Health and Wellness - July 2016 by Daily News-Record

Mind Mending and Body Your Mood The beneďŹ ts of including yoga in your exercise rou ne

Strategies to get back in a good mood

Staying on the Field How to prevent inj injury jury when exercising

Friday, July 22, 2016

HEALTH & WELLNESS

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

HEALTH & WELLNESS

Strategies to get back in a good mood Exercise can alleviate anxiety and stress, two common culprits behind bad moods.

dults know that life has its ups and downs. While it’s important not to get too down when things don’t go as planned, no one is immune to bad moods. But just because bad moods are a fact of life, that does not mean they cannot be combatted. While bad moods are nothing to get too worried about, if such moods overstay their welcome, speak with a physician. According to the World Health Organization, depression is one of the most common mental disorders in the world, affecting an estimated 350 million people across the globe. There are various types of depression, and no two people are affected in the same way. That’s an important distinction, as those who know someone with a history of depression may not recognize signs of depression in themselves if those symptoms don’t mimic the signs they’re familiar with. But bad moods are not always indicative of depression. In those instances when a bad mood is simply a bad mood, you can try a handful of strategies to get back in a good mood. Exercise. Numerous studies have shown that exercises enhances mood. Anxiety

about a life event or stress at work are two common contributors to bad moods. According to the Anxiety and Depression Association of America, studies have shown that exercise can elevate mood and do so quickly, with some researchers suggesting that a 10-minute walk can be just as effective at relieving anxiety as a 45-minute workout. Studies have also shown that exercise can help combat stress by reducing fatigue, improving alertness and concentration and enhancing overall cognitive function. Ignore alcohol or limit your consumption. Many people feel an alcoholic beverage relaxes them, and feeling relaxed can help improve mood. That initial feeling of relaxation is the result of alcohol affecting the chemical balance of the brain by depressing the part of the brain that governs inhibition. That’s why alcohol is categorized as a depressant. While that initial drink may feel like you’re on the way to a better mood, as alcohol begins circulating in the body, your stress levels may actually increase and your bad mood may even intensify. If you ﬁnd yourself in a bad mood, resist turning to alcohol to improve mood, and limit your alcohol intake to a single drink during

those times when you’re in a bad mood. Volunteer to help others. While more research is necessary before a deﬁnitive connection between volunteering and improved mental health can be established, researchers in England analyzed data from 40 published papers and found a link between volunteering and lower levels of depression. The review also found that volunteers reported increased life satisfaction and enhanced well-being. Periodic bad moods are a part of life, but there are ways to limit their lifespan and get back to feeling good as quickly as possible.

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

How to speed up metabolism

Exercising after injury

njuries can be an unfortunate consequence of living an active lifestyle. Though injuries are not inevitable, few adults who exercise every day should expect to avoid injury entirely. Allowing an injury to heal can be difficult, especially for exercise enthusiasts whose workouts are a substantial part of their daily routines. But allowing the healing process to run its course can strengthen the body and reduce the risk of future injuries. As their bodies heal, adults may be tempted to rev up their workout routines. But it’s important that men and women take a cautious approach to exercising after injury. Speak with your physician before lifting a finger. Whether your injury required surgery or not, it’s important to speak with your physician before performing any activities that were restricted while you were injured. Book an appointment with your doctor so he or she can examine you to confirm you’re ready for physical activity. If your physician clears you, ask for him or her to be as specific as possible, telling you what you can and cannot do at this stage and how you should adjust your routine as your body

once again grows acclimated to physical activity. Modify your routine. It’s unreasonable to expect your body to dive back into vigorous physical activity after an injury. Modify your routine, ideally under the supervision of a physician and/or physical trainer, as your body recovers. This might mean lifting far less weight than you’re accustomed to or lowering the resistance on the treadmill or elliptical machine. Depending on how long you were sidelined, your recovery may be frustrating and you may ﬁnd yourself taking a gradual approach that’s marked by incremental and seemingly minor successes. But a modiﬁed post-injury workout routine can promote healing, prevent further injury and get you back to working out at full strength that much quicker. Continue physical therapy. If physical therapy was prescribed as a result of your injury, don’t stop going just because your physician has given you the green light to return to physical activity. When your physician clears you for physical activity, ask him or her about physical therapy and if it’s still necessary. Your therapist may provide your doctor with a progress report on your condition, and the doctor can use that report to determine if you still need therapy. But keep in mind that physical therapy can aid your recovery, even after you return to physical activity. Abandoning therapy too early may lead to you reinjuring yourself, which will only extend the time you spend on the sidelines. Listen to your body. Listen to your body in addition to your physician and/ or physical therapist. Your body will likely let you know through an ache or a pain if you need to take things a little easier during your post-injury workouts. No matter how hard you want to get back to your old routine, don’t ignore the signals your body is sending you.

hen attempting to lose weight, men and women can expect to hear or read a lot about their metabolism. The process by which the body converts the foods we eat and the beverages we drink into energy, metabolism is widely misunderstood. Many people may have been told that a naturally slow metabolism might be to blame for their weight gain. But according to The Mayo Clinic, a slow metabolism is rarely to blame for excess weight gain, which can most often be attributed to both poor dietary choices and inactivity. Certain conditions that slow metabolism, such as Cushing’s syndrome or hypothyroidism, can cause excessive weight gain, and people who have been diagnosed with such conditions should consult their physicians for advice on dealing with their conditions. But those without conditions that affect their metabolisms may need to make certain lifestyle adjustments that can speed up their metabolisms and help them lose excess weight. Start strength training. Muscle burns more calories than fat, even when the body is at rest. Building muscle is a great way to speed up metabolism. Each pound of muscle your body has burns roughly six calories per day just to sustain itself. That’s three times the calories that each pound of fat burns. Add that disparity up over time, and a body with significant muscle is burning considerably more calories than one with excessive fat. Stay hydrated. Dehydration takes its toll on the body in myriad ways, including affecting metabolism. Even mild dehydration can slow metabolism. When the body is dehydrated, its ability to use fat as fuel is compromised, slowing metabolism as a result. In addition, muscles need water to generate energy, so dehydrated muscles will not be burning as many calories as those that are fully hydrated. Make an effort to stay hydrated throughout the day, whether you’re sitting at your desk in the office or working up a sweat at the gym. Snack, but snack healthy. Healthy meals benefit metabolism, but unhealthy snacks can derail your dieting efforts. Metabolism speeds up and burns calories each time the body eats, and many people adhere to the concept of “grazing” for that very reason. Grazing involves eating several small meals

every three to four hours throughout the day rather than the more traditional three full meals each day. Grazing devotees feel that the approach burns more calories than more traditional diets, but the difference in calories burned may actually be negligible. Still, healthy snacking can speed up metabolism and help men and women avoid overeating at breakfast, lunch and/or dinner. In lieu of snacking on potato chips or baked goods, opt for healthier fare such as Greek yogurt or a serving of fruits or vegetables. Eat more protein. The thermic effect of food refers to the process by which the human body uses energy to absorb, digest and dispose of the food it ingests. Protein stimulates the thermic effect of food more signiﬁcantly than foods that are high in fat or carbohydrates, so the body will burn more calories digesting dietary protein than it will other foods. In addition to speeding up your metabolism, dietary protein also helps people feel full longer, reducing their risk of overeating. Understanding metabolism can help men and women as they attempt to lose weight and maintain healthy weights once those extra pounds have been shed.

