OurHealth Charlottesville & Shenandoah Valley Mar/Apr 2017 Edition

Breaking the Silence: Multiple Sclerosis | Charlottesville and Shenandoah Valley's Oral Health Resource Guide

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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

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TABLE OF CONTENTS MARCH • APRIL 2017

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Q&A ON HEALTH Healthcare questions answered by local professionals

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BREAKING THE SILENCE | MULTIPLE SCLEROSIS

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HELLO, HEALTH

THE PULSE Keeping the pulse on local healthcare news and information including tips for healthy living, as well as a listing of new physicians, providers, locations and upcoming events in the Charlottesville & Shenandoah Valley communities.

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Capturing the spirit of those working in healthcare and of people leading healthy lives through photos.

THE ANATOMY CHALLENGE Test your knowledge when it comes to SEASONAL ALLERGIES.

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BUILDING CORPORATE STRENGTH

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HEALTHY RECIPE SWAP

ALLERGIES MAKE US SNEEZE AND A LOT MORE If you’re one of the 50 million people in America who suffer from allergies, you most likely greet spring with equal parts delight and dread, pleasure and pain, sunbathing and sneezing.

OurHealth explores the cause of seasonal allergies.

A growing trend reveals that corporate wellness programs provide big rewards in the workplace.

Tricia Foley RD, MS, OurHealth's resident nutritionist, shares spring inspired recipes with healthy ingredient swap tips.

TOP TEN FAT BURNING FOODS You’ve heard the phrase 'you are what you eat?' Well, not literally, of course. But there is some truth to that cliché.

OurHealth explores nutritionally dense foods that increase our metabolism and burn unwanted fat.

Some days, the pain was just annoying, and she could cope.

Other days, she was incapacitated and ended up in the ER. After years of suffering and uncertainty, Felicia Correa finally had an answer and a diagnosis: multiple sclerosis.

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CHARLOTTESVILLE & SHENANDOAH VALLEY’S ORAL HEALTH RESOURCE GUIDE Your resource guide for oral health in the Charlottesville & Shenandoah Valley area, sponsored by Delta Dental.

www.OurHealthCville.com

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CONTRIBUTING MEDICAL EXPERTS

Robert Dreicer, MD, MS, MACP, FASCO Dilan Ellegala, MD Christopher Stewart, DPM Edward Wolanski, MD

Susan Dubuque Rich Ellis Tricia Foley, RD Tina Joyce Karen Klotz LeeAnne P. Phillips Rick Piester Sarah Sullivan

IN CHARLOTTESVILLE & SHENANDOAH VALLEY

POLLS OPEN THROUGH MARCH 31ST WINNERS ANNOUNCED IN THE JULY/AUGUST EDITION!

CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS

ADVERTISING AND MARKETING Kim Wood • Vice President of Business Development 540.798.2504 • kimwood@ourhealthvirginia.com Cindy Trujillo • Senior Media Consultant 434.907.5255 • cindy@ourhealthvirginia.com

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804.300.0650 • cmscruggs@ourhealthvirginia.com

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions.

Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Charlottesville/Shenandoah Valley is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking.

“

Volunteers at Augusta Health can be students (over age 18), professionals or retirees. The most important credentials are a desire to be of service, a willingness to accept an assignment based on the hospital’s needs and following the Augusta Health Service promise to build trust and peace of mind for our community.

”

– LeeAnne P. Phillips, Director, Volunteer Services

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What is posterior tibialis dysfunction?

Posterior tibial tendon dysfunction, otherwise known as adult acquired flatfoot, is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn.

As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flatfoot.

Posterior tibial tendon dysfunction is most common in women and in people older than 40 years of age, and diagnosis is generally made with weight-bearing X-rays, ultrasound, or MRI. Most patients can be treated without surgery, using orthotics and braces. If orthotics and braces do not provide relief, surgery can be an effective way to help with the pain. Surgery might be as simple as removing the inflamed tissue or repairing the torn tendon. However, in more advanced cases, bone surgery is required to stabilize the foot.

Christopher Stewart, DPM Central Virginia Foot & Ankle Laser Center Charlottesville | 434.979.0456 www.cvillefootankle.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

My mother was just diagnosed with cancer.

What should we know about clinical trials and where do we begin?

The week of April 23rd is National Healthcare Volunteer Week. Can I volunteer at my local hospital?

The initial stage for patients with a new cancer diagnosis and their families is information gathering.

What is the diagnosis, what is the extent of the disease, and what are the “standard” treatments and disease prognosis? For some cancers, we have very good patient outcomes with “standard” treatment approaches. It is always reasonable to ask about the existence of clinical trials; at times, it may be the most appropriate next step.

Ask your medical oncologist, surgeon or radiation oncologist about available clinical trials. Other places to seek information are the American Cancer Society or the National Cancer Institute websites.

At times, it may be appropriate to seek a second opinion, both to get a different perspective on disease management and to seek further information about clinical trials.

Volunteers at Augusta Health can be students (over age 18), professionals or retirees. The most important credentials are a desire to be of service, a willingness to accept an assignment based on the hospital’s needs and following the Augusta Health Service promise to build trust and peace of mind for our community.

Robert Dreicer, MD, MS, MACP, FASCO

Section Head, Medical Oncology Deputy Director, University of Virginia Cancer Center Charlottesville | 434.924.1775 www.uvahealth.com

The requirements for those who are interested in volunteering are as follows: an application, a personal interview, attendance at an orientation, health screening and ID badging, a background check, drug screenings and a TB test.

The Augusta Health Teen Volunteer Program (a five-week summer program) is open to those students who are age 14 and up, who have completed the ninth grade and who have a minimum GPA of 3.0.

The available volunteer opportunities include: patient escort, shuttle bus driver, gift shop attendant, greeter at entrances, thrift shop employee (Staunton) and urgent care support personnel (off campus).

LeeAnne P. Phillips, Director, Volunteer Services

Augusta Health Fishersville | 540.932.4740 www.augustahealth.com/volunteers

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED

BY LOCAL PROFESSIONALS

“

When I conduct a hearing test, I often find that the patient has a high-frequency hearing loss, which is generally due to noise. I personally have never tested a person with tinnitus that did not have some degree of hearing loss.

Once I program a hearing aid and put it into their ears, many people find relief from the tinnitus because their ears are more stimulated by the sounds of the world that they could not hear before.

”

My results from an HPV test came back positive, does this mean I will develop cervical cancer?

What makes the SonoSpine® surgery procedure different from traditional spine surgery?

The answer to this question is no.

The vast majority of women with a positive HPV will not get cervical cancer. It is estimated that as high as 85 percent of women are exposed to the HPV virus in their lifetimes.

Fortunately, the immune system will suppress the virus in most cases.

However, having a positive HPV pap test does warrant follow-up pap smears with your doctor or nurse practitioner. If the virus is not suppressed, additional follow-up will be recommended.

In traditional spine surgery, a surgeon makes an incision and removes large portions of the bone or ligaments in your spine, relieving the compression of the nerves and easing pain. This can, however, destabilize your spine, which means that you may need a spinal fusion with screws and rods. The recovery from a fusion can take over six months.

Be sure to keep up with your routine gynecologic exams. Remember that your health is important not just for you, but also for your family!

Edward Wolanski, MD

Charlottesville | 434.293.9800 www.wolanskiobgyn.com

– Karen Klotz

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SonoSpine’s advanced Ultrasonic Spine Surgery minimizes the trauma to the spine with precise millimeterby-millimeter removal of bone. The incisions are smaller and no fusions are needed, since the spine remains stable. Patients return to the lives they once enjoyed in weeks, not months.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Dilan Ellegala, MD

SonoSpine Charlottesville | 855.982.1591 www.sonospinesurgery.com

Can a hearing aid offer relief from my tinnitus (ringing in the ears)?

Our patients often come in complaining of a ringing or buzzing sound in their ears. When I conduct a hearing test, I often find that the patient has a high-frequency hearing loss, which is generally due to noise.

I personally have never tested a person with tinnitus that did not have some degree of hearing loss.

Once I program a hearing aid and put it into their ears, many people find relief from the tinnitus because their ears are more stimulated by the sounds of the world that they could not hear before.

This is not true for all patients, however. Some will need a hearing aid just for tinnitus.

Most manufacturers are now making hearing aids with tinnitus sound generators in them, playing sounds like white noise or music in order to distract and retrain the brain from hearing the tinnitus. Our tinnitus patients have told us that they feel much less stress with this help.

Karen Klotz, HIS

Virginia Hearing Group Verona | 540.248.1670 www.virginiahearinggroup.com

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KEEPING THE PULSE ON HEALTH AUGUSTA HEALTH LEXINGTON SPECIALTY CLINIC PLANS FOR END-OF-YEAR OPENING >> Augusta Health announces clinic opening in Lexington, Virginia.

Augusta Health has purchased the Cool Springs Market building on Greenhouse Road in Lexington with plans for a multi-specialty clinic and diagnostic facility, the Augusta Health Lexington Specialty Clinic. Construction is under-way and expected to be complete late this year.

FOODS OF ALL NATIONS CLARIFICATION From the restaurant review of Foods of All Nations in the January/February issue, bread from Foods of All Nations is not currently sourced from Newtown Bakery in Staunton.

The property is adjacent to Augusta Health Primary Care, Lexington. The new facility, with more than 6100 square feet of office space, will include three physician offices, seven exam rooms, a procedure room, laboratory draw area, and an imaging area that will include x-ray and ultrasound for diagnostics.

Specialists who currently see patients at the Augusta Health Primary Care office plan to expand their office days in Lexington after moving into the new clinic. Those specialties include Rheumatology, Spine Clinic, Pulmonology, Otolaryngology, Endocrinology, General Cardiology and Orthopaedics. New specialties that may offer office hours in Lexington in the Augusta Health Lexington Specialty Clinic include Occupational Health, Gastroenterology, Oncology, General Surgery, Pain Clinic and Wound Clinic.

For more information about Augusta Health, its programs and its services, please visit www.augustahealth.com.

