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Health Journal March 2010
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Seeking Second Opinions
When Studies Collide
Making Sense of Cancer Screening Guidelines
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March Contents [ Features ]
2010
7 A Fresh Idea
Farm Fresh launches “nutrition iQ” food labeling system.
9 Cast Your Vote!
Take The Health Journal’s 2010 Readers’ Choice Survey.
12 So, You Want to Be a Vegetarian?
Cut the meat from your diet without sacrificing good nutrition.
28 Healing Haiti
Two emergency room docs reflect on their recent search-and-rescue mission.
42 A Little Piece of History
Gym proprietor Julie Jackson sets up shop in a century-old building.
[
In Every Issue
4 Editor’s Note 5 Inbox
22
When Studies Collide What you should know about cancer screening guidelines.
28
]
11 Snapshots 16 Fitness
26 Skin & Beauty
35 Health Directory 40 Calendar 42 Profile
THE HEALTH JOURNAL
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the
Health Journal
TM
The Health Journal is a free, monthly consumer health magazine distributed throughout Hampton Roads. Three editions are currently available: Williamsburg, Peninsula and Southside, with a combined circulation of over 78,000 copies.
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 David C. Kikoen
GRAPHIC DESIGNERs Natalie Monteith Jean Pokorny PhotographY Brian M. Freer Page Bishop-Freer Dawn Griffith Danielle Di Salvo
Contributing Writers Sharon Cindrich Gregory Epps Joseph Han, MD Alison Johnson Gayle Pinn, CPT Keith W. Schumann, MD Joy Vann
The Health Journal—Peninsula Edition is a monthly publication direct-mailed to homes and businesses in Newport News, Hampton, Poquoson and Yorktown. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address. The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements.
For advertising and editorial Information, call or write: The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com
4 THE HEALTH JOURNAL
Editor’s
Note
Nearly six months ago, when our daughter Cami was ready to start sampling solid foods, I made it my personal mission to ensure that, before her first birthday, she tasted her way through all the edible plant groups, more than 20 in all. So, here we are, 11 months of age and counting, and I can look proudly at that list and say with confidence that my little pea-pod really has tasted the full rainbow of fruits and vegetables (along with some legumes, spices and the entire contents of her toy box). Cami’s expressions ranged from delight (hummus) to disgust (peas) as each new food was introduced. Taking recipe cues from store-bought baby food, I made my own concoctions to freeze and serve later, relying on canned baby food (organic, of course) when in a pinch. My mission had a clear purpose: I’d see to it that, no matter what life may bring for our first child (and admitted center of our universe), she would get a successful start with food. I’d help her to appreciate nutrient-dense foods over processed ones, to prefer the taste of fresh fruit over fruit snacks. Brian likes to joke that my culinary talents were limited to blue-box macaroni and cheese when we first met, but the past few years have proved to be a learning period for me as far as cooking abilities go. Planning healthy, tasty dinners has become a top priority; I guess you could say I have become our family’s official unofficial nutritionist. Making smart selections isn’t always easy, though. Food labels can be confusing or misleading, and convenience foods always seem “conveniently” placed on the grocery’s center shelves. On page 6, you’ll get the scoop on Farm Fresh’s new product labeling system “nutritioniQ.” The goal of the program is to help health-conscious consumers make better food choices, especially in the center of the store, where it’s so tempting to buy empty-calorie items like cookies, chips and soda. (You’ve probably heard the mantra, “Shop the perimeter of the store,” because that’s where you’ll find the healthiest, most nutritious items.) In fact, in looking over this issue from front to back, I realized that in so many ways it reflects our core mission here at The Health Journal—to, first and foremost, provide you with tools you can use to make more informed decisions about your health, and secondly, to do it at no cost to our readers (thanks to our advertisers), and finally, to present the information in an attractive, readable format that readers will enjoy. From Joy Vann’s piece on nutritioniQ, to Gregory Epps’ insightful look at why it’s important to get a second opinion (page 19), this issue is filled with articles intended to help you become a wiser health consumer, whether you’re shopping for a family doctor or your family’s groceries. And be sure to read our cover story, “When Studies Collide: Making Sense of Cancer Screening Guidelines” (page 22), in which local cancer experts weigh in on some of the recent recommendations relating to breast, prostate and cervical cancer screening—a subject that’s had U.S. doctors up in arms since last fall. Will Cami come to appreciate the taste of peas, brussell sprouts, lima beans and all the other “delicious” dishes she’ll never remember eating? I can only hope. But, at the very least, we’ve had fun at the kitchen table. And, for me, those memories will last forever. HJ Readers’ Poll: What’s the best health advice your mother ever gave you, and did you follow it? E-mail your reply to page@thehealthjournals.com.
Page Bishop-Freer, Editor page@thehealthjournals.com
page’s picks
MarchFavorites Trader Joe’s Sea Gummies With these tasty treats, you’ll never forget to take your fish oil supplement again! Plus, no fishy aftertaste means you won’t be mistaken for the Gorton’s Fisherman. ($7.99 at Trader Joe’s)
inbox
Re: February Issue “Thanks for including the article on the Shaws in the February issue [“Partners in Practice,” page 9]. The coverage for all of the couples turned out nicely. —Bill G., Williamsburg “I just sat down to look over The Health Journal as a couple of headlines caught my eye (Fitness Trends, Age Spots? NO PROBLEM). After that I was captivated by every article written and especially treasured the “Remembering Josephine” story. What a lovely tribute to her and her family’s undying love. I so appreciate the wonderful list of physicians, too. Plus, the stories are informative and inspiring at the same time. Thank you so much for doing your job so well. God Bless.” —Sharon D., Virginia Beach
“Thank you for printing the story on Baby Josephine. I know that was very difficult for Ed and Claire Lampitt, but what could be more inspiring than their faith and love? My heart and prayers go out to them. My five-year-old was diagnosed with a rare, acute, stage-four brain cancer at just 13 months of age. What a joy they had with Josephine. I pray that as medicine progresses, more cures will be found. God bless you all.” —Elizabeth L., city unknown
Kashi GoLean Toasted Berry Crumble I’ve always been a fan of the proteinpacked GoLean line of cereals, but this is the best-tasting one yet. With 190 calories per serving and 9 grams of protein, one bowl will keep you satisfied all morning.
“Awesome February issue. I love the Journal.” —Lynn H., Naperville, Ill.
The “Measure Up Bowl” The Health Journal Administrative Assistant Danielle DiSalvo discovered these handy bowls, invented by mother-of-two Heather Harvey (at left is the “Classic Bowl,” $19.99 at shopmeasureupbowl.com). Measure Up Bowls eliminate the need for measuring cups—a major time-saver if you’re watching portion sizes (plus, you’ll have fewer dishes to wash since you don’t need a measuring cup).
Foam Roller Ladies and gentlemen, foam rollers are great for alleviating tight muscles and sciatica pain (featured at left is Fitness Gear’s 36-inch black roller, $39.99 at www. dickssportinggoods.com). You can pick up a roller pretty much anywhere that sporting goods are sold, including Target and Wal-Mart. As a general rule, rollers with good length and density offer the greatest relief because they allow you to roll large areas and provide the most compression.
“Excellent! Excellent! Excellent! Your Feb. 2010 edition is outstanding. Keep up the great work. The article written by Joy Vann, “Partners in Practice,” is of the highest caliber. “Remembering Josephine,” painstakingly written by grieving father Ed Lampitt, provided a personal look into a family that has gone through so much. My prayer is that Ed and Claire hold onto the peace that passes understanding as they welcome their son into the world. Thank you for allowing them to speak both life and hope into a personal and painful situation.” —Martha J., Yorktown
Subscriptions
“I would like to get The Health Journal delivered to my home. How can I subscribe?” —Vanessa O., Hampton
Ed.: Subscriptions are $24 a year. Please send your name, address, and a check, payable to RIAN Enterprises, to: 4808 Courthouse St., Williamsburg, VA 23188.
THE HEALTH JOURNAL
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Dentures to smile about in just one day
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J. Dewey Willis III, D.D.S., P.C. & Associates Her progress is measured by reaching goals & achieving positive outcomes. At Virginia Health Services our licensed therapists go the extra mile. Taking one step at a time leads to a stronger self and a more independent lifestyle. We are known for excellent therapy services and dedicated to improving lives…every day.
In the care of people you know.
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Newport News • Hampton • Yorktown • Gloucester • Kilmarnock Virginia Health Services is proud to offer an array of senior care services to our community. This continuum of care offers choices from independent retirement living to skilled nursing and rehabilitation. If you want to know more about us, ask your friends and neighbors, as they are our best references.
Newport News | 11713 Jefferson Avenue | 757-873-3407 Chesapeake | 801 Greenbrier Parkway | 757-547-3003
A Smarter Way to Shop Farm Fresh launches ‘nutrition iQ’ labeling system to help curb customer confusion Written by Joy Vann
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Farm Fresh t’s well known that the perimeter of the grocery store is the corporate dietitian place to find the healthiest foods including fresh produce, meat Jennifer Shea and dairy items. But when shoppers venture into the “center of the store” for staples such as cereal, canned items, pasta and frozen products, they can stumble into processed foods that often carry misleading or overstated health claims. As many a mom can tell you, that “healthy” trail bar packed in a child’s lunchbox isn’t so healthy when the nutrition panel on the package reveals that it contains as much sugar as a candy bar and as much sodium as a bag of chips. To help customers avoid “center-aisle confusion,” Farm Fresh, which operates 45 stores in Hampton Roads, Richmond and Elizabeth City, N.C., recently launched the first phase of a new food-labeling program designed to highlight products in the center of the store with the most health benefits. Though a roll-out date for the second phase has not been set, it will spotlight items on the perimeter of the store including produce, meats and dairy products. Named “nutrition iQ,” this program is being billed as “The BetterFor-You Food Finder.” It was developed in collaboration with an independent panel of dietitians from Joslin Clinic, part of an academic medical center affiliated with Harvard Medical School. “Since the launch of nutrition iQ, we have received numerous requests from our community partners for additional information on how they can incorporate niQ into their programs by partnerBecause manufacturers’ ing with Farm Fresh,” says Susan Mayo, vice president of consumer products are often packaged affairs and public relations for the chain. “Our community partners to “scream out” health inforand health professionals view this program as a credible source for mation, Shea says consumeducating their clients about making smarter, better-for-you choices ers should look for natural at the grocery store.” products, such as oatmeal, Jennifer Shea, corporate dietitian for SUPERVALU, the Minneapthat won’t necessarily olis-based parent company of Farm Fresh and other grocery store feature dubious nutritional chains throughout the country, introduced the program to area dieticlaims, i.e., something that’s cians as well as hospital and health organization experts at Farm touted as “low-fat” but is Fresh’s Virginia Beach corporate headquarters in January. high in sodium. Here are To explain the need for a program such as nutrition iQ, Shea cites some other tips: scary-yet-familiar statistics about the health of Americans, notably • Shop with a list. that approximately one in four Virginians is obese. • Don’t shop on an empty The goal of nutrition iQ, Shea says, is simply to make it easier for stomach. customers to make smarter food choices at the point of purchase. “Customers have difficulty making sense of nutrition guidelines • Use spices for flavor in and say that they need practical tips to guide them,” Shea says. “With place of salt or butter. more than 60,000 products, it can be difficult to maneuver through • Stick to basics found on the supermarket. And, many say that they do not have time to read the perimeter of stores labels, so we started where consumers have the most confusion—the such as eggs or egg subcenter of the store—[and encourage them to make] smarter choices.” stitutes, fat-free or lowFarm Fresh’s nutrition iQ program uses bright, color-coded tags fat dairy products; lean to indicate an item has any of the following nutritional attributes:
Shopping Tips
Continued on page 8
For more information visit nutritioniq.farmfreshsupermarkets.com or call (877) 932-7948
local beat
Anthem Names Local Hospitals “Blue Distinction Centers” for Orthopedic Care
Orthopedic programs at DePaul Medical Center, Maryview Medical Center and Mary Immaculate Hospital have been designated Blue Distinction Centers for spine surgery and joint replacement by Anthem Blue Cross and Blue Shield of Virginia. In achieving this designation, these hospitals have displayed their commitment to providing high-quality orthopedic care.
Bon Secours Medical Group Expands with 3 Appointments Bon Secours Medical Group has appointed Tim Short, former administrator at St. Francis Nursing Care Center, to the position of administrative director of physician practices, through which he will manage the daily operations for Bon Secours specialist groups. In addition, Donna Robertson, former practice manager of Cardiovascular Specialists, will also serve as administrative director of physician practices, a role in which she will direct daily operations for all Bon Secours cardiology practices. Amy Clark, formerly billing manager for Cardiovascular Specialists, will now serve as the director of revenue cycle for Bon Secours Medical Group. She will be responsible for ensuring that all medical group practices meet insurance coding standards.
Sentara Healthcare Named Nation’s Top-Ranked Integrated Healthcare System Sentara Healthcare has been ranked as the top Integrated Healthcare System in the nation, according to health care analytics company Strategic Defense Initiatives (SDI) and Modern Healthcare magazine. Sentara has been listed among the top 10 in each of the 13 years the list has been published. It was ranked number one in 2001 and is again this year. SDI’s report is regarded as the nation’s premier rating system for evaluating integrated healthcare networks on their performance and degree of integration.
VAPA Announces New Physician Virginia Adult & Pediatric Allergy & Asthma (VAPA) physicians are pleased to welcome Ritu S. Pabby, M.D., to their Hampton Roads practice. Pabby focuses on the treatment of allergies and asthma in adults and children and is currently accepting new patients of all ages at VAPA’s Williamsburg, Newport News and Gloucester offices.
proteins including beans, poultry, fish and meat; and fresh fruits and vegetables. THE HEALTH JOURNAL
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local beat
Farm Fresh Customers Can “Round Up” to Fight Childhood Cancer in Support of CHKD For the 10th year, Farm Fresh is coming to the aid of children battling cancer by launching the “Farm Fresh Round-Up,” an opportunity for customers to contribute to Children’s Hospital of The King’s Daughters (CHKD) by rounding up their grocery bill to the next even dollar (or contributing more). This year’s RoundUp will be held from March 10 to April 3 at all Hampton Roads Farm Fresh locations. Over the last nine years, Farm Fresh has raised $5.9 million in donations for childhood cancer programs at CHKD.
Continued from page 7 excellent or good source of fiber—orange label
excellent or good source of calcium—blue label
low or healthier level of sodium—green label
excellent or good source of protein—yellow label
whole grains—dark orange label
low caloric content—purple label
Dress Down Under for Red Cross April 23
The Hampton Roads Chapter of the American Red Cross will host its annual “Dress Down Under” party on April 23 beginning at 6 p.m. at the Mariner’s Museum Park in Newport News. All proceeds will go to support the Hampton Roads Chapter’s many vital services to our community. The ticket price of $40 includes a dinner from Outback Steakhouse. Enjoy a live band, beer on tap and a casual outdoor atmosphere. To purchase tickets, call (757) 838-7320 or visit www.hrredcross.org for ticket locations.
TNCC Program Fast-Tracks Medical Assistants Individuals wishing to enter the medical assistant field can do so in two months with the new fast-track Clinical Medical Assistant program at Thomas Nelson Community College (TNCC), offered in partnership with Boston Reed College in Napa, California. The program prepares students to help physicians carry out procedures, care for patients, perform simple lab tests and administer medications. To register for classes or for additional information, call (757) 825-2937 or visit www.tncc.edu/workforce.
HU Gets $8 Million for Biomedical Research Center Hampton University was awarded an $8 million stimulus grant from the National Institutes of Health to build a biomedical research center. The facility will be the hub of research for HU’s schools of nursing, pharmacy and science on issues including cardiovascular disease, diabetes, adolescent health, AIDS and Alzheimer’s disease. The 20,000-square-foot center is slated to open next summer.
8 THE HEALTH JOURNAL
low in saturated fat—red label
The items tagged are those that already meet basic Food and Drug Administration (FDA) guidelines as being wiser choices for consumers. The tags appear in tandem with an item’s price, unit price and bar code information. Currently, 2,500 items are tagged, including a variety of products, not just Farm Fresh store brands. Items not tagged include those that don’t meet basic FDA health guidelines—those most customers already know to be unhealthy, such as candy, chips and soda. Vertical signs in the aisles alert customers to shelves featuring the nutrition iQ labels. Brochures, along with the signage, explain how the color-coded system works. Shea says products undergo a rigorous screening process in order to qualify for nutrition iQ—in some cases using criteria stricter than FDA guidelines— and adds that the collaboration with the Joslin Clinic provides independent, third-party credibility that is transparent and comprehensive.