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

Douglas D. Wright, DDS Michael P. Kennedy, DDS Harrisonburg Family and Cosmetic Dentistry

u o Y Are g? n i l i Sm

1451 Brookhaven Drive, Harrisonburg, VA 22801 (540)432-6616 www.HarrisonburgSmiles.com

Meet Our Dental Hygientists Allison MacLeod

Jenny Humes

Preventive Dental Procedures General Dentistry • Dental Exams and X-Rays • Dental Cleanings • CAMBRA Test

• • • • •

CEREC- One Visit Crowns Composite Fillings Mini Dental Implants Dentures Fixed Bridges

Craig Parsons • • • • • •

Root Canal Teeth Whitening Bonding Inlays and Onlays Veneers Tooth Extractions

Frequently Asked Questions! Why you need professional teeth cleanings and mouth. It’s called CAMBRA (Caries Management by dental exams? Risk Assessment). Having the CAMBRA test done is easy and safe. It’s a simply, painless swabbing Teeth cleanings are essential not just for clean of the teeth. Once your dentist knows the test teeth, but a healthy mind and body as well. Many results, they can customize a course of treatment people see the mouth as a separate entity from designed to reduce the number of cavity-causing the rest of their body. However, the reality is germs in the mouth. There is no age requirement that everything is connected and problems in for the CAMBRA test. your mouth can indicate or even cause disease in other parts of your body. Gum infections and What happens at a routine visit? First, dental periodontal disease are related to heart disease, radiographs, or x-rays, are taken to check for cavities stroke and preterm/low birth weight in babies. as well more rare occurrences like cysts or cancers You are also putting yourself at risk for high blood in the jaw bone. Next, to assess your gums we pressure, diabetes and dementia. perform a periodontal exam This allows us evaluate the overall health of a patient’s gums, supporting At what age should children begin to see a bone and risk factors for periodontal disease. dentist? It is recommended that children should Without this exam and the corresponding x-rays we begin seeing a dentist by age two. Beginning cannot make an accurate diagnosis and treatment routine visits early is key to a lifelong, healthy plan. Following this, if your gums are in good mouth. Have you ever wondered why some kids condition a «normal» cleaning is performed. During are more susceptible to cavities than others? a normal cleaning the calculus or hardened plaque Recent dental research indicates the answer has is removed from the tooth surface. This calculus can to do with the kind of bacteria in the mouth. act as a “splinter” around the gum line and cause Everyone has bacteria (germs) in their mouth. It irritation and gingivitis. If the calculus is left on the turns out that some germs are more active than tooth structure long enough it can cause the bone others. These active germs use more sugar and that supports our teeth to dissolve and disappear; create more tooth-damaging acid. There is a new test to determine how active the germs are in the thus resulting in periodontal disease.

Bone loss is hard to overcome so it is very important to keep the teeth free of plaque and calculus. Finally, after the cleaning a Dentist will perform a comprehensive exam that includes diagnosing cavities, addressing any other oral issues and checking for oral cancer. Don’t skip the Oral Cancer Screening. An oral cancer screening is an often overlooked but vitally important part of any dental visit. The Oral Cancer Foundation states that one person dies every hour from oral cancer. The most common sites for oral cancer are on the sides of the tongue and floor of the mouth. If you have an area that is white or red that does not dissipate on its own; you may want to have it checked by a dentist or oral surgeon. Keep it Regular. Regular professional dental cleanings and dental exams can keep you healthier and looking better. Some of the most important reasons to have your teeth professionally cleaned on a regular basis are: to prevent gum disease, detect oral cancer, prevent cavities, stop tooth loss, brighten your smile, freshen your breath, and boost overall health.

Is it time for you to schedule your next dental visit?

HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 22, 2016

Some surprising health beneﬁts of caﬀeine

hat new coffee bar opened up just around the corner and you have been eager to sample one of their signature blends. But you consistently resist the urge to venture inside. Caffeine is not so healthy for you, right? Caffeine, the most widely consumed stimulant on the planet, has garnered a bad reputation. Some people fear caffeine and it’s potentially jittery and addictive side effects. However, many medical professionals attest that, when consumed in moderation, caffeine actually can have a number of health beneﬁts. Before you skip that morning cup of Joe or choose an herbal blend instead of black tea, consider the following health beneﬁts of caffeine.

Caffeine boosts brain and central nervous system function. Caffeine mimics the shape of another compound in the body called adenosine, which helps the body calm down and become sleepy. Caffeine can ﬁt in adenosine receptors and cause a jolt of energy rather than sleepiness. Harvard researchers have found that blocking adenosine may slow the buildup of a toxic brain plaque that is associated with Alzheimer’s disease. Furthermore, caffeine may help keep dopamine molecules active in the brain and

prevent the onset of Parkinson’s disease.

Caffeine can help improve mood. The stimulant effect of caffeine may help boost people’s moods, and thus reduce the propensity for suicidal thoughts. In 2013, Harvard’s School of Public Health found that respondents who drank two to three cups of caffeinated coffee a day cut their suicide risk by 45 percent.

Caffeine may lower risk of stroke. Studies conducted in both the United States and Sweden found that older women who drink more than a cup of caffeinated coffee each day have between a 20 and 25 percent lower risk of stroke. Similar ﬁndings were discovered in older men.

Caffeine boosts memory. Studies from Johns Hopkins University showed that a 200mg caffeine pill helped boost memory consolidation.

Caffeine offers pain relief. Caffeine is often paired with other pain relievers to bring about faster relief. The Journal of the American Medical Association concluded that when caffeine was combined with other pain relievers, patients required 40 percent less of the other drug to bring the same amount of relief experienced when using

just the non-caffeine drug alone. Caffeine on its own can also relieve pain. Consuming caffeine before or after a workout can help reduce muscle soreness.

Caffeine may help to prevent cancer. A recent study from Rutgers University pointed out that caffeine prevented skin cancer in hairless mice.

Caffeine could open up air passages. People with asthma may find caffeine can improve their breathing. A study published by the U.S. National Library of Medicine determined that caffeine seems to open airways and help asthmatics breathe easier, providing a similar benefit to theophylline, a current asthma medication. Although caffeine can prove beneficial in various ways, individuals should realize that it remains a potent and potentially addictive stimulant. Caffeine also can aggravate anxiety symptoms and interact with certain medications. People concerned about caffeine should discuss their caffeine consumption with their physicians.

HEALTH & WELLNESS

Friday, July 22, 2016

Protect your joints and prevent pain

oints play vital roles in the human body, forming the connections between bones and facilitating movement. Damage to the joints can be especially painful, and that damage may result from conditions such as osteoarthritis or gout. While not all joint pain is debilitating, the discomfort of joint pain is such that it’s wise for adults to take steps to protect their joints with the hope of preventing joint pain down the road. Recognizing that joint pain can negatively affect quality of life, the Arthritis Foundation offers the following joint protection tips to men and women. Forgo fashion with regard to footwear. When women choose their footwear, fashion should not be their top priority. According to the Arthritis Foundation, three-inch heels stress the feet seven times more than one-inch heels and heels put additional stress on knees, possibly increasing women’s risk for osteoarthritis. Though heels

Swimming is a great workout that can alleviate pain and reduce stress on the joints.

may be fashionable, the risk of developing joint pain is not worth making the fashion statement. Get some green in your diet. A healthy diet pays numerous dividends, but many may not know that a healthy diet can help prevent joint pain. Green vegetables such as spinach, broccoli, kale and parsley are high in calcium and can reduce age-related bone loss while also slowing cartilage destruction. Shed those extra pounds. If you start including more healthy vegetables in your diet, you might just start to lose a little weight as well. Such weight loss also can help your joints, as the AF notes that every extra pound a person gains puts four times the stress on his or her knees. The AF also notes that research has shown that losing as little as 11 pounds can reduce a person’s risk of osteoarthritis of the knee by 50 percent.