2121 Ivy Road, Charlottesville

434.296.6131 www.foodsofallnations.com

Karen Ballen, MD

UVA Cancer Center Hematologic Malignancies and Stem Cell Transplant Charlottesville |434.924.9333 Cancer.uvahealth.com

Nicole Chiota-McCollum, MD

UVA Neurology Augusta Health Charlottesville |434.924.2783 Gastroenterology neurosciences.uvahealth.com Fishersville | 540.245.7350 www.augustahealth.com

Erin Klaffky, MD

Allergy Partners of Charlottesville Charlottesville |434.951.2191 Waynesboro | 540.949.5154 www.allergypartners.com

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Lawrence W. Comerford, MD

Neil Donovan, PA-C

Augusta Health Spine Clinic Fishersville | 540.245.7400 www.augustahealth.com

Alise A. Magnuson, MD Daniel J. Sullivan, DO Augusta Health Pediatric Hospitalists Fishersville | 540.932.4298 www.augustahealth.com

Augusta Health Spine Clinic Fishersville | 540.245.7400 www.augustahealth.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Kate Funk, FNP

Augusta Health Internal Medicine Fishersville | 540.213.2630 www.augustahealth.com

Karen C. Wright, MD

Einsley-Marie Janowski, MD, PhD

UVA Cancer Center Radiation Oncology Charlottesville |434.924.9333 Cancer.uvahealth.com

Susan W. Yim, DO

Augusta Health Primary Care Augusta Health Urgent Care Lexington | 540.463.3381 www.augustahealth.com www.augustahealth.com

REGIONAL COLLABORATION FOR PEDIATRIC CARDIAC CARE

JOIN THE OURHEALTH COMMUNITY

>> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthCville

@OurHealthCville on twitter

@OurHealth on pinterest

>> James Gangemi, MD is appointed surgical director of the new regional collaborative for cardiac care at Children’s Hospital of The King’s Daughters University of Virginia Children's Hospital and Children's Hospital of The King's Daughters have appointed James Gangemi, MD as surgical director of the new regional collaborative for cardiac care at Children’s Hospital of The King’s Daughters. The UVA/ CHKD collaboration combines the efforts of pediatric cardiologists, cardiac surgeons, cardiac anesthesiologists, intensive care physicians and cardiac support professionals from both institutions with the goal of improving outcomes for children with complex congenital heart defects.

Gangemi, who also serves as surgical director of congenital heart surgery at UVA Children's Hospital, facilitates weekly conferences with cardiac team members from CHKD and UVA. "Our goal is to improve outcomes for children with heart conditions from Hampton Roads, central Virginia and beyond by collaborating on evaluations and facilitating access to the most appropriate level of care," he says.

Gangemi will perform pediatric heart surgeries at CHKD at least four days each month. UVA and CHKD also plan to hire a second surgeon for the program who will be primarily based at CHKD. For more information, visit childrens.uvahealth.com.

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HEALTHY LIVING words | TINA JOYCE

SPRING INTO ACTION >> Spring tips for man's best friend

Warmer weather and longer days can make you jump into projects and activities. Also, getting your pet out and about is much easier in the sunshine. There are a few things that pet owners must keep in mind this spring, however.

CONSIDER ADOPTING – Pet owners tend to be more active, making the health benefits of owning a pet twofold. You can make a difference by providing a forever home for a pet in need; plus, you’re likely to gain emotional and physical payback from the experience.

BE CAREFUL OF THE RUN-AWAY – Sunny days make walks in the park or open windows seem appealing to our furry friends. However, if your pets discover a newfound freedom, they might try to venture off on their own. Identification tags and microchips are important for your pets’ safety and your peace of mind.

BUILD IN EXERCISE – The warm temperatures may take jogging with your pooch or riding your horse to the top of your weekend to-do list. Be careful to add exercise into your routine slowly, however, especially if your pet (or you) has been sedentary over the winter months.

BEWARE OF STANDING WATER – Flowerpots and puddles can be filled with harmful bacteria. It’s extremely important to make sure that all pets have fresh water daily, but also avoid water from unknown sources. Even “fresh” rainwater may have traces of antifreeze, oil, or animal feces in it by the time it accumulates where your pet looks to quench his thirst.

CLEAN THE CLEAN UP – Spring is a natural time to embark on cleaning and restoration projects. However, cleaning solutions, engine gas and oil, insecticides and even mulch can be dangerous to pets that venture outside. Be aware of the products you use.

>> What it takes to grow organic Thinking of growing organic to avoid chemicals on your table this summer?

Soil preparation and spring planning can make the biggest difference. words | TINA JOYCE

BEGIN EARLY Sketch out a blueprint of your garden, then start growing plants early to gain a few weeks’ advantage and reap the best weather for your prime growing season.

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LOCATION, LOCATION, LOCATION This is true for success in real estate, and it’s also true for your organic garden. Sunny, fertile soil with proper drainage will give your crop the best chance to flourish.

THE COMPOST ADVANTAGE Aged animal manure (e.g., horse manure works very well) in addition to leaves, soil, grass clippings and organic fruits and vegetables that have composted all winter are prime ingredients to help your soil stay loose and fertile.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

DIG DEEP Whether it’s in raised beds or in the ground, your garden should have 12” of composted, well-tilled soil. Good root development is crucial in organic gardening.

or · gan · adjectiv e

ic

grown o rm use of a ade without t h rtificial chemic e als

MANAGE WATER

ENJOY THE PROCESS

Rain barrels are a popular way to gather water and irrigate your garden.

Slow drip diversions allow you to regulate the water in rows, even when you leave town for a few days.

Growing organic may take a tad more prep time, but the health benefits and satisfaction of growing your own produce this season will be abundant.

DON’T LET A

words | RICH ELLIS

VEHICLE BREAKDOWN RUIN YOUR SPRING TRAVEL PLANS

>> Review these systems to check your car’s health before hitting the road.

For many, spring means travel over spring break and making exciting getaway plans for the summer driving season. Road trips and dream vacations can quickly turn into travel nightmares, however, when a vehicle breakdown leaves you stranded on the side of the road.

Preventive maintenance is the key to ensuring your vehicle can handle the spring and summer heat, the additional miles you’ll be racking up, and to keeping your passengers safe and comfortable. So before warmer weather is here to stay, spend a weekend afternoon this spring reviewing the condition of the following vehicle systems. You’ll travel with greater peace of mind knowing your vehicle is safe and reliable.

– Normal operating temperatures under the hood can approach 200 degrees Fahrenheit. Your vehicle’s cooling system is responsible for keeping those temperatures from climbing even higher, and for preventing the engine from overheating. Follow the instructions in your vehicle’s owner’s manual to check the coolant (antifreeze) level and the vehicle manufacturer’s recommended maintenance schedule for changing the coolant. Old coolant or not enough coolant can lead to overheating and expensive engine damage.

COOLING SYSTEM

BELTS AND HOSES – A vehicle’s cooling system depends on hoses to move coolant between

the radiator and engine block, and in most vehicles, it also depends on belts that turn the fan(s) that dissipate heat from the radiator. Because they’re made of rubber and other compounds, belts and hoses eventually deteriorate due to high under-hood temperatures and environmental exposure. With the engine cold and the vehicle turned off, examine the belts for signs of wear, indicated by cracking or fraying. Visually inspect the hoses for bulges and then feel along the length of each of them for noticeable soft spots. Then replace the hoses if you find problems.

Even if they appear to be okay, belts and hoses should still be replaced according to the vehicle manufacturer’s recommended maintenance schedule.

AIR CONDITIONING – It’s just as important to keep your passengers cool as it is to keep

the engine cool. Test the AC system to ensure that all of the vents are working, that the blower motor is moving enough air, and that the air is cold. If the air doesn’t feel cool enough, it could be because the system needs a recharge. Before taking the vehicle to a mechanic, try a do-ityourself A/C recharge and stop-leak product such as AC Pro to find out if that will solve the problem quickly and inexpensively.

– The summer months guarantee that bugs, as well as downpours during thunderstorms, will be pelting your vehicle’s windshield, reducing visibility. Consider filling the wiper fluid tank with a product such as RainX Bug Remover. It helps remove bugs and road grime while coating the windshield with a water-beading product that clears rain quickly.

WINDSHIELD

MYTH: MORE CAR BATTERIES FAIL DURING THE COOLER MONTHS Contrary to popular belief, more batteries fail in spring and summer than in winter, mainly because heat kills batteries. Depending on the brand and operating environment, batteries last between two and five years. Check the install date on the top of the battery, and examine the posts protruding from the battery’s top or side for corrosion, which looks like a white or bluegreen powdery buildup.

Corrosion can lead to problems with starting the vehicle, and it needs to be cleaned off using a battery terminal cleaning brush, anti-corrosion spray and protective equipment. Have the battery tested for free at most auto parts stores.

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BOOK REVIEW words | RICK PIESTER

>> Showcasing some of the most authoritative books on how to get and stay healthy In this issue, we take a look at two books dealing with two mainstays of our metabolism, sugar and fat, and both contain some surprises. The third book is an absorbing discussion of end-of-life issues and how modern healthcare can improve them.

The Case Against Sugar

By Gary Taubes

Penguin Random House | 384 pages Is sugar the root cause of most of our ills — stroke, Alzheimer’s, heart disease, diabetes, and more? Gary Taubes is out to change our relationship with sugar, and he presents compelling if not absolutely convincing evidence. He also chronicles how hard it is to avoid sugar; it’s in almost everything we eat.

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The Secret Life of Fat:

The Science Behind the Body’s Least Understood Organ and What It Means for You

By Sylvia Tara, PhD W.W. Norton & Company Inc. | 288 pages We all have it, and most of us hate it, but here’s a book that sheds some light on how the body uses fat and how, in moderation, it can be a useful thing. Body fat is actually an endocrine gland, Sylvia Tara tells us; actually, it’s the largest in our body, and it does some work on our behalf. A fascinating read.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Being Mortal:

Medicine and What Matters in the End

By Atul Gawande, MD Metropolitan Books/Henry Holt & Company | 282 pages This is an absolutely absorbing account of how we die — and how we should die — by a practicing surgeon. Through riveting storytelling and lots of tips on how to improve our healthcare, Dr. Gawande makes a persuasive argument on how and why we should make the end of life as enriching as life itself can be.

