the
Health Journal
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Williamsburg Edition
Vol. 5 No. 4
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September 2009
Special Concerns of Teen Athletes Where to Seek Care: ER or Urgent Care? Headaches? Try This First
Caring for an aging parent
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New Name. OSC — New Keeping You In The Game! Look. At Orthopaedic & Spine Center, we know how important the game is to you. That’s why we treat a variety of sports-related injuries, including:
OSSMS of Hampton Roads is now...
• ACL tears of the knee • meniscal tears of the knee • patella dislocations in the knee • shoulder dislocations To • betterrotator cuff tears of the shoulder represent all we have to offer you, Of course, our practice will continue to incorporate OSSMS will now be known as Orthopaedic & Spine the latest medical innovations and techniques in • AC joint sprains of the shoulder Center. We are proud to be the region’s premier both orthopaedic and spine surgery to improve the • bicep tears (SLAP Tears) provider for Orthopaedics and Sports Medicine. quality of life for our patients. Rest assured, we will • ankle sprains Our group includes the only two fellowship trained continue to offer the same comprehensive, thorough • ankle fractures Orthopaedic Spine Surgeons on the Peninsula. and personal care you have come to expect from us, • wrist fractures but with a new name and look. • wrist sprains Experience Excellence • hip sprains—torn labrums
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On the Cover
As more and more baby boomers find themselves in the caregiver’s role for an elderly parent, it comes as a reminder that one day their own children will take the reins. Families who plan ahead and talk openly about medical, legal and financial matters stand to benefit.
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Inside
SEPTEMBER 2009
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6 features
IN EVERY ISSUE
For Better or For…Surgery? | 6
Make Time to Cool Down | 18
Letter from the Editor | 4
A Newport News couple shows solidarity by going “under the knife” on the same day, for the same procedure, with the same surgeon.
Personal Trainer Greg Tudor returns with more tips for a safe and effective workout.
Inbox | 5
Where to Seek Care | 15
The Truth About Long-term Care | 28
Which injuries warrant a trip to the emergency room, and which can be safely treated with urgent care? Experts from both sides weigh in.
The Newest Anti-aging Trend | 32 A new crop of hair care products promises to turn back the hands of time.
Local Beat | 6 New York Life agent David Kikoen dispels seven common misconceptions about long-term care coverage.
Snapshots | 8 Fitness | 18
He’s Got a Lot to Smile About | 42
Feature | 22
John Cranham, D.D.S., shares the details on his new teaching facility for dentists and reveals his greatest source of inspiration.
Health Directory | 38 Calendar | 40 Profile | 42
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THE HEALTH JOURNAL
September 2009
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LETTER FROM THE EDITOR the
Health Journal Williamsburg Edition
W
Publisher
e may be in the midst of hurricane season here in Hampton Roads, but this month’s cover story reflects a much different type of storm. Chances are you’ve heard the phrase “silver tsunami.” The baby boom generation (those born between 1946 and 1964) has, over recent decades, affected nearly every corner of American society. Now this enormous flock is poised to overwhelm yet another major social system—and no, I am not talking about Facebook. Medicare, the government-run health insurance program that currently insures about 40 million Americans, most of them seniors, faces a perilous future. Today, those 65-and-olders make up about 12 percent of the U.S. population; in just 20 years a whopping 20 percent of Americans will be of Medicare age. By some estimates, the system will be insolvent in as soon as eight years, meaning it will dish out more in payments than it collects through taxes. My father has already crossed that threshold into the land of Medicare and Social Security benefits. My mom, on the other hand, in just a few short years will join the first ripple of boomers to turn 65. She’s expressed to me her concerns that those very two systems—to which, throughout her working life, she watched a portion of her paycheck go each month—may go broke soon after she can finally tap into them. These are just some of the issues on the table as Congress resumes this month to further debate (and hopefully, come to a decision on) health care reform. Right now, some 20 million boomers are caring for their elderly parents. As society grays, and resources dwindle, the responsibility of caring for the nation’s seniors will likely fall on the next generation. As author Joy Vann points out in “Caring for an Aging Parent,” starting on page 22, families who plan ahead—not just financially, but also by securing important documents and talking openly about difficult topics—stand to benefit greatly. In this month’s cover story you’ll find tips about securing legal documents that address end-of-life wishes, safeguarding the home so seniors who want to stay put can do so worry-free, as well as locating local resources, like your Area Agency on Aging, that can help navigate the many options available to seniors. You’ll also find tips for initiating conversation about tough topics, as so many families simply don’t want to talk about the “what ifs.” I’ve been fortunate to have had “the talk” with both of my parents. We’ve discussed their wishes, and they have written their advance directives. Luckily, they are both in good health. They’re active and independent, and chances are they won’t need my help any time soon. But they both know that when the time comes they won’t have to go it alone. So in the meantime, Mom, welcome to Facebook. It’s just another way for us to stay in touch. photo by Brian M. Freer
TM
Brian M. Freer Executive Director
Rita L. Kikoen Editor
Page Bishop-Freer Associate Editor
Beth Shamaiengar Medical Editor
Ravi V. Shamaiengar, MD Administrative assistant
Danielle Di Salvo Sales Executives
Will Berkovits Jason Connor David C. Kikoen GRAPHIC DESIGNERs
Natalie Monteith Jean Pokorny PhotographY
Brian M. Freer Kelly Quave Inman Contributing Writers
Joel Brenner, MD Brandy Centolanza Amy Johnson Alison Johnson David Kikoen Daniel Shaye, DC Greg Tudor, CPT Joy Vann Brenda H. Welch Circulation
Press Run: 19,560 Direct Mail: 15,560 Homeowners & Businesses in 23168, 23185 & 23188 zip codes. u.s. postal carrier The Health Journal—Williamsburg edition is a monthly publication directmailed to homes and businesses in Williamsburg, James City County and Northern York County in the 23185 and 23188 zip codes. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Please notify us of any change in address. The editorial content of The Health Journal is produced under the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. The Health Journal reserves the right to edit for clarity, house style and length. Send your manuscript via e-mail to the e-mail address below.
Page Bishop-Freer, Editor page@thehealthjournals.com
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THE HEALTH JOURNAL
September 2009
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Kudos “My husband’s cousin was touched by the story about the young woman who had to undergo a kidney transplant in her 20s [July 2009]. He had his first one at age 20 and often felt so alone, as though he was the only young person dealing with this health issue.” —Marianne M. “I talked with a member of your staff at a recent health fair. She urged me to call or e-mail you with my compliments on your publication. The Health Journal contains news, features and even advertisements that inform and delight. Thank you to you, your staff, and your contributing writers.” —Mary Ann B.
“I just recently started reading your publication. I must say I truly enjoy the entire paper.” —Susan D.
“It takes a lot of effort and determination to produce a quality product and I believe you have accomplished your goals. As my boss would say, ‘Keep doing good things for good people.’ Great job!” —Joy F.
INBOX Health Directory (Cont.) “Does anyone check the validity of the doctors’ information that is listed [in the Southside Health Directory]? I have been a nurse for 30 years and have worked in this area, so it is easy for me to see some mistakes.” —Joan G. Ed: Over the past three months we've called each listing in the Southside directory to obtain the most current information. Our hope is for our Health Directory to be the best possible resource for our readers. As a reminder, businesses listed in the directory are encouraged to call whenHAHR-019.ICHOSESRECUIT_1_7.25X9.5.pdf they move or close a location. 8/26/09 2:40:55 PM
Bioidenticals: Are They Safe? “The August issue looks great. This cover and inside art (and Alison Johnson’s article) really capture a reader’s attention.” —Greg L.
Circulation “How can I be added to your mailing list? I have found the Journal to be informative and would like to receive a copy by mail.” —Grace L. Ed: For those who don’t already receive The Health Journal by mail as part of our direct-mail program, subscriptions are available for $24 per year.
I chose Bon Secours Penny Collins Registered Nurse
“I chose Bon Secours because it’s like a family. I have been a nurse at Mary Immaculate Hospital for 24 years and have worked with some of the same people for over 20 years. When I go to
“Congressman [Glenn] Nye has decided to support the Huntington’s Disease Parity Act of 2009. We have worked very hard to bring awareness to HD, and we owe a lot [of our success] to The Health Journal. [Nye] is the 27th congressman, and one of six from our state, to support the bill. I am on cloud nine!” —Marie Clay Ed: Clay and her daughter were featured in our July cover story, “Huntington’s Disease: A Genetic Roll of the Dice.”
Health Directory “I enjoy reading The Health Journal but have realized that our dermatology practice is not listed. How can I correct this? —Tim J.
work, I know everyone. We're like a family and it's very fulfilling. You have to love what you do and I love what I do.”
good career • Workplace flexibility • Tuition assistance • The state’s only non-profit, faith-based healthcare organization • Outstanding culture • Great benefits and perks — among the best in the industry
To apply, visit bshr.com
I chose Bon Secours because it’s like a family. - Penny Collins, Registered Nurse
Ed: Health-related business based in our circulation area are eligible to be included in our Health Directory for free. Send listing requests to info@thehealthjournals.com ®
BON SECOURS HAMPTON ROADS HEALTH SYSTEM
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Good Help to Those in Need® THE HEALTH JOURNAL
September 2009
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LOCAL BEAT Walk for a Good Cause Teams are forming now for The National Kidney Foundation’s Kidney Walk, to be held Sun., Oct. 18, in Port Warwick. Call (757) 825-5450 for more information or send e-mail to paula.bazemore@ kidney.org.
Center Specializes in DrugFree Allergy Treatment The AllergiCare Relief Center—specializing in drug-free treatment of seasonal allergies—has opened on First Colonial Road in Virginia Beach.
New Medical Staff for CRMC Local OB/GYN Dr. Matthew Whitted has been elected medical staff president at Chesapeake Regional Medical Center. (Read The Health Journal’s profile of Dr. Whitted [February 2009, Southside Edition] online at www.thehealthjournals. com.) In addition, Dr. Joseph “Chip” Cunningham was named medical staff president-elect, and Dr. Nathan Riles was named secretary and treasurer.
Back-to-Back Knee Operations Help Couple Land on their Feet As Robert and Thelma Spotts (center, right) recuperated from their surgeries at a rehab facility, their daughter and caregiver Cathy White (left) finally got a chance to visit other family members.
“Healthy You” Back by Popular Demand This month, Children’s Hospital of the King’s Daughters will again offer its 10-week “Healthy You” course that helps overweight children adopt healthy eating and exercise habits. A youth class (ages 8 to 11) will begin Sept. 28 and meet weekly from 6:30 to 8 p.m. at the Norfolk Health Department. A teen class (ages 12 and up) will begin Sept. 22 and meet weekly from 6:30 to 8 p.m. at the CHKD Health and Surgery Center at Oyster Point in Newport News. Call (757) 668-7035 to register for either class. (Find more events on our Health Calendar, pg. 40.)
Sentara Hospitals Ranked Among “Best” in Annual Report Two Sentara hospitals (and five service lines) were ranked among the top 50 in U.S. News & World Report’s annual “America’s Best Hospitals” edition, which surveyed nearly 5,000 U.S. hospitals. Sentara Norfolk General Hospital was listed among the best facilities for Heart & Heart Surgery (Sentara Heart Hospital), Diabetes and Endocrine Disorders, Kidney Disorders and Geriatric Care. Sentara Leigh Hospital was ranked among the top 50 hospitals for Orthopaedics.
HU Nursing School Awarded $3.2 Million The Department of Health and Human Services has awarded the Hampton University School of Nursing $3.2 million in grants to help retain students and prepare them for the workforce as well as enhance the school’s doctoral nursing program.
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THE HEALTH JOURNAL
Written By Alison Johnson Photography By Brian M. Freer
A
fter 55 years of marriage, Robert and Thelma Spotts still love spending time together. They just never thought the togetherness would extend to an operating room at Sentara CarePlex Hospital in Hampton, where both landed on the same day—for the same surgery by the same surgeon. At 3 p.m. on April 14, Thelma, 73, was rolled in to have her failing right knee replaced. About three hours later, after she had moved into a recovery room, doctors brought in their next patient—her 80-year-old husband—and replaced his left knee. As the Newport News
September 2009
couple recuperated over the next weeks and months, they supported each other and, as they often do, playfully competed. “I whipped her real bad at rehab,” Robert jokes. Thelma quickly counters that her husband had more experience with the therapy regimen: he’d had his other knee replaced four years earlier. “The therapists would tell me, ‘Oh, ignore him, he’s done this before,’” she says. “They’d say, ‘You just don’t pay any attention to him.’” Robert and Thelma turned to joint replacement surgery after their respective knees deteriorated to a point that
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LOCAL BEAT walking short distances was very painful. Robert, who retired from the civil service after 31 years as a mechanical engineering technician, had loved bowling and softball in his younger days, but in the six months before his surgery he found himself unable even to go on his regular walks. During the year prior to her surgery, Thelma, a mother
weeks of rehabilitation at a Hampton facility, their rooms were just across the hall from one another, and they visited regularly and met for dinner dates. “It was definitely a reason to get up and move around,” Thelma says. When they went on to outpatient physical therapy, Robert was by Thelma’s side as they completed an hour of exercises—starting with simple bends and gradually adding weights, biking and running—three times a week. Thelma also needed time on a stretching Robert had loved bowling and softball in machine because she had trouble his younger days, but prior to surgery found bending her new knee. After Robert finished therapy in June, he became himself unable even to go on his regular walks. his wife’s coach. Robert also liked to pull pranks Before her surgery, Thelma had to ride a to make Thelma smile. One day, he motorized cart to do her grocery shopping. swiped her slipper-shoes while she was exercising and folded them up, tucked them in his back pocket and of four and former assistant manager and cashier at a car covered them with his long shirttail. Thelma couldn’t unwash, could no longer stand in line at stores and had to derstand why they weren’t under the bench where she always left them. “She was looking all around, real confused,” ride a motorized cart to do her grocery shopping. The couple considered surgery, but Robert, Thelma and Robert laughs. “She never would have found them, but then their daughter Cathy White, who lives at home and helps that therapist rat-finked on me.” The couple’s sense of humor helped them through the care for her parents, understood each likely would need three months of recovery time. So if one had surgery and toughest times after surgery. “You are in pain at the beginthe other waited, they’d be out of commission a total of ning, and it’s a lot easier to joke around,” Thelma says. “You six months. But if they went in together, they’d only be can either laugh or cry, and we like to laugh.” Robert concurs: “Our doctor was right when he told us talking about half that time. Furthermore, if Robert and Thelma stayed in an inpatient facility for two weeks of that we’d hate him a lot for the first month after surgery, post-surgical rehabilitation, Cathy would have a chance hate him a little the second month and love him by the sixth to visit her own children and a new grandchild in New month,” he says. “We both understood exactly what the Jersey (Cathy’s siblings also live out-of-state). “[Having other one was going through.” surgery at the same time] just made sense,” says Robert, who also served active duty in the Air Force and in the ac- All in all, it was a gamble worth taking tive reserves for the Air Force and Navy. “We’d be getting Today, Robert and Thelma say their new knees are it out of the way much faster.” working well despite a little lingering pain. Robert is Plus, they’d be together—as they have been since Thel- back to walking, and Thelma doesn’t use the motorized ma was in high school and met her future husband, a fel- grocery store cart anymore (meaning Robert no longer low Philadelphia native, at a wedding. Robert later took her to her senior prom. “We each have our separate interests, [but] we As they considered surgery, it was clear are just part of one another,” Robert says. “We don’t always agree on things, but I that each likely would need three months think we have a good sense of humor and of recovery time. So if one had surgery we use it to end arguments. We never go to bed angry with each other.” and the other waited, they’d be out of
Solidarity made recovery easier for both Robert laughs that on the day of their surgeries, he checked with their doctor, Colin Kingston of Tidewater Orthopaedic Associates, to make sure he wasn’t tired. Dr. Kingston had added Robert’s procedure as an extra surgery that day, giving him a total of five operations to do. That afternoon was stressful for Cathy, especially since her mother had suffered respiratory failure following a previous neck surgery. “I turned a little grayer,” Cathy says. “When my mom came out, it was such a relief—but then my father was just going in.” Tending to both parents in the hospital also wasn’t easy: “I was trying to give them equal time, plus I was balancing a part-time job,” she says. “I probably was bugging the nurses a lot. But there were no problems at all this time.” Robert and Thelma agree that having each other nearby was a huge motivator during their recovery. During two
commission a total of six months. struggles to keep up with his wife, whom he jokingly calls “that maniac,” because she used to speed off and “ditch” him in the aisles). Thelma also is able to bend her knee enough to get into a car comfortably again, and the two casino lovers have traveled to Dover Downs in Delaware and Atlantic City since their surgery. They even hope to get back to Las Vegas in the future. The Spottses say they’d recommend knee replacement surgery to anyone experiencing the kind of discomfort they were—even if the person considering it doesn’t have a spouse who would go through it at the same time. “It’s well worth it,” Robert says. “It’s not always easy, but there’s a big payoff.” Just like a long, happy marriage. HJ
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CHKD to Host “Children and Anxiety” Series Children’s Hospital of the King’s Daughters will host two free lectures on the topic of children and anxiety. On Sept. 5, professionals are invited to attend “The Many Faces of Anxiety in Children and Adolescents,” from 9 a.m. to noon at the Virginia Beach Central Library (in the auditorium). Parents and other family members are invited to attend “Helping Children Cope with Anxiety,” which will be held Sept. 24, from 7 to 9 p.m., at 601 Children’s Lane in Norfolk. Attendees will learn about early warning signs of anxiety disorders as well as parenting strategies to use at home and at school. Register online at www.chkd.org/classes or call (757) 668-7500. (Find more events on our Health Calendar, pg. 40.)
