OurHealth Charlottesville & Shenandoah Valley May/Jun 2016 Edition by OurHealth Media LLC

table of contents | may • june 2016

GET HEALTHY. STAY HEALTHY.

In the following pages of OurHealth Charlottesville and Shenandoah Valley you will find the OurHealth Guide to Care for Men. This information may be the difference in helping you live your fullest and happiest life.

MEDI•CABU•LARY.......................8 Local experts define health-related terms

JUST ASK!.......................................10 Healthcare questions answered by local professionals

NEW & NOTEWORTHY.............12 A listing of new physicians, providers, locations and upcoming events in the Shenandoah Valley and Charlottesville communities

HEALTH POINTS.........................16 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE..................................19 Are you up for the challenge? In this issue, test your knowledge when it comes to the MEDICAL SPECIALTIES.

Part II of OurHealth’s four-part series looks at how students and their families can evaluate and choose the right undergraduate school to best prepare them for their healthcare specialty, and how to achieve success as an undergrad.

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

42 re Ca r u o re Y Sha This article, the third in a yearlong OurHealth series about primary care, will focus on just that â&#x20AC;&#x201D; share your care. Weâ&#x20AC;&#x2122;ll delve into your part of the patient-physician partnership.

hello, HEALTH!.............................. 30

HealthyEats Check out some of OurHealth's favorite spring recipes including Berry Spinach Salad with Raspberry Vinigerette, Honey Ginger Persian Lime Salmon and Lemon Pound Cake.

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

FIT BITS!........................................ 41 WHAT'S THE DEAL WITH KETTLEBELLS?

Deidre Wilkes, OurHealth's resident fitness specialist, shares the many training benefits of using kettlebells.

CLOSER LOOK.............................. 58 Images reflecting the landscape of healthcare in the Shenandoah Valley and Charlottesville * PLUS * a chance to win prizes!

52 To help you keep track of the various healthcare and healthcare-related recognition days throughout the year, OurHealth has organized a handy calendar of all 2016 observances.

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may • june 2016

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CONTRIBUTING MEDICAL EXPERTS Jeffrey Alexander, MD David H. Balaban, MD, FACG, AGAF Jamieson Bourque, MD, MHS Meg Crook, MD Joe DiGirolamo, OD Deborah Elder, MD

Tammy Garber, AuD George Godette, MD Edward Hemphill, MD William Jones, MD Ami Keatts, MD, FACOG, CPPS

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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 © 2016 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. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S

“

Cervical dysplasia is diagnosed in three different forms: mild, moderate and severe. Mild dysplasia is common in young women (under the age of 25) and can go away spontaneously. Moderate and severe dysplasia may require treatment to prevent progression to cervical cancer. Seeing a healthcare provider regularly and having a Pap test is the best way to avoid developing this condition.

”

What is Addison’s disease?

What is cervical dysplasia?

Addison’s disease is an autoimmune disease resulting in failure of the adrenal glands, which produce steroids and other hormones that are vital to helping your body function properly.

Cervical dysplasia refers to precancerous cells on the uterine cervix. When left untreated, cervical dysplasia can lead to cervical cancer. Physicians, nurse practitioners and physician assistants perform Papanicolaou (Pap) test (cytology) to screen for this condition. The Pap test is done during annual gynecologic examinations. Currently, a test for high risk human papilloma virus (HPV) can also be performed. Women who test positive for high risk HPV are more likely to develop cervical cancer.

Typical symptoms of adrenal insufficiency are vague abdominal pain, nausea, weight loss and general malaise. It can be associated with low blood pressure as well. The onset is often gradual and it may go undiagnosed for some time. Adrenal insufficiency is frequently associated with darkening of the skin over scars as well as creases in the palm and knuckles. It is diagnosed by checking a morning cortisol level, which can be followed by a special test if needed. The treatment for Addison’s disease is lifelong steroid replacement. Currently there is no medical treatment available to restore normal adrenal gland function.

Meg Crook, MD

UVA Blue Ridge Endocrinology Charlottesville | 434.293.7811 www.uvahealth.com

- Ami Keatts, MD, FACOG, CPPS

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

Ami Keatts, MD, FACOG, CPPS Augusta Health Care for Women Fishersville | 540.213.7765 www.ahcfw.com

What is apophysitis? Apophysitis, by definition, is an inflammation at a bony protuberance (apophysis) of the skeleton. In the pediatric or adolescent athlete, the combination of high growth and high stress at an apophysis can lead to apophysitis. Sever’s disease is probably the earliest overuse apophysitis of youth. It occurs in the eight year old soccer player and comes from the pounding and pulling of the calcaneal growth area (growth plate in the heel). Osgood Schlatter’s disease is the most common in the early adolescent boy, age 11-13. The tibial tuberosity becomes swollen and tender and it may involve both knees. The good news is that these conditions go away with rest, avoidance of certain activities, ice, and protection. Your local orthopaedic surgeon will guide you through the recovery. Adults can experience apophysitis also, but there is no growth area involvement. Plantar fasciitis and tennis elbow are the most common examples of the adult apophysitis. The treatment protocol is the same as with the pediatric or adolescent patient, but, surgery ends up being required in approximately 10 percent of adult cases of apophysitis.

Edward Hemphill, MD

Carilion Clinic Orthopaedics – Lexington Lexington | 540.458.0700 www.carilionclinic.org

H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

What is Self-Management related to healthcare? Healthcare “self-management” can be defined as the time spent managing a health condition on your own, when not in the doctor’s office or hospital. It is a simple definition for a complex set of responsibilities.

“

Skin cancer screening should be done periodically, and can be part of a preventative care physical. There are different types of skin cancers and most of the time they are benign, meaning they don’t move to other parts of the body. However, they can cause problems as they grow, often leading to itching or bleeding, or in some cases, becoming disfigured.

”

Many people diagnosed with chronic conditions come home from the doctor with a lot of information and advice. It’s easy to get overwhelmed, scared, even tired of other people telling you what to do. Caregivers often struggle to know how to best support a loved one without feeling bossy. One suggestion is to find a local chronic disease self-management education group. By joining others with similar issues for group education, support and action planning for self care, you can set goals for yourself and learn how to keep them achievable. Lydia Wilson

“You Can Live Well” Program Coordinator JABA’s Chronic Disease Self-Management Education Program Charlottesville | 434.817.5290 www.jabacares.org/livewell

- Jeffrey Alexander , MD

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

How do instrumental activities of daily living (IADLs) differ from activities of daily living (ADLs), related to senior care? Instrumental activities of daily living (IADLs) are the skills that someone needs to live independently. These include things such as managing one’s finances, preparing meals, using the telephone or computer, managing medications, housework, and driving or coordinating transportation. In assisted living, we tend to focus on activities of daily living (ADLs) as these are the types of activities we assist our residents with most. These are tasks required for basic self-care and include feeding, dressing, grooming, bathing, transferring, and toileting. From a senior care standpoint, IADLs are often the first activities that become challenging for seniors to perform. A change in a senior’s ability to perform IADLs often signifies to others that it is time for some help. Help can come from a friend, loved one, private caregiver or home care agency. As time progresses and a senior needs greater assistance with IADLs as well as assistance with ADLs, he or she (or their loved ones) will often consider assisted living as an alternative to their current living situation. Shareef Tahboub

Development Director RoseWood Village Assisted Living Charlottesville | 434.963.7673 www.rosewoodvillage.com

Should I consider a skin cancer screening as part of my routine physical? Skin cancer screening should be done periodically, and can be part of a preventative care physical. There are different types of skin cancers and most of the time they are benign, meaning they don’t move to other parts of the body. However, they can cause problems as they grow, often leading to itching or bleeding, or in some cases, becoming disfigured. Melanoma is the malignant type of skin cancer, meaning it can move to other parts of the body, and is most effectively treated when found early. Setting aside time to have a trained eye check your skin and nails, perform a biopsy (if necessary) and remove concerning spots, or refer you to a dermatologist for their opinion, may save a lot of time, money and your health in the long run. A skin exam is also a good time to review the best practices to follow to help prevent skin cancer in the first place. Jeffrey Alexander , MD

Sentara Blue Ridge Internal Medicine Charlottesville | 434.654.4550 www.sentara.com

NEW

NOTEWORTHY

Don't Miss

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

Blue Ridge PACE Center in Charlottesville Celebrates Two Year Anniversary

The Blue Ridge PACE Center – located in Charlottesville at 1335 Carlton Avenue - celebrates its second year of serving the community.

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Blue Ridge PACE offers comprehensive recreational therapy, physical, occupational and speech therapy, personal care facilities, library, pharmacy, nutritional services, health center as well as community based services including transportation and home based personal care to older adults, enabling them to remain in their homes and communities so they don’t have to be placed in a nursing home. The PACE model is centered on the belief that it is better for the wellbeing of seniors with chronic care needs to be served in the community whenever possible. By utilizing a teambased approach, PACE is able to provide quality care with a focus on prevention and wellness, thus avoiding unnecessary care and the escalating costs that go along with it. “We are thankful that we have been able to help so many older adults remain in their homes throughout the past two years,” says James Sawyer, site director for Blue Ridge PACE. “Life changing situations are experienced through the PACE program which enhance the quality of life for those enrolled”, continues Sawyer. PACE serves those aged 55 and older who meet Virginia’s criteria for nursing home admission. The federally authorized program is funded primarily by Medicare and Medicaid, although those without Medicaid coverage are also eligible. Blue Ridge PACE is a joint venture of Riverside Health System, University of Virginia Health System and the Jefferson Area Board for Aging (JABA). Blue Ridge PACE serves the city of Charlottesville and the counties of Albemarle, Fluvanna, Greene, Louisa and Nelson. Learn more about Blue Ridge PACE at www.blueridgepace.org or call 434.529.1300.

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

Check Out

HealthyEats Carilion Clinic Offers Urgent Care Services in the Lexington-Rockbridge Area A new VelocityCare is set to open in Lexington this May. The new location is at 110 Houston Street, Suite D, adjacent to Carilion Stonewall Jackson Hospital. Its close proximity to the hospital is part of Carilion’s effort to offer urgent care as a complement to their primary care and emergency department. “Carilion has responded to the number one identified need from our Community Health Needs Assessment Survey conducted last year,” says Chuck Carr, Vice President of Carilion Stonewall Jackson Hospital. “The number of people with minor injuries who have come into our emergency department in the past several years indicates a real need for VelocityCare in our community. For patients, VelocityCare provides a lower cost alternative path for people who are seeking treatment for so-called ‘urgencies.’” If the patient warrants a higher level of care, then the transition to the emergency department is close by, offering a destination point for health services in the Lexington, Buena Vista, Rockbridge and Alleghany County areas. “We ensure that patients get connected back to their primary care services in the region for follow-up, and we help patients get connected to specialists if further care is needed,” says Kim Roe, Vice President for Family and Community Medicine.

