Health and Wellnes by Daily News-Record

Solving the Puzzle Myths and misconceptions about autism spectrum disorder

Friday, July 21, 2017

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Dentistry Done While You Wait Sleep Through Your Dental Treatment We are excited to offer sleep sedation for people that have high anxiety about dental treatment. You get to relax and sleep through the whole process. Call for a FREE Consult-540-425-0192 to see if this is right for you.

Dr. Joe McIntyre, Dr. Dan Whiting & Dr. Kelsey Rockey

We Go The Extra Smile

Serving The Dental Needs of the Shenandoah Valley 115 Oakwood Drive, Bridgewater, Va

:H Smiles For Life sponsors Dentistry From The Heart as a way to give FREE Dentistry back to our wonderful community-call for information about our September 23rd event.

Do You Know Someone That Snores? Are you or a loved one experiencing… Loud Snoring? Daytime Drowsiness? Morning Fatigue? Forgetfulness? Mood Changes? We Can Help!! Many sleep disorders can be treated with an oral appliance, which is customized for each patient. They're made to be worn during the night to maintain an open airway; this in turn reduces snoring and helps treat sleep apnea—thus a better night’s sleep.

“I was so afraid of the dentist when I started my dental journey. But this office is so gentle and

caring—I wouldn’t go anywhere else. I had lots of dental work done -from braces, to an implant to veneers and nothing was painful. In fact, I had lots of fun with this great staff. If you are looking for beautiful, natural looking cosmetic work, this is the office you need to come to.” Janitza Rivera –H’burg Implants Can Give You Your Smile Back

Bridgewater

Whole Family We now offer braces for all ages. Many children benefit from arch expanders which can prevent the need for braces

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Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Simple solutions for a better nightʼs sleep Did you know? According to the National Sleep Foundation, using a computer or electronic device before bed can make it hard to fall asleep. Studies have shown that even small electronic devices like smartphones can emit enough light to confuse the brain. Photoreceptors in the retina sense light and dark, helping to align circadian rhythms to the external day-night cycle. The signals these receptors send to the brain help people be alert in the morning and fall asleep at night. But using devices such as smartphones, tablets or laptop computers before bed can miscue the brain and promote wakefulness at a time when the body should be falling asleep. Men and women who like to read before going to bed can increase their chances of getting a good night’s sleep by reading print books or print editions of magazines or newspapers rather than e-readers or tablets.

he importance of a good night’s sleep is well-documented. Numerous studies have found that the effects of a good night’s sleep go beyond boosting energy levels and improving alertness. A better sex life, less chronic pain and an improved mood are just a handful of the documented benefits that a good night’s sleep can provide. As important and beneficial as sleep is, many adults in the United States simply aren’t getting enough rest. A 2016 study from the U.S. Centers for Disease Control and Prevention found that more than one-third of American adults are not getting enough sleep on a regular basis. Those findings are based on guidelines from the American Academy of Sleep Medicine and the Sleep Research Society that recommend adults between the ages of 18 and 60 sleep at least seven hours each night. Getting a more restful night’s sleep requires concerted efforts on the part of adults who are falling short of seven hours each night. But the following are some simple ways for adults to start

getting more rest. Stick to a routine seven days a week. People tend to alter their sleep routines based on the day of the week, with many going to bed later at night and sleeping in later in the morning on weekends. But the National Sleep Foundation notes that going to bed at the same time each day, including weekends, helps people feel more sleepy at bedtime and fall asleep quickly. Avoid alcohol in the hours before going to bed. Alcohol can make people feel sleepy, but that effect is short-lived. The sleepiness many people feel after consuming alcohol wears off quickly, and that can lead to interruptions in sleep. Avoid stimulants in the late afternoon and at night. Alcohol is a depressant that can affect the quality of sleep a person gets. But stimulants can also make it hard to get a good night’s sleep. Nicotine acts as a stimulant in small doses, so smokers should stop smoking

that last cigarette before bedtime if they’re not getting decent or adequate sleep. Caffeinated beverages also should be avoided in the late afternoon and at night because caffeine stimulates the nervous system and can make it difficult to fall asleep, even if it’s been several hours since that last cup of coffee. Take short daytime naps. Some people find that daytime naps improve the quality of their nighttime sleep. That might be due to the link between naps and stress. A 2015 study published in the Journal of Clinical Endocrinology & Metabolism found that short naps can reduce stress. Reduced stress levels can make it easier to fall asleep at night. Limit naps to between 20 and 30 minutes, as naps that stretch on too long may interfere with nighttime sleep. Sufficient sleep can have a dramatic, positive impact on a person’s quality of life. Developing a good sleep routine and employing additional strategies can help sleep-deprived men and women get more restful nights’ sleep.

HEALTH & WELLNESS

Harrisonburg, Va.

Arthritis linked to another condition

Friday, July 21, 2017

Behaviors that may help you reduce your risk for colorectal cancer Physical activity may help men and women reduce their risk of developing colorectal cancer.

Symptoms Symptoms of psoriatic arthritis can develop gradually or quickly, and some symptoms can be severe. NPF indicates that common symptoms of psoriatic arthritis include • morning stiffness and tiredness; • tenderness, pain and swelling over tendons; • swollen ﬁngers and toes; • reduced range of motion; • nail changes, including pitting, and • redness and pain in the eyes.

eople who see dermatologists for the skin condition psoriasis should not take the presence of joint aches and pains lightly, as the two things might be connected. The National Psoriasis Foundation notes that psoriasis is a precursor to psoriatic arthritis in 30 percent of patients. What is psoriatic arthritis? Psoriasis is an autoimmune condition that affects the rate of skin cell reproduction. People with psoriasis may experience redness, itchiness and raised bumps (plaques) of skin on various areas of their bodies. Psoriatic arthritis is a chronic form of arthritis that typically occurs in people with skin psoriasis, but also can be present in those without the skin condition, but particularly among those who have relatives with psoriasis. The American College of Rheumatology says that psoriatic arthritis typically affects the large joints, especially the lower extremities, distal joints of the ﬁngers and toes and the back and sacroiliac joints of the pelvis. Early recognition, diagnosis and treatment of psoriatic arthritis are crucial to relieving inﬂammation and preventing permanent joint damage.

Symptoms of psoriatic arthritis are similar to rheumatoid arthritis, gout and reactive arthritis. Doctors will rule out other symptoms that may be indicative of those conditions. The American College of Rheumatology also indicates that psoriatic arthritis is typically blood test negative. The diagnosis is typically made by a rheumatologist after reviewing a clinical history and performing a physical exam. Treatment Doctors will need to assess symptoms before deciding on a course of treatment. Mild cases may respond to over-the-counter, nonsteroidal anti-inﬂammatory drugs, such as ibuprofen. However, antirheumatic drugs and newer biologic drugs may be prescribed to treat more aggressive cases of psoriatic arthritis. Corticosteroid injections can be useful for swollen joints, and surgery may be necessary to repair badly damaged joints. Individuals who suspect their arthritis may be linked to psoriasis can ﬁrst speak with a dermatologist or primary care physician. The NPF also offers a screening tool at www.psoriasis.org/ psa-screening.

olorectal cancer is a formidable foe. According to the U.S. Centers for Disease Control and Prevention, colorectal cancer is the second leading cancer killer in the United States. Colorectal cancer is similarly lethal in Canada, where the Canadian Cancer Society reports it is the second leading cause of cancer death in men and the third leading among women.

If they go undetected, these polyps may turn into cancer. Screening can detect polyps early so they are found before they develop into cancer. The U.S. Preventive Services Task Force recommends colorectal cancer screening using high-sensitivity fecal occult blood testing, or FOBT; sigmoidoscopy; or colonoscopy for men and women between the ages of 50 and 75.

Some risks for colorectal cancer are beyond an individual’s control. For example, the CCS notes that a personal or family history of polyps in the colon, rectum or both signiﬁcantly increases a person’s risk of developing colorectal cancer. Lynch syndrome, a condition caused by gene mutations, causes polyps to develop in the lining of the colon, rectum or both. Since Lynch syndrome is inherited, there is nothing men and women can do to reduce their risk of developing it.

Embrace physical activity. While men and women who are physically active can still get colorectal cancer, the CCS notes that people who live sedentary lifestyles are at a higher risk of developing the disease than those who are active.

Research into colorectal cancer is ongoing, making it difﬁcult for doctors to say certain behaviors or approaches are certain to reduce a person’s risk of developing the disease. But there are certain things individuals can do that might help save them from falling victim to colorectal cancer. Get screened. The CDC notes that colorectal cancer usually begins when polyps form in the colon or rectum.

Maintain a healthy weight. According to the CCS, people who are overweight or obese have greater incidence rates of colorectal cancer than those who maintain healthy weights. The CCS also notes that men with a high body mass index, or BMI, seem to be most at risk of developing colorectal cancer. Limit alcohol consumption. The CDC notes that some studies have shown that limiting alcohol consumption may reduce a person’s risk of developing colorectal cancer. Colorectal cancer is a devastating disease, but men and women who embrace healthy behaviors may be able to lower their risks.