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How much do you know about

Seasonal Allergies?

1. On average, what percentage of Americans are affected by allergies?

A:

15

percent

75

B:

C:

percent

30

percent

D:

20

percent

2. Which of the following is NOT one of the most common triggers of seasonal allergies?

3. On average, ___________ Americans are affected by allergies.

A:

B: 50 million

C:

30 million

4. Which of the following are symptoms of seasonal allergies?

D: 70 million

A: Pollen

20 million

5. Which of the following is NOT a strategy to avoid seasonal allergy triggers?

B: Grass

A: Showering and changing clothes after working or playing outdoors

A: Itchy or irritated eyes

B: Keeping windows and doors shut

C: Pet Dander

C: Eating more vitamin rich fruits and vegetables

D: Monitoring pollen and mold B: Sneezing or coughing

6. On average, what percentage of Americans are affected by allergies?

C: Runny or congested nose

+

+

D: All of the above

Sources: www.aafa.org & www.acaai.org

A:

Between 10 am and 4 pm

B:

Before 10 am and after 4 pm

C: Pollen counts are not affected by the time of day

D: Mold

7. True or False: Immunotherapy or allergy shots, is a form of long-term treatment that decreases symptoms of allergies by injecting a small amount of the allergen into the patient’s skin.

1. C 2. C 3. A 4. D 5. C 6. A 7. True

counts via newspapers, radio, or television

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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

g n i r p S Ahh-CHO

Ah

. . . h h

O

Allergies Make Us Sneeze and a lot More! words | RICK PIESTER

If you’re one of the 50 million people in America who suffer from allergies, you most likely greet spring with equal parts delight and dread, pleasure and pain, sunbathing and sneezing.

Although allergy season seems to have started a bit early this year (medium-high levels of pollen were being reported in mid-February), as an allergy sufferer, you know the worst is yet to come.

Allergist Erin Klaffky, MD, of Allergy Partners of Charlottesville calls Virginia a hotbed for allergies, and there is a lot of research to back her up. The verdant hills and lush grasses of the mid-Atlantic states, Charlottesville and the Shenandoah Valley have few rivals in producing the pollens that make people wheeze and sneeze. Our commonwealth has the dubious distinction of being among the national champs when it comes to pumping out tree and grass pollens. Experts say there is not a great deal of difference in daily pollen levels across the state.

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Immune System Gone Awry

New Thinking on

PEANUT ALLERGIES One of the most frightening of foodborne allergies, especially for children, is a youngster’s allergic reaction to peanuts and peanut products.

Allergies are the result of your body’s immune system going awry. The immune system normally attacks the body’s genuine enemies, such as bacteria or a virus, but allergy-sufferers’ immune systems launch an all-out attack on otherwise innocent substances called allergens. The body mistakenly identifies the allergens as harmful and begins spewing histamine and other substances to fight them off. You feel the battle in the form of itching, sneezing, red eyes, and a runny nose within minutes of exposure. That’s followed by the typical congested nose and cough, and maybe even hammering headaches. Allergies (medically known as allergic rhinitis) are always bothersome, but they can even be life-threatening.

The cause of the misery, allergens, are found both indoors and outside. They can come from plants, foods, pets, and even some household products.

The Power of Pollens Pollens produced by trees, weeds and grasses are light and dry, picked up by the wind and deposited on everything in sight during the spring, summer and fall. (Flowers also make pollen, but flower pollen is usually spread by insects, with little escaping into the air.)

Though rare, peanut allergies are responsible for more anaphylaxis (constricted airway) deaths

Locally, tree pollens dominate early in the year,

than any other food allergies, resulting in an

beginning in late February and extending into

almost universal ban of peanut butter and jelly sandwiches from school lunchrooms.

But conventional wisdom has been turned on its

April, according to Dr. Klaffky. Then our region transitions into grass season, which is when

head over the past year, with new guidelines from

Dr. Klaffky says she sees the most patients in her

the National Institute of Allergy and Infectious

Charlottesville practice. In mid to late summer,

Diseases advising parents to give their kids foods containing peanuts starting when they are infants, to help prevent life-threatening allergies.

the weed pollens — especially ragweed — come into play.

The Institute recommends giving babies puréed food or finger food containing peanut powder or extract before they are six months old, and even earlier if a child is prone to allergies and doctors say it is safe to do so. One should never give a baby whole peanuts or peanut bits, experts say, because they can be a choking hazard.

When Mold Makes Its Move Autumn brings the environmental mold allergens, Dr. Klaffky notes, such as leaf mold stirred up while raking wet leaves.

Mold also lives indoors all year, in damp areas such as basements, bathrooms, on window sills and in refrigerators.

As always, following this advice should be prefaced by the approval of your child’s physician.

When Dust Mites and Dander Attack Dust mites are microscopic eight-legged living creatures that eat dead flakes of human skin. If you are allergic to dust mites,

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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

you are reacting to the mites’ droppings. The mites don’t bite or spread disease. They thrive in damp warmth with a humidity of over 50 percent. They live mostly in carpeting, bedding, furniture and furry objects, such as stuffed animals.

Animal dander is loose skin cells shed by animals. Dander from pets such as dogs and cats may contain saliva or other substances from the animals. The cells become airborne and are inhaled by people.

Is It a Cold, or Is It an Allergy?

The symptoms of colds and allergies can sometimes be similar, Dr. Klaffky says, but there are some essential differences.

Allergy symptoms are persistent, and they are bothersome for longer than the five to seven days it takes for a cold to run its course. Symptoms are also quite specific: the telltale red, itchy eyes, the runny nose, and in some people, the skin symptoms such as red, swollen hives, all of which point to an allergy.

Medicine has developed quick and reliable ways to pinpoint the cause of allergies in individuals. The most common test is

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n e l l Po To get a sense of how severe an allergy season might be, keep an eye on the weather. Weather conditions can either increase or decrease the levels of pollen in the air around us.

Mild winters generally produce an early pollen season, as trees will start pollinating earlier in the year.

a skin prick test — Dr. Klaffky notes that it feels more like a “kitty cat scratch” — in which small amounts of allergy triggers are placed on the skin. Swelling or redness indicates an allergy to the substance placed on that part of the test area.

Once you know what’s causing your allergy, you can begin to fight back. You’ll know how to reduce your exposure to airborne allergens by keeping windows closed and cranking up the air conditioning at home and in the car. Staying inside as much as possible when the pollen count is high (see sidebar), and taking a shower to wash the allergens out of your hair before bed, are also coping strategies. Keeping your pet out of the bedroom, or running a high-efficiency air cleaner in your home, may help as well.

An Array of Allergy Remedies If those measures don’t help that much, there’s an abundance of over-the-counter remedies you can try.

According to the Asthma and Allergy Foundation, four out of five people with allergies don’t make it to the doctor’s office. Instead, they rely on any

Dry, windy weather spreads pollen quickly.

of a somewhat dizzying array of medications in the local pharmacy that may offer effective relief.

Dr. Klaffky says that a “perfectly reasonable first approach” is letting your symptoms be your guide for taking over-the-counter medications.

Rain can reduce the pollen count by washing pollen into the soil before it becomes airborne.

However, rain in the late fall or winter can spur tree pollination, and a rainy spring induces grass growth, increasing the amount of pollen from grasses and weeds.

A freeze late in the winter can delay tree pollination, which decreases, at least

A congested or runny nose can be treated with a corticosteroid nasal spray, a safe and effective control. Pairing it with an antihistamine to prevent the body’s release of histamines would be a good first step. It’s always a good idea to start taking an antihistamine before the start of a pollen-heavy season to control symptoms. And look for long-acting antihistamines (like Allegra, Claritin, and Zyrtec) that don’t have a sedative effect that will leave you drowsy.

If over-the-counter medications fail, immunotherapy (allergy shots) can be formulated for particular combinations of allergies. Dr. Klaffky notes that the expense and time investment of immunotherapy is often rewarded by eventually changing the immune system so that treatment is no longer needed. In effect, you’re cured of your allergy. Immunotherapy

temporarily, the daily pollen count.

(Continued on page 26...)

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a s ’ hat

WPOLLEN COUNT?

Every day, in locations all over America, a rod covered with a sticky substance is attached to the roof of a building. Over the next 24 hours, the rod will be tested for the amount of pollen that sticks to it. Samples are analyzed microscopically to determine how much pollen is in the air.

A daily pollen count is the number of grains of pollen in a cubic centimeter of air. As the number increases, people who have allergies will sense an increase in their allergic reaction. A medium pollen count of 4.9 – 7.2 is the point at which most allergy sufferers begin to notice symptoms. A medium-high count is 7.3 – 9.6, and a high count is 9.7 – 12.

Most daily newspapers carry that day’s projected pollen count, which is also available in the weather forecast portion of most television newscasts, as well as online at such sites as www.weather.com and www.pollen.com. Some online sites also offer daily pollen count email alerts and other helpful information.

SCAN HERE

to view the current pollen count for your area.

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25

(...continued from page 24)

is also an important factor for youngsters, who can be spared later allergic asthma.

“The symptoms of colds and allergies can sometimes be similar, but there are some essential differences: allergy symptoms are persistent, and they are bothersome for longer than the five to

Immunotherapy has been refined over the last century to the point that now coming onto the market are prescription medicines that dissolve under the tongue — good news for the needle-shy, though not always approved for use in the U.S. by the Food and Drug Administration. Widely used in Europe, the sublingual remedies are currently approved in the U.S. for treatment of ragweed and grass allergies.

seven days it takes for a cold to run its course.”

ERIN KLAFFKY, MD is a physician with Allergy Partners of Charlottesville.

Dr. Klaffky is certified by the American Board of Allergy and Immunology and will begin seeing patients in both the Waynesboro and Charlottesville offices after April 20th.

