WHJ_SS_March2010 by The Health Journal

the

Health Journal March 2010

Southside Edition

Vol. 5 No. 10

Seeking Second Opinions

When Studies Collide

Making Sense of Cancer Screening Guidelines

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March Contents [ Features ]

2010

7 A Fresh Idea

Farm Fresh launches “nutrition iQ” food labeling system.

9 Cast Your Vote!

Take The Health Journal’s 2010 Readers’ Choice Survey.

12 So, You Want to Be a Vegetarian?

Cut the meat from your diet without sacrificing good nutrition.

28 Healing Haiti

Two emergency room docs reflect on their recent search-and-rescue mission.

42 A Little Piece of History

Gym proprietor Julie Jackson sets up shop in a century-old building.

[

In Every Issue

4 Editor’s Note 5 Inbox

11 Snapshots 16 Fitness

21 Skin & Beauty

31 Health Directory 40 Calendar 42 Profile

]

When Studies Collide What you should know about cancer screening guidelines.

the

Health Journal

The Health Journal is a free, monthly consumer health magazine distributed throughout Hampton Roads. Three editions are currently available: Williamsburg, Peninsula and Southside, with a combined circulation of over 78,000 copies. Publisher Brian M. Freer

Executive Director Rita L. Kikoen Editor Page Bishop-Freer

Associate Editor Beth Shamaiengar

Medical Editor Ravi V. Shamaiengar, MD

Administrative assistant Danielle Di Salvo Sales Executives David C. Kikoen

GRAPHIC DESIGNERs Natalie Monteith Jean Pokorny PhotographY Brian M. Freer Page Bishop-Freer Dawn Griffith Danielle Di Salvo

Contributing Writers Sharon Cindrich Gregory Epps Joseph Han, MD Alison Johnson Gayle Pinn, CPT Keith W. Schumann, MD Joy Vann

The Health Journal—Southside Edition is a monthly publication direct-mailed to homes and businesses in Chesapeake, Norfolk, Portsmouth, Suffolk and Virginia Beach. Newsstand, rack and countertop distribution supplement our hand-delivery program. Subscriptions are available for $24/year. Please send a check or money order, payable to RIAN Enterprises, LLC, to the address below. Include current mailing address and other contact information. Notify us of any change in address. The editorial content of The Health Journal is produced with the highest standards of journalistic accuracy. However, readers should not substitute information in the magazine for professional health care. Editorial contributions are welcome. All submissions become the property of the publisher. We reserve the right to edit for style, clarity and space requirements.

Editor’s

Note

Nearly six months ago, when our daughter Cami was ready to start sampling solid foods, I made it my personal mission to ensure that, before her first birthday, she tasted her way through all the edible plant groups, more than 20 in all. So, here we are, 11 months of age and counting, and I can look proudly at that list and say with confidence that my little pea-pod really has tasted the full rainbow of fruits and vegetables (along with some legumes, spices and the entire contents of her toy box). Cami’s expressions ranged from delight (hummus) to disgust (peas) as each new food was introduced. Taking recipe cues from store-bought baby food, I made my own concoctions to freeze and serve later, relying on canned baby food (organic, of course) when in a pinch. My mission had a clear purpose: I’d see to it that, no matter what life may bring for our first child (and admitted center of our universe), she would get a successful start with food. I’d help her to appreciate nutrient-dense foods over processed ones, to prefer the taste of fresh fruit over fruit snacks. Brian likes to joke that my culinary talents were limited to blue-box macaroni and cheese when we first met, but the past few years have proved to be a learning period for me as far as cooking abilities go. Planning healthy, tasty dinners has become a top priority; I guess you could say I have become our family’s official unofficial nutritionist. Making smart selections isn’t always easy, though. Food labels can be confusing or misleading, and convenience foods always seem “conveniently” placed on the grocery’s center shelves. On page 6, you’ll get the scoop on Farm Fresh’s new product labeling system “nutritioniQ.” The goal of the program is to help health-conscious consumers make better food choices, especially in the center of the store, where it’s so tempting to buy empty-calorie items like cookies, chips and soda. (You’ve probably heard the mantra, “Shop the perimeter of the store,” because that’s where you’ll find the healthiest, most nutritious items.) In fact, in looking over this issue from front to back, I realized that in so many ways it reflects our core mission here at The Health Journal—to, first and foremost, provide you with tools you can use to make more informed decisions about your health, and secondly, to do it at no cost to our readers (thanks to our advertisers), and finally, to present the information in an attractive, readable format that readers will enjoy. From Joy Vann’s piece on nutritioniQ, to Gregory Epps’ insightful look at why it’s important to get a second opinion (page 19), this issue is filled with articles intended to help you become a wiser health consumer, whether you’re shopping for a family doctor or your family’s groceries. And be sure to read our cover story, “When Studies Collide: Making Sense of Cancer Screening Guidelines” (page 22), in which local cancer experts weigh in on some of the recent recommendations relating to breast, prostate and cervical cancer screening—a subject that’s had U.S. doctors up in arms since last fall. Will Cami come to appreciate the taste of peas, brussell sprouts, lima beans and all the other “delicious” dishes she’ll never remember eating? I can only hope. But, at the very least, we’ve had fun at the kitchen table. And, for me, those memories will last forever. HJ Readers’ Poll: What’s the best health advice your mother ever gave you, and did you follow it? E-mail your reply to page@thehealthjournals.com.

For Advertising and editorial Information, call or write: The Health Journal 4808 Courthouse Street, Suite 204 Williamsburg, VA 23188 (757) 645-4475 • Fax (757) 645-4473 info@thehealthjournals.com www.thehealthjournals.com

4 THE HEALTH JOURNAL

Page Bishop-Freer, Editor page@thehealthjournals.com

page’s picks

MarchFavorites Trader Joe’s Sea Gummies With these tasty treats, you’ll never forget to take your fish oil supplement again! Plus, no fishy aftertaste means you won’t be mistaken for the Gorton’s Fisherman. ($7.99 at Trader Joe’s)

inbox

Re: February Issue “Thanks for including the article on the Shaws in the February issue [“Partners in Practice,” page 9]. The coverage for all of the couples turned out nicely. —Bill G., Williamsburg “I just sat down to look over The Health Journal as a couple of headlines caught my eye (Fitness Trends, Age Spots? NO PROBLEM). After that I was captivated by every article written and especially treasured the “Remembering Josephine” story. What a lovely tribute to her and her family’s undying love. I so appreciate the wonderful list of physicians, too. Plus, the stories are informative and inspiring at the same time. Thank you so much for doing your job so well. God Bless.” —Sharon D., Virginia Beach

“Thank you for printing the story on Baby Josephine. I know that was very difficult for Ed and Claire Lampitt, but what could be more inspiring than their faith and love? My heart and prayers go out to them. My five-year-old was diagnosed with a rare, acute, stage-four brain cancer at just 13 months of age. What a joy they had with Josephine. I pray that as medicine progresses, more cures will be found. God bless you all.” —Elizabeth L., city unknown

Kashi GoLean Toasted Berry Crumble I’ve always been a fan of the proteinpacked GoLean line of cereals, but this is the best-tasting one yet. With 190 calories per serving and 9 grams of protein, one bowl will keep you satisfied all morning.

“Awesome February issue. I love the Journal.” —Lynn H., Naperville, Ill.

The “Measure Up Bowl” The Health Journal Administrative Assistant Danielle DiSalvo discovered these handy bowls, invented by mother-of-two Heather Harvey (at left is the “Classic Bowl,” $19.99 at shopmeasureupbowl.com). Measure Up Bowls eliminate the need for measuring cups—a major time-saver if you’re watching portion sizes (plus, you’ll have fewer dishes to wash since you don’t need a measuring cup).

Foam Roller Ladies and gentlemen, foam rollers are great for alleviating tight muscles and sciatica pain (featured at left is Fitness Gear’s 36-inch black roller, $39.99 at www. dickssportinggoods.com). You can pick up a roller pretty much anywhere that sporting goods are sold, including Target and Wal-Mart. As a general rule, rollers with good length and density offer the greatest relief because they allow you to roll large areas and provide the most compression.

“Excellent! Excellent! Excellent! Your Feb. 2010 edition is outstanding. Keep up the great work. The article written by Joy Vann, “Partners in Practice,” is of the highest caliber. “Remembering Josephine,” painstakingly written by grieving father Ed Lampitt, provided a personal look into a family that has gone through so much. My prayer is that Ed and Claire hold onto the peace that passes understanding as they welcome their son into the world. Thank you for allowing them to speak both life and hope into a personal and painful situation.” —Martha J., Yorktown

Subscriptions

“I would like to get The Health Journal delivered to my home. How can I subscribe?” —Vanessa O., Hampton

Ed.: Subscriptions are $24 a year. Please send your name, address, and a check, payable to RIAN Enterprises, to: 4808 Courthouse St., Williamsburg, VA 23188.

THE HEALTH JOURNAL

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A Smarter Way to Shop Farm Fresh launches ‘nutrition iQ’ labeling system to help curb customer confusion Written by Joy Vann

Farm Fresh t’s well known that the perimeter of the grocery store is the corporate dietitian place to find the healthiest foods including fresh produce, meat Jennifer Shea and dairy items. But when shoppers venture into the “center of the store” for staples such as cereal, canned items, pasta and frozen products, they can stumble into processed foods that often carry misleading or overstated health claims. As many a mom can tell you, that “healthy” trail bar packed in a child’s lunchbox isn’t so healthy when the nutrition panel on the package reveals that it contains as much sugar as a candy bar and as much sodium as a bag of chips. To help customers avoid “center-aisle confusion,” Farm Fresh, which operates 45 stores in Hampton Roads, Richmond and Elizabeth City, N.C., recently launched the first phase of a new food-labeling program designed to highlight products in the center of the store with the most health benefits. Though a roll-out date for the second phase has not been set, it will spotlight items on the perimeter of the store including produce, meats and dairy products. Named “nutrition iQ,” this program is being billed as “The BetterFor-You Food Finder.” It was developed in collaboration with an independent panel of dietitians from Joslin Clinic, part of an academic medical center affiliated with Harvard Medical School. “Since the launch of nutrition iQ, we have received numerous requests from our community partners for additional information on how they can incorporate niQ into their programs by partnerBecause manufacturers’ ing with Farm Fresh,” says Susan Mayo, vice president of consumer products are often packaged affairs and public relations for the chain. “Our community partners to “scream out” health inforand health professionals view this program as a credible source for mation, Shea says consumeducating their clients about making smarter, better-for-you choices ers should look for natural at the grocery store.” products, such as oatmeal, Jennifer Shea, corporate dietitian for SUPERVALU, the Minneapthat won’t necessarily olis-based parent company of Farm Fresh and other grocery store feature dubious nutritional chains throughout the country, introduced the program to area dieticlaims, i.e., something that’s cians as well as hospital and health organization experts at Farm touted as “low-fat” but is Fresh’s Virginia Beach corporate headquarters in January. high in sodium. Here are To explain the need for a program such as nutrition iQ, Shea cites some other tips: scary-yet-familiar statistics about the health of Americans, notably • Shop with a list. that approximately one in four Virginians is obese. • Don’t shop on an empty The goal of nutrition iQ, Shea says, is simply to make it easier for stomach. customers to make smarter food choices at the point of purchase. “Customers have difficulty making sense of nutrition guidelines • Use spices for flavor in and say that they need practical tips to guide them,” Shea says. “With place of salt or butter. more than 60,000 products, it can be difficult to maneuver through • Stick to basics found on the supermarket. And, many say that they do not have time to read the perimeter of stores labels, so we started where consumers have the most confusion—the such as eggs or egg subcenter of the store—[and encourage them to make] smarter choices.” stitutes, fat-free or lowFarm Fresh’s nutrition iQ program uses bright, color-coded tags fat dairy products; lean to indicate an item has any of the following nutritional attributes:

Shopping Tips

Continued on page 8

For more information visit nutritioniq.farmfreshsupermarkets.com or call (877) 932-7948

proteins including beans, poultry, fish and meat; and fresh fruits and vegetables.

local beat

Virginia Among Few States Still Reporting Regional H1N1 Activity

Virginia is among a handful of states still reporting regional H1N1 flu activity, according to the U.S. Centers for Disease Control and Prevention’s latest edition of Flu View. Due to the potential public health threat from 2009 H1N1, 18 area hospitals have agreed to maintain their current visiting policy—limited to adults 18 years and older—through March as a precaution to protect hospital patients.

Anthem Names Local Hospitals “Blue Distinction Centers” for Orthopedic Care Orthopedic programs at DePaul Medical Center, Maryview Medical Center and Mary Immaculate Hospital have been designated Blue Distinction Centers for spine surgery and joint replacement by Anthem Blue Cross and Blue Shield of Virginia. In achieving this designation, these hospitals have displayed their commitment to providing high-quality orthopedic care.

Dress Down Under for Red Cross April 23

The Hampton Roads Chapter of the American Red Cross will host its annual “Dress Down Under” party on April 23 beginning at 6 p.m. at the Mariner’s Museum Park in Newport News. All proceeds will go to support the Hampton Roads Chapter’s many vital services to our community. The ticket price of $40 includes a dinner from Outback Steakhouse. Enjoy a live band, beer on tap and a casual outdoor atmosphere. To purchase tickets, call (757) 838-7320 or visit www.hrredcross.org for ticket locations.

Bon Secours Medical Group Expands with 3 Appointments Bon Secours Medical Group has appointed Tim Short, former administrator at St. Francis Nursing Care Center, to the position of administrative director of physician practices, through which he will manage the daily operations for Bon Secours specialist groups. In addition, Donna Robertson, former practice manager of Cardiovascular Specialists, will also serve as administrative director of physician practices, a role in which she will direct daily operations for all Bon Secours cardiology practices. Amy Clark, formerly billing manager for Cardiovascular Specialists, will now serve as the director of revenue cycle for Bon Secours Medical Group. She will be responsible for ensuring that all medical group practices meet insurance coding standards.

THE HEALTH JOURNAL

local beat

Sentara Healthcare Named Nation’s Top-Ranked Integrated Healthcare System Sentara Healthcare has been ranked as the top Integrated Healthcare System in the nation, according to health care analytics company Strategic Defense Initiatives (SDI) and Modern Healthcare magazine. Sentara has been listed among the top 10 in each of the 13 years the list has been published. It was ranked number one in 2001 and is again this year. SDI’s report is regarded as the nation’s premier rating system for evaluating integrated healthcare networks on their performance and degree of integration.

Continued from page 7 excellent or good source of fiber—orange label

excellent or good source of calcium—blue label

low or healthier level of sodium—green label

excellent or good source of protein—yellow label

whole grains—dark orange label

Farm Fresh Customers Can “Round Up” to Fight Childhood Cancer in Support of CHKD For the 10th year, Farm Fresh is coming to the aid of children battling cancer by launching the “Farm Fresh Round-Up,” an opportunity for customers to contribute to Children’s Hospital of The King’s Daughters (CHKD) by rounding up their grocery bill to the next even dollar (or contributing more). This year’s RoundUp will be held from March 10 to April 3 at all Hampton Roads Farm Fresh locations. Over the last nine years, Farm Fresh has raised $5.9 million in donations for childhood cancer programs at CHKD.

Planned Parenthood Announces Partnership with “text4baby” Planned Parenthood of Southeastern Virginia has partnered with the text4baby program, a free mobile information service designed to promote maternal and infant health. An educational program of the National Healthy Mothers–Healthy Babies Coalition, text4baby provides pregnant women and new moms with information to help them care for themselves and their babies.

DePaul Sleep Center Earns Accreditation The Sleep Disorders Center Bon Secours DePaul Medical Center has earned accreditation by the American Academy of Sleep Medicine (AASM), a professional society of physicians, researchers and other health care professionals who specialize in the study, diagnosis and treatment of sleep disorders.

New Name for Pediatric Dentist Pediatric Dental Care of Tidewater, located in Chesapeake, has changed its name to Weis Pediatric Dentistry. Established in 2006 by Dr. Trey Weiss, Weis Pediatric Dentistry provides dental and orthodontic care to children age six months to 18 years.

low caloric content—purple label

low in saturated fat—red label

The items tagged are those that already meet basic Food and Drug Administration (FDA) guidelines as being wiser choices for consumers. The tags appear in tandem with an item’s price, unit price and bar code information. Currently, 2,500 items are tagged, including a variety of products, not just Farm Fresh store brands. Items not tagged include those that don’t meet basic FDA health guidelines—those most customers already know to be unhealthy, such as candy, chips and soda. Vertical signs in the aisles alert customers to shelves featuring the nutrition iQ labels. Brochures, along with the signage, explain how the color-coded system works. Shea says products undergo a rigorous screening process in order to qualify for nutrition iQ—in some cases using criteria stricter than FDA guidelines— and adds that the collaboration with the Joslin Clinic provides independent, third-party credibility that is transparent and comprehensive.

Shea also notes that the system makes it easy for people with specific health concerns to find products that fit their dietary needs and goals. For example, shoppers with high cholesterol can look for the orange “high in fiber” tags. Those with high blood pressure can look for the green “low sodium” tags, and vegetarians can keep an eye out for yellow “excellent source of protein” tags. Babs Benson, program manager for the “Healthy You” weight-management program at Children’s Hospital of The King’s Daughters, says such labeling provides a short-cut to help customers make sense of nutrition information—something she’d like to see at all grocery stores. “My experience in working with families is that time is very valuable and people are not going to spend two hours in the grocery store reading labels,” says Benson. “So anything that helps point to foods that are good for you is very valuable.” Benson says misleading packaging information is a problem for people who don’t have the time to read the nutrition labels, and provides the example of products that tout whole wheat prominently on the front of the package, though the ingredient list reveals that wheat is the tenth item down, meaning that the product doesn’t have much whole wheat at all. “It’s easy to make bad {food} choices in our society, so anything that improves that is a good thing,” Benson says.

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8 THE HEALTH JOURNAL

the

Health Journal’s First-Ever

Readers’ Choice Awards Vote for your favorites in more than 30 categories, from health care providers to fitness centers to local running events. The Health Journal will run a series of profiles on selected winners in our summer 2010 issues. OK, let’s get started:

}

1. Check your area of residence, the area for which you will be completing this form.

Greater Williamsburg

South Hampton Roads (Virginia Beach, Norfolk, Chesapeake, Portsmouth, Suffolk)

Peninsula (Newport News, Yorktown, Hampton, Poquoson)

Other (please name)____________________________________________

2. Complete the survey on the reverse side of this page, or vote online at www.thehealthjournals.com.

3. Return this form to us (unless you’ve voted online) in one of three ways:

1 Mail completed form to:

The Health Journal—Readers’ Choice 4808 Courthouse St., Ste. 204, Williamsburg, VA 23188

2 Drop it by the address above.

3 Fax completed survey (both sides) to (757) 645-4473

RULES FOR VOTING: • One survey form per person, please. • Deadline for entries is Friday, May 15th, 2010. • To request extra survey forms, send e-mail to info@thehealthjournals.com. • We encourage local medical practices and health-related businesses to make copies of this survey available to their clients or patients. • Voters must provide a name and phone number below. This information will be kept confidential and will be used only to keep the contest fair by preventing ballot stuffing.

Name

Phone Number

THE HEALTH JOURNAL

2010 Readersâ&#x20AC;&#x2122; Choice Ballot

Write In Your Choice For Your Favorites From The Following Categories:

Fitness And Wellness

Audiologist

Big Gym

Cardiologist

Bike Trail

Dentist (General Or Cosmetic)

Boot Camp

Dermatologist

Group Fitness Class

Ear, Nose And Throat Doctor

Pilates Studio

Eye Doctor

Running Event

Family Practitioner

Small Gym

Geriatrician

Spin Class

Neurologist

Sporting Goods Retailer

Obstetrician/Gynecologist

Weight-Loss Center

Oncologist

Yoga Class

Orthodontist

Facilities

}

Health Care Providers

Orthopedic Specialist

Community Hospital

Pain Management Physician

Emergency Room

Pediatrician

Fertility Clinic

Plastic Surgeon

Free Clinic

Podiatrist

Pharmacy

Spine Specialist

Urgent Care

Urologist

Vascular Surgeon

Weight-Loss Physician

Holistic Health Acupuncturist Chiropractor

Senior Services

Doula/Lamaze Coach

Assisted Living/Nursing Facility

Health Foods Store

Home Health Care Agency

Health Spa

Senior Center/Club

Herbalist

Senior Living Community

Massage Therapist

snapshots

Chesapeake Regional Health Foundation’s annual gala raised more than $150,000 to benefit cancer services at Chesapeake Regional Medical Center. With a theme of “City of Bridges, A Venetian Masquerade,” the event resembled a Venetian wonderland, complete with gondolas, an Italian villa and a village center fountain. (1) WVECTV Anchor Vanessa Coria, posing with her date Kerry Krell, served as the event’s emcee. (2) Attendees included Congressman Randy Forbes and his wife Shirley, as well as (3) Drs. Moemi Romano, Patty Jolly, Sonal Saini, Janice Sharma and Cynthia Romero.

1, 2, 3

Based on online patient reviews, Alison Lex, M.D., of Bon Secours Medical Associates in Virginia Beach received the “Patient’s Choice Award” from MDx Medical, Inc. The award factors in patient ratings on bedside manner, doctor-patient face time, degree of follow-up, courtesy of office staff and overall satisfaction with care.

Bon Secours Virginia Health System, along with local humanitarian organization Operation Blessing International and The New Life Christian Center of Norfolk, revitalized and expanded The Store House, a community food pantry, after it was severely damaged by the November 2009 nor’easter. Lucy’s Inc., the Norfolk-based company that specializes in gluten-free and allergen-friendly products, now has products featured in over 7,000 stores in the U.S. and Canada, including Starbucks, Whole Foods Market, Giant, Stop & Shop, Sprouts Farmers Market and more. Read The Health Journal’s in-depth coverage of Lucy’s—founded by former emergency room physician Dr. Lucy Gibney— in the May 2008 issue, available online at www.thehealthjournals.com.

The Department of Internal Medicine at Eastern Virginia Medical School netted several honors at the Jan. 23 Norfolk meeting of the American College of Physicians–Virginia Associates. Associate Professor of Internal Medicine Mark C. Flemmer (second from the right) was Clinical Faculty Member of the Year. In addition, Jody Boggs, M.D. (far left), Michael Gonzales, M.D., and Jennifer Hofstra, M.D., won the “Medical Jeopardy” competition during the conference.

Suffolk community leaders, physicians, Chesapeake Regional Medical Center staff, Chesapeake Hospital Authority members and other VIPs joined the physicians and staff of Riverfront Family Medicine and Specialty Care for a grand opening ceremony held Jan. 23. This is Chesapeake Regional’s first family practice in Suffolk. Left to right: Bob Oman of the Chesapeake Hospital Authority, Chesapeake Regional Interim President and CEO Wynn Dixon, Suffolk Mayor Linda Johnson and primary care physicians Drs. Attiyah Ismaeli-Campbell, Scott Fowler and Dena Hall.

8 Send us your snapshots! E-mail your photos

along with a brief description to

page@thehealthjournals.com

Three-year-olds at St. John the Apostle Catholic School practice coordination and balance skills with Physical Education Teacher Aimee Kram.

THE HEALTH JOURNAL

food & nutrition

So, You Want to be a Vegetarian? Written By Alison Johnson

Local dieticians offer their advice for cutting the meat.

Editor’s Picks 3 (Unbelievably Easy) Meatless Meals You’ll Love

1. 2. 3.

12 THE HEALTH JOURNAL

Morning Star Farms Black Bean Burger topped with salsa and fresh avocado (non-vegans can add shredded cheese and light sour cream) Amy’s Organic Vegetable Lentail Soup topped with shredded parmesan cheese (vegans can skip the cheese) Morning Star Farms Sausage Patties, chopped and wrapped into a pancake or like a tortilla and drizzled with pure maple syrup

o many people, the word “vegetarian” essentially translates to “healthy.” But as with all types of diets, a good vegetarian plan requires work—especially when a person first makes the switch—and a focus on including a wide range of nutritious options, experts say. Put another way, vegetarians can be very unhealthy, and even very overweight, says Lynn Earle, a registered dietician in Virginia Beach. “You can be a vegetarian and be on a steady diet of chips and Oreos,” says Earle, whose specialties include helping clients create healthy plant-based meal plans. “You have to make sure to eat the right combinations of foods, and have variety in all categories of food, in order to get the vitamins and nutrients your body needs. You don’t want to just eat apples as fruit, let’s say—you want to add oranges, kiwi, melon and more.” The term “vegetarian” officially covers people who don’t eat any meat, although some people who eat only seafood or poultry still call themselves vegetarian. There are two basic types: lacto-ovo vegetarians, who avoid meat but eat animal products such as milk, eggs, cheese, butter and yogurt; and vegans, who eat no animal products at all. People generally eliminate meat to improve their health or out of a moral opposition to raising animals for consumption. On the health side, a nutritious vegetarian diet is high in fiber, which can guard against everything from constipation to colon cancer. It’s also lower in cholesterol, which may help prevent heart disease, stroke and high blood pressure. And vegan diets in particular are likely to be low in fat as well. At the same time, there are some risks of nutritional gaps when meat goes missing from a diet, even if people do take daily supplements and vitamins. Most people assume the main problem is protein or iron, but vegetarians generally can cover those needs by eating the right combinations of foods, Earle says. With protein, the goal is to eat “complementary proteins”—different items paired to provide all the essential amino acids the body needs from food. Luckily, the combinations that accomplish this tend to be logical: vegetarian chili with cornbread or crackers, for example, or black beans and rice or peanut butter on whole-grain bread. With iron, for example, a person should pair iron-rich plants with foods rich in vitamin C, which helps the body absorb iron. An example is spinach salad with orange slices and nuts. Vegetarians also can drink soy milk, mix whey or soy protein powders into smoothies and buy meatless products such as “chicken patties,” “sausages” and “burgers,” adds Brooke Mercedes, a registered dietician with Bon Secours Hampton Roads. Many meatless products can be prepared in minutes in a microwave. “There is such a wide variety of choices that really taste good,” says Mercedes, who practices in Virginia Beach. “I’m not a vegetarian—I love meat—but I still buy

some [vegan-friendly foods]. It’s important to be willing to try new things.” Probably the biggest risk of a meat-free diet, dieticians agree, is a deficiency in vitamin B12, a nutrient found in animal products that is critical to red blood cell formation and brain function. Over time, a lack of B12 can cause anemia, as well as fatigue, weakness and difficulty with balance and concentration. Fortified breakfast cereals are one option to provide B12; another is a product called primary nutritional yeast, a flaky yellow powder that’s easy to mix into sauces or sprinkle over popcorn and other snacks. Vegetarians also can take a multi-vitamin with B-complex vitamins. Some health risks are greater for strict vegans. A lack of calcium, which vegans can’t get through dairy products, is one, although tofu is a rich source of the bone-strengthening mineral, and dark green leafy vegetables can provide some as well. Still, many vegans take calcium supplements with vitamin D in addition to a multi-vitamin with iron, taking these at different times of the day so their bodies can optimally absorb everything (vitamin D is essential for calcium absorption). Vegans also may have to work harder than lacto-ovo vegetarians to get enough fat and calories into their diets, using techniques such as cooking with peanut, canola or olive oil and using a mayonnaise substitute on sandwiches. Parents who raise vegan children need to make sure their kids stay on a normal growth curve, Earle says.

With many potential health benefits, what is the best way to change over to a vegetarian diet? Many dieticians recommend a gradual approach—starting with eliminating red meat—particularly for people who want to change their habits for health reasons rather than their core values. “Eliminate meat first and see how you feel about that,” Mercedes says. “If that feels good and you want to go further, you can eliminate fish next and then move on to other animal products. You can take it to whatever level you want and feel comfortable doing.” She also encourages people considering vegetarian diets to experiment with lots of new meals and snacks (bookstores now are well-stocked with vegetarian and vegan cookbooks) and, above all, to make their diet fun. “If you stay open-minded,” she says, “there are so many great options that are really healthy.”

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There are two basic types of vegetarians: lacto-ovo vegetarians, who avoid meat but eat animal products such as milk, eggs, cheese, butter and yogurt; and vegans, who eat no animal products at all.

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Written By Frederik Joelving NEW YORK (Reuters Health)

aking charge of your toddler’s vaccination record may be the best way to ensure he or she doesn’t miss any shots, a new study suggests. “In our country, we think the doctor should have all the medical records,” said Dr. James McElligott, a pediatrician at the Medical University of South Carolina who worked on the study. “I like the idea of putting the ownership back in Mom’s hands and empowering her a little bit.” When parents kept a ‘shot card,’ their child’s odds of being up to date on vaccinations rose by The timing of more than half. vaccinations is Experts agree that kids aren’t getting the important because vaccines they need, from those for measles, mumps, and rubella to those for polio and the toddlers’ immune flu. Tapping into national vaccination data, systems have McElligott and his colleague Dr. Paul Darden found that only 81 percent of two-year-olds not yet matured were considered up-to-date according to naenough to fight off tional guidelines. many diseases. But no one has figured out the best way to meet national goals. One potential solution is using shot cards. In their study, McElligott and Darden, who is now at the University of Oklahoma, found that about 40 percent of the toddlers had a shot card, and 84 percent of these were up-to-date on their vaccinations. By contrast, only 79 percent of the children without a card had received all their shots. The timing of vaccinations is important because toddlers’ immune systems have not yet matured enough to fight off many diseases, said Dr. Robert M. Jacobson, a professor of pediatrics at the Mayo Medical School in Rochester, Minn., who was not involved in the study. In principle, experts would like for at least 95 percent of children to have up-to-date vaccinations, Jacobson added. But in the real world, numbers fall well short of that. In some poor commu-

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nities, it’s about 50 percent. From the study, however, it is imposThe new study found Whether that shot sible to determine whether the cardcause, faced incredible odds or is just all-around interesting, we want your opinion on whose personal/professional story Suggest a Profile! you know a special person who has stood up for an important is worth sharing with our readers. Nominees don’t have to work health vaccinations. care industry, but the story must have a health-related angle. Send your recommendations to page@thehealthjournals.com. cards were particularly effective itself ledintothemore It could when mothers had little education or be that the kinds of parents who are Most hospitals provide an had many children, and when a child organized enough to keep their own infant immunization card at had multiple health-care providers. records are the kinds of parents who McElligott said the findings remember to take their kids to the docthe time of birth. You can also strengthened the case for maintaining tor regularly—or vice versa. ask your child’s pediatrician your child’s vaccination records. “It Nonetheless, Jacobson urges parents about how to obtain one. turns out that not only does it make and providers to use the card. “The a big difference, but it seems to work fact is that it doesn’t have a downside in the people who need it the most,” and it’s cheap,” he said. he said. Pediatric societies already recommend using the shot card as a way to ensure that children get vaccinated. But some states have been more Military • Firefighters & Embraces Medicine’s NewhesiFrontiers tant to adopt the card than others. In Rescue Personnel • Police Indiana, for example, the researchers found that less than one in five kids Officers • Teachers and had a card, while in Kansas, more than half did. School Employees • DocWith an ever-expanding list of tors, Nurses & Medical shots, it may be difficult for parents to keep track of which vaccines Personnel • Local, State their kids already have and which ones they still need. & Federal Government If you are one of our Great American Heroes we want to thank you! “You need a vaccination record in Employees • Retired Stop by today and see the wonderful apartment homes that await you. part to remind yourself and in part to share with providers when you Heroes Welcome move,” said Jacobson.

