival in Washington, D.C. She also takes an exercise class designed for people with arthritis, which has helped keep her knees limber. “I thoroughly enjoy everything I’ve attended there,” she says. “You meet people who you definitely wouldn’t meet otherwise—I’ve made some wonderful friends. It’s all-around good for your well-being.” Ten weeks of Tai Chi classes helped Georgia Thompson improve her balance, strength and relaxation, prompting her to sign up for line dancing for the first time. The married grandmother of four also likes watching other seniors, including people much older than herself who are still going strong. “Even if they physically can’t do something very well,
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For more information about programs at the Historic Triangle Senior Center, or to volunteer your time, call (757) 259-4187 or go to www.theseniorcenter.org.
Doctors Hospital: Riverside Gets ‘Yes’ for Williamsburg Written by Beth Shamaiengar
T
he third time was the charm—late last month Riverside Health Systems finally got the goahead from State Health Commissioner Karen Remley to build Doctors Hospital in Williamsburg. Sentara Williamsburg Regional Medical Center also got approval from Remley to add six additional beds based on evidence that the population it serves continues to grow. Remley, who once worked for Sentara, approved Riverside’s third application for a Certificate of Public Need (COPN) to build Doctors Hospital. The health system’s first hospital in Williamsburg, with an estimated price tag of $72.4 million and a projected
they’ll still give it a try,” she marvels. “It’s very good to see that. The camaraderie is important because if you have a problem, you can find another person to share it with. It’s a very warm and supportive place from the moment you walk in.” And the center helps her and others feel younger—which, in a nutshell, is exactly the point. “For some people, you can see that just having transportation and interesting places to go means so much,” she says. “You can see the happiness written all over their faces. A lot of times, they look just like little kids again.” HJ
completion date of January 2012, will include 30 medical-surgical beds, 10 intensive care beds and two operating rooms. Bud Ramey, vice president for community development for Riverside Health System, says of the decision: “We believe choice and competition are good for health care, as they are in any other area of society. Prices get better, and service gets better.” Sentara, whose Williamsburg Regional Medical Center has not been operating at capacity, had contended throughout Riverside’s application process that a second hospital was not necessary in the Continued on page 33
THE HEALTH JOURNAL
JUNE 2009
Sentara_CathLab_WHJ
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10:48 AM
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Patient: Bob Arditi Home: Lanexa
“If Sentara’s cardiac team hadn’t acted so quickly, I probably wouldn’t be here right now.”
D
uring a long bike ride in late February, Bob Arditi kept insisting that his chest pain was just heartburn. But at the urging of friends, he went to the Emergency Department at Sentara Williamsburg Regional Medical Center. Things happened quickly after that. Dr. Surjya Das, Interventional Cardiologist, performed a balloon angioplasty within 70 minutes
sentara.com/williamsburg
of Bob’s arrival – well below the national target goal of 90 minutes. The hospital’s commitment to rapid response in cardiac emergencies serves area residents well, because faster treatment means better outcomes. Bob couldn’t agree more. “I’m already back to riding 40 miles,” he said, “but if it weren’t for the outstanding care I got, I might not be here at all.”
Your community, not-for-profit health partner
You can meet Dr.Surjya Das and other quality Sentara physicians at sentara.com/ williamsburg.
SNAPSHOTS
1, 2
In celebration of National Volunteer Week (April 19-25), Operation Smile held a Volunteer Awards Ceremony and reception Monday, April 27, to honor exceptional volunteers. Operation Smile is a Norfolk-based medical charity through which thousands of trained medical professionals have volunteered to treat more than 130,000 children and young adults with cleft lips, cleft palates and other facial deformities since 1982. The group has a network of more than 4,000 medical and non-medical volunteers. The reception took place in Virginia Beach, Va. The following individuals took part in the celebration (1, left to right): Scott Snyder, program coordinator; Sharon Neece, nurse volunteer from Yorktown; Allison Bradshaw, program coordinator; Megan Coe, credentialing assistant; Ann Campbell, nurse volunteer from Virginia Beach; Kathy Majette, nurse volunteer from Williamsburg; and Kitty Burke, nurse volunteer from Portsmouth. Other attendees at the event included (2, left to right): Cindy and Steve Kirby, medical records volunteers; Meredith Donegan, U.S. Care Network Coordinator; Erin Walker, statistical coordinator; and Gaylia Hudges, medical records volunteer.
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At Ben & Jerry’s on Riverwalk Landing in Yorktown, located at 332 Water Street in Building L, a youngster enjoys a treat at the fourth annual Free Cone Day on Tuesday, April 21, which raised funds for local free clinics. Owner Bob D’Eramo had selected three local free clinics—Lackey Free Clinic in Yorktown, the H.E.L.P. Clinic in Hampton, and the Gloucester-Mathews Free Clinic in Hayes—to be the recipients of the collections. Over $2,000 was raised for these clinics that offer free medical and dental care and prescriptions to the uninsured. Two attendees who enjoyed the event were Roxanne Roane and Roberta Estes (left to right), volunteers at the Lackey Free Clinic.
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On March 28, during Colorectal Cancer Awareness Month, 164 runners/walkers gathered at City Center at Oyster Point, in Newport News, to take part in the first annual Mutt and Jeff’s “No Ifs, Ands, or BUTTS” 5K Run/Walk. Glenda Williamson and Kristin Harman, nurses at Sentara CarePlex Hospital, organized the race, which was sponsored by the Sentara CarePlex Auxiliary to benefit colorectal cancer patients. Race participants ranging in age from 7 to 70 had fun at the event while raising funds for the cause. The following individuals who helped make the event a success gave out post-race awards and prizes (6, left to right): Glenda Williamson, race organizer; Carolyn DeRyder, volunteer; Kristin Harman, assistant race organizer (on megaphone); and Sue Schulte, president, Sentara CarePlex Auxiliary.
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We Want Your Snapshots! Readers can submit pictures of healthrelated happenings throughout Hampton Roads. Please remember to include a brief description of the photo as well as the full names of individuals featured.
6 8
THE HEALTH JOURNAL
JUNE 2009
Send Your Health Snapshots to page@thehealthjournals.com
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THE HEALTH JOURNAL
JUNE 2009
9
family health
Keep Summer Safe With These Strategies Be smart about fireworks and picnic food, bug bites and poisonous plants
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Written By Sharon Miller Cindrich
onderfully warm days, fun vacation plans, breezy boat rides and lazy afternoons at the beach—it’s summer, and the long-awaited break from school, from work and from dull routine is finally here. While many area residents make big plans to enjoy the natural resources, temperate climate and fun-filled attractions Hampton Roads offers each summer, seasoned locals know that this season—for all it’s glorious fun and adventure—is not a time to let your guard down. The subtext to every summer activity, whether it’s kayaking, swimming or even just picnicking with friends, is always safety. In order to get the maximum enjoyment out of the season, we’ve compiled hints and techniques from local experts and area families for avoiding the pitfalls, the pests and the potential dangers of summer—from fireworks to sun-spoiled picnic food, from jellyfish to yellow jackets. Follow these summer-smart tips to stay safe and get the most out of this season with your friends and family.
When things heat up… While the average high temperature for June, July and August in Hampton Roads hovers around 77 degrees, the area has more than its share of 90-degree days during the summer months, and getting overheated is easy to do when temperatures heat up. Whether it’s a sunny day on the golf course, at the beach or at summer camp, watching for signs of heat cramps, heat exhaustion and heatstroke is important—especially in children and the elderly. “Heat cramps are severe cramps in the legs, arms and abdomen,” says Dr. Jean Oliver, a pediatrician with Children’s Hospital of the King’s Daughters. “While they aren’t serious, they do indicate that [an individual] needs to rest in a cool place with a cold glass of water to drink until he [or she] feels better.” The symptoms of heat exhaustion are sweating, dizziness, faintness, weakness and cold, pale skin, explains Oliver. A person with these symptoms should first drink a cool beverage and lie down in a cool place with feet raised; then a call to a doctor is in order. The symptoms of heatstroke are hot, flushed skin as well as high fever (at least 105 degrees), lack of sweat, and delirium or loss of consciousness. If a child—or anyone
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you know—shows symptoms of heatstroke, Oliver recommends calling 911 immediately. “Try to cool the child as rapidly as possible while you wait for help to arrive,” she says. “If the child is conscious, give him cold water to drink and put him in a cold bath or shower. If the child is unconscious, hold him up in a cold bath or shower.” Heat-related distress can be scary, but overheating is almost completely preventable. Dressing in a single layer of light-colored, lightweight clothing can help avoid these heat-related health conditions, and limiting the amount of outdoor activity when it’s extremely hot and humid can help also. Keeping extra bottles of water in your car and beach bag is important to stay cool and avoid dehydration, too. For day trips, freeze plastic bottles of water that can serve as a temporary cold pack and will melt into a cool beverage, and keep fluids flowing by mixTHE HEALTH JOURNAL
JUNE 2009
ing a small splash of fruit juice with your water bottle. “When I worked at a marine mammal park in the Florida Keys, there were several fellow marine mammal trainers [who] would get sick of the bland taste of water all the time,” says Aubrey Sparks, a graduate student at Old Dominion University. “Each of us drank at least four large thermoses of water every single day just to keep hydrated. We started buying Crystal Light and other assorted fruit-flavored individual powder packets at the grocery store in order to combat the dehydration and the bland taste.”
Bug bites and stings Ouch! Stings from bees, wasps, yellow jackets and hornets can be painful and frightening. “They can also cause a dangerous allergic reaction or infections,” says Oliver. Insect stings accompanied by pain, swelling, redness and itching should be treated immediately to relieve discomfort and reduce the chance of infection. “Remove the stinger by gently scraping across the site with a blunt-edged object, such as a credit card,” says Oliver. “Don’t try to pull it out, because that could release more venom.” After washing the area with soap and water, apply ice for a few minutes to reduce itching or pain. Then, use over-the-counter hydrocortisone cream to relieve itching. In some cases, insect stings and bites can cause an allergic reaction. “Symptoms may include coughing, tickling or tightness in the throat, breathing problems, nausea or vomiting, hives, dizziness, fainting or sweating,” says Oliver. If you suspect an allergic reaction, call your doctor immediately or go to the nearest emergency room. Generally less painful, but equally itchy and uncomfortable, are mosquito bites. In some cases, mosquitoes carrying the West Nile Virus cause serious infections in people, especially during the months of July through September. Prevent mosquitoes from breeding near your home by emptying pots, buckets or dishes outside that could collect water. Make sure window screens are patched, and use netting on baby strollers when infants are outside. Mosquito traps, repellent candles and even some plants
family health can also help keep mosquitoes at bay, too. “As a member of a garden club, I’ve learned that a decorative and beautiful way to protect against mosquitoes is to plant scented geraniums in pots on our patio,” says local resident Sue Croteau. “The insects don’t like the smell, and we enjoy the plants.” Wearing a mosquito repellent is the best way to protect yourself and your family from bites, and the Center for Disease Control and Prevention (CDC) recommends four ingredients as the most effective protection available: DEET, picaridin, oil of lemon eucalyptus (or PMD), and IR3535 (available in products by Avon). Jennifer Alexander, a Virginia Beach mother of two active boys, likes using an insect repellent combination that includes DEET and sunscreen for pesky mosquitoes. “Avon’s Skin So Soft works well, too,” she adds.
Problem plants Insects aren’t the only pests that might start you scratching this season. Contact with poison ivy, poison oak, and poison sumac can put a real damper on a summer hike, camping trip or afternoon of gardening. All of these poisonous plants produce urushiol oil. “This oil is so poisonous it would only take a quarterounce to cause a rash on every person on earth,” says Mary Wright, horticulture program coordinator for the Newport News office of the Virginia Cooperative Extension. She explains that residents can get a rash
from these plants in three ways: direct contact (touching the plant), indirect contact (from a pet, garden tool, etc., which has been in contact with the oil), and airborne contact (whatever you do, do not burn these plants). If you come in contact with these poisonous plants, Wright recommends washing the skin thoroughly several times with soap and water and applying alcohol to the affected area. “Your clothes should be changed and laundered immediately,” she says. “It takes 12 to 72 hours for the itching, redness, and swelling rash to appear, followed by blisters. The rash does not spread, and it is not contagious, even if the blisters are broken.” Dressings of calamine lotion, Epsom salts or bicarbonate of soda can be applied to infected areas. An oatmeal bath may also help soothe the itch. Prevention is the best medicine, says Wright, recommending that residents learn to recognize and avoid the plants. “Wear long pants, shirts with long sleeves, long socks or boots, and gloves when you know you will be working in an area with poisonous plants,” she advises.