AUGUSTA AUDIOLOGY ASSOCIATES, PC Licensed And Certiﬁed Clinical Audiologist Julie Farrar-Hersch, PhD

STATE-OF-THE-ART HEARING AID TECHNOLOGY We Follow You Every Step of the Way to Ensure Your Hearing Aids are Comfortable, Beneﬁcial ds, and Meet Your Communication Needs, During and After Your Trial Period.

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

SPECIALIZED EARMOLDS FOR Musicians • Mobile Devices Hunters • Swimmers • Nascar Fans Industrial Employees and More Augusta Health Medical Off. Bld. Suite 204 70 Medical Center Circle Fishersville, Virginia 22939

Harrisonburg, Va.

Over 35 Years of Experience www.augustaaudiology.com 540-332-5790

Hit the pool. Swimming is a great full-body workout and can be especially helpful to the joints. The buoyancy of water supports the body’s weight, reducing stress on the joints and minimizing pain as a result. If possible, swimmers already experiencing pain should swim in heated pools, which can help relieve pain. While you can still beneﬁt from swimming in pools with colder temperatures, cold water may not soothe the joints like warm water can. Take breaks at work. Many people develop joint pain thanks to their jobs. If you spend all day sitting at a desk or standing on your feet, try to ﬁnd a greater balance between the two. Joints can grow stiff from sitting all day, while standing throughout your work day can stress the joints. Take a short break every 30 minutes to stand up and walk around if you spend most of your day at a desk. If you stand a lot at your job, stop to sit down for a few minutes once every half hour. Joint pain and aging do not have to go hand in hand. More information about joint paint is available at www. arthritis.org.

HEALTH & WELLNESS

Harrisonburg, Va.

Friday, July 22, 2016

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 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

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.

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

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

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

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.

OUR PHYSICIANS At Shenandoah Women’s Healthcare you’ll ﬁnd a team of incredibly talented and experienced physicians. • Leonard W. Aamodt, M.D., F.A.O.G • Jennifer M. Visger, M.D. • Stephanie A. Scheidt, 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 • Ann M. Schaeffer, C.N.M., M. Ed. • Melody M. Mast, C.N.M. • Tammie McDonald-Brouwer, C.N.M. • Alexandria Westlake, 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

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

3 SECRETS

to making morning workouts a reality

outine exercise is one of the keys to a healthy life. When paired with a healthy diet, regular exercise can promote longterm health and reduce a person’s risk for a host of conditions and diseases, including diabetes, heart disease and stroke. While many adults are aware of the importance of routine exercise, ﬁnding time to break a sweat can be difﬁcult. In fact, a 2013 study from researchers at the Centers for Disease Control and Prevention estimated that nearly 80 percent of adults in the United States do not get the recommended amounts of exercise each week. (Note: The World Health Organization recommends that adults between the ages of 18 and 64 get at least 150

minutes of moderate-intensity aerobic activity each week, or at least 75 minutes of vigorous-intensity aerobic activity each week.) Hectic schedules dominated by obligations to work and family can make it difficult to find time to exercise. But working out in the early morning, before the kids wake up and coworkers’ emails begin flooding your inbox, can help men and women meet the WHO’s recommended exercise guidelines and might even provide a noticeable energy boost throughout the rest of the day. Men and women can expect to run into some obstacles when first establishing a morning workout routine, but a few simple strategies can help make that transition go more smoothly.

1. Prepare the night before. Waking up with a to-do list in the morning takes away from the time you have to exercise. Rather than fumbling for your gym clothes and sneakers in the darkness of your predawn bedroom, lay out your workout gear before going to bed each night. Lay out your work clothes as well so you spend more time exercising in the morning and less time choosing an outﬁt.

2. Set your alarm earlier than you intend to wake up. Few people wake up the moment their alarm clocks ﬁrst go off. Snooze buttons may help you ease into your wakeup routine, but those post-snooze button minutes are minutes you could be spending getting your recommended daily exercise. If you’re a snooze button devotee and you want to be up by 6 a.m., then set your alarm for 5:50 a.m.

3. Get a good night’s sleep. In 2015, the National Sleep Foundation convened experts from sleep, anatomy and physiology, as well as pediatrics, neurology, gerontology and gynecology to

reach a consensus on sleep guidelines for people of all ages. The panel recommends adults between the ages of 26 and 64 get between seven and nine hours of sleep per night, noting that anything less than six hours or more than 10 hours is not recommended. A good night’s sleep will help you feel more energetic when that alarm goes off, even if it is going off before the sun rises. Exercise and sleep go hand in hand, as studies have shown that routine exercise actually improves quality of sleep because exercise is a beneﬁcial stressor to the body, which responds to the stress of exercise by increasing the amount of time the body spends in deep sleep. Many adults struggle to ﬁnd time for daily exercise, but early morning might be the best time for busy men and women to break a sweat.

HEALTH & WELLNESS

Harrisonburg, Va.

Harrisonburg Community Health Center

Friday, July 22, 2016

Welcoming New Patients! Call for your appointment today 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 www.hburgchc.org 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? Anyone can become a patient at HCHC.

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 four languages (Spanish, Arabic, Kurdish, and Tigrinya).

What services does HCHC provide?

• • • • •

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

SAVE THE DATES

Who are our providers? Pediatric providers Dr. Stephanie Corn Dr. Felicia Esteban Adult providers Dr. Jerome Hotchkiss Dr. Corrine Replogle Christopher Benjamin, FNP-C Sue Klassen, FNP-C

540.433.4913 www.hburgchc.org

Dental Jon Shneidman, DDS Berkeley Pemberton, DDS Destiney Sager, Dental Hygienist

Finding local help Completing the Marketplace application and looking through the different plans can sometimes get complicated. Luckily at the Harrisonburg Community Health Center just off Port Republic Road, 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

Celebrating America's Health Centers: Innovators in Community Health

August 8–13, 2016

Harrisonburg Community Health Center

We are planning various activities, including a health fair and Open House. Watch for more detailed information.

HEALTH & WELLNESS

Friday, July 22, 2016

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. They have extensive training and skills 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. An Audiologist has a thorough understanding of anatomy and function of the ear

and knows 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 “because the most advanced level is the only level that will help you hear”. The truth is that every level of technology comes with its own limitations and benefits and any level that is affordable will help you hear better than

An Audiologist has a thorough understanding of anatomy and func on of the ear and knows how digital technology applies to each person’s unique hearing impairment. without amplification. Beware of companies 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 needs. There should never be pressure and 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 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.

Dr. Diane Schwalbach and Dr. Scott Murray Audiologists

Place your Hearing Health Care with Experts you can trust. Honest Answers, Expert Advice & Incredible Results! The BEST pricing available, made to ﬁt every budget.