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fitness

Fitness for Every Age and Stage

Infants Early experience of physical activity sends the message that exercise can be fun.

Make Fitness a Family Affair Give kids a good start to a healthy life WRITTEN BY GAYLE PINN

Gayle Pinn is the owner of Results Personal Training Studio. She’s a certified personal trainer and spinning instructor with 12 years of experience in the fitness industry. She specializes in one-onone personal training for all fitness levels. She can be reached at resultsstudio@gmail. com.

he growing rate of childhood obesity may very well be America’s numberone public health crisis. In the past 30 years, the number of overweight children has more than doubled among two- to five-year-olds and 12- to 19-year-olds, and it’s more than tripled among children ages 6 to 11. This sharp rise in obesity has been linked to the dramatic increase in Type II diabetes, high blood pressure and other serious health problems in children. Many health specialists see a link between children’s declining physical activity and increasing weight. While, on average, children consume fewer calories today than they did 30 years ago, they’re steadily getting heavier—so it makes sense to focus on the role of physical activity in the obesity epidemic. Look around any playground: children like to be physically active. But today’s youth have fewer opportunities to do so than in the past. Some reasons include cuts in school physical education programs as well as parents’ heightened concerns about their children’s safety. For example, one in three kids are now driven to school on a bus or by their parents; 30 years ago that number was one in 10. And today parents are less likely to allow their children to play outside without supervision. At the same time, children today have more attractive indoor activities such as computer games as well as game players ranging from the Xbox to the PSP, from the iPod to the Wii. Let’s face it: The older we get, the harder it is to make healthy lifestyle changes. Teaching children and teens healthy habits now will last a lifetime. And the best way to promote a healthy lifestyle is to make health and wellness a family affair. Parents can set a good example for their children by being active themselves. Early exposure to physical activity shows kids that exercise can be fun, and that is an important foundation for their future health and happiness. Parents should emphasize the “play” aspect of exercise and encourage children to do the activities they enjoy.

Toddlers All children enjoy energetic play.

Grade Schoolers Family outings promote fitness, quality time together.

Try these tips:

16 THE HEALTH JOURNAL

• • • • • • •

Visit a park, playground or swimming pool. Walk, hike or take a bike ride together as a family. Seek children’s clubs that involve physical activity. Encourage children to get involved in sports. Join a family-friendly recreation center. Balance “screen time” with more active pursuits. Set a good example, and be physically active yourself.

Adolescents Set a good example by being physically active yourself, and encourage a healthy lifestyle.

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health care decisions

Second Opinions May Prevent Regrets A friend’s misfortune provides a valuable lesson.

y friend Eric was catheterized for no good reason. That’s what sold me on second opinions. We were both in our mid-30s when we were diagnosed with kidney stones. With Eric living in Norfolk and me in Chesapeake, we went to our respective city hospitals in a similar state of extreme pain. But Eric had to further endure both the insertion of a catheter through his urethra, and finally its painful withdrawal, while I slept peacefully under a morphine drip as my kidney stones were sonically broken up by a lithotripsy machine. So was Eric’s epic discomfort the fault of the hospital, or his own? There are no hard and fast rules to tell us when to seek a second opinion. But when given a diagnosis, especially a difficult one, there are several questions that patients should ask their doctors. Before he was catheterized, the first question Eric should have asked is, “Are there alternative treatments I should consider?”

Written By Gregory Epps

“Second opinions are a normal part of medical practice. If a doctor is offended, you should walk— no, run —away.” —General Surgeon John B. Newman, Norfolk

According to Dr. John B. Newman, a general surgeon with Sentara Norfolk, “Patients need to feel empowered and prepared to make informed decisions regarding their individual health needs.” Newman recommends that patients inquire about the reasons for and risks behind any procedure, as well as side effects, alternate methods of treatment, the effect a procedure may have on quality of life, and the cost of taking action versus inaction. Dr. L.D. Britt, professor of surgery at Eastern Virginia Medical School, agrees that patients should be in charge of their health care, and that we have every right to ask for a second opinion. In fact, he recommends that we do exactly that. “I don’t think patients utilize second opinions enough,” says Britt. “And any surgeon who is in any way intimidated by someone wanting a second opinion should reevaluate [his or her] focus. The focus should be on keeping the patient informed and comfortable.” Continued on page 20

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health care decisions

Continued from page 19 Newman agrees: “Second opinions are a normal part of medical practice. If a doctor is offended, you should walk—no, run—away.” But how do we know if we need a second opinion? Drs. Newman and Britt agree that it’s a decision that must always be made by the patient. Patients should not hesitate to ask questions, request further guidance from specialists, or privately seek a consultation with another physician. Remember, asking for a second opinion doesn’t mean you’re cheating on your doctor. There’s no such thing as patient infidelity. Acquiring that second opinion should not be difficult. Newman reminds patients to seek “qualified advice,” making sure that second opinion comes from a board-certified specialist. “Some insurance companies require a second opinion,” he says. “Others may pay for a second opinion if the patient requests it.” Britt points out that if a Asking for a second opinion patient is involved with an doesn’t mean you’re cheating HMO or similar plan, he or she may want to stick with on your doctor. There’s no physicians honored by that such thing as patient infidelity. plan or risk having to pay for the cost of the second opinion out of pocket. In an August 2009 article posted on the CNN website, the network’s medical news correspondent Elizabeth Cohen reported on several diagnoses that call for a second opinion. Procedures like heart bypass, hysterectomy, varicose vein surgery and brain tumor surgery made the list because of either their tendency to result from misdiagnosis or because multiple treatment options are available. But both Britt and Newman believe that any diagnosis warrants a second opinion. The patient must always be aware that it’s an option. Usually, a second opinion will simply confirm the first diagnosis and recommended course of treatment, leaving the patient with a sense of confidence and relief. But what if the second opinion is different from the first? How does the patient know which way to turn? “That can be tough,” says Britt. “If you’re dealing with doctors who are board-certified, you’re likely going to get the same diagnosis. But if it is something different, one thing you can do is research your diagnosis and your doctor’s qualifications on the Internet.” Newman reports that calling the local hospitals where specialists practice can be another source of information about a physician’s qualifications. “A second opinion,” Newman says, “is not necessarily better than the first. A final decision on the course of action will be yours. It’s a decision that should be made with all the facts.” My friend Eric didn’t have all the facts on kidney stone treatment, and he suffered some major discomfort because of it. Yes, ideally Eric’s doctor would have told him about the new stone-busting device. But also, Eric had the opportunity to ask and didn’t. Kidney stones may be easily survivable, but in a potentially life-threatening or life-altering medical situation, a second opinion can help prevent later regrets.

Premature Skin Aging:

More Than a Wrinkle in Time

skin & beauty

Written By Dr. Keith W. Schumann

Premature skin aging is not normal, and it doesn’t have to happen to you. Preventing the signs of aging is possible, and treatments are available to help erase the damage that’s been done. There are two types of aging: intrinsic and extrinsic. The genes we inherit cause intrinsic (internal) aging, also known as the natural aging process. I’ll focus on extrinsic (external) aging, because it is here that we can make a big difference by avoiding one of the main risk factors—sun exposure.

Drooping

Wrinkles

Keith W. Schumann, M.D., is a board-certified dermatologist with advanced training in lasers. The founder of Ageless Dermatology & Laser Center, he has practiced in Williamsburg for the last 10 years. He can be reached at info@agelessderm.com.

Sunspots Dull tone

Roughened texture

Elongated upper lip

Thinning

Loss of volume

Skin laxity and sagging

Treating the Damage

Treatments for signs of premature skin aging range from topical products to laser procedures, with many options in between. The right intervention is based on the extent and type of skin damage. Three ingredients stand out in topical products: vitamin A (tretinoin, retinol), alpha hydroxy acids, and vitamin C. These products are not appropriate for all

skin types, and the form and strength of each are important to know before using products that contain them. Beyond topical care, effective and popular treatments include wrinkle fillers, botulinum toxin A, microdermabrasion, chemical peels, and laser procedures. A consultation with a qualified physician is the best way to get started.

YOUR THREE-STEP SUN-SAFETY PROGRAM

1 2 3

Avoid the sun. If your shadow is shorter than you are, seek shade. Wear sun-protective clothing such as long-sleeved shirts, pants, widebrimmed hats and sunglasses whenever possible. Many sporting goods stores and specialty retailers sell clothing with a built-in high SPF (sun protective factor).

Detailed sun safety guidance is available at the following Web sites: www.skincancer.org/ www.skincarephysicians.com www.sunprecautions.com/ www.coolibar.com/

Use sunscreens daily. THE HEALTH JOURNAL

feature

When Studies Collide

Making Sense of Cancer Screening Guidelines Written By Alison Johnson

ivian Vitullo had no reason to be worried when she went for a mammogram at age 40. The Suffolk resident had gone through a scare two years earlier after discovering two lumps in her breasts, but tests had shown no signs of cancer. Without a family history or risk factors for the disease, Vitullo scheduled a mammogram simply because the American Cancer Society recommends annual screenings starting at age 40. Even after a radiologist saw troubling deposits of calcium in her right breast, Vitullo wasn’t too concerned. But several tests later, she got a diagnosis that shocked her: ductal carcinoma in situ, or cancer within the milk ducts of her breast. Around the same time, Vitullo also found a lump in her left breast; doctors later flagged the cells as “suspicious,” though not necessarily cancerous. So in April 2007, Vitullo, a mother of three who works as a special education supervisor in Newport News, had a bilateral mastectomy. She also had reconstructive surgery and began

22 THE HEALTH JOURNAL

taking Tamoxifen, a prescription medicine that’s been shown to help prevent cancer from returning in some women. Fast forward to this past November, when Vitullo, now 43 and with no signs of cancer, heard about new mammography guidelines from a federal advisory panel that no longer recommended routine annual screenings for women ages 40 to 49. Instead, the panel advised patients and doctors to make that decision on an individual basis, possibly delaying regular mammograms until age 50. “I made the connection to my case right away,” Vitullo says. “I was really blown away by it. My cancer was found at the best time, when it hadn’t spread beyond the milk ducts. Another 10 years—I don’t know what that would have meant for me. I just can’t put a price on my life or the life of a lot of other younger women I’ve met since my diagnosis. I just think [those recommendations were] really, really scary.” The proposed change for mammography was one of

several updated cancer screening recommendations within the past year that have provoked everything from confusion to concern to outcry among local patients and physicians. New suggestions from national medical organizations on cervical and prostate cancer screening also have Hampton Roads’ doctors worried that more men and women won’t catch their cancers until they are so advanced that treatment is difficult, if not impossible.

Mammography and breast cancer

The uproar over mammography began in November, when the U.S. Preventive Task Force—an independent federal advisory panel—stated that “the decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account.” Even at 50, according to the panel, most women could have the test every two years rather than annually. The task force also recommended that doctors not spend time train-

ing women to do breast self-examinations. Task force committee members—primary care doctors and scientists with expertise in statistics—based their opinions on this data: mammography prevents one cancer death among every 1,904 women ages 40 to 49 who are screened for 10 years, compared to one death among every 1,339 women from ages 50 to 59 and one death among every 377 women from ages 60 to 69. Routine mammograms starting at 40 regardless of a patient’s risk factors, they argued, can lead to over-diagnosis, false-positive results, unnecessary biopsies and needless anxiety. Mammograms also miss roughly 10 percent of breast cancers. But local doctors interviewed were unanimous— and passionate—in their opposition, urging women to begin annual mammograms at 40 (or earlier if they have a family history of the disease). While the task force’s decisions aren’t binding on insurance companies or federal policy, doctors fret that insurers will be more reluctant to cover routine mammograms and that women will be discouraged from screening. Worst of all, they say breast cancer could go undetected in younger patients while they still have a treatable form of the disease. Even low-risk women need regular screenings, doctors say, given that about 75 percent of breast cancer cases come in women who have no risk factors. “My immediate reaction was that [the panel’s recommendation] was a huge step backward for women,” says Dr. Kelley Allison, director of breast imaging at the Dorothy G. Hoefer Comprehensive Breast Center at Sentara Port Warwick in Newport News. “My fear is that we will be turning back the clock on all the progress we’ve made during the past two decades. Basically, I believe this is financially driven—reinterpreting old data and putting a price on women’s lives. I want women to continue to be well aware that early detection is such a key to curing breast cancer.” Breast cancer deaths have fallen by 30 percent nationally since 1990, Allison notes, despite the fact that no large-scale new therapies have emerged during that time. “The only big advance in the past two decades has been [encouraging early] screening mammograms,” she says. “To change these recommendations is very irresponsible and doing a big disservice to women here and everywhere.” Dr. Elizabeth Harden, a medical oncologist with Virginia Oncology Associates in Newport News, seconds those opinions. Like Allison, she notes that breast cancer tends to be more aggressive in women in their 40s than it does later on. “Generally speaking, I’m much more worried about a woman in her 40s who gets cancer,” Harden says. “Nobody wants a patient to go through unnecessary anxiety, but I think a woman would much rather go through that than to find out years later that a cancer was missed, when it may be at a late-stage, advanced point that is too late for

New guidelines on cervical cancer, released by the American College of Obstetrics and Gynecologists, came out in November, right on the heels of the mammography controversy, although the group called the timing purely coincidental. treatment. Women need to be in the mindset of being screened.” [Read The Health Journal’s profile of Dr. Harden on page 7 of last month’s edition.] Dr. Kimberly Schlesinger, chair of the Riverside Breast Cancer Committee and an oncologist at Peninsula Cancer Institute in Newport News, agrees: “There are no perfect tests, but that is no reason to disregard the test as a whole, particularly in a population which tends to have more aggressive tumors. The implication that the risks of putting a woman through a biopsy for a lesion that is later found to be negative, with the biopsy’s incipient emotional toll, may outweigh the benefits of potentially identifying a cancer in its earliest stage, undermines the message breast cancer advocates and medical professionals have been discussing for years—that knowledge is power. This is my main concern—that women will postpone routine mammograms, thus forfeiting early detection and the best chance for cure.” The panel didn’t tell doctors anything they didn’t already know, Harden adds; mammograms aren’t perfect, particularly in younger women with denser breasts, and the incidence of cancer is lower in women in their 40s than it is in women 50 and older. “I got the sense they were putting a dollar value on a life,” she says. “It doesn’t seem based on any real clinical insight.” As for self-exams, Harden has treated many women who first discovered an abnormality on their own, and she still teaches the technique to patients. She advises all women—and men—to know their own breasts and look for changes that may be signs of trouble, including lumps, skin dimpling, retracted nipples and discharge from the nipples. “So many women will know if something just isn’t right,” she says. As Schlesinger puts it, “There is a learning curve to breast self-examination, and it is true that mammograms are generally able to pick up masses before they are palpable, but to ignore a free and easy manner of self-care seems quite silly to me.”

Pap smears and cervical cancer

To many local gynecologic oncologists—doctors who treat cancers of the female reproductive system—new guidelines released by the American College of Obstetrics and Gynecologists (ACOG) on cervical cancer are equally frightening. ACOG’s recom-

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mendations came out in November, right on the heels of the mammography controversy, although the group called the timing purely coincidental. Previous ACOG guidelines directed women to have an annual Pap smear—a test that looks for abnormal cervical cells among cells gathered during a vaginal exam—within three years of their first sexual intercourse but no later than age 21. The organization now states that women should have that first test at 21, and that women older than 30 can schedule screenings once every three years if they have three consecutive normal tests and no history of seriously abnormal findings. The ACOG now states that women between 65 and 70, meanwhile, can stop having Pap smears if they have three normal tests in a row and no abnormal results in the past 10 years. ACOG’s goal is to decrease unnecessary follow-up testing and patient anxiety as well as potentially harmful treatment. Cervical cancer typically grows slowly, and young women are particularly prone to developing abnormal lesions (dysplasia) that appear to be precancerous but often will go away if left alone, says Dr. William Irvin, a gynecologic oncologist with Riverside Gynecologic Oncology in Newport News. Treating mild to moderate dysplasia with surgery, on the other hand, can injure the cervix and lead to problems when a woman becomes pregnant, putting her at higher risk for premature birth and Caesarean sections. Once women are exposed to the human papillomavirus, or HPV, which can cause cancer, about 80 percent will clear the viral infection in two or three years, Irvin says. The other 20 percent will be at risk of developing cancer, but that process can take 10 to 20 years—progressing from low-grade to moderate to high-grade dysplasia and then to cancer. “The general thought is that we have been too aggressive in treating dysplasia in young women, that if we had just monitored them it would have been better,” Irvin says. “The new thought is we should focus more on women in their 20s, 30s and 40s, who are more at risk for having sustained infections.” Women who have a normal Pap smear, he adds, have less than a one percent chance of developing a high-grade lesion over the next three years. Irvin believes the new guidelines are “appropriate” as long as women continue believing that Pap smears are potentially life-saving tests. On the contrary, they have dramatically reduced deaths from cervical cancer in the United States, he says. “Women need to know that it works,” Irvin says. “It’s up to doctors to continue to educate them about that fact.” But other local doctors disagree with the new recommendations. Dr. Robert Squatrito, a gynecologic oncologist with Virginia Oncology Associates in Norfolk, feels women who become sexually active as young teenagers need their first Pap smear before 21. “I’ve Continued on page 25 THE HEALTH JOURNAL

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“My fear is that we will be turning back the clock on all the progress we’ve made during the past two decades….I want women to continue to be well aware that early detection is such a key to curing breast cancer.” —Dr. Kelley Allison, mammographer Dr. Kelley Allison Continued from page 23 taken care of people who are 15 and 16 with highgrade dysplasia,” Squatrito says. “I believe [the ACOG’s new recommendation] is an economically driven analysis, not one that takes individual needs into consideration.” He says that extending the time between screenings for older women would be particularly problematic for those who have had numerous sexual partners in the past year or have a husband who isn’t monogamous. Dr. Daynelle Dedmond, a gynecologic oncologist with offices in Williamsburg and at Sentara CarePlex in Hampton, has treated girls as young as 12 with abnormal Pap smears and had a 19-year-old patient die of cervical cancer. As for letting older women wait three years between screenings, she notes that Pap smears become more accurate if done in consecutive years. A one-time test has a 60- to 70-percent chance of identifying cancer in patients with the disease, she says, while the number rises to 90 percent with three consecutive annual tests. “If we make [the ACOG’s] changes,” she argues, “we absolutely are going to miss women where cancer could have been prevented or caught in time to treat.” Dedmond doesn’t dispute that some women with low-grade and moderate dysplasia have had unnecessary treatments. But she argues that instead of reducing screening, ACOG and other organizations should do more to educate doctors and patients on treatment options more conservative than surgery. Squatrito, meanwhile, is concerned that women will start to downplay Pap smears and annual visits to a gynecologist. “That’s another side of this issue that people don’t want to talk about,” he says. “I think we would start missing ovarian problems and other concerns that would come up during an annual vaginal exam.” And Irvin notes that even women who have had one of the newer vaccinations against HPV [like Gardasil] still need Pap smears: “The vaccine doesn’t protect against all types of HPV that cause cancer, so screening continues to be very important.”

PSA and prostate cancer

The debate over the effectiveness of the prostatespecific antigen, or PSA, test isn’t a new one. The

blood test measures levels of proteins produced by cells in the prostate; increased levels can be a sign of cancer. Doctors use the PSA in combination with a digital rectal exam, or DRE, during which they feel the prostate gland through the rectal wall to check for abnormalities. In March 2009, two reports published in the New England Journal of Medicine raised more questions than answers about whether regular testing causes more benefit than harm—a concern that has persisted for years, says Dr. Richard Rento, a urologist with Riverside Health System in Newport News. Side effects of prostate cancer treatment (surgery, chemotherapy, radiation, etc.) can include erectile dysfunction and incontinence, which may be needless difficulties for men who have a slow-growing form of cancer. Guidelines generally have called for men to begin annual PSA screenings at age 50, or at 45 if they are African-American or have other risk factors such as family history. But last year the American Urological Association, or AUA, weighed in with new recommendations: PSAs should be offered to “well-informed” men ages 40 and older who have a life expectancy of at least 10 years. After that point, the AUA said, the decision to test should be based on individual conversations with a doctor. That approach, according to the AUA, would allow for “earlier detection of more curable cancers and may allow for more efficient, less frequent testing”—in other words, possibly not every year. Local doctors do believe patients need more information about the pros and cons of the PSA, including the concepts of over-diagnosis and over-treatment and the fact that the test doesn’t catch up to 20 percent of prostate cancers. Doctors also have no easy way of determining how a diagnosed cancer is going to behave. Nevertheless, no one should forget that the screening method is a life-saver, Rento says: before PSA testing began around 1990, just 68 percent of men initially diagnosed with prostate cancer had localized, curable disease (the cancer produces no symptoms until it is too late to cure). Today, 91 percent are identified at that point. “Until an alternative exists, PSA testing with a DRE is the best option we have to make an informed deci-

sion,” says Rento, who believes every man should be screened by age 50 and high-risk men by 40. “Men have a choice: undergo testing and, if there is cancer, make an informed choice for treatment or observation, or [avoid testing] and take the risk of a diagnosis obtained too late to cure. In my experience, the vast majority of men choose to know.” Treatments are improving, he notes, and doctors increasingly are choosing watchful waiting over surgery and other invasive procedures in certain cases. Doctors who want to eliminate PSA testing from annual checkups “owe it to their patients to have this discussion,” Rento says. Dr. John Lasater, a urologist with the Advanced Urology Center at Sentara CarePlex Hospital, echoes the belief that every man should be screened by age 50. Lasater also finds it “reasonable” to do a one-time PSA when a man reaches 40 to make sure levels are normal. “If prostate cancer is diagnosed, one of the many ‘treatment’ options can be no treatment, or active surveillance,” he says, “but at least you have knowledge of your disease and can make an informed decision as opposed to prostate cancer going undiagnosed and untreated.” The incidence of prostate cancer death in the U.S. has fallen by 40 percent over the past 15 years, he points out; aggressive screening likely is an important factor even if no study has proven the link. Making every potential PSA patient a “well-informed” one also may be difficult for primary care physicians already strapped for time, doctors add. “You can’t expect a physician to cover this complex topic with every man in detail and still complete their yearly physical in a 30-minute appointment,” Rento says.

The bottom line

Amid all the swirling opinions, doctors say the best general advice is for patients to have as detailed as possible a conversation with their physician about individual needs—and, if necessary, push for screening tests they feel they should have. Vivian Vitullo plans to do that with mammography for her two daughters, ages 20 and 15. “It’s frightening for me to think about them,” she says. “I want them to be screened early, absolutely, and it scares me that someone might try to take that option away.” THE HEALTH JOURNAL

healthwire

Ubiquitous Flame Retardant May Affect Fertility Though two types of PBDEs are already banned in several states, these ‘hormone-disrupting pollutants’ linger in many home products made before 2004. And manufacturers can freely use a third type until 2013. Written By Laura Buchholz

NEW YORK (Reuters Health)

aving difficulty getting pregnant? Perhaps your sofa is to blame. Or your stereo or carpet or any of the things in your house that contain common flame-retardant chemicals “polybrominated diphenyl ethers,” or PBDEs—what a new study suggests may be associated with decreased fertility. PBDEs are hormone-disrupting pollutants that build up in the blood and tissues. In a study appearing in a recent issue of Environmental Health Perspectives, researchers found that for each 10-fold increase in PBDE blood concentration, women experience a 30-percent deAccording to data crease in the odds of getting pregnant each month. from the National PBDEs have been associHealth and Nutrition ated with reproductive and hormonal effects in animals, Examination Survey, but this is the first study to 97 percent of examine their association American adults have with human fertility, lead researcher Dr. Kim G. Harley detectable levels of of the Center for Children’s Environmental Health PBDE in their blood. Research at U.C. Berkeley’s School of Public Health in California and colleagues note in their report. The researchers measured PBDE levels in blood samples from 223 pregnant women enrolled in a long-term study examining environmental exposures and reproductive health. The investigators also asked the women how many months it had taken them to become pregnant. They found that women with the highest blood concentrations of PBDE took the longest to become pregnant—up to 12 months. The study cut off at 13 months. In addition, the 107 women who were actively trying to become pregnant were half as likely to conceive in any given month if they had high levels of PBDE in their blood. Experts say most women become pregnant within the first six months of trying. After 12 months of trying with no pregnancy,

26 THE HEALTH JOURNAL

Most of the women in the current study women will be classified as “infertile,” Harwere immigrants from Mexico, where PBDEs ley added, even though they will likely go on to conceive after that. After 12 months of are less common. Harley emphasized that unprotected intercourse, roughly 85 percent the study population actually had somewhat lower PBDE levels in their blood than of women younger than age 35 will become the general population, pregnant, while half of although the range varied women older than 35 will. For each 10-fold widely. The women in the Infertility treatment typistudy with the highest cally doesn’t start until a increase in PBDE concentration of PBDEs couple has been trying for blood concentration, were the ones who had a year, with no luck. lived in the United States “We aren’t looking at inwomen experience a the longest. fertility, just ‘subfertility,’ 30-percent decrease Of the three types of PBbecause all of the women DEs that have been develin our study eventually in the odds of getting oped and used as commerbecame pregnant,” Harley pregnant each month. cial flame retardants, two noted in a universityhave already been banned issued statement. “Had we in several states, including included infertile couples California. These banned PBDEs, however, in our study, it is possible that we would persist in home products made before 2004. have seen an even stronger effect from According to a recent EPA agreement, PBDE exposure.” The researchers controlled for factors such a third type of PBDE will be phased out of manufacturing by 2013. Until then, the as pesticide exposure, irregular menstrual fertility risk of exposure remains present, cycle, intercourse frequency, smoking, alcoif unclear. Harley’s study also points to the hol and caffeine consumption, body weight need to examine fertility effects PBDEs before pregnancy, and birth control pill use might have on men. in the year before conception. “The bad news,” Harley told Reuters “This study is the first to report that Health in a phone interview, “is that higher PBDE concentrations in women’s it’s really hard to know which products blood are associated with significantly contain high levels of PBDEs.” Products longer time to pregnancy, and this [study] needs to be replicated in other populations,” containing polyurethane foam, like chairs and sofas, can have a wide range of PBDE the researchers wrote. levels, she said, making it impractical to “If confirmed, this finding would have strong implications for women trying to con- try to just throw away possible sources of the chemical. ceive given that exposure to PBDEs is nearly Harley also pointed out that it’s hard to universal in the United States and many test for PBDEs in the blood except for in a other countries,” they add. research environment. However, she did According to data from the National Health and Nutrition Examination Survey, 97 acknowledge that the main exposures happen through dust, air and food. Therefore, percent of American adults have detectable she suggests that people concerned about levels of PBDE in their blood. Concentrations PBDEs use wet mops and/or vacuum cleanhave been doubling about every five years ers with HEPA filters, wash their hands since the 1970s, noted Harley, and California residents, perhaps because of strict fire regu- frequently, and cut down on eating meat, as PBDEs tend to lodge in fatty tissue. lations, have the highest levels of exposure.

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Left to right: Emergency room doctors Dave Cash of Sentara Williamsburg Regional Medical Center and Charles Graffeo of Sentara Norfolk General Hospital have served together on many a relief mission, from hurricanes and other natural disasters to terrorist attacks on U.S. soil. Their most recent journey, however—a week in quake-stricken Port Au Prince, Haiti—was an unexpected assignment that turned out to be the experience of a lifetime.

Healing Haiti Written By Page Bishop-Freer

Two ER doctors reflect on their mission trip to earthquake-stricken Haiti, from the joy of saving three lives to their concerns for the country’s future. As emergency room physicians, Drs. David Cash and Charlie Graffeo are trained to respond quickly to any medical crisis that comes through their ER. But on the eve of Jan. 12, as they caught glimpses of news reports announcing that a massive earthquake had hit Haiti—leaving hundreds of thousands dead and countless more injured—the doctors felt powerless to help. Cash and Graffeo are no strangers to large-scale disasters; as lead physicians of the Virginia Task Force 2 (VATF2), a volunteer search-and-rescue team that’s part of the Federal Emergency Management Association (FEMA), they’d been among the first to reach New Orleans’s battered coast in 2005 after Hurricane Katrina swept inland. And before that, when the Pentagon was attacked on Sept. 11, 2001, their team was immediately mobilized for action. In fact, it was Cash’s vivid recollections of his relief work after the Oklahoma City bombing in 1995 that inspired Graffeo to join the team that same year. Normally, VATF2 responds to U.S. disasters only, leaving international missions up to two large teams from Fairfax County, Va., and Los Angeles County. But the severity of destruction in Haiti caused President Barack Obama to call on five domestic teams, among them VATF2, to assist in relief efforts. “None of us were expecting to go,” says Cash, who, on Jan. 13, received a latenight confirmation that the team would be leaving for Haiti that night. Graffeo was also caught off-guard: “[Around 11 p.m.] my pager went off. We were getting deployed.” Shortly after midnight, Cash, Graffeo and 80 fellow VATF2 crew members reported to the Virginia Beach training center that houses their equipment. The team is comprised of two physicians, scores of firemen and other rescue personnel, four K9s (and their handlers) and various other search-and-rescue specialists. “Our cache is ginormous,” says Graffeo of the team’s gear—so big that it took two semis and four pickups to haul it all to Norfolk Naval Base, where, many hours later, they were met by two C-17 military aircraft that would deliver the team and all its equipment to Port Au Prince, Haiti. Though they’d prepared as best they could for medical problems they’d most likely encounter there (i.e., malaria, Dengue fever and Haitians infected with HIV/AIDS), Graffeo and Cash had no way of predicting what circumstances awaited them on the ground.

