The Health Journal October 2009 by The Health Journal

the

Health Journal

Williamsburg Edition

Vol. 5 No. 5

www.thehealthjournals.com

October 2009

The Scoop on

Antioxidants

Also Inside The Skinny on Brown Fat Hemorrhoids: Help for the Hurt Enter Our Recipe Contest!

New Name. OSC SpineNew SpecialistsLook. Expertly Treat Neck & Back Nerve Problems OSSMS of Hampton Roads is now...

Our Fellowship-Trained Spine Specialists treat all nerve-related problems of the spine and understands the impact these disorders can have on your musculoskeletal system, balance and limb function. The skilled physicians of Orthopaedic & Spine Center can quickly diagnose and treat these conditions with the most advanced medical and surgical

To better represent all we have to offer you, and lumbar Of course, our practice will continue to incorporate treatments available, including cervical disc replacements. OSSMS will now be known as Orthopaedic & Spine Center. We are proud to be the region’s premier if you suffer from: provider for Orthopaedics and Sports Medicine.

• • • • • •

the latest medical innovations and techniques in both orthopaedic and spine surgery to improve the quality of life for our patients. Rest assured, we will

Pinched Nerves

Our group includes the only two fellowship trained Radiating Pain in Your Arm or Leg Orthopaedic Spine Surgeons on the Peninsula.

continue to offer the same comprehensive, thorough and personal care you have come to expect from us, Spinal Stenosis (narrowing of the spinal column) but with a new name and look.

Herniated Discs Spinal Fractures or Trauma Spinal Tumors

Experience Excellence

We can help! Give us a call for a consultation with our advanced spine care team, providing your continuum of care from Physical Therapy to Surgery. Experience Excellence at OSC!

The OSC Spine Care Team Fellowship-Trained Spine Surgeons

OSC COmmuNiTy LECTurE SEriES – OCTOBEr 2009

your Painful Shoulder:

The Latest Advancements in Treatment Join Dr. Martin Coleman for an informative talk about the latest treatments for shoulder pain. From repairing rotator cuff tears to Jeffrey R. Carlson, M.D. Mark W. McFarland D.O. reverse shoulder replacement, Dr. Coleman will explain how modern science allows Fellowship-Trained interventional Pain management Specialists doctors to successfully treat almost any shoulder problem. Educational literature will be provided, as well as delicious refreshments. Bring a friend! Please RSVP. We provide complete orthopaedic care. Robert J. Snyder, M.D. Raj N. Sureja, M.D.

Jeffrey R. Carlson, M.D.

Edward P. Petrow, Jr., D.O. Jenny L. Andrus, M.D.

�� Open MRI Center Experience Excellence

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

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757-596-1900 1-877-202-9130

On the Cover The Scoop on

Antioxidants

Antioxidants such as vitamin E, shown on this month’s cover, and its cohorts A, C and others like zinc and selenium, may offer protection against diseases by neutralizing damaging free radicals. The scientific conundrum, though, is that studies often contradict one another as to the true benefits of antioxidants. Get the whole scoop, starting on page 22.

Inside october 2009

6 features Help for the Hurt | 6 A Williamsburg practice offers a new, less painful treatment for hemorrhoids, an uncomfortable condition that affects nearly half of U.S. adults.

IN EVERY ISSUE Detox Diets: Healthful or Hazardous? | 20

Letter from the Editor | 4

Area dieticians disclose their opinions about controversial cleansing diets.

The Skinny on Brown Fat | 15

Fighting This Year’s Flu | 30

Not only does this wonder fat linger long into adulthood—contrary to what scientists once believed—it is still active in most of us.

Terrina Thomas of Optima Health answers some frequently asked questions about the seasonal flu as well as the newer H1N1 strain.

The Alexander Technique | 16

She’s Found Her Calling | 42

You just might be surprised at what this century-old practice can do for your mental and physical well-being.

The road to success has been perilous for physical therapist Anna Dube. Learn how an almost fatal accident inspired her to help others reach their full potential.

To advertise, call 757-645-4475

THE HEALTH JOURNAL

October 2009

LETTER FROM THE EDITOR the

Health Journal Williamsburg Edition

photo by Brian M. Freer

ith the holidays just around the corner, I’m looking forward to two things: spending time with family and enjoying good food. Even though our family traditions have changed since I was a kid—we typically spend Thanksgiving with Brian’s family in Chicago and Christmas in Williamsburg—I always think back to childhood holidays spent in Norfolk with my paternal grandmother, Natalie, who, as you may recall from an earlier column, passed away in June just before her 90th birthday. Grandma Natalie, a graduate of Maury High School and longtime member of Talbot Park Baptist Church, was a wife, mother, grandmother and finally, just in time to hear the joyous news, a great-grandmother. She was also a dynamo in the kitchen. Every Thanksgiving she prepared plenty of the traditional fare—a turkey, stuffing and rolls—but it was her signature dessert that we always anticipated with watering mouths and growling stomachs. Known simply as Grandma Natalie’s Cranberry-Apple Casserole, the dish called for crisp red apples, plump fresh cranberries, a custom granola topping, and golden brown sugar—lots of it. The dessert was such a hit that, even long after my parents separated and Grandma Natalie grew too ill to entertain guests, my mother kept up the tradition by making that casserole year after year. To this day it’s a mainstay on her dinner table or buffet, and not just on special occasions—though she’s made a few healthful modifications to the recipe, such as using a brown-sugar substitute. Some of the best recipes come from family kitchens. That’s why The Health Journal is asking readers to send us their healthy holiday recipes, whether they’re original creations or healthy spins on classic dishes. Perhaps your inspiration will come from having a family member with special dietary needs (e.g., the result of a food allergy or diabetes) or from a recent pledge to eat more local or organic meats and produce. Or, maybe reduced-fat pumpkin pie is part of your plan to avoid the five to 10 pounds most Americans put on during the holidays. Whatever the reason behind the recipe, we want to hear about it. Turn to page 32 in this month’s edition for more details on how you can enter to win either $100 cash or a gift certificate for dinner for two and a chance to be featured (with your recipe, of course) in an upcoming issue. There will always be cooks like my mom, who, years ago, resolved to secretly incorporate more vegetables into her children’s diets. She still recalls (and now laughs about) the crestfallen expressions on the faces of eight little children when she served a special birthday party treat—a whole-wheat carrot cake (shredded carrots visible) topped with low-fat yogurt icing. And she’s still up to her tricks. For my husband’s recent birthday, Mom whipped up a special dessert just for him: mini chocolate bundt cakes with shredded zucchini packed inside. But, to her credit, Mom was onto something even back then. And Grandma Natalie was, too, with her cranberries and apples. This month’s feature story explores the latest news on antioxidants—substances most plentiful in fruits, vegetables and (thank goodness) red wine—and their role in the prevention of disease. Study results are mixed: many show health benefits from antioxidants while others suggest either no benefit or, in some cases, adverse effects. But all in all, most experts agree on two key concepts: that antioxidants stand to do us more good than not, and that food, not supplements, remains the best source for getting them. So, eat up. And don’t forget to send in your special recipe. I just might share mine.

Publisher

Brian M. Freer Executive Director

Rita L. Kikoen Editor

Page Bishop-Freer Associate Editor

Beth Shamaiengar Medical Editor

Ravi V. Shamaiengar, MD Administrative assistant

Danielle Di Salvo Sales Executives

Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs

Natalie Monteith Jean Pokorny PhotographY

Brian M. Freer Page Bishop-Freer Contributing Writers

Brandy Centolanza Emily Clark Gregory Epps Alex Guillen Gayle Jackson, CPT Omar Manejwala, MD Raj Sureja, MD Terrina Thomas Brenda H. Welch 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:

Page Bishop-Freer, Editor

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

page@thehealthjournals.com

THE HEALTH JOURNAL

October 2009

www.thehealthjournals.com

INBOX Kudos “I enjoy your Health Journal, but this month’s edition [Sept. 2009] was particularly enlightening and useful. I know many people have asked the question about whether to go to an urgent care facility or the emergency room [p. 14]. The calories and fat content comparison [p. 37] was interesting, if a bit depressing. The article on teen athletes [p. 38] hit close to home, although my son is only eight. I could go on. Good job!” Chris N., Newport News

Pilates

program were excellent. However, the meals were not. Vegetables were routinely overcooked. The canned fruit served was obviously a cheap variety. Toast was routinely soggy. Perhaps your staff should go down and eat with the patients to see what it’s like.” Marguerite N., Williamsburg

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“Your Journal is an excellent tool for getting health information out to our community.” Sherry B., Newport News

Health Directory “I have found your Journal very helpful since I began receiving it some time ago. The article on urgent care in the latest edition [Sept. 2009] was interesting and useful. However, it could be enhanced if your Health Directory included a list of urgent care centers with location, phone numbers, hours, etc. Is there a reason why such a list is not there? Thanks again.” Felix D., Hampton Roads Ed.: Our Health Directory does include such a list. Local urgent care facilities are listed under “Hospitals and Clinics.” Each location’s address and phone number are included free of charge. The Health Journal is completely subsidized through paid advertising, which allows us to provide the publication free to over 81,000 homes and businesses each month. In our view, also listing a practice’s hours of operation would border on free advertising.

Circulation “We have come across a copy of The Health Journal. We would love to have copies of these sent to our office so our clients and employees could enjoy reading it. How do we go about doing that? Renee B., Newport News Ed.: Any business wishing to receive copies for display can call our office at (757) 645-4475.

Miscellaneous

“I must take exception to a certain nursing home recently advertised in your publication. My husband spent two weeks there last year. The physical therapy and rehab

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

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

See What Matters Learn more about BSGI at www.dilon.com

LOCAL BEAT

New Help for Hemorrhoids

Sentara Ranked on InformationWeek 500 InformationWeek magazine has listed Sentara Healthcare 21st on its “2009 InformationWeek 500,” an annual rating of the nation’s 500 most innovative users of business technology. The recognition reflects Sentara’s implementation of eCare, a comprehensive electronic medical record system, which began in 2008 and is expected to be complete next year.

Infrared Treatment Quick, Less Painful

Senior Charity Appoints Local Director The Twilight Wish Foundation, which grants wishes to disadvantaged seniors 68 years and older, has appointed Georgette Thourpe as regional director of the organization’s Hampton Roads chapter. Thourpe, who has 30 years’ total experience in the health care field, is currently the office administrator for Senior Helpers in Williamsburg.

YMCA Helps Teens Kick the Habit The American Lung Association has chosen eight local YMCA locations to host its free 10-week “Not on Tobacco” (NOT) program for teens, which is funded by the Virginia Lung Association. For more information, contact your local YMCA branch at (757) 247-YMCA.

New Director for Sentara Foundation Meril Amdursky, CPA, has been named executive director of the Sentara Health Foundation, an organization dedicated to fulfilling the medical needs of the Hampton Roads Community. Among its achievements, the foundation started the region’s first mobile dental clinic and helped create the Minority Health Coalition of South Hampton Roads.

Guide Says “Buy Fresh, Buy Local” Buy Fresh, Buy Local Hampton Roads— a movement promoting locally grown food—has created a consumer’s guide to local farm and seafood products (as well as the restaurants that serve them). The free guide will be distributed this fall at local farm stands and farm markets and is available online at www. buylocalvirginia.org.