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Joining the Carilion team is Robert Childers, MD, who has been seeing patients at other VelocityCare locations while the Lexington facility undergoes renovations. In addition to urgent care medicine, the clinic will offer occupational medicine services to the region’s employers, which will help with decreasing lost work time. VelocityCare will be open 8 a.m. until 8 p.m. Monday through Saturday and 10 a.m. until 6 p.m. on Sunday. For more information visit www.velocitycarebycarilion.com.

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NEW

NOTEWORTHY Make Sure You Don't Miss This!

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

Local Panera Bread Cafes Launch UVA Children’s Hospital Fundraiser Locally owned Panera Bread® bakery-cafes in Central and Western Virginia are raising money for University of Virginia Children’s Hospital through the “Change for Children” campaign. Throughout 2016, Change for Children will encourage diners to round up purchases to a whole dollar amount to benefit UVA Children’s Hospital, with a goal of raising $100,000.

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For more information including a list of participating Panera locations, visit www.uvahealth.com.

Step It Up and Walk with a Doc! The US Surgeon General has issued a call to action, asking Americans to Step It Up! to improve their health. This ‘movement of movement’, suggests everyone participate in moderate physical activity for 150 minutes per week (approximately 22 minutes each day). Walking is moderate physical activity, and is an activity people of all ages can enjoy without a huge investment. In response to this call, Augusta Health is initiating a series of walking programs throughout the community. One of these programs is Walk with a Doc! Folks can start their weekends off by taking steps toward better health by participating in an hour-long community walk led by a local physician. The walks are in partnership with Staunton Parks & Recreation and Waynesboro Parks & Recreation. The first Saturday of the month is in Staunton and third Saturday of the month is in Waynesboro. For more information on Augusta Health’s Step it Up! initiative, visit www.walkwithadoc.org/our-locations/fishersville-va.

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

UVA Named to National List of 100 Great Women’s Health Programs For the second consecutive year, University of Virginia Medical Center has been honored by Becker’s Hospital Review among “100 hospitals and health systems with great women’s health programs.” “These hospitals offer award-winning care to women in a variety of specialties, including gynecology, obstetrics, women-focused heart care and women-focused cancer care,” according to Becker’s introduction of the list of awardees. Clark Baumbusch, MD Robert Childers, MD Sentara Martha Jefferson Orthopedics Charlottesville 434.654.5575 www.sentara.com

VelocityCare Lexington | 800.422.8482 www.carilionclinic.org

In honoring UVA, the national healthcare publication highlighted several programs dedicated specifically to women, including care for pelvic floor disorders, cancer, uterine fibroids and mental health. Becker’s also highlighted UVA’s designation in 2015 as a BabyFriendly® Designated birth facility by Baby-Friendly USA. About 325 U.S. hospitals have earned the Baby-Friendly designation for their support of breastfeeding. “This award is a tribute to the breadth of specialized care for women that we provide throughout Central Virginia and beyond,” says Karin League, MSN, RN, NEA-BC, associate chief for UVA Children’s Hospital and women’s health. For more information on women’s health services offered at UVA, visit www.uvahealth.com.

Matthew Holland, MD National Spine & Pain Centers Charlottesville 434.234.4910 www.treatingpain.com

Linda Martin, MD, MPH, FACS, FCCP UVA Health System Thoracic Surgery Charlottesville 434.924.9333 www.uvahealth.com

New Blood Test at UVA Better Monitors Diabetes Over Time A new, more precise version of the A1C test, which is used to monitor diabetes over time, is now being offered at the University of Virginia Health System. The improved test allows people with diabetes to more accurately track how well they’ve controlled their blood sugar over the span of months – helping prevent potentially serious complications such as nerve pain and kidney disease.

Corinne Replogle, MD Harrisonburg Community Health Center Harrisonburg 540.433.4913 www.hburgchc.org

William Robinson, MD UVA Heart & Vascular Center Vascular Surgery Charlottesville 434.243.9250 heart.uvahealth.com

The test can also diagnose diabetes, identify people at risk for diabetes and detect blood abnormalities such as sickle-cell disease. More than 29 million Americans have diabetes, and one in four goes undiagnosed. Further, more than one in three adults in the U.S. has pre-diabetes – blood sugar that is higher than normal but not high enough to be classified as diabetes. Nearly half the U.S. population has diabetes or prediabetes. Diabetes is the seventh-leading cause of death in the United States, a statistic that speaks to the need for a fast and accurate test for diagnosis and monitoring of the condition. “Diabetes is very prevalent in the U.S. It has a huge impact on the economy and on healthcare, and it is a chronic condition that creates burdens for those who have it,” says David Bruns, MD, of UVA’s Department of Pathology, who, with Lindsay Bazydlo, PhD, and Doris Haverstick, PhD, oversees the testing in the UVA Medical Laboratories.

Jonathan Shomo, PA-C Barrett Zlotoff, MD Augusta Health Urgent Care Staunton | 540.245.7470 www.augustahealth.com

UVA Health System Pediatric Dermatology Charlottesville 434.924.5115 www.uvahealth.com

Dr. Bruns notes that the new test has multiple uses. “In the past, the A1C test was used solely for monitoring blood sugar levels, allowing for better adjustment of medication,” he says. “Now, physicians also use the test to diagnose diabetes without the need for a fasting sample or drinking a glucose solution for a glucose tolerance test.” For more information, visit www.uvahealth.com.

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TI P S , T I D B I T S A ND MO R E TO I NF O R M A ND ENT ERTA I N YO U

What is stress? Stress is a physical, mental, or emotional response to events that cause bodily or mental tension.

Looking for a unique way to combat stress?

Try COLORING!

Here are just a few reasons why you should pick up those colored pencils:

• Focusing your energy on a single task temporarily takes your mind off worries or concerns.

• Release creative energy without having to create something from scratch. Coloring books provide guidance while also allowing for creativity to flow.

• Coloring is a quiet, calming activity

that can be done alone in a

relaxed environment.

• Coloring is FUN!

It may bring back nostalgic childhood memories and a simpler, less hectic life.

Scan the QR code for a FREE downloadable coloring sheet!

2016 Keswick

Hunt Club Fox Trot 5K

Located just outside of Charlottesville, the Keswick Hunt Club invites you to participate in the 3rd Annual Keswick Hunt Club Fox Trot. Run or walk a beautiful and challenging 5K trail course in the heart of Keswick. Kids 12 and under run free in the Kids’ Mile and Kids’ Scramble. Afterwards, all registrants are invited to a ‘Hunt Breakfast’ and wine tasting by Barboursville Vineyards following the races!

Date:

Saturday, May 28 at 5 pm

Location:

Castalia Farm 600 Castalia Farm | Keswick, VA

For details and to register, visit www.keswickfoxtrot.com.

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

School’s Out!

2nd Annual Kids Mud and Obstacle Race Sign the kids up to participate in the second annual kids mud and obstacle race! This is a great place for kids to kick off their summer vacation. Traverse the balance beams, crawl through the mud, and slide to the finish line! All participants will receive a cool t-shirt and medal!

Date:

Saturday, June 11 at am

Location:

Ridgeview Park 700 South Magnolia Avenue Waynesboro, VA

For more information, and to register, visit www.runthevalley.com/fun-2-run.

The Benefits of

Lifelong Learning for Adults 50+ Take the trivia challenge to see how much you know about these ‘little known’ health facts, and impress your friends at your next dinner party! *Answers below

1. ( True / False ) No matter how flexible you are, you can’t kiss your elbow. 2.

What does the symbol Rx mean on prescriptions?

( True / False ) One in every 2,000 babies is born with a tooth already in place.

4. What is the purpose of goose bumps? 5. In an average lifetime, does a person have more breaths or heartbeats? 6. On average, who has more hair? a. Blondes b. Brunettes c. Red heads 7. How many muscles do you use to take a single step forward? a. 50 b. 200 c. 450 8. How often do we shed and re-grow our outer skin cells? Every... a. 8 days b. 27 days c. 4.5 months

The pursuit of knowledge through lifelong learning

the process of keeping your mind and body engaged at any age—whether it’s learning how to dance, speak a foreign language, write a blog, improve your golf swing, or repair your car—has wonderful benefits for adults 50 and up:

• Keeps your mind sharp • Improves memory • Increases self-confidence • Offers an inexpensive way to try something new • Saves money as you learn to “do it yourself” • Gives you a feeling of accomplishment • Helps you meet people who share your interests • Builds on skills you already have • Offers an opportunity to learn a new skill or trade and increase your income • Gives you a new interest that you can share with family and friends

Answers: 1. True 2. Take (from the latin word recipe) 3. True 4. To raise the body’s temperature – muscle fibers contract in the skin to form goose bumps. This muscular activity produces heat, and thus raises the body temperature. 5. Heartbeats – about 3 billion vs. about 600 million breaths 6. a. blondes (they average more than 100,000 hairs on their scalp) 7. b. 200 8. b. every 27 days – that’s almost 1,000 new skins in a lifetime

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BEDSIDE MANNER

AWA R D S IN THE

S H ENAND OAH VALLEY & CH ARLOT T ES VILLE

POLLS OPEN M AY 1 ST - J UNE 1 S T

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Anatomy CHALLENGE the

How much do you know about medical

specialties?

Complete the word search below. Next, match the correct word with the correct specialty description.

[ medical specialties]

WORD SEARCH audiology

optometry

cardiology

orthopedic

dermatology

primary care

gastroenterology

urology

Branch of medicine concerned with the sense of hearing:

Branch of medicine concerned with disorders of the stomach and intestines:

Branch of medicine concerned with the diseases and abnormalities of the heart:

Medical care by a physician who is the patient's first contact with the health care system:

Branch of medicine concerned with the treatment of skin disorders:

Branch of medicine concerned with the function and disorders of the urinary system:

Branch of medicine concerned with visual defects and prescribing corrective lenses:

Branch of medicine concerned with injuries and diseases of your body's musculoskeletal systems:

For answers, visit OurHealth Shenandoah Valley and Charlottesvilleâ&#x20AC;&#x2122;s Facebook page at www.OurHealthCville.com

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

OURHEALTH CHARLOTTESVILLE AND SHENANDOAH VALLEY GUIDE TO

GET HEALTHY. STAY HEALTHY. words | RICH ELLIS

DESPITE POPULAR OPINION, MEN NEED TO TAKE CARE OF THEMSELVES. This may sound like a common sense statement. But it’s not one that often resonates. For many men, taking care of their health, which includes getting regular check-ups, is about half as important to them as it is for women. This isn’t an opinion. It’s a fact: according to the National Institute of Health, men go the doctor 50 percent less than women. Men aren’t immune to the many common and unfortunate health-related issues that anyone can develop. Men can get a cold. Men can get the flu. Men can get diabetes. Men can get cancer.