New Women’s Health Practice Opens in Norfolk Hampton Roads OB/GYN Center, a Bon Secours practice, has opened at 150 Kingsley Lane in Norfolk. Services include pre- and post-natal care as well as gynecological services for women including Pap smears, annual physicals, management of ongoing medical conditions, and wellness screenings.
Southeastern Physical Therapy Opens Chesapeake Clinic Southeastern Physical Therapy has opened its seventh clinic in Hampton Roads at 801 Poindexter St., in the South Norfolk area of Chesapeake.
Lifestyle Center to Host Open House Sept. 10 The Lifestyle Center, a wellness facility located at 800 Battlefield Blvd. North in Chesapeake, will host a fall Open House on Thurs., Sept. 10, from 4 to 7 p.m., featuring tours, chair massages, fitness demonstrations, nutrition displays and refreshments. (Find more events on our Health Calendar, pg. 40.)
Think Pink About Weight Management “Totally Pink for Life,” a 12-week, twice-weekly exercise program funded by the Tidewater Affiliate of Susan G. Komen for the Cure, will begin Sept. 15. he program is open to women receiving treatment for breast cancer or those who have received treatment within the past 12 months. Every Tuesday and Thursday session, held from 1 to 2:30 p.m. at Chesapeake Regional Medical Center, includes 30 minutes of education and 60 minutes of exercise. Call Tiffany Markun at (757) 312-6132 for more details.
THE HEALTH JOURNAL
September 2009
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SNAPSHOTS
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The annual Vineyards 5K to benefit Child Development Resources, an agency that provides services to young children with special needs in Greater Williamsburg, was held in The Vineyards neighborhood of Williamsburg in August. The Plumley family, at right, raised over $1,000 for CDR. Naomi Plumley (front row, second from left), has been receiving services at CDR (such as speech therapy for her hearing loss) for three years, since she was four weeks of age.
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Jessica Colwill, M.D., has joined Portsmouth OB/GYN, a Bon Secours Medical Group practice. Board-certified in obstetrics and gynecology, Colwill holds a bachelor of arts (BA) in biologygenetics and development from Cornell University in Ithaca, N.Y. She earned her doctorate from the University of Pittsburgh School of Medicine in Pittsburgh, Pa., and completed an internship, as well as her residency, in obstetrics and gynecology at the Naval Medical Center-San Diego in California.
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The Sixth Annual “Ducktape Regatta” was held at Norfolk’s Willoughby Harbor Marina on August 22. Contestants were given four hours to create a “boat” out of plywood, wooden planks, duct tape and screws. All proceeds benefited Children’s Hospital of the King’s Daughters.
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They’re bold and mischievous, lighthearted and energetic, spry and 60 (and some 70, 80 and 90) years old—they’re the PinUp Boys of Atlantic Shores. This group of gregarious gentlemen bared it all (behind strategically placed props) for a 2010 “nearly nude” calendar, with sales benefiting the Princess Anne Courthouse Volunteer Rescue Squad. These calendar guys, ranging in age from 69 to 90, are residents at the Atlantic Shores Retirement Community in Virginia Beach. Taking time off from hobbies, traveling and late-life careers, these 14 active seniors (and one dog) shed their inhibitions to take a stab at modeling—starring in the inaugural, 15-month “Pin-Up Boys of Atlantic Shores” calendar.
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The Sentara CarePlex Hospital Auxiliary now offers a free shuttle service on weekdays from 7:30 a.m. to 4:30 p.m. Volunteers Carol Johnson (left) and Betsy Bocklet cruise through the hospital parking lot offering rides to patients and visitors.
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Senior Services of Southeastern Virginia (SSSEVA) was honored for its Center for Aging Affiliates Program during the Aging Innovations and Achievement Awards ceremony held in Minneapolis, Minn., in July. The ceremony was part of the annual conference of the National Association of Area Agencies on Aging, (which represents 650 a3gencies, including the nonprofit SSSEVA). The Affiliates Program was created in May 2008 to foster neighborhood-based outreach through churches and other community organizations throughout the cities of Chesapeake, Norfolk, Portsmouth and Virginia Beach. From left to right: Sandy Markwood, chief executive officer of the National Association of Area Agencies on Aging; Cathy M. Spriggs, affiliates program developer for SSSEVA; and Maurice Biggs, Jr., SSSEVA board member and board secretary.
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We Want Your Snapshots! Readers may submit pictures of health-related happenings throughout Hampton Roads. Please remember to include a brief description of the photo as well as the full names of individuals featured. Send Your Health Snapshots to: page@thehealthjournals.com
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September 2009
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HEALTH IN HISTORY
Master shoemaker D. A. Saguto in the Shoemaker Shop of Colonial Williamsburg.
The Colonial Williamsburg Foundation
Colonists’ Foot Woes Not So Different from Today Written By Brandy Centolanza
R
esidents of 18th-century Williamsburg spent a majority of their day on foot, which would often lead to foot problems that are still common today, with bunions and corns being the most prevalent. Wearing ill-fitting shoes only increased the risk of foot troubles. According to D. A. Saguto, master boot and shoemaker for Colonial Williamsburg, Colonists of the 1700s wore a variety of shoes depending on the occasion. Among these were “everyday ‘common’ shoes; slippers for indoors; ‘strong shoes’ for laborers; ‘pumps’ for dancing; several sorts of
boots for riding or hunting on foot; leggings and gaiters; galoshes and overshoes of several sorts; theatrical and fancy-dress styles; and sports shoes for running, fencing, tennis and other lively and active exercises.” Like today, styles differed for men and women, and shoes were often worn based on what was fashionable rather than what was comfortable. “Materials ranged widely, too,” Saguto says. “But generally speaking, men wore all-leather shoes, where women wore shoes with textile uppers and higher carved wooden heels.” Typical foot conditions that
plagued the Colonists included bunfeet in plaster of Paris. ions (a bump on the big toe that is While today’s podiatrists treat varmore common in women due to poor ious foot aches and pains, Colonists footwear), corns (a thickened patch often simply had to endure their foot of skin on the sole of the foot), gout ailments. (a form of arthritis that affects the “Except perhaps for [the wealthy] toe joints) and hammertoe (a dewho may have luxuriated at ‘spas’ and formity caused by ‘baths’—enjoying wearing too-small the level of per“What we think of shoes, in which one sonal hygiene and as personal foot care of the toes resempampering their bles a hammer) as status allowed— today was simply well as arch and heel what we think of as non-existent for problems caused by personal foot care an abnormal gait. today was simply most people during Shoes were adnon-existent for justed or custommost people then, Colonial times.” made to relieve the outside of soak—D. A. Saguto, pain of bunions ing tired feet in Colonial Williamsburg hot water and (we and gout, while shoemaker corns were usually can hope) trimremoved. Though ming toenails,” surgery was limited during this time says Saguto. “If your shoe pinched, period, prosthetic devices, leg braces you made a few cuts in the upper; and splints were used to treat severe if your corns were an issue, you had foot ailments. In larger Colonial citsomeone cut them off; if you suffered ies, shoemakers prepared shoes to from gout, you merely donned softer, order (especially for those with foot looser shoes.” HJ deformities) by casting the person’s
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THE HEALTH JOURNAL
September 2009
Now accepting patients for in-center hemodialysis, peritoneal dialysis, and home hemodialysis. Visiting dialysis patients welcome.
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Beth Scharlop, MD, FACOG Susan Lontkowski, MD, FACOG For more information on Dr. Floyd or Riverside Family Medicine Kristy Keller, MD and Urgent Care, please call MD, (757)FACOG 220-8300 Jacquelyn Paykel, Alison Butler, RN, CFNP Visit them at www.womancareofwilliamsburg.com or call 757-253-5600 to schedule an appointment for the many health needs of females. R IVERSIDEconcerns F AMILY Mand EDICINE AND U RGENT C ARE 5231 John Tyler Highway • Williamsburg, VA 23185
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FAMILY FOCUS
Build a Healthy Family Workstation Start the new school year off right with a family computing area that’s fit for all. Written By Sharon Miller Cindrich
I
f the family computer is crammed in a corner of your kitchen, the keyboard is precariously balanced on a TV tray or the kids are pulling up an old kitchen chair when they work in front of the monitor, you’re not alone. Thanks to the increasing popularity of the home computer, families are spending more time in a desk environment than they did 10 years ago, and many are trying to squeeze a home workstation into their living room, extra bedroom or kitchen corner. “Computers for work and recreation have grown exponentially,” says Dr. Phyllis M. King, program director of occupational therapy at the University of Wisconsin-Milwaukee. While many families pour cash into a computer system that meets the needs of all its users, they spend little or no time creating a healthy working environment. Well over half of American households have a computer at home, and creating a working environment that meets a family’s ergonomic needs has become a common challenge. “Home office environments have gotten less attention in the past than workplace offices,” says King. “However, we are seeing an increase in time spent on home computers,” she notes, adding that even recreational computer use, like video gaming and inSince a family’s stant messaging, can cause health problems over time. members are The height of the monitor, the supcontinually growing, port of the desk chair and the source of light can all create physical problems if choosing a chair they aren’t properly tailored to the user. that can adjust in “Symptoms [such as] pain in [the] muscles of the back, neck and forearms may height, arm position be experienced from extended periods of and lumbar support improper or unsupported postures,” King says. And, she adds, “eye problems may for each user is occur due to poor or improper lighting.” important. Without investing a fortune, families can improve the ergonomics of their home office by following these simple tips: Find a family-friendly seat. For a home office space that can be customized for each family member’s unique size, King recommends starting with the seat. “A good chair goes a long way!” she says. “An adjustable chair with good lumbar support is very important in order to accommodate different family members using the same computer station.” Most office chairs are made for adults five feet tall and over. Since a family’s members are continually growing, choosing a chair that can adjust in height, arm position and lumbar support for each user is important. If your current office chair does not have these adjustable features, use pillows for supporting a child’s back and arms. Secure good footing. When sitting at the family desk, feet should be resting on the floor. If kids’ feet dangle, use a small stool, box or even a stack of books to create a foot support. Be direct. Encourage family members to sit tall in their chair, shoulders squared up to the computer monitor with their keyboard directly in front of them. Arms should be bent at the elbow at a 90-degree angle when working with a mouse or keyboard. 12
THE HEALTH JOURNAL
Make sure the computer monitor is level with the user’s field of vision. Consider purchasing a monitor that adjusts in height and angle, or give the monitor a lift with a homemade prop for height. Remember that it’s all in the wrist. “A keyboard tray can allow for adjustment of the height of the keyboard,” says King. To cushion wrists, special wrist rests that fit along the edge of a keyboard or mouse pad are available from office supply stores. Or, create a homemade version by using a potholder, washcloth or piece of foam. See the light. Work in a well-lit room, and encourage users to look away from the monitor every 15 minutes to avoid straining the eyes. “A natural source of lighting and/or indirect sources of lighting are better than overhead sources,” says King. Encourage gentle touches. Family members can get pretty intense with those keystrokes when playing, typing and instant messaging. Punching the keyboard too hard or gripping the mouse with a killer clutch can put stress on fingers and wrists. Teach kids to type lightly and maneuver the mouse gently to take the wear off muscles and tendons. Take frequent breaks. “Stress builds up in muscles if movement does not occur,” says King, who recommends regular breaks and stretching to keep muscles from tightening. For children, set a timer for 15- or 20-minute breaks, and require them to get out of their seat and walk away from the computer. For more information on computer ergonomics for the whole family, visit this Web site: www.healthycomputing.com. HJ
September 2009
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September 2009
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HEALTH CARE DECISIONS
Where to Seek Care Urgent Care EMERGENCY ROOM
Some injuries can be treated at your neighborhood urgent care clinic, while some require a trip to the ER—here’s how to tell the difference.
A
Written By Brandy Centolanza
stomach ache, a broken bone, an earache, chest pains, a laceration that won’t stop bleeding—what types of ailments are suitable for treatment at an urgent care facility, and when should a person go directly to an emergency room? Local urgent care clinics have gained popularity in recent years, especially among tourists and other out-of-town visitors as well as those who lack a primary care physician or find themselves in need of services when their regular doctor is unavailable. “One of the big reasons they come to see us is the convenience,” says Dr. Michael Rogowski, a former emergency room physician who co-founded MedExpress, which has locations in Williamsburg, Yorktown and Newport News. Emergency rooms often tend to have longer wait times and more stressful environments. “Cost is also an issue,” Rogowski adds. “Urgent care is a [less costly] alternative than the ER.” Most urgent care facilities are equipped to handle conditions such as minor cuts, burns, bruises, breaks, sprains, fractures and rashes, and symptoms associated with colds, allergies, sinus conditions, upset stomachs, and the flu, as well as seasonal issues such as insect bites and heat-related illnesses in the summer or frostbite in winter. “We really see everything,” says Rogowski, adding, “Some of the things we see are appropriate for us, and some are more appropriate for the emergency room.” Dr. Clarice Moussalli, a physician with Sentara Urgent Care in Williamsburg, says she sometimes sees patients who really should have gone immediately to an emergency room. “Some people either don’t know, or some people do know and are in denial [about the severity of their condition],” she says, though for the most part, “People usually know when something is serious. If they feel something is really wrong, then they should go directly to the emergency room. If they are having troubles with major parts of their body, such as the heart or the head, if they can’t walk or are having troubles forming a sentence, then that is not something for urgent care.” Health care providers in emergency rooms have more elaborate testing methods and machinery at their immediate disposal, such as computerized axial tomography (CAT-scans), To advertise, call 757-645-4475
magnetic resonance imaging (MRI), and cardiac and resuscitative equipment, enabling them to treat patients with serious medical problems quicker than at urgent care facilities. “The big difference between us and the ER is the quick accessibility they have to the specialized testing, as well as the ability to admit patients to the hospital,” says Rogowski. Physicians advise patients to head to the ER instead of urgent care if they experience symptoms for any life-threatening condition, such as: Heart Attack—symptoms can include chest pain, shortness of breath, nausea, lightheadedness and sometimes back or jaw pain Stroke—often marked by slurred speech, difficulty walking, impaired vision or numbness on one side of the body. “If [individuals] think they are having a stroke, they should come immediately to the hospital,” says Dr. Gary Kavit, medical director for trauma and emergency services at Riverside Regional Medical Center. “They need to come here as soon as possible. There is intervention, but it is a time-sensitive intervention.” Head trauma—including any situation in which a person is rendered unconscious Problems with pregnancy—may include bleeding, cramping, decreased fetal movement Doctors also suggest turning to the ER for cases of broken bones in which the bone is protruding from the skin; chronic medical problems such as, or risk factors associated with, asthma, diabetes, high blood pressure or high cholesterol; accidental poisonings; continuous bleeding from any part of the body; or gunshot wounds. Kavit notes that a patient’s age may also determine whether an ER or urgent care facility is preferable. Infants, toddlers and senior citizens, for example, may be better served by an ER physician, but what option is best depends on the person and the condition. When in doubt, head straight to the ER. “Time is of the essence,” Moussalli says. “The quicker [patients] are treated, the greater the chance of a better outcome.” HJ
THE HEALTH JOURNAL
September 2009
15
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T
iny ovarian tumors lurk in the Fallopian tubes for an average of four years before they grow large enough to be detected, researchers reported in a study published in July that explains why diagnosis of ovarian cancer usually comes too late to save a woman’s life. They said they were trying to find ways to improve testing for the cancer, one of the deadliest because it is so hard to detect before it has spread. “Reliable early detection would save so many more lives than many new blockbuster anticancer drugs,” Howard Hughes Medical Institute researcher Dr. Patrick Brown of Stanford
Each year, ovarian cancer kills 15,000 women in the United States alone. University in California, who led the study, said in a statement. “There is a long window of opportunity for potentially lifesaving early detection of this disease, but the tumor spreads while it is still much too small to be detected by any of the tests that have been developed or proposed to date.” Ovarian cancer kills 140,000 women every year globally and 15,000 in the United States alone. Genetic mutations are known to raise the risk, but most patients do not have a clear genetic risk, and no good screening test exists. Blood tests for a compound called CA-125 may help guide therapy but cannot tell a doctor and a patient if a seemingly healthy woman has a tumor. Brown’s team analyzed tumors discovered in women who had their Fallopian tubes and ovaries removed due to a high family and genetic risk of ovarian cancer. They found little tumors that had not been detected in many of the women— most less than three millimeters across, smaller than a small peppercorn—they reported in the online Public Library of Science journal PLoS Medicine. According to Brown, “We are miles away from detecting the most deadly ovarian tumors at this early stage, but now we have a chance of actually designing an effective test that will allow us to treat them before they become deadly.” HJ
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FITNESS
Make Time to Cool Down Written By Greg Tudor
What Can A Cool-Down Do for You? • Help dissipate waste prod ucts in muscles, including lactic acid • Prevent muscle soreness • Reduce the chances of dizziness or fainting after strenuous exercise • Lower adrenaline levels in the blood
Replenishing your body is just as important as your actual workout.