Friday, July 21, 2017

HEALTH & WELLNESS

Harrisonburg, Va.

A TRULY COMPREHENSIVE, QUALITY-CARE-FOR-ALL-AGES FAMILY PRACTICE CLINIC Harrisonburg Family Practice has been proudly offering comprehensive medical care to the residents of Harrisonburg and the Central Shenandoah Valley since 1976. Initially a two-physician practice, we now have eight doctors and we plan to continue growing along with the Harrisonburg Community. When you come to Harrisonburg Family Practice for any of your medical needs, you will only be seen and cared for by a Medical Doctor (M.D.) The Family Physicians at Harrisonburg Family Practice are all trained to care for a wide range of medical problems and illnesses in people of all ages, from the newborn to the elderly. We provide comprehensive adult male and female preventive care exams, well child exams, and offer a wide array of immunizations for both children

and adults. Our practice is open on Saturday mornings for both scheduled appointments and walk-in Urgent Care needs. Additionally, Dr. Jesteadt performs vasectomies on site any time, any day of the week and performs screening and diagnostic colonoscopies. As a group, the doctors at Harrisonburg Family Practice also perform colposcopy after abnormal pap tests, joint injections and aspirations for patients with arthritis, IUD insertions, cast placements and removals after fractures, skin biopsies, cyst removals and cryotherapy of warts and precancerous skin lesions. Our ability to provide all of these services limits the need for referrals to specialists, allowing patients to be cared for more often by the doctors who know them best. We have an on-site laboratory, limiting the need to go elsewhere for blood testing. We

practice Family Medicine in a way that is a throwback to generations past in its compassion and comprehensiveness. All of the Family Physicians at Harrisonburg Family Practice received a signiﬁcant amount of their medical training from some of the ﬁnest medical facilities right here in Virginia. Harrisonburg Family Practice remains an independent, private medical practice that does not charge ‘facility fees’ for our services that are often incurred by ‘system-owned’ practices. When you make your appointment at Harrisonburg Family Practice, you are certain to be cared for by a Medical Doctor (M.D.), a fellow Virginian, one of your neighbors who will always be familiar to you.

Make your appointment today, and come join the Family!

1831 Reservoir Street Harrisonburg, VA 22801

(540) 433-9151 www.harrisonburgfamilypractice.com

George Weidig, MD Jeffrey A. Ashby, MD Deborah Nio, MD J. Michael Syptak, MD A. Christian Iudica, MD Kathleen Iudica, MD Gregory C. Jesteadt, MD Amanda Loucks, MD

HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

What is tendinitis? From an article originally published in Sentara RMH Magazine, Fall 2016. Written by health professionals at Sentara RMH Medical Center. endinitis is inﬂammation of the tendon or tendon sheath. What most doctors refer to as tendinitis includes both inﬂammatory and degenerative conditions of the tendon (tendinosis).

ﬂow when the tendon is stretched taut and leading to inﬂammation or degeneration of the tendon. The condition may result from an acute injury, such as a fall, or from repetitive movement.

A tendon’s primary function is to connect a muscle to a bone, serving to transmit the force of a muscle contraction to the bone and move a body part. Another function of tendons is to absorb force, such as in the case of the Achilles tendon, which stretches out to absorb impact force when, for example, you jump down off a step.

Pain associated with tendinitis is generally located directly over the tendon, which usually is tender to the touch. Pain also may occur with movement of a nearby joint. In some cases, using the tendon will improve the pain, while in other cases it may get worse with use.

Tendinitis results from the excessive loading of a tendon during exercise or work, causing decreased blood

Chronic tendinitis can result in continued damage to the tendon and may actually result in a tendon rupture, a condition typically requiring surgery to repair.

Common locations of tendinitis include the knee or knee cap (jumper’s knee), the Achilles tendon at the ankle, the elbow (golfer’s or tennis elbow), and the rotator cuff in the shoulder. The condition most commonly affects middle-aged adults but can occur at any age. Initial treatment for tendinitis consists of resting the joint controlled by the tendon. In addition, ice and heating pads can be used to help stimulate blood flow into the tendon, and antiinflammatory medications can help ease the pain and decrease the inflammation.

lowering a weight while the muscle gets longer, has been found particularly helpful in treating tendinitis. If the ﬁrst line of treatment fails, injections with either cortisone or platelet-rich plasma can help relieve pain.

Physical therapy may be prescribed to rehabilitate the tendon. Eccentric strengthening, which involves

To speak with a healthcare provider about this issue, call 1-800-SENTARA.

How to promote healthy kidneys

idney disease is a widespread issue made all the more disconcerting by the fact that many people are unaware they have it. According to the National Kidney Foundation, 26 million American adults have kidney disease, and most don’t know it. And the problem of kidney disease is not exclusive to the United States, as the Canadian Kidney Foundation notes that the number of Canadians being treated for kidney failure has tripled over the last quarter century. Healthy kidneys are something many people take for granted. But those who want to do everything they can to keep their kidneys healthy can consider the following tips, courtesy of the Cleveland Clinic. Stay hydrated, but avoid overhydration. Many people are familiar with the beneﬁts of drinking water each day, and adequate hydration deﬁnitely promotes healthy kidneys. But overhydrating has not been

proven to enhance kidney function. The Cleveland Clinic recommends adults drink between four and six glasses of water per day. Exercise. Regular exercise beneﬁts various parts of the human body, including the kidneys. High blood pressure and diabetes are two of the biggest risk factors for kidney disease, and regular exercise can reduce a person’s risk of both conditions. However, overexertion can strain the kidneys, so adults who exercise, especially novices who need to improve their conditioning, should avoid going too hard at the gym. Speak with a physician before taking vitamin supplements or herbal remedies. Vitamin supplements and herbal remedies have become very popular in the 21st century, but excessive supplementation can harm the kidneys. Discuss any supplements or herbals remedies with a physician before taking them.

Staying hydrated while avoiding overhydration is one way for men and women to protect their kidneys. Quit smoking. Just as exercise beneﬁts the body in myriad ways, smoking harms the body in myriad ways. Smoking decreases the blood ﬂow in the kidneys, decreasing their ability to function at optimal capacity. Smoking also increases a person’s risk of high blood pressure and cancer of the kidneys. Eat healthy. A healthy diet decreases a person’s risk for high blood pressure and diabetes. Adhering to a healthy diet and

controlling portion sizes can help control weight and blood pressure and contribute to healthy kidneys as well. Get screened. Adults who have been diagnosed with high blood pressure or diabetes should make sure their physicians screen for kidney dysfunction during routine appointments. Learn more about kidney disease at www.kidney.org.

HEALTH & WELLNESS

Friday, July 21, 2017

Shenandoah Women’s HealthCare Professional Care With A Personal Touch SWHC also provide’s ultrasound services for expectant mothers and scanning for breast masses, abnormal uterine bleeding, and many other conditions. We also provide in-house surgical procedures for many minor gynecological problems. We have a fully Accredited Centering Program, and want to be your complete resource for women’s healthcare. Since 1999 we have been working with the women in the valley to provide the best possible care throughout all life stages, we strive to address the unique needs of all our patients. We invite you to participate with us to create an individualized treatment plan just for you. Our Mission at Shenandoah Women’s HealthCare (SWHC) is to meet women’s healthcare needs by bringing our professional skills compassionate presence to create lasting healthcare partnerships with the women in our care.

At SWHC we now offer a complete Medi-Spa, The Spa at Shenandoah, and are proud to offer cutting edge aesthetics services that battle sun damage, acne, scarring, rosacea, melasma, pigmentation, wrinkles, and the general appearance of aging skin. SWHC is committed to providing an atmosphere of caring and professional service from the moment you walk through our door. Visit us on line at www.swhc.com to read and learn about all our services.

Harrisonburg, Va.

OUR PHYSICIANS At Shenandoah Women’s Healthcare you’ll ﬁnd a team of incredibly talented and experienced physicians. • Leonard W. Aamodt, M.D. • Jennifer M. Visger, M.D. • Louis E. Nelsen, M.D. • Justin D. Deaton, D.O.

OUR MIDWIVES We have an incredible team of Certiﬁed Nurse Midwives (CNM). They’re passionate about providing healthcare to women of all ages throughout the Shenandoah Valley. • Martha A. Jones, C.N.M., M.S • Barbara M. Kirkland, C.N.M., M.S • Donna L. Schminkey, C.N.M., M.P.H • Melody M. Mast, C.N.M. • Tammie McDonald-Brouwer, C.N.M.