590 Neff Ave., Suite 5000, Harrisonburg, VA 22801 Dr. Diane Schwalbach Audiologist

“Better Hearing Care”

Dr. Scott Murray Audiologist

BrainHearingTM powered by Oticon • Introducing ‘OPN’ technology 50 times faster than the previous generation of hearing aid technology 30% better speech understanding in all listening situations

Bottom line: Hear better, remember more with less effort Call today for a Free Consultation 540-574-4327

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

1501 Virginia Avenue Harrisonburg, VA 22802 (540) 564-3400 toll free (888) 564-8672 Top ways to avoid falls

• Vision problems • Foot pain or poor footwear

Each year, millions of older people—those 65 and older—fall. In fact, one out of three older Assess your risk at home. Hazards or dangers people falls each year, but less than half tell their doctor. Falling once doubles your chances of such as broken or uneven steps, throw rugs or clutter that can be tripped over, and no handrails falling again. along stairs or in the bathroom. Make sure your Falls can cause serious injury such as broken home has lots of light especially on stairs. Add bones hip or head injuries making it hard for a grab bars inside and outside your tub or shower person to get around, do everyday activities, or and next to the toilet. live on their own. Risk Conditions Research has identified many conditions that contribute to falling. They include: • Lower body weakness • Vitamin D deficiency • Difficulties with walking and balance • Use of medicines, such as tranquilizers, sedatives or antidepressants. Even some overthe-counter medicines can affect balance and how steady you are on your feet.

Many people who fall become afraid of falling. This fear may cause a person to decrease their everyday activities. When a person is less active, they become weaker and this increases their chances of falling. Prevention and decreased risk Have the conversation with your doctor or healthcare provider.

• Ask them to evaluate your risk for falling. • Have them review your prescriptions and over-the counter medicines to see if side effects include dizziness or drowsiness. • Should you take vitamin D supplements with calcium? Have your eyes checked by an eye doctor at least once a year. You may be wearing incorrect prescriptions or have developed a health condition which affects your vision. Poor vision can increase your chances of falling. Do exercises that improve your leg strength and balance such as Tai Chi. Consider a wellness center speciﬁc to people 50 and older, such as the VMRC Wellness Center which offers classes in a warm, water pool which is much gentler on joints and muscles. Get a free one-week trial membership at vmrcwellnesscenter.org

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

How to treat muscle cramps and prevent their recurrence cholesterol, can cause muscle cramps. While dehydration and electrolyte depletion has long been linked to exercise-associated muscle cramps, researchers have been questioning, if not disputing, that link for many years. A 2008 study from South African researchers published in the British Journal of Sports Medicine did not support a link between exercise-associated muscle cramps and dehydration or electrolyte depletion. Muscle cramps tend to be painful and can occur in the legs, hands, arms, or abdomen or along the rib cage. When cramps occur below the waist, such as in the calf muscle, it can be difﬁcult to stand up.

Treating muscle cramps

Overexertion can cause muscle cramps in athletes, who should listen to their bodies to avoid hurting muscles that are fatigued.

are is the athlete who has not had the misfortune of suffering a muscle cramp. Muscle cramps can range from the relatively minor nuisances that can be worked out in a matter of minutes to the more severe cramps that can sideline athletes for an indeterminate period of time. According to the U.S. National Library of Medicine, muscle cramps are often the byproduct of an overused or injured muscle. When a muscle cramps, that muscle is involuntarily contracting, and that contraction can be very painful. Because athletes tend to repeat their motions when performing exercises, it’s not uncommon for athletes to cramp up from time to time. But even men and women

who live sedentary lifestyles can suffer from muscle cramps, which the NLM notes could be triggered by alcoholism, hypothyroidism or kidney failure. Women may suffer muscle cramps when they are pregnant or menstruating. Certain medications may also cause muscle cramps. Men and women concerned about muscle cramps should read the potential side effects of their medications carefully or speak directly with their physicians before taking any medicines that may cause muscle cramps. The online medical resource WebMD notes that medications such as Lasix, a diuretic used to remove ﬂuid from the body, and Crestor, a statin prescribed to adults with high

Muscle cramps require immediate treatment so sufferers can alleviate the pain and/or discomfort cramps can cause. Massaging the cramped muscle or applying ice or heat can alleviate the cramp and its associated pain. Calf or hamstring cramps may be alleviated by putting weight on the affected leg and bending the knee slightly. Such cramps may also be treated by sitting or lying down with the affected leg straight out and pulling the foot toward the head. To treat quadriceps cramps (those that occur in the front of the thigh), hold onto to something steady and pull the foot of the affected leg back toward the buttock.

Preventing future cramps One of the most effective ways to prevent future cramps is to listen to your body when it’s sending you signals that it is fatigued. Overused muscles are vulnerable to cramps, so remember to include rest in your exercise regimen so muscles have time to recover. If your body feels overtaxed or fatigued before or during a workout, skip the workout or stop it immediately to reduce your risk of cramps or injury. Deﬁciencies in certain vitamins can directly or indirectly lead to muscle cramps. While the reasons behind the link between thiamine, pantothenic acid and pyridoxine deﬁciencies and muscle cramps is unknown, speak with your physician about how to include these vitamins in your diet if you have been experiencing muscle cramps. Cramps can be painful and derail athletes. Learning to prevent cramps can protect athletes and ensure they are not sidelined from their favorite activities.

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

Simple ways to fight back against fatigued eyes Adjusting the lighting around their work areas is one way for men and women to reduce computer-related eyestrain. work area with a shaded light positioned in front of you. Such an arrangement can prevent light from shining directly into your eyes. Take frequent breaks. Another way to combat eyestrain is to take frequent breaks from whatever your eyes are focusing on. When sitting at your desk, look away from your monitor. The Mayo Clinic notes that looking at something 20 feet away for 20 seconds every 20 minutes can provide the respite your eyes need. Make yourself cry (artificially). Artifical tears are a proactive way to combat eyestrain. The AAO notes

yestrain affects people from all walks of life. Many professionals suffer eyestrain as a result of too many hours spent staring at computer screens. The same can be said for children, who might spend hours doing homework on their computers before hitting the couch for a few spirited rounds of video games. Whatever the cause of your eyestrain, it’s important that people recognize they are not defenseless against this common foe. But before you can combat eyestrain, it’s best to conﬁrm that your vision troubles are the result of eyestrain and not something more serious. Eye doctors can provide such conﬁrmation, but you can also be on the lookout for common symptoms of eyestrain.

get in a zone. While landing in that zone can lead to increased productivity, the Mayo Clinic notes that the following are some symptoms of eyestrain that can pop up when eyes are overused. • Sore, tired, burning, or itching eyes • Abnormally watery eyes • Abnormally dry eyes • Blurred or double vision • Headache • Increased sensitivity to light • Feeling that you cannot keep your eyes open

Symptoms of eyestrain

Adjust lighting. The American Academy of Ophthalmology notes that reducing glare from the screen can reduce symptoms of eyestrain. If necessary, use a screen ﬁlter when staring at a computer screen. When you will be spending long hours at a desk, the Mayo Clinic suggests lighting your

Perhaps the most common side effect of eyestrain is how annoying it can feel. Professionals working at their desks, truck drivers spending long, uninterrupted hours on the road and students working on schoolwork can attest that time tends to ﬂy once they

How to address eyestrain If you remain uncertain about what is causing your vision troubles, consult your eye doctor. If eyestrain is the culprit, then there are some ways to remedy your problems.

that artificial tears, which are over-thecounter products that can be found at many pharmacies, can refresh dry eyes. But artificial tears also can be used to prevent eyes from drying out. Even if your eyes feel normal, a few drops of artificial tears can keep them lubricated and prevent the onset of eyestrain. Speak with your eye doctor about which artificial tears to use, as all products are not the same and you may need to follow specific instructions depending on your eyes. Learn more about eyestrain at www.aao.org.