W
e are all guilty of it—squeezing in bursts of exercise before rushing back to our busy day. In our hurry we forget one of the most important parts of our workout: the cool-down. You may think cooling down is a waste of time or unnecessary. But in reality, it’s essential for maximizing your workout and preventing injury. During any type of strength-training activity, the body is subject to many processes. Small tears appear in muscle fibers, ten-
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dons and ligaments can incur damage and waste products can build up. A proper cool-down promotes muscle recovery and helps return the body to its normal state. An effective cool-down consists of three key elements: light cardio, stretching and replenishment: • Slow the pace. Get three to five minutes of gentle exercise in an activity similar to your workout. For example, if you did an aerobics class, cool down with a light jog or walk. • Stretch out. You’ll want to stretch the same muscles that were engaged during your workout. • Re-fuel. Food and water are both important in replenishing your tired body. Drink at least 16 ounces of water post-workout, and have a protein-rich snack (aim for at least 10 grams). Even when you’re in a time crunch, don’t be tempted to skip your cool-down. The benefits of adding an extra five to 10 minutes to the end of your workout are well worth the wait. Your body will safely return to its normal state, reducing the risk of injury and preventing the next-day soreness we can all live without. HJ
Greg Tudor is a certified personal trainer and coowner of Results Personal Training Studio in Williamsburg.
Call today for a free consultation | 757.645.2542 18
THE HEALTH JOURNAL
September 2009
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sen-6758 SWRMC Vent_ICU ad_WHJ:Layout 1
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A Life-Saving Benchmark – Five Years Free Of Ventilator-Associated Pneumonia
From left to right: Marsha Ruckle, RN Clin II; John R. Kaiser, MD; and Susan O’Neal, RRT
A
SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER
t hospitals across the country, ventilator-associated pneumonia (VAP) is a common complication that threatens the health of intensive care patients. But not here. Out of over 5,900 hospitals nationwide, only 14 were able to eliminate cases of VAP for a year or more.* Sentara Williamsburg Regional Medical Center has done so for five years now.
Highly skilled physicians and staff are dedicated to achieving outstanding patient outcomes through quality and safety initiatives. As a result, we have been chosen as a VHA national model for ICU care, serving as a blueprint for hospitals across the country. For more information, please call 1-800-SENTARA, or visit sentara.com/williamsburg. *According to a ranking by the Institute of Healthcare Improvement.
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debris. The varnish is a clear liquid, which allows us to gauge the amount of varnish that is applied to the teeth. After the teeth are cleaned, they are partially dried. The varnish is then applied to the teeth with a small brush. The varnish sets immediately upon contact, and the fluoride adheres to the teeth for up to eight hours.
A fluoride varnish is a highly concentrated topical fluoride treatment that is professionally applied to the tooth surface. The varnish is not permanent, but it does adhere to the teeth for several hours and prevents decay. A fluoride varnish can be applied to the teeth in place of a traditional foam tray. A foam procedure typically lasts a few minutes, while a fluoride varnish treatment can last up to eight hours, allowing for better results. Fluoride varnishes prevent dental decay in many ways. Tooth decay occurs when bacteria colonize on teeth and, consequently, dissolve the protective enamel covering the teeth. This can cause a process called demineralization. Fluoride varnishes reverse the demineralization process while boosting remineralization. Fluoride varnishes are also used to treat tooth sensitivity. The fluoride varnish is typically applied after a routine dental cleaning, when the teeth are free of plaque and
Following the varnish application, patients are instructed to wait thirty minutes to an hour before eating or drinking. This helps to maximize the varnish’s effectiveness. Varnish applications are most effective if done two to three times per year. The treatment is always administered by a dentist or dental hygienist.
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FEATURE
Caring for an Aging Parent: Consider All Options, Plan Ahead Written By Joy Vann
C
aring for an aging parent is one of those universal life experiences that brings with it many joys but also challenges. Getting older (and dare we say, dying) are the “great inevitables” that most families prefer not to discuss. Those who do talk about it, though, and plan ahead for the possibility that independent living may not be an option, stand to benefit; those who don’t will likely face challenging medical and financial repercussions. You can help your parents prepare for the best future possible by tapping into the many local and national resources available.
Local agencies offer guidance to seniors and their families
Topics for discussion: >> Advance directives/living wills >> Appointing a family caregiver >> Housing preferences: home vs. senior living facilities >> Financial matters, including long-term care insurance >> Where to find important documents regarding care >> End-of-life wishes/spiritual beliefs
22
THE HEALTH JOURNAL
September 2009
When it became clear to Morgaine Beck of Falmouth, Mass., that her parents—octogenarians Agnes and Harley Beck—needed more help than she could provide, Beck spent five months trying to sort things out. For years the elder Becks had lived in a two-story townhouse in Williamsburg, but as medical issues mounted—Agnes needed surgery for an intestinal blockage, and Harley fractured his hand and developed bruises after falling several times—“it just became too much,” Beck recalls. She considered moving her parents into a senior living facility, but her dad, an Air Force retiree, was reluctant to give up his independence and leave a home full of happy memories. He’d always vehemently said that he “didn’t want to live in a nursing home,” reflecting a common misconception among older Americans that all senior living communities are sterile, institutional-like places where the sick are sent to die. After consulting Kathy Hoyle, a registered nurse and case manager at Peninsula Agency on Aging (PAA) in Newport News, the family was able to reach a happy medium. With Hoyle’s help, they decided on assisted living, a level of care that offers some independence while professional caregivers assist with health and nutritional needs. (See our sidebar at right for more on the levels of care.) But while her parents had a will (though an outdated one), Beck didn’t have financial or medical power of attorney, which would allow her to assist in her parents’ transition. After five months, Beck finally secured the legal documents she needed. According to Beck, discovering the resources available to her parents through PAA was nothing short of “a miracle.” The PAA is one of about 650
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FEATURE
Levels of Care Companion Services—Non-medical personal care provided in your home by an individual or home health agency. Services may include help with light housekeeping, errands, cooking and other tasks. Area Agencies on Aging in the United States that offer assistance to seniors and their families in the form of information, care coordination, meal delivery and transportation. In Hampton Roads, help can also be found through Senior Services of Southeastern Virginia (SSSEVA), based in Norfolk. John Skirven, executive director of SSSEVA, calls such agencies “one-stop shops for services and opportunities for older people,” adding that getting the word out about senior resources is vital. “The United States has not done a good job of teaching people to prepare for old age,” asserts Skirven, “and we’ve not done a good job of building a coherent long-term health program. It’s very fragmented. [Fortunately] now there is a lot more attention [paid] to those issues.” Beck sympathizes with other adult children entrusted with the task of caring for their parents, especially those who try to navigate the system without help: “It’s sad, because there are so many resources out there— much more than anyone realizes.” Beck’s parents now live in a two-room unit at the Madison Retirement Center in Williamsburg. Through PAA, the senior Becks also learned about a veterans’ aid program that supplements their Social Security income, making it affordable to live in the assisted living community where they receive meals, medications and housekeeping/laundry service and participate in social activities. “They were very isolated before and didn’t have a support network—and now they are part of a community,” says Beck. “I say it’s a happy ending and [a new] beginning. They are happier and healthier than they have been in years.”
Right documents can aid in decision-making, planning ahead Like a lot of seniors, until medical problems made a lifestyle change more urgent, Beck’s parents hadn’t signed legal documents to allow their daughter to make key decisions regarding their care. In fact, it’s estimated that 70 percent of older Americans don’t have the paperwork in place to make their wishes known, often forcing children or other relatives to make gut-wrenching decisions in crisis mode, rather than being able to calmly make proactive plans. One of the most important documents any adult can have in place is an advance directive—a written or oral statement, made while a person is competent, that
Home Care—Provided by home health care agencies, these services can range from nursing care (provided by certified nursing assistants or home health aides) to medication management to physical therapy. Adult Day Care—Meals, medications and social activities are provided to the elderly outside of the home at a designated site. Transportation is usually provided. At local PACE centers, for example, a medical team coordinates doctor’s appointments for each individual. Independent Senior Living Communities— Often called “retirement homes,” these facilities are ideal for seniors who are in good health but would like to live in a community with people their own age with similar interests. Some communities offer dining, social activities and transportation. expresses one’s health care wishes. There are two types: the living will, which provides directions for end-of-life care, and a durable power of attorney for health care (or medical power of attorney) which designates a particular individual to make health care decisions for a person in the event he or she cannot make them for him or herself (this pertains only to medical treatment and is separate from a legal power of attorney, which covers legal and financial issues.) Asking parents about their long-term care wishes and housing preferences can be difficult, if not daunting. Experts recommend taking a low-key approach. Sue Cunningham, a certified senior advisor and aging-in-place specialist in Virginia Beach, says, “I hear from a lot of adult children who don’t want to bring these topics up because they [fear their parents will think] they just want their inheritance or money, when really all they want to do is what’s right by their parents.” She advises having the conversation before it becomes necessary, because if you wait until a crisis, you may then have to make decisions that would be contrary to their wishes. Cunningham also suggests broaching the subject of care plans with something topical, such as the recent Oprah show about the possibility of living to be 150 years old. Finding an article on the subject can open dialogue, too.
Home safe home Two years ago, an estimated 20 million Americans were caring for an elderly parent while caring for their own family—a figure predicted to nearly double in coming years as the eldest of the baby boomers Continued on page 26
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Assisted Living Facilities—Live-in facilities where seniors receive help with the tasks of daily living such as bathing, dressing and preparing meals but do not require round-the-clock care. Home care and skilled nursing services are usually provided by an outside agency. Many such facilities offer special Alzheimer’s/ Dementia wings. Nursing Homes—Offer round-the-clock convalescent care for individuals who cannot care for themselves. Medical and non-medical staff members manage medications, help with feeding and provide housekeeping services. Continuing Care Communities—May offer independent and assisted living, usually in the same campus or setting, as well as nursing care and/or hospice. An entry fee may be required. Hospice/Palliative Care—Can be provided in the individual’s home, at any senior care facility or designated hospice centers. Hospice caregivers focus on pain management and spiritual issues. This level of care is often reserved for those with a life expectancy of six months or less.
Turn to our Health Directory in this issue for a complete list of home care agencies and senior living options near you.
THE HEALTH JOURNAL
September 2009
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FEATURE
Caring for an Aging Parent
Continued from page 23 (those born between 1946 and 1964) approach 65 (the first boomers will turn 65 in 2011). By 2030, nearly one in five Americans will be over age 65, straining (or some say, breaking) the U.S. health care system. Right now, the fastest growing segment of the U.S. senior population is individuals 85 years and older, the majority of whom want nothing more than to stay where they feel most at ease: in their own home. Aging in place—a phrase that defines a movement to help seniors live independent, healthy lives at home—is a worthy goal, and some seniors can achieve it. For example, simple changes and additions to homes can allow seniors, even those with health concerns, to stay in their homes as long as Family caregivers must make time possible. Dr. Jeffrey Carlson for themselves, too. Try these tips of Orthopaedic and Spine taken from articles found on the Center in Newport News Web site www.WebMD.com: notes that the most common >> Make time to prepare healthy meals injuries among the elderly and snacks, and try to get at least 7 come from impaired vision hours of sleep each night. and poor balance. “With falls, >> Carve out a few minutes each day for we see patients who’ve gotten activities you enjoy. tangled up in something or missed a step,” he says. “So it’s >> Don’t neglect your own health care, including regular dental check-ups. important to make clear pathways in the home. Flooring is >> Know the signs of depression. Seniors one of the big issues. Throw are not the only population at risk. rugs that slip can be one of >> Keep your stress levels in check. the most dangerous [hazards] >> Resist the tendency to do everything in a home.” yourself. More significant chang>> Hire respite care—whether from es, such as selling the famanother family member, friend, a ily home and downsizing, home health agency or adult day care may take more discussion, program—so you can get out of the money and time. “Living in a house by yourself for a few hours a 6,000-square-foot house can week. be difficult,” Carlson says, >> Find a support group for family noting that many seniors opt caregivers like you. to move to a one-level home for safety reasons. And what about seniors who want to remain in their home but need help beyond what family members can provide? Home care, of course, is an option; but round-the-clock care isn’t in the budget of most families. One solution is to send seniors to a day program such as PACE (Program of All-Inclusive Care for the Elderly, operated independently by Riverside Health System in Hampton and by Sentara Healthcare in Virginia Beach and soon in Portsmouth.) At PACE centers, eligible seniors receive care from an interdisciplinary team that provides primary health care, nursing, rehabilitation therapies, meals, psycho-social support and recreational activities. Transportation is provided to and from the sites, relieving family caregivers of daily drop-off and pick-up duties. Laura Gadsby, Sentara’s PACE site manager, says working families find relief in having all of those services covered—as well as medical care and coordination provided—all at one place. Seniors tend to thrive
Caring for the Caregiver
26
THE HEALTH JOURNAL
Online Resources American Association of Retired Persons (AARP.org) Family Caregiver Alliance (www.caregiver.org) Peninsula Agency on Aging (www.paainc.org) Senior Services of Southeastern Virginia (ssseva.org) The American Health Assistance Foundation (www.ahaf.org) Virginia Easy Access (Va.easyaccess.virginia.gov) Virginia Department for the Aging (www.vda.va.gov) in the program: daily interaction with a medical team helps to prevent or catch conditions that could cause further debilitation. Another important benefit for PACE seniors, says Gadsby, is that the daily social interaction, coupled with the ability to either live at home or with family, can help ward off depression—a condition to which the elderly are especially prone.