REPRINTS To order reprints of the original artwork featured on this issue’s cover, contact Deidre Wilkes at 540.387.6482 or via email at deidre@ourhealthvirginia.com.

And men can prevent many of these health conditions from occurring if they take better care of themselves. In the following pages of OurHealth Charlottesville and Shenandoah Valley you will find the OurHealth Guide to Care for Men. This Guide is 100 percent important. Read it. Embrace it. Engage it. This information may be the difference in helping you live your fullest and happiest life.

To view additional work by our artist, Joe Palotas, visit www.salemartcenter.com

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AUDIOLOGY

Hearing health affects a man’s lifestyle. If he wants to stay active, feel younger, and remain socially and professionally engaged, he should address any hearing loss he may be experiencing. This is the overriding message that the Better Hearing Institute is delivering to men in support of National Men’s Health Week.

Tammy Garber, AuD Hearing Health Associates Charlottesville | 434.205.4207

drgarber@hearinghealthassoc.com

www.HearingHealthAssoc.com SCAN HERE to visit website

Hearing impairments are more common in men than in women. Studies show that men who address their hearing loss with the use of hearing aids or other appropriate treatment and accommodations, most often improve their quality of life because it helps them maintain a more engaged, active lifestyle both at work and home. For decades, research has shown an association between unaddressed hearing loss and a whole range of physical, mental, and emotional conditions – from depression, anxiety, and strained relationships to cognitive decline, difficulty learning new tasks, and even falling. In recent years, considerable information has emerged on the link between hearing loss and several common chronic diseases that men suffer – including heart disease, diabetes, chronic kidney disease, and Alzheimer’s disease. This information makes it all the more important that men include hearing health as part of their routine medical care. It is recommended that everyone have a complete hearing evaluation by age 50. Sooner evaluation is recommended if there is a history of noise exposure, family history of hearing loss, or any of the medical conditions mentioned above. We can all protect our hearing by living a healthy lifestyle, exercising regularly, and using hearing protection when in high level noise.

CARDIOLOGY

Jamieson Bourque, MD, MHS Heart and Vascular Center University of Virginia Health System Medical Director of Nuclear Cardiology Charlottesville | 434.243.1000

www.uvahealth.com

SCAN HERE to visit website

Coronary artery disease is the leading cause of death in older men. As men age it is important for them to receive careful screenings and treatments for risk factors during regular doctor visits. All men should have their body mass index calculated to monitor for obesity. Blood pressure should be checked at least every two years, and at least every three years a fasting glucose level should be drawn to assess for diabetes. Men should have a full fasting lipoprotein profile, measuring different types of cholesterol, at least every four to six years. In men with a strong family history of coronary artery disease, additional testing could be considered, such as a coronary calcium scan to identify the amount of calcified plaque in the coronary arteries or a C-reactive protein blood level to measure inflammation. Men age 65 or older who have ever smoked should consider an ultrasound to screen for an abdominal aortic aneurysm. Ultrasound can also identify disease in the carotid arteries supplying blood to the brain, though the value of this screening is still being debated. The best way to prevent heart disease is a good diet and regular exercise.

DERMATOLOGY

May is melanoma awareness month. Did you know that one in five Americans develop skin cancer in their lifetime? Anyone can get skin cancer regardless of color. Men over the age of 50 are the most likely to develop suspicious spots. Outdoor workers, farmers and athletes are especially susceptible to this disease. Sweating increases the skin’s photosensitivity to the sun and the earth’s surface on which they work and play reflects the damaging rays of the sun. Men are more likely to develop melanoma on their back where it is hard to see, and is often diagnosed later with a worse prognosis. The best way to prevent skin cancer is to protect your skin from the damaging rays of the sun. Seek shade whenever possible, wear protective clothing, apply and reapply a broad based sunscreen with an SPF of 30 or higher every two hours. Look for changes to your skin. With a self-examination or with someone you love, look at all spots on your skin: moles, freckles and age spots. Using a mirror, check your back and neck, scalp (even under your hair), arm and legs, palms and soles and even between your toes. If you see any spot that is asymmetrical, or has an irregular border, has variable color (shades of tan and brown, black or sometimes white, red or blue), is increasing or greater than 6mm (1/4”) in diameter or is evolving (does not look like the others), schedule an appointment with your dermatologist.

Deborah Elder, MD Charlottesville Dermatology

Charlottesville | 434.984.2400

www.cvillederm.com

SCAN HERE to visit website

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OPTOMETRY

Joe DiGirolamo, OD Primary Eyecare Drsâ&#x20AC;&#x2122; DiGrolamo + Associates Optometrists Barracks Road | 434.977.2020 Hollymead | 434.975.2020

www.cvilleeyecare.com

SCAN HERE to visit website

The eye is a window into the health of the rest of the body. Diabetes, high cholesterol, and hypertension are just a few of the many systemic diseases that can first be detected during an eye examination. The diseases of the eye themselves such as macular degeneration, glaucoma, and cataracts are often diagnosed in their early stages before symptoms may occur with regular eye examinations. The earlier these conditions are detected, the better the prognosis. The incidence of these conditions dramatically increase over the age of 40. An annual examination with an eye doctor is far more valuable in monitoring your overall health than just keeping your eyeglass and contact lens prescriptions current. Along with regular eye exams, be sure to protect your eyes from ultraviolet (UV radiation). UV protection is particularly important for the eyes and the areas around the eye. Ultraviolet light exposure is a known risk factor for the development of cataracts, it is also thought to play a role in macular degeneration. The thin, sensitive eyelid tissue is particularly susceptible to basal cell or squamous cell carcinoma due to regular UV exposure. A quality pair of prescription or non-prescription sunglasses, preferably with large lenses is helpful in protecting the eyes and surrounding tissue from the harmful effects of ultraviolet light. Some contact lenses have UV protection built in too, but they do not protect the skin around the eyes, so it is still recommended to wear sunglasses and a widebrimmed hat outdoors.

Scan this QR code for the recommended adult immunization schedule provided by the Center for Disease Control.

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PRIMARY CARE

(ADULT IMMUNIZATIONS/ VACCINATIONS) Vaccines are recommended to prevent dangerous, even deadly diseases. When germs, such as bacteria or viruses, invade the body, they attack and multiply. This invasion is called an infection. The infection is what causes illness. The immune system then has to fight the infection. Once it fights off the infection, the body is left with a supply of cells that help recognize and fight that disease in the future – the antibodies. Occasionally, after receiving a vaccine, the imitation infection can cause minor symptoms, such as fever. Such minor symptoms are normal and should be expected as the body builds immunity. There are three main types of vaccines: live attenuated – uses a weakened form of virus/bacteria; inactivated – uses a dead form of virus or bacteria; and subunit-conjugated – uses a protein or carbohydrate that produces the immune response.

1. INFLUENZA: Protects against influenza infection (the

flu). Recommended for everyone age six months or older every year in the fall or winter. There are also special vaccine types for patients with egg allergy- recombinant (RIV) and for those 65 years and older, the high dose IIV (Fluzone High dose). Vaccine types: inactivated (IIV) and live attenuated (LAIV, FluMist).

2. TDAP: Protects against tetanus, diphtheria and pertussis

(whooping cough). It is recommended once for everyone 11 years or older who has not received Tdap or with unknown vaccination status, followed by one Td (tetanus-diphtheria) every 10 years. Vaccine types: inactivated.

3. ZOSTAVAX: Protects against herpes zoster (shingles).

It’s recommended for adults 60 years and older as a single dose, regardless of known prior episode of zoster. In special populations it may be necessary to check the history of prior exposure to chickenpox.

Amanda Guedes, MD Augusta Health Internal Medicine Fishersville | 540.213.2630

www.augustahealth.com SCAN HERE to visit website

THERE ARE THREE MAIN TYPES OF VACCINES: 1. Live attenuated – uses a weakened form of virus/ bacteria

2. Inactivated – uses a dead form of virus or bacteria 3. Subunit-conjugated – uses a protein or carbohydrate that produces the immune response.

Vaccine types: live attenuated virus.

4. PNEUMONIA: There are two types of vaccines, which

complement each other to protect against invasive infections caused by streptococcus pneumoniae. •

Prevnar (PCV 13) is recommended for adults over age 65 as a single dose. Vaccine type: subunit-conjugated.

•

Pneumova (PPSV23) is recommended for adult males once, one year apart from the Prevnar. Vaccine type: polysaccharide-conjugated.

Scan this QR code for the recommended adult immunization schedule provided by the Center for Disease Control. www.OurHealthCville.com

GASTROENTEROLOGY

David H. Balaban, MD, FACG, AGAF Charlottesville Gastroenterology Associates Charlottesville | 434.817.8484

www.cvillegi.com

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Colorectal cancer is the third leading cause of cancer-related death in men behind lung cancer and prostate cancer. The lifetime risk of developing colon cancer is approximately 1 in 20, with men facing a slightly higher risk than women. Fortunately, it is both preventable and treatable if caught early. According to guidelines from the U.S. Preventive Services Task Force, average risk men (and women) should be screened for colon cancer every 10 years between the ages of 50 and 75. Screening should begin earlier and should be performed more frequently if there is a family history of colorectal cancer, polyps, or with a history of long-standing inflammatory bowel disease, such as ulcerative colitis. More frequent screening is also offered when polyps or cancer are found. The gold-standard test for screening is colonoscopy, which is an outpatient procedure directly examining the colon for precancerous polyps. Removal of polyps has been shown to significantly reduce the incidence of colorectal cancer. This procedure is painless with proper sedation and can be performed either in an office or an outpatient hospital setting. Other screening methods include fecal occult blood testing, stool DNA testing, and a new FDA-approved blood test. However, none of these noninvasive screening methods alone can prevent cancer and are only considered for those unable or unwilling to undergo colonoscopy.