Jellyfish frustrations In the air, on the land and yes, even in the water, the stings of summer can be a bummer. At the oceanfront, beach residents know well that jellyfish can ruin a perfect summer afternoon. Continued on page 13
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THE HEALTH JOURNAL
JUNE 2009
11
HEALTH IN HISTORY
Midwives Provided Primary Care for Colonial Women During Childbirth Written By Brandy Centolanza
W
omen living in Virginia during Colonial times suffered from the same basic conditions that afflict females today. “Most of the common medical issues of women were directly associated with menstruation and [the reproductive organs],” says Sharon Cotner, an interpreter and medical historian at the Pasteur & Galt Apothecary in Colonial Williamsburg. One of Cotner’s areas of expertise is the health care issues of Colonial women. Though the term pre-menstrual syndrome (PMS) was not used, women of that time often experienced many of the symptoms now associated with the condition, notes Cotner. Breast swelling, headaches, nausea, cramps, backaches, and exhaustion posed problems for menstruating women. Irregular menstrual cycles, yeast infections, anemia, and issues associated with menopause were also concerns. Breast cancer was a problem for some women, more commonly after menopause. “Sterility was a concern, [as well as] diseases of the womb including abscesses, ulcers and tumors,” Cotner adds. However, most women had normal pregnancies, by 18th-century standards, and most mothers and children survived deliveries. On average, enslaved women gave birth to six to seven children, while free Virginia women had about 10 pregnancies, though typically only six to eight live births. Women realized they were expecting a baby once their menstrual cycle ceased and they experienced physical changes in the shape of their bodies as well as movement of the fetus. Prenatal advice included watching their diets, limiting physical activity and emotional stress, and avoiding certain types of clothing, such as high heels or clothes that were too tight. “Most births were handled by midwives,” says Robin Kipps, supervisor at Pasteur & Galt Apothecary. “Some women who had com-
COMING THIS SUMMER SUMMER
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plications were delivered by man-midwives. Some women [also] asked man-midwives to handle normal deliveries as the extra training that man-midwives received in private schools inspired confidence.” Though some midwives trained privately, most gained experience by attending deliveries or assisting other midwives. Midwives had to have a basic understanding of anatomy, know how to deliver the placenta, and be able to recognize potential problems. If a serious problem occurred, they were expected to call doctors. Man-midwives were instructed in the practice of “touching,” Man-midwives were which meant inserting a finger instructed in the into a woman’s birth canal to determine how far labor had propractice of “touching” gressed, what part of the infant had presented, and if the memto determine how far branes had broken. Touching labor had progressed. was an important part of training because it allowed for the manmidwife to follow the progress of the delivery. Students learned to turn the baby and deliver it by the feet, and to use forceps. They also learned about cesarean sections, delivering twins, hemorrhaging, and difficult presentations. “The care that a woman obtained after delivery was largely affected by her circumstances,” explains Kipps. “Period texts proposed that the patient should stay in bed and rest for several weeks. The question is, how often could a patient afford to have someone else run her household and care for her other children while she recuperated? There are case histories of very poor women who did not have this opportunity.” HJ
family health
Keep Summer Safe With These Strategies Continued from page 11 Stinging sea nettles are commonly found on the shores of Virginia Beach and seem to peak in numbers around midJuly through September when the water temperatures rise. In the Chesapeake Bay, residents can find moon jellies in late spring and early June. Being prepared in case of a sting can help you salvage a vacation day if you run into a jellyfish. “Rinse the affected area with saltwater—not fresh water which might cause more venom to be injected,” says Oliver. “To neutralize venom on the skin, apply a paste of baking soda and water, or a mixture of unseasoned meat tenderizer and water to the area.” From her experience, Virginia Beach mom Jennifer Alexander says the latter mixture helps. “I use the triedand-true meat tenderizer for the jellyfish stings, which seems to work pretty well,” she says.
Managers Class and food handlers classes. “Bacteria need moisture to flourish, and summer is the perfect season,” she says. “Also, outside activities increase; people are cooking outside at picnics, barbecues and on camping trips.” Taylor explains that some foods are more susceptible to spoiling than others. “Cooked meats, including seafood and salads (potato, chicken, tuna, crab) containing meat, eggs and mayonnaise, are considered potentially hazardous,” she says. In order to keep food safe, Taylor recommends these five tips:
Splish, splash
• Make sure to keep raw food separate from cooked and ready-to-eat food when grilling.
Water safety is key for area residents who enjoy kayaking, swimming and boating in many of the local rivers, bays or the ocean. Swimming instruction and safety lessons may be one of the best ways to avoid danger in the water and can be an important part of keeping everyone in the family safe when boating or swimming. Local mom Sue Croteau says: “Our children have both taken swimming lessons, and I believe that helps tremendously. We’ve always had a pool, and we wanted to be sure that our children had a healthy respect [for] the water.” The following are just a few of the tips offered by The Virginia Beach Livesaving Service for staying safe at the beach. For more, visit www.vbls.org. Learn to swim. Visit your local recreation center or YMCA to find out about swimming lessons for everyone in your family. Never swim alone, and always swim near a lifeguard. Statistics show that the chance of drowning at a beach without a lifeguard is five times greater than the chance of drowning at a beach with a lifeguard. Don’t fight the current. Eighty percent of rescues involve a rip current. If you are caught in a rip current, swim parallel to the shore. Swim only during daylight hours. Check lifeguard hours and obey the swimming signs at local beaches. Swim sober. Alcohol is a major factor in drowning accidents.
Picnic tricks Outdoor picnics and family get-togethers are a highlight during summer months. A spoiled dish, however, can also spoil your vacation and even make you seriously ill. According to the Centers for Disease Control and Prevention, approximately 76 million cases of food-borne illnesses are reported each year, and of those nearly 5,000 are fatal. “There is an increase in food-borne illnesses during the summer months,” says Rosalyn Taylor, a food safety educator and consultant with Hampton Roads Food Safety Company. She teaches the ServSafe Certified Food
• Wash your hands before and after handling food. • Use a food thermometer to check the internal temperature of your food when grilling.
• While shopping at the grocery store, pick up the perishables last. If you have other errands, bring a cooler and ice packs to keep your food cold. • Plan ahead and pack safely when traveling on the road with food. Place the cooler and ice packs in the car with you and not in a hot trunk. For more tips on food safety, visit the USDA’s Web site, www.befoodsafe.gov.
Big bangs! A Fourth of July fireworks display may be a summer highlight, but many families set off their own fireworks, too, and that can mean danger. According to the U.S. Consumer Product Safety Commission, sparklers alone account for one-third of all injuries to children age five and younger. Enjoy fireworks safely by attending one of the many free public fireworks displays provided by local community organizers. If you choose to use consumer fireworks in your own celebration, follow the rules and codes of your local community. Be “sparkler-smart” this summer by following these guidelines: • Teach children to hold sparklers away from their body and avoid waving or running with a sparkler. Tell them fireworks are off-limits unless an adult is present. • Wear shoes, and stand at least six feet from another person while a sparkler is lit. • Never throw sparklers, hold or light more than one at a time or hold a child in your arm while using sparklers. • Drop spent sparklers in a bucket of water. For more safety tips, visit www.FireworksSafety.org. For tips on protecting your skin against overexposure to summer sun, also see “Keep Skin Sun-Safe this Summer” on page 18. HJ
THE HEALTH JOURNAL
JUNE 2009
13
HEALTH CARE DECISIONS
The First Big Step After Graduation: Buying a Health Insurance Policy Written by John E. DeGruttola
I
t was one of the most important days of your life—your graduation from college. You stood tall on stage in your cap and gown, ready to take your place in the universe. You were filled with a host of emotions—joy, pride, perhaps even anxiety. By society’s standards college graduation marks the day when a young person moves from childhood into adulthood. No doubt you’ve realized that everything has changed. How will you protect yourself from unforeseen circumstances? As a new graduate venturing out into the world, one of your first challenges is securing health insurance. Most health insurance plans have eligibility guidelines stating that children can continue coverage under their parents’ plan until they turn 19 years of age, unless they are enrolled as a full-time student, which extends coverage until they turn 23. Purchasing health insurance can be a daunting task for most mature adults, let alone a new graduate. Where do you begin? Who do you turn to for help? One of the best places to start is the Internet. It’s a great way to research local carriers, garner unbiased information from established governing organizations and get a glimpse of what health insurance offers to consumers. Your next step is to find a trusted agent in your community. An insurance agent’s goal is to present viable options and identify the best value for your health care needs. Also, seek advice from your friends and family to find out who they would recommend. And finally, you may want to check out your state’s Bureau of Insurance as its staff could provide a wealth of information as well. Secondly, how do you determine what you need? The first step is to review your health care needs. How much do you spend every month on health care, including physician visits, prescription medications, and preventive care? Knowing your expenses enables you to determine the amount of coverage you need. Also, evaluate
how much you can afford as a monthly premium. Look at health insurance as if you were buying a car. You would research the type of car you like; decide how much you can afford as a monthly payment; consider the specifics of your options—color, manual vs. automatic, safety features, service guarantee, etc.; and then make your decision. Buying individual health insurance is very similar. You want to consider all your options before you buy. Being hasty may get you a lemon of a policy, and that could cost you dearly in the long run. Third, review your medical history. Do you have any current or past health conditions that might elevate a carrier’s rate? Examples of such conditions include high blood pressure, high blood sugar and asthma. An insurance carrier reviews your medical history. and rates are based on the information you provide about your health. Sometimes the carrier will ask for additional information
Being hasty may get you a lemon of a policy, costing you in the long run.
Giselle sees an allergist. Tom does not. Why suffer any longer? Allergists can help you feel healthy all the time.
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from your physician. When the carrier isn’t able to obtain necessary information, it will usually issue a higher premium rate. Your age, health status and lifestyle habits all factor into whether you can receive coverage or would be covered at a higher rate. For example, if you are a smoker, you will typically pay more for individual health insurance than a non-smoker, as will people who are overweight or have other past or current health problems. Most of all, in shopping for your first health insurance policy, be patient. You wouldn’t purchase the first car you saw on a dealer’s lot. The same holds true with purchasing health insurance. Being a smart shopper can keep more money in your pocket. And, it’ll make stepping out into the world just a little bit easier. HJ
John E. DeGruttola is senior vice president for sales and marketing at Optima Health, a Virginiabased health plan with more than 380,000 members, nationallyrecognized for its quality, service and innovative programs.
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FITNESS
Stay Fit While You Travel Written By Gayle Pinn Photography by Brian M. Freer
D
oes your exercise routine get thrown to the wayside when you travel? Do your sneakers get pushed to the back of the closet in favor of your flip flops? Many of us will be traveling this summer, but that doesn’t mean your fitness routine has to wait at home until you get back. Be proactive by planning ahead. Here are some tips that will help you stay on track while you’re gone: ✔ Contact your hotel or visit its website to research the type of fitness facilities it offers. Knowing the type of equipment or facilities available in advance allows you to pre-plan your training. ✔ Consult with a personal trainer before leaving to get some workout ideas that require minimal or no equipment. ✔ Pack some basic workout tools such as resistance tubing/bands.
A full-body workout can be done using your own body weight and a couple of resistance bands. If you’re motivated by music, then don’t forget your iPod or MP3 player as well. ✔ Schedule your training time into your vacation days before reaching your destination. If you know you’re better off exercising in the morning before you start your day, then schedule those early workouts into your itinerary. ✔ Eat healthy and try not to overindulge; you’ll only regret it upon your return. Stay away from the all-you-can-eat buffets. Bring healthy snacks to keep you out of the mini-fridge where the candy bars are waiting to tempt you. If you have to have that ice cream, go for the smallest size. Split an entrée with your travel partner, or try an appetizer as your entrée. Remember that alcohol contains calories, too! HJ
Gayle Pinn is the owner of Results Personal Training Studio. She has 10 years experience as a certified personal trainer.
Try these exercise ideas the next time you’re traveling:
Chest flies with exercise band — With the band wrapped around a pole or piece of furniture behind you at chest height, stand so there is a fair amount of tension in the band. Hold the handles directly in front of your chest with palms facing in. Slowly open your arms wide as if to hug someone, keeping a slight bend in your elbows. Then return your hands to the starting point, focusing on contracting your chest muscles. Perform approximately 12-15 reps and one to three sets. To increase the resistance you can take a step forward, adding tension on the band.