Free Flu Shots for Those with MD Walgreens stores have teamed up with the Muscular Dystrophy Association to offer free seasonal flu shots (and the H1N1 vaccine when available) to people who have muscular dystrophy and related diseases. Call 1-800-WALGREENS or visit www.Walgreens.com/flu for further information.

THE HEALTH JOURNAL

Dr. Mark Moniz (above) and fellow surgeons at Williamsburg Surgery, PC, began offering infrared coagulation for the treatment of hemorrhoids last year and have since seen remarkable results.

Written By Alex Guillén Photography By Brian M. Freer

emorrhoids are an uncomfortable topic—literally. They are painful and appear in an embarrassing part of the body, and the treatments often take time and great amounts of discomfort to heal. In the past several decades, however, a new treatment has emerged, first overseas and more recently in the United States: infrared coagulation, or IRC. Hailed as non-invasive and less painful than other surgical

October 2009

options, IRC has become a popular alternative outpatient procedure for the treatment of hemorrhoids. Williamsburg Surgery, PC, a practice of Sentara Medical Group, began offering the procedure last October, and doctors have since seen good results. Hemorrhoids occur when veins in the rectum swell inside the anal cavity, causing itching, soreness and some bleeding. Although painful, the condition is typically not dangerous or lifethreatening—and it’s fairly common. Fifty percent of Americans have hemorrhoids by age 50, according to the American College of Gastroenterology, but only five percent of sufferers seek medical treatment. There are two types of hemorrhoids: internal and external. Internal hemorrhoids form inside the anal opening, while external hemorrhoids obtrude outside the anus, forming lumps that can be painful to touch. Many hemorrhoids are so small as to cause no problems whatsoever, going undetected in a large percentage of people. The condition is graded on a fourdegree scale, with first-degree hemorrhoids remaining completely internal and fourth-degree hemorrhoids large enough that they cannot be internal. Hemorrhoids typically form because of low-fiber diets that require strenuous bowel movements. However, abdominal pressure can spark the condition, which is common among pregnant women and weight lifters. Common treatments for hemorrhoids range from simple solutions for minor occurrences, like a high-fiber diet and over-the-counter steroid creams, to more invasive surgical procedures such as rubber band ligation (when a band is used to cut off blood flow to the inflamed tissue, allowing it to subsequently wither); injection therapy (to collapse the hemorrhoid); and the most serious alternative, hemorrhoidectomy (in which the vein is surgically removed). Infrared coagulation was first de

www.thehealthjournals.com

LOCAL BEAT veloped in 1977. It steadily became more popular over time and has become a sought-after alternative—it’s a low-impact procedure with few risks and high efficacy. Essentially, short bursts of infrared light are applied to the hemorrhoid, heating it and forming clots which seal the

treatment. The results of a 2007 study published in Diseases of the Colon and Rectum compared hemorrhoid treatments and found that there were few complications with IRC and that significantly fewer patients experienced pain during recovery than after other procedures. A 2008 article in the Bra-

Fifty percent of Americans have hemorrhoids by age 50, according to the American College of Gastroenterology, but only five percent of sufferers seek medical treatment. tissue and eventually obliterate the lump. “In effect, what you do is cut the blood supply to the hemorrhoid plexus of veins; they decrease in size and then that usually alleviates the patients of their symptoms,” says Dr. Mark P. Moniz, one of the surgeons at Williamsburg Surgery, PC, who performs the procedure. “It’s the same principle as we use in the operating room with our electrocautery devices; using electricity causes the destruction of the tissue and then the vessels clot and [stop bleeding].” As IRC became more popular across the U.S., doctors at Sentara heard about it. They had been looking for a new treatment, Moniz explains, one that could be performed in a doctor’s office instead of a surgical suite and offered quality results and a fast recovery time. “One of my partners came across this technology and discussed it with the rest of us, and we decided it was a good thing to try, so we’ve been offering it ever since,” Moniz says. It was a simple procedure for Williamsburg Surgery’s doctors to learn— all it takes is shining a light on the affected area for a predetermined amount of time. “The [best] thing about the equipment is that it’s almost fool-proof,” Moniz says. Risks and side effects of IRC are low, a marked difference from the alternative surgical treatments. Says Moniz: “The risks are pretty minimal because the light is on a timer. There’s always the risk that you can have some temporary urinary retention [the inability to urinate]. You can have some mild bleeding or discomfort, but there is no real risk of perforating the rectum.” Medical journals from around the world have published studies for years reaffirming the effectiveness of IRC

zilian Journal of Medicine concluded that patients treated with infrared coagulation experienced far less pain with equal results. IRC has proven to be effective for patients at Williamsburg Surgery, too, where Moniz estimates some 30 or 40 patients have received the procedure since the practice began offering it last year. “It’s been very effective,” he says.

“The patients that we’ve seen back have been very happy. All of [their] symptoms have resolved with little to no discomfort. Following the procedure, many were able to make it back to their normal activity either the same day or within 24 or 48 hours. Even the people who required more than one application of the infrared coagulation seem to be happy with the results.” Moniz notes that infrared coagulation’s effectiveness, combined with the quick recovery time, makes it an excellent treatment option for hemorrhoid sufferers. “The thing that we try to emphasize to the primary care physicians who refer to us is, this is something that we can do during a patient’s initial visit, so it’s not only effective but very convenient for the patients, and they seem to tolerate it very well,” Moniz says. “Once we see them during the initial consultation, if we feel they’re a candidate, it’s something we can do right away in the office. It only takes a very short amount of time, maybe five or 10 minutes. And they’re able to go home.” HJ

To advertise, call 757-645-4475

Research Center Seeks Senior Subjects for Alzheimer’s Trial The Center for Excellence in Aging and Geriatric Health, located in Williamsburg, is seeking participants for a clinical trial studying new medications for the treatment of Alzheimer’s disease. Participants may be compensated for time and travel. Call (757) 220-4751 for more details.

Williamsburg-area Chiropractors Merge Offices Performance Chiropractic has merged with Colonial Chiropractic, creating one of the largest chiropractic offices in the Williamsburg area and offering expanded services such as massage therapy, rehabilitation, sports medicine and acupuncture. A third chiropractor, Dr. Haley Lauckern, will join the practice as well.

TNCC Warhill Campus Now Open On Sept. 25, college officials and community leaders celebrated the opening of Thomas Nelson Community College’s new Historic Triangle campus at 4601 Opportunity Way. The new campus will offer an array of health curricula including emergency medical services, nursing and dental hygiene.

Williamsburg Hospital Launches e-Care Last month Sentara Williamsburg Regional Medical Center was the fifth Sentara hospital to go live with the health corporation’s electronic medical record system, e-Care, in a move to phase out paper medical charts. Sentara CarePlex Hospital in Hampton and Sentara Obici Hospital in Suffolk will soon follow suit. Over 6,000 Hampton Roads residents are currently using the consumer component of e-Care, called MyChart, an online portal that allows patients to view test results, schedule appointments, refill prescriptions and ask questions. (Read The Health Journal’s coverage of local efforts towards a paperless medical environment in “Paperless Progress” [July 2009], online at www.thehealthjournals.com.)

Capture the Moment, Support a Good Cause A Photography Fundraiser to benefit the Riverside Foundation’s Cancer Care Services Endowment Fund will be held Oct. 10–15 at Peninsula Cancer Institute, 120 Kings Way in Williamsburg. Drop by between 8 a.m. and 5 p.m. to schedule a 15-minute photography session that includes one 5x7 print and the option to order additional prints. Cost is $25, with half of the proceeds benefiting the Foundation’s fund.

THE HEALTH JOURNAL

October 2009

SNAPSHOTS

Dr. Lisa Marie Samaha and her team at Port Warwick Dental Arts have chosen two Hampton Roads residents as the winners of the practice’s first ever Smile Makeover Contest. Starting this month, Terri Cane of Williamsburg and Michael Boyd of Hampton will each receive tens of thousands of dollars worth of life-changing dental treatments. Front row: (left to right) Noah Cane and mother Terri Cane, Dr. Lisa Marie Samaha, Michael Boyd. Second row: (left to right) Port Warwick Dental Arts team members Eliza Richardson, Lisette Bunting, Abby Sharpe, Renee Smith and Maria Luinetti; relatives of Michael Boyd.

Bon Secours Hampton Roads is offering health care services to the uninsured through the Care-A-Van, a mobile clinic that visits select Newport News churches—Calvary Chapel and First Baptist Church East End—the second and fourth Wednesday of every month. Services offered include immunizations, routine exams and treatment for common illnesses.

During a luncheon hosted by Child Development Resources, Amanda Gada (left) and Leslie Skinner (right), co-chairs of The Vineyards 5K race to benefit CDR held in Williamsburg in August, presented John Herrin (representing The Vineyards community) with “an award of appreciation.”

The committee members for the 2009 Memory Walk Williamsburg to benefit the Alzheimer’s Association are busy preparing for the Nov. 7 Walk, which will begin at the Williamsburg Community Building. (See our Calendar for details on the Southside and Peninsula Walks scheduled for October.) Back row, from left to right: Ed Golden; Bob Bruce; Blair Lawson; Dana Gieger; Walk Chair Marjorie Hilkert; Douglas Panto. Front row, left to right: Lisa Chapin; Christine Jensen, Ph.D.

5,6

(5) Catesby Jones (left), founder of Peace Frogs clothing and gifts, presents a check for $2,176.78, raised through the company’s annual “Peace Frogs Bank to Bank Swim,” to Allison Brody, director of development at Child Development Resources in Williamsburg. (6) The Williamsburg Area Association of Realtors (WAAR) raised $2,500 for Child Development Resources during its 11th Annual Golf Tournament. Far left, Paul Scott, executive director of Child Development Resources, and far right, Frank Hughes of WAAR.

On Sept. 12, two students from Walsingham Academy—Kaleigh Earle and Katie Brown—led the school’s third annual “Catwalk for the Cure” fashion show to benefit local breast cancer support and advocacy group Beyond Boobs! Here, Earle and Brown meet with Beyond Boobs! co-founder Rene Bowditch (right) to discuss plans for the show. Bowditch frequently visits hospitals and cancer clinics dressed as “The Good Health Fairy” to bring cheer to patients.

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

8,9,10

Representatives from local health and medical providers gathered at Mary Immaculate Hospital for the first of three Bon Secours Senior Fest health expos. (8) A staff member from home health care agency Visiting Angels lives up to the company name; (9) Physician Liaison Shannon Woods of Orthopaedic and Spine Center (left) and colleague greet seniors with a smile; (10) Terry Whitaker of Virginia Health Rehab (right) and Kristin Massey of Virginia Health Services pose for a picture.

Daniel Oostra

Send Your Health Snapshots to: page@thehealthjournals.com

To raise awareness about the Lackey Free Clinic, last month the clinic’s staff, along with Hampton University pharmacy interns, informed Yorktown residents about the clinic’s Pharmacy Connection program, which provides the uninsured with vital medications.