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UROLOGY

As men age, a general urologic visit is an important one. During an initial new patient visit, a detailed medical history review is first taken, including family health history as there are some diseases that tend to have a familial trend. History of tobacco use and other environmental risk factors are important to share because they may alert the physician to potential disease processes that need further evaluation. Once the physician has a thorough history of the patient, any health complaints or changes are discussed. Changes in voiding patterns, sexual function, new pain symptoms, blood in the urine, weight loss or other complaints are addressed as they could lead to more overt symptoms in the future. Sometimes even subtle changes can be an indicator for the need for further evaluation. This proactive approach is important in addressing anything the patient thinks is not exactly right. A urinalysis is part of the routine screening process. Evidence of increased protein, glucose or other abnormalities may alert us to the possibility of underlying renal disease or endocrine disease such as diabetes. Evidence of blood on the urinalysis is an indicator for further evaluation which usually includes radiographic evaluation of the kidneys and upper urinary tracts as well as endoscopy of the bladder. Abnormalities of hemoglobin, either too low or too high, are worth investigating. A change in creatinine or blood urea nitrogen levels is important and would prompt further evaluation. A high or significant change in the prostatic specific antigen (PSA) test would alert us to further investigation. If all review of these records and history turn out to be normal then an annual exam including an exam of the abdomen, flank, external genitalia and a digital exam of the prostate and rectum is recommended. As far as other routine screening such as PSA, new guidelines have been published and some find these confusing. Check out the easy to follow â&#x20AC;&#x153;Is Prostrate Cancer Screening Right for You?â&#x20AC;? chart by scanning the QR code (see code at right). As a rule of thumb however, those guidelines for "screening" are only applicable to individuals who are truly asymptomatic and with no abnormal findings on exam, with no new voiding complaints, no change in the urination, no blood in their urine and no other potential symptoms. They also may not apply to individuals who may be in a high risk group such as those who have a family history of prostate cancer or African Americans. The American Urological Association does recommend at least discussion of checking an annual PSA test in healthy men age 55-69 and the decision to go forward based on the physician and patient concerns and preferences.

William Jones, MD Blue Ridge Urological, PC Fishersville | 540.932.5926

www.blueridgeurological.com SCAN HERE to visit website

"The American Urological Association recommends at least discussion of checking an annual PSA test in healthy men age 55-69 and the decision to go forward based on the physician and patient concerns and preferences." - William Jones, MD

IS PROSTATE CANCER SCREENING RIGHT FOR YOU? Scan this QR code for an easy to follow chart to determine what is right for you! Courtesy of American Urological Association and Urology Care Foundation. www.OurHealthCville.com

ORTHOPAEDIC There are two common orthopedic conditions that men suffer from as they age. The first is impingement syndrome of the shoulder.

George Godette, MD Augusta Orthopaedic Staunton | 540.885.1281

www.augustaortho.com SCAN HERE to visit website

Impingement syndrome is when the ball of the shoulder and the roof of the shoulder collide when the arm is raised above the head. What gets pinched in between the ball of the shoulder and the roof of the shoulder is the rotator cuff muscle, the muscle that powers the shoulder. This impingement causes pain and decreased function and can eventually lead to disability if the rotator cuff is injured. Most patients and men in particular, overuse their shoulder by lifting improperly out in front of their body or above their head. Additionally, activities such as throwing a baseball, chopping wood, washing windows or cleaning out gutters are examples of impingement producing activities. Usually these activities are done without proper warm-up of the rotator cuff muscles and injury can occur. If the pain of impingement is ignored and these activities continue, eventually rotator cuff errors and other surgical problems develop. As men age, it is important to avoid painful activities out in front of the body or above the head. Keeping the elbows in and down when lifting or carrying, especially in situations where the activity is repetitive, significantly decreases progression of shoulder impingement (see graphic at left).

CORRECT LIFTING FORM

Rotator cuff stretching and posterior capsule stretching exercises keep the rotator cuff strong and help keep the ball of the shoulder down, so it is less likely to impinge on the roof. Stretching prior to activity is also very important in getting the shoulder prepared for activities that would potentially cause harm. Once impingement becomes painful, it is imperative that the impingement be treated and a referral to orthopedic/sports medicine specialist is important. Most early impingement can be treated with inflammatory medicine and exercise. If the pain becomes unavoidable, arthroscopic decompression can be performed to create more room and avoid the disabling condition of the rotator cuff tear. Once the rotator cuff is torn and the shoulder is functionally limited, prompt repair can restore most function and can decrease pain. My most important advice to men over 40 with shoulder pain is, donâ&#x20AC;&#x2122;t ignore it, do something. The second orthopedic condition that most men suffer from as we age is degenerative disease of the knee.

Degenerative disease of the knee or wear and tear of the

INCORRECT LIFTING FORM 28

knee cartilage is common and a result of impact activities. As men approach the age of 50, impact activities such as running, basketball, repetitive kneeling or squatting, and work out activities that require the knee to bend more than 90 degrees, should be approached with caution. If there is no pain or swelling with these activities, then a moderate amount of this activity is fine. However,

if these activities cause pain or swelling, either during the activity or immediately after, alternate means of exercise need to be considered. Swimming, bicycle riding, and low impact aerobics are good alternatives. Keeping the quadriceps muscle of the thigh and the hamstring muscle of the back of the thigh strong is important. Once the patient has pain walking on a level surface, then it is time to visit the orthopedic/sports medicine specialist. In most cases of degenerative joint disease of the knee, symptoms can be treated with medicine and your specialist can help develop a program that will maintain strength, yet decrease the effects of degenerative joint disease. Exercise is important, but in moderation and donâ&#x20AC;&#x2122;t ignore painful symptoms. As men get older, activity as we know it does not have to stop, we just have to learn to do things differently without pain and swelling.

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"My best advice is to listen to your body. If you are having pain with activities that you do regularly or that you love, seek out your orthopedic/sports medicine specialist and make a plan." - George Godette, MD

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Photos courtesy of Caroline Harvey.

Zeta Tau Alpha's 22nd Annual Run for Life 5K Although the morning started off a bit rainy, it was mild and cleared up by the time the runners took their marks at UVA Nameless Field for the 22nd Annual Run for Life 5K. With nearly 1,000 registered participants each year, the Run for Life 5K has truly become a “town meets university” event with people of all ages coming out to run or walk in honor, or memory, of friends and family who have been diagnosed with breast cancer. With music, bagels and coffee, it was a morning filled with community spirit and support—complete with a warm up led by the Virginia Dance Team! Funds raised are donated to the UVA Breast Care Center and the Zeta Tau Alpha Foundation to benefit breast cancer education and awareness. 30

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the

2016

OurHealth Charlottesville and Shenandoah Valley

HOW TO IN HEALTHCARE SERIES: an issue-by-issue overview

RT PA

words | RICH ELLIS

Part I of OurHealth magazine’s four-part series—How to in Healthcare: A Step-by-Step Guide to Pursuing a Career in Medicine – examined

PART TWO

Choosing the right undergraduate school for your healthcare specialty.

May | June

PART THREE

Entering graduate school and residency/fellowship/ clinical training.

July | August

PART FOUR

Insight on how to find the right job in your field of specialty.

September | October

how students can begin preparing for a healthcare career as early as high school. It appeared in the April/May 2016 edition of OurHealth magazine’s Charlottesville and Shenandoah Valley edition, and focused on building a foundation for success and making high school curriculum count.

Part II looks at how students and their families can evaluate and choose the right undergraduate school to best prepare them for their healthcare specialty, and how to achieve success as an undergrad.

ALL EDUCATION

OFFERS DIFFERENT OPTIONS Both clinical and non-clinical healthcare career paths offer a myriad of choices when it comes to deciding what type of healthcare professional a student wants to become. That career decision in turn dictates a specific undergraduate path and its associated educational requirements.

PROGRAMS AVAILABLE TO

WHAT IS A CERTIFICATE? Students pursuing higher education after high school for a healthcare career can choose to earn a certificate, diploma, associate degree or bachelor’s degree. (See sidebar for additional information about healthcare and healthcare-related programs). Each opens the door to employment in any one of a number of healthcare careers. For example, a certificate – primarily offered at community colleges or technical schools and taking 12 months or less to complete – provides professional training in a specific field or occupation, such as a certified nursing assistant, dental assistant or home health aide.

The following is an overview of the types of healthcare and healthcare-related certificates, diplomas and degrees available to students after high school, including the general time to complete or graduate as a full time student.

WHAT IS A DIPLOMA? A diploma is similar to a certificate program but covers the material more in-depth and requires one to two years to complete, along with hands-on experience gained on the job. Available career choices for diploma holders include medical assistant, nursing assistant, and pharmacy technician, to name just a few.

DIPLOMA PROGRAMS

WHAT IS AN ASSOCIATE DEGREE? An Associate degree is a two-year degree offered primarily by community colleges and technical schools, but also at some fouryear colleges and universities. This degree is often transferable to a four-year bachelor’s degree program, serving as the first two years of such a program. Dental hygienists, medical office managers, and paramedics are some of the healthcare careers requiring an associate degree. WHAT IS A BACHELOR’S DEGREE? Bachelor’s degrees are awarded by four-year colleges and universities and required for students pursuing additional education at the graduate level, such as medical school. Dieticians, athletic trainers, and anesthesia technicians are all examples of healthcare professions that require a bachelor’s degree. “Not everyone who is interested in a healthcare career has to pursue graduate school.” – Paul D. Deeble, Mary Baldwin College "Not everyone who is interested in a healthcare career has to pursue graduate school," explains Paul D. Deeble, an Associate Professor of Biology at Mary Baldwin College in Staunton, and the Caroline Rose Hunt Distinguished Chair in the Natural Sciences. "Students are often familiar only with the more popular career paths, such as MD, physical therapist, physician’s assistant and others, but those

STUDENTS AFTER HIGH SCHOOL

CERTIFICATE PROGRAMS Certificate programs offer professional training in a specific field. Most certificate programs take a year or less to complete, and are offered primarily at community or technical colleges or schools.

Diploma programs are similar to certificate programs, but are usually more in depth. Offered at community colleges or technical schools, diploma programs generally include a one to two-year program of course work and on-the-job-training.

ASSOCIATE DEGREE An associate degree is two-year degree most commonly granted by a community college or technical school. They can, however, also be granted by four-year colleges and universities. These two-year programs may provide the necessary training to prepare students for entry-level positions in certain fields. An associate degree translates into the first two years of a bachelor's degree, for those who choose to transfer into a four-program.

BACHELOR'S DEGREE A bachelor's degree is a four-year degree that is granted by a college or university. Most schools that grant bachelor's degrees require a specific course load and a minimum number of credits to graduate. A bachelor's degree is required for admittance into a graduate program, medical or dental school. There are a variety of healthcare positions available to those who are interested in pursuing a career in the field. Listed below are healthcare professions, both clinical and non-clinical that are available, broken down by their education and degree requirements.

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HEALTHCARE POSITIONS THAT REQUIRE

The following is a list of healthcare positions that can be obtained through completion of a certificate program at a community college or technical/trade school:

The following is a list of healthcare positions that can be obtained through completion of a diploma program at a community college, technical/trade school or hospital.

NON-DEGREE CERTIFICATES JOB TITLE

LENGTH OF PROGRAM

NON-DEGREE DIPLOMAS

JOB TITLE.