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Straight-legged marching — You can use this exercise to warm up while also toning your thighs. Stand in one place and march, keeping your legs straight. Reach your left hand towards your right foot and alternate. Continue for five minutes, resting for about 15 seconds at intervals.
JUNE 2009
Outer thigh side-steps with exercise band — Place an “O”shaped exercise band around your ankles. Step to the right with your right leg, then follow with your left leg, then step to the left with your left leg and follow with your right leg. Alternate steps back and forth at a fairly brisk pace for about one minute. Complete one to three sets.
Reverse flies with exercise band Wrap the exercise band around a pole or piece of furniture in front of you. Hold the handles straight in front of you at chest height, palms facing in and a slight bend in the elbows. Slowly pull the handles out wide (the opposite of the chest fly), focusing on contracting your upper back muscles by squeezing your shoulder blades together. Then return to the starting position and repeat for approximately 12-15 repetitions, one to three sets. To increase the resistance, you can take a step back.
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skin smarts
Keep Skin Sun-Safe This Summer Simple strategies include choosing correct sunscreen, minimizing sun exposure Written By Sharon miller Cindrich
C
oppertone. Hawaiian Tropic. Banana Boat. Growing up, you may have slathered on coconut-scented tanning lotion in pursuit of a glowing summer tan. Today, sunscreen products like these boast a completely different promise from years past —a claim to protect you from the sun’s rays. From sunburn to wrinkles to cancer, the effects of sun exposure to the skin are well known. According to the American Cancer Society, most of the more than one million cases of non-melanoma skin cancer diagnosed yearly in the United States are considered to be sun-related.
“I’m not a fan of premature aging!” So, do sunscreens work? Dr. Judith Williams, director of dermatology at Children’s Hospital of The King’s Daughters, says yes. “They are very effective—when used correctly. That’s what we forget.”
Choose sunscreen carefully, apply, repeat Choosing a broad-spectrum sunscreen that blocks UVA and UVB radiation found in the sun’s rays will give you the best protection. While UVB rays have historically been linked to skin damage and cancer, UVA rays have also been identified as dangerous. “The same tanning rays you get in the tanning bed—we now have proof that those rays do lead to cancer,” says Williams. Broad-spectrum sunscreens typically contain ingredients such as titanium oxide, zinc oxide or avobenzone. The SPF (sun protection factor) of your sun block is important, too. “An SPF of 30 in a controlled environment can block 97 percent of UVB rays,” says Williams, adding that there is currently no standard method for measuring UVA rays. While 97 percent may sound like a high level of protection, achieving that level of protection isn’t easy. “That doesn’t take into account what happens in real life,” explains Williams. “A lot of everyday factors can decrease that percentage of protection.” Proper application is critical for maximizing sunscreen protection. “Put it on 20 minutes before you go outside, reapply it every two hours, and pick the right sunscreen for the environment that you’re going to be in,”
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Williams advises. Water- and sweat-resistant sunscreen, for instance, is critical when heading to the beach on a hot day.
Minimize exposure to intense summer sun Outdoor activities during the summer can increase exposure risks, especially at the beach. “UV rays reflect off of water and sand,” Williams says, adding that people can reduce their exposure by planning outdoor activities during the times of day when the UV rays are less intense. “People forget that [rays] are strongest in the middle of the day, between 10 a.m. and 3 to 4 p.m.” Lips, ears, and the back of the neck are commonly forgotten spots that need protection. “I absolutely love the sunscreen that has color in it for kids,” says Rhonda Sparks of Virginia Beach. “When my children were young, they were always squirming around while I tried to apply sunscreen, and I was never sure if I had covered all the exposed areas. Seeing the color disappear as I applied it really made me feel like I was getting even coverage.” Awareness of sun protection during the summer may be heightened, but Williams tells patients that they should really be wearing sunscreen all year round. “I tell people that, and they look shocked. But even on a cloudy day, 80 percent of the sun’s UV rays get through clouds.”
Make sun protection a habit Karen Foster of Hampton Roads believes she has become more aware as she’s gotten older and protecting her skin has become a habit. “I use a moisturizer with sunscreen in it on my face every day and use sunscreen elsewhere when I’m going to be outside a lot,” she says. “As I’ve aged, I’ve realized even more how important it is to protect from too much sun—not only the cancer risk but also, I’m not a fan of premature aging!” Rhonda Sparks believes that living near the beach and owning a pool make her more aware of protecting herself and her family from the sun. “I always have extra sunscreen along with the beach towels to be sure friends and family don’t burn,” says Sparks, who will pass that awareness along to guests who will come to her home for her daughter’s Fourth of July wedding this summer. “The out-of-town wedding guests will receive a straw beach bag stuffed with a beach towel, bottled water, snacks, map and—you guessed it—sunscreen!” HJ
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FEATURE
Solving the Nursing
Shortage Written By Brenda H. Welch
F
or 15 years, the U.S. Army trained 36-yearold Sergeant First Class Voris Crooms to protect and serve his country. In 2007, the Army enabled Crooms to build upon his arsenal of knowledge at Hampton University’s College of Virginia Beach. “Once I graduate this summer, I hope to be sent to Afghanistan or Iraq,” says Crooms. “I feel that is where I am most needed.”
high as 500,000 by 2025, according to a report by Dr. Peter Buerhaus of Vanderbilt University and colleagues in March 2008. The report, “The Future of the Nursing Workforce in the United States: Data, Trends and Implications,” found that the demand for RNs is expected to grow by two to three percent each year. The Bureau of Labor Statistics cites registered nursing as the largest health care occupation,
“Without increased enrollment [in nursing programs], by 2020 one in three patients in Virginia will not have a nurse to care for them. Florence Nightingale would roll over in her grave.” Crooms’ weapon of choice isn’t a gun or missile. It is, quite simply, the healing power that comes along with being a registered nurse (RN). Along with the rest of the nation, Virginia is in the midst of a severe nursing shortage, one that threatens the health care of Hampton Roads residents. The U.S. Army joins health care facilities across the nation in fighting the current nursing shortage, and studies indicate there are many more battles that must be won before America’s health care system can triumph. The shortage of RNs in the U.S. could reach as 20
THE HEALTH JOURNAL
JUNE 2009
—Ethlyn Gibson, RN encompassing 2.5 million jobs across the U.S., 59 percent of which are in hospitals. RNs hold a position of seniority over licensed practical nurses and nursing assistants and are responsible for treating patients, educating patients and the public about various medical conditions and providing advice and emotional support to patients’ family members. They function in a variety of settings including operating rooms, intensive care and ambulatory care areas, physicians’ offices, specialized practices and health care clinics. RNs record patients’ medical histories and symptoms, help perform diagnostic tests and analyze
results, operate medical machinery, administer treatment and medications and help with patient follow-up and rehabilitation. According to a Reuters Health article published in March, the nursing shortage has drawn the attention of President Barack Obama, who has expressed alarm over the notion that the U.S. might have to import trained foreign nurses because so many nursing jobs are unfilled. The nursing shortagehits home Reports of hospital RN shortages began to surface as far back as 1998, and in response, the Robert Wood Johnson Foundation, which is located in Princeton, N.J., and is the U.S.’s largest philanthropy devoted exclusively to health and health care, published its 2002 study, “Health Care’s Human Crisis: The American Nursing Shortage.” The results of the study included input from 15 health care markets throughout the country as well as focus groups conducted with nurses in three of those markets. (See sidebar on page 21.) To establish how the nation’s nursing shortage was directly affecting Virginia, House Bill (HB) 2818, adopted by the 2003 General Assembly, tasked the State Council of Higher Education for Virginia (SCHEV), in association with the Advisory Council on the Future of Nursing in Virginia, the Virginia Board of Nursing as well as institutions of higher education, with the devel-
opment of a statewide strategic plan to ensure an adequate supply of nurses in the Commonwealth. In response, SCHEV issued a report in January 2004, titled, “The Condition of Nursing and Nursing Education in the Commonwealth.” In this report, SCHEV found that if current trends continue, Virginia will experience a shortage of 23,000 full-time nurses by 2020. Since Northern Virginia and Hampton Roads consistently yield the largest population growth within the state, SCHEV asserted that these regions would experience the brunt of the shortage. “Growth rate is only part of the issue,” says Dr. Barbara Brown, vice president of the Virginia Hospital and Healthcare Association (VHHA), an organization based in Glen Allen that contributed to the 2004 SCHEV report. “Advancement in medical technology is also contributing. You don’t see as many people in hospitals as long or as often. More people use health care options through the outpatient setting, and we need registered nurses there to deliver that health care.” Nurses may enter the field of nursing by one of three paths: diploma program (post-secondary school degree), associate degree, or baccalaureate degree. After completing any of these programs a nurse must pass a national licensing examination. To advance in nursing, the baccalaureate degree is required. “The diploma schools are the method by which most nurses pre-WWII were educated,” says Brown. “However, as nurses sought to become recognized professionals, they realized that a college degree needed to be the entry level. Also as a profession, nursing needs master-prepared and doctoral-prepared nurses to study and improve practice knowledge.” Educating tomorrow’s nurses When the U.S. Army gave Sergeant First Class Voris Crooms the opportunity to attend a baccalaureate nursing program of his choosing, he picked Hampton University because he attended high school in the area, and because his mother, who is also a nurse, lives in Hampton Roads. “I’ve always had a passion for caring for people, especially children, and I knew at some point in my life I wanted to work in obstetrics or pediatrics. I just followed my heart, and the Army allowed me the opportunity to do that, along with Hampton University.” Crooms also intends to continue his education to receive a master’s degree in nursing: “After I graduate, I have to work a minimum of two years before I pick a specialty. After that, the Army will send me to school so I can become a nurse practitioner and work with an obstetrician or pediatrician.” Although Crooms says his education at Hampton University was seamlessly provided, the 2004 SCHEV report found that among the 15 baccalaureate degree nursing programs (three in Hampton Roads), 28 associate degree programs (six in Hampton Roads) and six diploma programs (two in Hampton Roads) in Virginia, serious limits exist on the number of enrollees who can be accepted due to an inadequate number of well-prepared nursing faculties. Dr. Pamela Hammond is a professor and the
dean of Hampton University’s School of Nursing and says her school has seven vacant teaching positions to fill. “We need faculty and compete for faculty with all the other schools in this area that offer RN education.” She adds, “Nurses can also make more money in the private sector, so along with competing with other colleges and universities for RNs, we are also competing with the private sector.” Hammond says she believes tough economic times have been the primary cause for the recent
Since Northern Virginia and Hampton Roads consistently yield the largest amount of population growth within the state, the State Council of Higher Education for Virginia asserted that these regions would experience the brunt of the nursing shortage. decline of enrollees in the university’s School of Nursing. “Our enrollment has been down for about two years now, but we are actively recruiting for next year and hope to have it stabilized by then,” she says. “Because we are a private university, we have never had a waiting list for entry into the nursing program. If we have more students than the year before, generally we will hire adjunct (part-time) faculty to make sure we can teach them.” This is not the case at Old Dominion University (ODU). Located in Norfolk, this public university has a waiting list comprised of students who are qualified to enter the baccalaureate degree nursing program. Dr. Richardean Benjamin, chair of the ODU’s School of Nursing, says: “We are limited in the numbers of students we can accept because of our number of faculty.” “In order to supervise entry-level students, the Virginia Board of Nursing requires a specific faculty-tostudent ratio—at least 1:10; however, many of our clinical agencies are requiring a different ratio, in some instances 1:6, especially for students signing in to an intensive care unit. On average it is about a 1:8 faculty-to-student ratio.” Ethlyn Gibson is the director of diabetes and education for the Peninsula Division of Sentara Williamsburg Regional Medical Center. An RN with a master’s degree who is a former nursing school dean, she is well-versed on the need to educate, graduate and place RNs in the health care system as soon as possible. “Without increased enrollment [in nursing programs], by 2020 one in three patients in Virginia will not have a nurse to care for them,” warns Gibson. “Florence Nightingale would roll over in her grave.” Continued on page 22
FEATURE
A 2002 Robert Wood Johnson Foundation Study found that the nursing shortage is the result of a confluence of factors that still hold true today. Those factors include: An aging population. As 78 million baby boomers (those born in the 1950s) age, it is highly likely that demand for nursing care will increase and tax the health care system. Fewer young people in the general workforce. An aging health care workforce. The physical demands of nursing often discourage individuals in the profession from working past their mid50s. With the average age of nurses being 44, a majority are now nearing retirement. A mismatch on diversity. The racial and ethnic makeup of the current nursing workforce is not reflective of the increasing cultural diversity of the U.S. More employment options for women. Once a profession dominated by women, nursing now must compete with many more professions to attract women. The generation gap. Generation X (the generation following the baby boomers) perceives nursing as unappealing, highly structured and stressful. Work environment. Inadequate support systems and greater workloads have resulted in dissatisfaction and disillusionment among nurses. Consumer activism. Consumer empowerment, increasing awareness of medical errors and the backlash against managed care have made health care consumers “vigilant participants” in their own care. A ballooning health care system. Competition, regulation and increased pressures in health care financing have resulted in greater demands on a profession lacking the authority to create change within the health care system.