Community leaders met at the James City/Williamsburg Community Center on Sept. 23 to celebrate the launch of the Network of Care website (www.gwcac.va.networkofcare.org), an online resource designed to meet the behavioral health needs of area youth by matching families with providers. The site, developed by Trilogy Integrated Resources, LLC, will be managed by the Colonial Services Board and staff of the Greater Williamsburg Child Assessment Center. (Left to right): Leigh Carroll-Stump, GWCAC coordinator; Kathy Sternbeck, trainer, Trilogy; David Coe, CSB executive director; Rene Cabral-Daniels and Paulette Parker, both of the Williamsburg Community Health Foundation. October 2009 8 THE HEALTH JOURNAL

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HEALTH IN HISTORY

Hemlock, Lizards, Mercury and Arsenic:

Early Cancer Treatment a Tough Pill to Swallow Written By Brandy Centolanza

hile medical advances have led to better treatments (and in some cases, cures) for certain diseases that plagued Americans during the 18th century, cancer then was deadly—and for many people, remains so. Colonists experienced many distinct types of cancer, a disease that spread most quickly in the breast, uterus, skin, testicles, penis, prostate, stomach, liver and parts of the mouth. However, treatment for cancer was much different during the Colonial era than it is today. “Many cancer victims experimented with some type of home treatment before approaching a professional,” explains Sharon Cotner, an interpreter and medical historian at the Pasteur & Galt Apothecary in Colonial

The Pasteur & Galt Apothecary sits on Duke of Gloucester Street in Colonial Williamsburg.

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

(757) 229-3052

well with this disease.” Mercury proved unsuccessful, however, so doctors next tried using arsenic in a medicine called “Plunkett’s powder.” The remedy consisted of crow’s foot and hog’s-fennel (both plants), crude brimstone (sulfur) and white arsenic that were ground into a powder, mixed with egg yolk and pressed against the cancerous area of the body. “Another poison, hemlock, introduced by Dr. Anton Storck in 1760, was initially considered a medical breakthrough and a specific [treatment] in cancer care, particularly that of the breast,” Cotner says. Storck prepared a medicine from its juice, though the practice was eventually proven ineffective. Guatemalan lizards were used in yet another unusual treatment: patients were instructed to swallow two or three of these lizards daily, on an empty stomach, to destroy the cancer. Other doctors believed in the use of blood-letting, a popular method in Colonial times that was thought to cure a variety of ailments. The most effec-

Williamsburg. Cotner has done extensive research on cancer during the Colonial period. Colonists first tried home remedies, including herbal ones, found in the many domestic medical guidebooks available. They also sometimes followed the advice of lay practitioners who advertised their services in The Virginia Gazette, Patients were often instructed to though trained physwallow Guatemalan lizards—two sicians criticized such individuals for to three daily—to cure their cancer. their inexperience. Some doctors believed in stronger courses of action. tive treatment for cancer, however, For example, they would first attempt was to remove the diseased part of the to rid the body of the disease by giving body. This worked especially well for patients herbal concoctions with ingre- the treatment of breast cancer. dients such as sarsaparilla, sassafras, Cotner notes: “Even though the china root, serpentaria (Virginia snake- materials selected to treat cancer in the root) and guaiacum (a wood resin, often 18th century were not successful, the used to treat syphilis). When that didn’t use of poisonous medications in this work, the physicians turned to more situation can be compared to our modpowerful and more controversial meth- ern use of [chemotherapy] and radiaods that included mercury (often used tion therapy, which are both potentially to treat venereal diseases), arsenic, the harmful.” HJ poisonous hemlock plant and lizards. “Practitioners frequently employed Don’t miss next month’s Health in mercury to treat cancer,” Cotner says. History series finale, where we’ll “They reasoned from analogy that if take a look back at some of the topit had such a powerful effect over the ics covered in this column over the ‘venereal poison,’ then it would do as past year.

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

THE HEALTH JOURNAL

October 2009

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At Sentara, You Get More Than Just A Mammogram.

N O W N AT I O N A L LY ACCREDITED

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BREAST HEALTH

More Women Having A Healthy Breast Removed Written By Amy Norton NEW YORK (Reuters Health)

small but growing number of women with breast cancer are choosing to have the unaffected breast removed in an effort to prevent a recurrence, researchers reported on Sept. 28. Using data from New York State hospitals, the researchers found that between 1995 and 2005, the prevalence of preventive mastectomy among women with a

history of cancer in one breast more than doubled. The procedure was performed in about two percent of all women diagnosed with breast cancer in 1995 and 1996—rising to just over four percent by 2005. In contrast, there was only a small increase in preventive mastectomies among women who had no personal history of breast cancer but were considered at risk because of a strong family history of the disease. The findings suggest that while the number of preventive mastectomies performed each year in New York was small, the procedure is becoming more common, the researchers report in the journal Cancer. The more marked increase among women with a history of breast cancer raises some concerns, senior researcher Dr. Stephen B. Edge, of the Roswell Park Cancer Institute in Buffalo, told Reuters Health. The central issue, he explained, is that there is no

THE HEALTH JOURNAL

evidence that removing the unaffected breast improves long-term survival. While preventive mastectomy likely cuts the chances of cancer developing in the second breast, the ultimate impact on survival is a more complicated matter. Edge noted that among women who are not at high genetic risk of breast cancer—about 95 percent of all breast cancer patients—the odds of developing cancer in the second breast are between 10 percent and 20 percent over 20 to 30 years. The large majority of those cancers, he added, are detected early and effectively treated. So in deciding whether to have a preventive mastectomy, women need to consider the uncertain long-term benefits and the risk of complications—which include bleeding, infection and nerve damage. “Women need to be carefully counseled on the issues of the risks of developing a second cancer, and the largely minimal or no impact this may have on their survival,” Edge said. The study findings are based on data from hospital discharge records and the New York State cancer registry. Of the nearly 70,000 women who underwent mastectomies between 1995 and 2005, nine percent—6,275 women—had one for preventive reasons. Of women having a preventive mastectomy, 81 percent had a history of breast cancer. The number of these procedures rose from 295 in 1995 to 683 in 2005. Meanwhile, the number of preventive procedures performed among women with no personal history of breast cancer showed a much smaller change—106 in 1995, versus 128 in 2005. The data cannot offer any potential reasons for the increases, and Edge said there is “clearly” a need for more research into the factors that are influencing women’s decisions on preventive mastectomy. HJ

October 2009

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BREAKTHROUGHS

The Skinny on Brown Fat

Recent studies suggest brown fat could lead to obesity treatments

Written By Gregory Epps

here is one kind of baby fat that we don’t want to lose. It kept us warm in the cradle, burning many times its own weight in calories, and it may help future generations fight obesity. For decades, scientists and health experts have known about brown fat. For most of that time it was thought that we lost our stores of brown fat soon after infancy. Infants use brown fat (before the ability to shiver develops) to maintain consistent body temperature upon emerging from the womb. But now in the wake of recent studies published in The New England Journal of Medicine, we know that not only does brown fat linger in the body well into adulthood, it’s still active. “We were thinking that brown fat would not play much of a role in adult humans,” says Dr. Yumi Imai, assistant professor of internal medicine at Eastern Virginia Medical School. “But it’s interesting that there’s an inverse correlation between body weight and brown fat. Obese people have less brown fat. So theoretically, we can stimulate the brown fat to be more active in these people. This is important because obesity is epidemic now, and obesity is linked to diabetes, heart disease and arthritis.”

The Research Dr. Aaron Cypress, the lead writer behind the recent NEJM report, highlighted the weight-to-brown fat correlation, pinpointed the fat’s location in small quantities around adult necks and collarbones, and found that it’s more active in people who live in colder regions. But CNN’s website reports Dr. Cypress’s light-hearted caution: “I don’t think hanging out in the cold would be an effective way to fight obesity.” According to Dr. Imai: “Brown fat cells are full of mitochondria—the ‘power plant’ for the cells. They’re very efficient in burning energy and creating heat.” As a physician who treats diabetes— an obesity-related condition—Dr. Imai is particularly interested in brown fat. For obesity, diet and exercise are still, as she puts it, “a cornerstone of treat-

Researchers hope that the discovery of adult brown fat might lead to an obesity treatment that’s superior to diet pills, that takes off the weight and keeps it off.

ment.” But Dr. Imai has seen how the resulting weight loss can be difficult to maintain because “the body has a mechanism to try to hang onto weight that’s been gained.”

Treatment Potential Researchers hope that the discovery of adult brown fat might lead to an obesity treatment that’s superior to diet pills, that takes off the weight and keeps it off. Dr. Imai agrees that research on brown fat is intriguing, but also that it “still has a long way to go.” At this early stage, the discovery of the existence of brown fat in adults is not nearly as interesting as the possible power of brown fat to assist in weight loss. Does this discovery mean that the ultimate diet pill is on the way—the quick solution we’ve been looking for— and at last we’ll have the ability to burn fat in our sleep? Dr. Imai agrees that the potential is there. She and fellow researchers are focusing on positive medical applications for brown fat, such as the treatment of obesity—a medical condition that costs the U.S. $147 billion annually. But until scientists unlock brown fat’s full potential, Americans are advised to follow the age-old prescription for weight loss: eat fewer calories and exercise more. HJ

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THE HEALTH JOURNAL

October 2009

MIND-BODY

Using the Mind to Free the Body:

The Alexander Technique Written By Emily Clark Photography By Page Bishop-Freer

hat movement method has helped people move with freedom and ease for over 100 years? It’s called the Alexander Technique, named after F. M. Alexander, an Australian actor who developed it in the 1890s after doctors could not cure his persistent laryngitis. After nine years of close self-observation, Alexander pinpointed his problem—muscle tension. He determined that the key to complete physical well-being is creating stability between the head, neck and back while minimizing muscle strain. The Alexander Technique is a gentle movement education program. It addresses the whole person, not just the body. With intention and mental clarity, people can learn to “undo” unconscious patterns of muscle tension that interfere with coordination and learn new ways to perform activities to reduce pain. The first step is to become aware of unconscious patterns of muscular tension. When you begin to notice those patterns, they become less habitual. The goal is to release them by learning conscious ways of moving with ease, whether you’re walking, working at the computer or doing yard work. During a session (called a lesson), teachers trained in the technique use hands-on and verbal instruction to guide clients through simple movements like standing, sitting, walking and lying down. The teacher helps the student to recognize unconscious movement habits. Together, they explore new ways of moving that don’t involve tension and stress. Below are answers to some frequently asked questions about the Alexander Technique:

Certified Alexander Technique instructor Emily Clark helps a student recognize patterns of muscle tension, then determine how to release them.

THE HEALTH JOURNAL

Q. Is it an exercise program? A. Even though it involves movement, the Alexander Technique is not an exercise program. The goal is to learn to use the appropriate muscle strength for an activity rather than overdoing it. Many people who have learned the technique also find they can do sports and fitness activities with better posture and balance. I worked with a horseback rider, Paula, who was recovering from a leg broken in three places. Her balance was so affected by her injury that she walked with a terrible limp. When she tried to ride, she had trouble controlling which direction her horse was going. Her doctors told her she might never ride competitively again, but she was determined to recover. When you are injured or in pain, you instinctively try to protect the injured area by tightening your muscles. If your left leg is broken, for example, you may unintentionally over-tense your

October 2009

right side. This can affect your balance. By learning to undo the tension throughout her body, Paula regained balance, control and confidence in the saddle. She began showing her horse and teaching riding again, and her walking improved. Q. How does the Alexander Technique work? A. The technique is based on three principles: 1. Recognizing and stopping habitu al patterns of muscle tension

2. Using conscious thought to free and lengthen the body’s structure

3. Allowing the head to balance freely on the top of the spine in order to allow for balanced movement

Try watching an animal, such as a cat, jump onto a table. You’ll notice that it waits until the right moment, lengthens its neck muscles, then graceContinued on page 36

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FITNESS

Breaking Through the Weight-Loss Plateau Written By Gayle Pinn

It’s an all-too-common situation: Through exercise and dietary changes, you finally begin to see the results of your efforts. You’re losing weight, looking better and feeling more confident. Then all of a sudden you stop seeing results. Like so many others before you, you’ve probably reached the dreaded “plateau.” Your body has adapted to the same workout that used to produce remarkable results. Your once-ideal fitness plan begins to fall short. When your body becomes ultra-efficient in your current exercise regimen, you have to adjust either the intensity or frequency of your workouts to continue to reap the maximum benefits.