28 THE HEALTH JOURNAL

Touching Ground According to Cash, when the planes touched down on Haitian soil, Port Au Prince was in a state of “absolute, unmitigated chaos.” Located to the north of the city, the single-runway airport (badly damaged in the quake) had become a makeshift camp for teams from some 56 countries. Three field hospitals had been established to treat the wounded; Cash and Graffeo’s purpose there was to ensure the health of the VATF2 team and stabilize any survivors they might find. The crew set up camp by the runway and reported to the United Nations (UN) headquarters, where they were provided with a grid of the city and little else. “It was very unstructured there,” explains Graffeo. “No one to welcome us or tell us where to go.” Nonetheless, Cash says the UN was relieved to see their team arrive with tools and equipment that would prove useful in the days to come. The next morning the crew, escorted by 12 armed guards, traversed the hot, hectic and hilly streets of Port Au Prince in search of survivors who might be trapped underneath collapsed buildings as well as any information that could point them in the right direction. “The intelligence came from locals,” says Graffeo, “but we only wanted to hear about live victims” and not the dead. The first two days’ searches turned up empty, though the team found its share of fatalities. At one site, an estimated 150 dead lay buried beneath a collapsed three-story building. By this time the scent of decomposing bodies and exposed sewage had started to saturate the air. The sounds of speeding, traffic, power generators and the occasional gunshot faded together into a hum of white noise. Life is found Among the Rubble On the fifth day following the earthquake, the VATF2 crew was given a special assignment: UN officials had a hunch that the yet-unaccounted-for Danish ambassador Jens (pronounced “Yahns”) Christiansen had been working in a six-story building across town when the earthquake happened. The teams made their across Haiti’s rolling landscape—what Cash and Graffeo compare to the streets of San Francisco—to the site in question. Experienced rescuers eyed what appeared to be a collapsed stairwell. Pulses quickened when a search dog picked up a scent.

local beat

The crew cut through concrete slabs and long, metal ropes—the typical cheap reinforcement for buildings there—and filled bucket after bucket with debris, passing them down the line in a “bucket brigade.” The objective? Get closer to the victim without jeopardizing his safety. Cash remembers the process as a “high-stakes game of pick-up-sticks.” In other words, “If you pick up the wrong stick, they’ll all come toppling down.” The UN’s instincts were on-the-mark: Far beneath layers of dust and debris, within the conclave of his desk, was Jens Christiansen, alive, yet in very poor health after five days trapped without food or water. The team was surprised by what came out of the tunnel first—not a hand, head or foot as they’d imagined. Christiansen first pushed out his shoes, followed by his laptop. Later they learned that Christiansen had given up hope of being found. He’d composed his last will and testament before his computer’s batteries had run out. As for his shoes, they’d been his pillow for the past five days—he was not going to part with them for the world. “Elation; pure elation,” is what Graffeo felt as Christiansen appeared from the opening of the tunnel and was carried down a line of firemen to where the doctors were waiting. “It’s such a feeling of pride…more than I can put into words.” This was an especially memorable moment for most of the VATF2 crew—after 20 years of searching, Christiansen was the first live victim they’d found.

Charlie Graffeo

Graffeo joined FEMA’s Virginia Task Force 2 after listening to Cash’s vivid recollections of the team’s relief work in Oklahoma City in 1995.

A miracle outside port au prince As experienced rescuers know, the more time that passes, the less likely it is that survivors will be found. By day seven, UN officials started to shift their focus from rescuing people to recovering bodies. It was that day, when the team was headed back to the airport without a rescue, that a group of locals stopped VATF2’s motorcade. Rumors were circulating about two children trapped alive under a building across town. The team followed the tip to the outskirts of the city, down a dark, narrow and steep road—hundreds of feet down, by Cash’s estimates—to a collapsed fourstory residential building. Onlookers said they could hear small cries from within. Any skepticism on the crew’s behalf was quelled when a microphone picked up the voices. A call uphill for generators and other tools sparked the fullscale rescue mission. Workers dug deeper and deeper into the debris, circumventing the occasional dead body that lay in their path. Outside, Cash (Graffeo was stationed at the base camp that afternoon) and a New York physician prepared the medications needed to stabilize the children, all the while praying silently for their safety. “Nobody was happier than me when [the boy] popped out of the tunnel first, arms outstretched and smiling,” says Cash. Minutes later the boy’s sister appeared in the opening, severely dehydrated and in “complete shock,” recalls Cash, who firmly believes that if the girl had not been found right then, “she would not have made it through the night.” The next day the UN called off all search-and-rescue missions. VATF2 volunteers were anxiously awaiting their orders when they received a surprise visit from Jens Christiansen, who, in a heartfelt thank-you speech, announced that he’d been “reborn” and would henceforth re-dedicate his life to helping others. But in Cash’s view, it’s Christiansen who deserves the real thank-you. “He waited for us for five days,” says Cash, “but some of us have been waiting 20 years to find him.” Exactly one week after arriving in Port Au Prince, the team was heading home on a commercial flight (sending their supplies by boat), and Cash and Graffeo returned to their lives and jobs, though their thoughts were still very much with Haiti. Plagued by a long history of poverty, corruption, violence and all-around Continued on page 39

David Cash

the specialist

You Want Me to Put What Under My Tongue? Sublingual immunotherapy: An alternative to allergy shots Written By Joseph K. Han, M.D.

The primary advantage of sublingual immunotherapy is its convenience.

Dr. Joseph K. Han is the director of the new Eastern Virginia Medical School Allergy Division as well as the director of Allergy, Rhinology and Endoscopic Sinus and Skull-Based Surgery within the Department of Otolaryngology/ Head & Neck Surgery at Eastern Virginia Medical School. He is one of only a handful of physicians in the United States to have completed a fellowship in Rhinology, Sinus Surgery and Allergy. He is board-certified in otolaryngology/head and neck surgery and a fellow of the American Academy of Otolaryngic Allergy. He is also a member of EVMS Health Services, a not-forprofit medical practice through Eastern Virginia Medical School.

30 THE HEALTH JOURNAL

here is growing evidence to support a startling new treatment for allergies. Several U.S. studies are finding that putting particles of grass and other allergens under the tongue is a safe and effective treatment for certain allergies—not to mention a lot less painful than shots. An allergy is an abnormal reaction to an ordinarily harmless substance called an allergen. Allergens are simply small proteins that trigger an allergic response when absorbed into the bodies of certain allergic people. Following an exposure, these individuals may experience symptoms such as a runny nose, watery eyes, itching and sneezing. The most common allergens are grass or tree pollens, molds, dust mites, animal dander, foods, cockroach droppings and insect stings. Allergies are quite common in the United States, affecting about one in six people. The easiest way to control an allergic reaction is to avoid exposure entirely. Since that isn’t always possible or realistic, many people use medications that can block the allergic response (such as antihistamines) or treat its symptoms (decongestants). For a more targeted treatment for a specific allergen, we must first determine specifically what the patient is allergic to via allergy testing. Allergy testing can be conducted using either a blood test or skin test. Allergy experts can either study a blood sample to determine which allergens affect the patient or place a small amount of an allergen onto the skin and examine how the patient’s body responds. If histamine blockers or other allergy medications fail, subcutaneous immunotherapy (more commonly known as allergy shots) is the next line of defense and the most common method of allergy treatment. But some U.S. doctors are now adding a new therapy to the allergy treatment mix—sublingual immunotherapy, or SLIT. Presently, SLIT is not commonly practiced within the U.S. but it has been popular throughout Europe and Asia for years. SLIT involves placing very small amounts of an allergen, such as grass particles in oral drops, under a patient’s tongue for a few minutes. Studies have shown that SLIT works in a fashion similar to traditional allergy shots and has proven to be just as effective. The same extracts used in subcutaneous allergy injections are found in these oral allergy drops; and, as with allergy shots, patients must take the drops for three to five years for the treatment to work.

What is the difference between an allergy shot and sublingual immunotherapy?

Allergy shots involve placing, over time, increasing amounts of an allergen under the skin via injection. After repeated exposure to the allergen, the patient eventually becomes less allergic to the substance because the gradual introduction of the allergen allows the patient to build a natural immunity or tolerance. However, this type of therapy requires quite a bit of time and effort because patients must schedule weekly doctor visits for the shots. In addition to the pain associated with the injections, some side effects include localized swelling at the injection site or systemic reactions such as wheezing, sneezing and nasal congestion. Anaphylactic reaction, a rare but potentially life-threatening allergic response, is also a risk. For this reason, doctors require patients to stay at the practice 30 minutes after a shot is given to evaluate any possible side effects. In contrast, the primary advantage of sublingual immunotherapy is its convenience. SLIT can be administered at home on a daily basis instead of requiring weekly office visits. Some studies have also shown that sublingual therapy may result in fewer systemic adverse reactions than allergy shots, making it a potentially safer option. The most common reported side effects of the drops are tingling of the tongue following ingestion. There are a few disadvantages to sublingual therapy. First, since it is a relatively new type of treatment, there are only a few published studies to support its efficacy. Despite this, there is sufficient data to demonstrate that it works. Second, there is no general consensus on the optimal amount of allergen that is required for sublingual administration. Doctors can, however, follow a set of guidelines developed by the American Academy of Otolaryngic Allergy for administering sublingual therapy to patients.

The bottom line?

All of the above therapies will help control and prevent allergic reactions. Some questions about SLIT still need to be answered with further scientific research, but luckily, patients and their doctors have several good treatment options from which to choose. The best way to determine which allergy treatment is best for you is to talk with your doctor.

the

Health Journal Southside Edition

Health Directory Allergists & ENT Physicians M. A. Afify, MD, PC 880 Kempsville Rd., Ste. 2800 Norfolk (757) 466-7707 AllergiCARE 325 First Colonial Rd Virginia Beach (757) 976-3393 Allergy & Asthma Center 4534 Bonney Rd., Ste. B Virginia Beach (757) 499-4101 Allergy & Asthma Specialists, Ltd. 302 E. Little Creek Rd., Ste. A Norfolk (757) 583-4382 528 Albemarle Dr. Chesapeake (757) 547-7702 Coastal ENT Surgeons 984 First Colonial Rd., Ste. 302 Virginia Beach (757) 481-0385 Ear, Nose & Throat Associates of Tidewater, Inc. 2790 Godwin Blvd. Suffolk (757) 934-7753 Ear, Nose & Throat, Ltd. 885 Kempsville Rd., Ste. 304 Norfolk (757) 623-0526 901 Hampton Blvd. Norfolk (757) 623-0526 680-A Kingsborough Sq. Chesapeake (757) 623-0526 Ear, Nose & Throat Specialists 4053 Taylor Rd., Ste. M Chesapeake (757) 483-1700 Eastern VA Ear, Nose & Throat 200 Medical Pkwy., Ste. 303 Chesapeake (757) 547-9714 816 Independence Blvd. Ste. 3-H Virginia Beach (757) 464-1500 EVMS Otolaryngology/Head & Neck Surgery 600 Gresham Dr. Norfolk (757) 388-6200 Lakeview Medical Center Allergy & ENT 2000 Meade Pkwy. Suffolk (757) 934-9415 4868 Bridge Rd. Suffolk (757) 483-7186 Mid-Atlantic Hearing and Balance 4868 Bridge Road Suffolk (757) 483-7186 2000 Meade Parkway Suffolk (757) 934-9415 T. V. Pangalos, MD 880 Kempsville Rd., Ste. 2700 Norfolk (757) 466-1765 Princess Anne ENT & Allergy 1950 Glenn Mitchell Dr., Ste. 310 Virginia Beach (757) 507-0340 John R. Sweeney Jr., MD 3217 Stamford Rd. Portsmouth (757) 483-4150 Tidewater Ear, Nose & Throat 4020 Raintree Rd., Ste. C Chesapeake (757) 488-2080

Assisted LIVING, Nursing Homes & adult day care centers Abundant Care Assisted Living 5556 Paca Lane Virginia Beach (757) 519-9100 Allzwell Assisted Living Center 130 Great Bridge Blvd. Chesapeake (757) 436-2109 Alta Reserve 1005 Elysian Place Chesapeake (757) 361-0066 Atlantic Shores 1398 Gibraltar Ct. Virginia Beach (757) 426-0000 Atria Virginia Beach 1628 Old Donation Pkwy. Virginia Beach (757) 496-8001 Autumn Care of Great Bridge 821 Cedar Rd. Chesapeake (757) 547-4528

Autumn Care of Norfolk 1401 Halstead Ave. Norfolk (757) 857-0481

First Colonial Inn 845 First Colonial Rd. Virginia Beach (757) 428-2884

Autumn Care of Portsmouth 3610 Winchester Dr. Portsmouth (757) 397-0725

Georgian Manor at Riverwalk 651 Riverwalk Pkwy. Chesapeake (757) 436-9618

The Ballentine 7211 Granby St. Norfolk (757) 440-7400

Golden Living Center 900 London Blvd. Portsmouth (757) 393-6864

Ballentine Manor, Inc. 2333 Ballentine Blvd. Norfolk (757) 627-1155

Golden Living Community of Lynn Shores 350 Lynn Shores Dr. Virginia Beach (757) 498-0187

Bay Lake Retirement & Assisted Living Community 4225 Shore Dr. Virginia Beach (757) 460-8868

Harbor’s Edge 1 Colley Ave. Norfolk (757) 616-7900

Bay Pointe Medical & Rehabilitation Centre 1148 First Colonial Rd. Virginia Beach (757) 481-3321

Harbour Pointe Medical & Rehabilitation Center 1005 Hampton Blvd. Norfolk (757) 623-5602

Bayside Healthcare Center 1004 Independence Blvd. Virginia Beach (757) 464-4058

Harbourway Assisted Living 1217 Alliance Drive Virginia Beach (757) 716-2150

Beacon Shores Nursing & Rehabilitation Center 340 Lynn Shores Dr. Virginia Beach (757) 340-6611

Heritage Hall 5580 Daniel Smith Rd. Virginia Beach (757) 499-7029

Beth Sholom Home of Eastern Virginia 6401 Auburn Dr. Virginia Beach (757) 420-2512 Brighton Gardens 5620 Wesleyan Dr. Virginia Beach (757) 499-4800 Carebridge Assisted Living 220 Rainbow Ln. Chesapeake (757) 543-9773 Carrington Place of Chesapeake 1017 George Washington Hwy. N. Chesapeake (757) 485-5500 Cedar Manor Assisted Living 1324 Cedar Rd. Chesapeake (757) 548-4192 Charity House 2614 Elkhart St. Chesapeake (757) 487-8094 Chesapeake Crossings Seniors Community 1937 Robert Hall Blvd. Chesapeake (757) 545-1942 Chesapeake Home for Adults 1012 George Washington Hwy. N. Chesapeake (757) 485-5597 Chesapeake Place 1508 Volvo Pkwy. Chesapeake (757) 548-4795 Churchland House 4916 W. Norfolk Rd. Portsmouth (757) 483-1780 Colonial Home 904 George Washington Hwy. N. Chesapeake (757) 487-9737 Commonwealth Assisted Living 440 N. Lynnhaven Rd. Virginia Beach (757) 431-8825 Consulate Healthcare 3900 Llewellyn Ave. Norfolk (757) 625-5363 Continuing Care Retirement Community 1 Colley Ave. Norfolk (757) 233-7927 Deep Creek Manor 900 George Washington Hwy. N. Chesapeake (757) 487-9073 Dominion Village 2856 Forehand Dr. Chesapeake (757) 487-9400 Emily Green Shores Assisted Living 500 Westmoreland Ave. Portsmouth (757) 399-3442 Envoy of Thorton Hall 827 Norview Ave. Norfolk (757) 853-6281

Indian River Retirement Community 1012 Justis St. Chesapeake (757) 523-4659 Lake Prince Woods 100 Anna Goode Way Suffolk (757) 923-5500 Lake Taylor Transitional Care Hospital 1309 Kempsville Rd. Norfolk (757) 461-5001

We’ve done our best to include every health care service provider in South Hampton Roads. If your organization is not listed, or if your listing is not current, send your updates to info@thehealthjournals.com.

Parson’s Residential Care Center 1005 Deep Creek Blvd. Chesapeake (757) 487-0487

Virginia Hearing Consultants 241 Corporate Blvd. Norfolk (757) 412-1253

Chiropractic & Acupuncture

Pinewood Inn Assisted Living 1516 Harmon St. Norfolk (757) 588-4663

Costco Hearing Aid Center 850 Glenrock Rd. Norfolk (757) 459-4471

Accident Injury Center 3529 Virginia Beach Blvd. Virginia Beach (757) 463-0050

Province Place of DePaul 6403 Granby St. Norfolk (757) 451-2400

Healthy Hearing Now 2648 Virginia Beach Blvd., Ste. A Virginia Beach (757) 431-1999

Active Wellness Chiropractic, Inc. 738 W. 22nd St. Norfolk (757) 627-2222

Province Place of Maryview 1 Bon Secours Way Portsmouth (757) 686-9100

Mid-Atlantic Hearing & Balance 4868 Bridge Road Suffolk (757) 483-7186 2000 Meade Parkway Suffolk (757) 934-9421

Advanced Chiropractic Health Center 5505 Indian River Rd. Virginia Beach (757) 420-5505

Richardson Adult Care 419 W. 28th St. Norfolk (757) 622-4363 Respite at the Beach 800 Toledo Pl. Virginia Beach (757) 721-6466 Sentara Adult Day Care 3751 Sentara Way Virginia Beach (757) 306-2850 Sentara Nursing Center 776 Oak Grove Rd. Chesapeake (757) 261-4000 3750 Sentara Way Virginia Beach (757) 306-2700 249 Newtown Rd. S. Norfolk (757) 892-5500 4201 Greenwood Dr. Portsmouth (757) 673-5000 1640 Old Donation Pkwy. Virginia Beach (757) 496-3939

Moran Hearing Aid Center 1020 Independence Blvd., Ste. 307 Virginia Beach (757) 460-1176

Sentara Senior Community Care 665 Newtown Rd., Ste. 121 Virginia Beach (757) 502-7800

Virginia Audiology 3115 Western Branch Blvd., Ste. 101 Portsmouth (757) 483-0232 2469 Pruden Blvd. Suffolk (757) 539-4687 1821 Old Donation Pkwy., Ste. 10 Virginia Beach (757) 481-4003 231 W. Bute St. Norfolk (757) 625-4333

Lav’m Adult Care Residence 912 S. Battlefield Blvd. Chesapeake (757) 546-2810

Sentara Village 778 Oak Grove Rd. Chesapeake (757) 261-4050 3751 Sentara Way Virginia Beach (757) 306-2800 251 Newtown Rd. S. Norfolk (757) 892-5200

Leigh Hall Assisted Living 890 Poplar Hall Dr. Norfolk (757) 461-5956

Shepherd’s Village at Park Avenue 805 Park Ave. Norfolk (757) 625-1877

Lifeworks Rehab at Norfolk 901 E. Princess Anne Rd. Norfolk (757) 626-1642

The Talbot on Granby 6311 Granby St. Norfolk (757) 451-5100

Lighthouse Pointe 933 Cedar Rd. Chesapeake (757) 382-4911

Virginia Beach Estates 937 Diamond Springs Rd. Virginia Beach (757) 493-9535

Lillian’s Loving Care 3736 Turnpike Rd. Portsmouth (757) 393-9241

Virginia Beach Healthcare & Rehabilitation Center 1801 Camelot Dr. Virginia Beach (757) 481-3500

Living Options of Chesapeake 5028 Portsmouth Blvd. Chesapeake (757) 488-5488 Lucas Lodge Day Support 1214 County St. Portsmouth (757) 558-1940 Lydia Roper Home 127 E. 40th St. Norfolk (757) 622-6979 Marian Manor Assited Living & Retirement Community 5345 Marian Ln. Virginia Beach (757) 456-5018

Virginia Home for Adults 2701 Border Rd. Chesapeake (757) 545-6219 Westhaven Manor 3610 County St. Portsmouth (757) 399-2754 Westminster Canterbury on Chesapeake Bay 3100 Shore Dr. Virginia Beach (757) 496-1100

Audiologists

M.E. Cox Center for Elder Day Care 644 N. Lynnhaven Rd. Virginia Beach (757) 340-4388

Avada Audiology & Hearing Care 610 W. Constance Rd. Suffolk (757) 934-8797

Mayfair House Assisted Living 901 Enterprise Way Portsmouth (757) 397-3411

EVMS Hearing & Balance Center 600 Gresham Dr. Norfolk (757) 388-6250 150 Kingsley Lane Norfolk (757) 889-6670 933 First Colonial Rd. Virginia Beach (757) 422-9300

The Memory Center 1853 Old Donation Pkwy. Virginia Beach (757) 412-1180 Oakwood Nursing & Rehabilitation Center 5520 Indian River Rd. Virginia Beach (757) 420-3600 Our Lady of Perpetual Help 4560 Princess Anne Rd. Virginia Beach (757) 495-4211 Pacifica Senior Living 5417 Wesleyan Drive Virginia Beach (757) 490-6672

Miracle Ear 880 N. Military Hwy., Ste. 1086 Norfolk (757) 455-8804 4588 Virginia Beach Blvd. Virginia Beach (757) 687-6643 4200 Portsmouth Blvd. Chesapeake (757) 465-8822 1401 Greenbrier Pkwy. Chesapeake (757) 420-8645

Lakeview Medical Center Hearing & Audiology 2000 Meade Pkwy. Suffolk (757) 934-9415 4868 Bridge Rd. Suffolk (757) 483-7186 Maico Audiological Services 1021 Eden Way N., Ste. 111 Chesapeake (757) 547-3560 Sentara Hearing & Balance Center 1950 Glenn Mitchell Dr., Ste. 310 Virginia Beach (757) 507-0360

Quality Hearing Aid Center 810 Loudoun Ave. Portsmouth (757) 393-6195 Sears Hearing Aid Center 1401 Greenbrier Pkwy. Chesapeake (757) 420-8645

Virginia Beach Hearing Center 984 First Colonial Rd., Ste. 302 Virginia Beach (757) 481-0385

Cardiology Robert Accettola, MD Leslie Webb, MD 3737 High St. Portsmouth (757) 686-9400 Herbert M. Brewer 400 Gresham Dr., Ste. 205 Norfolk (757) 622-6601 Cardiology & Arrhythmia Consultants 400 Gresham Dr., Ste. 507 Norfolk (757) 624-1788 Cardiology Associates 301 Goode Way, Ste. 102 Portsmouth (757) 399-2639 1030 Hill Point Blvd. Suffolk (757) 539-0444 Cardiology Consultants 100 Kingsley Lane, Ste. 200 Norfolk (757) 889-5351 844 Kempsville Rd., Ste. 204 Norfolk (757) 466-6100 1016 Independence Blvd. Virginia Beach (757) 460-5070

Alliance Chiropractic & Rehabilitation 220 S. Independence Blvd. Virginia Beach (757) 460-7870 Alpine Accident & Health Center 1427 N. Great Neck Rd. Virginia Beach (757) 496-3229 Mathew Van Amberg, DC 3101 Rose Hall Shops Virginia Beach (757) 498-5433 ARE Health Center & Spa 215 67th St. Virginia Beach (757) 437-7202 Armstrong Wellness Center 1108 Eden Way N., Ste. E Chesapeake (757) 436-1800 Atlantic Chiropractic & Rehabilitation 115 Kempsville Rd. Chesapeake (757) 547-4325 Back to Health Chiropractic 256-C N. Witchduck Rd. Virginia Beach (757) 499-4432 John P. Barone, DC 5818-D Harbour View Blvd. Suffolk (757) 638-1800 Bawcom Chiropractic 762 Independence Blvd., Ste. 786 Virginia Beach (757) 490-7911 Bayside Chiropractic 1658 Pleasure House Rd. Virginia Beach (757) 464-5300 Beach Chiropractic Center 2000 General Booth Blvd., Ste.101 Virginia Beach (757) 430-0990 David N. Block, DC 1108 Madison Plaza Chesapeake (757) 436-5428 Boaz Chiropractic Center 5320 Providence Rd. Virginia Beach (757) 523-1111 Jason Bradecich, DC 1139 First Colonial Rd. Virginia Beach (757) 496-4956 Cape Henry Chiropractic Wellness 2244 Sunstates Ct. Virginia Beach (757) 481-5444 Cedar Chiropractic Center 1245 Cedar Rd., Ste. C Chesapeake (757) 549-1664 Cedarwood Chiropractic Clinic 740 Duke St. Norfolk (757) 625-4458

Cardiovascular Associates Ltd. 612 Kingsborough Sq., Ste. 100 Chesapeake (757) 547-9294 1708 Old Donation Pkwy. Virginia Beach (757) 395-5300

Chesapeake Chiropractic Health Center 1129 Battlefield Blvd. Chesapeake (757) 547-5510

Cardiovascular Specialists 3235 Academy Ave., Ste. 201 Portsmouth (757) 483-6420

Chesapeake Spine Center 676 Kingsborough Sq., Ste. C Chesapeake (757) 549-2273

Lakeview Medical Center Cardiology 600 Gresham Dr., Ste. 8610 Norfolk (757) 622-9192 2000 Meade Pkwy. Suffolk (757) 925-0759

Chirocare Chiropractic 838-E Old Geo. Washington Hwy. N. Chesapeake (757) 485-5666

Tidewater Cardiology 1020 Independence Blvd., Ste. 310 Virginia Beach (757) 460-3400 100 Kingsley Lane, Ste. 100 Norfolk (757) 460-3400 Timothy L. Marshall, MD 424 N. Main St., Ste. 3 Suffolk (757) 539-6801

Chiropractic Center of Virginia Beach 525 S. Independence Blvd., Ste. 190 Virginia Beach (757) 473-9900 Chiropractic For Life 800 S. Battlefield Blvd., Ste. 111 Chesapeake (757) 482-8445 Churchland Chiropractic 3032 Tyre Neck Rd. Portsmouth (757) 484-7000

THE HEALTH JOURNAL

Coastal Chiropractic 1812 Baltic Ave. Virginia Beach (757) 422-2260 119 W. 21st St. Norfolk (757) 627-2700 Cornerstone Chiropractic Center 1917 Laskin Rd., Ste. 108 Virginia Beach (757) 491-4600 Crago Family Chiropractic Center, PC 4224 Holland Rd., Ste. 110 Virginia Beach (757) 486-4772 Gary R. Detweiler, DC 3529 Virginia Beach Blvd. Virginia Beach (757) 463-0050 Dolmat & Geheren Chiropractic Clinic 4301 Virginia Beach Blvd. Virginia Beach (757) 498-0098 Downing Chiropractic Center 711 W. Washington St. Suffolk (757) 934-8653 East Coast Clinic of Chiropractic 1510 Breezeport Way, Ste. 100 Suffolk (757) 483-0177 Wayne R. Eiban, DC 5301 Providence Rd., Ste. 50 Virginia Beach (757) 495-2228 Family Chiropractic & Acupuncture 3105 Western Branch Blvd. Chesapeake (757) 686-3716 1920 Centerville Tpke. Virginia Beach (757) 479-0626 Kim K. Fuller, DC 106 Wimbledon Sq. Chesapeake (757) 436-1037 Global Healing Therapies 2244 Sunstates Ct., Ste. 107 Virginia Beach (757) 491-2598 Good Chiropractic 325 First Colonial Rd. Virginia Beach (757) 340-5966 Great Neck Chiropractic, PC 1432 N. Great Neck Rd., Ste. 201 Virginia Beach (757) 481-9221 Green Run Chiropractic 1190 Lynnhaven Pkwy. Virginia Beach (757) 468-5444 Ghent Chiropractic 821 W. 21st St., Ste. 100 Norfolk (757) 622-1222 Mithra Green, DC 5267 Greenwitch Rd., Ste. 201 Virginia Beach (757) 313-6723 Greenbrier Family Chiropractic 801 Volvo Pkwy., Ste. 118 Chesapeake (757) 436-6677 Healing Hands Chiropractic Center 321 Edwin Dr., Ste. 101 Virginia Beach (757) 306-4325 Health Links Chiropractic Clinic 5265 Providence Rd. Virginia Beach (757) 557-0010 Hilltop Chiropractic & Massage Center 901 First Colonial Rd. Virginia Beach (757) 491-2021

Lifeline Family Chiropractic Center, PC 613 Butterfly Dr. Chesapeake (757) 549-8802 Lightkeeper Chiropractic 325 First Colonial Rd. Virginia Beach (757) 518-0964 Lynnhaven Chiropractic Clinic 228 N. Lynnhaven Rd. Virginia Beach (757) 498-4824 Medical Acupuncture Clinic 840 First Colonial Rd., Ste. 102B Virginia Beach (757) 351-6226 Douglas J. Montagna, DC 548 Battlefield Blvd. S. Chesapeake (757) 482-5525 Morgan Wellness Center 3980 Virginia Beach Blvd. Virginia Beach (757) 498-8455

Barry H. Stewart, DC 630-B Cedar Rd. Chesapeake (757) 547-4000

Dean Newman, DC 1139-G Independence Blvd. Virginia Beach (757) 464-6669 3100 London Blvd. Portsmouth (757) 397-4577

Stickell Chiropractic 936 General Booth Blvd., Ste. C Virginia Beach (757) 422-2232

Newtown Chiropractic Center 152 Newtown Rd., Ste. 116 Virginia Beach (757) 490-9717 Nimmo Wellness 2125 McComas Way, Ste. 101 Virginia Beach (757) 427-7690 Norfolk Acupuncture 819 W. 21st St. Norfolk (757) 622-7145 Norfolk Chiropractic Center 2200 Colonial Avenue, Ste. 2 Norfolk (757) 622-8777 Norview Family & Chiropractic 6202 N. Military Hwy. Norfolk (757) 855-1099 Ocean Lightforce Chiropractic 210 25th St. Virginia Beach (757) 425-1421 Ocean View Chiropractic 961 Granby St. Norfolk (757) 588-4000 Charles L. O’Dea, DC 416 Market St. Suffolk (757) 539-2244 Olde Towne Family Chiropractic 355 Crawford St. Portsmouth (757) 399-4700 Orchard Square Chiropractic 1528 Volvo Pkwy., Ste. C Chesapeake (757) 547-1110 Pembroke Chiropractic, PC 4668 Pembroke Blvd., Ste. 101 Virginia Beach (757) 490-5828 Planet Chiropractic 1409 Kempsville Rd. Chesapeake (757) 410-2793

Precision Spinal Care 1305 Executive Blvd., Ste. 170 Chesapeake (757) 382-5555

In Good Hands Chiropractic Rosemont Chiropractic 397 Little Neck Rd., Bldg. 3400, Ste. 108 Virginia Beach (757) 431-2225

Premier Health Chiropractic 333 Kellam Rd., Ste. 1100 Virginia Beach (757) 962-6191

Kempsville Chiropractic 1932 Kempsville Rd., Ste. 3 Virginia Beach (757) 467-5258 Harold Kornylak, DO 1432 E. Bay Shore Dr. Virginia Beach (757) 491-3294 Lehew Chiropractic & Acupuncture 1369 Laskin Rd., Ste. 4 Virginia Beach (757) 498-9000 Liebell Clinic of Specific Chiropractic 477 Viking Dr. Virginia Beach (757) 631-9799 32 THE HEALTH JOURNAL

The Spine Group 2416 Virginia Beach Blvd. Virginia Beach (757) 422-2000

Carl D. Nelson, DC 968 S. Oriole Dr., Ste. 101 Virginia Beach (757) 422-4536

Hollifield Chiropractic Center 2953 Virginia Beach Blvd. Virginia Beach (757) 498-8700