THE HEALTH JOURNAL
JUNE 2009
21
FEATURE
Solving the Nursing Shortage Agape Home Care Continued from page 21
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Sentara’s School of Health Professions Registered Nursing Program in Chesapeake is also full for the fall term, and some applicants had to be turned away, according to Shelly Cohen, director of the school. “We have seen a consistent increase in applicants for the past five years, and I think that is because nursing is a viable career, you can get a job anywhere, the salary is good and a lot of national groups are doing a lot of marketing about the nursing short-
years. He referenced the partnership between the Virginia Community College System (VCCS) and the VHHA as a model for meeting critical workforce shortages in career and technical fields. In an effort to help fill that critical shortage, the VCCS and the VHHA worked together on a special task force to explore what could be done. The 2005 report of that task force, titled, “Virginia’s Nursing Crisis: A Call to Action,” produced a number of rec-
“The nursing shortage is so critical that it goes beyond being a state or federal issue and it becomes a societal issue.” — Dr. Barbara Brown age,” says Cohen. “During the past year we have had more difficulty than we’ve ever had in getting faculty, and I have four current faculty members of retirement age. The good news is they are not ready to retire yet, but it is something we need to consider and plan for.” Education and hospital partnerships In 2004, the VHHA published the report, “Where We Stand: Projected Nurse Supply and Demand in Virginia, 2000-2020.” The report states that in order to address the nursing shortage, education facilities and health systems need to continue to work together to increase class sizes and reduce barriers to education. The report reads, “Throughout Virginia, a number of efforts already have begun, including education/hospital partnerships for teaching faculty and student tuition support.” In October 2008, Virginia Governor Timothy Kaine announced a dramatic 67-percent increase in the number of students graduating from nursing programs throughout Virginia’s Community Colleges over the last five
ommendations. Their implementation and the partnership are being credited for an increase in both the number of students entering community college nursing programs as well as the number of graduates those programs are producing. In 2002-03, 817 students graduated from nursing programs at Virginia’s community colleges. Last year, that number increased to 1,365. Another such partnership exists between ODU and Chesapeake Regional Medical Center (CRMC). “We have a number of different partnerships that we have initiated with different schools in the region to help alleviate the enormous financial burden of educating nursing students,” says CRMC’s Chief Nursing Officer Elaine Griffiths. “We provide scholarships for students at ODU, and at Tidewater Community College we have created a school within the school by sponsoring students who make a commitment to come to work with us and who also commit to going back to school to get their bachelor’s degree after working with us for one year. We have a similar arrangement with the Chesapeake Continued on page 32
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Women More Prone Than Men To Have Lung Damage From Smoking CHICAGO (REUTERS)
W
omen may be especially susceptible to the toxic effects of cigarette smoking, U.S. researchers said last month. They said women who smoke develop lung damage earlier in life than men, and it takes less cigarette exposure to cause damage in women compared with men. “Overall our analysis indicated that women may be more vulnerable to the effects of smoking,” said Dr. Inga-Cecilie Soerheim of Brigham and Women’s Hospital in Boston and the University of Bergen in Norway. Soerheim, who presented her findings at the American Thoracic Society meeting in San Diego, California, said researchers had suspected this but until now had lacked proof. Her team analyzed 954 people in Norway with chronic obstructive pulmonary disease, which includes lung problems from chronic bronchitis to emphysema. COPD affects an estimated 210 million people worldwide. The most common symptoms include shortness of breath, coughing and a limited ability to exercise. In the study, about 60 percent were men and 40 percent were women. All were current or former smokers. Overall, both groups had similar lung impairments. But when they looked at younger people— those under age 60—or those who had been lighter smokers, they found women had more severe disease and worse lung function than men. “This means that female “In the low-exposure group in smokers in our study exthis study, half of the women perienced reduced lung function at a lower level actually had severe COPD.” of smoking exposure and at an earlier age than men,” Soerheim said in a statement. Soerheim suspects the differences may be related to anatomy. Women have smaller airways than men, making each cigarette potentially more dangerous, she said. Hormones may also play a role, she said. “Many people believe that their own smoking is too limited to be harmful, that a few cigarettes a day represent a minimal risk,” she said in a statement. “However, in the low exposure group in this study, half of the women actually had severe COPD.” An estimated 12 million people in the United States have COPD, the fourth-leading cause of death. HJ
SMILE sense
Q
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We all know that nutrition is an important factor in our overall health, but how is it related to oral health?
A
Q A
Growing up, we were all taught to brush and floss every day. But many of us forget that diet is one of the major causes of poor dental health. Tooth decay is a very complex disease process. It is caused by the bacteria mutans streptococci that nearly every one of us has in our mouths. One of the primary factors that controls this bacteria is your diet. Just as too much sugar is bad for our bodies, it can also destroy our teeth. These bacteria feed on the sugars that we expose our teeth to on a daily basis. They metabolize refined carbohydrates (sugars) into acid that can break down tooth enamel. Not only do the bacteria aid in the production of tooth decay, but they also contribute to the formation of plaque in the mouth. Bacteria, acid, food debris, and saliva all combine to form plaque, a sticky substance that adheres to our teeth. Plaque that is not thoroughly removed with brushing and flossing mineralizes and becomes tartar. Both plaque and tartar can irritate the gums and can result in gingivitis and eventually, periodontal disease.
Years ago, dental hygienists just used the hand scaler and rubber cup polisher to clean teeth. We still have those tools, but now we also use ultrasonic scalers and air polishers. The Cavitron® ultrasonic scaler is a popular technology used during dental cleanings. It uses water along with sonic vibrations to help remove plaque, tartar, and stains from the tooth surface. This technique removes debris much faster and, in return, can be easier on the patient. It is especially helpful for patients with periodontal (gum) disease, as it can be placed further down the tooth surface underneath the gums. The only downside to the technology is that the Cavitron® can heat up quickly and produce temporary sensitivity during the procedure. The prophy-jet is an air polishing system that uses air, water, and sodium bicarbonate (baking soda) powder to remove external stains, plaque, and other soft debris while polishing the tooth surface. This efficient procedure leaves the teeth feeling very smooth and clean. It is also recommended for cleaning tooth surfaces prior to bonding procedures and placement of dental sealants. It is highly effective on patients who wear braces. The main complaints heard from patients are the amount of spray released during the procedure and the taste.
Carbohydrates such as sugars and starches highly increase your risk of tooth decay. We know that when the body does not burn off carbohydrates, they turn into sugar, then fat. Carbohydrates do the same thing in the mouth. After we eat these types of foods and don’t brush, the substances turn into sugar, on which the bacteria feed. After the bacteria ingest these sugars, they excrete acid that is harmful to our teeth. To help limit this vicious cycle, you need to be smart about your food choices. Don’t eliminate all carbohydrates from your diet. Instead, try to limit your intake of refined carbohydrates. Reducing the number of snacks and sugary beverages you consume, such as sodas, will also help break the cycle. Sipping on sodas, both regular and diet, constantly soaks your teeth with sugar. Even though diet sodas are artificially sweetened, their natural acidity makes them harmful. If you cannot brush after exposure to these substances, rinsing or drinking water will help to eliminate some of the sugars from your teeth.
It’s been a while since I’ve been to the dentist. What new technology can I expect to see when I have my teeth cleaned?
Ask Julia Your questions—answered.
Both the Cavitron® and prophy-jet are exceptional tools used by the hygienist during your cleaning visits. They may or may not be used each time, but if or when these techniques are used, they are very efficient and thorough ways to complete your dental cleaning experience!
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.
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breakthroughs
Down’s Syndrome Reveals One Key To Fighting Cancer WASHINGTON (REUTERS)
P
eople with Down’s syndrome rarely get most kinds of cancer and U.S. researchers have nailed down one reason why -- they have extra copies of a gene that helps keep tumors from feeding themselves. The findings could lead to new treatments for cancer, the researchers reported in the journal Nature on Wednesday, and further study of Down’s patients might reveal more ways to fight tumors. The researchers at Harvard University and elsewhere made use of a new kind of embryonic-like stem cell called an induced pluripotent stem cell or iPS cell. These cells, made from ordinary skin, can be transformed to act like powerful stem cells, the body’s master cells. Using iPS cells from a volunteer with Down’s syndrome and mice genetically engineered to have a version of the condition, the researchers pinpointed one gene that protects against tumors. “It is, perhaps, inspiring that the Down’s syndrome population provides us with new insight into mechanisms that regulate cancer growth,” they wrote. Down’s syndrome is the most common genetic cause of mental retardation, occurring in one out of 700 live births. The Down’s syndrome theory had long been explored by Harvard’s Dr. Judah Folkman, who died last year. Folkman, whose name is on the study, developed theories about how tumor cells grow blood vessels to nourish themselves in a process called angiogenesis. EXTRA GENES Folkman also noticed how rare cancer is among Down’s patients, except for leukemia, and he wondered whether the genes explain why. A study of nearly 18,000 Down’s patients showed they had 10 percent the expected rate of cancer. People with Down’s syndrome have a third copy of chromosome 21, where most people have two copies. The extra copy gives them extra versions of 231 different genes. “One such gene is Down’s syndrome candidate region-1 (DSCR1, also known as RCAN1),” Harvard’s Sandra Ryeom and colleagues wrote. This gene codes for a protein that suppresses vascular endothelial 26
THE HEALTH JOURNAL
JUNE 2009
growth factor or VEGF — one of the compounds necessary for angiogenesis. Down’s patients have extra amounts of this DSCR1 protein, as do the genetically engineered Down’s mice, the researchers showed. Genetically engineered mice with an extra copy of DSCR1 were resistant to tumors. DSCR1 affects a compound called calcineurin, long a focus of cancer research. “These data provide a mechanism for the reduced cancer incidence in Down’s syndrome,” the researchers wrote. The study also provides three new potential targets for preventing or treating cancer -- calcineurin and two genes that regulate it, DSCR1 and DYRK1A, they said. People with Down’s syndrome are also less likely to develop angiogenesisrelated diseases such as diabetic retinopathy (an eye disease related to diabetes) and atherosclerosis (hardened arteries), “suggesting that cancer protection ... may be due, in part, to angiogenesis suppression,” the researchers wrote. “Because human chromosome 21 contains over 200 genes, it would be surprising if DSCR1 was the only chromosome 21 gene implicated in tumor suppression in Down’s syndrome individuals,” they said. HJ
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Board-Certified in Family Medicine KJD Colors
On Dr. Jay Floyd joined the team at Riverside Family Medicine and Ae:July 1, 2007, sd C M Y K Urgent Care. Relocating from Monroe, North Carolina, Dr. Floyd brings over Date: 05.15.09 14 years of experience in family medicine. He earned his medical degree at the Rnd~Ver: r02•vA University of Maryland NAin Baltimore NA NA and NA completed residency training at Naval Hospital in Charleston, South Carolina. Dr. Floyd look forwards to serving the healthcare Camilla Buchanan, MD, MPH, FACOG needs of this community.