THE SPA AT SHENANDOAH The Spa at Shenandoah is proud to offer cutting edge aesthetics services that battle sun damage, acne, scarring, rosacea, melasma, pigmentation, wrinkles, and the general appearance of aging skin. • Rebekah Simon, Nurse Practitioner • Heather Wimer, Esthetician

Annual Health Exams Centering Prenatal Care Family Planning & Birth Control Fertility Care Gynecology Labs Massage Therapy & Spa Menopause Nurse-Midwifery Care Shenandoah Women’s Healthcare provides healthcare to women throughout their lives. Our physicians, nurse-midwives, and nurse practitioner offer professional care with a compassionate, personal touch. Together with our patients, we create lifelong healthcare partnerships. We offer routine checkups, annual wellness exams, as well as care during adolescence, pregnancy, breastfeeding, and menopause. Since 1999, we’ve been committed to the health and well-being of all women throughout the Shenandoah Valley.

We know the value of relaxing, stress-relieving, rejuvenating and therapeutic medi-spa treatments. The Spa at Shenandoah is proud to offer cutting edge aesthetics services that battle sun damage, acne, scarring, rosacea, melasma, pigmentation, wrinkles, and the general appearance of aging skin.

Pregnancy & Childbirth Sexual Health Ultrasounds

Hormones Medical weight loss Botox and Fillers Acne Treatments Laser Hair Removal Laser treatments for Rosacea and brown/sun spots

www.swhc.net | 540-438-1314 | 240 Lucy Drive, Harrisonburg, VA 22801

Facials Chemical Peels Photo Dynamic Therapy Sunless spray tanning Fraxel laser Eyelash/eyebrow tinting

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

Savor the ﬂavors of summer Why we should eat seasonally…and locally July 07, 2017 By: Vanessa Heatwole, R.D., Sentara RMH Medical Center Enhanced ﬂavor: We all love a perfectly ripe fruit that tastes like it was picked just yesterday. The texture will be crisper and often juicier than in the off season. This would be a perfect time for those who are picky eaters to try a new fruit or vegetable!

id you know that summer is the best time of year to start eating seasonally? This means eating fresh produce (vegetables, fruits or herbs) that is harvested during the same season you consume it. Out of season produce is often shipped from farther away, more expensive and can be processed in order to extend shelf life. When you eat with the seasons, you receive many beneﬁts, such as:

Higher Nutrient Content: When you consume a food that is closer to its harvesting date, it is higher in nutritional value, vitamins, minerals and antioxidants. Produce that is stored for long periods of time tends to be lower in phytonutrient content.

More Affordable: The prices are usually lower due to farmers having an abundance of freshly harvested items. Eating local means the food does not have to be shipped across the country and in turn decreases total food cost.

Here are a few places to ﬁnd local and seasonal foods: Grow your own: If you live in an area that allows you to grow your own food, go for it! It is a great way to eat fresh fruits and vegetables on a budget. If you have children, get them involved in the gardening process and they may be more likely to try the items they grow!

Local Farmers Markets: More of these are opening each year. They are “the next best thing” to growing your own. Not only will you get fresh, naturally ripened produce, you will also be helping your local farmers and overall economy in your town. It is also a great way to learn more about what grows in your area, and those who are growing it because knowing where your food comes from should be important to each of us. Also, most farmers markets now accept EBT cards.

Food Co-Ops: These are grocery store-style markets that purchase high quality produce directly from local farmers. They

have similar hours to a regular grocery store unlike weekly farmers markets and even provide food education handouts and classes to their shoppers. They typically sell local, natural and organic produce as well as local dairy products and meats from family-owned farms. It is important to mention that eating locally might not be possible for everyone. If you shop at large supermarkets you

can still make smart choices by choosing in season produce and by asking questions about where the produce is grown. Vanessa Heatwole is a registered dietitian nutritionist at Sentara RMH Medical Center working with outpatients by appointment. Her passions include helping patients meet their weight loss goals, empowering those with eating disorders and teaching how to control diabetes with diet.

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HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Myths and misconceptions about autism spectrum disorder ASD does not produce carbon-copy symptoms Characteristics of ASD can vary widely from person to person. One person’s limitations may not be present in another.

utism spectrum disorder, or ASD, is a class of neurological conditions present from early childhood and is often identiﬁed through difﬁculty communicating, using language and understanding abstract concepts. The organization Autism Speaks says that an estimated one out of 42 boys and one in 189 girls are diagnosed with autism in the United States. Autism is now diagnosed in roughly one out of every 68 children in Canada, and has become the fastest growing and most commonly diagnosed neurological disorder in that country. ASD is estimated to affect tens of millions of people worldwide. But even though ASD is widely recognized, studied and discussed, myths and misconceptions about the disorder continue to circulate. Shedding light on how ASD can help caregivers, peers and anyone who routinely interacts with individuals who fall on the spectrum.

ASD is not a single disorder Although autism and ASD are often used interchangeably, these names do not deﬁne one speciﬁc disorder. ASD is now an umbrella term that includes autism Asperger syndrome pervasive

developmental disorder, childhood disintegrative disorder, and Rett syndrome, according to the Diagnostic and Statistical Manual of Mental Disorder, 5th edition (DSM-5) revised in 2013. ASD is often perceived through communication deﬁcits that can include misinterpreted or nonverbal interactions. Individuals also may have challenges in bonding/ friendship development.

People with ASD can understand and express emotion Although communication troubles may be present, those with ASD can and do feel emotions. But they may not be able to express these emotions the same way as others do. Also, just because someone has ASD doesn’t mean he or she is unable to understand the emotions of others. Rather, the person may need ﬁrm and direct indications of how another person is feeling to understand. Reading body language or tone of voice alone may be inadequate to someone with ASD. School-aged children can learn from this, recognizing that someone with ASD may want to have friends and socialize, but he or she may not know how to facilitate these engagements

ASD is not just a children’s disease There is no cure for ASD, and symptoms may not be reversible, which means that autism is a lifelong condition. Children

who are diagnosed will grow into young people and adults with autism. Many treatments and therapies are geared toward early intervention, but adults can beneﬁt from continued work as well. Adults with ASD can be successful and live independent lives. Autism spectrum disorder is more prevalent than ever. However, despite the recognition of ASD, many people do not understand the nuances involved with a diagnosis.

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

ASSISTED LIVING & MEMORY CARE

In addition to the apartments, in 2016, Cathcart also opened Bellaire at Stone Port, an assisted living and memory care facility. Bellaire at Stone Port is the finest assisted living and memory care community in the entire Harrisonburg area. “Our elegantly appointed building, and furnishings, large floor plans, private patios, and state-of-the-art technology, combined with a comprehensive set of amenities is unsurpassed in the area. Our residents will enjoy; on-site physical therapy, spa, library, beauty salon, WIFI, card/game room, community sponsored events, bistro and crafts area, “ says Todd Dofflemyer, CEO of the Cathcart Group. Residents and their families can choose the level of care that is appropriate, and have access to state-of-the-art technology. Three furnished models showcase possibilities in a variety of floor plans. “Being a part of the Harrisonburg Community and participating in events with the Chamber of Commerce, Sentara RMH Round Table, The Aging in Place groups throughout the community helps us to stay focused on what is truly important, our residents & their families. The happiness of the residents that live at Bellaire at Stone Port is our number one priority, giving “Care You Can Trust” in a community they love.” Victoria Smith, Marketing Director, Bellaire at Stone Port. We invite everyone to come and tour our beautiful community.

Visit www.bellaireatstoneport.com and 540-246-0888

ASK US ABOUT OUR MOVE IN SPECIALS!

AMENITIES • Large Floorplans • Private Baths • Courtyard Patio Apartments* • Cafe & Deli • Computer Area • Crafts Area

• Transportation Available • Electronic Entry Locks on Resident Rooms • Licensed Nurse on Premise 24/7 • Landscaped Courtyard

• Planned Activities • Beauty Salon/ Barber Shop • Game Room • Library • Wi-Fi *Select Units

(540) 246-0888 | BellaireatStonePort.com 1684 Port Hills Drive, Harrisonburg, VA 22801 DEVELOPED BY

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Friday, July 21, 2017

HEALTH & WELLNESS

Strategies to keep weight off once itʼs gone

Strength training important to womenʼs health

omen’s bodies are built different from men’s to accommodate the changes of pregnancy and childbirth. Although women may store fat differently and have less muscle mass than men, it’s still important that women include weight resistance training in their exercise routines. Lifting weights is an important part of staying fit. Yet many women do not pick up weights out of fear of bulking up and gaining weight. In a 2011 opinion poll conducted by the U.S. Centers for Disease Control and Prevention, less than 20 percent of women said they accomplished the CDC’s recommended 2.5 hours of aerobic exercise and two periods of strength training each week. Contrary to popular belief, women who weight train will not turn into the bulking behemoths of competitive weight lifting. The Women’s Heart Foundation says that high levels of estrogen make it quite difficult for women to become overly muscular. When they strength train, rather, women’s muscles will improve in tone, endurance and strength instead of size. Resistance training provides an efficient way to build strength and burn calories. A study from researchers at the University of New Mexico found that the body will take between 15 minutes and 48 hours after exercise to return to a resting state. That means that a person continues to burn calories after exercising, a phenomenon known as “after-burn” or “excess postexercise oxygen consumption.” The more intense the workout, the longer the afterburn may last..