Rockingham Eye Physicians and Associates, P.C. 1921 MEDICAL AVE. HARRISONBURG, VA Ronald E. Capstack, M.D., F.A.C.S. Kenlyn S. Miller, M.D. R. Andrew Seefried, M.D. David V. Pascarella, O.D. Michael C. Radoiu, O.D. Christopher J. Eller, M.D.

• • • •

COMPLETE EYE EXAMINATIONS CONTACT LENSES MEDICAL/SURGICAL EYE CARE LASER REFRACTIVE SURGERY

(540) 433-2485 www.RockinghamEyePhysicians.com

Friday, July 22, 2016

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 22, 2016

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

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

The beneﬁts of including yoga in your exercise routine

oga continues to grow in popularity. In a questionnaire administered every ﬁve years as part of the National Health Interview Survey, the National Center for Complementary and Integrative Health and the National Center of Health Statistics found that the number of people practicing yoga increased dramatically between 2002 and 2012, when approximately 21 million adults acknowledged practicing yoga. That ﬁgure equated to nearly double the number of people who practiced yoga just 10 years earlier. The almost meteoric rise in popularity of yoga can likely be traced to many factors, including a growing awareness among the general public regarding the impact a healthy lifestyle can have on both short- and long-term health. An essential component of a healthy lifestyle involves taking steps to protect our bodies, and that can include making an effort to reduce the aches and pains that are often associated with aging. “The relaxation techniques incorporated in yoga can lessen chronic pain, such as lower back pain, arthritis, headaches and carpal

tunnel syndrome,” explained Natalie Nevins, DO, a board-certified osteopathic family physician and certified Kundalini Yoga instructor. The American Osteopathic Association notes the benefits of yoga extend even further than relieving chronic pain. According to the AOA, yoga can help men, women and even children increase their flexibility as well as help them build stronger, more toned muscles. Additional benefits of yoga include weight reduction, improved cardiovascular and circulatory health and improved energy and vitality. But the benefits of yoga extend beyond the physical to the mental. The American Psychological Association notes that several studies have shown that yoga can help strengthen social attachments, reduce stress and relieve anxiety, depression and insomnia. For example, a 2012 study from researchers at the University of California, Los Angeles, found that a particular type of yoga that included brief, daily meditation reduced the stress levels of caregivers tasked with caring for people suffering

from Alzheimer’s disease and dementia. One of the more attractive aspects of yoga is that it requires little or no financial commitment on the part of the people who practice it. Unlike fitness centers that typically require members to commit to yearly contracts or even potentially costly month-to-month memberships, many yoga studies do not require long-term commitments, instead asking that customers pay a small amount each time they visit if they are hesitant to commit to memberships. In addition, yoga requires just a mat and some appropriate clothing, ideally clothing that’s conducive to flexibility but not so loose that it will prevent you from performing certain poses. Before including yoga in your exercise regimen, speak with your physician. Once you get the green light, look for a beginner’s course, explaining to your instructor that you are just starting out. Many yoga studios offer introductory classes that help men and women acclimate their bodies to yoga and the various poses it entails before moving on to more challenging poses.

2nd Annual

Western Massanu en Trail Run Saturday, Sept. 24, 2016 107 MILE AND 3.1 MILE RUNS

To register go to: runthemountain.org Or email: contact@runthemountain.org To Beneﬁt: Boys & Girls Clubs of Harrisonburg and Rockingham

ACCEPTING NEW PATIENTS Maryam Mahmoodian, M.D. Board Certiﬁed in Family Medicine

Call Toda y to Schedule an Appointment. 2015 Reservoir Street, Suite 203 Harrisonburg, VA 22801

540-209-0287

www.MaryamMahmoodianMD.com

Experienced Staff and Informative Resources to help you find Solutions. Healthy Deli Foods - Wraps, Salads, Smoothies, Soups, Baked Goods and Daily Specials

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

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 to 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

Friday, July 22, 2016

HEALTH & WELLNESS

Harrisonburg, Va.

The Value of Dental Implants If you suffer from severely damaged or missing teeth, dental implants – a solution that both appears and functions as natural teeth – can help you regain that long-lost smile. Dental implants are a healthy, safe and permanent alternative to dentures and denture adhesives. Harrisonburg SmileMakers offers comprehensive implant dentistry and restorative work to patients from the Harrisonburg area. You don’t have to travel to Washington, D.C. for quality care. Dr. Johnson has over 20 years of experience with implants, from the initial placement all the way through restoration. We offer everything from single crowns, to snap on dentures to implant supported full arch bridges. We have options to ﬁt most any lifestyle and budget. You never have to go without teeth, but will leave here the same day with a smile. We also offer sedation options for patient comfort. What are the beneﬁts of dental implants? Dental implants are comfortable, safe, reliable and typically last an entire lifetime. They appear and act as if they are real teeth, improving the overall functions of the mouth, renewing your smile, as well as chewing and speaking abilities. Dental implants actively stimulate and preserve tooth-supporting bone that naturally depreciates when a tooth is lost. Implants provide the highest proven success rate – 95% – over any other replacement option in dentistry. Our success rate is closer to 99% at SmileMakers!

Prosthetic options that are implant supported Dental implant prostheses are essentially replacement teeth that are attached to or supported by implants that are surgically placed in the jawbone. There are a variety of implant prostheses available depending on the specific needs and conditions of the patient. The most common implant prostheses include: • Single Prosthesis – A crown attached to its own implant, used to replace a single missing tooth. • Partial Prosthesis or Fixed Bridge – A partial prosthesis is used to replace a long span of missing teeth and is removable. A fixed bridge replaces multiple teeth, is not removable and requires at least two implants. • Complete Dental Prosthesis – A removable or fixed prosthesis used to replace all teeth in the upper or lower arch. The truth about missing teeth Missing or damaged teeth often lead to deterioration and shrinkage of the jaw bone, resulting in major facial changes and an inability to comfortably eat and speak. Our teeth are designed to work together as a team while chewing, and if a majority of teeth are missing, more work is required from the remaining teeth. In addition,

more spaces for food and bacteria may result in gum infections. Gum disease is an infection that spreads throughout the body, doubling a patient’s risk of heart disease, heart attack, stroke and other health problems. Our trademark at Harrisonburg SmileMakers, is personalized care with a pain-free approach. We know that changing your smile will change your life. Call us today for more information on dental implants. We offer a no charge consultation to answer questions you may have.

HEALTH & WELLNESS

Harrisonburg, Va.

How to prevent injury when exercising

Friday, July 22, 2016

Warm up before each session. No matter how accustomed your body is to regular exercise, warming up before each workout is still necessary to avoid injury. Warming up before each workout elevates your heart rate and increases circulation, loosening the joints and increasing blood ﬂow to the muscles you’re about to exercise. Between ﬁve and 10 minutes of lowintensity cardiovascular exercise can help loosen up your body and prepare it for the more grueling workout to come.

Switch your routines every so often. When exercise becomes

xercise is an essential component of a healthy lifestyle. The World Health Organization recommends that healthy adults between the ages of 18 and 64 perform at least 150 minutes of moderate-intensity aerobic activity each week or do at least 75 minutes of vigorous-intensity aerobic activity each week. Many adults cite hectic schedules as their reason for not getting enough exercise, but even those who do ﬁnd time to exercise could ﬁnd themselves sidelined if they do not take certain preventive measures to reduce their risk for injury. Though injuries can happen to even the most seasoned and knowledgeable athletes, there are

certain measures adults can take to reduce their injury risk.