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Expert Contributer Erin Klaffky, MD, of Allergy Partners of Charlottesville.

ON THE WEB

More at ourhealthcville.com

words | TINA JOYCE

You’ve heard the phrase you are what you eat? Well, not literally, of course. But there is some truth to that cliché. We should seek nutritionally dense foods (the ratio of nutrients to calories) to gain the most benefits from our diet — protein to help promote building muscle, fiber to help regulate the digestive system and carbohydrates to provide energy. There are also some foods said to increase our metabolism and burn unwanted fat.

Our food choices alone won’t magically burn off that stubborn fat, but the right selections, combined with consistent physical activity and strength training, will help us on our way to sculpt the lean body we’ve always wanted.

Green Tea

Whole Grains

The catechins (a natural flavonoid and antioxidant) in tea are believed to improve fat oxidation.

Oats and brown rice are at the top of our list. The body burns twice as many calories breaking down whole foods as it does with processed foods. Also, whole grains help us feel fuller for a longer time.

Salmon It’s full of omega-3’s and packed with protein. Not a fan of salmon? Try tuna or mackerel as a substitute.

Beans As with most lentils, black and kidney beans pack in approximately 15 grams of protein per serving and none of the saturated fats that other protein sources add to our diet.

Almonds In moderation because of their caloric density, these nuts provide a healthy alternative to carb-loaded snacks like crackers and chips, which offer little nutrients. Tired of almonds? Pine nuts can also fill this category.

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Quinoa This trendy whole grain can add a tasty protein-packed flair to any diet. It is a perfect replacement for rice and pasta.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Berries A colorful mix of blackberries, blueberries, and strawberries help prevent cravings (especially sweets) and improve taste.

Lean Meats Our body burns 30 percent of the food’s calories just in the digestion process.

Low-fat options include poultry, wild game, and some red meats. Each serving provides an excellent source of protein as well as B vitamins.

Leafy Greens Spinach, Swiss chard, and kale are super foods. It’s practically impossible to overeat these weight-friendly staples. Low in calories and high in fiber, these greens also provide much-needed vitamin C.

Coffee Notice we didn’t say flavored latte. Black coffee can curb the appetite and acts as a stimulant in digestion.

Also, coffee contains the antioxidant chlorogenic acid (CGA), which is hypothesized to slow the release of glucose and lowers insulin resistance. However, we have to leave out the cream and syrup or we’re simply drinking our daily calories.

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Breaking the Silence: words | SUSAN DUBUQUE

“Breaking the Silence,” an OurHealth Charlottesville & Shenandoah Valley magazine series, explores medical and social issues that can be devastating to the individuals and families they affect. In each article, we address topics that are poorly understood or that no one wants to talk about. We bring these conditions into the light and dedicate our stories to the courageous patients and families living with them and the healthcare providers and researchers who commit their lives to treating and seeking solutions to these enigmatic problems.

Twelve years ago, when Felicia Correa was pregnant with her son Antonio, she started having headaches on an almost daily basis. Some days, the pain was just annoying, and she could cope. Other days, she was incapacitated and ended up in the ER. Her family doctor diagnosed chronic pregnancy-induced tension headaches. But when the headaches continued after her baby was born, the doctor came up with a new diagnosis — chronic tension headaches.

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Photo above as well as the top and bottom photos on next page: Felecia and her team, the Patriots.

Photo middle of next page: Charles and Felicia with George, Antonio, and Carmine.

“A number of my patients report feeling an overwhelming sense of fatigue, as if they are wearing a leaden vest or carrying cinder blocks. Others find that their silent symptoms of MS — depression and brain fog — are among the most distressing.”

In late 2012, Correa developed a new and disturbing symptom: numbness on the left side of her body. Medication for high blood pressure seemed to solve the problem. But the tingling soon returned and grew more frequent and intense.

During one particularly virulent episode, Correa experienced facial numbness, blurred vision, lack of coordination and difficulty communicating. After visiting an urgent care center, she was sent to a neurologist who ordered a magnetic resonance imaging (MRI). This was followed by a second study, an MRI with contrast. In April 2013, after years of suffering and uncertainty, Correa finally had an answer and a diagnosis: multiple sclerosis.

The signs had all been there. And somewhere at the back of her mind, Correa had had a nagging feeling about what was really going on. “I’ve always been a little clumsy,” she says. “My friends would tease me about bumping into them when we walked. And there were other times when my leg just wouldn’t move, so I would just stand there leaning on the door frame chatting with my coworkers until the feeling returned.”

Early in her career as a nurse, she cared for a patient with MS. “She taught me a lot about the disease,” Correa recalls. “Around that time, Montel Williams was on a lot of TV programs talking about living with MS. I just put the pieces together.”

DAVID E. JONES, MD

For most people, a diagnosis of multiple sclerosis would be

is a neurologist at the James Q. Miller Multiple Sclerosis Clinic in UVA Health System.

devastating. For Correa, it proved to be mobilizing. “Not once did I ask, ‘God, why me?’ That is not my right,” she says. “And I always knew things could be worse. I could have had stage four brain cancer.”

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The same positive attitude permeates the rest of Correa’s life. She graduated from nursing school in 2010 to become a licensed professional nurse. This was no small feat — for two years, she commuted daily from Ruckersville to Richmond to care for her five children, all under the age of 12. But she’s now working toward her bachelor’s degree in nursing.

Two years after finishing nursing school, Correa accepted a new job and moved to Lynchburg — now in the role of a single parent. As if that weren’t enough, she added football coaching to her daily schedule.

“As a child, I was always a tomboy,” she admits. “I would much rather play football with the boys than jump rope with the girls. I started as the team mom, but after one day I just jumped in and helped coach the five- and six-year-olds.”

When she moved her family to Charlottesville in 2014, Correa continued to work as a nurse, to coach youth sports — and to struggle with her MS. “Not long after we moved, I had a serious relapse,” she recalls. “This time my right eye was involved, and I had four new lesions on my brain.” For three days, she visited the cancer center for infusion therapy — high doses of steroids. Then she dried her tears and headed to the football field for practice, where dozens of little boys fondly call her Coach Fe. “Fortunately, I have a great team caring for me. Dr. Kaitlyn Beisecker-Levin [Family Medicine of Albemarle] is my personal physician,” says Correa. “And UVA has a Multiple Sclerosis Clinic. My MS physician, Dr. [David] Jones, and the nurse practitioner, Denise Bruen, have seen me through some difficult times.” In October 2016, another relapse sent Correa back to the hospital and into intensive treatment as an outpatient.

Correa did experience a reprieve from her illness when she was pregnant with her sixth child, Christopher, now one year old. “During my pregnancy, I went into remission, and I actually felt normal the whole time,” says Correa. Unfortunately, after her baby was born, she relapsed.

But nothing could keep Correa down for long, and she renewed her efforts to turn her medical condition into a force for good. In addition to having started a support group for people with MS and their families, she is a district activist leader for the Virginia-West Virginia chapter of the National Multiple Sclerosis Society, where she gives motivational speeches and supports fundraising activities.

“When this season ends, I’ve decided to ‘retire’ from coaching and devote my time to supporting the MS Society,” she says. “In fact, my boyfriend, Charles Wells, is now training to become a volunteer activist as well.”

Correa even turned her passion for football into an opportunity to champion the cause of MS, when she was selected by the NFL and the Today Show as a finalist in the “Together We Make Football” contest.

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“I realized that I could use being on national TV as a way to increase awareness of MS,” says Correa. “As a coach, I teach all my players a simple motto: ‘One team, one sound.’ When we score, we all cheer together, in one voice. Now I have an opportunity to be that one voice that speaks for others who are battling MS.” Let’s speak out now. Let’s explore what MS is and the causes, symptoms, treatment options and strategies for dealing with this unpredictable disease.

Understanding Multiple Sclerosis

Felicia accepting the Make Your Mark Award from the Multiple Sclerosis Society with Paul Kingston and Jacquline Gibson.

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According to David E. Jones, MD, a neurologist at the James Q. Miller Multiple Sclerosis Clinic in the UVA Health System, MS is a progressive, “immunemediated” disorder. That means the immune system, which is designed to keep the body healthy, attacks the protective sheath of myelin that covers the nerve fibers, causing communication problems between the brain and the rest of the body. The nerves of the brain and spine and the optic nerves are damaged and can eventually be destroyed. Depending on where the nerve damage occurs, MS can affect vision, sensation, coordination, movement, and bladder and bowel control.

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Approximately 400,000 people are living with MS in the United States today, and 200 more are diagnosed every week. Although MS was discovered in 1868, its cause remains largely a mystery. Researchers know that the nerve damage is caused by inflammation, but the cause of the inflammation is still unknown.

Symptoms of MS The signs and symptoms of MS vary widely and depend on the degree of damage and which nerves are affected. Some people experience only mild fatigue and weakness, while others suffer from paralysis, vision loss, and diminished brain function. Some people have long periods of remission without any new symptoms.

“A number of my patients report feeling an overwhelming sense of fatigue, as if they are wearing a leaden vest or carrying cinder blocks,” says Dr. Jones. “Others find that their silent symptoms of MS — depression and brain fog — are among the most distressing.”

A variety of factors can increase your chances of developing multiple sclerosis, including the following: Age. MS can occur at any age, but it most often affects people between 15 and 60.

Sex.Women are about twice as likely as men to develop MS. Family history. If one of your parents or siblings has had MS, you are at a slightly higher risk of developing the disease.

Certain infections. A variety of viruses have been linked to MS, including Epstein-Barr, the virus that causes infectious mononucleosis.

Felecia, with former NFL star Brian Dawkins, after he presented her with the finalist trophy from the NFL and The Today Show’s “Together We Make Football” contest.

Symptoms of multiple sclerosis

include:

»

Numbness or weakness, typically on one side of the body

»

Partial or complete loss of vision

»

Tingling or electric-shock sensations

Climate. MS is far more common in temperate regions, including Canada, the northern United States, New Zealand, southeastern Australia, and Europe.