Physical Therapy Shiela M. Robison, M.S.P.T. & Anna Dube, D.P.T. PERSONAL TRAINING AND REACH FOR HEALTH FITNESS CLASSES AVAILABLE. Call for more details
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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
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women’s health
Low Libido: Common Problem Among Women Has Many Possible Solutions Women should not hesitate to consult their physician
Written By Alison Johnson
F
or many men with low libido, a prescription for Viagra or Cialis is a quick solution. But for women who lose interest in sex, the challenge is figuring out why and what mix of therapies—from lifestyle changes, to counseling, to over-the-counter or prescription medications— might help. “It can be very difficult because so many factors can be involved,” says Dr. Jeffrey Morrison, an OB/GYN with Tidewater Physicians Multi-specialty Group in Newport News. “Maybe it is hormonal, or it’s about relationship issues or medications they’re on, or sleep habits, stress levels, past sexual experiences, body image. There are some tests you can do, but it’s also an area where there aren’t a lot of good studies on what to do. When we do have success, though, it’s very rewarding.” A drop in sexual desire can occur at any age, although doctors say the most common window for women is between the ages of 35 and 65. Changing hormone levels before, during and after menopause can cause physical changes such as decreased blood flow to the vagina and less sensation and elasticity. Common hormonal factors are falling levels of estrogen, thyroid disorders and low levels of testosterone, a hormone produced by the ovaries that plays a key role in sex drive. Other health issues can also reduce a woman’s interest in sex. Chronic conditions such as heart disease and arthritis can cause fatigue and pain, while certain medications—particularly high blood pressure and birth control pills—can lower libido as a side effect. And while antidepressants can also reduce libido, depression and anxiety themselves—as well as unmanaged stress—can lower libido, too. Pre-menopausal women taking care of children are one at-risk group. “If they’re doing things for everybody else but not themselves, sex can become a very low priority,” notes Beth Scharlop, an OB/GYN with Womancare of Williamsburg. In some cases, women can solve the problem with 28 THE HEALTH JOURNAL JUNE 2009
lifestyle changes: stress management, healthy eating, regular exercise, sleeping well, quitting smoking, going to couples’ therapy and focusing more on their own sexuality. “There are many steps that can be very effective before we even start turning to medications,” says Scharlop. If low libido is a side effect of medication, doctors may be able to try a different drug or dosage, or they may add another prescription or herbal supplement to counter the effects (although herbals are not federally regulated and tend to have limited success data). For example, according to Morrison, some patients on antidepressants have reported success with
“There are many steps that can be very effective before we even start turning to medications.” —Dr. Beth Scharlop ginkgo biloba supplements. In some cases, though, women may have to accept a lowered sex drive in exchange for controlling serious medical problems such as depression or high blood pressure. When doctors are able to pinpoint the cause of low libido, there are some over-the-counter treatments that can help. For example, women with vaginal dryness can choose from a variety of lubricants such as Replens or Astroglide, which carry longer-lasting formulas that may work for two to three days. On the prescription front, for women whose main sexual complaints are dryness and pain during intercourse, doctors can try vaginal estrogen in the form of creams, tablets or inserted rings. In women who still have a uterus, the trick is to keep the dose of estrogen low enough to guard against an increased risk
of uterine cancer; otherwise, vaginal estrogen can be used indefinitely. Women with a wider range of symptoms linked to menopause, such as hot flashes and sleep disturbances, may decide to take oral estrogen with or without progesterone, known as hormone replacement therapy. Generally, though, doctors aim to use the lowest possible dose over the shortest possible time because studies suggest an increased risk of breast cancer and heart disease. Women also can try prescription testosterone injections given every other week, Morrison says. Some of his patients have done well with an off-label prescription of Viagra or Cialis as well, although studies on the medications’ effectiveness in women have been inconclusive. There are some new treatments on the horizon that show potential. Doctors in Europe and Australia are using a synthetic steroid called Tibolone—not yet approved in the United States—which seems to improve libido. Closer to home, doctors in South Hampton Roads are testing LibiGel, a testosterone gel that women apply daily to skin on the upper arm. For enrollment in a clinical trial to test LibiGel’s effectiveness, the manufacturer is now seeking women who have had their ovaries removed. “There is a real unmet need here,” says Dr. Frank Morgan, an OB/GYN with Tidewater Physicians for Women, a practice with offices in Norfolk and Virginia Beach, which is involved in the trial. “There is no one simple answer for women, but the hope is that [LibiGel] will be a safe treatment that can help a certain number of them.” What women definitely shouldn’t do is assume the problem is unfixable—or an inevitable part of aging. Says Scharlop: “In general, women won’t bring it up, but they shouldn’t ever be embarrassed. They’re not alone, and in many cases assistance can be offered that can really improve their situation.” HJ
The family of your dreams may be well within your reach.
C
ouples coping with infertility learn that labor can come long before pregnancy. It’s a labor of love, to be sure, but getting treatment can be stressful in many ways: medically, physically, emotionally and, yes, financially. When you’re already struggling with so much— and so much of it is unexpected— the last thing you need is to wonder if you can even afford to have a family. At The New Hope Center, we try hard to make everything easier. We’re here to help remove reproductive roadblocks, whether they’re medical or financial.
We’ll start by helping you sort through your insurance so you can get the coverage you’re entitled to. If you need more assistance, don’t worry. With our New Hope CARES program, (Cost Assistance for Reproductive Endocrinology Services), you have access to flexible financial options that offer significant discounts on a wide range of infertility treatment services. So take hope. The family you’ve longed for could be closer than you think. To learn more, call 496-5370 today and ask for one of our patient financial counselors.
TH E N E W H O P E C E NTE R for RE P RO DUCTIVE M E DI CI N E 1181 First Colonial Rd., Suite 100, Virginia Beach, VA 23454 For more information, call 496-5370 . www.the newhopecenter.com A Division of Mid-Atlantic Women’s Care, P.L.C.
parenting
Substance Abuse with Inhalants:
Everyday Products, Potentially Fatal Following last month’s coverage of heroin abuse among teens, this month The Health Journal covers another type of substance abuse— use of inhalants, which typically begins in middle school, and in some cases, even earlier.
Written by Beth Shamaiengar
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30
THE HEALTH JOURNAL
JUNE 2009
I
f parents of teens stop and think about the risky substances their children might be tempted to try, they may think of alcohol, cigarettes, marijuana, or maybe—in the worst cases—prescription painkillers or harder drugs like heroin. Many parents may not realize that the most dangerous temptation could be ordinary substances they purchased themselves—and ones that, in most households, are easily accessible to teens. These substances, now known generally as “inhalants,” are common household products with vapors that can be inhaled, creating physically and psychologically addictive effects much like drugs that can be abused. Users also suffer withdrawal symptoms if they cannot regularly access their desired substance. These perfectly legal products with legitimate uses can nevertheless be very dangerous, even fatal, if inhaled. Strong-smelling glue or paint might be among the products that first come to mind, but according to the National Inhalant Prevention Coalition (NIPC), there are more than 1,000 potentially risky products, ranging from nail polish remover to air-conditioner fluid (freon), from paint thinner to air freshener to cooking spray. (Learn about more products at NIPC’s website, www.inhalants.org.) According to the NIPC, national surveys indicate that inhaling—or “huffing”—these hazardous products is becoming one of the most widespread substance abuse problems in the country, becoming as popular as marijuana with many young people. And the problem can start earlier than parents might think–by the time students reach the 8th grade, one in five will have used inhalants. Even grade schoolers jokingly sniffing their school supplies could happen upon an inhalant’s potentially lethal effects.
“The problem with inhalants is they are not illegal drugs we can outlaw,” says Susan Bruno, director of the Historic Triangle Substance Abuse Coalition (HTSAC), an information and referral agency—and a project of the College of William and Mary’s School of Education—that is focused on prevention, treatment, and recovery of substance abuse in the greater Williamsburg area. “[Inhalants] are products under our sinks—aerosol products, gasoline, glue, markers— anything with propellant.” Other common sources include Dust-off (used to spray dust off computer keyboards), correction fluid, and even whipped cream sold in cans. In March HTSAC, together with other organizations including the Virginia Inhalant Coalition, hosted a conference in Williamsburg to educate the public about the risks of inhalants and offer instruction on how to help someone who is abusing them. Bruno reports that while “huffing” is certainly not a new risk, HTSAC had learned from several surveys at area schools that inhalant use is up locally, at a level twice the national average. Evelyn Waring, education coordinator of the Virginia Poison Center, notes, however, that “we really don’t know how many people are using inhalants.” Inhalant use cannot be detected by any easily available laboratory tests, she says, and medical examiners determining the cause of death often do not have access to clues from the scene, such as containers or other paraphernalia, that could have pointed to inhalant use.
Teach that inhalants are not drugs, but toxins Waring asserts that there’s a crucial distinction for parents and children to understand about inhalants versus drugs. Most drugs that can be abused have no
parenting redeemable function; their effects are damaging no matter what. Products that can be inhalants, on the other hand, can accomplish legitimate tasks on a day-to-day basis if used for their intended purpose. They are toxic, and “if not used the right way, can hurt you very badly or kill you,” says Waring. All inhalants, which generally create a quick high but also wear off rapidly, produce effects similar to drugs that can be abused; the recent user may seem euphoric, or dazed and confused, and may also experience nausea, vomiting, loss of coordination, and/or hallucinations. Longterm, chronic use can damage a variety of major organs depending on the inhalant, but all such products can cause some form of brain damage, including lasting effects such as learning disabilities, memory impairment and permanent personality changes.
Why do teens try huffing? Talitha Hollifield, supervisor of children’s services for the Colonial Services Board (CSB) in Williamsburg, notes that teens have a natural tendency to experiment and the substances they abuse are often simply ones they have access to. Often teens will try inhalants in their experimentation with many substances, and frequently inhalants are tried even before marijuana or cocaine. In fact, inhalant use often appears even earlier than the first use of tobacco or alcohol and is seen as a gateway to future substance abuse. According to the NIPC’s website, users frequently have low self-esteem, low intelligence scores
and poor school performance, and emotional problems such as anxiety, depression and anger. Inhalant users typically have friends who also use inhalants and drugs and exhibit deviant behavior. Sandy Fagan, director of Bacon Street, a Williamsburg outpatient substance abuse treatment center for youth, says that in treating inhalant use, “the substance is not central; [users] may have used anything and everything, and they may not have access to their desired substance at any given time.” More important in treatment, he says, is the fact that inhalant use among peers often gives a teen a desired sense of belonging to that particular peer group. For such peer groups, the fact that an individual uses is often “the only criterion for membership,” Fagan says, making that group “the easiest club to join.” He adds that adolescents often “identify who they are based on their peer relationships,” and that they exhibit “a huge need to get validation from their peer group.” In relation to all substance abuse—regardless of the substance—Talitha Hollifield says it is crucial for parents to establish clear expectations and firm limits for their children, and to keep communication open. She says, “Talking about [substances that parents wish to forbid] can be enlightening and not necessarily permission-giving.” HJ
For a handbook on how to maintain a strong relationship with your teen to help prevent substance abuse of any kind, check out the website of the Partnership for a Drug-Free America, www.TheAntiDrug.com.
The Virginia Poison Center recommends that parents take the following steps if they discover that their child has recently been huffing:
1. 2.
Remove the substance from the child and move him or her to fresh air.
Be careful not to alarm or excite the child or create excessive fear. Such reactions could spur an adrenaline rush in the user, exacerbating the effects of the inhalant and possibly even causing an abrupt, fatal change in heart rhythm known as sudden sniffing death syndrome. Strive to remain quiet and calm.
3.
Call the Virginia Poison Center at 1-800222-1222
For help in the Williamsburg area with substance abuse, contact the Historic Triangle Substance Abuse Coalition, which can be reached at (757) 476-5070. Throughout Hampton Roads, help is available through the following Community Services Boards: Chesapeake Hampton Norfolk Portsmouth Suffolk Virginia Beach Williamsburg
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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.