Shea also notes that the system makes it easy for people with specific health concerns to find products that fit their dietary needs and goals. For example, shoppers with high cholesterol can look for the orange “high in fiber” tags. Those with high blood pressure can look for the green “low sodium” tags, and vegetarians can keep an eye out for yellow “excellent source of protein” tags. Babs Benson, program manager for the “Healthy You” weight-management program at Children’s Hospital of The King’s Daughters, says such labeling provides a short-cut to help customers make sense of nutrition information—something she’d like to see at all grocery stores. “My experience in working with families is that time is very valuable and people are not going to spend two hours in the grocery store reading labels,” says Benson. “So anything that helps point to foods that are good for you is very valuable.” Benson says misleading packaging information is a problem for people who don’t have the time to read the nutrition labels, and provides the example of products that tout whole wheat prominently on the front of the package, though the ingredient list reveals that wheat is the tenth item down, meaning that the product doesn’t have much whole wheat at all. “It’s easy to make bad {food} choices in our society, so anything that improves that is a good thing,” Benson says.
the
Health Journal’s First-Ever
Readers’ Choice Awards Vote for your favorites in more than 30 categories, from health care providers to fitness centers to local running events. The Health Journal will run a series of profiles on selected winners in our summer 2010 issues. OK, let’s get started:
}
1. Check your area of residence, the area for which you will be completing this form.
Greater Williamsburg
South Hampton Roads (Virginia Beach, Norfolk, Chesapeake, Portsmouth, Suffolk)
Peninsula (Newport News, Yorktown, Hampton, Poquoson)
Other (please name)____________________________________________
2. Complete the survey on the reverse side of this page, or vote online at www.thehealthjournals.com.
3. Return this form to us (unless you’ve voted online) in one of three ways:
1 Mail completed form to:
The Health Journal—Readers’ Choice 4808 Courthouse St., Ste. 204, Williamsburg, VA 23188
2 Drop it by the address above.
3 Fax completed survey (both sides) to (757) 645-4473
RULES FOR VOTING: • One survey form per person, please. • Deadline for entries is Friday, May 15th, 2010. • To request extra survey forms, send e-mail to info@thehealthjournals.com. • We encourage local medical practices and health-related businesses to make copies of this survey available to their clients or patients. • Voters must provide a name and phone number below. This information will be kept confidential and will be used only to keep the contest fair by preventing ballot stuffing.
Name
Phone Number
THE HEALTH JOURNAL
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2010 Readers’ Choice Ballot
Write In Your Choice For Your Favorites From The Following Categories:
Fitness And Wellness
Audiologist
Big Gym
Cardiologist
Bike Trail
Dentist (General Or Cosmetic)
Boot Camp
Dermatologist
Group Fitness Class
Ear, Nose And Throat Doctor
Pilates Studio
Eye Doctor
Running Event
Family Practitioner
Small Gym
Geriatrician
Spin Class
Neurologist
Sporting Goods Retailer
Obstetrician/Gynecologist
Weight-Loss Center
Oncologist
Yoga Class
Orthodontist
Facilities
}
Health Care Providers
Orthopedic Specialist
Community Hospital
Pain Management Physician
Emergency Room
Pediatrician
Fertility Clinic
Plastic Surgeon
Free Clinic
Podiatrist
Pharmacy
Spine Specialist
Urgent Care
Urologist
Vascular Surgeon
Weight-Loss Physician
Holistic Health Acupuncturist Chiropractor
Senior Services
Doula/Lamaze Coach
Assisted Living/Nursing Facility
Health Foods Store
Home Health Care Agency
Health Spa
Senior Center/Club
Herbalist
Senior Living Community
Massage Therapist
snapshots
Chesapeake Regional Health Foundation’s annual gala raised more than $150,000 to benefit cancer services at Chesapeake Regional Medical Center. With a theme of “City of Bridges, A Venetian Masquerade,” the event resembled a Venetian wonderland, complete with gondolas, an Italian villa and a village center fountain. (1) WVECTV Anchor Vanessa Coria, posing with her date Kerry Krell, served as the event’s emcee. (2) Attendees included Congressman Randy Forbes and his wife Shirley, as well as (3) Drs. Moemi Romano, Patty Jolly, Sonal Saini, Janice Sharma and Cynthia Romero.
1, 2, 3
Based on online patient reviews, Alison Lex, M.D., of Bon Secours Medical Associates in Virginia Beach received the “Patient’s Choice Award” from MDx Medical, Inc. The award factors in patient ratings on bedside manner, doctor-patient face time, degree of follow-up, courtesy of office staff and overall satisfaction with care.
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Bon Secours Virginia Health System, along with local humanitarian organization Operation Blessing International and The New Life Christian Center of Norfolk, revitalized and expanded The Store House, a community food pantry, after it was severely damaged by the November 2009 nor’easter. Lucy’s Inc., the Norfolk-based company that specializes in gluten-free and allergen-friendly products, now has products featured in over 7,000 stores in the U.S. and Canada, including Starbucks, Whole Foods Market, Giant, Stop & Shop, Sprouts Farmers Market and more. Read The Health Journal’s in-depth coverage of Lucy’s—founded by former emergency room physician Dr. Lucy Gibney— in the May 2008 issue, available online at www.thehealthjournals.com.
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The Department of Internal Medicine at Eastern Virginia Medical School netted several honors at the Jan. 23 Norfolk meeting of the American College of Physicians–Virginia Associates. Associate Professor of Internal Medicine Mark C. Flemmer (second from the right) was Clinical Faculty Member of the Year. In addition, Jody Boggs, M.D. (far left), Michael Gonzales, M.D., and Jennifer Hofstra, M.D., won the “Medical Jeopardy” competition during the conference.
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Suffolk community leaders, physicians, Chesapeake Regional Medical Center staff, Chesapeake Hospital Authority members and other VIPs joined the physicians and staff of Riverfront Family Medicine and Specialty Care for a grand opening ceremony held Jan. 23. This is Chesapeake Regional’s first family practice in Suffolk. Left to right: Bob Oman of the Chesapeake Hospital Authority, Chesapeake Regional Interim President and CEO Wynn Dixon, Suffolk Mayor Linda Johnson and primary care physicians Drs. Attiyah Ismaeli-Campbell, Scott Fowler and Dena Hall.
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8 Send us your snapshots! E-mail your photos
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along with a brief description to
page@thehealthjournals.com
Three-year-olds at St. John the Apostle Catholic School practice coordination and balance skills with Physical Education Teacher Aimee Kram.
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THE HEALTH JOURNAL
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food & nutrition
So, You Want to be a Vegetarian? Written By Alison Johnson
Local dieticians offer their advice for cutting the meat.
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Editor’s Picks 3 (Unbelievably Easy) Meatless Meals You’ll Love
1. 2. 3.
12 THE HEALTH JOURNAL
Morning Star Farms Black Bean Burger topped with salsa and fresh avocado (non-vegans can add shredded cheese and light sour cream) Amy’s Organic Vegetable Lentail Soup topped with shredded parmesan cheese (vegans can skip the cheese) Morning Star Farms Sausage Patties, chopped and wrapped into a pancake or like a tortilla and drizzled with pure maple syrup
o many people, the word “vegetarian” essentially translates to “healthy.” But as with all types of diets, a good vegetarian plan requires work—especially when a person first makes the switch—and a focus on including a wide range of nutritious options, experts say. Put another way, vegetarians can be very unhealthy, and even very overweight, says Lynn Earle, a registered dietician in Virginia Beach. “You can be a vegetarian and be on a steady diet of chips and Oreos,” says Earle, whose specialties include helping clients create healthy plant-based meal plans. “You have to make sure to eat the right combinations of foods, and have variety in all categories of food, in order to get the vitamins and nutrients your body needs. You don’t want to just eat apples as fruit, let’s say—you want to add oranges, kiwi, melon and more.” The term “vegetarian” officially covers people who don’t eat any meat, although some people who eat only seafood or poultry still call themselves vegetarian. There are two basic types: lacto-ovo vegetarians, who avoid meat but eat animal products such as milk, eggs, cheese, butter and yogurt; and vegans, who eat no animal products at all. People generally eliminate meat to improve their health or out of a moral opposition to raising animals for consumption. On the health side, a nutritious vegetarian diet is high in fiber, which can guard against everything from constipation to colon cancer. It’s also lower in cholesterol, which may help prevent heart disease, stroke and high blood pressure. And vegan diets in particular are likely to be low in fat as well. At the same time, there are some risks of nutritional gaps when meat goes missing from a diet, even if people do take daily supplements and vitamins. Most people assume the main problem is protein or iron, but vegetarians generally can cover those needs by eating the right combinations of foods, Earle says. With protein, the goal is to eat “complementary proteins”—different items paired to provide all the essential amino acids the body needs from food. Luckily, the combinations that accomplish this tend to be logical: vegetarian chili with cornbread or crackers, for example, or black beans and rice or peanut butter on whole-grain bread. With iron, for example, a person should pair iron-rich plants with foods rich in vitamin C, which helps the body absorb iron. An example is spinach salad with orange slices and nuts. Vegetarians also can drink soy milk, mix whey or soy protein powders into smoothies and buy meatless products such as “chicken patties,” “sausages” and “burgers,” adds Brooke Mercedes, a registered dietician with Bon Secours Hampton Roads. Many meatless products can be prepared in minutes in a microwave. “There is such a wide variety of choices that really taste good,” says Mercedes, who practices in Virginia Beach. “I’m not a vegetarian—I love meat—but I still buy
some [vegan-friendly foods]. It’s important to be willing to try new things.” Probably the biggest risk of a meat-free diet, dieticians agree, is a deficiency in vitamin B12, a nutrient found in animal products that is critical to red blood cell formation and brain function. Over time, a lack of B12 can cause anemia, as well as fatigue, weakness and difficulty with balance and concentration. Fortified breakfast cereals are one option to provide B12; another is a product called primary nutritional yeast, a flaky yellow powder that’s easy to mix into sauces or sprinkle over popcorn and other snacks. Vegetarians also can take a multi-vitamin with B-complex vitamins. Some health risks are greater for strict vegans. A lack of calcium, which vegans can’t get through dairy products, is one, although tofu is a rich source of the bone-strengthening mineral, and dark green leafy vegetables can provide some as well. Still, many vegans take calcium supplements with vitamin D in addition to a multi-vitamin with iron, taking these at different times of the day so their bodies can optimally absorb everything (vitamin D is essential for calcium absorption). Vegans also may have to work harder than lacto-ovo vegetarians to get enough fat and calories into their diets, using techniques such as cooking with peanut, canola or olive oil and using a mayonnaise substitute on sandwiches. Parents who raise vegan children need to make sure their kids stay on a normal growth curve, Earle says.
With many potential health benefits, what is the best way to change over to a vegetarian diet? Many dieticians recommend a gradual approach—starting with eliminating red meat—particularly for people who want to change their habits for health reasons rather than their core values. “Eliminate meat first and see how you feel about that,” Mercedes says. “If that feels good and you want to go further, you can eliminate fish next and then move on to other animal products. You can take it to whatever level you want and feel comfortable doing.” She also encourages people considering vegetarian diets to experiment with lots of new meals and snacks (bookstores now are well-stocked with vegetarian and vegan cookbooks) and, above all, to make their diet fun. “If you stay open-minded,” she says, “there are so many great options that are really healthy.”
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There are two basic types of vegetarians: lacto-ovo vegetarians, who avoid meat but eat animal products such as milk, eggs, cheese, butter and yogurt; and vegans, who eat no animal products at all.
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Want Kids’ Vaccinations Up to Date?
Keep the Record
Written By Frederik Joelving NEW YORK (Reuters Health)
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aking charge of your toddler’s vaccination record may be the best way to ensure he or she doesn’t miss any shots, a new study suggests. “In our country, we think the doctor should have all the medical records,” said Dr. James McElligott, a pediatrician at the Medical University of South Carolina who worked on the study. “I like the idea of putting the ownership back in Mom’s hands and empowering her a little bit.” When parents kept a ‘shot card,’ their child’s odds of being up to date on vaccinations rose by The timing of more than half. vaccinations is Experts agree that kids aren’t getting the important because vaccines they need, from those for measles, mumps, and rubella to those for polio and the toddlers’ immune flu. Tapping into national vaccination data, systems have McElligott and his colleague Dr. Paul Darden found that only 81 percent of two-year-olds not yet matured were considered up-to-date according to naenough to fight off tional guidelines. many diseases. But no one has figured out the best way to meet national goals. One potential solution is using shot cards. In their study, McElligott and Darden, who is now at the University of Oklahoma, found that about 40 percent of the toddlers had a shot card, and 84 percent of these were up-to-date on their vaccinations. By contrast, only 79 percent of the children without a card had received all their shots. The timing of vaccinations is important because toddlers’ immune systems have not yet matured enough to fight off many diseases, said Dr. Robert M. Jacobson, a professor of pediatrics at the Mayo Medical School in Rochester, Minn., who was not involved in the study. In principle, experts would like for at least 95 percent of children to have up-to-date vaccinations, Jacobson added. But in the real world, numbers fall well short of that. In some poor commu-
nities, it’s about 50 percent. The new study found that shot cards were particularly effective when mothers had little education or had many children, and when a child had multiple health-care providers. McElligott said the findings strengthened the case for maintaining your child’s vaccination records. “It turns out that not only does it make a big difference, but it seems to work in the people who need it the most,” he said. Pediatric societies already recommend using the shot card as a way to ensure that children get vaccinated. But some states have been more hesitant to adopt the card than others. In Indiana, for example, the researchers found that less than one in five kids had a card, while in Kansas, more than half did. With an ever-expanding list of shots, it may be difficult for parents to keep track of which vaccines their kids already have and which ones they still need. “You need a vaccination record in part to remind yourself and in part to share with providers when you move,” said Jacobson. From the study, however, it is impossible to determine whether the
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>>>
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Most hospitals provide an infant immunization card at the time of birth. You can also ask your child’s pediatrician about how to obtain one.
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Fitness for Every Age and Stage
Infants Early experience of physical activity sends the message that exercise can be fun.
Make Fitness a Family Affair Give kids a good start to a healthy life WRITTEN BY GAYLE PINN
Gayle Pinn is the owner of Results Personal Training Studio. She’s a certified personal trainer and spinning instructor with 12 years of experience in the fitness industry. She specializes in one-onone personal training for all fitness levels. She can be reached at resultsstudio@gmail. com.
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he growing rate of childhood obesity may very well be America’s numberone public health crisis. In the past 30 years, the number of overweight children has more than doubled among two- to five-year-olds and 12- to 19-year-olds, and it’s more than tripled among children ages 6 to 11. This sharp rise in obesity has been linked to the dramatic increase in Type II diabetes, high blood pressure and other serious health problems in children. Many health specialists see a link between children’s declining physical activity and increasing weight. While, on average, children consume fewer calories today than they did 30 years ago, they’re steadily getting heavier—so it makes sense to focus on the role of physical activity in the obesity epidemic. Look around any playground: children like to be physically active. But today’s youth have fewer opportunities to do so than in the past. Some reasons include cuts in school physical education programs as well as parents’ heightened concerns about their children’s safety. For example, one in three kids are now driven to school on a bus or by their parents; 30 years ago that number was one in 10. And today parents are less likely to allow their children to play outside without supervision. At the same time, children today have more attractive indoor activities such as computer games as well as game players ranging from the Xbox to the PSP, from the iPod to the Wii. Let’s face it: The older we get, the harder it is to make healthy lifestyle changes. Teaching children and teens healthy habits now will last a lifetime. And the best way to promote a healthy lifestyle is to make health and wellness a family affair. Parents can set a good example for their children by being active themselves. Early exposure to physical activity shows kids that exercise can be fun, and that is an important foundation for their future health and happiness. Parents should emphasize the “play” aspect of exercise and encourage children to do the activities they enjoy.
Toddlers All children enjoy energetic play.
Grade Schoolers Family outings promote fitness, quality time together.
Try these tips:
16 THE HEALTH JOURNAL
• • • • • • •
Visit a park, playground or swimming pool. Walk, hike or take a bike ride together as a family. Seek children’s clubs that involve physical activity. Encourage children to get involved in sports. Join a family-friendly recreation center. Balance “screen time” with more active pursuits. Set a good example, and be physically active yourself.
Adolescents Set a good example by being physically active yourself, and encourage a healthy lifestyle.
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M
Second Opinions May Prevent Regrets A friend’s misfortune provides a valuable lesson.
y friend Eric was catheterized for no good reason. That’s what sold me on second opinions. We were both in our mid-30s when we were diagnosed with kidney stones. With Eric living in Norfolk and me in Chesapeake, we went to our respective city hospitals in a similar state of extreme pain. But Eric had to further endure both the insertion of a catheter through his urethra, and finally its painful withdrawal, while I slept peacefully under a morphine drip as my kidney stones were sonically broken up by a lithotripsy machine. So was Eric’s epic discomfort the fault of the hospital, or his own? There are no hard and fast rules to tell us when to seek a second opinion. But when given a diagnosis, especially a difficult one, there are several questions that patients should ask their doctors. Before he was catheterized, the first question Eric should have asked is, “Are there alternative treatments I should consider?”