LENGTH OF PROGRAM

Certified Nursing Assistant (CNA).................four to twelve weeks

Cardiology Technologist........................................one to two years

Dental Assistant...................................................... one year or less

Health Care Documentation Specialist.....10 months to two years

Emergency Medical Technician (EMT)........................... ten weeks

Licensed Practical Nurse (LPN).............................one to two years

Home Health Aide................................................... one year or less

Medical Assistant.........................................................nine months

Medical Coding Specialist....................................... one year or less

Medical Office Professional...................................one to two years

Medical Administrative Assistant.......... eight months to one year

Nursing Assistant...................................................one to two years

Medical Massage Therapist....................................one to two years

Ophthalmic Medical Technician...................... three to six months

Medical Receptionist............................................... one year or less

Pharmacy Technician.............................................one to two years

Patient Care Technician..............................................eight months Phlebotomist........................................................... one year or less Surgical Technologist..........................................................one year

HEALTHCARE POSITIONS THAT REQUIRE AN

ASSOCIATE DEGREE

The following is a list of healthcare positions that require an associate degree through an accredited two-year college or trade school.

JOB TITLE

•

Dental Hygienist

•

Diagnostic Medical Sonographer

•

Dispensing Optician

•

Electrocardiogram (EKG) Technician

•

Histologist

•

Medical Laboratory Technician

•

Medical Office Manager

•

Medical Transcriptionist

•

Nuclear Medicine Technologist

•

Occupational Therapy Assistant

•

Paramedic

•

Physical Therapy Assistant

•

Radiation Therapist

•

Radiologic Technician

•

Registered Nurse (RN)

•

Respiratory Therapist

•

Surgical Technologist

•

Ultrasound Technician

specific occupations are so competitive that career opportunities may be limited," he explains. Another choice that students should be aware of are the numerous healthcare careers that don’t require graduate school and offer potentially better opportunities for employment because of the number of jobs and growth in those areas. Kathleen Hudson is the Dean of Health and Life Sciences at Piedmont Valley Community College (PVCC) in Charlottesville. She provides real-world examples of some of the career paths students often choose and each profession’s education requirements. Looking at nursing as an example, Hudson says a student may attend PVCC’s 10-week nursing course and will be state licensed to practice as a nurse aide. If they then decide they want to become a practical nurse, the student can enroll in PVCC’s practical nursing program and earn a one-year certificate to become a licensed practical nurse (LPN). Students interested in further education can then enroll in PVCC’s LPN to RN bridge program, which consists of two semesters of courses to bring students up to the same level as students who are already enrolled in the RN program and entering their second year of the two-year associate degree program. "And because most hospitals now prefer nurses to have a bachelor’s degree," Hudson adds, "associate degree holders can receive credits for their RN license toward a bachelor’s degree at a four-year school."

HOW TO CHOOSE

THE RIGHT SCHOOL

Deciding which school is the right one is a decision based on equal parts emotion and facts. The easy part of that decision is whether the student is pursuing a certificate or diploma or has plans to attend graduate school. Once the pool of potential schools has

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

HEALTHCARE POSITIONS THAT REQUIRE A been narrowed based on degree type and area of study they offer, other factors come into play. Eileen Oswald is the director of admissions at the School of Medicine at The University of Virginia. She says "students have a variety of tools at their disposal for evaluating schools they may be interested in attending." She recommends students utilize the numerous publications that are available, which contain information about all the undergraduate schools, as well as the plethora of online information that is published about every school. She also suggests that students look into schools that they’ve heard a lot about, and talk with their high school counselor or advisor as he or she will likely know the student best. Students should also talk with their parents and any physicians that they may know. “I think one of the best things students can do is to visit colleges and go to the school they are comfortable with and that makes them happy. Sometimes just walking on campus and interacting with staff will tell whether that’s the school for them or not. They have to be happy there – it’s a long four years, it’s the first time they’ve been away from home, and if they’re not happy there they are not going to do well.” – Eileen Oswald "Students shouldn’t base their decision about which four-year school they’re going to attend on whether or not the institution has a medical school or a relationship with one either," Oswald adds. "The time to think about medical school, if that’s the route they’re pursuing, is after their undergraduate career is well underway. In fact, it’s probably a wider experience if they go somewhere else for their medical degree.”

BACHELOR'S DEGREE

The following is a list of healthcare positions that require a four year bachelor's degree at an accredited college or university.

JOB TITLE •

Anesthesia Technician

•

Athletic Trainer

•

Certified Nursing Home Administrator

•

Dental Laboratory Technician

•

Dietician

•

Exercise Physiologist

•

Health Educator

•

Kinesiotherapist

•

Medical and Health Services Manager

•

Occupational Health and Safety Specialist

•

Recreational Therapist

•

Speech-Language Pathologist

HEALTHCARE POSITIONS THAT REQUIRE

ADVANCED EDUCATION AND DESIGNATIONS

The following is a list of healthcare positions that require a four-year bachelor's degree in order to apply to a master degree program or go to a post graduate school, such as medical or dental school. These positions require advanced level degrees and can take up to ten years, depending on the position, degree, licensure or certification, internship and residency requirements.

JOB TITLE •

Certified Registered Nurse Anesthetist (CRNA)

•

Chiropractor

•

Doctor of Osteopathy (DO)

•

Doctor of Dental Medicine (DMD)

•

Doctor of Dental Surgery (DDS)

•

Doctor of Optometry (OD)

Sharon Babcock is the director of pre-professional health advising at James Madison University. She says that financial factors heavily impact decision making these days, as well as the fact that some students need to remain in a certain geographical area while attending college.

•

Doctor of Podiatric Medicine (DPM)

•

Doctor of Psychology (PsyD)

•

Doctor of Veterinary Medicine (DVM)

•

Licensed Clinical Social Worker (LCSW)

Hudson recommends that students also look into the types of financial aid that are available through the institution they’re considering, and whether the aid is a grant or a loan that has to be paid back.

•

Medical Doctori (MD)

•

Mental Health Counselor

•

Certified Nurse Midwife (CNM)

•

Nurse Practitioner (NP)

•

Pharmacist (PharmD)

•

Physician Assistant (PA)

Oswald also recommends students look first at their in-state school options because of the potential cost savings. One of the most important considerations when it comes to choosing a school today is cost.

Higher education costs vary widely and most institutions list specific costs on their websites. At PVCC for example, costs are set (Continue on page 37...)

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WHAT ARE THE DIFFERENCES

BETWEEN A SCHOLARSHIP, GRANT AND STUDENT LOAN?

Eileen Oswald is the director of admissions for the University Of Virginia School Of Medicine in Charlottesville.

•

SCHOLARSHIPS: Scholarships are usually merit based. This means that they are given to prospective recipients based on desired qualities such as athletic ability, academic achievement or involvement in a certain extra-curricular activity. Scholarships can also be based on particular traits like ancestral background or group affiliation.

•

GRANTS: Grants tend to be need based and are available to students based on criteria such as family income. The federal and state government are the primary sources of grants. One of the most commonly known federal grants is The Pell Grant. State-funded grants ordinarily go to students pursuing an education in his or her respective state.

•

STUDENT LOANS: A student loan (taken out by the student or parent) can be subsidized or unsubsidized and both need to be repaid. A subsidized loan does not accrue interest until the student ends his or her education, by graduating or withdrawal. The re-payment begins about six months later. An unsubsidized loan begins to accrue interest as soon as the loan is disbursed and is to be repaid starting six months after graduation.

•

BOTH GRANTS AND SCHOLARSHIPS usually have some sort of requirements in order to continue to receive funding, such as maintaining a certain GPA. It’s important that recipients understand these requirements so that they do not find themselves without expected aid.

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(Continued from page 35...)

by the state at $148 per credit hour. Earning a certificate through PVCC’s nursing program would require 67 credits at a cost of nearly $10,000, in addition to fees for books, labs, uniforms and other incidental costs.

SUCCESS FACTORS

Many factors contribute to a student’s success in undergraduate school, including the course load they take, their school-work life balance if they’re working while enrolled, the grades they achieve, and communication with school faculty. “If you need to work part- or full-time to make your educational experience happen, that can impact academic performance – you can’t create more hours in the day or days in the week. I always encourage students who are working outside of school to do their best to not put their academic record at risk. If work is putting their performance at risk, I encourage them to think about ways that we can protect both the financial needs that they have and balance it with their classroom work.”

Paul Deeble is an associate professor of biology and the Carolyn Rose Hunt Distinguished Chair of Natural Sciences at Mary Baldwin College in Staunton.

–Sharon Babcock Once a student enters graduate school for their designated healthcare field, Babcock says students can’t work because it’s virtually impossible to hold down a job in that type of educational setting and with the commitments it requires.

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ONLINE AND

SUMMER SESSIONS

One tactic for success that may help undergraduate students balance their school and work commitments is to take courses online, or during a summer school session. Kathy Hudson, PhD is dean of health and life sciences at Piedmont Virginia Community College in Charlottesville.

“Courses offered through summer school must be the equivalent of a course that’s offered during the regular spring or fall semesters,” Babcock explains. The main difference with summer school is an accelerated time frame—rather than attending class two or three days a week, students may find themselves attending class five days a week and having a major unit exam weekly. “The pace and the learning and study skills required during summer school are fundamentally different than what’s associated with fall or spring semester,” Babcock says. “Summer school can work very well for some students but presents challenges for others who just don’t thrive in a setting where they’re taking one class, and it’s just that class, and it’s moving very quickly. It’s a very intensive, immersive experience.” Courses that students take online, as opposed to attending a physical classroom are offered increasingly at many schools, including James Madison University, and represent an important alternative for specific student populations that might not be able to attend class on-campus. Babcock cautions, however, that online coursework may not be the best choice for students focused on a healthcare profession.

Sharon Babcock is the director of preprofessional health advising at James Madison University in Harrisonburg.

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EXPERT CONTRIBUTERS

“I would encourage [students] to consider that there are a lot of laboratory-based experiences for the science that they will be completing and online laboratories are still a very big challenge—those can be problematic for students going on to health professions,” Babcock explains. “It’s difficult to simulate the scientific process and the exploratory process of doing things in the laboratory setting via online.” Babcock also recommends that students talk with their undergraduate faculty because regular communication is important in helping them succeed. “Start sooner rather than later communicating and talking with faculty,” Babcock advises. “In high school we really don’t want to have to talk with the teacher unless something is going wrong, and I think a lot of times students bring that mentality with them to the college or university setting. The sooner they can begin to see their faculty as mentors, as coaches toward success, as people who can comment on their skills, talents, and competencies, the better.”

Paul D. Deeble, an Associate Professor of Biology at Mary Baldwin College in Staunton, and the Caroline Rose Hunt Distinguished Chair in the Natural Sciences. Kathleen Hudson is the dean of Health and Life Sciences at Piedmont Valley Community College (PVCC) in Charlottesville. Eileen Oswald is the director of admissions at the School of Medicine at The University of Virginia. Sharon Babcock is the director of preprofessional health advising at James Madison University.