Help is out there, if you know where to look Kathy Sexton of Norfolk wonders why no one on the extensive medical teams of her parents, Thelma and Fred Sexton, told her about the resources and care options available to local seniors during her seven years as a caregiver. She assumes it’s because she attended the hundreds of medical appointments, always asking questions. And she was always the one to drive them home from the hospital. Looking back, Sexton surmises that because so many seniors don’t have family members to advocate for their care, the doctors who witnessed her attentiveness simply “didn’t worry about who would care for [my parents].” But things got hairy when Thelma’s diabetes and congestive heart failure progressed. Sexton hired a certified nursing assistant to care for her parents during the day but found the care “merely adequate.” Sexton began taking on more and more caregiving responsibilities, including attending to their needs at night. “It was hard being up every night for eight to 10 hours, changing diapers and giving medications and then going to work in the morning,” she says. As Sexton’s mother’s health failed, so did her father’s. Bills mounted, and after a while, Sexton found herself paying for most of them out of pocket. “I began to feel like an ATM machine,” she remembers. “Every time I turned around there was a new bill for something I hadn’t anticipated, like $800 for a mechanical chair or $10 an hour for a neighbor to sit with Dad.” Managing her parents’ medical needs and maintaining their household eventually took its toll on Sexton, who, even two years after her mother’s death and seven months after her father’s passing, says she can “still hear my parents calling my name” in the middle of the night. “My parents relied on me, the single daughter without children,” she says. “I wish I’d known about the resources that are out there.” HJ
September 2009
www.thehealthjournals.com
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“I didn’t feel a thing.” At the office of Dr. J. Stuart Oglesby we understand that, for some people, visiting the dentist can be a stressful event. We also understand that the health of your mouth is something that shouldn’t be ignored.
The topic of long-term care has saturated the news lately—from stories of people needing long-term care services to how the government is responding. But coverage of the issue has included a lot of conflicting, and even mistaken, information. Misconceptions may have prevented you from considering long-term care coverage, but it is a critical component of any comprehensive retirement plan. Read on for straight talk about long-term care. Myth #1:
“I’ll never need long-term care.”
Are you or someone close to you apprehensive, nervous, or maybe even fearful of visiting the dentist? Their long-term health may be at risk.
Most people can’t imagine themselves needing long-term care services, but the United States Department of Health and Human Services indicates that at age 65 we face at least a 40-percent lifetime risk of entering a nursing home. Living a long life may further increase your risk of needing long-term care. Isn’t it better to insure against what that risk may do to your family and your financial plans?
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“Long-term care is only for the elderly.” Actually, a surprising percentage of long-term care services are provided to younger people. The U.S. Government Accountability Office estimates that 40 percent of the 13 million people receiving long-term care services are between the ages of 18 and 64. The unexpected need for long-term care could arise at any age for any number of reasons, including illness or an accident. Myth #3:
“I’ll pay for my own long-term care.” In 2008, U.S. nursing home costs averaged over $76,400 a year per individual, but in some regions this figure was nearly doubled. How long could you pay for these expenses without jeopardizing your financial plan or exhausting your savings? It may make good sense to transfer this financial risk just like you do with your homeowner’s insurance or auto insurance. Even if you can afford to pay for long-term care services out of pocket, why would you want to when you can transfer the cost to an insurer for premiums that may total a fraction of the cost of care?
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“Medicare will cover my long-term care expenses.” Medicare does pay for nursing home care, but only for a maximum of 100 days and only if the three-day qualifying hospital stay requirement has been met. In addition, Medicare will only pay as long as you are showing progress towards recovery. Once your condition becomes stable—regardless of whether you’re fully well—Medicare rules indicate that benefits will stop. Also, Medicare does not pay for individuals to attend an adult day care program or for the room and board expenses at an assisted living facility.
Myth #7:
“Long-term care insurance covers only nursing homes.”
David C. Kikoen is an agent with New York Life. He can be reached by e-mail at dckikoen@ newyorklife.com.
Nearly everyone who needs long-term care wants to stay at home. Long-term care insurance can offer valuable benefits that may keep you at home for as long as possible. Long-term care insurance can also help cover the cost of care in other locations, such as adult day care centers, assisted living facilities and hospice care. HJ
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“My family will take care of me.” The financial, physical and emotional stress that full-time caregiving may place on families can be overwhelming. Many families have struggled to provide care for parents or siblings only to eventually realize that the care required is more than they can provide. The truth is, sometimes the best way for a family to take care of a loved one needing long-term care is to make sure that a person has access to professional care. With the advances in home care services, many people needing longterm care are actually able to stay at home, with or near their families, and still get the professional care they need.
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September 2009
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lzheimer’s patients who have a close relationship with their caregivers show a slower decline in their mental and physical function over time, new research hints. In fact, the effect of having a close relationship with one’s caregiver approached the impact of taking medications that can slow the progression of the disease, Dr. Maria Norton of Utah State University in Salt Lake City and her colleagues found. The researchers have been following more than 5,000 people since 1994 to investigate risk factors for dementia in the Cache County Memory Study. All study participants were 65 or older at the study’s outset. Norton and her team zeroed in on a subset of 167 people who had developed dementia and followed them for about 20 months, on average. All subjects were being cared for by a spouse or an adult child. They determined caregiver-patient closeness by presenting the caregivers with a series of statements about their relationship with the patient.
According to one expert, caregivers who engage their charge in socially and cognitively stimulating activities may help slow the rate of cognitive decline typically seen with Alzheimer’s. Overall, Norton and her colleagues found, the patients with spouse caregivers showed slower physical and mental decline than those being cared for by adult children. And the closer the relationship was, the slower the decline. People may be more willing to care for a husband or wife than for a parent, Norton noted, given that they’ve already agreed to stick by them in sickness and in health. “They’ve already kind of made that lifelong commitment,” she said. Caregivers who feel closer to their charge may also be more likely to spend time engaging with that person and making him or her feel “important and loved,” rather than parking the person in front of the TV, Norton pointed out. Evidence is mounting that people’s brains stay healthier if they are more socially and cognitively active, Norton noted. The more loving caregivers “might possibly be engaging the person with Alzheimer’s disease in socially and cognitively stimulating activities that may in turn keep the brain active and slow the rate of cognitive decline,” she said. The current findings also suggest, she added, that taking steps to strengthen the relationships between Alzheimer’s patients and their caregivers could be helpful. HJ To advertise, call 757-645-4475
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Member, American Society of Retina Specialists Member, American Glaucoma Society
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JUST TALK...
For more information, visit:
Youth who used inhalants in the past year were about three times more likely to use marijuana, four times more likely to use prescription drugs non-medically, and seven times more likely to use hallucinogens than those who had not used inhalants in the past year.
www.HTSAC.org or call (757) 476-5070
KNOW YOUR FACTS. KNOW WHAT TO ASK, WHEN TO ASK, & HOW TO ASK.
A message from the Friends Reaching Every End Youth Leadership Program.
THE HEALTH JOURNAL
September 2009
31
TRENDS
Anti-aging Products: Good for Skin—
But Also For Hair? Here is a look at some of the antiaging hair care lines and products out there: Dove Pro-Age—Products promise to help maintain volume and improve the appearance of thinning hair. Gentle enough to use on color-treated or processed hair. Jonathan Purifier Anti-Aging Restorative Shampoo—This 100percent vegan shampoo, infused with rosemary and sage extracts, vows to invigorate and restore the head and scalp while sweet almond oil, rice and soy smooth and strengthen damaged cuticles. Claims to restore gray hair to its original color by boosting melanin production. Written By Amy Johnson
A
fter being neglected by the antiaging market for so many years, hair is finally getting the attention it deserves. Though we can already cleanse, condition, color and style it, now at last we may be able to turn back the hands of time with new anti-aging, or restorative, hair care products. These products, which all boast complex formulations of enzymes, botanicals, amino acids and natural ingredients, promise to put life back into hair that is dry, brittle, gray or thinning due to age. Though these products are typically aimed at women in their 40s and older, hair that has been exposed to years of chemical processes and environmental factors could benefit from the anti-aging properties found in the shampoos and conditioners. Jill Butchello, assistant manager and stylist at Bubbles Salon in Williamsburg’s Windsor Meade Marketplace, says the salon has carried anti-aging
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THE HEALTH JOURNAL
hair products since it opened over three years ago, and that the products’ popularity has kept them on the shelves. “We carry Alterna’s ‘Caviar’ line of anti-aging hair care,” Butchello says. “It’s a great product, and people really like it.” She adds that taking care of your hair is important because “it’s basically an extension of your skin.” Hair care is rapidly becoming a part of the burgeoning anti-aging phenomenon as scientists race to include sun protection (SPF) and a host of restorative ingredients in shampoos, conditioners and styling products. Studies indicate that this year demand for anti-aging products in general should increase by 10 percent. Hair care companies haven’t wasted any time in taking advantage of this trend, as more and more age-fighting products are popping up on shelves. Even skin care companies that offer anti-aging products are crossing over into hair care.
September 2009
Alterna Caviar—The “Caviar AntiAging” line is made for hair damaged by daily stress, environmental factors, chemical services and premature aging. Products pledge to stop the aging process at the cellular level by infusing hair with caviar extract and other topshelf ingredients. Pantene Pro-V Restoratives Time Renewal Shampoo—This vitamin-rich formula gently cleanses the hair and contains special detanglers that prevent friction. Promises to smooth the hair’s cuticles and undo up to two years of damage. Phytodensium Shampoo—Pledges to protect against further damage by injecting strength and vitality into aging hair. Its key ingredient is gatuline, derived from a walnut extract, which is said to shield the hair from damaging free radicals and other environmental factors. Black currant seed oil, naturally rich in Omega-3 and Omega-6 fatty acids, regenerates hair while marshmallow root extract is said to hydrate strands. HJ
www.thehealthjournals.com
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Ranked In 5 Specialties, Sentara Is Among The Nation’s Best Hospitals.
ld News & Wor © 2009 U.S.
ion. ith permiss Reprinted w Report. L.P.
• HEART & HEART SURGERY • KIDNEY DISORDERS • DIABETES & ENDOCRINE DISORDERS • GERIATRIC CARE • ORTHOPEDICS
F
or the past decade, Sentara has become a regular on the U.S.News & World Report annual list of America’s top hospitals. This year, 4,861 hospitals across the country were surveyed. The magazine ranks only the “Top 50” hospitals in each specialty. Sentara was recognized in five specialties – Sentara Norfolk General Hospital was ranked for Heart and Heart Surgery (Sentara Heart Hospital - 26), Kidney Disorders (42),
sentara.com/usnews
Geriatric Care (45), and Diabetes and Endocrine Disorders (45). Sentara Leigh Hospital made the 'Top 50' in Orthopedics (38) for the first time. Sentara's exceptional physicians, nurses and clinical teams are to be commended for their expertise in achieving these rankings. This type of clinical excellence should be a major source of comfort and pride for our community. For a copy of the rankings, please call 1-800-SENTARA.
Your community, not-for-profit health partner
Sentara Norfolk General Hospital • Heart & Heart Surgery (Sentara Heart Hospital) • Kidney Disorders • Diabetes & Endocrine Disorders • Geriatric Care Sentara Leigh Hospital • Orthopedics
SECOND OPINION
Not Children, But Not Yet Adults:
Special Concerns of Teen Athletes Written By Dr. Joel Brenner
T
he dividing line between childhood and adulthood can be foggy during adolescence. Teens who look and feel “grown-up” often feel out of place in a pediatric waiting room filled with children playing with wooden puzzles and coloring books. But adolescents, especially those who are athletes, face heightened health risks unique to their age. Because they are still growing, teens who are active in sports risk injuring their bones, ligaments and tendons—injuries best treated by pediatric sports medicine specialists. The following are some conditions that occur at a higher rate among adolescents than children and are seen more often in gifted athletes who spend especially long spells on the playing field.
Any athlete whose sport requires rapid, repeated overhead arm movement should consult a specialist at the first sign of tenderness.
balls and sliders are at greatest risk. Little league shoulder—normally defined as a strain in the rotator cuff (a network of muscles and tendons that connects the upper arm to the shoulder joint)—can also cause a tear in the labrum (a ring of cartilage in the shoulder joint) as well as damage to the growth plate (a piece of cartilage found at the ends of long bones during the
“Little League” Shoulder and Elbow Many a pitching career has been derailed by injuries that result from throwing too many balls without using the proper mechanics. These injuries are especially common when a talented pitcher spends too much time on the mound. Pitchers who specialize in curve
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THE HEALTH JOURNAL
developmental years). As the athlete’s shoulder begins to hurt, his or her athletic performance will decline and he or she may feel a need to push harder, making the injury worse. Little league elbow is also caused by overuse and poor mechanics, placing enormous stress on the elbow joint and forearm. It’s an injury that can cause chronic, debilitating pain. Any pitcher, quarterback or other athlete whose sport requires rapid, repeated overhead arm movement (this includes swimmers) should consult a specialist in adolescent sports medicine at the first sign of tenderness. Among other things, the sports medicine specialist can help correct mechanical errors to reduce stress on the elbow and shoulder joints. An adolescent sports medicine physician can also design a plan to help the athlete build up certain muscles to support the affected joint and prevent future injuries.
Athlete’s Knee While any adolescent athlete can suffer a knee injury, female athletes face special risk as their hips widen during adolescence, causing skeletal imbalance that can lead to a catastrophic tear in the ligaments that hold the knee joints together. Again, these injuries are more common among the most talented athletes who may be asked to spend more time on the field or court. In far too many cases, athletes can
September 2009
rupture or snap the anterior cruciate ligament or ACL. The ACL crisscrosses inside the knee and surgery to repair it can sideline an athlete for months. After surgery, there is no guarantee that an athlete with such an injury will fully return to his or her previous level of activity. Teen athletes, especially females, should consult a sports medicine specialist to learn exercises that can help increase the stability in the knee joints to prevent ACL tears or other knee injuries. At Children’s Hospital of the King’s Daughters, for example, sports physical therapists regularly offer classes that may reduce the risk of ACL injuries in female athletes by as much as 80 percent by teaching strengthening, stretching and balance techniques as well as core stabilization exercises. The classes also provide guidance on specific moves used in various sports, including proper jumping and landing.
Spondylolysis Spondylolysis, or stress fracture of the spine, is the most frequent injury among teen athletes who suffer from lower back pain. While the condition can be treated without surgery, if ignored it can grow worse with each growth spurt. This condition rarely occurs in adults. As a general rule, young athletes should consult a physician—preferably one certified in both sports medicine and pediatrics or adolescent medicine—at the earliest sign of muscle tenderness. Treating injuries early can allow children and teens to further develop their sports abilities and enjoy long, healthy and pain-free athletic careers. HJ Editor’s Note: See our Health Directory in this issue for pediatric sports medicine practitioners and physical therapy offices near you.
Dr. Joel Brenner, medical director of CHKD’s sports medicine program, is certified in sports medicine, pediatrics and adolescent medicine. www.thehealthjournals.com
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“Since 1992, my number one focus has been helping people who suffer with severe and chronic back pain, neck pain, spinal stenosis and degenerative disc disease. I’ve dedicated my life to it. Today, chiropractic offers a wide range of therapies, and the treatment we provide does not require ‘popping or cracking.’ We have very affordable fees at our office and we accept most insurance plans...including Medicare and Anthem. If you would like to find out if our office is the right choice for you, just give us a call. We have a terrific staff, and we’ll do our very best to help you.” Sincerely,
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The Spine Center of Williamsburg
“Life shouldn’t be a pain in the neck…or back.”
A Modern Chiropractic Practice
“Since 1992, I've been dedicated to one thing...Helping people with chronic spinal pain. I strive to use only gentle methods to rehabilitate the spine. That means NO popping or cracking. We accept most insurance plans including Anthem and Medicare. If you'd like to find out if my office is right for you...call me. I'd be glad to speak with you over the phone and answer any questions you may have. If you'd like to come in as a new patient, we can get you in today.” Sincerely, Mark Croucher Doctor of Chiropractic
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Don’t let chronic pain sideline your game. Knee injuries comprise 42% of all injuries in sports that involve running. Biomechanics and physiology play a role. Female hormones influence the integrity of ligaments, and poor hip muscle strength and flat feet can each contribute to chronic knee pain or injury. Ask your physician if physical therapy can help you to recover from injury, or prepare you for the physical demands of your sport without fear of re-injury. Rehabilitating Williamsburg’s finest athletes since 1986.
Law Office: 325 McLaws Circle | Suite 2 | Williamsburg, VA 23185 Phone: 757.259.9200 | Web: www.mellettepc.com 25 Locations Including: Williamsburg Physical Therapy & Sports Therapy Center: 220-8383 Williamsburg Hand Therapy Center: 565-3400 Norge: 345-0753 Job Opportunities at www.tpti.com
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SOLUTIONS
Natural Solutions For Managing Headache and Stress Written By Dr. Daniel A. Shaye
T
here are few human ailments that can ruin your day like a headache and stress. Whether you suffer constant, low-level worries about the economy, relationships or life’s other challenges—or more direct and throbbing pain in the head that leaves you wanting to just curl up in a ball—you probably are tempted to do just about anything to feel better. Fortunately, there are some steps you can take to safely and effectively manage and limit both headaches and stress.