To bust through the plateau, try these tips:

Add weight-bearing exercises

Up your cardio routine

Change your attitude

If you’re not already doing strengthtraining exercises, then start now. In addition to a healthy, balanced diet, strength training is one of the most important factors for long-term weight loss. Lean muscle increases your metabolism and allows your body to burn more calories, even at rest. If you already strength-train but have reached a plateau, try changing your routine. For example, if you’re currently doing a full-body workout on circuit machines three times a week, then try adding an extra day, or move over to the free weight area of your gym. Also, try increasing the weight you are lifting or the number of repetitions. You could also work different muscle groups on different days (for example, work the upper body on Tuesday and lower body on Wednesday). If you’re not sure where to start, consult a personal trainer who can design a routine for you and help keep you motivated.

Ask yourself this: Are you doing enough cardiovascular exercise, and if so, is it at a high enough intensity? As a general rule, aim for at least 30 minutes of cardio, three to four times per week. If you’re already there, try increasing the intensity or frequency of your sessions. Or, experiment with the type of cardio exercise to challenge your body and shake up the norm. For example: if you run or jog, try spinning instead. If you’re a walker, try cycling, jogging or speed walking.

Is your attitude only making that plateau tougher to handle? For most of us, reaching a fitness plateau is discouraging. Once you hit that wall, you need motivation to continue. Remind yourself why you started this process, how far you’ve come and how much work it’s taken to get there. Try to recapture that initial enthusiasm. Perhaps set a new goal to keep the challenge going.

THE HEALTH JOURNAL

Keep a diet and fitness journal Journaling helps you track your daily caloric intake versus how many calories you’re burning with each workout session. If you’re not sure how many calories are in a food or how many total calories your body needs each day, visit www.caloriecount.com or www. livestrong.com.

Consider maintenance an achievement Maintaining a healthy weight is a challenge in itself. A long-term plateau can be proof that you can maintain your weight and not regain those lost pounds. If you’re healthier, you sleep better, feel better, look better and have more energy, then maybe you’ve already achieved your goal. Perhaps it’s time to give yourself a pat on the back after all. HJ

October 2009

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NUTRITION

Detox Diets: Weight-Loss Wonders or Dietary Disasters? Written By Brandy Centolanza

A few years ago, when Adam Garrison of Williamsburg was looking to make a change in his habit of frequently dining out, a friend suggested a detox diet called “The Master Cleanse.” After doing some research, Garrison decided to try it. The diet called for ingesting only a liquid concoction of purified water, maple syrup, cayenne pepper and lemon juice for 10 days. “I would sip on it any time I got hungry or thirsty,” Garrison recalls. “It tasted like a spicy lemonade.” Though The Master Cleanse diet also recommends drinking an herbal laxative tea and salt water, usually requiring numerous trips to the bathroom, Garrison preferred not to take the diet to that extreme. He lasted eight days on the nofood diet and admits that the first few days were especially difficult. “Everything is screaming in you to get something to eat,” he says. But Garrison stuck with it, and he says he felt better in the end, so much so that he tried the diet again a year later, that time for 11 days. In the end, “the experience was worth it,” he says. “Some people will do it to meet some sort of weight goal, but I was looking at it more from a cleansing perspective, as a way to reboot the digestive system, so to speak.” Detox diets such as The Master Cleanse are growing in popularity, particularly in larger cities and among celebrities, though some dieticians and physi-

THE HEALTH JOURNAL

cians remain skeptical of the benefits. Julie Mitchell, a certified nutritionist and founder of The Nutrition and Wellness Center in Williamsburg, does believe in a purification diet, but only if it is done in a healthy way. She says external toxins such as air and water pollution, caffeine, certain medicines, chemicals in household cleaners, and preservatives (as well as internal toxins such as ammonia, carbon dioxide, and free radicals), can take a toll on the body. “When we get an overload of these toxins in our body, we can show symptoms such as a stuffy head, fatigue or difficulty sleeping, digestive problems, weight gain, [extreme] food cravings and foggy thinking,” Mitchell says. “We must become proactive in taking care of ourselves. We are what we eat, drink, think and do. We need to make healthy choices when it comes to all four of those things. We need to stop buying the foods and drinks that create havoc in our lives.” Avoiding food completely, however, is not the answer, notes Holly Hicks, a registered dietician and wellness programming coordinator for the Riverside Wellness and Fitness Center on the Peninsula. She neither supports nor would recommend a detox diet because of potential health risks. According to Hicks, “Detox diets, if done improperly or for too long, could result in nutritional deficiencies, particularly [in] protein, which may result in muscle tissue wasting—which, in turn, may decrease the body’s metabolic rate.”

October 2009

Instead of “a periodic ‘cleansing,’” Hicks recommends “a daily regimen of a balanced eating plan emphasizing whole grains, fruits and vegetables, which are high in fiber and keep the digestive tract in good working order.” As part of a balanced eating plan, she also recommends fermented dairy products such as yogurt and kefir, “which promote the good bacteria that reside

“Detox diets, if done improperly or for too long, could result in nutritional deficiencies, particularly in protein.” —Holly Hicks, registered dietician

in your [gastrointestinal] tract.” Additionally, she says, “whole grains feed the good bacteria into your system and promote regularity, resulting in a healthy digestive system.” Caroline Cassidy Fornshell, a dietetic intern at Sentara Norfolk General Hospital who is certified in adult weight management by the American Dietetic Association, agrees that fasting or liquid diets can be dangerous if done incorrectly. “Detox diets can be harmful when adhered to for a long period of time,” she says. “Short-term weight loss may be recognized but will most likely be gained back quickly like with other fad diets. Be wary of any diet promising results too good to be true. Some detox diets come with a big price tag, and the end results are unlikely to be worth the money.” HJ

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FEATURE

The Scoop on

Antioxidants Written By Brenda H. Welch

hen we turn on the television or radio, open up a newspaper or magazine, or dive into the abyss of the Internet, we are met with a constant stream of health experts advising us on what we should and should not do. There is some fundamental advice that is predominately agreed upon and accepted across the board: exercise, don’t smoke, visit a doctor regularly, and eat a well-balanced diet with plenty of fruits and vegetables. But among these clear-cut recommendations lurk others shrouded in shades of gray. Some of those guidelines involve antioxidants—that ubiquitous term that befuddles even the best of us.

What are antioxidants? According to the American Dietetic Association (ADA), the world’s largest organization of food and nutrition professionals, antioxidants are dietary substances, including nutrients such as beta carotene, vitamins C and E and selenium, which can prevent damage to the body’s cells or repair damage that has already been done. Antioxidants work by significantly slowing or preventing the oxidative process—or damage from oxygen— caused by substances called free radicals. This damage can lead to cell dysfunction and the onset of problems such as heart disease, diabetes and neurodegenerative disorders like Parkinson’s disease. Antioxidants may also improve immunity and lower a person’s risk for infection and cancer. The body produces a certain amount of antioxidants, but during times of 22

THE HEALTH JOURNAL

October 2009

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FEATURE

illness and extreme stress, the body needs more than it manufactures to be able to cope with the increased production of free radicals. According to medical oncologist Dr. Scott Kruger, who sees patients at the Hampton office of Virginia Oncology Associates, free radicals are a byproduct of normal metabolism; they form when oxygen collides with certain chemicals. The problem with free radicals, says Kruger, is “they play a part in the formation of cancer, heart disease, stroke and other diseases of aging.” Antioxidants like beta carotene, vitamins A, C and E, lycopene, lutein and selenium neutralize free radicals, Kruger explains. The process in humans is similar to stopping an apple from browning. Once an apple is cut, it normally begins to brown, but if it is dipped in orange juice, which contains vitamin C, it stays white. The ADA says antioxidants should come primarily from foods such as fruits and vegetables that contain not only the vitamins and minerals often found in supplements, but also other naturally occurring substances that may help protect people from chronic diseases.

Nutrition Studios in Virginia Beach, the answers to those questions are rooted in confusion. “There is so much conflicting information put forth by the media on what to eat and not eat, that I think many people are throwing their hands up in the air wondering who to trust,” says White, who is also a national spokesperson for the ADA. “Some of the no-carbohydrate diets forbid fruits and certain vegetables, while other diets say to only eat those [fruits and vegetables] that have a low glycemic value [producing only small fluctuations in blood glucose and insulin levels]. Each diet offers ‘scientific’ proof to back up what they are recommending, so people stray from or ignore the daily recommendations.” White also says that some people are intimidated by cooking vegetables and just don’t know how to put a healthy meal together. “We have people [who] come into the studio who have never eaten healthy in their life,” says White. “I show them a simplistic way of doing it, and they say, wow, it’s really not that hard—they just need

How much is enough? The Center for Nutrition Policy and Promotion (CNPP), an organization of the U.S. Department of Agriculture (USDA), recommends that people eat three to five servings of vegetables and two to four servings of fruit depending on age, weight and height (see www. MyPyramid.gov). And while this information is accessible to everyone with access to the Internet or to a health care provider, the USDA and Centers for Disease Control and Prevention (CDC) report that only 10 to 12 percent of Americans even come close to getting the recommended amounts of fruits and vegetables. This strikingly low percentage begs the questions—do people understand the health benefits of eating their fruits and vegetables, and if so, why aren’t they doing it? For Jim White, a registered dietitian and owner of Jim White Fitness and

Antioxidants: Where to find them Some of the better sources of antioxidants include: Beans—Small red beans and kidney, pinto, and black beans the right information and need to be shown how to put food together in the right combinations.” For Amy Petrow of Chesapeake, preparation time has always been a factor. “I intellectually understand the nutritional aspects of antioxidants and eating fruits and vegetables, but I’ve always gravitated toward eating more processed foods because they are just easier and less time-consuming to prepare,” says Petrow. As the mother of two daughters under the age of five, Petrow says she eats better now that she is a parent. “I’m not even sure what the current recommendations are exactly, but I know I’m eating more fruits and vegetables now because I want to set a good example for the girls,” says Petrow. “I make a point of offering various fruits and vegetables to them throughout the day, but it is tough to get them to eat the vegetables. I’ve resorted to pureeing carrots and cauliflower and hiding it in certain recipes to make sure they ingest it somehow.”

Eat your vegetables, Junior Create your own online cookbook using the healthy recipe database found on the CDC-sponsored Web site www.fruitsandveggiesmatter.gov. You’ll find recipes and instructions for preparing antioxidantrich fruits and vegetables, with dishes ranging from appetizers to desserts and everything in between.