»

Weakness or fatigue

»

Vision problems

»

Pains and spasms

»

Slurred speech

Certain autoimmune diseases. You have a slightly higher risk of developing MS if you have thyroid disease, type I diabetes or inflammatory bowel disease.

» Tremor

Race. Caucasians, particularly those of Northern European descent, are at the highest risk of developing MS. People of Asian, African and Native American descent have lower risks.

Smoking. Smokers who experience an initial event of symptoms that may signal MS are more likely than nonsmokers to experience a second event that confirms relapsing-remitting MS.

»

Lack of coordination or unsteady gait

»

Balance problems or dizziness

»

Bladder and bowel issues

»

Sexual dysfunction

» Depression »

Cognitive problems

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Diagnosing MS “There may be a disconnect between how a person functions and how their MRI looks. To complicate matters further, not every spot on an MRI is a scar of MS. So when it comes to

According to the National Multiple Sclerosis Society, no single test can determine whether a person has MS, and accurate diagnosis is made even more difficult by the fact that its symptoms can be caused by a variety of other conditions.

Diagnosis thus begins with a complete medical history, a neurologic exam and various tests, which can include MRIs, electrical tests called evoked potentials (EP), spinal fluid analysis and blood tests. To properly diagnose MS, a doctor must • 1

Find evidence of damage in at least two separate areas of the central nervous system (CNS), which includes the brain, spinal cord and optic nerves

a chronic disease, and time may

• 2

Find evidence that damage occurred on occasions at least one month apart

allow diagnostic clarity as more

• 3

Rule out all other possible diagnoses.

achieving an accurate diagnosis of MS, time is our friend. MS is

symptoms develop and change..”

DAVID E. JONES, MD is a neurologist at the James Q. Miller Multiple Sclerosis Clinic in UVA Health System.

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Lesions — hardened areas (scars) where myelin has been damaged — appear on MRI scans and are evidence of MS. In fact, “multiple sclerosis” literally means “many scars.”

Dr. Jones offers a point of caution: “Scars that are seen on an MRI of the brain show issues with structure, but not function. Think of it this way — a car may be

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

shiny on the outside but not run well. Or it may look like a clunker but operate perfectly. Therefore, there may be a disconnect between how a person functions and how their MRI looks. To complicate matters further, not every spot on an MRI is a scar of MS. So when it comes to achieving an accurate diagnosis of MS, time is our friend. MS is a chronic disease, and time may allow diagnostic clarity as more symptoms develop and change.”

Course of the Disease The progression of multiple sclerosis is unpredictable. Most sufferers experience a “relapsing-remitting” disease course. That is, they have periods of relapse — also called exacerbations or flare-ups — when new damage in the brain or spinal cord disrupts nerve signals and new symptoms appear or old symptoms return. A true relapse must last more than 24 hours and occur at least 30 days after the last relapse. Relapses can vary in length and severity, and many people recover from them without treatment. Relapses are followed by periods of remission that can last for months or even years.

Some people with MS experience a gradual onset and steady progression of signs and symptoms without any relapses. This is known as primary-progressive MS. Sixty to seventy percent of people with relapsing-remitting MS eventually develop a steady progression of symptoms, with or without periods of remission.

This is known as secondary-progressive MS.

Treatment Options for MS At this time, multiple sclerosis has no cure. But some treatments can slow its progression and speed recovery from attacks. People with very mild symptoms sometimes do not require any treatment.

Make Sure to Watch Felicia’s

Together WeMake Football

story by NFL Films.

A heartwarming story on how football brings people together.

Three general types of medication are used to treat MS: those designed to modify the progression of the disease, to treat relapses when they occur, and to help MS patients manage their symptoms and improve their quality of life.

Disease-modifying treatments The U.S. Food and Drug Administration (FDA) has approved a number of drugs to slow the progress of MS and reduce the number of relapses. These include • Injectable medications:such as Avonex, Betaseron and Copaxone.

• Oralmedications: such as Aubagio, Gilenya and Tecfidera.

ScanHere to watch or find the link at our website www.ourhealthcville.com.

• Infused(IV)medications: such as Lemtrada and Tysabri.

Treating relapses MS relapses are caused by inflammation in the central nervous system that damages the myelin coating of nerve fibers. This damage slows or disrupts the www.OurHealthCville.com

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Local

multiple sclerosis

Resources

NationalMultiple SclerosisSociety Paul B. Kingston, MSSMC, MSCIR Manager, Program Implementation and Engagement

434.971.6844 www.nationalmssociety.org

WalkMS: Charlottesville2017 April 30th | Check-in opens at 1 pm Walk begins at 2 pm University Hall 300 Massie Road | Charlottesville, VA

To donate or join Felicia’s Walk MS Team, go to http://main.nationalmssociety. org/goto/OneTeamOneSound

Felicia V. Correa, LPN Walk MS Team Captain of Team Fe

MSOptions SupportGroup

transmission of nerve impulses and causes the symptoms of MS. Most relapses gradually resolve themselves without treatment.

For severe relapses (such as those involving loss of vision, severe weakness or poor balance), most neurologists recommend treatment with corticosteroids. The most common treatment is a three- to five-day course of high-dose intravenous corticosteroids to reduce inflammation and end the relapse more quickly. This treatment may be followed by oral prednisone.

Managing symptoms Physicians prescribe a wide variety of medications to address the equally varied symptoms of MS, which include depression, pain, infections, stiffness, spasms, bladder and bowel problems, sexual dysfunction, dizziness and vertigo.

“The average cost for MS medications can range from $65,000 to $85,000 per year — depending on if the medication is a brand name or generic,” says Dr. Jones. “Fortunately, many of the pharmaceutical companies provide medication assistance to individuals who don’t have medical coverage.”

Living with MS A number of strategies can help individuals coping with MS maintain their health and improve their quality of life.

• Getplentyofrest.

• Stay cool. MS symptoms often worsen when your body temperature rises. Avoiding heat and using devices such as cooling scarves can be helpful.

MSLunchBunch

• Exercise.People with mild to moderate MS are likely to find that regular exercise improves their strength, muscle tone, balance and coordination.

Swimming and other water exercises are good options for individuals bothered by heat. Mild to moderate exercises recommended for people with MS also include walking, stretching, low-impact aerobics, stationary bicycling, yoga and tai chi.

Fourth Thursday of each month from 11:30 a.m.-1 pm Martha Jefferson House 1600 Gordon Avenue | Charlottesville, VA

• Eat a balanced diet. While research is still being conducted on the best diet for people with MS, the National MS Society offers some basic guidelines.

Second Tuesday of each month from noon-1 pm Meadows Presbyterian Church 2200 Angus Road | Charlottesville, VA Contact: Lisa | 434.296.5964

Contact: Kitty | 434.293.3573

»

Limit your sugars and processed foods.

CharlottesvilleMS SupportGroup

»

Eat more fruits and vegetables.

»

Consume adequate fiber and fluids.

First Tuesday of each month

»

Choose lean sources of protein (such as chicken, fish and turkey).

»

Choose healthy fats (polyunsaturated fats from seeds, nuts and vegetable oils).

»

Some studies also suggest that vitamin D is beneficial for people with MS.

from 6:30–8 pm UVA HealthSouth Rehabilitation Hospital 515 Ray C Hunt Drive | Charlottesville, VA Contact: Felicia | 1.800.FightMS fgarcia1283@aol.com

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• Relieve stress. Stress can trigger or worsen signs and symptoms of MS. Yoga, tai chi, massage, meditation or deep breathing may help.

• Balance your gut flora. About 100 trillion bacteria live in your intestinal tract —your gut. These essential bacteria contribute to digestion and support your immune system. A relatively new line of thinking suggests that balancing the bacteria in the gut through diet and supplemental probiotics might benefit people with MS. Additional research may shed further light on this approach.

• Seek support. Living with any chronic illness can be difficult. Some ways to cope with the challenges of MS are staying connected to friends and family, joining support groups, and sharing feeling and concerns with a doctor or counselor.

“In supporting my patients with MS, I always remind them that every little symptom that appears does not mean they are having a relapse. It may or may not be related to their MS. And I encourage them to remember they are individuals who have multiple sclerosis; they are not their disease,” advises Dr. Jones.

Correa is a great example of this philosophy — she refuses to allow her MS to define her. In fact, she has turned her medical condition into an opportunity to do good for others. Go Coach Fe! Expert Contributor David Jones, MD, neurologist, James Q. Miller Multiple Sclerosis Clinic, UVA Health System.

ON THE WEB

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read this edition of

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Save the Date:

Girls on the Run of Central Virginia 5k When: Sunday April 30th Pre-race activities begin at 12:30 pm Race start time, 2 pm Where: St. Anne’s-Belfield Learning Village

799 Faulconer Road | Charlottesville *Early bird registration through March 31st. For more information and to register, visit www.girlsontheruncenva.org.

Photos courtesy of Brian Neumann.

UVA’s Club Running Team was the recent host of the Girls on the Run 5k benefit run in Charlottesville.

This marks the third year of the 5k run that benefits the local chapter of Girls on the Run. Girls on the Run is a national, non-profit organization that uses running as a tool to inspire and motivate girls, encouraging health and fitness.

It teaches 3rd-8th grade girls the power of goal-setting and self-confidence through an after-school training program culminating in a celebration 5k. All proceeds from the recent 5k will go directly to the local Charlottesville chapter of Girls on the Run. The host, UVA’s Club Running Team, is a non-Varsity running club that competes in cross country and track at the collegiate level. The club participates in official national and regional races through the National Intercollegiate Running Club Association (NIRCA). The co-ed team is open to all full-time undergraduate and graduate students regardless of skill level.

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“My biggest accomplishment has been a newfound fitness confidence. Thanks to acac’s motivating trainers and amazing group classes, I’ve pushed beyond my old fitness comfort zone.

I’ve tried new classes, increased my strength and flexibility, and actually love working out.”