Recognize your limitations. Once you have established a regular exercise routine and your body has grown accustomed to daily exercise, it can be tempting to overdo it or even unknowingly push your body to points that put you at a greater risk of injury. But recognizing your limitations is an essential part of avoiding injury. As you exercise more, you may notice certain areas of your body respond better to exercise than others. For example, if your wrists ache after strength training sessions, reduce the amount of weight you are lifting or look for strengthbuilding exercises that don’t require lifting weights.

a part of your daily routine, you may end up hitting a plateau. When that happens, your workouts may feel less effective. Switching up routines every so often can combat that problem while also reducing injury risk to overtaxed muscles forced to endure the same exercises day in and day out. Diversify your workout every so

often by choosing new exercises and switching up the cardiovascular portion of your workout.

Give your body time to rest and recover. Exercise feels good, both physically and mentally. Daily exercise can help adults lose weight, and shedding those extra pounds can improve mobility and help adults live more active and fulﬁlling lives. Exercise also causes the release of hormones known as endorphins, which trigger positive feelings in the body. Those positive feelings can be somewhat addictive, but it’s important that adults give their bodies time to rest and recover between workouts. Lack of time to rest and recover makes bodies vulnerable to injury, so include time to recover in your weekly exercise regimen. Daily exercise can help adults live long, healthy and fulﬁlling lives. But it’s important that men and women of all ages take steps to reduce their risk of exercise-related injury.

Aaron E. Quitmeyer D.D.S. Philip J. Pandolﬁ D.M.D. 2105 Evelyn Byrd Avenue, Harrisonburg, VA 22801

Tel: (540) 433-1751 Toll Free: 888-433-1751 www.pandolﬁdmd.com

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HEALTH & WELLNESS

Friday, July 22, 2016

Does your Hospital have a Pediatric Hospitalists?

Pediatric Hospitalist have the skills to care for children with a wide variety of illnesses and medical needs

What is a A Pediatric Hospitalist? A Pediatric Hospitalist is a physician who specializes in the care of hospitalized children. The Pediatric Hospitalist is located in the hospital and serves as the physician overseeing your childâ&#x20AC;&#x2122;s hospitalization. They care for children in many hospital areas including the pediatric floor, labor and delivery, newborn nursery, and the emergency department.

What type of training do Pediatric Hospitalists have? Pediatric Hospitalists are medical doctors who have: Four years of medical school Three years of pediatric residency training Board Certification in Pediatrics

What are the benefits of having a Pediatric Hospitalist care for your child? Availability of physician care, 24 hours a day, 7 days a week (including holidays) Hospital based physicians who are readily available to patients and their families for medical care or needs Familiarity of the hospital and departments to ensure timely follow up with tests and treatments. Ability to care for children with a wide variety of illnesses and medical needs including: Infections including bronchiolitis, urinary tract infections, bacteremia (blood infections) and cellulitis (skin infections) Respiratory illnesses such as pneumonia and croup Chronic illnesses such as asthma Common pediatric illnesses such as influenza and dehydration Recovery from injuries Care of newborns

Physicians Leticia Hardy, MD Christa Thornberry, MD Yury Yakubchyk, MD For more information Contact Pediatric Hospitalists at Augusta Health (540) 932-4298 78 Medical Center Dr Fishersville, VA 22939 augustahealth.com/amg/pediatric-hospitalists

Pediatric Hospitalist care for children in many hospital areas.

Harrisonburg, Va.

HEALTH & WELLNESS

Harrisonburg, Va.

Did you know?

Exploring holistic nursing

ccording to the National Institute of Mental Health, panic disorder is a type of anxiety disorder characterized by recurrent, unexpected panic attacks. Panic attacks occur suddenly and are periods of intense fear that may include palpitations, pounding heartbeat and/or accelerated heart rate. People in the midst of a panic attack may also experience shortness of breath or feel as though they are choking or being smothered. Feelings of impending doom may also occur during a panic attack. Anxiety disorders, including panic disorders, may be caused by the interaction of certain genetic and environmental factors. These factors include behavioral inhibition in childhood, exposure to stressful life events in childhood and adulthood, anxiety disorders in close biological relatives and a parental history of mental disorders. Anxiety disorders are generally treated with psychotherapy or medication, or a combination of both.

urses wear many hats. In addition to tending to patients and helping families of patients, nurses incorporate the latest technologies into patients’ treatment. Some even work outside of hospitals and doctor’s ofﬁces to train the next generation of nurses. Nursing has also branched out to include holistic nursing, which employs alternative medicine to care for patients. Alternative medicine is sometimes combined with traditional western medicine, requiring holistic nurses, who are sometimes referred to as “complementary health nurses,” understand both holistic and traditional nursing methods. According to the Campaign for Nursing’s Future, sponsored by Johnson & Johnson, holistic nursing is rooted in the idea that nurses cannot treat a patient’s physical health without addressing the whole person. In addition to addressing their patients’ physical problems, holistic nurses will also try to address their patients’ mental, spiritual and emotional well-being. Holistic nursing is a growing ﬁeld, and it’s entirely possible that the role of holistic nurses will expand in the years to come. Some of the things today’s holistic nurses do include:

Friday, July 22, 2016

• acupuncture • assisting patients with managing stress • aromatherapy • massage • hypnosis, hydrotherapy and balneotherapy • Chinese and Eastern healing practices • wellness coaching According to the American Holistic Nurses Association, holistic nursing is not intended to negate the validity of conventional medical therapies, such as traditional nursing. Holistic nursing serves to complement, broaden and enrich the scope of nursing practices while aiming to help patients access their greatest healing potential. The AHNA notes that holistic nurses must be registered and/or licensed. Such nurses may be found working at hospitals, universities and private practices. Men and women interested in pursuing a career in nursing can learn more about holistic nursing at www.ahna.org.

OVER

WHITNEY and RAMSEY

ORAL & FACIAL SURGERY, PC

Oral Surgery Removal of Wisdom Teeth (3rd Molars) Dental Extractions Dental Implants Facial Cosmetic Surgery Laser Facial Skin Rejuvenation Facial Skin Cancer Removal/Restoration Corrective Jaw Surgery Outpatient General Anesthesia

Staffed by Registered Nurses and a Certiﬁed Registered Anesthetist Participating with most Insurance Companies and Smiles for Children

DR. JAMES H.S. WHITNEY DR. BRENT J. RAMSEY 2071 Pro Pointe Lane, Harrisonburg, VA

Call us at

(540)437-1230 or toll free at (877)449-4123 Visit us on the web at www.whitneysurgery.com

HEALTH & WELLNESS

Friday, July 22, 2016

Annie Shaﬀer Director of Wellness Sunnyside

Aging Well at Sunnyside Communities For nearly two decades Sunnyside’s expertise and dedication to helping others age well has earned national and international attention. A winner of more than seven wellness awards for innovative programming, Sunnyside has received acknowledgements such as the Keiser Institute on Aging’s Healthy Horizons Award, the Nu Step Pinnacle Award, and three International Council on Active Aging (ICAA) Industry Innovator Awards. Living well means taking care of your mind, spirit and body. Sunnyside’s commitment to improving quality of life through the offering of balanced wellness opportunities supports all seven Dimensions of Wellness (social, spiritual, environmental, vocational, physical, emotional, intellectual, and social). While all of these aspects of wellness are equally important, the most common questions from seniors seem to be related to advice on maintaining optimal physical health, namely fitness ability. The amount and type of exercise recommended for seniors differs for each individual depending on current physical ability, medical conditions, personal goals and more. For all individuals, some activity is better than none. For full benefits, individuals should aim to do four types of exercise: endurance/ aerobics, strength training, balance

training, and stretching/flexibility. The key is to do all four types regularly and to increase the level of intensity over time. Seniors should strive for 150 total minutes of aerobic activity per week. Research shows there are benefits in moderate-intensity endurance exercise in as little as 10-minute segments. Walking, using a treadmill or recumbent bike, and participating in water exercise are great options. Balance training should focus on stability and improved lower body strength. Strengthening exercises should be performed two or more days per week (but not on consecutive days), whereas stability exercises are recommended daily. Getting regular exercise reduces functional decline associated with aging and can greatly improve the functional ability of seniors and reduce the risk of falling, therefore improving their quality of life and level of independence. Check with your doctor and then get moving!