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Many people seek out other ways to reap the benefits of antioxidants without spending time peeling, slicing and dicing their way through the produce section or coercing themselves or their children to eat foods they don’t prefer. Those are exactly the people that Holly Hicks likes to work with. As a registered dietician and the wellness programming coordinator at Riverside Wellness and Fitness CenterPeninsula, in Newport News, Hicks’ patients often admit that they just don’t like the taste of fruits and vegetables. “We recommend a balanced diet Continued on page 26

Berries—In the lead are blueberries, blackberries, raspberries, strawberries and cranberries. Beverages—Green tea may come to mind as a good source of antioxidants, but other beverages have high levels, too, including coffee, red wine and many fruit juices such as pomegranate. Chocolate—A piece of dark chocolate ranks as high or higher than most fruits and vegetables in terms of antioxidant content. Fruits—Many apple varieties (with peel) are high in antioxidants, as are avocados, cherries, green and red pears, fresh or dried plums, pineapple and kiwi. Grains—In general, oat-based products are highest in antioxidants. Herbs—These may be unexpected suppliers of antioxidants, but ground cloves, cinnamon, ginger, dried oregano leaf and turmeric powder are all good sources. Nuts—Walnuts, pistachios, pecans, hazelnuts and almonds are some of the top picks. Vegetables—Aim to include these in your diet: artichokes, spinach, red cabbage, red and white potatoes (with peel), sweet potatoes and broccoli. Although the effect of cooking on antioxidant levels varies by cooking method and vegetable, one study showed that cooking generally increased levels among select vegetables. Source: www.mayoclinic.org

THE HEALTH JOURNAL

October 2009

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Antioxidants Continued from page 23 rich in fruits and vegetables (at least four and a half cups of produce daily) along with whole grains to optimize a person’s intake of antioxidants,” says Hicks. “Some people think it will take too much time to prepare or that vegetables, in particular, don’t taste good. I love to take that challenge head-on.” Through Riverside’s acclaimed “Dietcise” program, Hicks and fellow registered dieticians

Resveratrol: Key to Long Life? Red wine is chock-full of antioxidants that may help prevent heart disease and other ailments by increasing HDL “good” cholesterol, protecting blood vessels and shielding arteries from damage. Red wine contains the antioxidants known as polyphenols, of which there are two types— flavanoids and non-flavanoids; the latter includes a key substance called resveratrol, which is found in the skin of most grapes.

THE HEALTH JOURNAL

pills

For those who choose to take supplements, research warns of the possibility that they actually may do more harm than good. In 2005, the American Medical Association released a report indicating that vitamin E tablets were linked to a great risk of heart failure. In 2008, the Cochrane Collabor-

“With all the information that is out there, it is very easy to get confused. I tell my patients to stick with what we know works.”

dant content and possibly due to other bio-active compounds.” Dr. Scott Kruger asserts that “The data is inconsistent; there are [just too] many studies with conflicting results. There are many unanswered questions. There are concerns that antioxidant supplements can interfere with current treatment approaches for cancer.” For this reason, he says, the National Cancer Institute and other groups are conducting several large-scale clinical trials looking at various antioxidants and their effects on disease. Kruger’s colleague Dr. John Paschold says he and fellow physicians always “encourage patients to become involved in those kinds of research studies.”

Take with caution

—Carrie Palamarchuck, registered dietician, Chesapeake Regional Medical Center

teach people how to not just lose excess weight but get healthier in the process. According to Hicks, “Learning to Animal studies suggest resveratrol may enjoy fruits and vegprevent or reverse age-related diseases etables and the variety such as obesity, diabetes and heart disof ways to easily preease. It could also be the answer to the pare them is just one so-called “French paradox”—the irony that the French, despite a diet rich in Brie and of the important topBordeaux, enjoy a lower incidence of heart ics that we teach and disease than Americans. demonstrate in the program.” Two Harvard scientists are so convinced Donald Hensrud, of resveratrol’s potential, in fact, that they an endocrinologist have sold their idea to GlaxoSmithKline and with the Mayo Clinic are currently exploring the possibility of a in Rochester, Minn., resveratrol “super pill” that could trigger says that as a bonus, a gene thought to be the body’s longevity switch. Their goal: extending the average foods high in antioxilifespan by as much as 10, 20 or 30 years. dants typically offer many other health benefits. These foods, mainly plant-based, are often high in fiber, protein and other vitamins and minerals and low in saturated fat and cholesterol. According to Dr. Phillip Snider, a family practitioner at Bon Secours Medical Associates in Virginia Beach, “Most of the experts who look at the role of antioxidants with health will fall back to food first—try to get people to eat at least five to nine servings of fruits and vegetables combined each day. But oftentimes a patient [will say] that that isn’t going to happen. That is when I look at how different supplements can help my patients.” 26

Supplements—Magic marginal solutions?

ation—an international group of over 15,000 health care professionals who review the effects of health care interventions based on results of clinical trials and observational studies—evaluated 67 randomized controlled studies involving antioxidant supplements and issued a report showing that antioxidant supplements do not extend a person’s life, and in fact, some antioxidants (Vitamin A, Vitamin E and betacarotene) may shorten a person’s life. In January 2009, the Journal of the American Cancer Institute published a women’s cardiovascular study conducted at Harvard Medical School in Boston. During the study, 7,627 women who took beta carotene, vitamin C, vitamin E or a combination of supplements for an average of 9.4 years had no significant reductions in their risk of cancer. A study published in a May 2009 issue of Proceedings of the National Academy of Sciences showed that antioxidant supplementation blocks many of the beneficial effects of exercise on metabolism. According to the study, “Antioxidant use in type 2 diabetics has been linked to increased prevalence of hypertension, and use of antioxidant supplements has recently been proposed to increase overall mortality in the general population. Taken together, these previously published findings tentatively suggest that fruits and vegetables may exert health-promoting effects despite their antioxi-

October 2009

Regardless of the fuzzy data, many leading health organizations, including the USDA, CDC and National Institutes of Health (NIH) hold firm that antioxidant supplements can be beneficial for some individuals, if taken with care. And despite the negative publicity antioxidant supplements have received in recent years, Snider discourages ruling them out all together—though he stresses the importance of exercising caution to prevent harmful interactions. “You need to be aware that if you take one vitamin and separate it from natural consistency within other vitamins and take it at high doses, that doesn’t seem to be helpful in most cases, and sometimes it’s harmful,” he says. For Carrie Palamarchuck, a registered dietician with Chesapeake Regional Medical Center, the fact that supplements remove vitamins and nutrients from their naturally occurring environments is what has her steering clear of recommending supplements to her patients. “When you take a supplement instead of eating the actual fruits and vegetables, you are missing out on all the phytonutrients (chemical compounds occurring naturally in plants), fiber and other compounds that work synergistically to provide complete, well-rounded nutrition,” says Palamarchuck. “With all the information that is out there, it is very easy to get confused. I tell my patients to stick with what we know works, and that is to eat a healthy, well-balanced diet and get your antioxidants through food, not in a pill.” HJ

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PAIN MANAGEMENT

Epidural Steroid Injections:

An Effective Solution for Back Pain Written By Dr. Raj Sureja

pidural steroid injections (ESIs) are minimally invasive shots used to relieve neck, arm, back and leg pain caused by inflamed spinal nerves, degenerative or herniated discs, and spinal stenosis, a narrowing of the spinal canal. The goal of the injection is pain relief; often the injection alone is sufficient to relieve pain and allow the patient to progress with a rehabilitative stretching, exercise and therapy program. ESIs can also help determine whether

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surgery might be beneficial for pain body’s own natural cortisone producassociated with a herniated or degen- tion. Other risks include spinal puncerative disc. ture, possibly resulting in headaches, ESIs have been used since 1952 and infection, bleeding and nerve or spinal are still an integral part of the non- cord injury. This risk is very low, howsurgical management of sciatica (nerve ever, when the injection is adminispain felt in the back and leg) and spinal tered by a physician who has specific pain. The use of fluoroscopy, a form of live X-ray used to assist in needle Generally, ESIs are safe. guidance, has made targetHowever, as with any ing the affected areas more precise and has improved medical procedure, there are patient outcomes. side effects and risks. ESIs deliver medications directly to (or very near to) the source of pain generation in the epidural space—that training in these procedures and who area between the protective covering of uses fluoroscopy to produce real-time the spinal cord and the vertebrae that images of the patient’s body during the communicates with the spinal nerves injection. and intervertebral discs. Typically, the The extent of pain relief an ESI offers injection contains both a long-lasting varies from patient to patient—lasting corticosteroid (cortisone) and an anes- from days to years—and depends on thetic agent (i.e., lidocaine). The corti- a number of factors, including the costeroid reduces inflammation and/ body’s response to the steroid medicaor swelling. The majority of pain stems tion, the level of degeneration and the from inflammation, and ESIs can help amount of inflammation. Typically, no control the inflammation of discs and more than three injections are given spinal nerves while also “flushing out” to one patient in a six-month period, inflammatory proteins and chemicals although more may be given if the from the epidural space that may con- patient experiences no adverse side tribute to and exacerbate pain. effects from the cortisone. HJ Generally, ESIs are safe. However, as with any medical procedure, there Raj Sureja, M.D., is are side effects and risks. The most an interventional common side effect of an injection is pain specialist with temporary pain at the site of injecOrthopaedic Spine tion. Some patients may experience Center, located in adverse reactions to the cortisone such Newport News. as elevated blood sugar, weight gain, water retention and suppression of the

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THE HEALTH JOURNAL

October 2009

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Take everyday actions to stay healthy.

No one wants to get sick. What can you do to stay healthy this flu season, and where should you go for accurate and timely information on the flu? Below are answers to some frequently asked questions about the flu. Q: What is the difference between seasonal flu and H1N1 flu (swine flu)? A: Influenza (seasonal flu) is a contagious respiratory illness caused by viruses that can cause mild to severe illness, and at times can be fatal. According to the Centers for Disease Control and Prevention (CDC), the best way to prevent seasonal flu is to get a seasonal flu shot every year. This year’s H1N1 (swine flu) is a new flu virus which requires a new vaccine. H1N1 flu was first detected in people in the United States in April 2009. This virus spreads from person to person similar to the way the seasonal flu spreads, carried in the airborne droplets caused by coughs and sneezes. It can also be picked up from contaminated surfaces, and germs can be transferred from hands to eyes, nose or mouth. The seasonal flu shot does not protect against H1N1 flu. Q: Who should receive the H1N1 flu shot? A: According to the CDC and its advisors, high-risk people should be first in line for the 2009 H1N1 vaccine when it’s available. These groups include: Pregnant women (because they are at higher risk of flu-related complications); caregivers for children younger than six months of age (because infants are at high risk of complications and cannot be vaccinated); health care and emergency medical services personnel (because they are a potential source of infection for vulnerable patients, and because increased absenteeism in this population could reduce health care system capacity); children ages six months through 18 years (because we have seen many cases of 2009 H1N1 flu in children, and they are in close contact with each other in school and day care settings, increasing the likelihood of disease spreading); young adults 19 through 24 years of age (because we have seen many cases of novel H1N1 flu in these healthy young adults, they

To protect yourself from getting either type of the flu:

• Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it, and then immediately wash your hands.

often live, work and study in close proximity, and they are a frequently mobile population); and anyone 25 through 64 years of age who has health conditions associated with higher risk of complications from flu. Only 30 percent of the elderly population is at risk for getting sick because most have some immunity from exposure to the 1950s swine flu. Q: Where can I get vaccinated? A: The seasonal flu vaccine is available now through physician offices and pharmacy chains across Hampton Roads. Simply check with your physician or pharmacist for availability prior to seeking the vaccine. A 2009 H1N1 vaccine is in production and is expected to be available to the public this month. The Virginia Department of Health expects to distribute the new vaccine in partnership with health care providers, schools and settings like pharmacies and workplaces. Q: How much does it cost to get vaccinated? A: Most health insurance plans cover the cost of the seasonal flu under the health and prevention portion of the plan. However, some co-pays may apply, depending on the type of plan you have. Check with your insurance carrier before you schedule a vaccination so you can anticipate your out-ofpocket expenses. Pharmacy charges for the seasonal flu vaccine range from $15 to $40 per vaccine. According to the CDC, there will be no charge to get vaccinated for the 2009 H1N1 flu. More specifics about the vaccine’s availability are expected to come from the Virginia Department of Health early this month. HJ

• Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective. • Avoid touching the eyes, nose or mouth. Germs spread that way. • Stay home if you get sick. Limit contact with others to keep from infecting them. Flu is thought to spread mainly person to person through the coughing or sneezing of infected people.