Connect with your body. When we experience stress, we tend to tighten certain areas. One way to self-manage stress and pain is to normalize your breathing. First, take a moment to become aware of your body. Where’s the tension? Is it in your face? Your scalp? The base of your head? Your shoulders? Your chest or abdomen? Consciously connect to those areas of your body, and then gently let the stress go. Visualize breathing out the stress and tension, breathing in nurturing life and oxygen. Does this sound too “New-Agey” for your tastes? If it works, what have you to lose? Rethink the pills. One of the major problems with pills for headaches is that they carry a risk of “medication-induced” or “rebound” headaches. It’s OK to take a Tylenol or aspirin for the occasional head-pounding migraine, and every year or three I have a crushing headache that responds almost miraculously to a single half-aspirin; yet long-term use of these pills not only can increase headache incidence and severity, but also 36
THE HEALTH JOURNAL
damage the liver, kidney and gastrointestinal tract. Few people find their stress levels plummet at the news that they need dialysis. Watch what you eat. Food has a very real effect on our moods, and our pain. If you doubt this, then you’ve never seen a child after a sugar binge. In addition to affecting mood, some plants and other foods are natural anti-inflammatory agents (in fact, Hippocrates, father of modern medicine, knew aspirin as willow tree bark). It’s also known that certain foods can “trigger” headaches. Caffeine (whether from a beverage or chocolate), tyramines (common in cheeses) and alcohol (due to both sulfites in wine and alcohol’s dehydrating effects) are common headache triggers. Pay attention to what causes your headaches. Question whether it’s truly a good idea to seek “death” via a confection, despite the catchy name.
activates your body’s internal pharmacy, moderating both your mood and pain levels. In addition, exercise can help build a sense of selfworth, of accomplishment. Studies have shown so consistently that exercise is a valid way to
If your doctor has a suspicion of a serious headache cause, he or she will order tests to rule these causes in, or out. modify mood and psychological state that it is a component of depression management programs. So take a walk. Or shoot some hoops.
Seek the cause. If your marital situation or job is causing you tremendous stress, a few breathing exercises and some ginger won’t solve your problems. Sure, you can use some of the methods in this article to cope; but I’d suggest you either change your perspective on the world, or change the world around you. Consider career or relationship counseling, prayer, some soul-searching, or talk therapy with a trained counselor.
Seek a diagnosis. Perhaps I should have listed this first: Some headaches are of serious, ominous cause. Infections, tumors and aneurysms do bring about some headaches, but fortunately these are rarely the cause. There are many “benign” causes of headache that are nevertheless so painful that they cause my patients to ask me to simply remove their heads. If your doctor has a suspicion of an ominous (secondary) headache cause, he or she will order tests to rule these causes in, or out.
Exercise. Though some headaches are made worse by exercise, for most aches and pains and stress, exercise is the “magic pill.” Exercise
Laugh. Laughter isn’t a good way to address a migraine; but it’s a fantastic way to address stress. Laughter provides a release valve to life’s pres-
September 2009
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sure-cooker. Make humor a regular part of your life, and you’ll reap rewards. See a chiropractor. Chiropractic spinal manipulation has fared well in peer-reviewed studies as a form of headache management and treatment. In fact, some studies have shown its effects to be superior to common medications, and with longer-lasting results and fewer side effects. Don’t be surprised if you notice your M.D. waiting in your chiropractor’s reception area. Try acupuncture. This ancient system of healing has the drawback of some language that sounds very, very foreign to our Western ears. What’s this “Chi?” Who says my “Yin” is deficient? Yet despite acupuncture’s roots in a foreign culture, it has caught on in the Western world for one simple reason: Its benefits are real. Modern acupuncture uses sterile devices, and it’s only performed by licensed practitioners. Look for letters like FIAMA, DIAMA, or LAc after the provider’s name. Though my patients
have found acupuncture to be a very powerful method of pain control, many of them have also discovered its calming powers. It appears that certain forms of acupuncture tap into the parasympathetic (calming) portion of the nervous system, modifying the body along the lines of the famous music that soothes the savage beast. I’ve even had patients come to me after a serious life stress (death of a loved one, for example) for acupuncture’s powerful calming effects. Though I don’t hold acupuncture out as a cureall or substitute for psychological interventions, I can’t dispute my patients’ experiences with its profound effects on mood. Perhaps one day Western medicine will have a better grip on the whys and hows of these effects; but then again, are you completely sure why hitting CTRL-ALTDEL on your computer allows you to shut down a dysfunctional program? The procedure works, so we use it. There’s a lesson there. Cultivate your human network. A support network of positive interpersonal relationships
To advertise, call 757-645-4475
is crucial to mental health and to stress management. In fact, a lack of such connections has been shown to correlate to physical illness and earlier death. Join a book or garden club. Get involved in your church or synagogue or mosque. Cultivate your friendships—and not just when you think you need them. And, if you can, just phone Mom, Dad, Uncle Fred or a sibling now and again. Though family provides its own unique challenges, for many people family members are important anchors in an uncertain world. HJ Dr. Daniel Shaye is a doctor of chiropractic with Performance Chiropractic. He is a fellow of the International Academy of Medical Acupuncture, a certified chiropractic sports physician and a certified chiropractic rehabilitation doctor. The third chiropractor in his family, he practices what he preaches— his lifetime pill total includes zero ibuprofen, two Tylenols and less than a dozen aspirins to date. THE HEALTH JOURNAL
September 2009
37
the
Health Journal Williamsburg Edition
Health Directory Emergency Numbers National Response Center Toll-Free: (800) 424-8802 National Suicide Crisis Hotline Toll-Free: (800) 784-2433 National Suicide Prevention Hotline Toll-Free: (800) 273-8255 Poison Control Center Toll-Free: (800) 222-1222
Allergists & ENT Allergy & Asthma of Oyster Point-Williamsburg 217 McLaws Cir., Suite 5 Williamsburg (757) 873-3882 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 345-2600 VA Adult & Pediatric Allergy & Asthma PC 1144 Professional Drive Williamsburg (757) 259-0443 Williamsburg ENT - Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722
Assisted Care & Senior Living Chambrel of Williamsburg 3800 Treyburn Dr. Williamsburg (757) 220-1839 Colonial Manor 8679 Pocahontas Trail Williamsburg (757) 476-6721 Consulate Health Care 1811 Jamestown Rd. Williamsburg (757) 229-9991
We’ve done our best to include every health-related practice or service in Greater Williamsburg. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.
Beverly E. Boone, DC 213 McLaws Circle, Ste. 1 Williamsburg (757) 596-7605
Adam J. Kadolph, DDS 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737
Joseph W. Musgrave, MD 1139 Professional Dr. Williamsburg (757) 220-2266
FT - Fitness Together 4854 Longhill Rd., Ste. 1-A Williamsburg (757) 345-2246
Bikesmith of Williamsburg 515 York Street Williamsburg (757) 229-9858
Chiro Care Plus, PC 3204-A Ironbound Rd. Williamsburg (757) 565-6464
Lifetime Family Dental 7349 Richmond Rd. Williamsburg (757) 564-8942
Pariser Dermatology Specialists 207 Bulifants Blvd., Suite C Williamsburg (757) 564-8535
Hatha Yoga Classes 5800 Mooretown Rd. Williamsburg (757) 564-0001
Bikes Unlimited 141 Monticello Avenue Williamsburg (757) 229-4620
Colonial Chiropractic, PC 120 Kings Way, Suite 2100 Williamsburg (757) 258-4500
Carol F. Morgan, DDS 1130 Old Colony Ln. Williamsburg (757) 220-6727
Schumann Dermatology Group 5309 Discovery Park Blvd. Williamsburg (757) 564-1200
Ironbound Gym 4325 New Town Avenue Williamsburg (757) 229-5874
Ceo Maidin Feirm Community Supported Agriculture Program Toano (757) 566-0009
Commonwealth Family Chiropractic 140 Professional Cir. Williamsburg (757) 220-9670
Thomas J. Morris, DDS 491 McLaws Cir., Suite 1 Williamsburg (757) 253-0598
Diagnostic Imaging
Jazzercise 455 Merrimac Trail Williamsburg (757) 220-8020
Conte's Bicycle & Fitness 4919 Courthouse Street Williamsburg (757) 565-1225
Christopher Connolly, DC 5252 Old Towne Rd. Williamsburg (757) 220-0060
Robert F. Morrison, DMD William Broas, DDS Pete Foster, DDS Ira Goldstein, DDS Shanail Moorman, DDS Stephen L. Murphy, DDS 1131 Professional Drive Williamsburg (757) 220-0330 7151 Richmond Rd., Ste. 305 Williamsburg (757) 258-7778
Knee Pond Yoga, LLC 3356 Ironbound Rd., Bldg. 2, Ste. 202-B Williamsburg (888) 524-4985
The Daily Shake 6576 Richmond Rd. Williamsburg (757) 221-0228
Ladies Workout Express 3709-B Strawberry Plains Rd. Williamsburg (757) 220-2992
General Nutrition Center 4680-18B Monticello Ave. Williamsburg (757) 565-5100
The Pilates Center 1130 Old Colony Lane, Suite 201 Williamsburg (757) 229-5002
Hospital-grade Breast Pumps and Supplies Williamsburg (757) 565-6156
Quarterpath Recreation Center 202 Quarterpath Rd. Williamsburg (757) 259-3770
Hearing & Audiology
Teresa Green, L Ac 7131 Richmond Rd., Ste. 302 Williamsburg (804) 561-1258 Integrative Chiropractic & Acupuncture 1318 Jamestown Rd., Suite 102 Williamsburg (757) 253-1900 Performance Chiropractic 1307 Jamestown Rd., Suite 103 Williamsburg (757) 229-4161 Pinto Chiropractic & Rehabilitation 4125 Ironbound Rd. Suite 201 Williamsburg (757) 645-9353 Platinum Chiropractic 3709-D Strawberry Plains Rd. Williamsburg (757) 229-6069 The Spine Center of Williamsburg 219 McLaws Circle Daniel S. Carlson, DC Williamsburg (757) 259-0077 Mark Croucher, DC Williamsburg (757) 259-1122 Walsh Family Chiropractic, PC 1309 Jamestown Rd. Williamsburg (757) 220-4917 Williamsburg Chiropractic Clinic 5252-A Olde Towne Rd. Williamsburg (757) 220-0060
Dominion Village of Williamsburg 4132 Longhill Rd. Williamsburg (757) 258-3444
Dentistry & Oral Health
Heritage Commons 236 Commons Way Williamsburg (888) 711-6775
Boxx, Blaney Lachine & Bowe 1118-A Professional Drive Williamsburg (757) 229-5570
Madison Retirement Center 251 Patriot’s Lane Williamsburg (757) 220-4014
D. W. Cherry, DDS 2225 S Henry St. Williamsburg (757) 253-2500
Morningside Of Williamsburg 440 McLaws Circle Williamsburg (757) 221-0018
Michael J. Coleman, DDS 6969 Richmond Rd. Williamsburg (757) 564-0041
Patriots Colony at Williamsburg 6000 Patriots Colony Dr. Williamsburg (757) 220-9000
Curry Dental Center 312-H Lightfoot Rd. Williamsburg (757) 220-3450
Riverside Adult Daycare 3435 John Tyler Hwy., Bldg. 2, Suite 1-A Williamsburg (757) 565-5305
Bruce DeGinder, DDS 240 McLaws Circle, Ste. 153 Williamsburg (757) 220-9492
Ruxton Health of Williamsburg 1235 S. Mt. Vernon Ave. Williamsburg (757) 229-4121
John P. Doley, DDS 1116-A Professional Dr. Williamsburg (757) 229-4181
Spring Arbor 935 Capitol Landing Rd. Williamsburg (757) 565-3583
Mark M. Neale, DDS, MAGD 5000 New Point Rd., Ste. 2101 Williamsburg (757) 229-8050 Sebastiana Springmann, DDS Sonia Tao Yi, DDS Maria L. Freyfogle, DMD, MAGD, ABGD 4939 Courthouse Street Williamsburg (757) 259-0741 Norge Dental Center 7450 Richmond Rd. Williamsburg (757) 564-0804 Edward A. Owens, DMD 211 Bulifants Blvd., Bldg. 14, Ste. A Williamsburg (757) 229-6414 Parks Orthodontics 1116-A Professional Dr. Williamsburg (757) 253-0521 Christine Piascik, DDS 1769 Jamestown Rd., Suite B Williamsburg (757) 229-8920 Richard A. Pugliese, DDS 502 Strawberry Plains Rd. Williamsburg (757) 259-9703 Nancy Yang Schumann, DDS 5309 Discovery Park Blvd. Williamsburg (757) 564-0900 Ronald J. Smalls, DDS 1309 Jamestown Rd., Suite 103 Williamsburg (757) 229-0620 K. L.Tankersley, DDS, MD 1147 Professional Dr. Williamsburg (757) 258-8913 David G. Walker, DDS 813 Richmond Rd. Williamsburg (757) 229-6278 Williamsburg Oral & Maxillofacial Surgery 195 Strawberry Plains Rd. Williamsburg (757) 229-6692
Cranial Facial Imaging Center 7151 Richmond Rd., Ste. 306 Williamsburg (757) 476-6714 Riverside Diagnostic Center 120 Kings Way, Suite 1200 Williamsburg (757) 345-6700 Tidewater Diagnostic Imaging 100 Sentara Circle Williamsburg (757) 984-6000 Women's Imaging Center 100 Sentara Circle Williamsburg (757) 984-6000
Endocrinology Williamsburg Endocrinology, Inc. 207 Bulifants Blvd., Ste. D Williamsburg (757) 565-9586