Virginia L. Jones, DC 1545 E. Bayview Blvd. Norfolk (757) 749-6929

Smith Chiropractic 2468-A E. Little Creek Rd. Norfolk (757) 588-0609

Amanda J. Meyers, DC 2004 Sandbridge Rd., Ste. 103 Virginia Beach (757) 510-4977

Portsmouth Chiropractic Center 3500 Queen St. Portsmouth (757) 399-7300

Jarrett Chiropractic, PC 537 N. Great Neck Rd. Virginia Beach (757) 463-0193

Slone Chiropractic Clinics 2469 Pruden Blvd. Suffolk (757) 539-4100 111 W. Virginia Beach Blvd. Norfolk (757) 623-7776 3208 Stamford Rd. Portsmouth (757) 483-3390

Spine & Orthopedic Pain Center 6160 Kempsville Cir., Ste. 303A Norfolk (757) 333-3360 113 Gainsborough Sq., Ste. 400 Chesapeake (757) 333-3360

Holistic Healing Chiropractic 4652 Haygood Rd., Ste. C Virginia Beach (757) 363-0118

Island Chiropractic 2260 Seashore Shoppes Virginia Beach (757) 496-3353

Skelton Chiropractic Clinics 4867 Baxter Rd., Ste. 107 Virginia Beach (757) 497-1555 5762 Chesapeake Blvd. Norfolk (757) 853-2775

Pro Adjuster Chiropractic Clinic 525 S. Independence Blvd., Ste. 190 Virginia Beach (757) 473-9900 Professional Chiropractic 5350 Kemps River Dr., Ste. 110 Virginia Beach (757) 424-2626

Strawbridge Family Chiropractic 2105 McComas Way, Ste. 200 Virginia Beach (757) 430-8000 Thalia Chiropractic Center 4136 Bonney Rd. Virginia Beach (757) 340-2817 Thesier Chiropractic 240 Mustang Trail Virginia Beach (757) 486-3222 Paul R. Thompson, DC 2709 Salem Rd. Virginia Beach (757) 427-0022 Tidewater Acupuncture & Wellness 837 First Colonial Rd., Ste. A Virginia Beach (757) 428-4286 Total Health Center 1801 Pleasure House Rd. Virginia Beach (757) 363-8571 Vanella Chiropractic 4667 Haygood Rd., Ste. 503-C Virginia Beach (757) 270-1333 Vella Chiropractic Center 4224 Holland Rd., Ste. 110 Virginia Beach (757) 486-4772

Associated Dental Care 814 Newtown Rd. Virginia Beach (757) 490-0419

Bredologos Family Dentistry 1917 Laskin Rd., Ste. 106 Virginia Beach (757) 425-1828

Howard Cobb, DDS, PC 2605 Moses Crandy Trail, Ste. B Chesapeake (757) 558-0600

Azalea Family Dentistry 7913 Azalea Garden Rd. Norfolk (757) 587-4433

Paul M. Brickman, DDS 351 Edwin Dr., Ste. 103 Virginia Beach (757) 499-9839

Mellanda Colson, DDS 1021 Sunset Dr. Norfolk (757) 587-1485

Ted L. Bachas, DDS 6550 Townpoint Rd., Ste. 105 Suffolk (757) 483-6155

Derrick M. Broadaway, DDS 3325 Taylor Rd., Ste. 112 Chesapeake (757) 686-3033 3809 Princess Anne Rd., Ste. 111 Virginia Beach (757) 471-6672

Sharon Y. Colvin, DDS 113 Gainsborough Sq., Ste. 101 Chesapeake (757) 548-5619

Robert T. Banes, DDS 3617 Dam Neck Rd. Virginia Beach (757) 427-3741 John P. Baker, DDS 1170 Lexan Ave., Ste. 187 Norfolk (757) 440-1360 Robert K. Barbour, DMD 2520 Gilmerton Rd. Chesapeake (757) 487-4121 Bruce K. Barr, DDS Kenneth W. Marinak, DDS 350 Johnstown Rd., Ste. D Chesapeake (757) 548-2553 853 Kempsville Rd. Virginia Beach (757) 467-0404 1369 Laskin Rd. Virginia Beach (757) 422-0005 Truman Baxter, DDS Adam Hogan, DDS 2021 Pleasure House Rd. Virginia Beach (757) 464-3514 Wolfgang Bay, DDS 1625 Salem Rd., Ste. 101 Virginia Beach (757) 495-6005 Bay Colony Dentistry 32cnd Street & Holly Road Virginia Beach (757) 321-1300 Beach Dental 1000 First Colonial Rd., Ste. 104 Virginia Beach (757) 496-0993 Beach Endodontics 1432 N. Great Neck Rd., Ste. 102 Virginia Beach (757) 486-7857 Frank Beale, DDS Michael Maugeri, DDS 3720 Holland Rd., Ste. 100 Virginia Beach (757) 340-0446

Western Branch Family Chiropractic Center 3115 Western Branch Blvd., Ste. 108 Chesapeake (757) 483-6000

Frederick T. Birsch, DDS 3413 South St. Portsmouth (757) 393-9929

Peter Adams, DDS 4312 Holland Rd., Ste. 108 Virginia Beach (757) 498-6420 Advanced Sedation Dentistry 616 Virginia Beach Blvd., Ste. 102 Virginia Beach (757) 769-7155

Progressive Chiropractic 4740 Baxter Rd. Virginia Beach (757) 490-8555

Albinder Orthodontics 528 Albemarle Dr. Chesapeake (757) 547-2134 4291 Holland Rd., Ste. 112 Virginia Beach (757) 495-7866

Reed Chiropractic 1464 Mt. Pleasant Rd., Ste. 13 Chesapeake (757) 546-8888

Althouse Carroll & Alperin 3410 County St. Portsmouth (757) 393-2568

Reinhold Chiropractic Group 4640 Shore Dr. Virginia Beach (757) 460-2522

J. Wesley Anderson Jr., DDS 1658 Pleasure House Rd., Ste. 105 Virginia Beach (757) 464-1964

Sea Pines Chiropractic, PC 2712 Virginia Beach Blvd. Virginia Beach (757) 340-0040

Robert E. Anderson, DDS 2490-A Pruden Blvd. Suffolk (757) 934-3000

Barbara Sikes, DC 1856 Colonial Medical Ct. Virginia Beach (757) 496-9698

Artful Smiles 506 S. Independence Blvd., Ste. 100 Virginia Beach (757) 227-3401 Stephen Asam, DDS 632 Cedar Rd., Ste. A Chesapeake (757) 436-3595

Tanya Brown, DMD Roxzanne Amos, DMD 129 Hanbury Rd., Ste. 101 Chesapeake (757) 546-5262

John C. Cranham, DDS 1207 Volvo Parkway Chesapeake (757) 465-8900

Bowman R. Browne, DDS 5705 Lee Farm Ln., Ste. B Suffolk (757) 484-0600 Morton A. Brownstein, DDS 7909 Bison Ave. Norfolk (757) 588-7673 Oduyelu A. Bukola, DDS 2125 McComas Way, Ste. 105 Virginia Beach (757) 563-2670 John W. Burton III, DDS 108 Western Ave. Suffolk (757) 539-3151

Bivins Orthodontics 220 Mt. Pleasant Rd., Ste. 200 Chesapeake (757) 546-3888 John J. Blaszcak, DDS 3400 Holland Rd. Virginia Beach (757) 427-1301 Phillip A. Blythe, DDS 3872 Holland Rd. Virginia Beach (757) 463-0740 Edgar H. Boggs Jr., DDS 825 Battlefield Blvd. S. Chesapeake (757) 482-2876 Travis Bohrer, DDS 1577 General Booth Blvd., Ste. 107 Virginia Beach (757) 428-8282 Bonney Road Dental 3933 Bonney Rd. Virginia Beach (757) 631-9700 1832 Kempsville Rd. Virginia Beach (757) 479-1610 Bonnie, Bonnie & Horowitz 7400 Granby St. Norfolk (757) 587-7400 Darrell L. Boyce, DDS 1711 Parkview Dr. Chesapeake (757) 424-6580 James H. Boyd Jr., DDS 549 E. Brambleton Ave., Ste. 9 Norfolk (757) 623-4820 Anita Brabson, DDS 3620 County St. Norfolk (757) 397-8877 Dwight J. Bradshaw, DDS 5501 Bennets Pasture Rd. Suffolk (757) 484-1444

Melvin E. Cruser III, DDS 1209 Independence Blvd. Virginia Beach (757) 490-3111 James W. Dale, DDS 1453 Kempsville Rd., Ste. 104 Virginia Beach (757) 467-9622 Debra A. Davis, DDS 1020 Independence Blvd. Virginia Beach (757) 464-0723 Thomas J. Demayo, DDS 762 Independence Blvd., Ste. 400 Virginia Beach (757) 557-0600

Bussey, Mayo & Archer 1200 Battlefield Blvd N. Chesapeake (757) 436-4227 2995 Churchland Blvd. Chesapeake (757) 483-2167 477 Viking Dr., Ste. 215 Virginia Beach (757) 486-5428

Michael S. Denbar, DDS 1245 Cedar Rd., Ste. L Chesapeake (757) 382-9336

Robert A. Candler, DDS & Associates 116 Janaf Office Building Norfolk (757) 461-8173

Dodson Endodontics 756 MaGuire Place Suffolk (757) 923-9000 1510 Breezeport Way, Ste. 400 Suffolk (757) 638-4500

Jerry Caravas, Jr., DDS 1539 Amberly Forest Rd. Virginia Beach (757) 471-6020

L. H. Cash, DDS E. J. Weisberg, DDS 801 W. Little Creek Rd., Ste. 103 Norfolk (757) 440-0044

Rashimi Bhatt, DDS 5660 Indian River Rd., Ste. 114 Virginia Beach (757) 523-0898

Dentistry & Oral Health

Kevin C. Cooper, DDS 3105 Western Branch Blvd. Chesapeake (757) 483-5152

Allan L. Bergano, DDS 256 N. Witchduck Rd. Virginia Beach (757) 497-2988

Ward’s Corner Chiropractic 7400 Granby St. Norfolk (757) 588-8908

James Yeates, DC 1023 Laskin Rd., Ste. 103 Virginia Beach (757) 227-5465

William E. Brown, DDS 549 E. Brambleton Ave. Norfolk (757) 622-8884

Cecil J. Carrol, DDS 4310 Indian River Rd., Ste. 1 Chesapeake (757) 420-8790

Vohringer & Bryant Chiropractic 4219-A Indian River Rd. Chesapeake (757) 420-8620

Wynkoop Family Chiropractic 1092 Laskin Rd. Virginia Beach (757) 518-0960

Trent Conelias, DDS 6033 Providence Rd. Virginia Beach (757) 424-2672 110 Kingsley Lane, Ste. 303 Norfolk (757) 489-1511

Jeffrey R. Bek, DDS 1767 Princess Anne Rd. Virginia Beach (757) 426-6151

Paul N. Berger, DDS 2404 Virginia Beach Blvd., Ste. 106 Virginia Beach (757) 498-7878

Richard S. Wright, DC 820 Shirley Ave. Norfolk (757) 622-1546

Townsend Brown Jr., DDS 1300 Kempsville Rd., Ste. 5 Virginia Beach (757) 467-7797

Pedro L. Casingal, Jr., DDS 810 Battlefield Blvd. S. Chesapeake (757) 482-7977 Kenneth J. Cavallari, DDS 984 First Colonial Rd., Ste. 300 Virginia Beach (757) 412-0235 505 Independence Pkwy., Ste. 108 Chesapeake (757) 412-0235 Leon A. Cerniway, DMD 109 Wimbledon Sq., Ste. H Chesapeake (757) 547-9339 Peggy M. Chappell, DMD 2303 Pruden Blvd. Suffolk (757) 539-9481 James Y. Chau, DDS, MS 1724 Sir William Osler Dr. Virginia Beach (757) 481-1894 Jack I. Cherin, DMD Osama Modjadidi, DDS 5101 Princess Anne Rd. Virginia Beach (757) 497-8611 Children’s Dentistry & Orthodontics 905 N. Battlefield Blvd., Ste. 106 Chesapeake (757) 548-3030 4169 Virginia Beach Blvd. Virginia Beach (757) 486-2525 1368 N. Great Neck Rd. Virginia Beach (757) 496-8300 1055 Kempsville Rd. Virginia Beach (757) 474-1200 Chung Family Dentistry 7510 Granby St., Ste. 1 Norfolk (757) 587-5955 Jerry C. Clarke, DDS 2490 Pruden Blvd. Suffolk (757) 539-9398 1510 Breezeport Way, Ste. 400 Suffolk (757) 686-8400 Carrie Clarkson, DDS Gary Newell, DDS 5333 Indian River Rd. Virginia Beach (757) 420-1507 Dennis Cleckner, DDS 228 N. Lynnhaven Rd., Ste. 105 Virginia Beach (757) 340-3231 Earnest D. Coalter, DDS 933 First Colonial Rd., Ste. 104 Virginia Beach (757) 491-8075

Thomas James Dilaura, Jr., DDS 9323 Granby St. Norfolk (757) 588-6257

Richard P. Dolenuck, DDS 4169 Virginia Beach Blvd. Virginia Beach (757) 463-3834 Mary Dooley, DDS 401 N. Great Neck Rd., Ste. 122 Virginia Beach (757) 486-4880 Thomas Dusek, DDS 104 American Legion Rd., Ste. A Chesapeake (757) 484-9300 East Coast Center for Cosmetic Dentistry 3304 Arctic Ave. Virginia Beach (757) 481-3305 Eastern Virginia Family & Cosmetic Dentistry 3221 Western Branch Blvd. Chesapeake (757) 483-6297 Randy Eberly, DDS 801 W. Little Creek Rd., Ste. 101 Norfolk (757) 423-3029 Robert M. Edmonds, DDS 2003 Meade Pkwy., Ste. C Suffolk (757) 539-9484 Anthony A. Elgohairy, DMD 3115 Western Branch Blvd. Ste. 103 Chesapeake (757) 484-4197 Marybeth Fasano, DDS 984 First Colonial Rd., Ste. 200 Virginia Beach (757) 412-2235 Michael Fernandez, DDS 5121 Greenwich Rd., Ste. 102 Virginia Beach (757) 497-4825 Kevin Finnerty, DDS 5505 Indian River Rd., Ste. 200 Virginia Beach (757) 424-6644 Scott Flood, DDS Thoedore R. Smith Jr., DDS Stephanie C. Smith, DDS 4221 Virginia Beach Blvd. Virginia Beach (757) 486-3919 Michael Folck, DDS 1385 Laskin Rd. Virginia Beach (757) 428-7440 The Foleck Center for Cosmetic Implant & Restorative Dentistry 201 College Place, Ste. 111 Norfolk (757) 623-0283 241 Corporate Blvd., Ste. 200 Norfolk (757) 965-7696 Alan Forbes, DDS Albert Soloman, DDS 805 Battlefield Blvd. N., Ste. 125 Chesapeake (757) 547-2171 Ben Foster Jr., DDS 3800 Poplar Hill Rd., Ste. F Chesapeake (757) 484-8564

David K. Foster, DDS, FAGD 609 Lynnhaven Pkwy. Virginia Beach (757) 340-8852

A. Clayborn Hendricks, DDS 737 Little Neck Rd. Virginia Beach (757) 486-4469

Robert Kenney, DDS 1206 Laskin Rd. Virginia Beach (757) 428-8404

Patricia A. Lott, DDS, PC 762 Independence Blvd. Virginia Beach (757) 499-4707

James H. Nottingham, DDS 142 W. York St. Norfolk (757) 623-9545

Leslie I. Richmond, DDS 1300 Diamond Springs Rd. Virginia Beach (757) 460-1939

Frank Johnston Family Dentistry 1222 Chesapeake Ave. Chesapeake (757) 543-3517

Heriford & Heriford 2003 Meade Pkwy. Suffolk (757) 539-5239

Evelyn Luma, DDS 1248 Gunn Hall Dr., Ste. 101 Virginia Beach (757) 430-2600

Barry L. Herman, DDS Gregory Schrumps, DDS 1300 Kempsville Rd., Ste. 1 Virginia Beach (757) 467-8181

Vernon O’Berry, Jr., DDS 1062 Laskin Rd., Ste. 14-A Virginia Beach (757) 425-8055 708 Medical Tower Norfolk (757) 627-1882

Gary A. Riggs, Jr., DMD 853 Kempsville Rd. Virginia Beach (757) 467-4608

Rita Frazier, DDS 136 E. Little Creek Rd. Norfolk (757) 587-6399

Alan Kessler, DDS Tiffany Kessler, DDS 2404 Potters Rd., Ste. 400 Virginia Beach (757) 340-8805

Ronald Fuhrmann, DDS 232 Business Park Dr. Virginia Beach (757) 499-8465 Catherine Oden Fulton, DDS 5660 Indian River Rd. Virginia Beach (757) 424-3794 110 Kingsley Ln., Ste. 403 Norfolk (757) 489-1331 Ann-Marie Funda, DDS 1752 Sir William Osler Dr. Virginia Beach (757) 496-3862 Randall Furman, DDS Len Futermon, DDS, FAGD 879 Lynnhaven Pkwy., Ste. 109 Virginia Beach (757) 468-4684

Mark J. Hermelin, DDS 337 Edwin Dr., Ste. 101 Virginia Beach (757) 497-4746

Klar & Voorhies Orthodontics 1230 Progressive Dr. Chesapeake (757) 549-1919

Grover C. Hill, Jr. DDS 195 S. Rosemont Rd. Virginia Beach (757) 498-6988

Ronald A. Kondoff, DMD 5291 Greenwich Rd., Ste. 2 Virginia Beach (757) 493-8100

David S. Hirschler II, DDS E. Thompson Witte, DDS 5900 E. Virginia Beach Blvd., Ste. 213 Norfolk (757) 461-3660

Konikoff Family Dentistry 684 N. Battlefield Blvd., Ste. A Chesapeake (757) 548-0957 1419 Cedar Rd., Ste. 100 Chesapeake (757) 410-5878 2829 Shore Dr., Ste. 100 Virginia Beach (757) 333-6866 2100 Lynnhaven Pkwy., Ste. 100 Virginia Beach (757) 416-1400 2301 General Booth Blvd., Ste. A Virginia Beach (757) 427-5100 5849 Harbourview Blvd., Ste. 100 Suffolk (757) 606-1450

J. Matthew Hogendobler, DMD 1729 Wildwood Dr., Ste. 104 Virginia Beach (757) 481-5454

Ghent Family Dentistry 2200 Colonial Ave. Norfolk (757) 626-0633

Georgia Holton, DDS 5589 Portsmouth Blvd. Portsmouth (757) 488-1421

David Gladstone, DDS James Salerno, DDS 5318 Providence Rd. Virginia Beach (757) 424-3657

Kevin F. Honor’e, DDS 2370 E. Little Creek Rd. Norfolk (757) 588-8162

Harvey Glick, DDS 528 Albermarle Dr., Ste. 220 Chesapeake (757) 547-5105 Stephen Goldstein, DDS 6263 Portsmouth Blvd. Portsmouth (757) 488-1285 Goodove Oral Surgery & Dental Implants 1127 First Colonial Rd. Virginia Beach (757) 412-2002 Shantala Gowda, DDS 397 Little Neck Rd., Bldg. 3400, Ste. 101 Virginia Beach (757) 498-5142 David Graham, DDS 524 Albermarle Dr., Ste. 9 Chesapeake (757) 547-7070 Roosevelt Green Jr., DDS 600 Green St. Portsmouth (757) 399-3752 Greenbrier Dental Center 1059 Eden Way N., Ste. 100 Chesapeake (757) 547-2266 Kenneth Grindlay, DDS 228 Mt. Pleasant Rd. Chesapeake (757) 482-0026 Grundy Dental Care 1805 Laskin Rd. Ste. 100 Virginia Beach (757) 321-1870 Alfred R. Guthrie, Jr., DDS 3500 Virginia Beach Blvd., Ste. 400 Virginia Beach (757) 340-1465 Steve A. Gwaltney, DDS 2486 Pruden Blvd. Suffolk (757) 539-3021 A. L. Halstead III, DDS 2245 W. Great Neck Rd., Ste. 1 Virginia Beach (757) 481-7392 Christopher Hamlin, DDS 1806 Hampton Blvd. Norfolk (757) 627-7550 Hampton Roads Center for Cosmetic Dentistry 984 First Colonial Rd., Ste. 101 Virginia Beach (757) 412-1400 Harbour View Dental Center 5837 Harbour View Blvd. Suffolk (757) 686-3636 Kenneth E. Hardy, DDS 1622 Holland Rd. Suffolk (757) 539-2998 Berard Harrison, DDS 4600 Westgrove Ct. Virginia Beach (757) 460-1222 Gary Hartman, DDS, MS, LTD 240 Mustang Trail, Ste. 1 Virginia Beach (757) 498-5480 Hatcher Orthodontics 3253 Taylor Rd., Ste. 100 Chesapeake (757) 488-6080 Healthy Smiles Dental Clinic 344 Effingham St. Portsmouth (757) 399-4588 Steven P. Hearne, DDS 1034 Hill Point Blvd. N. Suffolk (757) 925-0407

33 THE HEALTH JOURNAL

Christopher T. King, DDS 4605 Haygood Rd. Virginia Beach (757) 464-6228

Hooper Dentistry 840 First Colonial Rd., Ste. 103 Virginia Beach (757) 417-7300

Konikoff Periodontics 1230 Progressive Dr., Ste. 104 Chesapeake (757) 436-4026 1510 Breezeport Way, Ste. 500 Suffolk (757) 484-1818 477 Viking Dr., Ste. 190 Virginia Beach (757) 486-8611

Thomas U. Hopkins, DDS 7923 Halprin Dr. Norfolk (757) 587-0874

Kool Smiles 2338 E. Little Creek Rd. Norfolk (757) 583-4891

Abbey Horowitz, DDS 2142 Great Neck Square Virginia Beach (757) 481-3699

John L. Kordulak, DDS 855 Kempsville Rd. Virginia Beach (757) 495-4700

Eric A. Hosek, DDS 1357 N. Great Neck Rd., Ste. 101 Virginia Beach (757) 481-5900

Robert P. Korman, DDS 1115 First Colonial Rd. Virginia Beach (757) 412-4060

Robert J. Howard, DDS 308 George Washington Hwy. N. Chesapeake (757) 485-5245

James E. Krochmal, DDS 801 W. Little Creek Rd., Ste. 107 Norfolk (757) 440-7777

R. Leroy Howell, Sr., DDS Ralph L. Howell, Jr., DDS 102 Western Ave. Suffolk (757) 539-7695

Peter G. Kuenzli, DDS 4876 Princess Anne Rd., Ste. 111 Virginia Beach (757) 490-9300

Robert W. Howell, DDS 110 Kingsley Ln., Ste. 312 Norfolk (757) 423-5894 Douglas John Hughes, DDS, PC 1542 E. Bayview Blvd. Norfolk (757) 583-1212 Joseph C. Hughes, Jr., DDS 109 Byron St. Chesapeake (757) 436-4214 Robert A. Iervolino, DDS, PC 987 Providence Square Sh. Ctr. Virginia Beach (757) 495-2100 Daniel W. Ingram, DDS 1212 Lake James Dr., Ste. A Virginia Beach (757) 420-4214 Thomas J. Ishom, DDS PC 3217-C Western Branch Blvd. Chesapeake (757) 484-3729 Arthur Rex Jenkins, DDS 836 First Colonial Rd. Virginia Beach (757) 428-8747 Harry Jenkins, DDS, PC 1220 Greenbrier Pkwy., Ste. 120 Chesapeake (757) 547-9616 Kevin D. Jennings, DDS 211 Providence Rd., Ste. 11 Chesapeake (757) 523-9002 Frank A. Johnston, DDS 1222 Chesapeake Ave. Chesapeake (757) 543-3517 Kail & Cox, DDS 5717 Churchland Blvd. Portsmouth (757) 484-1675 David L. Kaiser, DDS 5261 Challedon Dr. Virginia Beach (757) 499-2444 Marvin Kaplan, DDS 113 Byron St. Chesapeake (757) 436-4302 Aspasia Kapsalas, DDS 1832 Kempsville Rd. Virginia Beach (757) 479-1610 Allen C. Karp, DDS 4676 Princess Anne Rd. Virginia Beach (757) 495-5010 Kempsville Dental Care 5265 Providence Rd., Ste. 100 Virginia Beach (757) 495-3074

Neil A. Landy, DDS 281 Independence Blvd. Virginia Beach (757) 490-3830 Steven L. Lang, DDS 2836 Meadow Dr. Chesapeake (757) 483-4878

Marshall A. Lyall, DDS 5291 Greenwich Rd., Ste. 2 Virginia Beach (757) 493-8100 Ronald D. Lynch, DDS, PC 369 Johnstown Rd. Chesapeake (757) 546-0301 Alan W. Mahanes, DDS 2521 North Landing Virginia Beach (757) 430-9448 Lekshmi Mahesh, DDS 5511 Princess Anne Rd., Ste. 201 Virginia Beach (757) 499-7300 Dale L. Mallory, DDS 4867 Baxter Rd., Ste. A Virginia Beach (757) 499-8139 Louis J. Marconyak, DDS 351 Edwin Dr. Virginia Beach (757) 499-3530 David T. Marshall, DDS 110 Kingsley Lane, Ste. 203 Norfolk (757) 489-4221 Robyn K. Marshall, DDS 1062 Laskin Rd., Ste. 14-A Virginia Beach (757) 428-2121 Medical Tower, Ste. 708 Norfolk (757) 627-1882 Anthony Martin, DDS 110 Kingsley Ln., Ste. 105 Norfolk (757) 489-1600 Frederick E. Martin III, DDS 1709 Colley Ave., Ste. 203 Norfolk (757) 627-8303 J. B. Martin IV, DDS 730 High St., Ste. 200 Portsmouth (757) 397-9801 Lon Meader, DDS 5564 Indian River Rd. Virginia Beach (757) 424-1300 Robert Mealy, DDS 2737 Campostella Rd. Chesapeake (757) 543-7973 James Meares, DDS 5241 Princess Anne Rd., Ste. 108 Virginia Beach (757) 497-0450 Darrell Meeks, DDS 281 Independence Blvd., Bldg. 1 Virginia Beach (757) 499-5909

Angela Lanier, DDS 5589 Portsmouth Blvd. Portsmouth (757) 488-3392

MidAtlantic Implant & Oral Surgery Center 272 Bendix Rd., Ste. 280 Virginia Beach (757) 340-9146

John B. Lapetina, Jr. DDS 9601 Granby St. Norfolk (757) 588-0276

Brian P. Midgette, DDS 3326 Taylor Rd. Chesapeake (757) 483-4700

Jesse W. Lee, DDS 3720 Holland Rd. Virginia Beach (757) 340-0446

William Midkiff, DDS 2149 Old Greenbrier Rd. Chesapeake (757) 424-5822

Lefcoe, Weinstein, Sachs & Schiff Dentistry 1230 Progressive Dr., Ste. 103 Chesapeake (757) 436-1270 904 Kempsville Rd. Virginia Beach (757) 467-6453 300 E. Little Creek Rd. Norfolk (757) 587-6453 1147 First Colonial Rd. Virginia Beach (757) 412-1114

Jan Milner, DDS 1113 Eden Way N. Chesapeake (757) 436-1200

Larry L. Legum, DDS 113 Coastal Way Chesapeake (757) 547-9401 Stanley H. Legum, DDS 4322 Holland Rd. Virginia Beach (757) 340-3318 Lawrence Leibowitz, DDS 1932 Kempsville Rd., Ste. 101 Virginia Beach (757) 424-3555

Milonas Family Dentistry 2865 Lynnhaven Dr., Ste. C-4 Virginia Beach (757) 481-3000 Marshall Morrison, DDS 4237 Virginia Beach Blvd. Virginia Beach (757) 340-1243 Melvin Morrison, DDS 1230 Progressive Dr. Chesapeake (757) 549-1049 1157 First Colonial Rd. Virginia Beach (757) 412-0020 904 Kempsville Rd. Virginia Beach (757) 467-8000

Oceana Family Dentistry 940 General Booth Blvd. Virginia Beach (757) 425-1155 Oceanfront Dentistry 501 21st St. Virginia Beach (757) 428-6656 Oceanfront Endodontics 1200 First Colonial Rd. Virginia Beach (757) 333-3399

Rod Rogge, DDS 762 Independence Blvd., Ste. 500 Virginia Beach (757) 333-7444 John J. Ross, DDS 621 Lynnhaven Pkwy. Virginia Beach (757) 340-2356 David E. Rowe, DDS 1555 Laskin Rd. Virginia Beach (757) 428-6000

Fred P. Ochave, DMD 289 Independence Blvd. Ste. 229 Virginia Beach (757) 497-1618

Carl P. Roy, DDS 684 Battlefield Blvd. N. Chesapeake (757) 549-1115 2100 Lynnhaven Pkwy. Virginia Beach (757) 471-2900

Thomas O’Hara, DDS 242 Mustang Trail, Ste. 9 Virginia Beach (757) 340-1153

Wyatt M. Ruffin Jr., DDS 3940 Airline Blvd., Ste. 114 Chesapeake (757) 465-4884

Tracy Oliver, DDS 2484 N. Landing Rd. Virginia Beach (757) 471-5480

James L. Rutledge, DDS 2025 Pleasure House Rd. Virginia Beach (757) 464-0271

Charles K. Olson, DDS Glen W. Fritz, DDS 4037 Taylor Rd., Ste. B Chesapeake (757) 484-9441

George J. Sabol, DDS Anthony Savage, DDS Britt Visser, DDS 829 First Colonial Rd. Virginia Beach (757) 428-1110 2129 General Booth Blvd. Virginia Beach (757) 427-1350 1609 Pleasure House Rd. Virginia Beach (757) 460-8879 1300 Kempsville Rd. Virginia Beach (757) 495-3643

Edward S. O’Keefe, DDS 1232 W. Little Creek Rd. Norfolk (757) 440-7955 Oral & Maxillofacial Surgeons: Reconstructive, Dentoalveolar, & Implant Surgery 3116 Tyre Neck Rd. Portsmouth (757) 483-2110 2441 Pruden Blvd. Suffolk (757) 934-0767

James A. Salerno, DDS David Gladstone, DDS 5318 Providence Rd. Virginia Beach (757) 424-3657

Owens, Dorfman, Ashby & Dailey 4356 Bonney Rd., Ste. 4 Virginia Beach (757) 340-7000 7400 Granby St. Norfolk (757) 583-4518 1021 Eden Way N. Virginia Beach (757) 547-8700

Laymon A. Salyer, DDS 3933 Portsmouth Blvd., Ste. 200 Chesapeake (757) 488-8853

David M. Pate, DDS Jennifer Waterman, DDS 905 Battlefield Blvd. N., Ste. 102 Chesapeake (757) 425-2332 303 35th St., Ste. 103 Virginia Beach (757) 547-2770

Stephanie Santos, DDS 281 Independence Blvd. Ste. 210 Virginia Beach (757) 499-9639