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THE HEALTH JOURNAL

October 2009

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

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THE HEALTH JOURNAL

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

See Page 38 For Contest Rules. 32

THE HEALTH JOURNAL

October 2009

www.thehealthjournals.com

the

Health Journal Williamsburg Edition

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

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

Assisted Care & Senior Living Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839

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

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

Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670

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

Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060 Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258 Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900 Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 5372 Discovery Park Blvd. Williamsburg (757) 645-9299 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

Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721

Dentistry & Oral Health

Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991

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

Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444

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

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

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

Madison Retirement Center 251 Patriot’s Lane Williamsburg (757) 220-4014

Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450

Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018

Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492

Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000

Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050 Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741 Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804 Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414 Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521 Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920 Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703 Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900 Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620 K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913 David G. Walker, DDS 813 Richmond Rd. Williamsburg (757) 229-6278 Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692

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.

Diagnostic Imaging Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714 Riverside Diagnostic Center 120 Kings Way, Suite 1200 Williamsburg (757) 345-6700

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

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

The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002

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

Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770

Endocrinology

R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622

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

Family Practice Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440 Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259 Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045 New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795 Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300 TPMG Family Medicine 132 Professional Circle Williamsburg (757) 645-2981 TPMG Norge Family Practice 7151 Richmond Road., Suite 405 Williamsburg (757) 564-3700 Williamsburg Family Physicians 227 McLaws Circle Williamsburg (757) 564-8182

Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200

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

John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181

Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099

Fitness & Weight Management

Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Ste. 1-A Williamsburg (757) 565-5305

Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042

Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500

Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121

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

Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583

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

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

Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517

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

WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615

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

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

Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115 Hampton Roads Neuromuscular & Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052 Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913 Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393 Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737 Lifetime Family Dental 7349 Richmond Rd. Williamsburg (757) 564-8942

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 Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466 Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220 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

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

To advertise, call 757-645-4475

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

Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080 B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801 Body Balance Studio 370 McLaws Circle Williamsburg (757) 221-0774 Bodyfit 5251 John Tyler Hwy. Williamsburg (757) 221-6688 CORE FITNESS Performance Training Center 344 McLaws Circle Williamsburg (757) 564-7311 Curves For Women 4511-B John Tyler Hwy. Williamsburg (757) 221-0330 107-A Bulifants Blvd. Williamsburg (757) 565-5655 Equilibrium Exercise Gallery 7880 Richmond Rd. Toano (757) 566-0077 FT - Fitness Together 4854 Longhill Rd., Ste. 1-A Williamsburg (757) 345-2246 Hatha Yoga Classes 5800 Mooretown Rd. Williamsburg (757) 564-0001 Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874 Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020 Knee Pond Yoga, LLC 3356 Ironbound Rd., Bldg. 2, Ste. 202-B Williamsburg (888) 524-4985

Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221 Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000 Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314

General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100 Hospital-grade Breast Pumps & Supplies Williamsburg (757) 565-6156

Hearing & Audiology 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 Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722

Hearing Aids

Tidewater Systema Russian Martial Art Williamsburg (757) 810-8104

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

Transitions Lifestyle 3244 Windsor Ridge S. Williamsburg (757) 645-5737

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

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

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

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

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

Gastroenterology

Hospice & Home Care

Colonial Gastroenterology 400 Sentara Circle, Suite 350 Williamsburg (757) 253-5771 Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411 TPMG Williamsburg 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 105 Bulifants Blvd., Suite B Williamsburg (757) 345-2071 Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850

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 (757) 229-2777 / (804) 966-1997 Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930 Hand 'N' Heart 461 McLaws Circle, Ste. 3 Williamsburg (757) 565-0216

Hand Surgery

Harmony Care 106 Queen Anne Dr. Williamsburg (757) 784-7650

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

Hope In-Home Care 4512 John Tyler Hwy., Ste. G Williamsburg (757) 220-1500

Health Products & Equipment Bike Beat 4640 Monticello Ave., Ste. 9-B Williamsburg (757) 229-0096 Bikesmith of Williamsburg 515 York Street Williamsburg (757) 229-9858 Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620 Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009 Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225 The Daily Shake 6576 Richmond Rd. Williamsburg (757) 221-0228

THE HEALTH JOURNAL

Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451 Hospice of Virginia Hampton Roads (800) 501-0451 Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220 Intrepid USA 212 Packets Court Williamsburg (757) 220-9331 Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411 Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455 Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251 Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757)645-2926

October 2009

Hospitals & Clinics Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700 Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450 First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 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 Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590 Linda Pincus, RN, CH 240 Patrick's Crossing Williamsburg (757) 565-6156 Williamsburg Healthy Hypnosis 1769-107 Jamestown Rd. Williamsburg (757) 254-1104

Internal Medicine Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246 Greensprings Physicians 2000 Easter Circle Williamsburg (757) 564-5540 Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182 Kingsmill Internal Medicine 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0010

Sentara Neurology Specialists 400 Sentara Circle, Suite 305 Williamsburg (757) 388-6105

Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500

Non-Profit Organizations

Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375

Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272 American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228 Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687 Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362 BikeWalk Virginia P.O. Box 203 Williamsburg (757) 229-0507

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

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

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

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

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

Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020

La Leche League of Virginia Williamsburg (757) 220-9187 Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250 National Alliance on Mental Illness Williamsburg Area Williamsburg (757) 220-8535 National Federation of the Blind Williamsburg (757) 565-1185 Peninsula Health District 1126 Professional Drive Williamsburg (757) 253-4813

Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890

Orthopedics & Sports Medicine Tidewater Orthopaedic & Spine Specialists 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-5870 Virginia Orthopedics & Sports Medicine 5335-B Discovery Park Blvd. Williamsburg (757) 253-0603

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

Pain Management

The ARC of Greater Williamsburg 202-D Packets Ct. Williamsburg (757) 229-3535 The Center for Excellence in Aging and Geriatric Health 3901 Treyburn Dr., Ste. 100 Williamsburg (757) 220-4751

Nutrition

DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408

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

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

Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 645-3150

Nephrology & Renal Health

Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3004

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

Williamsburg AIDS Network 479 McLaws Circle, Suite 2 Williamsburg (757) 220-4606

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

Eyewear Plus Optometric Center 101 Tewning Rd. Williamsburg (757) 229-1131

DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775

New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770

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

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

Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907

United Way 312 Waller Mill Rd., Suite 100 Williamsburg (757) 253-2264 Help Line: (757) 229-2222

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

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

Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300

The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919

Medical Transportation

Optometry

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

Obstetrics & Gynecology TPMG Williamsburg OBGYN 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807 Wetchler and Dineen Gynecology 217 McLaws Cir., Suite 5 Williamsburg (757) 229-3254 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

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

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

Pharmacies CVS Pharmacy Visit www.CVS.com for local listings. Farm Fresh Pharmacy Visit www.farmfreshsupermarkets.com for local listings. K Mart Pharmacy 118 Waller Mill Road Williamsburg (757) 220-2393 Olde Towne Pharmacy 4854 Longhill Rd. Williamsburg (757) 220-8764

Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628

Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522

PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381

Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462

Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221

Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691

Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795

Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 West Williamsburg (757) 220-2669

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 Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041

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

Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371

William A. Diog Health Club & Spa 3000 The Mall Williamsburg (757) 565-6545

Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651

Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109 Williamsburg (757) 869-1936 Williamsburg Salt Spa 1111 Old Colony Lane Williamsburg (757) 229-1022

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

Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853

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

Rheumatology

Substance Abuse & Addiction

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

24-Hr. Addictions Referral Network Toll-Free: (800) 511-9225

Sleep Disorders & Pulmonology

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

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

Plastic & Cosmetic Surgery Aesthetic Center for Cosmetic & Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg (757) 345-2275 Peninsula Plastic Surgery Center 324 Monticello Ave. Williamsburg (757) 229-5200

Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050

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

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

Podiatry

Spas & Massage

Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022

All of You Salon & Day Spa 511 York Street Williamsburg (757) 784-1869

Lightfoot Podiatry Center 213 Bulifants Blvd., Suite A Williamsburg (757) 345-3679

Blue Sky Wellness Reiki & Reflexology 5008 Liza Lane Williamsburg (757) 876-6185

Williamsburg Foot & Ankle Specialists 453 McLaws Circle, Suite 1 Williamsburg (757) 220-3311

Preventative Medicine

Nicole Carson, NCTMB 1769-210 Jamestown Rd. Williamsburg (757) 561-9591

Alcohol-Drug Treatment Referral Toll-Free (800) 662-4357 Alcoholics Anonymous (757) 253-1234 Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111 Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061 Families Anonymous Toll-Free: (800) 736-9805 Narcotics Anonymous (757) 875-9314 Opiate Addiction Specialists Williamsburg (757) 229-4141 Williamsburg Place & The Farley Center 5477 Mooretown Rd. Toll-Free: (800) 582-6066

Urology

Elements Spa at Great Wolf Lodge Resort 559 E. Rochambeau Dr. Williamsburg (757) 229-9700

Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051

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

European Beauty Concepts 1248 Richmond Rd. Williamsburg (757) 229-2440

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

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

European Day Spa 3206 Ironbound Rd., Ste. A Williamsburg (757) 220-4959

Vascular Surgery

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

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

Prosthetics & Orthotics

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

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

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

Jana Roselynn Laird, NCTMB 4939 Courthouse Road Williamsburg (757) 846-5707 Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020

Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200

Wal-Mart Visit www.walmartpharmacies.com for local listings.