Written By Gregory Epps
“Second opinions are a normal part of medical practice. If a doctor is offended, you should walk— no, run —away.” —General Surgeon John B. Newman, Norfolk
According to Dr. John B. Newman, a general surgeon with Sentara Norfolk, “Patients need to feel empowered and prepared to make informed decisions regarding their individual health needs.” Newman recommends that patients inquire about the reasons for and risks behind any procedure, as well as side effects, alternate methods of treatment, the effect a procedure may have on quality of life, and the cost of taking action versus inaction. Dr. L.D. Britt, professor of surgery at Eastern Virginia Medical School, agrees that patients should be in charge of their health care, and that we have every right to ask for a second opinion. In fact, he recommends that we do exactly that. “I don’t think patients utilize second opinions enough,” says Britt. “And any surgeon who is in any way intimidated by someone wanting a second opinion should reevaluate [his or her] focus. The focus should be on keeping the patient informed and comfortable.” Continued on page 20 THE HEALTH JOURNAL
19
You have a choice.
health care decisions
Continued from page 19 Newman agrees: “Second opinions are a normal part of medical practice. If a doctor is offended, you should walk—no, run—away.” But how do we know if we need a second opinion? Drs. Newman and Britt agree that it’s a decision that must always be made by the patient. Patients should not hesitate to ask questions, request further guidance from specialists, or privately seek a consultation with another physician. Remember, asking for a second opinion doesn’t mean you’re cheating on your doctor. There’s no such thing as patient infidelity. Acquiring that second opinion should not be difficult. Newman reminds patients to seek “qualified advice,” making sure that second opinion comes from a board-certified specialist. “Some insurance companies require a second opinion,” he says. “Others may pay for a second opinion if the patient requests it.” Britt points out that if a Asking for a second opinion patient is involved with an doesn’t mean you’re cheating HMO or similar plan, he or she may want to stick with on your doctor. There’s no physicians honored by that such thing as patient infidelity. plan or risk having to pay for the cost of the second opinion out of pocket. In an August 2009 article posted on the CNN website, the network’s medical news correspondent Elizabeth Cohen reported on several diagnoses that call for a second opinion. Procedures like heart bypass, hysterectomy, varicose vein surgery and brain tumor surgery made the list because of either their tendency to result from misdiagnosis or because multiple treatment options are available. But both Britt and Newman believe that any diagnosis warrants a second opinion. The patient must always be aware that it’s an option. Usually, a second opinion will simply confirm the first diagnosis and recommended course of treatment, leaving the patient with a sense of confidence and relief. But what if the second opinion is different from the first? How does the patient know which way to turn? “That can be tough,” says Britt. “If you’re dealing with doctors who are board-certified, you’re likely going to get the same diagnosis. But if it is something different, one thing you can do is research your diagnosis and your doctor’s qualifications on the Internet.” Newman reports that calling the local hospitals where specialists practice can be another source of information about a physician’s qualifications. “A second opinion,” Newman says, “is not necessarily better than the first. A final decision on the course of action will be yours. It’s a decision that should be made with all the facts.” My friend Eric didn’t have all the facts on kidney stone treatment, and he suffered some major discomfort because of it. Yes, ideally Eric’s doctor would have told him about the new stone-busting device. But also, Eric had the opportunity to ask and didn’t. Kidney stones may be easily survivable, but in a potentially life-threatening or life-altering medical situation, a second opinion can help prevent later regrets.
20 THE HEALTH JOURNAL
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feature
When Studies Collide
Making Sense of Cancer Screening Guidelines Written By Alison Johnson
V
ivian Vitullo had no reason to be worried when she went for a mammogram at age 40. The Suffolk resident had gone through a scare two years earlier after discovering two lumps in her breasts, but tests had shown no signs of cancer. Without a family history or risk factors for the disease, Vitullo scheduled a mammogram simply because the American Cancer Society recommends annual screenings starting at age 40. Even after a radiologist saw troubling deposits of calcium in her right breast, Vitullo wasn’t too concerned. But several tests later, she got a diagnosis that shocked her: ductal carcinoma in situ, or cancer within the milk ducts of her breast. Around the same time, Vitullo also found a lump in her left breast; doctors later flagged the cells as “suspicious,” though not necessarily cancerous. So in April 2007, Vitullo, a mother of three who works as a special education supervisor in Newport News, had a bilateral mastectomy. She also had reconstructive surgery and began
22 THE HEALTH JOURNAL
taking Tamoxifen, a prescription medicine that’s been shown to help prevent cancer from returning in some women. Fast forward to this past November, when Vitullo, now 43 and with no signs of cancer, heard about new mammography guidelines from a federal advisory panel that no longer recommended routine annual screenings for women ages 40 to 49. Instead, the panel advised patients and doctors to make that decision on an individual basis, possibly delaying regular mammograms until age 50. “I made the connection to my case right away,” Vitullo says. “I was really blown away by it. My cancer was found at the best time, when it hadn’t spread beyond the milk ducts. Another 10 years—I don’t know what that would have meant for me. I just can’t put a price on my life or the life of a lot of other younger women I’ve met since my diagnosis. I just think [those recommendations were] really, really scary.” The proposed change for mammography was one of
several updated cancer screening recommendations within the past year that have provoked everything from confusion to concern to outcry among local patients and physicians. New suggestions from national medical organizations on cervical and prostate cancer screening also have Hampton Roads’ doctors worried that more men and women won’t catch their cancers until they are so advanced that treatment is difficult, if not impossible.
Mammography and breast cancer
The uproar over mammography began in November, when the U.S. Preventive Task Force—an independent federal advisory panel—stated that “the decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account.” Even at 50, according to the panel, most women could have the test every two years rather than annually. The task force also recommended that doctors not spend time train-
ing women to do breast self-examinations. Task force committee members—primary care doctors and scientists with expertise in statistics—based their opinions on this data: mammography prevents one cancer death among every 1,904 women ages 40 to 49 who are screened for 10 years, compared to one death among every 1,339 women from ages 50 to 59 and one death among every 377 women from ages 60 to 69. Routine mammograms starting at 40 regardless of a patient’s risk factors, they argued, can lead to over-diagnosis, false-positive results, unnecessary biopsies and needless anxiety. Mammograms also miss roughly 10 percent of breast cancers. But local doctors interviewed were unanimous— and passionate—in their opposition, urging women to begin annual mammograms at 40 (or earlier if they have a family history of the disease). While the task force’s decisions aren’t binding on insurance companies or federal policy, doctors fret that insurers will be more reluctant to cover routine mammograms and that women will be discouraged from screening. Worst of all, they say breast cancer could go undetected in younger patients while they still have a treatable form of the disease. Even low-risk women need regular screenings, doctors say, given that about 75 percent of breast cancer cases come in women who have no risk factors. “My immediate reaction was that [the panel’s recommendation] was a huge step backward for women,” says Dr. Kelley Allison, director of breast imaging at the Dorothy G. Hoefer Comprehensive Breast Center at Sentara Port Warwick in Newport News. “My fear is that we will be turning back the clock on all the progress we’ve made during the past two decades. Basically, I believe this is financially driven—reinterpreting old data and putting a price on women’s lives. I want women to continue to be well aware that early detection is such a key to curing breast cancer.” Breast cancer deaths have fallen by 30 percent nationally since 1990, Allison notes, despite the fact that no large-scale new therapies have emerged during that time. “The only big advance in the past two decades has been [encouraging early] screening mammograms,” she says. “To change these recommendations is very irresponsible and doing a big disservice to women here and everywhere.” Dr. Elizabeth Harden, a medical oncologist with Virginia Oncology Associates in Newport News, seconds those opinions. Like Allison, she notes that breast cancer tends to be more aggressive in women in their 40s than it does later on. “Generally speaking, I’m much more worried about a woman in her 40s who gets cancer,” Harden says. “Nobody wants a patient to go through unnecessary anxiety, but I think a woman would much rather go through that than to find out years later that a cancer was missed, when it may be at a late-stage, advanced point that is too late for
New guidelines on cervical cancer, released by the American College of Obstetrics and Gynecologists, came out in November, right on the heels of the mammography controversy, although the group called the timing purely coincidental. treatment. Women need to be in the mindset of being screened.” [Read The Health Journal’s profile of Dr. Harden on page 7 of last month’s edition.] Dr. Kimberly Schlesinger, chair of the Riverside Breast Cancer Committee and an oncologist at Peninsula Cancer Institute in Newport News, agrees: “There are no perfect tests, but that is no reason to disregard the test as a whole, particularly in a population which tends to have more aggressive tumors. The implication that the risks of putting a woman through a biopsy for a lesion that is later found to be negative, with the biopsy’s incipient emotional toll, may outweigh the benefits of potentially identifying a cancer in its earliest stage, undermines the message breast cancer advocates and medical professionals have been discussing for years—that knowledge is power. This is my main concern—that women will postpone routine mammograms, thus forfeiting early detection and the best chance for cure.” The panel didn’t tell doctors anything they didn’t already know, Harden adds; mammograms aren’t perfect, particularly in younger women with denser breasts, and the incidence of cancer is lower in women in their 40s than it is in women 50 and older. “I got the sense they were putting a dollar value on a life,” she says. “It doesn’t seem based on any real clinical insight.” As for self-exams, Harden has treated many women who first discovered an abnormality on their own, and she still teaches the technique to patients. She advises all women—and men—to know their own breasts and look for changes that may be signs of trouble, including lumps, skin dimpling, retracted nipples and discharge from the nipples. “So many women will know if something just isn’t right,” she says. As Schlesinger puts it, “There is a learning curve to breast self-examination, and it is true that mammograms are generally able to pick up masses before they are palpable, but to ignore a free and easy manner of self-care seems quite silly to me.”
Pap smears and cervical cancer
To many local gynecologic oncologists—doctors who treat cancers of the female reproductive system—new guidelines released by the American College of Obstetrics and Gynecologists (ACOG) on cervical cancer are equally frightening. ACOG’s recom-
feature
mendations came out in November, right on the heels of the mammography controversy, although the group called the timing purely coincidental. Previous ACOG guidelines directed women to have an annual Pap smear—a test that looks for abnormal cervical cells among cells gathered during a vaginal exam—within three years of their first sexual intercourse but no later than age 21. The organization now states that women should have that first test at 21, and that women older than 30 can schedule screenings once every three years if they have three consecutive normal tests and no history of seriously abnormal findings. The ACOG now states that women between 65 and 70, meanwhile, can stop having Pap smears if they have three normal tests in a row and no abnormal results in the past 10 years. ACOG’s goal is to decrease unnecessary follow-up testing and patient anxiety as well as potentially harmful treatment. Cervical cancer typically grows slowly, and young women are particularly prone to developing abnormal lesions (dysplasia) that appear to be precancerous but often will go away if left alone, says Dr. William Irvin, a gynecologic oncologist with Riverside Gynecologic Oncology in Newport News. Treating mild to moderate dysplasia with surgery, on the other hand, can injure the cervix and lead to problems when a woman becomes pregnant, putting her at higher risk for premature birth and Caesarean sections. Once women are exposed to the human papillomavirus, or HPV, which can cause cancer, about 80 percent will clear the viral infection in two or three years, Irvin says. The other 20 percent will be at risk of developing cancer, but that process can take 10 to 20 years—progressing from low-grade to moderate to high-grade dysplasia and then to cancer. “The general thought is that we have been too aggressive in treating dysplasia in young women, that if we had just monitored them it would have been better,” Irvin says. “The new thought is we should focus more on women in their 20s, 30s and 40s, who are more at risk for having sustained infections.” Women who have a normal Pap smear, he adds, have less than a one percent chance of developing a high-grade lesion over the next three years. Irvin believes the new guidelines are “appropriate” as long as women continue believing that Pap smears are potentially life-saving tests. On the contrary, they have dramatically reduced deaths from cervical cancer in the United States, he says. “Women need to know that it works,” Irvin says. “It’s up to doctors to continue to educate them about that fact.” But other local doctors disagree with the new recommendations. Dr. Robert Squatrito, a gynecologic oncologist with Virginia Oncology Associates in Norfolk, feels women who become sexually active as young teenagers need their first Pap smear before 21. “I’ve Continued on page 25 THE HEALTH JOURNAL
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“My fear is that we will be turning back the clock on all the progress we’ve made during the past two decades….I want women to continue to be well aware that early detection is such a key to curing breast cancer.” —Dr. Kelley Allison, mammographer Dr. Kelley Allison Continued from page 23 taken care of people who are 15 and 16 with highgrade dysplasia,” Squatrito says. “I believe [the ACOG’s new recommendation] is an economically driven analysis, not one that takes individual needs into consideration.” He says that extending the time between screenings for older women would be particularly problematic for those who have had numerous sexual partners in the past year or have a husband who isn’t monogamous. Dr. Daynelle Dedmond, a gynecologic oncologist with offices in Williamsburg and at Sentara CarePlex in Hampton, has treated girls as young as 12 with abnormal Pap smears and had a 19-year-old patient die of cervical cancer. As for letting older women wait three years between screenings, she notes that Pap smears become more accurate if done in consecutive years. A one-time test has a 60- to 70-percent chance of identifying cancer in patients with the disease, she says, while the number rises to 90 percent with three consecutive annual tests. “If we make [the ACOG’s] changes,” she argues, “we absolutely are going to miss women where cancer could have been prevented or caught in time to treat.” Dedmond doesn’t dispute that some women with low-grade and moderate dysplasia have had unnecessary treatments. But she argues that instead of reducing screening, ACOG and other organizations should do more to educate doctors and patients on treatment options more conservative than surgery. Squatrito, meanwhile, is concerned that women will start to downplay Pap smears and annual visits to a gynecologist. “That’s another side of this issue that people don’t want to talk about,” he says. “I think we would start missing ovarian problems and other concerns that would come up during an annual vaginal exam.” And Irvin notes that even women who have had one of the newer vaccinations against HPV [like Gardasil] still need Pap smears: “The vaccine doesn’t protect against all types of HPV that cause cancer, so screening continues to be very important.”
PSA and prostate cancer
The debate over the effectiveness of the prostatespecific antigen, or PSA, test isn’t a new one. The
blood test measures levels of proteins produced by cells in the prostate; increased levels can be a sign of cancer. Doctors use the PSA in combination with a digital rectal exam, or DRE, during which they feel the prostate gland through the rectal wall to check for abnormalities. In March 2009, two reports published in the New England Journal of Medicine raised more questions than answers about whether regular testing causes more benefit than harm—a concern that has persisted for years, says Dr. Richard Rento, a urologist with Riverside Health System in Newport News. Side effects of prostate cancer treatment (surgery, chemotherapy, radiation, etc.) can include erectile dysfunction and incontinence, which may be needless difficulties for men who have a slow-growing form of cancer. Guidelines generally have called for men to begin annual PSA screenings at age 50, or at 45 if they are African-American or have other risk factors such as family history. But last year the American Urological Association, or AUA, weighed in with new recommendations: PSAs should be offered to “well-informed” men ages 40 and older who have a life expectancy of at least 10 years. After that point, the AUA said, the decision to test should be based on individual conversations with a doctor. That approach, according to the AUA, would allow for “earlier detection of more curable cancers and may allow for more efficient, less frequent testing”—in other words, possibly not every year. Local doctors do believe patients need more information about the pros and cons of the PSA, including the concepts of over-diagnosis and over-treatment and the fact that the test doesn’t catch up to 20 percent of prostate cancers. Doctors also have no easy way of determining how a diagnosed cancer is going to behave. Nevertheless, no one should forget that the screening method is a life-saver, Rento says: before PSA testing began around 1990, just 68 percent of men initially diagnosed with prostate cancer had localized, curable disease (the cancer produces no symptoms until it is too late to cure). Today, 91 percent are identified at that point. “Until an alternative exists, PSA testing with a DRE is the best option we have to make an informed deci-
sion,” says Rento, who believes every man should be screened by age 50 and high-risk men by 40. “Men have a choice: undergo testing and, if there is cancer, make an informed choice for treatment or observation, or [avoid testing] and take the risk of a diagnosis obtained too late to cure. In my experience, the vast majority of men choose to know.” Treatments are improving, he notes, and doctors increasingly are choosing watchful waiting over surgery and other invasive procedures in certain cases. Doctors who want to eliminate PSA testing from annual checkups “owe it to their patients to have this discussion,” Rento says. Dr. John Lasater, a urologist with the Advanced Urology Center at Sentara CarePlex Hospital, echoes the belief that every man should be screened by age 50. Lasater also finds it “reasonable” to do a one-time PSA when a man reaches 40 to make sure levels are normal. “If prostate cancer is diagnosed, one of the many ‘treatment’ options can be no treatment, or active surveillance,” he says, “but at least you have knowledge of your disease and can make an informed decision as opposed to prostate cancer going undiagnosed and untreated.” The incidence of prostate cancer death in the U.S. has fallen by 40 percent over the past 15 years, he points out; aggressive screening likely is an important factor even if no study has proven the link. Making every potential PSA patient a “well-informed” one also may be difficult for primary care physicians already strapped for time, doctors add. “You can’t expect a physician to cover this complex topic with every man in detail and still complete their yearly physical in a 30-minute appointment,” Rento says.