Robert Pellerin, DDS 351 Edwin Dr., Ste. 101 Virginia Beach (757) 490-2017 Pembroke Family Dental Care 4400 Corporation Ln., Ste. 101 Virginia Beach (757) 499-3522 Louis Peron, DDS MS 501 Independence Pkwy. Chesapeake (757) 436-6778 641 Lynnhaven Pkwy. Virginia Beach (757) 467-2102 Gail Plauka, DDS & Associates 350 Johnstown Rd., Ste. C Chesapeake (757) 482-4777 Robert Pope, DDS 1609 Pleasure House Rd. Virginia Beach (757) 464-3321 Paul Prillaman, DDS 905 Battlefield Blvd. N., Ste. 101 Chesapeake (757) 547-2820 William Pruden, DMD 1421 Kempsville Rd., Ste. C Chesapeake (757) 549-8077 Richard K. Quigg, DDS 984 First Colonial Rd., Ste. 300 Virginia Beach (757) 496-6690 505 Independence Pkwy. Ste. 108 Chesapeake (757) 410-7271

Schrumpf & Herman Family Dentistry 1300 Kempsville Rd., Ste. 1 Virginia Beach (757) 467-8181

Randolf E. Savage, DDS James Reske, DDS 4530 Professional Cir. Virginia Beach (757) 499-0567 Schonbrun Dental Care 4529 E. Honeygrove Rd., Ste. 301 Virginia Beach (757) 460-1234 Jerome W. Schonfield, DDS 5000 Portsmouth Blvd. Portsmouth (757) 488-9000 Jeremy Schulman, DDS, MS 1301 First Colonial Rd. Virginia Beach (757) 496-8070 Robert M. Selden, Jr., DDS 885 Kempsville Rd., Ste. 302 Norfolk (757) 461-1988 Oscar W. Self, Jr., DDS 3145 Virginia Beach Blvd., Ste. 100 Virginia Beach (757) 340-5009 Isiah R. Sharp, III, DDS 344 Effingham St. Portsmouth (757) 398-0404 Michael F. Sharrock, DDS 1457 Mount Pleasant Rd., Ste. 103 Chesapeake (757) 482-1212 Shiflet, Cox & Morgan 3145 Virginia Beach Blvd., Ste. 104 Virginia Beach (757) 340-7602

John D. Mosher, DDS 1600 East Little Creek Rd. Norfolk (757) 587-1588

R. L. Howell & Associates, PC 102 Western Ave. Suffolk (757) 539-7695

Francis Lesinski, DDS 4409 George Washington Hwy. Portsmouth (757) 485-2222

David P. Mueller, DDS 968 First Colonial Rd. Virginia Beach (757) 496-8066 1200 First Colonial Rd., Ste. 202 Virginia Beach (757) 496-8066

Nabeel M. Rahman, DDS 109 Gainsborough Sq., Ste. N Chesapeake (757) 547-2323

Shivar, Peluso & Andersen 711 Greenbrier Pkwy., Ste. 102 Chesapeake (757) 547-7002 3145 Virginia Beach Blvd., Ste. 101 Virginia Beach (757) 340-2881 6095 Indian River Rd. Chesapeake (757) 420-4035 302 E. Little Creek Rd., Ste. 303 Norfolk (757) 583-2333

Paul Letellier, DDS 133 Kempsville Rd. Chesapeake (757) 436-0026

Alan D. Nachman, DDS 508 N. Birdneck Rd., Ste. E Virginia Beach (757) 422-8885

Vernon L. Rainey, DDS 426 W. Washington St. Suffolk (757) 934-0476

Keith D. Simmons, DDS 801 Volvo Pkwy., Ste. 113 Chesapeake (757) 436-7000

Mary H. Lewis, DDS 328 N. Great Neck Rd., Ste. 105 Virginia Beach (757) 631-9200

Nanesmond Suffolk Dentistry 1005 Commercial Ln. Suffolk (757) 934-8500

James E. Reitano, DDS 6062 Indian River Rd., Ste. 103 Virginia Beach (757) 424-0184

Robert A. Simmons, DDS 2538 Centerville Tpke. S. Chesapeake (757) 421-7181

Charles Llewellyn, DDS 933 First Colonial Rd., Ste. R Virginia Beach (757) 428-2571

Gary Newell, DDS 5333 Indian River Rd. Virginia Beach (757) 420-1507

Elizabeth J. Resnick, DDS 1092 Laskin Rd., Ste. 110 Virginia Beach (757) 428-5543

Michael J. Sims, DDS 2109 McComas Way, Ste. 101 Virginia Beach (757) 427-0695

Bruce I. Longman, DDS 855 Kempsville Rd. Virginia Beach (757) 495-4700

Arthur A. Nido, DDS 525 N. Great Neck Rd. Virginia Beach (757) 340-8155

Bradley K. Reynolds, DDS 425 W. 20th St., Ste. 3 Norfolk (757) 622-4245 1307 Airline Blvd. Portsmouth (757) 399-4662

Smile by Design 281 Independence Blvd., Ste. 210 Virginia Beach (757) 499-9639

Jeffrey R. Leidy, DMD 1301 First Colonial Rd. Virginia Beach (757) 362-9660

The Smile Center 200 Grayson Rd., Ste. 100 Virginia Beach (757) 473-8482

Advanced Dermatology Associates 885 Kempsville Rd., Ste. 224 Norfolk (757) 455-6714

Solomon, Forbes & Lewis 805 Battlefield Blvd. N., Ste. 125 Chesapeake (757) 547-2171

Aesthetic Skin Care Center 5589 Greenwich Rd., Ste. 150 Virginia Beach (757) 557-0800

South Beach Dentistry 2401 Seaboard Rd., Ste. 106 Virginia Beach (757) 427-9449

Atlantic Dermatology Associates, PC 1101 First Colonial Rd., Ste. 200 Virginia Beach (757) 481-1666

Murray Spain, Jr., DMD, PC 1216 Granby St., Ste. 2 Norfolk (757) 625-1817 3634 S. Plaza Trail, Ste. 101 Virginia Beach (757) 498-9510

Chrysm Institute & Esthetics 317 Office Square Ln., Ste. 102A Virginia Beach (757) 237-5912

Charles Stange, DDS 711 Greenbrier Pkwy., Ste. 101 Chesapeake (757) 436-7700 Strawbridge Dental Associates 2129 General Booth Blvd., Ste. 117 Virginia Beach (757) 563-8000 Donald Tabor Jr., DDS 108 W. 20th St. Norfolk (757) 622-7544 James W. Taylor, DDS 1432 N. Great Neck Rd., Ste. 104 Virginia Beach (757) 481-4323 Thomas, Thomas & Holwick 1300 Cedar Rd. Chesapeake (757) 548-3238 Jayme D. Tomchik, DMD 4849 Shore Dr. Virginia Beach (757) 460-2250 Stanley P. Tomkins, DDS 5830 Trucker St. Portsmouth (757) 484-8595 Town Center Family Dentistry 4701 Columbus St., Ste. 105 Virginia Beach (757) 473-5706 William Tuggle, DDS Grace Pentecost, DDS 5715 Sellger Dr. Norfolk (757) 466-1700 Alexander Waitkus, DDS, MS, PC 293 Independence Blvd. Pembroke 5, Ste. 108 Virginia Beach (757) 340-9020 William H. Walls Jr., DDS 1032 Volvo Pkwy., Ste. 3 Chesapeake (757) 548-1919 James L. Watson, Jr., DDS 703 E. Virginia Beach Blvd. Norfolk (757) 622-3391 Edward J. Weisberg, DDS 104 American Legion Rd. Ste.B Chesapeake (757) 484-8262 Weis Pediatric Dentistry 801 W. Little Creek Rd., Ste. 103 Norfolk (757) 440-0044 Wernick Family Dentistry 2004 Sandbridge Rd., Ste. 100 Virginia Beach (757) 427-2212 Walter K. Wexel, DDS 548 Battlefield Blvd. S. Chesapeake (757) 482-5105 2140 Great Neck Sq. Virginia Beach (757) 481-2378 Carson E. Wiedeman, DDS 3720 Holland Rd., Ste. 102 Virginia Beach (757) 498-1663 Ben Wiggins, DDS James Rhodes, DDS 111 Mill Creek Pkwy., Ste. 203 Chesapeake (757) 487-8111 1305 Rodman Ave. Portsmouth (757) 397-3296

EVMS Dermatology 601 Medical Tower Norfolk (757) 622-6315 Reginald Henry, MD 850 Kempsville Rd. Norfolk (757) 466-5944 Lakeview Medical Center Dermatology 2000 Meade Pkwy. Suffolk (757) 934-9444 Laser Skin and Vein Center 933 First Colonial Rd., Ste. 114 Virginia Beach (757) 437-8900 Larry L. Legum, MD 113 Coastal Way Chesapeake (757) 547-9401 Mid-Atlantic Dermatology Center 110 Kingsley Lane, Ste. 410 Norfolk (757) 423-2400 Michael E. Mooreland, MD 4041 Taylor Rd., Ste. H Chesapeake (757) 483-6800 Joseph W. Musgrave, MD 707 Gittings St., Ste. 105 Suffolk (757) 934-2061 NUME Laser & Wellness Clinic 4867 Baxter Rd., Ste. 110 Virginia Beach (757) 961-0505 Pariser Dermatology 601 Medical Tower Norfolk (757) 622-6315 6161 Kempsville Circle, Ste. 345 Norfolk (757) 461-7495 1248 Perimeter Pkwy., Ste. 482 Virginia Beach (757) 496-5085 Charles F. Payne, MD 4057 Taylor Rd., Ste. S Chesapeake (757) 638-3345 Quarles Dermatology 291 Independence Blvd. Bldg. 4, Ste. 522 Virginia Beach (757) 490-6635

Diagnostic Health 171 Kempsville Rd., Bldg. C Norfolk (757) 671-8500 676 Kingsborough Sq., Ste. A Chesapeake (757) 547-4155 First Colonial Diagnostic Center 1080 First Colonial Rd., Ste. 100 Virginia Beach (757) 395-6464 Hampton Roads Radiology Associates 110 Kingsley Ln., Ste. 305 Norfolk (757) 889-5422 Lakeview Medical Center Radiology 2000 Meade Pkwy. Suffolk (757) 539-0251 Life Diagnostic Imaging 1020 Independence Blvd. Virginia Beach (757) 963-6295 Medical Center Radiologists 6330 N. Center Dr., Ste. 220, Bldg. 13 Norfolk (757) 466-0089 Mid-Atlantic Imaging Centers 300 Medical Pkwy., Ste. 302 Chesapeake (757) 312-8403 844 Kempsville Rd., Ste. 210 Norfolk (757) 461-6131 1181 First Colonial Rd., Ste. 201 Virginia Beach (757) 228-1600 MRI & CT Diagnostics 4668 Pembroke Blvd., Ste. 109 Virginia Beach (757) 671-1144 1554 River Birch Run N. Chesapeake(757) 671-1144

Bon Secours Medical Associates 828 Healthy Way, Ste. 220 Virginia Beach (757) 305-1797

Greenbrier Family Practice 1021 Eden Way N., Ste. 108 Chesapeake (757) 547-0999

Bon Secours Providence Medical Associates 5301 Providence Road, Ste. 90 Virginia Beach (757) 495-6896

Green Run Family Practice Center 3396 Holland Rd., Ste. 105 Virginia Beach (757) 427-9194

Boulevard Medical Center 1020 Independence Blvd., Ste. 101 Virginia Beach (757) 460-3330 Cedar Road Medical Associates 1419 Cedar Rd. Chesapeake (757) 549-0222 Anthony C. Cetrone, MD 4700 George Washington Hwy. Portsmouth (757) 487-9200 Cedar Road Medical Associates 1419 Cedar Road, Suite 101 Chesapeake (757) 842-6180 Chesapeake Medical Associates 213 Riverwalk Pkwy., Ste. 101 Chesapeake (757) 548-1400 Chesport Family Medicine 301 Goode Way, Ste. 204 Portsmouth (757) 397-5301 Chimney Hill Medical Associates & Urgent Care 3745 Holland Rd. Virginia Beach (757) 962-8720 Christian Medical Associates 4654 Haygood Rd., Ste. B Virginia Beach (757) 363-1000

Radiation Therapy at Bon Secours 150 Kingsley Ln. Norfolk (757) 889-5238

Deep Creek Family Practice 2605 Moses Grandy Trail, Ste. D Chesapeake (757) 485-3600

Radiology at Chesapeake Regional Hospital 736 Battlefield Blvd. N. Chesapeake (757) 312-6124

DePaul Medical Associates 100 Kingsley Lane, Ste. 100 Norfolk (757) 889-4280

Radiology at Maryview Medical Center 3636 High St. Portsmouth (757) 398-2465 Sentara Advanced Imaging Center 890 Kempsville Rd. Norfolk (757) 261-0800 Sentara Belle Harbour 3920-A Bridge Rd. Suffolk (800) SENTARA

Doctors on Call 5232 Providence Rd. Virginia Beach (757) 481-0303 Dr. Rhee & Associates 3500 Virginia Beach Blvd., Ste. 303 Virginia Beach (757) 340-0962 EVMS Ghent Family Medicine 721 Fairfax Ave. Norfolk (757) 446-5955 Executive Health Care 4867 Baxter Rd. Ste. 105 Virginia Beach (757) 473-9300

Samuel T. Selden, MD 200 Medical Pkwy., Ste. 309 Chesapeake (757) 547-9241

Sentara Radiation Oncology 600 Gresham Dr. Norfolk (757) 388-3483 100 First Colonial Rd. Virginia Beach (757) 395-8610

Larry O. Sharpe, MD 160 Kingsley Lane, Ste. 504 Norfolk (757) 489-2273

Virginia Beach Radiology 1821 Old Donation Pkwy., Ste. 9 Virginia Beach (757) 481-1175

Family Medicine Center 1201 Lake James Dr., Ste. 200 Virginia Beach (757) 523-0022

Tompkins Dermatology 5249 Providence Rd Virginia Beach (757) 467-3900 1157 First Colonial, Ste. 300 Virginia Beach (757) 333-8001

Wainwright Diagnostic Center 229 W. Bute St., Ste. 600 Norfolk (757) 388-1880

Family Medicine at Princess Anne 1950 Glenn Mitchell Dr., Ste. 300 Virginia Beach (757) 507-0305

Endocrinology

Katherine A. Treherne, MD 142 West York St., Ste 605 Norfolk (757) 623-9919

Endocrinology Consultants 1101 First Colonial Rd., Ste. 101 Virginia Beach (757) 496-9020 1020 Independence Blvd., Ste. 202 Virginia Beach (757) 460-6222 713 Volvo Parkway, Suite 103 Chesapeake (757) 609-3404

Family Medicine Health Care 5911 Portsmouth Blvd. Portsmouth (757) 488-3333

Virginia Beach Dermatology 5320 Providence Rd., Ste. 202 Virginia Beach (757) 523-4800 Virginia Dermatology & Skin Cancer Center 241 Corporate Blvd., Ste. 215 Norfolk (757) 455-5009

Endocrinology & Diabetes Center 3217 Stamford Rd. Portsmouth (757) 484-7822

Virginia Skin Clinic 241 Corporate Blvd., Ste. 210 Norfolk (757) 961-2961

Streletz Diabetes Center 855 W. Brambleton Ave. Norfolk (757) 446-5908

Jonathan D. Wong, DDS 3156 Magic Hollow Blvd. Virginia Beach (757) 468-4867

DIAGNOSTIC RADIOLOGY

Family Practice

Zaki Orthodontics 2029 Lynnhaven Pkwy., Ste. 700 Virginia Beach (757) 416-1100

Advanced Imaging Center 1975 Glenn Mitchell Drive, Suite 100 Virginia Beach (757) 507-0100

Advantage Family Care 3105 American Legion Rd., Ste. F Chesapeake (757) 686-3999

Allan S. Zeno, DDS 7316 Granby St. Norfolk (757) 583-4579

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800

Andrew J. Zimmer, DDS 1604 Hilltop West Executive Ctr., Ste. 216 Virginia Beach (757) 491-5070

Bon Secours Health Center at Virginia Beach 828 Healthy Way Virginia Beach (757) 889-CARE

Dermatology

Eugene Y. Chang, MD, FACS 355 Crawford Street, Suite 300 Portsmouth (757) 396-6333

Ageless Dermatology & Laser Center 5309 Discovery Park Blvd. Williamsburg (757) 564-1200

Greenbrier Family Medical Center 801 Volvo Pkwy., Suite 111 Chesapeake (757) 548-0099

Princess Anne Oncology Radiology 1950 Glenn Mitchell Dr., Ste. 100 Virginia Beach (757) 507-0425

J. Dewey Willis III, DDS, PC 801 Greenbrier Pkwy. Chesapeake (757) 547-3003

Acne Specialists 3105 Western Branch Blvd. Ste. 4-A Chesapeake (757) 484-4607

Bon Secours Medcare 5615 High St. West, Suite A Portsmouth (757) 487-9200

Chesapeake Diagnostic Imaging 676 Kingsborough Square, Ste. A Chesapeake (757) 547-4155

Atwood Family Medical Center 101 Knellâ&#x20AC;&#x2122;s Ridge Rd., Ste. 100 Chesapeake (757) 436-1234 Bayside Family Practice 2017 Pleasure House Rd. Virginia Beach (757) 318-6900 Bayview Medical Associates 1020 Independence Blvd., Ste. 202 Virginia Beach (757) 460-6222 Bayview Medical Center 7924 Chesapeake Blvd. Norfolk (757) 587-0157 Bennetts Creek Family Medicine 5622 Bennetts Pasture Rd. Suffolk (757) 484-3472

Family Medical Practicioners 1147 Independence Blvd. Virginia Beach (757) 460-1207

Family Physicians of Chesapeake 111 Mill Creek Pkwy., Ste. 300 Chesapeake (757) 558-8210 Family Physicians of Great Bridge 308 Cedar Lakes Drive, Suite 105 Chesapeake (757) 436-4000 Family Physicians of Tidewater 110 Kingsley Lane, Ste. 202 Norfolk (757) 889-6520 Family Practice Specialists & Urgent Care 816 Independence Blvd., Ste. 100 Virginia Beach (757) 363-6800 First Care 616 Happy Acres Rd. Chesapeake (757) 485-5027 4057 Taylor Rd., Ste. P Chesapeake (757) 484-3012 4053 Taylor Rd., Ste. K Chesapeake (757) 483-6401 2595 Victory Blvd. Portsmouth (757) 487-4949 3706 Winchester Dr., Ste. 102 Portsmouth (757) 393-4124 1105 Halifax Ave. Portsmouth (757) 399-8323 3235 Academy Ave., Ste. 102 Portsmouth (757) 484-7386 Angel Galdini, MD 3706 Winchester Drive, Ste. 200 Portsmouth (757) 393-4124 Great Neck Family Practice 1080 First Colonial Rd., Ste. 200 Virginia Beach (757) 395-6630

Alesia W. Griffin, MD 2147 Old Greenbrier Rd., Ste. D Chesapeake (757) 366-0692 Rafael F. Guanzon, MD 704 London Blvd., Ste. A Portsmouth (757) 399-0513 Gregory Haase, MD 1856 Colonial Medical Ct., Ste. B Virginia Beach (757) 499-9671 Hague Medical Associates 400 W. Brambleton Ave., Ste. 201 Norfolk (757) 627-6220 Hampton Roads Family Practice 665 Newtown Rd., Ste. 114 Virginia Beach (757) 490-1226 Hanbury Family Medicine 129 Hanbury Rd. W., Ste. 103 Chesapeake (757) 410-4488 Harbour View Family Practice 5818 Harbour View Blvd., Ste. B-2 Suffolk (757) 673-5890 Indian River Family Practice 1016 Justis St. Chesapeake (757) 420-8297 Integrated Medical Services 1446 Kempsville Rd., Ste. 204A Virginia Beach (757) 474-7460

Oral Surgery of Tidewater 933 First Colonial Rd., Ste. 205 Virginia Beach (757) 425-5781 2100 Lynnhaven Pkwy. Virginia Beach (757) 471-7038 5720 Greenwich Rd. Virginia Beach (757) 499-6886 Patient Choice 957 W. 21st St., Ste. E Norfolk (757) 622-8358 1232 Perimeter Pkwy., Ste. 101 Virginia Beach (757) 425-8590 Plastic Surgery of Virginia Beach 1815 Colonial Medical Ct. Virginia Beach (757) 496-7373 Portlock Medical Center 3906 Bainbridge Blvd. Chesapeake (757) 545-5073 Portsmouth Family Practice 600 Crawford St., Ste. 300 Portsmouth (757) 397-6344 Portsmouth Medical Associates 301 Goode Way, Ste. 105 Portsmouth (757) 393-5996 Premier Primary Care, PLC 113 Gainsborough Sq., Ste. 201 Chesapeake (757) 410-8745 Primary Care Physicians of Hampton Roads 1200 S Military Hwy., Ste. 101 Chesapeake (757) 424-5778 Princess Anne Family Practice 1380 Tuscany Dr. Virginia Beach (757) 301-9200 Princess Anne Medical Associates 1925 Glenn Mitchell Dr., Ste. 100 Virginia Beach (757) 689-8430

Intracoastal Family Practice 633 S. Battlefield Blvd., Ste. 300 Chesapeake (757) 233-4743

Providence Road Family Practice & Urgent Care 5320 Providence Rd. Virginia Beach (757) 413-7900

Kempsville Primary Medical Center 5136 Princess Anne Rd. Virginia Beach (757) 473-0003

Roosevelt Family Practice 2203 E. Little Creek Rd. Norfolk (757) 583-2181

Abdur Khan, MD 4221 Pleasant Valley Rd., Ste. 114 Virginia Beach (757) 495-7420

Sentara Family Medicine Physicians 3920 Bridge Road, Suite 207 Suffolk (757) 983-2200

DePaul Medical Associates 100 Kingsley Lane, Ste. 100 Norfolk (757) 889-4280

Skees Family Practice 425 W. 20th St., Ste. 1 Norfolk (757) 623-8642

Lakeview Medical Center Family Practice 2000 Meade Pkwy. Suffolk (757) 539-0251 4868 Bridge Rd. Suffolk (757) 483-7900

Suffolk Medical Associates 2401 Godwin Blvd., Ste. 3 Suffolk (757) 923-9660

Lifeway Family Physicians 1821 Old Donation Pkwy., Ste. 4 Virginia Beach (757) 481-3770 Little Creek Medical Associates 1326 E. Little Creek Rd. Norfolk (757) 583-6338 Little Neck Medical Associates & Urgent Care 2859 Virginia Beach Blvd. Virginia Beach (757) 340-4901

Tidewater Family Medical Care 516 Innovation Dr., Ste. 103 Chesapeake (757) 495-0606 Towne Center Medical Associates 4445 Corporation Lane, Ste. 120 Virginia Beach (757) 213-6980 Virginia Beach Family Practice 1024 First Colonial Rd., Ste. 102 Virginia Beach (757) 321-4030 Volvo Medical Associates 713 Volvo Pkwy., Ste. 100 Chesapeake (757) 548-0076

Main Street Physicians 1417 Battlefield Blvd. N., Ste. 360 Chesapeake (757) 925-1866

Wellspring Family Medical Center 801 Greenbrier Pkwy., Ste. B Chesapeake (757) 312-0166

Maryview Foundation Health Clinic 3600 High St. Portsmouth (757) 213-3100

Western Branch Family Practice 3253 Taylor Rd., Ste. 200 Chesapeake (757) 686-5673

Medical Care + 6204 N. Military Hwy. Norfolk (757) 855-1900

WestSide Medical Associates 229 W. Bute St., Ste. 500 Norfolk (757) 388-1050

Medical Practicioners 1147 Independence Blvd. Virginia Beach (757) 460-1207

Gastroenterology

Mid-Atlantic Family Medicine 828 Healthy Way, Ste. 350 Virginia Beach (757) 705-5265 Nansemond Suffolk Family Practice 2897 Bridge Rd. Suffolk (757) 484-7248 Nelson M. Karp Medical Center 460 S. Independence Blvd. Virginia Beach (757) 497-3439 Now Care Medical Associates 6632 Indian River Road, Ste. 103 Virginia Beach (757) 424-4442 Oceanfront Family Practice 303 35th St., Ste. 102 Virginia Beach (757) 425-1354 Olde Towne Family Practice 640 North St. Portsmouth (757) 397-1246

Center for Health & Cancer Prevention 1301 First Colonial Road, Ste. 201 Virginia Beach (757) 412-4919 Digestive & Liver Disease Specialists 885 Kempsville Rd., Ste. 114 Norfolk (757) 466-0165 Gastroenterology Associates 400 Gresham Dr., Ste. 303 Norfolk (757) 627-6416 113 Gainsborough Sq., Ste. 100 Chesapeake (757) 436-3285 Gastroenterology Associates of Tidewater 112 Gainsborough Sq., Ste. 200 Chesapeake (757) 547-0798 5701 Cleveland St., Ste. 100 Virginia Beach (757) 547-0798 160 Kingsley Lane, Ste. 200 Norfolk (757) 889-6800 Gastroenterology Consultants, Ltd. 1020 Independence Blvd., Ste. 110 Virginia Beach (757) 464-1644 5320 Providence Rd., Ste. 204 Virginia Beach (757) 523-9755 THE HEALTH JOURNAL

Gastroenterology Limited 1101 First Colonial Rd., Ste. 300 Virginia Beach (757) 481-4817

The Breast Care Center 355 Crawford St., Ste. 102 Portsmouth (757) 397-3400

Gastrointestinal & Liver Specialists 2790 Godwin Blvd., Ste. 210 Suffolk (757) 934-3700 5818 Harbour View Blvd., Ste. 240 Suffolk (757) 483-6100

Tidewater Surgical Specialists 5818 Harbour View Blvd., Ste. 250 Suffolk (757) 483-3030

Hampton Roads Institute of Portsmouth 500 Rodman Ave., Ste. 1 Portsmouth (757) 393-7993 Hemorrhoid Care Center of Virginia 816 Independence Blvd., Ste. 2D Virginia Beach (757) 460-0002 Joseph B. Hollis, MD 1211 Rodman Ave. Portsmouth (757) 397-2493 Lakeview Medical Center Gastroenterology 2000 Meade Pkwy. Suffolk (757) 539-0251 Portsmouth Gastroenterology 1211 Rodman Ave. Portsmouth (757) 397-2493

Vascular & Transplant Specialists 397 Little Neck Rd., 3300 South Bldg., Ste. 100 Virginia Beach (757) 470-5570 600 Gresham Dr. Norfolk (757) 622-2649 Virginia Beach Ambulatory Surgical Center 1700 Will-O-Wisp Dr. Virginia Beach (757) 496-6400 Virginia Beach Surgery 1975 Glenn Mitchell Rd., Ste. 302 Virginia Beach (757) 481-2313 1020 First Colonial Rd. Virginia Beach (757) 481-2313 Richard O. Wright, MD 1401 Tidewater Dr., Ste. 6 Norfolk (757) 628-1599

Hand Surgery

Doctor’s Choice Home Health Services 2215 High St. Portsmouth (757) 398-0096 Elder Care at Home, Inc & The Caregivers 4663 Haygood Rd. Virginia Beach (757) 464-4800

Sentara Home Care Services 154 Burnetts Way, Ste. 102 Suffolk (757) 538-9324 535 Independence Pkwy., Ste. 200 Chesapeake (757) 549-7755

Excel Professional Home Health Agency 6320 N. Center Dr., Ste. 202 Norfolk (757) 961-9874

Solutions Home Care 1401 Tidewater Dr., Ste. 4 Norfolk (757) 227-9926

Genesys Home Health Care, Inc. 6387 Center Dr., Ste. 2 Norfolk (757) 961-5243 Good Shepherd Home Health Care, Inc. 3617 Virginia Beach Blvd. Virginia Beach (757) 306-0800 Guardian Homecare 228 W. Bute St. Norfolk (757) 624-9999 Hand ‘n Heart 317 Office Square Ln., Ste. 201-A Virginia Beach (757) 490-1223

Snehal Damle, MD 3235 Academy Ave., Ste. 100 Portsmouth (757) 484-0215

Hand Associates, PC 233 Business Park Dr., Ste. 100 Virginia Beach (757) 499-6400

Heartland Home Health Care & Hospice 5040 Corporate Woods Dr. Virginia Beach (757) 490-9323

General Surgery

Hand Center 6160 Kempsville Cir., Ste. 102-A Norfolk (757) 461-8300

Heavenly Home Care 3707 Virginia Beach Blvd., Ste. 205 Virginia Beach (757) 631-1181

Ivor B. Kaplan, MD 400 W. Brambleton Ave. Norfolk (757) 627-6700

Home Instead Senior Care 1301 Redgate Ave. Norfolk (757) 228-5832

Orthopaedic Surgery Centers 5838 Harbour View Blvd., Ste. 100 Suffolk (757) 673-5680 2012 Meade Pkwy. Suffolk (757) 539-1477

HomeChoice Partners 5365 Robin Hood Rd., Ste. 200 Norfolk (757) 855-4255

Airline Medical Center 4725 Portsmouth Blvd. Portsmouth (757) 488-6400 Bon Secours Surgery Center 828 Healthy Way, Ste. 115 Virginia Beach (757) 495-8070 Braunstein Surgery 1016 First Colonial Rd., Ste. 200 Virginia Beach (757) 491-6467 Breast Care Specialists, PC 229 W. Bute St., Ste. 845 Norfolk (757) 622-8032 Coastal Surgical Specialists 1120 First Colonial Rd., Ste. 203 Virginia Beach (757) 481-4424 Colon-Rectal Surgery of Tidewater 3235 Academy Ave., Ste. 200 Portsmouth (757) 484-9653 Commonwealth Surgical Associates 3640 High St., Ste. 2-F Portsmouth (757) 397-2383 2790 Godwin Blvd., Ste. 305 Suffolk (757) 539-7824 EVMS Surgery 825 Fairfax Ave., Ste. 610 Norfolk (757) 446-8960 112 E. Washington Ave. Suffolk (757) 934-1003 Express Medical Care 1543 Amberley Forest Rd. Virginia Beach (757) 471-7700

Seniorcorp, Inc. 2200 Colonial Ave. Norfolk (757) 640-0557

Alfred Fernandez, MD, FACP 512 Albermarle Dr. Chesapeake (757) 547-4747

Hospitals & Clinics

Matthew Tignor, MD 923 First Colonial Rd., Ste. 1801 Virginia Beach (757) 491-3130

Joseph Forestiere, MD 533 Newtown Rd., Ste. 104 Virginia Beach (757) 490-2855

Beach Health Clinic 3396 Holland Rd., Ste. 102 Virginia Beach (757) 428-5601

Norfolk Diagnostic Center 850 Kempsville Rd. Norfolk (757) 466-5900

Pamela J. Gray, MD 6161 Kempsville Circle, Ste. 315 Norfolk (757) 461-5400

Bon Secours DePaul Medical Center 150 Kingsley Lane Norfolk (757) 889-5000

Internal Medicine

Greater Suffolk Medical 114 N. Main St., Ste. 200 Suffolk (757) 934-1003

Bon Secours Health Center at Harbour View 5818 Harbour View Blvd. Suffolk (757) 673-5800 Bon Secours Health Center 828 Healthy Way Virginia Beach (757) 889-CARE Bon Secours Maryview Medical Center 3636 High St. Portsmouth (757) 398-2200