The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-SKIN

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

Positive Energy Massage, LLC 1769 Jamestown Rd. Williamsburg (757) 810-4482

Ophthalmology

THE HEALTH JOURNAL

New Horizons Family Counseling Center 205 Jones Hall Williamsburg (757) 221-2363

Ali Aziz, MD 481 McLaws Cir., Ste. 1 Williamsburg (757) 229-9286

Neurology & Neurosurgery

Serenity Place Spa & American Spirit Institute 360 McLaws Circle, Ste. 1 Williamsburg (757) 220-8000

Target Pharmacy 4630 Monticello Ave. Williamsburg (757) 564-9835

Walgreens Pharmacy 1309 Richmond Rd. Williamsburg (757) 229-0962

Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693

The Right Touch 5252 Olde Towne Rd. Williamsburg (757) 229-1866

Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236

Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 229-1331

Serenity Nail & Spa Studio 1781 Jamestown Rd. Williamsburg (757) 220-8510

ADR Clinical Associates 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-8800

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

Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110

Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802

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

Ukrop’s Pharmacy 4660 Monticello Ave. Williamsburg (757) 564-0471 6610 Mooretown Rd. Williamsburg (757) 564-9315

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

Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230

Saving Face Day Spa 7151 Richmond Rd., Suite 301 Williamsburg (757) 221-0490

Psychiatry & Mental Health

Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900

Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000

BonSecours In Motion Physical Therapy & Sports Performance 5700 Warhill Trail Williamsburg (757) 221-0101

Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927

Professional Pharmacy 11302 Mount Vernon Dr. Williamsburg (757) 229-3560

Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700

Hampton Roads Neurosurgical & Spine Specialists 120 King's Way, Suite 3500 Williamsburg (757) 220-6823

Physical Therapy & Rehabilitation

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

Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645 Eastern State Hospital 4601 Ironbound Rd. Williamsburg (757) 253-5161 Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286

October 2009

www.thehealthjournals.com

ADDICTION MEDICINE

Diprivan Abuse Rare But Deadly In the wake of the Los Angeles coroner’s confirmation that pop star Michael Jackson died from a lethal dose of the surgical anesthetic Diprivan (propofol), Dr. Omar Manejwala, addictions expert at The William J. Farley Center/Williamsburg Place and one of few U.S. physicians specializing in Diprivan abuse and addiction, shares some details about this potent narcotic.

Q. What is Diprivan (propofol)? A. Propofol (sold by AstraZeneca as Diprivan) is an intravenous sedative medication that is used both for medical procedures (such as surgeries or colonoscopies) and for nonprocedural sedation (for example, calming a patient who is extremely agitated when admitted to a hospital’s intensive care unit, or ICU). Often described as “milk of amnesia” or “milk of the ICU,” propofol has been around since the 1980s. Many practitioners prefer to use it because of its rapid onset; they also find it easy to carefully titrate doses and find that patients recover quickly from the medication’s sedative effect. Propofol has a history of being safe and effective when used appropriately. Q. What is Diprivan abuse/ addiction? A. When Diprivan was first being used in hospitals, practitioners generally did not think people would be able to abuse it. In fact, it isn’t really controlled or regulated like other powerful intravenous (IV) narcotics such as fentanyl and sufentanil. That’s not to say that anyone can access the drug, but the strict monitoring seen with most IV narcotics is not generally applied to Diprivan. Research confirms, however, that people can abuse Diprivan, and people can develop an addiction to it. Animal research shows that Diprivan increases brain concentrations of the neurotransmitter dopamine in the nucleus accum-

bens (a cluster of neurons and a key player in the brain’s reward circuit)—a finding present in all other addictions. Q. How does Diprivan produce a “high” if it lasts such a short time and causes amnesia? A. Often when I discuss Diprivan abuse with colleagues, their first reaction is usually, “Are you kidding me…Diprivan? Why would anyone want to do that?” With addiction, people more frequently are trying to avoid a feeling than to achieve one. Many addicts describe their own compulsive use as “just trying to feel normal.” Patients using Diprivan often describe a short-lived sense of relief that is so rewarding that, when it wears off, they try again and again to re-achieve that state.

induced insomnia. Patients I’ve treated who have a history of Diprivan abuse often self-administered the medication dozens of times in a single day. And most, not all, with Diprivan addiction (usage beyond recreational abuse) had a history of significant trauma, usually (but not always) sexual trauma or molestation. Some have suggested that if Diprivan was controlled or regulated more strictly, there would be less of a problem with abuse and addiction. But even the most strictly regulated intoxicants are abused. One thing is absolutely clear: regulation alone will not solve the problem. Education and raising awareness to promote prevention, and advocacy and treatment for those who abuse Diprivan or develop an addiction, must be the mainstays of eliminating these disorders. HJ

Often when I discuss Diprivan abuse with colleagues, their first reaction is usually, “Are you kidding me?” —Dr. Omar Manejwala

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Q. Who tends to abuse/develop an addiction to Diprivan? A. Diprivan abuse is extremely rare. In my clinical experience, most individuals who abuse Diprivan are health care practitioners—often anesthesiologists, nurse anesthetists and operating room technicians. Most commonly, they use it initially to treat persistent insomnia that other medications don’t ease. The insomnia can be due to any number of causes including depression, posttraumatic stress disorder (PTSD), alcoholism or addiction to other agents, or just primary insomnia. Some of our patients were health care practitioners who developed the brain disease of addiction to alcohol or to opiate medications, and then developed addiction-

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THE HEALTH JOURNAL

October 2009

MIND-BODY Continued from page 16 fully leads the way with its head. The human body is meant to move the same way, but we over-tighten our necks more often than not. Tightening the neck is the body’s natural response to fear, danger and stress. It’s part of the “fight or flight” response, and it throws the body out of alignment. The weight of the head is like a bowling ball pressing down on the spine and collapsing your posture. People can spend most of their lives in this state of imbalance without noticing it until they experience pain. Awareness can lead to change. You can, as Alexander said, “stop doing the wrong thing (tightening your neck) and let the right thing (allowing your head, neck and back come into balance) do itself.” If an Alexander teacher asks you to imagine your back lengthening and your torso widening, this conscious thought will likely manifest itself in your body by dissolving any tension.

In recognition of Alexander Technique Awareness Week (Oct. 10-16)

massages and the rest received standard medical care. At the end of the study, the 144 participants who’d received 24 Alexander lessons had improved their freedom of movement by up to 45 percent compared with the control group. In the study’s last month, this group reported an average of only three days of pain compared to 21 days for the control group. The study also found that only six lessons, followed by light exercise, were almost as effective at easing pain as 24 lessons. HJ

Body Balance Studio in Williamsburg will offer an introductory workshop on Saturday, Oct. 10, from 1:30 to 3:30 p.m. Register for the workshop online at www.bodybalancewilliamsburg.com or call (757) 221-0774.

Q. How does the Alexander Technique compare to other mind-body disciplines like yoga? A. Alexander, yoga, Pilates and other disciplines emphasize the unity of the mind and body. No movement happens in isolation. With yoga and Pilates, specific poses or movements guide the practice. During an Alexander lesson, with your teacher’s guidance, you’ll become aware of your movement. Many people find they can apply the Alexander method of using conscious

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thought to free the body to their yoga or Pilates as well. Q. Can the technique help with my back and neck pain? A. Yes. The Alexander Technique is a great way to achieve a healthier back. A study published last August in the British Medical Journal followed 579 people with back pain for one year. Onefourth received 24 Alexander lessons, another fourth received six Alexander lessons, another fourth received 24

In 2002, Emily Clark received her certificate to teach the Alexander Technique from the Constructive Teaching Centre in London. While in England she completed an apprenticeship with the Master of Movement at Shakespeare’s Globe Theatre. Today she maintains a private practice in Williamsburg where she teaches the Alexander Technique to clients. She can be reached by e-mail at alexandertechnique@myatcenter.com.

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Don’t Let a Bum Knee Hold You Back! Get on Your Feet & Start Living! Knee pain can make standing or moving unbearable. The experts at PEAK Physical Therapy take a unique approach to treating knee pain. Our gentle and comprehensive program will have you feeling, moving and, most importantly, living better as therapy progresses. Whether your knee pain is a recent occurrence or a chronic condition, our sole mission is for you to regain your life. PEAK PT’s unique approach has had success with individuals experiencing varying levels of pain and limitations. Don’t sit it out…Learn how to get back on your feet and start enjoying life once again. Schedule your physical therapy with PEAK Physical Therapy, and LIVE BETTER!

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THE HEALTH JOURNAL

October 2009

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www.thehealthjournals.com

SMILE sense

Q A

Why Do I Need Dental X-rays?

Dental x-rays, also called dental radiographs, are among the most valuable tools a dentist or dental hygienist has in order to diagnose problems with the teeth and jaw. X-rays can show areas of decay that may not be seen with just a visual examination. This includes areas in between the teeth and underneath existing fillings. They may also reveal possible bone loss associated with gum disease, and problems in the root canal, such as an infection or death of the nerve. X-rays can help with the placement of an implant, orthodontic treatment, and dentures. Other abnormalities such as cysts or cancer can also be detected with dental x-rays. For children, x-rays are used to watch for decay and monitor tooth growth and development. X-rays are taken periodically to see if there is enough space for all the new teeth, to watch for eruption patterns, to check for extra or supernumerary teeth, and to see if any teeth are impacted and unable to erupt on their own. With the help of x-rays, major problems can be prevented by catching small developmental problems early and then making accommodations.

Ask Julia Your questions—answered. Dental Hygienist, Julia Wrenn, BSDH, has the answers to your dental questions. Julia Holcomb Wrenn, BSDH, is a registered dental hygienist, graduating magna cum laude in dental hygiene in 2001 from Virginia Commonwealth University-Medical College of Virginia. She has eight years of experience and practices with Dr. Nancy Schumann in New Town of Williamsburg.

Q A

How Often Should Your Teeth Be X-rayed?

The frequency of dental x-rays can be independent from one patient to another based on their individual needs. Some patients require x-rays on a regular basis such as every six months to one year. This is to make sure their dental conditions are monitored properly. Exactly how often this occurs will depend on the patient’s medical and dental history as well as their current dental condition. There are several different types of dental x-rays, so it depends on the patient’s condition to decide which type of x-ray is needed. For instance, a patient with extensive dental work who has had a lot of previous decay should have x-rays more often to check for decay beneath existing fillings or possible new decay. Children may need x-rays more often because they are more likely to develop cavities. This is because they have softer enamel due to development as well as the impact of their diet on the teeth. Patients who have a high intake of sugar such as sugary sodas or coffee or tea with sugar should also be monitored more closely because these habits put the patient at a higher risk for developing decay. People with periodontal disease (gum disease) should have x-rays taken at least once a year to monitor the extent of bone loss as well as continuing signs of bone loss.

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Breast cancer has the highest mortality of all female reproductive system cancers. A family history of breast cancer, obesity, or use of fertility drugs for a prolonged period of time, along with other factors may increase your risk of developing the disease. Talk to your doctor and get a true picture of your health. Risk factors include:

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• Post Menopause • Menstruation before age 12 • No children or first child after age 30 • Breast Cancer or BRCA mutation • Use of Estrogen replacement therapy

inguinal incisional laproscopic and single lumen (SILS) umbilical sports hernia

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

VirginiaCancer.com 757-873-9400

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

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

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5. Prizes: The Grand Prize winner will receive $100 and will be featured in the December issue of The Health Journal. All prizes will be awarded in full. Staff members and their relatives are not eligible. 6. Selection of Winner: Winners will be selected on or about Dec. 1 and notified by phone and/or e-mail.

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

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CALENDAR

5& 19

Experience inner peace and balance using basic meditation and breathing techniques during “Meditation for Health and Well-Being,” offered from 7:15 to 8:15 p.m. at Anahata Yoga Center, 104 Bypass Rd., Ste. 201. Cost to attend is $12 per class or $20 for both. This program is offered through the Williamsburg Area Learning Tree (WALT). For a complete list of Fall Courses offered through WALT, visit www. wuu.org/walt. Among other health-related offerings during the month of October: Yoga for Beginners, Tai Chi for Seniors, Basic Meditation, Ageless Mobility, Myths About Long-Term Care, Getting Into the Omega Zone and more. Call (757) 220-9975 for more information.