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

Elkton Eyecare The practice that is now Elkton Eyecare began when Dr. Garner Downey opened his doors for the first time in 1950. Nineteen years later Dr. Robert Veith joined the practice and stayed until 2009. With the arrival of Dr. Lee Robertson, we hope to serve the community another 50 years. Dr. Kim Woideck is our newest doctor and will be seeing patients in our Harrisonburg location (inside the Walmart on Burgess Rd). We know the importance of building lasting relationships with

our customers. That’s why when you come into our office someone is always there to greet you, making you feel welcome and comfortable. We fill

The prac ce that is now Elkton Eyecare began when Dr. Garner Downey opened his doors for the ﬁrst me in 1950

Come experience the friendly and inviting atmosphere Elkton Eyecare has to offer. While you’re here check out our great selection of eye wear. We’ve recently added Oakley and Vera Bradley! Get a great pair of glasses at a price you can afford!

each person’s prescription according to their needs, always aiming for complete customer satisfaction.

Need an eye exam?

2 Locations To Serve You (Inside Walmart) 171 Burgess Rd, Harrisonburg, VA 204 W Spotswood Trail, Elkton, VA

540.433.7341 540.298.1671

Call Today to Make an Appointment

Lee Robertson, O.D. www.elktoneyecare.com

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

Meet our Harrisonburg BioLife Plasma Staff

You can be a life-saving donor at BioLife!

HEALTH & WELLNESS

Friday, July 22, 2016

Harrisonburg, Va.

Dr. Goodwin – Family, Faith, Service, and Surgical Excellence It was love at first sight. Of course, having been born and raised in Newport News, Dr. Will Goodwin was no stranger to the Valley. But when he married his dental school sweetheart and Valley native, Brooke Dellinger Goodwin, he really got acquainted with the Valley fast and knew at once, it was a special place, a place he loved, a place he would one day call home. And in the summer of 2015, Dr. Will and Brooke really did move home, literally into Brooke’s childhood home in Grottoes. “The Valley is not only a beautiful and peaceful place to live, but Brooke’s entire family is here,” says Dr. Goodwin. “We get together every Sunday night, go to church together, and often see each other throughout the week. When I married Brooke, I knew it was a package deal! I’m thankful for that.” Family and faith were why Dr. Goodwin became an oral surgeon in the first place. His father is a dentist in Newport News, and every summer, his family did mission trips providing dental care and tooth extractions to under-served communities all across Central and South America. Family, faith, service, and oral surgery became intimately intertwined for Dr. Goodwin from a very young age. When Dr. Goodwin opened his own oral surgery practice in Harrisonburg in June of 2016, he knew

family, faith, and service would be the building blocks for his practice. In fact, one of the first things you’ll see when you walk in his office is Micah 6:8 written on the wall which states “to act justly and to love mercy and to walk humbly with your God.” To this end, Dr. Goodwin says his goal is to treat every person who walks through the door like family. One way he does this is through providing the best possible care. Dr. Goodwin invested in a state-of-the-art 3D CT imaging machine that limits radiation exposure while creating extremely accurate images that help decrease surgical complications. He also uses guided surgical techniques which allows his procedures to be more precise and therefore more successful. Another way Dr. Goodwin treats his patients like family is by setting fair fees for his procedures that reflect the cost of the time and materials involved, not just the standard rates. He and his team work hard to help patients receive the care they need. His office accepts most insurances, offers pre-pay discounts, and financing is available. He also makes himself available any time of the day or night to address emergencies and has weekend and evening appointments available for those who can’t do standard office times. He continues to provide free care to those in need through projects like the Missions of Mercy. He says this is another example of how family and service intertwine

in his life; “without the love and support of our family, friends, and patients, we wouldn’t be able to serve our community and those in need.” You’ll really feel like family when you visit his office. Practice Manager and father-in-law, Dennis Dellinger, is usually there waiting to greet you at the door with a smile and a cup of coffee. Many patients comment on how warm and welcoming the office is, with large comfy chairs and sofas, snacks and a beverage bar, free wi-fi, and even an art gallery featuring local artists. His super sweet team offers comforts during procedures like warm towels, blankets, noise-cancelling headphones, face masks, and lip balm, and after surgery, they even give each patient a care package including ice cream to go! Dr. Goodwin invites any one to stop by and visit the office any time. “We tell people all the time, ‘just stop by, have a cup of coffee, and say hello! No dental work involved!’ We want it to be a very friendly, welcoming place.” But if you need oral surgery, Dr. Goodwin does it all, specializing in wisdom tooth removal, dental implants, and same-day extractions. He warmly invites you to join the Goodwin Oral & Facial Surgery family.

Offering a full range of oral surgery services including wisdom tooth removal, dental implants, and same-day extractions Conveniently located near the Harrisonburg DMV at

3200 Peoples Drive, Suite 210 Harrisonburg, VA 22801 540-705-0195 www.GoodwinOFS.com • Ofﬁce@GoodwinOFS.com

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

Find healthy foods while on the go

ice weather often equates to an uptick in road trips. During such trips, motorists and their passengers will need to take breaks to refuel both their vehicles and their bodies. Rest stop and convenience store snack options are often unhealthy, and it can be difficult for nutritionminded travelers to find acceptable fare. But a little creativity coupled with some smarter choices can ensure road trips don’t derail healthy diets. Bring food along. One of the easiest ways to eat healthy while traveling is to bring meals and snacks with you. Look for portable foods that may not require much refrigeration, such as fruit bars or trail mix. If you have room in the car for a small cooler or insulated lunch packs, fill them with fresh fruits and sandwiches. Opt for lean lunch meats like chicken and turkey. Avoid using cheese or dressings like mayonnaise that can quickly spoil. Some other easily portable foods include applesauce cups, oatmeal packets (all you need is hot water from a rest stop) and low-sodium, low-fat jerky. Pack plenty of water, a healthier choice than soft drinks that will also keep you hydrated when sitting in the car for extended periods of time. Find healthy fast food. If packing food is not an option or if you just prefer the convenience of getting something along the way, you can still make informed choices. Opt for foods that are roughly 500 calories or less and boast plenty of protein and whole grains to help you feel full longer. You may not be able to enjoy low-sodium foods, as many fast food options go heavy on the salt. Just steer clear of extra condiments that only increase those already considerable sodium levels. If you must opt for fast food, do not order sides of fries or chips, which will only make meals less healthy. Also, avoid sugary sodas. Many fast food restaurants offer some healthy fare, such as grilled chicken sandwiches. Order such sandwiches plain or with extra lettuce and tomato for a healthy crunch. Order sandwiches on whole-wheat buns when possible.