Chesapeake Health Department 748 N. Battlefield Blvd. Chesapeake (757) 382-8600

Hope In-Home Care 6325 N. Center Dr., Ste. 120 Norfolk (757) 455-0030

Children’s Hospital of the King’s Daughters 601 Children’s Ln. Norfolk (757) 668-7098

Eastern Virginia Medical School 721 Fairfax Ave. Norfolk (757) 446-5600

Hospice of Virginia Hampton Roads (800) 501-0451

Norfolk Public Health Dept. 830 Southhampton Ave., Ste. 200 Norfolk (757) 683-2756

HPR Home Health 4510 Holland Office Park, Ste. 503 Virginia Beach (757) 201-6200

Chimney Hill Medical Associates & Urgent Care 3745 Holland Rd. Virginia Beach (757) 962-8720

Portsmouth Health Department 1701 High St., Ste. 102 Portsmouth (757) 393-8585

Interim Healthcare 516 S. Independence Blvd., Ste. 106 Virginia Beach (757) 466-1401

Lakeview Medical Center Urgent Care 2000 Meade Pkwy. Suffolk (757) 934-9366 4868 Bridge Rd. Suffolk (757) 483-7100

Suffolk Health Department 135 Hall Ave., Ste. A Suffolk (757) 514-4700

Intrepid USA Home Health Services 1025 Executive Blvd., Ste. 111 Chesapeake (757) 548-6884

NDC Medical Center 850 Kempsville Rd. Norfolk (757) 261-5999

Virginia Beach Department of Public Health 4452 Corporation Ln. Virginia Beach (757) 518-2646

JFS Home Health Care 260 Grayson Rd. Virginia Beach (757) 489-3111

NowCare 6632 Indian River Rd., Ste. 103 Virginia Beach (757) 424-4442 7924 Chesapeake Blvd. Norfolk (757) 587-0157 2401 Godwin Blvd., Ste. 2 Suffolk (757) 923-9660

A-1 At Home Care Services 101 Plume Street, Ste. 301 Norfolk (757) 622-5975

Charles Ives, MD Robert C. Knowles, MD 160 Kingsley Ln., Ste. 400 Norfolk (757) 889-6500

All Heart Home Health Agency 410 N. Center Drive, Bldg. 9, Ste. 102 Norfolk (757) 961-0049

Lakeview Medical Center General Surgery 2000 Meade Pkwy. Suffolk (757) 539-0251

All Star Health Care 114 W. 20th St. Norfolk (757) 622-3000

Marvina Home Health & Hospice 1403 Greenbrier Pkwy., Ste. 901 Chesapeake (757) 413-9095

Med Staffing, Inc. 521 Central Dr., Ste. 101 Virginia Beach (757) 351-1396

Patient First 2425 Taylor Rd. Chesapeake (757) 215-1800 1239 Cedar Rd. Chesapeake (757) 549-9935 705 N. Battlefield Blvd. Chesapeake (757) 547-0688 5486 Indian River Rd. Virginia Beach (757) 424-2490 332 Newtown Rd. Virginia Beach (757) 473-8400 3432 Holland Rd. Virginia Beach (757) 468-1855 1605 General Booth Blvd. Virginia Beach (757) 721-0512

Odyssey HealthCare 6363 Center Dr., Ste. 201 Norfolk (757) 461-0600

Sentara Bayside Hospital 800 Independence Blvd. Virginia Beach (757) 363-6100

Personal Touch Home Care & Hospice of Virginia, Inc. 5505 Robin Hood Rd., Ste. 1-C Norfolk (757) 855-1355

Sentara BelleHarbour 3920 Bridge Rd., Ste. A Suffolk (757) 983-2200

Bon Secours Hospice 861 Glenrock Road, Ste. 155 Norfolk (757) 889-4663

Professional Healthcare Resources, Inc. 5900 E. Virginia Beach Blvd., Ste. 119 Norfolk (757) 333-4969

Sentara Heart Hospital 600 Gresham Dr. Norfolk (757) 388-8000

Southeastern Surgical Associates 113 Gainsborough Sq., Ste. 103 Chesapeake (757) 548-1038

Community Direct Services 420 N. Center Dr., Ste. 232 Norfolk (757) 965-4899

Prosperity Homes 5036 Cliffony Dr. Virginia Beach (757) 226-9106

Southside Surgical Associates 1080 First Colonial Rd., Ste. 200 Virginia Beach (757) 422-2212

Community Personal Care, Inc. 1761 Church St. Norfolk (757) 625-2220

ResCare HomeCare 885 Kempsville Rd., Ste. 314 Norfolk (757) 459-2360

Southside Surgical Group 1950 Glenn Mitchell Dr., Ste. 310 Virginia Beach (757) 507-0400

Dailey’s Health Care Inc. 4310 Indian River Rd., Ste. 7A Chesapeake (757) 523-5207

Senior Helpers 900 Commonwealth Pl., Ste. 207 Virginia Beach (757) 353-6680

Earl C. Strayhorn, MD 6160 Kempsville Cir., Ste. 317-B Norfolk (757) 461-4278

Direct Home Health Care Inc. 3100 London Blvd. Portsmouth (757) 405-6320

Senior Sit 464 Investors Place, Ste. 204-L Virginia Beach (757) 490-4919

Norfolk Surgical Group, Ltd. 880 Kempsville Rd., Ste. 1000 Norfolk (757) 261-5000 600 Gresham Dr. Norfolk (757) 388-6120 1950 Glenn Mitchell Dr., Ste. 310 Virginia Beach (757) 261-5000 213 Riverwalk Parkway, Ste. 101A Chesapeake (757) 261-5175 Raymond G. Pascual, MD 704 London St., Ste. B Portsmouth (757) 397-7122 Sentara Obici Ambulatory Surgery Center 2800 Godwin Blvd. Suffolk (757) 934-4040

35 THE HEALTH JOURNAL

Americare Plus 2200 Colonial Ave. Norfolk (757) 627-1921 Arcadia Health Care 762 Independence Blvd., Ste. 100-A Virginia Beach (757) 497-6459 Assisted Living at Pritchard Road 206 Pritchard Rd. Virginia Beach (757) 340-8509 Bon Secours Home Care 861 Glenrock Rd., Ste. 155 Norfolk (757) 213-7902

Maxim Healthcare Services 287 Independence Blvd., Ste. 118 Virginia Beach (757) 490-3009 Medi Home Health 1112 Eden Way N., Ste. 200-B Chesapeake (757) 420-7192

Executive Evaluation Center 229 W. Bute St., Ste. 900 Norfolk (757) 388-1870

Infectious Disease Consultants 6161 Kempsville Cir., Ste. 220 Norfolk (757) 455-9036

Tender Loving Care Health Care Services 885 Kempsville Rd., Ste. 309 Norfolk (757) 461-3567

Health Departments

Mohib Ni Ghobrial, MD 109 Wimbledon Sq., Ste. C Chesapeake (757) 436-3630

Center for Comprehensive Care of Immune Deficiency 825 Fairfax Ave., Ste. 525 Norfolk (757) 446-8999

EVMS Internal Medicine Primary Care 825 Fairfax Ave., Ste. 410 Norfolk (757) 446-8920

Family & Internal Medical Center 2020 S Independence Blvd., Ste. 1 Virginia Beach (757) 471-3100

Chesapeake Regional Medical Center 736 Battlefield Blvd. N. Chesapeake (757) 312-8121

Kelly Home Care Services 885 Kempsville Rd., Ste. 314 Norfolk (757) 827-1221

Infectious Disease

Desai V. Dirghayu, MD 3703 County St. Portsmouth (757) 393-2288

EVMS Department of Infectious Diseases 825 Fairfax Ave., Ste. 410 Norfolk (757) 446-8910

Stay at Home Personal Care 890 Poplar Hall Dr. Norfolk (757) 392-1001

Home Helpers PO Box 9587 Chesapeake (757) 483-8243

Hospice & Home Care

Sentara Virginia Beach General Hospital 1060 First Colonial Rd. Virginia Beach (757) 395-8000

Sentara Leigh Hospital 830 Kempsville Rd. Norfolk (757) 261-6000 Sentara Norfolk General Hospital 600 Gresham Dr. Norfolk (757) 388-3000 Sentara Obici Hospital 2800 Godwin Blvd. Suffolk (757) 934-4000 Sentara Princess Anne 1975 Glenn Mitchell Dr. Virginia Beach (757) 507-0000

David L. Akins, MD 301 Goode Way, Ste. 101 Portsmouth (757) 399-7000 Amelia Internal Medicine 885 Kempsville Rd., Ste. 224 Norfolk (757) 455-5545 Anthony T. Amble, MD 816 Independence Blvd., Ste. 1-H Virginia Beach (757) 464-2013 Anesthesia Specialists 138 S. Rosemont Rd., Ste. 215 Virginia Beach (757) 431-9551 Atlantic Anesthesia 134 Business Park Dr. Virginia Beach (757) 473-0044 Battlefield Medical Associates 675 Battlefield Blvd. N. Chesapeake (757) 436-7888 Bayside Internal Medicine 1020 Independence Blvd., Ste. 311 Virginia Beach (757) 318-3700 Vernis L. Beverly, MD 3800 Poplar Hill Rd. Chesapeake (757) 484-2001 Nihar R. Bhowmik, MD 301 Goode Way, Ste. 103 Portsmouth (757) 399-0701 Bon Secours Occumed 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-4000 R. Michael Camp, MD Robert F. Mann, MD Werner Martens, MD William T. Naylor, MD 902 Graydon Ave. Norfolk (757) 622-1661 Chesapeake Internists, Ltd. 113 Gainsborough Sq., Ste. 300 Chesapeake (757) 547-9286 Chesapeake Sleep & Internal Medicine 300 Medical Pkwy., Ste. 200 Chesapeake (757) 609-3380

Group for Internal Medicine 229 W. Bute St., Ste. 500 Norfolk (757) 388-1020 David S. Haden, MD 5505 Indian River Rd., Ste. 101 Virginia Beach (757) 420-9573 Hague Internal Medicine 400 W. Brambleton Ave., Ste. 104 Norfolk (757) 627-7700 Pedro Hasas, MD 1815 E. Little Creek Rd. Norfolk (757) 583-4329 James J. Hatcher, MD 840 First Colonial Rd., Ste. 203 Virginia Beach (757) 491-2466 Sue B. Hudson, MD 802 Newtown Rd. Virginia Beach (757) 497-0606 Integrated Medical Services 1446 Kempsville Rd., Ste. 204 Virginia Beach (757) 474-7460 Internal Medicine, Kidney & Hypertension Center 5700 Lake Wright Dr., Ste. 101 Norfolk (757) 502-4840 Internal Medicine of Portsmouth 3300 High St., Ste. 100 Portsmouth (757) 622-3251 Internal Medicine Specialists 142 W. York St., Ste. 508 Norfolk (757) 622-3260 Internists at Western Branch 4020 Raintree Rd., Ste. B Chesapeake (757) 465-8450 4105 Chesapeake Square Blvd. Chesapeake (757) 405-0050 Internists Of Churchland 4041 Taylor Rd., Ste. G Chesapeake (757) 484-5828 Robert M. Jurko, MD 3101 American Legion Rd. Chesapeake (757) 484-5516

Chest Medicine 1821 Old Donation Pkwy., Ste. 11 Virginia Beach (757) 481-4163

Kempsville Road Medical Associates 6161 Kempsville Circle, Ste. 225 Norfolk (757) 455-6368

Christian Medical Associates 4654 Haygood Rd., Ste. B Virginia Beach (757) 363-1000

Kidney and Medical Specialists 7428 Tidewater Dr. Norfolk (757) 588-1100

Churchland Internal Medicine 2994 Churchland Blvd. Chesapeake (757) 484-0500

Herbert Knight, MD 4460 Corporation Ln., Ste. 190 Virginia Beach (757) 518-8823

Corporation Lane Internal Medicine 4460 Corporation Lane Virginia Beach (757) 518-8823

Lakeview Medical Center Internal Medicine 2000 Meade Pkwy. Suffolk (757) 934-9395 4868 Bridge Rd. Suffolk (757) 483-7100

Richard L. Cullen, Jr., MD 828 Healthy Way, Ste. 220 Virginia Beach (757) 455-6368 Don Conaway, MD 1716 Sir William Osler Dr. Virginia Beach (757) 481-1909 Consultants in Internal Medicine 229 W. Bute St. Norfolk (757) 388-1844 Dedicated Care Center 229 W. Bute St., Ste. 910 Norfolk (757) 388-1055 Manuela M. Delacruz, MD 160 Kingsley Lane, Ste. 103 Norfolk (757) 889-6677 Diamond Springs Medical Associates 1270 Diamond Springs Rd., Ste. 110 Virginia Beach (757) 464-6944

Jose D. Leoncio, MD 1061 George Washington Hwy. N. Chesapeake (757) 485-5371 Carolina B. Longa, MD 700 Independence Cir., Ste. 1-B Virginia Beach (757) 473-2021 Norma O. Magpoc, MD 1020 Independence Blvd., Ste. 206 Virginia Beach (757) 464-0909 Kouichi Matsushige, MD 805 Rodman Ave. Portsmouth (757) 399-0137 Medical Consultants of Virginia 255 W. Bute St. Norfolk (757) 627-3790

The Medical Practice 710 Liberty St. Chesapeake (757) 543-6861 Musselmani Internal Medicine 1422 Poindexter St. Chesapeake (757) 543-3557 Maryam Nowroozi, MD 110 Kingsley Lane, Ste. 309 Norfolk (757) 889-2006 Patient Choice 957 W. 21st St., Ste. E Norfolk (757) 622-8358 Portsmouth Community Health Center 664 Lincoln St. Portsmouth (757) 397-0042 D. M. Rice, MD 3921 Kingman Ave. Portsmouth (757) 399-5000 Gordon A. Ryan, MD 400 Gresham Dr., Ste. 411 Norfolk (757) 624-9433 Alessio C. Salsano, MD 5301 Providence Rd., Ste. 90 Virginia Beach (757) 495-6896 James T. Saunders, MD 301 Goode Way, Ste. 105 Portsmouth (757) 399-4028 Maureen C. Seawell, MD 801 W. Little Creek Rd., Ste. 104 Norfolk (757) 451-3720 Parimal Soni, MD 3235 Academy Ave., Ste. 300 Portsmouth (757) 484-3454 Alfredo Soriano, MD 610 E. Liberty St. Chesapeake (757) 545-3689 Barron H. Stillman, MD 1821 Old Donation Pkwy., Ste. 2 Virginia Beach (757) 481-6167 George M. Tannous, MD 828 Healthy Way, Ste. 220 Virginia Beach (757) 889-2273 Team Health Hospitalist at Maryview Medical Center 3636 High Street Portsmouth (757) 398-2285 Tidewater Medical Clinic 111 Coastal Way Chesapeake (757) 549-9671 Virginia Beach Internal Medicine 1860 Colonial Medical Ct. Virginia Beach (757) 481-1113 1100 First Colonial Rd., Ste. 202 Virginia Beach (757) 967-8640 Virgnia Beach Premier Medical 1856 Colonial Medical Court Virginia Beach (757) 416-6750 Imtiaz Zaman, MD 1015 Eden Way N., Ste. E Chesapeake (757) 436-2620

MEDICAL WEIGHT LOSS Medical Nutrition Therapies Group & Associates 156 Newtown Rd., Ste. A-2 Virginia Beach (757) 499-2018 Metabolic Balance Hilltop Medical Center 1788 Republic Rd., Ste. 202 Virginia Beach (757) 228-1241

Neurology & Neurosurgery Atlantic Neurosurgical Services 1020 Independence Blvd., Ste. 210 Virginia Beach (757) 460-0455 Bayside Neurology 816 Independence Blvd., Ste. 2-H Virginia Beach (757) 363-6610 Bon Secours Neuroscience Center 3640 High St., Ste. 1-F Portsmouth (757) 215-3565 EVMS Sleep Disorders Center 600 Gresham Dr. Norfolk (757) 388-3322 Patrick F. Kilhenny, MD 880 Kempsville Rd., Ste. 2500 Norfolk (757) 461-0050 1201 First Colonial Road Virginia Beach (757) 425-5550 Robert A. Nash, MD 5589 Greenwich Rd., Ste. 175 Virginia Beach (757) 490-9311 Neurosurgical Associates 150 Burnetts Way Suffolk (757) 539-2037 400 Gresham Dr., Ste. 200 Norfolk (757) 622-5325 1788 Republic Rd. Virginia Beach (757) 496-3487

Neurological Associates of Hampton Roads 300 Medical Pkwy., Ste. 212 Chesapeake (757) 547-0508 Neurological Consultants of Virginia Beach 1008 First Colonial Rd., Ste. 101 Virginia Beach (757) 481-1444 Neurology & Acupuncture Clinic 1520 Breezeport Way, Ste. 600 Suffolk (757) 638-3316 Neurology Consultants & Sleep Disorders Center 637 Kingsborough Sq., Ste. E Chesapeake (757) 410-2804 516 Innovation Dr., Ste. 203 Chesapeake (757) 410-2804 1540 Breezeport Way, Ste. 500 Suffolk (757) 686-2800 Neurology Specialists 6161 Kempsville Circle, Ste. 315 Norfolk (757) 461-5400 Neurosurgical Specialists 580 E. Main St., Ste. 200 Norfolk (757) 625-4455 Neurosurgery at the Beach 1080 First Colonial Rd., Ste. 400 Virginia Beach (757) 395-8720 Neil L. Pugach, MD PC 921 First Colonial Rd., Ste. 1715 Virginia Beach (757) 226-0603 Sentara Neurology Specialists 1950 Glenn Mitchell Drive, Ste. 200 Virginia Beach (757) 507-0600 1800 Camelot, Suite H201 Virginia Beach (757) 363-6610 850 Kemspville Road, Ste. 2-5 Norfolk (757) 934-4580 600 Gresham Dr., Ste. 8630 Norfolk (757) 388-6105 2800 Godwin Blvd., Suite 320 Suffolk (757) 934-4580 Tidewater Neurologists & Sleep Disorder Specialists 3235 Academy Ave., Ste. 305 Portsmouth (757) 686-9300 200 Medical Pkwy., Ste. 109 Chesapeake (757) 549-8800 4480 Holland Office Park, Ste. 225 Virginia Beach (757) 228-5801 154 Burnetts Way, Ste. 101 Suffolk (757) 934-9200 Virginia Beach Neurology Ltd. 968 First Colonial Rd., Ste. 103 Virginia Beach (757) 481-3808

Non-Profit Organizations ACCESS AIDS Care 222 W. 21st St., Ste. F-308 Norfolk (757) 622-29899 Alzheimer’s Association 6350 Center Dr., Ste. 102 Norfolk (757) 459-2405 American Diabetes Association 870 Greenbrier Cir., Ste. 404 Chesapeake (757) 424-6662 American Parkinson Disease Association 4560 Princess Anne Rd. Virginia Beach (757) 495-3062 American Red Cross 5265 Providence Rd., Ste. 401 Virginia Beach (757) 486-1908 The Arthritis Foundation 5101 Cleveland St., Ste. 307 Virginia Beach (757) 456-1119 AWARE Worldwide, Inc. 2697 International Pkwy. Virginia Beach (757) 965-8373 Cancer Care Foundation of Tidewater 6160 Kempsville Cir. Norfolk (757) 461-8488 Catholic Charities of Eastern Virginia 5361 Virginia Beach Blvd., Ste. A Virginia Beach (757) 456-2366 CHEAR, Inc. c/o Department of Otolaryngology EVMS 600 Gresham Dr., Ste. 1100 Norfolk (757) 388-6229

Help & Emergency Response, Inc. Portsmouth (757) 485-1445 Hope House Foundation 801 Boush St., Ste. 302 Norfolk (757) 625-6161 Jewish Family Service of Tidewater 260 Grayson Road Virginia Beach (757) 321-2223 Lee’s Friends: Helping People Live with Cancer 7400 Hampton Blvd., Ste. 201 Norfolk (757) 440-7501 LifeNet Health 1864 Concert Dr. Virginia Beach (757) 464-4761 Muscular Dystrophy Association 6325 N. Center Dr., Ste. 110 Norfolk (757) 461-0177 National MS Society 760 Lynnhaven Pkwy., Ste. 201 Virginia Beach (757) 490-9627 Prime Plus/Adult Day Services Norfolk Senior Center 7300 Newport Ave., Ste.100 Norfolk (757) 625-5857 Ronald McDonald House 404 Colley Ave. Norfolk (757) 627-5386 Senior Services of Southeast Virginia 6350 Center Dr., Ste. 101 Norfolk (757) 461-9481 Sentara Health Foundation 6015 Poplar Hall Dr. Norfolk (757) 455-7976 Southeastern Virginia Training Center 2100 Steppingstone Square Chesapeake (757) 424-8240 St. Mary’s Home for Disabled Children 6171 Kempsville Circle Norfolk (757) 622-2208 Sugar Plum, Inc. 1353 Laskin Rd. Virginia Beach (757) 422-3913 Susan G. Komen for the Cure Tidewater Affiliate 119 S. Witchduck Rd., Ste. 85 Virginia Beach (757) 490-7794 The Up Center 1805 Airline Blvd. Portsmouth (757) 397-2121 222 W. 19th Street Norfolk (757) 622-7017

Cancer Specialists of Tidewater 110 Wimbledon Sq,. Ste. E Chesapeake (757) 436-2995

Mid-Atlantic Eye Care 109 Wimbledon Sq., Ste. E Chesapeake (757) 547-3249

Greenbrier Obstetrics 713 Volvo Pkwy., Ste. 200 Chesapeake (757) 547-4500

Delta Oncology Associates 104 Palmyra Dr. Suffolk (757) 934-2331 355 Crawford St., Ste. 102 Portsmouth (757) 396-6333 612 Kingsborough Sq., Ste. 300 Chesapeake (757) 215-0229

Norfolk Eye Physicians & Surgeons 1005 May Ave. Norfolk (757) 623-2123

EVMS Surgical Oncology 825 Fairfax Ave., Ste. 610 Norfolk (757) 446-8960

Retina Group of Tidewater 400 Gresham Dr., Ste. 308 Norfolk (757) 622-7000

George Kemp, MD 1120 First Colonial Rd., Ste. 202 Virginia Beach (757) 481-0327

Gary Sajko, DO Casey Napora, MD 2463 Pruden Blvd. Suffolk (757) 925-1136

The Group for Women 300 Medical Pkwy., Ste. 308 Chesapeake (757) 547-5446 880 Kempsville Rd., Ste. 2200 Norfolk (757) 466-6350 250 W. Brambleton Ave., Ste. 202 Norfolk (757) 688-3172 Gynecology Specialists 112 Gainsborough Sq., Ste. 100 Chesapeake (757) 312-8221 Hampton Roads OB/GYN Center 150 Kingsley Lane Norfolk (757) 889-6890 Health Care For Women, Inc 321 Edwin Dr. Virginia Beach (757) 671-1112 Lakeview Medical Center Ob/Gyn 2000 Meade Pkwy. Suffolk (757) 539-0251 4868 Bridge Rd. Suffolk (757) 483-7108 Maternal- Fetal Medicine 825 Fairfax Ave., Ste. 310 Norfolk (757) 446-7900 1080 First Colonial Rd., Ste. 305 Virginia Beach (757) 395-8900 Maryview Foundation Health Clinic 3636 High St. Portsmouth (757) 215-3100 Stephen A. Miller, MD 1729 Wildwood Dr., Ste. 103 Virginia Beach (757) 481-3179 Javaid A. Perwaiz, MD 3003 Churchland Blvd. Chesapeake (757) 483-6430 109 Wimbledon Sq. Chesapeake (757) 547-9585 Planned Parenthood 5441 Virginia Beach Blvd. Virginia Beach (757) 473-8116 425 W. 20th St. Norfolk (757) 624-9224 Portsmouth OB/GYN 301 Goode Way, Ste. 206 Portsmouth (757) 215-0260 William K. Rand, III 824 Greenbrier Pkwy., Ste. 100 Chesapeake (757) 410-7390 Specialists for Women 2790 Godwin Blvd., Ste. 360 Suffolk (757) 539-3911

Art & Science of Ob/Gyn 1101 First Colonial Rd., Ste. 100 Virginia Beach (757) 481-3366

Tidewater Physicians for Women 844 Kempsville Rd., Ste. 208 Norfolk (757) 461-3890 828 Healthy Way, Ste. 330 Virginia Beach (757) 461-3890

Associated Obstetricians & Gynecologists 2147 Old Greenbrier Rd., Ste. D Chesapeake (757) 547-0990

Totalcare For Women 612 Kingsborough Sq., Ste. 200 Chesapeake (757) 436-0167 813 Independence Blvd., Ste. D Virginia Beach (757) 497-1400

Atlantic Obstetrics & Gynecology 3720 Holland Rd., Ste. 101 Virginia Beach (757) 463-1234 680-C Kingsborough Sq. Chesapeake (757) 548-0044

Richard Valentine, MD & Associates 700 Independence Cir., Ste. 3-A Virginia Beach (757) 473-2021

Obstetrics & Gynecology

Chesapeake Women’s Care 300 Medical Pkwy., Ste. 300 Chesapeake (757) 548-3880 Churchland Ob/Gyn 3802 Poplar Hill Rd., Ste. C Chesapeake (757) 483-4600 Coastal Obstetrics & Gynecology 1744 Sir William Osler Dr. Virginia Beach (757) 481-4036 Diane L. H. Coltrin, MD, PC 6161 Kempsville Cir. Norfolk (757) 227-8675 Commonwealth Women’s Healthcare 2020 S. Independence Blvd., Ste. 5 Virginia Beach (757) 471-6903

Citizens’ Committee to Protect the Elderly 407 Oak Mears Crescent Virginia Beach (757) 518-8500

Complete Women’s Care 1080 First Colonial Rd., Ste. 300 Virginia Beach (757) 481-7222 1975 Glenn Mitchell Dr., Ste. 202 Virginia Beach (757) 481-7222

Edmarc Hospice for Children 516 London St. Portsmouth (757) 967-9251

Margie Corney, MD FACOG 817 Greenbrier Pkwy., Ste. B Chesapeake (757) 548-2800

Endependence Center, Inc. 6300 E. Virginia Beach Blvd. Norfolk (757) 461-8007

EVMS Obstetrics & Gynecology 160 Kingsley Lane, Ste. 205 Norfolk (757) 625-0557 825 Fairfax Ave., Ste. 310 Norfolk (757) 446-7979

EQUI-KIDS Therapeutic Riding Program 1252 Oceana Blvd. Virginia Beach (757) 425-8833

Family Medical Practitioners 1147 Independence Blvd. Virginia Beach (757) 460-1207

EVMS Urogynecology 825 Fairfax Ave., Ste. 310 Norfolk (757) 446-7900

Virginia Beach Obstetrics & Gynecology 1181 First Colonial Rd., Ste. 200 Virginia Beach (757) 425-1600 5320 Providence Rd., Ste. 100 Virginia Beach (757) 420-1414 Virginia Center For Women 1101 Madison Plz., Ste. 201 Chesapeake (757) 547-2322

Martha Davis Cancer Center 3640 High St., Ste. 1-E Portsmouth (757) 398-2447 Thomas W. Montag, MD, PLC 109 Wimbledon Sq., Ste. F Chesapeake (757) 436-9898 Sidney M. Oman Cancer Center 736 Battlefield Blvd. N. Chesapeake (757) 312-6294 Soundar Rajan, MD, FACP 1015 Eden Way N., Ste. B Chesapeake (757) 436-3266 James J. Stark, MD 5835 Harbour View Blvd. Suffolk (757) 397-4200 Virginia Hematology & Oncology 885 Kempsville Rd. Norfolk (757) 466-1800 Virginia Oncology Associates 1950 Glenn Mitchell Dr., Ste. 102 Virginia Beach (757) 368-0437 5900 Lake Wright Dr. Norfolk (757) 466-8683 300 Medical Pkwy., Ste. 314 Chesapeake (757) 549-4403 5818 Harbour View Blvd., Ste. 230 Suffolk (757) 686-1042 150 Burnett’s Way, Ste. 310 Suffolk (757) 539-0670 3235 Academy Ave., Ste. 100 Portsmouth (757) 484-0215

Parbhur Singh, MD 1020 Independence Blvd., Ste. 213B Virginia Beach (757) 363-1948 Southside Eye Care 3206 Churchland Blvd. Chesapeake (757) 484-0101 747 Volvo Parkway, Ste. 102 Chesapeake (757) 548-0202 Studio Aesthetica 1821 Old Donation Pkwy., Ste. 6 Virginia Beach (757) 496-4864 Tidewater Eye Centers 3235 Academy Ave., Ste. 101 Portsmouth (757) 483-0400 3603 County St. Portsmouth (757) 397-4666 1564 Laskin Rd., Ste. 192 Virginia Beach (757) 422-4235 805 N. Battlefield Blvd. Chesapeake (757) 549-4848 Verdi Eye Specialists 7312 Granby St., Ste. 1 Norfolk (757) 583-5826 Virginia Beach Eye Center 465 North Great Neck Rd. Virginia Beach (757) 481-5555 Virginia Eye Consultants 241 Corporate Blvd. Norfolk (757) 622-2200

Ophthalmology

Virginia Opthalmology Associates 885 Kempsville Rd., Ste. 101 Norfolk (757) 461-1444

Aapecs Eye Care 279 Indepencence Blvd. Virginia Beach (757) 552-0800

Virginia Pediatric Eye Center 880 Kempsville Rd., Ste. 2500 Norfolk (757) 461-0050

Atlantic Eye Consultants 1012 First Colonial Rd. Virginia Beach (757) 481-3800

Wagner Macula & Retina Center 968 First Colonial Rd., Ste. 105 Virginia Beach (757) 481-4400

Atlantic Ophthalmology 700 Independence Cir., Ste. 2-D Virginia Beach (757) 497-1987

Optometry

Beach Eye Care 1201 First Colonial Rd. Virginia Beach (757) 425-5550 William K. Blaylock, MD 400 Gresham Dr.. Ste. 702 Norfolk (757) 533-5437 Eyelid & Oculoplastic Consultants 1821 Old Donation Pkwy., Ste. 6 Virginia Beach (757) 496-4864 Eye Specialists, Ltd. 813 Independence Blvd., Ste. B Virginia Beach (757) 490-9091 First Colonial Eye Center 848 First Colonial Rd. Virginia Beach (757) 428-1005 Rey M. Francisco, MD 5265 Providence Rd., Ste. 505 Virginia Beach (757) 495-9525