Harrisonburg, Va.

Studies performed at the Quincy, Mass., South Shore YMCA found that the average woman who strength trains two to three times a week for two months will gain nearly two pounds of muscle, but lose 3.5 pounds of fat. With that lean muscle addition, resting metabolism increases and more calories can be burned each day. The following are some additional benefits of strength training. Reduces risk of heart disease by lowering LDL cholesterol and increasing HDL cholesterol. Builds stronger muscles and connective tissues that can increase joint stability. Improves the way the body processes sugar, which can help reduce the risk of diabetes. Reduces rates of depression. A Harvard University study found that 10 weeks of strength training reduced clinical depression symptoms more successfully than standard counseling. Women who strength train commonly report feeling more confident and capable. Women with no strength training experience can consult with a personal trainer who can teach them proper strength training form. This ensures that the exercises are being done efficiently while reducing the women’s risk of injury. Qualified trainers also can keep people moving toward fitness goals..

osing weight requires hard work and determination. Oftentimes, men and women hoping to lose weight must commit to healthier lifestyles than the ones they’ve grown accustomed to. That can be a big adjustment, and it’s important that men and women about to embark on their weight loss journeys recognize that keeping lost weight off can sometimes be as challenging as losing the weight. Some people are inspired to lose weight before their weddings, while others may want to shed some pounds before beach season. While there’s no wrong reason for people who are overweight or obese to lose weight, people who tie their weight loss efforts to something as temporary as beach season may overlook the long-term beneﬁts of maintaining healthy weights, unknowingly increasing their risk of putting weight back on after reaching their short-term goals. According to the Harvard T.H. Chan School of Public Health, maintaining a healthy weight lowers a person’s risk of heart disease, stroke, diabetes, high blood pressure, and various cancers. Maintaining weight loss can be an uphill battle, but men and women can employ various strategies to ensure the weight they lose stays lost for years to come. Continue your weigh-ins. Weigh-ins may seem like the enemy as men and women make their initial efforts toward losing weight. However, weigh-ins gradually become something to look forward to as pounds start to drop off. Routinely weigh yourself even after reaching your weight loss goals, as the

scale can be just as motivational for people trying to maintain healthy weights as it is for people trying to lose weight. Stick to your diet. When trying to lose weight, adults often combine diet and exercise. That’s a great weight loss strategy, and it’s also a great way to maintain a healthy weight. Recognize that weight won’t stay off if you exercise but don’t eat right. Rather, maintaining a healthy weight over the long haul requires both a healthy diet and regular exercise. Eat slowly. While it might not work for everyone, eating slowly has been linked to lower calorie consumption. A study from researchers at Texas Christian University found that participants who were instructed to take small bites, chew thoroughly and pause and put their spoons down between bites consumed, on average, 88 fewer calories per meal than participants who were told to take large bites, chew quickly and continue eating without putting their spoons down. Study participants who were overweight, however, ate just 58 fewer calories on average. Document your efforts. Whether it’s in a journal, on a blog or by emailing a loved one, documenting your efforts to maintain a healthy weight may provide the motivation you need to stay on course. Maintaining a healthy weight after substantial weight loss is a challenge that men and women can overcome by staying as vigilant in their efforts to keep weight off as they were while working to lose weight..

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

AUGUSTA AUDIOLOGY ASSOCIATES, PC

Licensed And Certiﬁed Clinical Audiologist

Julie Farrar-Hersch, PhD Kathleen Culbertson, AuD

any people of all ages experience hearing loss and tinnitus. Tinnitus is that annoying ringing, buzzing, or any other sound that is particularly noticeable when everything is quiet. If there is no medical solution for the hearing loss and/or tinnitus, what is the next step?

One of the most effective tinnitus management strategies is the use of sound to provide stimulation to the brain. Sound aids in distracting the brain from the tinnitus signal and provides more interesting auditory stimulation. Some hearing aids also have special sounds that are FDA approved for managing tinnitus. In our 21st Century, we have so many technology choices that improve our quality of life. Why not explore the options for maximizing your listening experience! Augusta Audiology Associates is a locally owned practice founded in 1994. Dr. Julie Farrar-Hersch and Dr. Kathleen Culbertson, audiologists, are highly qualiﬁed to guide you through the assessment of your hearing and developing a rehabilitation plan speciﬁc to your needs. Please give us a call at 540.332.5790 to arrange an appointment. We look forward to hearing from you.

THE V NG

SERVI

We Follow You Every Step of the Way to Ensure Your Hearing Aids are Comfortable, Beneﬁcial and Meet Your Communication Needs, During and After Your Trial Period.

LEY AL

YEARS

Many listening environments are challenging such as family dinners, religious services, restaurants and auditoriums. Accessories are available for transmission of signals using blue tooth, frequency modulation, infra-red or electromagnetic ﬁelds. Remote microphones may be given to friends and family members in noisy situations so that speech is picked up by the microphone and transmitted directly to the hearing aids. There are accessories for streaming (sending) auditory signals from electronics such as televisions, telephones, and computers directly to the aids allowing for improved signal clarity.

STATE-OF-THE-ART HEARING AID TECHNOLOGY

Technology today offers many options for managing hearing disorders. Most people are familiar with hearing aids but may not be aware of the many advances for improving sound quality and meeting listening needs. Most hearing aids have digital chips that are programmed based on the specific hearing loss and can be modified in the event the loss changes. Hearing aids may have more than one microphone to improve directionality in background noise which allows improved ability to understand speech in difficult listening situations.

OUR SERVICES ALSO INCLUDE Assistive Technology for Personal listening, T.V., And Telephone

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Augusta Audiology Associates, PC Augusta Health Medical Off. Bld. Suite 204 70 Medical Center Circle Fishersville, Virginia 22939

Over 35 Years of Experience www.AugustaAudiology.com

540-332-5790

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Safeguard your eyes against computer vision syndrome

echnology has simpliﬁed life in a myriad of ways. Thanks to their tablets and smartphones, many people now have a wealth of information at their disposal 24 hours a day, seven days week. Computers, tablets and smartphones can now be seen just about everywhere, so it’s no wonder that studies have shown that as much as 90 percent of computer users have reported symptoms of computer vision syndrome, or CVS. Sometimes

referred to as “digital eye strain,” CVS is, according to the American Optometric Association, an umbrella term used to describe a group of eye and vision-related problems that result from prolonged computer use. Manhattan Vision Associates notes that such problems can arise in people who spend two or more hours daily in front of a screen, a qualiﬁer that means just about anyone, from working professionals to children, is susceptible to CVS.

Did you know? Individuals visit the doctor for many different reasons. Although serious illnesses or acute medical care may be seen as the primary reasons behind doctor visits, a relatively recent study from The Mayo Clinic suggests otherwise. In 2013, data published in the journal Mayo Clinic Proceedings uncovered that most people visit the doctor for skin disorders, such as acne or dermitis. In the United States, 42.7 percent of the doctor visits studied were for skin ailments. Skin ailments were followed by joint disorders, back problems, cholesterol, and upper respiratory conditions. The group BackCareCanada says 80 percent of individuals experience pain in their spine at some point in their lives, and medical expenditures with respect to lower back pain are estimated at between $6 and 12 billion annually in Canada.

What are the symptoms of CVS? No two individuals are the same, and some people who spend signiﬁcant amounts of time may never develop CVS. But those that do may experience the following symptoms. Eyestrain: When people spend ample time staring at screens, the muscles of their inner eyes can strain and tighten and cause eye irritation. This can result in fatigue and pain. Blurred vision: Blurred vision can compromise a person’s ability to see small details. That loss of sharpness can make it hard to focus on a screen for a signiﬁcant amount of time. In addition, vision can blur as people go back and forth between their keyboards and screens or multiple screens, as many people do while simultaneously working on a computer and using their smartphones. Headaches: Many people develop headaches after staring at screens for prolonged periods of time. That’s because the brightness and contrast of a screen can produce an indirect glare that’s especially hard on the eyes. Dry eyes: People do not blink as often when staring at screens as they do when they are not looking at screens. As a result, people are vulnerable to dry eyes when staring at screens, as blinking is one of the ways the eyes replenish moisture.

Can CVS be prevented? While some people may be inclined to accept CVS as a side effect of living in the 21st century, there are ways to prevent CVS. Take frequent breaks. The AOA recommend that people alleviate digital eye strain by following the 2020-20 rule. This rule advises taking 20 second breaks to stare at something 20 feet away every 20 minutes. Reposition your computer screen. The AOA notes that the optimal location for computer screens is between 15 and 20 degrees below eye level, or about four to ﬁve inches, as measured from the center of the screen. In addition, position the screen so it is between 20 and 28 inches from your eyes. Avoid glare. Computer screens also should be positioned to avoid glare from lighting and windows. Draw blinds or drapes if sun is shining in on the screen, and opt for low wattage light bulbs in desk lamps. Blink more. Make a concerted effort to blink more throughout the day so your eyes remain as moist as possible. The average time people spend staring at screens continues to rise, making CVS a legitimate concern for adults and children alike. Learn more about CVS and how to prevent it at www.aoa.org.

HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

Joint Center The Augusta Health Joint Center staff knows every patient story is different, and thatâ&#x20AC;&#x2122;s why we provide care centered on what the patient needs, from pre-operative services to surgery to post-op care. Working as a dedicated team, we focus on making the patient feel informed, empowered and supported every step of the way. When it comes to joint replacement, the Joint Center offers signiďŹ cant beneďŹ ts:

5 ,,,,, hospital in joint and orthopedics

The most up-to-date techniques and technology, from surgery to physical therapy, Augusta Health is constantly working to improve results, and make sure that treatments are geared toward each patientâ&#x20AC;&#x2122;s needs. Over a century of Combined surgical experience. Augusta Health surgeons are here for the long term. Our surgeons boast over 100 years of experience in this community. They stay here because at Augusta Health, successful outcomes matter, and patient care is the number one priority. Augusta Health surgeons have trained at some of the top teaching institutions in the country using the most modern techniques available, allowing them to tailor each surgical decision carefully to meet the individual and specific needs of each patient. A team-based approach that ensures every surgeon, nurse, therapist, and administrator is working together for patients, everyday. An extremely low complication rate, thanks to surgeons who are meticulous about their technique, and passionate about successful joint replacements. Joint replacement (full or partial) can be an excellent option to get you back on course.

The most up-to-date techniques and technology, from surgery to physical therapy, will get you back on your path and enjoying your life.

Deeply individualized treatment plans. Physicians donâ&#x20AC;&#x2122;t assume a patient will need a joint replacement, and they do what is reasonable to preserve the natural joint first. But when thatâ&#x20AC;&#x2122;s not possible, joint replacement (full or partial) can be an excellent option. Physicians focus on working with patients on plans that are best for their lifestyles. Stand-Up Services Large, private rooms

â&#x20AC;&#x153;I did the right thing, having joint replacement surgery. I am now pain free.â&#x20AC;? â&#x20AC;&#x201C; Steve Coffman

Group therapy twice a day Fully furnished gym Specialized state-of-the-art activity replicas Pain management expertise.

Joint Center

Soothing evening environment Training for family members or friends Post-center checkups Reunion luncheon For more information Contact The Joint Center at Augusta Health (540) 932-4000 78 Medical Center Dr Fishersville,VA 22939 www.AugustaHealth.com/joint-center

t www.augustahealth.com

Friday, July 21, 2017

HEALTH & WELLNESS

Harrisonburg, Va.

Making A Difference In Our Community Your oral health is an integral part of your total well being! With the use of the VELscope, Dr. Hall & Dr. Dean will improve their assessment of your overall oral health, ensure the delicate tissues of your mouth are healthy and help protect you from oral disease, including oral cancer!

Curtis G. Dean, DDS & David C. Hall, DDS

HALL & DEAN, DDS, PLLC

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

Dr. David C. Hall is a graduate of West Virginia University School of Dentistry. He has been serving the Harrisonburg Rockingham community since 1991. He continues to stay current with the latest techniques and technology. He is dedicated to MAKING A DIFFERENCE in the lives of his patients. He is a member of the American Dental Association, Virginia Dental Association and the Harrisonburg Rockingham Dental Society. Dr. Hall takes pride in his accomplishment of attaining the rank of Eagle Scout. In his spare time, he enjoys reading, fishing, woodworking and being outdoors. Dr. Curtis G. Dean is a 2013 graduate of West Virginia University School of Dentistry. He is dedicated to providing high quality dental care to his patients. He believes strongly in catering to each patient’s dental needs through comprehensive treatment planning that will best suit the patient’s individual requirements. Dr. Dean is a member of the American Academy of General Dentistry, the American Dental Association and the Harrisonburg Rockingham Dental Society. Outside of dentistry, he enjoys sports, fitness, being outside and spending time with his wife, Marcy and daughter, Finley. Dr. Hall & Dr. Dean want to develop relationships with their patients. From their initial contact with you as a new patient, they want to get to know you. They begin with a comprehensive exam to evaluate your bone level so the team of Hygienists will know how to best treat your oral health. Drs. Hall and Dean will then review their findings orally and radiographically and present treatment to meet your needs. Dr. Hall and Dr. Dean are Family Dentists who treat individuals from 3 to 103. They are invested in the latest technology utilizing a computer aided design system, CEREC, where they and their TEAM can prepare, design, mill and cement your crown in one appointment.

Dr. Hall and Dr. Dean always welcome NEW patients in their practice! The entire TEAM wants to MAKE a DIFFERENCE in your life! For more information or to contact Dr. Hall and Dr. Dean and their TEAM, visit them at…

www.davidchalldds.com

Friday, July 21, 2017

HEALTH & WELLNESS

Signs of stress that must be addressed

Harrisonburg, Va.

nervous system to signal the adrenal glands to release hormones that make the heart beat faster and increase blood pressure. Difﬁculty falling or staying asleep: Men and women who are feeling stressed out and also experiencing difﬁculty falling asleep or staying asleep should consult their physicians about ways to alleviate that stress. When strategies to alleviate stress are successful, adults should be able to return to normal, healthy sleeping patterns. Increased frequency of colds: Stress can attack the body’s immune system, making it increasingly vulnerable to colds. The AIS also notes that a weakened immune system also makes the body more susceptible to additional viral disorders, including herpes, and autoimmune diseases such as rheumatoid arthritis and multiple sclerosis.

he American Institute of Stress notes that various disorders, both emotional and physical, have been linked to stress. Such disorders include depression, stroke, hypertension, and anxiety, among others. In its 2015 Stress in AmericaTM survey, the American Psychological Association found that money, stress and family responsibilities are the three most common stressors. While the symptoms of stress are uncomfortable and potentially very dangerous, the APA notes that such indicators also serve as a warning from the body that it needs maintenance and extra care. The following are some of the ways the body might be telling adults to step back and make an effort to relieve stress.

Headaches, muscle tension, neck or back pain: Some headaches or aches and pains might be mere nuisances or indicative of issues unrelated to stress. But when such symptoms are accompanied by stress, this could be the body’s way of alerting men and women that the stress is approaching unhealthy levels. The AIS notes that when a person is under stress, his or her muscles tense up. The contraction of these muscles for extended periods of time can trigger tension headaches and migraines, among other things. Chest pains and/or rapid heartbeat: Chest pains and rapid heartbeat may indicate various problems, including stress. This happens when the body is stressed because stress causes the

Loss of appetite or overeating: Stress can affect the gastrointestinal system in various ways, including inﬂuencing appetite. While not all problems with appetite are indicative of a body that is overstressed, stress can prompt some people to eat much more than they normally do, while others may eat considerably less than they normally would. Diarrhea or constipation: Another indicator that stress is compromising the gastrointestinal system is diarrhea or constipation. Again, while these problems are not exclusive to sufferers of stress, when a person is under stress, this can affect which nutrients the body can successfully absorb and how quickly food is metabolized. This can cause some people to experience diarrhea, while others may be constipated.

One Stop Shopping • Prescriptions • Supplements • Toiletries • Greeting cards • Snacks • Photo Kiosk • Much more

Bridgewater Pharmacy “Combining Traditional & Natural Products”

509 N. Main St. Bridgewater, Va.

540-828-6000

Text: 540-271-2335 Email: bridgewaterx@comcast.net Open: M-F: 9 AM–7 PM, SAT: 9 AM–2 PM

HEALTH & WELLNESS

Harrisonburg, Va.

Uninsured or Have Health Insurance With a High Deductible? Still Feel You Cannot Afford to Receive the Healthcare You Deserve? Harrisonburg Community Health Center Wants To Be Your Medical Home Who can come to HCHC?

Who are our providers?

Anyone can become a patient at HCHC.

Pediatric providers Dr. Stephanie Corn Dr. Sarah Goodwin Dr. Kunjan Shakya

Why choose HCHC? To start, HCHC has top quality providers. We offer a sliding fee scale based on income to help make care affordable. On-site interpreters are available in six languages (Spanish, Arabic, Kurdish, Tigrinian, French, Kiswahili)

What services does HCHC provide?

• • • • • •

Pediatric Care (wellness and sick care visits) Family Medicine (preventive health, chronic disease, and sick care) Women’s Health (gynecology and family planning) On-site lab Behavioral Health Dental Services (adults and pediatrics) – Medicaid accepted and sliding fee scale also offered

Family Medicine Providers Christopher Benjamin, FNP-C Emily Davis, FNP-C Dr. Jeff Domingus Pete Hill, FNP-C Dr. Jerome Hotchkiss Sue Klassen, FNP-C Erin Morris, FNP-C Dr. Corrine Replogle Ann Schaeffer, M.Ed. CNM, MSN Behavioral Health Clare Matthews, LCSW

Friday, July 21, 2017

540.433.4913 www.hburgchc.org Dental Berkeley Pemberton, DDS Destiney Sager, Dental Hygienist Jon Shneidman, DDS Shelly Waas, Dental Hygienist

Harrisonburg Community Health Center

Finding local help Completing the Marketplace application and looking through the different plans can sometimes get complicated. Luckily at the Harrisonburg Community Health Center, assistance is available free of charge. We have a bi-lingual in person assister available to help you step by step through the process and answer any questions you may have. You can stop by at any time during the day or call if you would like to schedule an appointment outside of normal business hours. You can also e-mail ACAoutreach@hburgchc.org

We are planning various events. Please check our website www.hburgchc.org or our Facebook page for detailed information.