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Solving the Nursing Shortage Continued from page 22 Center for Science and Technology.” In an effort to help with the nursing shortage, the Riverside School of Health Careers, located in Hampton, more than doubled its School of Registered Nursing graduates in 2008 by increasing its session offerings. “We currently have two opportunities for students to come into the RN school and one evening/weekend program, which means we are able to graduate more students than before,” says Tracee Carmean, vice president of education. “Riverside also has over 200 contracts with other schools that come in and use our facilities to help students gain the necessary clinical experience they need to graduate.” John Mashinski, vice president of human resources for Bon Secours Hampton Roads, says that although the health system has its own nursing school—the Bon Secours Memorial School of Nursing in Richmond—it is also committed to supporting other nursing schools throughout Hampton Roads. “We have facilitated active ongoing relationships with the local nursing schools, which includes recently opening 22 slots for a summer externship program for nursing students who have just completed their junior year,” says Mashinski. “We also have a Bon Secours Health Systems Scholarship Program for current employees who wish to pursue careers in nursing.” The employee benefits offered by Bon Secours are one of the reasons why 21-year-old Kathleen Blunn is relocating to Newport News to work at Mary Immaculate Hospital after she graduates
from Mt. Carmel College of Nursing in Columbus, Ohio, this month. “During our senior class meeting, our nursing instructors told us that because the nursing shortage is not much of an issue in Ohio, we should research states where it is an issue when looking for jobs,” says Blunn. “I found out about Bon Secours and flew in to tour the hospital, and I really liked the area. The big selling point was when the nurse manager told me that Bon Secours would help pay for continuing education, because I want to become a nurse practitioner in the next five years.”
establish a federal student loan repayment program for nurses who obtain a graduate degree in nursing and agree to teach full-time at an accredited nursing school for at least four years. The program would repay up to $40,000 in student loans for nurses who obtain a master’s degree and up to $80,000 for those who receive a doctoral degree. In addition, the Virginia Department of Health continues its Nurse Educator loan assistance program. This program addresses Virginia’s critical shortage of nursing educators by providing 10 students annually with loan assistance to pursue Real Ad Mats for Dispenser Use degree in exchange for a post-graduate nursing These newspaper advertisements were specially prepared by Widex. They are designed so that they can be enlarged or reduced by Help and hope on the horizon your local newspaper to fit their space requirements. Insert yourat name, and phone number the area at the bottom of the ads teaching anyaddress nursing school ininVirginia upon (the newspaper will do this for you). completion. In the midst of the troubled economic climate, The state Department of Health Professions has there is some positive news for nursing with the Getbegun establishing a health care workforce recent passage of President Obama’s economic also data center that will focus on collecting supplystimulus bill, which includes $500 million to Real! Real Hearing Aids. Real and-demand data for nurses and physicians. address shortages of health care workers. During Hearing Aids. Real Value. Real Value. “The nursing shortage is so critical that it the 2009 and 2010 fiscal years, $300 million of this funding will go to the National Health Service goes beyond being a state or federal issue and it Corps, a group of dedicated clinicians who provide becomes a societal issue,” says Dr. Barbara Brown, in the com- sounds of primary health care to adults and children in the vice president of VHHA. “People livingEnjoy the refreshing better hearing at a lower cost. to realcommunities of greatest need across the U.S. The munities throughout Hampton Roads need • Excellent sound quality mild to severe ize that personnel remaining $200 million is expected toEnjoy be the used to sounds refreshing of if they want to have health care• For hearing losses at a lower cost. comfortable, available, they need to get involved and•Discreet, may need support nursing diversity scholarshipsbetter as hearing well as lower-cost hearing aids • Excellent sound quality to come up with programs to assist these individunursing faculty scholarships. Funds will• For bemild allocatto severe hearing losses • Discreet, comfortable, lower-cost als in getting their education. I encourage everyone ed for research and may also be used forhearing programs aids to retrain workers displaced from other industries to ask their legislators to consider additional funding to help professional nursing programs. The who wish to work as nurses. people have the power to make a hugeName impact on Dispenser Legislation introduced in March by Reps. Tammy Dispenser Name Address and Phone Number Address and Phone Number HJ Baldwin (D-Wis.) and Tom Latham (R-Iowa) would this health care crisis.”
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Doctors Hospital: Riverside Gets ‘Yes’ for Williamsburg Continued from page 6 Williamsburg area, each time offering to expand its SWRMC facility if more beds were needed. Sentara officials have asserted that adding a new hospital in the Williamsburg market would risk duplication of services and that a small hospital would not be able to provide the breadth of services that SWRMC is able to provide. As part of the latest COPN application, Riverside offered to “close” 60 beds at Riverside Regional Medical Center in Newport News. In addition, an operating room will be closed there. Remley, in her decision, said she was pleased with Riverside’s effort to distribute resources based on community needs. In Remley’s decision, she noted that new COPN criteria that the General Assembly approved last year required her to evaluate the proposed hospital with respect to community access, competition and community support. According to Ramey, Riverside’s application to build Doctors Hospital generated about 2,200 letters of support to the health commissioner. “That’s an outpouring of support that we haven’t seen anywhere else in Virginia.” He says substantial credit is due to Delegate Phil Hamilton (R.-Newport News), whose district includes James City County and who had led the effort to make changes in the COPN process. “Phil’s the hero,” Ramey says. Doctors Hospital, along with medical offices and an assisted living facility, will be located in the Quarterpath at Williamsburg development opposite the entrance to the Kingsmill community. “It’s going to be a stunning development when it’s all done,” says Ramey. “We are very excited and we want to thank the citizens of Williamsburg for their support in our effort to build a new hospital.” HJ
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PREVENTION
Summer Sunnin’
Havin’ a Blast! Because of years of research, we know that too much exposure to the UV rays from the sun or other sources, such as tanning lamps, are harmful to melanocytes, the cells in a person’s skin that produce a brown pigment called melanin. When melanocytes undergo significant damage from too much exposure to UV rays, especially enough to cause blistering or peeling sunburns during childhood, the cells are no longer able to control their own growth and continue to multiply at a fast rate. This can cause a melanoma, or malignant tumor, to develop.
Be responsible.
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the
Health Journal Williamsburg Edition
We’ve done our best to include every health-related practice or service in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.
Emergency Numbers National Responce Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222
Allergists & ENT Allergy & Asthma 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
Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258
Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050
Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900
Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741
Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 4125 Ironbound Rd. Suite 201 Williamsburg (757) 645-9353 Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069 The Spine Center of Williamsburg 219 McLaws Circle Daniel S. Carlson, DC Williamsburg (757) 259-0077 Mark Croucher, DC Williamsburg (757) 259-1122 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 Boxx, Blaney Lachine & Bowe 1118-A Professional Drive Williamsburg (757) 229-5570
Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839
James A. Burden, DDS 277 McLaws Circle Williamsburg (757) 229-1224
Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721
D. W. Cherry, DDS 2225 S Henry St. Williamsburg (757) 253-2500
Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991
Michael J. Coleman, DDS 6969 Richmond Rd. Williamsburg (757) 564-0041
Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444
Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450
Heritage Commons 236 Commons Way Williamsburg (757) 564-4433
Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492
Madison Retirement Center 251 Patriot’s Lane Williamsburg (757) 220-4014
John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181
Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018
Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042
Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000
Peter S. Evans, DDS 120 Kings Way, Ste. 1300 Williamsburg (757) 220-1999
Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Suite 1-A Williamsburg (757) 565-5305
Gisela K. Fashing, DDS 325 McLaws Circle, Suite 1 Williamsburg (757) 229-8991
Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121
Gilbert J. Frey, DDS Lawrence R. Samiere, DDS 1161 Professional Dr. Williamsburg (757) 253-0400
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
Peninsula Williamsburg Cardiology Associates 120 Kings Way, Suite 2500 Williamsburg (757) 565-0600
Lifetime Family Dental 7349 Richmond Rd. Williamsburg (757) 564-8942
Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300
Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900
Tidewater Physicians Multispecialty Group 7151 Richmond Rd., Suite 405 Williamsburg (757) 564-3700
Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620
TPMG Family Medicine 132 Professional Circle Williamsburg (757) 645-2981
K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913
Williamsburg Family Physicians 227 McLaws Circle Williamsburg (757) 564-8182
David G. Walker, DDS 813 Richmond Rd. Williamsburg (757) 229-6278
Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 345-4600
Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692
Fitness & Weight Management
Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200
Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080
Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099
B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801
Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500 Williamsburg Periodontics & Implants 200 Packets Court Williamsburg (757) 221-0249 Walter G. Winneberger, DDS 104 Bypass Rd., Suite 202 Williamsburg (757) 229-6960 Wyatt Orthodontics 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737
Dermatology Dermatology Center of Williamsburg 5335-A Discovery Park Blvd. Williamsburg (757) 645-3787
Joseph W. Musgrave, MD 1139 Professional Dr. Williamsburg (757) 220-2266 Pariser Dermatology Specialists 207 Bulifants Blvd., Suite C Williamsburg (757) 564-8535 Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Diagnostic Imaging Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714
Carol F. Morgan, DDS 1130 Old Colony Ln. Williamsburg (757) 220-6727
Riverside Diagnostic Center 120 Kings Way, Suite 1200 Williamsburg (757) 345-6700
Thomas J. Morris, DDS 491 McLaws Cir., Suite 1 Williamsburg (757) 253-0598
Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000
Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS J. Randall Owen, 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
THE HEALTH JOURNAL
JUNE 2009
Endocrinology 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 Williamsburg Indoor Sports Complex (WISC) 5700 Warhill Trail Williamsburg (757) 253-1947 WJCC Recreation Center 5301 Longhill Road Williamsburg (757) 259-4200
Gastroenterology Colonial Gastroenterology 400 Sentara Circle, Suite 350 Williamsburg (757) 253-5771 Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411 TPMG Willaimsburg Gastroenterology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807 Williamsburg Gastroenterology 457 McLaws Circle, Suite 103 Williamsburg (757) 221-0750
General Surgery Hampton Roads Surgical Specialists 120 Kings Way, Ste. 2800 Williamsburg (757) 345-0141 TPMG Colonial Surgery 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-2071 Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850
Hearing Health Care Centers of Williamsburg 5107-B Center St. Williamsburg (757) 206-1900 Moran Hearing Aid Center 1158-C Professional Dr. Williamsburg (757) 564-5902
Hospice & Home Care Agape Home Care 354 McLaws Circle, Suite 1 Williamsburg (757) 229-6115 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 (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
Hand Surgery
Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451
Robert A. Campolattaro, MD 5208 Monticello Ave., Suite. 180 Williamsburg (757) 253-0700
Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220
Body Balance Studio 370 McLaws Circle Williamsburg (757) 221-0774
Health Products & Equipment
Intrepid USA 212 Packets Court Williamsburg (757) 220-9331
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
Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455
Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620
Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251
Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009
Theraputic Holistic Wellness Care 311 Raven Terrace Williamsburg (757)645-2926
Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225
Hospitals & Clinics
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
Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874
Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737
34
Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555
Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220
Cardiovascular Health, PLLC 117-B Bulifants Blvd. Williamsburg (757) 259-9540
Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670
Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703
New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795
Hampton Roads Neuromuscular and Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052
Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393
Colonial Chiropractic, PC 120 Kings Way, Suite 2100 Williamsburg (757) 258-4500
Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920
Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045
Hatha Yoga Classes 5800 Mooretown Rd. Williamsburg (757) 564-0001
Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440
Chiro Care Plus, PC 3204-A Ironbound Rd. Williamsburg (757) 565-6464
Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521
Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259
Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466
Cardiology
Acupuncture Works, Inc. 362 McLaws Circle, Suite 2 Williamsburg (757) 565-9611
Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414
Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440
Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115
Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913
Chiropractic & Acupuncture
Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804
Family Practice
Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020 Knee Pond Yoga, LLC 4125 Ironbound Rd., Ste. 201 Williamsburg (757) 220-8552 Ladies Workout Express 3709-B Strawberry Plains Rd. Williamsburg (757) 220-2992 The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002
The Daily Shake 6576 Richmond Rd. Williamsburg (757) 221-0228
Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450
Hospital-grade Breast Pumps and Supplies Williamsburg (757) 565-6156
First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141
Hearing & Audiology
Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608
Colonial Center For Hearing 337 McLaws Circle, Suite 3 Williamsburg (757) 229-4004 Hearing Evaluation & Noise Protection Assoc., Inc 1321 Jamestown Rd., Suite 104 Williamsburg (757) 229-4335 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832
R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622
Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722
Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221
Hearing Aids
Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314
Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700
General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100
Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770
Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000
Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411
Beltone/Ledford Audiology & Hearing Aid Center 1303 N. Mount Vernon Ave. Williamsburg (757) 220-8975 Bowers Assistive Hearing Service 113-L Palace Lane Williamsburg (757) 220-3674
MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627 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 Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900 Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000 Travel Health of Williamsburg 287 McLaws Cir., Suite 2 Williamsburg (757) 220-9008
Hypnosis
La Leche League of Virginia Williamsburg (757) 220-9187
Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590
Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250
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
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
Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182
The ARC of Greater Williamsburg 202-D Packets Ct. Williamsburg (757) 229-3535
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 Willaimsburg 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 Williamsburg Neurology PC & Sleep Disorders Center 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110 Sentara Neurology Specialists 400 Sentara Circle Williamsburg (757) 345-4950
Non-Profit Organizations Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272
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
Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890 FISH 312 Waller Mill Road Williamsburg (757)220-9379 Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070
Orthopedics & Sports Medicine Tidewater Orthopaedic & Spine Specialists 5208 Monticello Ave., Suite. 180 Williamsburg (757) 253-0700 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-5870
Plastic & Cosmetic Surgery
Spas & Massage
Pain Management
Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022
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
Podiatry 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 Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064 Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996 The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-7546 Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637
Prosthetics & Orthotics 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
Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645
Ophthalmology
Ukrop’s Pharmacy 4660 Monticello Ave. Williamsburg (757) 564-0471 6610 Mooretown Rd. Williamsburg (757) 564-9315
Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000
Walgreens Pharmacy 1309 Richmond Rd. Williamsburg (757) 229-0962
Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
Wal-Mart Visit www.walmartpharmacies.com for local listings.
Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 229-1331
Williamsburg Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041
Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500
Physical Therapy & Rehabilitation
Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236
Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375
Optometry
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 Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660 Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020 Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222
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 Anne K. Sullivan, Ed 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400
Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050
Peninsula Plastic Surgery Center 324 Monticello Ave. Williamsburg (757) 229-5200 Plastic Surgery Center of Hampton Roads 4374 New Town Ave., Ste. 205 Williamsburg (757) 873-3500
Tidewater Pain Management 4125 Ironbound Rd. Williamsburg (757) 258-2561
Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460
Sleep Disorders Center at Williamsburg Neurology 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
Virginia Orthopedics & Sports Medicine 5335-B Discovery Park Blvd. Williamsburg (757) 253-0603 400 Sentara Circle, Suite 320 Williamsburg (757) 345-4500
Tushar U. Gajjar, MD 400 Sentara Circle Williamsburg (757) 345-4400
Sleep Disorders & Pulmonology
Aesthetic Center for Cosmetic & Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg (757) 345-2275
Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200
Eye 2 Eye 1147-A Professional Dr. Williamsburg (757) 259-2300
DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775
Williamsburg Physical Therapy of Norge 7191-A Richmond Rd. Williamsburg (757) 345-0753
Target Pharmacy 4630 Monticello Ave. Williamsburg (757) 564-9835
Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687
Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300
Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907
Rite Aid Pharmacies Visit www.riteaid.com for local listings.
Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900
Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
BikeWalk Virginia P.O. Box 203 Williamsburg (757) 229-0507
Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383
Ali Aziz, MD 481 McLaws Cir., Ste. 1 Williamsburg (757) 229-9286
American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228
Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362
Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020
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 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. Sulivan, 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
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 Illusions by Marcus 374 McLaws Circle, Ste. 1 Williamsburg (757) 253-7790 Jamestown Therapeutic Massage 4608 Yeardley Loop Williamsburg (757) 784-8093 Jana Roselynn Laird, NCTMB 120 Kings Way, Ste. 2100 Williamsburg (757) 846-5707 Mahalo Med Spa 5207 Center St. Williamsburg (757) 608-7546 Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020 Refresh! Center for Massage & Healing 7151 Richmond Rd., Ste. 302 Williamsburg (757) 345-2457
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 Willaimsburg 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? For advertising, call:
757-645-4475
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 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
Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853
Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111
Rheumatology
Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061
Arthritis & Rheumatic Diseases, PC 329 McLaws Circle Williamsburg (757) 220-8579
Narcotics Anonymous (757) 875-9314
Families Anonymous Toll-Free: (800) 736-9805
THE HEALTH JOURNAL
JUNE 2009
35
JUNE 2009 COMMUNITY CALENDAR
Special Events
Support Groups Abortion NN “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 a.m. Call for location 886-6364 After-Abortion Help Line: 886-6364 Alanon United w Williamsburg Methodist Church Mondays, 8 p.m.
w Williamsburg Baptist Church Saturdays, 8 p.m. (888) 425-2666 United w Williamsburg Methodist Church
Tues. & Thurs., 2-3 p.m. Thurs. 8-10 p.m. 229-1771
w Women of the New Frontier Williamsburg United Methodist Church Thursdays, 2 p.m. 253-8764 or 872-6740
w Ala-teen and Pre-Ala-teen Williamsburg Presbyterian Church, 1st Floor Tuesdays, 8 p.m. 229-6493
Alcohol & Drug Recovery Bethel Restoration Center w Mondays, 7 p.m. 220-5480
w Adult Children of Alcoholics Williamsburg United Methodist Church Wednesdays, 8 p.m. 565-1839
Discovery Group w Women’s Spirit Works
5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. 564-0001
w Spirit Works
5800 Mooretown Rd. Thursdays, 2:30 to 4 p.m. 564-0001
H Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. 826-5415
Breast Cancer Cancer Care Center NN Riverside 2nd Thursday, 7 to 8:30 p.m. 594-4229
Endometriosis NN Mary Immaculate Hospital 3rd Wednesday, 7 p.m. 886-6700
NN 2nd Presbyterian Church
NN Mary Immaculate Hospital
NN Morningside Assisted Living
H Sentara Careplex Hospital
Fibromyalgia w Williamsburg Library 2nd Tuesday, 1 p.m. 879-4725
River Convalescent NN James Center
w Call for location
1st Tuesday, 7 p.m. 833-5298 Call for dates/times 890-0905
Support Group w Parent Bacon Street
Mondays, 6 to 7:30 p.m. 253-0111
Alcoholics Anonymous Meetings daily w Call for times/locations 253-1234
H Riverside Behavioral Health Fridays, 8 to 9 p.m. Sundays, 10 to 11 a.m. 827-1001
Immaculate Hospital NN Mary Sundays, 9 a.m. Tuesdays, 7 a.m. Wednesdays, 5:30 p.m. 886-6700
Alzheimer’s Disease H Immaculate Conception Church 2nd Monday, 1 p.m. 873-0541 Assisted Living w Morningside 3rd Wednesday, 2 p.m.
345-6977
Village at w Dominion Williamsburg
3rd Thursday, 2 p.m. 258-3444
NN Mary Immaculate Hospital
4th Tues., 10:30 a.m. to noon 886-6700
1st Monday, 1:30 p.m.
258-4540
Breastfeeding H La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. 766-1632 or 224-8879
NN The Chesapeake
3rd Tuesday, 1 p.m. 223-1695
Centered Resources NN Family 3rd Thursday, 1:30 p.m.
596-3941
M., W., Thurs., 10 a.m. 984-7299
2nd Tuesdays, 1 to 3 p.m. Registration required 221-7272
Arthritis NN Mary Immaculate Hospital 4th Tuesday, 10:30 to noon 886-6700 Autism NN Christ United Methodist Church 2nd Monday, 7 to 9 p.m. 713-1148
Cancer H Sentara Careplex Hospital Call for time/day: 827-2438
Last Thursday, 7 to 9 p.m. 220-1137
Colorectal Cancer H Sentara Careplex Hospital 3rd Wed., 1 to 2:30 p.m. 736-1234
Bereavement H Sentara Careplex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. 736-3628
Crohn’s Disease and Colitis H Sentara Careplex Hospital 1st Floor, Conf. Rm. A 1st Saturday 736-1234
w 1769 Jamestown Rd., Ste. 212 221-0505
Hospice House
w 2nd Monday, 7 p.m.
Depression/Bipolar Disorder H St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. 247-0871
258-5166 or 229-4370 Mary Immaculate Hospital
NN 1st & 3rd Thurs., 7 p.m. 886-6700
Immaculate Hospital NN Mary Mondays, 7 p.m.
Y Support groups for parents who have lost a child St. Luke’s United Methodist Church 1st Mondays, 7:30 p.m. 886-0948 or 930-1636
886-6700
Diabetes NN Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. 886-6700
Hospice NN Heartland Mondays, 10 a.m. to noon 594-8215
w Sentara Williamsburg RMC Call for day and time 984-7106 or 984-7107
NN Bereavement/Grief NN Riverside Hospice
H Sentara Center for Health
12420 Warwick Blvd. 2nd Thursday, 7p.m. 594-2745
and Fitness 3rd Wed., 4 to 5 p.m. 827-2160
Beyond Boobs! group for young w Support women w/ breast cancer 566-1774
NN Mary Immaculate Hospital 3rd Tues., 1 p.m. 886-6700
w For post-menopausal women 1st Mon., 1:30 p.m. Call for location 258-4540
NN Type 1 Group/ Riverside
Regional Medical Center 4th Tues., 2 p.m. Alternate months Feb.–Oct., 534-5050
Brain Injury Rehabilitation Institute NN Riverside Wednesdays, 3:30 p.m. 928-8327
NN Type 2 Group/ Riverside
Communication Group NN Cognitive Riverside Rehabilitation Institute
Diabetes-Insulin Pump NN Riverside Hospital 4th Tuesday, 7 p.m. 534-5050
4th Wednesday, 4:30 p.m. 928-8050
JUNE 2009
NN
H TOPS
(Take Off Pounds Sensibly) Hope Lutheran Church Fellowship Hall 1112 Todds Lane Every Monday at 5:45 p.m.
Regional Medical Center 3rd Tues., 2 p.m. 534-5050
Newport News
P
4 Thursday Family Focus program of the Colonial Services w The Board will present a six-session workshop from 6 to 8 p.m. at the James City County Community Center. This workshop is for parents and caregivers interested in learning ways to improve their child’s behavior. The cost to attend is $20 plus a $14 materials fee. Call (757) 566-9777 for more information.
H TOPS
(Take Off Pounds Sensibly) First Christian Church 1458 Todds Lane Every Thursday at 6:00 p.m.
Y Young Adult Cancer
Survivors Group Call Connie Slayton for times and locations (800) 866-4483
16 Wednesday Croke, RN, coordinator for Sentara Living, w Peggy will present “Tips to Avoid Financial Abuse” from 10 a.m. to 11:30 a.m. in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center. This talk is part of the free Sentara Living program for seniors. Call 1-800-SENTARA to register.
(Take Off Pounds Sensibly) St. Mark’s Methodist Church 99 East Mercury Blvd. Every Thursday at 8:30 a.m.
Riverside Regional Medical NN Center 1st & 3rd Thursday, 6 p.m. 594-2624
Chronic Fatigue Syndrome NN Mary Immaculate Hospital 1st Thursday, 7 p.m. 886-6700
w Kings Way Church
THE HEALTH JOURNAL
H TOPS
Sentara Williamsburg RMC
Connections Program w Family 263 McLaws Circle, Suite 203
Hampton
FITNESS & WEIGHT MANAGEMENT NN TOPS (Take Off Pounds Sensibly) St. Mark’s Methodist Church 28 Hopes Road Every Wednesday at 9 a.m. 1-800-932-8677 Rick Booker (757) 850-0994
w Yorktown Room
Forest NN Warwick 2nd Thursday, 7 p.m. 867-9618
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3rd Tuesday, 7 to 8:30 p.m. 594-1939
2nd Friday, 10 a.m. 595-2273
w Children of Families at Risk Spirit Works 5800 Mooretown Rd. Call for day and time 564-0001
3rd Wednesday, 7:30 p.m. 874-8328
H TOPS
(Take Off Pounds Sensibly) Fox Hill Road Baptist Church Fellowship Hall 335 Fox Hill Road Every Monday at 6:30 p.m.
5 Friday Colonial Virginia Chapter of the American Red w The Cross will hold a blood drive from noon to 6 p.m. aboard the Bloodmobile in the parking lot of First Med, located at 312 Second Street.
w TOPS (Take Off Pounds Sensibly)
Olive Branch Christian Church Fellowship Hall 7643 Richmond Road Every Tuesday at 9:45 a.m.
6 Saturday Williamsburg Boat Club will host a free Learn to w The Row class from 9 a.m. to noon at the Chickahominy Riverfront Park. Call (757) 220-0321 to register.
Gluten Intolerance w Monticello Ukrop’s 4th Wed., 6:30 p.m. 564-0229
8 Monday with children ages seven and under are invited w Dads to attend the Dads Making a Difference playgroup held weekly from 6 to 8 p.m. at York River Baptist Church, 8201 Croaker Road. Activities include interactive play, music, dancing, crafts and fellowship. This series is sponsored by Family Focus, a program of the Colonial Services Board. Call (757) 566-9777 for more information.
Hearing Loss w Hearing Loss Association Meets Bi-monthly, Sept.-June 564-3795 Heart Disease NN Riverside Regional Medical Center Call for dates/times 875-7880
11 Thursday w The Colonial Virginia Chapter of the American Red Cross will hold a blood drive from 10 a.m. to 4 p.m. at the Williamsburg Community Building, located at 401 N. Boundary Street.
group for women w Support with heart disease
Williamsburg Room at Sentara Williamsburg Regional Medical Center 1st Monday womenheart@aol.com
w WVEC Meteorologists Craig Moeller and Julie Wilcox will discuss hurricane preparedness strategies from 10 a.m. to noon in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center. This talk is part of the free Sentara Living program for seniors. Call 1-800-SENTARA to register.