The bottom line
Amid all the swirling opinions, doctors say the best general advice is for patients to have as detailed as possible a conversation with their physician about individual needs—and, if necessary, push for screening tests they feel they should have. Vivian Vitullo plans to do that with mammography for her two daughters, ages 20 and 15. “It’s frightening for me to think about them,” she says. “I want them to be screened early, absolutely, and it scares me that someone might try to take that option away.” THE HEALTH JOURNAL
25
skin & beauty
Premature Skin Aging:
More Than a Wrinkle in Time Written By Dr. Keith W. Schumann
Premature skin aging is not normal, and it doesn’t have to happen to you. Preventing the signs of aging is possible, and treatments are available to help erase the damage that’s been done. There are two types of aging: intrinsic and extrinsic. The genes we inherit cause intrinsic (internal) aging, also known as the natural aging process. I’ll focus on extrinsic (external) aging, because it is here that we can make a big difference by avoiding one of the main risk factors—sun exposure.
Drooping
Wrinkles
Keith W. Schumann, M.D., is a board-certified dermatologist with advanced training in lasers. The founder of Ageless Dermatology & Laser Center, he has practiced in Williamsburg for the last 10 years. He can be reached at info@agelessderm.com.
Sunspots Dull tone
Roughened texture
Elongated upper lip
Thinning
Loss of volume
Skin laxity and sagging
Treating the Damage
Treatments for signs of premature skin aging range from topical products to laser procedures, with many options in between. The right intervention is based on the extent and type of skin damage. Three ingredients stand out in topical products: vitamin A (tretinoin, retinol), alpha hydroxy acids, and vitamin C. These products are not appropriate for all
skin types, and the form and strength of each are important to know before using products that contain them. Beyond topical care, effective and popular treatments include wrinkle fillers, botulinum toxin A, microdermabrasion, chemical peels, and laser procedures. A consultation with a qualified physician is the best way to get started.
YOUR THREE-STEP SUN-SAFETY PROGRAM
1 2 3 26 THE HEALTH JOURNAL
Avoid the sun. If your shadow is shorter than you are, seek shade. Wear sun-protective clothing such as long-sleeved shirts, pants, widebrimmed hats and sunglasses whenever possible. Many sporting goods stores and specialty retailers sell clothing with a built-in high SPF (sun protective factor). Use sunscreens daily.
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Left to right: Emergency room doctors Dave Cash of Sentara Williamsburg Regional Medical Center and Charles Graffeo of Sentara Norfolk General Hospital have served together on many a relief mission, from hurricanes and other natural disasters to terrorist attacks on U.S. soil. Their most recent journey, however—a week in quake-stricken Port Au Prince, Haiti—was an unexpected assignment that turned out to be the experience of a lifetime.
Healing Haiti Written By Page Bishop-Freer
Two ER doctors reflect on their mission trip to earthquake-stricken Haiti, from the joy of saving three lives to their concerns for the country’s future. As emergency room physicians, Drs. David Cash and Charlie Graffeo are trained to respond quickly to any medical crisis that comes through their ER. But on the eve of Jan. 12, as they caught glimpses of news reports announcing that a massive earthquake had hit Haiti—leaving hundreds of thousands dead and countless more injured—the doctors felt powerless to help. Cash and Graffeo are no strangers to large-scale disasters; as lead physicians of the Virginia Task Force 2 (VATF2), a volunteer search-and-rescue team that’s part of the Federal Emergency Management Association (FEMA), they’d been among the first to reach New Orleans’s battered coast in 2005 after Hurricane Katrina swept inland. And before that, when the Pentagon was attacked on Sept. 11, 2001, their team was immediately mobilized for action. In fact, it was Cash’s vivid recollections of his relief work after the Oklahoma City bombing in 1995 that inspired Graffeo to join the team that same year. Normally, VATF2 responds to U.S. disasters only, leaving international missions up to two large teams from Fairfax County, Va., and Los Angeles County. But the severity of destruction in Haiti caused President Barack Obama to call on five domestic teams, among them VATF2, to assist in relief efforts. “None of us were expecting to go,” says Cash, who, on Jan. 13, received a latenight confirmation that the team would be leaving for Haiti that night. Graffeo was also caught off-guard: “[Around 11 p.m.] my pager went off. We were getting deployed.” Shortly after midnight, Cash, Graffeo and 80 fellow VATF2 crew members reported to the Virginia Beach training center that houses their equipment. The team is comprised of two physicians, scores of firemen and other rescue personnel, four K9s (and their handlers) and various other search-and-rescue specialists. “Our cache is ginormous,” says Graffeo of the team’s gear—so big that it took two semis and four pickups to haul it all to Norfolk Naval Base, where, many hours later, they were met by two C-17 military aircraft that would deliver the team and all its equipment to Port Au Prince, Haiti. Though they’d prepared as best they could for medical problems they’d most likely encounter there (i.e., malaria, Dengue fever and Haitians infected with HIV/AIDS), Graffeo and Cash had no way of predicting what circumstances awaited them on the ground.
28 THE HEALTH JOURNAL
Touching Ground According to Cash, when the planes touched down on Haitian soil, Port Au Prince was in a state of “absolute, unmitigated chaos.” Located to the north of the city, the single-runway airport (badly damaged in the quake) had become a makeshift camp for teams from some 56 countries. Three field hospitals had been established to treat the wounded; Cash and Graffeo’s purpose there was to ensure the health of the VATF2 team and stabilize any survivors they might find. The crew set up camp by the runway and reported to the United Nations (UN) headquarters, where they were provided with a grid of the city and little else. “It was very unstructured there,” explains Graffeo. “No one to welcome us or tell us where to go.” Nonetheless, Cash says the UN was relieved to see their team arrive with tools and equipment that would prove useful in the days to come. The next morning the crew, escorted by 12 armed guards, traversed the hot, hectic and hilly streets of Port Au Prince in search of survivors who might be trapped underneath collapsed buildings as well as any information that could point them in the right direction. “The intelligence came from locals,” says Graffeo, “but we only wanted to hear about live victims” and not the dead. The first two days’ searches turned up empty, though the team found its share of fatalities. At one site, an estimated 150 dead lay buried beneath a collapsed three-story building. By this time the scent of decomposing bodies and exposed sewage had started to saturate the air. The sounds of speeding, traffic, power generators and the occasional gunshot faded together into a hum of white noise. Life is found Among the Rubble On the fifth day following the earthquake, the VATF2 crew was given a special assignment: UN officials had a hunch that the yet-unaccounted-for Danish ambassador Jens (pronounced “Yahns”) Christiansen had been working in a six-story building across town when the earthquake happened. The teams made their across Haiti’s rolling landscape—what Cash and Graffeo compare to the streets of San Francisco—to the site in question. Experienced rescuers eyed what appeared to be a collapsed stairwell. Pulses quickened when a search dog picked up a scent.
Continued on page 31
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Continued from page 28 The crew cut through concrete slabs and long, metal ropes—the typical cheap reinforcement for buildings there—and filled bucket after bucket with debris, passing them down the line in a “bucket brigade.” The objective? Get closer to the victim without jeopardizing his safety. Cash remembers the process as a “high-stakes game of pick-up-sticks.” In other words, “If you pick up the wrong stick, they’ll all come toppling down.” The UN’s instincts were on-the-mark: Far beneath layers of dust and debris, within the conclave of his desk, was Jens Christiansen, alive, yet in very poor health after five days trapped without food or water. The team was surprised by what came out of the tunnel first—not a hand, head or foot as they’d imagined. Christiansen first pushed out his shoes, followed by his laptop. Later they learned that Christiansen had given up hope of being found. He’d composed his last will and testament before his computer’s batteries had run out. As for his shoes, they’d been his pillow for the past five days—he was not going to part with them for the world. “Elation; pure elation,” is what Graffeo felt as Christiansen appeared from the opening of the tunnel and was carried down a line of firemen to where the doctors were waiting. “It’s such a feeling of pride… more than I can put into words.” This was an especially memorable moment for most of the VATF2 crew—after 20 years of searching, Christiansen was the first live victim they’d found.
Charlie Graffeo
Graffeo joined FEMA’s Virginia Task Force 2 after listening to Cash’s vivid recollections of the team’s relief work in Oklahoma City in 1995.
A miracle outside port au prince As experienced rescuers know, the more time that passes, the less likely it is that survivors will be found. By day seven, UN officials started to shift their focus from rescuing people to recovering bodies. It was that day, when the team was headed back to the airport without a rescue, that a group of locals stopped VATF2’s motorcade. Rumors were circulating about two children trapped alive under a building across town. The team followed the tip to the outskirts of the city, down a dark, narrow and steep road—hundreds of feet down, by Cash’s estimates—to a collapsed four-story residential building. Onlookers said they could hear small cries from within. Any skepticism on the crew’s behalf was quelled when a microphone picked up the voices. A call uphill for generators and other tools sparked the full-scale rescue mission. Workers dug deeper and deeper into the debris, circumventing the occasional dead body that lay in their path. Outside, Cash (Graffeo was stationed at the base camp that afternoon) and a New York physician prepared the medications needed to stabilize the children, all the while praying silently for their safety. “Nobody was happier than me when [the boy] popped out of the tunnel first, arms outstretched and smiling,” says Cash. Minutes later the boy’s sister appeared in the opening, severely dehydrated and in “complete shock,” recalls Cash, who firmly believes that if the girl had not been found right then, “she would not have made it through the night.” The next day the UN called off all search-and-rescue missions. VATF2 volunteers were anxiously awaiting their orders when they received a surprise visit from Jens Christiansen, who, in a heartfelt thank-you speech, announced that he’d been “reborn” and would henceforth re-dedicate his life to helping others. But in Cash’s view, it’s Christiansen who deserves the real thank-you. “He waited for us for five days,” says Cash, “but some of us have been waiting 20 years to find him.” Exactly one week after arriving in Port Au Prince, the team was heading home on a commercial flight (sending their supplies by boat), and Cash and Graffeo returned to their lives and jobs, though their thoughts were Continued on page 33
David Cash
THE HEALTH JOURNAL
31
“Nobody was happier than me when [the boy] popped out of the tunnel first, arms outstretched and smiling,” says Cash.
The crew lands around 8:30 p.m. on Jan. 14.
Multi-level buildings saw the most damage.
Crew members search a collapsed UN building.
A UN ambassador from Denmark is carried to safety.
Two children are found seven days after the quake.
Graffeo chats with three Haitian friends.
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Continued from page 31 Whether you know a special person who has stood up for an important cause, faced incredible odds or is just all-around interesting, we want your opinion on whose personal/professional story Suggest a Profile!
is worth with our readers. to students work in the health care industry, but the story must have a health-related still verysharing much with Haiti.Nominees don’t have cal at Eastern Virginia Medical School (whereangle. Send your recommendations to page@thehealthjournals.com. Plagued by a long history of he is a professor of emergency medicine) to third and poverty, corruption, violence and fifth graders at Virginia Beach’s John B. Dey Elementary all-around misfortune, Haiti faces School. (Graffeo was humbled when, after his presentaan uncertain future. From a medition, some of the children gave him their lunch money to cal standpoint, Cash wonders what send to Haiti.) will become of the country’s health “For me, [going to Haiti] really put into context how care system when the triage tents important a career of service is, in any capacity, and to and field hospitals close up shop. spread that word—it’s definitely a message worth deliverPerhaps his biggest concern is those ing to people.” children who lost a limb—either from a crushed building or from an infection that wasn’t treated in time—and have no access to a prosthesis or physical therapy. New Frontiers Military • Firefighters & Embraces Medicine’s “I feel like I fixed what I could Rescue Personnel • Police when I was there, and I am grateful for that. But nobody can fix Haiti’s Officers • Teachers and problems. If I knew in my heart there was a way for the country School Employees • Docto improve, I’d feel OK. I just don’t tors, Nurses & Medical know for the life of me how that’s possible. Not having an answer— Personnel • Local, State that’s the hardest part.” As for Graffeo, he’s eager to & Federal Government If you are one of our Great American Heroes we want to thank you! share with others what he has Employees • Retired Stop by today and see the wonderful apartment homes that await you. gleaned from his time in Haiti. In the month since his return, his Heroes Welcome audiences have ranged from medi-
“For me, going to Haiti really put into context how important a career of service is, in any capacity....” —Dr. Charles Graffeo
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A PA R T M E N T S & T O W N H O M E S The Sports Care Program at Riverside Orthopaedics and Sports Medicine is your resource for diagnosing and treating sportsrelated injuries and all other injuries related to physical activity. Our physician specialists, rehabilitation specialists and home care and fitness professionals take a team approach to developing a completely personalized care plan that helps get you back in the game or to your highest possible level of functioning.
RIVERSIDE
For exceptional Riverside orthopaedic care, call Regional Medical Center (757) 875-7880.Emergency Department
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Consulate of Norfolk
757-229-4004
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Consulate of Windsor
337 McLaws Circle Williamsburg, VA 23185
23352 Courthouse Highway • Windsor, VA 23487 • 757.242.4770
At Hampton Roads ENT ~ Allergy we
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If someone in your family is suffering from seasonal allergies or your child needs a tonsillectomy, Hampton Roads Ear, Nose and Throat is here for you. With the expertise and compassion to provide the personal care your family deserves, our physicians, audiologist and support staff work together to bring you the highest level of care.
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Geoffrey W. Bacon, MD
Michael J. Jacobson, MD Timothy A. Queen, MD John L. Howard, MD Ryan P. Hester, MD
www.HamptonRoadsENT.com
Kathryn L. Wyatt, NP
Newport News 757-873-0338
Hampton 757-825-2500
Williamsburg 757-253-8722
Gloucester 804-210-1424
the
Health Journal Peninsula Edition
Health Directory
We’ve done our best to include every health care service provider on the Lower Peninsula. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.