Welcoming New Patients! Call for your appointment today

Harrisonburg Community Health Center

1380 Little Sorrell Drive, Suite 100 Harrisonburg, VA 22801

540.433.4913 (MEDICAL)

540.236.3688 (DENTAL)

VMRC 1491 Virginia Avenue Harrisonburg, VA 22801

540.574.3895 Community Health Center of Elkton 800 Shenandoah Avenue, Suite 170 Elkton, VA 22827

www.hburgchc.org

540.298.9900

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Sentara RMH AFib Hybrid Procedure Sees Success By SHELBY MERTENS

the heart’s atrium and sew it back together. The ablation surgery uses a catheter tube that is inserted into a blood vessel in Those who suffer from atrial fibrillation the leg and reaches the heart. Doctors use and failed a catheter ablation now have heat to burn the tissue, which triggers irhope for another cure. regular heartbeats to return to normalcy. Sentara RMH Medical Center started At Sentara RMH, Dr. Robert VerNooy offering a minimally invasive heart sur- is the electrophysiologist who patients see gery for atrial fibrillation in October. So far, to treat AFib with an ablation surgery. But the five patients who have undergone the if the catheter ablation does not work, Vertreatment at Sentara RMH Medical Center Nooy will refer the patient to the cardiac have all had success. surgeon, McDonald, who will perform the “It’s not that the technique is new, it’s minimally invasive heart surgery, a varijust a modification of what we’ve done for ation of the standard Cox Maze procedure a long time,” said Dr. Jerry McDonald, a used to treat AFib. cardiac surgeon at Sentara RMH. “We’re McDonald will burn the pathways on doing it with small holes instead of an open the back of the atrium’s upper chambers. incision. We’re doing it as “The goal of that is to a stage procedure, which burn in certain locations will greatly improve our so that the electricity It’s not that the chances of being more from the heart is in a nortechnique is successful.” mal pattern and ideally, new, it’s just a Atrial fibrillation, the upper chamber concommonly called AFib, is tracts now, not just wigmodification of an irregular heartbeat. gles,” McDonald said. what we’ve done Symptoms include rapid The new procedure for a long time. heartbeat, shortness of is a two-step process, or We’re doing it with breath and fatigue. The hybrid procedure, with heart is unable to eject the collaboration of both small holes instead as much blood, which a cardiac surgeon and an of an open incision. can cause blood clots. If electrophysiologist. left untreated, it can also “We can go in with a Dr. Jerry McDonald, lead to heart failure and few small holes in each cardiac surgeon, stroke. side of their chest under Sentara RMH For the last few deanesthesia and we can cades, the surgical treatablate, and by ablate I Medical Center ment for AFib involved mean essentially burn doctors performing open without dividing and heart surgery on a bypass machine. Then, make it electrically separated,” he said. starting in 2000, doctors began using devicThe patient is then monitored with a es to ablate using heat or another type of Holter monitor and EKGs for the next radio frequency without having to cut into three months. Daily News-Record

Shelby Mertens / DN-R

Dr. Jerry McDonald, a cardiac surgeon at Sentara RMH Medical Center, explains the minimally invasive atrial fibrillation procedure with a heart model on Wednesday afternoon.

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HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

Dr. Jerry McDonald (pictured) and Dr. Robert VerNooy, an electrophysiologist with Sentara RMH Medical Center, have been offering the hybrid atrial fibrillation procedure since October. Shelby Mertens / DN-R

The surgery itself only takes three if you were talking about a 65 year old,” hours. The patient usually stays in the McDonald said. “The success rate is going hospital to recover for about two and a half to be better if you’re younger. The less time days. They are put in the intensive care you’ve been in it, the better chance you unit, mostly just for observation, McDon- have.” ald said. They can go home the next day. Sentara RMH is the only hospital in “There’s not a tremendous amount of the Shenandoah Valley that offers the Cox things that could go wrong,” he said. Maze procedure. “There’s reported injuries to the The collaborative approach beesophagus. We haven’t had tween different medical fields that.” is a fairly recent trend. PaThere is also a risk of tients benefit from doctors I think we’re going bleeding, but new techcombining their skills. nology has lowered the In this case, VerNooy to benefit a lot of risk. works from inside the people. Patients then see heart, and McDonald VerNooy again for the focuses on the outside of Dr. Jerry McDonald, second stage, to ensure the heart. Sentara RMH Medical the first procedure is “Both of us have been working. VerNooy will doing this for awhile in Center perform any touch-ups our own world, and it’s only needed. recently that we’ve started to “Dr. VerNooy … goes back with work together where people get a catheter, and he can fix any gaps. And both aspects, and I think we’re going to with that, you can generate a very good benefit a lot of people,” he said. “Especially success rate, much better than what we’d people who already failed the catheter.” do alone,” McDonald said. In the near future, McDonald hopes the The procedure is geared more toward minimally invasive surgery for AFib can be patients who have had Afib for a lesser extended to more patients who don’t meet amount of time. the current criteria. “The average 90 year old is probably Contact Shelby Mertens at 574-6274, not going to embark on this process be@DNR_smertens or smertens@dnronline.com cause the benefit is not as great to them

Need an eye exam?

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2 Locations To Serve You 204 W Spotswood Trail Elkton, VA 22827

540.298.1671

(Inside Walmart) 171 Burgess Rd. Harrisonburg, VA

540.433.7341

Call Today to Make an Appointment

Lee Robertson, O.D.

www.elktoneyecare.com

Friday, July 21, 2017

HEALTH & WELLNESS

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

What Does Choice Have to Do With Health and Well-being? By: Pam Miller

Part of a healthy, happy life is having a safe place to live, sustenance, fulfilling activities, and opportunities to try new things. For Steve, working at the paper shredder, attending Broadway Day Program and JETE dance class, exploring spiritual wellness with Pastor Dave Gullman, playing basketball, and socializing with friends are some of the activities that contribute to his Pleasant View, Inc.’s vision is that “All people will have idea of a happy life. Steve enjoys his the opportunity to live in and enrich their communities.” housemates at Pleasant View’s Lee High Residence in Broadway, Virginia. For anyone he invites to see his room, it is clear that it is decorated in his personal style which instantly reveals his interests. He loves anything Redskins, JMU, or Star Wars themed. Each person who provides support for Steve in the community is greeted by name with a smile and a healthy “Hi.” Another aspect of a healthy, happy life is having the option to choose whether or not to do something. Steve can freely choose not to participate in activities, and is given the opportunity to change his mind. The opportunity to choose whether to participate is relatively new for anyone who has had limited access to the community because of a disability or having lived in an institutional setting. Many individuals like Steve, spent years in institutions and were limited even as to what they could choose to wear. The community is learning now that living, working, volunteering and playing side by side with individuals with developmental disabilities benefits all involved. The contributions and relationships of all people make our community and the lives of our community members more fulfilling.

Our Vision All individuals will have the opportunity to live in and enrich their communities. Our Mission Pleasant View supports individuals with disabilities achieve their own spiritual, emotional, relational, vocational and residential goals.

Residential Support: Community-based Group Homes and Apartment Units Day and Vocational Support: Center-based Day Programs (Broadway and Harrisonburg), Supported Employment (individual and group) and Community Connections Spiritual Support: Pastor on staff, prayer and spiritual counseling, monthly community Faith & Light worship services, and peer faith leadership development Pleasant View, Inc., P.O. Box 426, Broadway, Va. 22815, (540) 896-8255 www.Pleasantviewinc.org

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Misconceptions About Pain and Physical Therapy bigger problem. You may not know it, but your body is telling you something. It’s possible that your pain is related to the mechanics of how you move. As soon as you no ce a decline in func on or pain with day-to-day ac vi es, that is the best me to get the problem diagnosed and corrected.

Physical therapists are speciﬁcally trained to diagnose movement dysfunc ons, which can lead to pain, decreased ac vity, or even disability. S ll, there are many misconcep ons about the causes of pain and how physical therapists can help you deal with them.

I don’t hurt enough to need physical therapy Pain symptoms commonly start as a nuisance before progressing to a much

I can’t start PT until I get an x-ray

I can do PT exercises at home

X-rays are wonderful tools that help diagnose serious condi ons such as fractures, bone abnormali es and tumors. These condi ons are uncommon for most aches and pains. Physical therapists are trained to screen for serious pathologies, and it I hurt too much to go to is their job to refer you back to you doctor if there is any indica on that physical therapy Pain can limit the easiest of tasks, you have a condi on requiring medical some mes making us fearful of treatment other than physical therapy. moving or ge ng out of bed. Research in the past decade concluded that bed rest might be the worst thing for your pain. Physical therapists are trained to diagnose the causes of why you hurt. By staying home you are missing an opportunity to understand why you are hur ng and possibly delaying your recovery by not correc ng the underlying problems.