Sarah Dawkins

of Charlottesville, Virginia

BUILDING

CORPORATE STRENGTH Finding confidence through a non-traditional workplace benefit. words | TINA JOYCE

Vacation days, health benefits and paid holidays seem like the most sought-after corporate perks. However, a growing trend reveals that corporate wellness programs are providing big rewards — both for employers and employees.

A corporate wellness program is any program that is implemented by an employer to improve the health and/or fitness of its employees. The City of Charlottesville has participated in a corporate wellness partnership with acac, a regional health and fitness facility, for over 25 years to help promote healthy lifestyles for their employees.

The City employees of Charlottesville must complete paperwork with both human resources and acac. Then, eligible employees appear on a monthly list issued to acac to receive discounted rates and a subsidy offered through the City. City employees are required to visit acac at least eight times per quarter to maintain the benefit. acac gives the city continuous access to attendance records and also offers quarterly updates and reports, according to Terry Lynch, the corporate wellness director at acac Fitness and Wellness.

After recognizing the tangible and intangible benefits of fitness partnerships, the City of Charlottesville became one of acac’s first corporate partners.

“Approximately 25.5 percent of our eligible employees participate in the gym reimbursement program. Eligible employees include both current benefiteligible and eligible retirees of the City of Charlottesville,” explains Sara Simoneau, PHR, SHRM-CP, the human resource program coordinator for the City of Charlottesville.

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City employees may choose from an approved list of health club facilities that the City partners with each year. Supporting employees’ health initiatives through giving choices is an important aspect of the City’s wellness program.

Simoneau also shares that improved employee morale and interaction among peers are other benefits to companies that arise from participating in such programming.

“Having that sense of health competition in the workplace has allowed me to meet co-workers throughout the organization that I may not have had the chance to otherwise. I’ve also found that the energy obtained from living a healthy lifestyle translates positively into our work life.”

FOR MORE INFORMATION

about corporate health and wellness programs at acac, contact Terry Lynch at: terryl@acac.com or visit www.acac.com

“Our number one goal is to be a true wellness partner and advocate the programs and activities needed to improve employee health and wellbeing along with providing the motivation and guidance to succeed."

- Terry Lynch Wellness Director at acac Fitness and Wellness in Charlottesville

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“My biggest accomplishment has been a newfound fitness confidence. Thanks to acac’s motivating trainers and amazing group classes, I’ve pushed beyond my old fitness comfort zone.

I’ve tried new classes, increased my strength and flexibility, and actually love working out,” says Sarah Dawkins, the facilities development for the City of Charlottesville. acac has several tiers of wellness programming. “Through our corporate partnerships, acac offers companies the ability to receive discounted rates for their employees by offering payroll deductions and/or a monthly subsidy. acac provides our corporate partners access to several tiers of wellness programs.

Our two 60-day programs for $60 offer activities and programs accommodating to all, regardless of their level of fitness,” says Lynch.

Often, health and fitness clubs are much more than gyms; they are communities that offer encouragement, support and incentives to lead a healthy lifestyle. Healthier individuals are less likely to call in sick for work and more likely to enjoy their day-to-day responsibilities. Additionally, research shows that individuals who complete at least 30 minutes of aerobic exercise four to five times per week have the lowest medical and pharmacy costs, according to the 2016 December Journal of Occupational and Environmental Medicine.

Employees taking advantage of corporate wellness programs also relieve stress. Lynch explains, “Our number one goal is to be a true wellness partner and advocate of the programs and activities needed to improve employee health and wellbeing along with providing the motivation and guidance to succeed.”

Acac currently has over 200 corporate partners in Charlottesville alone. “By continuing to provide programs like P.R.E.P. and Healthy Start along with software platforms like WELLD, acac can continue being a wellness partner of choice for years to come,” says Lynch.

There are direct and indirect advantages for companies choosing to offer corporate wellness memberships as a benefit to their employees — advantages such as having happier, healthier and more productive team members. It’s more than just giving and gaining a monetary benefit: It’s about building health and confidence.

SARA SIMONWAU, PHR, SHRM-CP

is the human resources program coordinator for the City of Charlottesville.

EXPERT CONTRIBUTERS Terry Lynch is the corporate wellness director at acac Fitness and Wellness in Charlottesville.

Sara Simonwau, PHR, SHRM-CP is the human resources program coordinator for the City of Charlottesville.

ON THE WEB

TERRY LYNCH

is the corporate wellness director at acac Fitness and Wellness in Charlottesville.

More at ourhealthcville.com

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Tricia Foley’s

QUINOA SALAD (4 servings)

Salad Ingredients 1 1 2 ¼ ¾ ½ ½ ½ ¼

tablespoon olive oil cup Quinoa cups low sodium chicken stock cup chopped flat-leaf parsley teaspoon chopped rosemary leaves teaspoon chopped thyme leaves medium green apple, diced cup fresh blueberries cup slivered almonds, toasted

Salad Directions

In a medium pan, heat the olive oil on medium-high heat. Add the quinoa and stir occasionally until light brown (3-5 minutes). Add chicken stock and allow to boil. Simmer for about ten minutes or until liquid is gone. Pour the quinoa into a large bowl and set aside. Add the parsley, herbs, apple, blueberries and almonds to the quinoa.

Dressing Ingredients ¼ 3 ½ ½ 2

cup apple cider vinegar tablespoons honey teaspoon salt teaspoon black pepper tablespoons olive oil

Dressing Directions

In a small bowl, combine vinegar, honey, salt and pepper, then stir in oil until smooth. Pour over the couscous to coat evenly.

Source: www.foodnetwork.com

46

»

Quinoa offers a healthy dose of fiber and fewer refined carbohydrates than other typically used ingredients, like couscous.

»

If a recipe calls for dry fruit, try using fresh fruit instead. Dried fruits usually lack the free water and fiber of whole fruit and are concentrated in sugar.

»

Try replacing sugar with honey in your next dressing recipe!

When replacing, use equal amounts of honey for sugar up to one cup.

Nutrition

(Nutrition per serving) 200 calories, 6 grams fat, 2 grams saturated fat, 260 milligrams sodium, 12.4 grams carbohydrate, 3 grams fiber and 21.1 grams protein.

Tricia Foley’s

ORANGE ROUGHY WITH CITRUS SAUCE Ingredients

(4 servings)

1 pound orange roughy fillets ½ cup reduced fat milk ¼ teaspoon salt 1/3 cup whole wheat flour 1 ½ tablespoon olive oil 1 tablespoon minced garlic 3 tablespoons lime juice

Directions

2 1 1 2 1/2 1

tablespoons lemon juice tablespoon orange juice tablespoon chopped parsley tablespoons green onion, thinly sliced tablespoon butter tablespoon reduced fat milk

Soak fish in milk for ten minutes. Remove, sprinkle with salt and dredge in whole-wheat flour. Heat two tablespoons oil in a frying pan over medium-high heat. Cook fish until golden brown, then flip and allow other side to cook until golden brown. Remove fish and set aside. Wipe pan clean. Reduce heat to low and add remaining oil and garlic. Allow garlic to cook for thirty seconds, and then add the lime, lemon and orange juice as well as parsley and onion.

Finally add butter and one tablespoon milk and mix until creamy. Pour over fish to serve.

»

Eat more fish! Besides being a healthy source of protein, fish is an excellent source of Omega-3 acids, widely considered to be beneficial in promoting cardiovascular health.

»

Whole wheat flour is higher in fiber than white flour and may help reduce your risk of heart disease and Type 2 diabetes, and help control blood sugar if you already have diabetes.

»

If a recipe calls for vegetable oil, try swapping it out for olive oil.

Using olive oil increases heart healthy fats while limiting the amount of saturated fat in a dish.

Source: www.allrecipes.com www.OurHealthCville.com

47

Tricia Foley’s

YOGURT PARFAIT Ingredients 4 1 1 2

(4 servings)

cups plain Greek yogurt cup blueberries cup strawberries ounces pecans

Directions

2 2

tablespoons honey teaspoons vanilla extract Cinnamon to taste

Divide the yogurt into four separate bowls so that there is a cup of yogurt in each bowl. Then, in each bowl, mix in one half teaspoon vanilla extract. Add one-fourth cup blueberries, one-fourth cup strawberries and one-half ounce pecans (approximately eight nuts) into each bowl. Finally drizzle one-half tablespoon of honey and sprinkle cinnamon over each serving of parfait. Enjoy!

»

Greek yogurt is filled with great probiotics.

These healthy bacteria help promote a healthy gut!

»

Pecans are high in healthy monounsaturated fat and just a handful a day can lower “bad” cholesterol and keep you feeling satisfied longer.

»

Cinnamon is one of the healthiest spices on earth! It can lower blood sugar levels, reduce heart disease risk factors and is a high source of antioxidants.

Nutrition

(Nutrition per serving) 286 calories, 10 grams fat, .5 grams saturated fat, 0 milligrams sodium, 20.5 grams carbohydrate, 21 grams sugar, 3 grams fiber and 23 grams protein.