Family Practice Family Care of Williamsburg 117-A Bulifants Blvd. Williamsburg (757) 565-5440 Tommy Johnson, MD 1313 Jamestown Rd., Ste. 103 Williamsburg (757) 229-1259 Bruce Mayer, MD, PC 4622 Rochambeau Drive Williamsburg (757) 566-2045 New Town Family Practice 4374 New Town Ave., Ste. 200 Williamsburg (757) 220-2795 Riverside Williamsburg Medical Arts Family Practice 120 Kings Way, Suite 1400 Williamsburg (757) 345-2555 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300 TPMG Family Medicine 132 Professional Circle Williamsburg (757) 645-2981 TPMG Norge Family Practice 7151 Richmond Road., Suite 405 Williamsburg (757) 564-3700 Williamsburg Family Physicians 227 McLaws Circle Williamsburg (757) 564-8182
Williamsburg Orthodontics 4097-A Ironbound Rd. Williamsburg (757) 253-1200
Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 345-4600
Sam E. English, DDS 4680-16A Monticello Ave. Williamsburg (757) 258-1042
Williamsburg Dental Group 1319 Jamestown Rd. Williamsburg (757) 229-7210 106 Bacon Ave. Williamsburg (757) 229-3099
Fitness & Weight Management
Williamsburg Landing 5700 Williamsburg Landing Dr. Toll-Free (800) 554-5517
Peter S. Evans, DDS 120 Kings Way, Ste. 1300 Williamsburg (757) 220-1999
Williamsburg Family Dentistry 213 Bulifants Blvd., Ste. 15-E Williamsburg (757) 345-5500
WindsorMeade of Williamsburg 3900 Windsor Hall Drive Williamsburg (757) 941-3615
Gisela K. Fashing, DDS 325 McLaws Circle, Suite 1 Williamsburg (757) 229-8991
Williamsburg Periodontics & Implants 200 Packets Court Williamsburg (757) 221-0249
Cardiology Advanced Cardiovascular Institute 5215-A Monticello Ave. Williamsburg (757) 229-1440 Cardiovascular Health, PLLC 117 Bulifants Blvd., Ste. B Williamsburg (757) 259-9540 Peninsula Williamsburg Cardiology Associates 120 Kings Way, Suite 2500 Williamsburg (757) 565-0600
Chiropractic & Acupuncture Acupuncture Works, Inc. 362 McLaws Circle, Suite 2 Williamsburg (757) 565-9611
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Gilbert J. Frey, DDS Lawrence R. Samiere, DDS 1161 Professional Dr. Williamsburg (757) 253-0400
Walter G. Winneberger, DDS 104 Bypass Rd., Suite 202 Williamsburg (757) 229-6960
Terry H. Hake, DDS 1761 Jamestown Rd. Williamsburg (757) 229-4115
Wyatt Orthodontics 7151 Richmond Rd., Suite 303 Williamsburg (757) 565-3737
Hampton Roads Neuromuscular and Aesthetic Dentistry 1313 Jamestown Rd., Ste. 205 Williamsburg (757) 229-3052
Dermatology
Hampton Roads Oral & Maxillofacial Surgery 1147 Professional Drive Williamsburg (757) 258-8913 Paul Hartman, DDS 1323 Jamestown Rd., Suite 203 Williamsburg (757) 253-2393
THE HEALTH JOURNAL
Dermatology Center of Williamsburg 5335-A Discovery Park Blvd. Williamsburg (757) 645-3787 Dermatology Specialists 475 McLaws Cir., Suite 1 Williamsburg (757) 259-9466 Bruce E. Fuller, MD 120 Kings Way, Suite 3300 Williamsburg (757) 564-9220
Anahata Yoga Center 104 Bypass Road, Suite 201 Williamsburg (757) 253-0080 B-defined Personal Training 4801 Courthouse St., Suite 122 Williamsburg (757) 345-6801 Body Balance Studio 370 McLaws Circle Williamsburg (757) 221-0774 Bodyfit 5251 John Tyler Hwy. Williamsburg (757) 221-6688
R. F. Wilkinson Family YMCA 301 Sentara Circle Williamsburg (757) 229-9622 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221 Results Personal Training Studio Inc. 3206-C Ironbound Rd. Williamsburg (757) 565-5000 Sante Living! 5301 Birdella Dr. Williamsburg (757) 208-0314 Tidewater Systema Russian Martial Art Williamsburg (757) 810-8104 Transitions Lifestyle 3244 Windsor Ridge S. Williamsburg (757) 645-5737 Williamsburg Indoor Sports Complex (WISC) 5700 Warhill Trail Williamsburg (757) 253-1947 WJCC Recreation Center 5301 Longhill Road Williamsburg (757) 259-4200
Gastroenterology Colonial Gastroenterology 400 Sentara Circle, Suite 350 Williamsburg (757) 253-5771
Hearing Evaluation & Noise Protection Assoc., Inc 1321 Jamestown Rd., Suite 104 Williamsburg (757) 229-4335 Riverside Williamsburg Ear, Nose, Throat & Allergy Clinic 120 Kings Way, Suite 2600 Williamsburg (757) 253-1832 Williamsburg ENT-Allergy 400 Sentara Circle, Suite 300 Williamsburg (757) 253-8722
Hearing Aids Beltone/Ledford Audiology & Hearing Aid Center 1303 N. Mount Vernon Ave. Williamsburg (757) 220-8975 Bowers Assistive Hearing Service 113-L Palace Lane Williamsburg (757) 220-3674 Hearing Health Care Centers of Williamsburg 5107-B Center St. Williamsburg (757) 206-1900 Moran Hearing Aid Center 1158-C Professional Dr. Williamsburg (757) 564-5902
Peninsula Gastroenterology 120 Kings Way Williamsburg (757) 345-6411
Hospice & Home Care
TPMG Williamsburg Gastroenterology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807
Agape Home Care 354 McLaws Circle, Suite 1 Williamsburg (757) 229-6115
Williamsburg Gastroenterology 457 McLaws Circle, Suite 103 Williamsburg (757) 221-0750
At-Home Care 366 McLaws Circle, Suite 2 Williamsburg (757) 220-2112
General Surgery
Bayada Nurses 7151 Richmond Rd., Suite 201 Williamsburg (757) 565-5400
Hampton Roads Surgical Specialists 120 Kings Way, Ste. 2800 Williamsburg (757) 345-0141 TPMG Colonial Surgery 105 Bulifants Blvd., Suite B Williamsburg (757) 345-2071 Williamsburg Surgery, PC 500 Sentara Circle, Ste. 202 Williamsburg (757) 984-9850
Hand Surgery
CORE FITNESS Performance Training Center 344 McLaws Circle Williamsburg (757) 564-7311
Robert A. Campolattaro, MD Nicholas Smerlis, MD 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004
Curves For Women 4511-B John Tyler Hwy. Williamsburg (757) 221-0330 107-A Bulifants Blvd. Williamsburg (757) 565-5655
Health Products & Equipment
Equilibrium Exercise Gallery 7880 Richmond Rd. Toano (757) 566-0077
Bike Beat 4640 Monticello Ave., Ste. 9-B Williamsburg (757) 229-0096
September 2009
Colonial Center For Hearing 337 McLaws Circle, Suite 3 Williamsburg (757) 229-4004
Brookside Home Health 460 McLaws Circle, Ste. 250 Williamsburg (800) 296-2536 Comfort Keepers 15441-A Pocahontas Trail Lanexa (757) 229-2777 / (804) 966-1997 Concordia Group 1524-C Merrimac Trail Williamsburg (757) 229-9930 Hand 'N' Heart 461 McLaws Circle, Ste. 3 Williamsburg (757) 565-0216 Harmony Care 106 Queen Anne Dr. Williamsburg (757) 784-7650 Hope In-Home Care 4512 John Tyler Hwy., Ste. G Williamsburg (757) 220-1500 Hospice of Virginia 7231 Forest Ave., Ste. 100 Richmond (804) 281-0451 Hospice of Virginia Hampton Roads (800) 501-0451
www.thehealthjournals.com
Hospice Support Care 4445 Powhatan Pkwy. Williamsburg (757) 253-1220
Sentara Nephrology Specialists 500 Sentara Circle, Suite 102 Williamsburg (757) 984-9700
Intrepid USA 212 Packets Court Williamsburg (757) 220-9331
TPMG Williamsburg Nephrology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807
Karya Home Care, Inc. 376 McLaws Circle, Ste. B1 Williamsburg (757) 259-7411
Neurology & Neurosurgery
Personal Touch Home Care & Hospice of Va. 5581 Bulifants Blvd. Williamsburg (757) 564-6455 Sentara Home Care Services 1100 Professional Dr. Williamsburg (757) 259-6251 Therapeutic Holistic Wellness Care 311 Raven Terrace Williamsburg (757)645-2926
Hospitals & Clinics
Hampton Roads Neurosurgical & Spine Specialists 120 King's Way, Suite 3500 Williamsburg (757) 220-6823 Riverside Williamsburg Neurology & Sleep Disorders Center for Adults & Children 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110 Sentara Neurology Specialists 400 Sentara Circle, Suite 305 Williamsburg (757) 388-6105
Angels of Mercy Medical Clinic 7151 Richmond Rd., Suite 401 Williamsburg (757) 565-1700
Non-Profit Organizations
Berkeley Outpatient Medical & Surgical Center 136 Professional Circle Williamsburg (757) 253-2450
Alzheimer’s Association 213-B McLaws Circle Williamsburg (757) 221-7272
First Med of Williamsburg 312 Second St. Williamsburg (757) 229-4141 Lackey Free Family Medicine Clinic 1620 Old Williamsburg Rd. Yorktown (757) 886-0608 MedExpress Urgent Care 120 Monticello Ave. Williamsburg (757) 564-3627 New Town Urgent Care 4374 New Town Ave., Ste. 100 Williamsburg (757) 259-1900 Olde Towne Medical Center 5249 Olde Towne Rd. Williamsburg (757) 259-3258 Riverside Williamsburg Medical Arts Urgent & Primary Care 5231 John Tyler Highway Williamsburg (757) 220-8300
American Red Cross 1317 Jamestown Rd., Suite 105 Williamsburg (757) 253-0228
Virginia Oncology Associates 500 Sentara Circle, Suite 203 Williamsburg (757) 229-2236
Ophthalmology Advanced Vision Institute 5215 Monticello Ave. Williamsburg (757) 229-4000 Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001 Anthony J. DeRosa, MD 101 Tewning Rd. Williamsburg (757) 229-1331 Paul J. McMenamin, MD 1155 Professional Dr. Williamsburg (757) 565-2500 Retina & Glaucoma Associates 113 Bulifants Blvd., Suite A Williamsburg (757) 220-3375
Optometry Cullom Eye & Laser Center 120 Kings Way, Suite 1300 Williamsburg (757) 345-3001
PEAK Physical Therapy & Sports Rehabilitation 344 McLaws Circle Williamsburg (757) 564-7381 Reach for Performance, Inc. 312-J Lightfoot Rd. Williamsburg (757) 258-1221
Sentara Pediatric Rehabilitation Services 5301 Longhill Road Williamsburg (757) 984-9900
Child Development Resources 150 Point O' Woods Rd. Norge (757) 566-3300
Richard K. Lodwick, OD Pamela Lundberg, OD 101-A Bulifants Blvd. Williamsburg (757) 564-1907
Sentara Rehabilitation Services 301 Sentara Circle Williamsburg (757) 984-9900
DreamCatchers 10120 Fire Tower Road Toano (757) 566-1775 Faith in Action 354 McLaws Circle Williamsburg (757) 258-5890
Meals on Wheels 227 Richmond Rd. Williamsburg (757) 229-9250
Joan R. Milkavich, LPC 352 McLaws Cir., Suite 3 Williamsburg (757) 564-4590
National Alliance on Mental Illness Williamsburg Area Williamsburg (757) 220-8535
Linda Pincus, RN, CH 240 Patrick's Crossing Williamsburg (757) 565-6156
National Federation of the Blind Williamsburg (757) 565-1185 Peninsula Health District 1126 Professional Drive Williamsburg (757) 253-4813
Carter Murphy, OD 5251 John Tyler Hwy. Williamsburg (757) 229-8660 Rosser Optical 150-B Strawberry Plains Rd. Williamsburg (757) 220-2020 Jeanne I. Ruff, OD, LLC 1107 Richmond Rd. Williamsburg (757) 229-4222 Forest Schaeffer Monticello Marketplace Williamsburg (757) 258-1020 Williamsburg Eye Care 101 Bulifants Blvd., Ste. A Williamsburg (757) 564-1907
Orthopedics & Sports Medicine Tidewater Orthopaedic & Spine Specialists 5208 Monticello Ave., Suite. 180 Williamsburg (757) 206-1004 TPMG Orthopedics Spine/Sports Medicine & Virginia Center for Athletic Medicine 4125 Ironbound Rd., Suite 200 Williamsburg (757) 345-5870 Virginia Orthopedics & Sports Medicine 5335-B Discovery Park Blvd. Williamsburg (757) 253-0603
Internal Medicine
Senior Services Coalition 161-A John Jefferson Sq. Williamsburg (757) 220-3480
Kevin R. Bedell, MD 4622 Rochambeau Dr. Williamsburg (757) 566-4246
SpiritWorks Foundation 5800 Mooretown Rd. Williamsburg (757) 564-0001
Greensprings Physicians 2000 Easter Circle Williamsburg (757) 564-5540
The ARC of Greater Williamsburg 202-D Packets Ct. Williamsburg (757) 229-3535
Tushar U. Gajjar, MD 400 Sentara Circle Williamsburg (757) 345-4400
Internal Medicine of Williamsburg 227 McLaws Circle Williamsburg (757) 564-8182
The Center for Excellence in Aging and Geriatric Health 3901 Treyburn Dr., Ste. 100 Williamsburg (757) 220-4751
Tidewater Pain Management 4125 Ironbound Rd. Williamsburg (757) 258-2561
United Way 312 Waller Mill Rd., Suite 100 Williamsburg (757) 253-2264 Help Line: (757) 229-2222 Williamsburg AIDS Network 479 McLaws Circle, Suite 2 Williamsburg (757) 220-4606
Nutrition The Nutrition and Wellness Center 151 Kristiansand Dr., Suite 101 Williamsburg (757) 221-7074
Obstetrics & Gynecology TPMG Williamsburg OBGYN 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807
LogistiCare Medicaid Transportation Toll-Free: (866) 386-8311
Wetchler and Dineen Gynecology 217 McLaws Cir., Suite 5 Williamsburg (757) 229-3254
RIDES Non-Emergency Transportation 7239 Pocahontas Trail Williamsburg (757) 345-6166
Williamsburg Obstetrics & Gynecology 1115 Professional Dr. Williamsburg (757) 253-5653
Nephrology & Renal Health
Dominion Physical Therapy & Associates, Inc. 243 McLaws Cir., Suite 102 Williamsburg (757) 564-9628
Hampton Roads Eye Associates 120 Kings Way, Suite 1300 Williamsburg (757) 345-3004
Hypnosis
Lifeline Ambulance 24-Hour Service/ Emergency & Non-Emergency Transportation Toll-Free: (800) 476-5433
Comber Physical Therapy 101-B Bulifants Blvd. Williamsburg (757) 229-9740 5388 Discovery Park Blvd., Ste. 100 Williamsburg (757) 903-4230
BikeWalk Virginia P.O. Box 203 Williamsburg (757) 229-0507
La Leche League of Virginia Williamsburg (757) 220-9187
Medical Transportation
Physical Therapy & Rehabilitation
Eyewear Plus Optometric Center 101 Tewning Rd. Williamsburg (757) 229-1131
Travel Health of Williamsburg 287 McLaws Cir., Suite 2 Williamsburg (757) 220-9008
Williamsburg Internal Medicine 400 Sentara Circle, Suite 400 Williamsburg (757) 645-3150
Williamsburg Drug Co. 240 McLaws Circle Williamsburg (757) 229-1041
Avalon 312 Waller Mill Rd., Ste. 300 Williamsburg (757) 258-9362
Historic Triangle Substance Abuse Coalition 161-A John Jefferson Square Williamsburg (757) 476-5070
New Town Internal Medicine 4374 New Town Ave., Ste. 102 Williamsburg (757) 259-6770
Wal-Mart Visit www.walmartpharmacies.com for local listings.