Students who find academic success by completing their designated course of study—whether it’s earning a certificate, diploma, associate degree or bachelor’s degree—and begin a healthcare career shouldn’t assume that their education is over. Oftentimes students will return to school to further their career opportunities by earning an advanced degree. For many, this means entering graduate or medical school.

NEXT IN OUR SERIES Part III of OurHealth Charlottesville and Shenandoah Valley magazine’s four-part series How to in Healthcare, examines the steps necessary to prepare for graduate school, onthe-job clinical training through residency and/or fellowship training. Be on the look out for Part III in the July/August edition!

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S T I ITB

words | DEIDRE

WILKE

WHAT

ND TH A HEAL N SS O FITNE O THE G

’S THE

Deidre Wilkes, AFAA, ACSM Certified Personal Trainer Deidre is the resident fitness specialist for OurHealth Shenandoah Valley and Charlottesville.

DEAL W

ITH KE

You may have walked by them in the gym, and wondered ‘what the…?’ They look like cannonballs with handles, and often come in bright colors and different sizes. You ignore them, and continue on to the more familiar looking dumbbells in shapes and sizes you are familiar with.

TTLEBE

LLS?

Those crazy-looking things are kettlebells, and they can add a whole new dimension to your workout!

Believe it or not, the kettlebell was developed in Russia in the 1700s, and was used to measure grains and in downtime, show off strength among men, which started the very early development of kettlebell exercises. While there is a competitive component to the kettlebell sport (Girevoy Sport), it has more recently become popular in health and fitness centers—in weight rooms as well as group exercise classes.

WHAT MAKES TRAINING WITH KETTLEBELLS UNIQUE? •

The asymmetrical design of the weight makes it uneven and harder to handle. The core muscles (abdominals and lower back) are engaged during the exercises.

•

The idea is to complete total body, functional movements useful for everyday activities. These movements teach the body to work as one unit, improving balance and coordination, along with strength and endurance.

•

Kettlebell exercises burn more calories in less time, since multiple muscle groups are working at the same time.

Ready to give it a try? Check out these local facilities that offer kettlebell classes and training:

www.OurHealthCville.com

the 2016 OurHealth Charlottesville and Shenandoah Valley Primary Care Series: an issue-by-issue overview

+++

| february

january

PART III

KNOW YOUR CARE: understanding your health and how to maintain it

+++ march

| april

DO YOUR CARE: taking action with your health

+++ may

| june

SHARE YOUR CARE: setting good examples for others to learn and live by

+++ july

| august

INSPIRE YOUR CARE: keeping creative with fresh care ideas

+++ september

| october

MEASURE YOUR CARE:

tracking your efforts to ensure you’re on the right path

+++ november

| december

CELEBRATE YOUR CARE:

rejoicing the rewards realized from taking good care of yourself

SHARE YOUR

care words | GERI ASTON

Your Healthy and You Know It and You’re Proud to Show It!

Primary care physicians are our partners on the road to good health. They urge us to get our vaccinations and preventive health screenings. They’re the ones reminding us to eat healthy and exercise. But sometimes it’s easier to get on and stay on the path to good health when we have company on the journey. Then once we’ve adopted a healthy lifestyle, we can set a good example for others and perhaps inspire them to join us. This article, the third in a yearlong OurHealth Shenandoah Valley and Charlottesville series about primary care, focuses on “sharing your care.” With the advice of local primary care physicians, we’ll provide ideas for how you can work healthy practices into your daily life and possibly motivate others to do the same.

Exercising the body and mind One of the most common lifestyle challenges William Sayre, MD, sees among his patients is lack of exercise. The recommended amount of exercise for the average adult is at least 150 minutes a week of moderate activity. As a rule of thumb, moderate activity means exercise you can do while carrying on a conversation without getting out of breath. Walking is one of the best exercises and is good for people in any age group, says Dr. Sayre, an internist at Carilion Clinic Internal Medicine in Lexington. People in their 20s and 30s might want to mix in more vigorous exercise, like jogging, he notes. Ann Klecan, MD, is also a big fan of walking. "It’s free, and everyone owns a pair of sneakers," says Dr. Klecan, a family physician at Sentara Martha Jefferson Family Medicine in Charlottesville. Walking is just one option, though. Dr. Sayre recommends you find something you like to do that doesn’t involve sitting. “Coach soccer, play golf with your buddies, play other sports — anything that gets you out of the chair and moving around, which is really what we’re built to do,” he says. “We weren’t designed as machines just to sit.” By being active yourself, you’re demonstrating healthy behavior for those around you. “If you live with somebody who is exercising, you’re going to be much more likely to do it with them or even by yourself,” Dr. Sayre says. “Just seeing them exercise is a nudge in that direction.” Exercise not only helps people feel better physically, but mentally too. “There is a connection between our sedentary lifestyle and problems like depression,” Dr. Sayre says. Dr. Klecan agrees that exercise improves mental health. “Getting outside reminds us of a bigger picture and gets us out of our heads,” she says. Both physicians suggest making exercise social, not just for your own health and enjoyment but to motivate others. Like exercise, socializing eases anxiety and depression, so Dr. Sayre recommends combining the two. For example, (Continue on page 45...)

Driving safely: You can example by wearing your texting or talking on the driving and not drinking says Dr. Klecan.

set a good seatbelt, not phone while and driving,

MODELING HEALTHY CHOICES

Limiting screen time: Balancing screen time with time outside is not just good for kids, but also for adults. “If you are asking your tween to limit video games, you shouldn’t be stuck on your iPad,” Dr. Klecan says.

Living a healthy lifestyle involves more than going to the doctor, taking your medicine and exercising. Everyday choices impact our health, and making good choices can inspire friends and loved ones to do the same.

Not smoking: Studies show that children whose parents smoke are more likely to take up the habit. Primary care doctors can help smokers who want to quit. Nicotine replacement products such as lozenges, gum, patches and inhalers make it easier. Your success might encourage others. “If you’re a smoker and you quit, it might just be contagious,” Dr. Sayre says.

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

(Continued from page 43...)

instead of walking by yourself, walk with your spouse or join or start a walking group. "Invite a friend to a yoga class, find a workout buddy or ask a friend to walk a 5K (just over 3 miles) with you," Dr. Klecan suggests.

“Coach soccer, play golf with your buddies, play other sports — anything that gets you out of the chair and moving around, which is really what we’re built to do. We weren’t designed as machines just to sit.” - William J. Sayre, MD

"For people with children, family activities help you physically and mentally while you model healthy behavior for your kids," Dr. Klecan says. Walking, biking or hiking together encourages healthy habits that can last for a lifetime. Aging doesn’t change the recommended activity level of 150 minutes a week. Elderly people benefit physically and mentally from exercise also. The intensity of activity might be lower though, and sometimes disability gets in the way. Participating in social activities also remains important as we age. According to Dr. Sayre, many people in their 70s and 80s are lonely, and loneliness can shorten and darken their lives. Fortunately, many senior centers host free or low-cost activities. The Charlottesville Senior Center’s exercise offerings include walking groups, senior softball, tai

William J. Sayre, MD, is an internal medicine physician with Carilion Clinic Internal Medicine in Lexington. Dr. Sayre is certified by the American Board of Internal Medicine.

(Continue on page 47...)

www.OurHealthCville.com

Cancer Screenings Breast cancer (women) 40-49 Discuss with your doctor or nurse. 50-64 Starting at age 50, get screened every two years.

SHARE YOUR CARE WHEN IT COMES TO TRADITIONAL SCREENINGS Once you reach age 50, doctors recommend several cancer screenings. If you have a family history of early cancers, your physician might suggest screening before 50. Knowing your family history and sharing it with other family members enables you and your family to be proactive about getting screened and making lifestyle choices that could affect whether or not cancer develops. Getting recommended screenings is one way to set a good example for others. “Telling your family and friends that your colonoscopy wasn’t too bad might help someone get one and prevent a colon cancer,” Dr. Klecan says.

65 and older Get screened every two years through age 74. Age 75 and older, ask your doctor or nurse if you need to be screened.

Cervical cancer (women) 18-39 Get a Pap test every three years if you are 21 or older and have a cervix. If you are 30 or older, you can get a Pap test and human papillomavirus (HPV) test together every five years. 40-49 Get a Pap test and HPV test together every five years if you have a cervix. 50-64 Get a Pap test and HPV test together every five years if you have a cervix. 65 and older Ask your doctor or nurse if you need to get a Pap test.

Colorectal cancer (men and women) 40-49 You might be screened if you have a strong family history of colon cancer or polyps or if you have risk factors, such as a history of inflammatory bowel disease or polyps. 50-64 Starting at age 50, get screened for colorectal cancer. Talk to your doctor or nurse about which screening test is best for you and how often you need it. 65 and older Get screened for colorectal cancer through age 75.

Lung cancer (men and women) 50-64 Starting at age 55, get an annual screening if you have a 30 pack-year smoking history* and currently smoke or have quit within the past 15 years. 65 and older Get screened through age 80.

Prostate cancer (Men) 50-64 Men should discuss prostate cancer screening with their doctor starting at age 50, or younger for African-American men and those with a family history of prostate cancer in a close relative younger than age 65. Prostate examinations are no longer routinely done on men with no symptoms. 65 and older Talk with your doctor about prostate cancer screening. * Smoking history pack-year – A way to measure the amount a person has smoked over a long period of time. It is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked. For example, one packyear is equal to smoking one pack per day for one year, or two packs per day for half a year. Source: National Institutes of Health, www.nih.gov.

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

(Continued from page 45...)

chi, chair yoga, exercise classes for people with Parkinson’s disease and weekly hikes. It also offers many social activities, such as card or game playing, sewing and other crafts, art, dance, educational workshops and music.

“If you are asking your tween to limit video games, you shouldn’t be stuck on your iPad.” - Ann M. Klecan, MD

Valley Program for Aging Services has eight senior centers serving the areas of Harrisonburg-Rockingham, Staunton-Waynesboro-Augusta, Buena Vista-LexingtonRockbridge, and Bath-Highland. Each offers exercise and social opportunities. “Staying active keeps you younger in the mind and younger at heart,” Dr. Sayre says. Expert sources Ann M. Klecan, MD, a family physician with Sentara Martha Jefferson Family Medicine in Charlottesville. William J. Sayre, MD, an internal medicine physician with Carilion Clinic Internal Medicine in Lexington.

ON THE WEB

More at ourhealthcville.com

Ann M. Klecan, MD, is a family physician with Sentara Martha Jefferson Family Medicine in Charlottesville. Dr. Klecan is certified by the American Board of Family Medicine.