Allergists & ENT Physicians
Regency Health Care Center 112 N. Constitution Dr. Yorktown (757) 890-0675
Kevin L. Conover, DC 10866 Warwick Blvd. Newport News (757) 591-8834
Henry A. Cathey 710 Denbigh Blvd., Ste. 1-C Newport News (757) 874-5511
Jack A. Mrazik, DDS 3000 Coliseum Drive, Ste. 204 Hampton (757) 838-3975
Allergy & Asthma of Oyster Point 11835 Fishing Point Dr., Ste. 107 Newport News (757) 873-3882
Associates in Dermatology 17 Manhattan Sq. Hampton (757) 838-8030
Riverside Adult Day Care 1000 Old Denbigh Blvd. Newport News (757) 875-2032
Denbigh Chiropractic 13784-B Warwick Blvd. Newport News (757) 877-3770
City Center Dental Care 709 Mobjack Place Newport News (757) 873-3001
Francis D. Mullen, DMD 2240-B Coliseum Drive Hampton (757) 838-8411
Leo R. Carter, MD 2115 Executive Drive, Ste. 2-D Hampton (757) 827-1351
Riverside Convalescent Centers 1000 Old Denbigh Blvd. Newport News (757) 875-2000 414 Algonquin Rd. Hampton (757) 722-9881
Egan Family Chiropractic 1078 Big Bethel Road Hampton (757) 838-2500
Michael Covaney, DDS 760-E Pilot House Dr. Newport News (757) 596-6850
George L. Nance, DDS 608 Denbigh Blvd., Ste. 805 Newport News (757) 872-0617
Bruce E. Fuller, MD 12695 McManus Blvd., Ste. 3-B Newport News (757) 872-7787
Venisse Georgalas, DC 702-A Middle Ground Blvd. Newport News (757) 591-9390
Ray A. Dail, DDS 716 Denbigh Blvd., Ste. A-4 Newport News (757) 872-7777
Gunderman Chiropractic & Wellness Center 5701 Geo. Washington Mem. Hwy. Yorktown (757) 874-5666
G. Curtis Dailey, DDS 534 Wythe Creek Rd. Poquoson (757) 868-6091 2118 Executive Dr. Hampton (757) 826-5075
K. E. Neill Jr., DDS K. E. Neill III, DDS 219 Cook Rd. Yorktown (757) 898-6832
ENT Physicians & Surgeons 895 Middle Ground Blvd., Ste. 152 Newport News (757) 599-5505 Hampton Roads ENT-Allergy 901 Enterprise Pkwy., Ste. 300 Hampton (757) 825-2500 11842 Rock Landing Dr., Ste. 100 Newport News (757) 873-0338 Virginia Adult & Pediatric Allergy & Asthma 11747 Jefferson Ave., Ste. 6-C Newport News (757) 596-8025
Assisted Living, nursing homes & Adult Day Care Centers Agape Home for Adults 1112 29th St. Newport News (757) 928-1999 The Chesapeake 955 Harpersville Road Newport News (757) 223-1600 Coliseum Park Nursing Home 305 Marcella Road Hampton (757) 827-8953 Colonial Harbor 2405 Fort Eustis Blvd. Yorktown (757) 369-8305 The Devonshire 2220 Executive Dr. Hampton (757) 827-7100 Dominion Village 531 Wythe Creek Rd. Poquoson (757) 868-0335
Riverside PACE (Program of AllInclusive Care for the Elderly) 4107 W. Mercury Blvd. Hampton (757) 251-7977 St. Francis Nursing Center 4 Ridgewood Pkwy. Newport News (757) 886-6500 Sturdevant Lodge Elite Elder Care 11 San Jose Drive Newport News (757) 660-7703 Sentara Nursing & Rehabilitation Center 2230 Executive Dr. Hampton (757) 224-2230 Shelton on the Bay 1300 N. Mallory St. Hampton (757) 723-6669
AudiologISTS Hecker & Associates 802-C Lockwood Ave. Newport News (757) 874-4665 Maico Audiological Services 610 Thimble Shoals Blvd., Ste. 403-B Newport News (757) 873-8794 Sentara CarePlex Audiology 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2528
Cardiology
Japhet D. LeGrant, DC 950 Big Bethel Rd. Hampton (757) 825-8010 Manadero Chiropractic 727 J. Clyde Morris Blvd., Ste. B Newport News (757) 595-8433 Scott E. Olney, DC 1056 Harpersville Rd. Newport News (757) 596-9696 Optimum Chiropractic, PC 610 Thimble Shoals Blvd., Ste 202-A Newport News (757) 594-9412 Pahnke Chiropractic & Wellness Care 755-A Thimble Shoals Blvd. Newport News (757) 873-2225 Rebound Chiropractic 11790 Jefferson Ave., Ste. 205 Newport News (757) 873-8701 Burt H. Rubin, DC 183 Woodland Road Hampton (757) 723-3893 Spine Care of Tidewater, PC 7216 Executive Dr., Ste. A Hampton (757) 827-3210 11872-D Canon Blvd. Newport News (757) 873-8483 Kevin S. Steele, DC 183 Woodland Rd. Hampton (757) 723-1899
Golden Living Center/Bayside of Poquoson 1 Vantage Dr. Poquoson (757) 868-9960
Cardiovascular Center of Hampton Roads 11803 Jefferson Ave., Ste. 110 Newport News (757) 873-0360 500 J. Clyde Morris Blvd. Newport News (757) 594-2074 12720 McManus Blvd., Ste. 307 Newport News (757) 872-0186 4000 Coliseum Dr., Ste. 210 Hampton (757) 827-2490
Governor’s Inn Estate 741 Thimble Shoals Blvd. Newport News (757) 873-1701
Hampton Roads Cardiology 4000 Coliseum Drive, Ste. 100 Hampton (757) 827-2200
York County Chiropractic 121-G Grafton Station Lane Yorktown (757) 989-5393
Heritage Commons 236 Commons Way Williamsburg (888) 711-6775
Allen B. Nichols, MD 12720 McManus Blvd., Ste. 201 Newport News (757) 875-5332
Dentistry & oral health
Hidenwood Retirement Community 50 Wellesley Rd. Newport News (757) 930-1075
Tidewater Heart Institute 2115 Executive Dr., Ste. 1-B Hampton (757) 825-4260
Hilton Plaza Assisted Living 311 Main Street Newport News (757) 596-6010
Riverside Heart Specialists 2112-B Hartford Rd. Hampton (757) 827-7754
Home Helpers & Direct Link (24Hour Emergency Monitoring Service) 6515 George Washington Memorial Hwy., Suite 201 Yorktown (757) 989-0090
Chiropractic & Acupuncture
Eden Court 1034 Topping Lane Hampton (757) 826-5415
Home Instead Senior Care 555 Denbigh Blvd. Suite B Newport News (757) 886-1230 James River Convalescent & Rehabilitation Center 540 Aberthaw Ave. Newport News (757) 595-2273 Keswick Place at Warwick Forest 866 Denbigh Blvd. Newport News (757) 886-2000 Mayfair House 1030 Topping Lane Hampton (757) 826-3728 Mennowood Retirement Community 13030 Warwick Blvd. Newport News (757) 249-0355 Morningside of Newport News 655 Denbigh Blvd. Newport News (757) 890-0905 The Newport 11141 Warwick Blvd. Newport News (757) 595-3733 Newport News Nursing & Rehab. 12997 Nettles Dr. Newport News (757) 249-8880 Northampton Convalescent & Rehabilitation Center 1028 Topping Lane Hampton (757) 826-4922
Tidewater Clinic of Chiropractic 12715 Warwick Blvd., Ste. 1 Newport News (757) 890-2030 Wright Spine & Sports Health, PC 2360 Hampton Highway Yorktown (757) 223-5444
David J. Alexander, DDS 2019 Cunningham Dr., Ste. 314 Hampton (757) 838-2201 Robert M. Alexander, DDS 105 Terrabonne Rd. Yorktown (757) 898-4625 Allen, McCormick & Wexel 901 Enterprise Pkwy., Ste. 500 Hampton (757) 896-4900
Abbott Family Chiropractic 2021-A Cunningham Dr., Ste. 3 Hampton (757) 838-8820
Mitchell A. Avent, DDS Mark A. Huie, DDS 12725 McManus Blvd., Bldg. 1, Ste. A Newport News (757) 874-0660
A Family Chiropractic Center 121 Hampton Hwy. Yorktown (757) 867-7787
D. Mark Babcock, DMD 640 Denbigh Blvd., Ste. 1 Newport News (757) 874-4420
Almloff Acupuncture 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 596-8451
Jeff W. Bass, DDS 4326 Geo. Washington Mem. Hwy. Yorktown (757) 898-6788
Atlas Specific Chiropractic 640 Denbigh Blvd., Suite 4 Newport News (757) 283-6929
Sidney Becker, DDS 12821 Jefferson Ave. Newport News (757) 874-7155
Back in Action 11830-C Canon Blvd. Newport News (757) 873-7786
Walton L. Bolger, DMD 12695 McManus Blvd., Bldg. 4/ Ste. A Newport News (757) 877-1999
Bayview Chiropractic Clinic 1204 E. Pembroke Ave. Hampton (757) 723-1496 Charney Chiropractic Back Rehabilitation & Wellness 11842 Rock Landing Dr., Ste. 110 Newport News (757) 873-9580 Chiropractic Wellness & Rehabilitation 716-A Thimble Shoals Blvd. Newport News (757) 873-4131 Christopher Connolly, DC 370 Wythe Creek Rd., Ste. A Poquoson (757) 868-3407
Michael W. Bowler 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-1919 Boxx, Blaney & Lachine Family Dentistry 113 Hampton Hwy. Yorktown (757) 867-8765 Thomas W. Butterfoss, DMD, PC Jennifer L. Barton Butterfoss, DDS, MS 2111 Hartford Rd. Hampton (757) 838-3400 4310 Geo. Washington Mem. Hwy. Yorktown (757) 898-5448
James F. Dollar, DDS R. Benjamin Ellis, DDS 12725 Patrick Henry Dr. Newport News (757) 874-6712 Harold B. Dumas, DDS 6521 Geo. Washington Mem. Hwy. Grafton (757) 898-3366 Essential Dental Services, LLC 2704 Chestnut Ave. Newport News (757) 247-0890 Family Care 802 Old Oyster Point Rd. Newport News (757) 595-2510 David L. Forrest, DDS 729 Thimble Shoals Blvd., Bldg. 7-A Newport News (757) 873-8800 Geary Family Dentistry, PLLC 105 Terrabonne Rd. Yorktown (757) 898-4661 Gentle Caring Dentistry 703 Thimble Shoals Blvd., Ste. C-3 Newport News (757) 594-9005 J.F. Foretich, Jr, DDS, PC 12715 Warwick Blvd., Ste. C Newport News (757) 930-3365 Scott H. Francis, DDS Hunter C. Francis, DDS 2038 Nickerson Blvd. Hampton (757) 851-3530 Gerald Q. Freeman, DDS 12482 Warwick Blvd., Ste. G Newport News (757) 599-3182 Clifford T. Goodwin, DDS 12610 Patrick Henry Dr., Ste. G Newport News (757) 930-3744 Barry Lee Green, DMD 716 Denbigh Blvd., Ste. C-2 Newport News (757) 874-5455 Hampton Roads Oral & Maxillofacial Surgery 901 Enterprise Pkwy., Ste. 100 Hampton (757) 825-8355 716 Denbigh Blvd., Ste. C-1 Newport News (757) 874-6501
Oyster Point Oral & Facial Surgery 11842 Rock Landing Dr., Ste. 105 Newport News (757) 596-1200 Parks Orthodontics 608 Denbigh Blvd., Ste. 802 Newport News (757) 874-6655 Thomas R. Parrott, DMD 401 Oyster Point Rd., Ste. C Newport News (757) 249-8921 William Pearlman, DDS 1959 E. Pembroke Ave. Hampton (757) 723-6565 Peninsula Institute for Community Health 1033 28th Street Newport News (757) 928-3810 Peninsula Pediatric Dentistry 220 Nat Turner Blvd. Newport News (757) 240-5711 Jon E. Piche, DDS 4310 Geo. Washington Mem. Hwy. Yorktown (757) 874-1777 Port Warwick Dental Arts 251 Nat Turner Blvd. Newport News (757) 223-9270 Gary A. Riggs, Jr., DMD 1610-B Aberdeen Rd. Hampton (757) 838-3830 Loretta Rubenstein, DDS 12725 McManus Blvd. Newport News (757) 874-0990 Jon L. Scott, DDS 1186 Big Bethel Rd. Hampton (757) 825-6280 John Shepherd Jr., DDS Scott J. Golrich, DMD 4030 Geo. Wash. Mem. Hwy. Yorktown (757) 898-4646 Perry L. Showalter, DDS 5324 Geo. Washington Mem. Hwy. Grafton (757) 898-0822 Jeffrey G. Sotack, DDS 2111 Hartford Rd. Hampton (757) 826-9595 W. Mark Stall, DDS 211 Hartford Rd. Hampton (757) 851-5939
William G. Harper, DDS 235 Wythe Creek Rd. Poquoson (757) 868-8152
Tabb Family Denistry 106 Yorktown Road Yorktown (757) 867-9000
Kent Herring 12700 McManus Blvd., Ste. 102-B Newport News (757) 877-7667
DonnaMaria Tapp-Reid, DDS 2202-E Executive Drive Hampton (757) 838-8855
Lanny C. Hinson 606 Thimble Shoals Blvd., Ste. C-1 Newport News (757) 873-2577
Donald L. Taylor Jr., DDS Russell S. Taylor, DDS 534-A Wythe Creek Rd. Poquoson (757) 868-9334
Dawn T. Hunt, DMD, PC 358 Wythe Creek Rd. Poquoson (757) 868-6651 Marvin Kaplan, DDS, PC 13193 Warwick Blvd. Newport News (757) 877-5530 Levy & Hoffman Family Dentistry 3120 Kiln Creek Blvd. Yorktown (757) 877-9281 Maeso Family & Cosmetic Dentistry 606 Denbigh Blvd., Ste. 107 Newport News (757) 877-4304 Anthony L. Martin, DDS 119-C Village Ave. Yorktown (757) 886-0300 Montague L. Martin, DDS Shannon M. Martin, DDS 12650 Warwick Blvd. Newport News (757) 930-4800 John L. Matney, DDS 4112 Geo. Washington Mem. Hwy. Grafton (757) 898-6622 12528-A Warwick Blvd. Newport News (757) 596-8210 lan R. McGill, DDS 11747 Jefferson Ave., Ste. 5-C Newport News (757) 595-9979
Tidewater Family Dentistry 559 Denbigh Blvd. Newport News (757) 877-6787
Oyster Point Dermatology 895 Middle Ground Blvd., Ste. 302 Newport News (757) 873-0161 Pariser Dermatology Specialists 11842 Rock Landing Dr., Ste. 120 Newport News (757) 595-8816 Quarles Dermatology 304-A Marcella Rd. Hampton (757) 827-3046 William J. Shields, MD 914 Denbigh Blvd. Grafton (757) 874-0320 Ken J. Tompkins, MD Padman A. Menon, MD 2208-D Executive Dr. Hampton (757) 825-1440 Katherine A. Treherne, MD 2207-C Executive Dr. Hampton (757) 827-5626
Diagnostic imaging Breast Diagnostic Center 704 Thimble Shoals Blvd., Ste. 600 Newport News (757) 595-8650 Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714 Dorothy Hoefer Breast Imaging Center 1031 Loftis Blvd. Newport News (757) 595-5474 Roslind McCoy-Sibley 2204-C Executive Dr. Hampton (757) 838-1100 Mid-Atlantic Imaging Centers 750 McGuire Place, Ste. A Newport News (757) 223-5059 Open Multi-positional MRI Center 730 Thimble Shoals Blvd., Ste. 120 Newport News (757) 926-4351 Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1444 Oyster Point Radiology, Inc. 11835 Fishing Point Dr., Ste. 201 Newport News (757) 873-8823 Riverside Diagnostic & Breast Center 895 Middle Ground Blvd., Ste. 104 Newport News (757) 594-3900 850 Enterprise Pkwy., Ste. 1500 Hampton (757) 251-7800 Tidewater Diagnostic Imaging 3000 Coliseum Drive Hampton (757) 873-0848 11803 Jefferson Ave. Newport News (757) 594-1803 3630 Geo. Wash. Mem. Hwy. Yorktown (757) 867-6101 Tidewater Heart Institute Laboratories 2116 Executive Dr. Hampton (757) 224-4233 TPMG Imaging Center 860 Omni Blvd., Ste. 102 Newport News (757) 873-0848 Unique Imaging Solutions, Inc. 2113 Hartford Rd., Ste. B Hampton (757) 722-0223
Alexander Waitkus, DDS, MS, PC 2101 Executive Dr., Ste. 5E South Hampton (757) 826-8511
Endocrinology
Benjamin T. Watson, DDS 729 Thimble Shoals Blvd., Bldg. 7-E Newport News (757) 873-3322
Joseph K. Chemplavil, MD 2115 Executive Dr., Ste. 1-A Hampton (757) 827-9259
Calvin R. White Jr., DDS 4101 Geo. Washington Mem. Hwy. Yorktown (757) 898-7200
Endocrine & Diabetes Center 12200 Warwick Blvd., Ste. 590 Newport News (757) 534-5909
J. Dewey Willis III, DDS, PC 11713 Jefferson Ave., Ste. 100 Newport News (757) 873-3407
Anne Leddy, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300
Patrick R. Wyatt, DDS 12528-F Warwick Blvd. Newport News (757) 595-7990
Riverside Diabetes Education 12200 Warwick Blvd., Ste. 590A Newport News (757) 534-5918
Dermatology
Family Practice
Ageless Dermatology & Laser Center 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Carlos F. Acosta, MD Dana L. Bachtell, MD 2100 Hartford Rd. Hampton (757) 826-2102
THE HEALTH JOURNAL
35
Albert H. Francis Jr., MD 2104 Executive Drive Hampton (757) 827-9979
TPMG Patrick Henry Family Medicine 12695 McManus Blvd., Ste. 6-A Newport News (757) 969-1755
Elite Healthcare 12388 Warwick Blvd., Ste. 306-C Newport News (757) 926-4641
Riverside Regional Medical Center 500 J. Clyde Morris Blvd. Newport News (757) 594-2000
Peninsula Dialysis 716 Denbigh Blvd., Ste. D Newport News (757) 875-1125
Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635
Nancy Ayers, MD 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-4441
TPMG of Yorktown 307 Cook Road Yorktown (757) 898-7261
Family Centered Resources 11847 Canon Blvd., Ste. 12 Newport News (757) 596-3941
Sentara Careplex Hospital 3000 Coliseum Drive Hampton (757) 736-1000
Peninsula Kidney Associates 501 Butler Farm Rd., Ste. I Hampton (757) 251-7469
Kidney Foundation of the Virginias 2021 Cunningham Dr., Ste. 102 Hampton (757) 825-5450
Leo C. Bowers, MD 26 Wine Street Hampton (757) 728-1100
Victoria Family Practice 3212-B Hampton Hwy. Yorktown (757) 867-6160
Gentle Care, Inc. 751 Thimble Shoals Blvd., Ste. J Newport News (757) 873-4555