Kids’ meals tend to have healthy portion sizes. If possible, purchase a kid’s meal and opt for a side of sliced apples or another healthy alternative.

Make smart choices at sitdown restaurants, too. It’s important to stay focused on healthy fare even when you pull off the highway and patronize more traditional sit-down restaurants. Again, think smaller portions. Consider splitting an entrée with another person in your traveling party. Some chains will offer the nutritional information right on the menu, or put a special symbol next to their healthiest offerings. Substitute steamed vegetables for starchy or fattening side dishes and always ask for sauces to be served on the side. It’s not always easy to eat healthy when traveling. But travelers can often ﬁnd healthy fare, even if they need to bring it along themselves.

It’s possible for travelers to ﬁnd healthy fare no matter where they end up eating their meals.

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Friday, July 22, 2016

HEALTH & WELLNESS

Harrisonburg, Va.

Misconceptions About Pain and Physical Therapy Physical therapists are speciﬁcally trained to diagnose movement dysfunctions, which can lead to pain, decreased activity, or even disability. Still, there are many misconceptions about the causes of pain and how physical therapists can help you deal with them.

I hurt too much to go to physical therapy

Pain can limit the easiest of tasks, sometimes making us fearful of moving or getting out of bed. Considerable 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 I don’t hurt enough to need missing an opportunity to understand why you are hurting and possibly delaying your recovery by not physical therapy Pain symptoms commonly start as a nuisance correcting the underlying problems. before progressing to a much bigger problem. I can’t start PT until I get an x-ray Maybe your pain comes and goes, maybe you can X-rays are wonderful tools that help diagnose serious manage your pain with ibuprofen/Tylenol, or maybe conditions such as fractures, bone abnormalities your symptoms only occur at night while resting. and tumors. These conditions are uncommon You may not know it, but your body is telling you for most aches and pains. Physical therapists are something. It’s possible that your pain is related to trained to screen for serious pathologies, and it is the mechanics of how you move. As soon as you their job to refer you back to you doctor if there is any indication that you have a condition requiring notice a decline in function or pain with day-to-day medical treatment other than physical therapy. By activities, that is the best time to get the problem seeing a physical therapist early, you will speed diagnosed and corrected. your recovery.

I can do PT exercises at home Physical therapy is not just about assigning exercises; it is about a patient having the right exercises, at the right time, and doing them in the right way. It takes a skilled eye to identify where your body is compensating for pain. Research shows that combining exercise with hands-on therapy is better than exercising alone. Your physical therapist can help improve how your body moves — before and after you exercise — to help decrease pain and allow you to return to the activities you love.

Give physical therapy a chance. Talk to a trained physical therapist at Advantage Physical Therapy & Sports Performance today. With 4 convenient locations, we are ready to serve all of your physical therapy needs. Visit Advantage on the web at www.advantageptsp.com.

Harrisonburg, Va.

HEALTH & WELLNESS

Friday, July 22, 2016

Recognize and prevent Diet and exercise needs repetitive stress injuries change as men and women age

epetitive stress injuries, or RSIs, can impact muscles, ligaments, tendons, and nerves. Though The Mayo Clinic estimates that three million people in the United States are affected by such injuries, some may not fully understand just how they reached a point where they are suffering from an RSI. RSIs are a condition that occurs when too much stress is placed on one part of the body, typically a joint, over and over again, resulting in inflammation and potential tissue damage. RSIs typically happen when a person repeats the same movements again and again. It comes as no surprise then that RSIs are commonly experienced by athletes and office workers. The elderly are most affected by RSIs, but these types of injuries are also known to occur in younger adults and children. These injuries tend to develop over time and tend go unnoticed in their early stages. Prevention is the best defense against RSIs. Start by using proper equipment at all times to help keep the body protected and in neutral positions. Such equipment may include support devices for wrists or knees, and shoes that fit well and provide ample support. Athletes should make sure their gear is properly sized to their bodies. Using the wrong size tennis racket, for example, may contribute to elbow strain when serving and hitting. Proper nutrition also is key. Consuming the right foods is essential to developing

and maintaining strong muscles, which help support joints in the body. Speak with a doctor or nutritionist if you suspect your diet has room for improvement. RSIs can be troublesome for office workers. Maintaining neutral body positioning is the best defense against pain and injury, according to the pain prevention resource Tifaq.com. Tifaq.com suggests following these procedures in addition to stretching and exercising at the office: • Keep your head level, forward facing and in line with your torso. • Feet should be flat on the floor or on a footrest. • Shoulders can be relaxed and arms hanging normally at your sides. Your elbows should be at about 90-degree angles. • Support your back with a lumbar support or a small pillow. • Sit vertically or lean back slightly while at your desk. • Keep frequently used items close by so you do not need to stretch. • Position your monitor so it is directly in front of you and at eye level. • Take frequent breaks to stretch or take a walk around the office. Examples of RSIs include carpal tunnel syndrome, rotator cuff injuries, tendinitis, and trigger finger. Always consult with a doctor if pain from routine activities is persistent. Individuals may benefit from working with a physical therapist to learn strategies to avoid RSI activities.

aintaining a healthy weight is important at any age. But avoiding being overweight or obese can be particularly crucial for seniors, considering many illnesses are tied to body weight. Maintaining a healthy immune system also can require eating a balanced, nutritionally sound diet. The Geriatric Research, Education, and Clinical Center at Durham Medical Center in Virginia says people need to change how they eat for every decade they reach. Caloric intake should be reduced because individuals are generally moving around less, have less muscle and their metabolic rates decline. People who ﬁnd that they are having trouble losing weight in their 50s and older may be basing weight-loss goals on calorie recommendations for younger people. One challenging thing about eating less overall is supplementing with more nutrientrich foods. Older bodies still require similar amounts of protein, vitamins and minerals as younger ones, but older men and women must balance that need with their need to consume less calories. Consuming more fruits, vegetables and lean protein sources, including beans, and choosing whole grains over reﬁned starchy foods can be the key. Watch what you drink, as well. Soft drinks and other sugary beverages may be packed with calories you don’t need. Choose unsweetened beverages and opt for water as much as possible. Protect yourself against dehydration, which can be harder to detect as youget older. In addition to modifying food and beverage choices and reducing their calorie intake,

seniors should continue to exercise. Healthy eating paired with moderate exercise remains one of the best combinations for healthy weight loss or weight maintenance. The goal is to consume fewer calories and expend more energy. While cardiovascular exercises can be a good way to get the heart pumping and stimulate your metabolic rate, as you age you should perform strength-training and weight-bearing exercises as well. Muscle mass naturally diminishes with age, and according to the Mayo Clinic if you avoid strength exercises you can eventually lose muscle and increase the percentage of fat in your body. Strength training also helps you develop stronger bones, which can help prevent fractures. In addition, as you gain muscle, your body will begin to burn calories more efficiently, making your time in and out of the gym more productive. Apart from diet and exercise, aging adults may need to consult with their doctors about nutritional supplements. Your body may produce less stomach acid as you get older, making it more difficult to absorb vitamins from food, including vitamin B12 and vitamin D. Aging skin is less able to transform sunlight into the vitamin, which can affect the body’s ability to absorb calcium. Deficiencies in vitamins D and B12 and calcium can result in a number of health conditions. Routine blood work can help pinpoint whether you are deficient in key nutrients. The body’s nutritional and fitness needs change as a person ages. Those uncertain about the lifestyle changes they will need to make should speak with their physicians.

Friday, July 22, 2016

HEALTH & WELLNESS

Harrisonburg, Va.