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

A free program for family, professional and volunteer caregivers, “Caring for You, Caring for Me,” will be held Wednesdays through Nov. 4, from 3 to 5:15 p.m. at The Center for Excellence in Aging & Geriatric Health, 3901 Treyburn Drive in Williamsburg. Early registration is recommended. For more information, call (757) 220-4751 or e-mail cjensen@excellenceinaging.org.

From 6 to 9 p.m., join Dr. Lisa Marie Samaha and her staff at Port Warwick Dental Arts in Newport News for an elegant evening of food, festivities and philanthropy during an Open House to benefit Children’s Hospital of The King’s Daughters. Enter to win fabulous door prizes including spa packages, fine art, movie tickets and more. Anyone can attend. A $10 donation will be taken at the door. RSVP: (757) 223-9270 or scheduling@PWDentalArts.com.

The whole family will enjoy food, games and entertainment at Olde Towne Medical Center’s 2009 Autumn Leaf Festival, “A Hoe Down for Olde Towne,” to be held from noon to 4 p.m. at Matthew Whaley School, 301 Scotland Street. Admission is $5 for adults and $2 for children (ages 3 to 12). Proceeds will help Olde Towne Medical Center continue to provide low-cost, quality health care to Greater Williamsburg’s uninsured population.

Find more health events on our online calendar at www.thehealthjournals.com 40

THE HEALTH JOURNAL

Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com

Alcohol & Drug Recovery SAARA-Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395 Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480 Kids’ Group Spirit Works 5800 Mooretown Rd. (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org

Join the ladies of local breast cancer support group Beyond Boobs! as they unveil the 2010 “A Calendar to Live By” at the second annual Pink Carpet Gala, to be held at the Williamsburg Chrysler Jeep Dodge Kia Showroom, located at 3012 Richmond Rd. The evening of fantastic food and musical entertainment will begin at 6:30 p.m., with the “calendar models” arriving by limousine at 7 p.m. Attire is “denim to diamonds.” Tickets are limited; purchase them online for $55 each ($60 after Oct. 10, includes one 2010 Calendar) at www.beyondboobsinc.org or call (757) 870-7758 or (757) 561-4749. “65 Years Young: What Medicare Means to You” will help you prepare for the many decisions you’ll have to make when you become eligible for Medicare benefits. This course, offered through the Williamsburg Area Learning Tree (WALT), will be held from 10 a.m. to noon in the Monticello Ukrop’s Community Room. Cost to attend is $20. Call (757) 220-9975 for more details.

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

Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606

Pediatric Associates of Williamsburg will offer a free one-hour Infant Massage class starting at 5:30 p.m. Parents will learn simple infant massage techniques. Call (757) 564-7337 to register.

Williamsburg Indoor Sports Complex (WISC) will join the fight against breast cancer by hosting its second annual “Treadmilla-thon,” a 24-hour event in which fitness members volunteer to walk or run on a treadmill for one hour before “passing the torch” to another member. This event will begin on Friday at noon. All proceeds benefit the American Cancer Society. Call (757) 253-1947 to sign up or make a pledge/donation.

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

Head to Chickahominy Riverfront Park from 10 a.m. to 2 p.m. for a charity bike ride, hosted by BikeBeat, to benefit The Breast Cancer Research Foundation. Call (757) 229-0096 for more details, or e-mail Williamsburg@bikebeatonline.com.

Get a free balance evaluation at 10 a.m. at Sentara Williamsburg Regional Medical Center (Yorktown Conference Room). Register online at www.sentara.com/classes.

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

October 2009

Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541 Morningside Assisted Living

3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Colonial Heritage Clubhouse 3rd Thursdays, 2:30 p.m. Call for information (757) 253-1774 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 Second Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tuesday, 10 a.m. (757) 599-6847 or (757) 930-0002 Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society Kings Way Church Last Thursday, 7 to 9 p.m. (757) 220-1137 Peninsula Autism Society King of Glory Lutheran Church & School Last Thursday, 7:30 p.m. Call for information: (757) 259-0710 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370

www.thehealthjournals.com

CALENDAR Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595 "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287 Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948 Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774

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

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

Type 1

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

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

Riverside Regional Medical Center

4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050

Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725 Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795 Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com

African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627 Myasthenia gravis James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393 Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033 ParentIng "Active Parenting Today" Colonial Services Board King of Glory Lutheran Church & School Wednesdays, 6:00 to 8:00 p.m. Call for information (757) 566-9777 JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125

Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700

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

Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m.

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

Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923 Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743 Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279 St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 to 9:30 p.m. (757) 827-1001 Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902

To advertise, call 757-645-4475

Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847 Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051 St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945 Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862 Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971 Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627

Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381 PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050 Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185 Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301 T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994 Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994

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

Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994 Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362 Blood Pressure ScreeningS - Free Senior Center of York Every Wednesday Walk-ins welcome. (757) 898-3807 New Town Urgent Care Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. (757) 259-1900

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

THE HEALTH JOURNAL

October 2009

PROFILE

Her Experience Came Hard Earned Interview By Page Bishop-Freer

Photography By Brian M. Freer

here’s a common saying that what doesn’t kill us inevitably makes us stronger. For 25-yearold Anna Dube, it was a near-fatal accident that inspired her to become a doctor of physical therapy. For Dube, helping patients recover from injury or illness is “what I always wanted to do—there was never any other option.” On the eve of June 26, 1996, just weeks before her 12th birthday, Dube and fellow neighborhood swim team members were eager to celebrate their swim meet victory that day with a couple of ice cream sundaes at Friendly’s Restaurant. (Dube had been a champion swimmer since age six, well before her family moved to Williamsburg.) After crossing Richmond Road to chat with another band of swimmers who’d congregated at Denny’s, Dube and her comrades headed back towards Friendly’s. As Dube skipped ahead of the others and through the crosswalk, she was hit by a van going 45 mph—well above the posted 25-mph speed limit—knocking Dube unconscious. Dube was taken to the nearest hospital and then transported via helicopter to Sentara Norfolk General Hospital, where she was treated for severe head trauma. She spent the following few days on a respirator in the critical care unit at Children’s Hospital of the King’s Daughters. For weeks she received food and liquids through a plastic feeding tube. “I don’t think there was ever a point where I realized what had happened,” says Dube. “All the pieces just fell together over time.” To help her fill in the blanks, Dube’s father compiled a leather-bound book of photos, newspaper articles, hospital ID bracelets and visitor’s passes, as well as the 17 “Anna Updates” that he’d composed, often during the wee hours of the night. A family friend had posted the updates at the neighborhood pool to keep concerned families informed about Dube’s progress. Soon after the Fourth of July, Dube began a six-week intensive rehabilitation program at Children’s Hospital

of Richmond that involved learning to walk, swallow and talk again. It was there that she got her first glimpse of what physical therapy was all about. By the time she was discharged in early August, Dube knew she “wanted to help other kids like me who’d been injured.” Most of all, “I thought [a career in physical therapy] would be fun.” To her therapists’ surprise, Dube returned to swimming just weeks after returning home, first in day therapy sessions and then in her neighborhood

anna dube, dpt

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pool. Soon she was attending swimming lessons again and eventually competing. Dube credits her recovery to several key factors: “The fact that I was so young—my brain was still plastic, still forming; my family always being there—my dad spent weekends with me and my mom [spent] weekdays—they slept in the windowsill in my hospital room; and I had a lot of friends come to visit, a lot of support from the swimming community. Plus, as a swimmer, I was in excellent physical shape. Swimming taught me how to set a goal and reach it.” The same goal-minded attitude guided Dube through high school, college and then graduate school. Despite lingering cognitive problems, she earned both her master’s degree and doctorate in physical therapy—all by the tender age of 22. Dube could have traveled far and wide in her career but decided to return to her hometown of Williamsburg where she currently sees patients at Reach For Performance, Inc. The Health Journal recently had lunch with this fiery young woman to find out more about what it’s like being one of the area’s youngest and most intriguing physical therapists. HJ: Are patients ever surprised by how young you are? AD: I have a lot of patients who say, ‘No way! You’re not a doctor!’ But that is why I went to Ithaca [College] for all of my degrees, so I could get it done quickly. [Ed.: Ithaca offers an accel-

Age: 25 Hometown: Williamsburg, Va. Family: Parents Tim and Christine Dube; brother Mike Education: Bachelor of Science degree in Clinical Science, Master of Science in Physical Therapy, Doctorate of Physical Therapy— all from Ithaca College, Ithaca, N.Y. Professional Affiliations: Member, American Physical Therapy Association Volunteer Activities: Member, Kiwanis of Toano; team captain, Williamsburg Arthritis Walk; faculty review board, Ithaca College Hobbies: Sailing, swimming, golf, kickball Favorite good-for-you foods: Granola over yogurt, watermelon, squash pie

October 2009

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erated dual master’s-doctorate degree program.] I had a plan; I was on a track. This is what I always wanted to do. HJ: What is most challenging about being a physical therapist? AD: A lot of patients come in with the exact same injury or diagnosis, but every patient has different things they need to work on. That’s why I like PT— it’s problem solving. Also, it’s hard getting patients to change their lifestyle, their daily habits. Some people think they can come to PT and it ends there. Or they think they can do it on their own and be fine. Every patient gets assigned a home exercise routine. You can always tell if they are doing it or not.

and fix it. I guess staying positive is what really got me through. HJ: What’s the best thing about living in Williamsburg? AD: I love being close to my family. And it’s cool—because I grew up here I know everyone. Originally I had imagined working at a big city hospital, but I think I am really a small-town girl at heart. I do wish there was a little more nightlife. I usually have to drive to Hampton or Norfolk for that.

HJ: If you didn’t live here, where would you be? AD: Out West somewhere, maybe Arizona. I love the desert. It’s beautiful. No humidity. HJ: What’s the best professional advice anyone’s given you? AD: When I was getting my master’s, I was working full-time and going to school full-time. I really struggled with one course in particular. Another physical therapist told

me that not every course matters. She said: “Do what you have to do to get through it; nothing is a textbook presentation in the clinic.” Basically, that the facts aren’t as important as the experience. HJ: What makes you laugh? AD: Silly people. My dog. Anything, depending on the situation. It’s important to find humor in all situations, even difficult ones. HJ

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HJ: What’s the coolest thing about the human body? AD: The brain. If you have a stroke and lose [function] in one part of your brain, the body will form new pathways to do the same task. The body just knows what to do to heal itself. I do mostly physical and motor therapy, but I am really interested in the cognitive aspect of PT.

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HJ: Has a patient ever really inspired you? AD: I am inspired by any patient who does what I ask them to do and gets better. HJ: Any patient stand out in particular? AD: One. He was in his thirties when he suffered a traumatic brain injury. Now he is unable to work because of mental and physical disabilities. He has so many obstacles to overcome, and recently he started to really put forth the effort to get better. It’s like something clicked. He realizes what he needs to do. HJ: Does he know your story? AD: Yes. He’s the one patient I’ve told it to. He was like: ‘Wow! Really? Cool.’ He remembers some of the details [of my story] but not all. HJ: How did you get through the toughest times of your own recovery? AD: That’s a tough question. I just worked hard at it until I got it right. It never occurred to me that I wouldn’t be able to do certain things again. I knew it might take me longer, or I might have to work harder, but I just kept trying until I was finished. I am a very logical person. If something doesn’t work, I want to figure out why

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October 2009

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