Sentara Port Warwick Medical Arts 1031 Loftis Blvd. Newport News (757) 736-9810
Renal Advantage, Inc. 739 Thimble Shoals Blvd., Ste. 600 Newport News (757) 873-1090
Leukemia & Lymphoma Society 27 W. Queens Way, Ste. 301 Hampton (757) 723-2676
Bruton Avenue Family Practice 12 Bruton Avenue Newport News (757) 594-4111
The Village Doctor 10222 Warwick Blvd. Newport News (757) 223-0124
Heartland Hospice 11835 Fishing Point Dr., Ste. 101 Newport News (757) 594-8215
Sentara Urgent Care 747 J. Clyde Morris Blvd. Newport News (757) 599-6117
Riverside Center for Renal Medicine 739 Thimble Shoals Blvd., Ste. 801 Newport News (757) 873-1009
The Needs Network, Inc. 95 Tyler Ave. Newport News (757) 251-0600
Alvin Bryant, MD 2000 Kecoughtan Rd. Hampton (757) 380-8603
Warwick Primary Care 4032-A Campbell Road Newport News (757) 534-5600
Home Care Alternatives 12388 Warwick Blvd., Ste. 301-D Newport News (757) 236-5062
Hypnosis
Neuropsychology
Harold E. Cloud Jr., MD 2726 W. Mercury Blvd. Hampton (757) 825-1500
Gastroenterology
Home Helpers & Direct Link 6420-G Geo. Wash. Mem. Hwy. Yorktown (757) 989-0090
Ageless Balance Hypnotherapy 2013 Cunningham Dr., Ste. 105 Hampton (757) 869-0838
Terry J. Gingras, PhD 710 Denbigh Blvd., Ste. 6-B Newport News (757) 833-7107
Patient Advocate Foundation 700 Thimble Shoals Blvd., Ste. 200 Newport News (757) 873-6668
Elise Fee 11847 Canon Blvd., Ste. 8 Newport News (757) 812-1653 100 Bridge St., Ste. D Hampton (757) 812-1653
Hampton Roads Neuropsychology 739 Diligence Drive, Ste. 704 Newport News (757) 498-9585
Coliseum Medical Associates 3000 Coliseum Drive, Ste. 200 Hampton (757) 827-0420 Commonwealth Family Practice 12715-M Warwick Blvd. Newport News (757) 930-0091 Roxanne Dietzler, MD 732 Thimble Shoals Blvd., Ste. 102 Newport News (757) 599-3623 Family Care of Denbigh 12652-A Jefferson Ave. Newport News (757) 874-8822 Family Practice of Hampton Roads 2117 Hartford Road Hampton (757) 825-4273 Robert E. Feely Jr., MD Sinclair B. McCracken, MD 704 Thimble Shoals Blvd., Ste. 600-A Newport News (757) 595-5001 48th Street Physicians 4714 Marshall Ave. Newport News (757) 380-8709 Maurice W. Frazier, MD 17 W. Mellen St. Hampton (757) 723-9141 C. Lee Ginsburgh, MD 704 Thimble Shoals Blvd., Ste. 500 Newport News (757) 599-1066
Colonial Gastroenterology 11803 Jefferson Ave., Ste. 230 Newport News (757) 534-7701 Gastroenterology Specialists 410-A Marcella Rd. Hampton (757) 826-6539 Hampton Roads Gastroenterology 501 Medical Drive Hampton (757) 826-3434 Peninsula Gastroenterology 101 Philip Roth Street, Ste. 5-A Newport News (757) 599-6333 Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1803 TPMG Gastroenterology 860 Omni Blvd., Ste. 301-A Newport News (757) 240-2700
General Surgery Dominion Surgical 4000 Coliseum Dr. Ste. 320 Hampton (757) 827-2202 Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Surgery Center 12000 Warwick Blvd. Newport News (757) 594-1717
Home Instead Senior Care 555 Denbigh Blvd., Ste. B Newport News (757) 886-1230 Hope in Home Care Skilled Care Division 11835 Rock Landing Dr. Newport News (757) 873-3410 Hope in Home Care 11828 Canon Blvd. Newport News (757) 873-0030
Infectious Disease Stephen L. Green, MD 2112 Executive Dr. Hampton (757) 838-8677
Hampton Roads Neurology 12200 Warwick Blvd., Ste. 110 Newport News (757) 534-5100
Oyster Point Medical Specialists 11747 Jefferson Ave., Ste. 4-C Newport News (757) 596-7115
Hampton Roads Neurosurgical & Spine Specialists 12200 Warwick Blvd., Ste. 410 Newport News (757) 534-5200
Riverside Medical Specialists 12200 Warwick Blvd., Ste. 490B Newport News (757) 534-6109
Peninsula Neurology 802-A Lockwood Ave. Newport News (757) 872-9797
Internal Medicine
Peninsula Neurosurgical Assoc. 2102 Executive Dr. Hampton (757) 838-2266
Lillies in the Valley Private Duty 11747 Jefferson Ave.. Ste. 6-B Newport News (757) 873-0711 Maxim Healthcare Services 739 Thimble Shoals Blvd., Suite 503 Newport News (757) 595-8822
Riverside Hampton Surgery Center 850 Enterprise Pkwy., Ste. 100 Hampton (757) 251-1077
Peninsula Pharmacy Home Infustion Services 11833 Canon Blvd., Ste. 114 Newport News (757) 594-3944
Healthy Family Partnerships 100 Old Hampton Ln. Hampton (757) 727-1300
TPMG - General Surgery 860 Omni Blvd., Ste. 204 Newport News (757) 874-1077
Hilton Family Practice 10852 Warwick Blvd. Newport News (757) 594-3602
Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572
Personal Touch Home Care & Hospice of Va., Inc. 733 Thimble Shoals Blvd., Ste. 150 Newport News (757) 869-9635
Lawrence C. Hyman, MD 2114-A Hartford Rd. Hampton (757) 826-3460
Hand Surgery
Daniel Lee Medical Group, PC 716 Denbigh Blvd., Ste. C-3 Newport News (757) 243-2377 Magruder Primary Care 850 Enterprise Pkwy. Hampton (757) 637-7600 John L. Marshall, MD 12715-H Warwick Blvd. Newport News (757) 594-3969 Mercury West Medical Center 2148 W. Mercury Blvd. Hampton (757) 827-1940 Old Hampton Family Practice 200 Eaton Street Hampton (757) 726-5000 Oyster Point Family Practice 704 Thimble Shoals Blvd., Ste. 700 Newport News (757) 873-2000 Patriot Primary Care 2855 Denbigh Blvd. Grafton (757) 968-5700
Robert M. Campolattaro, MD Nicholas A. Smerlis, MD 901 Enterprise Pkwy., Ste. 900 Hampton (757) 637-7016
health departments
Riverside Lifeline 5033 Geo. Washington Mem. Hwy. Ste. C Yorktown (757) 856-7030
Hampton University Hampton (757) 727-5328
Tama Home Health Care Services 600 Thimble Shoals Blvd., Ste. 350 Newport News (757) 873-3315
Peninsula Health Center 416 J. Clyde Morris Blvd. Newport News (757) 594-7300 Thomas Nelson Community College 99 Thomas Nelson Dr. Hampton (757) 825-2700
Hospice & Home Care Amedisys Home Health Services 1 Enterprise Pkwy., Ste. 120 Hampton (757) 223-5424
Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073
Amour Home Care, Inc. 3114 Chestnut Ave. Newport News (757) 245-5100
Riverside Family Medicine 10510-A Jefferson Ave. Newport News (757) 594-3800
Bayada Nurses 7151 Richmond Rd. Williamsburg (757) 565-5400
Stoneybrook Family Practice 15408 Warwick Blvd. Newport News (757) 890-0012
Beacon Health Care 710 Denbigh Blvd., Bldg. 7, Ste. A Newport News (757) 833-0430
Suburban Family Practice 858 J. Clyde Morris Blvd. Newport News (757) 594-4343
Bon Secours Home Care & Hospice 2 Bernadine Drive Newport News (757) 886-6000
TPMG/Denbigh Family Medicine 13347 Warwick Blvd. Newport News (757) 877-0214
Care Advantage 12528 Warwick Blvd., Unit E Newport News (757) 595-9676
TPMG of Grafton 101-A York Crossing Grafton (757) 898-7737
Comfort Keepers 11847 Canon Blvd., Ste. 3 Newport News (757) 766-2311
TPMG of Hampton 2115 Executive Dr., Ste. 5-C Hampton (757) 223-4992
Concordia Private Care 729 Thimble Shoals Blvd. Newport News (757) 873-1966
36 THE HEALTH JOURNAL
Riverside Hospice 12420 Warwick Blvd., Ste. 7-D Newport News (757) 594-2745
Hampton Health District 3130 Victoria Blvd. Hampton (757) 727-1172
Port Warwick Medical Assoc. 11803 Jefferson Ave., Ste. 100 Newport News (757) 594-1870
TPMG Hidenwood Family Medicine 12655-A Warwick Blvd. Newport News (757) 595-9880
Riverside Home Care 856 J. Clyde Morris Blvd., Ste. C Newport News (757) 594-5600
Sentara Home Care Services 2713-G Magruder Blvd. Hampton (757) 766-2600
Medical Careers Institute 100 Omni Blvd., Ste. 200 Newport News (866) 708-6174
The Salvation Army 1033 Big Bethel Rd. Hampton (757) 838-4875
Hospice of Virginia Hampton Roads (800) 501-0451
Interim Healthcare 610 Thimble Shoals Blvd., Ste. 303-B Newport News (757) 873-3313
Visiting Angels Tidewater 12388-203 Warwick Blvd. Newport News (757) 599-4145
Hospitals & Clinics BonSecours Mary Immaculate Hospital 2 Bernadine Drive Newport News (757) 886-6000 Hampton Roads Specialty Hospital 245 Chesapeake Ave., 4th Floor Newport News (757) 534-5000 I&O Medical Centers 593 Aberdeen Road Hampton (757) 825-1100 704 Thimble Shoals Blvd., Ste. 200 Newport News (757) 240-5580 Riverside Business Health 500 J. Clyde Morris Blvd. Newport New (757) 534-6060 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 MedExpress Urgent Care 4740-A Geo. Washington Mem. Hwy. Yorktown (757) 890-6339 12997 Warwick Blvd. Newport News (757) 369-9446 Patient First 611 Denbigh Blvd. Newport News (757) 283-8300 Peninsula Institute for Community Health 4714 Marshall Ave. Newport News (757) 380-8709 15425 Warwick Blvd., Ste. H Newport News (757) 874-8400
Melvin G. J. Green, MD 4001 Coliseum Dr., Ste. 300. Hampton (757) 827-2030 Hannibal E. Howell, MD 55 E. Tyler St. Hampton (757) 723-2674 Internal Medicine 716 Denbigh Blvd., Ste. C-4 Newport News (757) 872-9808 Melvin R. Johnson, MD 3451 Victoria Blvd. Hampton (757) 723-9380
Sleep Disorders Center at Sentara CarePlex 3000 Coliseum Drive, Suite 204 Hampton (757) 827-2180 Tidewater Neurologists & Sleep Disorder Specialists 2115 Executive Drive Ste. 5-D Hampton (757) 262-0390 606 Denbigh Blvd., Ste. 105 Newport News (757) 989-8942
Non-Profit Organizations
Robert N. Lowe, MD 2501-A Marshall Ave. Newport News (757) 247-3910
Access AIDS Support 218 S. Armistead Ave. Hampton (757) 722-5511
Frank E. Medford, MD 11030 Warwick Blvd. Newport News (757) 595-0908
Alzheimer’s Association Southeastern VA Chapter 213 McLaws Circle, Ste. 2-B Williamsburg (757) 221-7272
Port Warwick Internal Medicine 11803 Jefferson Ave., Ste. 140 Newport News (757) 594-1800 Riverside Center for Internal Medicine 850 Enterprise Pkwy., Ste. 2200 Hampton (757) 838-2891 Riverside Internal Medicine 12420 Warwick Blvd., Bldg. 3 Newport News (757) 594-4431 Riverside Internal Medicine of Denbigh 12695 McManus Blvd., Ste. 1-A Newport News (757) 874-1337 Riverside Lifelong Health & Aging Services 1000 Old Denbigh Blvd. Newport News (757) 875-2000 Henry L. Rothfuss, MD 2019 Cunningham Dr., Ste. 105 Hampton (757) 827-1920 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794
Medical Weight Loss Center for Metabolic Health 733 Thimble Shoals Blvd., Ste. 120 Newport News (757) 873-1880 Weight Loss Surgery Center 645 J. Clyde Morris Blvd. Newport News (757) 591-9572
Nephrology & Renal Health DaVita Hope Dialysis 300 Marcella Drive Hampton (757) 838-1585 Hampton Roads Nephrology Associates, PC 704 Thimble Shoals Blvd., Ste. 500-B Newport News (757) 599-3436 Newport News Dialysis Center 711 79th Street Newport News (757) 245-8090
Protect our Kids P.O. Box 561 Hampton (757) 727-0651 RSVP-VP (Retired/Senior Volunteers) 12388 Warwick Blvd., Ste. 201 Newport News (757) 595-9037
Neurology & Neurosurgery
Immediate Care Assisted Living 66 West Mercury Blvd. Hampton (757) 838-0900
Peninsula Institute for Community Health 1033 28th Street Newport News (757) 591-0643
Neuropsychology Associates of Hampton Roads 708 Mobjack Place Newport News (757) 873-1958
Susan C. Nicholson, PhD, LCSW Newport News (757) 873-2307
Nurses 4 You, Inc. 4112 Geo. Washington Mem. Hwy. Ste. 3 Yorktown (757) 833-3200
J. Matthew Halverson, DO, FAAFP Tammy J. Beavers, MD 11835 Fishing Point Drive, Suite 104 Newport News (757) 599-5588
Hypnosis & Healing Center 2013 Cunningham Dr. Hampton (757) 838-3450
Marsha Lewis, PhD Lisa Newman, PsyD Mona L. Tiernan, PsyD 245 Chesapeake Ave. Newport News (757) 928-8340
Hospice Community Care 1064 Loftis Blvd., Suite C-2 Newport News (757) 594-0288
Port Warwick Surgery 11803 Jefferson Ave., Ste. 250 Newport News (757) 873-0050
Hampton Family Practice 9-A Manhattan Square Hampton (757) 838-6335
Hampton Roads Hypnosis & Meditation 100 Bridge Street, Ste. D Hampton (757) 968-7365
Peninsula Agency on Aging 739 Thimble Shoals Blvd., Ste. 1006 Newport News (757) 873-0541
American Cancer Society 11835 Canon Blvd., Ste. A-102 Newport News (757) 591-8330 American Heart Association Toll-Free: (800) 242-8721 American Red Cross Hampton Roads Chapter 4915 W. Mercury Blvd. Hampton (757) 838-7320 American Red Cross York-Poquoson Chapter 6912 Geo. Washington Mem. Hwy. Yorktown (757) 898-3090 The ARC of the Va. Peninsula, Inc. 2520 58th St. Hampton (757) 896-6461 Boys & Girls Club - Va. Peninsula 11825-B Rock Landing Dr. Newport News (757) 223-7204
The Sarah Bonwell Hudgins Foundation 1 Singleton Drive Hampton (757) 827-8757 SEDONA (Sending Equipment & Drugs Overseas to Non-Governmental Agencies) 2112 Executive Dr. Hampton (757) 826-3748 Senior Center of York 5414 Geo. Washington Mem. Hwy. Yorktown (757) 898-3807 United Way of Virginia Peninsula 739 Thimble Shoals Blvd., Ste. 400 Newport News (757) 873-9328
Obstetrics & Gynecology Center for Women’s Health 12706 McManus Blvd. Newport News (757) 874-2229 101 Eaton St., Ste. 300 Hampton (757) 851-7601 Colonial OB/GYN Associates 716 Denbigh Blvd., Ste. E-2 Newport News (757) 874-2790 Wetchler & Dineen GYN 12700 McManus Blvd., Ste. 102-A Newport News (757) 874-8696 Norman R. Edwards, MD 610 Thimble Shoals Blvd., Ste. 404 Newport News (757) 873-0712 Charlie M. Faulk, MD 704 Gum Rock Court, Ste. 300 Newport News (757) 873-3808 Sarah E. Forbes, MD 12420 Warwick Blvd., Bldg. 5 Newport News (757) 596-6369 Manuel Galdos, MD 321 Main St., Ste. B Newport News (757) 826-5900 Debra L. Hall, MD 11745 Jefferson Ave., Ste. 10-A Newport News (757) 596-6300 Maternal-Fetal Medicine 500 J. Clyde Morris, Bldg. G, Ste. 200 Newport News (757) 594-3636 OB/GYN Associates of Hampton 4000 Coliseum Dr., Ste. 280 Hampton (757) 722-7401 714-B Thimble Shoals Blvd. Newport News (757) 877-0979
Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060
Peninsula Institute for Community Health 4714 Marshall Avenue Newport News (757) 380-8709
Center for Child & Family Services 2021 Cunningham Drive, Ste. 400 Hampton (757) 838-1960
Peninsula Medical Center for Women 10758-A Jefferson Ave. Newport News (757) 599-6389
Denbigh Clubhouse for Brain Injury Survivors 12725 McManus Blvd., Ste. 2E Newport News(757) 833-7845
Peninsula WomanCare 11842 Rock Landing Dr., Ste. 115 Newport News (757) 595-9905
Faith in Action Hampton (757) 245-3550
Planned Parenthood 910 W. Mercury Blvd. Hampton (757) 826-2079
Family Learning & Enrichment Center 1904 Jefferson Ave. Newport News (757) 247-7863
Riverside Gynecologic Oncology 12100 Warwick Blvd., Ste. 202 Newport News (757) 534-5555
Food Bank of Va. Peninsula 9912 Hosier St. Newport News (757) 596-7188
Riverside OB/GYN & Family Care 10510-D Jefferson Ave. Newport News (757) 594-4720 608 Denbigh Blvd., Ste. 701 Newport News (757) 875-7891
Girls Incorporated 1300-C Thomas St. Hampton (757) 722-6248 Girl Scout Council of Colonial Coast 813 Forrest Drive, Ste. B Newport News (757) 595-9802 Habitat for Humanity 809 Main St. Newport News (757) 596-5553
Riverside Warwick OB/GYN 12200 Warwick Blvd., Ste. 510 Newport News (757)534-5700 TPMG OB/GYN & Internal Medicine 860 Omni Blvd., Ste. 101 Newport News (757) 223-9794
Robert M. Treherne, MD 2207-A Executive Dr. Hampton (757) 826-1945
Orthopedics & Sports Medicine