48

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B R O U G H T TO Y O U B Y

ORAL HEALTH RESOURCE GUIDE

COSMETIC DENTISTRY

Charlottesville Sedation Dentistry Charlottesville | 434.923.0303

A. B. Hammond, PC Lexington | 540.463.7744

Children's Denistry With a Mother's Touch Charlottesville | 434.817.5437

Aesthetic Dentistry of Charlottesville Charlottesville | 434.984.3455 Alan J. White, DDS Staunton | 540.886.1979 Albemarle Dental Associates Charlottesville | 434.293.8944 Bearley Dental, PC Charlottesville | 434.296.8034 Benegal Paige, Sr, DDS Charlottesville | 434.977.1206

Children's Dentistry of Charlottesville Charlottesville | 434.260.6836 Clarke & Farmer, DDS, Ltd Charlottesville | 434.396.8043 Community Dental Center Charlottesville | 434.293.9300 Crowder Comprehensive Dentistry Waynesboro | 540.943.5211

Fraites Dental Charlottesville | 434.293.4053 Frank D. Barberio, DMD, PC Charlottesville | 434.296.3941 Frank D. Jones, DDS Charlottesville | 434.973.7695

John J. Lacy Jr, DDS Waynesboro | 540.943.8476

Gary M. Vaughan, DDS Lexington | 540.463.6579

John S. Lyon, DDS, Inc. Charlottesville | 434.973.2968

George Tisdelle Charlottesville | 434.295.6880

Katie Adams, DDS, PC Staunton | 540.887.3305

Gilrain & Brooks, DDS Charlottesville | 434.977.7080

Larry Brannon, DMD, MAGD Charlottesville | 434.974.4555

Greene Comprehensive Family Dentistry Charlottesville | 434.985.1052

Lee Family Dentistry Charlottesville | 434.293.9916 Lisa Tatum, DDS Waynesboro | 540.943.0973

Crozet Family Dentistry Charlottesville | 434.823.1274

Gregory L. Whitmer, DDS, PLC Charlottesville | 434.295.9747

Magnolia Dental Corporation Waynesboro | 540.943.2723

David & Rebecca Swett, DDS, PC Charlottesville | 434.979.3940

Hal M. Lippard, DDS Charlottesville | 434.293.9311

Mark C. Young Dentistry Charlottesville | 434.979.1365

Bowman Family Dentistry Waynesboro | 540.943.8545

David G. Dalley, DDS Charlottesville | 434.296.8034

Heather Ballentine, DDS Charlottesville | 434.817.1817

Marvin J. Franger, Jr, DDS, PC Charlottesville | 434.977.6808

Bream Family Dental Care Waynesboro | 540.949.7246

Dentistry by Design Charlottesville | 434.975.6181

Heidi S. Sherman, DDS Lexington | 540.464.3700

Michael E. Stout, DDS Waynesboro | 540.949.8053

Browning & Cunningham Family Dentistry Waynesboro | 540.943.4215

Diane P. Chalders, DDS Waynesboro | 540.943.9703

Hillcrest Dental Charlottesville | 434.973.2224

Michael J. Tisdelle, DDS Charlottesville | 434.977.4101

DJ Bickers, DDS, PLC Charlottesville | 434.984.6400

Hollymead Dental Arts Charlottesville | 434.973.4649

Douglas R. Phillips, DDS Charlottesville | 434.973.5873

Horbaly Orthodontics Charlottesville | 434.973.6542

Dr. Jack T. Kayton Family & Cosmetic Dentistry Charlottesville | 434.977.3939

Ivy Dental Charlottesville | 434.270.0304

Parrott Orthodontics Staunton | 540.949.6600

James R. Cooke, Jr, DDS Staunton | 540.866.6363

Piedmont Pediatric Dentistry Charlottesville | 434.973.4344

Jeff Bang, DMD, PC Staunton | 540.885.8667

R E Wilkerson, DDS Charlottesville | 434.296.4012

Jody Yeargan Family Dentistry Charlottesville | 434.973.0364

Richard R. Hull, DMD Lexington | 540.463.5241

John Daniel Roller, DDS Waynesboro | 540.943.1114

Richard S. Mansfield, DDS Waynesboro | 540.943.2859

John E. Boyles, DDS Staunton | 540.886.3261

Robert C. Hull, DDS, PC Lexington | 540.463.3826

John H. Knight, Jr, DDS & Associates Charlottesville | 434.293.9793

Robert L. Binda, Jr, DDS Waynesboro | 540.942.2775

Blue Ridge Family Dentistry Charlottesville | 434.296.5250

Buena Vista Family Dentistry, PC Buena Vista | 540.261.2284 Campbell Pegi, DDS Buena Vista | 540.261.7723 Chalres Wayne Wallce, DDS Staunton | 540.885.3060 Charlottesville Blue Ridge Dental Charlottesville | 434.978.1511 Charlottesville Dental Health Partners Charlottesville | 434.973.4355 Charlottesville Dental Medicine at Forest Lakes Charlottesville | 434.974.6492 Charlottesville Pediatric Dentistry Charlottesville | 434.975.7336

Drs. Downey & Devening, PC Lexington | 540.463.2134 Drs. Remington & Stover Charlottesville | 434.973.7744 Edward Ross Testerman, DDS Staunton | 540.885.1631

Ellis Taylor, DDS Charlottesville | 434.296.7459 Forest Lakes Dental Charlottesville | 434.964.0088

Parker & Friedlander Dentistry Charlottesville | 434.973.2520

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ORAL HEALTH

B R O U G H T TO Y O U B Y

RESOURCE GUIDE

Valley Denture Care Staunton | 540.885.1296

COSMETIC DENTISTRY CONTINUED...

Robert E. Grover, DDS Charlottesville | 434.973.1221 Robery Clyde Wilson, DDS, PC Waynesboro | 540.943.7077 Rockbridge Area Health Center Lexington | 540.464.8700 Ronald D. Laub, DDS Lexington | 540.663.4332 Sapon & Swisher Dental, PLLC Charlottesville | 434.973.1222 Simon K. Boyadjian, DMD, MScD, PC Charlottesville | 434.971.4013

South River Family & Cosmetic Dentistry 1305 13th Street, Suite D-2 Waynesboro | 540.943.1555 www.southriversmiles.com

Wesley B. Haddix, DDS Charlottesville | 434.973.4649 William A. Grupp II, DDS, PC Charlottesville | 434.973.7011 William B. Hanna, DDS Staunton | 540.886.7012 William C. Berbes, PC Waynesboro | 540.949.8550

ENDODONTICS Albemarle Dental Associates Charlottesville | 434.293.8944 Buena Vista Family Dentistry Buena Vista | 540.261.2284 Daniel & Ellen Kelly, DMD Charlottesville | 434.977.4592

Starns & Wood Comprehensive Dentistry Charlottesville | 434.973.1392

Staunton Dental Care

David & Rebecca Swett, DDS, PC Charlottesville | 434.975.7336

Bream Family Dental Care Waynesboro | 540.949.7246

David G. Dalley, DDS Charlottesville | 434.296.8034

Browning & Cunningham Family Dentistry Waynesboro | 540.943.4215 Buena Vista Family Dentistry, PC Buena Vista | 540.261.2284 Campbell Pegi, DDS Buena Vista | 540.261.7723 Charles W. Wallace, DDS Staunton | 540.885.3060 Charlottesville Blue Ridge Dental Charlottesville | 434.978.1510 Charlottesville Dental Care Charlottesville | 434.973.6386

David J. Coon, DDS, PC Charlottesville | 434.973.4301

Charlottesville | 434.973.4355

John H. Helleberg, DMD, MS Charlottesville | 434.973.4301

GENERAL DENTISTRY Aesthetic Dentistry of Charlottesville Charlottesville | 434.984.3455 Alan J. White, DDS Staunton | 540.886.1979

Staunton | 540.885.2000

Albemarle Dental Associates Charlottesville | 434.293.8944

The Community Dental Center Charlottesville | 434.293.9300

Bearley Dental, PC Charlottesville | 434.296.8034

Tore D. Steinberg, DDS Charlottesville | 434.973.9294

Benegal Paige, Sr, DDS Charlottesville | 434.977.1206

54

Bowman Family Dentistry Waynesboro | 540.943.8545

Charlottesville Dental Health Partners

Robert E. Grover, DDS Charlottesville | 434.973.1221

South Side Dental Center Charlottesville | 434.984.8828

Crozet Family Dentistry Charlottesville | 434.823.1274

David & Rebecca Swett, DDS, PC Charlottesville | 434.979.3940

Piedmont Endodontics Charlottesville | 434.260.7025

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Charlottesville Dental Medicine at Forest Lakes Charlottesville | 434.974.6492 Charlottesville Pediatric Dentistry Charlottesville | 434.975.7336 Charlottesville Sedation Dentistry Charlottesville | 434.923.0303 Staunton | 540.885.5050 Children's Denistry With a Mother's Touch Charlottesville | 434.817.5437 Children's Dentistry of Charlottesville Charlottesville | 434.260.6836 Clarke & Farmer, DDS, Ltd Charlottesville | 434.396.8043 Community Dental Center Charlottesville | 434.293.9300 Crowder Comprehensive Dentistry Waynesboro | 540.943.5211

Dentistry by Design Charlottesville | 434.975.6181 Diane P. Chalders, DDS Waynesboro | 540.943.9703 DJ Bickers, DDS, PLC Charlottesville | 434.984.6400 Douglas R. Phillips, DDS Charlottesville | 434.973.5873 Drs. Downey & Devening, PC Lexington | 540.463.2134 Drs. Remington & Stover Charlottesville | 434.973.7744 Edward Ross Testerman, DDS Staunton | 540.885.1631 Ellis Taylor, DDS Charlottesville | 434.296.7459 Forest Lakes Dental Charlottesville | 434.964.0088 Fraites Dental Charlottesville | 434.293.4053 Frank D. Barberio, DMD, PC Charlottesville | 434.296.3941 Frank D. Jones, DDS Charlottesville | 434.973.7695 Gary M. Vaughan, DDS Lexington | 540.463.6579 George Tisdelle, DDS Charlottesville | 434.295.6880 Gilrain & Brooks, DDS Charlottesville | 434.977.7080

Greene Comprehensive Family Dentistry Charlottesville | 434.985.1052 Gregory L. Whitmer, DDS, PLC Charlottesville | 434.295.9747

WHICH TYPE OF DENTIST SHOULD I VISIT? COSMETIC DENTIST Cosmetic dentistry refers to any dental work that improves the overall aesthetic of the teeth and gums. There are a number of procedures that a cosmetic dentist can perform, including laser teeth whitening, tooth reshaping and bonding veneers.

ENDODONTIST Endodontists are dentists who maintain oral health through the soft inner tissue of the teeth, which is referred to as the “pulp.”

They mostly specialize in root canals; if you have a bad cavity and you’ve been told that you need a root canal, you’ll need to visit the endodontist for this simple procedure.

GENERAL DENTIST The general dentist is the one you’ll want to see first to get an accurate diagnosis and referral, especially if you haven’t had a dental visit in a while. General dentists can provide routine cleanings (recommended every six months), fill cavities and refer you to another dental specialist if needed.