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HealthyEats Pick Your Own Berries Critzer Family Farm 9388 Critzer Shop Road Afton | 540.456.4772 www.critzerfamilyfarm.com Strawberries: May – June Cherries: June – July Black berries and Raspberries: July *Debit and credit cards not accepted

BERRY SPINACH SALAD WITH RASPBERRY VINAIGRETTE INGREDIENTS

DIRECTIONS

bag of mixed greens

ounces baby spinach

Whisk together the balsamic vinegar and two olive oils. Set aside.

cup fresh berries

cup Raspberry Balsamic Vinegar

Combine mixed greens with baby spinach. Drizzle balsamic vinaigrette over greens and gently toss.

cup Extra Virgin Olive Oil

Sprinkle fresh raspberries on top of the greens.

Drizzle of Garlic Olive Oil

Shave or grate the Pecorino Romano cheese on top of the salad.

Pinch of sea salt

Sprinkle with sea salt and pepper and serve!

1 ½ ounces Pecorino Romano cheese

Fresh ground pepper, to taste 48

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

HealthyEats Find Specialty Olive Oils Locally Find Specialty Olive Oils Locally Staunton Olive Oil Company 126 West Beverley Street Staunton | 540.290.9665 www.stauntonoliveoilcompany.com

HONEY GINGER

PERSIAN LIME SALMON INGREDIENTS

DIRECTIONS

salmon fillets

2/3

cup soy sauce

gloves garlic, minced

Place salmon fillets in a Ziploc bag with the soy sauce and garlic and allow to marinate for about 2 hours, flipping the bag occasionally.

tablespoons brown sugar

tablespoons Cloister Honey

tablespoons Oliveto Persian Lime Olive Oil

tablespoons Oliveto Honey Ginger Balsamic Vinegar

lime

Just before grilling the fillets: in a saucepan combine the remaining ingredients (except for the lime) over medium heat, and stir to a boil. Allow to boil for 1 minute then remove from heat. Pour warm glaze over salmon while grilling. Serve with fresh lime wedges.

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HealthyEats For Fresh Local Eggs Foods of All Nations 2121 Ivy Road Charlottesville | 434.296.6131 Open Monday - Saturday 7:30 am - 8 pm and Sunday 10 am – 6 pm www.foodsofallnations.com

LEMON POUND CAKE INGREDIENTS

DIRECTIONS

eggs (room temperature)

cup Lemon Olive Oil

Preheat oven to 350 degrees. Grease a medium sized pan with lemon olive oil.

cup Greek Non-fat yogurt

In a bowl, combine dry ingredients,

1½

cups sugar or Splenda (for lighter options)

In a separate bowl combine eggs, Lemon Olive Oil, Greek yogurt, sugar (or Splenda) and lemon zest.

2½

cups all purpose flour

teaspoon salt

2½

teaspoons baking powder

Beat the wet mixture on a medium setting for approximately 3-4 minutes then add the dry ingredients to the mixture at low speed for another 2 minutes.

tablespoon lemon zest

Pour batter into pan and place in the oven. Bake for 40-50 minutes. Remove cake from oven and let sit for about 10 minutes. Once cool, cut and enjoy! Great with powdered sugar on top too!

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

www.OurHealthCville.com

RECOGNIZING

HEALTHCARE WORKERS THIS MONTH AND ALL YEAR LONG words | RICH ELLIS

Caring for people is a never-ending commitment. Illness and accidents never take a day off, they don’t recognize national holidays or weekends, they occur around the clock, and they affect everyone at some time or another. And even as these individual healthcare crises unfold and are managed, attention and work elsewhere is focused simultaneously on promoting and protecting patients’ good health through education and prevention, and on medical research. Simply put – healthcare never stops, because it can’t. Delivering it is a heavy responsibility, and one that falls squarely on the shoulders of a select group of people – healthcare professionals. These committed individuals – knowing full well the challenges, risks, hours, sacrifices, highs and lows inherent in caring for others – still choose to perform this work so that others have a chance to live a better life through improved health. To try and begin to thank and recognize these professionals for their dedication, sacrifices and commitment, many national recognition days have been established over the years to honor specific healthcare professions – from National IV Nurse Day to National Dental Assistants Recognition Week to National Doctors’ Day. While one day isn’t enough to say “thank you,” it’s a start. So to help you keep track of all the various healthcare-related recognition days and weeks that occur throughout the year so you can recognize the professionals in your life, OurHealth put together this healthcare appreciation calendar listing all the various observances.

USE IT WELL, AND THANK A HEALTHCARE PROFESSIONAL EVERY DAY.

MAY Month of

MAY

Critical Care Awareness and Recognition Month

The Society of Critical Care Medicine (SCCM), along with the American Association of Critical-Care Nurses (AACN), American College of Chest Physicians (CHEST), American Thoracic Society (ATS), and the American Association for Respiratory Care (AARC), honors critical care professionals this month for their speedy and dedicated work. For more information, visit the Society of Critical Care Medicine at www.sccm.org.

Month of

MAY

Oncology Nursing Month

Oncology nurses throughout the country are honored this month for not only their clinical and technical expertise, but for helping people through some of the most trying times of their lives. For more information, visit the Oncology Nursing Society at www.ons.org.

MAY 6-12

Nurses Week

Held annually since 1820, National Nurses Week celebrates the role nurses play in delivering high quality care to patients around the world. For more information, visit the American Nurses Association at www.nursingworld.org/nationalnursesweek.

MAY 8-14

Hospital Week

National Hospital Week, the nationâ&#x20AC;&#x2122;s largest healthcare event, celebrates hospitals and health systems and the men and women who support the health of their communities. For more information, visit the American Hospital Association at www.aha.org/hospitalweek.

MAY 8-14

Nursing Home Week

Skilled nursing, post-acute, and other care settings use National Nursing Home Week as a time to recognize staff for their dedication to caring for seniors and persons with disabilities. For more information, visit the American Health Care Association at www.nnhw.org.

MAY

For more information, visit NASN at www.nasn.org.

15-21

9-16

Medical Transcriptionist Week

National Medical Transcriptionist Week is a week-long event to recognize the contributions healthcare documentation specialists make in helping to ensure complete and accurate patient health records.

Nursing Assistants Week begins on Career Nursing Assistants Day, June 9, to recognize nursing assistants and other direct-care workers who provide daily care in nursing homes, home care, and other long-term care settings. For more information visit the Career Nursing Assistants website at www.cna-network.org

JULY Month of

JULY

For more information, visit the American Academy of Ophthalmology at www.aao.org.

AUGUST

15-21

AUG

Neuroscience Nurses Week

14-20

Neuroscience Nurses Week celebrates the work of neuroscience nurses everywhere. For more information, visit the American Association of Neuroscience Nurses (AANN) at www.aann.org.

JUNE JUN

Healthcare Recruiter Recognition Day

UV Safety Awareness Month

In support of UV Safety Month this July, the American Academy of Ophthalmology reminds the public of the importance of shielding eyes from the sun's harmful rays with 100 percent UV-blocking sunglasses and broad-brimmed hats. Make a point to recognize your eye care provider this month.

For more information, visit the Association for Healthcare Documentation Integrity at www.ahdionline.org.

MAY

Nursing Assistants Week

School Nurse Day

On National School Nurse Day we celebrate our local school nurses! The National Association of School Nurses (NASN) applauds the contributions school nurses make every day to improve the safety, health, and academic success of our students.

MAY

JUN

Health Center Week

This week in August, we recognize the service and contributions of community, migrant, homeless, and public housing health centers in providing access to affordable, high-quality, cost effective healthcare to medically vulnerable and underserved people. For more information, visit the National Association of Community Health Centers at www.healthcenterweek.org.

APR

Health Unit Coordinator Day

National Healthcare Recruiter Recognition Day, which always falls on the first Tuesday in June celebrates the contribution healthcare recruiters make to their organizations every day.

August 23 we celebrate health unit coordinators who serve as the hub of activity in critical care units, emergency departments, inpatient units and outpatient services.

For more information visit the National Associations for Health Care Recruitment at www.nahcr.com.

For more information, visit the National Association of Health Unit Coordinators (NAHUC) at www.nahuc.org.

www.OurHealthCville.com

SEPTEMBER SEP 11-17

Healthcare Environmental Services and Housekeeping Week

This week is designed to recognize and elevate healthcare environmental services staff for the critical and often unrecognized role of environmental services in quality outcomes.

SEP 18-24

Surgical Technologist Week

The Association of Surgical Technologists (AST) offers national recognition through National Surgical Technologist Week, a week that has been designated to celebrate and honor the professions. For more information, visit AST at www.ast.org.

OCTOBER

For more information, visit the Association for the Healthcare Environment (AHE) at www.ahe.org.

SEP 11-17

Nephrology Nurses Week

Nephrology Nurses Week honors the dedicated nephrology nurses who care for patients with kidney disease. For more information, visit the American Nephrology Nurses’ Association at www.annanurse.org.

SEP

11-17

Vascular Nurses Week

Vascular Nursing Week celebrates vascular nurses who focus on the care of persons living with vascular disease. For more information, visit the Society for Vascular Nursing at www.svnnet.org.

SEP

Neonatal Nurses Day

National Neonatal Nurses Day is celebrated every September 15 by honoring the members of the neonatal community and their care for the littlest of patients. For more information, visit the National Association of Neonatal Nurses at www.nann.org.

SEP 18-24

Nursing Professional Development Week

Nursing Professional Development Week celebrates nursing professional development specialists and their profession of engaging nurses in the lifelong learning and development of their healthcare career goals. For more information, the Association for Nursing Professional Development at www.anpd.org.

Month of

OCTOBER

Medical Librarians Month

For more information, visit the MLA at www.mlanet.org.

OCTOBER

Pharmacists Month

American Pharmacists Month is a time to recognize pharmacists for the vital contributions they make as medication experts and as an integral part of the healthcare team. For more information, visit the American Pharmacists Association at www.pharmacist.com.

Month of

OCTOBER

Physical Therapy Month

National Physical Therapy Month is hosted by the American Physical Therapy Association (APTA) each October to recognize how physical therapists and physical therapist assistants can transform people’s lives by restoring and improving motion. For more information, visit APTA at www.moveforwardpt.com.

OCT 2-8

Gerontological Nursing Week

This week honors the specialty practice of gerontological nursing dedicated to the clinical care of older adults across diverse care settings. For more information, visit the National Gerontological Nursing Association at www.ngna.org.

2-8

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

Healthcare Foodservice Workers Week

This week, we recognize the integral role of foodservice staff in helping employees and patients of healthcare facilities stay well-nourished and healthy. This week is an excellent opportunity to recognize and thank the dedicated individuals who provide food and nutrition services in healthcare. For more information, visit the Association for Healthcare Foodservice at www.healthcarefoodservice.org.