Paul Walker, MD 2115 Executive Dr., Ste. 4-A Hampton (757) 838-8166
Women’s Health Care Assoc. 401-A Oyster Point Rd. Newport News (757) 249-3000
Children’s Orthopedic & Sports Medicine 11783 Rock Landing Drive Newport News (757) 668-6550
Oncology
Denbigh Orthopedic & Sports Medicine 12720 McManus Blvd., Ste. 311 Newport News (757) 872-0548 Hampton Roads Orthopedic & Sports Medicine 730 Thimble Shoals Blvd., Ste. 130 Newport News (757) 873-1554
York Pediatrics 5033-B Geo. Washington Mem. Hwy. Yorktown (757) 969-1500
Hampton Roads Surgical Specialists 109 Philip Roth St. Newport News (757) 873-6434 Peninsula Cancer Institute 12100 Warwick Blvd., Ste. 201 Newport News (757) 534-5555 Radiation Oncology Specialists 12100 Warwick Blvd., Ste. 102 Newport News (757) 594-2644 Sentara Cancer Institute 3000 Coliseum Dr., Ste. 100 Hampton (757) 827-2430 Surgical Oncological Associates 11803 Jefferson Ave., Ste. 235 Newport News (757) 594-1806 Virginia Oncology Associates 1051 Loftis Blvd., Ste. 100 Newport News (757) 873-9400 3000 Coliseum Drive, Ste. 104 Hampton (757) 827-9400
Ophthalmology Advanced Vision Institute 3000 Coliseum Dr., Ste. 201 Hampton (757) 826-9291 Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757) 643-8800 850 Enterprise Pkwy., Ste. 1200 Hampton (757) 838-4500 12420 Warwick Blvd., Ste. 1-D Newport News (757) 596-3806 James River Eye Physicians 704 Thimble Shoals Blvd., Ste.100 Newport News (757) 595-8404 Kaz Vision & Laser Center 12690 McManus Blvd. Newport News (757) 875-7700 TPMG Ophthalmology 860 Omni Blvd., Ste. 201 Newport News (757) 223-5321 Virginia Eye Consultants 2101 Executive Drive Hampton (757) 826-4702 Wagner Macula & Retina Ctr. 300 Marcella Rd. Hampton (757) 481-4400
Optometry Becker Eye Care Center 2200-A Executive Drive Hampton (757) 827-0009
The Orthopaedic Center for Foot & Ankle Reconstruction 12720 McManus Blvd., Ste. 203 Newport News (757) 889-6580 Orthopaedic & Spine Center 250 Nat Turner Blvd. Newport News (757) 596-1900 Orthopedic & Musculoskeletal Center of Hampton Roads 850 Enterprise Pkwy., Ste. 2000 Hampton (757) 838-5055 Tidewater Orthopaedic Associates & Imaging Center 901 Enterprise Pkwy., Suite 900 Hampton (757) 827-2480 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657
Pharmacies Denbigh Pharmacy 13349 Warwick Blvd. Newport News (757) 877-0253 East End Pharmacy 2501 Marshall Ave. Newport News (757) 247-9554
Virginia Health Rehab 204 Nat Turner Blvd. Newport News (757) 594-0330
Hidenwood Pharmacy 35 Hidenwood Shopping Center Newport News (757) 595-1151
Plastic & Cosmetic Surgery
Medicap Pharmacy 956 J. Clyde Morris Blvd. Newport News (757) 599-9643
Carney Center for Cosmetic & Plastic Surgery 716-C Denbigh Blvd. Newport News (757) 886-9197
Mercury West Discount Pharmacy 2148 W. Mercury Blvd. Hampton (757) 827-1938 Poquoson Pharmacy 498 Wythe Creek Rd. Poquoson (757) 868-7114
Pain Management OSC - Pain Managment 250 Nat Turner Blvd. Newport News (757) 596-1900
Physical Therapy & Rehabilitation
Pain Management Center 4000 Coliseum Dr., Ste. 340 Hampton (757) 827-2230
Bon Secours In Motion 14703 Warwick Blvd., Ste. B Newport News (757) 947-1230 101-A Long Green Blvd. Yorktown (757) 952-1900 5 Armistead Pointe Pkwy. Hampton (757) 224-4601
Peninsula Pain & Rehabilitation Center 11015 Warwick Blvd. Newport News (757) 591-7291 PrimeCare Medical Group 755 Thimble Shoals Blvd. Newport News (757) 873-2229 Riverside Pain Management & Infusion Center 12420 Warwick Blvd., Ste. 3-C Newport News (757) 534-5055
Pediatrics Angela Odom-Austin, MD 2002 Kecoughtan Rd. Hampton (757) 247-1111
Coliseum Therapy Center 4001 Coliseum Dr., Suite 200 Hampton (757) 827-2220 Denbigh Physical Therapy & Sports Medicine 12700 McManus Blvd., Ste. 101 Newport News (757) 874-1470
Rose J. Cloud, MD 1295 McManus Blvd., Ste. 1-C Newport News (757) 988-0085
Mary Immaculate Outpatient Therapy Center 2 Bernadine Drive Newport News (757) 886-6480
Dr. Peter L. Guhl, PLC & Associates 4102 Geo. Washington Mem. Hwy. Yorktown (757) 890-2020
Hampton Roads Pediatrics 23 Manhattan Square Hampton (757) 224-1600
OSC Physical Therapy 250 Nat Turner Blvd. Newport News (757) 596-1900
Mark E. Holman, MD 2115 Executive Dr., Ste. 10-A Hampton (757) 826-5437
Peninsula Physical Therapy & Associates 1618 Hardy Cash Dr. Hampton (757) 838-7453
Dr. John Kauffman & Associates 2157 Cunningham Dr. Hampton (757) 826-3937 Lenscrafters 1800 W. Mercury Blvd. Hampton (757) 825-3044 12300 Jefferson Ave. Newport News (757) 249-3091 Dr. Kent McQuain 5220 George Washington Hwy. Grafton (757) 898-1000 N2 eyes Comprehensive Optometry 11045 Warwick Blvd. Newport News (757) 594-4018 Pearle Vision 2310 Cunningham Dr. Hampton (757) 827-5600 Denbigh Crossing Shopping Center Newport News (757) 872-7655 William R. Waldron, OD 1215-V Geo. Wash. Mem. Hwy. Yorktown (757) 596-5666
Linda Leedie, MD 2501-A Marshall Ave. Newport News (757) 247-3910 Vickie C. Motley, MD 2200-D Executive Dr. Hampton (757) 826-6889 Pediatric Neurology 716 Denbigh Blvd. Newport News (757) 877-1188
Physical Therapy NOW 704 Thimble Shoals Blvd., Ste. 400-A Newport News (757) 591-2668 Pinnacle Hand Therapy 11712-D Jefferson Ave. Newport News (757) 595-4880 704 Middle Ground Blvd., Ste. D Newport News (757) 595-4880
Newport News Pediatrics 11783 Rock Landing Dr., Ste. 202 Newport News (757) 668-6300
Riverside Rehabilitation Institute - Inpatient Services 245 Chesapeake Avenue Newport News (757) 928-8000
Peninsula Institute for Community Health 1033 28th Street Newport News (757) 952-2160
Riverside Rehabilitation Institute - Outpatient Services 245 Chesapeake Avenue Newport News (757) 928-8097
Peninsula Pediatrics 298 Nat Turner Blvd. Newport News (757) 873-3334 Riverside Pediatric Center 10510-E Jefferson Ave. Newport News (757) 594-2846 George M. Scordalakes, MD 15425 Warwick Blvd. Newport News (757) 874-8400 Minnie Stiff, MD 2110-C Hartford Rd. Hampton (757) 827-1661
Riverside Therapy Services 500 J. Clyde Morris Blvd. Newport News (757) 594-2090 850 Enterprise Pkwy., Ste. 2100 Hampton (757) 251-2190 Sentara CarePlex Therapy Center 4000 Coliseum Dr., Ste. 120 Hampton (757) 827-2070 Summit Rehab 101 Eaton St., Ste. 101 Hampton (757) 722-1210 Tidewater Aquatic Therapy Center 525 Oyster Point Rd. Newport News (757) 269-0430
Viola Vaughan-Eden, PhD, LCSW 610 Thimble Shoals Blvd., Ste. 301-D Newport News (757) 594-6011
Child & Family Psychology 710 Denbigh Blvd., Ste. 6A-1 Newport News (757) 833-8144 Christian Psychotherapy 732 Thimble Shoals Blvd., Ste. 902 Newport News (757) 873-0735 Clinical Associates of Tidewater 12695 McManus Blvd., Bldg. 8 Newport News (757) 877-7700 Colonial Psychiatric Associates 708 Mobjack Place Newport News (757) 873-1958 Community Services Board Adult & General Psychiatry 200 Medical Drive, Ste. A Hampton (757) 788-0200 Community Services Board - Child & Adolescent Psychiatry 600 Medical Drive Hampton (757) 788-0600
Betty Eastman, LCSW & Associates, Inc. 200 City Hall Ave., Ste. E Poquoson (757) 868-0072
Plastic Surgery Center of Hampton Roads 895 Middle Ground Blvd., Ste. 300 Newport News (757) 873-3500 John M. Pitman III, MD 11803 Jefferson Ave. Newport News (757) 223-5861
Podiatry A to Z Family Footcare 12695 McManus Blvd., Ste. 1D Newport News (757) 561-8671 Affiliated Podiatrists 754 McGuire Place Newport News (757) 599-5710 2210-E Executive Dr. Hampton (757) 896-8800
Colonial Foot Care 4030-B Route 17 Yorktown (757) 898-5500 3000 Coliseum Dr., Ste. 205 Hampton (757) 827-2425
J.F. Foretich, Jr., DDS PC 12715 Warwick Blvd., Ste. C Newport News (757) 930-3365
Chesson & Associates 12420 Warwick Blvd., Ste. 7-C Newport News (757) 595-3900
Magee-Rosenblum Plastic Surgery 11783 Rock Landing Dr. Newport News (757) 627-6700
Hampton Physical Therapy 2107 Hartford Rd. Hampton (757) 825-1700 Hand Rehabilitation of Virginia 11848 Rock Landing Dr., Ste. 303 Newport News (757) 873-8839
Therapy Associates of Denbigh 12725 McManus Blvd., Ste. 2-G Newport News (757) 874-1676
Connected Counseling Services 780 Pilot House Dr., Ste. 100-A Newport News (757) 223-7821
Ambulatory Foot & Ankle Center 1618 Hardy Cash Drive Hampton (757) 825-5783 11803 Jefferson Ave., Ste. 236 Newport News (757) 594-1170
Clearvision Optometry Kenneth L. Arndt, OD 422 Oriana Road Newport News (757) 875-0675
Catholic Charities 12829 Jefferson Ave., Ste. 101 Newport News (757) 875-0060
Mark J. Kanter, MD 4000 Coliseum Dr., Ste. 110 Hampton (757) 827-8486
Dominion Physical Therapy 466 Denbigh Blvd. Newport News (757) 875-0861 11848 Rock Landing Dr., Ste. 302 Newport News (757) 591-2022 304-E Marcella Rd. Hampton (757) 825-9446 729 Thimble Shoals Blvd., Ste. 4-C Newport News (757) 873-2932
The Children’s Clinic 321 Main Street Newport News (757) 595-0358 716 Denbigh Blvd., Ste. A-2 Newport News (757) 874-7070
Hampton Roads Eye Associates 11800 Rock Landing Drive Newport News (757)643-8800 2400 Cunningham Dr., Ste. 900 Hampton (757) 838-4500 4032 Campbell Rd., Ste. B Newport News (757) 877-3956
Tidewater Lymphedema Treatment Center 12655-B Warwick Blvd. Newport News (757) 599-5551
Glendale Pharmacy 12444 Warwick Blvd. Newport News (757) 595-3355
Portside Pharmacy 1101 William Styron Square S. Newport News (757) 327-0780
Pain Management & Rehabilitation Specialists 245 Chesapeake Ave. Newport News (757) 928-8040
Tidewater Physical Therapy 771 Pilot House Drive Newport News (757) 873-2302 2115 Executive Dr., Ste. 10-D Hampton (757) 838-6678 12695 McManus Blvd., Ste. 6-B Newport News (757) 874-0032 860 Omni Blvd., Ste. 202 Newport News (757) 327-0196 9 Manhattan Square, Ste. B Hampton (757) 825-3400
American Foot & Ankle Centers 755 Thimble Shoals Blvd. Newport News (757) 873-2101
David F. W. Greene 226 W. Queen St. Hampton (757) 723-8424 Peninsula Foot & Ankle Specialists 527 Oyster Point Rd., Ste. 3 Newport News (757) 249-0450 2202-A Executive Drive Hampton (757) 827-7111 TPMG Podiatry 860 Omni Blvd., Ste. 203 Newport News (757) 327-0657 Womick Podiatry Clinic 704 Thimble Shoals Blvd., Ste. 300-B Newport News (757) 595-7634
Preventative Medicine
F. Lanier Fly, LPC St. George T. Lee, MDMA 718 J. Clyde Morris Blvd. Newport News (757) 873-8566 Genesis Counseling Center 2202 Executive Dr., Ste. C Hampton (757) 827-7707 Hampton Mental Health Assoc. 2208-A Executive Dr. Hampton (757) 826-7516
Associates of York 205 Hampton Highway Yorktown (757) 865-1843 Behavioral Medicine Institute 606 Denbigh Blvd., Ste. 100 Newport News (757) 872-8303 Mark A. Berger, PhD 2101 Executive Drive Hampton (757) 827-9650
Colonial Pulmonary Associates 4000 Coliseum Dr., Ste. 350 Hampton (757) 827-2350 Phillip Dennis, MD 2021-A Cunningham Drive Hampton (757) 262-0544 Riverside Peninsula Pulmonary & Sleep Associates 12200 Warwick Blvd., Ste. 290 Newport News (757) 534-5454 Riverside Sleep Disorders Center 12200 Warwick Blvd., Ste. 210 Newport News (757) 534-5850 Thomas P. Splan, MD 11747 Jefferson Ave., Ste. 3-H Newport News (757) 591-0011 Sleep Disorders Center Sentara CarePlex 4000 Coliseum Drive, Ste. 350 Hampton (757) 827-2180
The Jones Institute 729 Thimble Shoals Blvd., Ste. 5-E Newport News (757) 599-9893
Holistic Mental Health, Inc. 2211 Todds Ln. Hampton (757) 826-7514
Rheumatology
Insight Nuerofeedback & Counseling P.O. Box 6378 Newport News (757) 345-5802
Arthritis Center of Hampton Roads 2115 Executive Dr., Ste. 6-C Hampton (757) 874-7246
Jewish Family Service 2700 Spring Rd. Newport News (757) 223-5635
David B. Maxwell, MD 11747 Jefferson Ave., Ste. 4-E Newport News (757) 595-2040
Joseph & Kostel Counseling 2211 Todds Lane Hampton (757) 826-5972
H. Alexander Wilson, MD 704 Thimble Shoals Blvd., Bldg. 300-A Newport News (757) 595-4300
Frederick A. Levy, LCSW 732 Thimble Shoals Blvd., Ste. 702 Newport News (757) 873-1240
Urology
Renee DeVenny May, PhD 47 W. Queens Way Hampton (757) 622-9852
David P. Bayne, MD 2204-E Executive Dr. Hampton (757) 838-8836
Naumovski Psychiatric Services 2019 Cunningham Dr. Hampton (757) 896-6120
Hampton Roads Urology 11848 Rock Landing Dr., Ste. 402 Newport News (757) 873-1374
Oyster Point Counseling Services 753 Thimble Shoals Blvd., Ste. 2-A Newport News (757) 594-9701
Peninsula Urology 2108 Hartford Road Hampton (757) 827-7430
Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News (757) 873-2273 Peninsula Pediatric Psychiatry 12350 Jefferson Ave., Ste. 190 Newport News (757) 881-9444 Peninsula Therapy Center 610 Thimble Shoals Blvd., Ste. 103 Newport News (757) 873-3353
Pointe Wellness 755 Thimble Shoals Blvd., Ste. B Newport News (757) 596-7938
Associates of Hampton Roads 703 Thimble Shoals Blvd., Ste. B-4 Newport News (757) 873-2307
George G. Childs Jr., MD 606 Denbigh Blvd., Ste. 806 Newport News (757) 874-8032
Reproductive Medicine
Longevity Center of Va. 11000 Jefferson Ave. Newport News (757) 599-7899
Associated Counselors of Tidewater 2019 Cunningham Dr., Ste. 220 Hampton (757) 825-9181
Pulmonology & Sleep Disorders
Hampton Roads Counseling Center 6515 Geo. Washington Mem. Hwy. Grafton (757) 877-9140
Sonya N. Peretti, LPC Draa S. Thompson, LPC 7621-C Geo. Washington Mem. Hwy. Yorktown (757) 898-9025
Psychiatry & Mental Health
Elaine S. Whitaker, LCSW 2101 Executive Drive Hampton (757) 838-4144
Hampton Roads Behavioral Health 304 Marcella Road, Ste. B Hampton (757) 827-7350
Healthspan of Hampton Roads 11747 Jefferson Ave., Ste. 1A Newport News (757) 969-3876
Preventive Medicine Center 732 Thimble Shoals Blvd., Ste. 602 Newport News (757) 596-8073
Virginia Psychological Services 732 Thimble Shoals Blvd., Ste. 705-K Newport News (757) 873-4744
Psychoanalytic Associates 100 Bridge St., Ste. C-2 Hampton (757) 723-4336 Dawn R. Reese, PhD 705-C Mobjack Place Newport News (757) 591-2300 Riverside Behavioral Health Center 2244 Executive Drive Hampton (757) 827-1001
Anthony F. Sibley, MD Roslind I. McCoy Sibley, MD 2204-B Executive Dr. Hampton (757) 838-1100 TPMG Urology 860 Omni Blvd., Ste. 205 Newport News (757) 873-2562
Vascular Surgery Peninsula Vascular Surgery 500 J. Clyde Morris Blvd., Enterance G, 6th Floor Newport News (757) 534-5340 PKA Vascular Access Center 501 Butler Farm Rd., Ste. B Hampton (757) 766-6080 Charles E. Umstott, MD 500 J. Clyde Morris Blvd., Ste. 602 Newport News (757) 534-5511 Vascular & Transplant Specialists 4000 Coliseum Dr., Ste. 310 Hampton (757) 262-1110
Rock Landing Psychological Group 11825 Rock Landing Drive Newport News (757) 873-1736 Tipton K. Sheets, LPC, LMFT Yorktown (757) 898-9022 Sara E. Sutton, PhD 753-D Thimble Shoals Blvd. Newport News (757) 599-6470 Thimble Shoals Counseling & Therapy Center 703 Thimble Shoals Blvd., Ste. A-3 Newport News (757) 873-3401 THE HEALTH JOURNAL
37
the specialist
You Want Me to Put What Under My Tongue? Sublingual immunotherapy: An alternative to allergy shots Written By Joseph K. Han, M.D.