Huntington’s Disease NN Mary Immaculate Hospital 3rd Friday, 7 p.m. 886-6700
12 Friday The Colonial Virginia Chapter of the American Red w Cross will hold a blood drive from 11 a.m. to 4 p.m. at the Ford’s Colony Tennis and Swim Club.
Kidney Support Group H Sentara Careplex Hospital, Conference Room B 1st Wednesday, 6 to 7:30 p.m. 244-3923
16 Tuesday Colonial Virginia Chapter of the American Red w The Cross will hold a blood drive from 8 a.m. to noon at Eastern State Hospital, Building No. 4.
Leukemia/Lymphoma H Sentara Careplex Hospital 1st Tuesday, 7 to 8:30 p.m. 827-2438
18 Thursday The Colonial Virginia Chapter of the American Red w Cross will hold a blood drive from noon to 6 p.m. at Towne Bank in New Town.
Lou GeHrig's disease group for patients, w Support family and friends (804) 363-5099 or www.alsinfo.org
19 Friday Hampton Roads Chapter of the American w The Red Cross will hold a community blood drive from noon to 6 p.m. at Squires Everyday Gourmet. Call 1-800-GIVE-LIFE or visit www.weneedblood.org to make an appointment.
Lupus City County Library w James Last Wednesday, 6:30 p.m. 566-1768
Poquoson
w
Williamsburg
Y
Yorktown
JUNE 2009 COMMUNITY CALENDAR
Reliable Delivery, Higher Quality, Better Service.
Support Groups Mental Illness – Family Support St. Stephen Lutheran Church w 1st Tuesday, 7 p.m. 220-8535
Landing w Williamsburg 2nd Monday, 1:30 p.m.
Lamaze Classes for dates/times/location w Call 565-6156
NN Riverside Regional
Mall Walking Club NN Meets at Patrick Henry Mall Call for date/time 249-4301
NN Mary Immaculate Hospital
Planetree Health Resource Library Williamsburg w Sentara Regional Medical Center Open 24 hrs/day 1-800-SENTARA
220-2627
Medical Center 4th Wednesday, 7 p.m. 875-7880
Medical Drive H 500-C Wedenesdays, 6-7:30p.m.
503-0743
Mental Illness – Recovery St. Stephen Lutheran Church w 1st Tuesday, 7 p.m. 220-8535 Behavioral H Riverside Health Center
Pile Conference Room Every Wed., 6-7:30p.m. 224-3104
Church of Christ H Denbigh 1st & 3rd hurs., call for time
850-2279
3rd Wednesday, 1 p.m. 886-6381
PMS
Historic Triangle Senior Center
w 2nd & 4th Wed., 5:30 p.m. 220-0902
Polio H Hampton Rds Post-Polio Group Sentara Careplex Hospital 3rd Saturday, 2 to 4 p.m. 596-0029
Multiple Sclerosis JCC/W Community Center w 2nd & 4th Wednesday 5:30 to 7 p.m., 220-0902
Prostate Cancer H Sentara Careplex Hospital 2nd Tuesday, 7 to 8:30 p.m. 827-2438
for African-Americans H Group Hampton Public Library
Sexaholics Anonymous E-mail for dates/locations hrsa@hotmail.com SIDS Martin’s Episcopal Church w St. 2nd Wed., 7 to 8:30 p.m. 865-2561
1st Thursday, 10:30 a.m. 490-9627
Careplex Hospital H Sentara Conference Room 3 2nd Thurs., 5:30 p.m. 736-1000
Narcotics Anonymous Williamsburg Place w Saturdays, 7:30 p.m. (800) 582-6066 Behavioral Health H Riverside Call for dates/times
827-1001
H Riverside Behavioral Health Call for dates/times 827-1001
New Mothers Sentara Williamsburg RMC w Family Maternity Center Thursdays, 10 to 11:30 a.m. 984-7255 Mark Lutheran Church Y St. Thursdays, 10 to 11:15 a.m.
898-2945
Obsessive/ Compulsive Disorder H Riverside Behavioral Health Pile Conference Room 3rd Thurs., 7:30 to 9:30 p.m. 827-1001 Ostomy Sentara Williamsburg RMC w Meets quarterly 259-6033 Overeaters Anonymous Memorial Church NN Chestnut Mondays, 7 p.m. Thursdays, 11 a.m. 898-3455 Parents of Children w/ Disabilities Martin’s Episcopal Church w St. 2nd Thursdays, 6:30 p.m. 258-0125 James City/Williamsburg
w Community Center
1st Tuesdays, 12 to 1 p.m. 221-9659 or e-mail stuarts@wjcc.k12.va.us
Parents Supporting Parents JCC/W Community Center w Thursdays, 6 to 7:30 p.m. 229-7940 Parkinson’s Disease H Sentara Careplex Hospital 1st Tuesday, 3 p.m. 827-2170
Stroke F. Wilkinson Family YMCA w R. 3rd Wednesday, 4 to 5 p.m. 229-9622
NN Va. Peninsula Stroke Club
Riverside Rehab. Institute 1st Wednesday, 10 a.m. 928-8327
Suicide NN Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. 875-0060
Health Resources Dads Make a Difference w For dads with children age seven and under York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. 566-9777 Free Blood Pressure Screenings Y Senior Center of York Wed., 12:30 to 1:30 p.m. 898-3807
Prenatal Yoga NN Mary Immaculate Hospital Saturdays, 2:15 to 4 p.m. 886-6700 Sentara Living for adults 50-plus Williamsburg RMC w Sentara 10a.m. to noon 1(800)SENTARA Singles Dance NN 128 Deep Creek Rd. 2nd & 4th Sat. 7:30 to 10:30 p.m. 247-1338 Sports Injury Clinic Y Victory YMCA Tuesdays, 5 to 6 p.m. 867-3300
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Walk-in Immunization Clinic w Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. 259-3258 Yoga for Diabetics w Angels of Mercy Clinic Tuesdays, 3 p.m. 565-1700 Williamsburg WalkAbout w JCC/W Community Center Mon., Wed., Fri., 8:30-11:30 a.m. 984-7107
If you and/or your organization would like to list a healthrelated event in the Community Calendar, please e-mail information to
There truly is an alternative! Learn more about our full range of services at www.handcraftservices.com.
Free Health Screenings
info@thehealthjournals.com.
w New Town Urgent Care
Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome 259-1900
Free Yoga for Kids (ages 8-13) Grounds w Sacred Mon., Tues., Wed., 4:30 to 5:30 p.m. 220-8494 Hispanic Parenting/ Playgroup w Wellspring United Methodist Church 1st & 3rd Friday, 10 a.m. to noon (Transportation available upon request) 566-9777 Lackey Free Clinic Y Mondays, 9 to 11 a.m. Thursdays, 5:30 to 8 p.m. 886-0608
Senior Health Fair >>> July 15th between 10 a.m. and 1 p.m. • Blood Pressure • Bone Density • Body Mass Index • Flexibility • Cholesterol Providing Information on exercise, weight management, and activities of daily living
Center for Health & Fitness Your future is in good health
RSVP at 757-766-2658 4001 Coliseum Drive, Hampton, VA 23666 | www.sentarafitness.com
profile
On the Ice or in the O.R., Dr. Anthony Carter is a Contender Interview By Brenda H. Welch Photography By Brian M. Freer
H
is blades are razor sharp, his technique is near-flawless, and his fierce determination to be the best at his game has him approaching each new challenge with gusto. One thing is certain—whether he is in the rink playing ice hockey or in the operating room performing a total hip replacement, Dr. Anthony Carter is in it to win it. An orthopaedic surgeon with Hampton Roads Orthopaedics & Sports Medicine in Newport News since 1995, Carter’s special interests lie in sports medicine and minimally-invasive, tissue-sparing total joint replacements. The benefits of such techniques include less damage and trauma to tissue; less blood loss; less scarring; less pain; and a faster recovery and return to normal activities. Carter instructs nationally on total hip replacements using the muscle-sparing anterior (from the front) approach, and in March 2008, he performed the East Coast’s first anterior-access hip resurfacing procedure. Carter was the first orthopaedic surgeon in Virginia to perform both of these surgeries, and he has been featured in both M.D. News and Outpatient Surgery for his work in these areas. In the summer of 2008, Hampton Roads Magazine recognized Carter as a “Top Doc” in orthopaedic surgery. This busy orthopaedic surgeon, family man and sports enthusiast spoke recently with The Health Journal about life as a “Top Doc.”
ANTHONY cARTER, MD
HJ: When did you first become interested in orthopaedics? What drew you toward becoming a surgeon in this field? AC: Growing up in Boston, I was a huge sports fan and always active in sports. When considering a career, I thought I’d like to deal with athletes, and I like to fix things. I’ve always been kind of a tinkerer. Orthopaedics just made sense. Power tools and athletes—it doesn’t get any better than that. HJ: When it comes to your work, what accomplishment are you most proud of? AC: Being named a “Top Doc” in 2008 by Hampton Roads Magazine. That is voted on by your peers, and peer recognition is kind of special. It made me feel good. It made me feel validated for what I do.
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JUNE 2009
“Being named a “Top Doc” made me feel good. It made me feel validated for what I do.”
HJ: Have you always had an internal push to succeed? AC: I’ve always been an organizer and interested in learning how to do things better. These are exciting times in medicine. There is lots of stuff going on, lots of changes, lots we can do to help patients. I like to look for the next great thing. I have an open mind and am not happy with staying still. I always want to keep moving ahead.
“Power tools and athletes— it doesn’t get any better than that.”
ANTHONY cARTER, MD Age: 47 Hometown: Peabody, Mass. Family: Wife, Allison; son, Zachary, age 21; daughter, Kaitlyn, age 18
HJ: You are an avid hockey player. When did you become interested in the sport? AC: Hockey is one of my biggest passions. I like playing more than watching. I remember when I laced up my first pair of skates. I was a little guy, about six years old. Bobby Orr was big in Boston and I wanted to be Bobby Orr. I grew up skating on the ponds. HJ: What three words do you think your wife and children would use in describing you? AC: Nurturing, involved and excitable. I’m a lot like my dad. I get worked up over things that are important to me, and I use my hands a lot when I get excited about things. HJ: If you weren’t an orthopaedic surgeon, what other career path do you think you would have chosen? AC: I would have been a sports reporter or sports announcer. I would have been on ESPN doing my thing. Those late nights when I’m on call, it definitely crosses my mind now and again. HJ
Education: He received his undergraduate degree from Boston University, graduating summa cum laude. He gained early acceptance into Boston University School of Medicine, graduating with honors and as a member of the medical honor society Alpha Omega Alpha. He completed his internship and residency at New York University/Bellevue Medical Center. Professional affiliations: He is a board-certified orthopaedic surgeon and a member of the American Academy of Orthopaedic Surgeons. He is the chief of surgery at Mary Immaculate Hospital and past dean of the hospital’s Health Academy, a program developed by Mary Immaculate Hospital to provide ordinary community members with an interactive, hands-on, mini-medical school experience. Local volunteer activities: Dr. Carter volunteers with many local high schools and sports leagues, instructing in the prevention and treatment of sportsrelated injuries.
“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.” Sincerely, Mark D. Croucher, DC Member of the Virginia Chiropractic Association; Licensed by the Virginia Board of Medicine
The Spine Center of Williamsburg
A Modern Chiropractic Practice “Life shouldn’t be a pain in the neck…or back.” “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
You’re Just One Click Away From Finding Health Care 259-1122 in Hampton Roads. Busch Corporate Center 219 McLaws Circle, Williamsburg
106305X
www.thehealthjournals.com
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.
P
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
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.
NEWPORT NEWS
WILLIAMSBURG Riverside Healthcare Center 120 Kings Way, Suite 3100 Williamsburg, VA 23185
Middle Peninsula Cancer Center 7544 Medical Drive Gloucester, VA 23061
757-534-5555
757-345-5724
804-693-9037
Riverside Cancer Care Center 12100 Warwick Blvd., Suite 201 Newport News, VA 23601
For more information, please visit our website: www.peninsulacancerinstitute.com
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