Riverside Rehabilitation Outpatient Therapy at Williamsburg 120 Monticello Ave., Suite 200 Williamsburg (757) 345-3795
Sentara Williamsburg Regional Medical Center 100 Sentara Circle Williamsburg (757) 984-6000
The Massey Clinic 322 Monticello Ave. Williamsburg (757) 229-0919
Walgreens Pharmacy 1309 Richmond Rd. Williamsburg (757) 229-0962
Eye 2 Eye 1147-A Professional Dr. Williamsburg (757) 259-2300
FISH 312 Waller Mill Road Williamsburg (757)220-9379
Kingsmill Internal Medicine 477 McLaws Circle, Suite 1 Williamsburg (757) 208-0010
Ukrop’s Pharmacy 4660 Monticello Ave. Williamsburg (757) 564-0471 6610 Mooretown Rd. Williamsburg (757) 564-9315
Arthritis Foundation-Va. Chapter Toll-Free (800) 456-4687
Sentara Outpatient Care Center 301 Sentara Circle Williamsburg (757) 984-9900
Williamsburg Healthy Hypnosis 1769-107 Jamestown Rd. Williamsburg (757) 254-1104
Radiation Oncology Specialists 3901 Treyburn Dr., Ste. B Williamsburg (757) 220-4900
Womancare Of Williamsburg 120 Kings Way, Suite 3400 Williamsburg (757) 253-5600
Oncology
DaVita Williamsburg Dialysis 500 Sentara Circle, Suite 103 Williamsburg (757) 206-1408
Hampton Roads Surgical Specialists 120 Kings Way, Suite 2800 Williamsburg (757) 873-6434
Renal Advantage, Inc. 4511-J John Tyler Hwy. Williamsburg (757) 229-5701 7364 Richmond Rd. Williamsburg (757) 229-5890
Peninsula Cancer Institute 120 Kings Way, Suite 3100 Williamsburg (757) 345-5724
Pain Management
Pediatrics Pediatric Associates of Williamsburg 119 Bulifants Blvd. Williamsburg (757) 564-7337 Williamsburg Pediatric, Adolescent & Sports Medicine 4374 New Town Ave., Ste. 202 Williamsburg (757) 253-5757 400 Sentara Circle, Ste. 310 Williamsburg (757) 253-5757 Williamsburg Teen Center 4374 New Town Ave., Ste. 202 Williamsburg (757) 259-5133
Pharmacies CVS Pharmacy Visit www.CVS.com for local listings. Farm Fresh Pharmacy Visit www.farmfreshsupermarkets.com for local listings. K Mart Pharmacy 118 Waller Mill Road Williamsburg (757) 220-2393 Olde Towne Pharmacy 4854 Longhill Rd. Williamsburg (757) 220-8764 Professional Pharmacy 11302 Mount Vernon Dr. Williamsburg (757) 229-3560 Rite Aid Pharmacies Visit www.riteaid.com for local listings. Target Pharmacy 4630 Monticello Ave. Williamsburg (757) 564-9835
To advertise, call 757-645-4475
Anne K. Sullivan, Ed 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002 Williamsburg Hand Therapy Center 156-B Strawberry Plains Rd. Williamsburg (757) 565-3400 Williamsburg Physical Therapy 4125 Ironbound Rd., Suite 100 Williamsburg (757) 220-8383 Williamsburg Physical Therapy of Norge 7191-A Richmond Rd. Williamsburg (757) 345-0753
Plastic & Cosmetic Surgery Aesthetic Center for Cosmetic & Plastic Surgery 333 McLaws Circle, Suite 3 Williamsburg (757) 345-2275 Peninsula Plastic Surgery Center 324 Monticello Ave. Williamsburg (757) 229-5200 Plastic Surgery Center of Hampton Roads 4374 New Town Ave., Ste. 205 Williamsburg (757) 873-3500
Podiatry Michael Dente, DPM, PLC 120 Kings Way, Suite 2900 Williamsburg (757) 345-3022 Lightfoot Podiatry Center 213 Bulifants Blvd., Suite A Williamsburg (757) 345-3679 Williamsburg Foot & Ankle Specialists 453 McLaws Circle, Suite 1 Williamsburg (757) 220-3311
Preventative Medicine Reneau Medical 120 Kings Way, Ste. 2550 Williamsburg (757) 345-3064 Renaissance Integrative Therapy 1158 Professional Dr., Suite D Williamsburg (757) 220-4996 Williamsburg Health Evaluation Center 332 N. Henry St. Williamsburg (757) 565-5637
Prosthetics & Orthotics Certified Prosthetic & Orthotic Specialists 156-D Strawberry Plains Rd. Williamsburg (757) 833-0911
Lester Dubnick, EdD 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-0645 Eastern State Hospital 4601 Ironbound Rd. Williamsburg (757) 253-5161 Jose A. Erfe, MD and Associates 481 McLaws Circle, Suite 1 Williamsburg (757) 229-9286 Family Living Institute 1318 Jamestown Rd., Ste. 101 Williamsburg (757) 229-7927 Insight Neurofeedback & Counseling 354 McLaws Circle, Suite 3 Williamsburg (757) 345-5802 Charles L. Koah, LPC 1769 Jamestown Road, Suite 104 Williamsburg (757) 871-3693 Let’s Talk 1312 Mount Vernon Ave., Suite 1312 Williamsburg (757) 221-0091 Poplar Creek Psychological & Counseling Center 3305 Poplar Creek Ln. Williamsburg (757) 564-8522 Psychological Associates of Williamsburg 1313 Jamestown Rd., Suite 105 Williamsburg (757) 253-1462
Refresh! Center for Massage & Healing 7151 Richmond Rd., Ste. 302 Williamsburg (757) 345-2457 The Right Touch 5252 Olde Towne Rd. Williamsburg (757) 229-1866 Positive Energy Massage, LLC 1769 Jamestown Rd. Williamsburg (757) 810-4482 Saving Face Day Spa 7151 Richmond Rd., Suite 301 Williamsburg (757) 221-0490 Serenity Nail & Spa Studio 1781 Jamestown Rd. Williamsburg (757) 220-8510 Serenity Place Spa & American Spirit Institute 360 McLaws Circle, Ste. 1 Williamsburg (757) 220-8000 The Skin Clinic 483 McLaws Circle, Suite 1 Williamsburg (757) 564-SKIN The Spa of Colonial Williamsburg 307 S. England St. Williamsburg (757) 220-7720 The Spa at Kingsmill 1010 Kingsmill Rd. Williamsburg (757) 253-8230
Paul D. Reilly, MD 1115 Old Colony Lane Williamsburg (757) 253-0691
The Spa at Manor Club 101 St. Andrews Dr. Williamsburg (757) 258-1120
Richmond Road Counseling Center 1001-A Richmond Rd., Ste. 2 West Williamsburg (757) 220-2669
Transformative Energy Work 7151 Richmond Rd., Ste. 302 Williamsburg (757) 229-7819
Anne K. Sullivan, EdD, LCP 1769 Jamestown Rd., Ste. R Williamsburg (757) 564-7002
Tranquil Reflections Massage Therapy & Spa at King's Creek Plantation Resort 111-B Petersburg Circle Williamsburg (757) 345-6789
Williamsburg Center for Therapy 217 McLaws Circle, Suite 2 Williamsburg (757) 253-0371 Williamsburg Psychiatric Medicine, PLLC 372 McLaws Circle, Suite 1 Williamsburg (757) 253-7651 Your Next Chapter Coaching & Counseling Services 1769 Jamestown Rd. Williamsburg (757) 258-0853
Rheumatology Arthritis & Rheumatic Diseases, PC 329 McLaws Circle Williamsburg (757) 220-8579
Sleep Disorders & Pulmonology Pulmonary & Sleep Consultants of Williamsburg, PC 120 Kings Way, Suite 2200 Williamsburg (757) 645-3460 Sentara WRMC Sleep Center 400 Sentara Circle Williamsburg (757) 345-4050 Sleep Disorders Center at Williamsburg Neurology 120 Kings Way, Suite 2700 Williamsburg (757) 221-0110
William A. Diog Health Club & Spa 3000 The Mall Williamsburg (757) 565-6545 Williamsburg Pain Relief Breakthrough 1769 Jamestown Rd., Ste. 109 Williamsburg (757) 869-1936 Williamsburg Salt Spa 1111 Old Colony Lane Williamsburg (757) 229-1022
Substance Abuse & Addiction 24-Hr. Addictions Referral Network Toll-Free: (800) 511-9225 Al-Anon Toll-Free: (888) 425-2666 Alcohol-Drug Treatment Referral Toll-Free (800) 662-4357 Alcoholics Anonymous (757) 253-1234 Bacon Street Youth Counseling Center 247 McLaws Circle Williamsburg (757) 253-0111 Colonial Services Board 921 Capital Landing Road Williamsburg (757) 253-4061
Spas & Massage
Families Anonymous Toll-Free: (800) 736-9805
All of You Salon & Day Spa 511 York Street Williamsburg (757) 784-1869
Narcotics Anonymous (757) 875-9314
Blue Sky Wellness Reiki & Reflexology 5008 Liza Lane Williamsburg (757) 876-6185 Nicole Carson, NCTMB 1769-210 Jamestown Rd. Williamsburg (757) 561-9591 Elements Spa at Great Wolf Lodge Resort 559 E. Rochambeau Dr. Williamsburg (757) 229-9700 European Beauty Concepts 1248 Richmond Rd. Williamsburg (757) 229-2440 European Day Spa 3206 Ironbound Rd., Ste. A Williamsburg (757) 220-4959
Opiate Addiction Specialists Williamsburg (757) 229-4141 Williamsburg Place & The Farley Center 5477 Mooretown Rd. Toll-Free: (800) 582-6066
Urology Hampton Roads Urology 120 Kings Way, Suite 3200 Williamsburg (757) 253-0051 TPMG Williamsburg Urology 105 Bulifants Blvd., Ste. B Williamsburg (757) 903-4807
Vascular Surgery
Illusions by Marcus 374 McLaws Circle, Ste. 1 Williamsburg (757) 253-7790
Peninsula Vascular Surgery 156-A Strawberry Plains Rd. Williamsburg (757) 229-7939
Jamestown Therapeutic Massage 4608 Yeardley Loop Williamsburg (757) 784-8093
Pitman Surgical Associates 326 Monticello Ave. Williamsburg (757) 229-4958
Jana Roselynn Laird, NCTMB 120 Kings Way, Ste. 2100 Williamsburg (757) 846-5707 Massage Therapy Center 1158-A Professional Drive Williamsburg (757) 880-9020
Psychiatry & Mental Health ADR Clinical Associates 1309 Jamestown Road, Suite 101 Williamsburg (757) 220-8800 Ali Aziz, MD 481 McLaws Cir., Ste. 1 Williamsburg (757) 229-9286 Colonial Services Board 1657 Merrimac Trail Williamsburg (757) 220-3200
THE HEALTH JOURNAL
September 2009
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SUPPORT GROUPS
Join Dr. Charles E. Wilhelm of Virginia Orthopedics & Sports Medicine for a special discussion from 10 a.m. to noon in the Yorktown Room at Sentara Williamsburg Regional Medical Center. No registration required.
Abortion “Good Help for Hurting Hearts” Mary Immaculate Hospital Tuesdays, 7 a.m. (757) 886-6364
One of just 10 MS Challenge Walks held annually in the U.S., the twoday, 30-mile Historic Williamsburg Challenge Walk will raise essential funds for and awareness about multiple sclerosis. The course winds through Williamsburg, Yorktown and Jamestown and passes historic landmarks. To register, call (757) 490-9627 or visit www.fightms.com.
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Do you have diabetes? “Diabetes Matters” is a free monthly support group that involves 30 minutes of physical activity followed by a half-hour networking session. The group meets at 4 p.m. at Sentara Williamsburg Regional Medical Center.
THE HEALTH JOURNAL
Sexaholics Anonymous E-mail for dates/locations. hrsa@hotmail.com Aids Williamsburg AIDS Network 2nd & 4th Wednesday (757) 220-4606
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Alcohol & Drug Recovery SAARA-Colonial Chapter 1524-F Merrimac Trail Meets monthly. (757) 253-4395 Bethel Restoration Center 6205 Richmond Rd. Mondays, 7 p.m. (757) 220-5480 Kids' Group Spirit Works 5800 Mooretown Rd. (757) 564-0001 Parents Group Bacon Street Mondays, 6 to 7:30 p.m. (757) 253-0111
A free seminar for family caregivers, “Caring for the Caregiver,” will begin at 10 a.m. in the Yorktown Conference Room at Sentara Williamsburg Regional Medical Center, located at 100 Sentara Circle. Hospital Chaplain Willnette Y. James will discuss topics such as dealing with the stress and daily demands of caring for a loved one. Seating is limited. Call 1-800-SENTARA to register for this seminar.
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ADDiction Gamblers Anonymous Williamsburg Place Mondays, 7 p.m. (800) 522-4700
Pediatric Associates of Williamsburg, located at 119 Bulifants Blvd., will offer two free classes for new and/or expectant parents. First, a free one-hour infant massage class starting at 5:30 p.m. will teach simple massage techniques designed for infants six months of age and younger. Then, beginning at 7 p.m., a “Baby Care: 101” class will cover topics such as infant soothing, belly button care and diapering. Call (757) 564-7337 to register for either event.
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Domestic Abuse/Assault Mondays, 7 p.m. (757) 258-5022 Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362
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Learn how to look your best in spite of chemotherapy and/or radiation treatment for cancer with help from cosmetology experts at this free seminar held by the American Cancer Society, “Look Good… Feel Better.” This seminar will be offered from 6:30 to 8:30 p.m. in the Yorktown Room at Sentara Williamsburg Regional Medical Center. Call (757) 984-7107 to register for this event.
Abuse Dating Violence Wednesdays, 4:30 p.m. (757) 221-4813
Women Only Spirit Works 5800 Mooretown Rd. Wednesdays, 7 to 8:30 p.m. Thursdays, 2:30 to 4 p.m. (757) 564-0001 Al-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org
Head to York AMF Lanes, located at 4200 George Washington Memorial Hwy., at 1 p.m. for the Second Annual “Rally at the Alley” to benefit the Alzheimer’s Association. Cost to bowl is $20 per person, which includes two games and shoe rental. To RSVP, call (757) 886-1230 or send e-mail to hollie.krance@homeinstead.com (include number of attendees). Please register by Sept. 22, 2009.