ORAL SURGEON Oral and maxillofacial surgeons treat injuries, diseases and defects in the jaws, face, head, neck and oral and maxillofacial tissues. You’ll need to visit the oral surgeon for procedures like the removal of wisdom teeth or the integration of dental implants.

ORTHODONTIST An orthodontist is a specialist who deals with the diagnosis, prevention and correction of teeth alignment and the jaws.

Orthodontists typically use devices such as braces or retainers to fix the alignment of the teeth and jaw.

PEDIATRIC DENTIST A pediatric dentist is a general dentist who specializes in children from birth to adolescence. It’s important to start dental visits six months after the first tooth develops or by the child’s first birthday.

PERIODONTIST A periodontist is a dentist who specializes in preventing gum disease and placing dental implants in the gums. They assess the condition of the gums and take X-rays to determine the condition of the bone below the gum line. If you’ve been told that you have gum disease, you’ll need to visit the periodontist for assessment and cleaning.

PROSTHODONTIST A prosthodontist is an expert in the replacement and restoration of teeth. They specialize in creating a smooth and beautiful smile through the use of bridges, crowns and partial or full dentures. If you’ve lost a few teeth due to an accident or simply as part of the aging process, you’ll want to consult a prosthodontist to restore your smile.

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WHY IS A HEALTHY MOUTH GOOD FOR YOU? Why is it so important to practice good dental hygiene?

The answer is that your dental health is critical for the overall health of your body. Poor dental conditions can lead to serious health problems, such as stroke, heart disease, preterm labor and poorly controlled diabetes.

Here is a short primer on major medical issues that can arise from inadequate dental hygiene.

CARDIOVASCULAR INFECTION When bacteria get into the bloodstream, they can spread to your heart and cause endocarditis, which is a very serious infection of the heart lining and valves. If you have a strong immune system, this condition is quite rare. However, if your immune system has been lowered by HIV/AIDS, chemotherapy or type 2 diabetes, endocarditis can be a major risk that accompanies gingivitis.

STROKE There’s a host of growing evidence that gingivitis can raise your risk for blood clots and stroke. Bacteria in the mouth can move to the heart, inflaming the arteries and resulting in plaque breaking off to cause a heart attack or stroke. There is a direct correlation between the severity of gingivitis and the amount of carotid artery plaque.

TYPE 2 DIABETES While poor oral hygiene can’t directly cause type 2 diabetes, it can certainly aggravate it.

Diabetics are at a higher risk of developing gum disease due to high blood sugar, which provides ample nutrition for bacteria to grow.

Chronic gum disease (or any type of infection) can cause insulin resistance, knocking your blood sugar levels off balance and making your diabetes more difficult to control.

PRETERM LABOR Periodontal disease can raise your risk of preterm delivery or low infant birth rate.

According to the National Institute of Dental and Craniofacial Research, 18 percent of preterm and low birth weight cases in the United States every year may be caused by oral infections. Oral bacteria can release toxins into the mother’s bloodstream and therefore the placenta, which can interfere with the fetus’s development and growth.

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GENERAL DENTISTRY CONTINUED...

Hal M. Lippard, DDS Charlottesville | 434.293.9311 Heather Ballentine, DDS Charlottesville | 434.817.1817 Heidi S. Sherman, DDS Lexington | 540.464.3700 Hillcrest Dental Charlottesville | 434.973.2224 Hollymead Dental Arts Charlottesville | 434.973.4649 Horbaly Orthodontics Charlottesville | 434.973.6542 Ivy Dental Charlottesville | 434.270.0304 James R. Cooke, Jr, DDS Staunton | 540.886.6363 Jeff Bang, DMD, PC Staunton | 540.885.8667

Jody Yeargan Family Dentistry Charlottesville | 434.973.0363 John Daniel Roller, DDS Waynesboro | 540.943.1114 John E. Boyles, DDS Staunton | 540.886.3261 John H. Knight, Jr, DDS & Associates Charlottesville | 434.293.9793 John J. Lacy Jr, DDS Waynesboro | 540.943.8476 John S. Lyon, DDS, Inc. Charlottesville | 434.973.2968 Katie Adams, DDS, PC Staunton | 540.887.3304 Larry Brannon, DMD, MAGD Charlottesville | 434.974.4555 Lee Family Dentistry Charlottesville | 434.293.9916 Lisa Tatum, DDS Waynesboro | 540.943.0973

Magnolia Dental Corporation Waynesboro | 540.943.2723 Mark C. Young Dentistry Charlottesville | 434.979.1365

Marvin J. Franger, Jr, DDS, PC Charlottesville | 434.977.6808 Michael E. Stout, DDS Waynesboro | 540.949.8053 Michael J. Tisdelle, DDS Charlottesville | 434.977.4101 Parker & Friedlander Dentistry Charlottesville | 434.973.2520 Parrott Orthodontics Staunton | 540.949.6600

Piedmont Pediatric Dentistry Charlottesville | 434.973.4344 R E Wilkerson, DDS Charlottesville | 434.296.4012 Richard R. Hull, DMD Lexington | 540.463.5241 Richard S. Mansfield, DDS Waynesboro | 540.943.2859 Robert C. Hull, DDS, PC Lexington | 540.463.3826 Robert E. Grover, DDS Charlottesville | 434.973.1221 Robert L. Binda, Jr, DDS Waynesboro | 540.942.2775 Robert Clyde Wilson, DDS, PC Waynesboro | 540.943.7077 Rockbridge Area Health Center Lexington | 540.464.8700 Ronald D. Laub, DDS Lexington | 540.663.4332 Sapon & Swisher Dental, PLLC Charlottesville | 434.218.1777

Simon K. Boyadjian, DMD, MScD, PC Charlottesville | 434.971.4013

South River Dental, PLLC Waynesboro | 540.943.1222 Charlottesville | 434.984.8828 Starns & Wood Comprehensive Dentistry Charlottesville | 434.973.1392 Staunton Dental Care Staunton | 540.885.2000 The Community Dental Center Charlottesville | 434.293.9300 Tore D. Steinberg, DDS Charlottesville | 434.973.9294 Valley Denture Care Staunton | 540.885.1296 Wesley B. Haddix, DDS Charlottesville | 434.973.4649 William A. Grupp II, DDS, PC Charlottesville | 434.973.7011 William B. Hanna, DDS Staunton | 540.886.7012 William C. Berbes, PC Waynesboro | 540.949.8550

ORAL & MAXILLOFACIAL SURGERY Albemarle Dental Associates Charlottesville | 434.293.8944 Blue Ridge Oral & Maxillofacial Surgery Fishersville & Lexington 540.886.2956

Central Virginia Oral & Facial Surgeons, PLC Charlottesville | 434.973.3348 Central Virginia Oral Surgery Charlottesville | 434.973.3348 Charlottesville Oral Surgery & Dental Implant Center Charlottesville | 434.295.0911 Collins R Jonas, DMD Waynesboro | 540.975.4200 Tonu Thomas Kangur, DDS Charlottesville | 434.973.3348

William C. Beigelow, DDS Staunton | 540.213.8750

ORTHODONTICS A. B. Hammond, PC Lexington | 540.463.7744 Ashley Orthodontics Staunton | 540.885.6815

Charlottesville Orthodontics 1101 E. Jefferson Street Charlottesville 434.971.9601 70 Jefferson Court Suite 100 | Zion Crossroads 540.832.6630 229 Connor Drive Hollymead 434.245.9601 charlottesvilleorthodontics.com

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Fraites Dental Charlottesville | 434.293.4053 Hamer & Hamer Orthodontics Charlottesville | 434.218.1664 Inouye Orthodontics Charlottesville | 434.975.7435 Invisalign: Lehew Richard, DDS Charlottesville | 434.296.0188 Pantops Orthodontists Charlottesville | 434.984.1817 Parrott Orthodontics Staunton | 540.949.6600

Suzanne M. Dennis, DDS, MD, PC Charlottesville | 434.973.4446 www.OurHealthCville.com

57

ORTHODONTICS CONTINUED...

Vincent E. Mascia, DDS Charlottesville | 434.977.4909

MAKE SURE YOU VISIT THE

PEDIATRIC DENTISTRY Albemarle Dental Associates Charlottesville | 434.293.8944

WEBSITE TO LEARN MORE ABOUT HOW YOU CAN BETTER PROTECT YOUR FAMILY'S ORAL HEALTH!

SCAN HERE

OR VISIT THEIR WEBSITE, www.deltadentalva.com

Brian T. Brumbaugh, DDS & Mark A Shaw, DMD Pediatric Dentistry 15 Gosnell Crossing Staunton | 540.213.2244 www.cavityfreekid.com

Darlene Nicoletti, DDS Charlottesville | 434.529.8885 David L. Krese, DDS Charlottesville | 434.971.8159

PROSTHODONTICS Albemarle Dental Associates Charlottesville | 434.293.8944 Buena Vista Family Dentistry Buena Vista | 540.261.2284

Jody Yeargan Family Dentistry Charlottesville | 434.973.0365 John G. Wall, DDS Charlottesville | 434.977.9836 Pantops Prosthodontics, PLC Charlottesville | 434.977.9836

ON THE WEB SEE AD ON PAGE 55

More at ourhealthcville.com

Buena Vista Family Dentistry Buena Vista | 540.261.2284

Charlottesville Pediatric Dentistry Charlottesville | 434.975.7336 Forest Lakes Dental Charlottesville | 434.964.0088

Make sure to visit the

Fraites Dental Charlottesville | 434.293.4053 Piedmont Pediatric Dentistry Charlottesville | 434.973.4344 Sapon & Swisher Dental, PLLC Charlottesville | 434.218.1777

website for even more health resources!

PERIODONTICS Albemarle Dental Associates Charlottesville | 434.293.8944 Angel K. Ray, DDS Waynesboro | 540.943.5389 Daniel & Ellen Kelly, DMD Charlottesville | 434.977.4592

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SCAN HERE or visit us at ourhealthcville.com