Richard N. Willard, MD 110 Kingslee Ln., Ste. 508 Norfolk (757) 489-7331

Glaucoma & Laser Center 160 Kingsley Ln., Ste. 300 Norfolk (757) 440-1144 828 Healthy Way, Ste. 300 Virginia Beach (757) 440-1144

Western Branch Center for Women 3806 Poplar Hill Rd., Ste. B Chesapeake (757) 484-7200

Paul Griffey, MD 508 Baylor Ct., Ste. C Virginia Beach (757) 410-9500

Western Branch Ob/Gyn 3253 Taylor Rd., Ste. 200 Chesapeake (757) 686-5673 4037 Taylor Road, Ste. C Chesapeake (757) 484-2272

Hampton Roads Retina Center 1230 Progressive Dr., Ste. 100 Chesapeake (757) 436-0011 828 Healthy Way, Ste. 200 Virginia Beach (757) 436-0011

Womancare Centers 100 Kingsley Ln., Ste. 400 Norfolk (757) 451-0929 400 Gresham Dr., Ste. 811 Norfolk (757) 623-3845

Allan C. Henry, MD 1881 E. Little Creek Rd. Norfolk (757) 480-0111

Women’s Health Choice 1080 First Colonial Rd., Ste. 403 Virginia Beach (757) 496-6537

Premier Opthalmology 477 Viking Dr., Ste. 110 Virginia Beach (757) 340-8383

Mandell Retina Center 397 Little Neck Rd., Ste. 202 Virginia Beach (757) 227-4300

Oncology

Stephanie Marioneaux, MD 300 Medical Pkwy., Ste. 108 Chesapeake (757) 547-5805

Bayside Hematology & Oncology 1020 Independence Blvd., Ste. 208 Virginia Beach (757) 464-6464

Mark McCarthy, MD 400 Gresham Dr., Ste. 802 Norfolk (757) 624-1300

Atlantic Eye Care 4217 Virginia Beach Blvd. Virginia Beach (757) 340-7070 Better Vision Eyeglass Center 3603 County St. Portsmouth (757) 397-4666 1564 Laskin Rd., Ste. 192 Virginia Beach (757) 422-4235 Albert D. Bohon, Jr., OD 311 Johnstown Rd. Chesapeake (757) 547-2777 Marylin Borza, OD 701 Lynnhaven Parkway, Ste. 1189 Virginia Beach (757) 486-4368 Carney Retina & Macula Center 4433 Corporation Lane, Ste. 195 Virginia Beach (757) 227-6340 Douglas Cassidy, OD 1170 N. Military Hwy. Norfolk (757) 461-3442 Thomas R. Cheezum, OD J. Andrew Miller, OD 801 Volvo Pkwy., Ste. 133 Chesapeake (757) 549-2225 Chesapeake Optometrists 508 Baylor Ct., Ste. C Chesapeake (757) 410-9500 Coastal Vision 676 N. Battlefield Blvd. Chesapeake (757) 426-2020 2000 General Booth Blvd. Virginia Beach (757) 426-2020 1729 Wildwood Dr. Virginia Beach (757) 426-2020 Mitchell L. Corey, OD 325 W. 21st St. Norfolk (757) 622-3937 James V. Cornetta, OD 226 Fort Ln. Portsmouth (757) 393-6131 Mark Crafford, OD & Associates 296 Constitution Dr. Virginia Beach (757) 671-8957

THE HEALTH JOURNAL

Developmental Vision Care 1417 N. Battlefield Blvd., Ste. 170 Chesapeake (757) 410-3005

The Optical Shoppe 3206 Churchland Blvd. Chesapeake (757) 484-0303

Dominion Eye Care 812 Eden Way Chesapeake (757) 424-4177 6113 Indian River Rd. Virginia Beach (757) 420-2053 125 Janaf Shopping Ctr. Norfolk (757) 461-3101

George W. Pegram, III, OD 1109 Poindexter St. Chesapeake (757) 545-3930

Enochs Eye Care 3575 Bridge Rd., Ste. 21 Suffolk (757) 638-2015

Thomas Rader, OD 5913 Portsmouth Blvd. Portsmouth (757) 488-0192

The Eye Specialists 813 Independence Blvd., Ste. B Virginia Beach (757) 490-9091

Selden Optique 141 Granby St. Norfolk (757) 627-3937

Family Eyecare 2021 Lynnhaven Pkwy. Virginia Beach (757) 471-8400

Shoemaker Vision Center 1608 Pleasure House Rd. Virginia Beach (757) 460-9402

Ghent Eye Care 1900 Colley Ave. Norfolk (757) 622-5595

Southern Eyecare Associates 7525 Tidewater Dr., Ste. 41 Norfolk (757) 588-5423

Gilbert Eyecare 1547 Laskin Rd. Virginia Beach (757) 425-0200

Tidewater Eye Associates 3235 Academy Ave., Ste. 101 Portsmouth (757) 488-9686

Hilltop Eyecare Center 612 Hilltop West Shopping Center Virginia Beach (757) 491-1977

Robert Titcomb, OD 1020 Independence Blvd., Ste. 307 Virginia Beach (757) 460-3688

William C. Holcomb, OD 160 Mt. Pleasant Rd. Chesapeake (757) 482-4022

William W. Townsend, OD 4224 Holland Rd., Ste. 108 Virginia Beach (757) 463-0000

Insight Optometrists 1401 Greenbrier Pkwy., Ste. 1106 Chesapeake (757) 424-0724

Virginia Beach Eye Center 465 N. Great Neck Rd. Virginia Beach (757) 481-5555

M. E. Jackson, OD 4642 Haygood Rd. Virginia Beach (757) 464-5842

J. Micheal Weil, OD 4554 Virginia Beach Blvd., Ste. 660 Virginia Beach (757) 497-1724

Gregory P. Jellenek, OD & Associates 1200 N. Main St. Suffolk (757) 925-0495 1521 Sam’s Cir. Chesapeake (757) 436-6546 1170 Amphibious Dr. Norfolk (757) 464-2199

Steven R. Wilkins, OD 5386 Kemps River Dr., Ste. 101 Virginia Beach (757) 420-2001

Joyful Eyecare, PC 300 E. Monticello Ave., Ste. 101 Norfolk (757) 625-7400 737 First Colonial Rd., Ste. 301-A Virginia Beach (757) 422-4227

Joel Zaba, OD & Associates 281 Independence Blvd. Virginia Beach (757) 497-9575

Donald B. Kelly, OD 880 N. Military Hwy., Ste. 1087 Norfolk (757) 466-1574

Earl Pollock, OD 3282 Western Branch Blvd. Chesapeake (757) 484-8080

Michael Xu, OD 7530 Tidewater Dr., Ste. A Norfolk (757) 480-5005

Orthopedics & Sports Medicine

Joanna Kushon, OD 3590 Holland Rd., Ste. 104 Virginia Beach (757) 340-9680

Atlantic Orthopaedic Specialists 844 Kempsville Rd., Ste. 101 Norfolk (757) 321-3300 1975 Glenn Mitchell Dr., Ste. 200 Virginia Beach (757) 321-3300 1800 Camelot Dr., Ste. 300 Virginia Beach (757) 321-3300 160 Kingsley Ln., Ste. 405 Norfolk (757) 321-3300

Steven Laderberg, OD 5241 Princess Anne Rd., Ste. 105 Virginia Beach (757) 499-2020

Chesapeake Center 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651

Kenneth A. Lebow, OD 345 Edwin Dr. Virginia Beach (757) 497-5555 Lenscrafters 1401 Greenbrier Pkwy., Ste. 2112 Chesapeake (757) 420-3032 701 Lynnhaven Pkwy., Space B-2 Virginia Beach (757) 431-0950 296 Constitution Dr. Virginia Beach (757) 499-1375 300 E. Monticello Ave., Ste. 160 Norfolk (757) 533-5200

Children’s Orthopedic & Sports Medicine 171 Kempsville Rd., Ste. 201 Norfolk (757) 668-6550 733 Volvo Pkwy., Ste. 100 Chesapeake (757) 548-6770

Kempsville Eye Center 5308 Providence Rd. Virginia Beach (757) 467-6200

Marcia K. Leverett, OD 2701 North Mall Dr., Ste. 111 Virginia Beach (757) 486-2015 Lifetime Eyecare Center 1249 Cedar Rd. Chesapeake (757) 436-3937 Gregory Lohr, OD Sylvia Lohr, OD 300 E. Monticello Ave., Ste. 161 Norfolk (757) 533-5120 David A. Lotz, OD 1238 Holland Rd., Ste. 103 Suffolk (757) 539-8716 Master Opticians 801 Boush St., Ste. A-1 Norfolk (757) 622-7804 Mark McCarthy, OD 400 Gresham Dr., Ste. 308 Norfolk (757) 490-1913 Edward Millan, OD 801 Boush St., Ste. A-2 Norfolk (757) 622-7449 Andrew S. Miller, OD 4000 Virginia Beach Blvd., Ste. 116 Virginia Beach (757) 463-6769 Paul G. Moershell, III, OD 291 Independence Blvd., Ste. 110 Virginia Beach (757) 499-2389

37 THE HEALTH JOURNAL

DePaul MedSurg 150 Kingsley Ln. Norfolk (757) 889-5449 DePaul Outpatient 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333

Maryview Medical Center Orthopaedics 3636 High St. W. Portsmouth (757) 398-2321 Maryview Nursing Center 4775 Bridge Rd. Suffolk (215) 1067 Orthopaedic Associates Of Virginia 6275 E. Virginia Beach Blvd., Ste. 300 Norfolk (757) 461-1688 Orthopaedic Center for Foot & Ankle Reconstruction 150 Kingsley Ln. Norfolk (757) 889-6580 Orthopedic Surgery Centers 2012 Meade Pkwy. Suffolk (757) 673-5680 5838 Harbour View Blvd., Ste. 100 Suffolk (757) 673-5680 3300 High St., Ste. 1 Portsmouth (757) 673-5680 Portsmouth RehabCare 5553 Portsmouth Blvd. Portsmouth (757) 465-7906 Douglas R. Schreiber, MD 1020 Independence Blvd., Ste. 306 Virginia Beach (757) 460-1144 Sentara Division of Orthopedic Trauma 600 Gresham Dr. Norfolk (757) 388-5680 The Spine Center 2012 Meade Pkwy. Suffolk (757) 538-0102 3640 High St., Ste. 2-A Portsmouth (757) 397-6930 Sports Medicine & Orthopedic Center 100 Wimbledon Sq., Ste. A Chesapeake (757) 547-5145 150 Burnetts Way Suffolk (757) 539-9333 Virginia Beach Rehab Care 828 Healthy Way, Ste. 105 Virginia Beach (757) 463-2540 Virginia Institute for Sports Medicine 1800 Republic Rd., Ste. 102 Virginia Beach (757) 422-8476 1232 Perimeter Pkwy., Ste. 205 Virginia Beach (757) 422-8476 600 Gresham Dr. Norfolk (757) 422-8476 Wardell Orthopaedics & Harbour Sports Medicine 5818-D Harbour View Blvd., Ste. 150 Suffolk (757) 215-1400

Pain Management Advanced Pain Management & Rehabilitation 5665 Lowery Rd., Ste. 100 Norfolk (757) 422-2966 637 Kingsborough Sq., Ste. G Chesapeake (757) 548-5102 Center for Pain Management, PC 3315 High St. Portsmouth (757) 399-0759 Essential Wellness 3500 Virginia Beach Blvd., Ste. 420 Virginia Beach (757) 685-4325 Gershon Pain Specialists 1133 First Colonial Rd. Virginia Beach (757) 496-2050

Chesapeake Pediatrics Inc 733 Volvo Pkwy., Ste. 200 Chesapeake (757) 547-5558

Westside Medical Associates 1080 First Colonial Rd., Ste. 412 Virginia Beach (757) 388-1050

Haygood Physical Therapy 1024 Independence Blvd. Virginia Beach (757) 460-3363

Children’s Specialty Group, PLLC 601 Children’s Ln. Norfolk (757) 668-7500 2021 Concert Dr. Virginia Beach (757) 668-7500

Pharmacies

Indian River Therapy Center 5660 Indian River Rd., Ste. 121 Virginia Beach (757) 961-4974

Gloria V. De La Cruz, MD 500 Rodman Ave., Ste. 5 Portsmouth (757) 399-6192

Angel Care Pharmacy 240 Corporate Blvd., Suite 101 Norfolk (757) 362-9430

Dolly Gupta, MD 424 N. Main St., Ste. 2 Suffolk (757) 934-2200

Atrium Pharmacy 160 Kingsley Lane Norfolk (757) 889-6530

Jowita Dziatkiewicz, MD 109 Wimbledon Sq., Ste. D Chesapeake (757) 547-2066

Barr’s Pharmacy 201 Virginia Beach Blvd. Virginia Beach (757) 428-1211

Ghazala Khan, MD 4221 Pleasant Valley Road, Ste. 114 Virginia Beach (757) 495-7420

Bayview Plaza Pharmacy 7924 Chesapeake Blvd., Ste. A Norfolk (757) 583-7466

Sung Y. Kim, MD 3409 South St. Portsmouth (757) 399-0705

North Shore Sports & Physical Therapy 7419 Granby St. Norfolk (757) 489-5820 200 N. Battlefield Blvd. Chesapeake (757) 547-1215

Bennett’s Creek Pharmacy 3219 Bridge Rd. Suffolk (757) 483-6966

Lakeview Medical Center Pediatrics 2000 Meade Pkwy. Suffolk (757) 934-9422 4868 Bridge Rd. Suffolk (757) 483-7113 413 Market Street Suffolk (757) 539-6100

Physical Therapy Works, Inc. 2007 Meade Pkwy. Suffolk (757) 539-6300

Colley Discount Pharmacy 1415 Colley Ave. Norfolk (757) 622-2757 Drug Center Pharmacy 912 Airline Blvd. Portsmouth (757) 399-6361 600 High St. Portsmouth (757) 393-4039

Physiotherapy Associates 2135 General Booth Blvd., Ste. 152 Virginia Beach (757) 430-8828 1400 Fordham Dr. Virginia Beach (757) 361-3951 6315 N.Center Dr., Ste. 250 Norfolk (757) 893-9210 3772 Virginia Beach Blvd. Virginia Beach (757) 340-0556

Gray’s Pharmacy 4712 Hampton Blvd. Norfolk (757) 489-4848

Rehabilitation Associates 4560 South Blvd., Ste. 310 Virginia Beach (757) 490-3223

Lakeview Compounding Pharmacy 4661 Haygood Rd., Ste. 101 Virginia Beach (757) 934-0533

Sentara Bayside Therapy Center 816 Independence Blvd., Ste. 3-F Virginia Beach (757) 363-6178

Lawrence Pharmacy 1156 George Washington Hwy. N. Chesapeake (757) 487-3458

Sentara Day Rehabilitation 600 Gresham Dr. Norfolk (757) 261-0853 890 Kempsville Rd. Norfolk (757) 261-0855

Nimmo Pediatrics 2301 General Booth Blvd., Ste. B Virginia Beach (757) 963-5500 Norfolk Pediatrics 1529 International Blvd., Ste. 103 Norfolk (757) 855-6800 North Shore Pediatrics 5301 Providence Rd., Ste. 60 Virginia Beach (757) 467-8780 924 W Little Creek Rd. Norfolk (757) 440-0719 Pediatrics at the Beach 1800 Camelot Dr., Ste. 200 Virginia Beach (757) 491-7337

MacArthur Pharmacy 261 Granby St. Norfolk (757) 533-6566

Pediatric Affiliates of Hampton Roads 200 Grayson Rd., Ste. 101 Virginia Beach (757) 473-3200 1421 Kempsville Rd., Ste. A Chesapeake (757) 312-8484

Prescription Place 425 W. Washington St. Suffolk (757) 925-2013

Pediatric Diagnostic Center 6345 Center Dr., Ste. 14 Norfolk (757) 461-4027 Pediatric Health Associates 3701 South St. Portsmouth (757) 966-9873 Pediatric Partners of Hampton Roads 1104 Madison Plaza, Ste. 102 Chesapeake (757) 410-3630 Pediatric Specialists 300 Medical Pkwy., Ste. 222 Chesapeake (757) 436-1777 885 Kempsville Rd., Ste. 200 Norfolk (757) 461-6342 160 Kingsley Lane, Ste. 305 Norfolk (757) 461-6342 449 S. Dominion Blvd., Ste. 3 Chesapeake (757) 461-6342 Pediatrics of Kempsville 1212 Lake James Dr., Ste. C Virginia Beach (757) 523-4589 Portsmouth Community Health 664 Lincoln St. Portsmouth (757) 393-6363

DePaul Transitional Care Center 150 Kingsley Ln. Norfolk (757) 889-3278

Lakeview Medical Center Pain Management & Physical Medicine 2000 Meade Pkwy. Suffolk (757) 942-9815

Eastern Virginia Hand Center 816 Independence Blvd., Ste. 3-B Virginia Beach (757) 464-5441

SMSC of Suffolk 150 Burnetts Way Suffolk (757) 539-9333

Renaissance Pediatrics 4012 Raintree Rd., Ste. 200-A Chesapeake (757) 488-2223

Edward W. Gold, MD 200 Medical Pkwy., Ste. 105 Chesapeake (757) 547-0302

Spine & Orthopedic Spine Center, PC 6160 Kempsville Cri., Ste. 303-A Norfolk (757) 333-3360 113 Gainsborough Sq., Ste. 400 Chesapeake (757) 549-2492

Tidewater Children’s Association 601 Innovation Dr., Ste. A Chesapeake (757) 668-2650 171 Kempsville Rd., Bldg. B Norfolk (757) 668-6500 5835 Harbour View Rd., Ste. B Suffolk (757) 668-6050

Edward D. Habeeb, MD 300 Medical Pkwy., Ste. 304 Chesapeake (757) 547-7856 Glasson Sports Medicine 968 First Colonial Rd., Ste. 101 Virginia Beach (757) 412-1005 Harbour View 5838 Harbour View Blvd., Ste. 130 Suffolk (757) 673-5971 Jordan Young Institute 5716 Cleveland St., Ste. 200 Virginia Beach (757) 490-4802 Lawrence R. Morales, MD Glenn W. Nichols, MD, PC 200 Medical Pkwy., Ste. 111 Chesapeake (757) 547-9301 Maryview Aru 3636 High St. Portsmouth (757) 398-4166

Tanya Harris, MD 400 Gresham Dr., Ste. 712 Norfolk (757) 622-8181

Pediatrics Adult & Pediatric Medical Associates 3800 Poplar Hill Rd., Ste. D Chesapeake (757) 484-2001 Atlantic Pediatric Specialists 1080 First Colonial Rd., Ste. 412 Virginia Beach (757) 395-6500 Bayside Pediatrics 1020 Independence Blvd., Ste. 105 Virginia Beach (757) 460-5521 Bermisa & Bermisa, MD, PLC 110 American Legion Rd. Chesapeake (757) 673-6801

ACT Pharmacy 1600 Airline Blvd. Portsmouth (757) 393-4290

Princess Anne Pediatrics 1950 Glenn Mitchell Dr., Ste. 304 Virginia Beach (757) 507-0255

Tidewater Pediatric Consultants 6477 College Park Sq., Ste. 118 Virginia Beach (757) 420-6218 Tidewater Pediatrics, PC 301 Goode Way, Ste. 203 Portsmouth (757) 399-5300 Town Center Pediatrics 100 Constitution Dr., Ste. 217 Virginia Beach (757) 499-7442 Virginia Beach Pediatric Center 933 First Colonial Rd., Ste. 112 Virginia Beach (757) 226-7330 Vogel Pediatrics 4624 Pembroke Blvd., Ste. 101 Virginia Beach (757) 490-3331

RX 4 Less 948 N. Main St. Suffolk (757) 539-7075 Suburban Pharmacy 3701 King St. Portsmouth (757) 397-2377

Physical Therapy & Rehabilitation Battlefield Therapy Center 713 Volvo Pkwy., Ste. 201 Chesapeake (757) 282-4015 Bon Secours In Motion 5838 Harbour View Blvd. Suffolk (757) 673-5971 55533 Portsmouth Blvd. Portsmouth (757) 465-7906 4300 Portsmouth Blvd., Ste. 220 Chesapeake (757) 465-7651 3300 High St., Ste. A Portsmouth (757) 673-5689 2012 Mead Pkwy. Suffolk (757) 934-3366 4900 High St. W. Portsmouth (757) 483-4518 7300 Newport Ave., Ste. 300 Norfolk (757) 217-0333 828 Healthy Way, Ste. 105 Virginia Beach (757) 463-2540 1817 Laskin Rd., Ste. A Virginia Beach (757) 437-0471 CHKD Physical Medicine & Rehabilitation 601 Children’s Lane Norfolk (757) 668-9915 Dominion Physical Therapy 500 Rodman Ave., Ste. 4 Portsmouth (757) 393-6119 EVMS Physical Medicine & Rehabilitation 825 Fairfax Ave., Ste. 646 Norfolk (757) 446-5915 Fluidity Physical Therapy 516 Innovation Dr., Ste. 100 Chesapeake (757) 842-6562 Janet Gilbert, MS, CCC-SLP 1380 Baycliff Dr. Virginia Beach (757) 718-2811 Great Bridge Therapy Center 633 S. Battlefield Blvd. Chesapeake (757) 233-4790 Harbour Rehabilitation 5818-D Harbour View Blvd., Ste. 150 Suffolk (757) 638-1800

Jordan Young Physcial Therapy 5716 Cleveland St. Virginia Beach (757) 961-7271 Maryview Physical Therapy 5553 Portsmouth Blvd. Portsmouth (757) 465-7906 Norfolk Physical Therapy Center 839 Poplar Hall Dr. Norfolk (757) 459-2112

Sentara Hand Therapy Center 420 N. Center Dr., Ste. 100 Norfolk (757) 455-9020 Sentara Hilltop Therapy Center 1725 Laskin Rd., Ste. 535 Virginia Beach (757) 333-7000 Sentara Leigh Outpatient Therapy Center 6315 N. Center Dr., Bldg. 20, Ste. 101 Norfolk (757) 261-0820 Sentara Obici Occupational Health Services 2800 Godwin Blvd. Suffolk (757) 934-4162 Sentara Obici Rehab Services 2800 Godwin Blvd. Suffolk (757) 934-4653 Sentara Princess Anne Therapy Center 1950 Glenn Mitchell Dr., Ste. 210 Virginia Beach (757) 507-0390 Southeastern Physical Therapy 680 Kingsborough Sq., Ste. B Chesapeake (757) 547-0434 905 N. Battlefield Blvd., Ste. 105 Chesapeake (757) 410-3157 801 W. Little Creek Rd. Norfolk (757) 423-8885 5301 Providence Rd., Ste. 80 Virginia Beach (757) 467-4604 1157 First Colonial Rd., Ste. 201 Virginia Beach (757) 481-0052 1133 First Colonial Rd. Virginia Beach (757) 427-5505 801 Poindexter St., Ste. 219 Chesapeake (757) 548-0014 Southside Physical Therapy 108 Knells Ridge, Ste. 200 Chesapeake (757) 436-3350 The Spine Center 2012 Meade Pkwy. Suffolk (757) 538-0102 3640 High St., Ste. 2-A Portsmouth (757) 397-6930 Spine Works Physical Therapy 5665 N. Lowery Rd., Ste. 200 Norfolk (757) 466-7095 Therapy Concepts, Inc. 3005 Corporate Ln., Ste. 200 Suffolk (757) 923-3207 Tidewater Physical Therapy 2004 Sandbridge Rd., Ste. 102 Virginia Beach (757) 301-6316 6161 Kempsville Cir., Ste. 200 Norfolk (757) 965-4890 4016 Raintree Rd., Ste. 200-A Chesapeake (757) 484-4841

Plastic & Cosmetic Surgery

AAL Podiatry Associates, PC 719 Tidewater Dr. Norfolk (757) 625-2962

Balance Behavioral Health 930 Redgate Ave. Norfolk (757) 626-3733

Virginia Beach Psychiatric Center 1100 First Colonial Rd. Virginia Beach (757) 496-6000

Associates in Plastic Surgery 1037 First Colonial Rd. Virginia Beach (757) 491-3535

Adams Comprehensive Foot Care 1035 Champions Way, Ste. 700 Suffolk (757) 686-3668

The Barry Robinson Center 443 Kempsville Rd. Norfolk (757) 455-6100

Wellspring 2940 N. Lynnhaven Rd., Ste. 100 Virginia Beach (757) 486-6515

Adamn Billet, MD FACS 300 Medical Pkwy., Ste. 316 Chesapeake (757) 547-0047

Advanced Podiatry of Hampton Roads 3300 High St., Ste. 2 Portsmouth (757) 673-8562 612 Kingsborough Sq., Ste. 202 Chesapeake (757) 673-8562

Behavioral Neuropsychiatric Group 1745 Camelot Dr., Ste. 200 Virginia Beach (757) 481-6000

Eleanora Woloy, MD 833 De la Fayette Ct. Virginia Beach (757) 499-4446

Center For Effective Change 641 Lynnhaven Pkwy., Ste. 204 Virginia Beach (757) 306-4232

Pulmonology

Charles S. Davis Jr., MD 4501 Witchduck Rd., Ste. A Virginia Beach (757) 499-4932

Peter Birk, MD 1821 Old Donation Pkwy. Virginia Beach (757) 481-2669

Ramesh B. Kadakkal, MD 1020 Independence Blvd., Ste. 304 Virginia Beach (757) 363-1700

Chesapeake Pulmonary & Critical Care 300 Medical Pkwy., Ste. 200 Chesapeake (757) 609-3380

Abraham Mahini, MD 700 Independence Cir., Ste. 2-C Virginia Beach (757) 499-8855

Body By Siegel 700 Battlefield Blvd. N., Ste. A Chesapeake (757) 547-2115 The Carney Center for Cosmetic & Plastic Surgery 1868 Wildwood Dr. Virginia Beach (757) 481-4455 Chesapeake Center for Cosmetic & Plastic Surgery 5818 Harbourview Blvd., Ste. 220 Suffolk (757) 673-5900 The Choe Center for Facial Plastic Surgery 4400 Corporation Lane, Ste. 102 Virginia Beach (757) 389-5850 Coastal Plastic Surgery 992 First Colonial Rd. Virginia Beach (757) 481-7788 Cosmetic Surgery Center for Women 5121 Greenwich Rd., Ste. 101 Virginia Beach (757) 497-5400 Anna E. Drzewiecki, MD 1856 Colonial Medical Ct. Virginia Beach (757) 481-4969 EVMS Plastic & Cosmetic Surgery 5589 Greenwich Rd., Ste. 100 Virginia Beach (757) 557-0300

Atlantic Foot & Ankle Center 1788 Republic Rd., Ste. 300 Virginia Beach (757) 481-0898 Cho Foot & Ankle Specialists 1232 Perimeter Pkwy., Ste. 102 Virginia Beach (757) 427-7447 Coastal Podiatry Group 6477 College Park Sq., Ste. 108 Virginia Beach (757) 523-0414 George H. Evancho, DPM 632 Cedar Rd., Ste. B Chesapeake (757) 547-0123 Family Foot & Ankle Care 801 Volvo Pkwy., Ste. 130 Chesapeake (757) 547-3668 3929 Bridge Rd., Ste. 310 Chesapeake (757) 547-3668 Peter R. Grinkewitz, DPM 3640 High St. Portsmouth (757) 393-1074 Philbert H. Kuo, DPM 3212 Churchland Blvd., Ste. 10 Chesapeake (757) 483-4126

Christian Psychotherapy Services 281 Independence Blvd., Ste. 326 Virginia Beach (757) 490-0377 609 Independence Pkwy. Chesapeake (757) 312-8002 3105 American Legion Rd., Ste. B Chesapeake (757) 398-2881 142 York St., Ste. 817 Norfolk (757) 622-2114 Churchland Psychiatric Associates 3300 Academy Ave. Portsmouth (757) 483-6404 Clinical Associates 6320 N. Center Dr., Ste. 101 Norfolk (757) 456-0505 Coastal Counseling Center 1417 N. Battlefield Blvd., Ste. 260 Chesapeake (757) 436-0605 The Crisis Line (757) 622-1309 Depression Specialists of Tidewater 6330 Newtown Rd., Ste. 316 Norfolk (757) 461-7571 Dominion Psychiatric Associates 2580 Potters Rd. Virginia Beach (757) 498-9391

EVMS Reconstructive Plastic Surgery 825 Fairfax Ave., Ste. 610 Norfolk (757) 446-8960

Mckenzie-Hastings Institute for Foot & Ankle Surgery 1520 Breezeport Way, Ste. 100 Suffolk (757) 638-1823 2790 Godwin Blvd., Ste. 305 Suffolk (757) 638-1823

Facial Rejuvenation 330 W. Brambleton Ave., Ste. 1 Norfolk (757) 625-6347

Cory A. Negri, DPM 5709 Churchland Blvd., Ste. B Portsmouth (757) 484-7412

EVMS Neuropsychology Center 825 Fairfax Ave., Ste. 564 Norfolk (757) 446-8400

Galumbeck Plastic Surgery 1817 Republic Rd. Virginia Beach (757) 491-3204

Norfolk Foot & Ankle Group 4114 Holland Rd., Ste. 106 Virginia Beach (757) 498-0202

Tad E. Grenga, MD, FACS 5818 Harbour View Blvd. Suffolk (757) 673-5900

Podiatric Medicine & Foot Surgery 4224 Holland Rd., Ste. 106 Virgina Beach (757) 498-0202

EVMS Psychiatry & Behavioral Sciences 825 Fairfax Ave., Ste. 710 Norfolk (757) 446-5888

Hague Cosmetic Center 400 W. Brambleton Ave., Ste. 300 Norfolk (757) 274-4000

Podiatry, Ltd. 3511 Western Branch Blvd. Portsmouth (757) 397-3668

Hubbard Plastic Surgery 329 Philip Ave. Virginia Beach (757) 687-1900

A. Rossool, MD 665 Newtown Rd., Ste. 114 Virginia Beach (757) 490-1226

Ben Hugo, MD 328 Louisa Ave., Ste. 110 Virginia Beach (757) 496-4801

Paul T. Spada, DPM 533 Rodney Lane Virginia Beach (757) 560-9388

J. Benjamin Hugo, MD 328 Louisa Ave., Ste. 110 Virginia Beach (757) 496-4801

William P. Grant, DPM 760 Independence Blvd., Ste. 1 Virginia Beach (757) 497-7575

Guy T. Jones, MD 100 Kingsley Lane, Ste. 302 Norfolk (757) 423-2166

Tidewater Podiatry Group 996 First Colonial Rd. Virginia Beach (757) 481-6248 Halifax Bldg., Ste. 230 Norfolk (757) 481-6248