Physical therapy is not just about assigning exercises; it is about a pa ent having the right exercises, at the right me, and doing them in the right way. It takes a skilled eye to iden fy where your body is compensa ng for pain. Research shows that combining exercise with hands-on therapy is be er than exercising alone. Your physical therapist can help improve how your body moves — before and a er you exercise — to help decrease pain and allow you to return to the ac vi es you love.

Give physical therapy a chance. Talk to a trained physical therapist today at any of Advantage Physical Therapy’s local centers. To ﬁnd a center near you or to request an appointment, visit us on the web at www.drayerpt.com.

Ready to serve all of your physical therapy needs: ELKTON CENTER

QUARLES COURT CENTER

140 Shen-Elk Plaza, Elkton

4165 Quarles Court, Harrisonburg

P: 540-298-4749

P: 540-437-7585

HARRISONBURG CENTER

WEYERS CAVE CENTER

313 Neff Avenue, Harrisonburg

54 Franklin Street, Weyers Cave

P: 540-434-1200

P: 540-234-8800 Outpatient Physical Therapy Pre & Post Op Rehabilitation Work & Industr y S er vices Spor ts Medicine Or thopedics Spine Care Joint Replacement Rehabilitation

TMJ Rehabilitation Injur y Prevention Vestibular Rehabilitation Running Injuries Injury Screenings Concussion Management Custom Foot Or thotics

Visit us on the web! ADVANTAGEPTSP.COM

HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

Treatments for Alzheimerʼs disease continue to evolve A

lzheimer’s disease is one of the most prevalent types of dementia in the world, affecting an estimated 35.6 million people all over the globe, and that number is expected to double in 20 years. The Alzheimer’s Foundation of America estimates that as many as 5.1 million Americans may be living with Alzheimer’s disease. Australian company Actinogen Medical says Alzheimer’s is Australia’s second biggest killer. According to a 2012 study commissioned by the Alzheimer’s Society of Canada, 747,000 Canadians were living with cognitive impairment, which included, but was not limited to, dementia. People with Alzheimer’s disease and other types of dementia may experience a decline in mental function severe enough to reduce their ability to perform everyday activities. Some of the cognitive functions that may be impaired include memory, communication and language, ability to pay attention, reasoning and judgement, emotional control, and social behavior. There is no cure for Alzheimer’s disease, nor is there an effective long-term way to prevent potential mental decline. However, that has not stopped scores of researchers and medical teams that continue to study the efﬁcacy of different drugs and therapies. The following are some of the more promising options in the works.

Leukine A safety trial on the drug Leukine already is underway at the Colorado University Anschutz Medical Campus.

“We found so far that Leukine is safe in people with Alzheimer’s disease,” said Dr. Huntington Potter, the director of Alzheimer’s research at the university. “That means it doesn’t have the side effects that so many other Alzheimer’s drugs have had, which are swelling in the brain and bleeding into the brain.”

Medical have begun trials of a new drug called Xanamem. More than 170 patients with mild dementia in Australia, the United States and the United Kingdom will take part in the placebo-controlled 12-week trial. The medicine blocks the stress hormone cortisol in order to improve mental function for those with dementias. In 2015, an Edinburgh University study of mice showed

reducing cortisol in the brain improved their memory and decreased the number of Alzheimer’s-associated amyloid plaques in the brain. Researchers continue to work as they seek a successful, long-term option for treating or preventing Alzheimer’s disease and other dementias.

Leukine has been successful in removing the plaque or amyloid along the outside of nerve cells in the brain of mice. Researchers do not know the exact mechanism for removal, but the drug is working and working quickly. Leukine also may be helping the brain repair itself. The Alzheimer’s Association has donated $1 million toward ﬁnancing the costs of the next phase of this trial.

Insulin Neurologists at Rush University Medical Center are testing a type of insulin that is inhaled through a nasal spray to see if it improves cognition and memory function in people with mild cognitive impairment. “There is growing evidence that insulin carries out multiple functions in the brain and that poor regulation of insulin may contribute to the development of Alzheimer’s disease,” said Dr. Neelum Aggarwal, a neurologist at Rush and the lead investigator of the study. The 18-month clinical trial will study the nasal spray versus a placebo in 275 adults between the ages of 55 and 85.

Xanamem Australian researchers at Actinogen

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Friday, July 21, 2017

HEALTH & WELLNESS

Harrisonburg, Va.

Simple ways to alleviate back pain

ew health problems are as prevalent as back pain. The American Chiropractic Association says that 50 percent of working Americans admit to having back pain symptoms each year. Bone and Joint Health Canada states that as much as 80 percent of people experience back pain at least once in their lifetime. Back pain can be so signiﬁcant that it results in a loss of function that impedes daily activities. In fact, according to the 2015 Global Burden of Disease report, back pain is the single leading cause of disability in most countries. Back pain can be a complex issue. According to data complied by TheGoodBody.com, only one in 10 people learns the primary cause of their pain. That’s because many things, including muscle sprains or joint irritation, can contribute to back pain. Other factors that may contribute to back pain include arthritis, stress, obesity, or diseases of the internal organs. Each of these issues can make it challenging to uncover the culprit behind back pain. Ruling out degenerative diseases can be a ﬁrst step in treating back pain. Doctors also may ask their patients about their level of physical activity. Doctors may want to know if patients suffering back pain engage in activities involving repetitive movements to determine if their back pain can be traced to these activities. Some common factors contribute to back pain, and addressing these issues may bring about relief.

Strengthen core muscles. Poor muscle tone, especially in the back and abdominal muscles, may result in back pain. Engaging in activities that strengthen the core can help strengthen the area, offering more support to the back. A doctor, physical therapist or ﬁtness instructor may guide you in exercises, such as planks or abdominal crunches, that can strengthen the core. Get up and move. A sedentary lifestyle can be a major contributor to back pain. Nearly half of Americans who experience back pain are desk workers who spend the majority of their time sitting, according to the Centers for Disease Control and Prevention. Qi Spine, a clinic that gathered data from 1,300 people who said they deal with spine-related pain, found that half the participants with sedentary jobs had lower back pain. Standing, moving around and taking breaks from the desk can help alleviate pain. Lose weight. The spine is vulnerable to effects of obesity. Extra weight in the abdomen may pull the pelvis forward and strain the lower back, states the American Obesity Association. Losing weight can reduce that strain on the lower back, thereby reducing pain. Back pain is a frequent complaint and compels many people to visit their doctors. Exercise, maintaining a healthy weight and strengthening core muscles can go a long way toward keeping the back healthy and pain-free.

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 21, 2017

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

Hearing Aids. You see the advertisements every week and you probably get tired of throwing the mailings that promise “50% off MSRP for 3 days only” in the trash. MSRP (manufacturer’s suggested retail price) is an inflated value that no business should use for their everyday pricing. When you or a loved one has problems with your hearing, who should you talk to? Who is the most qualiﬁed professional to talk with about your hearing loss? An Audiologist. Audiologists have either doctorate or masters degrees specializing in evaluating and treating people with hearing loss. We have the most extensive training and the best skill sets to accurately evaluate the hearing of adults, infants and children of all ages and provide counseling and treatment options to maximize hearing and communication. At Audiology Associates of Harrisonburg we help you through the process by answering your questions, offering expert advice and helping you choose the appropriate hearing aid technology at a price that is affordable. Hearing Aids are only as good as the person programming them. As Audiologists, we have a thorough understanding of anatomy and

function of the ear and know precisely how digital technology applies to each person’s unique hearing impairment. Hearing aid manufacturers have many levels of technology and you should be told about all levels, not just the most expensive one. You should never be told that the most advanced level is the only level that will help you hear. The truth is, every level of technology comes with its own benefits and limitations and any level that is affordable can help.

You should feel like the hearing professional is working in your best interest.

purchase or gimmicks offered to get you in the door. You should feel like the hearing professional is working in your best interest. A competent and thorough hearing evaluation cannot be done across your dining room table. Crucial aspects of a diagnostic test that determines what is causing your hearing loss and the integrity of your residual hearing can only be done in a sound booth with a comprehensive evaluation. It is critical to determine if your hearing loss can be medically treated to improve your hearing, and if so, there should be follow up with the appropriate referrals. The most critical parts of your journey toward better hearing are a comprehensive diagnostic hearing test and the selection and fitting of your hearing aid(s). The best results are always achieved by a qualified Audiologist. At Audiology Associates of Harrisonburg you are our ﬁrst concern. Let us help you take the guesswork out of hearing loss and hearing aid technology.