The primary advantage of sublingual immunotherapy is its convenience.
Dr. Joseph K. Han is the director of the new Eastern Virginia Medical School Allergy Division as well as the director of Allergy, Rhinology and Endoscopic Sinus and Skull-Based Surgery within the Department of Otolaryngology/Head & Neck Surgery. He is one of only a handful of physicians in the United States to have completed a fellowship in Rhinology, Sinus Surgery and Allergy. He is board-certified in otolaryngology/head and neck surgery and a fellow of the American Academy of Otolaryngic Allergy. He is also a member of EVMS Health Services, a not-for-profit medical practice through Eastern Virginia Medical School.
38 THE HEALTH JOURNAL
T
here is growing evidence to support a startling new treatment for allergies. Several U.S. studies are finding that putting particles of grass and other allergens under the tongue is a safe and effective treatment for certain allergies—not to mention a lot less painful than shots. An allergy is an abnormal reaction to an ordinarily harmless substance called an allergen. Allergens are simply small proteins that trigger an allergic response when absorbed into the bodies of certain allergic people. Following an exposure, these individuals may experience symptoms such as a runny nose, watery eyes, itching and sneezing. The most common allergens are grass or tree pollens, molds, dust mites, animal dander, foods, cockroach droppings and insect stings. Allergies are quite common in the United States, affecting about one in six people. The easiest way to control an allergic reaction is to avoid exposure entirely. Since that isn’t always possible or realistic, many people use medications that can block the allergic response (such as antihistamines) or treat its symptoms (decongestants). For a more targeted treatment for a specific allergen, we must first determine specifically what the patient is allergic to via allergy testing. Allergy testing can be conducted using either a blood test or skin test. Allergy experts can either study a blood sample to determine which allergens affect the patient or place a small amount of an allergen onto the skin and examine how the patient’s body responds. If histamine blockers or other allergy medications fail, subcutaneous immunotherapy (more commonly known as allergy shots) is the next line of defense and the most common method of allergy treatment. But some U.S. doctors are now adding a new therapy to the allergy treatment mix—sublingual immunotherapy, or SLIT. Presently, SLIT is not commonly practiced within the U.S. but it has been popular throughout Europe and Asia for years. SLIT involves placing very small amounts of an allergen, such as grass particles in oral drops, under a patient’s tongue for a few minutes. Studies have shown that SLIT works in a fashion similar to traditional allergy shots and has proven to be just as effective. The same extracts used in subcutaneous allergy injections are found in these oral allergy drops; and, as with allergy shots, patients must take the drops for three to five years for the treatment to work.
What is the difference between an allergy shot and sublingual immunotherapy?
Allergy shots involve placing, over time, increasing amounts of an allergen under the skin via injection. After repeated exposure to the allergen, the patient eventually becomes less allergic to the substance because the gradual introduction of the allergen allows the patient to build a natural immunity or tolerance. However, this type of therapy requires quite a bit of time and effort because patients must schedule weekly doctor visits for the shots. In addition to the pain associated with the injections, some side effects include localized swelling at the injection site or systemic reactions such as wheezing, sneezing and nasal congestion. Anaphylactic reaction, a rare but potentially life-threatening allergic response, is also a risk. For this reason, doctors require patients to stay at the practice 30 minutes after a shot is given to evaluate any possible side effects. In contrast, the primary advantage of sublingual immunotherapy is its convenience. SLIT can be administered at home on a daily basis instead of requiring weekly office visits. Some studies have also shown that sublingual therapy may result in fewer systemic adverse reactions than allergy shots, making it a potentially safer option. The most common reported side effects of the drops are tingling of the tongue following ingestion. There are a few disadvantages to sublingual therapy. First, since it is a relatively new type of treatment, there are only a few published studies to support its efficacy. Despite this, there is sufficient data to demonstrate that it works. Second, there is no general consensus on the optimal amount of allergen that is required for sublingual administration. Doctors can, however, follow a set of guidelines developed by the American Academy of Otolaryngic Allergy for administering sublingual therapy to patients.
The bottom line?
All of the above therapies will help control and prevent allergic reactions. Some questions about SLIT still need to be answered with further scientific research, but luckily, patients and their doctors have several good treatment options from which to choose. The best way to determine which allergy treatment is best for you is to talk with your doctor.
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Dinner from Outback Steakhouse Entertainment by Hotcakes Band To purchase tickets or for more information call 757-838-7320 or visit www.hrredcross.org All proceeds benefit the Hampton Roads American Red Cross
MarchCalendar 10
2010
Parenting Class
th
Parents and caregivers will learn about acting-out behaviors, how temperament affects behavior and gain effective ways to handle spirited children during a class to be held from 9:30 to 11 a.m. at the CHKD Health and Surgery Center at Oyster Point (11783 Rock Landing Drive). Register online at www.chkd.org/calendars.
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Registered Dietician Karen Godette, R.D., will discuss ways to maintain good colon health through nutrition during a free presentation from 10 a.m. to noon in Rooms B and C at Sentara CarePlex Hospital. Call 1-800-SENTARA to register.
Shop Better, Eat Better
Learn how to read nutrition labels and make healthier food choices during a free grocery store tour with a registered dietician at 10 a.m. at Farm Fresh (2190 Coliseum Dr.). Availability is limited; call 1-800-SENTARA to register early.
“Healthy You” Returns
Overweight children and their parents are encouraged to enroll in “Healthy You,” a free 10-week course offered by Children’s Hospital of The King’s Daughters. This program includes an individual assessment for the participating child and a 10week lifestyle course, including a wide variety of fun fitness activities. Youth classes (ages 8 to 11) will be held Tuesdays and Thursdays from 6:30 to 8 p.m. at the CHKD Health and Surgery Center at Oyster Point (11783 Rock Landing Dr.). Call (757) 668-7035 for registration material and tuition information.
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Colon Health
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Siblings Matter
A recreational workshop for brothers and sisters of children with special health needs will be held from 6:30 to 8 p.m. at the CHKD Health and Surgery Center at Oyster Point (11783 Rock Landing Dr.). Call Gail Cervarich at (757) 668-7646 for information.
Parenting Teens
Learn how understanding teen brain development can explain teenagers’ choices and behaviors during a free seminar held from 9:30 to 11:30 a.m. at the CHKD Health and Surgery Center at Oyster Point (11783 Rock Landing Dr.). Register online at www.chkd.org/calendar.
“The Doctor is In”
Join the experts of Riverside Medical Group at 9 a.m. on the last Wednesday of each month for their free health lecture series, “The Doctor is In.” Each talk will take place in the Food Court at Patrick Henry Mall (near the fireplace). Chick-fil-A provides complimentary coffee at each meeting.
Support Groups Abortion Recovery Group Mary Immaculate Hospital Tuesdays, 7 p.m. (757) 886-6364
Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813 Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362
Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 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
ADDiction
The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658
Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700
Family Centered Resources 3rd Thursday, 1:30 p.m. (757) 596-3941
Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com
Aids
Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606
Alcohol & Drug Recovery Colonial Chapter Meets monthly. (757) 253-4395
Bethel Restoration Center Mondays, 7 p.m. (757) 220-5480 Kids’ Group Spirit Works (757) 564-0001 Parents’ Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111 Women Only Spirit Works Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700
Alzheimer’s Disease
Warwick Forest 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 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 King of Glory Lutheran Church Last Thursday, 7:30 p.m. (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 Mary Immaculate Hospital 1st & 3rd Thursday, 7 p.m. (757) 886-6595 Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287 Child Loss Williamsburg Hospice House 2nd Monday (757) 645-2192 St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948
Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541
Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215
Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018
Riverside Hospice 2nd Thursday, 7 p.m. (757) 594-2745
Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444
Suicide Catholic Charities 3rd Tues., 7 p.m. (757) 875-0060 Young Widow/Widower Williamsburg Hospice House 1st Monday (757) 645-2192
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
Celiac Disease
St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535
Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381
Chronic Fatigue SyndromE
Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871
PMS
Crohn’s Disease/Colitis
Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 p.m. to 9:30 p.m. (757) 827-1001
Monticello Ukrop’s Call (757) 564-0229 Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700
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
Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229
Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700
Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328
Type 2 Riverside Regional Medical Center 3rd Tuesday, 11 a.m. (757) 534-5918
Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234 Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438 The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438
Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700
JCC/W Community Center 1st Tues., 7:30 to 8:30 a.m. (757) 253-1220 or allysimone@hotmail.com
Colonial Heritage Clubhouse 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974
Miscarriage / Stillbirth Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791
York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883
Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5918
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
Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com
Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700
Job Transition
Great Harvest Bread Co. Wednesdays, 7 a.m.
Kidney disease
Sentara CarePlex Hospital 1st Wed., 6 to 7:30 p.m. (757) 244-3923
Lou GeHrig's disease (ALS) 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 Wed., 6 to 7:30 p.m. (757) 503-0743 Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279
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
Multiple Sclerosis
Stroke/Brain Injury
JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902
R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900
African-Americans Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627
Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327
Myasthenia gravis
Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327
James City County Library Every other month on the 4th Sat., 1 p.m. (757) 810-1393
Ostomy
Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050
Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033
vasculitis
ParentIng
Vision Loss
JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125 JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us Fathers Only York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777 Grandparents as Parents Williamsburg Library Conference Room C 2nd Tuesday, 10 a.m. (757) 253-2847 Hispanic Parents Wellspring United Methodist Church 1st & 3rd Fri., 10 a.m. Transportation available. (757) 566-9777 New Mothers Sentara Williamsburg Regional Medical Center Thursdays, 10 to 11:30 a.m. (757) 259-6051 St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945
Mary Immaculate Hospital 1st Sat., 10 a.m. to noon (928) 380-0319
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 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 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
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) 898-6674 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880
THE HEALTH JOURNAL
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ate of : Gradu s n o i t a tions c /Certifi ertifica c n ; o i y t t a i c s Edu niver rength inion U l on St i m c o D n u d o l ts C O g), Tuf ational n i N n e Jackson designed her gym much like she approaches i h a t r t from as well ersonal ) p t ( s i s l s fitness—with a well-rounded style and attention to a e i c n s, ion spe s and Fit t e i r n t t i u F n detail. A beautiful lobby, plush locker rooms, a cycling p sity ( y Grou ng i r l a c y m Univer i C r P room with a view of downtown, and an outdoor boxitness AFAA nd ProF a as from , g ing area offered the building a new life and Jackson’s n i ickbox d n a h t clients the perfect setting to start reaching their AAAI K l EA Hea D I f o n o r l e goals. Her all-round approach to fitness includes i b s: Mem l Counc n a o n i t o i a t i c a educating clients on the benefits and proper use of Asso ion, N ssociat A s s strength training, cardiovascular conditioning, nue n s Fit Fitnes d n a h trition and flexibility to achieve total wellness. “My t , Streng dening r a g , philosophy is that you have to do it all to make a g in nd g, cook a n i g t n a i o healthy change,” says Jackson. s: B tertain Hobbie ds ing, en l n e e v i a r r f t g, and dancin family h What she loves about Hampton Roads: I love t i w e g tim n i d n e that it’s surrounded by water—and I love the climate and sp its close proximity to the mountains and Washington, D.C.
How she developed an interest in fitness: I was always very physically active. I was a majorette, ran cross-country track and skied. I was in the Miss Norfolk pageant at age 20. After the birth of my last child, I went to several different gyms before choosing Wareings. And that’s how I got started.
Julie Jackson
Interview By Sharon Miller Cindrich Photography By Dawn Griffith
A
fter years of training, Julie Jackson has crossed a finish line of sorts. Nearly 19 years in the fitness industry has led this passionate personal trainer to open her own gym and share her love of health and wellness with the Hampton Roads community. Fitness First Health and Wellness Center opened its doors Feb. 1 this year on Tazewell Street in Norfolk. Jackson’s passion for fitness started in 1991 when she began teaching group fitness classes at Wareings Gym in Virginia Beach. “I was a member at Wareings and was approached by the director, who said, ‘Why don’t you start teaching for me?’” Jackson enjoyed the teaching experience so much that she became a certified personal trainer and spent the next two decades expanding her repertoire of fitness certifications and specialties. In 2001 she became a Body Bar Master Trainer and conducted workshops for the BOSU® and Body Bar® fitness companies as well as designed fitness programs for children and teens while at Wareings. “I have a passion for it,” Jackson says, explaining that over the years she became focused on helping others attain their fitness goals. She continued her education by attending national conferences and workshops where she was inspired to expand her range of professional abilities. After she left Wareings in 2007, Jackson directed group fitness classes at a Suffolk facility before deciding to open her own gym in a century-old building once owned by Landmark Communications and home of Norfolk’s former daily newspaper The Ledger Star. 42 THE HEALTH JOURNAL
How she balanced family and fitness: My two youngest children grew up in Wareings gym. The gym had childcare, so they would come with me. By the time they got older I would go work out when my husband could stay home with them. I was passionate about both family and my personal fitness—you just have to learn time management and do what you can to achieve balance.
Her advice to people who don’t think they are athletic: That is the biggest obstacle in the business. We Americans have created a lifestyle of laziness and fatigue. It’s so much easier to get in the rut of not doing something than it is to do something. I know what it’s like to feel better when I eat right and exercise, but it’s hard to explain that to people. In my job I have to educate them—to let them know that if they stay inactive, their aversion to exercise (or ability to do it) will only get worse as they grow older. What makes her gym different: Personal attention. I want my staff to speak to our clients and pay attention to their needs. I personally will call clients, check in on them, ask if they’ve been to the gym. You have to create a relationship with your clients and earn their trust. That’s what creates success.
Who she admires: Certain people in the fitness industry. My husband, who gives me strength. He was never a person to say, “You can’t.” He supported me 100 percent. He’s always been that way. He’s always told me that I am a strong, amazing, wonderful wife and mother.
Her most memorable professional moment: Teaching my last class at Wareings Gym after working there for 16 years. I was really sad about leaving, and everyone came to bid me farewell and wish me luck. The one thing she would have done differently: I would have started working in the health and fitness industry 30 years ago instead of 18. Favorite quote: “It is amazing how much crisper the general experience of life becomes when your body is given a chance to develop a little strength.” Frank Duff, Missionary
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