William P. Magee, Jr., DDS, MD Ivor B. Kaplan, MD Jesus Gil B. Inciong, MD 400 W. Brambleton Ave., Ste. 301 Norfolk (757) 627-6700 J. Craig Merrell, MD FACS 5818 Harbour View Blvd., Ste. 200 Suffolk (757) 673-6000 Norfolk Plastic Surgery 6161 Kempsville Cir., Ste. 300 Norfolk (757) 466-1000 Plastic Surgery Associates 300 Medical Pkwy., Ste. 316 Chesapeake (757) 547-0047 Plastic Surgery Center of Tidewater 5818 Harbour View Blvd., Ste. 200 Suffolk (757) 673-6000 Plastic Surgery of Virginia Beach 1815 Colonial Medical Ct. Virginia Beach (757) 496-7373

Virginia Podiatry 5253 Providence Rd., Ste. 100 Virginia Beach (757) 495-6113

Preventative medicine Abundant Health & Wellness Lifestyles 5992 Jake Sears Circle Virginia Beach (240) 354-8784 Glennan Center for Geriatrics 825 Fairfax Ave., Ste. 201 Norfolk (757) 446-7040 Park Place Medical Center 3415 Granby St. Norfolk (757) 533-9108 Synergy Integrative Medicine for Women 1036 Volvo Pkwy., Ste. 2 Chesapeake (757) 410-5462

Haydeh Esmaili, MD 2470 Pruden Blvd. Suffolk (757) 539-1503

Faithworks Juvenile Service Group 142 W. York St., Ste. 915 Norfolk (757) 470-4539 Finney Psychotherapy Associates 420 N. Center Dr., Ste. 141 Norfolk (757) 466-0700 First Colonial Psychotherapy Services 921 First Colonial Rd., Ste. 1711 Virginia Beach (757) 428-7500

Lakeview Medical Center Pulmonology 2000 Meade Pkwy. Suffolk (757) 934-9496 Portsmouth Pulmonary Associates, Ltd. 4053 Taylor Rd., Ste. N Chesapeake (757) 484-5900 Pulmonary Associates of Tidewater 100 Wimbledon Sq. Chesapeake (757) 436-0466 Pulmonary Critical Care 160 Kingsley Lane Norfolk (757) 889-6677 Pulmonary Medicine Of Virginia Beach 1008 First Colonial Rd., Ste. 103 Virginia Beach (757) 481-2515 Pulmonary Physicians of Tidewater 816 Independence Blvd., Ste. 3-K Virginia Beach (757) 460-9200 Pulmonary & Sleep Medicine Consultants 1020 Independence Blvd., Ste. 205 Virginia Beach (757) 460-6080 111 Coastal Way Chesapeake (757) 549-7996 Sentara Pulmonary & Critical Care Specialists 600 Gresham Dr., Ste. 8630 Norfolk (757) 388-6115

Reproductive medicine Jones Institute of Reproductive Medicine 601 Colley Ave. Norfolk (757) 446-7100 1950 Glenn Mitchell Dr., Ste. 208 Virginia Beach (757) 689-8139

Main St. Psychiatric Center 2790 Godwin Blvd. Suffolk (757) 925-1433

New Hope Center of Reproductive Medicine 1181 First Colonial Rd., Ste. 100 Virginia Beach (757) 496-5370

Mulligan & Bryan and Associates 637 Kingsborough Sq., Ste. H Chesapeake (757) 486-0178 Norfolk Psychiatric Associates 6353 Newtown Rd., Bldg. 8, Ste. 204 Norfolk (757) 461-3313 Govindan K. Palat, MD 1020 Independence Blvd., Ste. 302 Virginia Beach (757) 363-9353 Parker Schlichter & Associates 5029 Corporate Woods Dr., Ste. 205 Virginia Beach (757) 473-3770 Pyschiatric Services 1630 Donna Dr., Ste. 102 Virginia Beach (757) 425-5050 Riley Counseling & Consulting, PLC 4605 Pembroke Lake Cir., Ste. 200 Virginia Beach (757) 395-7237 Riverpoint Psychiatric Associates 110 Kingsley Ln., Ste. 401 Norfolk (757) 489-4700

Psychiatry & Mental Health

Spectrum Psychological Services 1020 Independence Blvd., Ste. 204 Norfolk (757) 640-1882

Podiatry

Atlantic Psychiatric Services 780 Lynnhaven Pkwy., Ste. 400 Virginia Beach (757) 468-0550

1 Foot 2 Foot Center for Foot & Ankle Care 171 N. Main St. Suffolk (757) 934-0768

Stepping Stone Family Services, Inc. 212 Research Dr., Ste. 102 Chesapeake (757) 673-8117

Sally A. Baker, LCSW 2940 N. Lynnhaven Rd., Ste. 110 Virginia Beach (757) 287-3048

Tidewater Psychotherapy Services 256 N. Witchduck Rd., Ste. G Virginia Beach (757) 497-3670

Denton D. Weiss, MD & Associates 272 Bendix Rd., Ste. 100 Virginia Beach (757) 490-7545

James J. Hatcher, MD 840 First Colonial Rd. Virginia Beach (757) 491-2466

Hampton Roads Neuropsychology 780 Lynnhaven Pkwy., Ste. 340 Virginia Beach (757) 498-9585 Independence Therapy Center 700 Independence Cir., Ste. 3-D Virginia Beach (757) 473-8533

Nabil T. Tadros, MD 110 Kingsley Lane, Ste. 411 Norfolk (757) 889-6733

Richard S. Rosenblum, MD 2829 Shore Dr. Virginia Beach (757) 496-5556

EVMS Pulmonary Medicine 301 Medical Tower Norfolk (757) 446-5758 825 Fairfax Ave., Ste. 410 Norfolk (757) 446-8910

Urology Chenault-Ostroff Urological 4037 Taylor Rd., Ste. A Chesapeake (757) 483-1403 Coastal Urology 1856 Colonial Medical Ct., Ste. B Virginia Beach (757) 481-9009

Abu Thanader, MD 301 Goode Way, Ste. 201 Portsmouth (757) 397-0709 Urology of Virginia 113 Gainsborough Sq., Ste. 202 Chesapeake (757) 457-5480 6333 Center Dr., Bldg. 16 Norfolk (757) 457-5100 400 W. Brambleton Ave. Norfolk (757)457-5170 100 Kingsley Lane, Ste. 404 Norfolk (757) 489-4111 1200 First Colonial Rd., Ste. 100-G Virginia Beach (757) 481-3556 2790 Godwin Blvd.,Ste. 320 Suffolk (757) 539-4470 110 Kingsley Lane, Ste. 509 Norfolk (757) 489-4111 1020 Independence Blvd., Ste. 212 Virginia Beach (757) 965-4439 4020 Raintree Rd., Ste. D Chesapeake (757) 465-8393 2000 Meade Pkwy. Suffolk (757) 934-9300 3105 Western Branch Blvd. Chesapeake (757) 686-1973 Steven S. Warden, MD 1004 First Colonial Rd., Ste. 101 Virginia Beach (757) 481-9402

vascular surgery Sentara Vascular & Transplant Specialists 600 Gresham Dr., Ste. 8620 Norfolk (757) 622-2649 171 N. Main St. Suffolk (757) 539-4770 300 Medical Pkwy., Ste. 110 Chesapeake (757) 436-1005 1950 Glenn Mitchell Dr., Ste. 310 Virginia Beach (757) 470-5570 397 Little Neck Rd. 3300 S. Bldg., Ste. 120 Virginia Beach (757) 470-5570

Introductory Week

Only $1000

Beach Center For Infertility 844 First Colonial Rd., Ste. 202 Virginia Beach (757) 428-0002 Reproductive Health Care 700 Independence Cir., Ste. 2-A Virginia Beach (757) 363-2800

Rheumatology Arthritis Consultants of Tidewater 933 First Colonial Rd., Ste. 100 Virginia Beach (757) 491-7359 Center for Arthritis & Rheumatic Diseases 300 Medical Pkwy., Ste. 112 Chesapeake (757) 547-1822 6275 E. Virginia Beach Blvd. Norfolk (757) 461-3400 Lakeview Medical Center Rheumatology 2000 Meade Pkwy. Suffolk (757) 934-9457 William W. Reed, MD 160 Kingsley Lane, Ste. 505 Norfolk (757) 889-6633

NEW CLASSES!

Dorris M. Rice, MD 3921 Kingman Ave. Portsmouth (757) 399-5000

Pole Fitness | Yoga on the Ball | Pilates Kundalini Yoga | Warm Restorative Yoga Hot Power Yoga

Virginia Rheumatology 637 Kingsborough Sq. Chesapeake (757) 277-9927

Call for details!

757-369-5580 THE HEALTH JOURNAL

The crew lands around 8:30 p.m. on Jan. 14.

Multi-level buildings saw the most damage.

Crew members search a collapsed UN building.

A UN ambassador from Denmark is carried to safety.

Two children are found seven days after the quake.

Graffeo chats with three Haitian friends.

“For me, going to Haiti really put into context how important a career of service is, in any capacity....” —Dr. Charles Graffeo

Continued from page 29 misfortune, Haiti faces an uncertain future. From a medical standpoint, Cash wonders what will become of the country’s health care system when the triage tents and field hospitals close up shop. Perhaps his biggest concern is those children who lost a limb—either from a crushed building or from an infection that wasn’t treated in time— and have no access to a prosthesis or physical therapy. “I feel like I fixed what I could when I was there, and I am grateful for that. But nobody can fix Haiti’s problems. If I knew in my heart there was a way for the country to improve, I’d feel OK. I just don’t know for the life of me how that’s possible. Not having an answer—that’s the hardest part.”

As for Graffeo, he’s eager to share with others what he has gleaned from his time in Haiti. In the month since his return, his audiences have ranged from medical students at Eastern Virginia Medical School (where he is a professor of emergency medicine) to third and fifth graders at Virginia Beach’s John B. Dey Elementary School. (Graffeo was humbled when, after his presentation, some of the children gave him their lunch money to send to Haiti.) “For me, [going to Haiti] really put into context how important a career of service is, in any capacity, and to spread that word— it’s definitely a message worth delivering to people.” THE HEALTH JOURNAL

MarchCalendar 2010

Love, Loss & Healing

During an informative lecture, to be held from 7 to 8:30 p.m. at Old Dominion University’s Webb Center (108 Alfred B. Rollins Jr. Hall). Dr. Bruce Perry, author of The Boy Who Was Raised as a Dog and senior fellow of the Child Trauma Academy, a non-profit organization focused on education and prevention of child maltreatment, will discuss the value of physical affection and stimulation in healing after childhood trauma.

Celebrate Dance

&20th

20 & 21th st th

40 THE HEALTH JOURNAL

Music In Motion Dance Company is celebrating 25 years of bringing quality dance instruction to the Hampton Roads area. The company will celebrate this milestone with a performance at the Roper Performing Arts Center in Norfolk and will donate 10 percent of the proceeds to CHKD. The concert will include the choreography of eight local dancers and feature the modern, jazz and hip hop dance styles. Tickets in advance are $12 for adults, $10 for children and seniors ($15 for adults, $12 for children and seniors when purchased at the door). For more information, call Darlene Stephens at (757) 340-1534 or (757) 496-2977.

Siblings Matter

A recreational workshop for brothers and sisters of children with special health needs will be held from 10 a.m. to noon at the CHKD Health Center, Norfolk (850 Southampton Ave.). Call Gail Cervarich at (757) 668-7646 for information.

Eat Better for Health

Learn how to read nutrition labels and make healthier food choices during a free grocery store tour with a registered dietician starting at 10 a.m. at Haygood Farm Fresh in Virginia Beach (located on Independence Blvd.). Availability is limited; call 1-800-SENTARA to register early.

Shamrock Sportsfest

Runners and athletes of all kinds are invited to the Shamrock Sportsfest—a free expo featuring vendors of sporting equipment, apparel, footwear and accessories—to be held Friday, March 19, from 1 to 9 p.m., and the following day from 10 a.m. to 6 p.m., at the Virginia Beach Convention Center. The expo is part of the Shamrock Marathon Weekend at the Virginia Beach Oceanfront.

38th Annual Shamrock Marathon

Head to the corner of 31st Street and Atlantic for the 38th Annual Yuengling Shamrock Marathon, voted “Runner Up” as the most family-friendly marathon by Runners World (Jan. 2010). Events begin at 8 a.m. Sat., March 20, and commence Sunday at 6 p.m., and include a marathon, half-marathon (sold-out), 8K, children’s marathon and other kids’ races, a charity race for Operation Smile and more. Visit www.shamrockmarathon.com for a complete list of race options, schedule of fees, prizes, rules and registration information.

More Fun, Less Stress

Learn how a busy lifestyle can negatively affect children and discover ways to ease stress in this free class, to be held from 9:30 to 11 a.m. at the CHKD Health Center, Oakbrooke (500 Discovery Dr., Chesapeake). Register online at www.chkd.org/calendar.

Support Groups Abuse

Community Psychological Resources Mondays, 6 to 7:30 p.m. (757) 622-6794 Child Abuse 1st & 3rd Thurs., 7:30 p.m. (757) 481-9521 or (757) 482-6564

ADdiction Gamblers Anonymous Maryview Medical Center Tuesdays, 7 p.m. (757) 889-CARE Sexaholics Anonymous (757) 872-6537 or hrsa@hotmail.com Smoking Cessation “Stay Smokeless” Program (800) SENTARA

Alcohol & Drug Recovery Ala-Anon/Alateen Meetings held daily. Visit www.va-al-anon.org Alcoholics Anonymous Meetings held daily. Visit www.aa.org. Narcotics Anonymous Meetings held daily. Visit www.na.org Substance Abuse First Baptist Church of Norfolk Tuesdays, 6:30 p.m. (757) 461-3226

Alzheimer’s disease

St. Paul’s United Methodist 1st Mon., 7 p.m. (757) 543-9091 Shepherd’s Village 3rd Wed., 5 p.m. (757) 625-1877 Dominion Village 2nd Tuesday, 6 p.m. (757) 487-9400 Bay Lake Retirement 2nd Thurs., 1 p.m. (757) 460-8868 Province Place of DePaul 2nd Wednesday, 4 p.m. (757) 889-4999 Pinewood Inn 4th Thursday, 1 p.m. (757) 588-4663 Churchland House 3rd Thursday, 6 p.m. (757) 483-1780

Province Place of Maryview 2nd Tuesday, 4 p.m. (757) 686-1900 Lake Prince Woods 3rd Monday, 3 p.m. (757) 923-5531 Kempsville Library 1st Thursday, 12:45 p.m. (757) 543-9091 Church of the Holy Family 2nd Tuesday, 7 p.m. (757) 481-5702 Atlantic Shores 3rd Tuesday, 11 a.m. (757) 716-2060 Our Lady of Perpetual Help 2nd Monday, noon (757) 495-4211 Thalia United Methodist Church 3rd Mon., 7 to 9 p.m. (757) 385-0554 Sentara Nursing Center 2nd Wednesday, 2 p.m. (800) SENTARA

Caregivers Group Chesapeake Regional Medical Center Thursdays, 6 to 8 p.m. (757) 312-6555 Early Memory Loss Chesapeake Regional Lifestyle Center

Attention Deficit Disorder Adults with ADD/ADHD The Barry Robinson Center 2nd Thurs., 6:45 to 8:30 p.m. (757) 455-6100 Parents & Professionals The Barry Robinson Center 1st Thurs., 6:45 to 8:30 p.m. (866) 633-4871

Autism The Endependence Center Last Tuesday, 7 to 9 p.m. (757) 461-4474

Bereavement/Grief Jewish Family Service 2nd Sunday, 12:30 p.m. (757) 321-2222 Woodlawn Funeral Home Wednesdays, 2 p.m. (757) 549-5652 DePaul Medical Center Wednesdays, 1:30 p.m. (757) 889-CARE Maryview Medical Center Thursdays, 7:30 p.m. (757) 889-CARE First Baptist Church of Norfolk Wednesday, 4:30 p.m. (757) 461-3226 Medi Home Health & Hospice 2nd & 4th Thurs., 6 to 7:30 p.m. (757) 420-7192 Sentara Obici Hospital 1st & 3rd Thurs.,5:30 p.m. (757) 934-4961 Heartland Hospice Mondays, 8 a.m. (757) 490-9323 Children's Group 2nd and 4th Thurs., 6:15 p.m. (757) 967-9251 Child Loss Bayside Presbyterian Church 4th Monday, 7:30 to 9 p.m. (757) 641-2018 3rd Tuesday, 7 p.m. (757) 484-8161 Fathers-Only Group Edmarc Hospice for Children 3rd Tues., 6:30 p.m. (757) 967-9251 Mothers-Only Group Edmarc Hospice for Children 3rd Tues., 6:30 p.m. (757) 967-9251 Miscarriage/Newborn Loss Chesapeake Regional Medical Center 4th Thurs., 7 to 9 p.m. (757) 312-6776 or (757) 312-6144 Harbour View Medical Center 3rd Thursday, 7 p.m. (757) 889-CARE Suicide St. Andrew Lutheran Church 3rd Wed., 7 to 9 p.m. (757) 483-5111 Widow/Widower Chesapeake Regional Lifestyle Center Fridays, 7 to 9 p.m. (757) 545-4911 or (757) 487-0789

Breastfeeding

La Leche League of Tidewater (757) 857-8403

Cancer Sentara VBGH 3rd Monday, 6:30 p.m. (757) 395-8685

Parents Only CHKD (757) 668-7802

Sentara Obici Hospital 2nd Monday, 6:30 p.m. (757) 934-4301

Prostate Cancer Sentara VBGH 3rd Thursday, 6:30 to 8 p.m. (757) 395-8685

Sidney M. Oman Cancer Center 2nd Thursday, 10:30 a.m. (757) 312-6460

DePaul Medical Center 4th Wednesday, 11 a.m. (757) 889-CARE

Maryview Medical Center 2nd & 4th Tues., 2 p.m. & 7 p.m. (757) 889-CARE

Sentara Norfolk General Hospital 3rd Tuesday, 7 p.m. (757) 388-4268

Young Adults Group (18-35) 2nd Wed., bi-monthly (800) 866-4483

Sentara Obici Hospital 4th Tuesday, 6 to 8 p.m. (757) 934-4301

Brain Cancer Sentara VBGH 1st Tuesday, 7 p.m. (757) 714-6240

Maryview Medical Center 1st Wednesday, 1 p.m. (757) 398-2200

Breast Cancer Great Bridge United Methodist 2nd Thursday, 7 p.m. (757) 436-7390 Sentara Obici Hospital 4th Tuesday, 6 p.m. (757) 934-4301 Sentara Leigh Hospital 4th Wed., 7 to 9 p.m. (757) 853-2145 Sentara Norfolk General Hospital 2nd Tuesday, 7 p.m. (757) 388-4268 Sidney M. Oman Cancer Center 1st Thursday, 7 to 8:30 p.m. (757) 436-7390 Sentara VBGH 2nd Monday, 6:30 p.m. (757) 395-8685 Sentara Leigh Hospital 2nd Thurs., 7 p.m. (757) 261-0404 (Young Women’s Group) Carcinoid Cancer Sentara VBGH 3rd Sunday, 2 p.m. (757) 572-7465 Gynecological Cancer Community United Methodist 1st & 3rd Wed., 7 p.m. (757) 486-5333 Leukemia/Lymphoma (757) 838-9351 “Look Good, Feel Better” Sentara Norfolk General 3rd Monday, 10 a.m. (757) 388-4268

Women only Wednesdays, 2 p.m. (757) 496-9485

Caregiver support Dominion Village 2nd Tuesday, 6 p.m. (757) 487-9400

Chesapeake Health Dept. 1st Friday, 10 a.m. to noon 1st Monday, 6 to 7:30 p.m. (757) 382-2613 Chesapeake General Hospital Thursdays, 6 to 8 p.m. (757) 312-6143

Unity Renaissance Church Fridays, 6:45 to 7:45 p.m. (757) 456-1435

Emotional support

Saint Pius X Catholic Church Wed., 7 to 8:30 p.m. (757) 464-6715 (Pauline) First United Methodist Church Tuesdays, 1 to 2:30 p.m. (757) 962-1591 (David) Virginia Beach Psychiatric Center Saturdays, 5 to 7 p.m. (757) 560-7889

Epilepsy

Chesapeake Regional Lifestyle Center 3rd Thurs., 6 to 7:30 p.m. (757) 495-9622 Sentara Norfolk General 3rd Tuesday, 7 p.m. (757) 410-5245 or (757) 621-3915

Chronic Pain

Virginia Beach Central Library 3rd Thurs., Call for time. (757) 496-9614 Sentara Obici Hospital 1st Tues., 6:30 to 8:30 p.m. (800) SENTARA

Sentara Obici Hospital 2nd Monday, bi-monthly (800) SENTARA

Maryview Medical Center Thursdays, 3:30 to 4:30 p.m. (757) 398-2094

Children's Group Plaza Elementary School Last Monday, 7 to 8:15 p.m. (757) 431-4129 or (757) 431-4026 Insulin Pump Strelitz Diabetes Center 3rd Tuesday, 7 p.m. (757) 446-8478

Disabilities

Endependence Center 3rd Wed., noon to 3 p.m. (757) 461-8007, ext. 309 Norfolk Senior Center 3rd Thursday, 2 to 4 p.m. (757) 963-9239

Divorce

First Baptist Church of Norfolk Tuesdays, 6 p.m. (757) 461-3226

Norfolk Community Services Board 2nd Tues. (757) 623-1929

Multiple sclerosis

Kempsville Library 2nd Tuesday, 10 a.m. (757) 490-9627

Magnolia United Methodist 3rd Wednesday, 6:30 p.m. (757) 490-9627 Virginia Beach Public Library 4th Wednesday, 3 p.m. (757) 490-9627 Chesapeake Regional Lifestyle Center 3rd Tuesday, 7 to 9 p.m. (757) 482-3247

Palliative Care

Sentara VBGH - 1st Floor 2nd and 4th Thursday (757) 395-8144

Parkinson’s disease First Baptist Church Wednesdays, 6 p.m. (757) 461-3226 St. Therese's Catholic Church 1st or 3rd Sat., 1 p.m. (757) 538-0655

Fibromyalgia

SLeep Disorders

(757) 721-7781 or (757) 572-7781

Celiac disease

VB Community Services Board Wednesdays, 7 p.m. (757) 287-4945

Teen Group First Baptist Church of Norfolk 4th Tues., 7 to 8:15 p.m. (757) 467-2203

Catholic Charities 1st Tuesday, 10 to 11:30 a.m. (757) 533-5217

Lung Cancer Sentara Heart Hospital 1st Floor Conf. Room 4th Thursday, 7 p.m. (757) 388-4268

Sentara VBGH 3rd Wed., 7 p.m. (757) 427-9959

Compulsive Eaters Anonymous Magnolia United Methodist Church Mondays, 7 to 8 p.m. (757) 456-1435

Virginia Beach Central Library 2nd Wed., 10 a.m. to noon (757) 385-4135

Sentara Bayside Hospital 3rd Wednesday, 7 p.m. (757) 363-6834

Pancreatic Cancer Sentara Princess Anne 2nd Tuesday, 7 p.m. ezeltmann@pancanvolunteer.org

National Association of Anorexia Nervosa and Associated Disorders (ANAD) 1st and 4th Thurs., 7:15 p.m. (757) 404-3010

CHKD (757) 284-4450

Sentara VBGH 1st Mon., 2 p.m. (757) 395-8686

Oral, Head & Neck Cancer 3rd Monday, 7 p.m. (757) 388-4268

Eating disorders

Providence Presbyterian (757) 496-9614

Diabetes

Newly Diagnosed Virginia Oncology Associates 3rd Tues., 10 a.m. (757) 395-8685

Norfolk Fitness and Wellness Center 2nd Saturday, bi-monthly 10 a.m. to noon (757) 889-CARE

Sentara Obici Hospital 1st Tuesday, 7 to 8:30 p.m. (757) 934-4627

Sentara Obici Hospital 2nd Mon., 10 a.m. & 5:30 p.m. (757) 934-4258

Multiple Myeloma Catholic Charities 3rd Saturday, 10 a.m. (757) 495-8432

Dizziness

Food allergies

(757) 395-8507

Stroke/Brain injury The Beacon House 2nd Monday, 6:30-8:30 (757) 816-1857

Headache

DePaul Medical Center 2nd & 4th Monday, 4 p.m. (757) 889-CARE

Heart disease

Maryview Medical Center 1st Wednesday, 1 p.m. (757) 889-CARE

Maryview Medical Center 4th Monday, 6:30 p.m. (757) 889-CARE Sentara Obici Hospital 4th Thursday, 1 p.m. (800) SENTARA Sentara Norfolk General Hospital (757) 560-7753 Sentara VBGH (757) 721-7330

HUNTINGTON’S DISEASE Kempsville Library Tues., 7 to 9 p.m. (757) 646-5138

Interstitial Cystitis Maryview Medical Center Tuesdays, 6 p.m. (757) 889-CARE

Lou Gehrig’s disease (ALS) Russell Memorial Library 3rd Wed., 7 to 9 p.m. (866) 348-3257 or (804) 363-5099

Lung/Respiratory Disease Obici Wellness Center3rd Monday, 2 p.m.(757) 934-4263

Lupus

Sentara Leigh Hospital 3rd Sunday, 2:30 p.m. (757) 490-2793

Lyme disease

4560 South Blvd., Ste. 310 3rd Sunday, 2 to 4 p.m. (757) 652-5021

Mental illness

Great Bridge Presbyterian 3rd Thursday, 6:30 p.m. (757) 672-3574 Depression/Bipolar Disorder Maryview Medical Center Fridays, 7 p.m. (757) 889-CARE Eastern Shore Chapel Thursdays, 7 p.m. (757) 340-3820

Chesapeake Regional Lifestyle Center 1st Mon., 2 to 3:30 p.m. (757) 312-6122 6220 Pardue Court Mondays, 7:30 p.m. (757) 617-2825 Sentara Obici Hospital 2nd Thursday, 11 a.m. (800) SENTARA

SURGICAL WEIGHT LOSS Chesapeake Regional Lifestyle Center 3rd Thurs., 6:30 (757) 312-3000

Harbour View Health Center 2nd Thurs., 5:15 & 7 p.m. (757) 889-CARE Gastric Bypass Sentara School of Health Professions 2nd Thurs., 6:30 p.m. (800) SENTARA Kempsville Lakes Clubhouse 4th Thurs., 6:30 p.m. (800) SENTARA Sentara VBGH 1st Tues., 6:30 p.m. (800) SENTARA Lap Band Sentara School of Health Professions 3rd Thurs., 6:30 p.m. (800) SENTARA

WEIGHT MANAGEMENT Benn’s United Methodist Church Tuesdays, 6 p.m. (757) 537-5788

THE HEALTH JOURNAL

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Childr d, Ron;

profile

Age: 49

of aduate r G : s n s o rtificati fication i e t r C / e c n ; o i th iversity Educat Streng ion Un n n o i l i m c o Coun Old D fts ational ng), Tu i N n e Jackson designed her gym much like she approaches i h a t r t l l from ) as wel persona t ( s i s l s fitness—with a well-rounded style and attention to a e i c n pe and Fit ess, rition s n t t i u F n detail. A beautiful lobby, plush locker rooms, a cycling ( p ou sity ing l ary Gr c y m Univer i C r P s room with a view of downtown, and an outdoor boxes AFAA ProFitn d n a as from , ing area offered the building a new life and Jackson’s ng ickboxi d n a h t clients the perfect setting to start reaching their AAAI K l a e IDEA H f o n o r l e goals. Her all-round approach to fitness includes i b c ns: Mem al Coun o n i t o i a t i c a o educating clients on the benefits and proper use of ,N Ass ciation o s s A s strength training, cardiovascular conditioning, nuss Fitnes d Fitne n a h trition and flexibility to achieve total wellness. “My t g , Stren dening r a g , philosophy is that you have to do it all to make a g in nd g, cook a n i g t n a i o n healthy change,” says Jackson. i s: B enterta , Hobbie g s n d i l n e e g, trav nd fri mily a dancin a f h What she loves about Hampton Roads: I love t i w g time n i d n e that it’s surrounded by water—and I love the climate and p s its close proximity to the mountains and Washington, D.C.

How she developed an interest in fitness: I was always very physically active. I was a majorette, ran cross-country track and skied. I was in the Miss Norfolk pageant at age 20. After the birth of my last child, I went to several different gyms before choosing Wareings. And that’s how I got started.

Julie Jackson

Interview By Sharon Miller Cindrich Photography By Dawn Griffith

fter years of training, Julie Jackson has crossed a finish line of sorts. Nearly 19 years in the fitness industry has led this passionate personal trainer to open her own gym and share her love of health and wellness with the Hampton Roads community. Fitness First Health and Wellness Center opened its doors Feb. 1 this year on Tazewell Street in Norfolk. Jackson’s passion for fitness started in 1991 when she began teaching group fitness classes at Wareings Gym in Virginia Beach. “I was a member at Wareings and was approached by the director, who said, ‘Why don’t you start teaching for me?’” Jackson enjoyed the teaching experience so much that she became a certified personal trainer and spent the next two decades expanding her repertoire of fitness certifications and specialties. In 2001 she became a Body Bar Master Trainer and conducted workshops for the BOSU® and Body Bar® fitness companies as well as designed fitness programs for children and teens while at Wareings. “I have a passion for it,” Jackson says, explaining that over the years she became focused on helping others attain their fitness goals. She continued her education by attending national conferences and workshops where she was inspired to expand her range of professional abilities. After she left Wareings in 2007, Jackson directed group fitness classes at a Suffolk facility before deciding to open her own gym in a century-old building once owned by Landmark Communications and home of Norfolk’s former daily newspaper The Ledger Star. 42 THE HEALTH JOURNAL

How she balanced family and fitness: My two youngest children grew up in Wareings gym. The gym had childcare, so they would come with me. By the time they got older I would go work out when my husband could stay home with them. I was passionate about both family and my personal fitness—you just have to learn time management and do what you can to achieve balance.

Her advice to people who don’t think they are athletic: That is the biggest obstacle in the business. We Americans have created a lifestyle of laziness and fatigue. It’s so much easier to get in the rut of not doing something than it is to do something. I know what it’s like to feel better when I eat right and exercise, but it’s hard to explain that to people. In my job I have to educate them—to let them know that if they stay inactive, their aversion to exercise (or ability to do it) will only get worse as they grow older. What makes her gym different: Personal attention. I want my staff to speak to our clients and pay attention to their needs. I personally will call clients, check in on them, ask if they’ve been to the gym. You have to create a relationship with your clients and earn their trust. That’s what creates success.

Who she admires: Certain people in the fitness industry. My husband, who gives me strength. He was never a person to say, “You can’t.” He supported me 100 percent. He’s always been that way. He’s always told me that I am a strong, amazing, wonderful wife and mother.

Her most memorable professional moment: Teaching my last class at Wareings Gym after working there for 16 years. I was really sad about leaving, and everyone came to bid me farewell and wish me luck. The one thing she would have done differently: I would have started working in the health and fitness industry 30 years ago instead of 18. Favorite quote: “It is amazing how much crisper the general experience of life becomes when your body is given a chance to develop a little strength.” Frank Duff, Missionary

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