The different levels of technology are based on how hard they work in noisy environments. Beware of offices that offer “same day” fittings because they are only selling devices they have in stock. They haven’t been chosen on the basis of your hearing loss and your communication Dr. Diane Schwalbach and Dr. Scott Murray needs. There should never be pressure to Audiologists

Our patients not only care how much we know, they know how much we care. As Audiologists, we are the most knowledgeable resource you have for your hearing health and hearing aid technologies.

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HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

Exploring dental crowns

any people visit their dentists and learn they have a tooth that requires a crown. In many instances, dental crowns are necessary for proper tooth care.

Understanding your appointment(s)

Crowns are typically installed in two appointments. The first appointment requires prep work so the tooth can hold the crown. This Crowns were once widely is typically a painless procedure, referred to as “caps.” A crown is a and one in which the dentist will permanent cover for a tooth that anesthetize the tooth and gum would otherwise require a very tissue and then file down the tooth large filling after dental decay along the chewing surface and has been removed. Crowns also sides to make room for the crown may be used to repair cracked covering. If the tooth was decayed or broken teeth so that extraction or insubstantial, the dentist may is not necessary. Sometimes have to “build up” the tooth instead crowns are used for cosmetic modifications or to hold a dental of filing it down. Again, these bridge in place. determinations are made by the dentist who has the expertise to The crown itself can be made from gauge how much workable tooth different materials, like stainless is left. steel, gold or metallic alloy, porcelain, porcelain fused to metal, and resin. A dentist will determine Once the tooth has been prepared, an impression will be made of which material will work best depending on the application and the bite area. That’s because the permanent crown will be fabricated tooth location.

Cost factor in a laboratory and the fit/color will need to be exact for comfort — and also to ensure that bacteria and food debris do not get caught between the crown and tooth. The final component is a temporary cap that will keep the prepared tooth clean. This is molded in the office and will be worn only until the custom-made crown is ready. When the permanent crown is delivered, the patient will return to the office to have it checked for fit and then cemented into place. Full and partial crowns A partial crown may be used if only a portion of the tooth needs to be covered. Dentists will often rely on full crowns to get maximum coverage and strength.

Crowns can be expensive. According to the resource CostHelper, crowns can range from $500 to $3,000 depending on the material used and the patient’s insurance coverage. Dental insurance may cover a predetermined percentage of the cost when the crown is medically necessary, but insurance may not cover anything if the procedure is only cosmetic. It’s always a good idea for patients to express their concerns and ask questions about crowns prior to starting the procedure. Understanding the potential out-ofpocket costs is essential as well. Dental crowns can last several years and represent the best way to salvage a tooth that is cracked or damaged.

HEALTH & WELLNESS

Friday, July 21, 2017

Harrisonburg, Va.

a favorite show while on the treadmill or the elliptical. When running errands around town, ride a bicycle or walk instead of driving.

How to ﬁnd time for ﬁtness

any adults admit to having little or no time to exercise, and statistics support the notion that men and women simply aren’t exercising enough. According to the National Center for Health Statistics, only 21 percent of adults ages 18 and older met the physical activity guidelines for aerobic and muscle-strengthening activity (Note: The World Health Organization recommends that healthy adults between the ages of 18 and 64 should do at least 150 minutes of moderate-intensity aerobic physical activity throughout the week or do at least 75 minutes of vigorous-intensity aerobic physical activity throughout the week, while also performing muscle-strengthening activities involving the

In lieu of traditional date nights, couples looking to ﬁnd time to exercise can enroll in classes at the gym or exercise together when they would otherwise be dining out.

major muscle groups at least two days per week.)

Cut down on screen time. A 2016 report from The Nielsen Company revealed that the average adult in the United States spent more than 10 hours each day consuming media. That includes time spent using smartphones, tablets, personal computers, and other devices. By reducing that screen time by just one hour per day, adults can create enough free time to meet the WHO-recommended exercise requirements. while discussing projects rather than sitting stationary around a conference table. At home, take the family along to the gym or go for nightly post-dinner walks around the neighborhood instead of retiring to the living room to watch television.

Make it a group effort. Involving others can make it easier for adults to ﬁnd time to exercise. Instead of hosting work meetings in a conference room, take the meeting outside, walking around the ofﬁce complex

Redefine date night. Adults who can’t find time for exercise during the week can redefine date night with their significant others. Instead of patronizing a local restaurant on Friday or Saturday night, enroll in a fitness class together. Parents can still hire babysitters to look after their youngsters while they go burn calories instead of packing them on at local eateries.

Commitments to work and family can make it hard to find time to visit the gym or exercise at home. But the benefits of regular exercise are so substantial that even the busiest adults should make concerted efforts to find time to exercise. The following are a handful of ways to do just that. Embrace multitasking. Many professionals are adept at mult-tasking in the office, and those same skills can be applied when trying to find time for exercise. Instead of plopping down on the couch to watch television, bring a tablet to the gym or the basement and stream

Finding time to exercise can be difﬁcult for busy adults. But those committed to getting healthier can ﬁnd ways to do so even when their schedules are booked.

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HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 21, 2017

6 things to share with your doctor 1. Smoking

diagnostic tool for physicians.

Even if you arenâ&#x20AC;&#x2122;t a daily smoker, mention if you smoke in social situations or grab a drag once in a while. Smoking increases the risk for many illnesses and can compromise how effective some medications can be.

5. Unusual issues

2. Alcohol consumption Be honest about how much you drink, as alcohol can interfere with medications.

3. Supplement usage

t is important to be honest with a doctor about certain health habits, but sometimes it isnâ&#x20AC;&#x2122;t so easy to be forthcoming. Fear of being judged or discussing embarrassing situations may prevent some patients from telling medical professionals the whole story. However, the things people do not share could end up compromising their treatment or prevent doctors from discovering certain ailments. Rather than omitting information, people need to be frank with their doctors. Honesty is important when speaking with a physician, even when the discussion turns to the following potentially sensitive topics.

Over-the-counter medicines, herbs and other supplements can affect overall health. A doctor needs to know the entire picture before prescribing treatment.

4. Exercise habits Donâ&#x20AC;&#x2122;t claim to be a gym rat if youâ&#x20AC;&#x2122;re more of a couch potato. An accurate idea of their patientsâ&#x20AC;&#x2122; ďŹ tness levels and habits is a key

Be forthright with any issues, even those that occur in embarrassing areas of the body. Remember, if youâ&#x20AC;&#x2122;re uncomfortable with your doctor, you can always get a referral for a specialist who treats those areas of the body daily.

6. Drug use Prescriptions are written in dosages for the intended recipient. Taking drugs that are not prescribed to you, whether itâ&#x20AC;&#x2122;s a loved oneâ&#x20AC;&#x2122;s prescription or an illicit drug, affects your body. If you have a medical issue, consult with your doctor so you can get your own legal prescription or begin working toward addressing your addiction.

Cultural events help you age well, live fully! VMRC Presents the 14th Annual Shenandoah Valley Lyceum 2017-18 Season Schedule S EN TA R A I N N OVAT I O N

CO PPE R C A R E

September 8, 2017 â&#x20AC;&#x201C; Topics in International Economic Policy, Tom Engle October 13, 2017

Sentara RMH Medical Center

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February 2, 2018 March 16, 2018

â&#x20AC;&#x201C; Moving from Conflict to Cooperation, Gary Noesner â&#x20AC;&#x201C; Recreating 1916 Findlayâ&#x20AC;&#x2122;s Road: Cross-country Motorcycle Ride, Gwen Phillips â&#x20AC;&#x201C; Profound Joy, Timothy Seaman

All series events take place at 7 p.m. in Detwiler Auditorium on VMRCâ&#x20AC;&#x2122;s campus. Individual Event Ticket- $8 in advance, $10 at the door Season pass- $25, Lifetime Pass- $100 Contact the VMRC Wellness Center, 540-574-3850 or stop by at 1481 Virginia Avenue, Harrisonburg.

These events are funded in part by the VMRC Shenandoah Lyceum Endowment.

www.vmrc.org

HEALTH & WELLNESS

Friday, July 21, 2017

The beneﬁts of open-heart surgery without the open-heart surgery. Sentara RMH Medical Center is saving and improving lives with a less invasive way to replace heart valves.

here’s a new, far less invasive alternative to heart valve surgery – and across the country, only highly skilled heart centers with the required expertise and a cardiac hybrid OR have been chosen to offer it. Sentara Heart at Sentara RMH Medical Center is among them. This new procedure is called transcatheter aortic valve replacement (TAVR). It allows doctors to replace a diseased heart valve with a catheter using only a small incision in the patient’s thigh. It’s another way our specialized team of cardiologists, cardiothoracic surgeons and cardiac anesthesiologists at the Sentara Heart Valve and Structural Disease Center can improve your quality of life. To learn more about this and other treatments available, visit sentara.com/ heart.

Salman S. Allana, MD Interventional Cardiologist

sentara.com/heart

Jerome M. McDonald, MD Cardiothoracic Surgeon

Your community, not-for-profit health partner

Harrisonburg, Va.