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September 2009
Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Marijuana Anonymous Tuesdays, 7 p.m. Mt. Pleasant Baptist Church (757) 476-5070 Narcotics Anonymous Meetings held daily. Visit www.na.org. Suboxone Therapy Mary Immaculate Hospital 3rd Wednesday, 7 p.m. (757) 886-6700 Alzheimer’s Disease Peninsula Agency on Aging Immaculate Conception Church 2nd Monday, 1 p.m. (757) 873-0541
Morningside Assisted Living 3rd Wednesday, 2 p.m. (757) 221-0018 Morningside Assisted Living 2nd & 4th Wed., 5:30 p.m. (757) 594-8215 Dominion Village 3rd Thursday, 2 p.m. (757) 258-3444 Williamsburg United Methodist Church 3rd Tuesday, 11 a.m. (757) 724-7001 Eden Pines 1034 Topping Lane 2nd Tuesday, 7 p.m. (757) 826-5415 2nd Presbyterian Church 1st Tuesday, 7 p.m. (757) 930-0002 James River Convalescent Center 2nd Friday, 10 a.m. (757) 595-2273 The Chesapeake 3rd Tuesday, 1 p.m. (757) 223-1658 Family-Centered Resources 11847 Canon Blvd., Ste. 12 3rd Thursday, 1:30 p.m. (757) 596-3941 Warwick Forest 866 Denbigh Blvd. 2nd Thursday, 7 p.m. (757) 867-9618 Family Connections 263 McLaws Circle, Suite 203 2nd Tuesdays, 1 to 3 p.m. Registration required. (757) 221-7272 Early Memory Loss Mary Immaculate Hospital 2nd Tues., 10 a.m. (757) 599-6847 or (757) 930-0002 Arthritis Mary Immaculate Hospital 4th Tuesday, 10:30 to noon (757) 886-6700 Autism Peninsula Autism Society Kings Way Church Last Thursday, 7 to 9 p.m. (757) 220-1137 Grafton Baptist Church 2nd Monday (757) 564-6106 Bereavement/Grief Sentara CarePlex Hospital 2nd & 4th Wednesday 5 to 6:30 p.m. (757) 827-2438 Hospice House 2nd Monday, 7 p.m. (757) 258-5166 or (757) 229-4370 Mary Immaculate Hospital 1st & 3rd Thurs., 7 p.m. (757) 886-6595 "Kidz-N-Grief" Mary Immaculate Hospital 2nd & 4th Monday, 6 p.m. (757) 737-2287
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CALENDAR Child Loss St. Luke’s United Methodist Church 1st Monday, 7:30 p.m. (757) 886-0948 Morningside Assisted Living 2nd and 4th Wed., 5:30 p.m. (757) 594-8215 Riverside Hospice 12420 Warwick Blvd. 2nd Thursday, 7 p.m. (757) 594-2745 Walking Towards Hope 1st Tues., 7:30 to 8:30 a.m. JCC/W Community Center 5301 Longhill Rd. (757) 253-1220 or allysimone@hotmail.com Miscarriage / Stillbirth S.H.A.R.E. Mary Immaculate Hospital 3rd Thursday, 7:00 p.m. (757) 886-6791 Suicide Catholic Charities 12829 Jefferson Ave., Ste. 101 3rd Tues., 7 p.m. (757) 875-0060 Breastfeeding La Leche League of Va. Church of the Nazarene 1st Tuesday, 10:30 a.m. 3rd Thursday, 6:30 p.m. (757) 766-1632 or (757) 224-8879 Sentara Williamsburg Regional Medical Center Yorktown Room M., W., Thurs., 10 a.m. (757) 984-7299 Riverside Cancer Care Center Mondays, 11 a.m. (757) 594-3399 Cancer Breast Cancer Riverside Cancer Care Center 2nd Thursday, 7 to 8:30 p.m. (757) 594-4229 Mary Immaculate Hospital 3rd Wednesday, 7:30 p.m. (757) 874-8328 Sentara CarePlex Hospital 3rd Tuesday, 7 to 8:30 p.m. (757) 594-1939 Beyond Boobs! Young women's group 3rd Sunday, 2 p.m. Call for location. (757) 566-1774 Beyond Boobs! Post-menopausal group 1st Monday, 1:30 p.m. Call for location. (757) 258-4540 Colorectal Cancer Sentara CarePlex Hospital 3rd Wed., 1 to 2:30 p.m. (757) 736-1234 Leukemia/Lymphoma Sentara CarePlex Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 827-2438
The Leukemia and Lymphoma Society Young Adult Group Call for meeting dates, times and locations. (800) 766-0797 "Look Good, Feel Better" Sentara CarePlex Hospital 2nd Monday, 2 to 4 p.m. (757) 827-2438 Sentara Williamsburg Regional Medical Center 2nd Monday, bi-monthly (757) 984-1218 Lung/Respiratory Cancer Sentara CarePlex Hospital 1 to 2 p.m., Call for dates. (757) 827-2438 Prostate Cancer Sentara CarePlex Hospital 2nd Tuesday, 7 to 8:30 p.m. (757) 827-2438 Caregiver support Mary Immaculate Hospital First Wednesday, 1 p.m. (757) 886-6700 Colonial Heritage Clubhouse 6500 Arthur Hills Dr. 3rd Thursdays, 2:30 p.m. (757) 253-1774 or (757) 345-6974 York Public Library Community Room 2nd Tuesday, 7 p.m. (757) 890-3883 Celiac Disease Monticello Ukrop’s Call (757) 564-0229 Chronic Fatigue Syndrome Mary Immaculate Hospital 1st Thursday, 7 p.m. (757) 886-6700 Crohn’s Disease/Colitis Sentara CarePlex Hospital 1st Saturday, 1 p.m. (757) 736-1234 Diabetes Mary Immaculate Hospital 2nd & 4th Tuesday, 1 p.m. (757) 886-6100 Sentara Williamsburg Regional Medical Center Call for day and time. (757) 984-7106 or (757) 984-7107 Sentara Center for Health and Fitness 3rd Wednesday, 4 to 5 p.m. (757) 827-2160 Mary Immaculate Hospital 3rd Tuesday, 1 p.m. (757) 886-6700 Type 1 Riverside Regional Medical Center 4th Tuesday, 2 p.m. Bi-monthly, Feb. - Oct. (757) 534-5050 Type 2 Riverside Regional Medical Center 3rd Tuesday, 2 p.m. (757) 534-5050
Insulin Pump Riverside Regional Medical Center 4th Tuesday, 7 p.m. (757) 534-5050 Eating Disorders Overeaters Anonymous Chestnut Memorial Church Mondays, 7 p.m. Thursdays, 11 a.m. (757) 898-3455 Fibromyalgia Williamsburg Library 2nd Tuesday, 1 p.m. (757) 879-4725 Hearing Loss Hearing Loss Association 2nd Sat., 10:30 a.m. (757) 564-3795 Heart Disease Mended Hearts Riverside Regional Medical Center Call for dates/times. (757) 875-7880 Women Only Sentara Williamsburg Regional Medical Center 1st Monday, 7 p.m. womenheart@aol.com Huntington’s Disease Mary Immaculate Hospital 3rd Friday, 7 p.m. (757) 886-6700 Job Transition Great Harvest Bread Co. Wednesdays, 7 a.m. Kidney disease Sentara CarePlex Hospital 1st Wednesday, 6 to 7:30 p.m. (757) 244-3923 Lou GeHrig's disease (ALS) For patients, family members and friends. St. Luke's United Methodist 4th Thurs., 6:30 p.m. (866) 348-3257 or www.alsinfo.org Mental Illness Support St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535
Multiple Sclerosis JCC/W Community Center 2nd & 4th Wed., 5:30 to 7 p.m. (757) 220-0902 African-American Group Hampton Public Library 1st Thursday, 10:30 a.m. (757) 490-9627
Ostomy Sentara Williamsburg Regional Medical Center 1st Sun., 3 p.m. Meets Quarterly. (757) 259-6033 ParentIng JCC/W Community Center Thursdays, 6 to 7:30 p.m. (757) 229-7940 Children with Disabilities St. Martin’s Episcopal Church 2nd Thursday, 6:30 p.m. (757) 258-0125
PMS Historic Triangle Senior Center 2nd & 4th Wed., 5:30 p.m. (757) 220-0902 Polio Sentara CarePlex Hospital 3rd Saturday, 2 to 4 p.m. (757) 596-0029 Stroke/Brain Injury R. F. Wilkinson Family YMCA 3rd Wednesday, 4 to 5 p.m. (757) 984-9900 Va. Peninsula Stroke Club Riverside Rehabilitation Institute 1st Wednesday, 10 a.m. (757) 928-8327 Riverside Rehabilitation Institute Wednesdays, 3:30 p.m. (757) 928-8327 Riverside Rehabilitation Institute Last Wednesday, 4:30 p.m. (757) 928-8050
JCC/W Community Center 1st Tuesday, 12 to 1 p.m. (757) 221-9659 or e-mail stuarts@wjcc.k12.va.us
Vision Loss 1st Saturday, 1 p.m. JCC/W Community Center (757) 565-1185
Fathers Only Dads Make a Difference York River Baptist Church 1st & 3rd Mondays, 6 to 8 p.m. (757) 566-9777
Weight ManagEment Mall Walking Club Meets at Patrick Henry Mall Call for date/time. (757) 249-4301
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
T.O.P.S. (Take Off Pounds Sensibly) Warwick Memorial United Methodist Church Wednesdays, 9 a.m. (757) 850-0994 St. Mark’s Methodist Church Thursdays, 8:30 a.m. (757) 850-0994 Hope Lutheran Church Mondays, 5:45 p.m. (757) 850-0994 First Christian Church Thursdays, 6:00 p.m. (757) 850-0994
St. Mark Lutheran Church Thursdays, 10 to 11:15 a.m. (757) 898-2945
Fox Hill Road Baptist Church Mondays, 6:30 p.m. (757) 850-0994
500-C Medical Drive Wednesdays, 6 to 7:30 p.m. (757) 503-0743
Stay-at-Home Moms Olive Branch Christian Church Fridays, 10 a.m. (757) 566-3862
Olive Branch Christian Church Tuesdays, 9:45 a.m. (757) 850-0994
Recovery Denbigh Church of Christ 1st & 3rd Thursdays Call for time. (757) 850-2279
Stepfamilies Williamsburg United Methodist Church 4th Monday, 7 p.m. (757) 253-2971
St. Stephen Lutheran Church 1st Tuesday, 7 p.m. (757) 220-8535 Depression/Bipolar St. Mark’s Episcopal Church 2nd & 4th Wed., 10:30 a.m. (757) 247-0871 Obsessive-Compulsive Riverside Behavioral Health Center 3rd Thurs., 7:30 to 9:30 p.m. (757) 827-1001
To advertise, call 757-645-4475
Parkinson’s Disease Sentara CarePlex Hospital 1st Tuesday, 3 p.m. (757) 827-2170 Williamsburg Landing 2nd Monday, 1:30 p.m. (757) 220-2627 Riverside Regional Medical Center 4th Wednesday, 7 p.m. (757) 875-7880 Mary Immaculate Hospital 3rd Wednesday, 1 p.m. (757) 886-6381
Lackey Free Clinic Walk-in eligibility screenings held Mon., 5:30 to 8 p.m. Regular hours are: Mon.-Thurs., 8:30 to 5 p.m., and Fridays 8:30 to noon (757) 886-0608 Lamaze Classes Call for information. (757) 565-6156 Planetree Health Resource Library Sentara Williamsburg Regional Medical Center Open 24 hrs/day. (800) SENTARA Prenatal Yoga Zenya Yoga Studio Sat., 12:15 to 1:15 p.m. (757) 886-6700 Sentara Living For adults 50-plus Sentara Williamsburg Regional Medical Center 3rd Thurs., 10 a.m. to noon (800) SENTARA Sentara CarePlex Hospital 3rd Wed., 10 a.m. to noon (800) SENTARA Singles Dance 128 Deep Creek Rd. 2nd & 4th Saturday 7:30 to 10:30 p.m. (757) 247-1338 Student Physicals For students 14 years of age and older. Riverside Occupational Health Clinic (757) 886-7811 Walk-in Immunization Clinic Olde Towne Medical Center Tuesdays, 9 to 11 a.m. & 2 to 4 p.m. (757) 259-3258 Yoga for Diabetics Free and open to the public. Angels of Mercy Clinic Tuesdays, 3 p.m. (757) 565-1700
Women's issues Williamsburg Baptist Church Mondays, 7 p.m. (757) 258-9362
HEALTH RESOURCES
Blood Pressure ScreeningS - Free Senior Center of York Every Wednesday Walk-ins welcome. (757) 898-3807
New Town Urgent Care Mon-Fri., 8 a.m. to 5:30 p.m. Walk-ins welcome. (757) 259-1900
THE HEALTH JOURNAL
September 2009
41
PROFILE
Improving Dentistry Here And Around the World Interview By Brenda H. Welch Photography By Brian M. Freer
W
hen Dr. John Cranham worked summers as a sailing instructor at a Michigan yacht club during his late teens, he considered it a fun way to earn money doing something he loved. Little did he know that the job would power his own sails, propelling him toward a career in dentistry. Cranham remembers meeting many interesting people during those summers at the yacht club, but it was the dentists and their families who stood out above the rest. “A lot of the families that I really liked were the ones where the dad was a dentist,” says Cranham. “They seemed to have such a nice life. They were balanced—they really enjoyed what they did professionally, but they also had time to do the fun stuff with their families.” Through his practice in the Western Branch area of Chesapeake, Cranham, now 48, has spent the past two decades bringing healthier and happier smiles to the faces of thousands of Hampton Roads residents. His expertise lies in cosmetic and restorative dentistry, and he is an internationally recognized speaker on the aesthetic principles of “smile design” and many other topics in his specialty. He founded Cranham Dental Seminars, which provides lectures, mobile programs and intensive hands-on experiences to dentists around the world. In 2008, Cranham Dental Seminars merged with The Dawson Academy, a world-famous continuing education facility for dentists that is based in St. Petersburg, Fla. As The Dawson Academy’s acting clinical director, Cranham is involved with many of the courses and provides continuing education to dental professionals across the globe. His new office location, which opens Sept. 14 in the Greenbrier area of Chesapeake, will be both a dental practice and a teaching facility, allowing local dentists to train in Chesapeake as opposed to traveling to Florida. A third training site has been established in England, and Cranham estimates that 2,200 dentists are trained each year through the program. Cranham spends approximately two-thirds of his time in private practice and the other third as an educator. He believes this balance keeps him on the leading edge of both disciplines. The Health Journal recently spoke with Cranham about his role as an educator, his greatest source of inspiration and the everevolving field of dentistry.
John Cranham, DDS
42
HJ: Has life as a dentist turned out as you imagined it would? JC: Absolutely. My life has been unbelievable in that it is what I wanted to create for my family. Despite some of the traveling I’ve had to do teaching-wise—which is also why I’m excited to be able to teach the courses at home at our new office location—I’ve managed to be a very present dad and husband. I also wanted to be able to offer [my family] a nice lifestyle, be able to provide for them and have the time to be with the people I care about. From that standpoint, dentistry has given me what I hoped for and more. HJ: What has been the biggest surprise in your career? JC: It is how rapidly the technology is advancing. There really isn’t a single procedure I learned in dental school that I am doing the same way. I don’t know if 20 years ago I would have thought that would have been a good thing, but I think it is also one of the things I enjoy about dentistry—
“There really isn’t a single procedure I learned in dental school that I am doing the same way now.” Age: 48 Hometown: Brantford, Ontario, Canada Family: Wife, Kim; son, Cornell; two daughters, Kaitlyn and Kristen Education: Honors graduate of the Medical College of Virginia (now Virginia Commonwealth University Medical Center) in Richmond Professional affiliations: American Dental Association, American Academy of Cosmetic Dentistry, American Academy of Fixed Prosthodontics, American Equilibrium Society
Continued on the next page THE HEALTH JOURNAL
September 2009
www.thehealthjournals.com
Suggest a Profile! Whether you know a special person who has stood up for an important cause, faced incredible odds or is just all-around interesting, we want your opinion on whose personal/professional story is worth sharing with our readers. Nominees don’t have to work in the health care industry, but the story must have a health-related angle. Send your recommendations to page@thehealthjournals.com.
PROFILE it is impossible to get bored. [Dentistry] is changing so rapidly in terms of the materials and technologies we have at our fingertips. As an educator as well as a dentist, I’m forced to keep up, and I like that part of it.
RiveRside Hampton Roads URology
We’ve Done it Again.
HJ: Who do you look to for inspiration? JC: My adopted son, Cornell. He was one of my wife’s patients when she was a pediatric occupational therapist at Children’s Hospital of the King’s Daughters. He was a one-pound, nineounce “premie” who was abandoned over there [by his birth mother who was addicted to crack cocaine]. He was on a ventilator for six months and spent almost one-and-a-half years of his life at the hospital. He didn’t walk until he was four and had multiple surgeries to reconstruct his trachea. He’s a fighter. We brought him home initially as a foster child and ended up adopting him. He’s probably had the most impact on me out of everybody. He’s had more issues to deal with in his short life than most of us will have in all of our life, but he has a big smile on his face and just goes at it every day and never complains. He’s touched a lot of hearts. HJ: What is the best dental advice you can offer? JC: Make sure that you catch problems when they are small by seeing your dentist regularly. Dental problems never get better over time.
Several years ago we successfully recruited Dr. Scott Burgess to help us build our robotic surgery program, the only one on the Peninsula. We now offer this
state-of-the-art procedure
for prostate cancer along with other minimally invasive, laparoscopic surgeries for major urologic problems. We’ve done it again. With the addition of Dr. Jennifer Miles-Thomas, we are now able to offer the community
the first female urologist in our area. Dr. Miles-Thomas trained
at The Johns Hopkins University, continuing on to complete a fellowship there in the treatment of urinary incontinence and bladder/pelvic problems in women. Hampton Roads Urology remains committed to bringing
world class trained physi-
cians and the latest technology to Williamsburg. We have served the area for over three decades and take pride in treating every patient with sensitivity and respect. You have a choice when you need a specialist. Choose Hampton Roads Urology when you need top trained physicians who can provide their expertise close to home.
HJ: What is your favorite motto? JC: I remember hearing that Tiger Woods’ father raised him with the motto, “Share and care.” That would be my favorite. HJ
Hampton Roads Urology Trusted to Provide Truly Expert Care
Hampton Roads URology
Scott V. Burgess, M.D. • Jennifer Miles-Thomas, M.D. • Roger E. Schultz, M.D. Anthony Y. Taylor, M.D. • Lawrence R.Volz, M.D. • Emily Chaikin, PA
120 Kings Way, Suite 3200 • Williamsburg,VA 23185
(757) 253-0051
To advertise, call 757-645-4475
THE HEALTH JOURNAL
September 2009
43
PC I
PENINSULA CANCER INSTITUTE In the Riverside Healthcare Center | 120 Kings Way, Suite 3100, Williamsburg, VA 23185
Mark E. Ellis, MD; Laura D. Kerbin, MD; Nancy F. McKinny, MD; Lynn B. Ellis, CFNP; Holly Chesebrough, CFNP; and staff at the Williamsburg Location.
P
eninsula Cancer Institute offers compassionate, state-of-the-art cancer care in a comfortable, warm environment right here in Williamsburg. All PCI Doctors are Board-Certified by the American Board of Internal Medicine in Medical Oncology. Selected physicians are
also Board-Certified in Hematology and Palliative Medicine. The following services are housed under one roof and integrated into the treatment of each patient according to need and desire: patient navigation, chemotherapy, radiation therapy, genetic counseling, nutritional counseling, family services,
massage therapy, pet therapy, music therapy, patient/family education, and cutting-edge clinical research trials. PCI is a member of the Cancer Trials Support Unit (CTSU) as an independent clinical research site. CTSU is a project sponsored by the National Cancer Institute.
NEWPORT NEWS
WILLIAMSBURG Riverside Healthcare Center 120 Kings Way, Suite 3100 Williamsburg, VA 23185
Middle Peninsula Cancer Center 7544 Medical Drive Gloucester, VA 23061
757-534-5555
757-345-5724
804-693-9037
Riverside Cancer Care Center 12100 Warwick Blvd., Suite 201 Newport News, VA 23601
For more information, please visit our website: www.peninsulacancerinstitute.com
GLOUCESTER