OCT

The Medical Library Association (MLA) created the National Medical Librarians Month observance to raise awareness of the important role of the health sciences information professional.

Month of

OCT

2-8

Midwifery Week

National Midwifery Week is a time to celebrate midwives’ contributions to women’s healthcare, including pregnancy, childbirth, and gynecologic and reproductive health. For more information, visit the American College of Nurse-Midwives at www.midwife.com.

OCT 2-8

Nuclear Medicine and Molecular Imaging Week

Celebrated during the first full week of October, Nuclear Medicine and Molecular Imaging Week encourages recognition of those members of the nuclear medicine specialty for their hard work. For more information, visit the Society of Nuclear Medicine and Molecular Imaging at www.snmmi.org.

OCT 6-12

Physician Assistants Week

National Physician Assistants Week is intended to celebrate and recognize over 100,000 certified physician assistants in the United States. For more information, visit the American Academy of Physician Assistants at www.aapa.org.

OCT 9-15

Case Management Week

National Case Management Week, held annually during the second full week of October, is an opportunity to recognize the contributions and value of case management within the healthcare delivery system. For more information, visit the American Case Management Association at www.acmaweb.org.

OCT 9-15

Central Service Week

With the dedication of central service professionals, healthcare customers can count on clean and sterile instruments being delivered consistently and on time. For more information, visit the International Association of Healthcare Central Service Material Management at www.iahcsmm.org.

OCT 9-15

Emergency Nurses Week

OCT 17-21

Medical Assistants Recognition Week

During November the home care and hospice community honor the millions of nurses, home care aides, therapists, and social workers who make a difference for the patients and families they serve.

For more information, visit the American Association of Medical Assistants at www.aama-ntl.org.

For more information, visit the National Association for Home Care &Hospice at www.nahc.org.

OCT

23-29

Healthcare Facility and Engineering Week

This week recognize the important role that the healthcare facility team plays in ensuring safe and functional environments for patients, visitors, and staff.

For more information, visit the Emergency Nurses Association at www.ena.org.

For more information, visit the American Society for Healthcare Engineering at www.ashe.org.

9-15

Healthcare Security and Safety Week

In conjunction with Healthcare Security and Safety Officer Appreciation Day on October 12, this week celebrate the role of security and safety professionals that provide healthcare facilities, personnel, patients, and visitors a secure environment. For more information, visit the International Association for Healthcare Security and Safety at www.iahss.org.

OCT 10-15

Dialysis Technician Recognition Week

This week-long event is celebrated to increase awareness of nephrology professionals involved in patient care, dialyzer reuse, equipment maintenance, kidney transplantation, and administrative areas. The celebration recognizes the contributions dialysis professionals make to the healthcare field and to their patientsâ&#x20AC;&#x2122; quality of life. For more information, visit the National Association of Nephrology Technicians/Technologists at www.dialysistech.net.

Home Care and Hospice Month

Medical Assistants Recognition Day falls on October 19, but celebrate these professionals and their vital role, contributions, and efforts in healthcare all week long.

Emergency Nurses Week is a national celebration of the dedicated nursing professionals who stand ready to care for those people most in need.

OCT

Month of

NOVEMBER

OCT

23-29

Pastoral Care Week

Pastoral Care Week gives us the opportunity to recognize the pastoral and spiritual care given through professional chaplaincy and pastoral counseling. Regardless of spiritual, religious, or cultural background, Pastoral Care Week celebrates those who provide spiritual support to others. For more information, visit Pastoral Care Week at www.pastoralcareweek.org.

NOV 1-7

This week honors the medical-surgical nurses who make a difference in the lives of patients every day. Take time during this week to recognize the amazing nurses who practice in this specialty. For more information, visit the Academy of Medical Surgical Nurses at www.amsn.org.

NOV 1-7

Month of

NOVEMBER

Family Caregivers Month

Caregiver Action Network (CAN) formerly known as National Family Caregivers Association, set aside a week of the year to promote appreciation for family caregivers. Because of the massive interest in family caregivers, National Family Caregivers Week turned into a month-long event celebrated every November. For more information, visit the Caregiver Action Network at www.caregiveraction.org.

Patient Transportation Week

The National Association of Healthcare Transportation Management (NAHTM) members recognize that the key to timely and caring patient transportation is the staff that provides patient transportation. For more information, visit NAHTM at www.nahtm.org.

NOV 1-7

NOVEMBER

Medical-Surgical Nurses Week

Urology Nurses and Associates Week

Urology Nurses and Associates Week celebrates urologic healthcare professionals and their care for patients through guidance and treatment for a variety of urologic diseases and concerns. For more information, visit the Society of Urologic Nurses and Associates at www.suna.org.

NOV 6-12

Allied Health Professions Week honors the three million healthcare providers working in more than 80 allied health professions. Allied health practitioners greatly influence healthcare delivery by supporting, facilitating, and complementing the roles of physicians and other healthcare specialists. For more information, visit the Association of Schools of Allied Health Professions at www.asahp.org.

NOV 6-12

For more information, visit the NAMSS at www.namss.org.

6-12

JANUARY

Medical Staff Services Awareness Week

National Radiologic Technology Week is celebrated annually to recognize the vital work of medical imaging and radiation therapy professionals across the nation. The celebration takes place each November to commemorate the anniversary of Wilhelm Conrad Roentgen’s discovery of the x-ray on November 8, 1895. For more information, visit the American Society of Radiologic Technologists at www.asrt.org.

DEC 4-10

Flu Vaccination Week

This week we recognize all of our flu vaccination partners and highlight the importance of continuing flu vaccination through the holiday season and beyond. For more information, visit the Center for Disease Control and Prevention at www.cdc.gov.

MARCH

Professional Social Work Month

Every year since 1981, National IV Nurse Day has honored the commitment shown and the outstanding patient care practiced by infusion nurse professionals. For more information, visit the Infusion Nurses Society at www.ins1.org.

For more information, visit the National Association of Social Workers at www.socialworkers.org.

JAN

IV Nurse Day

2017

FEBRUARY FEB 6-12

PeriAnesthesia Nurse Awareness Week

This week recognizes and celebrates our nation’s 60,000+ perianesthesia nurses who work in preanesthesia and postanesthesia care, outpatient surgery, and pain management settings, and care for patients before and after surgery. For more information, visit the American Society for PeriAnesthesia Nurses at www.aspan.org.

FEB 12-18

2017

Cardiovascular Professionals Week

This week celebrates the work of cardiovascular professionals and the support they provide to improve patient care. For more information, visit the Alliance of Cardiovascular Professionals at www.acp-online.org.

2017

DECEMBER

Month of

This month celebrates medical and public health social workers who provide psychosocial support.They also advise caregivers and help plan for patients’ needs after discharge from hospitals. Social workers may work for hospitals, nursing and personal care facilities, individual and family services agencies, or local governments.

Allied Health Professions Week

The National Association of Medical Staff Services (NAMSS) has partnered with hospitals, managed care organizations, doctors’ offices, university health systems, and government agencies to honor medical services professionals.

NOV

2017

Radiologic Technology Week

MARCH Month of

MARCH

2017

Athletic Training Month

Recognizing all athletic trainers— healthcare professionals specializing in the prevention, diagnosis, treatment, and rehabilitation of injuries and sport-related illnesses. For more information, visit the National Athletic Trainers’ Association at www.nata.org.

MAR 5-11

Dental Assistants Recognition Week

Dental Assistants Recognition Week recognizes this versatile, multitalented member of the dental team, who contributes to quality dental care. For more information, visit the American Dental Assistants Association at www.adaausa.org.

MAR

Registered Dietitian Nutritionist Day

Registered Dietitian Nutritionist Day recognizes registered dietitian nutritionists as the indispensable providers of food and nutrition services and their commitment to helping people enjoy healthy lives. For more information, visit the Academy of Nutrition and Dietetics at www.eatright.org.

MAR 11-18

Health Care HR Week

Health Care HR Week recognizes human resources professionals in hospitals and other organizations across the nation for their efforts in workforce compensation and benefits, employee relations, healthcare reform, and wellness. For more information, visit the American Society for Healthcare Human Resources Administration at www.ashhra.org.

MAR

Certified Nurses Day

Certified Nurses Day honors nurses who contribute to better patient outcomes through national board certification. Today we recognize nurses who earn and maintain the highest credentials in their specialty. For more information, visit the American Nurses Credentialing Center at www.certifiednursesday.org.

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

MAR

APR

Doctors' Day

On this national day of celebration, we recognize the essential role that physicians serve in all of our daily lives and thank them for their contribution to our public health. For more information, visit the American Board of Physician Specialties at www.abpsus.org.

This day recognizes the work of those working in the specialty practice of radiologic and imaging nursing. For more information, visit the Association for Radiologic & Imaging Nursing at www.arinursing.org.

APR 16-22

2017

APRIL Month of

APRIL

Humor Month

Throughout the month of April, we honor those who make us laugh. Therapeutic humor promotes health and wellness by stimulating a playful discovery, expression or appreciation of the absurdity or incongruity of life’s situations. For more information, visit Association for Applied and Therapeutic Humor at www.aath.org or National Humor Month at www.humormonth.com.

Radiologic and Imaging Nurses Day

Neurodiagnostic Week

Neurodiagnostic Week, honors and celebrates the contributions of neurodiagnostic professionals throughout the country. For more information, visit ASET – The Neurodiagnostic Society at www.aset.org.

APR

Transplant Nurses Day

The International Transplant Nurses Society (ITNS) is committed to creating opportunities to celebrate the thoughtful and compassionate care of transplant nurses and the ways they impact patients’ lives. For more information, visit ITNS at www.itns.org.

APR 9-15

Volunteer Week

APR 23-29

Established by President Richard Nixon, National Volunteer Week recognizes and celebrates the efforts of volunteers. Every April, charities, hospitals, and communities recognize volunteers and foster a culture of service. For more information, visit the Association for Healthcare Volunteer Resources Professionals at www.ahvrp.org.

Medical Laboratory Professionals Week

National Medical Laboratory Professionals Week celebrates medical laboratory professionals and pathologists working behind the scenes. This week we honor these medical laboratory professionals around the country who perform and interpret more than 10 billion laboratory tests in the United States each year. For more information, visit the American Society for Clinical Laboratory Science at www.ascls.org.

APR

10-14

Cancer Registrars Week

National Cancer Registrars Week was established as an annual celebration to promote the work of cancer registry professionals. Founded by the (NCRA), it is celebrated the second week in April. For more information, visit the National Cancer Registrars Association at www.ncra-usa.org.

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